Respiration monitoring apparatus and method

• US 4,444,201 A
• Filed: 08/19/1981
• Issued: 04/24/1984
• Est. Priority Date: 08/27/1980
• Status: Expired due to Term

• Current Assignee: Tokyo Shibaura Denki Kabushiki Kaisha
• Original Assignee: Tokyo Shibaura Denki Kabushiki Kaisha
• Inventors: Itoh, Ayao
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US06/294,290
• Time in Patent Office: 979 Days
• Field of Search: 128/716, 128/725, 128/204.23, 128/205.23
• US Class Current: 600/529
• CPC Class Codes: A61M 16/00 Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes stimulating the respiratory movement by mechanical, pneumatic or electrical means, iron lungs combined with gas breathing means A61H31/00
• CPC Class Codes: A61M 16/0006 with means for creating vibrations in patients' airways
• 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 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0036 in the breathing tube and used in both inspiratory and expiratory phase

Abstract

A respiration monitoring apparatus which comprises meters for determining the flow rate of air flow and the airway pressure of the living body fitted with an artificial respirator; a monitor for displaying the waveforms of output signals from the meters. The apparatus further comprises a signal processing circuit which detects the end of the respective expiratory periods from the marks indicated by the output signals from the meters which denote the flow rate of breathed air flow, stores the average value of the airway pressures determined at the end of the respective expiratory periods, and, where the measured airway pressure determined falls below the stored average value, issues a detection signal denoting this condition, thereby changing a display pattern on the monitor.

Claims

1. A respiration monitoring apparatus which comprises:

means for measuring the airway pressure and the flow rate of air of a living body fitted with an artificial respirator; and

signal processing means for determining the end of an expiratory period in accordance with the flow rate of breathed air measured by said measuring means, for storing the airway pressure being measured by said measuring means at the end of the expiratory period, for detecting when the measured level of the airway pressure falls below the level of the previously stored airway pressure, and for sending forth a detection signal when the measured level of the airway pressure falls below the level of airway pressure previously stored.

2. The respiration monitoring apparatus according to claim 1, wherein said signal processing means comprises means for issuing the detection signal when the level of the airway pressure measured in a prescribed length of time after the commencement of the expiratory period falls below the level of the previously stored airway pressure.

3. The respiration monitoring apparatus according to claim 1, wherein said signal processing means comprises:

a memory means for storing output data from said measuring means, and

a processor which is connected to the memory means, and which includes means for detecting an expiratory period and inspiratory period by a mark denoting the flow rate of breathed air, means for comparing the measured airway pressure and the airway pressure determined at the end of the expiratory period, and means for issuing the detecting signal.

4. The respiration monitoring apparatus according to claim 3, wherein said processor includes means for averaging the airway pressures measured at the end of the respective expiratory periods, and means for comparing the measured airway pressure of the respiratory tract and the averaged value.

5. The respiration monitoring apparatus according to claim 1, which further comprises means for displaying the airway pressure and the flow rate of breathed air and for varying the pattern of display in accordance with the contents of the detection signal from the signal processing means.

6. The respiration monitoring apparatus according to claim 5, wherein said display means includes means for simultaneously indicating the airway pressure and the flow rate of breathed air.

7. The respiration monitoring apparatus according to claim 5, wherein said display means includes means for indicating the internal pressure of the respiratory tract and data on the flow rate of breathed air in the form of a locus on a coordinate plane defined by the corresponding axes X and Y.

8. The respiration monitoring apparatus according to claim 5, wherein said display means includes means for indicating the parameters of the ventilation dynamics determined from the airway pressure and data on the flow rate of breathed air in the form of a trend graph.

9. The respiration monitoring apparatus according to claim 1, wherein said signal processing means comprises:

respiration detector means for issuing first and second pulse signals corresponding to expiratory and inspiratory periods by wave-shaping a signal denoting the flow rate of breathed air measured by said measuring means;

detector means for detecting and holding a minimum level of the airway pressure measured by said measuring means during the period corresponding to the first and second pulse signals issued from the respiration detector means; and

comparator means for comparing a minimum level of the airway pressure measured by said measuring means in the inspiratory period, for issuing a detection signal where the minimum level of the airway pressure measured by said measuring means during the inspiratory period is lower than the minimum level of the airway pressure measured by said measuring means during the expiratory period.

10. The respiration monitoring apparatus according to claim 9, which further comprises display means for displaying the output detection signal from said comparator means.

11. The respiration monitoring apparatus according to claim 10, wherein said signal processing means further includes subtractor means for arithmetically defining a difference between minimum levels of the airway pressure measured during the expiratory period and during the inspiratory period;

and said display means includes means for displaying the output signal from the subtractor means and the minimum level of the airway pressure measured during the expiratory period.

12. A method of monitoring respiration which comprises the steps of:

measuring the airway pressure and the flow rate of air of a living body fitted with an artificial respirator;

detecting the end of an expiratory period in accordance with the flow rate of measured breathed air;

storing the airway pressure measured at the end of the expiratory period;

comparing the airway pressure measured with the stored pressure, and, where the airway pressure measured has a lower level than the stored pressure, sending forth a detection signal; and

informing the commencement of a spontaneous respiration of a living body in response to the detection signal.