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1. 发明公开

EP3525857A1 METHODS AND SYSTEMS FOR DRIVE PRESSURE SPONTANEOUS VENTILATION 有权
公开(公告)号：EP3525857A1
公开(公告)日：2019-08-21
申请号：EP18801252.0
申请日：2018-10-30
申请人： Covidien LP
发明人： KIMM, Gardner , MILLER, Cynthia , MILNE, Gary , UPHAM, Gail , NAKAI, Richard , DOYLE, Peter , SANBORN, Warren
IPC分类号： A61M16/00
摘要： A mechanical ventilator is provided that includes a dashboard display identifying a patient's current ventilatory status within a global or universal ventilatory mechanics map. This dashboard display is dynamically updated with the patient's condition, and shows trends in the patient's ventilation over time. The map identifies suggested safe and unsafe regions of ventilation for the patient, and the ventilator can display informational texts, trigger auditory and/or visual alarms, and transmit alarm communications in response to determining that the patient is approaching or has entered an unsafe region.

2. 发明授权

EP2588175B1 VENTILATOR-INITIATED PROMPT REGARDING AUTO-PEEP DETECTION DURING PRESSURE VENTILATION 有权转让
标题翻译：从AUTO-PEEP检测的呼吸机，去电要求进行正压通气
公开(公告)号：EP2588175B1
公开(公告)日：2015-09-02
申请号：EP11736212.9
申请日：2011-06-10
申请人： Covidien LP
发明人： MILNE, Gary , HENSLEY, Kirk , DOYLE, Peter , KIMM, Gardner
IPC分类号： A61M16/00 , G06F19/00 , A61B5/00
CPC分类号： A61M16/0063 , A61B5/08 , A61M16/0051 , A61M16/026 , A61M16/0833 , A61M2016/0021 , A61M2016/0027 , A61M2016/0036 , A61M2205/502 , A61M2205/505 , A61M2205/584 , A61M2210/1014 , A61M2230/20 , A61M2230/43 , A61M2230/46 , G06F19/00 , G16H40/63 , G16H50/20
摘要： This disclosure describes systems and methods for monitoring and evaluating ventilatory parameters, analyzing ventilatory data associated with those parameters, and providing useful notifications and/or recommendations to clinicians. Modern ventilators monitor, evaluate, and graphically represent a myriad of ventilatory parameters. However, many clinicians may not easily identify or recognize data patterns and correlations indicative of certain patient conditions, changes in patient condition, and/or effectiveness of ventilatory treatment. Further, clinicians may not readily determine appropriate ventilatory adjustments that may address certain patient conditions and/or the effectiveness of ventilatory treatment. Specifically, clinicians may not readily detect or recognize the presence of Auto-PEEP during various types of pressure ventilation. According to embodiments, a ventilator may be configured to monitor and evaluate diverse ventilatory parameters to detect Auto-PEEP and may issue suitable notifications and recommendations to the clinician when Auto-PEEP is implicated. The suitable notifications and recommendations may further be provided in a hierarchical format.

3. 发明公开

EP2680914A1 VENTILATOR-INITIATED PROMPT REGARDING HIGH-DELIVERED TIDAL VOLUME 无效
标题翻译：通风机 - 发动机AUFFORDERUNGFÜRHOCH FREIGESETZTES ATEMZUGVOLUMEN
公开(公告)号：EP2680914A1
公开(公告)日：2014-01-08
申请号：EP12711996.4
申请日：2012-03-02
申请人： Covidien LP
发明人： MILNE, Gary , DOYLE, Peter , KIMM, Gardner , HENSLEY, Kirk
IPC分类号： A61M16/00 , A61B5/08
CPC分类号： A61M16/0051 , A61B5/0205 , A61B5/08 , A61B5/087 , A61B5/091 , A61B5/4836 , A61M16/0003 , A61M16/0063 , A61M16/026 , A61M16/0833 , A61M2016/0027 , A61M2016/0039 , A61M2016/0042 , A61M2205/13 , A61M2205/18 , A61M2205/505 , A61M2205/581 , A61M2205/583 , A61M2230/005 , A61M2230/40 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： This disclosure describes systems and methods for monitoring and evaluating ventilatory data to provide useful notifications and/or recommendations. Indeed, many clinicians may not easily identify or recognize data patterns and correlations indicative of certain patient conditions or the effectiveness of ventilatory treatment. Further, clinicians may not readily determine appropriate adjustments that may address certain patient conditions or the effectiveness of ventilatory treatment. Specifically, clinicians may not readily detect or recognize the occurrence of high-delivered VT, during various types of ventilation. According to embodiments, a ventilator may be configured to monitor and evaluate diverse ventilatory parameters to detect an occurrence of and potential causes for high-delivered VT, and may subsequently issue suitable notifications and/or recommendations. The suitable notifications and/or recommendations may further be provided in a hierarchical format such that the clinician may selectively access information regarding the high-delivered VT, and/or potential causes for the high-delivered VT.
摘要翻译：本公开描述了用于监测和评估通气数据以提供有用的通知和/或建议的系统和方法。事实上，许多临床医生可能不会轻易地识别或识别指示某些患者病情或通气治疗有效性的数据模式和相关性。此外，临床医生可能不容易确定可能解决某些患者病情或通气治疗有效性的适当调整。具体来说，在各种类型的通气期间，临床医生可能不能容易地检测或识别高递送VT的发生。根据实施例，呼吸机可以被配置为监测和评估各种通气参数以检测高递送VT的发生和潜在原因，并且可以随后发布合适的通知和/或推荐。可以以分层格式进一步提供合适的通知和/或建议，使得临床医生可以选择性地访问关于高传递VT的信息和/或高递送VT的潜在原因。

4. 发明公开

EP3656431A1 SYSTEMS FOR DRIVE PRESSURE SPONTANEOUS VENTILATION 有权
公开(公告)号：EP3656431A1
公开(公告)日：2020-05-27
申请号：EP20152304.0
申请日：2018-10-30
申请人： Covidien LP
发明人： KIMM, Gardner , MILLER, Cynthia , MILNE, Gary , UPHAM, Gail , NAKAI, Richard , DOYLE, Peter , SANBORN, Warren
IPC分类号： A61M16/00
摘要： A ventilator system for delivering drive pressure ventilation to a patient comprises:
a pressure generating system that generates a flow of breathing gas;
a ventilation tubing system including a patient interface for connecting the pressure generating system to the patient;
one or more non-invasive sensors operatively coupled to at least one of the pressure generating system or the ventilation tubing system, wherein the one or more non-invasive sensors are configured to generate output indicative of at least one of flow, tidal volume or pressure;
a controller that is configured to receive a selection of a base breath subtype, wherein the base breath subtype comprises a spontaneous breath subtype other than a proportional assist (PA) breath subtype and comprises at least one target setting;
the controller is configured to determine a percent support setting for a PA breath subtype based on the at least one target setting;
the controller is configured to determine whether a condition has occurred, the condition comprising the expiration of a predetermined amount of time, the delivery of a predetermined number of breaths or a change in non-invasively monitored pressure, flow or tidal volume;
in response to the condition, the controller temporarily switches the ventilator system from the spontaneous breath subtype into the proportional assist (PA) breath subtype thereby to deliver at least one PA breath using the determined percent support setting;
wherein the controller estimates a respiratory system compliance of the patient based on the output collected during the at least one PA breath;
after the at least one PA breath, the controller switches the ventilator system from the PA breath subtype back to the spontaneous breath subtype;
after a return to the spontaneous breath subtype, the controller calculates a drive pressure of the patient based on the respiratory system compliance and the output after the return;
the controller is configured to compare the calculated drive pressure to a threshold to form a comparison and to provide an alert or recommendation in response to the comparison.

5. 发明授权

EP3525857B1 SYSTEMS FOR DRIVE PRESSURE SPONTANEOUS VENTILATION 有权
公开(公告)号：EP3525857B1
公开(公告)日：2020-01-29
申请号：EP18801252.0
申请日：2018-10-30
申请人： Covidien LP
发明人： KIMM, Gardner , MILLER, Cynthia , MILNE, Gary , UPHAM, Gail , NAKAI, Richard , DOYLE, Peter , SANBORN, Warren
IPC分类号： A61M16/00

6. 发明公开

EP2678063A1 VENTILATOR-INITIATED PROMPT REGARDING DETECTION OF INADEQUATE FLOW DURING VENTILATION 审中-公开
标题翻译： FOR识别不适当的气流扇发起的请求的呼吸时
公开(公告)号：EP2678063A1
公开(公告)日：2014-01-01
申请号：EP12707020.9
申请日：2012-02-23
申请人： Covidien LP
发明人： MILNE, Gary , HENSLEY, Kirk , DOYLE, Peter , KIMM, Gardner
IPC分类号： A61M16/00 , A61B5/08
CPC分类号： A61M16/0051 , A61B5/0803 , A61B5/087 , A61B5/746 , A61M16/0063 , A61M16/024 , A61M16/0833 , A61M2205/13 , A61M2205/18 , A61M2205/505 , A61M2205/581 , A61M2205/583 , G06F19/00 , G06F19/3481 , G16H40/63
摘要： This disclosure describes systems and methods for monitoring and evaluating ventilatory parameters, analyzing those parameters and providing useful notifications and recommendations to clinicians. That is, modern ventilators monitor, evaluate, and graphically represent multiple ventilatory parameters. However, many clinicians may not easily recognize data patterns and correlations indicative of certain patient conditions, changes in patient condition, and/or effectiveness of ventilatory treatment. Further, clinicians may not readily determine appropriate ventilatory adjustments that may address certain patient conditions and/or the effectiveness of ventilatory treatment. Specifically, clinicians may not readily detect or recognize the presence of inadequate flow during ventilation. According to embodiments, a ventilator may be configured to monitor and evaluate diverse ventilatory parameters to detect inadequate flow and may issue notifications and recommendations suitable for a patient to the clinician when inadequate flow is implicated. The suitable notifications and recommendations may further be provided in a hierarchical format.
摘要翻译：本发明描述了监测和评估通气参数，分析这些参数，并提供有用的通知和建议临床医生的系统和方法。也就是说，现代的呼吸机监测，评价，并以图形方式表示多个通气参数。然而，许多临床医生可能不容易识别的数据模式和指示患者的某些状况的相关性，改变患者状况，和/或通气治疗的有效性。此外，临床医生可能不容易确定的矿山适当通气的调整也可以解决某些患者状况和/或换气治疗的有效性。具体地，临床医生可能不能容易地检测或识别通气期间流量不足的存在。。根据实施例中，风扇可以被配置为监控和评估各种换气参数，以检测流量不足和当流量不足牵涉可发出通知和建议适合于患者临床医生。合适的通知和建议可能以分级格式提供。此外。

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