TW201000159A - Expandable type gas delivering system and gas delivering method thereof - Google Patents

Abstract

The present invention relates to an expandable type gas delivering system and a gas delivering method. The system comprises a PAP device and a sensor control device. Wherein, the PAP device comprises: an airflow generator, which can supply the respiratory gas to a patient; a processor, which can provide a control signal to the airflow generator; and a digital communication module, which is controlled by the processor. The sensor control device comprises: at least one sensor for obtaining a physiological information from the patient; a processor for receiving the physiological information from the sensor and thereby produceing an information signal; and a digital communication module, which is controlled by the processor. The PAP device and the sensor control device can carry out the digital communication by the digital communication modules separately. The information signal is transmitted to the PAP device and then controls the airflow generator to supply the gas by the information signal.

Description

201000159 IX. Description of the Invention: [Technical Field] The present invention relates to a gas delivery system and a gas delivery method for treating respiratory related diseases, and more particularly to a physiological signal capable of elastically increasing or decreasing according to different needs The source, in turn, provides an expandable gas delivery system and method that optimizes the range of gas delivery pressures. [Prior Art] t (obstructive Sleep Apnea Syndrome 'OS AS ) % is known as a kind of breathing disorder caused by the occurrence of upper respiratory tracts during sleep, or due to years of research on sleep physiology, The medical profession has also had a considerable understanding of (4). ^ 1980 CPAP (Continuous Positive Airway Pressure) system is the most important way to treat 〇SAS. Bean is maintained by the positive pressure of the susceptibility Smooth and avoid blockages caused by muscle collapse. : With the development of various related researches, in addition to the traditional continuous supply of fixed positive pressure Bp of the same kind of CMP, which also has its own characteristics, for example, will provide two positive i 7 airway positive a breathing) system, When the system is flushed with pings, it is used for hi breathing to provide a higher positive pressure during inhalation. The system is a two-=1 pressure. The other type is AutopAP (automatic positive airway pressure). The type is different from the airway obstruction situation of the second test f, and the force provided by the change is the other; the other 2 ▲ 'is very likely to cause unintended ^ ^ body house will not be able to Dar (four) delete the m, _ dragon =:= Let 201000159 = people feel uncomfortable, but also shoot can appear Wei, or let the patient arousal in the _ period, but affect the patient's sleep, this; see, some side effects, therefore, Most CPAp devices are at a gas delivery pressure = 疋, providing a minimum effective pressure value that meets the patient's needs with good eyesight & degrees, for example, US 6,349,724 is an improvement in this regard. l - the comfort of the user in use = the above can be seen, each type of PAp device has its fixed hardware configuration = energy, f is limited to this hardware configuration, for example, when the user appears not to provide "physiological sorrow When changing, it may be adjusted because of the lack of flexibility of the hardware. And for this improvement, there is already Qing 2=

In addition, the US2_23G45 provides a hardware felt. In addition to this, the us 6,397 845 and U =:r sleep stages serve as the basis for adjusting the gas delivery, but the user's lion is still a hard body. Therefore, it is an object of the present invention to provide an external sensing control device that is capable of tearing down the flexible gas delivery system when the user presents a different physiological shape g. Closer to the user's needs, thereby minimizing effective delivery pressure. The purpose of the private system is to provide an expandable gas delivery system. When the PAP is connected to the device, it can also perform its own preset air supply behavior. Eight is no longer - the purpose is to provide An extended gas delivery system capable of controlling the gas delivery pressure age_, _ close to the minimum pressure generation "Γ, thereby providing appropriate smear, and reducing the occurrence and side effects of the invention. The improvement of the set mainly focuses on the change of the supply pressure, and most importantly, the delivery of excessive gas to improve the comfort of use, and avoid the possible side effects due to the ineffective excess of 201000159 ί. Therefore, how to keep the pressure as much as possible The most appropriate procedure is to expand the goal that the delivery is desired to achieve, and the purpose of the extended reduction of Yang Xian provided by the present invention is also to hope that this solution can be solved. According to the present invention, the present invention is based on the fact that the present invention is capable of performing a pre-loaded-first gas supply behavior, and is capable of performing a pre-loaded-first-supply behavior. And if both of the breathable gases are ___ Dependent, the _pAp device enters the mode of the one-to-one mode, and the slanting of the PAP device is performed: the control sequel = the generation: the data signal 'and transmits To the device, and the f-signal participation = the second-breathable body-first gas supply behavior, and the pAp device continuously performs the above steps during the supply of the available person. The invention relates to an expandable gas-delivery system, a 〇-ΡΑΡ device and a sensing control device, wherein the ρΑρ device includes a gas flow generator for supplying - a breathable gas to - patient, a processor, a rib providing a control money to the airflow to produce H, and - receiving the processing of the _ digital communication control means including at least a sensor for obtaining from the patient ―Physical information, I, is used to receive the physiological Wei from the system H, and according to the production of the -f material signal, and the place where the crane is measured, the pAp device receives the system through the sub The digital communication is carried out by the digital channel, and the domain control device transmits the material signal to the PAp (4) through the digital communication to control the air supply behavior of the airflow generator by the service signal. Preferably, the air supply of the airflow generator can be changed according to the sensing control, and/or the change of the sensor, so as to achieve customized control requirements. Moreover, the connection between the cymbal device and the sensing control device can be implemented as wired, 201000159 5, :::*, and the configuration of 'close to the best detection value and the most suitable (four) comfort level. . * u 5 The above physiological information includes, Respiratory Cycle, sleep breathing, and the occurrence of "HyPC" (Pnea), sleep stage (SleeP Stage), 5, *戌, _B〇 dyP〇Sltl〇n) et al. 'The sensor can be a breathing operation sensor, breathing, combined with the mask of the gas force _ device, combined with the gas pulse sensor of the catheter, looking at the oxygen sensor, Heart rate sensor 'body posture sensor, limb displacement sensing electrode ί. ', his physiological electrodes' such as 'electrocardiogram electrodes, EEG electrodes' eye movement electrodes, the number of muscle control devices can also be implemented in multiples to provide multiple information, I, or a plurality of determining factors, and the number of sensing electrodes of the sensing control device can also be implemented as re-oiling, mosquito-to-four (four) material signals and participation - determining the S (four) signal and participating in a single, or more A decisive factor, in addition, changes in the face of the ▲ touch to meet different needs of use. It is a basin/red: gas behavior including 'increasing' reduction, and / or maintaining the dust supply of the breathable gas as measured by the basis of the 'measurement' will determine the sleep period / 3⁄4 disgusting ^ Te\,, Qing). Correction 'The information ship will raise a breathable a body of any increase in the pressure value ', or the supply pressure of the breathable gas within a predetermined range of pressure selection 6 Γ drop degree 'he' this # The extinction means that the supply of the rare gas to the breathing gas increases, decreases, and/or remains unchanged. The variability of the above-mentioned sensing control device/sensor, for the titration of the ΡΑΡ device (the 怀 怀 怀 怀 贞 贞 贞 贞 贞 贞 贞 个 个 个 个 个 个 个 个 个 个 个 怀 怀 怀 怀 怀 怀 怀 怀 怀 怀The user can achieve the minimum effective air supply pressure value of the device near the 'other' plus the PAP device / sensing control of the tilting force, read and set the wire to listen, therefore, the medical H 7 can instantly wirelessly The setting, the Wei titration procedure is more simplified.

For example, Jd'T "\PAPM / _ control relay _ in each use of Hefei treatment results, RDICRespiratC) iy Disturbance Index, sleep breathing disorder index) run I (^ea / HypopneaIndex 'calling and shallow breathing index) The user can, the treatment he has obtained is _, and it can be known that the _ control device 201000159 (that is, the sensation (4) sense) is the physiological state of the reaction itself, therefore, You can replace it yourself or add other inductive devices/sensors to flexibly adjust the factors that determine the air supply behavior to improve the treatment. Furthermore, the PAP device/the sensing control device according to the present invention may further comprise a memory, a PAP device, a threshold value, a gas pressure curve change, a respiratory curve change, a rib μ button, and other uses. Status, etc., to assist in the subsequent evaluation. ΡΑΡΓ=In addition to the alkali measurement and control relay, the __ miscellaneous supply will be used as the deficiencies! In addition, the ΡΑΡ can also provide information related to its gas supply. The measurement and control relays 'to participate in the decision of the dragon's position. hi the person * the gas delivery according to the present invention can also be connected to the network purely to further expand == 言2 by means of network download Whether it is the PAP device, or the feeling that there is a change in the way it works, the different systems, and the different physiological =^ change's, by means of network uploading, so - so, The medical staff can get the set of ί. The data is more conducive to understanding the real treatment effect, and also help to adjust the burden of the pAp device = know: = the price of the device is not cheap 'for the user is also It’s not too small and more cost-effective. The effect of the ρΑρ device's gas _ catching, and the recordable complete use program =,, = ^ r control device, titration program, and by uploading the 'users at home can do it themselves · program to understand the results of the correction =^医=, the sleep technician interprets 'or through the analysis of the website, and the doctor/sleep technician can use the program in the real-time networked laboratory directly, and now (3) 201000159 must pay Time, labor and money costs. Salt metering device, spoon 2 According to a further aspect of the present invention, the invention relates to a physiological device for use in two: obtaining physiological signals from a patient, and - treating bio-physiology =:=== and the physiological information is analyzed, and the production-supply is provided with a number of gift-giving groups to communicate digitally with the PAP device that receives the gas; and the processor is According to the physiological signal, the data signal is generated according to the physiological signal, and the pressure is supplied through the Lt! money device, so as to control the breathable gas without passing through the new field. ΡΑΡ device and sensing control device Independent of each other, therefore, when the detection is enabled, the sensing control can also be used separately to provide a home physiology that is more versatile, in the case of using an external computing device, a computer device, and/or a network. The results of further test and analysis are sufficient to achieve the goal of meeting multiple needs. [Embodiment] I can fully understand I from the description of the following examples, so that I am familiar with the humanity of this skill. The implementation of Lin can be controlled by the following implementations. Under the age of ^ Ming, the expandable gas delivery is purely divided into two parts: - _ 322 external sensing control fiber set 'where' the device is used to provide The patient is pressurized with the same device, which can be used for the exclusive operation, or the H-f external sensing control device can be connected with the PAP device to utilize the communication between the two. The expandable gas delivery system is operated together. The circuits iir, 11 show the PAP device and the sensing system f2A~2B ® of the sensing control device according to the present invention, which are shown in the figure according to the PAP device and the sense of the present invention. The pap device ig of the invention has a main packet issuing location, a @12, a digital communication module 13, and a power source 14, which is used to control the operation of the device, the airflow generator 12 The patient will not be able to touch the patient's pressurized breathing airflow, and the digital communication module 13 is the 201000159 PAP device 10 for receiving digital power from the outside, and is used to provide power for the operation of the PAP device. j digital (four) interface, the power to ride is often the mains, and, if the real line is implemented for home use, the pool, not Wei. Material travel makes (4), the source of financial resources will be electricity, of course, as the pressure can be provided, the thief set, pAp and then the external sensing control device 2 〇 22, the digital communication module 23, and - ^ ^ "Processing (four) 'at least one sensor of the external sensing control device", the sensor communicates with the various physiological lines of the patient within the mask, or within the catheter, for example, with the catheter. ΛΡ device 10 ‘=:=: used to provide external sensing and control 2 for external access. ====; 疋-charge the battery' and the PAP device can have a corresponding - charging seat, the emperor charging 'other' rhyme touch succeeds in addition to the fresh ~, the entrance is caused by the wiring and the self-suspecting ^, can be implemented as a loan

J 22 PAPf / I0 can also be a function that regulates the supply pressure, for example, BiPAP

Ut〇, * when the PAP device is implemented to provide a basis for regulation, for example, by providing a pressure value, a leak amount, or an exemplary PAP device H) can be various forms of pAp device There is no limitation. According to the present invention, the operation of the MP device 10 and the external sensing control device 2 is described as shown in FIG. 3, which shows a flow chart according to the present invention. Hundreds of first, after the power of the PAP device H) is turned on, the processor u will first count 13 and the money is set. Here, the communication of the training station_1 can be implemented as wired or wireless. Picking up various blue buds and other materials. USB ' 1. If no external connection is found: At this point, 'The PAP device 1G executes the default single mode of operation, that is, in the absence of 201000159 ig ig 细 , , , 献 ig ig ig ig ig ig ig ig ig The airflow of the sub-sound IP device 1 产生 generates 11 12 according to the person. Here, if it is, the pressurized breathable gas is delivered to the patient's callable ===:==

It is found that the external sensing control device 20 is connected to its digital communication module 13: the same portable gas delivery system will enter the human-co-operation mode, and the co-located device 1G reception and the external feeling is difficult Weaving 2G together determines the second gas supply behavior to be performed. During the operation, the Ω Ol AP device 1G continuously measures the sensing control device to adjust the operation mode in real time. After the job discovery mode is externally connected and the operating mode is activated, first, the PAP device 10 and the second: 1 control device 20 perform a negotiation between the two (Neg〇tiation Process), and the heart I can communicate with the operator. Through the dazzling process, mutual understanding of each other

CaPabllltieS) Why 'and after confirming the abilities of both parties, you can decide the mode of cooperation between the two according to the = household=provide, for example, when the 胃_ __ signal is After confirming each other's roles, they enter the joint operation procedure. During the same operation period, the sensing control device 2 will signal according to the physiological information obtained by the sensing device 2, and paste the communication between the digital communication modules 13, 23 to send the data to the PAP device. 1G, then, after the (4) signal is received by the pAp device, the bedding signal becomes a factor determining the second air supply behavior, that is, the processor 11 of the pAp device = the data it receives. The signal together determines the second air supply behavior, or the g is outputted by the 6 umbilical material signal, and the sensing control device 20 can control the air supply behavior of the PAP device 1 . 〃 In this common mode of operation, the PAP device (1) and the main 12 201000159 between the sensing and control positions 2 () are connected from the relationship and the _, _ 卩, money is connected to the control position 2 (four), can Sensing control and weaving 20 is the granular control center, money can be implemented as f device H) Parallel wire double mode, or · Implementation scale pAp device = 〇 still 〇Ϊ 1 Ϊ = fine control device 2G is for use, defeat In addition to the above-mentioned master-slave relationship, it is also possible that the PAP is set to have a physiologically relevant signal detecting function, and the sensing control device 2 is sensed. In the case of physiological phase 3, for example, if the pap device is - originally has a detection surface = reliance on the BiPAP device, at this time, if the external call control relay has a detection = cover air pressure function, then two The interaction between the two may be that the external sensing control splitting and the BlPAP I set the job' or the external sensing control relay will take the signal obtained by the 22l PAP device, or In particular, the system can be set to first slap on both sides, for example, tt Made _ ^ rule on the whole, the effect, and then select relatively close to those who use silk, then that is detected as according to the data, will Cloth, the system will choose the correct value of fresh, without certain restrictions. Through the number of gifts, in addition to providing information signals by the material control system, the PAP device can also provide the relevant information obtained from the gas supply _, force, etc. The device is used as a reference for generating data or as a control. 1 ... Therefore, with the single mode of operation and the common mode of operation provided by the present invention, what kind of PAP | can be changed by the external sensing control device to adjust its gas supply behavior 'i% Become a PAP device that is closer to the needs of users. Ί When the PAP device is originally a _CPAP device, it can be changed to a variety of devices with delivery air pressure by using the sensing;}2& Β', AUt〇PAP, VPAP, etc., or get information about the RamP. Similarly, the 'BiPAP device, AutoPAP M ® VPAPI, etc. can also supplement the user's physiological information by using this lion method, and the other regulatory factors can be added to the control. Let the gas supply change more and more drunk, and the actual needs of the more people. 13 201000159 Therefore, the field control and health control 2G is set separately from the PAP device 1G, in order to provide the most accurate physiology _ 峨 as the criterion, ====== close to the user's real breathing changes, Further, it is a secret to achieve the improvement of the operation of the green delivery. Also, A.. will detect the connection with the sensing control device 20, and the PAP device 10 feels during the same operation. Test control device 20 = 33 type 'the two sides can move at any time for the current situation

_The whole cooperation mode, the ship, provides the lightest treatment effect. As for the external sensing control device, the force of the pAp device can be determined as follows. - General ^ 'The physiological information of the sensing control device to generate the data signal includes, spotting week, ' it sleep breathing towel stop / shallow call generation silk, sleep stage, and Lai posture, etc., and & 'The pressure of inhaling and exhaling when breathing is different. The tension of the airway muscles varies from sleep to sleep. Lying on the back or lying on the back will also affect the smoothness of the respiratory airway. With physiological information, it is possible to know the user's immediate physiological condition related to breathing, and then as the basis for the fine control miscellaneous participation in the young gas supply. Generally, physiologically relevant signals that may be used to determine the respiratory cycle include, but are not limited to, respiratory operation 'breathing airflow, mask airflow/pressure, catheter airflow/pressure, thoracic myoelectric signals, etc.; may be used to determine the occurrence of sleep breathing suspension/shallow breathing Physiologically relevant signals include, but are not limited to, respiratory operation, respiratory airflow, snoring, blood oxygen signal, heart rate signal, etc.; physiologically relevant signals that can be used to determine the sleep stage include, but are not limited to, 'EEG signals, eye movement signals , myoelectric signals, heart rate variability, etc.; physiologically relevant signals that can be used to determine body posture include, but are not limited to, body position sensing signals, limb displacement signals, and myoelectric signals. In addition, in addition to the above physiological information, the pressure increase curve (Ramp) is also one of the changes in the pressure delivery of the PAp device 10, which is the change curve of the supply pressure before rising to a fixed value. Prevent users from receiving excessive air supply pressure during the period before going to sleep, thus improving the comfort of use. The physiologically relevant signal that can be used to determine the pressure mitigation curve is 14 201000159 including, but not limited to, brain thunder „. _ ^Taga 々 艮 艮 艮 , , 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌 肌Among them, the external hand signal 4. The role of the information, that is, when the external force ^ ^ ρ 払 可 可 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些 这些In particular, the use of the present invention in combination with the face sensor can also eliminate the conventional PAp F and the flow rate of the gas flow/pressure amount aeakage). / Pressure sensor can be directly in the mask and / or guide f, rather than set in the PAP loading treasure · · Ya J direct, .. 0 mouth can be directly measured in the force value, naturally save the knowledge of the secret Gas calculation surface

In addition, it is more preferable to detect the respiratory airflow, coffee, EOG, = force oximetry, nose If sound. Because the sampling positions of these cans are all in the head, quite close to the mask, therefore, the system (4) device It can be implemented in combination with a mask, for example, can be combined with the strap of the fixed mask, or the mask itself. To facilitate the side setting, for example, the breathing airflow can be placed above the vent of the mask, and the EEG can be set. Waiting on the headband. Of course, these are for illustrative purposes only and are not intended to limit the invention. Other factors that can be used as a basis for gas delivery pressure changes and physiologically relevant signals are within the scope of the invention. The following table lists the various physiologically relevant signals that may be applied and their significance in the regulation, but the Applicant also wishes to emphasize that the following list is for reference only and is not intended to limit the invention. Physiologically relevant signals used by sensors to detect sleep-related physiological information ECG (ECG) ECG electrode respiratory ablation / shallow respiratory brain electrical signal (EEG) EEG electrode sleep stage myoelectric signal (EMG) lower diaphragm Telecommunications chest muscle electrical signal other myoelectric signal electromyography electrode sleep stage breathing operation body posture / displacement eye movement signal (EOG) eye movement electrode sleep stage 15 201000159 respiratory airflow thermal sensor (eg thermistor, thermocouple) pressure Sensor Respiratory Cycle Respiratory Suspension / Shallow Respiratory Respiratory Operational Inductance Sensor, RIP Sensor, Thoracic EMG Electrode Respiratory Cycle Respiratory Suspension / Shallow Respiratory Buzzer Microphone, Pressure Inductance Detector, PVDF Related to Respiratory Suspension / Shallow Respiratory Blood Oxygen concentration PPG sensor (Photoplethysmography) Breathing stop / shallow breathing body posture acceleration sensor body posture limb movement acceleration sensor, myoelectric electrode body displacement mask airflow / pressure pressure / gas flu detector breathing cycle, mask pressure Catheter flow / pressure pressure / gas flu detector breathing cycle, intraductal pressure heart rate Electrocardiogram electrode, blood oxygen sensor respiratory suspension/shallow breathing sleep phase (eg HRV analysis) Therefore, when the type of sensor 22 provided by the external sensing control device 20 according to the present invention is different, it is in the same with the PAP device After the 10 phases are connected and communicated, the PAP device will have different functions, so it is the same for the purpose of customizing the requirements.

From time to time:: The more monthly b is close to the small effective air supply pressure value, which greatly improves the comfort of use and effectively reduces the occurrence of wake-up.

That is, the present invention successfully increases the PAP by providing the external sensing control device 20.

ΐ The flexibility used to make it jump off the traditional hardware architecture, greatly improving the adaptability of the PAP device 10 to the users. Then, with the St-sense control, the type and number of the sensors 22 connected to each other, the class and the number ί ^ 丄, that is, the 'single-external sensing control device can be connected to the sensor to detect the sleep call Thief, if you want to determine the pressure change of the delivery gas by connecting the middle | (four) of the sensor, then, if it is also the same, it can also be the 11-plus sound sensor of the flu test. When the gas delivery pressure 201000159 is further regulated by understanding the sleep stage, it is possible to increase the EEG/EOG/EMG side when the device participates in determining the gas supply behavior, and an external sensing control is required to be multiple, depending on the demand. And set. ^ Lightweight may be single or of course, the plurality of sensors of the external sensing control device 2 may be separately connected, as described above, respectively, which are related to the detected physiological information. Not the number and the shape of each device. Here, when there is a plurality of sensing control gas delivery forces, the implementation is not _, and can be shouted according to the demand = coffee device _ tong 'so' as in the ΡΑΡ ΡΑΡ device 1 〇 combined with the sensing control How to regulate the body's money and dust is described below. In the case of i 20, the breathable gas first, the applicant wants the cabinet to be clear, the general PAp is said to be a hardworking sword, the scale is the factory t ^ /, BlPAP, Yang PAP, therefore, in the use of ΡΛΡ 置In the course of the process, the pressure set by the physician in the system according to the present invention has its basic variation limit, so that, The result of the combination of changes. U 2, 3, and the pressure range of the pap device and the sensing control device respectively may be provided according to the sensing control device. ^ In some cases, the preset is close to the user's demand. Set the 贝 咏 贝 贝 进行 进行 进行 , , , = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = The behavior can be to increase the delivery pressure to continually correct the two or two supply. For: data signal, 仏j:1 in the process of use, the recorded 17 201000159 first gas supply behavior is equal to a gas supply pressure as a function of time. If m is in the mosquito (four) Qing, also TM is the secret-supply pressure value, for example, 7emH2〇' is directly boosted to the required μ force value, or, can also be paid - the pressure difference value, for example, the result shows that it must be lowered丄(10)_, in addition, the ratio of lifting and lowering, for example, must be decreased by the current pressure, or the value of the value must be ,, or it can be assisted by a calculation formula for the pressure value of the target, and then calculate the required Pressure and so on. Another possible way is that when the _ control relay is in the main correction, the fine material reduction can be applied as the supply pressure of the direct control machine breathable gas. _ Today, = system ^ After setting up the physiological information, it can know whether the original gas supply pressure is suitable for the second, the object, if the test finds that the brix value is high in the last hour, namely: S' sense The control device can control the airflow output value by means of the (four) material signal, and the sensor control device can extract the actual value by calculating the surface factory. For example, as described above, directly provide The pressure value, the pressure difference, the pressure rise and fall ratio, etc., in addition to the above-mentioned control pressure mode, if the device is a preset pressure range of -8 time-resistant cofferdam, it will also be set to exhale. The difference between the pressure and the inspiratory pressure: : ΓΓΓ Γ Γ 讯 讯 就 成 成 细 细 细 细 细 细 细 细 细 细 细 细 细 细 细 细 细 细 细 细 细 细 细 细 并且 并且 并且 并且 并且 并且 并且 并且 并且 并且 并且 并且 并且, :: The second can further make the pressure/exhalation pressure difference range according to different sleeps. ——BipAP can achieve this through the hair _ regulation mechanism. Further explanation In order to limit the case, as long as it is between the PAP device and the external sensing control device: ====3⁄4 'two:= let 18 201000159 20, and may include -铓愔 to make the whole system available for storage The function, when the situation is provided and the memory provided by the U is more helpful to the patient to regularly understand the use of the present self, therefore, the setting of the P device is suitable for the slave who needs further inquiry. After the time, or when the effect is not good, it will be further, it can be, the device / sensing control device, also = two or, further, the PAP device / sense according to the present invention The measurement control device can display the treatment result after each use: for example, and the fine value (for example, = analysis/calculation built in the device, and PAP device / sense = control =: times, the situation can also understand the treatment) 5 §) No one 去i go to 2, not a shirt, it is likely that the selected sensing control device (sensor) is not suitable, or it may be the user's physiological state change, for example, =〗 If the effect of treatment is affected, the user can consider replacing, 7 (sensing In addition, it is also possible that although the treatment results are significant, it is still considered that the sleep condition is not good, at this time, it is also possible that the selected sensing and control

It is not suitable. For example, people who sleep in New York may not be suitable for detecting face = pressure J, etc. Therefore, with the expandable characteristics, the user can independently perform a good therapeutic effect. In addition to the above advantages, it is possible to make the titration of the PAP device (Titrati〇n) into a simpler traditional PAP device. The patient will sleep in the PAP device in the sleep laboratory. At the same time, a plurality of physiological signal sensors are provided on the body, and the physiological signals are changed when the PAP device is used, and in this way, the physician/sleep technique 19 201000159 can adjust the range of the supply pressure suitable for the patient. For example, by the most direct measurement of the legs (Respiratory Disturbance Index, ϋ ^ ) / ΑΗΙ ( Apnea ^ ypopnea

Index 'breathing stop and shallow breathing index' can be used to understand the therapeutic effect of the device. In addition, as mentioned earlier, 'except for the hope that the patient's stagnation situation will slow down, the most important thing is how to get the minimum effective supply of the patient. Pneumatic pressure, in pursuit of the patient's maximum use comfort, also reduces the occurrence of wake-up, so 'the most important purpose of this procedure is to provide patients with the best comfort under the principle of effective treatment of sleep-disordered breathing. The physiological signals that are usually likely to be detected are listed above.

(4) Inconveniently, since the sensor that senses the physiological signal and the PAP 曰, the “mesh, pass” physiological signal must be interpreted by the physician/sleep anal to be converted into the pressure range of the delivery gas, and then The ΡΑρ device is set. The stomach is read and converted. Therefore, if the expandable gas delivery system of the present invention can be used, in addition to the characteristics of the raw communication to be detected, the measured physiological information can be = the operation of the device can be stopped. At this time, only the range is required, and therefore, for example, it is true that the lion/mistum bribe has fallen in the safe detection. According to the present invention, the device (7), and the _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ == argument (4) ___ 峨 峨 = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = When the gas supply is more suitable for the patient, it can directly observe such a two-variation setting, and the program 20 201000159, which is more advantageous, in the case of using the system of the invention, based on the scalability timing, the use of

After the heart has been adjusted to the optimal range, the patient can be worn in the sputum, wearing a simple-and-two sensing control device, and A is enough to be in the physician/sleep with the daily physical condition. The technician adjusts (4) the best range to enter the fine adjustment. In the present invention, the sensing control device can dynamically communicate with the PAP device, so that this is not the only thing that provides automatic completion device titration: the patient is in the home of the most slave system, _ device titration 'Then, if it is considered necessary to consult the physician / sleep 缣 = two records of the process, for example, the change in the breathing curve, the pressure of the supply gas: === form of the memory. After the confirmation by the sleep technician, if there is a need to change the setting, the patient only needs _memory, and the invention can be implemented as: ;=: It is suitable for the _ gas supply mode, the second MS, the lLc to use the common _ form, for example, the SD, S custom specifications and %^ to use the form of the wafer card, for example, S delete (four) Or the special connection ====:: = The measurement control device can also be connected by means of a direct connection, or can be implemented as an eight-in-one force according to the present invention, for example, by built-in Network interface, or serial port and 21 201000159 connected to the data machine (m〇dem) 'to achieve the connection with the network, and the purpose of communicating with the remote. First of all, by using the upload method, the patient can upload the information such as the stored detection signal and the pressure change of the gas supply at any time when necessary. For example, the titration data can be transmitted by uploading. For physicians/sleep technicians, you can also upload the network and provide financial advice and opinions by the doctors who cooperate with the website. Of course: the website can also provide analysis materials. The recipient can make their own (four) treatment effects. _ Station suggested ways to reset your own device, etc.

In addition, by using the download method, in addition to the recommended settings of the 健师师, _分析程序, the user can change the operation mode of the ρΑρ device/sensing control device used by the user when the demand changes. If the start of the sensing control device is to receive the design of the respiratory airflow signal, the demand for the financial situation will be delayed, and the physiological state of the maker, such as 'get fat, thin, etc.' or It is found that it is not good to use the respiratory airflow signal for regulation. It can change the type of signal to be detected. For example, if you want to change to sensing~Electricity, you can download the program that receives the H signal. Whether it is to replace the original program, or the program that can be connected to the county signal (if the design of the sensing and control weaving can accept two kinds of sensors), then - the user only needs to add only the sense The method of measuring the device, even if it is necessary to change/increase the sensing control device, the effect of changing the air supply behavior can be achieved, and not only the flexibility of use, but also the purchase cost can be effectively reduced. Limitations The following is an example to illustrate the actual use. The same, the following is only used as an example. As shown in Figure 4, if the PAP device 10 is a cpAp device that provides constant pressure, the measurement control farm includes a respiratory gas test. When the device 4 and/or the acoustic sensing split 42 and the oxygen device 43 are used, the expandable air-sending system according to the present invention can be equivalent to the effect of the device, because The external sensing control device that adjusts the air supply pressure according to the appearance of the Apnea/Hypopnea provides a breath gas flu test, which can be sideways, whether there is fire breathing, or Breathing has already occurred. In addition, if the (four) sense is provided, the sound is detected by the shirt, and _ is represented by the situation that the respiratory tract is about to block, = I5 and the plug is present, and the blood oxygen level is __ The amount of oxygen in the blood drops 22 201000159 (Desatumtion), because when the sleep breathing stops / shallow breathing, it will cause oxygen intake not =, and then the blood oxygen drop, so, by the result of joint judgment, It can be taken out Absorption / apnea occurs, then automatically adjusting the supply pressure of 1〇 pAp apparatus. In addition, as shown in FIG. 5, if the PAP device 1 is a CPAP device that provides constant pressure, and the provided sensing control device is the respiratory operation sensing device 51, for example, Rip (Respiratory Inductive Plethysmograph' can be utilized. The breath-sensing plethysmograph is used for sensing (the chest strap and the abdomen strap are not shown), and the expandable gas delivery system according to the present invention is equivalent to the BiPAP (B^Levei pGsitive airwaypres_) device because BipAp is a pAp device that provides different air supply pressures according to the user's exhalation and inspiratory pressure. Therefore, when the external sensing control device according to the present invention provides sensing for measuring the operation of the chest and abdomen breathing, Then, using the changes in the chest and the abdominal cavity during the ten-nose breathing, the user's exhalation and inhalation state (even the change in the amount of breathing) can be known, so the pAp device can exhale and inhale accordingly. Different supply pressures are provided during the period. Therefore, it can be seen from the above two examples that even the most basic CPAP device can easily achieve the effects of APAP and BipAP by providing an external sensing control device, and the method of the present invention is used. The type of sensor can even fully achieve the effect of customization, and there is no problem with the function provided by the PAP device. Instead, the user is actively determined what function he wants to use. Moreover, by separating the gas delivery system into two parts, the PAP device and the sensing control device, in addition to the advantages brought by the above, the present invention can achieve the goal of providing the user's home physiological detection. Since the sensing control device has a sensor capable of detecting a physiological signal, and the type and quantity of sensors that can be connected are not limited, and the number of the sensors is not limited, therefore, when the sense is When the measurement control device is used alone, it is equivalent to a physiological detection device used at home, and depending on the type and number of sensors it has, the detection purpose that can be achieved can be different. For example, 5, when the rabbit is only connected to a few sensors, for example, only a respiratory flu detector, or a respiratory flu detector plus a snoring sensor, or a respiratory flu detector plus a blood oxygen sensor, Then, a single one or more sensing control devices connected to the single/multiple sensors is equivalent to a sleep detection 23 201000159 (sieepScr_r), and if more than one sensing control is applied to the PSG (P〇lyS_g) ♦ Multiple sleep physiology test) The PSG device used by the family is used. Therefore, the __ device & is provided for the connection of the control device (or the method of removing the record). ^ and / or with the sense (for example, the corresponding dedicated computing device, electric occupation, etc.) of the operation = computing split detection control device or external device to obtain the remote operation / and = physiological detection results in a network In addition, 'of course' the speculative control device / the _ b enough ^ = display unit, _ shows the detection result. It is obvious that the air supply function can be provided under the structure of the present invention • the expandable gas-sending device Change the ploughing, and further provide the home physiology testing power, and add the characteristics of expansion The time can be increased or decreased when the demand is _ 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控 控Another-angle view is that 'users can use the silk physiological detection device (whether screener or PSG) #, and then can receive and execute their data signals, and change the air supply mode accordingly. The PAP device 'is thus equivalent to the flexibility of the gas supply that can be flexibly adjusted according to the external sensing device. Therefore, in use, the user can select a PAP device with appropriate function according to the needs, and then Having a home physiology detecting device to increase external control ability, thereby achieving the purpose of customization. In summary, the expandable gas delivery system according to the present invention provides a two-part, one PAP device capable of communicating with each other. And a sensing control device, and allowing the user to determine the function of the required PAP device, and then determining the sensing control device connected thereto according to the required function. The type of physiologically relevant signal that should be provided. Therefore, the user can no longer be limited by the hardware of the existing PAP device and the limited regulation mode it provides, and can also be adapted according to the difference in physiological conditions. The sensing control device/sensor, for example, when there is a nasal congestion symptom, may not be suitable for using the sensation sensor, so that the sensing control device/sensor can be increased or decreased according to the demand. The purpose of changing the pressure of the supply air. In addition, the memory provided in the system can record the user's use, including system settings, pressure curve, respiratory curve, etc. Therefore, if the user needs to work with the doctor 24 201000159 Conducting relevant discussions 0彳, it is very convenient to PAP 'Easy to operate the environment, in addition, by further m = purchase / sleep technician gas delivery Green View (10) recorded multiple days of marriage from ===: expansion The gas supply mode, the dish t, the person m-out is more suitable for the user to save the living _ _ __ ' labor, face = this _ complete lang program, change the string ίί = ΓΓ The extended gas delivery system can also have the ability to connect to the network, to achieve the results of the analysis of the scales, and to allow the followers to follow the temple _ ΡΑΡ device / the sensing control device new The operation mode is adapted to meet the demand. Therefore, the expandable gas delivery system according to the present invention has the advantages of being able to adjust the type and quantity of the external sensing device according to the demand, and is more capable of In this way, the gas delivery pressure range suitable for the patient is obtained, thereby improving the comfort of use and reducing the occurrence of wake-up. In addition, in the case where the PAP device is not used and the sensing control device is used alone, the sensing control device is equivalent to a home physiological detecting device, and can provide different detection according to the content of the sensor that it has. Information thus makes the invention a versatile system. Even though the invention has been described in detail by the above-described embodiments, it can be modified by those skilled in the art, and it is intended to be modified as described in the appended claims. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a circuit block diagram showing a PAP device and a sensing control device according to the present invention; FIG. 2A is a schematic view showing a pap device according to the present invention; FIG. 2A: A schematic diagram showing a sensing control device according to the present invention; FIG. 3 is a flow chart showing an implementation of an expandable gas delivery system according to the present invention; and FIG. 4 is a diagram showing an expandable gas according to the present invention. A first implementation application schematic of the delivery system; and FIG. 5 is a schematic diagram showing a second implementation application 25 201000159 of the expandable gas delivery system in accordance with the present invention. [Major component pair symbol description] 10 PAP device 11 Processor 12 Airflow generator 13 Digital communication module 14 Power supply 20 Sensing control device 21 Processor 22 Sensor 23 Digital communication module 24 Power supply 30 Memory 41 Breathing flu Measuring device 42 Xuansheng sensing device 43 Blood oxygen sensing device 51 Breathing operation sensing device 26

Claims (1)

201000159 X. Patent Application Range: 1. A method for determining a gas delivery mode in a gas delivery system comprising a PAP device and a sensing control device, wherein the PAP device is for supplying a pressurized patient The breathable gas' and the sensing control device obtain physiological information from the patient by at least one sensor, the method comprising the steps of: a) turning on the PAP device; b) detecting whether the PAP device has been The sensing control device is connected; and. ¢1) if the PAP device is not connected to the sensing control device, the PAP device enters a predetermined single operation mode, and performs a first air supply behavior of the preload to supply the breathable gas to the patient; or c2 If the PAP device is connected to the sensing control device, the pAp device enters a common mode of operation during the common mode of operation: based on the measured physiological information, the sensing control device generates a data And transmitting a signal to the PAP device; and the craving signal participates in determining a second air supply behavior of the breathable gas; and d) the PAP device supplies the breathable seam to the patient, continuously performing step (4) to c). 2. The method of claim 1, wherein the second gas supply behavior comprises increasing, decreasing, and/or maintaining a supply pressure of the breathable gas. The method of claim 1, wherein the data signal provides an increase/decrease pressure value of the breathable gas, or an absolute pressure value. She is the method of the first item, the towel, which provides the gas supply pressure of the breathable body in a specific fine (10)-rise/fall. Breathing Please refer to the method of item 1, wherein the information signal indicates an increase, decrease, and/or maintenance of the secretive force of the respirable body. 6. According to the method described in the scope of claim patent item i-- or more: breathing cycle, sleep snoring 4 physiological shells include the following and body posture. Sleep refers to the occurrence of suspension/shallow breathing, sleep stage, the method described in item 6 of the occupation, shooting, when the physiological information is breathing to take the feeling of being one or more of the following groups: A breathing operation sensor, a 27 201000159 breathing gas flu detector, a combined air/pressure sensing sensor for the mask, and a thoracic muscle sensor. D, I,, '° duct flow / Pressure 8. According to the method described in item 6 of the patent application, ^ When the respiratory arrest/shallow breathing occurs, the sensor is sent to the sleep-breathing test device,--breathing flu,, One or more of the ungrouping: a sensor and a heart rate sensing. 9. According to the method described in claim 6, in the stage, the sensor is one or more of the following groups : 二二=资眠极, a myoelectric electrode, and a heart rate sensor ^ Electric and eye movement 10. According to the method described in claim 6 of the scope of the patent, in the posture, the _ (four) is the next solution _ The towel n if Y is the body and the limb displacement sensor. n.Geo-launch, please refer to the method described in the first item of the patent, in which the quantity system is tested, and the reading is performed, and the number of the succession is 12. According to the i-th item of the patent application scope In the method described above, the ΛΡ device and the sensing control device will be in each other to confirm each other's capabilities (Capa magnetic es), and then determine the corpus described in item 12 of the patent scope. The method, wherein the combined side type is a main control of a .5 hai PAP device of the next month, the sensing control device is used as a main control, and the PAP device is not sensed and controlled to become a dual master. The method of claim 12, wherein the pAp device further comprises a sensor for obtaining a physiologically relevant signal required to perform the first gas supply behavior. The method, wherein the capability comprises the (4) device and physiological side signal detection that the fistula control device can perform. 16. An expandable gas delivery system comprising a ρΑρ device and a sensing control device, wherein: The device includes: an airflow generator for supplying one Breathable gas to a patient; 28 201000159 - Processor '(4) provides - control signal stream generator; and - digital communication module is controlled by the processor; and the sensing control device comprises: at least one a sensor for obtaining a physiological information from the patient; the processor is configured to receive physiological information from the sensor, and to generate a data-digital communication module, controlled by the processor , among them, The PAP device and the sensing control device are separated by a digital communication module of the sub-combination and the digital device is transmitted to the PAP device by means of the data signal. Control the gas supply behavior of the gas flow generator. The system of claim 16, wherein the processor of the pAp device provides a gas supply to the sensing control device. 18. The system of claim 17, wherein the information system participates in the generation of the data signal. The gas supply behavior relating to the supply of gas includes the system of claim 16, wherein the supply pressure of the breathable gas is increased, decreased, and/or maintained. 20. The system of claim 16, wherein the data signal provides an increase/decrease pressure value or an absolute pressure value of the breathing gas. 2. The system of claim 16, wherein the data signal provides a degree of rise/fall of the gas supply pressure of the oxygen absorbing body within a specific range.可咏22.〃 According to the instructions in the 16th paragraph of the patent scope, the material signal indicates that the supply pressure of the gas is increased, decreased, and/or maintained. The system of claim 16, wherein the physiological information includes, the respiratory cycle, the occurrence of sleep breathing/shallow breathing, the sleep phase, and the body posture. According to the system described in claim 16 of the patent application, wherein the recording communication system is provided with a telephone, a line, or a wireless digital communication. The system of claim 16 is applied in a plurality of days, wherein the sensing control device is implemented in plurality to provide a plurality of data signals. The system of claim 25, wherein the plurality of data signals are related to a single physiological information. 27. The system of claim 25, wherein the plurality of data signals are related to a plurality of physiological information. The system of claim 16, wherein the number of sensors of the sensing control device is implemented in plural. 29. The system of claim 28, wherein the number of the data signals is a single one and is related to a single physiological information. / 3〇. The system according to claim 28, wherein the number of the data signals is plural and related to a single physiological information. 31. The system of claim 30, wherein the number of the data signals is plural and is related to a plurality of physiological information. The connection of the measurement control device is implemented as a tree, or wirelessly. The system of claim 2, wherein the processing H of the sensing control device analyzes the physiological information. 34. The system of claim 2, wherein the pAp device/the sensor is further configured to include a display unit to display an analysis result of the physiological information. The invention described in claim 16 , wherein the sensing control device is decorated with a processor to store the physiological information and/or the processor of the sensing control device. The system of claim 16, wherein the pAp device has an operation result of the sensing. 'Where, the sputum device/the sensation E* is the pure one described in item 35, the towel, the memory system is read by an unloading 4 arithmetic device, and then the stored physiological information, wherein the sensing The control device further includes the result of the operation, and further includes the system of claim 30, wherein the pAp device and/or the sensing control device further includes a face to store Information about gas delivery, and/or physiological information about the patient. The system of claim 39, wherein the memory system is a removable memory for reading by a computer device. The system of claim 39, wherein the ρΑρ device and/or the sensing control device is implemented to be connected to a computer device to read the information of the memory. 42. Prepared according to item 41 of the scope of patent application, for connection to the secret. The system of claim 16 wherein the ρΑρ device and/or the sensing control device are implemented to be connected to a network. 44. The system of claim 43, wherein the sensing device transmits information to a website, and/or a medical person through the network, 45. According to the patent application scope The system of claim 44, wherein the pAp device and/or the sensing control device downloads information through the network for setting. The system of claim 45, wherein the sensing and controlling fabric has a wireless transmission capability to communicate with the external setting: according to claim 46 The system, wherein the material setting device can set the PAP device and/or the sensing control device wirelessly. 11 again ’, 31