CN102648017A - Modular ventilation system - Google Patents

Modular ventilation system Download PDF

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Publication number
CN102648017A
CN102648017A CN2010800554750A CN201080055475A CN102648017A CN 102648017 A CN102648017 A CN 102648017A CN 2010800554750 A CN2010800554750 A CN 2010800554750A CN 201080055475 A CN201080055475 A CN 201080055475A CN 102648017 A CN102648017 A CN 102648017A
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China
Prior art keywords
shell
module
docking station
exhalation
interface circuit
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Granted
Application number
CN2010800554750A
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Chinese (zh)
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CN102648017B (en
Inventor
H·G·R·塞韦斯
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Koninklijke Philips NV
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Koninklijke Philips Electronics NV
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    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes operated by electrical means
    • A61M16/022—Control means therefor
    • A61M16/024—Control means therefor including calculation means, e.g. using a processor
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    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
    • A61M16/16—Devices to humidify the respiration air
    • A61M16/161—Devices to humidify the respiration air with means for measuring the humidity
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    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/201—Controlled valves
    • A61M16/202—Controlled valves electrically actuated
    • A61M16/203—Proportional
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    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/208—Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
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    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
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    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0039—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the inspiratory circuit
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    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0042—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the expiratory circuit
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    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/1005—Preparation of respiratory gases or vapours with O2 features or with parameter measurement
    • A61M2016/102—Measuring a parameter of the content of the delivered gas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/02—Gases
    • A61M2202/0208—Oxygen
    • A—HUMAN NECESSITIES
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    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/02—Gases
    • A61M2202/025—Helium
    • A—HUMAN NECESSITIES
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    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3546—Range
    • A61M2205/3561—Range local, e.g. within room or hospital
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3576—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver
    • A61M2205/3592—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver using telemetric means, e.g. radio or optical transmission
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502—User interfaces, e.g. screens or keyboards
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/52—General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/82—Internal energy supply devices
    • A61M2205/8206—Internal energy supply devices battery-operated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61M2209/00—Ancillary equipment
    • A61M2209/08—Supports for equipment
    • A61M2209/084—Supporting bases, stands for equipment
    • A—HUMAN NECESSITIES
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    • A61M2209/00—Ancillary equipment
    • A61M2209/08—Supports for equipment
    • A61M2209/084—Supporting bases, stands for equipment
    • A61M2209/086—Docking stations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/40—Respiratory characteristics
    • A61M2230/43—Composition of exhalation

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  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

A subject is mechanically ventilated by a modular ventilator system. The modularity of the system may enable the system to be incorporated into therapy settings with an enhanced convenience, comfort, and/or form factor. The system may include separate docking stations that are removably coupled with the different modules. This may enable the separate modules to be moved with or without the patient between a plurality of different therapy settings. Gas may be delivered to the subject by the system from one or more gas sources.

Description

The modularity aerating system
Technical field
The present invention relates to be configured to modularity aerating system to the object mechanical ventilation.
Background technology
The system that is used for to patient's mechanical ventilation is known.Conventional aerating system generally includes the air-breathing and individual unit of exhaling that is configured to influence the patient who is ventilated.Influence air-breathing through breathable gas stream being provided to patient's air flue.Discharge gas from the air flue of object when being filled and influence expiration in pulmonary.Can this unit be attached to go-cart, power supply, gas source or user interface removedly.Yet during use, this unit self remains single, integral module.
Summary of the invention
One aspect of the present invention relates to a kind of ventilator that is configured to the object mechanical ventilation.In one embodiment, said ventilator comprises the object interface circuit, breathes delivery module and exhalation module.The object interface circuit comprises the object interface utensil, and this object interface utensil is configured to engage the air flue of said object so that the internal fluid communication of the air flue of said object and said object interface circuit and basically with the ambient air seal.Breathing delivery module is contained in first shell.Said breathing delivery module is coupled to said object interface circuit, and is configured to breathable gas stream is provided to said object interface circuit, with the one or more parameters in the said object interface circuit of control during the mechanical ventilation of said object.The exhalation module is contained in second shell, and said exhalation module is separated with said breathing delivery module and be discrete, so that said second shell separates with said first shell.Said exhalation module is coupled to said object interface circuit, and is configured to optionally eject the gas from said object interface circuit, during the mechanical ventilation of said object, further to control the one or more parameters in the said object interface circuit.
Another aspect of the present invention relates to a kind of method to the object mechanical ventilation.In one embodiment; Said method comprises: breathable gas stream is provided the object interface circuit that is communicated with to the air flue sealing of said object from first shell; Wherein, Provide said breathable gas stream to comprise one or more parameters of the said breathable gas stream of control; So that said breathable gas flows the pulmonary that is delivered to said object through the air flue of said object interface circuit and said object, with the one or more parameters in the said object interface circuit of control during the mechanical ventilation of said object; And through optionally ejecting gas, with the one or more parameters in the said object interface circuit of control during the mechanical ventilation of said object from said object interface utensil with said first shell physical separation and the second discrete shell.
Another aspect of the present invention relates to a kind of system that is configured to the object mechanical ventilation.In one embodiment, said system comprises: the air flue that is used to engage said object is with the air flue of said object and the ambient air device of seal basically; Be used for breathable gas stream being provided to the device of the said device that is used to engage from first shell; Wherein, be used for providing the said device of said breathable gas stream to comprise that the one or more parameters that are used to control said breathable gas stream are to control the device of one or more parameters of the said device that is used to engage during the mechanical ventilation of said object; And the gas that is used for optionally ejecting the said device that is used to engage certainly through second shell with said first shell physical separation and separation is to control the device of one or more parameters of the said device that is used to engage during the mechanical ventilation of said object.
Through considering following description and accompanying claims and with reference to accompanying drawing; These and other purpose of the present invention, characteristic and the function of characteristic and operational approach and associated structural elements and the combination of parts and the economy of manufacturing will become obvious; All these form the part of this description, and wherein similarly Reference numeral is represented the corresponding component in the different accompanying drawings.In one embodiment of the invention, draw in proportion at this structure member that illustrates.Yet, should be expressly understood that accompanying drawing only is in order to explain and to describe, rather than restriction the present invention.In addition, should be realized that this paper equally also can be used for other embodiment with described structural detail shown in any one embodiment.Yet, should be expressly understood that accompanying drawing only is in order to explain and to describe, rather than is intended to the qualification as limitation of the present invention.Used like description and claims, " " of singulative, " one " and " being somebody's turn to do/said " comprise a plurality of things that refer to, only if other situations clearly indicated in the literal of having powerful connections.
Description of drawings
Fig. 1 shows the system to the object mechanical ventilation that is configured to according to one or more embodiment of the present invention;
Fig. 2 shows the system to the object mechanical ventilation that is configured to according to one or more embodiment of the present invention.
The specific embodiment
Fig. 1 shows the system 10 that is configured to object 12 mechanical ventilations.System 10 can be decomposed into isolating physical module.The modularity of system 10 can so that system 10 can be integrated into have enhanced convenience, in the treatment facility of comfortable and/or formative factor.System 10 can comprise and the coupled removedly isolating Docking station of disparate modules.This can be so that separate modules can be with patient or not mobile with the patient between a plurality of different treatment facilities.Can give object 12 from one or more gas sources 14 with gas delivery by system 10.In one embodiment, system 10 can comprise object interface circuit 16, Subscriber Interface Module SIM 18, breathe delivery module 20, exhalation module 22 and/or miscellaneous part.
Gas source 14 comprises pressurized-gas source.Gas can comprise typical environmental gas, have special component gas and/or other pressurized-gas sources of (for example, the mixture of purified oxygen, medical air, helium and oxygen and/or other special components).For to gas pressurized, can make that gas source 14 is stored, machinery pressurization and/or otherwise pressurization in gas source 14 under pressure.Through the mode of non-limiting example, gas source 14 can comprise one or more in aerator, bellows, jar, wall gas and/or other pressurized-gas sources.
Object interface circuit 16 comprises conduit 24, object interface utensil 26 and/or miscellaneous part.Conduit 24 is the hollow member (or a plurality of member) that form gas flow paths, and this flow path is isolated with atmospheric sealing basically.Can form conduit 24 by the material that for example flexible conduit and/or other are suitable for forming flow path.Conduit 24 comprises breathing sends branch 30, exhalation branch 28 and object interface branch 32.Although conduit 24 is shown as as single parts, should be appreciated that conduit 24 can be built as that have can be from the alternative separated portions that removes each other.For example, breathe send branch 30, exhalation branch 28 and/or object interface branch 32 can be from removing each other.
Object interface utensil 26 is that the air flue that is configured to engage object 12 is so that can be to the equipment of object 12 mechanical ventilations.This can comprise the air flue that engages object 12 so that the internal fluid communication of the air flue of object 12 and object interface branch 32 and basically with the ambient air seal.Through the mode of non-limiting example, object interface utensil 26 can comprise endotracheal tube, full facepiece mask, local face shield and/or other object interface utensils.
Subscriber Interface Module SIM 18 is configured to provide the interface between system 10 and the one or more users (for example, object 12, care-giver, treatment policymaker etc.), and the user can offer information system 10 and receive the information from system 10 through this interface.This make be referred to as " information " but data, result and/or instruction and any other communication item can and breathe between one or more in the miscellaneous part of delivery module 20, exhalation module 22 and/or system the user and communicate.The example that is suitable for being included in the interface equipment in the Subscriber Interface Module SIM 18 comprises keypad, button, switch, keyboard, knob, handle, display screen, touch screen, speaker, mike, display lamp, audio alarm and printer.In one embodiment, the functional of this embodiment will further be discussed below, and in fact Subscriber Interface Module SIM 18 comprises a plurality of isolating interfaces.
Should be appreciated that, but the present invention also hardwire in the prospective users interface module 18 or other wireless communication technologys.For example, but the present invention's prospective users interface module 18 can be integrated with removable memory interface.In this example; Information can be from removable memorizer (for example; Smart card, flash drive, removable formula hard disk etc.) in be loaded in the Subscriber Interface Module SIM 18, this makes embodiment that one or more users can custom-built system 10 and/or receive the result from system 10.Other exemplary input equipments that in Subscriber Interface Module SIM 18, are suitable for using with system 10 and technology include but not limited to RS-232 port, RF link, IR link, modem (phone, cable or other).In brief, the present invention can expect any technology with system's 10 communication informations that is used in Subscriber Interface Module SIM 18.
In one embodiment, Subscriber Interface Module SIM 18 is contained in first shell 34.This first shell 34 can center on Subscriber Interface Module SIM 18, and can merge Subscriber Interface Module SIM 18 and any parts user's visual communication (for example, electronic displays, flashlight etc.).In some cases, other common in ventilator go-cart and/or ventilation therapy facility structures can installed and/or be docked to first shell 34 removedly.
In one embodiment, Subscriber Interface Module SIM 18 can comprise first interface and isolating second interface.This first interface configuration is to be used by care-giver and/or treatment policymaker.This interface can relative complex, will be provided to the parameter of the ventilation therapy of object 12 by system 10 so that the user can specifically dispose.Second interface configuration is to be used by object 12.Because object 12 is in the training that possibly not have same levels aspect the ventilation disposal; And/or because object 12 should not have free control aspect some at least in ventilation; Therefore second interface can be not too complicated, and/or can provide not as first interface and comprehensively control.For example, second interface can be a hand-held remote controller.Comprise that at Subscriber Interface Module SIM 18 among the embodiment of first interface and second interface, first interface can be contained in first shell 34, and second interface that uses by the patient can with this interface physical separation.
Breathing delivery module 20 is configured to breathable gas stream is provided to object interface circuit 16.Breathe delivery module 20 and be configured to control one or more parameters that breathable gas flows; So that breathable gas stream is delivered to the pulmonary of object 12 through the air flue of object interface circuit 16 and object 12, with the mechanical ventilation that influences object 12 and/or the other treatment benefit is provided.Said one or more parameter can comprise for example other parameters of pressure, flow velocity, breathing rate, peak flow, volume, humidity, composition and/or breathable gas stream.Breathing delivery module 20 can comprise following one or more: one or more parameters that the gas in delivery module 20 and/or the object interface circuit 26 is breathed in one or more air inlet 36, gas outlet 38, pilot outlet 40, one or more main valve 42, auxiliary valve 44, electronic memory 46, processor 48, monitoring (for example; Flow, pressure, humidity, one-tenth grade) one or more pick offs 49, and/or can comprise miscellaneous part.The position that should be appreciated that pick off 49 among Fig. 1 is not intended to limit.One or more pick offs can be arranged on to breathe and can make pick off 49 detect the place, arbitrfary point of one or more parameters of gas therein in delivery module 20 and/or the object interface utensil 26.
Hold breathing delivery module 20 by second shell 50.Second shell 50 and first shell, 34 physical separation and different are so that Subscriber Interface Module SIM 18 and breathing delivery module 20 physical separation.Although physically separate, breathing delivery module 20 during use can efficient communication with Subscriber Interface Module SIM 18.Can realize this efficient communication via hardwire link, Radio Link and/or other electronic communication media.Via Subscriber Interface Module SIM 18, the user can the control breathing delivery module 20 regulate the breathable gas stream that is delivered to object interface circuit 16 mode.Can be communicated to Subscriber Interface Module SIM 18 from breathing delivery module 20 with the relevant information (for example, operating parameter, the gas parameter that records and/or other information) of sending of breathable gas stream.
Breathe delivery module 20 and form one or more gas flow paths.One or more flow paths comprise minor flow path and one or more main flow path.Main flow path is formed between air inlet 36 and the gas outlet 38.Main valve 42 is arranged in the main flow path.During use, each air inlet 36 and corresponding gas source 14 couplings.So, control by the operation of main valve 42 from the gas stream of each gas source 14 to gas outlet 38.Through controlling air-flow discretely, breathe delivery module 20 and can control the composition that is delivered to the breathable gas stream of object interface circuit 16 through gas outlet 38 from each gas source 14.Via the suitable control of main valve 42, also control other parameters (for example, pressure, flow, volume etc.) of breathable gas stream.
The main flow path at minor flow path 38 upper reaches from the gas outlet is divided expenditure, and marches to pilot outlet 40.Auxiliary valve 44 is configured to through selectively opened main flow path to pilot outlet 40 to discharge the pressure in the main flow path.Auxiliary valve 44 can be by based on to the detection of one or more parameters of the gas in the main flow path and Electronic Control, and/or can be the mechanical valve of splitting with predetermined pressure.
In one embodiment, electronic memory 46 comprises the electronic storage medium of stored information electronically.The electronic storage medium of electronic memory 46 can comprise following one or two: with breathe delivery module 20 integral body and provide (promptly; Basically non-removable) system storage; And/or (for example via port for example; USB port, FireWire port port etc.) or driver (for example, hard disk drive etc.) be connected to the removable memorizer of breathing delivery module 20 removedly.Electronic memory 46 can comprise following one or more: readable storage media (for example; CDs etc.), the magnetic readable storage medium storing program for executing (for example; Tape, magnetic hard disk drives, floppy disk etc.), based on the storage medium of electric charge (for example; EEPROM, RAM etc.), solid storage medium (for example, flash drive etc.) and/or other electronically readable storage mediums.The information that electronic memory 46 can store software algorithms, confirmed by processor 48, the information that receives via Subscriber Interface Module SIM 18, the information that can rationally move to the relevant information of the therapeutic scheme of object 12 and/or feasible breathing delivery module 20 with current application.In one embodiment, electronic memory 46 has been stored the calibration chart of describing this specific breathing delivery module 20.Be described below, this will help to breathe the ability interchangeability of delivery module 20 between aerating system.
Processor 48 is configured in breathing delivery module 20, the information processing performance is provided.So, processor 48 can comprise following one or more: digital processing unit, analog processor, the digital circuit that is designed to process information, the analog circuit that is designed to process information, state machine and/or be used for other mechanisms of process information electronically.Through the mode of non-limiting example, processor 48 can comprise field programmable gate array (FPGA), floating-point coprocessor and/or other processing units.Although processor 48 is shown as single entity in Fig. 1, this only is used for illustrative purpose.In some embodiments, processor 48 can comprise a plurality of processing units.Here give processor 48 some or repertoire can by with breathe delivery module 20 integrally formed processing unit (for example, in second shell 50) and do not provide.For example; Some that discuss with reference to processor 48 or repertoire can be included in the Subscriber Interface Module SIM 18; Wherein simple control and/or feedback signal are alternately distributed to realize this parts by communication between Subscriber Interface Module SIM 18 and/or breathing delivery module 20.
Processor 48 can be configured to carry out one or more computer programs and/or processing module.Processor 48 can be configured to through software, hardware, and firmware, certain combination of software, hardware and/or firmware and/or other mechanisms that are used for the handling property on the configuration processor 48 carry out such module.
Processor 48 is configured to control main valve 42, offers one or more parameters of the breathable gas stream of object interface circuit 16 with adjusting.These parameters can comprise the opportunity of composition, flow velocity, volume, pressure, change parameter, speed and/or other parameters of change parameter.Can control the one or more breathing attributes of these parameters with the breathing of controlled plant 12.Said one or more breathing attribute can comprise that breathing rate, peak flow, end expiratory positive pressure power, tidal volume and/or other breathe one or more in the attribute.Processor 48 confirms to be based on the mode of the therapeutic scheme control main valve 42 of importing, disposing and/or select in Subscriber Interface Module SIM 18 places.Therapeutic scheme will be to the suitable breathing attribute of object 12 regulations.
Rely on by breathing the breathable gas stream that delivery module 20 optionally is delivered to object interface circuit 16, gas can be delivered to the pulmonary of object 12 in the intake period of mechanical ventilation.Exhalation module 22 is configured to optionally eject the gas from object interface circuit 16.Through optionally ejecting the gas from object interface circuit 16, exhalation module 22 ejects the gas from object 12 pulmonarys, thereby during the mechanical ventilation of object 12, influences the expiration of object 12, and/or the other treatment benefit is provided.Exhalation module 22 can comprise following one or more: one or more parameters of the gas in air inlet 52, gas outlet 54, main valve 56, electronic memory 58, processor 60, monitoring exhalation module 22 and/or the object interface circuit 26 (for example; Flow, pressure, humidity, one-tenth grade) one or more pick off (not shown), and/or can comprise miscellaneous part.
Hold exhalation module 22 by the 3rd shell 62.The 3rd shell 62 and first shell 34 and second shell, 50 physical separation and different are so that Subscriber Interface Module SIM 18 and breathing delivery module 20 and exhalation module 22 physical separation.Although physically separate, exhalation module 22, breathing delivery module 20 and/or Subscriber Interface Module SIM 18 during use can efficient communications.Can realize this efficient communication via hardwire link, Radio Link and/or other electronic communication media.Via Subscriber Interface Module SIM 18, the user can control by exhalation module 22 and eject the mode from the gas of object interface circuit 16.Can be communicated to Subscriber Interface Module SIM 18 and/or breathe delivery module 20 from exhalation module 22 with the operation and/or the relevant information of institute's expellant gas of exhalation module 22.
Exhalation module 22 is configured to form main flow path, discharges gas through it from object interface circuit 16.Main flow path marches to air inlet 54 from air inlet 52.Gas can directly be discharged to atmosphere, and perhaps gas can be discharged from through the filter plant (not shown) that is configured to remove from the pollutant of this gas.Rely on object interface utensil 26 to combine with the sealing of the air flue of object 12; Gas exhalation through exhalation module 22 makes that the gas of object 12 pulmonarys can be discharged through the main flow path of object interface circuit 16 and exhalation module 22, thereby during the mechanical ventilation of object 12, influences the expiration of object 12.
Main valve 56 is configured to control the gas stream through main flow path.During operation, operation main valve 56 with during by breathing delivery module 20 breathable gas stream being delivered to object interface circuit 16, is suitably controlled the flow through main flow path, and is air-breathing to influence.Then, exhale for influence during mechanical ventilation, main valve 56 is opened, so that gas is from the discharge system 10 of pulmonary of object 12.Should be appreciated that during breathable gas stream being delivered to object interface 16, can control main valve and partially open at least with maintenance through the breathing delivery module.
In one embodiment, electronic memory 58 comprises the electronic storage medium of stored information electronically.The electronic storage medium of electronic memory 58 can comprise following one or two: provide (promptly with exhalation module 22 integral body; Basically non-removable) system storage; And/or (for example via port for example; USB port, FireWire port port etc.) or driver (for example, hard disk drive etc.) be connected to the removable memorizer of exhalation module 22 removedly.Electronic memory 58 can comprise following one or more: readable storage media (for example; CDs etc.), the magnetic readable storage medium storing program for executing (for example; Tape, magnetic hard disk drives, floppy disk etc.), based on the storage medium of electric charge (for example; EEPROM, RAM etc.), solid storage medium (for example, flash drive etc.) and/or other electronically readable storage mediums.The information that electronic memory 58 can store software algorithms, confirmed by processor 58, the information that receives via Subscriber Interface Module SIM 18, the information that can rationally move to the relevant information of the therapeutic scheme of object 12 and/or feasible exhalation module 22 with current application.
Although electronic memory 58 is shown as a part that is contained in the exhalation module 22 in the 3rd shell 62 in Fig. 1, in one embodiment, electronic memory 58 can not be included in the exhalation module 22.On the contrary, giving some or repertoire of electronic memory 58 here can be by can be provided by other electronic memories of exhalation module 22 visits (for example, via communication link) in the system 10 during use.Through the mode of non-limiting example, some or the repertoire of giving electronic memory 58 can be by electronic memory 46, provide as the electronic memory of the part of Subscriber Interface Module SIM 18 and/or other electronic memories in the system 10.
Processor 60 is configured in exhalation module 22, provide the information processing performance.So, processor 60 can comprise following one or more: digital processing unit, analog processor, the digital circuit that is designed to process information, the analog circuit that is designed to process information, state machine and/or be used for other mechanisms of process information electronically.For example, processor 60 can comprise FPGA, floating-point coprocessor and/or other processing units.Although processor 60 is shown as single entity in Fig. 1, this only is used for illustrative purpose.In some were implemented, processor 60 can comprise a plurality of processing units.Here some or the repertoire of giving processor 60 can be by not providing with exhalation module 22 integrally formed processing unit (for example, in the 3rd shell 62).For example; Some or the repertoire of giving processor 60 can be included in Subscriber Interface Module SIM 18 and/or breathe in the delivery module 20; Wherein simple control and/or feedback signal are breathed delivery module 20 at Subscriber Interface Module SIM 18/ and/or are breathed communication between the delivery module 20, alternately distribute to realize this parts.
Processor 60 can be configured to carry out one or more computer programs and/or processing module.Processor 60 can be configured to through software, hardware, and firmware, certain combination of software, hardware and/or firmware and/or other mechanisms that are used for the handling property on the configuration processor 60 carry out such module.
Processor 60 is configured to control main valve 56, with the gas in the pulmonary of the air flue of optionally discharging object interface circuit 16, object 12 through the main flow path of exhalation module 22 and object 12.Can be based on the providing of the air flue that flow to object 12 through the breathable gas of breathing delivery module 20, confirm and/or trigger processor 60 control main valves 56 to discharge the opportunity of gas through main flow path.For example, usually with a speed with discharge gas opportunity, making it possible to realize during the mechanical ventilation provides to the expiration of the gas of the air flue of object 12 by breathing delivery module 20, and/or the other treatment benefit is provided.Except controlling main valve 56 to regulate through the speed of exhalation module 22 discharge gases and/or opportunity; Processor 60 can be controlled main valve 56, with the flow of control expellant gas, in given the opening of main valve 56 pressure and/or other parameters of the gas in the object interface circuit 16 during the volume, discharge gas of expellant gas.Can confirm these parameters to the therapeutic scheme of the suitable breathing attribute of object 12 regulations by processor 60 based on current being used for.
During operation, breathing delivery module 20 operates with one or two possibility required power in the exhalation module 22.Can this power be provided to breathing delivery module 20 and/or exhalation module 22 from power supply 64.Power supply 64 can comprise can be connected to the fixed power source (for example, wall socket) of breathing delivery module 20 and/or exhalation module 22.In one embodiment, power supply 64 comprise be contained in first shell 34, second shell 50 and the 3rd shell 62 in each all isolating each shell in one or more power models.Power model can comprise the power supply such as battery, capacitor, ultracapacitor, fuel cell and/or other power supplys.The shell of given power model can be configured to second shell 50 and/or the 3rd shell 62 in one or more the joint removedly or " butt joints ".Given power model can be configured so that when engaging with second shell 50, and the power that is stored in the given power model is offered breathing delivery module 20.Similarly, given power model can be configured so that when engaging with the 3rd shell 62, the power that is stored in the given power model to be offered exhalation module 22.
Fig. 2 illustrates and is configured to be used in object 12 and will in bed 66, receives the system 10 in the treatment facility of treatment.Should be appreciated that the argumentation about this treatment facility is not intended to limit, and also can be embodied in the other treatment facility by one or more enhancings that modularity realized of system 10.Usually via transport conventional ventilator system such as the go-cart of go-cart 68.Conventional ventilator comprises individual unit, and gas is delivered to object 12 through this individual unit and receives from object 12, with to object 12 mechanical ventilations.Because this unitary formative factor, ventilator remains in the go-cart 68 during use usually.Although system maybe be through comprising the user interface that for example forms separate units, can be docked to this unitary power model removedly and/or can being docked to this unitary gas source removedly modularity a little, yet the function that generates breathable gas stream and receive the gas of breathing out is not broken down into separate modules.
In one embodiment, one group of Docking station is disposed in go-cart 68, and this group Docking station engages with separate user interface module 18, breathing delivery module 20 and/or exhalation module 22 removedly.This group Docking station for example can comprise first Docking station 70, second Docking station 72 and the 3rd Docking station 74.
First Docking station 70 is configured to dock removedly Subscriber Interface Module SIM 18.Except with Subscriber Interface Module SIM 18 physical engagement with remaining on Subscriber Interface Module SIM 18 in the go-cart 68, Subscriber Interface Module SIM 18 is docked to first Docking station 70 can causes power being provided to Subscriber Interface Module SIM 18 through first Docking station 70.Can power be provided from the power supply that carries by go-cart 68 and/or from the power supply (for example, wall socket) that is connected with the power supply that carries by go-cart 68.In one embodiment, go-cart 68 comprise be configured to Subscriber Interface Module SIM 18 and breathe delivery module 20 and/or exhalation module 22 in one or two between the wire communication link of the communication information.Can be with Subscriber Interface Module SIM 18 and 70 butt joints of first Docking station so that Subscriber Interface Module SIM 18 contacts with the wire communication link, so that can communicate by letter by Subscriber Interface Module SIM 18.
Second Docking station 72 is configured to dock removedly breathing delivery module 20.Second Docking station 72 can be configured so that to be docked to second Docking station 72 if breathe delivery module 20 physics, and then second Docking station 72 provides power to breathing delivery module 20 and/or breathing delivery module 20 being communicated with one or more gas source 14 fluids.Can power be provided from the power supply that carries by go-cart 68 and/or from the power supply that is connected with the power supply that carries by go-cart 68.Said one or more gas source 14 can comprise that the gas source that carried by go-cart 68 (for example; Gas tank, aerator, bellows and/or other pressurized-gas sources) and/or be connected to the gas source (for example, gas and/or other pressurized-gas sources on the wall) of go-cart 68.Dock with second Docking station 72 and can breathing delivery module 20 be linked with the wire communication link that is carried by go-cart 68 breathing delivery module 20, so that between breathing delivery module 20 and Subscriber Interface Module SIM 18 and/or exhalation module 22, can communicate by letter.
The 3rd Docking station 74 is configured to dock removedly exhalation module 22.The 3rd Docking station 74 can be configured so that if exhalation module 22 physics are docked to the 3rd Docking station 74, and then the 3rd Docking station 74 provides power to exhalation module 22.Can power be provided from the power supply that carries by go-cart 68 and/or from the power supply that is connected with the power supply that carries by go-cart 68.Exhalation module 22 is docked with the 3rd Docking station 74 and can exhalation module 22 and the wire communication that is carried by go-cart 68 link be linked, so that at exhalation module 22 and Subscriber Interface Module SIM 18 and/or breathe between the delivery module 20 and can communicate by letter.
Module 18,20 and/or 22 is docked the transportation that can help system 10 with Docking station 70,72 and/or 74, and/or can so that system 10 can in treatment facility, be located and/or handled with the mode of establishing coordinate.Yet, usually, be delivered to object 12 and reception needs object interface circuit 16 to extend to the position of go-cart 68 from bed 66 from the gas that pulmonary is expelled to system 10 module 20 and 22 being docked to will flow from the breathable gas of system 10 in 72 and 74.This may cause treatment facility to become in a jumble, and/or brings unexpected interference possibly for other equipment that using in care-giver and/or the treatment facility.And, be embodied as the comfort level that the conduit that forms the object interface circuit 16 that extends to go-cart 68 may suppress object 12.
In one embodiment, system 10 comprise be arranged on the bed 66 on or near one group of one or more Docking station.These Docking stations can comprise the 4th Docking station 76 and/or the 5th Docking station 78.Docking station 76 and/or 78 can form with bed 66 integral body, and permanently (or basically permanently) is attached to bed 66, and/or can be attached to bed 66 removedly.In configuration shown in Figure 2, Docking station 76 is arranged on the opposite side of bed 66.Location shown in Fig. 2 is not intended to limit.Although being shown as, the 4th Docking station 76 and the 5th Docking station 78 be isolated from each other, yet in one embodiment, the 4th Docking station 76 and the 5th Docking station 78 electrical links.For example, the 4th Docking station 76 and the 5th Docking station 78 are linked, so that can power be provided to another Docking station from a Docking station, perhaps the 4th Docking station 76 and the 5th Docking station 78 can link to public power.As another example, can carry the wire communication link by bed 66, so that information can be carried out electronic communication between the 4th Docking station 76 and the 5th Docking station 78.
The 4th Docking station 76 is configured to and breathes delivery module 20 and dock removedly.The 4th Docking station 76 can provide some of above-mentioned second Docking station 72 or whole characteristics.The 5th Docking station 78 is configured to dock removedly with the module 22 of breathing out.The 5th Docking station 78 can provide some of above-mentioned the 3rd Docking station 74 or whole characteristics.
Be docked at the 4th Docking station 76 and/or the 5th Docking station 78 places if breathe delivery module 20 and/or exhalation module 22, then can alleviate with respect to bestow ventilation discusses some or whole shortcomings from go-cart 68.For example, through being positioned at breathing delivery module 20 and/or the exhalation module 22 on the bed 66, can reduce the mixed and disorderly of treatment facility.Move to the conduit amount that bed 66 can reduce needs to form object interface circuit 16 with breathing delivery module 20 and/or exhalation module 22, this can strengthen patient's comfort level.With breathe delivery module 20 and/or exhalation module 22 be positioned at can reduce on the bed 66 care-giver and/or with the conduit that is used to form object interface circuit 16 contingency of interferential other equipment each other.
In one embodiment, Subscriber Interface Module SIM 18, to breathe one or more in delivery module 20 and/or the exhalation module 22 be not specific to system 10.In other words, one or more and other unit in the module 18,20 and/or 22 can exchange.This can be so that one or more can being swapped out in Subscriber Interface Module SIM 18, breathing delivery module 20 and/or the exhalation module 22.In some cases, can carry out such exchange, and not influence the operation of other modules basically.
Usually, after to patient's mechanical ventilation, the change of treatment facility possibly need the change of employed aerating system.For example, when arriving hospital, switched to hospital usually and transported ventilator, and then after having accomplished various diagnotors, switched to the ICU ventilate fan once more by the patient of nursing team's intubate and ventilation.Usually, change that aerating system needs new object interface circuit and the breathing attribute of the ventilation therapy that will in new system, be rebulid by the care-giver.
The modularity of system 10 can be so that object 12 can move through different facilities, and need not the change of whole aerating system.For example, in one embodiment, at least a portion of object interface utensil 26 and breathing delivery module 20 can move between different treatment facilities with object 12 together.Between different treatment facilities, move breathing delivery module 20 can comprise and be docked to the isolating Docking station in the different treatment facilities with breathing delivery module 20.Docking station can be similar to or be same as second above-mentioned Docking station 72 and/or the 4th Docking station 76.Breathe delivery module 20 and can match with different user interface and/or exhalation module at each place in each treatment facility, can be to the aerating system of object 12 mechanical ventilations to rebulid.Breathing delivery module 20 and patient can reduce or eliminate for (in whole or in part) swap out needs of object interface utensil 26 between different treatment facilities in different treatment facilities and/or the transfer between the aerating system together.The transfer of breathing delivery module 20 can be so that ventilation can continue between treatment facility, and need not to reconfigure the breathing attribute of ventilation, and the breathing attribute of this ventilation can be stored to the electronic memory 46 of breathing delivery module 20.
In one embodiment, exhalation module 22 can shift between treatment facility with object 12.This can be included between the inherent Docking station of different treatment facilities and move object 12.Docking station can be same as or be similar to the 3rd above-mentioned Docking station 74 and/or the 5th Docking station 78.
Although think that based on current most realistic and preferred embodiment have described the present invention for illustrative purposes in detail; Yet; Should be appreciated that such details only is used for illustrative purposes, and the present invention is not limited to the disclosed embodiments; On the contrary, the present invention is intended to cover spirit and interior modification and the equivalent arrangement of scope that is in accompanying claims.For example, should be appreciated that the present invention can be expected at one or more characteristics of any embodiment on the possible degree can be combined with one or more characteristics of any other embodiment.

Claims (17)

1. ventilator that is configured to the object mechanical ventilation, said ventilator comprises:
Comprise the object interface circuit of object interface utensil, this object interface utensil is configured to engage the air flue of said object so that the internal fluid communication of the air flue of said object and said object interface circuit and basically with the ambient air seal;
Be contained in the breathing delivery module in first shell; Wherein, Said breathing delivery module is coupled to said object interface circuit; And wherein, said breathing delivery module is configured to breathable gas stream is provided to said object interface circuit, with the one or more parameters in the said object interface circuit of control during the mechanical ventilation of said object; And
Be contained in the exhalation module in second shell, said exhalation module is separated with said breathing delivery module and is discrete, so that said second shell separates with said first shell; Wherein, Said exhalation module is coupled to said object interface circuit; And wherein, said exhalation block configuration is for optionally ejecting the gas from said object interface circuit, during the mechanical ventilation of said object, further to control the one or more parameters in the said object interface circuit.
2. ventilator according to claim 1; Also comprise the Subscriber Interface Module SIM that is contained in the 3rd shell; Said Subscriber Interface Module SIM separates with said exhalation module with said breathing delivery module and is discrete; So that said the 3rd shell separates with said second shell with said first shell, wherein, said Subscriber Interface Module SIM is configured to the communication information relevant with the treatment that is provided by said ventilator between said ventilator and one or more user.
3. ventilator according to claim 1; Also comprise first Docking station that is configured to dock said breathing delivery module; Wherein, If said first Docking station also is configured to said breathing delivery module and is docked at the said first Docking station place, then provide power to said breathing delivery module and said breathing delivery module is communicated with one or more gas-pressurized source fluid.
4. ventilator according to claim 3; Also comprise second Docking station that is configured to dock said exhalation module; Wherein, be docked at the said second Docking station place, then power provided to said exhalation module if said second Docking station also is configured to said exhalation module.
5. ventilator according to claim 4, wherein, said first Docking station and said second Docking station are set to be separated from each other.
6. ventilator according to claim 4 also comprises:
Be contained in the Subscriber Interface Module SIM in the 3rd shell; Said Subscriber Interface Module SIM separates with said exhalation module with said breathing delivery module and is discrete; So that said the 3rd shell separates with said second shell with said first shell; Wherein, said Subscriber Interface Module SIM is configured to the communication information relevant with the treatment that is provided by said ventilator between said ventilator and one or more user; And
Be configured to dock the 3rd Docking station of said Subscriber Interface Module SIM, wherein, said the 3rd Docking station also is configured to power is provided to said Subscriber Interface Module SIM;
Wherein, said first Docking station, said second Docking station and said the 3rd Docking station are carried by public go-cart.
7. ventilator according to claim 4 also comprises:
Be contained in the Subscriber Interface Module SIM in the 3rd shell; Said Subscriber Interface Module SIM separates with said exhalation module with said breathing delivery module and is discrete; So that said the 3rd shell separates with said second shell with said first shell; Wherein, said Subscriber Interface Module SIM is configured to the communication information relevant with the treatment that is provided by said ventilator between said ventilator and one or more user; And
Be configured to dock the 3rd Docking station of said Subscriber Interface Module SIM, wherein, said the 3rd Docking station also is configured to power is provided to said Subscriber Interface Module SIM;
Wherein, said first Docking station, said second Docking station and said the 3rd Docking station all are spaced apart from each other.
8. method to the object mechanical ventilation, said method comprises:
Breathable gas stream is provided the object interface circuit that is communicated with to the air flue sealing of said object from first shell; Wherein, Said breathable gas stream is provided, with the one or more parameters in the said object interface circuit of control during the mechanical ventilation of said object; And
Through optionally ejecting gas, with the one or more parameters in the said object interface circuit of control during the mechanical ventilation of said object from said object interface utensil with said first shell physical separation and the second discrete shell.
9. method according to claim 8; Also comprise via the Subscriber Interface Module SIM communication information relevant with the treatment that offers one or more users, this Subscriber Interface Module SIM hold with said first shell and the equal physical separation of said second shell and discrete the 3rd shell in.
10. method according to claim 8 also comprises and docks said first shell removedly, and wherein, the butt joint of said first shell provides power to said first shell and said first shell is communicated with one or more gas-pressurized source fluid.
11. method according to claim 10 comprises also and docks said second shell removedly that wherein, the butt joint of said second shell provides power to said second shell.
12. method according to claim 11 wherein, is docked at the position that physics each other separates with said first shell and said second shell.
13. a system that is configured to the object mechanical ventilation, said system comprises:
The air flue that is used to engage said object is with the air flue of said object and the ambient air device of seal basically;
Be used for breathable gas stream being provided to the device of the said device that is used to engage, wherein, said breathable gas stream be provided, with the one or more parameters in the said object interface circuit of control during the mechanical ventilation of said object from first shell; And
Be used for through optionally ejecting the device of the gas of the said device that is used to engage certainly with the one or more parameters in the said object interface circuit of control during the mechanical ventilation of said object with said first shell physical separation and the second discrete shell.
14. said system according to claim 13; The device that also comprises the information relevant with the treatment that offers one or more users that is used to communicate by letter, the said device that is used for communicating by letter are contained in and said first shell and equal physical separation of said second shell and the 3rd discrete shell.
15. said system according to claim 13; Also comprise the device that is used for docking removedly said first shell; Wherein, docking said first shell comprises said first shell of physical engagement, power is provided to said first shell and said first shell is communicated with one or more gas-pressurized source fluid.
16. the said system according to claim 15 also comprises the device that is used for docking removedly said second shell, wherein, docks said second shell and comprises said second shell of physical engagement and power is provided to said second shell.
17. according to the said system of claim 16, wherein, the said device that will be used for docking the said device of said first shell removedly and be used for docking removedly said second shell is docked at the position that physics each other separates.
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EP2509667A1 (en) 2012-10-17
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JP2013512716A (en) 2013-04-18
WO2011070471A1 (en) 2011-06-16

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