313 results about "Positive airway pressure" patented technology

A system including methods and apparatus for treatment of a medical disorder such as obstructive sleep apnea or congestive heart failure. The system involves applying separate and independent gains to flow rates of pressurized gas delivered to a patient during inspiratory and expiratory phases of a respiratory cycle to deliver the pressurized gas in proportion to the respective gains during inspiration and expiration. A base pressure may be applied in addition to the gain-modified pressures and an elevated pressure profile may be employed to assist or control inspiration. The system may be fully automated responsive to feedback provided by a flow sensor that determines the estimated patient flow rate. A leak computer can be included to instantaneously calculate gas leakage from the system. The system may be utilized in connection with conventional continuous positive airway pressure (bi-level PAP) equipment to effect various beneficial treatment applications.

A brushless DC motor including a rotor, a magnet provided to the rotor, a pair of bearings to rotatably support the rotor, a stator assembly that at least partly surrounds the rotor and magnet thereof and adapted to control movement of the rotor, and a bearing tube having an exterior surface and an interior surface that defines a tube interior. The stator assembly is provided along the exterior surface of the tube and the bearings are provided along the interior surface of the tube to support the rotor and magnet within the tube interior. The motor has sample application for use in PAP devices for delivery of positive airway pressure therapy for users or patients.

A respiratory mask assembly for use in the delivery of non-invasive positive airway pressure to a user. The assembly includes a rigid shell having a channel portion defined by an inner wall, an outer wall and a channel floor, a face-contacting cushion acting to space the shell away from the user's face and a sealing tab extending from the cushion to engage a portion of the shell to provide a continuous airtight seal between the cushion and the shell. A retaining ring within the mask assembly is configured to secure the cushion to the shell. The retaining ring has a first portion including at least one clip configured to pass through at least one slot portion such that an underside surface of the at least one clip engages a section of the shell when the retaining ring is positioned within the channel.

A nasal interface device for use in the nares of a patient for positive airway pressure applications includes a pair of nasal prongs, each prong having a bore, a first end, a second end, and at least one deformable flap disposed proximate to the first end of each prong. The device further includes a body having a distal portion and a proximal portion forming a chamber, the proximal portion having apertures to receive the second ends of the nasal prongs, the chamber being in communication with the bores of the nasal prongs, and at least one exhalation port disposed within the body. The device includes at least one gas inlet on the distal portion of the body, the at least one gas inlet in communication with the chamber. In one preferred aspect of the invention, the at least one flap is deformable within the nares of a patient thereby creating a substantially airtight seal.

A respiratory mask for continuous positive airway pressure treatment includes a cushion adapted to be positioned against the face of a patient. The cushion is configured in a gasket arrangement around an entrance to the airways of the patient. The cushion is constructed from a polyurethane foam and has a thickness of greater than about 5 mm.

A system including methods and apparatus for treatment of a medical disorder such as obstructive sleep apnea or congestive heart failure. The system involves applying separate and independent gains to flow rates of pressurized gas delivered to a patient during inspiratory and expiratory phases of a respiratory cycle to deliver the pressurized gas in proportion to the respective gains during inspiration and expiration. A base pressure may be applied in addition to the gain-modified pressures and an elevated pressure profile may be employed to assist or control inspiration. The system may be fully automated responsive to feedback provided by a flow sensor that determines the estimated patient flow rate. A leak computer can be included to instantaneously calculate gas leakage from the system. The system may be utilized in connection with conventional continuous positive airway pressure (bi-level PAP) equipment to effect various beneficial treatment applications.

A system including methods and apparatus for treatment of a medical disorder such as obstructive sleep apnea or congestive heart failure. The system involves applying a gain to flow rate of pressurized gas delivered to a patient during inspiratory and / or expiratory phases of a respiratory cycle to deliver the pressurized gas in proportion to the respective gains during inspiration and / or expiration. A base pressure may be applied in addition to the gain-modified pressures and an elevated pressure profile may be employed to assist or control inspiration. The system may be fully automated responsive to feedback provided by a flow sensor that determines the estimated patient flow rate. A leak computer can be included to instantaneously calculate gas leakage from the system. The system may be utilized in connection with conventional continuous positive airway pressure treatments, such as CPAP or bi-level positive airway pressure equipment to effect various beneficial treatment applications.

The ventilation interface for sleep apnea therapy interfaces a ventilation device to the patient's airways. The ventilation interface includes a pair of nasal inserts made from flexible, resilient silicone which are oval shaped in cross-section and slightly tapered from a base proximal the ventilation supply to the distal tip end. A bead flange is disposed about the exterior of each insert at the distal end of the insert. In one embodiment, a valve is disposed between the nasal inserts and a source of positive airway pressure, the valve having a rim with a one-way diaphragm pivotally attached to the valve body with an inflatable bladder depending from the rim which seals against an exit port during inspiration and deflates to uncover the exit port on expiration. Another embodiment has nasal inserts without positive airway pressure but with a removable filter in the inserts for filtering inspired air.

A method and apparatus for treating a breathing disorder and, more particularly, a method and apparatus for providing a pressurized air flow to an airway of a patient to treat congestive heart failure in combination with Cheyne-Stokes respiration and / or sleep apnea or other breathing disorders. A positive airway pressure ventilator is utilized in combination with an algorithm that adjusts IPAP and EPAP in order to counter a Cheyne-Stokes breathing pattern. Cheyne-Stokes respiration is detected by monitoring a peak flow of the patient.

A multiple stage variable speed blower for Continuous Positive Airway Pressure (CPAP) ventilation of patients includes two impellers in the gas flow path that cooperatively pressurize gas to desired pressure and flow characteristics. Thus, the multiple stage blower can provide faster pressure response and desired flow characteristics over a narrower range of motor speeds, resulting in greater reliability and less acoustic noise.

A user interface for a portable continuous positive airway pressure (CPAP) device comprises a gas delivery member releasably mountable to a manifold member. The CPAP device comprises a motor blower unit contained in a wearable vest which is connectable by a patient hose to the user interface. Alternative embodiments of the gas delivery member include a nasal mask or a pair of nasal prongs which are interchangeably mountable to the manifold member. Ball joints on opposing ends of the patient hose swivelably interconnect the patient hose to the user interface and to the motor blower unit. Cheek pads extend from opposing ends of the manifold member and are freely orientatable relative thereto. Six-way adjustable head gear stabilizes the user interface on the patient's face and comprises side straps and head straps which are pivotably joined to one another and which are adjustable lengthwise to fit a wide range of patient

A ventilator supplies a plurality of volumes of fluid to a patient during a like plurality of inhalations by the patient. Each volume of fluid is supplied at an inspiratory positive airway pressure during a corresponding inhalation by the patient. A volume of fluid received by the patient is determined for each of the plurality of inhalations by the patient and an average volume of fluid received by the patient during each of the plurality of inhalations is determined. The average volume of fluid received by the patient during each inhalation is compared to a predetermined target volume and the inspiratory positive airway pressure each volume of fluid is supplied to the patient is adjusted as a function of the comparison.

A method and system of individually controlling positive airway pressure of a patient's nares. Some exemplary embodiments may be a method comprising applying therapeutic gas pressure within a first naris of a patient during respiration, and applying therapeutic gas pressure within a second naris of the patient during the respiration. The therapeutic gas pressures applied to each naris are different.

A method for relating to each other cardiovascular and sleep disordered breathing conditions of a patient. The patient's heart rate and / or detailed echocardiogram data is monitored and recorded continuously or periodically together with sleep disordered breathing information on similar time scales. Changes in the patient's heart rate associated with changes in sleep disordered breathing can then be observed. More specifically, positive airway pressure at therapeutic levels for treatment of sleep disordered breathing is applied while events associated with the treatment of the patient's sleep disordered breathing are detected and recorded. At the same time, information concerning the cardiovascular condition of the patient is stored and the stored information concerning the cardiovascular condition of the patient and the recorded events associated with the treatment of the patient's sleep disordered breathing are related to each other.

Systems and methods provide for gathering of patient related data during non-sleep periods and modulating a therapy delivered to the patient during sleep using the gathered data. Data associated with a patient is gathered while the patient is awake. A therapy delivered to the patient during patient sleep is adjusted using the acquired data. The therapy delivered to the patient may include one or more of a respiratory therapy, such as a positive airway pressure (xPAP) therapy, a sleep disordered breathing therapy, a cardiac rhythm management therapy, such as a cardiac overdrive pacing therapy, a medication therapy, or a drug delivery therapy. The therapy delivered to the patient may be optimized using the acquired data.

Systems and methods provide a self-contained, intermittent positive airway pressure system for treating sleep apnea, snoring, and other respiratory disorders. The systems and methods provide an air flow director that can be worn in or over the nose of the individual in communication with an upper airway. The systems and methods provide an airflow regulation assembly that can also be worn in its entirety by the individual in communication with the air flow director. The airflow regulation assembly includes a source of positive pressure. The airflow regulation assembly intermittently operates the source of positive pressure to increase positive air pressure in the air flow director sufficient to resist tissue collapse in the upper airway during only a portion of the respiratory cycle less than the entire respiratory cycle.

The present invention comprises a nasal cannula (2), shaped to fit within a user's nares, where the nasal cannula includes at least one prong (24, 25) allowing high flow delivery of humidified gases and creates positive airway pressure in the patient's airway. The prongs have angled ends (31, 32), such that in use, gases flowing through the prongs are directed to the user's nasal passages. The nasal cannula body is partially swivelling and preferably has a ball joint connector (37, 39). In another embodiment the nasal cannula may have at least one flared end prong (31, 32) that preferably seals within a patient's nare.

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

Improved methodology and apparatus for the clinical study and treatment of sleep apnea which incorporates one or more of the following features: (1) application of mono-level, alternating high and low level, or variable positive airway pressure generally within the airway of the patient with the mono-level, high and low level, or variable airway pressure generally being coordinated with and / or responsive to the spontaneous respiration of the patient, (2) usage of adjustably programmable pressure ramp circuitry capable of producing multiple pressure ramp cycles of predetermined duration and pattern whereby the ramp cycles may be customized to accommodate the specific needs of an individual sleep apnea patient so as to ease the patient's transition from wakefulness to sleep, (3) remote control or patient-sensed operation of the apparatus, (4) employment of safety circuitry, reset circuitry and minimum system leak assurance circuitry, controls and methods, and (5) utilization of clinical control circuitry whereby sleep disorder data may be compiled and appropriate therapy implemented during a one-night sleep study.

A method and apparatus for treating a breathing disorder and, more particularly, a method and apparatus for providing a pressurized air flow to an airway of a patient to treat congestive heart failure in combination with Cheyne-Stokes respiration and / or sleep apnea or other breathing disorders. A positive airway pressure ventilator is utilized in combination with an algorithm that adjusts IPAP and EPAP in order to counter a Cheyne-Stokes breathing pattern. Cheyne-Stokes respiration is detected by monitoring a peak flow of the patient.

A system and method for providing a pressure support therapy administered to a patient, where at least one parameter associated with the pressure support therapy is varied according to a time-base parameter variation function. More specifically, at least one parameter or at least one group of parameters associated with a pressure control relation for providing a proportional assist ventilation (PAV) or a proportional positive airway pressure (PPAP) mode of ventilation is varied according to a time-based parameter variation function to control the PAV or PPAP ventilation with a maximum degree of flexibility.

A CPAP system and method which allows the control of released gases from the patient circuit. Coordination of blower speeds and the amount of released gases to improve patient therapy are disclosed. Methods and systems to control patient CO2 retention within the patient mask and to measure patient metabolic function are disclosed.

The present inventions provide respiratory therapy apparatus that introduce water into the pressurized air delivered to a user during various positive airway pressure therapies and corresponding methods. The respiratory therapy apparatus may be configured to administer one or more positive airway pressure therapies, including: continuous positive airway pressure therapy (CPAP), bi-level positive airway pressure therapy (BPAP), auto positive airway pressure therapy (autoPAP), proportional positive airway pressure therapy (PPAP), and / or other positive airway pressure therapies. The respiratory therapy apparatus may include a user interface that defines an interface passage to communicate pressurized air to the user for inhalation and a humidifier that introduces water into the pressurized air generally at the interface passage. Methods according to the present inventions may include introducing water into the interface passage at one or more humidifier ports disposed about the interface passage.

A method and system of individually controlling positive airway pressure of a patient's nares. Some exemplary embodiments may be a method comprising applying therapeutic gas pressure within a first naris of a patient during respiration, and applying therapeutic gas pressure within a second naris of the patient during the respiration. The therapeutic gas pressures applied to each naris are different.

The present invention provides an apparatus and methods for the administration of positive airway pressure therapies. The apparatus can include a housing, a blower and a mask. The housing is configured to be stably secured on the head of a patient. The blower is secured relative to the housing. A mask in fluid communication with the blower is configured to communicate pressurized air produced at least in part by the blower to the airways of a user.

A method for dispensing alternative prescription products to a patient to provide the patient alternative treatment options and increase treatment protocol compliance. After a patient is diagnosed with a medical condition requiring treatment with a prescription product, the patient is provided with a kit containing a multiple continuous positive airway CPAP interfaces designed to adapt to a plurality of different facial features. Instead of being custom fitted by a CPAP interface specialist, the patient is given multiple CPAP interfaces to try and select the CPAP interface most desirable to the patient. The patient indicates the most desirable CPAP interface and, after a predetermined period of time, the patient is provided with a new CPAP interface matching the most desirable CPAP interface selected by the patient.

A notification system monitors changes in air flow channeled between a positive air pressure generator and a CPAP mask supplying positive airway pressure to a patient during treatment of sleep apnea. An air flow sensor and / or pressure sensor is positioned to monitor air flow channeled to the mask. When a sensor detects a significant change in air flow and / or air pressure, a detection signal is analyzed by a controller unit microprocessor for comparisons with a preselected operating range for air flow and / or pressure. Upon verification the air flow and / or pressure is not within the preselected range, a remote transmission is transmitted to an alarm means proximal of the patient. The alarm means directs at least one stimulus to the patient for alerting and waking the patient. The alarm stimulus includes audio and / or vibratory stimuli of sufficient intensity to alert the patient that mask adjustments are required for proper CPAP treatment.