Method of CO2 measurement during non-invasive ventilation

Patent metadata

Field	Value
Publication number	US-10869978-B2
Application number	US-201615780432-A
Country	US
Kind code	B2
Filing date	Nov 24, 2016
Priority date	Dec 2, 2015
Publication date	Dec 22, 2020
Grant date	Dec 22, 2020

Abstract

A method for measuring a patient's expired CO 2 level in a non-invasive ventilator system while maintaining a positive inspiratory pressure. The method includes the steps of: receiving, by the non-invasive ventilator system, a signal comprising an instruction to obtain a CO 2 measurement from a patient; lowering, by the non-invasive ventilator system in response to the signal, the expiratory positive airway pressure from a first, higher level to a second, lower level for a first time period comprising one or more breaths; obtaining, by a CO 2 sensor, a CO 2 measurement during the first time period; and returning, after the first time period, the expiratory positive airway pressure to the first, higher level.

First claim

What is claimed is:

1. A method for measuring a patient's expired CO 2 level in a non-invasive ventilator system while maintaining a positive inspiratory pressure, the non-invasive ventilator system comprising a CO 2 sensor, the method comprising the steps of:
receiving, by the non-invasive ventilator system, a first control signal comprising an instruction to obtain a CO 2 measurement from a patient for a user-defined first time period;
adjusting, by the non-invasive ventilator system, leak compensation during the user-defined first time period;
lowering, by the non-invasive ventilator system in response to the first control signal for the user-defined first time period comprising one or more breaths, (i) an expiratory positive airway pressure from a first, higher level to a second, lower level, and (ii) an inspiratory positive airway pressure of the non-invasive ventilatory system from a third, higher level to a fourth, lower level;
obtaining, by the CO 2 sensor, a CO 2 measurement during the user-defined first time period; and
returning, after termination of the user-defined first time period, the expiratory positive airway pressure to the first, higher level and the inspiratory positive airway pressure to the third, higher level.

2. The method of claim 1 , wherein the first control signal comprising the instruction to obtain the CO 2 measurement from the patient is received from a user.

3. The method of claim 1 , wherein the step of lowering the expiratory positive airway pressure from the first, higher level to the second, lower level comprises sending a second control signal to a blower of the non-invasive ventilator.

4. The method of claim 1 , further comprising the step of sending the first control signal from a controller of the non-invasive ventilator system to the CO 2 sensor, the first control signal comprising instructions to obtain the CO 2 measurement during the first time period.

5. The method of claim 1 , wherein the second, lower level is approximately 1 cmH 2 O.

6. The method of claim 1 , wherein the user-defined first time period is at least two breaths.

7. The method of claim 6 , wherein the user-defined time period is based on a low leak alarm setting of the non-invasive ventilator system.

8. The method of claim 1 , wherein the step of receiving further comprises configuring the non-invasive ventilator system to obtain the CO 2 measurement at a user-defined periodic interval.

9. The method of claim 1 , wherein the CO 2 sensor of the non-invasive ventilator system is integrated.

10. A non-invasive ventilator configured to measure a patient's expired CO 2 level while maintaining a positive inspiratory pressure, the non-invasive ventilator comprising:
a user interface configured to receive, from a user, a signal comprising an instruction to obtain a CO 2 measurement from the patient during a user-defined first time period comprising-one or more breaths;
a CO 2 sensor configured to obtain one or more expired CO 2 measurements from the patient during the user-defined first time period the one or more expired CO 2 measurements including the CO 2 measurement; and
a controller in communication with the CO 2 sensor, the controller configured to: lower, in response to the signal for the user-defined first time period, (i) an expiratory positive airway pressure from a first, higher level to a second, lower level, and (ii) an inspiratory positive airway pressure of the non-invasive ventilatory system from a third, higher level to a fourth, lower level; direct the CO 2 sensor to obtain the CO 2 measurement during the user-defined first time period; track the one or more breaths; and return, after termination of the user-defined first time period, the expiratory positive airway pressure to the first, higher level and the inspiratory positive airway pressure to the third, higher level.

11. The non-invasive ventilator of claim 10 , wherein the controller is configured to lower the expiratory positive airway pressure by controlling an activity of a blower of the non-invasive ventilator.

12. The non-invasive ventilator of claim 10 , wherein the CO 2 sensor is an integrated sensor located proximate to a patient interface.

13. The non-invasive ventilator of claim 10 , wherein the signal further comprises instructions to obtain the CO 2 measurement at a user-defined periodic interval during patient-triggered breaths.

14. A controller of a non-invasive ventilator system configured to measure a patient's expired CO 2 level while maintaining a positive inspiratory pressure, the controller configured to perform steps comprising:
receive, from a user interface of the non-invasive ventilator system, a first control signal comprising an instruction to obtain a CO 2 measurement from a patient for a user-defined first time period;
lower, in response to the first control signal for the user-defined first time period comprising one or more breaths, (i) an expiratory positive airway pressure of the non-invasive ventilator system from a first, higher level to a second, lower level, and (ii) the inspiratory positive airway pressure of the non-invasive ventilator system from a third, higher level to a fourth, lower level, wherein the controller is configured to send a second control signal to a blower of the non-invasive ventilator system;
send the first control signal to a CO 2 sensor of the non-invasive ventilator system, the first control signal comprising instructions to obtain the CO 2 measurement during the user-defined first time period;
track the one or more breaths; and
return, after termination of the user-defined first time period, the expiratory positive airway pressure to the first, higher level and the inspiratory positive airway pressure to the third, higher level.

15. The controller of claim 14 , wherein the second, lower level is approximately 1 cmH 2 O.

16. The controller of claim 14 , wherein the first time period is approximately two breaths.

Assignees

• Koninklijke Philips Nv

Inventors

• Garde Smita

Classifications

• A61M16/085

  Gas sampling · CPC title

• A61M16/024 Primary

  including calculation means, e.g. using a processor · CPC title

• A61M16/06

  Respiratory or anaesthetic masks · CPC title

• A61M2230/432

  partial CO2 pressure (P-CO2) · CPC title

• A61M16/0066

  Blowers or centrifugal pumps · CPC title