Medical ventilation device with hose detection

• US 8,656,914 B2
• Filed: 11/04/2010
• Issued: 02/25/2014
• Est. Priority Date: 11/24/2009
• Status: Active Grant

• Current Assignee: Dragerwerk AG & Company KGaA (FPS Vermögensverwaltung GmbH)
• Original Assignee: Drager Medical GmbH (FPS Vermögensverwaltung GmbH)
• Inventors: Almagro Frutos, Salvador, Van Dijk, Geert
• Primary Examiner(s): Ho, Jackie
• Assistant Examiner(s): Han, Mark K
• Application Number:
  US12/939,271
• Publication Number:
  US 20110120469A1
• Time in Patent Office: 1,209 Days
• Field of Search: 128/202.22, 128/204.18, 128/204.21, 12820523- 25, 137/908, 340/286.07
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/0875 Connecting tubes
• 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 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2230/46 Resistance or compliance of the lungs

Abstract

A medical ventilator is coupled to a patient via a hose system to generate a respiratory flow according to a predetermined ventilation mode. The ventilator has a first flow sensor for generating a first sensor signal indicative of an inspiratory flow into the hose system distant from the patient. The hose system has a further flow sensor for generating a further sensor signal indicative of the respiratory flow proximal to the patient. The ventilator has an input for receiving the further sensor signal. The ventilator compares the further sensor signal with an expected sensor signal indicative of the respiratory flow proximal to the patient. The expected sensor signal is determined by a combination of the first sensor signal and the predetermined ventilation mode. The ventilator controls the ventilating in dependence on the comparison.

Claims

1. A method of medically ventilating a patient via a hose system, the method comprising the steps of:

selecting a predetermined ventilation mode from a plurality of predetermined ventilation modes;

generating a respiratory flow according to the predetermined ventilation mode selected, the predetermined ventilation mode selected determining a type of hose system that should be used;

generating a first sensor signal, indicative of an inspiratory flow distant from the patient, wherein a connected hose system is provided between the patient and the location from which the first sensor signal is generated;

generating a further sensor signal indicative of the respiratory flow proximal to the patient, wherein the location from which the further sensor signal is generated is at the connected hose system, or is adjacent to the patient;

determining an expected sensor signal, indicative of the respiratory flow proximal to the patient, on the basis of the first sensor signal and the predetermined ventilation mode selected, wherein the type of hose system that should be used establishes a pre-determined relationship between the first sensor signal and the expected sensor signal; and

controlling the ventilating with a control action that depends on the expected sensor signal.

2. The method according to claim 1, wherein:

the further sensor signal is representative of the inspiratory flow proximal to the patient; and

the controlling comprises;

determining a discrepancy between the further sensor signal and the expected sensor signal; and

triggering an alarm for drawing attention to the discrepancy if the discrepancy has a magnitude larger than a predetermined threshold.

3. The method according to claim 1, wherein:

the further sensor signal is representative of the expiratory flow proximal to the patient; and

the controlling comprises;

determining a discrepancy between the further sensor signal and the expected sensor signal; and

if a magnitude of the discrepancy determined is acceptable according to a predetermined criterion, correcting, under control of the discrepancy, the further sensor signal for controlling the ventilating.

4. A medical ventilation device comprising:

a ventilation controller configured to receive a selection of a predetermined ventilation mode from a plurality of predetermined ventilation modes to control the generation of a respiratory flow according to one of the plurality of predetermined ventilation modes selected for ventilating the patient, each of the predetermined ventilation modes determining a type of hose system that should be used;

a connected hose system configured to receive the respiratory flow;

a first flow sensor for generating a first sensor signal indicative of an inspiratory flow distant from the patient, wherein the connected hose system is provided between a patient end of the connected hose and the location of the first flow sensor;

a further flow sensor, the connected hose system comprising the further flow sensor for generating a further sensor signal indicative of the respiratory flow proximal to the patient;

an input for receiving the further sensor signal; and

a signal processing system configured for;

determining an expected sensor signal, indicative of the respiratory flow proximal to the patient, on the basis of the first sensor signal and the one of the plurality of predetermined ventilation modes selected, wherein the type of hose system that should be used establishes a pre-determined relationship between the first sensor signal and the expected sensor signal and the determination of the expected sensor signal is based on the established pre-determined relationship between the first sensor signal and the expected sensor signal; and

controlling the ventilating with a control action that depends on the expected sensor signal.

5. The medical ventilation device according to claim 4, further comprising an alarm unit coupled to the signal processing system, the alarm unit being configured for issuing an alarm to a human operator of the medical ventilation device, wherein:

the further sensor signal is representative of the inspiratory flow proximal to the patient;

the signal processing system is operative to activate the alarm unit if there is a discrepancy between the further sensor signal and the expected sensor signal, and if the discrepancy has a magnitude larger than a predetermined threshold.

6. The medical ventilation device according to claim 4, wherein:

the further sensor signal is representative of the expiratory flow proximal to the patient and the medical ventilation device; and

the signal processing system is operative to determine a discrepancy between the further sensor signal and the expected sensor signal; and

if a magnitude of the discrepancy determined is acceptable according to a pre-determined criterion, the signal processing system corrects the further sensor signal, under control of the discrepancy determined, and controls the ventilation controller in dependence on the corrected further sensor signal.

7. The medical ventilation device according to claim 4, further comprising a user interface for selection of the one of the plurality of predetermined ventilation modes.

8. A medical ventilation signal processing system comprising:

a ventilation controller configured to receive a selection of a predetermined ventilation mode from a plurality of predetermined ventilation modes to control the generation of a respiratory flow according to one of the plurality of predetermined ventilation modes for ventilating a patient, each of the predetermined ventilation modes determining a type of hose system that should be used;

a connected hose system configured to receive the respiratory flow;

a first flow sensor for generating a first sensor signal indicative of an inspiratory flow distant from the patient, wherein the connected hose system is provided between a patient end of the connected hose and the location of the first flow sensor;

a further flow sensor, the connected hose system comprising the further flow sensor for generating a further sensor signal indicative of the respiratory flow proximal to the patient; and

a determination means for determining an expected sensor signal, indicative of the respiratory flow proximal to the patient, on the basis of the first sensor signal and the predetermined ventilation mode selected, wherein the type of hose system that should be used establishes a pre-determined relationship between the first sensor signal and the expected sensor signal and the determination of the expected sensor signal is based on the established pre-determined relationship between the first sensor signal and the expected sensor signal, wherein the ventilation controller is configured to control ventilation of the patient with a control action that depends on the expected sensor signal.

9. The medical ventilation signal processing system according to claim 8, further comprising an alarm unit coupled to the determination means, the alarm unit being configured for issuing an alarm to a human operator of the medical ventilation device, wherein:

the further sensor signal is representative of the inspiratory flow proximal to the patient; and

the signal processing system is operative to activate the alarm unit if there is a discrepancy between the further sensor signal and the expected sensor signal, and if the discrepancy has a magnitude larger than a predetermined threshold.

10. The medical ventilation signal processing system according to claim 8, wherein:

the further sensor signal is representative of the expiratory flow proximal to the patient and the medical ventilation device; and

the determination means is operative to determine a discrepancy between the further sensor signal and the expected sensor signal; and

if a magnitude of the discrepancy determined is acceptable according to a pre-determined criterion, the determination means corrects the further sensor signal, under control of the discrepancy determined, and the controller controls ventilation in dependence on the corrected further sensor signal.

11. A physical data carrier device configured for use with a medical ventilation device configured for being coupled to a patient via a hose system for a respiratory flow according to a predetermined ventilation mode, the predetermined ventilation mode determining a type of hose system that should be used, for ventilating the patient with the medical ventilation device including a first flow sensor for generating a first sensor signal indicative of an inspiratory flow distant from the patient, wherein a connected hose system is provided between the patient and the location from which the first sensor signal is generated and the connected hose system comprises a further flow sensor for generating a further sensor signal indicative of the respiratory flow proximal to the patient and the medical ventilation device has an input for receiving the further sensor signal, the physical data carrier device comprising:

a data carrier; and

a data structure comprising data representative of a relationship between the first sensor signal and the expected sensor signal for signal processing to determine an expected sensor signal, indicative of the respiratory flow proximal to the patient, on the basis of the first sensor signal and the predetermined ventilation mode selected, wherein the type of hose system that should be used establishes a pre-determined relationship between the first sensor signal and the expected sensor signal and for controlling the ventilating with a control action that depends on the expected sensor signal.