Triggering of patient ventilator responsive to a precursor signal

• US 5,513,631 A
• Filed: 07/21/1995
• Issued: 05/07/1996
• Est. Priority Date: 07/21/1995
• Status: Expired due to Term

• Current Assignee: Nellcor Puritan Bennett Incorporated (Medtronic Plc)
• Original Assignee: Infrasonics, Inc. (Medtronic Plc)
• Inventors: McWilliams, Roger D.
• Primary Examiner(s): Lewis, Aaron J.
• Application Number:
  US08/505,558
• Time in Patent Office: 291 Days
• Field of Search: 128/204.21, 128/204.23, 128/205.23, 128/721, 128/722, 128/723, 128/207.18, 128/204.26
• US Class Current: 128/204.23
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2016/0024 with an on-off output signal, e.g. from a switch
• CPC Class Codes: A61M 2230/08 Other bio-electrical signals

Abstract

A ventilator is operable to ventilate a patient responsive to a trigger signal. A nasal sensor is affixed to the external surface of the nose of the person. A nasal sensor output signal is produced responsive to the alae nasi reflex or other source of nasal movement of the person, and that nasal sensor output signal is provided to a controller, which in turn produces a trigger signal for the ventilator responsive to the nasal sensor output signal. Other sensor signals can also be measured, and used together with the output of the nasal sensor to provide the most reliable triggering and closest synchronization of the mechanical breathing assistance of the ventilator to the spontaneous breathing efforts of the person.

Claims

1. A method for ventilating a person, comprising the steps of:

providing a ventilator operable to ventilate a person responsive to a trigger signal, and a controller that outputs a trigger signal to the ventilator;

providing a nasal sensor;

affixing the nasal sensor to the nare of the person;

producing a nasal sensor output signal of the nasal sensor responsive to the movement of the nare of the person; and

providing the nasal sensor output signal to the controller for use in generating the trigger signal.

2. The method of claim 1, wherein the step of providing a nasal sensor includes the step of

providing a pneumatic sensor.

3. The method of claim 1, including the additional steps of:

providing a second sensor,

producing a second sensor output signal responsive to a spontaneous breath of the person, and

providing the second sensor output signal to the controller.

4. The method of claim 3, wherein the step of providing a second sensor includes the step of

providing a pneumatic sensor.

5. The method of claim 3, wherein the step of providing the nasal sensor output signal includes the step of

utilizing the nasal sensor output signal and the second sensor output signal to determine the trigger signal.

6. The method of claim 3, wherein the step of providing the nasal sensor output signal includes the step of

selecting at least one of the nasal sensor output signal and the second sensor output signal to generate the trigger signal.

7. The method of claim 6, wherein the step of selecting includes the step of

selecting the one of the nasal sensor output signal and the second sensor output signal which gives the most reliable indication of a spontaneous breath by the patient.

8. A method for ventilating a person, comprising the steps of:

providing a ventilator operable to ventilate a person responsive to a trigger signal, and a controller that outputs a trigger signal to the ventilator;

providing a nasal sensor;

affixing the nasal sensor to a hare of the person;

providing a second sensor;

producing a second sensor output signal responsive to a spontaneous breath of the person;

utilizing the nasal sensor and the second sensor to determine a trigger time at which the trigger signal is to be transmitted by the controller to the ventilator; and

transmitting the trigger signal from the controller to the ventilator at the trigger time.

9. The method of claim 8, wherein the step of providing a nasal sensor includes the step of providing a pneumatic sensor.

10. The method of claim 8, wherein the step of providing a second sensor includes the step of providing a sensor selected from the group consisting of a pressure sensor, an air flow sensor, an electrical sensor, and a pneumatic sensor.

11. The method of claim 8, wherein the step of utilizing includes the step of

calculating a physiological delay between a response of the nasal sensor and a response of the second sensor, during a first breathing period;

subtracting from the physiological delay a mechanical ventilator response time to determine a trigger time delay;

measuring the response time of the nasal sensor during a spontaneous breath initiated after the first breathing period; and

determining the trigger time for the spontaneous breath as the response time of the nasal sensor associated with the spontaneous breath plus the trigger time delay.

12. The method of claim 11, wherein the step of calculating a physiological delay includes the step of

calculating the physiological delay based upon a single breath of the person.

13. The method of claim 11, wherein the step of calculating a physiological delay includes the step of

calculating the physiological delay based upon an average value determined for a number of breaths of the person.