Systems and methods for therapeutic intrathoracic pressure regulation
원문보기
IPC분류정보
국가/구분
United States(US) Patent
등록
국제특허분류(IPC7판)
A61M-016/00
A61M-016/01
A61M-016/12
A61M-016/20
A61B-005/087
A61B-005/00
A61M-016/08
A61M-016/10
A61M-016/18
A61M-016/22
출원번호
US-0978412
(2015-12-22)
등록번호
US-10034991
(2018-07-31)
발명자
/ 주소
Homuth, James
Voss, Greg
Lurie, Keith
Metzger, Anja
출원인 / 주소
ZOLL MEDICAL CORPORATION
대리인 / 주소
The Webb Law Firm
인용정보
피인용 횟수 :
0인용 특허 :
276
초록▼
Embodiments of the present invention provide systems and methods for delivering respiratory treatment to a patient. For example, a treatment system may include a mechanism for delivering a positive pressure breath to a patient, and one or more limb flow control assemblies which modulate gas flow to
Embodiments of the present invention provide systems and methods for delivering respiratory treatment to a patient. For example, a treatment system may include a mechanism for delivering a positive pressure breath to a patient, and one or more limb flow control assemblies which modulate gas flow to and from the patient. Exemplary treatment techniques are embodied in anesthesia machines, mechanical ventilators, and manual ventilators.
대표청구항▼
1. A system for providing intrathoracic pressure regulation (IPR) to an individual, the system comprising: a patient connection mechanism for coupling with an airway of the individual;a control assembly comprising a housing having a vent, a gas mover disposed within the housing, wherein the gas move
1. A system for providing intrathoracic pressure regulation (IPR) to an individual, the system comprising: a patient connection mechanism for coupling with an airway of the individual;a control assembly comprising a housing having a vent, a gas mover disposed within the housing, wherein the gas mover is one or more of an impeller, a reciprocating pump, a turbine, a venturi, a centrifugal blower, and a roots blower, and a motor in operative association with the gas mover; anda positive pressure source,wherein the positive pressure source is in fluid communication with the housing vent of the control assembly,wherein the gas mover of the control assembly is disposed between the patient connection mechanism and the positive pressure source, along a fluid passage that extends between the patient connection mechanism and the positive pressure source, andwherein the control assembly is configured to allow airflow from the positive pressure source to the patient connection mechanism while simultaneously compelling airflow from the patient connection mechanism to the housing vent. 2. The system according to claim 1, wherein the gas mover is an impeller. 3. The system according to claim 2, wherein the impeller is operatively associated with the motor by way of a magnetic clutch. 4. The system according to claim 1, wherein the gas mover of the control assembly is configured to produce a continuous pressure differential within a range from about 3 cm H2O to about 16 cm H2O. 5. The system according to claim 1, wherein the positive pressure source is configured to provide a respiratory cycle duration of about 5 seconds. 6. The system according to claim 1, wherein operation of the control assembly continuously permits airflow between the patient connection mechanism and the positive pressure source, without forming a physical barrier that prevents airflow therebetween. 7. The system according to claim 1, wherein the positive pressure source is configured to maintain sub-atmospheric pressures within the thorax of the individual. 8. The system according to claim 1, further comprising a pressure sensor that monitors the individual's airway pressure between the control assembly and the individual, and a controller device that receives information from the pressure sensor and controls operation of the control assembly motor based on the information. 9. The system according to claim 1, wherein the positive pressure source is one or more of a manual bag valve mask mechanism, a mechanical ventilator machine, and an anesthesia machine. 10. The system according to claim 1, wherein interaction of the positive pressure source and the gas mover allows for intermittent airflow from the positive pressure source to an individual's lungs. 11. A device for providing intrathoracic pressure regulation to an individual, comprising: a housing having at least two ports, a first port configured to be in fluid communication with a positive pressure source and a second port configured to be in fluid communication with an individual's airway;a gas mover disposed within the housing and configured to provide negative intrathoracic pressure within the individual by moving air from the individual's airway, through the second port, and through the first port, the gas mover positioned such that at least one passage exists between the gas mover and the housing, the passage being in fluid communication with the first port and the second port and allowing retrograde airflow from a positive pressure source, through the first port, through the second port, and to the individual's airway, against the movement of air caused by the gas mover; anda motor in operative association with the gas mover. 12. The device according to claim 11, wherein the gas mover is one of an impeller, a reciprocating pump, a turbine, a venturi, a centrifugal blower, and a roots blower. 13. The device according to claim 11, wherein the gas mover is an impeller. 14. The device according to claim 13, wherein the motor is operatively associated with the impeller by way of a magnetic clutch. 15. The device according to claim 11, wherein the gas mover is configured to move air from the individual's airway at a constant rate. 16. The device according to claim 11, wherein the gas mover provides a continuous pressure differential within a range from about 3 cm H2O to about 16 cm H2O. 17. The device according to claim 11, wherein the gas mover is configured to move air from the individual's airway such that air pressure within the individual's airway is −10 cm H2O. 18. The device according to claim 11, wherein the positive pressure source with which the first port is in fluid communication is one of a manual bag valve mask mechanism, a mechanical ventilator machine, and an anesthesia machine. 19. A method of providing intrathoracic pressure regulation (IPR) to an individual, the method comprising: coupling an IPR system with an airway of the individual, the IPR system having a housing with a vent, a gas mover disposed within the housing, a motor in operative association with the gas mover, and a positive pressure source in fluid communication with the housing vent, wherein the gas mover is disposed between the airway and the positive pressure source, along a fluid passage that extends between the airway and the positive pressure source, andactivating the gas mover and the positive pressure source, so as to allow retrograde airflow from the positive pressure source to the individual while simultaneously compelling airflow from the airway to the housing vent. 20. The method according to claim 19, wherein the gas mover is one or more of an impeller, a reciprocating pump, a turbine, a venturi, a centrifugal blower, and a roots blower. 21. The method according to claim 19, wherein the gas mover is an impeller. 22. The method according to claim 21, wherein the impeller is operatively associated with the motor by way of a magnetic clutch. 23. The method according to claim 19, comprising producing, with the gas mover, a continuous pressure differential throughout a respiratory cycle of the individual within a range from about 3 cm H2O to about 16 cm H2O. 24. The method according to claim 19, comprising providing a respiratory cycle duration of about 5 seconds with the positive pressure source. 25. The method according to claim 19, comprising continuously permitting airflow between the patient connection mechanism and the positive pressure source, without forming a physical barrier that prevents airflow therebetween. 26. The method according to claim 19 comprising maintaining sub-atmospheric pressures within the thorax of the individual throughout a respiratory cycle. 27. The method according to claim 19, further comprising monitoring the individual's airway pressure between the gas mover and the individual, and controlling operation of the gas mover based on the monitored pressure. 28. The method according to claim 19, wherein the intrathoracic pressure regulation lowers intrathoracic pressure and increases venous return from the head of the individual, thereby lowering intracranial pressure in the individual. 29. The method according to claim 19, wherein interaction of the positive pressure source and the gas mover allows for intermittent airflow from the positive pressure source to the individual's lungs. 30. A method of providing intrathoracic pressure regulation (IPR) to an individual, the method comprising: coupling an IPR system with an airway of the individual, wherein the IPR system comprises: a patient connection mechanism for coupling with an airway of the individual;a control assembly comprising a housing having a vent, a gas mover disposed within the housing, wherein the gas mover is one or more of an impeller, a reciprocating pump, a turbine, a venturi, a centrifugal blower, and a roots blower, and a motor in operative association with the gas mover, anda positive pressure source,wherein the positive pressure source is in fluid communication with the housing vent of the control assembly,wherein the gas mover of the control assembly is disposed between the patient connection mechanism and the positive pressure source, along a fluid passage that extends between the patient connection mechanism and the positive pressure source, andwherein the control assembly is configured to allow airflow from the positive pressure source to the patient connection mechanism while simultaneously compelling airflow from the patient connection mechanism to the housing vent;using the IPR system to manipulate respiratory gas exchange such that intrathoracic pressures during exhalation remain at or below atmospheric pressure, thereby enhancing venous blood flow back to the thorax into the heart and lungs; andperiodically injecting air to the individual's lungs while simultaneously operating the gas mover. 31. The method according to claim 30, wherein the gas mover is an impeller. 32. The method according to claim 31, wherein the impeller is operatively associated with the motor by way of a magnetic clutch. 33. The method according to claim 30, comprising using the IPR system to manipulate respiratory gas exchange such that intrathoracic pressures during at least a portion of an inhalation phase remain at or below atmospheric pressure. 34. The method according to claim 30, wherein the positive pressure source is one or more of a manual bag valve mask mechanism, a mechanical ventilator machine, and an anesthesia machine. 35. The method according to claim 30 comprising producing, with the gas mover, a continuous pressure differential within a range from about 3 cm H2O to about 16 cm H2O. 36. The method according to claim 30, further comprising monitoring the individual's airway pressure between the gas mover and the individual, and controlling operation of the gas mover based on the monitored pressure. 37. The method according to claim 30, wherein interaction of the positive pressure source and the gas mover allows for intermittent airflow from the positive pressure source to the individual's lungs. 38. A system comprising: a patient connection mechanism for coupling with an airway of an individual;a control assembly comprising a housing having a vent and an impeller disposed within the housing, the impeller being operatively associated with a motor by way of a magnetic clutch;a ventilator in fluid communication with the housing vent of the control assembly; anda pressure sensor that monitors the individual's airway pressure between the control assembly and the individual, and a controller device that receives information from the pressure sensor and controls operation of the control assembly based on the information,wherein the impeller of the control assembly is disposed between the patient connection mechanism and the ventilator, along a fluid passage that extends between the patient connection mechanism and the ventilator,wherein the impeller is disposed within the housing such that a passage is present between the housing and the impeller, the passage being in fluid communication with the ventilator, andwherein the control assembly is configured to allow airflow from the ventilator to the patient connection mechanism through the passage while simultaneously compelling airflow from the patient connection mechanism to the housing vent.
연구과제 타임라인
LOADING...
LOADING...
LOADING...
LOADING...
LOADING...
이 특허에 인용된 특허 (276)
Pierce Richard S. (San Clemente CA) Van Leeuwen Willem J. (Chino CA), AIDS protection ventilation system.
Lampotang Samsun ; van Meurs Willem L. ; Good Michael L. ; Gravenstein Joachim S. ; Carovano Ronald G., Apparatus and method of simulating the determination of continuous blood gases in a patient simulator.
Darowski Marek (Warsaw PLX) Hedenstierna Gran (Djursholm SEX), Apparatus for independent ventilation of two lungs with selective use of positive end-expiratory pressures.
Lurie, Keith G.; Menk, Vern; Zielinski, Todd M.; Biondi, James W., Bag-valve resuscitation for treatment of hypotention, head trauma, and cardiac arrest.
Lurie Keith G. (Minneapolis MN) Sweeney Michael (St. Paul MN) Gold Barbara (Minneapolis MN), CPR device and method with structure for increasing the duration and magnitude of negative intrathoracic pressures.
Lurie Keith G. (Minneapolis MN) Sweeney Michael (St. Paul MN) Gold Barbara (Minneapolis MN), CPR device having valve for increasing the duration and magnitude of negative intrathoracic pressures.
Miles Laughton E. (1335 Alma St. Palo Alto CA 94301), Cardio-respiratory control and monitoring system for determining CPAP pressure for apnea treatment.
Ingenito Michael (7 Old Knollwood Rd. White Plains NY 10607) Ingenito Eve J. (White Plains NY) Ingenito Michael P. (White Plains NY), Compact interactive training manikin system.
Ingenito Michael (White Plains NY) Ingenito Eve J. (White Plains NY) Ingenito Michael P. (White Plains NY), Compact interactive training manikin system.
Watson Robert L. (14312 Piccadilly Rd. Silver Spring MD 20906) Rayburn Robert L. (495 N. Hills Dr. Salt Lake City UT 84117), Controllable partial rebreathing anesthesia circuit and respiratory assist device.
Lurie Keith G. (Minneapolis MN) Benditt David G. (Edina MN) Shultz Jeffrey J. (Robbinsdale MN) Ockuly John D. (Minnetonka MN) Fleischhacker John J. (Minnetonka MN), Coronary sinus catheter.
Lurie Keith G. (Minneapolis MN) Benditt David G. (Edina MN) Shultz Jeffrey J. (Robbinsdale MN) Ockuly John D. (Minnetonka MN) Fleischhacker John J. (Minnetonka MN), Coronary sinus catheter.
Lurie Keith G. (Minneapolis MN) Benditt David G. (Edina MN) Shultz Jeffrey J. (Robbinsdale MN) Ockuly John David (Minnetonka MN) Fleischhacker John J. (Minnetonka MN), Coronary sinus catheter.
Geddes Leslie A. (W. Lafayette IN) Babbs Charles F. (W. Lafayette IN) Vorhees ; III William D. (Lafayette IN) Bourland Joe D. (W. Lafayette IN), Demand electroventilator.
Egelandsdal Einar (Forus CA NOX) Garth Geoffrey C. (Long Beach CA) Hamilton John (Torrance CA) Johnson David (Hopewell Junction NY) Laerdal Tore (Gausel CA NOX) Patterson Charles A. (Westminster CA), Dummy for practicing cardiopulmonary resuscitation (CPR) of a human being.
Egelandsdal Einar (Forus CA NOX) Garth Geoffrey C. (Long Beach CA) Hamilton John (Torrance CA) Johnson David (Hopewell Junction NY) Laerdal Tore (Gausel CA NOX) Patterson Charles A. (Westminster CA), Dummy for practicing cardiopulmonary resuscitation (CPR) of a human being.
Watson Robert L. (14312 Piccadilly Rd. Silver Spring MD 20906) Rayburn Robert L. (495 North Hills Dr. Salt Lake City UT 84103), Emergency ventilation tube.
Lurie Keith G. ; Blanc Jean Jacques,FRX ; Benditt David G. ; Starks Daniel J., Guiding introducer for introducing medical devices into the coronary sinus and process for using same.
Lurie, Keith G.; Blanc, Jean Jacques; Benditt, David G.; Starks, Daniel J., Guiding introducer for introducing medical devices into the coronary sinus and process for using same.
Gruenke Roger A. (Overland Park KS) Trimble Russell L. (Overland Park KS), Inspiratory airway pressure system using constant pressure and measuring flow signals to determine airway patency.
Weisfeldt Myron L. (Baltimore MD) Tsitlik Joshua E. (Reisterstown MD) Chandra Nisha (Towson MD), Integrated system for cardiopulmonary resuscitation and circulation support.
Chua James (Tehachapi CA) Salter Peter W. (Tehachapi CA) Kelly Francis J. (Upland CA) Wada Robert Toshiaki (Claremont CA) Fujimoto Roy Yasuo (Upland CA), Intermittent gas-insufflation apparatus.
Ward Kevin R. (Columbus OH) Brown Charles G. (Columbus OH) Dzwonczyk Roger R. (Columbus OH), Intrathoracic mechanical, electrical and temperature adjunct to cardiopulmonary cerebral resuscitation, shock, head inju.
Barbut, Denise R.; Patterson, Russel H., Intravascular methods and apparatus for isolation and selective cooling of the cerebral vasculature during surgical procedures.
Radford F. Richard (Auburn WA) Lambert Richard C. (Highland UT) Palmer Darrel (Sandy UT), Medical aspirating apparatus with multi-lumen catheter tube and methods.
Stawitcke Frederick A. (Sunnyvale CA) Mordan William J. (Sunnyvale CA) Jimison Holly B. (Palo Alto CA) Piziali Robert (Stanford CA) Ream Allen K. (Woodside CA), Medical ventilator device parametrically controlled for patient ventilation.
DiMarco Anthony Fortunato (37490 Hunters Ridge Solon OH 44139), Method and apparatus for electrical stimulation of the respiratory muscles to achieve artificial ventilation in a patien.
Koenig, J. Frank; Basile, John J., Method and apparatus for noninvasively increasing whole body blood flow and noninvasive physical exercise of limbs from the outside and from within the limb to treat diseases throughout the body.
Lee, Weng F.; Bill, Colin S.; Pan, Feng; Bautista, Edward V., Method of micro-architectural implementation on bist fronted state machine utilizing `death logic` state transition for area minimization.
Nieman Gary ; Picone Anthony ; Lutz Charles ; Carney David ; Gatto Louis ; Golub Lorne M. ; Simon Sanford ; Ramamurthy Nungavarm S., Method of preventing acute lung injury.
McGrail Thomas W. (Sparta NJ) De Vito Ralph J. (Stanhope NJ) Howard James M. (Dover NJ), Pressure limiting valve for ventilation breathing bag apparatus.
Hood David Darby ; Sherrill David ; Kneale Todd Douglas ; Toth Louis Stephen ; Stanley David Michael ; Moore Gene Bruce ; Berry Mark Lane ; Garcia Robert Michael ; Sobko William Richard ; Hanks Donal, Self-contained transportable life support system.
Strand, Geir; Fossan, Helge; Morallee, Kenneth George; Myklebust, Helge; Knutsen, Rune Kristian, Standalone system for assisting in a life-saving situation.
Keith G. Lurie ; Todd M. Zielinski ; Wolfgang Voelckel AT; Robert Patterson ; Nemer Samniah IL; Scott McKnite ; Karl Lindner AT, Stimulatory device and methods to electrically stimulate the phrenic nerve.
Lurie Keith G. ; Benditt David G. ; Zielinski Todd M. ; Voeckel Wolfgang,ATX ; Patterson Robert, Stimulatory device and methods to enhance venous blood return during cardiopulmonary resuscitation.
Laerdal Tore (Stavanger NOX) Aamodth Kjell (Stavanger NOX) Eikeland Harald (Stavanger NOX), System and method of testing a person in the performance of cardiopulmonary resuscitation.
Garfield Allan S. (2 Lockerbie Court East St. Kilda ; Victoria 3183 AUX) White Noam (Balaclava AUX) de Vriend Max S. (Caulfield AUX) Cook David J. (E. St. Kilda AUX), Valved resuscitation pump having secretion removal means.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.