摘要:
The invention is a ventilator whose servo-controller adjusts the degree of support by adjusting the profile of the pressure waveform as well as the pressure modulation amplitude. As the servo-controller increases the degree of support by increasing the pressure modulation amplitude, it also generates a progressively more square, and therefore efficient, pressure waveform; when the servo-controller decreases the degree of support by decreasing the pressure modulation amplitude, it also generates a progressively more smooth and therefore comfortable pressure waveform.
摘要:
A cushion assembly for a mask used fro treatment of sleep disordered breathing, the cushion assembly comprising a first layercontacting a mask body, and a second layer formed of foam having different densities, wherein the second layer defines a cushion shape and forms a face-engaging structure that is configured for being compressed upon contact with a wearer's face.
摘要:
Method and apparatus for the treatment of cardiac failure, Cheyne-Stokes breathing or central sleep apnea are disclosed. A subject is provided with ventilatory support, for example positive pressure ventilatory support using a blower and mask. Respiratory airflow is determined. From the respiratory airflow are derived a measure of instantaneous ventilation (for example half the absolute value of the respiratory airflow) and a measure of longterm average ventilation (for example the instantaneous ventilation low pass filtered with a 100 second time constant). A target ventilation is taken as 95 % of the longterm average ventilation. The instantaneous ventilation is fed as the input signal to a clipped integral controller, with the target ventilation as the reference signal. The output of the controller determines the degree of ventilatory support. Clipping is typically to between half and double the degree of support that would do all the respiratory work. A third measure of ventilation, for example instantaneous ventilation low pass filtered with a time constant of 5 seconds, is calculated. Ventilatory support is in phase with the subject's respiratory airflow to the fuzzy extent that this ventilation is above target, and at a preset rate conversely.
摘要:
Apparatus for determining patency of the airway of a patient comprises: means for measuring respiratory air flow from the patient to derive an air flow signal; and a processor for analyzing said air flow signal to detect the presence of a cardiogenic air flow component, and determining whether the airway is patent depending upon the presence of a cardiogenic air flow component.
摘要:
Apparatus for determining patency of the airway of a patient comprises: means for measuring respiratory air flow from the patient to derive an air flow signal; and a processor for analyzing said air flow signal to detect the presence of a cardiogenic air flow component, and determining whether the airway is patent depending upon the presence of a cardiogenic air flow component.
摘要:
An apparatus for determining an instantaneous elastic recoil pressure during the provision of respiratory assistance, comprises: an air supply means controllable to supply breathable air to a subject's airway continually at a selectable pressure elevated above atmospheric pressure as a function of an instantaneous elastic pressure; a flow sensor means to generate a flow signal representative of respiratory airflow; and a processor means to process a flow signal from said flow sensor and to control said air supply means, wherein said processor is programmed to:receive as input an elastance value for a subject;calculate an index value representing an extent to which any leak is suddenly changing using sampled flow values from said flow signal;calculating an inspired volume of airflow as a function of said measure of respiratory airflow and said index value; andcalculating said instantaneous elastic recoil pressure as a function of said inspired volume and said elastance value.
摘要:
The present invention relates to an apparatus for monitoring and treating sleep disordered breathing comprising an inner loop control mechanism adapted to provide at least two treatment modes, and an outer loop control mechanism adapted to monitor the effectiveness of therapy provided by the inner loop control mechanism and to control a change in mode if necessary, wherein the at least two treatment modes provided by the inner loop control mechanism include a basic CPAP and an automatically adjusting CPAP.
摘要:
Method and apparatus for the treatment of cardiac failure, Cheyne-Stokes breathing or central sleep apnea are disclosed. A subject is provided with ventilatory support, for example positive pressure ventilatory support using a blower and mask. Respiratory airflow is determined. From the respiratory airflow are derived a measure of instantaneous ventilation (for example half the absolute value of the respiratory airflow) and a measure of longterm average ventilation (for example the instantaneous ventilation low pass filtered with a 100 second time constant). A target ventilation is taken as 95% of the longterm average ventilation. The instantaneous ventilation is fed as the input signal to a clipped integral controller, with the target ventilation as the reference signal. The output of the controller determines the degree of ventilatory support. Clipping is typically to between half and double the degree of support that would do all the respiratory work. A third measure of ventilation, for example instantaneous ventilation low pass filtered with a time constant of 5 seconds, is calculated. Ventilatory support is in phase with the subject's respiratory airflow to the fuzzy extent that this ventilation is above target, and at a preset rate conversely.
摘要:
A comfortable low-leak mask assembly for use with Non-Invasive Positive Pressure Ventilation (NIPPV) is provided to improve patient compliance and/or treatment. The mask system may include headgear having straps that are substantially inextensible and/or micro-adjustable; and/or a mask and/or cushion that includes various structures to allow enhanced/tailored sealing and/or fit at selected locations on the patient's face.