Device for detecting the improper adjustment of a ventilatory support machine used on a mammal

• US 8,733,347 B2
• Filed: 07/05/2007
• Issued: 05/27/2014
• Est. Priority Date: 07/10/2006
• Status: Active Grant

• Current Assignee: University Pierre et Marie Curie
• Original Assignee: University Pierre et Marie Curie
• Inventors: Similowski, Thomas, Raux, Mathieu, Straus, Christian, Ray, Patrick
• Primary Examiner(s): Ho, Jackie T
• Assistant Examiner(s): Vasat, Peter S
• Application Number:
  US12/373,111
• Publication Number:
  US 20090241946A1
• Time in Patent Office: 2,518 Days
• Field of Search: 128/200.24, 128/202.22, 128/203.14, 128/204.18, 128/204.21, 128/204.23, 128/204.26, 128/205.23, 600300-301, 600/529, 600544-547
• US Class Current: 128/202.22
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/389 Electromyography [EMG]
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/021 operated by electrical means A61M16/202 – A61M16/205 take precedence
• CPC Class Codes: A61M 2230/10 Electroencephalographic signals
• CPC Class Codes: A61M 2230/60 Muscle strain, i.e. measured on the user

Abstract

A device for detecting the improper adjustment of a ventilatory support machine used on a mammal. The device (12) includes measuring elements (40) for taking a measurement, as a function of time, of a neurophysiological signal involved in the respiratory process of the mammal for at least two successive breathing cycles, each breathing cycle comprising a respiratory initiation time; an input for receiving a respiratory initiation signal (t_o) which is different from the neurophysiological signal; elements (42) for processing the neurophysiological signals, which are configured to process the neurophysiological signals for each respiratory initiation time over a period of time starting from the respiratory initiation time; and elements (44) for detecting an improper adjustment of the ventilator using the processed signals.

Claims

1. A device for detecting an improper adjustment of a ventilatory support machine used on a mammal, the device comprising:

a measuring device configured to measure, as a function of time, a neurophysiological signal involved in the respiratory process of the mammal for at least two successive respiratory cycles, each respiratory cycle comprising a respiratory initiation time, the measuring device comprising an electroencephalograph;

an input for receiving a respiratory initiation signal which is different from the neurophysiological signal;

a processing unit configured to process the neurophysiological signal, the processing unit being configured to select, from the neurophysiological signal, one neurophysiological sub-signal for each respiratory initiation time, each neurophysiological sub-signal being formed by a portion of the neurophysiological signal extending over a period of time comprising the corresponding respiratory initiation time and starting before the corresponding respiratory initiation time, the processing unit being configured to process the neurophysiological sub-signals and to detect an occurrence of a premotor potential before the respiratory initiation time based on the processed neurophysiological sub-signals; and

a detection unit configured to detect an improper adjustment of the ventilatory support machine based on the processed neurophysiological sub-signals, the improper adjustment being detected when the premotor potential occurring before the respiratory initiation time has been detected by the processing unit.

2. The device according to claim 1, wherein the processing unit is configured to back-average, point-to-point, the neurophysiological signals measured for all cycles over the same specified period of time.

3. The device according to claim 1, wherein the processing unit is configured to calculate the slope of the electroencephalographic signal immediately before the respiratory initiation time.

4. The device according to claim 3, wherein the detection unit is configured to compare the slope with a reference value.

5. The device according to claim 4, wherein the reference value is equal to zero.

6. The device according to claim 4, wherein the detection unit is configured to trigger an indicator when the value of the slope is greater than the reference value.

7. The device according to claim 6, wherein the indicator is an indicator light.

8. The device according to claim 1, wherein more than half of said period of time elapses before the respiratory initiation time.

9. The device according to claim 1, further comprising a sensor for detecting a patient'"'"'s aspiration, connected to the input for receiving a respiratory initiation signal, said sensor being separate from the measuring device configured to measure the neurophysiological signal.

10. The device according to claim 9, wherein the sensor is a load sensor.

11. The device according to claim 9, wherein the sensor is separate from the measuring device.

12. A ventilatory support assembly comprising:

a ventilatory support machine; and

a device for detecting improper adjustment according to claim 1.

13. The ventilatory support assembly according to claim 12, comprising a control loop between the detection unit configured to detect improper adjustment and the ventilatory support machine, the control loop being able to modify settings of the ventilatory support machine.

14. The device according to claim 1, wherein the duration of each neurophysiological sub-signal is at most equal to the duration of a respiratory cycle.

15. A method of detecting an improper adjustment of a ventilatory support machine used on a mammal, the method comprising:

receiving a measure, at a measuring device comprising an electroencephalograph, as a function of time, of a neurophysiological signal involved in the respiratory process of the mammal for at least two respiratory cycles, each respiratory cycle comprising a respiratory initiation time;

receiving a respiratory initiation signal, from which the respiratory initiation time is determined, which is different from the neurophysiological signal;

processing the neurophysiological signal to select, from the neurophysiological signal, one neurophysiological sub-signal for each respiratory initiation time, each neurophysiological sub-signal being formed by a portion of the neurophysiological signal extending over a period of time comprising the corresponding respiratory initiation time and starting before the corresponding respiratory initiation time, and processing the neurophysiological sub-signals and detecting an occurrence of a premotor potential before the respiratory initiation time based on the processed neurophysiological sub-signals; and

detecting an improper adjustment of the ventilatory support machine based on the processed neurophysiological sub-signals, the improper adjustment being detected when the premotor potential occurring before the respiratory initiation time has been detected by the processing unit.

16. A non-transitory computer software package comprising instructions which, when said software package is loaded onto a computer connected to the measuring device configured to measure a neurophysiological signal, carries out the method of claim 15.