Computer gated positive expiratory pressure method

• US 5,413,110 A
• Filed: 09/21/1992
• Issued: 05/09/1995
• Est. Priority Date: 03/31/1986
• Status: Expired due to Term

• Current Assignee: Puritan Bennett Corp. (Medtronic Plc)
• Original Assignee: Puritan Bennett Corp. (Medtronic Plc)
• Inventors: Prince, Robert I., Cummings, Charles C.
• Primary Examiner(s): Sykes, Angela D.
• Application Number:
  US07/947,441
• Time in Patent Office: 960 Days
• Field of Search: 128/670-671, 128/700, 128/716, 128/718-720, 128/696, 128/204.18, 128/204.23, 128/204.24, 128/205.19, 128/205.24
• US Class Current: 600/508
• CPC Class Codes: A61M 16/00 Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes stimulating the respiratory movement by mechanical, pneumatic or electrical means, iron lungs combined with gas breathing means A61H31/00
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/04 Heartbeat characteristics, e.g. ECG, blood pressure modulation

Abstract

The computer gated positive expiratory pressure method alters pressure in a patient breathing pathway in a respiratory ventilator during specified periods of a patient'"'"'s heart cycle. Heartbeats of a patient are detected in patient cardiac cycles, and an electrical heartbeat signal is generated in response to the heartbeats. In a presently preferred embodiment, the electrical heartbeat signal is squared to amplify the signal. A variable moment following a detected heartbeat is determined, and positive ventilation pressure in the patient breathing pathway is altered commencing at the variable moment following a detected heartbeat, for a variable time interval during selected cardiac cycles.

Claims

1. A method for altering pressure in a patient breathing pathway in a respiratory ventilation apparatus during specified periods of a patient heart cycle, the respiratory ventilation apparatus having a ventilator and means for providing said patient breathing pathway with a positive ventilation pressure during a patient breath cycle, the steps of the method comprising:

detecting heart beats in a plurality of patient cardiac cycles;

generating an electrical heart beat signal in response to said heart beats, and amplifying said electrical heart beat signal;

determining a variable moment following a detected heartbeat; and

altering said positive ventilation pressure in said patient breathing pathway commencing at said variable moment following a detected heart beat for a variable time interval during selected cardiac cycles.

2. The method of claim 1, wherein said step of altering said positive ventilation pressure comprises providing a low positive ventilation pressure in said patient breathing pathway.

3. The method of claim 1, wherein said respiratory ventilation apparatus includes a control valve connected to said patient breathing pathway having open and closed positions in which said control valve induces alternating low and high positive ventilation pressures in said breathing pathway, respectively, and control means for generating a control signal for a predetermined period of time commencing at said variable moment during selected cardiac cycles of said patient for operation of said control valve, and said step of altering said positive ventilation pressure comprises generating said control signal for a predetermined period of time commencing at said variable moment during selected patient cardiac cycles, and opening said control valve responsive to said control signal to provide said low positive ventilation pressure in said patient breathing pathway.

4. The method of claim 1, wherein said step of determining said variable moment comprises determining a period of time between selected sequential patient heart beats, and multiplying a preselected multiplier value by said period of time between said selected sequential heart beats, said preselected multiplier value approximately corresponding to a computed fraction of said period of time between heart beats.

5. A method for altering pressure in a patient breathing pathway in a respiratory ventilation apparatus during specified periods of a patient heart cycle, the respiratory ventilation apparatus having a ventilator and means for providing said patient breathing pathway with a relatively high positive ventilation pressure and a relatively low positive ventilation pressure, the steps of the method comprising:

alternatingly providing said patient breathing pathway with a relatively high positive ventilation pressure and a relatively low positive ventilation pressure to produce a pressure or volume supported breath cycle;

detecting heart beats in a plurality of patient cardiac cycles;

producing a secondary relatively low positive ventilation pressure in said patient breathing pathway commencing at a variable moment following a detected heart beat for a variable time interval during selected cardiac cycles; and

determining said variable moment by determining a period of time between selected sequential heart beats of said patient, and multiplying a preselected multiplier value by said period of time between said selected sequential heart beats, said preselected multiplier value approximately corresponding to a computed fraction of said period of time between heart beats.

6. The method of claim 5, wherein said ventilator includes control means for generating a control signal and control valve means connected to said patient breathing pathway having an open position in which said control valve means induces said relatively low pressure in said breathing pathway, and said step of producing said secondary relatively low positive ventilation pressure comprises generating a control signal for a predetermined period of time commencing at said variable moment during selected cardiac cycles of said patient, and opening said control valve means responsive to said control signal.