Hamilton Medical Ag

Hamilton Bonaduz Ag

Thomas Laubscher

Dominik Novotni

Josef X Brunner

Marc Wysocki

Christoph Schranz

Bernd Offenbeck

Dirk Schönfuss

Marco Giardina

Gion Durisch

Ricardo Lopez Gasco

Lars Kühn

Sascha Reidt

Lars Kuhn

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 invention relates to a device for the regulation of PEEP and FiOof a ventilator for achieving an arterial oxygen partial pressure in the blood of a mechanically ventilated patient. At reading which is representative of the success of the oxygen supply, i.e. the oxygen saturation of the blood is measured with the device, and assigned to one of three regions, which are defined by two characteristic lines. A first control loop is designed to optimise PEEP and FiOon assigning a reading to a region which demands a change of the settings, or to retaining the settings with an assignment to the normal region between the characteristic lines. This first control loop carries out such an optimisation at predefined temporal intervals on account of the representative reading (SaO) and a predefined necessary supply intensity. The ventilator is subsequently activated accordingly. Therebetween, if necessary only FiOis increased or reduced with a second control loop, if between optimisations by way of the first control loop, the current representative value (SaO) falls below a limit value (characteristic line) which is dependent on the supply intensity, which demands an immediate increase of the oxygen supply.

O-controller

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 a device, with which one is to prevent a patient who breathes on Ms own and who desires a lower CO-partial-pressure than is achieved by the set Ventilation from tiring. It comprises the following means for the regulation of a changing intensity of a mechanical Ventilation: &#x2022; means for determining a target frequency RR, &#x2022; means for determining a spontaneous frequency RR&#x2022; means for comparing the spontaneous frequency RRwith the target frequency RR. wherein adapting a Ventilation target value (% MinVol, V') on account of the result of the comparison of the spontaneous frequency RRwith the target frequency RRand &#x2022; means for adapting the parameters determining the intensity of the Ventilation, on account of the Ventilation target value (% MinVol, V&#x2032;). This so-called pump support System (PSS) is activated (PSS on) when the patient breathes in an adequately spontaneous manner (Criterion 1). With an insufficient individual activity of the patient, his behavior is taken as a basis for the control of the regulation. The control or regulation of the Ventilation is assumed by a fixed setting of a Ventilation target value (% MinVol), or a CO-controller, as soon as the patient breathes in a manner which is not spontaneous enough.

Apparatus for regulating a mechanical ventilation

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.

Apparatus for assessing the stress on the circulation of a person during assisted breathing by means of a respirator

The invention relates to a device for the automated determination of the PEEP of a patient. Said device comprises sensors and a suitable electronic system for determining a pressure-volume characteristic curve during a P/V maneuver. The electronic system is designed in such a way as to generate, specifically in terms of breathing pressure, the difference between 'lung volume during exhalation (Vdef)' and 'lung volume during inhalation (Vinf)', and to determine the maximum value of said difference. The breathing pressure is then determined, for which the volume difference has a value defined in relation to the maximum value of the volume difference. The device calculates a PEEP value on the basis of said determined breathing pressure value.

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Rhazuns, Switzerland

Thomas Laubscher