JP6302892B2 - 呼吸治療デバイスに対する開始圧力 - Google Patents
呼吸治療デバイスに対する開始圧力 Download PDFInfo
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- 230000000241 respiratory effect Effects 0.000 title claims description 47
- 230000029058 respiratory gaseous exchange Effects 0.000 claims description 22
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- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
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Description
Claims (5)
- 気道を有する患者に対して呼吸治療を提供するように構成されたシステムであって:
呼吸治療の最中に、前記患者の前記気道に配送するための加圧されたフローを生成するように構成された圧力発生器であり、前記加圧されたフローは呼吸可能なガスを含む、圧力発生器と:
前記加圧されたフローに係る一つまたはそれ以上のガスパラメータに関する情報を伝達する一つまたはそれ以上の出力信号を生成するように構成された一つまたはそれ以上のセンサと;
処理モジュールを実行するように構成された一つまたはそれ以上のプロセッサと、を含み、
前記処理モジュールは:
治療セッションの最中に、前記加圧されたフローを提供するために前記圧力発生器をコントロールするように構成されたコントロールモジュールと、
前記加圧されたフローに係る一つまたはそれ以上のガスパラメータのレベルを調整するように構成された治療モジュールと、
提供された前記加圧されたフローに基づいて、使用情報を収集するように構成された使用モジュールと、
前記加圧されたフローに係る一つまたはそれ以上のガスパラメータの開始レベルを決定するように構成された開始レベルモジュールであり、
前記決定は、収集された使用情報に基づくものであり、
前記収集された使用情報は、少なくとも閾値使用量においてなされる前記システムの治療上の使用に対応しており、
前記閾値使用量は、一つの治療セッション以上であり、かつ、
前記収集された使用情報は、
前記生成された加圧されたフローの圧力レベルに係る既定のパーセンタイル、
前記生成された加圧されたフローの圧力レベルに係るパーセンタイルの既定の範囲、及び/又は、
前記生成された加圧されたフローの圧力レベルに基づく別の統計的指標、
に関するものである、
開始レベルモジュールと、を含み、
前記治療モジュールは、さらに、前記開始レベルを治療セッションの始まりにおいて適用するように構成されている、
システム。 - 前記閾値使用量は、前記システムの治療上の使用に係る30時間である、
請求項1に記載のシステム。 - 前記開始レベルモジュールは、さらに、
前記加圧されたフローに係る前記一つまたはそれ以上のガスパラメータの開始レベルを調整するように構成されており、
開始レベルの連続的な調整が、少なくとも前記閾値使用量だけ離れて行われる、
請求項1に記載のシステム。 - 前記治療モジュールによって調整された前記加圧されたフローに係る前記一つまたはそれ以上のガスパラメータの前記レベルは、前記加圧されたフローの現在の圧力レベルを含み、
前記開始レベルモジュールによって決定された前記加圧されたフローに係る前記一つまたはそれ以上のガスパラメータの前記開始レベルは、現在の開始圧力レベルを含み、
前記加圧されたフローに係る前記一つまたはそれ以上のガスパラメータのレベルの調整は、アルゴリズムによってコントロールされ、かつ、
前記アルゴリズムは、前記現在の開始圧力レベルより下である前記現在の圧力レベルに応じて、より積極的に反応するように動作し、前記アルゴリズムのより積極的な動作は、呼吸可能なガスの前記加圧されたフローに係る前記一つまたはそれ以上のガスパラメータのレベルにおける、より大きな調整、より頻繁な調整、及び/又は、調整に応じたより敏感及び/又反応よいトリガ、を含む、
請求項1に記載のシステム。 - 前記システムは、さらに、
前記一つまたはそれ以上の出力信号に基づいて、呼吸イベントの発生を検出するように構成された呼吸イベントモジュールと、を含み、
前記治療モジュールは、前記加圧されたフローに係る一つまたはそれ以上のガスパラメータのレベルを調整するように構成されており、調整は、検出された呼吸イベントの発生に基づくものであり、
前記アルゴリズムは、呼吸イベントの発生を検出するために、増大された圧力増加量及び/又は増大された反応性、のうちの一つまたは両方によって、より積極的に動作し、前記アルゴリズムのより積極的な動作は、呼吸可能なガスの前記加圧されたフローに係る前記一つまたはそれ以上のガスパラメータのレベルにおける、より大きな調整、より頻繁な調整、及び/又は、調整に応じたより敏感及び/又は反応よいトリガ、を含む、
請求項4に記載のシステム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
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US201261617881P | 2012-03-30 | 2012-03-30 | |
US61/617,881 | 2012-03-30 | ||
PCT/IB2013/052382 WO2013144827A1 (en) | 2012-03-30 | 2013-03-26 | Starting pressure for respiratory therapy devices |
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JP2015514465A JP2015514465A (ja) | 2015-05-21 |
JP6302892B2 true JP6302892B2 (ja) | 2018-03-28 |
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JP2015502516A Active JP6302892B2 (ja) | 2012-03-30 | 2013-03-26 | 呼吸治療デバイスに対する開始圧力 |
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US (1) | US10286165B2 (ja) |
EP (1) | EP2830688B1 (ja) |
JP (1) | JP6302892B2 (ja) |
CN (1) | CN104379199B (ja) |
RU (1) | RU2014143783A (ja) |
WO (1) | WO2013144827A1 (ja) |
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CN104688232B (zh) * | 2015-03-23 | 2017-12-01 | 北京怡和嘉业医疗科技股份有限公司 | 一种睡眠呼吸暂停的检测方法及设备 |
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CN116392686A (zh) * | 2016-11-18 | 2023-07-07 | 瑞思迈私人有限公司 | 用于呼吸障碍的通气治疗的方法和设备 |
CN112704788B (zh) * | 2018-10-26 | 2024-02-13 | 北京怡和嘉业医疗科技股份有限公司 | 加湿组件和呼吸通气设备 |
US11191448B2 (en) * | 2019-06-07 | 2021-12-07 | Bose Corporation | Dynamic starting rate for guided breathing |
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JP4680928B2 (ja) | 2003-11-26 | 2011-05-11 | レスメド・リミテッド | 睡眠呼吸障害のための治療のマクロ制御 |
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WO2006133493A1 (en) | 2005-06-14 | 2006-12-21 | Resmed Limited | Acclimatization therapy for first time cpap and niv users |
US7810497B2 (en) * | 2006-03-20 | 2010-10-12 | Ric Investments, Llc | Ventilatory control system |
US8617068B2 (en) * | 2006-09-27 | 2013-12-31 | ResMed Limitied | Method and apparatus for assessing sleep quality |
US9636474B2 (en) | 2010-08-27 | 2017-05-02 | Resmed Limited | Adaptive cycling for respiratory treatment apparatus |
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2013
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- 2013-03-26 EP EP13722544.7A patent/EP2830688B1/en active Active
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EP2830688A1 (en) | 2015-02-04 |
US10286165B2 (en) | 2019-05-14 |
JP2015514465A (ja) | 2015-05-21 |
US20150040903A1 (en) | 2015-02-12 |
WO2013144827A1 (en) | 2013-10-03 |
CN104379199A (zh) | 2015-02-25 |
CN104379199B (zh) | 2017-11-24 |
RU2014143783A (ru) | 2016-05-27 |
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