KR101060923B1 - 치료 처리중 수면 품질을 유지하고 모니터하기 위한 방법 및 장치 - Google Patents
치료 처리중 수면 품질을 유지하고 모니터하기 위한 방법 및 장치 Download PDFInfo
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Abstract
Description
도 1은 본 발명의 일 실시예에 대한 개략적 도면.
도 2는 본 발명의 각성 모니터링 기능에 대한 개략적 도면.
도 3은 본 발명의 공기 흐름 진단 프로세스에 대한 흐름도.
도 4는 코골이와 관련하여 흡입(inspiration) 사이클에 대한 한 파형의 예를 도시한 도면.
도 5는 UAR과 관련하여 흡입에 대한 파형의 한 예를 도시한 도면.
도 6은 본 발명의 일 실시예에 대한 흐름도.
도 7은 본 발명의 일 실시예에 대한 개략도.
Claims (19)
- 가스가 전달되는 대상의 생리학적 파라미터를 모니터링하는 단계;
가스전달 장치로부터의 가스 압력을 지정 압력으로 정하는 단계;
생리학적 파라미터로부터 각성의 시작을 판단하는 단계;
각성의 시작이 상기도 저항(upper airway resistance) 또는 가스 전달에 의해 야기되는지를 판단하는 단계; 그리고
각성이 상기도 저항 또는 가스 전달에 의한 것인지 아닌지에 기초하여, 전달되는 가스의 압력을 조절하는 단계를 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
각성에 대한 임계 레벨을 결정하기 위하여 강제 진동 방법을 사용하는 단계를 추가로 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
호흡 노력 관련 각성(Respiratory Effort Related Arousal, RERA)의 시작을 판단하는 단계를 추가로 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
폐쇄성 수면 무호흡-저호흡(obstructive sleep apnea-hypopnea)의 시작을 판단하는 단계를 추가로 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
모니터링되는 복수의 서로 다른 생리학적 파라미터에 대한 값들의 세트에 기초하여 사건의 시작을 정의하는 복수의 성분(entry)을 갖는 테이블을 제공하는 단계를 추가로 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
모니터링되는 복수의 생리학적 파라미터들 중 하나 이상으로부터 유래된 지수 값(index value)에 기초하여, 전달되는 가스의 압력 레벨을 조절하는 단계를 추가로 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
수면 품질을 판단하는 단계를 추가로 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
체인-스토크스형(cheyne-stokes) 호흡을 판단하는 단계를 추가로 포함하는 단계를 포함하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
모니터링된 파라미터들로부터의 복수의 값을 사건과 연계시키는 테이블을 제공하고, 환자의 민감도(sentivity)를 수용하도록 상기 테이블을 업데이트하는 단계를 추가로 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
상기 판단하는 단계는, 각성 또는 수면 호흡 장애를 판단하기 위하여 공기 흐름 파형(airflow waveform) 또는 압력 파형의 고대역폭 모니터링을 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
상기 판단하는 단계는, 맥파 전달 시간, 혈압, 및 ECG 신호를 분석하여 각성의 시작을 판단하는 단계를 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
상기 판단하는 단계는, 주기적인 호흡 사건을 판단하기 위하여 환자의 호흡을 분석하는 단계를 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 제 1 항에 있어서,
구강 호흡의 존재를 판단하는 단계를 추가로 포함하고, 상기 조절하는 단계는 구강 호흡을 보상하는 단계를 포함하는 것을 특징으로 하는, 인간이외의 동물에 사용되는 가스 전달장치의 출력을 제어하는 방법. - 복수의 생리학적 파라미터를 모니터링하기 위한 복수의 센서;
조절 가능한 압력 레벨을 갖는 가스 전달 장치; 그리고
상기 센서 및 가스 전달 장치와 협력하는 제어기를 포함하며, 여기서 상기 제어기는, 호흡 사건 관련 각성(respiratory event related arousal, RERA) 및 치료 사건 관련 각성(treatment event related arousal, TERA)으로부터 유래하는 각성의 시작을 판단하도록 그리고 이에 따라 가스 전달 장치의 가스 레벨을 조절하도록 적응됨을 특징으로 하는 가스 전달 제어 장치. - 제 14 항에 있어서,
상기 가스 전달 장치는 지속적 비강 양압(Continuous Positive Air Pressure, CPAP) 머신인 것을 특징으로 하는 가스 전달 제어 장치. - 제 14 항에 있어서,
상기 가스 전달 장치는 환기 장치(ventilator)인 것을 특징으로 하는 가스 전달 제어 장치. - 제 14 항에 있어서,
상기 가스 전달 장치는 산소 집중기(oxygen concentrator)인 것을 특징으로 하는 가스 전달 제어 장치. - 제 14 항에 있어서,
상기 제어기는 또한, 각성의 시작을 나타내는 환자-특정적 생리학적 파라미터를 획득 및 저장하도록 적응되는 것을 특징으로 하는 가스 전달 제어 장치. - 제 14 항에 있어서,
상기 복수의 센서는, 무선 기술을 이용하여 제어기와 통신하는 것을 특징으로 하는 가스 전달 제어 장치.
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PCT/US2003/032170 WO2004032719A2 (en) | 2002-10-09 | 2003-10-09 | Method and apparatus for maintaining and monitoring sleep quality during therapeutic treatments |
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CA2501607C (en) | 2018-08-21 |
KR101309971B1 (ko) | 2013-09-17 |
CA2711783C (en) | 2016-12-20 |
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JP4865229B2 (ja) | 2012-02-01 |
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EP1551286A4 (en) | 2009-06-24 |
CA2501607A1 (en) | 2004-04-22 |
KR101177207B1 (ko) | 2012-08-24 |
WO2004032719A8 (en) | 2005-08-11 |
BR0315175A (pt) | 2005-08-23 |
AU2003277338B2 (en) | 2008-06-05 |
KR101318718B1 (ko) | 2013-10-16 |
RU2005114379A (ru) | 2006-01-20 |
CA2711783A1 (en) | 2004-04-22 |
KR20100097765A (ko) | 2010-09-03 |
EP1551286B1 (en) | 2017-11-22 |
KR20100097766A (ko) | 2010-09-03 |
NZ555559A (en) | 2009-03-31 |
EP1551286A2 (en) | 2005-07-13 |
AU2002951984A0 (en) | 2002-10-31 |
WO2004032719A3 (en) | 2004-06-10 |
KR20100097764A (ko) | 2010-09-03 |
WO2004032719A2 (en) | 2004-04-22 |
AU2003277338A1 (en) | 2004-05-04 |
NZ539584A (en) | 2007-07-27 |
RU2338457C2 (ru) | 2008-11-20 |
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