Remote diagnostics of respiratory therapy devices

Abstract

To provide a system and method for performing diagnostics on patient devices.SOLUTION: Patient devices (720) may include respiratory therapy devices that operate in accordance with instruction sets, such as software or firmware. A server (710) may maintain a database of diagnostic data (718) indicating faults in one or more of a plurality of patient devices (720). The server (710) may transmit this diagnostic data (718) to one or more computing devices (760), including identification of faults that have occurred. The server (710) may also transmit service data to the plurality of patient devices (720) in order to address the identified faults.SELECTED DRAWING: Figure 7

Description

[Technical field]

[0001] [CROSS REFERENCE TO RELATED APPLICATIONS] This application is a continuation of Australian Provisional Application No. 2014901 filed on 27 May 2014 The benefit of US Pat. No. 6,399,997 is claimed, the entire disclosure of which is incorporated herein by reference.

[0002] [Field of the Invention] 1.1(1) Technology field The technology of the present invention may be used in connection with the detection, diagnosis, treatment, prevention and amelioration of respiratory-related diseases. This relates to medical devices that can be used. [Background technology]

[0003] 1.2(2) Description of Related Art 1.2.1 The human respiratory system and its diseases The body's respiratory system facilitates gas exchange. The nose and mouth form the entrance to a patient's airways.

[0004] The airways contain a series of bronchi that become narrower and shorter the deeper they go into the lungs. The primary function of the lungs is gas exchange, moving oxygen from the air into the venous blood. The trachea divides into the left and right bronchi, which then divide into the right and left bronchi. They divide into terminal bronchioles. The bronchi form the conducting airways and do not participate in gas exchange. Further branches of the airways become respiratory bronchioles and finally alveoli. The alveolar regions of the lungs are the areas where gas exchange takes place. This is the place where the exchange of oxygen takes place and is called the respiratory zone. 'Lippincott Williams & Wilkins, 9th edition, 2011 Refer to the year of publication.

[0005] There is a wide range of respiratory disorders. Some examples of respiratory disorders include obstructive sleep apnea. (OSA), Cheyne-Stokes respiration (CSR), Obesity Hyperventilation Syndrome (OHS), Chronic Mention may be made of obstructive pulmonary disease (COPD), neuromuscular disease (NMD) or chest wall disease. .

[0006] An otherwise healthy individual may utilize the system and device to prevent the onset of a respiratory illness. This can be prevented.

[0007] 1.2.2 Treatment Nasal continuous positive airway pressure (CPAP) therapy is used to treat obstructive sleep apnea (OSA). The hypothesis is that continuous positive airway pressure acts as a pneumatic splint, blocking the soft palate and and pushing the tongue forward and away from the posterior oropharyngeal wall to prevent upper airway obstruction. This means that it is possible to do so.

[0008] Non-invasive ventilation (NIV) is a method to help patients breathe adequately and / or maintain oxygen levels in the body. To help maintain proper bell balance, some or all of the breathing work may be done to help maintain proper bell balance. Provides ventilatory support to the patient through the airway. Ventilatory support is provided via the patient interface. NIV is used to treat CSR, OHS, COPD, MD and chest wall disorders. It has come.

[0009] Invasive ventilation (IV) provides ventilatory support to patients who can no longer breathe effectively on their own. Provided using a tube incision.

[0010] The ventilator controls the timing and pressure of the breaths delivered to the patient and the breaths the patient makes. The patient control and monitoring method is usually dose-dependent. Volume-controlled ventilation includes pressure-controlled and pressure-controlled ventilation. This includes volume controlled ventilation (VC), volume regulated ventilation (VV) and volume controlled continuous mandatory ventilation (VC-CMV) techniques. Pressure-controlled methods include, among others, assist control (AC), synchronous intermittent mandatory ventilation (SIM), and V), controlled mechanical ventilation (CMV), pressure-support ventilation (PSV), continuous positive airway pressure (CPAP) or positive end-expiratory pressure (PEEP) techniques.

[0011] 1.2.3 System The therapy system consists of a respiratory pressure therapy device (RPT device), an air circuit, a humidifier, and a patient It may include interfaces and data management.

[0012] 1.2.4 Patient Interface The patient interface may, for example, facilitate breathing by providing a flow of breathable gas. The device can be used to interface a suction device to a user. The flow of breathable air is Masks to the nose and / or mouth, tubes to the mouth or tracheotomy tubes to the user's windpipe Depending on the therapy being applied, the patient interface may be The pressure at which the gas is supplied is sufficient to maintain the ambient pressure, e.g., a positive pressure of about 10 cmH2O. For example, a seal may be formed in the patient's facial area to facilitate oxygen delivery. For other therapies such as pulmonary circulation, the patient interface delivers gas at a positive pressure of approximately 10 cmH2O. The catheter may not include a seal sufficient to facilitate delivery of the catheter to the airway.

[0013] Designing a patient interface poses many challenges. The face is a complex three-dimensional shape. The size and shape of the nose varies greatly from person to person. The head is made up of bones, cartilage and soft tissues. Different areas of the face respond differently to mechanical forces. The chin or mandible is in contact with the rest of the skull. It can move in relation to the bones. The whole head can move during the course of breathing treatment.

[0014] These challenges make masks occlusive, aesthetically unpleasing, costly, and suffer from one or more of the following problems: high temperature, poor fit, and difficulty in use; This can cause wear and tear or discomfort if the patient is unfamiliar with the system. as part of a personal protective device (e.g., a filter mask) Masks designed for use in the administration of anesthesia, SCUBA masks, or other anesthetic agents are not intended to be used in the intended purpose. Tolerable to application, but undesirably uncomfortable to wear for extended periods, e.g., several hours This discomfort leads to poor patient compliance with treatment. This is especially true if you have to wear a mask.

[0015] CPAP therapy is particularly effective in treating certain respiratory conditions, as long as patients comply with the treatment. If the mask is uncomfortable or difficult to use, patients may not comply with treatment. People are often recommended to clean their masks regularly, so if you have trouble cleaning your mask, If the mask is difficult to clean (e.g., difficult to assemble or disassemble), patients may not clean their masks. This affects patient compliance.

[0016] Masks intended for other applications (e.g., aviators) are not appropriate for use in sleep-disordered breathing. Although masks designed for use with sleep-disordered breathing may not be suitable for other applications, may be suitable for

[0017] For these reasons, the patient interface for delivery of nasal CPAP during sleep is unique. It is a field.

[0018] 1.2.4.1 Seal forming part The patient interface may include a seal forming portion that is in direct contact with the patient's face. Because of the contact, the shape and configuration of the seal forming portion will affect the effectiveness and comfort of the patient interface. Can be directly influenced.

[0019] The patient interface is designed to accommodate where the seal-forming portion engages with the face during use. In one form of patient interface, the patient interface is characterized in part by a sealing type. The component can have two sub-portions, one for the left and one for the right nostril. In one form of interface, the seal-forming portion is a single piece that surrounds both nostrils during use. Such a single element may be, for example, a single element that covers the upper lip area and the bridge of the nose area of ​​the face. In one form of patient interface, the seal can be designed to The portion may be configured to surround the mouth area during use, for example to form a seal over the lower lip area of ​​the face. In one form of patient interface, the seal-forming portion may be The patient interface may consist of a single element surrounding both the nostrils and the mouth area. The different types are known by various names given by their manufacturers and include nasal masks, full face masks, and These include masks, nasal pillows, nasal sprays and oronasal masks.

[0020] The area of ​​the patient's face that will form an effective seal will vary based on the shape, structure, and variability of the patient's face. may not be suitable for other areas due to different skin and sensitivity. For example, It is not suitable for use with goggles that cover the patient's nose.

[0021] Suitable for a variety of different face shapes and sizes, comfortable and effective in one design In addition, a specific seal formation can be designed for mass production. There is a mismatch between the seal formation of the patient interface and mass-produced ) must be satisfied to form a seal.

[0022] One type of seal-forming portion extends around the periphery of the patient interface and provides a seal. The patient interface is configured to engage the patient's face when a force is applied to the patient interface. The seal-forming portion is intended to seal against the face of a person wearing the glove. The seal-forming portion may be filled with air or liquid. A molded or shaped resilient sealing element made of a padded cushion or elastomer such as rubber. This type of seal requires a good fit. If not, there will be a gap between the seal-forming portion and the face, and the face will need to be pressed against the face to achieve a seal. This requires additional force to be applied to the patient interface.

[0023] Another type of seal is a thin piece of material located near the periphery of the mask. Contains a lap seal that self-seals against the patient's face when positive pressure is applied inside the mask As with previous types of seal-forming parts, the match between the face and the mask is If the seal is not good, additional force will be required to create a seal or the mask will leak. Furthermore, if the shape of the seal-forming portion does not match that of the patient, wrinkles may form during use. This can cause the pipe to bend or become warped, resulting in leaks.

[0024] Another type of seal-forming portion may include a friction-fitting element, such as an insertion into the nostril. It can include.

[0025] Another form of seal forming part may use an adhesive to achieve the seal. Some patients find it inconvenient to constantly apply adhesive to the face and then remove it.

[0026] The following patent applications, assigned to ResMed Limited, include: Face seal forming techniques are disclosed in WO 1998 / 004,310; WO 2006 / 074,513; WO 2010 / 135,785.

[0027] One form of nasal pillow is the Adam Circui, manufactured by Puritan Bennet. Other nasal pillows or sprays are found in the Puritan-Bennet Cortez. No. 4,782,832 (Trimble et al.) assigned to poration. It is the theme.

[0028] ResMed Limited manufactured the following products that introduce nasal pillows: SWIFT (Registered Trademark) Nasal Pillow Mask, SWIFT (Registered Trademark) II Nasal Pillow Mask, SWIFT (Registered Trademark) LT Nasal Pillows Mask, SWIFT® FX Nasal Pillows Mask and LIBERTY Full Face masks. The following patent applications assigned to ResMed describe examples of nasal pillow masks: International Patent Application WO 2004 / 073,778 (in particular ResMed SWI FT® Nasal Pillows), and U.S. Patent Application No. 2009 / 0044808 (Patent Publication No. (2006) describes the features of the ResMed SWIFT® LT nasal pillow; International Patent Application WO 2005 / 063,328 and WO 2006 / 130,903 (in particular, ResMed (Describing the features of the LIBERTY full face mask); International Patent Application WO 2009 / 0 52,560 (specifically describing features of the ResMed SWIFT® FX nasal pillows).

[0029] 1.2.4.2 Positioning and stabilization The seal-forming part of the patient interface used for positive air therapy is In this way, the seal-forming portion is positioned and the face is subjected to a corresponding force of air pressure. Various techniques have been used to maintain the proper part and sealing relationship.

[0030] One technique is the use of adhesives. See, e.g., U.S. Patent Application Publication No. US2010 / 00 Please refer to No. 00534.

[0031] Other techniques include the use of one or more straps and / or stabilizing attachment bands. Most of these attachment zones have one or more non-compliant, bulky, or inconvenient features. It suffers from comfort and awkwardness issues.

[0032] 1.2.5 Respiratory Pressure Therapy (RPT) Devices One known RPT device used to treat sleep-disordered breathing is manufactured by ResMed. The S9 Sleep Therapy System is a RPT device and other An example is the ResMed Stella ventilator for adults and children. TM Series ventilators include, but are not limited to, NMD, OHS and C A wide range of patients are offered invasive and non-invasive treatments to treat a multitude of conditions, such as OPD. The RPT device also provides support for continuous breathing. It is also known as

[0033] ResMed Elisee TM 150 Ventilators and ResMed VSIII TM people Ventilators are invasive and noninvasive devices suitable for adult or pediatric patients to treat a number of conditions. These ventilators can provide support for single-use and non-invasive dependent ventilation. Provides volume and atmosphere ventilation modes for single or dual limb circuits.

[0034] RPT devices typically use a pressure source such as a motor-driven blower or compressed gas reservoir. The airway comprises a force generator and is configured to deliver a flow of air to the patient's airway. The RPT device allows a flow of air to be delivered at positive pressure to the patient's airway. , as previously described, is connected via an air circuit to the patient interface.

[0035] RPT devices also typically contain inlet filters, various sensors and microprocessors. The blower is equipped with a servo-controlled motor, vortex and In some cases, the motor brake is To overcome the inertia of the propeller, the blower speed is reduced more rapidly. Braking allows the blower to synchronize with the exhalation despite inertia. In some cases, the pressure can be increased by 100%. The generator also allows for varying the pressure delivered to the patient as an alternative to motor speed control. As a means for allowing the generated air to be exhausted to the atmosphere, a valve may be provided. The sensor may be, for example, a pressure transducer or the like, in particular a motor. Measures the tap velocity, mass flow rate and outlet pressure. The controller has integrated data extraction and may include data storage capacity, with or without display capabilities.

[0036] [Table 1]

[0037] 1.2.6 Humidifier Delivering a flow of breathable gas to a patient's airways without humidification can lead to drying of the airways. Medical humidifiers are used when needed, typically while the patient is asleep (e.g. in a hospital). The humidity of the breathable gas stream relative to the surrounding air when sitting or at rest and / or temperature. As a result, medical humidifiers are It is preferable that the device is small relative to the placement of the device, and does not humidify and / or heat the patient's surroundings. configured to humidify and / or heat a flow of breathable gas delivered to a patient; For example, room-based systems (e.g. saunas, air conditioners, evaporative Air conditioners (chillers) can also humidify and / or heat the air inhaled by the patient, but these systems The system works by humidifying and / or heating the entire room, which reduces the impact on the occupants. This can cause discomfort.

[0038] The use of a humidifier with a flow generator or RPT device and a patient interface Generates humidified air, minimizing drying of the nasal mucosa and increasing patient airway comfort In addition to cold weather, heat in and around the patient interface can cause Warm air, which is normally applied to the facial area, is more comfortable than cool air.

[0039] Respiratory humidifiers are available in many forms and are connected to the breathing device via an air circuit. The device may be a stand-alone device that is used in conjunction with an associated respiratory device or may be integrated with an associated respiratory device. The known passive humidifiers provide some relief. However, in general, thermal humidifiers provide sufficient humidity and temperature for patient comfort. Humidifiers can be used to provide hundreds of milliliters (ml) of air. A water reservoir or water tub with a capacity of 10 ... a heating element that can change the level of humidification, a control that can change the level of humidification, a flow generator or an RPT device an air inlet receiving air from the patient interface; and An air outlet adapted to be connected to an air circuit is provided.

[0040] Heated pass-over humidification is one common form of humidification used with RPT devices. In this type of humidifier, the heating element is located under the water tub and A heater plate may be incorporated that is in thermal contact with the tub. Thus, heat is transferred by conduction. The water is delivered primarily from the heater plate to the water reservoir. The air flow passes over the heated water to the water tub, resulting in This results in contained water vapor. ResMed H4i TM and H5i TM The humidifier is For use in conjunction with ResMed S8 and S9 CPAP devices, respectively. This is an example of a heated pass-over type humidifier.

[0041] Like bubble or diffuser humidifier, jet humidifier or wicking humidifier Other humidifiers may also be used. In a bubble or diffuser humidifier, the air is pumped below the water surface. The water is then conducted to the surface, allowing the bubbles to return to the surface. Jet humidifiers create a mist of water The baffle device or filter removes or evaporates particles before they leave the humidifier. Wicking humidifiers absorb water by capillary action, so Use a water-absorbent material, such as a sponge or paper, to absorb the water. The water-absorbent material should not be caught in the air stream. At least a portion of the air flow path that allows evaporation of water in the absorbent material that will be contained therein. Located in or next to such pathways.

[0042] An alternative form of humidification involves directing airflow in a first direction over a large surface area. , a CounterStage that delivers heated water in a second, opposite direction over a large surface area. Ream TM ResMed HumiCare uses technology TM Provided by D900 ResMed HumiCare TM The D900 humidifier is compatible with invasive and non-invasive It can be used with a variety of ventilators. Summary of the Invention

[0043] 2. Brief description of the technology An aspect of the present disclosure is a computer-implemented method for performing remote diagnosis in association with multiple patient devices. The method includes the steps of receiving and storing diagnostic data from a plurality of patient devices. wherein the diagnostic data is received from at least one of the plurality of patient devices. The method also includes: receiving a query for a first portion of diagnostic data relating to the device; and identifying the presence of a fault based on a first portion of the diagnostic data. The method further comprises: receiving a first portion of the diagnostic data or a step of transmitting an identified presence of a fault, wherein the diagnostic data The first portion identifies the presence of a fault associated with the first patient device. receiving an identification of service data to be transmitted to the first patient device. wherein at least a portion of the service data includes one or more identifiers. The identified service data is then stored in the first patient device. The received signal may be transmitted to the

[0044] The method for diagnostic monitoring of a medical device also includes one or more processors. receiving diagnostic data from a plurality of patient devices by detecting one or more faults associated with at least one of the plurality of patient devices; identifying the received diagnostic data to the one or more processes; storing, by the one or more processors, the diagnostic data; identifying the presence of a fault associated with the first portion of the one or more processes; a first portion of the diagnostic data and one of the plurality of patient devices by a sensor; At least one of the identified disorders associated with at least one of the and transmitting the first portion of the diagnostic data and the A service identified based on at least one of one or more identified faults transmitting the data by the one or more processors to at least one of the plurality of patient devices; The method may include a step of transmitting at least one of the diagnostic data to the remote computing of at least the first portion by one or more processors. and transmitting to at least one of the plurality of patient devices in response to transmitting to the device. The method may further include receiving an identification of service data to be provided, wherein the service data includes: At least a portion of the service data addresses the one or more identified faults. The phrase "indicating the existence of a disability" used throughout the disclosure means that the disability is The fault currently affects all devices, not just devices that are more likely to experience it. It should be noted that there exists also

[0045] According to one embodiment, the first patient device comprises a respiratory pressure treatment device. The data can be received based on the occurrence of a trigger event, and the data can be used to trigger a therapy for the patient device. Diagnostic data may also consist of operations and settings that have occurred in connection with the patient device. This may include a log of the

[0046] The disclosed method also includes providing an indication to the first patient that the service data was successfully transmitted. receiving from the device a diagnostic data indicating execution of the first service data; The method may include updating the data.

[0047] According to one embodiment, the presence of a fault is determined by determining whether one or more of the first patient devices in which the fault occurs. The patient devices may be identified based on a plurality of components. and transmitting a first portion of the diagnostic data. may include transmitting diagnostic data for the plurality of patient devices.

[0048] Another disclosed method includes a patient device that collects diagnostic data regarding the operation of the patient device. and a patient device, wherein the diagnostic data is generated in association with the patient device. The patient device also transmits diagnostic data over the network to identify the presence of a fault. It is possible to determine whether a trigger event that is to be notified has occurred. If an abnormality occurs, the patient device can transmit diagnostic data over the network. The patient device also processes identified errors and acts in accordance with the received service data. The service data can then be received to perform one or more actions.

[0049] According to one aspect, the trigger event comprises a plurality of trigger events that must be satisfied before diagnostic data is transmitted. The trigger event can also be based on a condition that The trigger event can be based on the patient finishing using the patient device. Additionally, the diagnostic data can be transmitted on a schedule.

[0050] The service data may include a first portion and a second portion, The first component operates according to a first portion of the service data, and the second component According to one embodiment, the diagnostic data includes at least one diagnostic data item. The second part is based on the patient's apnea index, hypopnea index, and apnea-hypopnea index, at least It may be related to one.

[0051] In another aspect, the service data may include data for adjusting one or more settings on a patient device. The diagnostic data may include instructions to adjust the patient device at the time the failure occurred. The identified fault may be one or more configurations of the remote computer. and the icon may be provided as an icon for display on a mobile device. can have a variable appearance that changes based on the type of fault that occurs. The step of transmitting the identified fault may include displaying the fault on a remote computing device. providing a usage icon for the patient data, the usage icon being Indicates the extent to which the device has been used.

[0052] The present disclosure also provides one or more A system is provided that includes a computing device.

[0053] 3. A brief description of the various views of the drawing The techniques of the present invention are illustrated by way of example, and not by way of limitation, in the figures of the accompanying drawings, in which: In the various figures of the accompanying drawings, like reference numerals refer to like elements. [Brief description of the drawings]

[0054] [Figure 1a] 3.1 Treatment System A system according to the present technology is shown. A patient 1000 wearing a patient interface 3000 receives a supply of air at positive pressure from an RPT device 4000 in the form of nasal pillows. Air from the RPT device is humidified in a humidifier 5000 and passed along an air circuit 4170 to the patient 1000. [Figure 1b] The system is shown to include a patient 1000 wearing a patient interface 3000, in the form of a nasal mask, receiving a supply of air at positive pressure from an RPT device 4000. Air from the RPT device is humidified in a humidifier 5000 and passed along an air circuit 4170 to the patient 1000. [Figure 1c] The system is shown to include a patient 1000 wearing a patient interface 3000, in the form of a full face mask, receiving a supply of air at positive pressure from an RPT device. The air from the RPT device is humidified in a humidifier 5000 and passed along an air circuit 4170 to the patient 1000. [Figure 2a] [3.2 Treatment] <3.2.1 Respiratory System> Shows an overview of the human respiratory system, including the nasal and oral cavities, larynx, vocal cords, esophagus, trachea, bronchi, lungs, alveolar sacs, heart, and diaphragm. [Figure 2b] 1 shows an outline of the human upper respiratory tract including the nasal cavity, nasal bones, lateral nasal cartilages, greater alar cartilage, nostrils, upper lip, lower lip, larynx, hard palate, soft palate, oropharynx, tongue, epiglottis, vocal cords, esophagus, and trachea. [Figure 2c] 3.2.2 Facial Anatomy A front view of a face with several features of surface anatomy identified, including upper lip, upper vermilion, lower vermilion, lower lip, mouth width, endocanthion, nasolabial folds, and corners of the mouth. [Figure 3a] 3.3 Patient Interfaces An example of a patient interface known in the prior art is shown. [Figure 4a] 3.4 Respiratory Pressure Therapy (RPT) Device An RPT device in accordance with one form of the present technology is shown. [Figure 4b] 1 shows a schematic diagram of the pneumatic circuitry of an RPT device in accordance with one form of the present technology, showing upstream and downstream directions. [Figure 4c] FIG. 1 shows a schematic diagram of electrical components of an RPT device in accordance with one form of the present technology. [Figure 5a] 3.5 Humidifier A humidifier according to one form of the present technology is shown. [Figure 6a][3.6 Breathing Waveform] A model of a normal breathing waveform for a sleeping human body is shown, with the horizontal axis being time and the vertical axis being the respiratory flow rate. While parameter values ​​can vary, normal breathing can have the following approximate values: tidal volume (Vt) 0.5L, inspiration time (Ti) 1.6s, peak inhalation flow (Qpeak) 0.4L / s, expiration time (Te) 2.4s, peak expiratory flow (Qpeak) -0.5L / s. The total duration of breathing (Ttot) is about 4s. A person normally breathes at a rate of about 15 breaths per minute (BPM), with a ventilation volume (Vent) of about 7.5L / s. The normal duty cycle, Ti to Ttot ratio, is about 40%. [Figure 7] 3.7 Diagnostic System An exemplary communication system 700 that may be used to monitor and service patient devices is shown. Each patient device 720 may include an RPT 4000, a humidifier 5000 and a patient interface 3000. [Figure 8] 1 illustrates a web page that may be displayed in accordance with an aspect of the present disclosure. [Figure 9] 1 illustrates a web page that may be displayed in accordance with an aspect of the present disclosure. [Figure 10] 1 illustrates a web page that may be displayed in accordance with an aspect of the present disclosure. [Figure 11] 1 illustrates a web page that may be displayed in accordance with an aspect of the present disclosure. [Figure 12] 1 illustrates a web page that may be displayed in accordance with an aspect of the present disclosure. [Figure 13] 13 shows a flowchart 1300 of operations that may be performed by the patient devices disclosed herein in association with the disclosed methods. [Figure 14] 14 illustrates a flowchart 1400 for operations that may be performed by a computing device, such as a server, disclosed herein. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0055] 4. Detailed Description of the Preferred Embodiments of the Technology of the Present Invention Before describing the technology of the present invention in more detail, it is first described herein. It should be understood that the present disclosure is not limited to the specific examples and may vary. The terminology used herein is intended to describe only the specific examples described herein. It should be understood that this is not intended to be limiting.

[0056] 4.1 Treatment system In one form, the present technology includes a device for treating respiratory disorders. The device is adapted to deliver air to the patient 1000 via an air delivery tube leading to a patient interface 3000. The device may include a flow generating device or blower for supplying pressurized air to the

[0057] 4.2 Treatment In one form, the present technique includes the steps of applying positive pressure to the entrance of the airway of a patient 1000. The present invention includes methods for treating respiratory disorders, including

[0058] 4.2.1 Nasal CPAP for OSA In one form, the present technology provides a method for treating a patient's chronic nasal airway pressure by applying nasal continuous positive airway pressure to the patient. The present invention includes a method for treating obstructive sleep apnea (OSA) in a subject.

[0059] 4.3 Patient Interface 3000 The non-invasive patient interface 3000 according to one aspect of the present technology has the following functional capabilities: In terms of aspects, the seal forming structure 3100, the plenum chamber 3200, the positioning and stabilizing 3300, vents 3400, and connection ports for connecting to the air circuit 4170. In some embodiments, the functional aspects may include one or more physical components. In some embodiments, a physical component may be provided by one or more In use, the seal-forming structure 3100 can provide the following functional aspects: The device is configured to surround the entrance to the patient's airways to facilitate the supply of air to the airways.

[0060] 4.3.1 Seal forming structure 3100 In one form of the present technology, a seal-forming structure 3100 provides a seal-forming surface; It can also provide a cushioning function.

[0061] The seal-forming structure 3100 according to the present technology is made of a soft, flexible material such as silicone. The support may be constructed from a flexible and resilient material.

[0062] In one form, the seal-forming structure 3100 includes a sealing flange and a support flange. Preferably, the sealing flange is disposed around the periphery 3210 of the plenum chamber 3200. A relatively thin film having a thickness of less than about 1 mm, for example, about 0.25 mm to about 0.45 mm, extending The support flange may be relatively thicker than the sealing flange. The support flange is disposed between the sealing flange and the peripheral edge of the plenum chamber 3200. The support flange is positioned around at least a portion of the periphery 3210. and which supports the sealing flange and causes buckling during use. During use, the sealing flange prevents the system from The system can easily accommodate pressure and acts on its base to firmly engage the face. prompt.

[0063] In one form, the seal forming portion of the non-moisture permeable patient interface 3000 comprises a pair of nasal Each nasal spray or nasal pillow is in sync with a respective nostril of the patient's nose. The devices are constructed and arranged to form a pool.

[0064] A nasal pillow according to an aspect of the present technology includes a head-mounted cone, at least a portion of which is disposed over the patient's nose. Form a seal on the underside of the leg, the flexible part of the base of the capped cone and the capped cone attached to the leg. Furthermore, the structure to which the nasal pillows of the present technology are connected is a flexible area adjacent to the base of the legs. The flexible area acts in unison to act as a universal joint structure, connecting the seat cone and the nasal pillows. It responds to both the displacement and the angular relative motion of the structure to which it is connected. For example, a truncated cone has legs It can be displaced axially towards the structure to which it is connected.

[0065] In one form, the non-invasive seal-forming portion 3000 is adapted to contact the upper lip (the upper lip) of the patient's face during use. It includes a seal forming portion that forms a seal on the casing (which is a superior lip).

[0066] In one form, the non-invasive patient interface 3000 is adapted to be attached to the patient's face and chin during use. The seal forming portion forms a seal at the portion.

[0067] 4.3.2 Plenum Chamber 3200 Preferably, the plenum chamber 3200 is in the region where a seal is formed during use. It has a periphery 3210 that is shaped to complement the contours of the average human face. During use, the peripheral edge of the plenum chamber 3200 is positioned adjacent to the adjacent surface of the face. The actual contact with the face is made by the seal-forming structure 3100. Preferably, the seal-forming structure 3100 is adapted to seal the entire periphery of the plenum chamber 3200 during use. It extends to 3210.

[0068] In one embodiment, the plenum chamber 3200 is The nasal cavity of the patient is surrounded by and / or is part of the nasal cavity (e.g., as shown in FIG. 1b). In another embodiment, the plenum chamber 3200 may be in fluid communication with the plenum The mask chamber 3200 may be a full face mask (e.g., 1c) (shown in FIG. 1c) surrounding the patient's nostrils and mouth, In another embodiment, the plenum chamber 3200 may be in fluid communication with the plenum The chamber 3200 is disposed on a portion of the patient's chest wall that is part of the nasal pillow (e.g., as shown in FIG. 29). The catheter may be in engagement with and / or fluid communication with one or more of the catheters.

[0069] 4.3.3 Positioning and stabilizing structure 3300 Preferably, the seal-forming structure 3100 of the patient interface 3000 of the present technology is held in a sealing position during use by positioning and stabilising structure 3300.

[0070] 4.4 RPT Device 4000 An exemplary RPT device 4000 that may be adapted to implement aspects of the present technology includes: It may include mechanical and pneumatic components 4100, electrical components 4200, and the like, as described herein. The present invention relates to a method for controlling a plurality of control methods and / or algorithms. The RPT device has an outer housing 4010, preferably The upper part 4012 of the outer housing 4010 and the lower part 401 of the outer housing 4010 In an alternative embodiment, the outer housing 4010 is formed in one or two parts. The RPT device 4000 may include a plurality of panels 4015. Preferably, the RPT device 4000 includes: A chassis 401 that supports one or more internal components of the RPT device 4000. 6. In one form, the pneumatic block 4020 is supported by the chassis 4016. or formed as part of the chassis 4016. The device may include bundle 4018.

[0071] The air pressure path of the RPT device 4000 includes an air inlet filter 4112, an inlet muffler 4122, a controllable pressure device 4140 (preferably Preferably, the exhaust system includes a blower 4142 and an outlet muffler 4124. A number sensor 4272 and a flow sensor 4274 are included in the pneumatic path.

[0072] The preferred pneumatic block 4020 is a pneumatic tube disposed within the outer housing 4010. Includes part of the road.

[0073] The RPT device 4000 preferably includes a power supply 4210, one or more input A power device 4220, a central controller 4230, a treatment device controller 4240, and and / or any one of the aforementioned controllers, pressure device 4140, one or more A number of protection circuits 4250, a memory 4260, a transducer 4270, a data communication interface The input / output device 4290 includes a display 4280 and one or more output devices 4290. The element 4200 may be mounted on a single printed circuit board assembly (PCBA) 4202. In an alternative embodiment, the RPT device 4000 may include one or more PCBAs 4202. It can include.

[0074] A central controller for the RPT device 4000, which may include one or more processors. The controller 4230 preferably includes a pretreatment module, a treatment engine module, a pressure control module, and and more preferably, one or more algorithms including a fault condition module. This is referred to throughout the specification. The ventilation control module may be configured with one or more of the ventilation control methods described herein. It is possible to do so.

[0075] 4.4.1 Mechanical and Pneumatic Components of the RPT Device 4100 4.4.1.1 Air filters(s) 4110 The RPT device according to one aspect of the present technology includes an air filter 4110, or Or multiple air filters 4110 may be included.

[0076] In one form, the air inlet filter 4112 is disposed in the air pressure path upstream of the blower 4142. It is located at the beginning, see Figure 4b.

[0077] In one form, an outlet air filter 4114, such as, for example, an antibacterial filter, It is disposed between the air block outlet 4020 and the patient interface 3000. See b.

[0078] 4.4.1.2 Muffler 4120 In one form of the present technology, the inlet muffler 4122 is adapted to reduce the air pressure of the blower 4142. The duct is located upstream of the duct, see FIG. 4b.

[0079] In one form of the present technology, the outlet muffler 4124 is connected to the blower 4142 and the patient inlet. 4b, the air pressure path between the interface 3000 and the airflow path 3010.

[0080] 4.4.1.3 Pressure Device 4140 In one preferred form of the present technology, a pressure device for generating a positive air flow is provided. Chair 4140 is a controllable fan 4142. For example, the fan may be one or more The impeller may include a brushless DC motor 4144 housed within a volute. The blower preferably provides a supply of air at a rate of, for example, about 120 liters / minute, 4cmH2O to approximately 20cmH2O, or in other forms up to approximately 30cmH2O It can be delivered by a range of positive pressures.

[0081] The pressure device 4140 is under the control of the treatment device controller 4240 .

[0082] 4.4.1.4 Transducer 4270 In one form of the present technology, one or more transducers 4270 are The one or more transducers 4270 are disposed upstream of the device 4140. It is constructed and positioned to measure the properties of the air at that point in the air pressure path.

[0083] In one form of the present technology, one or more transducers 4270 are Located downstream of the device 4140 and upstream of the air circuit 4170. Transducer 4270 is designed to measure the properties of the air at that point in the air pressure path. are created and deployed.

[0084] In one form of the present technology, one or more transducers 4270 It is located near the interface 3000.

[0085] 4.4.1.5 Anti-spillback valve 4160 In one form of the present technology, the anti-spillback valve is connected to the humidifier 5000 and the air pressure brake. The anti-spillback valve is disposed between the humidifier 5000 and the lock 4020. constructed and positioned to reduce the risk of leakage upstream, e.g., to the motor 4144 .

[0086] 4.4.1.6 Air Circuit 4170 In accordance with one form of the present technology, an air circuit 4170 is provided comprising a pneumatic block 4020 and a patient inlet. The interface 3000 is constructed and arranged to allow air flow between the interface 3000 and the .

[0087] 4.4.1.7 Oxygen Delivery In one form of the present technology, supplemental oxygen 4180 is delivered to a point in the pneumatic pathway. will be done.

[0088] In one form of the present technology, supplemental oxygen 4180 is provided upstream of pneumatic block 4020. will be delivered to.

[0089] In one form of the present technology, supplemental oxygen 4180 is delivered to the air circuit 4170 .

[0090] In one form of the present technology, supplemental oxygen 4180 is provided to a patient interface 3000. Supplied.

[0091] 4.4.2 RPT Device Electrical Components 4200 4.4.2.1 Power supply device 4210 In one form of the present technology, the power supply 4210 is Within the outer housing 4010. In another aspect of the present technology, a power supply 4210 is external to the outer housing 4010 of the RPT device 4000.

[0092] In one form of the present technology, a power supply 4210 provides power to an RPT device 40. In another embodiment of the present technology, the power supply 4210 supplies only to both the RPT device 4000 and the humidifier 5000. Also, as described throughout this specification, for ventilation arrangements, actuators , the controller and / or the sensor may be selectively provided with power.

[0093] 4.4.2.2 Input Devices 4220 In one form of the present technology, the RPT device 4000 is One or more input devices in the form of buttons, switches or dials to allow for interaction These include a ventilator 4220 that controls the operation of components of the RPT device, such as the ventilation array. A button, switch, or dial may be implemented as a physical device to input a or a software device accessible via a touch screen These buttons, switches or dials may, in one form, be mounted on an outer housing 4 010 or otherwise electrically connected to the central controller 4230. It is possible to wirelessly communicate with a receiver connected to the

[0094] In one form, the input device 4220 allows an operator to enter values ​​and / or menu options. The devices can be fabricated and arranged to allow for a selection of options.

[0095] 4.4.2.3 Central Controller 4230 In one form of the present technology, a central controller 4230 controls input devices 4220 and outputs a signal (e.g., to an output device 4290 and / or is a dedicated electronic circuit configured to provide to the therapy device controller 4240.

[0096] In one form, the central controller 4230 is an application specific integrated circuit. In yet another embodiment, the central controller 4230 includes separate electronic components.

[0097] In yet another aspect of the present technology, the central controller 4230 is an x86 I / O A processor suitable for controlling RPT devices such as TEL processors 4000 be.

[0098] A processor suitable for controlling an RPT device 4000 according to another aspect of the present technology. The 4230 is based on ARM Holdings' ARM Cortex-M processor. For example, ST Microelectronics' ST An M32 series microcontroller may be used.

[0099] Other configurations suitable for controlling an RPT device 4000 according to other alternative forms of the present technology may be used. The processor is selected from the family ARM9-based 32-bit RISC CPU For example, the STR9 series from ST Microelectronics A microcontroller may be used.

[0100] In a particular alternative embodiment of the present technology, a 16-bit RISC CPU includes an RPT device. For example, the TEXAS INST 4000 can be used as a processor for Processors from the MSP430 family of microcontrollers manufactured by RUMENTS A laser may be used.

[0101] The processor includes one or more transducers 4270 and one or more 4220. The input device 4220 is configured to receive an input signal from the input device 4220.

[0102] The processor transmits the output signal to the output device 4290 and the treatment device controller 424. 0, data communication interface 4280, and humidifier controller 5250. It is configured to provide one or more

[0103] In some forms of the present technology, a processor of a central controller 4230; Or multiple such processors may include non-temporary (non-transient) ransitory) a computer program stored on a computer-readable storage medium; 4300, which may be represented as one or more algorithms described herein. In some cases, the method may be configured to embody one or more of the methods described above. Such a processor may be integrated into the RPT device 4000, as described above. However, in some forms of the present technology, the processor may Doing any of the methods described herein without directly controlling the implementation For such purposes, the pneumatic components of the RPT device 4000 may be separately implemented. For example, such a processor may include a processor that receives a signal from any of the sensors described herein. The control settings for the ventilation device or other respiratory Any of the methods described herein for determining haustorium-associated events. Similarly, such a processor may be capable of performing any of the functions described herein. Any of the methods described herein for controlling the operation of a ventilation device Either can be done.

[0104] 4.4.2.4 Clock 4232 Preferably, the RPT device 4000 includes a clock 42 connected to the processor. Includes 32.

[0105] 4.4.2.5 Therapy Device Controller 4240 In one form of the present technology, a therapy device controller 4240 is - forming part of the algorithm 4300 executed by the processor of the The pressure control module 4330 is

[0106] In one form of the present technology, a therapy device controller 4240 is For example, the MC33035 brushless DC motor manufactured by ONSEMI A data controller is used.

[0107] 4.4.2.6 Protection circuit 4250 Preferably, the RPT device 4000 according to the technology of the present invention includes one or more protection circuits. Includes 4250 routes.

[0108] One form of protection circuit 4250 is an electrical protection circuit.

[0109] One form of protection circuit 4250 in accordance with the present technology is a temperature or pressure safety circuit.

[0110] 4.4.2.7 Memory 4260 In accordance with one aspect of the present technology, an RPT device 4000 includes a memory 4260, preferably In some embodiments, the memory 4260 may include a battery-powered starter. In some forms, the memory 4260 may include volatile RAM. It may include RAM.

[0111] Preferably, the memory 4260 is located on the PCBA 4202. , EEPROM or NAND Flash.

[0112] Additionally or alternatively, the RPT device 4000 may include a removable form of memory 42. 60, including, for example, memory cards manufactured in accordance with the Secure Digital SD standard.

[0113] In one form of the present technology, the memory 4260 is a non-transitory computer readable storage 4300, which operates as a medium to include one or more of the algorithms described herein, such as algorithm 4300. The method includes storing computer program instructions that implement one or more of the methods described in the document. will be done.

[0114] 4.4.2.8 Transducer 4270 The transducer can be internal to the device or external to the RPT device. The external transducer may be, for example, on a patient interface, for example, on an air delivery circuit. The external transducer may be disposed on or form part of the Non-contact sensors such as Doppler radar motion sensors that transmit or forward data to an RPT device The sensor may be in the form of a sensor.

[0115] 4.4.2.8.1 Flow rate The flow transducer 4274 in accordance with the present technology may be a differential pressure transducer, e.g. Based on SENSIRION's SDP600 series differential pressure transducer The differential pressure transducer may be in fluid communication with the pneumatic circuit and may be Each one is connected to a respective first and second point within the flow restricting element.

[0116] During use, a signal representing the total flow Qt from the flow transducer 4274 is is received by

[0117] 4.4.2.8.2 Pressure A pressure transducer 4272 according to the present technology is adapted to be in fluid communication with the pneumatic circuit. An example of a suitable pressure transducer is the HONEYWELL ASDX series. Alternatively, a suitable pressure transducer is the GENERAL ELE This is the NPA series sensor from CTRIC.

[0118] During use, the pressure transducer 4272 is controlled by the central controller processor. In one embodiment, the signal from the pressure transducer 4272 is received by a central controller. The packet is filtered before being received by the roller 4230.

[0119] 4.4.2.8.3 Motor Speed In one form of the present technology, a motor speed signal 4276 is generated. The signal 4276 is preferably sent by the therapy device controller 4240. The motor speed may be generated by a speed sensor, such as, for example, a Hall effect sensor.

[0120] 4.4.2.9 Data Communication System 4280 In a preferred form of the present technology, a data communications interface 4280 is provided. and connected to the central controller processor. Data communication interface 428 0 is preferably connectable to a remote external communications network 4282. The interface 4280 is preferably connected to a local external communications network 4284. Preferably, the remote communication network 4282 is connected to a remote external device 4286. Preferably, the local external communication network 4284 is a local external The external device 4288 can be connected to the external device 4288.

[0121] In one embodiment, the data communication interface 4280 is connected to the central controller 4230. In another embodiment, the data communication interface 4280 is part of a central controller. The NI PXI Express 8038 is an integrated circuit separate from the controller processor.

[0122] In one embodiment, the remote external communications network 4282 is the Internet. The data communication interface 4280 is for wired communication (e.g., Ethernet or optical fiber). It can connect to the Internet using either fiber optic or wireless protocols. Cut.

[0123] In one embodiment, the local external communication network 4284 is a Bluetooth Utilizing one or more communications standards, such as the IEEE 802.11b (trademark) or consumer infrared protocols do.

[0124] In one embodiment, the remote external device 4286 may include one or more computers, e.g. For example, a cluster of networked computers. The 286 may be a virtual computer rather than a physical computer. However, such remote external devices 4286 may be provided to appropriately authorized personnel, such as clinicians. Access may be possible via

[0125] Preferably, the local external device 4288 is a personal computer, a mobile phone, A tablet or a remote control.

[0126] 4.4.2.10 Optional displays and output devices, including alarms The output device 4290 according to the present technology includes visual units, auditory units, and The display may take the form of one or more of a visual display and a tactile unit. The display is a liquid crystal display (LCD) or a light-emitting diode (LED) display. obtain.

[0127] 4.4.2.10.1 Display driver 4292 The display driver 4292 receives as input a It receives characters, symbols, or images intended for display and displays them on the display 4294. The text, symbols, or images are converted into instructions for displaying them.

[0128] 4.4.2.10.2 Display 4294 The display 4294 responds to instructions received from the display driver 4292. The display is configured to visually display characters, symbols, or images. The 4294 can be an eight segment display, in which case the display The driver 4292 converts each character or symbol, such as the number "0", into eight logic signals. This logic signal determines whether each of the eight segments is active to display a particular character or symbol. This indicates whether the device can be made

[0129] 4.5 Communication and Diagnostic Systems FIG. 7 illustrates an example system 700 in which aspects of the present disclosure may be implemented. should be considered as limiting the scope of the disclosure or the utility of the features described herein. In this example, the system 700 includes a server 710, a patient device 72, and a 7, includes a storage system 750 as well as a computing device 760, in this example. These devices may be associated with a clinician or device support service representative at Each can communicate via a network 4282. The system 700 may include any of the following: For example, the network can be scaled to a size of 3 patient devices 72 Although only 0 is shown, the system 700 may include any number of patient devices.

[0130] Each patient device 720 includes an RPT 4000, a humidifier 5000 and a patient interface. Each patient may include one or more devices including the sensor 3000. The device 720 may be operated at a remote location and by a different patient. Although only a processor 4230 and a memory 4260 are shown in the patient device 720 Each patient device includes an RPT 4000, a humidifier 5000 and a patient interface 30 00 may include any of the components previously described in connection with the patient device 72. Although the 4282 and 4290 are shown to communicate directly through the 4282, each patient device It can also communicate over the network 4282 via external computing devices. For example, the patient device 720 may include a packet that transmits data over the network 4282. It is possible to communicate with a personal computer.

[0131] Server 710 may include one or more processors 712, memory 714. and may be incorporated with other components typically present in a general purpose computing device. The memory 714 of the server 710 can be executed by the processor 712. 7. The method of claim 7, further comprising: storing information accessible by the processor 712 including instructions 715 for obtaining the The memory 714 also includes a memory area 716 that can be accessed, manipulated, or stored by the processor 712. The memory may include data 718 that is accessible by the processor. The instructions 715 may be of any non-transitory type capable of storing information. The instructions may include instructions that are executed directly or indirectly by the processor 712. In relation to this, the terms "instruction," "application," "step," and "program" are used. The terms may be used interchangeably herein. Functions, methods and routines of instructions are , as described in more detail below.

[0132] Data, such as diagnostic data 718, is generated by the processor 712 according to instructions 715. For example, the subject matter described herein may be used in any particular database. Although not limited by data structure, data may be stored in computer registers. i.e. a table with many other fields and records or XML documents The diagnostic data 718 may also be stored in a relational database as numbers, Other memory such as descriptive text, special codes, pointers to other network locations, etc. Any information sufficient to identify or calculate relevant information, such as a reference to a specified piece of data. The one or more processors 712 may be conventional processors, such as a CPU. or may be a hardware-based component such as an ASIC. obtain.

[0133] FIG. 7 illustrates a server 710, a computing device 760 and a patient device 720. 0 processors, memory, and other elements function as if they were in a single block Although shown diagrammatically, the various components of each device are housed in different physical housings. For example, the memory 714 may be located in a housing different from the housing of the server 710. The storage system 750 may be a hard drive or other storage medium installed in the , part of server 710 or integrated with one or more of servers 710 The processor 712 may also include multiple processors. Some or all of may be located in a housing different from the housing of server 710. Therefore, a processor, computer, computing device or memory References to processors, computers, computing devices, etc., operating in parallel or not, are intended to This will be understood to include reference to a computing device or collection of memories. Some functions may occur on a single computing device having a single processor. Although described herein as occurring in a network 4, various aspects of the present disclosure, etc. 282. The present invention may be embodied by a vice.

[0134] In many cases, the patient device 720 communicates with the network 4282 using wireless communication. However, it is preferable to transmit the same to the network 4282 and the intervening A node is a network that is connected to the Internet, the World Wide Web, or a particular intranet. part of a local area network, wide area network, local network, or mobile phone network. The devices may be interconnected using a variety of protocols and systems so that they can be connected to one another. Networks include Ethernet, Wi-Fi, HTTP and Bluetooth. standard communications protocols, such as ISP (registered trademark), used exclusively by one or more companies Various protocols and combinations of the above may be utilized. Certain advantages are obtained when information is transmitted or received, but the subject matter described herein Other aspects of the present invention are not limited to any particular method of transmitting information.

[0135] The server 710 communicates with the storage system 750, the computer via the network 4282. One or more communication servers capable of communicating with the patient device 720 and the patient device 760. As described in more detail below, the server 710 may include a The diagnostic data 728 can be received from the patient device 720 via the network 4282. In response to the received diagnostic data 728, the server 710 also receives service data 728. 716 can be transmitted to the patient device 720.

[0136] The computing device 760, like the server 710, may be any one of the above-described Alternatively, the system may be configured with multiple processors 762, memory 764, and instructions. Each computing device is managed by a clinician or device support service representative. that it is a personal computing device intended for use by A central processing unit (CPU), a memory for storing data and instructions (e.g., RA M and internal hard drive), Display 766 (e.g., screen, touch screen A screen, projector, television, or other device that can be operated to display information a display such as a monitor having a display unit 766 and a user input device 768 (e.g., typically used in conjunction with a computer keyboard, touch screen, or microphone Includes all components.

[0137] A portion of the data transferred over network 4282 in accordance with an embodiment of the present disclosure may include: The system 700 therefore provides a mechanism for verifying the confidentiality of the transmitted data. In one embodiment, security measures can be implemented to prevent unauthorized access to the In this case, the connection between the devices of the system 700 may take the form of a VPN connection. In addition, data transmission is performed using the SSL (Secure Socket Layer) protocol. The data transmitted over the network 4282 may also be based on The following system aspects may be implemented using one or more The data can be displayed through a number of web pages, It can be shown in relation to a protected network, so that authorized computing Only the device and user can access the web page.

[0138] 4.6 Exemplary Methods As previously mentioned, each patient device 720 shown in FIG. 7 includes an RPT 4000, a humidifier 50, and 3000 and one or more devices including a patient interface 3000. In performing the operations described herein, the patient device 720 may include software The instruction set 726 may include software or firmware. As previously described in connection with FIG. 4c, the RPT4000 includes a humidity controller 5290 and and multiple controllers such as the therapy device controller 4240, as well as other hardware During operation of the patient device 720, one or more A fault may occur in relation to the components of the system and method described herein. As shown in the method and apparatus, these faults can be identified and often serviced remotely. The disclosed system provides service personnel with real-time notifications regarding the patient device 720. The patient device 720 can receive the patient's own diagnostic data. Identify potential problems before they are reported to the patient. In this case, the disclosed system may detect errors on a web page or on a patient device dashboard. Provides visual indication of faults to service personnel via display of icons and warning messages and provide a report of detailed data related to the surgical patient device. Service personnel can quickly determine whether a patient's reported problem is device-related. It is possible.

[0139] Each patient device 720 can generate and store diagnostic data 728. The data 728 includes data regarding any faults that have occurred or may occur and is stored on the patient device. The data may include any data related to the operation of the instruction set 720. The patient device 720 includes a processor 726 for determining whether the various components of the patient device 720 are operating properly. For example, instructions may be included to perform a comprehensive test of the patient device 720. For example, a comprehensive test would check the power supply, air pressure provided to the patient interface 3000 as well as The patient device 720 may include testing the temperature of one or more components of the patient device 720. can.

[0140] According to one embodiment, the fault may be a fault related to humidification, a heated tube, a power supply, a transmitter, or the like. They may be classified based on the components and operations they perform, such as a fan, etc. ,Specific disorders are classified based on whether they require the patient to discontinue use of the device. In particular, the patient device 720 may be configured to notify the patient that a detected fault has caused the patient to discontinue use of the device. If so, the patient can then determine whether the category requires The patient device 720 also displays an error message to the patient. Error messages may be used to describe problems that have occurred or may occur. There is a match.

[0141] Diagnostic data 728 may include, but is not limited to, identification of a particular fault in a patient device. In particular, the patient device 720 may be associated with the general operation and use of the patient device. the air pressure provided during use, air leaks that occur during use and the treatment and generating a log of the patient's use of the patient device 720, including identifying the patient's treatment settings. Such therapy settings can be set for automatic or manual adjustment. For example, the user can adjust the humidity, temperature, and and expiratory pressure levels. The patient can also set the patient device 720 to Smart Start and Smart Stop settings can be configured to allow for patient interaction. Treatment is started for a patient wearing the patient interface 3000, and the patient interface 300 Treatment will be automatically discontinued for any patient who takes off the 0.

[0142] Diagnostic data may also relate to the condition of a patient under treatment. For example, The data 728 includes the patient's apnea index, hypopnea index and apnea-hypopnea index, injury data, patient usage, leakage data, therapy and comfort settings and orders, device operation and fault logs The patient device 720 may include data that can be used to calculate Conditions can also be collected and stored as diagnostic data. For example, sensors on the patient device can be used to collect data related to temperature and humidity around the patient device. Collecting such additional data may help us more comprehensively diagnose the reported problem. This provides a more complete picture of the environment in which the monitored devices operate. For example, patients may report that their treatment was started or stopped unexpectedly. and enable the "Smart Start / Stop" feature on pressure therapy devices Factual information can explain this problem and therefore solve the patient problem. This is much more important than determining if the device has a hardware failure. The reported problem may not be a problem at all and may be a perceived problem on the part of the patient. It could be.

[0143] In one example, diagnostic data 728 is collected to analyze the events performed by the patient device 720. It can be presented as a log of events or operations. The log can be used to indicate when a fault occurs, Instances can be identified where a fault has occurred or may occur. How operating parameters are evaluated as indications of possible faults in various components of the device For more information on how this can be used, see published PCT application WO200002745. 7. The log contains not only a list of events and actions, but also the time when each event occurred. It may contain the date and time of birth.

[0144] According to one embodiment, the patient device 720 transmits the collected diagnostic data 728 to the server 71 0 and transmit it to one or more external devices, such as a computing device 760 The transmission of diagnostic data 728 can be scheduled daily or weekly or at a predetermined interval. The triggering event may be based on the occurrence of a triggering event. First, because a fault may occur, diagnostic data 728 is generated as soon as the fault is detected. In addition to data directly related to the disorder, the patient device may also transmit treatment information and Other diagnostic data 728 may also be transmitted, including device settings.

[0145] The triggering event may also occur after the patient has stopped using the patient device 720. For example, the instruction set 726 may be based on a fixed time when the patient is Indicates that diagnostic data 728 should be sent within one hour after discontinuing use of 0 In this example, if the patient discontinues use of the patient device 720, but within an hour If the patient uses it again, the diagnostic data 728 will not be transmitted. Instead, the patient The device 720 may be configured to transmit diagnostic data 728 to the patient before the patient's use of the patient device 720. It will wait for the specified time of 1 hour until it stops. By waiting a predetermined time before initiating an action, the instruction set 726 ensures that the patient is Usage data resulting from short interruptions to treatment, such as adjusting or briefly removing the 3000 This can be used to trigger the transmission of diagnostic data 728. The predetermined period of time that is determined may be such that a particular set of instructions 726 is executed by a particular patient device. It can be configured as follows.

[0146] In yet another example, the instruction set 726 may include a step of: You can specify a triggering event based on an amount of time. This time can also be Limiting the amount of data sent over the network 4282 and ensuring timely diagnostic data The instructions can be configured in the instruction set 726 to strike a balance between achieving The instruction set 726 may also be configured to notify the patient if treatment has not been administered for a predetermined period of time. The patient device 720 may transmit diagnostic data 728. For example, the patient device 720 may Diagnostic data indicating that the device 720 has not been used for a given period of time, such as 24 hours. 728 may be sent to the server 710.

[0147] Upon receiving the diagnostic data 728 from the patient device 720, the server 710 The data received may be stored as data 718. Storage at Server 710 The collected diagnostic data may be accessed by the computing device 760, This allows users of computing devices, such as service personnel, to know the status of each patient device. Thus, the diagnostic data 718 may be stored in a specific patient device. The server 710 stores the diagnostic data 718 in a manner that associates the diagnostic data 718 with a particular patient. In this manner, service personnel can easily identify the patient device 720 Problems can be easily detected.

[0148] Diagnostic / fault data 728 stored on the patient device 720 allows for immediate review For example, the patient device 720 may be provided when needed to The user of the patient device 720 calls a service representative because the patient device 720 is having problems operating. When a call is made, the diagnostic data 728 may require immediate review. In this case, the service The personnel may be detected by a user using a computing device 760. Any diagnostic data 728 relating to a reported fault, collected over a specified period of time 7. The instantaneous acquisition of specific diagnostic data from the patient device 720, such as all diagnostic data 728 acquired Request transmission.

[0149] In one embodiment, the server 710 may include different servers, including a communication server and a web server. In this example, the computing device 7 60 may request diagnostic data 728 from a web server, which may The communication server then transmits the request to the patient device 720. The patient device 72 may request and receive diagnostic data 728. 0 can send diagnostic data 728 as a log of operations and faults. The received logs can be sent from the web server to the communication server, and the communication server The bar may be accessed by a computing device 760.

[0150] As previously mentioned, a computing device 76 such as a service representative or clinician 0 users can access diagnostic data 718 stored on server 710 The diagnostic data accessed 718 may be provided via a website or other network. The computing device 760 may be presented with A user of the diagnostic device 760 can search for specific diagnostic data 718 based on patient information. This can be done.

[0151] FIG. 8 illustrates a web page that may be displayed in connection with a search for diagnostic data based on a patient's name. 8 illustrates a screenshot 800. The screenshot 800 illustrates one or more patient The search field 802 may be used to enter a search query for The field is designed to search for specific attributes of a patient, including the patient's name, date of birth, identification number, etc. As shown in FIG. 8, a search for patients with the name "Doe" may be performed. As a result, the proposed system allows clinicians to see a list of patients. Not only that, but you can also tell at a glance whether there are any devices with hardware failures or other problems. The system also filters patients and provides a variety of treatment options based on clinician requirements. Only patients with or without disabilities can be displayed. In this way, clinicians Instead of waiting for a phone call, you can proactively manage patients with problem devices. do.

[0152] The results of the search are presented under column headings 804-812. The name of each patient is listed under column heading 806. Also listed are any devices the patient is using. The chair may be identified in the same row of the patient identified under column heading 812. Patient device identification in the Shot 800 is done for each device used by the patient. column heading 812 provides the device manufacturer and device model number. This can include additional information about the device, including identifying the device's serial number. Under heading 808, any patient who has experienced a disability or who may develop a disability An icon 814 can be displayed for the device. For example, John Doe's Model S10 Newport device has a failure icon "John Icon 814 appears next to "Doe." As mentioned above, this fault determination is Based on the diagnostic data sent from the patient device 720 of hn Doe, the server 710 The icon 814 can take any number of forms. can be changed based on the type of fault that has occurred. For example, icon 814 can be which component of the patient device experienced a fault and whether the fault caused the patient device to stop working It can have a variable appearance depending on whether the condition has stopped and whether the patient reports a disturbance or not. In this way, service personnel can quickly determine the nature of the problem and decide what additional steps to take. The service representative can also select icon 814 to determine whether action should be taken. Any reports provided with the patient, as well as the appearance of icon 814 It can be used to determine whether a reported problem is device-related. Device-related problems include problems caused by environmental or patient-related issues. obtain.

[0153] In addition to identifying the fault, the web page shown in screenshot 800 also Other diagnostic data related to the patient's device may be displayed. For example, the column headings The icon under 804 indicates whether the patient's device is currently connected to the network. In particular, icon 816 indicates that John Doe's device is currently connected to the network. icon 818 indicates that Robert Doe's device is currently connected. The dates listed under column heading 810 indicate that the device is not currently connected to a network. The date indicates the date that the patient last used the patient device. A user of the viewing device 760 can customize the web page display shown in FIG. The user can customize the display to display additional information for each patient device.

[0154] As can be seen from screenshot 900 of FIG. 9, the web page includes a popup window. Additional diagnostic data for a specific patient device can be provided via the For example, when the user moves cursor 904 over icon 814, a popup Window 902 appears. The pop-up window contains additional information about the patient as well as Rather than identifying the specific patient device on which a fault was detected, a pop-up Window 902 displays the patient John Doe by patient ID, 987-654-321. e and identify the patient device by serial number 123456789. Window 902 also displays information about faults detected for the patient device. In particular, the warning icon 906 indicates that the device 123456789 is A check icon 908 indicates that a fault has occurred related to the device's power In one embodiment, the user is notified that no faults have been detected related to the power supply. The specific data indicating the cause of the failure, the date and time the failure was first detected, and the current Click the warning icon to receive additional details about the detected fault, including the current configuration. A fault may occur in any component, subsystem, or part of a functional area. and blowers (flow generators), which can be related to the discussed examples. It should be noted that the devices are merely examples to illustrate system functionality.

[0155] FIG. 10 illustrates another way in which diagnostic data may be displayed to a user. Screenshot 1 As you can see from the 000, the web page is related to the device list, not the patient list. In particular, patient device information may be used to display diagnostic data in a patient-specific manner. are presented without distinction, maintaining patient privacy to service personnel. For example, diagnostic data on a patient device may be collected based on a device identifier such as a serial number. Under column 1002, a particular patient device can be accessed by its serial number. The defect designations are listed in column 1004. Additional diagnostic data may be displayed in other columns. For example, under column heading 1006, The displayed graphic shows the usage of each patient device over the past 10 days. In particular, Icons 1010-1018 indicate that Patient Device 987654321 is Indicates the degree of usage. The empty usage icon 1010 indicates the degree of usage of the patient device. 1 was not used on May 1. In contrast, usage icon 1012 indicates that The patient used the patient device for at least a predetermined amount of time, such as 6 hours on May 6. The partially shaded usage icon 1014 indicates that the patient device Indicates that the device has been used but not used for a specified amount of time. The icons 1010-1018 may also indicate the manner in which the patient device was used. For example, the "L" displayed in the usage icon 1016 indicates that the amount of empty It can also indicate that an air leak has been detected. " indicates that the device is currently being monitored or that diagnostic data has not yet been received that day. As discussed above in relation to icon 814 of FIG. The user can then move the cursor or select the icon 1020 to The display 1020 may provide additional information related to the fault indicated. In the same manner, the user may request diagnostic data for the patient device 987654321 in relation to a particular date. the configuration of one or more patient device components at the time the failure occurred, as well as the To receive logs of diagnostic data related to your settings, use the usage icons 1010-1018. For example, diagnostic data can be collected when the automatic climate control settings are disabled. Identifying whether a patient device failure or humidity level setting has been activated during The log contains all operations and failures that occurred during a specified period of time. can be done.

[0156] According to one embodiment, a patient's home care provider (HCP) or related service personnel: To troubleshoot a particular patient device 720, the system 70 of FIG. 0 may be used. If the patient experiences problems with the patient device 7720, the HCP The computing device 760 is used to support the particular patient device 720. The diagnostic data 718 stored on the server 710 can be accessed from the patient device. When the user inputs an identification number, such as a serial number, for the computer 720, the server 710 The computing device 760 also receives the web page shown in screenshot 1100 of FIG. A troubleshooting web page such as this one can be provided. The page displays a clear message indicating whether a fault has been detected for the selected device. For example, the web page in screenshot 1100 may be displayed correctly. A fault message 1102 is displayed indicating that a fault has occurred. Not only does it show character, but it can also provide guidance on how to handle obstacles. Returning to FIG. 7, the server 710 determines whether the detected fault can be addressed remotely. If so, the fault message is sent to the Alternatively, the user may provide a phone number or web page link to be used when calling the If it is determined that the problem cannot be addressed remotely, the message is sent to Indicate that the patient must take the patient device to a service center to If the diagnostic data 718 stored on the server 710 does not indicate that a fault has occurred, If no fault is detected, a message may be provided on the web page indicating that no fault was detected. Determining whether a fault can be addressed remotely depends, at least in part, on: The diagnostic data may be used to determine whether a fault to the patient device 720 is due to a particular form of hardware failure. This can be based on whether the data 718 indicates that the Some problems need to be fixed at the service center. Troubleshooting can be ended immediately and patients can use the Patient Device for service. You may be asked to bring a chair.

[0157] Alternatively, some hardware issues such as mask fit can be easily fixed by troubleshooting. Respond remotely by providing instructions to HCPs or patients via a web page It is also possible to determine whether the failure is based on improper patient device settings or whether the failure is due to If the failure is due to software or firmware of the device, the failure may be reported by the server 710. For example, the patient device 720 software can The fault is addressed by an update to the instruction set 726 sent to the patient device 720. Thus, the server 710 may update the instruction set 726. By transmitting the troubleshooting information to the patient device 720 via the network 4282, It is possible to carry out a review.

[0158] In addition to the fault message 1102, the troubleshooting web page shown in Figure 11 The message contains various information about the patient device 720, including the device model number and serial number. The troubleshooting web page displays various information such as breathing pressure, Relaxation, smart start / stop, climate control options, humidification settings, heated tube temperature settings, etc. You can also view the current settings of any device. The page also displays the patient's indoor temperature and humidity at or near the time the outage occurred. You can also view the following environmental diagnostic data via the troubleshooting web page: The usage of the 5-day usage icon 1104 shown in screenshot 1100 As previously mentioned, this usage data is provided to patients on their patient devices. The amount of time the chair was used, the extent to which air leaks were detected, as well as the patient's apnea-hypopnea index. The ambient conditions of the patient device can be used to troubleshoot The type of humidifier 5000 and the patient interface may also be displayed on the patient interface web page. Identification of various components used by the patient, such as the type of This information can also be found on the Tuning web page. For example, air leak-related disorders can be used by HCPs to determine Depending on the type of mask used by the patient, different approaches can be used. As described above, the type of mask used along with recent leak information for the patient device 720 is Information may be provided on the troubleshooting web page for the type. is used as an indicator for unexpected cessation of treatment or poor mask fit. The design, size and brand of the mask used with the patient device 720 may be The identification of the land may be included.

[0159] Troubleshooting web page, i.e., using the HCP to troubleshoot the cause of the failure. The patient can then identify the cause of the problem and adjust settings on the patient device 720 to address the issue. In one embodiment, the HCP enters the adjustments directly into the troubleshooting web page. By doing so, the patient's treatment and the settings of the patient device 720 can be adjusted. For example, an HCP can use the troubleshooting web page in Figure 11 to troubleshoot a device. You can adjust the humidity level of the 123456789 from level 5 to level 3. Changing the humidity level on the troubleshooting web page is shown in Figure 7. The server 710 then transmits the humidity change information to the patient device 720. The patient device 720 may then transmit a change command to the patient device 720 in response to the received command. Humidity levels can be altered

[0160] According to one embodiment, the server 710 collects diagnostic data 710 in the form of diagnostic logs of operations and faults. 18 may be transmitted to the computing device 760. A user of a computing device 760 may communicate with one or more patient devices 720. A diagnostic log can be requested from the server 710 that provides the diagnostic log. The type of diagnostic data can be specified. For example, the user can Diagnosis of all faults occurring to a particular patient device via device 760 Alternatively, the user may request a log for a particular configuration, such as the humidifier 5000. You can request to log all diagnostic data associated with a component or set of components. In this manner, a computing device user may A specific set of information may be provided that may be used to address issues that arise in connection with.

[0161] The screenshot 1200 of FIG. 12 may be displayed on a computing device. 1 illustrates an example diagnostic log for a computing device. All activity that occurred in the last 24 hours on a patient device with the number 123456789 requested a log of activities and failures. Identified under column heading 1204 The date and time are in column heading 1206 while the date and time of each fault that occurred are shown. The information specifies whether the entry relates to an action or a fault. Column Heading 1208 An error code can be identified for each failure, as provided to the Service personnel can identify the specific type of failure that occurred. The tree may include a description provided under column heading 1210. Log Entries The explanation is that the user can take actions such as putting on or taking off a mask on the device. It can identify or provide information about any faults that have occurred.

[0162] According to one aspect, the diagnostic log presented to the user is augmented based on user input. For example, the diagnostic log shown in Figure 12 shows For example, the activity that occurred for device 123456789 over the last 30 days Diagnostic logs may be expanded to include only certain types of operations or failures. You can also filter to show only faults that occurred on patient devices. In this manner, users can easily access the information they need to service their patient devices. You can access it.

[0163] According to one embodiment, the server 710 of FIG. 7 may determine whether the failure is due to one of the patient devices 720. An indication of a fault that is detected may be sent to the computing device 760. Thus, without waiting for a request for diagnostic data, the server 710 may 20. Diagnostic data immediately indicates that a fault has occurred on the computing device 760. These notifications can be sent via SMS messages, emails, or other forms of push notification. A medical professional or service personnel can be immediately notified of any problems with the patient device 720. In one example, push notifications may be used to alert patients to obstacles that may negatively impact their care. Therefore, the patient device 7 Upon receiving an indication of a fault from the server 710, the server 710 notifies the server 710 that the identified fault has been detected. It can be determined whether or not the information should be transmitted to the computing device 760.

[0164] FIG. 13 is a flow chart 13 that may be executed by a patient device of the system described above. 00. In block 1302, the patient device performs a diagnosis according to the instruction set. As previously mentioned, diagnostic data is collected based on the behavior occurring in relation to the patient device. This can include identifying settings for the patient device as well as operations and faults. While collecting the data, the patient device determines if a triggering event has occurred. Once a triggering event has been identified, the patient device At least some of the diagnostic data may be transmitted over a network, including by sending the diagnostic data to a server. As previously described, the triggering event may be transmitted in part (block 1306). Vents are based on actions performed by the patient or actions performed by the patient device. For example, a triggering event may occur when a patient disconnects a patient device from the patient's The triggering event may be based on a determination that the user has discontinued use of the chair. It also allows the device to receive requests for diagnostic data from external devices, such as servers. The request or trigger event may include a request for the patient device to For example, the patient device may request that a specific portion of the data be sent. You may transmit all diagnostic data collected since your submission.

[0165] The patient device can also determine whether service data has been received ( Block 1308. The service data is used to provide remote service to address the identified fault. For example, service data may include information provided by a patient device. Updates to the software or firmware of the device or one or more This may include updates to the customer device settings. If not, the patient device continues to collect diagnostic data and returns to blocks 1302 and 1304. Therefore, it is possible to determine whether a triggering event has occurred. If service data is received, the patient device operates according to the received service data. The update may be performed by adding a new instruction set (block 1310). Add a new instruction set, change the current instruction set, or change the settings on the patient device. The patient device may then receive a current Collect diagnostic data according to a current instruction set (block 1302) and transmit the diagnostic data. The received signal is transmitted to the server (block 1306).

[0166] FIG. 14 illustrates a computing device of the disclosed system, including a server 710 of the system 700. 14 shows a flowchart 1400 that may be executed by a computing device. In the method, a server performs quality checks on diagnostic data associated with one or more patient devices. For example, as previously described, the server 710 may receive a particular patient data A computing device that requests data in relation to a set of devices, such as a patient device, The question may be received from the computing device 760. All patient devices that meet one or more criteria provided by the user of the system 760 This criterion may require identification of a device that experiences some defined failure. The method may be based on any number of aspects or features of the patient device, including the chair. In such a manner, the user of the computing device 760 may, if possible, Acknowledge the problem immediately after it occurs, before mentioning it or informing users of the problem. The server can then access the diagnostic data in response to the queries received. (Block 1404), whether a fault has occurred associated with one or more patient devices. may be determined (block 1406).

[0167] The server may also include an identification of any faults that have occurred to one or more patient devices. and responding to queries by transmitting diagnostic data for one or more patient devices. The transmission of diagnostic data can be performed in the same manner as shown in FIGS. It can occur across one or more web pages, such as a web page As previously mentioned, the web pages are generated to one or more patient devices. The specific disability identified, as well as the potential actions that must be taken in relation to each identified disability, Potential actions can be identified.

[0168] The server then generates a response for the service data to be sent to one or more patient devices. The request may be received (block 1410). Adjust one or more device settings or updates to the user device instruction set. For example, the instructions may take the form of instructions to When addressing a condensation fault, the user of the computing device 760 may You can select specific setting changes to be sent as service data to the device to control humidification of the patient device. The level of humidification provided by the device can be adjusted. When you send a message, the server accesses or otherwise generates (blocks) service data. 1412), which transmits the service data to the patient device identified in the received request. The server may also determine whether the service data transmission was successful (block 1414). For example, the server may determine whether or not each patient has been The user device will notify you of an error or a message that the service data has been successfully implemented. If an error occurs in the transmission of the service data, the server Service data can be sent again to each patient device where an error occurred (block However, if the transmission is successful, the server modifies the stored diagnostic data. and indicating that one or more patient devices have executed the transmitted service data. (block 1418).

[0169] The operations shown in Figures 13 and 14 may each be performed by a single device, Operations may alternatively be performed by one or more devices. The device can communicate with a personal computer via a wireless network. Thus, the personal computer can perform one or more of the operations described above. The server referred to in connection with FIG. 14 and FIG. 9 is It may also include multiple servers, each of which may perform one or more of the above operations. or multiple operations. Various operations etc. are added from flowcharts 1300 and 1400 For example, a system according to the present disclosure may include blocks 1412 to 1414. 418 and perform the method associated with flowchart 1400. In addition, various operations and the like are shown in flowcharts 1300 and 1400. The steps do not have to be performed in the same order as they were performed in the previous section.

[0170] 4.7 Glossary In certain embodiments of the present technology, one or more of the following definitions may apply: In other aspects of the present technology, alternative definitions may apply.

[0171] 4.7.1 General Air: Air is understood to include breathable gases, for example air with supplemental oxygen.

[0172] Continuous Positive Airway Pressure (CPAP): CPAP treatment is continuous positive airway pressure relative to the atmosphere, preferably Preferably, the air or exhaled air is delivered to the entrance of the airway at a substantially constant pressure throughout the patient's respiratory cycle. In some forms, the term refers to the supply of inhalable gas at the entrance to the airways. Pressure can change by several centimetres of water within a single respiratory cycle, e.g. In some forms, the pressure at the entrance to the airways is high during exhalation and low during snoring. In some configurations, the patient's breathing may be slightly higher during inspiration and slightly lower during inspiration. During the cycle, pressure changes may occur, for example, to detect an indication of partial upper airway obstruction in the patient. It increases in response to hypertension and decreases in the absence of signs of upper airway obstruction.

[0173] 4.7.2 Materials Silicone or silicone elastomer: Synthetic rubber. In this specification, silicone When reference is made to Liquid Silicone Rubber (LSR) or Compression Molded Silicone Rubber A commercially available form of LSR is the Dow Corning ng manufactured SILASTIC (included in the range of products sold under this trademark). Another manufacturer of LSR is Wacker. A preferred form of LSR is from about 35 to about 40% by weight as measured using ASTM D2240. It has a Shore A (or Type A) indentation hardness in the range of 5.

[0174] Polycarbonate: A typically transparent thermoplastic polymer of bisphenol-A carbonate. body.

[0175] 4.7.3 Aspects of the patient interface Asphyxiation valve (AAV): A valve that opens in a failsafe manner against atmospheric pressure. Reduce the risk of the patient rebreathing excessive CO2 by using components of the mask system or subcomponent.

[0176] Bend: Directing the axial direction of flow or air to change direction over an angle In one embodiment, the angle may be about 90 degrees. The angle may be less than 90 degrees. The conduit may have a substantially circular cross section. Other shapes In embodiments, the conduit may have an oval or rectangular cross-section.

[0177] Frame: The frame is a mass that carries the tension load between two or more connection points with the headgear. The mask frame is interpreted to mean a non-tight load-bearing structure within the mask. However, some form of mass bearing structure may be used. The frame may also be airtight.

[0178] Headgear: Headgear is a device designed for use on the head to provide positioning and support. In one embodiment, the headgear is adapted to provide a respiratory therapy to position and maintain the patient interface in a fixed position on the patient's face to deliver The structure comprises a set of one or more struts, ties and stiffeners arranged in a uniform manner. The tsuka tie is made of soft, flexible, elastic materials such as laminated composites of foam and fabric. It is formed from.

[0179] Membrane: The membrane is preferably substantially resistant to bending but resistant to stretching. " " is taken to mean a typically thin element having

[0180] Plenum Chamber: The patient interface plenum chamber is a full face mask ( e.g. nose and mouth masks), nasal masks or nasal pillows, etc. is taken to mean a portion of a patient interface, said volume being, during use by the patient, The shell has air pressurized above atmospheric pressure inside it. The shell is a patient interface plenum. The area of ​​the patient's face may form a portion of the wall of the chamber. A cushion or seal is attached to one of the walls of the plenum chamber.

[0181] Seal: The noun form ("a seal") is a deliberate attempt to control the flow of air through the interface of two surfaces. The verb form ("to seal") is interpreted as meaning a structure or barrier that resists This is interpreted to mean resisting air flow.

[0182] Shell: A shell is a curved structure that has bending, tensile and compressive stiffness, e.g., the bay of a mask. is understood to mean the part of the mask that forms the curved wall. In comparison, the shell is relatively thin. In some forms, the shell is faceted. Preferably, such walls are airtight, but in some configurations Therefore, they do not have to be airtight.

[0183] Reinforcement: A reinforcement increases the bending resistance of another component in at least one direction. "The term 'structural element' is interpreted to mean a structural element designed to

[0184] Strut: A strut is a component that is designed to increase the compressive resistance of another component in at least one direction. "The term 'structural components' refers to components that are designed to

[0185] Swivel: (noun) To move independently, e.g., around a common axis, under low torque. A subassembly of components that is configured to rotate. In one form, a swivel is In another embodiment, the switch is configured to rotate through an angle of at least 360 degrees. The bell is configured to rotate an angle of less than 360 degrees. When used, for example, a component subassembly may include a matched pair of cylindrical conduits. Preferably, there is little or no air escape flow from the swivel during use.

[0186] Tie: A tie is a structural component designed to resist tension. It is explained.

[0187] Vent: (noun) Allows the rate at which air escapes from inside the mask to be carefully controlled or the outflow of exhaled carbon dioxide (CO2) and the supply of oxygen (O2) A conduit to outside air to allow

[0188] 4.8 Other Remarks A portion of the disclosure of this patent specification contains material that is subject to copyright protection. The copyright owner must provide a copy of the patent document or patent disclosure for disclosure in the file or record. I have no objection to facsimile reproduction by any of the following means: All copyrights are reserved.

[0189] Unless the context clearly indicates otherwise, when a range of values ​​is given, the unit of the lower limit Any intervening value between the upper and lower limits of the range, up to one tenth of the range, is within the scope of the present invention. It is understood that each of the above expressions is included within the range of the intervening range. The upper and lower limits of these intervening ranges are also included in the scope of any specifically excluded limits within the stated ranges. The ranges described are subject to the same conditions and are also within the scope of the present invention. If both limits are included, one or both of these included limits may be excluded. The above range is also included in the technology of the present invention.

[0190] Additionally, one or more values ​​may be implemented herein as part of the technology of the present invention. When stated as a quantity, such values ​​may be approximate unless otherwise stated. Rather, such values ​​are arbitrary, as long as the actual technical implementation allows or requires it. It should be understood that any appropriate number of significant figures may be utilized.

[0191] Unless otherwise defined, all technical and scientific terms used herein are The meaning is the same as that generally understood by a person skilled in the art to which the present invention pertains. Any methods and materials similar or equivalent to those described herein may be used. Although also of use in the practice or experimentation of the techniques of the present invention, Only a limited number of exemplary methods and materials are described.

[0192] Certain materials may be preferred for use or may be an example for constructing components. If it is determined that the material is suitable for use in a particular application, obvious alternative materials having similar properties may be used as substitutes. Further, unless expressly stated otherwise, any and all components described herein may be incorporated by reference in their entirety. It is understood that the elements can be manufactured and therefore can be manufactured together or separately. can be done.

[0193] As used in this specification and the appended claims, the singular forms "a," "an," and "the" are used interchangeably herein. "a," ​​"an," and "the" refer to their plurals unless the context clearly indicates otherwise. It should be noted that this includes the equivalents of

[0194] All publications mentioned herein are incorporated by reference in their entirety for purposes of illustration only and are not intended to be limiting unless otherwise specified. The present invention is incorporated herein by reference to disclose and describe the subject matter and / or materials. The publications discussed in the specification are incorporated herein by reference for their disclosure prior to the filing date of this application. Any statement herein is not intended to imply that the technology of the present invention is based on or is not an invention of the prior art. Although we acknowledge that we have no prior admission to such publication Furthermore, the publication dates shown may differ from the actual publication dates. may vary and this may need to be verified independently.

[0195] Moreover, in interpreting this disclosure, all terms should be interpreted in the broadest reasonable manner consistent with the context. In particular, the words "comprises" and "contains" The term "compilation" refers non-exclusively to any element, component, or step. and the referenced elements, components or steps should be interpreted as including , together with other elements, components, or steps not explicitly referenced, and may be used together or in combination with each other.

[0196] Subject headings used in the detailed description are provided for ease of reference to the reader. The claims are included only as though they were intended to limit the subject matter found throughout the disclosure. Subject headings should not be used to denote claims or claim limitations. It should not be used to interpret matters.

[0197] The techniques of the present invention have been described with reference to specific embodiments. It should be understood that the above is merely illustrative of the principles and applications of the technology of the present invention. In the present specification, the terms and symbols imply specific details that are not necessary to practice the techniques of the present invention. For example, the terms "first" and "second" may be used. However, unless otherwise stated, they are not intended to imply any order and may be treated separately. Further, the steps in the method may be described in a certain order. Although the steps may be listed or illustrated in this order, such order is not required. may be modified and / or their aspects may be performed simultaneously or even synchronously. Those skilled in the art will recognize that this may also be done.

[0198] Therefore, without departing from the spirit and scope of the present technology, the exemplary embodiments Many modifications can be made to and other configurations can be devised. I want you to understand that. [Explanation of symbols]

[0199] List of quotation marks System 700 Server 710 Processor 712 Memory 714 instruction 715 Service data 716 Diagnostic data 718 Patient Devices 720 Instruction Set 726 Diagnostic data 728 Containment System 750 Computing Devices 760 Processor 762 Memory 764 Display 766 User Input Devices 768 Screenshots 800 Search field 802 Column headings 804~812 Icons 814~818 Screenshots 900 Window 902 Cursor 904 Warning icon 906 Check icon 908 patient 1000 Screenshots 1000 Column 1002 Column 1004 Column Heading 1006 Empty usage icon 1010 Icon 1012~1020 Screenshots 1100 Fault message 1102 Usage icon 1104 Screenshots 1200 Column headings 1204~1210 Patient Interface 3000 Seal forming structure 3100 Plenum Chamber 3200 Periphery 3210 Ventilation vent 3400 Connection port 3600 RPT Device 4000 External housing 4010 Top of outer housing 4012 Lower part of outer housing 4014 Panel 4015 Chassis 4016 Handle 4018 Pneumatic Block 4020 Pneumatic Components 4100 Air Filter 4110 Air Inlet Filter 4112 Outlet Air Filter 4114 Muffler 4120 Inlet muffler 4122 Exit muffler 4124 Pressure Device 4140 Controllable Pressure Device 4140 Blower 4142 Controllable Blower 4142 Brushless DC Motor 4144 Back valve 4160 Air Circuit 4170 Supplemental oxygen 4180 Electrical Components 4200 RPT Device Electrical Component 4200 PCBA 4202 Power supply device 4210 Input Devices 4220 Central Controller 4230 Clock 4232 Therapeutic Device Controller 4240 Protection circuit 4250 Memory 4260 Transducer 4270 Pressure Transducer 4272 Pressure Sensor 4271 Motor Speed ​​Signal 4276 Data communication interface 4280 Remote external communication network 4282 Local external communication network 4284 Remote External Device 4286 Local Foreign Device 4288 Output device 4290 Display driver 4292 Display 4294 Pressure Control Module 4330 Humidifier 5000 Humidifier Controller 5250 Humidity Controller 5290 Patient Device 7720

Claims

1. 1. A method for diagnostic monitoring of a medical device, comprising: receiving, by one or more processors, diagnostic data from the patient device; diagnostic data identifying the presence of a fault within the patient device; a processor for storing the received diagnostic data by the one or more processors; Tep and by the one or more processors based on a first portion of the diagnostic data. identifying the presence of a fault; a first portion of the diagnostic data and At least one of the identified disorders associated with the patient device is diagnosed using remote computing. transmitting the received signal to a mobile device; a first portion of the diagnostic data and an identification, and storing the identified service data in the patient device based on at least one of the identified disorders. and transmitting the

2. Further, by the one or more processors, at least a first portion of the diagnostic data is and in response to transmitting one of the signals to the remote computing device, the patient device The method of claim 1 , comprising receiving an identification of the service data to be transmitted.

3. The method of claim 1 or 2, wherein the patient device comprises a respiratory pressure treatment device.

4. 4. The method of claim 1, wherein the diagnostic data is received based on the occurrence of a triggering event.

2. The method according to claim 1 .

5. Remote computing to indicate whether any patient has a disabled device The method according to any one of claims 1 to 4, further comprising the step of transmitting device data. Law.

6. The diagnostic data further comprises the patient's apnea index, hypopnea index and apnea-hypopnea index. number, treatment settings, pleasure settings, disorder data, patient usage, leakage data, ambient humidity data, treatment and at least one of pleasure settings, device activity, and fault logs of the patient device. The method according to any one of claims 1 to 5, comprising:

7. Receive an indication from the first patient device that the service data was successfully transmitted. Tep and updating diagnostic data to indicate execution of the first service data; The method of any one of claims 1 to 6, further comprising:

8. The presence of the fault may be determined by determining whether the fault exists in a component, service system or function of the patient device in which the fault occurs. The method according to any one of claims 1 to 7, wherein the antigen-binding domain is identified based on functional domain.

9. Transmitting the first portion of the diagnostic data to a remote computing device. and a push notification, the push notification being provided when the identified failure occurs. The method according to any one of claims 1 to 8, wherein the transmission is based on a determination that the type of the The method described.

10. The service data includes instructions to adjust one or more settings of the patient device. The method according to any one of claims 1 to 9, further comprising:

11. The diagnostic data identifies one or more settings of the patient device at the time the fault occurred. The method according to any one of claims 1 to 10,

12. Transmitting the identified fault includes displaying the identified fault on a remote computing device. A method according to any preceding claim, comprising providing an icon for the ray.

13. the icon has a variable appearance that changes based on the type of fault generated; The method of claim 12.

14. Transmitting the identified fault includes displaying the identified fault on a remote computing device. providing an icon for a patient device to be used; the icon indicating when the patient device is used; The method according to any one of claims 1 to 13, further comprising:

15. The diagnostic data includes leak information, identification and identities of mask types used with the diagnostic device. The method according to any one of claims 1 to 14, comprising:

16. the diagnostic data is accessible by a patient device identifier of the patient device; The method according to any one of claims 1 to 15.

17. Transmitting the identified fault may provide visual indication of whether a device-related fault has occurred.

17. The method of claim 1, further comprising providing an indicia for display. The method described above.

18. 1. A method for diagnostic monitoring of a medical device, comprising: Collecting diagnostic data regarding the operation of the patient device by one or more processors. collecting diagnostic data from the patient device and identifying the presence of a fault associated with the patient device; The one or more processors transmit the diagnostic data over a network. determining that a triggering event has occurred to be transmitted; The one or more processors transmit the diagnostic data over the network. and transmitting the and transmitting, by said one or more processors, service data addressing the identified faults. receiving the signal; by said one or more processors in accordance with the received service data. performing one or more actions.

19. The method of claim 18 , wherein the patient device comprises a respiratory pressure treatment device.

20. the triggering event is satisfied before the diagnostic data is transmitted; or 20. The method of claim 18 or 19, which is based on a plurality of states.

21. The triggering event may include terminating use of the patient device for a predetermined period of time. Based on the selected patient or based on a schedule for transmitting diagnostic data.

21. The method of any one of claims 20 to 29.

22. The service data includes a first portion and a second portion, both portions being connected to a patient device. The method according to any one of claims 18 to 21, relating to said component of.

23. Remote computing to indicate whether any patient has a disabled device The method of any one of claims 18 to 22, further comprising transmitting to a device.

24. At least a portion of the diagnostic data includes a patient's apnea index, hypopnea index, apnea-hypopnea index, Degradation index, fault data, patient usage, leakage data, ambient humidity data, treatment and pleasure settings 18 to 20. The method according to claim 17, further comprising at least one of:

24. The method according to any one of claims 23.

25. Diagnostic monitoring of a medical device including one or more computing devices 11. A system for a multi-threaded computing device, comprising: receiving diagnostic data from a plurality of patient devices, said diagnostic data being transmitted to said plurality of patient devices; identifying the presence of a fault in at least one of the storing said diagnostic data; Identifying the presence of a fault in a first patient device based on a first portion of the diagnostic data. 、 Transmitting at least one of the first portion of the diagnostic data and the identified fault. death, service data identified based on a first portion of the diagnostic data or the identified fault. The system is configured to transmit the data to a first patient device.

26. The system receives a first portion or a preceding portion of diagnostic data in response to a query from a remote device.

26. The system of claim 25, configured to transmit the identified fault.

27. The system receives an identification of the service data to be transmitted to the patient device. wherein at least a portion of the service data addresses an identified failure.

27. The system according to claim 25 or 26.

28. 28. The method of claim 25, wherein the first patient device comprises a respiratory pressure treatment device.

3. The system according to claim 1 .

29. The diagnostic data is received based on the occurrence of a triggering event.

29. The system of any one of claims 28.

30. The diagnostic data includes the patient's apnea index, hypopnea index, apnea-hypopnea index, disability data, data, patient usage, leakage data, ambient humidity data, therapy and pleasure settings, order device activity 30. The method according to claim 25, further comprising at least one of a log of a failure and a fault. Item 3. The system described in item 2.

31. the one or more computing devices; receiving an indication from the first patient device that the service data was successfully transmitted; 、 and updating diagnostic data to indicate execution of the service data by the first patient device. The system according to any one of claims 25 to 30, further configured to update Tem.

32. The system includes a remote computer that indicates whether the patient has a faulty device.

32. The method according to claim 25, wherein the method is configured to transmit the received signal to a mobile device. Item 3. The system described in item 2.

33. The diagnostic data includes a patient's apnea index, hypopnea index, or apnea-hypopnea index, treatment Treatment settings, pleasure settings, fault data, patient usage, leakage data, ambient humidity data, treatment and At least one of pleasure settings, order device activity, and patient device fault logs. The system according to any one of claims 25 to 32, comprising:

34. the presence of the disorder is a component, subsystem, or functional area of ​​the first patient device A system according to any one of claims 25 to 33, as identified in

35. The first portion of the diagnostic data includes a push notification to a remote computing device. The push notification is of a type for which the identified failure can provide a push notification. The system according to any one of claims 25 to 34, wherein the transmission is based on a determination that

36. The service data is used to adjust one or more settings of the first patient device. The system of any one of claims 25 to 35, comprising instructions for:

37. The diagnostic data may include one or more settings of the first patient device at the time the fault occurred. The system according to any one of claims 25 to 36, further comprising:

38. Transmitting the identified fault includes displaying the identified fault on a remote computing device. The system of any one of claims 25 to 37, further comprising providing an icon for the ray. Hmm.

39. the icon has a variable appearance that changes based on the type of fault generated; 39. The system of claim 38.

40. Transmitting the identified fault may include displaying on a remote computing device. providing a usage icon indicating how much the patient device has been used; 40. The system of any one of claims 25 to 39, further comprising a display for displaying a degree.

41. The diagnostic data includes leak information for a mask type used with the diagnostic device and an identification The method according to any one of claims 25 to 40, further comprising:

42. The diagnostic data is accessible by a patient device identifier of the patient device. The system according to any one of claims 25 to 41.

43. Transmitting the identified fault may provide visual indication of whether a device-related fault has occurred.

43. The method of claim 25, further comprising providing an indication for display. Item 3. The system described in item 2.

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