Adjustment of ventilator pressure-time profile to balance comfort and effectiveness

• US 8,122,885 B2
• Filed: 04/09/2008
• Issued: 02/28/2012
• Est. Priority Date: 03/03/2000
• Status: Expired due to Fees

• Current Assignee: ResMed Pty Ltd. (ResMed Incorporated)
• Original Assignee: Resmed Limited (ResMed Incorporated)
• Inventors: Berthon-Jones, Michael, Bateman, Peter, Malouf, Gordon
• Primary Examiner(s): Yu, Justine
• Assistant Examiner(s): Louis, Latoya M
• Application Number:
  US12/100,051
• Publication Number:
  US 20080185002A1
• Time in Patent Office: 1,420 Days
• Field of Search: 128/200.24, 128/204.18, 128/204.21, 128/204.22, 128/204.23, 128/204.26
• US Class Current: 128/204.26
• 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 2016/0036 in the breathing tube and used in both inspiratory and expiratory phase
• CPC Class Codes: A61M 2205/15 Detection of leaks
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site

Abstract

The invention is a ventilator whose servo-controller adjusts the degree of support by adjusting the profile of the pressure waveform as well as the pressure modulation amplitude. As the servo-controller increases the degree of support by increasing the pressure modulation amplitude, it also generates a progressively more square, and therefore efficient, pressure waveform; when the servo-controller decreases the degree of support by decreasing the pressure modulation amplitude, it also generates a progressively more smooth and therefore comfortable pressure waveform.

Claims

1. A method of controlling a pressure support ventilator comprising:

supplying breathable gas to a patient'"'"'s airway at a pressure that varies during each respiratory cycle in accordance with an adjustable pressure waveform template having a shape and a variable amplitude,

generating data from a flow sensor,

determining adequacy of ventilation of the patient from the data generated from the flow sensor, and

automatically calculating a change to the amplitude of said pressure waveform template in accordance with the determined adequacy of ventilation and automatically calculating a change to a shape function of said pressure waveform template in accordance with the determined adequacy of ventilation, wherein said changes produce a decrease in ventilatory support and an increase in comfort when the ventilatory support exceeds that required by the patient,

and wherein said change to the shape function of said pressure waveform template produces a pressure change between a more square profile and a less square profile.

2. A method in accordance with claim 1 wherein over at least a portion of each of successive respiratory cycles the amplitude and shape of the pressure waveform template change in directions that cause a ventilatory support change in the same direction.

3. A method in accordance with claim 2 wherein flow of said breathable gas is servo-controlled to adjust said amplitude so that ventilation equals a target value, and the shape of said pressure waveform template is controlled to be a function of said amplitude.

4. A method in accordance with claim 1 wherein flow of said breathable gas is servo-controlled so that ventilation equals a target value, and the shape of said pressure waveform template is controlled to be a function of flow.