Puritan-bennett Corporation

Other

James A Snook

Russell L Trimble

Marilyn S Wyble

Roger A Gruenke

Thomas W Nelson

Steven W Loethen

Christopher D Lasnier

Jiri G Orlt

An apparatus and method for facilitating the respiration of a patient are disclosed which are particularly useful in treating mixed and obstructive sleep apnea and certain cardiovascular conditions, among others, by increasing nasal air pressure delivered to the patient's respiratory passages just prior to inhalation and by subsequently decreasing the pressure to ease exhalation effort. The preferred apparatus includes a patient-coupled gas delivery device for pressurizing the patient's nasal passages at a controllable pressure, and a controller coupled with the delivery device having a pressure transducer for monitoring the nasal pressure and a microcontroller for selectively controlling the nasal pressure. In operation, the controller determines a point in the patient breathing cycle just prior to inhalation and initiates an increase in nasal pressure at that point in order to stimulate normal inhalation, and subsequently lowers the nasal pressure to ease exhalation efforts. The invention further comprises an apparatus for compensating variances in a circuit used for supplying airway pressure to a patient's airway having a sensor proximal to a pneumatic circuit connection for ascertaining a circuit characteristic and producing a signal value representative thereof, as well as a memory storing a look-up table containing empirical values corresponding to known variances of pneumatic circuit connections and signal processor receiving and comparing the signal value with the empirical values to ascertain a deviation value, and a controller connected to the signal processor and source of breathing gas to control delivery of breathing gas in accordance with the deviation value an apparatus for compensating variances in a circuit used for supplying airway pressure to a patient's airway having a sensor proximal to a pneumatic circuit connection for ascertaining a circuit characteristic and producing a signal value representative thereof, as well as a memory storing a look-up table containing empirical values corresponding to known variances of pneumatic circuit connections and signal processor receiving and comparing the signal value with the empirical values to ascertain a deviation value, and a controller connected to the signal processor and source of breathing gas to control delivery of breathing gas in accordance with the deviation value.

Apparatus for compensating for flow and pressure variances in pneumatic

An apparatus and method for facilitating the respiration of a patient detects patient airway sounds and resolves these sounds into audio component bands whereupon an analysis is performed to produce a trend value. In response, a pressure action is determined using the trend value for controlling the pressure delivered to a patient for preventing the onset of obstructive apnea.

Inspiratory airway pressure system controlled by the detection and

An apparatus and method for facilitating the respiration of a patient are disclosed which are particularly useful in treating mixed and obstructive sleep apnea and certain cardiovascular conditions, among others, by increasing nasal air pressure delivered to the patient's respiratory passages just prior to inhalation and by subsequently decreasing the pressure to ease exhalation effort. The preferred apparatus includes a patient-coupled gas delivery device for pressurizing the patient's nasal passages at a controllable pressure, and a controller coupled with the delivery device having a pressure transducer for monitoring the nasal pressure and a microcontroller for selectively controlling the nasal pressure. In operation, the controller determines a point in the patient breathing cycle just prior to inhalation and initiates an increase in nasal pressure at that point in order to stimulate normal inhalation, and subsequently lowers the nasal pressure to ease exhalation efforts.

Inspiratory airway pressure system with admittance determining apparatus

A reliable, pulse-flow supplemental oxygen apparatus for alleviating respiratory ailments is provided which yields substantial savings in oxygen while giving the patient the physiological equivalent of a prescribed continuous stream of oxygen. The apparatus preferably includes a demand oxygen valve operated in a pulse mode by means of electronic control circuitry which, through an appropriate sensor, monitors the patient's breathing efforts and gives a variable 'custom tailored' pulse volume of oxygen to the patient during the very initial stages of each inspiration.

Inspiration oxygen saver

A reliable, pulse-flow supplemental oxygen apparatus for alleviating respiratory ailments is provided which yields substantial savings in oxygen while giving the patient the physiological equivalent of a prescribed continuous stream of oxygen. The apparatus preferably includes a demand oxygen valve operated in a pulse mode by means of electronic control circuitry which, through an appropriate sensor, monitors the patient's breathing efforts and gives a variable 'custom tailored' pulse volume of oxygen to the patient during the very initial stages of each inspiration. Pulse volume variability is based upon a measured parameter characterizing at least a part of one and preferably a plurality of the patient's preceding breaths; advantageously, the elapsed time interval of the patient's three preceding breath cycles is measured to effectively measure breath rate. These breath-characterizing parameters, together with data characterizing the prescribed continuous oxygen flow to be matched, enable the apparatus to give the desired 'on the go' dose variability. The apparatus is also designed to revert to conventional, continuous-flow operation upon a power failure or circuit malfunction, and for this purpose a specialized dual flow control restrictor valve is provided in the form of the invention designed for hospital use. In the event of abnormally low or high breath rates on the part of the patient, the device automatically delivers a relatively long continuous pulse, then stops to again sample the breath rate. If the rate is normal, the usual pulse flow operation is resumed; if the rate remains abnormal, the long pulse volume-rate sampling is repeated. Actual tests with the apparatus hereof demonstrate an oxygen saving of over 50% as compared with continuous flow regimens.

A reliable, pulse-flow supplemental oxygen apparatus for alleviating respiratory ailments is provided which yields substantial savings in oxygen while giving the patient the physiological equivalent of a prescribed continuous stream of oxygen. The apparatus preferably includes a demand oxygen valve operated in a pulse mode by means of electronic control circuitry which, through an appropriate sensor, monitors the patient's breathing efforts and gives a variable 'custom tailored' pulse volume of oxygen to the patient during the very initial stages of each inspiration. Pulse volume variability is based upon a measured parameter characterizing at least a part of one and preferably a plurality of the patient's preceeding breaths; advantageously, the elapsed time interval of the patient's three preceding breath cycles is measured to effectively measure breath rate. These breath-characterizing parameters, together with data characterizing the prescribed continuous oxygen flow to be matched, enable the apparatus to give the desired 'on the go' dose variability. The apparatus is also designed to revert to conventional, continuous-flow operation upon a power failure or circuit malfunction.

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Overland Park, KS, United States of America

James A Snook