Respironics, Inc.

Ric Investments, Inc.

Mark H Sanders

Ronald J Zdrojkowski

Eugene Nelson Scarberry

Eric William Starr

Mark C Estes

Lance Ranard Busch

Shari S Barnett

Bernie F Hete

Robert Rogers

Eric Ayers

Donald S Wilczek

James A Scull

Patrick M Handke

Mark F Sauerburger

Jaroslaw Zarychta

Gregory L Walker

A method and apparatus for monitoring changes in the intra-thoracic pressure of a patient due to the patient's respiratory activity or volumetric changes in the extra-thoracic arterial circulatory system due to cardiac function based on the changes in pressure in the patient's extra-thoracic arterial circulatory system as measured by a plethysmography sensor, such as an photoplethysmograph. A frequency spectrum is generated for the plethysmograph signal and the frequencies of interest is isolated from the frequency spectrum by setting appropriate cutoff frequencies for the frequency spectrum. This isolated frequency is used to filter the plethysmograph signal to provide a signal indicative of the patient's respiratory activity or cardiac function.

Apparatus and method for monitoring pressure related changes in the extra-thoracic arterial circulatory system

A method and apparatus for monitoring changes in the intra-thoracic pressure of a patient due to the patient's respiratory activity or volumetric changes in the extra-thoracic arterial circulatory system due to cardiac function based on the changes in pressure in the patient's extra-thoracic arterial circulatory system as measured by a plethysmography sensor, such as an photoplethysmograph. A frequency spectrum is generated for the plethysmograph signal and the frequencies of interest is isolated from the frequency spectrum by setting appropriate cutoff frequencies for the frequency spectrum. This isolated frequency is used to filter the plethysmograph signal to provide a signal indicative of the patient's respiratory activity or cardiac function. For corrections for breathing frequency roll-off and deviations of the I:E ratio from 1:1.

An apparatus for selectively positioning intraoral anatomic features of a human patient to enhance upper airway stability for use alone or in combination with positive airway pressure as therapeutic treatment for obstructive sleep apnea and other conditions, such as snoring, which are symptomatic of upper airway instability.

Intraoral apparatus for enhancing airway patency

An improved methodology and systems for delivery of breathing gas such as for the treatment of obstructive sleep apnea through application of alternating high and low level positive airway pressure within the airway of the patient with the high and low airway pressure being coordinated with the spontaneous respiration of the patient, and improved methods and apparatus for triggering and for leak management in such systems.

Breathing gas delivery method and apparatus

An improved methodology and systems for delivery of breathing gas such as for the treatment of obstructive sleep apena through application of alternating high and low level positive airway pressure within the airway of the patient with the high and low airway pressure being coordinated with the spontaneous respiration of the patient, and improved methods and apparatus for triggering and for leak management in such systems.

A monitoring catheter that inserts into the patient's esophagus alone or in combination with an existing catheter, such as a feeding or aspiration tube. The monitoring catheter includes a pair of EMG electrodes on an exposed surface that contact the patient's esophageal wall to measure the activity of the diaphragm and/or a pair of pressure detecting mechanisms that measure the pressures within the patient at separate locations. The electrodes are sized and spaced from one another so as to maximize detection of diaphragm muscle activity while minimizing detection of noise. The pressure detecting mechanisms are sized and spaced apart to measure the patient's esophageal and gastric pressures, for example. If necessary, an attaching mechanism secures at least a portion of the monitoring catheter to the existing catheter so that the monitoring catheter uses the existing catheter as a tracking guide.

Monitoring catheter and method of using same

An improved methodology and apparatus for delivery of breathing gas such as fop the treatment of sleep apnea through application of alternating high and low level positive airway pressure within the airway of the patient with the high and low airway pressure being coordinated with the spontaneous respiration of the patient.

A method of treating sleep apnea by the novel application of pressure varying from ambient pressure to external portions of a patient's neck, and a novel breathing mask seal apparatus.

Pressure application method

An improved methodology and apparatus for the treatment of sleep apnea through application of alternating high and low level positive airway pressure within the airway of the patient with the high and low airway pressure being coordinated with the spontaneous respiration of the patient.

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Wexford, PA, United States of America

Mark H Sanders