Medical ventilator with integrated oximeter data

• US 8,554,298 B2
• Filed: 09/21/2010
• Issued: 10/08/2013
• Est. Priority Date: 09/21/2010
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Cividien LP
• Inventors: Doyle, Peter, Vandine, Joseph Douglas, Sanborn, Warren, Graboi, Dan
• Primary Examiner(s): Winakur, Eric
• Assistant Examiner(s): Liu, Chu Chuan (JJ)
• Application Number:
  US12/887,077
• Publication Number:
  US 20120071729A1
• Time in Patent Office: 1,113 Days
• Field of Search: 600/310, 600/324, 600/333, 600/340, 600/529, 600/538, 600/300, 600/301, 600/323, 12820312-20718
• US Class Current: 600/323
• CPC Class Codes: A61B 5/082 Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath A61B5/083, A61B5/091 take precedence
• CPC Class Codes: A61B 5/085 Measuring impedance of respiratory organs or lung elasticity
• CPC Class Codes: A61B 5/1455 using optical sensors, e.g. spectral photometrical oximeters
• CPC Class Codes: A61B 5/14551 for measuring blood gases
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0057 Pumps therefor
• CPC Class Codes: A61M 16/0063 Compressors
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/0465 Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
• CPC Class Codes: A61M 16/0666 Nasal cannulas or tubing devices for improving normal breathing through the nose A61F5/08; nose filters A62B23/06; outside holding devices A61M25/02
• CPC Class Codes: A61M 16/0875 Connecting tubes
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/505 Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/435 partial O2 pressure (P-O2)

Abstract

This disclosure describes systems and methods for managing the ventilation of a patient being ventilated by a medical ventilator. The disclosure describes a novel approach of displaying ventilator information integrated with oximeter information. The disclosure further describes a novel approach of alarming based on the integration of ventilator information with oximeter information.

Claims

1. A method for managing ventilation of a patient being ventilated by a medical ventilator, the method comprising:

monitoring a patient during ventilation with an oximeter;

monitoring an oxygen saturation level of blood in the patient during ventilation;

monitoring a PEEP level of the patient;

graphing a function of the oxygen saturation level of the blood of and the PEEP level versus time;

displaying a graph of the function versus time;

issuing a first alarm if the function is outside of a preset threshold, a drop in the oxygen saturation level of the blood is detected, and the PEEP level does not change; and

issuing a second alarm if the function is outside of the preset threshold and the drop in the oxygen saturation level of the blood occurred after the PEEP level dropped.

2. The method of claim 1, wherein the graph is displayed by an oximeter display.

3. The method of claim 1, wherein the graph is displayed by a ventilator display.

4. The method of claim 1, further comprising displaying at least one preset threshold on the graph.

5. The method of claim 1, wherein the step of graphing the function comprises converting raw PEEP data and raw oxygen saturation level data into a plotted graph and into displayable information.

6. The method of claim 1, further comprising:

monitoring a fractional inspired oxygen level of the patient;

graphing a function of the oxygen saturation level of the blood and the fractional inspired oxygen level versus time; and

displaying on the graph the function of the oxygen saturation level of the blood and the fractional inspired oxygen level versus time.

7. The method of claim 1, wherein the step of issuing the first alarm includes displaying the first alarm.

8. The method of claim 7, wherein the step of displaying the first alarm includes displaying the first alarm on the graph.

9. The method of claim 7, wherein the step of displaying the first alarm includes displaying the first alarm as an icon.

10. The method of claim 1, wherein the step of issuing the first alarm includes issuing an audio notification.

11. The method of claim 4, wherein the step of displaying the at least one preset threshold on the graph includes displaying the at least one preset threshold as a shaded area on the graph.

12. The method of claim 1, wherein the function is the oxygen saturation level of blood multiplied by the PEEP level for a given period.

13. The method of claim 1, further comprising:

issuing a third alarm if the function is outside of the preset threshold and the drop in the oxygen saturation level of the blood occurred before the PEEP level dropped.

14. A non-transitory computer-readable medium having computer-executable instructions for performing a method for managing ventilation of a patient being ventilated by a medical ventilator, the method comprising:

repeatedly monitoring a patient during ventilation with an oximeter;

repeatedly monitoring an oxygen saturation level of blood in the patient during ventilation;

repeatedly monitoring a PEEP level of the patient;

repeatedly graphing a mathematical relationship of the oxygen saturation level of the blood and the PEEP level versus time;

repeatedly displaying a graph of the mathematical relationship versus time;

repeatedly issuing a first alarm if the mathematical relationship is outside of a preset threshold, a drop in the oxygen saturation level of the blood is detected, and the PEEP level does not change; and

repeatedly issuing a second alarm if the mathematical relationship is outside of the preset threshold and the drop in the oxygen saturation level of the blood occurred after a drop in the PEEP level.

15. The method of claim 14, further comprising:

repeatedly issuing a third alarm if the mathematical relationship is outside of the preset threshold and the drop in the oxygen saturation level of the blood occurred before the drop in the PEEP level.

16. A medical ventilator system, comprising:

means for monitoring a patient during ventilation with an oximeter;

means for monitoring an oxygen saturation level of blood in the patient during ventilation;

means for monitoring a PEEP level of the patient;

means for graphing a mathematical relationship of the oxygen saturation level of the blood and the PEEP level versus time;

means for displaying a graph of the mathematical relationship versus time;

means for determining that the mathematical relationship is outside a preset threshold;

means for determining that the PEEP level of the patient dropped prior to a drop in the oxygen saturation level of the blood in the patient, determining that the oxygen saturation level of the blood in the patient dropped prior to a drop in the PEEP level, and determining the drop in the oxygen saturation level of the blood when the PEEP level does not change;

means for issuing a first alarm if the mathematical relationship is outside of the preset threshold, the drop in the oxygen saturation level of the blood is detected, and the PEEP level does not change; and

means for issuing a second alarm if the mathematical relationship is outside of the preset threshold and the drop in the oxygen saturation level of the blood occurred after the PEEP level dropped.

17. The method of claim 16, further comprising:

means for issuing a third alarm if the mathematical relationship is outside of the preset threshold and the drop in the oxygen saturation level of the blood occurred before the PEEP level dropped.