Energy trigger

• US 8,910,632 B2
• Filed: 06/27/2005
• Issued: 12/16/2014
• Est. Priority Date: 07/08/2004
• Status: Active Grant

• Current Assignee: Breas Medical Ab (Shanghai Fosun Pharmaceutical (Group) Co., Ltd.)
• Original Assignee: Breas Medical Ab (Shanghai Fosun Pharmaceutical (Group) Co., Ltd.)
• Inventors: Tiedje, Mikael
• Primary Examiner(s): Bianco, Patricia
• Assistant Examiner(s): NELSON, KERI JESSICA
• Application Number:
  US11/570,943
• Publication Number:
  US 20080283061A1
• Time in Patent Office: 3,459 Days
• Field of Search: 128/204.18, 128/204.21, 128/204.23, 128/202.27, 128/202.22
• US Class Current: 128/204.23
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0036 in the breathing tube and used in both inspiratory and expiratory phase
• CPC Class Codes: A61M 2205/3375 Acoustical, e.g. ultrasonic, measuring means
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2230/04 Heartbeat characteristics, e.g. ECG, blood pressure modulation
• CPC Class Codes: A61M 2230/10 Electroencephalographic signals
• CPC Class Codes: A61M 2230/18 Rapid eye-movements [REM]
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/30 Blood pressure A61M2230/04 takes precedence
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)
• CPC Class Codes: A61M 2230/435 partial O2 pressure (P-O2)
• CPC Class Codes: A61M 2230/50 Temperature
• CPC Class Codes: A61M 2230/60 Muscle strain, i.e. measured on the user

Abstract

A method and apparatus for facilitating breathing using a mechanical breathing gas ventilator is presented. The patient effort is deduced from a measured flow signal and analyzed with respect to the energy in the breathing system comprising the mechanical ventilator and the patient. When a predetermined energy threshold has been reached the ventilator responds to the breathing pattern change.

Claims

1. A mechanical ventilator apparatus for supplying breathing gas to humans, the ventilator comprising:

a ventilator arrangement; and

a processing unit configured to obtain flow signals from sensors indicative of at least breathing gas flow;

wherein said processing unit is arranged to analyze said flow signals with respect to kinetic energy content relating to a breathing effort of a patient by applying said flow signals to a derivative procedure in order to deduce said kinetic energy content via a calculation of ½

ρ

V², where ρ

is a density of breathing gas and V is a speed of a breathing flow gas, and said derivative procedure further comparing an output from said derivative procedure to at least one predetermined trigger level, to trigger a response if said kinetic energy content reaches said trigger level, and to trigger at least one of an inspiratory phase or an expiratory phase of a breathing cycle using a supply of said breathing gas according to said reached trigger level.

2. The apparatus according to claim 1, wherein said derivative output is indicative of the inhalation start phase.

3. The apparatus according to claim 1, wherein said derivative output is indicative of the exhalation start phase.

4. The apparatus according to claim 1, wherein said processing unit is further configured to receive a signal indicative of pressure, and to use said signal indicative of pressure in said analysis for kinetic energy content together with said signal indicative of breathing gas flow.

5. A method for facilitating breathing in connection with a mechanical ventilator arrangement, comprising the steps of:

acquiring a breathing gas flow signal;

processing said breathing gas flow signal for kinetic energy content by applying said breathing gas flow signal to a derivative procedure to deduce said kinetic energy content relating to a breathing effort of a patient, wherein the kinetic energy content is deduced via a calculation of ½

ρ

V², where ρ

is a density of breathing gas and V is a speed of a breathing flow gas;

determining if said kinetic energy content has reached at least one predetermined trigger level by comparing an output from said derivative procedure with said trigger level; and

responding to said reached trigger level by changing control signals for said mechanical ventilator, wherein said control signals trigger at least one of an inspiratory phase or an expiratory phase of a breathing cycle using a supply of breathing gas.

6. The method according to claim 5, further comprising the steps of:

measuring a breathing gas pressure; and

using said pressure measurement in said processing for kinetic energy content.

7. A system for facilitating breathing when using a mechanical ventilator arrangement, comprising:

at least one sensing means for acquiring a flow signal indicative of at least flow of breathing gas to a patient;

a breathing gas tubing and breathing gas distribution means;

a mechanical ventilator apparatus; and

a processing unit;

wherein said processing unit is arranged to process flow data obtained from a breathing gas flow measurement using said sensing means, to determine kinetic energy content relating to a breathing effort of a patient from said flow data by applying said flow signal to a derivative procedure to deduce said kinetic energy content via a calculation of ½

ρ

V², where ρ

is a density of breathing gas and V is a speed of a breathing flow gas, and said derivative procedure further comparing an output from said derivative procedure with at least one predetermined trigger level, to determine if said predetermined trigger level is reached from said comparison, and to output control signals to said mechanical ventilator apparatus to trigger at least one of an inspiratory phase or an expiratory phase of a breathing cycle using a supply of breathing gas.

8. The system according to claim 7, further comprising:

sensing means for measuring breathing gas pressure;

said processing unit being arranged to process data from both flow and pressure measurements in order to deduce kinetic energy content.

9. A computer readable medium having instructions stored thereon that, when executed, control a mechanical ventilator apparatus, to perform a method, comprising:

obtaining flow signals from at least one sensing means for measuring flow of breathing gas to a patient;

applying said flow signals to a derivative procedure to deduce a kinetic energy content relating to a breathing effort of a patient, wherein the kinetic energy content is deduced via a calculation of ½

ρ

V², where ρ

is a density of breathing gas and V is a speed of a breathing flow gas;

comparing an output from said derivative procedure with at least one predetermined trigger level;

determining from said comparison if said predetermined trigger level has been reached; and

transmitting control signals to trigger at least one of an inspiratory phase or an expiratory phase of a breathing cycle using a supply of breathing gas to said mechanical ventilator if said predetermined trigger level has been reached.

10. The computer readable medium according to claim 9, wherein said output from said derivative procedure is indicative of the inhalation rise phase.

11. The computer readable medium according to claim 9, wherein said output from said derivative procedure is indicative of the exhalation fall phase.

12. The computer readable medium according to claim 9, further comprising using data obtained from measurement of breathing gas pressure together with flow measurements in determining said kinetic energy content.