EP3039592A2 - Procédé et dispositif permettant de commander des appareils de ventilation - Google Patents
Procédé et dispositif permettant de commander des appareils de ventilationInfo
- Publication number
- EP3039592A2 EP3039592A2 EP14781806.6A EP14781806A EP3039592A2 EP 3039592 A2 EP3039592 A2 EP 3039592A2 EP 14781806 A EP14781806 A EP 14781806A EP 3039592 A2 EP3039592 A2 EP 3039592A2
- Authority
- EP
- European Patent Office
- Prior art keywords
- value
- touch
- display
- operating
- data point
- 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.)
- Ceased
Links
Classifications
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- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0051—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes with alarm devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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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
- A61M16/0057—Pumps therefor
-
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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
- A61M16/1075—Preparation of respiratory gases or vapours by influencing the temperature
- A61M16/109—Preparation of respiratory gases or vapours by influencing the temperature the humidifying liquid or the beneficial agent
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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
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- G06F3/048—Interaction techniques based on graphical user interfaces [GUI]
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- G06F3/048—Interaction techniques based on graphical user interfaces [GUI]
- G06F3/0487—Interaction techniques based on graphical user interfaces [GUI] using specific features provided by the input device, e.g. functions controlled by the rotation of a mouse with dual sensing arrangements, or of the nature of the input device, e.g. tap gestures based on pressure sensed by a digitiser
- G06F3/0488—Interaction techniques based on graphical user interfaces [GUI] using specific features provided by the input device, e.g. functions controlled by the rotation of a mouse with dual sensing arrangements, or of the nature of the input device, e.g. tap gestures based on pressure sensed by a digitiser using a touch-screen or digitiser, e.g. input of commands through traced gestures
- G06F3/04883—Interaction techniques based on graphical user interfaces [GUI] using specific features provided by the input device, e.g. functions controlled by the rotation of a mouse with dual sensing arrangements, or of the nature of the input device, e.g. tap gestures based on pressure sensed by a digitiser using a touch-screen or digitiser, e.g. input of commands through traced gestures for inputting data by handwriting, e.g. gesture or text
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- G—PHYSICS
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- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F3/00—Input arrangements for transferring data to be processed into a form capable of being handled by the computer; Output arrangements for transferring data from processing unit to output unit, e.g. interface arrangements
- G06F3/01—Input arrangements or combined input and output arrangements for interaction between user and computer
- G06F3/048—Interaction techniques based on graphical user interfaces [GUI]
- G06F3/0487—Interaction techniques based on graphical user interfaces [GUI] using specific features provided by the input device, e.g. functions controlled by the rotation of a mouse with dual sensing arrangements, or of the nature of the input device, e.g. tap gestures based on pressure sensed by a digitiser
- G06F3/0488—Interaction techniques based on graphical user interfaces [GUI] using specific features provided by the input device, e.g. functions controlled by the rotation of a mouse with dual sensing arrangements, or of the nature of the input device, e.g. tap gestures based on pressure sensed by a digitiser using a touch-screen or digitiser, e.g. input of commands through traced gestures
- G06F3/04886—Interaction techniques based on graphical user interfaces [GUI] using specific features provided by the input device, e.g. functions controlled by the rotation of a mouse with dual sensing arrangements, or of the nature of the input device, e.g. tap gestures based on pressure sensed by a digitiser using a touch-screen or digitiser, e.g. input of commands through traced gestures by partitioning the display area of the touch-screen or the surface of the digitising tablet into independently controllable areas, e.g. virtual keyboards or menus
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
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- 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
- A61M2205/14—Detection of the presence or absence of a tube, a connector or a container in an apparatus
-
- 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
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3379—Masses, volumes, levels of fluids in reservoirs, flow rates
- A61M2205/3386—Low level detectors
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- 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
- A61M2205/505—Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
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- 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
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- 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
- A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
- A61M2205/587—Lighting arrangements
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- 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
Definitions
- the invention relates to an operating system for a ventilator.
- Respirators typically have separate controls and information or display elements. Controls are for example designed as switches or knobs. The settings made via the controls can then be read off on separate displays. This results in a complex operation for the user with less intuitive menu guides.
- the object of the present invention is therefore to provide a user-friendly and intuitively operable operating system for a ventilator.
- the user should be able to make important settings quickly without having to navigate deeply through nested menu structures.
- Operating device for a ventilator comprising: a touch-sensitive graphical display which at least temporarily represents the value range for a ventilation parameter and represents at least individual values numerically, a memory for ventilation parameter values at least one data point connected to the value range,
- a switching logic which applies this numerical value to the associated respiratory gas parameters when touching the numerical value or the operating field and writes this numerical value with the associated respiratory gas parameters in the memory.
- only one further operating element is provided in addition to the touch-sensitive display.
- This control element is mechanically operated and thus differs from the contact surfaces on the display.
- the ventilator is switched on and off via the control element, so that a basic, patient-friendly therapy can be activated by means of only one button.
- the operating element is connected to the blower motor by switching logic and activates it, as well as the memory to retrieve stored therapy data, such as pressure values, and to use them.
- the input keys of the touch-sensitive display can be used to adapt individual values, such as pressure values.
- an operation via the input keys of the touchscreen according to the invention is not necessary in order to start the therapy.
- Operating device for a ventilator with a touch-sensitive graphic display and only one further mechanical operating element the basic therapy being achieved by depressing the mechanical operating element. Additional settings can be made via touch-sensitive graphical display.
- the finger position is already detected when it comes close to the screen.
- the operating logic would then be similar to that described above, but a touch of the screen then, for example, would already be the confirmation of the set value.
- the operating device for a ventilator preferably for a CPAP, APAP, bilevel or home therapy ventilator, is equipped with a display for displaying information and for displaying control panels for the user and at least one touch-sensitive input field.
- FIG. 1 is a perspective view of a respirator with breathing mask and breathing gas hose
- Fig. 2 is a display of the operating and information system
- FIG. 3 shows a display for illustrating a submenu
- Fig. 6 is a view similar to Figure 5 for illustrating a further operating condition
- Fig. 8 is a schematic representation of a graphical adjustment aid for a
- Ramp slope, 9 is a schematic representation of a graphical adjustment aid for the
- FIG. 12 is a diagram illustrating a ratio of inspiratory time and total breath time.
- FIG. 13 is a schematic representation of a circular control element
- Fig15 is a mechanical operating element.
- Fig. 1 shows the basic structure of a device for ventilation.
- a device housing (1) of the ventilator (20) with a respiratory gas source in the device interior, an operating element (2) and an operating and information system (3) consisting of a display (13), a touch-sensitive input unit (15) with at least a control panel (14) arranged.
- a coupling hose (5) is connected via a coupling (4).
- an additional pressure measuring hose (6) extend, which is connectable via a pressure input port (7) with the device housing (1).
- the device housing (1) has at least one interface (8).
- a humidifier (30) can also be adapted.
- FIG. 1 furthermore shows a patient interface designed as a respiratory mask (10), which is realized as a nasal mask. A fixation in the region of a head of a patient can be done via a hood (1 1). In the region of its extension facing the connecting tube (5), the patient interface (10) has a coupling element (12).
- the input and / or output of data take place.
- the interfaces can be wired, implemented as an infrared interface, as a Bluetooth interface or USB.
- a card slot is provided.
- the interface (8) can also be designed as a LAN interface or as another interface for connection to the Internet.
- an oxygen switching valve can be adapted to the device for ventilation. It is conceivable to additionally enrich the respiratory gas with oxygen in order to improve the patient care.
- the interface (8) for example as a card slot or USB-it is also possible to load non-therapy data into the ventilator according to the invention or to execute it by it.
- it is intended to display photos or videos by means of storage media via the interface (8) in the area of the display. The user must - if the device detects external storage media - confirm a query in the control panel, whereupon the data is optionally stored or executed in the area of the ventilator.
- the ventilator (20) is designed so that it can be connected via a hose and a patient interface with a patient to provide ventilation. It comprises a source of respiratory gas, which is designed, for example, as an electric motor with an impeller, and a device for determining the pressure and / or flow and / or volume of the respiratory gas, and a control unit (19) which is designed to be suitable for each respiratory cycle on the basis of a predetermined value for the patient and / or on the basis of measurement signals for the parameters pressure and / or flow and / or volume a respiratory gas ⁇ pressure determined and the source of respiratory gas regulated so that the respiratory gas pressure is generated.
- a source of respiratory gas which is designed, for example, as an electric motor with an impeller, and a device for determining the pressure and / or flow and / or volume of the respiratory gas
- a control unit (19) which is designed to be suitable for each respiratory cycle on the basis of a predetermined value for the patient and / or on the basis of measurement signals for the parameters pressure and / or flow
- the control unit (19) is further designed such that it determines the current pressure and / or flow and / or the volume of respiratory gas and represents the current value via the control and information system (3) with the control unit.
- the control unit (19) is also adapted to determine trend changes in its calculations over time with respect to one or more parameters, wherein the trend changes may be displayed on the display.
- control unit (19) compares those parameter values given by a user, for example upper and lower pressure limits or a maximum tolerable number of apneas per unit time, or a maximum tolerable leakage, with the current values and generates user information to deviations from the specification.
- the user information is preferably visualized graphically via the operating and information system (3).
- apnea and hypopnea are detected from the measured respiratory flow via a decrease in the respiratory (time) volume for a period of at least 10 s.
- snoring as well as the inspiratory flow contour flattening is detected by pressure and flow fluctuations.
- data are also determined that indicate the usage behavior or the useful life of the device by the patient. This data is collected and stored daily or weekly or monthly. If necessary, the usage data, possibly together with a device identifier, retrieved and sent via an Internet connection or mobile connection.
- FIG. 2 shows the operating and information system (3) for a ventilator (20) with an illuminated or backlit display (13) for displaying control panels (14) or information for the user and a touch-sensitive input unit (15) in spatial proximity to the illustrated one Control panel (14).
- a touch-sensitive input unit in spatial proximity to the illustrated one Control panel (14).
- the expert knows different types all come as part of the control and information system (3) according to the invention in question.
- the control unit (19) is configured to display the menu on the display (13).
- a processing unit (18) coupled to the display (13) and the touch-sensitive input unit (15) is configured to detect operation of the control panel (14) via the input unit (15) and, depending thereon, a function of the menu via the control unit (19) to control.
- a menu associated with a control panel (14b, 14c, 14d ...) is displayed on the display (13) spatially adjacent to the control panel or at the same location on the control panel.
- a simultaneous or time-shifted operation of further control panels (14b, 14c, 14d ...) via the input unit (15) can also be detected via the processing unit (18).
- a submenu is displayed on the display (13).
- the sub-menu is shown essentially in the same place as the menu, from the sub-menu emerges.
- control panels (14) or information can now be displayed. Basically, a navigation in several submenus is provided; however, the branch is preferably not deeper than two menu levels.
- a control panel (14) is always provided in the same place, the operation causes the control unit to display on the display (13) the menu of the next higher hierarchical level.
- the lower right corner shows the currently set ventilation pressure in mbar, with associated control panel (14e). In the upper right corner, an information field with associated control panel (14a) is shown.
- the ventilator pressure is to be changed as operable adjustment functions
- the user simply touches the corresponding field of the display in which the information about the current pressure is displayed, here (14e). Then, the control unit causes the display of a control panel (14e1).
- two control panels in the form of + and - symbols (14f2, 14f3) are visualized above and below or to the right and left of the selected operable adjustment function.
- An actuation of the control panels is detected by the processing unit (18), which then causes the control unit (19) to change the value of the operable setting functions according to the input and to visualize it in the area of the display.
- the changed parameter is displayed by the control unit in the corresponding field of the display, and set and applied as a new parameter at the same time or only after user selection via a control signal to the ventilator blower.
- the setting value and the actual value are first visualized and after the actual value corresponds to the setting value, only the actual value is displayed.
- the parameters thus set are simultaneously written by the control unit (19) into a memory (21) which serves as a buffer for the currently applicable parameter values.
- the memory (21) always stores at least the most recently entered and applied values. In case of an operation of the undo function, the memory (21) always outputs these last values first.
- FIG. 4 shows a control panel in the form of a number beam or bar.
- the setting of parameters with many adjustment levels such as ventilation pressure, frequency, flow, volume or the background frequency (for example, 6 - 40 1 / min) take place.
- the entire pressure range in the form of a number beam or bar on the display (13) is visualized for setting a therapy pressure.
- the visualized number beam is also designed as a control panel (14f).
- the control panel for pressure (14f) is touch-sensitive over the entire visualized setting range. The user can therefore select the desired value with just a touch of the desired pressure range.
- the recognized value is visualized in an additional field (14f1). if the recognized and visualized value is correct, the user can apply it by touching the field (14f1).
- a fine adjustment with increments of 0.5 is possible using the symbols +/- (14f2, 14f3).
- a control panel in the form of a list selector appears when many options are set, such as to select the language for the user interface or to select the setting parameters for ventilation.
- the selectable options are displayed in writing or symbolically and the selection of the desired option is made by touching them, whereupon the control unit via a control signal causes the implementation of the selection or represents the adjustment range.
- FIG. 5 shows all settings for the user at a glance. Each value can be selected directly by touch for adjustment.
- a control panel can then be visualized in the form of a number beam or bar as in FIG. There can be done for the adjustment of parameters by touching the desired area.
- an active control panel (14) is highlighted by a more intense color, whereby the user is pointed to the adjustment function and non-active panels are visualized in pale color.
- the lighter color indicates that the fields are not active.
- FIG. 5a shows a control panel in the form of a graphic.
- the current or stored pressure values for the inspiratory pressure (IPAP) is visualized here the expira ⁇ toric pressure (EPAP) and the end-expiratory pressure level (EEPAP).
- EPAP expira ⁇ toric pressure
- EEPAP end-expiratory pressure level
- the user can also set the EPAP pressure (14i) and the EEPAP pressure (14h).
- FIG. 6a also shows a control panel in the form of a graphic.
- the current or stored pressure values for the inspiratory pressure (IPAP), the expiratory pressure (EPAP) and the end expiratory pressure level (EEPAP) are visualized here.
- the user wants to change one of these pressures, he must touch the line representing the print area (14g, 14h, 14i) and then move the print area to the desired level by sliding his finger over the display. The selected line moves with the movement and the value is also displayed. If the user ends the touch, this set value is applied. In the present example, the user has increased the EEPAP (14h) from 6 mbar to 7 mbar, which is shown in FIG. 6b.
- the user can adjust the gradients of the pressure transitions and the pressure waveform.
- FIG. 7a shows a control panel in the form of a graphic.
- the current or stored pressure values for the inspiratory pressure (IPAP) is visualized here the expira ⁇ toric pressure (EPAP) and the end-expiratory pressure level (EEPAP).
- the slopes of the pressure transitions and the pressure waveform are shown.
- the slope of the pressure transition from the EPAP to the IPAP pressure (14k) is once shown as a solid line (14k) and once as a dashed, broken line. The broken dashed line appears when the user touches and moves the line (14k).
- the selected line (14k) moves along with the movement as a broken line, whereby the opposite anchor point of the line remains fixed. For example, the selected line will appear dashed or in a different color during the adjustment process.
- the value of the slope can be displayed with. If the user ends the touch, this set value is applied and the line is pulled through again.
- FIG. 7b shows how the pressure waveform (14m) is adjusted.
- the pressure waveform (14m) is an elevation of the IPAP pressure (14g) that the user can adjust.
- the IPAP pressure is constant, shown here as a solid line (14g).
- the IPAP pressure is slightly increasing to an increased IPAP pressure and slightly decreasing to the IPAP pressure adjustable, here shown as a broken line.
- the resulting waveform (14m) will have a symmetrical rise and fall, with a pressure maximum in the middle.
- the displayed value range on the number beam is scaled such that it always exactly covers the range between the currently possible minimum and maximum for the setting of the respective parameter. Possible default settings or limit values are taken into account.
- a universal value range is always displayed, and the currently valid (default or limit values) minimum and maximum are identified, for example by additional lines or hatching of either the valid or the invalid value range.
- the old value which is still active until the new value is confirmed for ventilation is also displayed. This can be done for example by an additional line or a color mark.
- the currently selected value may also be marked, for example, by an arrow pointing to the scale from above or below instead of a color-highlighted line. Or by coloring a number on the scale.
- the scale does not always have to be numbers. It could also be switched between different areas, which are described by words or combined by words and numbers, for example "Small - Medium - Large - Very Large”, or “Off - Easy - Normal - Strong", “Off - 0, 1 , 2, ... Max ".
- a trapezoid can be displayed on the display at another position as a simplification of a pressure profile, in which the ramp is displayed steeper or flatter analogous to the selection on the control panel.
- acoustic feedback For example, the larger the currently selected value on the control panel, the louder a tone or tone sequence, and vice versa.
- a color feedback such as a color change of the scale or the marking of the current value, if it exceeds or falls below certain values.
- Ramp rates for inspiration / expiration pressure reversal and vice versa trigger sensitivity, start-up pressure ramp time (soft start), acoustic output volume, brightness of display or additional LEDs / display units, sensitivity of touch screen or specific algorithm parts, target Volume, target ventilation, patient characteristics such as height, age, weight, BMI or related values, humidifier level, setpoints for at least one temperature or humidity of the respiratory gas, time, date, time zone, duration of a statistic period, size of one shown infor- mation, target value for compliance in minutes or hours, at least one subjective condition of a patient.
- control panel can also be circular or oval and thus simulate a rotary wheel, for example.
- a virtual and rotatable control button is displayed or a scroll wheel.
- the number scale does not have to be linear, it can also be logarithmic, for example. Or higher in the range of the current value, similar to a magnifying glass, further away from it coarser.
- the rate of pressure increase or flow increase can be determined. It is thus determined how long the pressure increase from the lower to the upper pressure level lasts.
- the time is set in seconds, or in the flow of gas flow in liters per minute.
- the breathing air is administered with a flow that is lower than the set flow, the gas flow increases to the set value during inspiration.
- These settings have a direct impact on the delivered tidal volume VT.
- the characteristic of the pressure increase or pressure reduction is adjustable and is preferably ramped.
- the pressure increase can take place under a uniform ramp slope to the elevated pressure level.
- the pressure increase or decrease can be done with a variable ramp slope.
- the value of the increased or reduced pressure level is preferably adjustable in mbar steps or fractions of mbar.
- the ramp slope for the pressure increase or pressure drop can be shown on the display at a position other than a graphic - for example a trapezoid as a simplification of a pressure profile - be represented, in which the ramp is displayed steeper or flatter analogous to the selection on the control panel.
- Figure 8 shows the graphical ramp slope adjustment aid for the transition from expiratory pressure to inspiratory pressure (marked in green).
- the current level can be adjusted via slider / ruler or alternatively with + and -.
- the ruler also serves with its green marking not only as an adjustment tool, but also as a display element. This offers the advantage that even inexperienced users get the value displayed directly when setting.
- the graphical adjustment aid gives the user at least a two-fold (31, 34), preferably a triple, response to the setting (31, 32, 34).
- the operating device for a ventilator comprises a touch-sensitive graphical display (3, 13, 14, 15) which at least temporarily represents the value range for a ventilation parameter (14a... 14x), here the ramp steepness (30), and at least individual values of the ramp steepness numerically (31).
- a ramp slope value memory (21) is used for at least one data point associated with the range of values and at least one point (14a ... 14x) of the touch-sensitive graphical display circuitry logically connected to the data point.
- a switching logic (18) which causes a display of at least one, the data point associated numerical value (32) and / or a confirmation field (33) for the numerical value and touched one, the data point switching logic associated point of the touch-sensitive graphic display Switching logic (18), which applies this numerical value to the associated respiratory gas parameter when the numerical value (32) or the actuation field (33) is touched and writes this numerical value with the associated respiratory gas parameter into the memory (21).
- the control panel is designed in the form of a number line or ruler and the entire range of values is in the form of a number line or bar on the display (13) visualises and visualized number line is also known as panel (14f) formed from ⁇ .
- the control panel is touched over the entire visualized setting range. Sensitive and the desired value can be selected with just a touch of the desired range.
- a finger pressure or a touch within the ruler is evaluated with respect to its position such that you do not have to hit exactly one of the numbers 1, 2, 3, but the finger pressure is assigned to the nearest number.
- the recognized value (32) is visualized in an additional field (14f1).
- the recognized value can additionally be adjusted by means of the symbols +/- (14f2, 14f3).
- the selected value of the ramp steepness is numerically represented (33) and there is also a graphical visualization of the selected ramp steepness (34).
- the ramp can also be set from the inspiratory to the expiratory pressure.
- Figure 9 shows, analogous to Fig. 8, the setting of the trigger sensitivity (40).
- the threshold value (41) is shown schematically as a green line in the figure. Compared with Figure 7 you can see that in the slider / ruler values can be selected that do not represent a numerical value. In this case "A" for the level "Auto.”
- the operating device for a ventilator comprises a touch-sensitive graphical display (3, 13, 14, 15) which at least temporarily determines the value range for a ventilation parameter (14a ...
- the control panel is designed in the form of a number beam or ruler and the entire range of values is visualized in the form of a number beam or bar on the display (13) and the visualized number beam is also designed as a control panel (14f).
- the control panel is touch-sensitive over the entire visualized setting range and the desired value can be selected with just one touch of the desired range.
- a finger pressure or a touch within the ruler is evaluated with respect to its position such that you do not have to hit exactly one of the numbers 1, 2, 3, but the finger pressure is assigned to the nearest number.
- the recognized value (32) is visualized in an additional field (14f1).
- the recognized value can additionally be adjusted by means of the symbols +/- (14f 2, 14f 3). Not only are individual values of the trigger sensitivity displayed numerically (42), but also the selected value of the trigger sensitivity is displayed numerically (43) and a graphic visualization (41) of the selected trigger sensitivity also takes place. In the present case three fixed trigger levels are provided. However, these can also be adjusted by means of the symbols +/- (14f2, 14f3), so as to fine-tune the trigger to a patient-specific finer. If the level "A" is selected for the Auto level, the trigger adjusts adaptively within preset limit values, which are also graphically visualized.
- the operating device for a ventilator comprises a touch-sensitive graphical display (3, 13, 14, 15) which at least temporarily covers the value range for a ventilation parameter (14a... 14x), here the pressure values (50) IPAP and / or EPAP and / or EEPAP , represents and numerically displays (51) at least one of the trigger sensitivity values (51), at least one data point associated with the range of values, and at least one touch logically associated location (14a ...
- a switching logic (18) which, upon contact with the point of the touch-sensitive graphical display of the touch-sensitive graphic display, an indication of at least one numerical value (52) and / or a confirmation field for the numerical value, causes a switching logic (18) by touching the numerical value (52) or the field of operation, this numerical value on the assigned respiratory gas parameters and writes this numerical value with the associated respiratory gas parameters in the memory (21).
- the control panel is designed in the form of a number beam or ruler and the entire range of values is visualized in the form of a number beam or bar on the display (13) and the visualized number beam is also designed as a control panel (14f).
- the control panel is touch-sensitive over the entire visualized setting range and the desired value can be selected with just one touch of the desired range.
- a finger pressure or a touch within the ruler is evaluated in terms of its position so that you do not have to hit exactly one of the numbers, but the finger pressure is assigned to the nearest number.
- the recognized value (52) is visualized in an additional field (14f1).
- the recognized value can additionally be adjusted by means of the symbols +/- (14f2, 14f3).
- not only individual pressure values are represented numerically (52), but also the selected value is displayed numerically and there is also a graphical visualization (53) of the selected pressure. However, this can also be adjusted by means of the symbols +/- (14f2,14f3). For information purposes, the resulting pressure stroke is also represented as a numerical value (55) and graphically visualized (54).
- the setting of further parameters logically connected therewith is displayed in an informative manner. This allows the user to select the currently set value meaningfully, without having to remember the other parameters. As a consequence of the current ramp steepness and the other parameters, the currently valid ramp time is calculated in ms (35) and also displayed informatively.
- Figure 12 shows the adjustment of the ratio of inspiratory time to total breath time in% (60).
- the selected respiratory rate (61) is shown.
- the inspiratory duration Ti (62) and expiration time Te (62) are calculated and presented informatively.
- the operating device for a ventilator comprises a touch-sensitive graphical display (3, 13, 14, 15) which at least temporarily represents the value range for a ventilation parameter (14a... 14x), here the inspiratory duration (62), and represents at least individual values numerically ( 64), a memory (21) for the inspiratory period at least one data point connected to the value range, at least one point (14a ...
- a switching logic (18) which, upon contact, of the data ⁇ point logical assigned location of the touch-sensitive graphic show a display of at least one, the data point associated numerical value (65) and / or a confirmation field for the numerical value causes a switching logic (18), which applies the numerical value (65) or the actuation field, this numerical value to the associated Atemgasparameter and writes this numerical value with the associated respiratory gas parameter in the memory (21).
- the control panel is designed in the form of a number beam or ruler and the entire range of values is visualized in the form of a number beam or bar on the display (13) and the visualized number beam is also designed as a control panel (14f).
- the control panel is touch-sensitive over the entire visualized setting range and the desired value can be selected with just one touch of the desired range.
- a finger pressure or a touch within the ruler is evaluated in terms of its position so that you do not have to hit exactly one of the numbers, but the finger pressure is assigned to the nearest number.
- the recognized value (52) is visualized in an additional field (14f1).
- the recognized value can additionally be adjusted by means of the symbols +/- (14f2, 14f3).
- the selected value is displayed numerically and there is also a graphical visualization of the selected value.
- this can also be adjusted by means of the symbols +/- (14f2,14f3).
- the resulting exhalation time (63) is preferably displayed as a numerical value (63) and / or graphically visualized.
- Figure 13 shows the described circular design of the operating element.
- a rotary wheel is simulated, which can be operated with the finger.
- To the control panel around a likewise circular display element is placed, which at least represents the current value - in the example 19 minutes -, particularly preferably the Wertegren ⁇ zen and the range of values - in the example 0 to 45 minutes.
- the representation takes place as a number and particularly preferably additionally by a colored and / or thicker mark. (74), which represents the current values in relation to the entire value range.
- the operating device for a ventilator comprises a touch-sensitive graphical display (3, 13, 14, 15) which at least temporarily represents the value range for a ventilation parameter (14a... 14x) and numerically represents at least individual values (71), a memory (21). for at least one data point connected to the value range, at least one point (14a ...
- the switching logic (18) of the touch-sensitive graphical display connected to the data point has a switching logic (18) which displays, upon contact with the point of the touch-sensitive graphic display assigned to the data point, a display of At least one, the data point associated numerical value (71) and / or a confirmation field for the numerical value causes a switching logic (18) that applies the numerical value (71) or the operating field, this numerical value to the associated Atemgasparameter and this numerical value with the associated respiratory gas parameters in the memory (21) writes.
- the control panel is designed in the form of a rotary knob or rotary wheel (73) and the entire or a partial value range is visualized in the form of a number wreath (72) on the display (13) and the visualized number wreath is also designed as a control panel (14f).
- the control panel is touch-sensitive over the entire visualized setting range and the desired value can be selected with just one touch of the desired range.
- a finger pressure or a touch within the number wreath is evaluated in terms of its position such that you do not have to hit exactly one of the numbers, but the finger pressure is assigned to the nearest number.
- a stroke over the number ring is recognized as a setting process and stopping the brush stroke as a selection. That value is detected during stopping of the movement - the detected value (71) - is vi ⁇ sualinstrument in an additional field (14f1).
- the recognized value can additionally be adjusted by means of the symbols +/- (14f2, 14f3).
- the selected value is displayed numerically and it also takes place a graphical visualization of the selected value. However, this can also be adjusted by means of the symbols +/- (14f2,14f3).
- the currently set parameter (75) is displayed with name and / or an internationally understandable symbol (75) and / or its unit (75).
- the parameter could be the ramp time as the sleep aid of a therapy device, which is displayed in minutes.
- u.a. Therapy leeds or the performance levels of a humidifier are displayed and adjusted.
- the selected value increases, in the example from 19 to 32 minutes.
- a rotation in the opposite direction leads to a reduction of the selected value.
- the intended value can be taken over and used by the device. This is typically done either after expiration of a waiting period without further adjustment or after pressing a confirmation key / confirmation area (76), the z.
- “Apply,” “Ok,” “Apply,” a hook icon, or the like which is most preferably located in the center of the illustrated rotary wheel.
- Figure 14 shows an alternative embodiment.
- the "rotary wheel” control and the circular display element are side by side or one below the other.
- This is a preferred embodiment, if no touch-sensitive display element is used, but only a graphical display element (80) with a separate mechanical rotary push-button (81).
- This design offers an advantage, since the mechanical rotary pushbutton (81) can preferably be used for fine adjustments because of its feel or better usability.
- the graphical visualization of the setting procedure decoupled from the mechanical rotary pushbutton (81) and / or or the selected value and / or the available range of values offers the advantage that a larger and improved representation can be chosen than it could offer a scale next to the mechanical turn-push button (81).
- the confirmation of a selected value happens here particularly preferably by pressing the turn-push button (81).
- a (start / stop) operating surface (14x) on the touchscreen or a mechanical (start / stop) operating element (2) according to FIG. 15 can be provided, the actuation of which causes the operating and information system (3) to ventilate via the control unit start or end.
- the (start / stop) operating surface (14x) is designed differently on the touchscreen depending on the situation; For example, if the ventilation is not active, but can be started, the (start / stop) control surface (14x) on the touch screen, for example, at least partially colored green or has a startup icon and has, for example, a supplemental written information "ventilation start" on If the ventilation is active and can be stopped, the (start / stop) control surface (14x) on the touchscreen is at least partially red in color or has a stop symbol and, for example, has written information "ventilation stop".
- the (start / stop) operating surface (14x) otherwise appears unchanged at the same position on the touchscreen and / or always in the same size.
- control unit Upon confirmation of the (start / stop) control surface (14x) on the Touch Screen to Stop Ventilation "Stop Ventilation", the control unit will recall current settings for ventilation, such as current pressure readings, and re-start (Start / Stop). Stop) control surface (14x) - to start ventilation - read out again and activated for ventilation, in particular ⁇ if during the ventilation stop no changes were made to the settings for ventilation.
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Abstract
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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EP21020270.1A EP3905017A1 (fr) | 2013-08-29 | 2014-08-29 | Procédé et dispositif de fonctionnement des appareils respiratoires |
Applications Claiming Priority (3)
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DE102013014303 | 2013-08-29 | ||
DE102014004448 | 2014-03-28 | ||
PCT/DE2014/000454 WO2015027981A2 (fr) | 2013-08-29 | 2014-08-29 | Procédé et dispositif permettant de commander des appareils de ventilation |
Related Child Applications (1)
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EP21020270.1A Division EP3905017A1 (fr) | 2013-08-29 | 2014-08-29 | Procédé et dispositif de fonctionnement des appareils respiratoires |
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EP3039592A2 true EP3039592A2 (fr) | 2016-07-06 |
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Application Number | Title | Priority Date | Filing Date |
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EP14781806.6A Ceased EP3039592A2 (fr) | 2013-08-29 | 2014-08-29 | Procédé et dispositif permettant de commander des appareils de ventilation |
EP14792371.8A Active EP3039593B1 (fr) | 2013-08-29 | 2014-08-29 | Système de commande et d'informations pour un appareil de ventilation |
EP21020270.1A Pending EP3905017A1 (fr) | 2013-08-29 | 2014-08-29 | Procédé et dispositif de fonctionnement des appareils respiratoires |
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EP14792371.8A Active EP3039593B1 (fr) | 2013-08-29 | 2014-08-29 | Système de commande et d'informations pour un appareil de ventilation |
EP21020270.1A Pending EP3905017A1 (fr) | 2013-08-29 | 2014-08-29 | Procédé et dispositif de fonctionnement des appareils respiratoires |
Country Status (4)
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US (5) | US10709856B2 (fr) |
EP (3) | EP3039592A2 (fr) |
DE (2) | DE112014003985A5 (fr) |
WO (2) | WO2015027981A2 (fr) |
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2014
- 2014-08-29 EP EP14781806.6A patent/EP3039592A2/fr not_active Ceased
- 2014-08-29 US US14/914,338 patent/US10709856B2/en active Active
- 2014-08-29 WO PCT/DE2014/000454 patent/WO2015027981A2/fr active Application Filing
- 2014-08-29 DE DE112014003985.3T patent/DE112014003985A5/de active Pending
- 2014-08-29 EP EP14792371.8A patent/EP3039593B1/fr active Active
- 2014-08-29 WO PCT/DE2014/000453 patent/WO2015027980A2/fr active Application Filing
- 2014-08-29 DE DE112014003959.4T patent/DE112014003959A5/de active Pending
- 2014-08-29 US US14/914,347 patent/US10369309B2/en not_active Expired - Fee Related
- 2014-08-29 EP EP21020270.1A patent/EP3905017A1/fr active Pending
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2019
- 2019-07-10 US US16/507,295 patent/US10994088B2/en active Active
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2021
- 2021-04-26 US US17/239,823 patent/US11850359B2/en active Active
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2023
- 2023-11-14 US US18/508,868 patent/US20240082517A1/en active Pending
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Also Published As
Publication number | Publication date |
---|---|
WO2015027980A2 (fr) | 2015-03-05 |
WO2015027981A3 (fr) | 2015-08-27 |
EP3039593A2 (fr) | 2016-07-06 |
EP3039593B1 (fr) | 2021-06-16 |
DE112014003985A5 (de) | 2016-05-12 |
US20240082517A1 (en) | 2024-03-14 |
US20210236754A1 (en) | 2021-08-05 |
DE112014003959A5 (de) | 2016-07-07 |
WO2015027981A2 (fr) | 2015-03-05 |
US20190366024A1 (en) | 2019-12-05 |
US20160213869A1 (en) | 2016-07-28 |
US11850359B2 (en) | 2023-12-26 |
US10369309B2 (en) | 2019-08-06 |
EP3905017A1 (fr) | 2021-11-03 |
US10994088B2 (en) | 2021-05-04 |
US20160202890A1 (en) | 2016-07-14 |
WO2015027980A3 (fr) | 2015-08-27 |
US10709856B2 (en) | 2020-07-14 |
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