Control of patient interface means fixation
SUBSTANCE: first version of the system contains a patient interface means to supply a gas stream to the patient. The interface means comprises a headband for securing to the patient and a mechanism for fixing force adjustment. The system includes a device for monitoring the degree of blood flow through the patient's blood vessel. The device contains a sensor and a control unit. The sensor detects the data on the blood flow through the blood vessel and is connected to the control unit to transfer the data to the control unit. The control unit is able to receive data from the sensor and to estimate the degree of blood flow based on the data mentioned. The control unit is able to provide a signal based on the blood flow in the blood vessel. The system comprises an adjusting mechanism controlling the force of patient interface means fixation by means of the headband, based on the signal provided by the detection device. In a second version of the system, the evaluation unit controls the audio signal generator to generate a warning signal if the degree of blood flow in the blood vessel or the degree of blood vessel occlusion passes a predetermined threshold. A warning signal indicates that the fixation force of the interface means is too strong. The force should be adapted by the adjusting mechanism. The method for prevention of red marks formation comprises the steps of interface means fixation to the patient by means of fixation force. The degree of blood flow through the patient's blood vessel is then assessed. Further, the fixation force is adjusted so that blood flow is present and that the blood flow exceeds a predetermined threshold.
EFFECT: creation of a system and method that ensures reduction of red marks, and increased comfort of wearing of the patient interface means.
15 cl, 5 dwg
SUBSTANCE: newborn's integrated assessment aims at detecting if the following parameters are observed: an oxygen delivery index of no more than 583 ml/m2 a minute and PO2/FIO2≥400; at evaluating cerebral dysfunctions severity and assigning points with the total score is supposed to be 2 or less, according to the following parameters: Prechtl activity level: 4 or 5 - 0 points, 3 - 1 point, 2 - 2 points, 1 - 3 points; acoustic blink reflex: 0 points - yes, 1 point - no; fisting: 0 points - no, 1 point - transitory, 2 points - persistent; crossed extensor reflex: 0 points - yes, 1 point - no; Babinski's reflex: 0 points - yes, 1 point - no; tonus: 0 points - normal, 1 point - hypertonia, 2 points - hypotonia, 3 points - atonia; minute ventilation (Ve/kg min): <400 ml - 0 points, >400 ml - 2 points; convulsions: 0 points - no, 1 point - up to three times a day, 2 points - 3 and more, 3 points - status; anterior fontanel: 0 points - normal, 1 point - depressed, 2 points - tensed.
EFFECT: method provides the adequate assessment of the readiness of the newborns with multiple organ failure to deactivation of artificial pulmonary ventilation in a combination with a lower rate of re-intubations and lethal outcomes.
SUBSTANCE: group of inventions refers to medicine. A method for providing a patient's interface adjustment feedback to an individual is implemented by a system for supplying a pressurised breathable gas flow to the individual's airway. That is combined with generating the breathable gas flow to be delivered into the patient's airway through the patient's contour and interface being in contact with the individual's face. The breathable gas flow is generated by a pressure generator integrated into the body. The patient's interface is sealed on the individual's face by sealing generated by a contact between the patient's interface and face. An output signal of a sensor functionally connected to the patient's interface, which transmits the patient's interface adjustment or position information is received. The user is informed by means of the user's interface built into the body on the patient's interface adjustment or position information transmitted by the output signal of the sensor. The user's information contains: (a) identifying the physical location, wherein the sealing contact between the patient's interface and the individual's face is not enough, (b) suggested adjustment for improving the sealing contact between the patient's interface and the individual's face, or (c) both identifying the location, and suggested adjustment.
EFFECT: using the inventions enables providing the accurate alignment and improved adjustment of the patient's interface to the individual's face.
15 cl, 4 dwg
SUBSTANCE: invention refers to medical equipment. A respiratory device comprises bodies configured to enclose individual's outer respiratory passages and valves integrated into the bodies. The valves are configured to present the cumulative counteraction to gas flow in inhalation and exhalation. The cumulative counteraction in inhalation is relatively low so that the individual can inhale the ambient air, while the cumulative counteraction in exhalation is higher than the cumulative counteraction in inhalation and specified so that to limit the individual's exhalation to increase an individual's exhalation time thereby varying the individual's respiratory cycle, whereas the individual is conscious. The device additionally comprises a training stimuli generator configured to generate respiratory stimuli for the individual, which stimulate the individual to reduce a pressure differential between the passages formed by the bodies, and the ambient air, provided the pressure differential goes beyond the pressure differential threshold.
EFFECT: limiting individual's exhalation with free inhalation.
5 cl, 5 dwg
SUBSTANCE: invention refers to medical equipment. A system for connecting a fluid flow into an individual's airway and measuring fluid variables comprises a nasal cannula bearing sensors for generating output signals transmitting the fluid flow variables between the individual's nostrils and nasal cannula. The nasal cannula has a main canal and a pair of hollow projections extended from the main canal. The hollow projections are configured to be inserted into the individual's nostrils so that the fluid flow in the main canal is connected to the individual's nostrils by the hollow projections. The sensors are mounted on the nasal cannula so that a section of each of the sensors is arranged on one of the hollow projections or nearby. The sensors are configured to be removed from the nasal cannula so that the removable sensors can be re-used with the other nasal cannula. The sensors comprise a pulse oximeter. The nasal cannula forms a pair of sleeves for comprise a sliding mechanism of pulse oximeter legs. One of the sleeves is integrated with one of the hollow projections.
EFFECT: using invention enables providing easier replaceability with ensuring high level of hygiene.
10 cl, 5 dwg
FIELD: physics, computer engineering.
SUBSTANCE: invention relates vending machines. A sleep management related vending kiosk comprises: a main housing; a processor; a vending apparatus provided at least partially within the main housing, the vending apparatus storing a plurality of respiratory patient interface device products and being designed to selectively vend the respiratory patient interface device products under control of the processor; and further comprising at least one of: (a) a gas flow generating module adapted to deliver a flow of gas from a gas flow generator to one of the respiratory patient interface device products vended by the vending apparatus; and (b) a facial scanning module adapted to scan a face of a patient, wherein the processor is programmed to recommend one of the respiratory patient interface device products based on the scanning of the face of the patient.
EFFECT: automated process of vending respiratory patient interface device products based on facial scanning.
25 cl, 3 dwg
SUBSTANCE: observing signs of developing airway obstruction, the neck is extended, the lower jaw is projected, and the mouth is opened. A mask is supported with left and right hands with the little fingers placed at the angles of the jaw. The middle and fourth fingers are projected, and the mouth is slightly opened, while the second and first fingers tightly fix the face mask. If any manipulations are required, the mask is supported by the left hand, while the manipulations are performed by the right hand. That is followed by two forced inhalations through the face mask. Lung ventilation effectiveness is assessed by a chest excursion. An airway pressure is maintained at no more than 20 mBar. The adequate lung ventilation requires the intravenous administration of a muscle relaxant and the tracheal intubation.
EFFECT: method provides the adequate ventilation in the children suffering from the nasal and nasopharyngeal obstruction, as long as the timely tracheal intubation is impossible, and with using no air tubes before the muscle relaxant are used.
4 tbl, 2 ex
SUBSTANCE: first, Fraxiparine is inhaled for 5-10 minutes. A dialysis solution for peritoneal dialysis containing extranyl is administered into the abdominal cavity 1-1.5 hours later through a catheter. The solution additionally contains: albumin in the concentration of 35-40 g/l, heparin in the concentration of 500-750 Unit/l and papaverine in the concentration of 50-100 mg/l. Every 6-8 hours after the beginning of exposure of the dialysis solution in the abdominal cavity, the Fraxiparine inhalations are repeated. The time of a single exposure of the dialysis solution in the abdominal cavity makes 12-18 hours.
EFFECT: method provides effective body detoxification in the given category of patients by providing a high toxin clearance owing to a continuous high osmotic concentration of the solution and the dilatation of pre-capillary peritoneal arterioles, prevented inspissation of the albumin solution to the colloidal state and its inactivation that reduces a rate of the dialysis solution exchanges.
SUBSTANCE: group of inventions relates to medical equipment. Respiratory mask contains mask frame, forming slot; lining, made from first material; and holding element, made from second material, which is more rigid than first material. Holding element is imbedded inside lining and made with possibility of detachable fixation to mask frame. Pad and holding element are located inside slot in such a way that lining is outside in slot. Method of assembling respiratory mask, determining mask casing, forming slot for reception of gas flow, and cross connection, originating from mask casing and determining first and second slots, is described. Lining unit includes lining and holding element, imbedded into lining. Holding element includes tongues for fixation of lining to mask casing and first and second forehead pads, located in first and second slots of cross connection. First and second forehead pads are made with possibility of independent regulation with respect to each other and with respect to mask frame both in horizontal and in vertical directions.
EFFECT: provision of convenience of assembling and sealing mask elements to user's face.
16 cl, 8 dwg
SUBSTANCE: invention refers to medicine, namely to anaesthesiology, resuscitation and otorhinolaryngology, and can be used if it is necessary to provide the anaesthetic management in the patients with terminal tracheostomy. For this purpose, pre-oxygenation, assisted and forced lung ventilation are conducted before tracheal intubation through a laryngeal mask with an inflated cuff tightly adjoining a tracheostomy opening. Then, an intubation tube is inserted into the tracheostomy, and volumetric induced ventilation is conducted through the above tube.
EFFECT: method provides the prevention of hypoxia in such patients at the stages of intravenous premedication, the induction of anaesthesia and the introduction of muscle relaxants due to the stability of hemodynamics and gas exchange due to the continuous ventilation through a terminal tracheostomy.
SUBSTANCE: invention refers to medicine, namely physiology and experimental medicine, and may be used for preventing and relieving a chemical liver injury in a living body. That is ensured by an atmospheric hypoxic exposure which is started with standard 21% air oxygen to be gradually reduced to 12% at 3±0.25% a minute. That is followed by a -minute pause at 12% oxygen to be gradually increased to 30% at 3±0.25% a minute. That is followed by another 5-minute pause at 30% oxygen. Then, the oxygen content is gradually reduced to 21% at 3±0.25% a minute. The procedure is daily for 10-14 days.
EFFECT: method provides higher body adaptation ensured by the gradual variations of gas mixture oxygen.
FIELD: medical engineering.
SUBSTANCE: device has sensing elements built in into mask body so that, when being put on, all required sensing elements are set on patient. The mask has soft flexible material on its perimeter holding the sensing elements inside for making contact with patient skin and making tight sealing. Sensing elements are also available on mask body and corresponding straps or caps. The sensing elements are usable for controlling electromyogram, electroencephalogram, electro-oculogram and electrocardiogram, superficial blood pressure, temperature, pulse, blood oxygen, patient position, patient activity level, sound and patient gas pressure in the mask.
EFFECT: wide range of functional applications.
31 cl, 7 dwg
FIELD: medical engineering.
SUBSTANCE: device has passages near the eyes, allowing to lower aerosol medical product inertia in paranasal zones. It leads to sedimented aerosol quantity reduction near the eyes as a result of inertial collisions.
EFFECT: reduced sedimented aerosol quantity in paranasal zones.
20 cl, 15 dwg
FIELD: medical engineering.
SUBSTANCE: device has rigid mask of 0.8 l by volume. Nose, mouth and chin are introduced into the mask. The mask has articulated support member attached to it for having rest on the nose. Rubber member movable in fastening mask holes is available for fixing the mask on head. Space between the mask and face and pressure against the face are controlled with the movable member.
EFFECT: facilitated breathing mixture selection.
2 cl, 1 dwg
SUBSTANCE: method involves after performance of spinal anesthesia applying sedation with the subsequent installation laryngeal masks. Then controllable mechanical ventilation of lungs is carried out without total myorelaxation in CMV-mode with respiratory volume of 6-8 ml/kg of body weight, peak flow rate of 50-65 l/min when using rectangular pattern of gas mixture supply or 65-85 l/min when using descending pattern of gas mixture supply. Inhalation-to-exhalation ratio is equal to 1:1.3-1:1.7, oxygen fraction on inhaling FiO2 is 0.25-0.3, compulsory breathing frequency is 10-16 breathings per 1 min, positive base pressure at the end of exhalation is equal to 3-4 cm of water column. Laryngeal mask is removed at the end of operation and auxiliary noninvasive ventilation of lungs is applied using air-oxygen mixture through facial mask in pressure breathing support mode of PSV. Thus, breathing support pressure is equal to 10-15 cm of water column. Oxygen fraction on inhaling FiO2 is equal to 0.25-0.3, positive pressure at the end of exhalation is equal to 2 3 cm of water column, trigger sensitivity is 2-3 l/min. Respiratory support is carried out until respiratory volume achieves the level not less than 6-7 ml/kg of body weight.
EFFECT: prevented negative effects accompanying total myorelaxation and trachea intubation anesthesia; fast respiratory rehabilitation of patients after operation.
SUBSTANCE: method involves applying sedation and setting laryngeal mask after having done epidural anesthesia. Next, controlled mechanical lung ventilation is carried out without total myorelaxation being applied in CMV mode selecting respiration volume being equal to 6-8 ml/kg of body weight, peak flow value of 50-65 l/min in applying rectangular gas mixture injection mode or 65-85 l/min in applying descending gas mixture injection mode. Inspiration-to-expiration ratio is selected 1:1.3-1:1.7, oxygen fraction FiO2 in inhaling being equal to 0.25-0.3, forced breathes frequency equal to 10-16 per 1 min, basic positive pressure value at the expiration end being equal to 3-4 cm of water column. The operation being over, the laryngeal mask is removed and auxiliary non-invasive lung ventilation with air and oxygen mixture is applied via facial mask in breathing support mode with PSV pressure. The support pressure is equal to 10-15 cm of water column on inhaling, oxygen fraction FiO2 in inhaling being equal to 0.25-0.3, positive pressure value at the expiration end being equal to 2-3 cm of water column, trigger sensitivity being 2-3 l/min. Respiration support is continued until respiration volume is not less than 6-7 ml/kg of body weight.
EFFECT: reduced risk of negative consequences; accelerated respiratory rehabilitation.
SUBSTANCE: method involves applying sedation and setting laryngeal mask after having done combined spinal epidural anesthesia. Next, controlled mechanical lung ventilation is carried out without total myorelaxation being applied in CMV mode selecting respiration volume being equal to 6-8 ml/kg of body weight, peak flow of 50-65 l/min in applying rectangular gas mixture injection mode or 65-85 l/min in applying descending gas mixture injection mode. Inspiration-to-expiration ratio is selected 1:1.3-1:1.7, oxygen fraction FiO2 in inhaling being equal to 0.25-0.3, forced breathes frequency equal to 10-16 per 1 min, basic positive pressure value at the expiration end being equal to 3-4 cm of water column. The operation being over, the laryngeal mask is removed and auxiliary non-invasive lung ventilation with air and oxygen mixture is applied via facial mask in breathing support mode with PSV pressure. The support pressure is equal to 10-15 cm of water column on inhaling, oxygen fraction FiO2 in inhaling being equal to 0.25-0.3, positive pressure value at the expiration end being equal to 3-4 cm of water column, trigger sensitivity being 2-3l/min. Respiration support is continued until respiration volume is not less than 6-7 ml/kg of body weight.
EFFECT: reduced risk of negative consequences; accelerated respiratory rehabilitation.
FIELD: medical equipment.
SUBSTANCE: invention is intended for application in drug administration under pressure, e.g. in aerosol drug administration system. In one version, face mask includes at least partially deformed case with surface contacting patient's face, nose bridge zone made in the upper case part, lower bent section where part of case is bent for positioning over face, and two holes in eye area at different sides of nose bridge. When the mask is placed over patient's face, the holes can be positioned over patient's eyes. Case is shaped so as the lower bent part is at least partially creased when mask is placed over face, and eye holes can form gap remaining open between internal edge of the hole and face part below eyes to provide outlet for mask placed over face with at least partial crease of lower bent section.
EFFECT: facial masks in different implementation version reduce aerosol particle inertia in areas close to nose, thus reducing amount of aerosol drug precipitation in eye area in the result of inertial sedimentation impact, while aerosol drug flow in mask cavity is maintained at level required for efficient drug supply to respiratory system of patient.
33 cl, 23 dwg, 1 tbl, 2 ex
SUBSTANCE: invention concerns medicine, namely anaesthesiology, and can be used as anaesthetic means in laparoscopic gynaecologic operations in women of reproductive age. It is ensured by spinal anaesthesia that is followed by sedation with midazolam and propofol, and laryngeal masking ProSeal. Thereafter carbodioxyperitoneum is formed, while the patient is moved in Trendelenburg's position.
EFFECT: method allows providing adequate anaesthesia both in ALV and assisted respiration conditions without using muscle relaxants and narcotic analgesic with minimising the negative effect of intraabdominal hypertension owing to carbodioxyperitoneum.
2 tbl, 1 ex
SUBSTANCE: invention concerns medicine and can be used in treating the diseases accompanied with chronic tissue hypoxy. That is ensured by breathing of hypercapnic respiratory mixture created by the patient by mixing the proper exhaled and atmospheric inhaled air in a respiratory device representing a mixing chamber mask of capacity 0.8 litres. A mask is put on to the patient's face with embedding nose, mouth and chin and fixing so that to ensure free breathing, and adjusting the gaps the face and mask, herewith preventing air drags. A mask is individually matched for each patient depending on the rest exhalation volume. Its capacity shall be 100-150%, and dimensions shall not impede sight and head movements of the patient. The mask breathing is continuous to enable normal ventilation indicated by improved health state and achieved time of after-exhalation rest breath-holding 40-60 seconds.
EFFECT: method allows for considerable reduction of chronic tissue hypoxy due to continuous inhalation of the hypercapnic mixtures regardless of the environment.
SUBSTANCE: for treatment patients with hypogonadism with obstructive sleep apnea syndrome before substitutive therapy with androgens CPAP- therapy is carried out. After that CPAP- therapy is realised simultaneously with therapy with testosterone medications until its normal level is recovered.
EFFECT: method allows to carry out substitutive therapy of hypogonadism in patients with syndrome of obstructive sleep apnea, who have relative contraindications to administering androgens.
3 cl, 3 tbl, 1 ex