195 results about "Respiratory monitoring" patented technology

A patient interface in accordance with one embodiment of the present invention is configured to be at least partially carried by a patient and to receive gas exhaled by the patient. The patient interface includes first and second cannula tubes each having a first end and a second end, the first ends are configured to be inserted into the nostrils of a patient, the first and second cannula tubes are configured to direct exhaled gas from the patient from the first ends to said second ends. The patient interface also includes first and second sensors positioned near the second ends, and the first and second sensors are configured to provide first and second signals based upon the gas, wherein the first and second signals are indicative of a physiological parameter of the patient. The patient interface also includes a communications link configured to provide the signal to a physiological monitor.

An acoustic sensor is provided according to certain aspects for non-invasively detecting physiological acoustic vibrations indicative of one or more physiological parameters of a medical patient. The sensor can include an acoustic sensing element configured to generate a first signal in response to acoustic vibrations from a medical patient. The sensor can also include front-end circuitry configured to receive an input signal that is based at least in part on the first signal and to produce an amplified signal in response to the input signal. In some embodiments, the sensor further includes a compression module in communication with the front-end circuitry and configured to compress portions of at least one of the input signal and the amplified signal according to a first compression scheme, the compressed portions corresponding to portions of the first signal having a magnitude greater than a predetermined threshold level.

A system and method for monitoring respiration including sensing a signal that varies with respiration, deriving a respiration parameter, applying criteria for detecting a respiration disturbance and determining one or more respiratory disturbance metrics. The system preferably includes an implantable sensor with an associated implantable medical device such that chronic respiration monitoring is possible. The implantable medical device may execute methods for detecting and measuring respiratory disturbances or may store data to be transferred to an external device for detecting and measuring respiratory disturbances. Respiratory disturbance detection may trigger a responsive action such as physiological data storage, a change in therapy delivery, or a clinician warning. Assessment of cardiac function may be made based on metrics of respiratory disturbances or a measure of circulatory delay time following detection of a respiratory disturbance.

The invention comprises a patient respiration monitoring and / or control method and apparatus used in conjunction with multi-axis charged particle or proton beam radiation therapy of cancerous tumors. The respiration monitoring system uses thermal and / or force sensors to determine where a patient is in a respiration cycle in combination with a feedback signal control delivered to the patient to inform the patient when breath control is required. The resulting breath control is timed with charged particle delivery to the tumor to enhance accuracy, precision, and / or efficiency of tumor treatment.

A medical device system for comparing a cardiopulmonary signal to a brain signal. In one embodiment of the invention, a medical device system is provided that includes a brain monitoring element, respiratory monitoring element and a processor. The processor is configured to receive a brain signal from the brain monitoring element and a respiratory signal from the respiratory monitoring element. The processor is further configured to compare the brain signal to the respiratory signal. Methods of comparing a brain signal to a cardiopulmonary signal are also provided.

A respiratory monitoring apparatus that detects changes in physiological parameters relevant to respiration, including blood oxygen and blood volume, using near infrared spectroscopy. Methods for diagnosing respiratory-related events including hypoxia index, hypopnea, arousal, tissue oxygen debt, and respiratory muscle events or distinguishing central from obstructive sleep apnea are also disclosed.

A cannula receive respiratory airflows and ambient airflows. Another receives respiratory airflows and interface airflows. And another receives i) respiratory airflows from a subject and ii) interface airflows from an area near the cannula. Corresponding respiratory monitoring methods also receive the same.

Disclosed is a system and method for monitoring, diagnosing, and treating certain respiratory conditions, such as asthma. The system includes a mask apparatus fitted with a pH sensor and thermocouple, a continuous positive airway pressure (CPAP) device, a processing receiver, and a therapeutic nebulizer / atomizer / humidifier device. The mask apparatus, CPAP device and therapeutic nebulizer / atomizer / humidifier device are connected by a pneumatic means. The pH sensor and the thermocouple are in electrical communication with the processing receiver that controls, through an electronic means, the CPAP device and therapeutic nebulizer / atomizer / humidifier device. The electrical communications can be in the form of a plurality of wires or employ wireless means.

A patient interface in accordance with one embodiment of the present invention is configured to be at least partially carried by a patient and to receive gas exhaled by the patient. The patient interface includes first and second cannula tubes each having a first end and a second end, the first ends are configured to be inserted into the nostrils of a patient, the first and second cannula tubes are configured to direct exhaled gas from the patient from the first ends to said second ends. The patient interface also includes first and second sensors positioned near the second ends, and the first and second sensors are configured to provide first and second signals based upon the gas, wherein the first and second signals are indicative of a physiological parameter of the patient. The patient interface also includes a communications link configured to provide the signal to a physiological monitor.

A method for determining respiration rate in a patient can include various parts. The respiration rate can be determined by measuring the heart's S2 split. The S2 split can be identified by observing the timing of the heart sounds. Other respiration related information, such as respiration phase and the occurrence of apnea, can be identified as well. A respiration monitor of this type may be useful for monitoring sub-acute patients, and outpatients. A sensor for the respiration monitor and an electrode for an ECG monitor may be combined into a single probe.

A gas flow diverter for increasing the turbulence of an incoming respiratory gas flow through a respiratory gas sensor is provided. The diverter is positioned at a patient or inlet end of a tube section of the sensor in order to divert the respiratory gas flow from the patient generally equally across the cross-sectional area of the tube section. The diverter can be formed integrally as a part of the sensor, or can be releasably attached to the sensor or to an adapter that is releasably connected to the inlet end of the sensor for use in situations in which the volume of the incoming respiratory gas flow from the patient is greatly reduced due to the size of the patient, i.e., when the patient is an infant.

A medical device system includes a housing, the housing at least partially supporting a therapy module and a processor, and a respiratory monitoring element coupled to the processor. The processor is configured to activate the therapy module upon detection of a respiratory event in a respiratory signal. In some embodiments, the system may further comprise a brain monitoring element, and the processor may be configured to monitor a brain signal and change the therapeutic output based upon the brain signal.

A non-invasive monitoring system using radiated energy to identify cardiac and respiratory waveforms in patients is discussed. The monitoring system illuminates a subject in radiated energy and then detects the reflected radiated energy caused by respiratory and / or cardiac functions. The detected reflections are used to plot a two-dimensional waveform. The waveforms represent the rise and fall of a detected signal (the reflected energy) over time and are indicative of the small movements of the patient's chest and abdomen that are associated with cardiac and respiratory function. Different implementations of the monitoring system use laser or ultrasonic energy to capture breathing and cardiac waveforms for analysis. The waveforms may be used to diagnose the effectiveness of prescribed sleep medication, perform remote line of sight monitoring from a remote location, identify crying waveforms for babies and infants, identify cardiac waveforms in a non-invasive manner and identify seizure and tremor activity.

A gas delivery, evacuation and respiratory monitoring system comprises a face mask having an inflow flapper valve and a fresh-gas inflow tube and an exhaust-gas outflow tube and a gas sampling tube, a fresh gas source and an exhaust-gas scavenging system, a fresh gas supply tube operative coupling the fresh gas source and the face mask, an exhaust-gas hose operatively coupling the scavenging system and exhaust-gas outflow tube, a carbon-dioxide monitoring device, also known as a capnograph and a carbon-dioxide sampling tube operative coupling the capnograph and the exhaust-gas sampling tube of the mask.

An automated system for monitoring respiratory diseases, such as asthma, provides noninvasive, multimodal monitoring of respiratory signs and symptoms that can include wheeze and cough. Some embodiments employ a mobile device, such as a cell phone, in which raw data from a microphone and an accelerometer are processed, analyzed, and stored. Data can be collected continuously. Time domain and frequency domain analyses of signals to determine, e.g., energy, duration, and spectral content of candidate sounds can be employed to discriminate symptoms of interest from background sounds and to establish significance. Accelerometer signals are analyzed to determine activity levels. Analyses of a user's symptoms and activity level prior to, during, and after an event can provide meaningful determinations of disease severity and predict future respiratory events. The system can provide a summary of data, as well as an alarm when symptom severity reaches a threshold.

A system and method for monitoring respiration including sensing a signal that varies with respiration, deriving a respiration parameter, applying criteria for detecting a respiration disturbance and determining one or more respiratory disturbance metrics. The system preferably includes an implantable sensor with an associated implantable medical device such that chronic respiration monitoring is possible. The implantable medical device may execute methods for detecting and measuring respiratory disturbances or may store data to be transferred to an external device for detecting and measuring respiratory disturbances. Respiratory disturbance detection may trigger a responsive action such as physiological data storage, a change in therapy delivery, or a clinician warning. Assessment of cardiac function may be made based on metrics of respiratory disturbances or a measure of circulatory delay time following detection of a respiratory disturbance.

Disclosed herein is a mask to be worn by a subject on its face for use in respiratory monitoring and / or diagnostics. In general, the mask comprises at least one transducer responsive to sound and airflow for generating a data signal representative thereof, and a support structure shaped and configured to rest on the subject's face and thereby delineate a nose and mouth area thereof. The support structure comprises two or more outwardly projecting limbs that, upon positioning the mask, converge into a transducer supporting portion for supporting the at least one transducer at a distance from the area, thereby allowing for monitoring via the at least one transducer of both sound and airflow produced by the subject while breathing. The limbs may, in some examples, have along at least a portion thereof, an inward-facing channel defined therein for channeling toward a given transducer, air flow produced by the subject while breathing. A method is also disclosed for remotely diagnosing a breathing disorder of a subject.

A respiratory volume / flow monitoring system, including a pneumotach that measures micromovements of a membrane in a MRI environment, gates (triggers) a MRI machine to start image acquisition at specific lung volumes or airflow rates during the breathing cycle or other breathing maneuvers of a patient. The system provides breathing motion artifact suppression for any imaging test susceptible to breathing motion artifact, allows respiratory monitoring of the subject during an MRI procedure, and provides the capability to perform spirometric testing while the subject is in the MRI environment. Embodiments of the invention are also applicable for patients undergoing CT imaging or any other imaging modality that allows external triggering.

A cannula receives respiratory airflows and ambient airflows and a differential pressure transducer determine pressures differentials between the respiratory airflows and the ambient airflows. Another receives respiratory airflows and interface airflows and a differential pressure transducer determine pressures differentials between the respiratory airflows and the interface airflows. And another receives i) respiratory airflows from a subject and ii) interface airflows from an area near the cannula; and a differential pressure transducer determines pressure differentials between the respiratory airflows and the interface airflows. Corresponding respiratory monitoring methods also receive and determine the same.

A method and apparatus are provided for ventilation of patients during general anesthesia. Breathing gas is supplied to the patient during anesthesia at a controlled volume above the functional residual capacity of the patient's lungs. The patient is allowed to spontaneously respire when the volume of breathing gas is above the functional residual capacity. The pressure of the breathing gas is periodically reduced to facilitate expulsion of carbon dioxide-containing gas from the patient. The system promotes alveolar ventilation, carbon dioxide excretion, oxygenation and respiratory monitoring in patients who receive general anesthesia.

What is disclosed is a system and method for estimating tidal chest volume using 3D surface reconstruction based on an analysis of captured reflections of structured illumination patterns from the subject with a video camera. The imaging system hereof captures the reflection of the light patterns from a target area of the subject's thoracic region. The captured information produces a depth map and a volume is estimated from the resulting 3D map. The teachings hereof provide a non-contact approach to patient respiration monitoring that is particularly useful for infant care in a neo-natal intensive care unit (NICU), and can aid in the early detection of sudden deterioration of physiological condition due to detectable changes in respiratory function. The systems and methods disclosed herein provide an effective tool for tidal chest volume study and respiratory function analysis.

The invention provides a breath monitoring device comprising means to record a first breathing state of a user, and means to detect a deviation from the recorded breathing state in a subsequent use of the device by a user. The invention further provides a method of monitoring breaths, the method comprising the steps of: (a) recording the first breathing state of a person from a breath of a person; and (b) detecting a deviation from the recorded first breathing state in a subsequent breath from a person.

A system and method are provided to monitor a patient's respiration during and after medical / surgical procedures, as well as in clinical situations wherein the patient is at increased risk for developing central or obstructive respiratory depression and / or apnea. A sensor attached to the patient's face, which monitors nasal and oral air-flows. An electronic monitor analyzes patient respiratory patterns and initiates bedside and / or remote nursing station alarms in real time if and when a clinically significant respiratory event is detected. Respiration is measured by monitoring changes in the acoustic signature of the patient's breath passing over a corrugated or uneven surface, changes in the pressure of an inflatable closed volume of a sensor caused by the changes in temperature of the interior volume caused by the patient breathing over the sensor, or both.

A system and method for sleep monitoring, diagnosing and sensing temperature and pressure for a breathing cycle of a patient including a sensing device suitable for both nasal and oral breath monitoring for measuring respiratory air wave and airflow information during a sleep apnea diagnostic session and processing the acquired air wave and airflow breathing information for input to conventional polysomnography equipment.

Disclosed is a system and method for monitoring the breath chemistry of a patient's breath using a specially designed self-condensing sensor module mounted in a mask, nasal cannula, headband with boom apparatus, or similar device for directing the patients' breath towards the self-condensing sensor. Monitoring of a patient's breath pH provided by the miniaturized self-condensing pH sensor provides for real-time monitoring of patient airway pH values. The specially designed self-condensing sensor module incorporates a data transfer means, e.g. direct wiring or by providing a transmitter with an antenna for wireless transferring of the pH data to a processing receiver. The self-condensing pH sensor comprises a multi-tubular design with the outer tubular member housing a silver chloride reference element, an ion conducting path, and an antimony sensor plug isolated in an inner tubular member that is co-linearly or coaxially configured with the outer tubular member. A transmitter with an antenna transfers the observed pH data by employing one of many wireless methods, such as radio-frequency (RF) energy. Alternately, the transfer of observed pH data is accomplished by direct wire methods. The pH data is transferred or updated at specific intervals, which can be varied according to the patient's needs, to the processing receiver that is engaged to the treatment apparatus. In the therapeutic configuration, the processing receiver computes and diagnoses the breath chemistry data and determines at what frequency the treatment apparatus should be activated.

An apparatus, system, and method for monitoring a person suffering from a chronic medical condition predicts and assesses physiological changes which could affect the care of that subject. Examples of such chronic diseases include (but are not limited to) heart failure, chronic obstructive pulmonary disease, asthma, and diabetes. Monitoring includes measurements of respiratory movements, which can then be analyzed for evidence of changes in respiratory rate, or for events such as hypoponeas, apneas and periodic breathing. Monitoring may be augmented by the measurement of nocturnal heart rate in conjunction with respiratory monitoring. Additional physiological measurements can also be taken such as subjective symptom data, blood pressure, blood oxygen levels, and various molecular markers. Embodiments for detection of respiratory patterns and heart rate are disclosed, together with exemplar implementations of decision processes based on these measurements.