System and method of predicting CO2 breakthrough and absorbent replacement

Patent metadata

Field	Value
Publication number	US-9504797-B2
Application number	US-201314145540-A
Country	US
Kind code	B2
Filing date	Dec 31, 2013
Priority date	Dec 31, 2013
Publication date	Nov 29, 2016
Grant date	Nov 29, 2016

Abstract

The system and method of the present application predicts if there is sufficient CO 2 absorbent capacity for the next anesthesia case. If insufficient, the canister can be preemptively replaced when no patient is connected to the breathing system. Such prediction also allows clinicians to determine if the CO 2 canister has to be changed during the present case or to wait until the end of the case. In the latter, the clinician may buy time by increasing the fresh gas flow rate to reduce the amount of patient CO 2 gases recirculated. A predictive estimation of CO 2 breakthrough allows more time to prepare for an orderly CO 2 canister replacement during a quiet period in the anesthesia care.

First claim

What is claimed is:

1. A computerized method of predicting carbon dioxide (CO 2 ) breakthrough in an anesthesia ventilator, the method comprising:
inputting into a computing system a minimum detectable inspired CO 2 concentration (FiCO 2 ) threshold and a CO 2 absorbent replacement threshold;
inputting into the computing system a set of data received from the anesthesia ventilator, wherein the set of data includes a measured FiCO 2 ;
determining whether the measured FiCO 2 exceeds the minimum detectable FiCO 2 threshold;
extrapolating a number of breaths for the measured FiCO 2 to reach the CO 2 absorbent replacement threshold; and
calculating a CO 2 absorbent replacement time with the number of breaths and a breaths interval time.

2. The method of claim 1 , further comprising the computing system outputting the CO2 absorbent replacement time to a user interface.

3. The method of claim 2 , wherein the CO 2 absorbent replacement time is outputted to a display.

4. The method of claim 2 , further comprising the computing system outputting a set of current ventilator parameter values and a set of fresh gas delivery parameter values.

5. The method of claim 2 , further comprising repeating the inputting into the computing system the set of data received from the anesthesia ventilator after outputting the CO 2 absorbent replacement time when an anesthesia case is not complete.

6. The method of claim 1 , wherein the set of data received from the anesthesia ventilator further includes an average patient expired gases (FeCO 2 ), a volume per breath of fresh gas (Vfg), and a tidal volume per breath (VT).

7. The method of claim 1 , further comprising updating a CO 2 depletion model and computing a set of constants that illustrate a measured FiCO 2 response after the measured FiCO 2 exceeds the minimum detectable FiCO 2 threshold.

8. The method of claim 1 , further comprising
inputting at least one what-if ventilation parameter value wherein the what-if ventilation parameter value is different from the set of data from the anesthesia ventilator; and
calculating an adjusted absorbent replacement time.

9. A non-transitory computer readable medium including instructions that, when executed on a computing system, cause the computing system to:
receive from a user interface a minimum detectable inspired CO 2 concentration (FiCO 2 ) threshold and a CO 2 absorbent replacement threshold;
receive a set of data from the anesthesia ventilator, wherein the set of data includes a measured FiCO 2 ;
determine whether the measured FiCO 2 exceeds the minimum detectable FiCO 2 threshold;
extrapolate a number of breaths for the measured FiCO 2 to reach the CO 2 absorbent replacement threshold; and
calculate a CO 2 absorbent replacement time with the number of breaths and a breaths interval time.

10. The medium of claim 9 , further comprising the instructions causing the computing system to output the CO 2 absorbent replacement time to a user interface.

11. The medium of claim 10 , wherein the CO 2 absorbent replacement time is outputted to a display.

12. The medium of claim 10 , further comprising the instructions causing the computing system to output a set of current ventilator parameter values and a set of fresh gas delivery parameter values.

13. The medium of claim 10 , further comprising the instructions causing the computing system to repeat the step of receiving the set of data from the anesthesia ventilator after outputting the CO 2 absorbent replacement time when an anesthesia case is not complete.

14. The medium of claim 10 , wherein the set of data received from the anesthesia ventilator further includes an average patient expired gases (FeCO 2 ), a volume per breath of fresh gas (Vfg), and a tidal volume per breath (VT).

15. The medium of claim 10 , further comprising the instructions causing the computer system to update a CO 2 depletion model and compute a set of constants that illustrate a measured FiCO 2 response after the measured FiCO 2 exceeds the minimum detectable FiCO 2 threshold.

16. The medium of claim 9 , further comprising the instructions causing the computing system to:
receive from a user at least one what-if ventilation parameter value wherein the what-if ventilation parameter value is different from the set of data from the anesthesia ventilator; and
calculate an adjusted absorbent replacement time.

17. An anesthesia ventilator, comprising:
a CO 2 canister containing CO 2 absorbent;
a computing system including the storage device and a processor, the storage device including instructions that, when executed on the processor, cause the computing system to:
receive from a user interface a minimum detectable inspired CO 2 concentration (FiCO 2 ) threshold and a CO 2 absorbent replacement threshold for the CO 2 absorbent;
receive a set of data from the anesthesia ventilator, wherein the set of data includes a measured FiCO 2 ;
determine whether the measured FiCO 2 exceeds the minimum detectable FiCO 2 threshold;
extrapolate a number of breaths for the measured FiCO 2 to reach the CO 2 absorbent replacement threshold, wherein the extrapolation utilizes a set of predetermined parameters; and
calculate a CO 2 absorbent replacement time with the number of breaths and a breaths interval time, and output the CO 2 absorbent replacement time to a user interface.

18. The anesthesia ventilator of claim 17 , further comprising the instructions causing the computer system to:
receive from a user at least one what-if ventilation parameter value, wherein the what-if ventilation parameter value is different from the set of data from the anesthesia ventilator; and
calculate an adjusted absorbent replacement time.

Assignees

• Gen Electric

Inventors

• Tham Robert Q

Classifications

• A61M2230/435

  partial O2 pressure (P-O2) · CPC title

• A61M2230/437

  the anaesthetic agent concentration · CPC title

• A61M16/01 Primary

  specially adapted for anaesthetising {(A61M16/104, A61M16/18 take precedence)} · CPC title

• A61M16/22

  Carbon dioxide-absorbing devices {; Other means for removing carbon dioxide}(cartridges with absorbing substances for respiratory apparatus A62B19/00) · CPC title

• A61M16/026

  specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis · CPC title