초록 ▼

A mechanism is provided for a respiratory ventilator by which the gas-delivery mechanism of the ventilator can be caused to deliver gas to the patient either at a predetermined flow rate or at a rate directly controlled by the patient\s instantaneous demand. The mechanism includes a pressure-respons

A mechanism is provided for a respiratory ventilator by which the gas-delivery mechanism of the ventilator can be caused to deliver gas to the patient either at a predetermined flow rate or at a rate directly controlled by the patient\s instantaneous demand. The mechanism includes a pressure-responsive device adapted to produce an analog signal indicative of the difference between a reference pressure and the patient\s airway proximal pressure. The analog signal has a first polarity when the proximal pressure is less than the reference pressure in response to an inhalation effort, and a second polarity when the proximal pressure is greater than the reference pressure in response to an exhalation effort. A first control mechanism is provided which causes the gas-delivery system to deliver gas at a rate which is proportional to the absolute value of the analog signal when the signal has the first polarity and an absolute value at least equal to a predetermined threshold value. The control mechanism responds to the second polarity of the analog signal by causing the gas-delivery system to recharge itself with a fresh supply of gas. The same gas-delivery mechanism can also be operated in an assist mode to deliver gas at a predetermined flow rate by a second control mechanism responsive to the analog signal.

대표청구항 ▼

A respiratory ventilator, of the type having breathable gas supply means, exhalation valving means, conduit means adapted for transmitting breathable gas to a patient during inhalation and for transmitting exhaled gas from said patient to said exhalation valving means, and gas-delivery means for alt

A respiratory ventilator, of the type having breathable gas supply means, exhalation valving means, conduit means adapted for transmitting breathable gas to a patient during inhalation and for transmitting exhaled gas from said patient to said exhalation valving means, and gas-delivery means for alternately receiving gas from said gas supply means during exhalation and delivering said received gas to said conduit means during inhalation, wherein the improvement comprises: first means for supplying a reference pressure; second means, receptive to said reference pressure and the pressure in said conduit means, for producing an electronic signal having a value indicative of the pressure differential between said first means and said conduit means, said electronic signal having a first polarity when the pressure in said conduit means is less than said reference pressure in response to an inhalation effort by said patient, and a second polarity when the pressure in said conduit means exceeds said reference pressure in response to an exhalation effort by said patient; and third means, responsive to said electronic signal, for (a) actuating said gas-delivery means so as to deliver gas to said conduit means at a rate which is substantially proportional to the absolute value of said electronic signal when said electronic signal has said first polarity and a predetermined threshold value indicative of at least a threshold level pressure differential, and (b) actuating said gas-delivery means so as to receive gas from said gas supply means either when said electronic signal has said second polarity or when said electronic signal remains approximately at said predetermined threshold value for a predetermined time interval, whichever first occurs.