Method and device for detecting leaks in respiratory gas supply systems

• US 7,475,685 B2
• Filed: 03/23/2004
• Issued: 01/13/2009
• Est. Priority Date: 03/24/2003
• Status: Active Grant

• Current Assignee: Loewenstein Medical Technology S.A.
• Original Assignee: Weinmann Geraete Fur Medizin GmbH + Company KG
• Inventors: Wedler, Wolfgang, Dietz, Florian, Gobel, Christof
• Primary Examiner(s): Douglas; Steven O
• Application Number:
  US10/550,634
• Publication Number:
  US 20060249150A1
• Time in Patent Office: 1,757 Days
• Field of Search: 12820421-20423, 128/200.24, 128/203.27, 128/203.26, 128/204.18, 128/203.12, 128/207.14
• US Class Current: 128/204.23
• CPC Class Codes: A61M 16/0066 Blowers or centrifugal pumps
• CPC Class Codes: A61M 16/022 Control means therefor
• 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 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit
• CPC Class Codes: A61M 2205/15 Detection of leaks
• CPC Class Codes: A61M 2230/46 Resistance or compliance of the lungs

Abstract

The invention relates to a method and a device for detecting leaks in respiratory gas supply systems. Both the pressure and the volume flow of the respiratory gas are detected and the relevant values are supplied to an evaluation device. The evaluation device is used to calculate both the respiratory parameter resistance and compliance and the leak for at least two successive breathing cycles. At least one control parameter with different signal amplitudes is pre-determined for the successive breathing cycles. The leak resistance is determined from the resulting differential sequences of pressure and flow for the successive breathing cycles.

Claims

1. Method for detecting leaks in respiratory gas supply systems, in which both the pressure of the respiratory gas and the volume flow of the respiratory gas are detected and fed into an evaluation unit, wherein the respiratory quantities pressure and flow are recorded by the evaluation unit for at least two successive respiratory cycles, that at least one control parameter with different signal amplitudes is preset for successive respiratory cycles, and that resistance, compliance, and leak resistance are determined by a computation based on differential curves of pressure and flow for these respiratory cycles.

2. Method in accordance with claim 1, wherein the computation is performed for at least two immediately successive respiratory cycles.

3. Method in accordance with claim 1, wherein the computation is performed for at least two respiratory cycles that are separated by at least one other respiratory cycle.

4. Method in accordance with claim 1, wherein first and second pressure levels are preset for the successive inspirations.

5. Method in accordance with claim 4, wherein the first pressure level is selected higher than the second pressure level.

6. Method in accordance with claim 4, wherein the first pressure level is selected lower than the second pressure level.

7. Method in accordance with claim 1, wherein first and second volume flows are preset for the successive respiratory cycles.

8. Method in accordance with claim 7, wherein the first volume flow is preset higher than the second volume flow.

9. Method in accordance with claim 7, wherein the first volume flow is preset lower than the second volume flow.

10. Method in accordance with claim 1, wherein a large number of respiratory cycles, each with a varied control parameter, are carried out in such a way that the values of the control parameters are statistically distributed in such a way that a mean value corresponds to a preset desired value for the control parameter.

11. Method in accordance with claim 1, wherein a leak compensation is carried out.

12. Method in accordance with claim 11, wherein the leak compensation is carried out dynamically.

13. Method in accordance with claim 1, wherein a determination of spontaneous respiratory behavior is performed by the evaluation unit (14).

14. Method in accordance with claim 1, wherein the evaluation unit (14) compensates the effects of spontaneous respiratory behavior.

15. Method in accordance with claim 1, wherein leak detection is carried out in an area between a ventilator (7) and a patient (13).

16. Method in accordance with claim 1, wherein measurements are carried out only during inspiratory phases of the respiratory cycles.

17. Device for detecting leaks in respiratory gas supply systems, comprising a device for detecting the pressure of a respiratory gas and a device for detecting the volume flow of the respiratory gas, wherein the detection devices are connected to an evaluation unit, wherein the evaluation unit (14) is configured to determine the respiratory quantities pressure and flow, further comprising a storage device for at least one pair of value sequences of pressure and flow for a respiratory cycle, and means for generating at least one differential sequence for determining differential curves of compliance and resistance for at least two successive respiratory cycles.

18. Device in accordance with claim 17, wherein at least one pressure sensor (8) is connected to the evaluation unit (14).

19. Device in accordance with claim 17, wherein at least one volume flow sensor (9) is connected to the evaluation unit (14).

20. Device in accordance with claim 17, wherein at least one of the sensors (7, 8) is arranged so that it faces a ventilator (7) that is supplying the respiratory gas.

21. Device in accordance with claim 17, wherein one of the sensors (8, 9) is arranged so that it faces a ventilation mask (12).

22. Device in accordance with claim 17, wherein an expiration valve (11) is arranged so that it faces the ventilation mask (12).

23. Device in accordance with claim 17, wherein a discharge system (27) is arranged so that it faces the ventilation mask (12).

24. Device in accordance with claim 17, wherein a discharge system (27) is arranged so that it faces the ventilator (7).

25. Device in accordance with claim 17, wherein an expiration valve (11) is arranged so that it faces the ventilator (7).

26. Device in accordance with claim 17, wherein a patient interface that is connected with the ventilator (7) by the respiratory gas hose (10) is designed as an invasive device.

27. Device in accordance with claim 17, wherein a patient interface that is connected with the ventilator (7) by the respiratory gas hose (10) is a noninvasive device.

28. Device in accordance with claim 17, wherein the evaluation unit (14) has an amplitude generator for a pressure that varies from respiratory cycle to respiratory cycle.

29. Device in accordance with claim 17, wherein the evaluation unit (14) has an amplitude generator for a volume flow that varies from respiratory cycle to respiratory cycle.