Control of supplied pressure in assisted ventilation

• US 6,840,240 B1
• Filed: 05/05/2000
• Issued: 01/11/2005
• Est. Priority Date: 05/06/1999
• Status: Expired due to Fees

• Current Assignee: Resmed Limited (ResMed Incorporated)
• Original Assignee: Resmed Limited (ResMed Incorporated)
• Inventors: Berthon-Jones, Michael
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US09/936,854
• Time in Patent Office: 1,712 Days
• Field of Search: 128/200.24, 128/203.12, 128/203.14, 128/203.24, 128/204.18, 128/204.21, 128/204.22, 128/204.23, 128/204.26, 128/204.29, 128/205.11, 128/205.14, 128/205.23, 128/205.24, 12820714-20718
• 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 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/0858 Pressure sampling ports
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0036 in the breathing tube and used in both inspiratory and expiratory phase
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site

Abstract

Methods and apparatus for detecting the occurrence of a potential or actual overpressure during assisted ventilation are described. A blower (10) supplies pressurized gas to a conduit (12), and in turn to a patient mask (11) for connection with the entrance of a patient'"'"'s airways. A pressure sensor (17, 18) detects the delivered pressure in the mask (11), which is provided to a controller (16). The controller (16) has operation over the blower (10) by way of a servo (19) and motor (20). The controller (16) determines a relatively longterm average of the pressure signal, and compares it against a threshold value (40). If the threshold value is approached or exceeded, the controller (16) controls the blower (10) and thus the supplied pressure to the patient. The effect of the control can be to limit or reduce the supplied gas pressure. The relatively longterm average can be of the order of minutes, or taken over ten or more breaths.

Claims

1. A method for controlling operation of an assisted ventilation device supplying pressurized gas to a patient, the method comprising the steps of:

determining an average of pressure of gas supplied to said patient; and

controlling the pressure supplied by said ventilation device with regard to said average,

wherein, said controlling step includes a condition that the average exceeds a threshold for more than a minimum period of time before a potential or actual overpressure is determined as occurring.

2. A method as claimed in claim 1, comprising the further step of issuing an alarm upon the determination of a potential or actual overpressure occurring.

3. A method as claimed in claim 2, wherein said controlling step includes limiting or reducing supplied gas pressure to the patient.

4. A method as claimed in claim 3, wherein, for the case of reducing supplied gas pressure, the reducing step is a non-linear function of time and/or pressure.

5. A method as claimed in claim 4, wherein the degree of reduction is greater as said threshold value is approached.

7. A method as claimed in one of claims 6,3,4, and 5, wherein said average is of the order of minutes.

8. A method as claimed in one of claims 6,3,4, and 5, wherein said average is taken over ten or more breaths.

6. A method for controlling operation of an assisted ventilation device supplying pressurized gas to a patient, the method comprising the steps of:

measuring the currently delivered pressure;

determining an average of the measured pressure;

comparing said average against a threshold value; and

if the threshold value is approached or exceeded, controlling the pressure supplied by the device,

wherein, for the case of said average exceeding said threshold, said controlling step includes a condition that said excess must occur for a minimum period of time before it is determined that a potential or actual overpressure is occurring.

9. A method for controlling operation of an assisted ventilation device supplying pressurized gas to a patient, the method comprising the steps of:

determining an average of supplied pressure; and

controlling said supplied pressure as a function of a waveform template, a target patient ventilation and said average, wherein said function is given by;

P=P₀+k.A.f(v,t)

where;

P is said supplied pressure,

P₀ is a constant pressure,

K is a function of said average,

A is a function of said target patient ventilation, and f(v,t) represents said waveform template.

10. A method as claimed in claim 9 wherein, in said controlling step, when said average approaches a threshold value, strong control of said supplied pressure is provided.

11. Assisted ventilation apparatus for detecting a potential or actual overpressure condition, comprising:

a blower to supply pressurized gas to a conduit, and in turn to a patient mask for connection with the entrance to a patient'"'"'s airways;

a pressure sensor to detect the delivered pressure of gas in the conduit or at the mask, and provide a signal thereof; and

a controller receiving said pressure signal and having control over operation of the blower and configured to determine an average of the pressure signal and to control the supplied pressure with regard to said average,

wherein, said control of the supplied pressure includes a condition that the average exceeds a threshold for more than a minimum period of time before a potential or actual overpressure is determined as occurring.

12. Assisted ventilation apparatus as claimed in claim 11, wherein said controller controls the supplied pressure as a function of a waveform template, a target patient ventilation and said average.

13. Assisted ventilation apparatus for detecting a potential or actual overpressure condition, comprising:

a blower to supply pressurized gas to a conduit, and in turn to a patient mask for connection with the entrance to a patient'"'"'s airways;

a pressure sensor to detect the delivered pressure of gas in the conduit or at the mask, and provide a signal thereof; and

a controller, receiving the pressure signal and having control over operation of the blower, and configured to determine an average of the pressure signal, compare the average against a threshold value, and if the threshold value is approached or exceeded, to control the blower and thus the supplied pressure,

wherein, the controller is further configured for determining a time that the average exceeds the threshold and conditioning the control of the blower on the time exceeding a minimum period.

14. Apparatus as claimed in claim 13, wherein said controller controls the supplied pressure by limitation or reduction.

15. Apparatus as claimed in claim 14, wherein, for the case of reducing supplied pressure, the controller reduces the pressure as a non-linear function of time and/or pressure.

16. Apparatus as claimed in claim 15, wherein the degree of reduction by the controller is greater as said threshold value is approached.

17. Apparatus as claimed in one of claims 13-16, further comprising alarm signaling means, coupled to said controller, for indicating that an alarm state exists if the threshold value is approached or exceeded.

18. Apparatus as claimed in one of claims 13-16, wherein said controller determines the average in the order of minutes.

19. Apparatus as claimed in one of claims 13-16, wherein said controller determines the average over ten or more breaths.