Volunteer Professionals for Medical Advancement
Progress Reports and Papers
Automatic Control of Oxygen Concentration to Premature Neonates
Robert Farrenkopf, PhD
October 9, 2002
Abstract

This subject is considered using a recently developed computer simulation that involves models of all of the system elements, namely the controller, the oxygen mixing valve, the pulse oximeter, and a filter for smoothing the oximeter's output and rejecting its occasional signal dropouts. But the heart of the simulation is the inclusion of a model for the neonate's pulmonary system, derived, for the most part, from the impressive work of Professor Fleur T. Tehrani. It involves a few empirical relationships, and appeals to fundamental laws of physics regarding mass balance of oxygen and carbon dioxide in the lungs, brain, and body tissue. Use of this simulation provides a design methodology for selecting a controller and filter configuration that is compatible with the premature neonate, and to do this without having to deal with the obstacles and risks involved in using live subjects. A multitude of parameters define the neonate pulmonary model, and these can be varied in order to test the design's robustness and limitations to a broad neonate population. Particular focus addresses the detrimental effects of an imperfect pulse oximeter, and a set of alarm situations is defined that call for the intervention of a medical professional.

This report describes the simulation and its use, and considers a particular controller and filter design that appears to work well for the neonate model described. Typical oxygen saturation (Sao2) vs. time results are presented for a variety of situations, such as what happens when the desired Sao2 is changed from one level to another, or what takes place when the baby experiences
Robert Farrenkopf



Daniel R. Florek



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