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Kafe 바로가기국가/구분 | United States(US) Patent 등록 |
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국제특허분류(IPC7판) |
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출원번호 | US-0313128 (2011-12-07) |
등록번호 | US-9364624 (2016-06-14) |
발명자 / 주소 |
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출원인 / 주소 |
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대리인 / 주소 |
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인용정보 | 피인용 횟수 : 2 인용 특허 : 584 |
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 threshol
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.
1. A method for improving an accuracy of estimating an exhalation volume while ventilating a patient with a ventilator, the ventilator comprising at least one processor and at least one memory, the method comprising: determining, by the ventilator, an initial base flow to improve the accuracy of est
1. A method for improving an accuracy of estimating an exhalation volume while ventilating a patient with a ventilator, the ventilator comprising at least one processor and at least one memory, the method comprising: determining, by the ventilator, an initial base flow to improve the accuracy of estimating the exhalation volume;determining, by the ventilator, an initial inspiration trigger threshold to prevent false triggering while base flow is changing;delivering the initial base flow during at least a first portion of exhalation while setting the inspiration trigger threshold to the initial inspiration trigger threshold;determining, by the ventilator, a desired base flow;determining, by the ventilator, a desired inspiration trigger threshold;increasing base flow from the initial base flow toward the desired base flow during at least a second portion of exhalation;decreasing the inspiration trigger threshold from the initial inspiration trigger threshold toward the desired inspiration trigger threshold while performing the step of increasing the base flow; andincreasing a sensitivity to a patient initiated trigger during at least the second portion of exhalation while performing the steps of increasing the base flow and decreasing the inspiration trigger threshold. 2. The method of claim 1, wherein the step of increasing the base flow includes increasing the base flow at a first exponential trajectory, and wherein the step of decreasing the inspiration trigger threshold includes decreasing the inspiration trigger threshold at a second exponential trajectory. 3. The method of claim 1, wherein the initial base flow is zero. 4. The method of claim 1, wherein the second portion of exhalation begins based on an occurrence of a condition, the condition being at least one of a group including: determining that a minimum exhalation time has expired;determining that the exhalation flow is below a minimum exhalation flow;determining that the exhalation flow is below the minimum exhalation flow prior to expiration of a maximum exhalation time; anddetermining that the maximum exhalation time has expired. 5. The method of claim 1, further comprising: estimating a leak flow from a ventilation tubing system; andadjusting the initial base flow and the desired base flow to account for the estimated leak flow from the ventilation tubing system. 6. A method for improving an accuracy of estimating an exhalation volume while ventilating a patient with a ventilator, the ventilator comprising at least one processor and at least one memory, the method comprising: determining, by the ventilator, an initial base flow to improve the accuracy of estimating the exhalation volume;determining, by the ventilator, an initial inspiration trigger threshold to prevent false triggering while base flow is changing;delivering the initial base flow during at least a first portion of exhalation while setting the inspiration trigger threshold to the initial inspiration trigger threshold;increasing base flow from the initial base flow toward a first flow value during at least a second portion of exhalation;decreasing the inspiration trigger threshold from the initial inspiration trigger threshold toward a first trigger threshold value while performing the step of increasing the base flow; andincreasing a sensitivity to a patient initiated trigger during at least the second portion of exhalation while performing the steps of increasing the base flow and decreasing the inspiration trigger threshold. 7. The method of claim 6, wherein the step of increasing the base flow includes increasing the base flow at a first exponential trajectory. 8. The method of claim 7, wherein the step of decreasing the inspiration trigger threshold includes decreasing the inspiration trigger threshold at a second exponential trajectory. 9. The method of claim 8, wherein a slope of the first exponential trajectory of the base flow and a slope of the second exponential trajectory of the inspiration trigger threshold is based on a time constant selected by the ventilator. 10. The method of claim 7, wherein a slope of the first exponential trajectory of the base flow is based on a constant selected by the ventilator. 11. The method of claim 6, wherein the step of increasing the base flow is performed until at least one of a desired base flow is substantially reached and an inspiration trigger is detected. 12. The method of claim 6, wherein the step of decreasing the inspiration trigger threshold is performed until at least one of a desired inspiration trigger threshold is substantially reached and an inspiration trigger is detected. 13. The method of claim 6, wherein the step of decreasing the inspiration trigger threshold includes decreasing the inspiration trigger threshold at an exponential trajectory until at least one of a desired inspiration trigger threshold is substantially reached and an inspiration trigger is detected. 14. The method of claim 6, wherein the initial base flow is zero. 15. The method of claim 6, wherein the initial inspiration trigger threshold is a change in flow of at least 6 LPM. 16. The method of claim 6, wherein the second portion of exhalation begins based on an occurrence of a condition, the condition being at least one of a group including: determining that a minimum exhalation time has expired;determining that a monitored exhalation flow is below a minimum exhalation flow;determining that the monitored exhalation flow is below the minimum exhalation flow prior to expiration of a maximum exhalation time; anddetermining that the maximum exhalation time has expired. 17. The method of claim 6, further comprising: estimating a leak flow from a ventilation tubing system; andadjusting the initial base flow and the first flow value to account for the estimated leak flow from the ventilation tubing system. 18. The method of claim 6, wherein the step of increasing the base flow and the step of decreasing the inspiration trigger threshold are performed concurrently. 19. The method of claim 6, wherein the inspiration trigger threshold is at least one of a change in the exhalation flow and a change in exhalation pressure. 20. The method of claim 6, further comprising: calculating an estimated exhaled tidal volume of the patient. 21. The method of claim 6, further comprising: displaying at least one of a minimum exhalation flow, a minimum exhalation time, a maximum exhalation time, a desired base flow, a desired inspiration trigger threshold, the inspiration trigger threshold, the base flow, the exhalation flow, an estimated leak flow, and an exhalation pressure. 22. A computer-readable medium having computer-executable instructions that when executed by a processor cause a ventilator to: determine, by the ventilator, an initial base flow to improve an accuracy of estimating an exhalation volume;determine, by the ventilator, an initial inspiration trigger threshold to prevent false triggering while base flow is changing;repeatedly deliver the initial base flow during at least a first portion of exhalation while setting the inspiration trigger threshold to the initial inspiration trigger threshold;continuously increase base flow from the initial base flow toward a first flow value during at least a second portion of exhalation;continuously decrease an inspiration trigger threshold from the initial inspiration trigger threshold toward a first trigger threshold value while performing the step of increasing the base flow; andcontinuously increase a sensitivity to a patient initiated trigger during at least the second portion of exhalation while performing the steps of continuously increasing the base flow and continuously decreasing the inspiration trigger threshold. 23. The computer-readable medium of claim 22, wherein increasing the base flow includes increasing the base flow at a first exponential trajectory. 24. The computer-readable medium of claim 23, wherein decreasing the inspiration trigger threshold includes decreasing the inspiration trigger threshold at a second exponential trajectory. 25. The computer-readable medium of claim 24, wherein a slope of the first exponential trajectory of the base flow and a slope of the second exponential trajectory of the inspiration trigger threshold is based on a time constant selected by the ventilator. 26. The computer-readable medium of claim 22, wherein increasing the base flow is performed until at least one of a desired base flow is substantially reached and an inspiration trigger is detected. 27. The computer-readable medium of claim 22, wherein decreasing the inspiration trigger threshold is performed until at least one of a desired inspiration trigger threshold is substantially reached and an inspiration trigger is detected.
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IPC | Description |
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A | 생활필수품 |
A62 | 인명구조; 소방(사다리 E06C) |
A62B | 인명구조용의 기구, 장치 또는 방법(특히 의료용에 사용되는 밸브 A61M 39/00; 특히 물에서 쓰이는 인명구조 장치 또는 방법 B63C 9/00; 잠수장비 B63C 11/00; 특히 항공기에 쓰는 것, 예. 낙하산, 투출좌석 B64D; 특히 광산에서 쓰이는 구조장치 E21F 11/00) |
A62B-1/08 | .. 윈치 또는 풀리에 제동기구가 있는 것 |
내보내기 구분 |
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구성항목 |
관리번호, 국가코드, 자료구분, 상태, 출원번호, 출원일자, 공개번호, 공개일자, 등록번호, 등록일자, 발명명칭(한글), 발명명칭(영문), 출원인(한글), 출원인(영문), 출원인코드, 대표IPC 관리번호, 국가코드, 자료구분, 상태, 출원번호, 출원일자, 공개번호, 공개일자, 공고번호, 공고일자, 등록번호, 등록일자, 발명명칭(한글), 발명명칭(영문), 출원인(한글), 출원인(영문), 출원인코드, 대표출원인, 출원인국적, 출원인주소, 발명자, 발명자E, 발명자코드, 발명자주소, 발명자 우편번호, 발명자국적, 대표IPC, IPC코드, 요약, 미국특허분류, 대리인주소, 대리인코드, 대리인(한글), 대리인(영문), 국제공개일자, 국제공개번호, 국제출원일자, 국제출원번호, 우선권, 우선권주장일, 우선권국가, 우선권출원번호, 원출원일자, 원출원번호, 지정국, Citing Patents, Cited Patents |
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