High-frequency oscillation patient ventillator system

• US 6,694,978 B1
• Filed: 11/09/2000
• Issued: 02/24/2004
• Est. Priority Date: 12/02/1999
• Status: Expired due to Term

• Current Assignee: Maquet Critical Care AB (Getinge AB)
• Original Assignee: Siemens-Elema AB (Siemens AG)
• Inventors: Bennarsten, Johan
• Primary Examiner(s): Lo, Weilun
• Assistant Examiner(s): MENDOZA, MICHAEL G
• Application Number:
  US09/708,637
• Time in Patent Office: 1,202 Days
• Field of Search: 128/203.24, 128/203.25, 128/204.21, 128/204.19, 128/207.17, 128/207.14, 128/203.12, 128/204.18, 600/525, 600/532, 600/533, 600/537, 600/538
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/0096 High frequency jet ventilation
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0036 in the breathing tube and used in both inspiratory and expiratory phase

Abstract

A patient ventilator system has a high-frequency oscillation ventilator connectable to a patient circuit and operable to induce oscillations within gas in the circuit at a predetermined high-frequency and a gas supply connectable to the patient circuit for supplying breathing gas thereto. A detection device is also included within the ventilator system and is adapted to monitor during the operation of the high-frequency oscillator ventilator, gas pressure and/or gas flow to detect a variation therein not derived from the induced high-frequency oscillations and to output a trigger signal dependent on the detected variation indicating a spontaneous breathing effort. The gas supply is operable on receipt of the trigger signal to supply breathing gas into the circuit at a level to assist the spontaneous breathing effort.

Claims

1. A breathing assist system comprising:

a patient circuit adapted for connection to airways of a patient;

a high-frequency oscillation ventilator connected to said patient circuit and operable to induce oscillations in gas in said circuit at a predetermined high frequency;

a gas supply connected to the patient circuit for supplying breathing gas thereto;

a detection device which monitors operation of the high-frequency oscillation ventilator comprising a gas sensor which produces an output signal representing at least one parameter selected from the group consisting of gas pressure and gas flow, said analyzer emitting and an analyzer which receives said output signal and which calculates from said output signal at least one average periodic value for said at least one parameter, a trigger signal dependent on a deviation of said calculated at least one average periodic value from an associated predetermined value indicating a spontaneous breathing effort; and

said trigger signal being supplied from said analyzer to said gas supply and said gas supply, upon receipt of said trigger signal, supplying breathing gas to said circuit at a level to assist said spontaneous breathing effort.

2. A breathing assist system as claimed in claim 1 wherein said gas sensor is a pressure sensor and wherein said at least one parameter is gas pressure, and wherein said analyzer calculates an average periodic pressure value from said output signal, and wherein said analyzer calculates a change of said deviation of said average periodic pressure value from said associated predetermined value over a plurality of periods of said high-frequency oscillation, and emits said trigger signal dependent on said change.

3. A breathing assist system as claimed in claim 1 wherein said analyzer calculates a ratio of inspiratory tidal volume to expiratory tidal volume from said output signal, and emits said trigger signal dependent on said ratio.

4. A breathing assist system as claimed in claim 1 wherein said trigger signal is also supplied to said high-frequency oscillation ventilator and wherein said high-frequency oscillation ventilator is at least momentarily disenabled from producing said high-frequency oscillations upon receipt of said trigger signal.

5. A detection device for use with a high-frequency oscillation ventilator adapted for connection to a patient via a patient circuit, said detection device comprising:

a gas sensor for sensing a parameter selected from the group consisting of gas pressure and gas flow in said patient circuit, and which produces a sensor output representing said parameter; and

an analyzer supplied with said sensor output for analyzing said sensor output to detect a variation therein which does not arise from oscillations induced by said ventilator at a predetermined high-frequency, said analyzer receiving said output signal and calculating from said output signal at least one average periodic value for said at least one parameter, and emitting a trigger signal dependent on a deviation of said calculated at least one average periodic value from an associated predetermined value, indicating a spontaneous breathing effort.

6. A detection device as claimed in claim 5 wherein said analyzer identifies a change in said deviation of said at least one average periodic value from said associated predetermined value over a plurality of periods of said predetermined high-frequency and which generates said output signal dependent on said change.