System and method for circuit compliance compensated pressure-regulated volume control in a patient respiratory ventilator

• US 8,453,644 B2
• Filed: 03/03/2011
• Issued: 06/04/2013
• Est. Priority Date: 11/09/2005
• Status: Active Grant

• Current Assignee: Vyaire Medical 211, Inc. (Becton, Dickinson & Co)
• Original Assignee: CareFusion 207, Inc. (Becton, Dickinson & Co)
• Inventors: Soliman, Ihab S., Duquette, Steven
• Primary Examiner(s): Ostrup, Clinton T
• Application Number:
  US13/039,963
• Publication Number:
  US 20110214672A1
• Time in Patent Office: 824 Days
• Field of Search: 128/204.18, 12820421-20426
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/026 specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site

Abstract

A system and a method for circuit compliance compensated pressure control in a patient respiratory ventilation system, having a pressure regulated feedback servo control loop, a pressure-regulated volume controller, and a patient volume observer. The patient volume observer is operative to estimate a patient volume, that is, the volume actually delivered to the patient by accounting for volume deviation or loss caused by patient circuit leakage and valve dynamics. Based on the difference between the estimated patient volume and a set tidal volume, the pressure-regulated volume controller is operative to generate and update a circuit compliance pressure compensation factor. The pressure regulated feedback servo control loop is operative to modulate the peak airway pressure based on the circuit compliance pressure compensation factor, so as to achieve the set tidal volume while maintaining a constant inspiratory time and a constant I:E ratio.

Claims

1. A ventilation system, comprising:

a ventilator operatively having an inspiratory port for supplying an inspiratory gas to a patient and an expiratory port for receiving an expiratory gas from a patient;

a patient circuit having an inspiratory limb having one end connected to the inspiratory port, an expiratory limb having one end connected to the expiratory port, and a patient piece having one end connected to the other ends of the inspiratory and expiratory limbs and the other end connected to the patient; and

a circuit compliance compensated pressure regulated volume control system, comprising a pressure-regulated volume controller operative to generate a circuit compliance pressure compensation factor based on a volume error defined as a volume differential between a set tidal volume and a volume actually delivered to the patient.

2. The ventilation system of claim 1, further comprising a device for integrating a patient flow Q_Y measured at the patient piece of the patient circuit into a measured patient volume reflecting the volume actually delivered to the patient.

3. The ventilation system of claim 1, further comprising a patient volume observer for providing an estimated patient volume reflecting the volume actually delivered to the patient, wherein the estimated patient volume is obtained based on a measured machine delivered net volume and a circuit compliance of the patient circuit.

4. The ventilation system of claim 3, further comprising a circuit compliance estimator for estimating the circuit compliance as a relationship between a circuit volume and a circuit pressure.

5. The ventilation system of claim 4, further comprising a circuit volume estimator for providing a circuit volume based on the relationship estimated by the circuit compliance estimator.

6. The ventilation system of claim 5, wherein the patient volume observer is operative to provide the estimated patient volume by subtracting the circuit volume from the measured machine delivered net volume.

7. The ventilation system of claim 1, wherein the pressure-regulated volume controller comprises:

an error percentage converter for providing a volume error percentage as a ratio of an absolute value of the volume error to the set tidal volume;

a gain scheduler operative to provide a gain K_PTID for converting the volume error into an estimated pressure correction; and

a pressure integrator for updating the circuit compliance pressure compensation factor by adding the estimated pressure correction thereto, wherein the circuit compliance pressure compensation factor is initialized into a preset initial value at a first breath when computation thereof is started and updated breath after breath.

8. The ventilation system of claim 7, wherein the pressure-regulated volume controller further comprising a multiplier for multiplying the gain with the volume error to obtain the estimated pressure correction.

9. The ventilation system of claim 7, wherein the circuit compliance pressure compensation factor is reset to the initial value when any user preset parameter is changed.

10. The ventilator system of claim 1, further comprising an adder for updating a peak airway pressure by adding the circuit compliance pressure compensation factor thereto.

11. The ventilation system of claim 10, further comprising a servo control subsystem for controlling the inspiratory and expiratory ports according to the updated peak airway pressure.