Puritan-bennett Corporation

Other

Nellcor Puritan Bennett Incorporated

New York University

Roger A Gruenke

Russell L Trimble

David M Rapoport

Robert G Norman

Marilyn S Wyble

James A Snook

Steven W Loethen

Christopher D Lasnier

Jiri G Orlt

A diagnostic device having a nose fitting used without connection to a breathing gas supply for obtaining flow data values at ambient pressure. The nose fitting is connected to a pressure or flow sensor that supplies data values to a microprocessor. The detection and measurement of breathing gas flow is made from a tight sealing nose fitting (mask or prongs) configured with a resistive element inserted in the flow stream as breathing gas exits from and enters into the fitting. The nasal fitting is further provided with a port for connection to a flow or pressure transducer. The resistive element causes a pressure difference to occur between the upstream side and the downstream side when air flows through the element. The data values may be stored in computer memory to be analyzed for flow limitations.

Method and apparatus for optimizing the continuous positive airway pressure for treating obstructive sleep apnea

In the treatment of obstructive sleep apnea, a method and apparatus are disclosed for optimizing the controlled positive pressure to minimize the flow of air from a flow generator while still ensuring that flow limitation in the patient's airway does not occur. In particular, the invention relates to a breathing device and method of use to adjust a controlled positive pressure to the airway of a patient by detecting flow limitation from analysis of an inspiratory flow waveform. Once the presence of flow limitation has been analyzed, the system determines an action to take for adjustment of the controlled positive pressure. The pressure setting is raised, lowered or maintained depending on whether flow limitation has been detected and on the previous actions taken by the system. The preferred breathing apparatus consists of a flow generator, a flow sensor, an analog to digital converter, a microprocessor, and a pressure controller, a patient supply hose, a nasal fitting, and, optionally, a pressure transducer. Using the method of the present invention, the microprocessor adjusts the air pressure in the patient supply hose when flow limitation is detected in the airway of the patient.

A motion transducer is embedded in a section of cable interconnecting a primary medical sensor with associated electronics. By affixing the section containing the transducer to a portion of a patient's anatomy, information relating to the parameter of primary concern as well as the patient's activity can be gathered without the complexity normally associated with instrumenting a patient for the acquisition of such data.

Integrated activity sensor

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.

Method and apparatus for maintaining patient airway patency

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

Inspiratory airway pressure system using constant pressure and measuring

In the treatment of obstructive sleep apnea a method and apparatus are disclosed for optimizing the controlled positive pressure to minimize the flow of air from a flow generator while still ensuring that flow limitation in the patient's airway does not occur. In particular, the invention relates to a breathing device and method of use to adjust a controlled positive pressure to the airway of a patient by detecting flow limitation from analysis of an inspiratory flow waveform. Once the presence of flow limitation has been analyzed, the system determines an action to take for adjustment of the controlled positive pressure. The pressure setting is raised, lowered or maintained depending on whether flow limitation has been detected and on the previous actions taken by the system. The preferred breathing apparatus consists of a flow generator, a flow sensor, an analog to digital converter, a microprocessor, and a pressure controller, a patient supply hose, a nasal fitting, and, optionally, a pressure transducer. Using the method of the present invention, the microprocessor adjusts the air pressure in the patient supply hose when flow limitation is detected in the airway of the patient.

Method and apparatus for optimizing the continuous positive airway

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.

Growing community of inventors

Overland Park, KS, United States of America

Roger A Gruenke