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    • 1. 发明申请
    • PROCESS FOR THE AUTOMATIC CONTROL OF A RESPIRATOR
    • 呼吸器自动控制的过程
    • US20120152251A1
    • 2012-06-21
    • US13194200
    • 2011-07-29
    • Marcus EGERHans-Ullrich HANSMANNTobias GLAWFrank SATTLERThomas HANDZSUJ
    • Marcus EGERHans-Ullrich HANSMANNTobias GLAWFrank SATTLERThomas HANDZSUJ
    • A61M16/00
    • A61M16/0051A61M16/00A61M16/0003A61M16/024A61M2016/0015A61M2205/33A61M2205/50A61M2230/40A61M2230/005
    • A process for automatic control of a respirator changes between two phases of respiration by checking a detected respiratory breathing activity signal for a threshold criterion. If the threshold criterion is met, a changeover is made. A dynamic threshold curve, used for changing over into an inspiration phase, is held, after the beginning of the present expiration phase, at high values until the end of a selected inspiratory refractory period, and is then lowered monotonically, dropping to an inspiratory threshold target value at the expected point in time of the phase duration maximum of the present expiration phase. A dynamic threshold curve, which is held at low values, after the beginning of the present inspiration phase, until the end of a selected expiratory refractory period, is raised monotonically, increasing to an expiratory threshold target value at the expected point in time of the phase duration maximum of the present inspiration phase and is then changed over into the expiration phase when the breathing activity signal drops below the threshold curve for the expiration. The phase duration of the inspiration and expiration phases or breath duration (inspiration and expiration phases) is stored in each case, and the expected points in time of the phase duration maxima are derived from the distributions of the phase durations in relation to the beginning of the respective phase of respiration or from the distribution of the breath durations in relation to the beginning of the previous phase of respiration.
    • 通过检查检测到的呼吸呼吸活动信号作为阈值标准,呼吸器的自动控制过程在两个呼吸阶段之间改变。 如果满足阈值标准,则进行切换。 用于切换到吸气阶段的动态阈值曲线在当前期满阶段开始后保持高值,直到所选吸气不应期结束,然后单调下降,降至吸气阈值 目标值在当前期满阶段的相位持续时间最大值的预期时间点。 在目前的吸气阶段开始后直到选定的呼气不应期结束时,保持低值的动态阈值曲线单调增加,增加到预期的时间点内的呼气阈值目标值 当吸气相的相位持续时间最大值,然后当呼吸活动信号下降到用于呼气的阈值曲线以下时,切换到呼气阶段。 在每种情况下存储吸气和呼气持续时间(吸气和呼气阶段)的相位持续时间,并且相位持续时间最大值的预期时间点从相对于开始时间的相位持续时间的分布导出 呼吸的相应阶段或呼吸持续时间相对于呼吸前期开始的分布。
    • 2. 发明申请
    • PROCESS FOR THE AUTOMATIC CONTROL OF A RESPIRATOR
    • 呼吸器自动控制的过程
    • US20120152250A1
    • 2012-06-21
    • US13194052
    • 2011-07-29
    • Marcus EGERHans-Ullrich HANSMANNTobias GLAWFrank SATTLER
    • Marcus EGERHans-Ullrich HANSMANNTobias GLAWFrank SATTLER
    • A61M16/00
    • A61M16/0051A61B5/0488A61B5/087A61B5/091A61M16/026A61M2230/005A61M2230/08A61M2230/60
    • A process is provided for the automatic control of a respirator for changing over (triggering) between consecutive phases of respiration (inspiration and expiration phases), wherein a pneumatic breathing activity signal upneu(t) and a non-pneumatic breathing activity signal unon-pneu(t) of a patient are picked up. The intervals Δpneu(t) and Δnon-pneu(t) to the associated threshold variables are respectively determined starting from a preset reference point in time since the beginning of the present phase of respiration. The intervals are standardized to one another at δpneu(t) and δnon-pneu(t), such that the intervals have equal interval values at a preset reference point in time. The standardized intervals δpneu(t) and δnon-pneu(t) are averaged to a mean interval indicator and a changeover is made into the next phase of respiration when the combined interval indicator is 0.
    • 提供了一种用于自动控制呼吸器以在连续的呼吸阶段(吸气和呼气阶段)之间切换(触发)的过程,其中气动呼吸活动信号upneu(t)和非气动呼吸活动信号unon-pneu (t)。 距离相关阈值变量的间隔&Dgr; pneu(t)和&Dgr;非pneu(t)分别从呼吸现在阶段开始以来的预设参考点开始确定。 间隔在δpneu(t)和δnon-pneu(t)处彼此标准化,使得间隔在预设参考点处具有相等的间隔值。 将标准化间隔δpneu(t)和δnon-pneu(t)平均为平均间隔指示器,并且当组合间隔指示符为0时,转换成下一个呼吸阶段。
    • 3. 发明申请
    • PROCESS FOR THE AUTOMATIC CONTROL OF A RESPIRATOR
    • 呼吸器自动控制的过程
    • US20120152249A1
    • 2012-06-21
    • US13187787
    • 2011-07-21
    • Marcus EGERHans-Ullrich HANSMANNTobias GLAWFrank SATTLER
    • Marcus EGERHans-Ullrich HANSMANNTobias GLAWFrank SATTLER
    • A61M16/00
    • A61M16/024A61M2016/0015A61M2230/005A61M2230/10A61M2230/40
    • A process for the automatic control of a respirator with a changeover between phases of respiration (inspiration and expiration), by a control unit checking a breathing activity signal for a threshold criterion. If the threshold criterion is met, a changeover is made and the control unit controls the fan of the respirator such that a pneumatic respiration variable (airway pressure, flow) is brought from an actual value to a preset target value for the new phase of respiration. The control unit further divides the change in the respiration variable, from the actual value to the target value, into a plurality of partial steps and checks the current breathing activity signal for the threshold criterion after each partial step. If this threshold criterion is no longer met, the state of operation of the respirator returns to the state before the last changeover, and otherwise, continues with the next partial step.
    • 一种用于通过控制单元检查呼吸活动信号以进行阈值标准来自动控制具有呼吸阶段(呼吸和呼气)之间切换的呼吸器的过程。 如果满足阈值标准,则进行切换,并且控制单元控制呼吸器的风扇,使得气动呼吸变量(气道压力,流量)从实际值提供给新呼吸阶段的预设目标值 。 控制单元进一步将呼吸变量的变化与实际值分解为多个部分步骤,并且在每个部分步骤之后检查当前呼吸活动信号的阈值标准。 如果不再满足该阈值标准,呼吸器的运行状态返回到最后一次切换前的状态,否则继续下一个部分步骤。