75 results about "Sleep disorder breathing" patented technology

There is provided a computer-implemented method for determining sleep misperception of a subject during a sleep session. The method comprises receiving sleep condition information. The sleep condition information comprises at least one of SDB information and insomnia information. The SDB information is representative of a sleep disordered breathing (SDB) condition of the subject based on a number of SDB events of the subject per unit of time. The computer-implemented method comprises receiving sleep quality information representative of a quality of sleep of the sleep session experienced by the subject. The computer-implemented method comprises determining a degree of sleep misperception based on the sleep condition information and the sleep quality information. The sleep misperception is representative of a difference between a subjective total sleep time of the sleep session experienced by the subject and an objective total sleep time of the subject in the sleep session.

Devices and / or methods for treating sleep disordered breathing may include stimulation of a single nerve, multiple nerves, as well as other tissues relating to upper airway patency.

Methods and apparatus provide monitoring of a sleep disordered breathing state of a person such as for screening. One or more sensors may be configured for non-contact active and / or passive sensing. The processor(s) (7304, 7006) may extract respiratory effort signal(s) from one or more motion signals generated by active non-contact sensing with the sensor(s). The processor(s) may extract one or more energy band signals from an acoustic audio signal generated by passive non-contact sensing with the sensor(s). The processor(s) may assess the energy band signal(s) and / or the respiratory efforts signal(s) to generate intensity signal(s) representing sleep disorder breathing modulation. The processor(s) may classify feature(s) derived from the one or more intensity signals to generate measure(s) of sleep disordered breathing. The processor may generate a sleep disordered breathing indicator based on the measure(s) of sleep disordered breathing. Some versions may evaluate sensing signal(s) to generate indication(s) of cough event(s) and / or cough type.

A device includes at least one first element in operative relation to at least one target tissue from a set of target tissues to treat sleep disordered breathing, which may include obstructive sleep apnea. The operative relation may include sensing and / or stimulation. The at least one target tissue may comprise diaphragm-related tissue, respiratory tissue-related nerves, and / or upper airway patency-related tissue. Example tissue in the set of target tissues includes hypoglossal nerve, infrahyoid muscle (IHM)-innervating nerve, IHMs, glossopharyngeal nerve, an internal superior laryngeal (iSL) nerve, phrenic nerve, diaphragm, pudendal nerve, among other nerves and muscles. In some example, multiple target tissue may be selected for stimulation and / or sensing.

A method of sleep disordered breathing care using specific patient information for a first patient to determine a probability of a particular collapse pattern for an upper airway and / or a therapy outcome, and based on the determination, performing further evaluative procedures and / or implementing therapy.

There is provided a computer-implemented method for determining sleep misperception of a subject during a sleep session. The method comprises receiving sleep condition information. The sleep condition information comprises at least one of SDB information and insomnia information. The SDB information is representative of a sleep disordered breathing (SDB) condition of the subject based on a number of SDB events of the subject per unit of time. The computer-implemented method comprises receiving sleep quality information representative of a quality of sleep of the sleep session experienced by the subject. The computer-implemented method comprises determining a degree of sleep misperception based on the sleep condition information and the sleep quality information. The sleep misperception is representative of a difference between a subjective total sleep time of the sleep session experienced by the subject and an objective total sleep time of the subject in the sleep session.

An oral appliance for the treatment of sleep disorder breathing in a patient has a U shaped appliance body with a front section and two arms. The appliance body has an inner wall and an outer wall, and a web interconnects the inner and outer walls forming an upper dental arch receiving channel. The front section of the body has an air inlet opening for taking in air during inhalation. The oral appliance also has an air outlet member with an air outlet and an air flow passageway connecting the air inlet opening with the air outlet.

A patient interface for delivering a flow of air at positive pressure relative to ambient air pressure to an entrance to the patient's airways to ameliorate sleep disordered breathing comprises a seal-forming structure to form a seal with a region of the patient's face surrounding an entrance to the patient's airways, a positioning and stabilising structure to provide a force to hold the seal-forming structure in a therapeutically effective position on the patient's head, and a connector assembly adapted to connect to an air circuit. The connector assembly comprises a loop member removably and releasably secured in an aperture of an attachment region of the patient interface and an elbow assembly connected to the air circuit and repeatedly connectable to and detachable from the loop member. The elbow assembly comprises an elbow member and a clip member. The clip member comprises a structure separate and distinct from the elbow member and is connected to the elbow member and releasably connects the elbow assembly to the loop member, the elbow member forming a seal with the loop member when the elbow assembly and loop member are connected to each other.

The present specification describes a system and method of detecting sleep disordered breathing, that includes acquiring a set of unconditioned sleep test data that includes oximetry data and at least one other physiological sensor data; sampling the set of unconditioned sleep test data; storing the sampled set of unconditioned sleep test data; receiving, through a display, an input indicative of a degree of analyzing to be applied to the sampled set of unconditioned sleep test data; based on said input, applying a corresponding degree of analyzing to the unprocessed sleep test data to generate processed sleep test data; and visually displaying the processed sleep test data.

A system for determining parameters for implantable devices that are designed to electrically stimulate the phrenic nerve to treat sleep disordered breathing is provided. The system may use techniques to automate the identification of the parameters that are needed for the recognition and classification of the input signals as well as their values. The system may use techniques for the optimization of the electrical stimulation therapy that is delivered by the implantable device.

A patient interface to deliver a flow of air at a positive pressure with respect to ambient air pressure to an entrance to the patient's airways to ameliorate sleep disordered breathing includes a frame assembly and a nasal pillows assembly configured to removably and repeatably connect to the frame assembly. The frame assembly and the nasal pillows assembly form at least part of a plenum chamber pressurizable to a therapeutic pressure. The nasal pillows assembly comprises a one-piece construction including a seal-forming structure configured to form a seal with a region of a patient's face surrounding the entrance to the patient's airways and a frame connection structure configured to removably and repeatably connect the nasal pillows assembly to the frame assembly. At least a portion of the nasal pillows assembly is configured to directly contact the superior or upper lip of the patient in use.

A method and system for determining a positional sleep disordered breathing (pSDB) status associated with a respiratory device user is disclosed. Airflow data associated with the user is received. The airflow data is analyzed to identify a first time period of suspected arousal and a second time period of suspected arousal. A first time section between the identified first time period and the identified second time period is determined. The airflow data associated with the determined first time section is analyzed to identify (i) an indication of one or more respiratory events and / or (ii) an indication of one or more therapy events. Based at least in part on the (i) identified indication of one or more respiratory events and / or (ii) identified indication of one or more therapy events, the pSDB status of the user is determined, where the pSDB status is indicative of whether or not the user has pSDB.

Embodiments disclosed herein relate to respiratory interfaces for use in treating various respiratory issues including, but not limited to, sleep disorder breathing (e.g. snoring, sleep apnea), and in other forms of assisted and unassisted respiration. Embodiments disclosed herein further relate to nasal prongs, flanges and valves for use with respiratory interfaces. Embodiments disclosed herein further relate to evaluating patient compliance with a respiratory interface and harvesting energy for the respiratory.

In certain example embodiments, an air delivery system includes a controllable flow generator operable to generate a supply of pressurized breathable gas to be provided to a patient for treatment and a pulse oximeter. In certain example embodiments, the pulse oximeter is configured to determine, for example, a measure of patient effort during a treatment period and provide a patient effort signal for input to control operation of the flow generator. Oximeter plethysmogram data may be used, for example, to determine estimated breath phase; sleep structure information; autonomic improvement in response to therapy; information relating to relative breathing effort, breathing frequency, and / or breathing phase; vasoconstrictive response, etc. Such data may be useful in diagnostic systems.

Devices and / or methods for treating sleep disordered breathing may include stimulation of a single nerve, multiple nerves, as well as other tissues relating to upper airway patency.

Methods and systems are provided to improve SDB in a patient suffering therefrom by delivering an electrical neuromodulation signal to at least a target site comprising an efferent fiber of the glossopharyngeal nerve that innervates pharyngeal constrictor muscles or the stylopharyngeus muscle. Methods include further delivering electrical neuromodulation signals to other sites including one or more combinations of the ansa cervicalis, the hypoglossal nerve, the palatoglossus muscle, and / or the palatopharyngeus muscle. The electrical neuromodulation signal delivered to efferent fibers of the glossopharyngeal nerve can be done independent of a detected sensory or input signal that measures the neuromuscular state of the patient's airway.

A device and / or method to provide sleep disordered breathing (SDB) care includes an implant-access incision and / or a sensing element.

Systems and methods for determining sleep disordered breathing parameters of a patient are disclosed, including receiving respiration information of the patient and temperature information of the patient, and determining sleep disordered breathing parameters of the patient using the received respiration information and temperature information of the patient.

At least some embodiments of the present disclosure are directed to systems and methods for sleep disordered breathing (e.g., obstructive sleep apnea) therapy. An electrode assembly includes a cuff body to wrap around a nerve. The cuff body includes an inner layer to form a hollowed cylinder shape, and an outer layer to overlap at least a part of the inner layer and cover a closeable opening of the inner layer. Electrode elements are at least partially embedded within the inner layer and spaced apart from each other along a longitudinal direction. The electrode elements each include an arcuate portion facing a lumen of the inner layer. The electrode assembly has a cross-sectional shape that is substantially circular.

An apparatus includes an implantable stimulator to treat sleep disordered breathing (SDB) and at least one electrode associated with the stimulator. The apparatus may include a microstimulator including a housing to encapsulate at least stimulation circuitry and a control portion including a therapy manager to control the stimulation circuitry based on at least control information.

There is provided a computer-implemented method for determining sleep misperception of a subject during a sleep session. The method comprises receiving sleep condition information. The sleep condition information comprises at least one of SDB information and insomnia information. The SDB information is representative of a sleep disordered breathing (SDB) condition of the subject based on a number of SDB events of the subject per unit of time. The computer-implemented method comprises receiving sleep quality information representative of a quality of sleep of the sleep session experienced by the subject. The computer-implemented method comprises determining a degree of sleep misperception based on the sleep condition information and the sleep quality information. The sleep misperception is representative of a difference between a subjective total sleep time of the sleep session experienced by the subject and an objective total sleep time of the subject in the sleep session.

This invention provides a bed-mounted sleep breathing state monitoring system and method. It collects bed-mounted pressure signals generated during the user's sleep process using an under-bed pressure sensor module. Based on these signals, it determines the start and end times of candidate sleep breathing abnormalities. The bed-mounted pressure signals from the start to the end time are then input into a pre-set deep neural network for feature extraction and classification, ultimately determining whether a sleep breathing abnormality event exists. This method accurately captures the complete temporal features of sleep breathing abnormalities without relying on fixed time window segmentation, effectively avoiding issues such as event truncation and feature aliasing. It achieves adaptive localization and automated detection of sleep breathing abnormalities, significantly improving the accuracy and completeness of sleep breathing abnormality event identification and reducing the risk of missed or false detections.

A patient interface for treatment of sleep disordered breathing, comprising a positioning and stabilising structure to provide a force to hold a seal-forming structure in a therapeutically effective position on the patient's head, the positioning and stabilising structure comprising at least a first strap portion connected to each lateral side of the plenum chamber and configured to overlie lateral surfaces of the patients head and overlie the parietal bones and / or the occipital bone of the patient's head in use, and a second strap portion having a pair of ends connected to the first strap portion, each end of the second strap portion being connected to the first strap portion at a location proximate a respective one of the patient's ears in use, the second strap portion being configured to overlie a superior region of the patient's head in use.

A system and method for treating sleep disordered breathing is disclosed, wherein positional therapy is delivered via a flexible head contacting structure such as a pillow, pillowcase, or pillow insert. The system includes at least one temperature control arrangement responsive to acquired condition data, such as physiological and position data, to detect a target condition associated with sleep disordered breathing. Upon detection, the system instigates a temperature-based treatment to guide the user to change sleeping position as therapy. Sensors and stimulus actuators may be integrated within the pillow or pillowcase to monitor user condition and deliver adaptive stimulus, with the control system adjusting treatment parameters based on user response. Methods for monitoring, determining target conditions, and adaptively delivering positional therapy are also described.

At least some embodiments of the present disclosure are directed to systems and methods for sleep disordered breathing (e.g., obstructive sleep apnea) therapy. An electrode assembly includes a cuff body to wrap around a nerve. The cuff body includes an inner layer to form a hollowed cylinder shape, and an outer layer to overlap at least a part of the inner layer and cover a closeable opening of the inner layer. Electrode elements are at least partially embedded within the inner layer and spaced apart from each other along a longitudinal direction. The electrode elements each include an arcuate portion facing a lumen of the inner layer. The electrode assembly has a cross-sectional shape that is substantially circular.

Monitoring of sleep disorders of a subject using a mobile device such as a smartphone or other wearable device, including placing the mobile device in juxtaposition with the subject, acquiring an audio signal indicating the subject's respiration by a microphone of the mobile device, acquiring an accelerometer signal including the subject's body position, angle, and motion information by an accelerometer of the mobile device, measuring chest movements related to respiration and respiratory sleep disorders by the accelerometer of the mobile device, identifying a plurality of silent events by the audio signal, classifying the silent events into apnea or hypopnea, classifying the classified apnea into a plurality of apnea types by chest movements recorded by an accelerometer sensor, and associating respective angle information with the classified silent events by combining the audio signal and the accelerometer signal.

The present invention relates to a cushion assembly for interfacing with a patient's airways including at least the patient's nares, the cushion assembly being configured to maintain a therapy pressure above ambient air pressure in use, throughout a patient's respiratory cycle, while the patient is sleeping, to ameliorate sleep disordered breathing, said cushion assembly comprising: a plenum chamber at least partially forming a cavity pressurisable to a therapeutic pressure of at least 6 cmH2O above ambient air pressure, said plenum chamber including at least one plenum chamber inlet port sized and structured to receive a flow of air at the therapeutic pressure for breathing by a patient; and a seal-forming structure having a textile membrane constructed and arranged to form a seal with a region of the patient's face surrounding an entrance to the patient's airways inferior to a nasal bridge region of the patient's face, said textile membrane having at least one hole formed therein such that the flow of air at said therapeutic pressure is delivered to at least an entrance to the patient's nares, the seal-forming structure constructed and arranged to maintain said therapeutic pressure in the cavity throughout the patient's respiratory cycle in use, wherein the textile membrane includes a textile material adapted to contact the patient's face and an air impermeable silicone layer applied thereto, the textile material having an interlock knit structure comprising 1) nylon and / or polyester, and 2) elastane, and wherein the textile membrane has stretchability in both a direction of the wales and a direction of the course.

A method of treating sleep disordered breathing (SDB) includes selectively operating a first implantable medical device (IMD) in relation to a first target tissue and / or selectively operating a second implantable medical device (IMD) in relation to a second target tissue. A device comprising a first implantable medical device (IMD) arranged in relation to a first target tissue and configured to be selectively operated; and / or a second IMD arranged in relation to a second target tissue and configured to be selectively operation; the device comprising a control portion configured to: selectively operate the first IMD relative to at least one of the first target tissue or the second target tissue; or selectively operate of the second IMD relative to at least one of the first target tissue or the second target tissue.

A neuromodulation system is provided herein. The system can include a neuromodulation device, an electronics package, which can be part of the neuromodulation device; an external controller; a sensor; and a computing device. The neuromodulation device can include a neuromodulation lead having a lead body configured to be bent to a desired shape and to maintain that shape in order to position the electrodes relative to neural and / or muscular structures when fully deployed. The neuromodulation device can also include an antenna including an upper and a lower coil electrically connected to each other in parallel. The computing device can execute a closed-loop algorithm based on physiological sensed data relating to sleep.

A patient interface is provided for sealing a delivery airflow to improve sleep breathing disorders. The patient interface includes a seal forming structure for forming a pneumatic seal with a patient airway inlet; a positioning and stabilizing structure for maintaining the seal-forming structure in sealing contact with an area around the airway inlet of the patient; a plenum chamber pressurized in use at a pressure higher than ambient pressure; a connection port for delivering a flow of breathable gas into the patient interface; and a device positioned within the breathing chamber defined at least in part by the seal-forming structure and the plenum chamber, where the device divides the breathing chamber into a posterior chamber and an anterior chamber, and where the device includes a plurality of apertures to allow air to pass through the device and to capture hot and / or moist air by a patient, and exchange at least part of heat and / or moisture with the air inhaled by the patient.