Patent application number | Description | Published |
20090241951 | LEAK-COMPENSATED PRESSURE TRIGGERING IN MEDICAL VENTILATORS - This disclosure describes systems and methods for compensating for inelastic and elastic leaks in a ventilation system. The disclosure describes a model-based enhancement to conventional pressure triggering methodology that optimizes the timing and patient work of pressure triggering performance. The methods and systems described herein compensate for the additional effort a patient has to exert to generate the same amount of airway pressure drops compared to no leak condition. One method described includes calculating an elastic leakage and an inelastic leakage based on current measurements of pressure and flow in the ventilation system and then compensating a pressure threshold for the effects of the inelastic and elastic leaks in the system. | 10-01-2009 |
20090241955 | LEAK-COMPENSATED FLOW TRIGGERING AND CYCLING IN MEDICAL VENTILATORS - This disclosure describes systems and methods for compensating for inelastic and elastic leaks in a ventilation system. The disclosure describes a model-based enhancement to conventional flow triggering and cycling methodologies that improves the timing and patient work of flow-based triggering and cycling performance. The methods and systems described herein compensate for the leak condition and minimize additional effort a patient has to exert to generate the same patient synchrony and comfort level compared to no leak condition. One method described includes calculating an elastic leakage and an inelastic leakage based on current measurements of pressure and flow in the ventilation system and then estimating a leak-compensated lung flow using the inelastic and elastic leaks and pneumatic attributes of the patient-ventilator system. | 10-01-2009 |
20090241962 | VENTILATOR LEAK COMPENSATION - A ventilator including a pneumatic system for providing and receiving breathing gas, and a controller operatively coupled with the pneumatic system. The controller is operable to control circulation by the pneumatic system of breathing gas to and from a patient, and to adjust at least one of a volume and pressure of breathing gas delivered to the patient, such adjustment being based upon elastic properties of a component used to fluidly couple the pneumatic system to a patient. | 10-01-2009 |
20100071697 | INVERSION-BASED FEED-FORWARD COMPENSATION OF INSPIRATORY TRIGGER DYNAMICS IN MEDICAL VENTILATORS - A ventilator and method of ventilator control. The ventilator includes a pneumatic system for providing and receiving breathing gas, and a controller operatively coupled with the pneumatic system. The controller employs closed-loop control to provide positive breathing assistance to a patient. Supplemental feed-forward compensatory assistance is also provided, in addition to and independently of that commanded by the closed-loop control. The supplemental assistance may be determined, set or selected based on a ventilator parameter and/or an operator parameter, and/or as an automatic ongoing compensatory mechanism responding to varying patient respiratory demand. | 03-25-2010 |
20100081119 | CONFIGURABLE RESPIRATORY MUSCLE PRESSURE GENERATOR - Systems and methods are provided for etiologic-based breath simulation and/or ventilator test platforms that provide operator-configurable breathing patterns, patient respiratory muscular effort waveform characteristics and patient parameter values. According to one embodiment, multiple respiratory muscle effort waveform specifications, each of which have associated therewith one or more waveform parameters, are provided for use by a breathing effort generator. The waveform specifications include (i) a specification based upon an empirical model that approximates clinically-observed, patient-generated muscle pressures, (ii) a specification based on configurable etiology-driven templates and/or (iii) a specification based on a configurable piecewise trajectory template. A waveform engine of the breathing effort generator is configured in accordance with a selected waveform specification and corresponding waveform parameter values. Finally, the desired breathing pattern is simulated by a lung simulation system based on one or more model parameter values and a respiratory muscle effort waveform generated by the waveform engine. | 04-01-2010 |
20100218765 | FLOW RATE COMPENSATION FOR TRANSIENT THERMAL RESPONSE OF HOT-WIRE ANEMOMETERS - Systems and methods are described for application of a transitory corrective modification to a hot-wire anemometer flow voltage and/or calculated flow rate to compensate for transient thermal response of the anemometer during a change in mixture of a mixed gas being measured. According to one embodiment a method of applying the transitory corrective modification is provided. An output signal of an exhalation flow sensor of a medical ventilator is received. The flow sensor includes a hot-wire anemometer. The output signal is indicative of a rate of flow of expired gas by a patient. Transient thermal response of the hot-wire anemometer is compensated for by applying a corrective modification to the output signal or a value based thereon. The corrective modification is based at least in part on a fraction of inspired oxygen (FiO2) being supplied by the medical ventilator to the patient. | 09-02-2010 |
20100218767 | LEAK-COMPENSATED RESPIRATORY MECHANICS ESTIMATION IN MEDICAL VENTILATORS - This disclosure describes systems and methods for compensating for leakage when determining the respiratory mechanics of a patient during delivery of gas from a medical ventilator to a patient. The systems and methods include monitoring an instantaneous flow in the ventilation system based on one or more measurements of pressure and flow in ventilation system. The leakage is modeled using a predetermined leakage model. A leak-compensated instantaneous lung flow of gas inhaled or exhaled by the patient is estimated. Using the leak-compensated lung flow and a predetermined respiratory mechanics model, the respiratory mechanics of a patient may be estimated including at least one of a leak-compensated lung compliance and a leak-compensated lung resistance. The method may include using a dynamic respiratory mechanics model or a static respiratory mechanics model that requires use of a pause maneuver to collect the necessary data. | 09-02-2010 |
20100236553 | LEAK-COMPENSATED PROPORTIONAL ASSIST VENTILATION - 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. | 09-23-2010 |
20100236555 | LEAK-COMPENSATED PRESSURE REGULATED VOLUME CONTROL VENTILATION - This disclosure describes systems and methods for compensating for leakage when during delivery of gas to a patient from a medical ventilator in a pressure regulated volume control (PRVC) ventilation mode. The technology described herein includes systems and methods that compensate the delivery of PRVC ventilation for leakage in the patient circuit by using leak-compensated lung flows as well as respiratory mechanics (lung compliance and lung resistance) estimated in a manner that compensates for elastic and inelastic leaks from the ventilation system. | 09-23-2010 |
20110146683 | Sensor Model - The disclosure describes a novel approach of utilizing a model-based approach for estimating a parameter at the wye without utilizing a sensor at the wye in the circuit proximal to the patient. | 06-23-2011 |
20120216810 | Methods And Systems For Transitory Ventilation Support - This disclosure describes systems and methods for providing a transitory ventilation support breath type during ventilation of a patient. The disclosure describes a novel breath type that provides for a beneficial transition between an assist breath type and an effort-based breath type and/or a breath type that is beneficial for weak patients. | 08-30-2012 |
20120304997 | LEAK-COMPENSTATED PROPORTIONAL ASSIST VENTILATION - 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. | 12-06-2012 |
20130025596 | METHODS AND SYSTEMS FOR MODEL-BASED TRANSFORMED PROPORTIONAL ASSIST VENTILATION - This disclosure describes systems and methods for providing a model-based transformed proportional assist breath type during ventilation of a patient. The disclosure describes a novel breath type that delivers a target pressure calculated based on a predetermined trajectory and a support setting to a triggering patient. | 01-31-2013 |
20130146055 | METHODS AND SYSTEMS FOR ADAPTIVE BASE FLOW - This disclosure describes systems and methods for providing novel adaptive base flow scheduling during ventilation of a patient to optimize the accuracy of estimated exhaled tidal volume. Further, this disclosure describes systems and methods for providing novel adaptive inspiratory trigger threshold scheduling during the novel adaptive base flow scheduling. | 06-13-2013 |
20130167842 | METHODS AND SYSTEMS FOR ADAPTIVE BASE FLOW AND LEAK COMPENSATION - This disclosure describes systems and methods for providing adaptive base flow scheduling during ventilation of a patient to optimize patient-machine synchrony and accuracy of estimated exhaled as well as inhaled tidal volumes. Further, this disclosure describes systems and methods for providing adaptive inspiratory trigger threshold scheduling during the adaptive base flow scheduling. Further still, this disclosure describes systems and methods for determining an estimated leak flow and adjusting the adaptive base flow scheduling and the adaptive inspiratory trigger threshold scheduling based on the estimated leak flow. Moreover, this disclosure describes systems and methods for determining a change in the estimated leak flow and adjusting the adaptive base flow scheduling and the adaptive inspiratory trigger threshold scheduling based on the change in the estimated leak flow. | 07-04-2013 |
20130186400 | VENTILATOR LEAK COMPENSATION - A ventilator including a pneumatic system for providing and receiving breathing gas, and a controller operatively coupled with the pneumatic system. The controller is operable to control circulation by the pneumatic system of breathing gas to and from a patient, and to adjust at least one of a volume and pressure of breathing gas delivered to the patient, such adjustment being based upon elastic properties of a component used to fluidly couple the pneumatic system to a patient. | 07-25-2013 |
20130220324 | SYSTEMS AND METHODS FOR PROVIDING OSCILLATORY PRESSURE CONTROL VENTILATION - A method for ventilating a patient with a ventilator includes receiving a target pressure input for a breathing phase, receiving at least one oscillation parameter, imposing an oscillatory waveform on the target pressure, the oscillatory waveform having characteristics defined by the at least one oscillation parameter and configured to oscillate substantially about the target pressure for at least a portion of the breathing phase, and delivering an amount of flow sufficient to achieve an oscillatory target pressure based on the imposed oscillatory waveform. | 08-29-2013 |
20130233314 | LEAK-COMPENSATED PROPORTIONAL ASSIST VENTILATION - 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. | 09-12-2013 |
20130239967 | FLOW RATE COMPENSATION FOR TRANSIENT THERMAL RESPONSE OF HOT-WIRE ANEMOMETERS - Systems and methods are described for application of a transitory corrective modification to a hot-wire anemometer flow voltage and/or calculated flow rate to compensate for transient thermal response of the anemometer during a change in mixture of a mixed gas being measured. According to one embodiment a method of applying the transitory corrective modification is provided. An output signal of an exhalation flow sensor of a medical ventilator is received. The flow sensor includes a hot-wire anemometer. The output signal is indicative of a rate of flow of expired gas by a patient. Transient thermal response of the hot-wire anemometer is compensated for by applying a corrective modification to the output signal or a value based thereon. The corrective modification is based at least in part on a fraction of inspired oxygen (FiO2) being supplied by the medical ventilator to the patient. | 09-19-2013 |
20130255682 | METHODS AND SYSTEMS FOR COMPENSATION OF TUBING RELATED LOSS EFFECTS - A method for ventilating a patient with a ventilator includes consecutively delivering a plurality of substantially equal volume amounts into a closed ventilator circuit during a ventilator self-test, receiving a pressure measurement for each volume delivery, calculating a change in pressure for each volume delivery, consecutively releasing a plurality of substantially equal volume amounts from the closed ventilator circuit during the ventilator self-test, calculating a change in pressure for each volume release, fitting the calculated change in pressure data for volume delivery and volume release to an inhalation non-linear model equation and an exhalation non-linear model equation, respectively, deriving one or more inhalation tubing compliance compensation coefficients from the inhalation non-linear model equation, and deriving one or more exhalation tubing compliance compensation coefficients from the exhalation non-linear model equation. | 10-03-2013 |
20130255685 | METHODS AND SYSTEMS FOR TRIGGERING WITH UNKNOWN BASE FLOW - This disclosure describes systems and methods for providing novel back-up ventilation that allows the patient to trigger or initiate the delivery of breath. Further, this disclosure describes systems and methods for triggering ventilation when base flow is unknown or undeterminable by the ventilator. | 10-03-2013 |
20140360497 | METHODS AND SYSTEMS FOR TRIGGERING WITH UNKNOWN BASE FLOW - This disclosure describes systems and methods for providing novel back-up ventilation that allows the patient to trigger or initiate the delivery of breath. Further, this disclosure describes systems and methods for triggering ventilation when base flow is unknown or undeterminable by the ventilator. | 12-11-2014 |