发明名称 METHOD AND DEVICE FOR COLLABORATING VENTILATION USING EXTERNAL DIAPHRAGM PACEMAKER AND VENTILATOR
摘要 The present invention discloses a method for synchronized ventilation using an external diaphragm pacemaker and a ventilator, which includes the following steps: (1) filtrating captured EAdi signal to reduce the noises, (2) assessing the absolute peak value a of the EAdi signal and: if a<0.5 μV, adjust the external diaphragm pacemaker to issue a stimulus current at a frequency of 10-12 beats per minute, and at the same time trigger the ventilator to perform ventilation in an assisted ventilation mode; if 0.5≦a≦1.0 μV, adjust the external diaphragm pacemaker to issue a stimulus current at a frequency of 5-8 beats per minute, and at the same time trigger the ventilator to perform ventilation in an assisted ventilation mode; if 1.0<a≦2.0 μV, adjust the external diaphragm pacemaker to issue a stimulus current at a frequency of 3-4 beats per minute and at the same time trigger the ventilator to perform ventilation in an assisted ventilation mode. The present invention also discloses a device which couples an external diaphragm pacemaker to a ventilator. The present invention brings the external diaphragm pacemaker into the application of mechanical ventilation in the emergency room and intensive care unit.
申请公布号 US2015283340(A1) 申请公布日期 2015.10.08
申请号 US201314441515 申请日期 2013.09.27
申请人 ZHANG Hongxuan 发明人 Zhang Hongxuan;Chen Jialiang;Zhan Wenfeng;Mao Yili;Chen Miao
分类号 A61M16/00;A61N1/365;A61N1/362 主分类号 A61M16/00
代理机构 代理人
主权项 1. A method of collaborating between external diaphragm pacemaking and mechanical ventilation comprising the following steps: (1) filtrating captured EAdi signal mixed with interfering noises to obtain a treated EAdi signal; (2) evaluating an absolute peak value of the waveform of said treated EAdi signal and issuing a control action accordingly: (2.1) if a<0.5 μV, instructing the external diaphragm pacemaker to issue a stimulus current at a frequency of 10-12 beats per minute, and at the same time trigger the ventilator to perform ventilation in an assisted ventilation mode; (2.2) if 0.5≦a≦1.0 μV, instructing the external diaphragm pacemaker to issue a stimulus current at a frequency of 5-8 beats per minute, and at the same time trigger the ventilator to perform ventilation in an assisted ventilation mode; (2.3) if 1.0<a≦2.0 μV, instructing the external diaphragm pacemaker to issue a stimulus current at a frequency of 3-4 beats per minute and at the same time trigger the ventilator to perform ventilation in an assisted ventilation mode; (2.4) if failed to capture a diaphragmatic EAdi signal, triggerring the ventilator to perform ventilation in a controlled ventilation mode, that is, the ventilator to perform a backup ventilation function according to preset parameters, and instructing the external diaphragm pacemaker to issue stimulus current at a frequency of 6-8 beats per minute; wherein after the initial current stimulation by the diaphragm pacemaker, the current stimulation continues for a period of 30-40 minutes and then stops, such stimulation cycle being repeated 2-3 times within 24 hours and continued for each week with same stimulation cycles, and wherein during the intervals when the diaphragm pacemaker is not in operation, the ventilator maintains its operation according to regular operating parameters used in conventional clinical practice.
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