Ventilator operable in a compensated volume support mode

• US 6,679,258 B1
• Filed: 08/20/1999
• Issued: 01/20/2004
• Est. Priority Date: 08/25/1998
• Status: Expired due to Term

• Current Assignee: Maquet Critical Care AB (Getinge AB)
• Original Assignee: Siemens Elema AB
• Inventors: Ström, Christer
• Primary Examiner(s): Lo, Weilun
• Assistant Examiner(s): PATEL, MITAL B
• Application Number:
  US09/377,847
• Time in Patent Office: 1,614 Days
• Field of Search: 128/204.18, 128/204.21, 128/204.23, 128/204.22
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/026 specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit
• CPC Class Codes: A61M 2230/46 Resistance or compliance of the lungs

Abstract

A ventilator for connection to a patient to provide assisted breathing, has a gas flow generator, a pressure meter, a flow meter and a control unit, which determines a gas pressure, on the basis of a pre-set tidal volume for the patient and measurement signals from the pressure meter and flow meter, for each breath and which regulates the gas flow generator so that it generates the determined gas pressure. An improved breathing mode, better tailored to the patient, is achieved by the control unit also determining the gas pressure to be generated by the gas flow generator on the basis of mechanical resistances and a variable corresponding to the aggregate effect of the resistance and elastance of the lungs.

Claims

1. A ventilator comprising:

a gas flow generator which produces a flow of gas in a gas flow path in a conduit system adapted for communication with a patient having lungs exhibiting a resistance and an elasticity, said conduit system comprising a plurality of components disposed in said gas flow path having respective mechanical resistances to said flow of gas;

a pressure meter which measures pressure in said conduit system and which produces a pressure measurement signal dependent thereon;

a flow meter which measures gas flow in said conduit system and which produces a flow measurement signal dependent thereon;

a control unit having an input for setting a predetermined tidal volume, and which receives said pressure measurement signal and said flow measurement signal, and which determines a gas pressure, in each breathing cycle of a patient, from said tidal volume, said pressure measurement signal, said flow measurement signal, and a variable representing an aggregate effect of said resistance and elasticity of the lungs, said control unit programmed to regulated said gas flow generator to cause said gas flow generator to generate said gas flow at the gas pressure respectively determined for that breathing cycle.

2. A ventilator as claimed in claim 1 wherein said conduit system includes a tracheal tube, and wherein said mechanical resistances comprise resistance to gas flow in said tracheal tube.

3. A ventilator as claimed in claim 1 further comprising a display connected to said control unit.

4. A ventilator as claimed in claim 3 wherein said control unit identifies parameters relating to mechanical breathing support for each breath, said parameters being shown on said display.

5. A ventilator as claimed in claim 4 wherein said control unit determines trend changes in said breathing support over time, and displays said trend changes on said display.

6. A ventilator as claimed in claim 3 wherein said control unit calculates parameters relating to breathing activity of a patient in each breath, said control unit displaying said parameters on said display.

7. A ventilator as claimed in claim 6 wherein said control unit determines trend changes in said breathing support over time, and displays said trend changes on said display.

8. A ventilator as claimed in claim 1 wherein said conduit system includes an inspiratory line adapted to supply gas from said gas flow generator to a patient, and wherein said pressure meter measures pressure in said inspiratory line and said flow meter measures gas flow in said inspiratory line.

9. A ventilator as claimed in claim 1 wherein said conduit system includes an expiratory line, adapted to receive gas from a patient, and wherein said pressure meter measures pressure in said expiratory line and said flow meter measures gas flow in said expiratory line.

10. A ventilator as claimed in claim 1 wherein said control unit determines said gas pressure from said tidal volume, said pressure measurement signal, said flow measurement signal, said variable, and said mechanical resistances.