Method and apparatus for precision monitoring of infants on assi

Surgery – Truss – Pad

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12820423, 12820024, 600 22, A61B 508

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049728423

ABSTRACT:
An apparatus and method are disclosed for monitoring physiological parameters associated with the ventilation of infants during assisted ventilation. The infant is placed in a plethysmograph and various sensor means are used to measure flow of gas into and out of the plethysmograph and infant respiration. The outputs of the sensor means are supplied to a microcomputer system for processing. A unique calibration system is provided which constantly corrects for changing system parameters such as plethysmographic chamber air leaks, compliance and the like. Additionally, a heating system which exhibits radiant as well as convective heating properties is provided to maintain the infant in a constant temperature environment with a minimal amount of temperature fluctuation. From this data, ventilator breaths are discriminated from infant breaths.

REFERENCES:
patent: 4671297 (1987-06-01), Schulze, Jr.
patent: 4750474 (1988-06-01), Dukhan et al.
Reynolds et al., "A Multiplex . . . Plethymograph", Med. & Biol. Eng., vol. 11, No. 3, May 1973, pp. 268-274.
Comroe, Jr. et al., "Design of a Body Plethysmograph . . . ", J. Appl. Phys., vol. 14, May 1959, pp. 439-444.
K. Schulze, et al., "Instrumentation for the Continuous Measurement of Gas Exchange and Ventilation of Infants During Assisted Ventilation," Critical Care Medicine, vol. 11, No. 11, pp. 892-896 (1983).
A. Greenough, et al., "Interaction of Spontaneous Respiration with Artificial Ventilation in Preterm Babies," Journal of Pediatrics 103:769 (1983).
Karl Schulze, et al., "Computer Analysis of Ventilatory Parameters for Neonates on Assisted Ventilation", IEEE Engineering in Medicine and Biology Magazine, vol. 3, No. 3, pp. 31-33, (Sep. 1984).
G. Gregory, et al., "Pneumotachograph for Use with Infants During Spontaneous or Assisted Ventilatino", Journal of Applied Physiology, vol. 31, p. 766 (Nov. 1971).
A. G. S. Philip, "Oxygen Plus Pressure Plus Time: the Etiology of Bronchopulmonary Dysplasia," Pediatrics, vol. 55, No. 1, pp. 44-50 (Jan. 1975).

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