Abstract: A process and a signal processing unit determine a pneumatic parameter (Pmus) for the spontaneous breathing of a patient. The patient is ventilated mechanically by a ventilator. A lung-mechanical model (20) and a gradient model (22) are preset. The lung-mechanical model (20) describes a relationship between the pneumatic parameter (Pmus) as well as a volume flow signal (Vol?), a volume signal (Vol) and/or a respiratory signal (Sig), which can be measured. The gradient model (22) describes a value for the pneumatic parameter (Pmus) as a function of N chronologically earlier values of the pneumatic parameter (Pmus) or of a variable correlating with the pneumatic parameter (Pmus). N values for the correlating variable are determined at first. At least one additional value is subsequently determined for the pneumatic parameter (Pmus). N chronologically earlier values of the correlating variable, current signal values, the lung-mechanical model (20) and the gradient model (22) are used for this purpose.

Abstract: A process and apparatus monitor a ventilator (100). The ventilator (100) performs supportive artificial ventilation including a sequence of ventilation strokes, with the objective that each inspiration effort of the patient (Pt) triggers a ventilation stroke and the start and the end of the ventilation stroke coincide with the start and the end of the inspiration effort, respectively. A monitoring unit (11) detects deviations between the patient's own inspiratory efforts and the artificial ventilation and determines a respective measure for the respective frequency and/or duration for different possible asynchrony types.

Abstract: A device for determining a patient component of an exchange of gas of a patient being ventilated, a measuring device or ventilation device with such a device for determining a patient component of an exchange of gas of a patient being ventilated, a process as well as to a computer program determine a patient component of an airway flow of a ventilation gas of a patient being ventilated. A determination of a patient component of an airway flow of a ventilation gas of a patient being ventilated are described. The determination includes an implementation with a signal processor, of forms a high-pass characteristic.

Abstract: A process and a device determine an indicator of an intrinsic end-expiratory pressure in the lungs of a patient. Embodiments are based on the device, ventilator with the device, and the process using the device that includes an interface arrangement configured for an exchange of information with a ventilation device and a control unit that determines first information on a first breathing pressure generated by muscles of the patient, at a first time, at which an inhalation attempt of the patient is present and determines second information on a second breathing pressure generated by the muscles of the patient, at a second time, at which breathing gas flow towards the patient starts. The control unit further determines the indicator of the intrinsic end-expiratory pressure based on the first information and based on the second information.

Abstract: Process/unit for determining intrinsic breathing activity of a ventilated patient. The process/unit carries out a first ventilating operation, in which a ventilator parameter at a first setting. The process/unit generates a first set of signal values as a function of measured values, which were measured at the first setting. A first breathing activity value is derived using a predefined lung mechanical model and the first set of signal values. The process/unit calculates a value for the reliability that the first breathing activity value agrees with the corresponding actual breathing activity value. Depending on this reliability assessment, the process/unit checks whether a predefined triggering criterion is met. If this criterion is met, then the process/unit triggers a change step, in which the ventilator parameter is set at a second setting. It carries out an additional ventilating operation, in which the ventilator parameter is set at the second setting.

Abstract: A process and a signal processing unit for determining a first pneumatic indicator (Pmus,1) and a second pneumatic indicator (Pmus,2) for the breathing activity of a patient, wherein the two values describe the activity of two different regions of the respiratory system. In one alternative of the present invention, two respiratory signals (Sig1, Sig2) are generated from measured values. The two values (Pmus,1, Pmus,2) are determined with the use of these respiratory signals (Sig1, Sig2) and of a predefined function (Fkt) and of predefined relationships (Zus1, Zus2).

Abstract: A process and a signal processing unit (5) approximately detect a respective characteristic heartbeat time {H_Zp[f](x), H_Zp[s](x1), . . . , H_Zp[s](xN)} per heartbeat for a sequence of heartbeats of a patient (P). A sensor array (2.1, 2.2) sends at least one sum signal [SigSum(1), SigSum(2)], which results from a superimposition of a cardiogenic signal and of a respiratory signal. A first detector (25.1) calculates a respective first detection result for each characteristic heartbeat time, and a second detector (25.2, . . . ) calculates a second detection result. The first detector (25.1) analyzes a different sum signal and/or applies a different method of analysis than the second detector (25.2, . . . ). The signal processing unit (5) calculates a respective estimation (representation) for each heartbeat time and uses this estimation as the characteristic heartbeat time. The signal processing unit (5) uses a first detection result and a second detection result to calculate the estimation.

Abstract: A device, a process and a computer program influence the breathing of a person. The device (10) for influencing the inspiratory muscles of a person (20) includes a detection device (12) for detecting an electromyographic signal of the person; a breathing influencing device (14) and a control device (16) for controlling the detection device (12) and the breathing influencing device (14). The control device (16) is configured to determine information on a muscle state of an inspiratory muscle of the person (20) on the basis of the electromyographic signal. The control device (16) is further configured to operate the breathing influencing device (14) as a function of the information on the muscle state in a training mode, which is limited in time, with a training intensity.

Abstract: A device provides a first data signal that indicates an activity of at least one muscle of a patient that is relevant for an inspiratory breathing effort and a second data signal that indicates an activity of at least one muscle of the patient that is relevant for an expiratory breathing effort. The data signals are generated from electromyography (EMG) signals detected by surface electromyography sensors. A computer is configured to determine breathing phase information on the basis of a breathing signal and to check at least one of the electromyography signals or at least one of the separated signals for detectability of a heart signal component and further to assign the signals to an inspiratory breathing activity as well as to an expiratory breathing activity of the patient as a function of the breathing phase information.

Abstract: A measured signal amplifier (1) amplifies an EMG sensor signal (E). The measured signal amplifier (1) includes a sensor interface (2) for receiving the EMG sensor signal (E), at least one device interface (3) for receiving an electrical energy signal as well as for transmitting a processed signal (V), an electrically chargeable energy storage device (4) and at least one computer (5). The computer (5) is configured to derive a processed signal (V) from the EMG sensor signal (E) and to control the charging of the energy storage device (4) by the electrical energy signal as a function of the EMG sensor signal (E) received from the sensor interface (2).

Abstract: A process and a signal processing unit determine a pneumatic parameter (Pmus) for the spontaneous breathing of a patient. The patient is ventilated mechanically by a ventilator. A lung-mechanical model (20) and a gradient model (22) are preset. The lung-mechanical model (20) describes a relationship between the pneumatic parameter (Pmus) as well as a volume flow signal (Vol?), a volume signal (Vol) and/or a respiratory signal (Sig), which can be measured. The gradient model (22) describes a value for the pneumatic parameter (Pmus) as a function of N chronologically earlier values of the pneumatic parameter (Pmus) or of a variable correlating with the pneumatic parameter (Pmus). N values for the correlating variable are determined at first. At least one additional value is subsequently determined for the pneumatic parameter (Pmus). N chronologically earlier values of the correlating variable, current signal values, the lung-mechanical model (20) and the gradient model (22) are used for this purpose.

Abstract: A device, for the pressure-supported or pressure-controlled ventilation of a patient with reduced spontaneous breathing, has a ventilator unit to supply a breathing air flow composed of cyclical ventilation strokes and a control unit generating a control signal to set a pressure and/or a volume flow of the breathing air flow. An EMG unit generates an EMG signal, which may be used as a basis for generating the control signal as a function of a breath of the patient. A unit for analyzing an EMG signal is provided, which analyzes at least one EMG signal recorded during an already concluded breath of the patient. The control unit is configured such that the ventilator unit control signal can be generated, at least at times, by taking into account the analysis of the EMG signal recorded during an already concluded breath of the patient.

Abstract: A device for detecting electric potentials of the body of a patient has measuring electrode inputs (Y1, . . . , Yn) connected with and a plurality of outputs (A1, . . . , An) via amplifiers (Op1, . . . , Opn). A summing unit (13) is connected with the outputs and outputs a mean value of the signals (E1, . . . , En) output by the amplifiers. Common mode signals are removed from the signals (E1, . . . , En) by a subtracting unit (19) which subtracts the output of the summing unit, amplified by an amplification factor (1/?), from at least a portion of the output of the subtracting unit. The output of the subtracting unit is connected with the inputs of the amplifiers. The subtracting unit amplification factor (1/?) and an amplification (??) of the amplifiers for the output of the subtracting unit are adapted, such that the reciprocal value of the amplification factor (1/?) corresponds to the amplifiers amplification (??).

Abstract: A ventilator control signaling method includes recording an electromyogram signal of values following one another in time and transforming the electromyogram signal into an evaluation signal by applying an evaluation function. An evaluation signal value is assigned to a signal value of the electromyogram signal in the transformation. The evaluation function is determined by a main parameter set that defines which signal value of the evaluation signal is assigned to a particular signal value of the electromyogram signal when the evaluation function is applied in the transformation. A signal value height of the evaluation signal indicates whether the electromyogram signal corresponds to a first state or a second state. A control signal is generated from signal values and is set to switch a ventilator to an inhalation or an exhalation operating mode depending on the state of the evaluation signal. A ventilator is configured to perform the method.

Abstract: A device provides a first data signal that indicates an activity of at least one muscle of a patient that is relevant for an inspiratory breathing effort and a second data signal that indicates an activity of at least one muscle of the patient that is relevant for an expiratory breathing effort. The data signals are generated from electromyography (EMG) signals detected by surface electromyography sensors. A computer is configured to determine breathing phase information on the basis of a breathing signal and to check at least one of the electromyography signals or at least one of the separated signals for detectability of a heart signal component and further to assign the signals to an inspiratory breathing activity as well as to an expiratory breathing activity of the patient as a function of the breathing phase information.

Abstract: An EMG measuring system has a signal processing unit (8) and with at least one electrode (4) for measuring a potential difference in a muscle, a muscle fiber or in a skin area of a patient. At least one measured signal representing the potential difference is transmitted from the electrode (4) to the signal processing unit (8). Another signal, which is transmitted to the at least one external device (9), is generated in the signal processing unit (8) on the basis of this measured signal. A signal transmitted from the at least one external device (9) is processed by the signal processing unit (8) and at least one control signal is generated on the basis of this signal.

Abstract: A device detects electric potentials with measuring inputs (7) for connection to measuring electrodes (9), which can be placed on the body of a patient (3). Measuring amplifiers (Op1, . . . , OpN) have a first and a second input as well as an output (11). A summing unit (13, 23) is connected to the outputs of the measuring amplifiers and sends a signal proportional to a mean value of the signals of the outputs of the measuring amplifiers to an output (15, 17) of the summing unit. Each of the measuring inputs is connected to a first input of a measuring amplifier. The second input of each measuring amplifier is connected to the output (17) of the summing unit. A potential output (19) connects to an electrode and to an output of a further amplifier Opc), with an input connected to the output (15) of the summing unit.

Abstract: A respiration system for noninvasive respiration includes a respiration drive, which is controlled by a control device, and includes a patient module (4) with electrodes for picking up electrode signals from the surface of the chest of a patient. The control device is set up to suppress ECG signals in the electrode signals in order to obtain electromyographic signals (EMG signals) representing the breathing effort and to control the respiration drive as a function of the EMG signals. Provisions are made for deriving ECG signals from the electrode signals before said ECG signals are suppressed and for making data representative of the ECG available for display.

Abstract: An EMG measuring system has a signal processing unit (8) and with at least one electrode (4) for measuring a potential difference in a muscle, a muscle fiber or in a skin area of a patient. At least one measured signal representing the potential difference is transmitted from the electrode (4) to the signal processing unit (8). Another signal, which is transmitted to the at least one external device (9), is generated in the signal processing unit (8) on the basis of this measured signal. A signal transmitted from the at least one external device (9) is processed by the signal processing unit (8) and at least one control signal is generated on the basis of this signal.

Abstract: A device for detecting electric potentials includes a plurality of measuring inputs (9) for connecting to measuring electrodes (11), which can be placed on the body of a patient (3), a plurality of measuring amplifiers (Op1, . . . , OpN), and a potential output (27) for connecting to an additional electrode (31), which can be placed on the body of the patient (3), to which a preset voltage can be applied. A summing unit (17) sends a signal, which is an indicator of the mean value of the signals sent by the measuring amplifiers (Op1, . . . , OpN). A current-measuring device (29) sends a current signal, which is proportional to the current flowing through the potential output. An analyzing unit (35) is connected to receive a potential output voltage signal, the summing unit output (19) signal and the current-measuring device signal. The analyzing unit is configured to generate an impedance signal from the fed signals.