Ventilator wherein operation is modifiable dependent on patient sounds

• US 6,601,583 B2
• Filed: 01/24/2001
• Issued: 08/05/2003
• Est. Priority Date: 01/25/2000
• Status: Expired due to Fees

• Current Assignee: Maquet Critical Care AB (Getinge AB)
• Original Assignee: Siemens-Elema AB (Siemens AG)
• Inventors: Cardell, Mats, Pessala, Tom
• Primary Examiner(s): Lo, Weilun
• Assistant Examiner(s): MITCHELL, TEENA KAY
• Application Number:
  US09/769,826
• Publication Number:
  US 20010009153A1
• Time in Patent Office: 923 Days
• Field of Search: 128/204.18, 128/204.21, 128/204.23, 128/204.13, 128/204.14, 128/207.18, 128/205.23, 128/205.25, 600/529, 600/484, 600/534, 600/535
• US Class Current: 128/204.23
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/08 Bellows; Connecting tubes having means for taking samples G01N1/22; Water traps; Patient circuits
• CPC Class Codes: A61M 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 2205/3375 Acoustical, e.g. ultrasonic, measuring means

Abstract

A ventilator for respiratory care, intended for connection to a patient, avoids needless alarms, caused by a patient'"'"'s attempts to speak and needless suffering because of the patient'"'"'s inability to trigger an alarm, by having a sound detector arranged to detect and identify sounds made by the patient, preferably intentionally. A control unit is operatively connected to the sound detector acts on at least one function in the ventilator on the basis of sounds identified by the sound detector.

Claims

1. A ventilator comprising:

a tube adapted for connection to a patient for providing respiratory care dependent on at least one of a plurality of ventilator functions;

a sound detector for detecting and identifying sounds made by said patient;

an alarm; and

a control unit operatively connected to said sound detector for influencing at least one of said plurality of ventilator functions dependent on the sounds identified by said sound detector, said control unit being connected to said alarm and activating said alarm dependent solely on identification by said sound detector of sounds made by the patient.

2. A ventilator as claimed in claim 1 wherein said sound detector detects and identifies sounds intentionally made by said patient.

3. A ventilator as claimed in claim 1 wherein said sound detector includes a memory for storing recorded sound patterns from said patient, and wherein said sound detector subsequently compares detected sounds from said patient with the stored sound patterns to identify said detected sounds.

4. A ventilator as claimed in claim 1 wherein said sound detector includes a frequency analyzer for analyzing a frequency content of detected sounds to identify sounds made by said patient.

5. A ventilator as claimed in claim 1 wherein said sound detector includes a transducer for detecting sound waves selected from the group consisting of a microphone, a pressure sensor and an accelerometer.

6. A ventilator as claimed in claim 1 wherein said tube has a flow path therein for breathing gas, and wherein said sound detector is disposed in said flow path.

7. A ventilator as claimed in claim 1 wherein said respiratory care includes regulation of an inspiratory phase and an expiratory phase, and wherein said control unit, dependent on identification of said sounds by said sound detector, modifies said regulation of an inspiratory phase and an expiratory phase.

8. A ventilator comprising:

a tube adapted for connection to a patient for providing respiratory care dependent on at least one of a plurality of ventilator functions;

a sound detector for detecting and identifying sounds made by said patient;

means for identifying a predetermined discrepancy between a volume of inspired breathing gas and a volume of expired breathing gas;

an alarm; and

a control unit operatively connected to said sound detector for influencing at least one of said plurality of ventilator functions dependent on the sounds identified by said sound detector said control unit being connected to said alarm and normally triggering said alarm if said predetermined discrepancy occurs, and said control unit inhibiting said alarm dependent on identification of sounds made by the patient by said sound detector.

9. A ventilator as claimed in claim 8 wherein said control unit inhibits said alarm for a limited period of time after identification of said sounds.

10. A ventilator as claimed in claim 8 wherein said sound detector detects and identifies sounds intentionally made by said patient.

11. A ventilator as claimed in claim 8 wherein said sound detector includes a memory for storing recorded sound patterns from said patient, and wherein said sound detector subsequently compares detected sounds from said patient with the stored sound patterns to identify said detected sounds.

12. A ventilator as claimed in claim 8 wherein said sound detector includes a frequency analyzer for analyzing a frequency content of detected sounds to identify sounds made by said patient.

13. A ventilator as claimed in claim 8 wherein said sound detector includes a transducer for detecting sound waves selected from the group consisting of a microphone, a pressure sensor and an accelerometer.

14. A ventilator as claimed in claim 8 wherein said tube has a flow path therein for breathing gas, and wherein said sound detector is disposed in said flow path.

15. A ventilator as claimed in claim 8 wherein said respiratory care includes regulation of an inspiratory phase and an expiratory phase, and wherein said control unit, dependent on identification of said sounds by said sound detector, modifies said regulation of an inspiratory phase and an expiratory phase.