Hamilton Medical Ag

Hamilton Bonaduz Ag

Dominik Novotni

Thomas Laubscher

Christoph Schranz

Bernd Offenbeck

Dirk Schönfuss

Marco Giardina

Josef X Brunner

Marc Wysocki

Gion Durisch

Karolin Franke

Ricardo Lopez Gasco

Jonathan Schad

Dominik Wolf

Lars Kühn

Sascha Reidt

Federico Alexander Wadehn

Alessandro Beda

Johannes Meyer

Lars Kuhn

Johannes Björn Thomas Meyer

A ventilation device for artificial ventilation, having: —a ventilation gas source; —a ventilation line arrangement; —a pressure-changing assembly for changing the pressure of the ventilation gas flowing in the ventilation line arrangement; —a control device; —an evaluation device for processing sensor signals; and —an O2 sensor assembly for determining an O2 concentration value representing the oxygen concentration of the ventilation gas flowing in the ventilation line arrangement, wherein the O2 sensor assembly outputs O2 sensor signals, which contain information regarding the O2 concentration value, to the evaluation device, and wherein the evaluation device is designed to determine, on the basis of the O2 sensor signals, an O2 change value representing a change in the O2 concentration value and, if the O2 change value satisfies a predefined condition, to infer degradation of the O2 sensor assembly and to output a signal.

Ventilation device designed to identify functional impairment of its O2 sensor assembly

The invention relates to a ventilator including a ventilation gas source, a ventilation tube assembly, a valve assembly, a flow sensor assembly comprising a distal flow sensor and a proximal flow sensor, a pressure sensor assembly for quantitatively detecting a gas pressure in the ventilation tube assembly a pressure-changing assembly for changing the gas pressure in the ventilation tube assembly and a control device which is designed at least to control the operation of the pressure-changing assembly on the basis of measurement signals from the proximal flow sensor, and on the basis of measurement signals from the proximal flow sensor and from the distal flow sensor, to infer the existence of a fault.

Ventilator with automatic detection of a fault in a flow sensor, taking into account spontaneous breathing

A control system of a respiratory device for the at least supportive-partial artificial respiration of patients, in particular human patients, comprising a respiratory gas conduit arrangement, a pressure changing arrangement for changing the pressure of respiratory gas in the respiratory gas conduit arrangement during the respiratory operation of the respiratory device, and the control system for controlling the respiratory operation of the respiratory device. The control system has a data input for transmitting operational or/and patient data to the control system. The control system is configured to determine a respiratory operating parameter for the operation of the respiratory device selectively by means of a predetermined first data relationship or by means of a predetermined second data relationship that is different from the first data relationship.

Respiratory device

A sensor arrangement includes a reaction subassembly having a housing and a detector subassembly. The housing is a layered component arrangement encompassing a luminophore-containing reaction laminate excitable, by irradiation with a first electromagnetic radiation of a first wavelength, to emit a second electromagnetic radiation of a second wavelength different from the first wavelength; and a temperature-detection laminate emitting an infrared radiation. The housing includes an opening for introducing a fluid, a reaction window and a temperature-sensing window. The reaction window transmits the first and second electromagnetic radiation, and the temperature-sensing window is penetrable by infrared radiation. The detector subassembly encompasses a radiation source emitting the first electromagnetic radiation, a radiation detector detecting the second electromagnetic radiation, and an infrared detector detecting, through the temperature detection window, the infrared radiation emitted from the temperature detection laminate. The reaction laminate and the temperature-detection laminate are embodied separately.

Device for the temperature-compensated optical detection of an oxygen content of a fluid

A system for automated adjustment of a pressure set by a ventilation device, in particular a positive and-expiratory pressure and/or a maximum airway pressure, the system comprising a pressure detection arrangement for detecting a transpulmonary pressure at the end of an expiration phase and/or for detecting a transpulmonary pressure at the end of an inspiration phase, and a device for automated adjustment of the pressure set by the ventilation device on the basis of the transpulmonary pressure detected at the end of the expiration phase and/or the transpulmonary pressure detected at the end of the inspiration phase.

System for automated adjustment of a pressure set by a ventilation device

A system for supporting the blood gas exchange by means of mechanical ventilation and extracorporeal blood gas exchange comprises a ventilation device for mechanical ventilation of the lungs of a patient, and an ECLS device for the extracorporeal blood gas exchange, wherein the ventilation system is designed to perform mechanical respiratory support by the ventilation device on the one hand and an extracorporeal blood gas exchange by the ECLS device on the other hand in coordinated, automated manner in order to support the gas exchange in the blood circulation of the patient, wherein the ECLS device sets a level of the extracorporeal blood gas exchange, and the ventilation device, on the basis of the level of the extracorporeal blood gas exchange set by the ECLS device, adjusts in automated manner to a level of the mechanical respiratory support.

Ventilation system with mechanical ventilation and extracorporeal blood gas exchange

A sensor arrangement () encompasses a reaction subassembly () having a housing () and having a detector subassembly (), there being provided in the housing () a layered component arrangement () that encompasses: Provision is made according to the present invention that the reaction laminate () and the temperature-detection laminate () are embodied separately from one another.

The present artificial respiration ventilator () comprises, inter alia, a flow sensor arrangement () for quantitatively detecting a gas flow in a breathing line arrangement (), comprising a distal flow sensor () located farther from the patient end of the ventilation line arrangement (). and a proximal flow sensor () located closer to the patient end of the ventilation line arrangement (), and has a control device () at least for processing measurement signals of the flow sensor arrangement (), wherein the control device () is designed for error detection based on the measurement signals of the distal () and/or the proximal sensor (). According to the invention, the control device () is designed to detect an error of the flow sensor arrangement () on the basis of a comparison of a change value () of a measurement signal () of the one flow sensor () with a change value () of a measurement signal () of the respective other flow sensor () or/and with a measurement signal () of the one flow sensor ().

Ventilator with error detection for flow sensors

The invention suggests a system for automated adjustment of a pressure set by a ventilation device, in particular a positive and-expiratory pressure and/or a maximum airway pressure, the system comprising a pressure detection arrangement for detecting a transpulmonary pressure at the end of an expiration phase and/or for detecting a transpulmonary pressure at the end of an inspiration phase, and a means for automated adjustment of the pressure set by the ventilation device on the basis of the transpulmonary pressure detected at the end of the expiration phase and/or the transpulmonary pressure detected at the end of the inspiration phase.

There is suggested a system for automated adjustment of a pressure set by a respiration device, in particular a positive end-expiratory pressure and/or a maximum airway pressure, comprising: an arrangement for electrical impedance tomography for detecting an electrical impedance distribution along at least a two-dimensional cross-section through the human thorax at least at the end of an inspiration phase and at the end of an associated expiration phase; a device for dividing the detected electrical impedance distribution at the end of the inspiration phase and at the end of the expiration phase into a plurality of EIT pixels and for determining a value of the electrical impedance at the end of the inspiration phase and at the end of the expiration phase, as associated with a respective EIT pixel; and a device for automated adjustment of the pressure set by the respiration device on the basis of a comparison (i) of a deviation between the value of the electrical impedance at the end of the inspiration phase associated with an individual EIT pixel and the value of the electrical impedance at the end of the expiration phase associated with the respective individual EIT pixel (ii) with a deviation between the value of the electrical impedance at the end of the inspiration phase and the value of the electrical impedance at the end of the expiration phase, as determined on the basis of the entirety of EIT pixels.

System for automated adjustment of a pressure set by a respiration device

The invention relates to an apparatus with sensing means suitable for sensing the inspiratory phase and the expiratory phase of each respiratory cycle of a respirated person from in each case at least one minimum and maximum amplitude of a circulation value within a single respiratory cycle, and with a computing device for calculating a variation of the amplitudes of the circulation value occurring within a said respiratory cycle. It is distinguished by the fact that the computing device is set up to assign each amplitude of the circulation value either to the inspiratory phase or to the expiratory phase and to determine the one extreme amplitude of the circulation value from the amplitudes assigned to the inspiratory phase and the other extreme amplitude of the circulation value from the amplitudes assigned to the expiratory phase, and to ascertain from the amplitude variation between the extreme amplitudes in the two phases of the respiratory cycle whether the haemodynamic stress caused by the assisted breathing is too high.

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Chur, Switzerland

Dominik Novotni