CA2281835A1 - System and method for disconnection and occlusion detection in a patient ventilator - Google Patents

System and method for disconnection and occlusion detection in a patient ventilator Download PDF

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Publication number
CA2281835A1
CA2281835A1 CA002281835A CA2281835A CA2281835A1 CA 2281835 A1 CA2281835 A1 CA 2281835A1 CA 002281835 A CA002281835 A CA 002281835A CA 2281835 A CA2281835 A CA 2281835A CA 2281835 A1 CA2281835 A1 CA 2281835A1
Authority
CA
Canada
Prior art keywords
occlusion
tubing system
detected
disconnection
patient
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CA002281835A
Other languages
French (fr)
Other versions
CA2281835C (en
Inventor
Fernando J. Isaza
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Covidien LP
Original Assignee
Nellcor Puritan Bennett Incorporated
Fernando J. Isaza
Nellcor Puritan Bennett Llc
Covidien Lp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nellcor Puritan Bennett Incorporated, Fernando J. Isaza, Nellcor Puritan Bennett Llc, Covidien Lp filed Critical Nellcor Puritan Bennett Incorporated
Publication of CA2281835A1 publication Critical patent/CA2281835A1/en
Application granted granted Critical
Publication of CA2281835C publication Critical patent/CA2281835C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0051Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes with alarm devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/021Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes operated by electrical means
    • A61M16/022Control means therefor
    • A61M16/024Control means therefor including calculation means, e.g. using a processor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/08Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0816Joints or connectors
    • A61M16/0833T- or Y-type connectors, e.g. Y-piece
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0039Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the inspiratory circuit
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0042Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the expiratory circuit
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/10Tube connectors; Tube couplings
    • A61M2039/1005Detection of disconnection
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/15Detection of leaks

Abstract

The system (10) and method for detect-ing disconnection and occlusion of a tubing system (16) of a patient ventilator (12) detects disconnection of the tubing system (16), opens the exhalation valve, delivers an idle flow of breathing gas to the tubing system (16), dis-ables breath triggering, and generates an alarm.
A reconnection of the tubing system (16) can also be detected, to initiate resumption of pres-sure supported inspiration. For occlusion de-tection, the pressure drop in the tubing system is determined by pressure sensors (26, 36) in the inspiratory and expiratory airways (20, 18) of the tubing system (16). The two pressure drop values are compared, and once occlusion is detected, an alarm is generated, and the ven-tilator (12) responds to protect the patient (14) from over distension. Abatement of the occlu-sion can also be monitored in a pressure based occlusion status cycling mode, and the ventila-tor (12) can revert back to normal ventilation when either circuit occlusion or exhaust port occlusion are not detected.
CA002281835A 1997-03-14 1998-02-24 System and method for disconnection and occlusion detection in a patient ventilator Expired - Fee Related CA2281835C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US08/818,173 US5881717A (en) 1997-03-14 1997-03-14 System and method for adjustable disconnection sensitivity for disconnection and occlusion detection in a patient ventilator
US08/818,173 1997-03-14
PCT/US1998/003748 WO1998041268A1 (en) 1997-03-14 1998-02-24 System and method for disconnection and occlusion detection in a patient ventilator

Publications (2)

Publication Number Publication Date
CA2281835A1 true CA2281835A1 (en) 1998-09-24
CA2281835C CA2281835C (en) 2009-07-07

Family

ID=25224868

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002281835A Expired - Fee Related CA2281835C (en) 1997-03-14 1998-02-24 System and method for disconnection and occlusion detection in a patient ventilator

Country Status (8)

Country Link
US (3) US5881717A (en)
EP (1) EP0968020B1 (en)
JP (1) JP2001515387A (en)
AT (1) ATE284234T1 (en)
AU (1) AU6668998A (en)
CA (1) CA2281835C (en)
DE (1) DE69828033T2 (en)
WO (1) WO1998041268A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11133089B2 (en) * 2009-09-03 2021-09-28 Cerner Innovation, Inc. Patient interactive healing environment

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US6668824B1 (en) 2003-12-30
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