High-Flow Respiratory Therapy With Oscillating Flow Feedback

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Solution Overview

Problem

Existing respiratory therapy systems struggle to balance comfort, risk, and efficacy, and fail to accurately determine inspiratory demand and airway pressure, leading to inefficient gas flow delivery.

Innovation Solution

A high-flow respiratory system that includes a flow generator, patient interface, and sensors to measure gas flow temperature and pressure, allowing for real-time adjustments to ensure optimal gas flow delivery based on inspiratory demand and airway pressure, with feedback mechanisms to enhance CO2 washout and O2 delivery.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If a non-sealing patient interface is used to deliver gas flow, then patient comfort and ease of breathing are improved, but accurate measurement of airway pressure and determination of inspiratory demand become difficult

Engineering Contradiction:
Improvepatient comfortVSAvoidairway pressure measurement
Core Design Contradiction:
Ease of operationVSMeasurement precision

Solution Approach 1:

The patent introduces a sealing element as an intermediary component between the patient interface and the patient's airway. This sealing element creates a sealed environment that enables accurate pressure sensing while maintaining patient comfort. The sealing element acts as a mediator that allows the system to simultaneously achieve both comfortable non-invasive delivery and precise measurement capabilities.

Inventive Principle:
Principle #24Intermediary (Mediator)

2Productivity

If high flow rates are delivered to meet inspiratory demand, then therapy efficacy is improved, but ambient air entrainment increases reducing therapy precision

Engineering Contradiction:
Improvegas flow delivery rateVSAvoidinspiratory demand determination
Core Design Contradiction:
ProductivityVSMeasurement precision

Solution Approach 1:

The patent implements a feedback mechanism where the system continuously monitors actual gas flow delivery and compares it with the calculated inspiratory demand. Based on this feedback, the system can adjust the delivered flow rate to precisely meet the patient's inspiratory demand without excessive ambient air entrainment. The feedback loop enables real-time optimization of flow delivery accuracy.

Inventive Principle:
Principle #23Feedback

3Adaptability or versatility

If multiple therapy mechanisms are prioritized simultaneously, then therapy versatility is improved, but control complexity and trade-off management increase

Engineering Contradiction:
Improvetherapy mechanism optionsVSAvoidcontrol system complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The patent implements a dynamic prioritization system where the relative importance of different therapy mechanisms can be adjusted in real-time based on patient needs and clinical conditions. The system allows dynamic reweighting of therapy priorities without requiring complex manual reconfiguration, adapting the control strategy as treatment progresses and patient conditions change.

Inventive Principle:
Principle #15Dynamics

4Ease of operation

If flow therapy is delivered without sealed interface, then patient comfort is improved, but CO2 washout and O2 delivery efficacy are reduced

Engineering Contradiction:
Improvepatient comfortVSAvoidtherapy efficacy
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The patent applies local quality by creating a sealed environment only at the critical interface region where the patient contacts the device, while maintaining open and comfortable conditions elsewhere. The sealing element is localized to specific areas needed for effective therapy delivery, providing just enough seal to ensure CO2 washout and O2 delivery efficacy without compromising overall patient comfort.

Inventive Principle:
Principle #3Local quality

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The system effectively meets and adjusts to inspiratory demand, improving patient comfort and therapy efficacy by ensuring appropriate gas flow rates, reducing ambient air entrainment, and enhancing CO2 washout and O2 levels.

Implementation Method 1

a temperature sensor or other device for measuring or otherwise determining the temperature of gasflow

Methodology Applied
Scientific EffectTemperature sensing:

Implementation Method 2

improve gaze exchange through improved CO2 washout and/or increase O 2 in a patient's airways using an apparatus for administering flow therapy using oscillation of pressure and/or flow provided to the patient

Methodology Applied
Scientific EffectPressure oscillation:

Data Source

PatentEP4205787B1Improvements to flow therapy
Publication Date: 2026.01.14 FISHER & PAYKEL HEALTHCARE LTD
  • EP4205787B1 patent drawingFigure 1
  • EP4205787B1 patent drawingFigure 2
  • EP4205787B1 patent drawingFigure 3~4

AI summary

A high-flow respiratory system operable to promote gas exchange in a patient's airway via a non sealing interface comprising: a humidifier connected to or for receiving a gas from at least one gas source, and a controller for operating the respiratory system, the respiratory system configured to provide a high-flow, heated and humidified gas flow with a unidirectional varying flow rate comprising oscillations, at one or more oscillation frequencies, about a base flow rate.