Mechanical breathing aid with adaptive expiration control

• US 7,086,098 B2
• Filed: 03/05/2002
• Issued: 08/08/2006
• Est. Priority Date: 03/05/2002
• Status: Active Grant

• Current Assignee: Maquet Critical Care AB (Getinge AB)
• Original Assignee: Maquet Critical Care AB (Getinge AB)
• Inventors: Sallvin, Joachim
• Primary Examiner(s): Bennett, Henry
• Assistant Examiner(s): KOKABI, AZADEH
• Application Number:
  US10/091,075
• Publication Number:
  US 20030168066A1
• Time in Patent Office: 1,617 Days
• Field of Search: None
• US Class Current: 4/613
• 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 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/205 used for exhalation control
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit

Abstract

A mechanical breathing aid for providing a regulated supply of a breathing gas has an expiratory pressure regulator for regulating gas pressure within an expiration gas flow path dependent on an input regulatory signal and an expiratory pressure sensor disposed to sense an actual gas pressure within the expiration gas flow path and to provide an output signal indicative thereof. A control unit is operably coupled to the expiratory pressure regulator and to the expiratory pressure sensor for calculating a target pressure as a function of time dependent on a value of compliance calculated from measurements of pressure and flow of provided breathing gas made during an inspiration phase, and for generating the regulatory signal dependent on a magnitude of the difference between the target pressure and the actual pressure.

Claims

1. A mechanical breathing aid comprising:

an inspiratory sensor for measuring a tidal volume and pressure of a breathing gas delivered during an inspiration phase of a respiratory cycle, said inspiratory sensor generating inspiratory sensor output signals representing said tidal volume and pressure;

an expiratory pressure regulator for regulating a gas pressure within an expiration gas flow path dependent on a regulatory signal;

an expiratory pressure sensor disposed to measure an actual gas pressure within said expiration gas flow path, said expiratory pressure sensor generating an expiratory pressure sensor output signal representing said actual gas pressure; and

a control unit operatively connected to said expiratory pressure regulator and to said expiratory pressure sensor, said control unit calculating a target pressure dependent on a compliance value calculated by said control unit from the inspiratory sensor output signals during said inspiration phase, and generating said regulatory signal in said respiratory cycle dependent on a magnitude of a difference between said target pressure and said actual pressurre.

2. A mechanical breathing aid as claimed in claim 1 wherein said control unit calculates said target pressure as an exponential varying function of time with a time constant dependent on said compliance value.

3. A mechanical breathing aid as claimed in claim 2 wherein said control unit calculates said target pressure according to A+Be⁻

t/τ

, wherein A and B are constants, t is time, and τ

is said time constant.

4. A mechanical breating aid as claimed in claim 3 wherein said control unit selects constants A and B dependent on said compliance value.

5. A control unit which generates a regulatory signal dependent on a magnitude of a difference between a target pressure and a measured gas pressure to contorl an expiratory pressure regulator of a mechanical breathing aid during an expiration phase of a respiratory cycle, said control unit calculating a target pressure as a function of time dependent on a compliance value calculated from pressure and volume measurements of a breathing gas provided by said mechanical breathing aid during an inspiration phase.

6. A control unit as claimed in claim 5 wherein said control unit calculates said target pressure as an exponential varying function of time with a time constant dependent on said compliance value.

7. A control unit aid as claimed in claim 6 wherein said control unit calculates said target pressure according to A+Be⁻

t/τ

, wherein A and B are constants, t is time, and τ

is said time constant.

8. A control unit as claimed in claim 7 wherein said control unit selects constants A and B dependent on said compliance value.

9. A control unit as claimed in claim 5 which calculates said compliance value from said pressure and volume measurements of said breathing gas provided by said mechanical breathing aid during said respiratory cycle.