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公开(公告)号:US20140373845A1
公开(公告)日:2014-12-25
申请号:US13926013
申请日:2013-06-25
申请人: Covidien LP
发明人: Nancy F. Dong
CPC分类号: A61M16/0051 , A61B5/085 , A61B5/087 , A61B5/4836 , A61M16/0069 , A61M16/026 , A61M16/0883 , A61M2016/0027 , A61M2016/0039 , A61M2016/0042 , A61M2205/502
摘要: This disclosure describes systems and methods for providing optimized adjustment of a ventilator based on an estimated net value of patient effort. The disclosure describes a novel breath type that delivers a target airway pressure calculated based on an estimated patient muscle effort. A net value of patient muscle effort is estimated using a parameter estimate vector update equation to solve for a recursive least squares gain value representing the estimated net value of patient effort. The estimated net value of patient muscle effort is used to determine a target airway pressure, which is then used to determine a target inspiratory pressure to be delivered to a patient. The target inspiratory pressure is used to determine an onset and/or end of a ventilation cycle and therefore improves the synchronization between the ventilator and the patient.
摘要翻译: 本公开描述了基于估计的患者努力净值来提供对呼吸机的优化调整的系统和方法。 本公开描述了一种新型呼吸型,其传递基于估计的患者肌肉力量计算的目标气道压力。 使用参数估计向量更新方程来估计患者肌肉力量的净值,以求解代表患者努力的估计净值的递归最小二乘增益值。 估计患者肌肉力量的净值用于确定目标气道压力,然后将其用于确定要递送给患者的目标吸气压力。 目标吸气压力用于确定通气周期的开始和/或结束,从而改善呼吸机和患者之间的同步。
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公开(公告)号:US20210393902A1
公开(公告)日:2021-12-23
申请号:US17354049
申请日:2021-06-22
申请人: Covidien LP
发明人: Nancy F. Dong , Gabriel Sanchez , Kun Li
IPC分类号: A61M16/00
摘要: Systems and methods for one-touch ventilation mode are disclosed. In examples, settings for a medical ventilator are determined and delivered to a patient with a minimum of one input parameter. The one-touch ventilation mode may reference or apply one or more respiratory mechanics planes to determine desired ventilation parameters. In an example, the input parameter may be mapped to initial ventilation settings on a respiratory mechanics plane. During ventilation delivered according to the initial ventilation settings, ventilation data may be obtained. Based on the ventilation data, one or more ventilation strategies may be implemented, including breath type strategy, alarming strategy, triggering/cycling strategy, and PEEP strategy. Updated ventilation settings may be determined based on the ventilation data and/or the ventilation strategy.
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公开(公告)号:US11896767B2
公开(公告)日:2024-02-13
申请号:US17178349
申请日:2021-02-18
申请人: Covidien LP
发明人: Nancy F. Dong , Gabriel Sanchez , Kun Li
CPC分类号: A61M16/08 , A61M16/0003 , A61M16/024 , A61M16/205 , A61M2016/003 , A61M2016/0027 , A61M2205/3368
摘要: Systems and methods for model-driven system integration on a ventilator comprise a modeled exhalation flow. Ventilator flow sensors contain components that are easily damaged or impacted and have high rates of failure. Knowledge failure frequency and type may help determine when to replace, clean, or calibrate a flow sensor. A modeled exhalation flow may be trained for a ventilator. Additionally, the modeled exhalation flow may be compared to a flow sensor flow to determine a specific failure. Additionally or alternatively, the modeled exhalation flow may supplement, weight, or replace a faulty flow sensor measurement. These systems and methods may assist in identifying an inaccurate flow sensor measurement and/or providing a more accurate modeled flow estimate, thus increasing accuracy in patient-ventilator interactions.
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公开(公告)号:US20150090264A1
公开(公告)日:2015-04-02
申请号:US14044431
申请日:2013-10-02
申请人: Covidien LP
发明人: Nancy F. Dong
CPC分类号: A61M16/0051 , A61B5/087 , A61B5/091 , A61B5/4836 , A61M16/0063 , A61M16/026 , A61M16/202 , A61M2016/0027 , A61M2016/0036 , A61M2016/0039 , A61M2016/0042 , A61M2202/0208 , A61M2202/025 , A61M2205/505 , A61M2230/04 , A61M2230/205 , A61M2230/42 , A61M2230/46 , A61M2230/60
摘要: The systems and methods include providing a negative proportional assist breath type, a time adjusted negative proportional assist breath type, or a time adjusted proportional assist breath type during ventilation of a patient with a ventilator.
摘要翻译: 所述系统和方法包括在通气机患者的通气期间提供负比例辅助呼吸类型,时间调整的负比例辅助呼吸类型或时间调整的比例辅助呼吸类型。
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公开(公告)号:US20240131289A1
公开(公告)日:2024-04-25
申请号:US18403473
申请日:2024-01-03
申请人: Covidien LP
发明人: Nancy F. Dong , Gabriel Sanchez , Kun Li
CPC分类号: A61M16/08 , A61M16/0003 , A61M16/024 , A61M16/205 , A61M2016/0027 , A61M2016/003 , A61M2205/3368
摘要: Systems and methods for model-driven system integration on a ventilator comprise a modeled exhalation flow. Ventilator flow sensors contain components that are easily damaged or impacted and have high rates of failure. Knowledge failure frequency and type may help determine when to replace, clean, or calibrate a flow sensor. A modeled exhalation flow may be trained for a ventilator. Additionally, the modeled exhalation flow may be compared to a flow sensor flow to determine a specific failure. Additionally or alternatively, the modeled exhalation flow may supplement, weight, or replace a faulty flow sensor measurement. These systems and methods may assist in identifying an inaccurate flow sensor measurement and/or providing a more accurate modeled flow estimate, thus increasing accuracy in patient-ventilator interactions.
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公开(公告)号:US20240100287A1
公开(公告)日:2024-03-28
申请号:US18466338
申请日:2023-09-13
申请人: Covidien LP
发明人: Gabriel Sanchez , Richard J. Nakai , Nancy F. Dong , Kun Li
CPC分类号: A61M16/0883 , A61M16/0003 , A61M16/026 , A61M16/16 , A61M16/208 , A61M2016/0027 , A61M2016/0042 , A61M2205/15 , A61M2230/40 , A61M2230/43
摘要: A hybrid single-limb patient circuit coupled to an inspiratory port and an expiratory port of a ventilator. The hybrid single-limb patient circuit may include a check valve positioned to direct breathing gases supplied from the inspiratory port in a single direction; a manifold pneumatically coupled to the check valve; a dual-purpose single limb, pneumatically coupled to the manifold and the non-invasive patient interface, to carry breathing gases to the non-invasive patient interface and carry exhaled gases from the non-invasive patient interface; and an exhalation tubing segment, pneumatically coupled to the manifold and the expiratory port, to carry the exhaled gases from the manifold to the expiratory port.
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公开(公告)号:US09925346B2
公开(公告)日:2018-03-27
申请号:US14600261
申请日:2015-01-20
申请人: Covidien LP
发明人: Nancy F. Dong , Gabriel Sanchez
CPC分类号: A61M16/0069 , A61M16/00 , A61M16/0003 , A61M16/0051 , A61M16/0063 , A61M16/026 , A61M16/04 , A61M16/06 , A61M16/20 , A61M2016/0027 , A61M2016/003 , A61M2205/14 , A61M2205/18 , A61M2205/3334 , A61M2205/52
摘要: Systems and methods for ventilation that allows the patient to trigger or initiate the delivery of a breath are provided. Further, systems and methods for triggering ventilation when exhalation flow is unknown or unreliable by the ventilator are provided.
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公开(公告)号:US20170296765A1
公开(公告)日:2017-10-19
申请号:US15489315
申请日:2017-04-17
申请人: Covidien LP
发明人: Nancy F. Dong , Gabriel Sanchez
CPC分类号: A61M16/0051 , A61M16/0063 , A61M16/04 , A61M16/0833 , A61M2016/0027 , A61M2016/0036 , A61M2205/13 , A61M2205/14 , A61M2205/18 , A61M2205/502 , A61M2205/52 , A61M2240/00
摘要: Systems and methods for detecting extubation of an endotracheal tube (ETT) are described. Extubation of the ETT can be identified by comparing to a threshold, a difference between a determined first volume of breathing gas during a first inspiratory period to a determined second volume of breathing gas during a second inspiratory period. If the difference exceeds the threshold, an alarm can be activated indicating extubation. Extubation detection may also be based on a difference between inspiratory pressures during separate inspiratory periods. Partial extubation and full extubation may also be discerned. Further, extubation of an ETT may be detected without the use of an exhalation flow sensor.
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公开(公告)号:US20140261410A1
公开(公告)日:2014-09-18
申请号:US13798949
申请日:2013-03-13
申请人: COVIDIEN LP
发明人: Gabriel Sanchez , Nancy F. Dong
CPC分类号: A61M16/0051 , A61M16/0063 , A61M16/026 , A61M2016/0021 , A61M2016/0027 , A61M2016/0039 , A61M2016/0042 , A61M2202/0208 , A61M2205/502
摘要: 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 and/or inspiratory flow is unknown or indeterminable by the ventilator.
摘要翻译: 本公开描述了用于提供新颖的备用通气的系统和方法,其允许患者触发或开始呼气。 此外,本公开描述了当基流和/或吸气流未知或不能由呼吸机确定时触发通气的系统和方法。
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公开(公告)号:US20210322691A1
公开(公告)日:2021-10-21
申请号:US16852197
申请日:2020-04-17
申请人: Covidien LP
发明人: Nancy F. Dong , Gabriel Sanchez , Kun Li
摘要: Systems and methods for detecting respiratory mechanics of a patient during mechanical ventilation. An example ventilator implemented method includes receiving pressure and flow measurements of breathing gas. Based on the measurements, the ventilator generates values for a derivative of an estimate of intrapleural pressure (Psync) of the patient, and the ventilator determines a rate of change of the generated Psync values over a portion of an expiratory phase of a breathing cycle. Based on the determined rate of change, the ventilator selects at least one of a triggering mode or a setting for ventilation, and the ventilator controls ventilation of the patient based on the selected triggering mode and/or the setting for ventilation.
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