CA2944631C - Delivering variable positive airway pressure depending on awake state and sleep disordered breathing - Google Patents

Delivering variable positive airway pressure depending on awake state and sleep disordered breathing Download PDF

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Publication number
CA2944631C
CA2944631C CA2944631A CA2944631A CA2944631C CA 2944631 C CA2944631 C CA 2944631C CA 2944631 A CA2944631 A CA 2944631A CA 2944631 A CA2944631 A CA 2944631A CA 2944631 C CA2944631 C CA 2944631C
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Prior art keywords
pressure
awake
positive airway
patient
sensor
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Active
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CA2944631A
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English (en)
French (fr)
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CA2944631A1 (en
Inventor
Andrew Gordon Gerred
David Robin Whiting
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Fisher and Paykel Healthcare Ltd
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Fisher and Paykel Healthcare Ltd
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Publication of CA2944631A1 publication Critical patent/CA2944631A1/en
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4806—Sleep evaluation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057—Pumps therefor
    • A61M16/0066—Blowers or centrifugal pumps
    • A61M16/0069—Blowers or centrifugal pumps the speed thereof being controlled by respiratory parameters, e.g. by inhalation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
    • A61M16/022—Control means therefor
    • A61M16/024—Control means therefor including calculation means, e.g. using a processor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/1075—Preparation of respiratory gases or vapours by influencing the temperature
    • A61M16/109—Preparation of respiratory gases or vapours by influencing the temperature the humidifying liquid or the beneficial agent
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
    • A61M16/16—Devices to humidify the respiration air
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0039—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the inspiratory circuit
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/332—Force measuring means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3331—Pressure; Flow
    • A61M2205/3344—Measuring or controlling pressure at the body treatment site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/33—Controlling, regulating or measuring
    • A61M2205/3375—Acoustical, e.g. ultrasonic, measuring means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/35—Communication
    • A61M2205/3576—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver
    • A61M2205/3584—Communication with non implanted data transmission devices, e.g. using external transmitter or receiver using modem, internet or Bluetooth®
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/50—General characteristics of the apparatus with microprocessors or computers
    • A61M2205/502—User interfaces, e.g. screens or keyboards
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/005—Parameter used as control input for the apparatus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/40—Respiratory characteristics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2230/00—Measuring parameters of the user
    • A61M2230/63—Motion, e.g. physical activity

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Pulmonology (AREA)
  • Emergency Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Medicinal Preparation (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
CA2944631A 2014-04-02 2015-03-27 Delivering variable positive airway pressure depending on awake state and sleep disordered breathing Active CA2944631C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US201461974310P 2014-04-02 2014-04-02
US61/974,310 2014-04-02
PCT/IB2015/052255 WO2015150997A1 (en) 2014-04-02 2015-03-27 Delivering variable positive airway pressure depending on awake state and sleep disordered breathing

Publications (2)

Publication Number Publication Date
CA2944631A1 CA2944631A1 (en) 2015-10-08
CA2944631C true CA2944631C (en) 2022-08-16

Family

ID=54150950

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2944631A Active CA2944631C (en) 2014-04-02 2015-03-27 Delivering variable positive airway pressure depending on awake state and sleep disordered breathing

Country Status (9)

Country Link
US (2) US10953171B2 (enExample)
EP (3) EP3113819B1 (enExample)
JP (4) JP6660886B2 (enExample)
CN (2) CN110975092B (enExample)
AU (3) AU2015242215B2 (enExample)
CA (1) CA2944631C (enExample)
FR (1) FR3019468B1 (enExample)
SG (2) SG10201808623XA (enExample)
WO (1) WO2015150997A1 (enExample)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR3019468B1 (fr) * 2014-04-02 2024-07-12 Fisher & Paykel Healthcare Ltd Apport de ventilation en pression positive variable en fonction de troubles respiratoires et de l'etat eveille
US9937309B2 (en) * 2014-07-22 2018-04-10 Devilbiss Healthcare Llc Method of optimizing therapy pressure in a breathing therapy machine having an auto-adjust feature
EP3212262B1 (en) 2014-10-27 2020-02-26 ResMed Pty Ltd Apparatus for treating hyperarousal disorders
US12558503B2 (en) 2016-07-06 2026-02-24 New York University Bilevel respiratory therapy system, controller and method
US20190150829A1 (en) * 2017-11-16 2019-05-23 Verily Life Sciences Llc Systems and methods for on-demand cpap therapy
US11537282B1 (en) 2019-05-20 2022-12-27 ResMed Pty Ltd Pressure control in PAP systems
EP4755431A3 (en) * 2019-07-31 2026-08-05 ResMed Pty Ltd Systems and methods for tailoring therapy provided by respiratory systems based on sleep stage
US20220096777A1 (en) * 2020-09-25 2022-03-31 Vapotherm, Inc. Breath sensing with remote pressure sensor
KR102552314B1 (ko) * 2021-01-12 2023-07-07 (주) 멕아이씨에스 3g 센서 마스크 및 이를 이용한 지속적 양압기 시스템
CN113133759B (zh) * 2021-04-08 2023-06-16 贵州宇悦生命科技股份有限公司 一种基于大数据的呼吸辅助健康监测系统及使用控制方法
KR102890432B1 (ko) * 2022-03-02 2025-11-24 에이치엘만도 주식회사 환자의 상태에 따른 압력 제어를 위한 양압기 및 그 제어 방법
EP4338776A1 (en) * 2022-09-19 2024-03-20 Koninklijke Philips N.V. Positive airway pressure support systems
EP4398965A1 (en) * 2022-09-19 2024-07-17 Koninklijke Philips N.V. Positive airway pressure support systems
US12515002B1 (en) 2025-03-06 2026-01-06 15892031 Canada Inc. Kink and tangle resistant smart-enabled nasal cannula and patient oxygen concentrator

Family Cites Families (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5551419A (en) * 1994-12-15 1996-09-03 Devilbiss Health Care, Inc. Control for CPAP apparatus
US6349724B1 (en) * 2000-07-05 2002-02-26 Compumedics Sleep Pty. Ltd. Dual-pressure blower for positive air pressure device
UA90651C2 (uk) * 2002-10-09 2010-05-25 Компьюмедикс Лимитед Спосіб та пристрій для підтримування та контролювання якості сну при терапевтичному лікуванні
US7896812B2 (en) * 2003-08-14 2011-03-01 New York University System and method for diagnosis and treatment of a breathing pattern of a patient
AU2012216696B2 (en) * 2003-08-14 2014-11-13 New York University A positive airway pressure system for treatment of a sleeping disorder
US6988994B2 (en) 2003-08-14 2006-01-24 New York University Positive airway pressure system and method for treatment of sleeping disorder in patient
NZ579858A (en) * 2003-11-26 2011-02-25 Resmed Ltd Macro-control of treatment for sleep disordered breathing
CN1942213A (zh) * 2004-04-15 2007-04-04 雷斯梅德有限公司 对打鼾进行治疗的装置及管理打鼾者的方法
US7882834B2 (en) 2004-08-06 2011-02-08 Fisher & Paykel Healthcare Limited Autotitrating method and apparatus
US7717110B2 (en) * 2004-10-01 2010-05-18 Ric Investments, Llc Method and apparatus for treating Cheyne-Stokes respiration
JP4182956B2 (ja) 2005-05-31 2008-11-19 ブラザー工業株式会社 通信システム、コンピュータ、機器、及びプログラム
US8528551B2 (en) * 2005-06-14 2013-09-10 Resmed Limited Acclimatization therapy for first time users
AU2006297468B2 (en) * 2005-09-30 2012-01-19 New York University System and method for diagnosis and treatment of a breathing pattern of a patient
AU2007257312B2 (en) 2006-06-05 2013-06-13 Resmed Limited Systems and/or methods for calibration-less devices or less expensive calibration devices for treating sleep-disordered breathing
FR2906474B3 (fr) * 2006-09-29 2009-01-09 Nellcor Puritan Bennett Incorp Systeme et procede de commande d'une therapie respiratoire sur la base d'evenements respiratoires detectes
JP5798553B2 (ja) * 2009-07-16 2015-10-21 レスメド・リミテッドResMedLimited 睡眠状態の検出
NZ599917A (en) * 2009-11-16 2014-10-31 Resmed Ltd Methods and apparatus for adaptable pressure treatment of sleep disordered breathing
WO2011068418A1 (en) * 2009-12-01 2011-06-09 Fisher & Paykel Healthcare Limited Breathing assistance apparatus
US9724038B2 (en) 2010-05-14 2017-08-08 Koninklijke Philips N.V. System and method for detecting sleep onset in a subject based on responsiveness to breathing cues
EP3939640B1 (en) 2010-08-13 2025-11-26 Fisher & Paykel Healthcare Limited Apparatus
CN103153183B (zh) * 2010-10-01 2015-11-25 皇家飞利浦电子股份有限公司 用于诊断阻塞性睡眠呼吸暂停的装置和方法
US10099026B2 (en) * 2010-12-03 2018-10-16 Fisher & Paykel Healthcare Limited System, apparatus and method for supplying gases
WO2012106775A1 (en) * 2011-02-11 2012-08-16 Resmed Limited Method and apparatus for treatment of sleep disorders
CN104379204A (zh) * 2012-02-15 2015-02-25 费雪派克医疗保健有限公司 用于供应气体的系统、设备以及方法
WO2013172722A1 (en) 2012-05-18 2013-11-21 Fisher & Paykel Healthcare Limited Control of flow and/or pressure provided by breathing apparatus
FR3019468B1 (fr) * 2014-04-02 2024-07-12 Fisher & Paykel Healthcare Ltd Apport de ventilation en pression positive variable en fonction de troubles respiratoires et de l'etat eveille

Also Published As

Publication number Publication date
SG10201808623XA (en) 2018-11-29
CN110975092B (zh) 2022-08-02
FR3019468B1 (fr) 2024-07-12
AU2015242215A1 (en) 2016-10-20
EP4101487B1 (en) 2024-04-24
CN106456922B (zh) 2020-01-17
SG11201608150VA (en) 2016-10-28
CN110975092A (zh) 2020-04-10
EP3741417A1 (en) 2020-11-25
EP3113819B1 (en) 2020-05-20
JP6660886B2 (ja) 2020-03-11
AU2020239789B2 (en) 2023-06-22
EP4101487A1 (en) 2022-12-14
AU2015242215B2 (en) 2020-06-25
JP2020110597A (ja) 2020-07-27
AU2020239789A1 (en) 2020-10-29
WO2015150997A1 (en) 2015-10-08
EP3113819A1 (en) 2017-01-11
US10953171B2 (en) 2021-03-23
AU2023233061A1 (en) 2023-10-05
FR3019468A1 (enExample) 2015-10-09
EP3113819A4 (en) 2017-11-15
JP2024079684A (ja) 2024-06-11
US20210187218A1 (en) 2021-06-24
JP7023995B2 (ja) 2022-02-22
US12171935B2 (en) 2024-12-24
JP2017510362A (ja) 2017-04-13
EP3741417B1 (en) 2022-08-03
JP7447164B2 (ja) 2024-03-11
JP2022070942A (ja) 2022-05-13
CA2944631A1 (en) 2015-10-08
US20170014585A1 (en) 2017-01-19
CN106456922A (zh) 2017-02-22

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