JP6887391B2 - 陽圧パルス心肺蘇生デバイス - Google Patents
陽圧パルス心肺蘇生デバイス Download PDFInfo
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- JP6887391B2 JP6887391B2 JP2017565239A JP2017565239A JP6887391B2 JP 6887391 B2 JP6887391 B2 JP 6887391B2 JP 2017565239 A JP2017565239 A JP 2017565239A JP 2017565239 A JP2017565239 A JP 2017565239A JP 6887391 B2 JP6887391 B2 JP 6887391B2
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Description
Claims (14)
- 胸腔内圧力パルスを対象に供給する心肺蘇生法CPRデバイスであって、
前記対象の気道に空気を供給する空気圧発生器を有し、
前記空気圧発生器が、
前記対象の肺の容積を増加させることにより前記対象の心臓の圧迫を誘発するため、前記対象の胸腔内圧を時間的に増加させる第1の複数の陽圧パルスを含む第1の出力を生成する第1のモードで作動し、
前記対象の肺への確実な空気流を提供するための第2の複数の陽圧パルスを含む第2の出力を生成する第2のモードで作動し、及び
前記第1の出力と前記第2の出力との重ね合わせである結果出力を前記対象の気道に供給する
ように構成され、
前記空気圧発生器が、前記第1のモードと前記第2のモードとを同時に作動させ、
前記第1の複数の陽圧パルスが、30mbarより大きい振幅と1分当たり40から240ビートの範囲の周波数とを持ち、前記第2の複数の陽圧パルスは、30mbarより小さい振幅と、1分当たり3から20サイクルの範囲の周波数とを持つ、CPRデバイス。 - 前記デバイスが、前記対象の測定されたバイタルサインを受信し、前記空気圧発生器は、前記測定されたバイタルサインに基づき、前記第1の複数の陽圧パルス及び/又は前記第2の複数の陽圧パルスを供給する、請求項1に記載のCPRデバイス。
- 前記第1の複数の陽圧パルス及び/又は前記第2の複数の陽圧パルスの振幅及び/又は周波数が、前記受信されるバイタルサインに依存する、請求項2に記載のCPRデバイス。
- 前記デバイスが、前記受信されるバイタルサインが所定の範囲内にあるかどうかをチェックするため、前記第1の複数の空気圧パルスを所定の時間供給するのを中断し、前記デバイスは更に、前記バイタルサインが前記所定の時間の間前記所定の範囲内にないとき、前記第1の複数の空気圧パルスを供給することを継続する、請求項2又は3に記載のCPRデバイス。
- 前記受信されるバイタルサインがECG信号であり、前記デバイスは、前記第1の複数の空気圧パルスの供給中に前記ECG信号を取得し、前記デバイスが、前記受信されるECG信号が所定の基準を満たすとき、前記供給を停止する、請求項2乃至4のいずれかに記載のCPRデバイス。
- 前記受信されるバイタルサインが、前記対象の呼吸性能を測定するための呼吸信号である、請求項2乃至4のいずれかに記載のCPRデバイス。
- 前記デバイスが、前記対象の自発呼吸の測定を使用して、前記対象の脈拍を検出する、請求項6に記載のCPRデバイス。
- 前記デバイスが、前記対象の測定された胸腔内圧を受信し、前記空気圧発生器は更に、前記測定された胸腔内圧に基づき、前記第1の複数の陽圧パルスの振幅を設定する、請求項1乃至7のいずれかに記載のCPRデバイス。
- 前記第1の複数の陽圧パルスの振幅が、一定のピーク胸腔内圧力を生成するよう設定される、請求項8に記載のCPRデバイス。
- 前記空気圧発生器が更に、前記第1の複数の陽圧パルスの後に陰圧パルスを供給する、請求項1乃至9のいずれかに記載のCPRデバイス。
- 前記陰圧パルスが、前記第1の複数の陽圧パルスの振幅よりも小さい振幅を持つ、請求項10に記載のCPRデバイス。
- CPRを提供するシステムであって、請求項1乃至11の任意の一項に記載のCPRデバイスと、前記対象の気道に空気圧パルスを供給する空気圧発生器に接続される患者インタフェースと、前記対象のバイタルサインを測定するセンサとを有する、システム。
- 前記センサが、フォトプレチスモグラフィPPGセンサである、請求項12に記載のシステム。
- 前記対象の胸腔内圧を測定するセンサを更に有する、請求項12又は13に記載のシステム。
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EP15173962 | 2015-06-26 | ||
EP15173962.0 | 2015-06-26 | ||
PCT/EP2016/063017 WO2016206979A1 (en) | 2015-06-26 | 2016-06-08 | Positive pressure pulses cardio-pulmonary resuscitation device |
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JP2018518293A JP2018518293A (ja) | 2018-07-12 |
JP6887391B2 true JP6887391B2 (ja) | 2021-06-16 |
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US (1) | US10646672B2 (ja) |
EP (1) | EP3313486B1 (ja) |
JP (1) | JP6887391B2 (ja) |
CN (1) | CN107847393B (ja) |
BR (1) | BR112017027568A2 (ja) |
MX (1) | MX2017015665A (ja) |
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DE102016109528A1 (de) * | 2016-03-01 | 2017-09-07 | Ventinova Technologies B.V. | Verfahren und Vorrichtung zur Beatmung eines Patienten |
US11957838B2 (en) | 2020-07-27 | 2024-04-16 | Pratt & Whitney Canada Corp. | Patient ventilator, method of ventilating an airway of a patient, and associated computer program product |
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US4326507A (en) | 1979-11-20 | 1982-04-27 | Michigan Instruments, Inc. | CPR Protocol and cardiopulmonary resuscitator for effecting the same |
JPS5991969A (ja) * | 1982-11-19 | 1984-05-26 | 株式会社三陽電機製作所 | 呼吸治療用振動付加器 |
US5056505A (en) | 1987-05-01 | 1991-10-15 | Regents Of The University Of Minnesota | Chest compression apparatus |
US5692498A (en) | 1993-11-09 | 1997-12-02 | Cprx, Inc. | CPR device having valve for increasing the duration and magnitude of negative intrathoracic pressures |
GB9410935D0 (en) * | 1994-06-01 | 1994-07-20 | Dranez Anstalt | Ventilator apparatus |
US6708690B1 (en) | 1999-09-03 | 2004-03-23 | Respironics, Inc. | Apparatus and method for providing high frequency variable pressure to a patient |
US6581600B2 (en) * | 2001-07-13 | 2003-06-24 | Forrest M. Bird | Interface apparatus and combination and method |
US6929007B2 (en) * | 2003-09-08 | 2005-08-16 | J.H. Emerson Company | Insufflation-exsufflation system with percussive assist for removal of broncho-pulmonary secretions |
US20050092324A1 (en) | 2003-11-05 | 2005-05-05 | Bowden Kevin D. | Automatic ventilator for cardio pulmonary resuscitation with chest compression timer and ventilation alarms |
US20050126578A1 (en) | 2003-12-12 | 2005-06-16 | Garrison Richard L. | External pressure garment in combination with a complementary positive pressure ventilator for pulmocardiac assistance |
WO2007132486A1 (en) | 2006-05-12 | 2007-11-22 | Andrea Fiorina | A portable-personal device for pulmonary ventilation and resuscitation at negative and positive intermittent pressures |
EP2198823A1 (en) | 2008-12-19 | 2010-06-23 | Dräger Medical B.V. | Ventilation device with CPR mode |
US8277399B2 (en) * | 2009-06-26 | 2012-10-02 | Autocpr, Inc. | Resuscitation/respiration system |
JP5785543B2 (ja) * | 2009-07-24 | 2015-09-30 | コーニンクレッカ フィリップス エヌ ヴェ | 咳を助ける装置及び方法 |
WO2011073839A2 (en) * | 2009-12-15 | 2011-06-23 | Koninklijke Philips Electronics N.V. | System and method for supporting sub-physiologic and physiologic tidal volumes in spontaneous or non-spontaneous breathing during high frequency ventilation |
EP2571545B1 (en) * | 2010-07-06 | 2017-11-22 | Aleksey Monesovich Sudarev | Method and devices proposed for the impact on the cardiovascular system |
AU2011292111B2 (en) * | 2010-08-16 | 2015-03-26 | Breathe Technologies, Inc. | Methods, systems and devices using LOX to provide ventilatory support |
CN104114217B (zh) * | 2012-02-08 | 2017-07-18 | 皇家飞利浦有限公司 | 用于增加咳嗽流量的方法与装置 |
US20140180036A1 (en) * | 2012-12-21 | 2014-06-26 | The Board Of Regents For Oklahoma State University | Device and method for predicting and preventing obstructive sleep apnea (osa) episodes |
CN104936643B (zh) * | 2013-01-17 | 2018-01-26 | 皇家飞利浦有限公司 | 与通气机集成的用于肺内叩击通气的***和方法 |
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- 2016-06-08 EP EP16730755.2A patent/EP3313486B1/en active Active
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BR112017027568A2 (pt) | 2018-08-28 |
CN107847393A (zh) | 2018-03-27 |
MX2017015665A (es) | 2018-04-18 |
RU2018103090A3 (ja) | 2019-12-18 |
RU2018103090A (ru) | 2019-07-29 |
US20180169360A1 (en) | 2018-06-21 |
CN107847393B (zh) | 2020-11-13 |
WO2016206979A1 (en) | 2016-12-29 |
EP3313486B1 (en) | 2020-03-18 |
US10646672B2 (en) | 2020-05-12 |
EP3313486A1 (en) | 2018-05-02 |
JP2018518293A (ja) | 2018-07-12 |
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