Maquet Critical Care Ab

Siemens Elema Ab

St. Michael's Hospital.

Fredrik Jalde

Urban Blomberg

Christer Sinderby

Jennifer Beck

Åke Larsson

Georgios Psaros

Karin Blomquist

Norman Comtois

Christer Ström

G&ouml;ran Skog

Erik Krahbichler

Joachim Sallvin

Joachim Saellvin

Mangus Hallbäck

Anders Steiner

Per-G&ouml;ran Eriksson

Bo Lundin

The present disclosure relates to position monitoring of medical devices, and more specifically to technologies for enabling the automatic monitoring of a position of a catheter in relation to a diaphragm. Aspects of the disclosure comprises determining training data to be used for training a machine learning algorithm to classify a position of a catheter in relation to a diaphragm of a patient. Further aspects of the disclosure comprising using a trained machine learning algorithm for classifying a position of a catheter in relation to a diaphragm of a patient.

Classifying of a position of a catheter in relation to a diaphragm

A system is for detection of leakage or abnormal resistance in a ventilation system. The ventilation system includes a breathing apparatus which provides a mechanical ventilation to a patient. The system includes a bioelectric sensor arrangement detecting a bioelectric signal indicative of the patient's effort to breathe and a control computer configured to receive the bioelectric signal detected by the bioelectric sensor arrangement. The control computer is further configured to determine a change in the bioelectric signal and to establish leakage or abnormal resistance in the ventilation system based on the change in the bioelectric signal.

System for detection of leakage or abnormal resistance in a ventilation system

The present invention relates to a system (A) for use in connection with mechanical ventilation of a patient (), provided by a ventilator (). The system comprises a sensor arrangement (A;B) configured to register at least one signal (S; S, S; S; S), herein referred to as LP signal, related to muscular activity of at least one muscle () in the laryngopharyngeal region () of said patient (). Furthermore, the system comprises at least one control unit (A,B) configured to control the operation of said ventilator () based on said at least one LP signal, and/or to cause display of information related to said at least one LP signal on a display unit (A,B) for monitoring said patient () and/or the operation of the ventilator ().

Control of mechanical ventilation based on laryngopharyngeal muscle activity

In a method and system for use with a ventilator for mechanical ventilation of a patient, a sensor arrangement registers at least one signal related to muscular activity of at least one muscle in the laryngopharyngeal region of the patient. This signal is provide to a computer, which controls the operation of the ventilator based thereon, and/or causes display of information related to the signal in order monitor the patient and/or operation of the ventilator.

The present disclosure relates to a method and a mechanical ventilation system for adjusting a level of ventilatory assist to a patient. A neuro-mechanical efficiency of the patient is determined. A control value is received at the mechanical ventilation system. The level of ventilatory assist to the patient is determined on the basis of the neuro-mechanical efficiency and of the control value. The mechanical ventilation system may be adjusted automatically based on the determined level of ventilatory assist to the patient. Alternatively, the determined level of ventilatory assist to the patient may be displayed for the benefit of an operator and a manual command may be received for adjusting the mechanical ventilation system.

Method and system for adjusting a level of ventilatory assist to a patient

A ventilator intended to be connected to a patient for breathing therapy has a control unit having an input for receiving EMG signals from an EMG detector and an output for an EMG based control signal and a pneumatic unit for generating breathing gas flows dependent on the EMG based control signal is described. The ventilator has a detector for determining a parameter related to breathing dynamics for the patient, this detector being connected to the control unit and control unit controlling the pneumatic unit dependent on the parameter related to breathing dynamics in the case of loss of EMG signals at the input.

Ventilator operable in a bioelectric signal-dependent mode, with automatic switching to another mode upon dropout of the bioelectric signal

In a method and an apparatus for determining the position of an esophageal catheter that is inserted into the esophagus of a patient, the catheter having a number of electrodes, muscular activity of the diaphragm is stimulated by applying a stimulus signal that produces a myoelectrical signal in the diaphragm having a well-defined peak at a specific point in time. The myoelectrical signal is detected by respective pairs of electrodes of said catheter, and the electrode pair or pairs that detected the signal having the highest amplitude at the specific point in time is identified. If this electrode pair or these electrode pairs that detected the signal with highest amplitude are not located approximately at the middle of the catheter, an indication is emitted that the position of the catheter should be adjusted.

Method and apparatus for determining an in vivo position of an esophageal catheter

A control unit for controlling a ventilator that provides EMG controlled ventilation to a patient receives EMG signals from an esophageal catheter inserted into the patient and selects, dependent on the EMG signal, at least one signal for controlling the ventilator. A user interface unit operates by the control unit indicates the position of the catheter relative to the patient's diaphragm based on the selected signal. The position information may be presented in relation to signal curves representing the catheter signal or as an elongate vertical shape representing the catheter, the display unit being operated to indicate on the elongate vertical shape the position of the diaphragm.

Control unit and display unit for an EMG controlled ventilator

A control unit for a ventilator is arranged to receive, from each of a number of electrode pairs on an esophageal catheter a bioelectric signal having an ECG component. The control unit has a calculating unit that determines the ECG component of each of the bioelectric signals and a position unit that determines the position of the catheter in relation to the patient's diaphragm based on a comparison the amplitudes of ECG components of the bioelectric signals.

Catheter positioning method and computerized control unit for implementing the method

In a method and device for positioning a linear array of electrodes mounted on a distal end section of an elongated flexible member in a patient's respiratory airways at the level of the patient's diaphragm, a length of the elongated flexible member pre-determined to position the linear array of electrodes at the level of the patient's diaphragm is inserted through the patient's respiratory airways. Signals representative of an electrical activity of the patient's diaphragm (EAdi) are detected through the electrodes of the linear array, a presence or absence of ECG signal components is detected in the EAdi signals, and the position of the linear array of electrodes in the patient's respiratory airways is detected in response to the presence or absence of the ECG signal components in the EAdi signals. Also, lower esophageal sphincter activity may be detected in the EAdi signals, and the position of the linear array of electrodes in the patient's respiratory airways determined in response to the detected lower esophageal sphincter. Finally, an end-expiratory occlusion of the patient's respiratory airways may be performed to verify that the electrical activity of the diaphragm coincides with a negative deflection of the patient's respiratory airways pressure again in view of determining adequate positioning of the linear array of electrodes.

Electrode positioning

Function testing of a ventilator using an EMG or other bioelectric signal representative of the breathing of the patient to control ventilation is enabled by a simulating device for use with a breathing related device for monitoring and/or controlling a patient's breathing, the simulating device including a signal generator for providing a simulated bioelectric compound signal related to the patient's breathing function, and a contact for outputting the simulated bioelectric compound signal. The simulating device can also be used for training purposes and in the development of new ventilators.

Simulator for use with a breathing-assist device

A method of obtaining an indication of the position of an esophageal catheter inserted into a patient includes the steps of obtaining an electrical signal from the esophageal catheter, determining an ECG component of the electrical signal, determining the widths and/or rate of a number of periods in which the ECG component exceeds a threshold value, using the rate or widths of the periods to determine the presence of a P-wave in the ECG component, and concluding that the catheter is in a good position for obtaining a correct EMG signal if a P-wave is determined to be present. If not, the position may be corrected. The method may be performed by a control unit in a ventilator or a monitoring device.

Method, ventilator and control unit for determining a position of an esophageal catheter

A method and apparatus for filtering an electromyogram (EMG) signal from a raw signal which includes a contribution from an electrocardiogram (EKG) signal is disclosed. The method includes the steps of estimating an attribute (such as a Fourier transform) of both the EMG contribution to the raw signal and the EKG contribution to the raw signal and, dependent on both frequency spectrums, determining an EMG window in a frequency range and obtaining the EMG signal by passing it through a filter defined by the frequency range. The method is particularly used when monitoring a multi-channel electrical recording from a plurality of electrodes attached to a patient's diaphragm.

Method and apparatus for determining an EMG signal

In a method, device and computer program product for extracting an EMG signal out of a raw signal obtained with a number of electrodes, the electrodes being adapted to interact with a patient to obtain signals from the patient's diaphragm on respective channels associated with the electrodes, a signal-to-noise-ratio is determined for the raw signal in each channel, and a weighting factor is automatically determined dependent on the signal-to-noise ratio. The respective raw signals from the channels are weighted according to the weighting factors, and are summed in order to generate a sum signal that represents the total EMG signal contained in all of the raw signals.

Growing community of inventors

Bromma, Sweden

Fredrik Jalde