Closed loop control system for a high frequency oscillation ventilator

• US 8,434,482 B2
• Filed: 11/23/2010
• Issued: 05/07/2013
• Est. Priority Date: 03/15/2006
• Status: Active Grant

• Current Assignee: Vyaire Medical 211, Inc. (Becton, Dickinson & Co)
• Original Assignee: CareFusion 207, Inc. (Becton, Dickinson & Co)
• Inventors: Borrello, Michael A.
• Primary Examiner(s): Yu, Justine
• Assistant Examiner(s): SKORUPA, VALERIE LYNN
• Application Number:
  US12/952,770
• Publication Number:
  US 20110126833A1
• Time in Patent Office: 896 Days
• Field of Search: 128/200.24, 128/204.18, 128/204.21, 128/205.18, 128/204.23, 128/898, 417/437
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/0009 with sub-atmospheric pressure, e.g. during expiration
• CPC Class Codes: A61M 16/0057 Pumps therefor
• CPC Class Codes: A61M 16/006 Tidal volume membrane pumps
• CPC Class Codes: A61M 16/0096 High frequency jet ventilation
• CPC Class Codes: A61M 16/205 used for exhalation control
• CPC Class Codes: A61M 16/208 Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2205/3306 Optical measuring means
• CPC Class Codes: A61M 2205/3317 Electromagnetic, inductive or dielectric measuring means

Abstract

A control system for a high frequency oscillating ventilator (HFOV) includes an oscillator controller and a mean airway pressure (MAP) controller. The HFOV includes a reciprocating piston which is adapted to generate positive and negative pressure waves for delivery to a patient airway. The oscillator controller comprises a pair of closed loop control circuits including an oscillator pressure loop and a centering loop which are collectively adapted to regulate frequency and amplitude of piston reciprocations and centering of the piston. The MAP controller comprises a closed loop control circuit that is adapted for regulating MAP at the patient utilizing feedback in the form of patient circuit pressure. Likewise, the oscillator controller utilizes patient circuit pressure as well as piston displacement feedback in order to regulate movement of the piston.

Claims

1. A closed loop method of regulating piston movement of a piston and mean airway pressure (MAP) in a patient ventilator system having an exhalation valve, the method comprising the steps of:

measuring a pressure at the patient and generating a measured pressure signal in response thereto;

comparing a desired oscillator pressure signal to the measured pressure signal and generating a pressure output signal in response thereto;

measuring piston displacement with respect to a midpoint of full stroke of said piston and generating a piston displacement signal in response thereto;

subtracting the piston displacement signal from zero as a desired piston position and generating a displacement output signal in response thereto;

combining the pressure output signal with the displacement output signal and generating an oscillator command signal in response thereto for regulating the piston movement;

comparing a desired MAP signal to the measured pressure and generating an exhalation valve command signal in response thereto for regulating MAP at the patient; and

centering said piston about said midpoint of full stroke of said piston while regulating MAP.

2. The method of claim 1 further comprising the step of filtering the measured pressure signal and the displacement output signal such that the frequency bands thereof are non-overlapping.

3. A method of regulating movement of an oscillator piston of a patient ventilator using an oscillator controller comprising an oscillator pressure loop and a centering loop, the method comprising the steps of:

in the oscillator pressure loop;

measuring a pressure at the patient and generating a measured pressure signal representative thereof;

filtering the measured pressure signal to limit bandwidth thereof to between a predetermined transition frequency and a noise-limiting frequency and generating a filtered pressure signal in response thereto;

receiving a desired oscillator pressure signal;

summing the filtered pressure signal and the desired oscillator pressure signal and generating an oscillator pressure error signal in response thereto; and

filtering the oscillator pressure error signal through an oscillator pressure loop proportional integral (PI_P) controller and generating a pressure output signal in response thereto; and

in the centering loop;

measuring a piston position with respect to a midpoint of full stroke of said piston and generating a piston displacement signal representative thereof;

filtering the piston displacement signal to limit bandwidth thereof to between static and the predetermined transition frequency and generating a filtered displacement signal in response thereto;

subtracting the filtered displacement signal from zero as a desired piston position and generating a displacement error signal in response thereto;

filtering the displacement error signal through a centering loop proportional integral (PI_X) controller and generating a displacement output signal in response thereto;

summing the pressure and displacement output signals and generating the oscillator command signal in response thereto for driving the piston movement; and

centering said piston about said midpoint of full stroke of said piston while regulating MAP.

4. The method of claim 3 wherein the measured piston displacement signal is filtered using a first order low pass filter with −

3 dB rolloff at the transition frequency.

5. The method of claim 3 wherein the measured pressure signal is filtered using a second order band pass filter having a low cutoff frequency generally equal to the centering loop low pass filter cutoff frequency, the band pass filter having a high cutoff frequency being such that noise propagation in the oscillator pressure loop is limited.

6. The method of claim 3 further comprising the steps of:

inducing a change in at least one of frequency, amplitude, and duty cycle settings of the desired oscillator pressure signal;

filtering the change in the settings of the desired oscillator pressure signal in such a manner as to slow the rate of change from a previous setting.

7. The method of claim 3 wherein the patient ventilator includes an exhalation valve for regulating MAP thereat using a MAP regulation loop, the method further comprising the steps of:

receiving the measured pressure signal at the MAP regulation loop;

filtering the measured pressure signal in such a manner as to maximize attenuation of oscillations induced by the oscillator pressure loop and maximize the response of the MAP regulation loop and generating a filtered pressure signal in response thereto;

receiving a desired MAP signal at the MAP regulation loop;

subtracting the filtered pressure signal from the desired MAP signal and generating an MAP pressure error signal in response thereto;

filtering the MAP pressure error signal through an integral controller and generating an exhalation valve command signal in response thereto for driving the exhalation valve.

8. The method of claim 7 wherein the measured pressure signal is filtered using a high order low pass filter with a steep cutoff frequency.