Apparatus and process for controlling the ventilation of the lungs of a patient

• US 5,542,415 A
• Filed: 05/07/1991
• Issued: 08/06/1996
• Est. Priority Date: 05/07/1991
• Status: Expired due to Term

• Current Assignee: Nellcor Puritan Bennett Incorporated (Medtronic Plc)
• Original Assignee: Infrasonics, Inc. (Medtronic Plc)
• Inventors: Brody, Michael P.
• Primary Examiner(s): Asher, Kimberly L.
• Application Number:
  US07/696,582
• Time in Patent Office: 1,918 Days
• Field of Search: 128/204.21, 128/204.23, 128/204.26, 128/721, 128/722, 128/639, 128/640, 128/671, 128/716
• US Class Current: 128/204.23
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor

Abstract

The breathing of a patient is monitored with a movement sensor, taped to the abdomen of the patient, that produces an output signal indicative of the movement of the diaphragm of the patient. The rate of change of the output signal with time is determined. When the rate of change with time exceeds a preselected value, a ventilation of the lungs of the patient by an external ventilator is initiated.

Claims

1. Apparatus for controlling the ventilation of a patient by a ventilator, comprising:

means for determining the movement of a patient'"'"'s diaphragm, said means including a sensor adapted for contacting to the external portion of the abdomen of the patient that produces a signal responsive to the movement of the diaphragm of the patient;

means for determining the rate of change of the sensor signal with time; and

means for controlling a ventilator based upon the rate of change of the sensor signal with time.

2. The apparatus of claim 1, wherein the sensor includes a compressible envelope.

3. The apparatus of claim 1, wherein the sensor is a pressure sensor that produces a pressure output signal responsive to the movement of a surface to which it is attached, and the means for determining includes a pressure transducer that produces an electrical output signal responsive to the pressure output of the pressure sensor.

4. The apparatus of claim 1, wherein the sensor produces an electrical output signal.

5. The apparatus of claim 4, wherein the means for controlling includes

a filter that receives the electrical output signal and filters out noise from the electrical output signal,

an amplifier that amplifies and biases the output signal from the filter,

a capacitive coupler between the filter and the amplifier,

an analog-to-digital converter that produces a digital signal level responsive to the output signal from the amplifier, and

a microprocessor that analyzes the digital signal level produced by the analog-to-digital converter.

6. The apparatus of claim 5, wherein the microprocessor contains means for compensating for capacitive drift in the digital signal level resulting from the capacitive coupler.

7. Apparatus for controlling the ventilation of a patient, comprising:

a sensor that produces a pressure output signal responsive to the movement of a surface to which it is affixed;

a pressure transducer that receives the pressure output signal of the sensor and produces a transducer electrical output signal related thereto; and

means for initiating a ventilation of the patient when the rate of change of transducer electrical output signal with time exceeds a preselected value.

8. The apparatus of claim 7, wherein the sensor includes a compressible envelope adapted to be fastened to a patient'"'"'s abdomen, the compressible sensor producing a pressure output related to the movement of the abdomen of the patient.

9. The apparatus of claim 8, wherein the compressible envelope is made of plastic and is filled with a compressible foam.

10. The apparatus of claim 9, wherein the means for initiating includes

a filter that receives the electrical output signal and filters out noise from the electrical output signal,

an amplifier that amplifies and biases the output signal from the filter,

a capacitive coupler between the filter and the amplifier,

an analog-to-digital converter that produces a digital signal level responsive to the output signal from the amplifier, and

a microprocessor that analyzes the digital signal level produced by the analog-to-digital converter.

11. The apparatus of claim 10, wherein the microprocessor includes means for compensating the digital signal for capacitive drift in the digital signal level resulting from the capacitive coupler.

12. The apparatus of claim 10, wherein the microprocessor includes means for comparing the digital signal with a preselected trigger level for initiating operation of the ventilator.

13. A process for controlling the ventilation of a patient, comprising:

fixing a sensor that produces a pressure output signal responsive to the movement of a surface to which it is affixed to the external surface of the abdomen of a patient;

providing the pressure output signal of the sensor to a pressure transducer that receives the pressure output signal of the sensor and produces a transducer electrical output signal related thereto; and

initiating a ventilation of the patient when the rate of change of transducer electrical output signal with time exceeds a preselected value.

14. The process of claim 13, wherein the sensor includes a compressible envelope adapted to be fastened to the patient'"'"'s abdomen, the compressible sensor producing a pressure output related to the movement of the abdomen of the patient.

15. The process of claim 14, wherein the compressible envelope is made of plastic and is filled with a compressible foam.