Leak-compensated proportional assist ventilation
First Claim
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1. A pressure support system comprising:
- a pressure generating system adapted to generate a flow of breathing gas;
a ventilation tubing system including a patient interface device for connecting the pressure generating system to a patient;
one or more sensors operatively coupled to the pressure generating system or the ventilation tubing system, each sensor capable of generating an output indicative of a pressure of the breathing gas;
a leak estimation module that identifies leakage in the ventilation tubing system;
a respiratory mechanics calculation module that generates a leak-compensated lung compliance and a leak-compensated lung resistance based on the leakage and at least one output indicative of a pressure of the breathing gas; and
a proportional assistance ventilation module that causes the pressure generating system to provide ventilation to the patient based on patient effort and a support setting, wherein the patient effort is determined from the leakage, the leak-compensated lung compliance and the leak-compensated lung resistance.
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Abstract
This disclosure describes systems and methods for compensating for leakage when during delivery of gas from a medical ventilator in a proportional assist mode to a patient. The technology described herein includes systems and methods to compensate the delivery of PA ventilation for leakage in the patient circuit by using leak-compensated lung flows as well as leak-compensated respiratory mechanics parameters (lung compliance and lung resistance) estimated in a manner that compensates for elastic and inelastic leaks from the ventilation system.
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Citations
7 Claims
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1. A pressure support system comprising:
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a pressure generating system adapted to generate a flow of breathing gas; a ventilation tubing system including a patient interface device for connecting the pressure generating system to a patient; one or more sensors operatively coupled to the pressure generating system or the ventilation tubing system, each sensor capable of generating an output indicative of a pressure of the breathing gas; a leak estimation module that identifies leakage in the ventilation tubing system; a respiratory mechanics calculation module that generates a leak-compensated lung compliance and a leak-compensated lung resistance based on the leakage and at least one output indicative of a pressure of the breathing gas; and a proportional assistance ventilation module that causes the pressure generating system to provide ventilation to the patient based on patient effort and a support setting, wherein the patient effort is determined from the leakage, the leak-compensated lung compliance and the leak-compensated lung resistance. - View Dependent Claims (2, 3, 4, 5)
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6. A controller for a medical ventilator comprising:
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a microprocessor; a module that compensates calculations of lung compliance and lung resistance based on an instantaneous elastic leakage of breathing gas from a variable orifice and an instantaneous inelastic leakage of breathing gas from a fixed orifice of a ventilation tubing system; and a pressure generating module controlled by the microprocessor that provides proportional assist ventilation based on the compensated lung compliance and lung resistance. - View Dependent Claims (7)
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Specification