Auto-fit mask

Abstract

Devices and systems with methods for detecting a sealing condition between a patient interface and a patient, and adjusting the patient interface to maintain the patient interface in sealing contact with the patient. The patient interface may include a sealing structure to form a seal on the patient, and a positioning structure to secure the sealing structure to the patient. The patient interface may include a sensor coupled to the sealing structure. A processor determines the sealing condition between the sealing structure and the patient based on a signal from the sensor, and adjusts at least one of the sealing structure and the positioning structure to maintain the sealing structure in sealing contact with the patient. A prediction system predicts a leak between the sealing structure and the patient based on the sensor signal. A learning system learns how to fit the sealing structure to the patient to form a seal.

Description

1 CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application claims the benefit of U.S. Provisional Patent Application No. 62 / 018,025, filed on Jun. 27, 2014, the disclosure of which is incorporated herein in its entirety by reference.2 BACKGROUND OF THE TECHNOLOGY2.1 Field of the Technology[0002]The present technology relates to a patient interface designed for respiratory-related therapies. In particular, the present technology relates to an auto-fit patient interface, such as a mask, that fits a user automatically with minimal or no user interaction.2.2 Description of the Related Art2.2.1 Human Respiratory System and its Disorders[0003]The respiratory system of the body facilitates gas exchange. The nose and mouth form the entrance to the airways of a patient.[0004]The airways include a series of branching tubes, which become narrower, shorter and more numerous as they penetrate deeper into the lung. The prime function of the lung is gas exchange, allowing oxygen to move from ...

AI Technical Summary

Benefits of technology

The technology described in this patent is about improving the comfort, cost, efficacy, ease of use, and manufacturability of medical devices used to diagnose, ameliorate, treat, or prevent respiratory disorders. Specifically, the technology addresses the issue of drying out airways when delivering air without humidification, and the use of a humidifier with a specialized device and patient interface to minimize dryness and increase comfort. Additionally, the technology includes a processor that can predict leaks and adjust for patient orientation, and a piezoelectric element that improves the sealing of the patient interface by stimulating the sealing structure with electricity.

Problems solved by technology

It often causes excessive daytime somnolence, and it may cause cardiovascular disease and brain damage.

It is possible that CSR is harmful because of the repetitive hypoxia.

In some patients CSR is associated with repetitive arousal from sleep, which causes severe sleep disruption, increased sympathetic activity, and increased afterload.

Symptoms include dyspnea, morning headache and excessive daytime sleepiness.

Some NMD patients are characterised by progressive muscular impairment leading to loss of ambulation, being wheelchair-bound, swallowing difficulties, respiratory muscle weakness and, eventually, death from respiratory failure.

Symptoms of respiratory failure in NMD include: increasing generalised weakness, dysphagia, dyspnea on exertion and at rest, fatigue, sleepiness, morning headache, and difficulties with concentration and mood changes.

Chest wall disorders are a group of thoracic deformities that result in inefficient coupling between the respiratory muscles and the thoracic cage.

Scoliosis and / or kyphoscoliosis may cause severe respiratory failure.

Symptoms of respiratory failure include: dyspnea on exertion, peripheral oedema, orthopnea, repeated chest infections, morning headaches, fatigue, poor sleep quality and loss of appetite.

Treatment of OSA by nasal CPAP therapy may be voluntary, and hence patients may elect not to comply with therapy if they find devices used to provide such therapy one or more of uncomfortable, difficult to use, expensive or aesthetically unappealing.

For other forms of therapy, such as the delivery of oxygen, the patient interface may not include a seal sufficient to facilitate delivery to the airways of a supply of gas at a positive pressure of about 10 cmH2O.

The design of a patient interface presents a number of challenges.

As a consequence of these challenges, some masks suffer from being one or more of obtrusive, aesthetically undesirable, costly, poorly fitting, difficult to use, and uncomfortable especially when worn for long periods of time or when a patient is unfamiliar with a system.

For example, masks designed solely for aviators, mask designed as part of personal protection equipment (e.g. filter masks), SCUBA masks, or for the administration of anaesthetics may be tolerable for their original application, but nevertheless be undesirably uncomfortable to be worn for extended periods of time, e.g. several hours.

This discomfort may lead to a reduction in patient compliance with therapy.

If a mask is uncomfortable, or difficult to use a patient may not comply with therapy.

Since it is often recommended that a patient regularly wash their mask, if a mask is difficult to clean (e.g. difficult to assemble or disassemble), patients may not clean their mask and this may impact on patient compliance.

This approach has several flaws, such as latency and inability to identify the exact position of leakage.

As a result, this approach cannot provide explicit instructions to the patient regarding how to adjust the patient interface to stop leakage.

This approach also cannot automatically adjust the patient interface to stop the leakage without patient involvement.

As a result, when the patient is asleep, adjustment to the patient interface cannot be performed.

A seal-forming portion that may be effective in one region of a patient's face may be inappropriate in another region, e.g. because of the different shape, structure, variability and sensitivity regions of the patient's face.

For example, a seal on swimming goggles that overlays a patient's forehead may not be appropriate to use on a patient's nose.

Like the previous style of seal forming portion, if the match between the face and the mask is not good, additional force may be required to effect a seal, or the mask may unintentionally leak.

Furthermore, if the shape of the seal-forming portion does not match that of the patient, it may crease or buckle in use, giving rise to unintentional leaks.

Another type of seal-forming portion may comprise a friction-fit element, e.g. for insertion into a naris, however some patients find these uncomfortable.

Some patients may find it inconvenient to constantly apply and remove an adhesive to their face.

However these may be uncomfortable for some.

Many such harnesses suffer from being one or more of ill-fitting, bulky, uncomfortable and awkward to use.

Many such vents are noisy.

Others may block in use and provide insufficient washout.

However, air pressure generators for medical applications have particular requirements not fulfilled by more generalised air pressure generators, such as the reliability, size and weight requirements of medical devices.

In addition, even devices designed for medical treatment may suffer from shortcomings, including one or more of comfort, noise, ease of use, efficacy, size, weight, manufacturability, cost, and reliability.

An example of the special requirements of certain RPT devices is acoustic noise.

Delivery of a flow of air without humidification may cause drying of airways.

A range of artificial humidification devices and systems are known, however they may not fulfil the specialised requirements of a medical humidifier.

Room-based systems (e.g. a sauna, an air conditioner, an evaporative cooler), for example, may also humidify air that is breathed in by the patient, however they would also humidify and / or heat the entire room, which may cause discomfort to the occupants.

Furthermore medical humidifiers may have more stringent safety constraints than industrial humidifiers

Some medical humidifiers may provide inadequate humidification, some are difficult or inconvenient to use by patients.

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