Arrangement and method for feedback control of a gas flow in a breathing assist apparatus

• US 6,739,336 B1
• Filed: 09/20/2000
• Issued: 05/25/2004
• Est. Priority Date: 09/24/1999
• Status: Expired due to Fees

• Current Assignee: Maquet Critical Care AB (Getinge AB)
• Original Assignee: Maquet Critical Care AB (Getinge AB)
• Inventors: Jalde, Fredrik, Steiner, Anders
• Primary Examiner(s): Lewis, Aaron J.
• Application Number:
  US09/666,386
• Time in Patent Office: 1,343 Days
• Field of Search: 128/200.24, 128/202.22, 128/204.21, 128/204.23
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/00 Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes stimulating the respiratory movement by mechanical, pneumatic or electrical means, iron lungs combined with gas breathing means A61H31/00
• 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 16/202 electrically actuated
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit

Abstract

A feedback controller for regulating respiratory gas in a mechanical breathing aid system has a comparator means for periodically generating, in a current breathing cycle, an error signal representing the difference between a value of a gas parameter measured for gas within the system and a target value of the gas parameter, and a control signal generator for processing the error signal in accordance with a control function to generate a control signal usable in the regulation of the respiratory gas. The controller has a variable value integral gain stage which provides an input to an integrator element. An adaption unit determines, for the current breathing cycle an extreme value of the periodically generated error signal and varies the value of the integral gain used in the integral gain stage for a next breathing cycle dependent on a rate of change of the value of the extreme error signal with value of the integral gain.

Claims

1. A feedback controller for regulating respiratory gas in a mechanical breathing assist apparatus, said feedback controller comprising:

a measurement unit which measures a value of a gas parameter associated with respiratory gas;

a comparator supplied with said value of said gas parameter, and with a target value for said gas parameter, said comparator periodically generating, in a current breathing cycle, an error signal representing a difference between said value of said gas parameter and said target value of said gas parameter;

a control signal generator supplied with said error signal for processing said error signal using a control function having a control parameter with a variable value, to generate a control signal for regulating said respiratory gas; and

an adaptation unit connected to said control signal generator for varying said value of said control parameter dependent on said error signal, by determining, for said current breathing cycle, an extreme value of said error signal and for varying said value of said control parameter for a next breathing cycle dependent on a rate of change of said extreme error signal relative to said value of said control parameter in said current breathing cycle.

2. A feedback controller as claimed in claim 1 wherein said adaptation unit determines said rate of change for consecutive breathing cycles.

3. A feedback controller as claimed in claim 1 wherein said adaptation unit varies said value of said control parameter conditional on said extreme value of said error signal being outside of a predetermined range.

4. A feedback controller as claimed in claim 1 wherein said measurement unit measures a gas pressure value as said gas parameter, and wherein said comparator is supplied with a target gas pressure value and generates said error signal as a difference between the measured gas pressure value and the target gas pressure value.

5. A feedback controller as claimed in claim 4 wherein said control signal generator regulates said respiratory gas dependent on said control parameter being within limits to inhibit said measured gas pressure value from being less than said target gas pressure value.

6. A feedback controller as claimed in claim 4 wherein said control signal generator comprises an integration unit having an integral gain stage connected to said adaptation unit to receive an output from said adaptation unit as a variable integral gain value.

7. A feedback controller as claimed in claim 6 wherein said adaptation unit varies said integral gain value dependent on a linear relationship between said extreme value of said error signal and said integral gain value.

8. A method for regulating gas in a ventilator, comprising the steps of:

periodically determining a current error value in a current breathing cycle as a difference between a value of a parameter measured for gas within a breathing assist system and a predetermined target value;

periodically executing a control function dependent on said error value for regulating said gas, said control function having a control parameter with a variable value, and varying said value of said control parameter dependent on said current error value and an error value generated in a previous breathing cycle, by determining, in said current breathing cycle, an extreme value of said current error signal and determining a rate of change of said extreme value relative to said control parameter and calculating said control parameter dependent on said rate of change for a next breathing cycle.

9. A method as claimed in claim 8 wherein the step of executing said control function comprises executing an integral control function having an integral gain value as said control parameter.

10. A method as claimed in claim 9 wherein the step of periodically determining said current error value comprises measuring an actual gas pressure of said gas and wherein the step of calculating the control parameter comprises calculating said control parameter dependent on a linear relationship between said extreme value of said error signal and a value of said integral gain.