JP4960964B2 - 患者の呼吸パターンの診断と治療のためのシステムおよび方法 - Google Patents
患者の呼吸パターンの診断と治療のためのシステムおよび方法 Download PDFInfo
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- JP4960964B2 JP4960964B2 JP2008533439A JP2008533439A JP4960964B2 JP 4960964 B2 JP4960964 B2 JP 4960964B2 JP 2008533439 A JP2008533439 A JP 2008533439A JP 2008533439 A JP2008533439 A JP 2008533439A JP 4960964 B2 JP4960964 B2 JP 4960964B2
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- patient
- pressure
- breathing
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- breathing pattern
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
- A61B5/087—Measuring breath flow
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4806—Sleep evaluation
- A61B5/4812—Detecting sleep stages or cycles
-
- 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
- A61M16/021—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
- A61M16/026—Control means therefor including calculation means, e.g. using a processor specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4806—Sleep evaluation
- A61B5/4818—Sleep apnoea
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7235—Details of waveform analysis
- A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
- A61B5/7267—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems involving training the classification device
-
- 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
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/0015—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors
- A61M2016/0018—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical
- A61M2016/0021—Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical with a proportional output signal, e.g. from a thermistor
-
- 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
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
- A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
-
- 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
- A61M16/0003—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
-
- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06F—ELECTRIC DIGITAL DATA PROCESSING
- G06F2218/00—Aspects of pattern recognition specially adapted for signal processing
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Pathology (AREA)
- Pulmonology (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Emergency Medicine (AREA)
- Hematology (AREA)
- Anesthesiology (AREA)
- Physiology (AREA)
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
Description
本出願は、米国特許出願第11/210,568号(2005年8月23日出願、「Positive Airway Pressure System and Method for Treatment of Sleeping Disorder in Patient」)の部分継続出願であり、該出願は、米国特許出願第10/642,459号(2003年8月14日出願、「Positive Airway Pressure System and Method for Treatment of Sleeping Disorder in Patient」)の継続であり、これらのすべての開示は本明細書において参照により特に援用される。
Claims (16)
- 患者の呼吸パターンに対応するデータを測定するセンサと、
該データを分析することにより、検出された呼吸パターンが、(i)レム睡眠状態と、(ii)問題のない目覚め状態と、(iii)非レム睡眠状態と、(iv)問題のある目覚め状態とのうちのいずれの状態を示すかを判断するニューラルネットワークと
を備える、システム。 - 患者の気道に気流を供給し、圧力を印加するジェネレータと、
前記状態に応じて、該圧力を調節する処理装置と
をさらに備える、請求項1に記載のシステム。 - 前記呼吸パターンが前記問題のある目覚め状態を示す場合に、前記処理装置は前記圧力をゼロに調節する、請求項2に記載のシステム。
- 前記呼吸パターンが前記問題のない目覚め状態を示す場合に、前記処理装置は前記圧力を下げる、請求項2に記載のシステム。
- 前記呼吸パターンが前記非レム睡眠状態を示す場合に、前記処理装置は前記圧力を高める、請求項2に記載のシステム。
- 前記呼吸パターンが前記REM睡眠状態を示す場合に、前記処理装置は前記圧力を高める、請求項2に記載のシステム。
- 前記ジェネレータに結合され、前記患者の鼻と口とのうちの少なくとも1つを覆うマスクをさらに備える、請求項2に記載のシステム。
- 前記マスクに結合され、呼気ガスの再呼吸を阻止する通気装置をさらに備える、請求項7に記載のシステム。
- 前記レム睡眠状態を示す前記呼吸パターンは、(i)深呼吸の非存在と、(ii)多呼吸数と、(iii)低流速と、(iv)浅呼吸の群発とのうちの少なくとも1つを含む、請求項1に記載のシステム。
- 前記処理装置は、前記呼吸パターンが前記非レム睡眠状態を示す期間を判断する、請求項2に記載のシステム。
- 前記処理装置は、前記呼吸パターンが覚醒を示すかどうか判断する、請求項2に記載のシステム。
- 前記呼吸パターンが前記問題のある目覚め状態を示す場合に、前記処理装置は前記圧力を下げる、請求項2に記載のシステム。
- 患者の呼吸パターンに対応するデータを測定するセンサと、
該データを分析することにより、呼吸パターンが、(i)レム睡眠状態と、(ii)問題のない目覚め状態と、(iii)非レム睡眠状態と、(iv)覚醒と、(v)問題のある目覚め状態とのうちのいずれの状態を示すかを判断するニューラルネットワークと
を備える、システム。 - 前記覚醒を示す呼吸パターンは、規則正しい呼吸期間の深呼吸を含む、請求項13に記載のシステム。
- 前記深呼吸は約3〜5秒の長さである、請求項14に記載のシステム。
- 患者の気道に気流を供給し、圧力を印加するジェネレータと、
前記状態に応じて、該圧力を調節する処理装置と
をさらに備え、
前記呼吸パターンが前記非レム睡眠状態を示す場合に、前記処理装置は前記圧力を高め、該呼吸パターンが前記レム睡眠状態を示す場合に、該処理装置は該圧力を高める、請求項13に記載のシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/240,197 | 2005-09-30 | ||
US11/240,197 US7896812B2 (en) | 2003-08-14 | 2005-09-30 | System and method for diagnosis and treatment of a breathing pattern of a patient |
PCT/US2006/036594 WO2007040988A2 (en) | 2003-08-14 | 2006-09-20 | System and method for diagnosis and treatment of a breathing pattern of a patient |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2009509638A JP2009509638A (ja) | 2009-03-12 |
JP4960964B2 true JP4960964B2 (ja) | 2012-06-27 |
Family
ID=39338388
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008533439A Expired - Fee Related JP4960964B2 (ja) | 2005-09-30 | 2006-09-20 | 患者の呼吸パターンの診断と治療のためのシステムおよび方法 |
Country Status (5)
Country | Link |
---|---|
EP (1) | EP1928529A4 (ja) |
JP (1) | JP4960964B2 (ja) |
CN (2) | CN103083770A (ja) |
AU (1) | AU2006297468B2 (ja) |
CA (1) | CA2623661A1 (ja) |
Families Citing this family (18)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP4868514B2 (ja) * | 2006-09-15 | 2012-02-01 | 独立行政法人国立高等専門学校機構 | 生体状態を推定した結果を出力する装置および方法 |
EP2217141B1 (en) * | 2007-11-13 | 2021-03-31 | Oridion Medical 1987 Ltd. | Medical apparatus |
JP5798553B2 (ja) * | 2009-07-16 | 2015-10-21 | レスメド・リミテッドResMedLimited | 睡眠状態の検出 |
CN102711887B (zh) * | 2010-01-14 | 2016-03-16 | 皇家飞利浦电子股份有限公司 | 利用从基线的压降的伺服通气 |
US9272105B2 (en) | 2010-07-09 | 2016-03-01 | New York University | System and method for diagnosis and treatment of obstructive sleep apnea |
NZ630602A (en) * | 2012-09-19 | 2016-10-28 | Resmed Sensor Technologies Ltd | System and method for determining sleep stage |
JP6091981B2 (ja) * | 2013-04-25 | 2017-03-08 | オムロンヘルスケア株式会社 | 月経開始予定日算出装置およびプログラム |
CN103495249B (zh) * | 2013-10-12 | 2016-04-20 | 中山大学 | 一种呼吸机的控制方法及其控制*** |
FR3019468B1 (fr) * | 2014-04-02 | 2024-07-12 | Fisher & Paykel Healthcare Ltd | Apport de ventilation en pression positive variable en fonction de troubles respiratoires et de l'etat eveille |
US10850054B2 (en) | 2014-10-27 | 2020-12-01 | ResMed Pty Ltd | Method and apparatus for treating hyperarousal disorders |
WO2017055959A1 (en) * | 2015-09-29 | 2017-04-06 | Koninklijke Philips N.V. | Simultaneous estimation of respiratory mechanics and patient effort via parametric optimization |
JP6891038B2 (ja) * | 2017-05-15 | 2021-06-18 | オムロン株式会社 | ウエアラブル装置およびプログラム |
EP3545820A1 (en) * | 2018-03-26 | 2019-10-02 | Nokia Technologies Oy | Respiratory volume measurement |
JP6427286B1 (ja) * | 2018-04-05 | 2018-11-21 | チェスト株式会社 | データ分析予測装置およびデータ分析予測プログラム |
CN111053529B (zh) * | 2018-10-16 | 2022-07-15 | ***通信有限公司研究院 | 睡眠障碍自动分析方法及装置、处理设备及存储介质 |
CN110251137A (zh) * | 2019-06-05 | 2019-09-20 | 长沙湖湘医疗器械有限公司 | 一种用于无创呼吸机的入睡检测方法及使用该方法的呼吸机 |
EP4213718A1 (en) * | 2020-09-18 | 2023-07-26 | ResMed Sensor Technologies Limited | Systems and methods for aiding a respiratory therapy system user |
CN112426147B (zh) * | 2020-10-21 | 2023-08-08 | 华南师范大学 | 睡眠呼吸事件检测模型处理方法、***和存储介质 |
Family Cites Families (12)
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US5199424A (en) * | 1987-06-26 | 1993-04-06 | Sullivan Colin E | Device for monitoring breathing during sleep and control of CPAP treatment that is patient controlled |
US5239995A (en) * | 1989-09-22 | 1993-08-31 | Respironics, Inc. | Sleep apnea treatment apparatus |
US5803066A (en) * | 1992-05-07 | 1998-09-08 | New York University | Method and apparatus for optimizing the continuous positive airway pressure for treating obstructive sleep apnea |
NZ521115A (en) * | 2000-03-02 | 2004-05-28 | Itamar Medical Ltd | Method and apparatus for the non-invasive detection of particular sleep-state conditions by monitoring the peripheral vascular system |
US6644312B2 (en) * | 2000-03-07 | 2003-11-11 | Resmed Limited | Determining suitable ventilator settings for patients with alveolar hypoventilation during sleep |
US6814073B2 (en) * | 2000-08-29 | 2004-11-09 | Resmed Limited | Respiratory apparatus with improved flow-flattening detection |
SE0003531D0 (sv) * | 2000-10-02 | 2000-10-02 | Breas Medical Ab | Auto CPAP |
CN1304068C (zh) * | 2001-02-16 | 2007-03-14 | 雷斯梅德有限公司 | 治疗睡眠呼吸紊乱装置中的气压信号监测 |
US6805668B1 (en) * | 2001-06-26 | 2004-10-19 | Cadwell Industries, Inc. | System and method for processing patient polysomnograph data utilizing multiple neural network processing |
DE10226783A1 (de) * | 2002-06-15 | 2004-01-08 | Gottlieb Weinmann Geräte für Medizin und Arbeitsschutz GmbH & Co. | Verfahren zur Steuerung eines Beatmungsgerätes sowie Vorrichtung zur Beatmung mit Steuerung |
US6988994B2 (en) * | 2003-08-14 | 2006-01-24 | New York University | Positive airway pressure system and method for treatment of sleeping disorder in patient |
JP3733133B2 (ja) * | 2003-10-14 | 2006-01-11 | 三洋電機株式会社 | 睡眠状態推定装置 |
-
2006
- 2006-09-20 CA CA002623661A patent/CA2623661A1/en not_active Abandoned
- 2006-09-20 EP EP06815008A patent/EP1928529A4/en not_active Withdrawn
- 2006-09-20 CN CN201310038927XA patent/CN103083770A/zh active Pending
- 2006-09-20 CN CN2006800356429A patent/CN101309716B/zh active Active
- 2006-09-20 AU AU2006297468A patent/AU2006297468B2/en active Active
- 2006-09-20 JP JP2008533439A patent/JP4960964B2/ja not_active Expired - Fee Related
Also Published As
Publication number | Publication date |
---|---|
EP1928529A4 (en) | 2010-12-22 |
CN101309716A (zh) | 2008-11-19 |
AU2006297468A1 (en) | 2007-04-12 |
CA2623661A1 (en) | 2007-04-12 |
AU2006297468B2 (en) | 2012-01-19 |
EP1928529A2 (en) | 2008-06-11 |
JP2009509638A (ja) | 2009-03-12 |
CN101309716B (zh) | 2013-03-20 |
CN103083770A (zh) | 2013-05-08 |
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