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WO2019096498A1 - Module de commande et système d'oxygénation - Google Patents

Module de commande et système d'oxygénation Download PDF

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Publication number
WO2019096498A1
WO2019096498A1 PCT/EP2018/077627 EP2018077627W WO2019096498A1 WO 2019096498 A1 WO2019096498 A1 WO 2019096498A1 EP 2018077627 W EP2018077627 W EP 2018077627W WO 2019096498 A1 WO2019096498 A1 WO 2019096498A1
Authority
WO
WIPO (PCT)
Prior art keywords
oxygen
control module
module according
control
person
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
Application number
PCT/EP2018/077627
Other languages
German (de)
English (en)
Inventor
Klaus Voll
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ems Emergency Medical Systems GmbH
Original Assignee
Ems Emergency Medical Systems GmbH
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Ems Emergency Medical Systems GmbH filed Critical Ems Emergency Medical Systems GmbH
Publication of WO2019096498A1 publication Critical patent/WO2019096498A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Measuring devices for evaluating the respiratory organs
    • A61B5/0803Recording apparatus specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0051Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes with alarm devices
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/40ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT 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
    • G16H40/60ICT 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
    • G16H40/63ICT 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0247Pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0015Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors
    • A61M2016/0018Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical
    • A61M2016/0024Accessories therefor, e.g. sensors, vibrators, negative pressure inhalation detectors electrical with an on-off output signal, e.g. from a switch

Definitions

  • the present invention relates to a control module for a preferably portable
  • Oxygen supply system according to the preamble of claim 1 and
  • Aircraft cabins usually have a lowered cabin pressure.
  • Oxygen consumption by the oxygen patient should be optimized as possible. In- Consequently, there are efforts to optimize the oxygen supply of an oxygen patient on the one hand and a compact as possible,
  • a control module according to the preamble of claim 1 is known from US 6,220
  • this well-known device includes a barometer for recording the absolute pressure. As a result, z.
  • the amount of oxygen to be supplied to the patient should be adjusted accordingly.
  • the device essentially comprises an oxygen cylinder, a pressure reducer, a ventilator, a measuring device for detection
  • this device does not include
  • Inspiration demand valve for controlling spontaneous breathing
  • the object of the present invention is a generic
  • Control module for a preferably portable oxygen supply system and to provide a corresponding oxygen supply system
  • An improved oxygen supply can be achieved.
  • control module according to the features of the claim
  • the oxygen content preferably the oxygen saturation value
  • Control variable is used to supply the patient with oxygen during his inhalation phase, in contrast to the prior art, the "individual oxygen situation" of the patient permanently be used as the basis of oxygenation.
  • the idea enables a so-called "closed
  • Loop system in relation to the supply of oxygen during spontaneous breathing of the patient to realize. Indirect measurements, e.g. the measurement
  • control module according to the invention that is
  • Oxygen supply system capable of responding to individual patient conditions
  • control module also allows long-term, targeted, oxygen therapies
  • the first and second inputs of the control device may be
  • Input also be realized in the form of two logic inputs of the control device. Physically, this is a single input, the received signal in this case being further processed by an effective logic circuit or assignment, for example by means of a special addressing.
  • the respiratory rate of the to be treated is the respiratory rate of the to be treated
  • the second control signal is used to control the so-called oxygen bolus (i.e., the amount of oxygen per unit of time) during spontaneous breathing, i. to vary. Accordingly, the amount of oxygen can thus be adjusted during a unit of time as a function of the measured value of the oxygen saturation in the blood of the patient.
  • oxygen bolus i.e., the amount of oxygen per unit of time
  • an oxygen inspiration basic flow is predefined within this subarea and, based on the oxygen inspiration basal flow, the duration of the oxygen inspiratory flow on the basis
  • the oxygen supply system can be designed to be particularly compact.
  • the portion of the insufflation covered by the oxygen inspiratory flow per unit of time is only a maximum of 35%, preferably at least a maximum of 30%, particularly preferably at least a maximum of 25%.
  • the oxygen content setpoint is at least 90%.
  • the second control signal is preferably from a non-invasively operating oxygen sensor, which is arranged on the patient side.
  • the sensor is a so-called pulse oximeter, which, for example, on a
  • a transcutaneous or subcutaneous oxygen sensor may be used to generate the second control signal.
  • oxygen sensors not only the saturation value but the exact oxygen content in the blood can be determined. This in turn has the advantage that useful patient data can be generated at the same time.
  • the oxygen sensor to the control device via a, preferably electrical,
  • control module may be a radio receiver, preferably for near range radio, e.g. Bluetooth or the like.
  • the present invention further relates to an oxygen supply system, preferably in a portable embodiment, according to the preamble of claim 15.
  • the oxygen supply system comprises
  • Oxygen supply system according to the invention is thereby able to
  • the non-invasively operating sensor e.g. the pulse oximeter
  • a radio transmitter e.g. the radio transmitter
  • this may be a radio transmission part for the so-called near-field radio range, such as e.g. Bluetooth, act.
  • a (further) pressure regulator can be provided, preferably on or in the region of the control module, with which the pressure and flow can be adjusted as needed by the patient.
  • a source of oxygen is a handportable oxygen cylinder with gaseous oxygen and / or a handportable thermo container with liquid oxygen is provided.
  • FIG. 1 shows a first embodiment of the oxygen supply system according to the invention in a highly simplified, schematic representation
  • FIG. 2 shows a further embodiment of the oxygen supply system according to the invention in a greatly simplified, schematic representation
  • Fig. 3 is a highly simplified schematic representation of an Atemperiode
  • FIG. 4 shows a comparison of the course of the measured SP02 value, the measured DR value and the respectively adjusting oxygen flow as well as FIG
  • Fig. 5 shows a further embodiment of the oxygen supply system according to the invention in a highly simplified, schematic representation.
  • Reference numeral 1 in Fig. 1 denotes an oxygen supply system according to the present invention in its entirety. This is a
  • 1 is mobile or portable, i. it can be in a bag or
  • the oxygen supply system 1 comprises a self-sufficient oxygen source, in particular in the form of an oxygen cylinder 3, in which oxygen is stored under high pressure (> 300 bar).
  • the oxygen cylinder 3 is a self-sufficient oxygen source, in particular in the form of an oxygen cylinder 3, in which oxygen is stored under high pressure (> 300 bar).
  • the oxygen supply system 1 is preferably
  • the oxygen is medical oxygen
  • oxygen may be supplied from a mobile thermal tank 20 with liquid oxygen having a valve 21.
  • the oxygen supply system 1 further comprises, as a functional unit, a control module 2, which is provided to control the oxygen inspiration flow towards the person to be treated, wherein the person to be treated
  • control module 2 controls an increased supply of oxygen in addition to the remainder of respiratory gas that may be inhaled by the person from the environment.
  • ⁇ 2 may preferably be carried in a bag (not shown) or the like by the person to be treated (even on the body).
  • the control module 2 comprises a control device 7, e.g. in form of
  • an electric power source 6 in the form of a rechargeable battery
  • the control module 2 can also have a display 15 and / or via an input device 16 in the form of buttons, touch screen or the like.
  • Reference numeral 8 denotes a valve unit having a valve inlet 8a as well
  • valve outlet 8b is connected via a, preferably flanged, miniature pressure regulator 4a with the oxygen cylinder 3 via an oxygen feed line 13 or with the mobile thermal container 20 via an oxygen feed line 22 in connection.
  • the pressure regulator 4 reduces the pressure of the oxygen from the tank pressure
  • the oxygen cylinder 3 has in the head region thereof a valve with a handwheel for opening and closing the oxygen cylinder 3.
  • Pressure regulator 4 also includes a valve to be operated with a handwheel
  • control module 2 on the
  • Oxygen feed line 22 connected to the thermal container 20 the patient may alternatively be supplied with oxygen from a liquid oxygen source.
  • Bottle valve and open control module side pressure regulator 4a oxygen at a pressure of e.g. 1 bar on and
  • the valve outlet 8b is connected via an oxygen supply line 19 with a
  • Application device e.g. a nasal cannula 14, connected.
  • the control device 7 of the control module 2 comprises a first input
  • the inspiratory pressure sensor 9 detects pressure changes and generates on the basis of the detected
  • Inspiratory pressure sensor 9 incorporated into the flow connection of the nasal cannula 14 and the valve 8 to a justified by the start of the inspiration pressure change
  • Control device 7 is supplied, whereupon the latter switches the valve 8 to passage DL, so that oxygen leaves the oxygen cylinder 3 via the oxygen feed line 13, the valve 8 via the valve outlet 8b and on the Oxygen supply 19 and nasal cannula 14 the person to be treated with
  • the person to be treated is supplied with oxygen as part of their spontaneous breathing over a starting region of inspiration, whereby
  • the controller may switch the valve ON / OFF.
  • control device 7 comprises a second input
  • a preferably non-invasively operating sensor in particular a so-called pulse oximeter 5
  • pulse oximeter 5 is applied to the person, whereby the oxygen saturation content in the blood of the person detected and the control device 7 via the second input
  • the pulse oximeter 5 is located at the index finger of the person to be treated, whereby the determination of the oxygen saturation in the blood (artery) is based on the measurement of the light absorption or light remission
  • an electrical signal line 1 1 is used.
  • a radio link 12 preferably
  • control module 2 has a radio receiving part
  • the pulse oximeter 5 has a radio transmission part
  • the first and second inputs 10a, 10b of the control device 7 may be two physically separate inputs, which are in communication with two separate signal supply lines.
  • the first and second input 10a, 10b in the form of two logical inputs of
  • Control device 7 be realized, in which case only a logical
  • Circuit or assignment, for example, by a special addressing, must be done.
  • FIG. 3 shows, in a highly simplified, schematic representation, a single respiratory period, which is approximately comparable to a sinusoidal oscillation.
  • the period of respiration is divided into the field of inspiration as well
  • Oxygen insufflation takes place, i. filling and puffing up of lung cavities
  • This subarea TB is about 20% of the inspiration. This results in that a large part of the supplied oxygen can be applied effectively, without increasing a so-called dead space ventilation. This area is shown in dotted lines in FIG. This will be done with the help of the new control module
  • To the right in FIG. 3 means that oxygen is supplied more frequently in each respiratory period than in the normal case (TB). This can increase the
  • Oxygen demand of the patient are compensated.
  • the control module 2 it is also possible for the control module 2 to return the partial area TB of the supply of oxygen to a range ⁇ TB, for example when the person to be treated sleeps. In this way, on the one hand, depending on the situation, an increased one
  • Oxygen supply system 1 according to the invention particularly lightweight, compact
  • FIG. 4 shows the "closed-loop" control of the oxygen supply by the control module 2 according to the invention in the time sequence.
  • a setpoint for the oxygen saturation in the blood of z. 94% e.g. the oxygen saturation in the blood
  • Control device 7 of the control module 2 supplied oxygen saturation in
  • the graph below shows the course of the pressure difference DR, which is detected by the inspiratory pressure sensor 9.
  • the inspiratory pressure sensor 9 detects a negative pressure difference resulting from the beginning of the inhalation process, whereupon the control means
  • Oxygen concentration in the blood the time during which the oxygen
  • Flow is active, increased. As a result, more oxygen is supplied to the patient in the context of spontaneous breathing. As soon as the oxygen concentration has returned to the specified setpoint of 94%, the duration of the oxygen flow is reduced back to the starting time range.
  • the oxygen supply system according to the invention is therefore a so-called "closed-loop" method, which makes it possible to use the
  • Oxygen supply system react and this person increased oxygen respectively.
  • a transcutaneous oxygen sensor 5a is used which is located on the skin of the patient and detects the actual oxygen content in the blood of the patient through the skin of the patient.
  • a subcutaneous oxygen sensor 5b which is housed under the skin of the patient and also detects the actual oxygen content in the blood of the patient. Both options are shown in Fig. 5 alternatively.
  • the signal transmission takes place via the signal line.
  • the signal transmission can also take place in the way shown in Fig. 2.
  • the invention therefore makes a very special contribution to the relevant

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pulmonology (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Hematology (AREA)
  • Surgery (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Biophysics (AREA)
  • Business, Economics & Management (AREA)
  • Urology & Nephrology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Physiology (AREA)
  • Physics & Mathematics (AREA)
  • General Business, Economics & Management (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

La présente invention concerne un module de commande pour un système d'oxygénation (1) de préférence portable, le système d'oxygénation servant à une oxygénothérapie assistant la respiration spontanée d'une personne à traiter ayant un besoin accru d'oxygène et l'approvisionnement en oxygène de la personne s'effectuant uniquement en phase d'inspiration, de préférence dans une première partie de celle-ci, à l'aide d'une unité de ventilation (8) munie d'une entrée de ventilation (8a) pour recevoir l'oxygène provenant d'une source d'oxygène ainsi que d'une sortie de ventilation (8b) pour administrer l'oxygène à la personne à traiter, d'un capteur de pression d'inspiration (9), d'un dispositif de commande (7) qui présente une première entrée (10a) pour un premier signal provenant du capteur de pression d'inspiration (9), d'une source d'énergie électrique (6) pour alimenter en énergie le système d'oxygénation, le dispositif de commande (7) présentant une seconde entrée (10b) d'un second signal de commande basé sur la saturation en oxygène du sang de la personne à traiter et la commande de l'unité de ventilation (8) du dispositif de commande (7) s'effectuant en fonction des premier et second signaux de commande.
PCT/EP2018/077627 2017-11-14 2018-10-10 Module de commande et système d'oxygénation Ceased WO2019096498A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE202017106889.7 2017-11-14
DE202017106889.7U DE202017106889U1 (de) 2017-11-14 2017-11-14 Steuermodul sowie Sauerstoffversorgungssystem

Publications (1)

Publication Number Publication Date
WO2019096498A1 true WO2019096498A1 (fr) 2019-05-23

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PCT/EP2018/077627 Ceased WO2019096498A1 (fr) 2017-11-14 2018-10-10 Module de commande et système d'oxygénation

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DE (1) DE202017106889U1 (fr)
WO (1) WO2019096498A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111921050A (zh) * 2020-08-19 2020-11-13 华氧医疗科技(大连)有限公司 一种用于控制氧气输送的方法
CN119548721A (zh) * 2023-09-04 2025-03-04 天津怡和嘉业医疗科技有限公司 制氧系统的控制方法及可调控的制氧系统

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116196522B (zh) * 2023-04-27 2023-07-18 首都医科大学宣武医院 一种呼吸监测调节系统

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3813032C1 (en) * 1988-04-19 1989-10-26 Juergen 2000 Hamburg De Hoefer Method of establishing the influence of short-term oxygen inspiration and a device for carrying out the method
DE4309923A1 (de) * 1993-03-26 1994-09-29 Boesch Wilhelm Vorrichtungsanordnung zur Zufuhr von Atemgas zu einem Patienten
US6220244B1 (en) 1998-09-15 2001-04-24 Mclaughlin Patrick L. Conserving device for use in oxygen delivery and therapy
US6220224B1 (en) * 1997-03-22 2001-04-24 Mtu Motoren- Und Turbinen-Union Friedrichshafen Gmbh Fuel-injection system for an internal combustion engine
DE102004030416A1 (de) * 2004-05-10 2005-12-08 Air-Be-C Beatmungstechnik Gmbh Kompakte, tragbare und transportable Sauerstoff-Erzeugungs- und Versorgungseinrichtung
DE102007042153A1 (de) 2006-09-22 2008-04-03 Weinmann Geräte für Medizin GmbH + Co. KG Vorrichtung zur mobilen Versorgung eines Patienten

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3813032C1 (en) * 1988-04-19 1989-10-26 Juergen 2000 Hamburg De Hoefer Method of establishing the influence of short-term oxygen inspiration and a device for carrying out the method
DE4309923A1 (de) * 1993-03-26 1994-09-29 Boesch Wilhelm Vorrichtungsanordnung zur Zufuhr von Atemgas zu einem Patienten
US6220224B1 (en) * 1997-03-22 2001-04-24 Mtu Motoren- Und Turbinen-Union Friedrichshafen Gmbh Fuel-injection system for an internal combustion engine
US6220244B1 (en) 1998-09-15 2001-04-24 Mclaughlin Patrick L. Conserving device for use in oxygen delivery and therapy
DE102004030416A1 (de) * 2004-05-10 2005-12-08 Air-Be-C Beatmungstechnik Gmbh Kompakte, tragbare und transportable Sauerstoff-Erzeugungs- und Versorgungseinrichtung
DE102007042153A1 (de) 2006-09-22 2008-04-03 Weinmann Geräte für Medizin GmbH + Co. KG Vorrichtung zur mobilen Versorgung eines Patienten

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111921050A (zh) * 2020-08-19 2020-11-13 华氧医疗科技(大连)有限公司 一种用于控制氧气输送的方法
CN119548721A (zh) * 2023-09-04 2025-03-04 天津怡和嘉业医疗科技有限公司 制氧系统的控制方法及可调控的制氧系统

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