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公开(公告)号:US08356594B2
公开(公告)日:2013-01-22
申请号:US12613035
申请日:2009-11-05
申请人: Anthony John Ujhazy , Jonathan Caldwell Wright , Glenn Richards , David John Bassin , Michael Berthon-Jones
发明人: Anthony John Ujhazy , Jonathan Caldwell Wright , Glenn Richards , David John Bassin , Michael Berthon-Jones
IPC分类号: A62B9/00
CPC分类号: A61B5/4836 , A61B5/0826 , A61B5/087 , A61B5/7282 , A61B5/746 , A61M16/0051 , A61M16/0057 , A61M16/0066 , A61M16/0069 , A61M16/024 , A61M16/06 , A61M2016/0021 , A61M2016/0036 , A61M2205/3344 , A61M2230/005 , A61M2230/04 , A61M2230/10 , A61M2230/18 , A61M2230/40 , A61M2230/435 , A61M2230/63
摘要: Methods and apparatus for assessing the condition of and treating patients for heart failure by the delivery of continuous positive airway pressure are disclosed. Treatment of obstruction due to reflex vocal cord closure often experienced by heart failure patients is distinguished from treatment of upper airway obstruction typically associated with Obstructive Sleep Disorder Treatment may also be implemented by delivering synchronized cardiac pressure oscillations superimposed on a respiratory pressure level to provide assistance for the heart. Heart treatment pressure dose indicator may be calculated for prescribing and monitoring the delivery of treatment. The apparatus may also generate data to track heart failure condition that may be indicative of the degree of severity of heart failure based upon breathing patterns to assist in the diagnosis and management of heart failure patients.
摘要翻译: 公开了通过递送持续气道正压通气来评估患者心力衰竭状况和治疗方法和装置。 治疗由于心力衰竭患者经常发生的反射性声带闭合引起的阻塞与区别于通常与阻塞性睡眠障碍相关的上呼吸道阻塞治疗也可以通过递送叠加在呼吸压力水平上的同步心脏压力振荡来实现,以便为 心脏 可以计算心脏治疗压力剂量指标,用于处方和监测治疗的递送。 该装置还可以生成跟踪心力衰竭状况的数据,该状况可以基于呼吸模式来指示心力衰竭的严重程度,以帮助心力衰竭患者的诊断和管理。
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公开(公告)号:US20120145153A1
公开(公告)日:2012-06-14
申请号:US13383320
申请日:2010-04-07
申请人: David John Bassin , Glenn Richards
发明人: David John Bassin , Glenn Richards
IPC分类号: A61M16/00
CPC分类号: A61M16/0069 , A61M16/024 , A61M2016/0021 , A61M2016/0027 , A61M2205/505
摘要: A respiratory treatment apparatus implements pressure delivery control settings by improved set-up procedures. In such an embodiment, a processor may automate setting of parameters for delivering a controlled flow of breathable gas. Data sets of pressure delivery parameter settings may be associated with one or more respiratory pathology indicators. The respiratory pathology indicators may each represent a different respiratory condition diagnosis. The processor may then prompt for an input of at least one of the respiratory pathology indicators. In response to the input, a particular set of pressure delivery parameter settings associated with the input respiratory pathology indicator may then serve as a basis for setting controls for delivering a controlled flow of breathable gas for respiratory treatment.
摘要翻译: 呼吸治疗设备通过改进的设置程序实现压力传递控制设置。 在这样的实施例中,处理器可以自动设置用于传送可控气流的可呼吸气体的参数。 压力递送参数设置的数据集可以与一个或多个呼吸道病理学指标相关联。 呼吸道病理学指标可能代表不同的呼吸系统诊断。 处理器然后可以提示输入至少一个呼吸病理指示符。 响应于输入,与输入的呼吸道病理学指示符相关联的特定的一组压力递送参数设置然后可以用作设置用于递送用于呼吸治疗的受控流动的可呼吸气体的控制的基础。
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3.
公开(公告)号:US20100275921A1
公开(公告)日:2010-11-04
申请号:US12751174
申请日:2010-03-31
CPC分类号: A61M16/0051 , A61B5/08 , A61B5/7264 , A61B5/7275 , A61M16/0006 , A61M16/0069 , A61M16/026 , A61M2016/0027 , A61M2016/0036 , A61M2205/3375 , A61M2205/3569 , A61M2205/3592 , A61M2205/502 , A61M2230/04 , A61M2230/205 , A61M2230/42 , A61M2230/46 , G06F19/00
摘要: Devices and systems provide methods of detecting a severity change in respiratory insufficiency (RI) or chronic obstructive pulmonary disease (COPD) condition of a patient. In an example embodiment, a detection monitoring device determines one or more severity change indicators based on a measure of supplied pressure or other representative measure determined by the device. The supplied pressure may optionally be determined during pressure treatment that satisfies a target ventilation. The supplied pressure or representative data may be compared to one or more thresholds that are selected to represent a change in the condition of the RI or COPD patient such as an exacerbation of a prior condition. Results of the comparisons may trigger one or more warnings or messages to notify a patient or physician of a pending change to the patient's RI or COPD condition so that the patient may more immediately seek medical attention to treat the condition.
摘要翻译: 装置和系统提供了检测患者呼吸功能不全(RI)或慢性阻塞性肺病(COPD)病情严重程度变化的方法。 在示例实施例中,检测监控设备基于由设备确定的所提供的压力或其他代表性度量的度量来确定一个或多个严重性变化指示符。 所提供的压力可以任选地在满足目标通气的压力处理期间确定。 提供的压力或代表性数据可以与被选择以表示RI或COPD患者的状况的变化的一个或多个阈值进行比较,例如先前病症的恶化。 比较结果可能会触发一个或多个警告或消息,通知患者或医师对患者的RI或COPD状况的待决变更,以便患者可以更加立即寻求医疗护理来治疗病情。
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公开(公告)号:US10105506B2
公开(公告)日:2018-10-23
申请号:US13383320
申请日:2010-04-07
申请人: David John Bassin , Glenn Richards
发明人: David John Bassin , Glenn Richards
IPC分类号: A61M16/00
摘要: A respiratory treatment apparatus implements pressure delivery control settings by improved set-up procedures. In such an embodiment, a processor may automate setting of parameters for delivering a controlled flow of breathable gas. Data sets of pressure delivery parameter settings may be associated with one or more respiratory pathology indicators. The respiratory pathology indicators may each represent a different respiratory condition diagnosis. The processor may then prompt for an input of at least one of the respiratory pathology indicators. In response to the input, a particular set of pressure delivery parameter settings associated with the input respiratory pathology indicator may then serve as a basis for setting controls for delivering a controlled flow of breathable gas for respiratory treatment.
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公开(公告)号:US09827388B2
公开(公告)日:2017-11-28
申请号:US12751174
申请日:2010-03-31
CPC分类号: A61M16/0051 , A61B5/08 , A61B5/7264 , A61B5/7275 , A61M16/0006 , A61M16/0069 , A61M16/026 , A61M2016/0027 , A61M2016/0036 , A61M2205/3375 , A61M2205/3569 , A61M2205/3592 , A61M2205/502 , A61M2230/04 , A61M2230/205 , A61M2230/42 , A61M2230/46 , G06F19/00
摘要: Devices and systems provide methods of detecting a severity change in respiratory insufficiency (RI) or chronic obstructive pulmonary disease (COPD) condition of a patient. In an example embodiment, a detection monitoring device determines one or more severity change indicators based on a measure of supplied pressure or other representative measure determined by the device. The supplied pressure may optionally be determined during pressure treatment that satisfies a target ventilation. The supplied pressure or representative data may be compared to one or more thresholds that are selected to represent a change in the condition of the RI or COPD patient such as an exacerbation of a prior condition. Results of the comparisons may trigger one or more warnings or messages to notify a patient or physician of a pending change to the patient's RI or COPD condition so that the patient may more immediately seek medical attention to treat the condition.
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公开(公告)号:US20100258126A1
公开(公告)日:2010-10-14
申请号:US12757130
申请日:2010-04-09
申请人: Anthony John Ujhazy , Jonathan Caldwell Wright , Glenn Richards , David John Bassin , Michael Berthon-Jones
发明人: Anthony John Ujhazy , Jonathan Caldwell Wright , Glenn Richards , David John Bassin , Michael Berthon-Jones
IPC分类号: A61M16/00
CPC分类号: A61B5/4836 , A61B5/0826 , A61B5/087 , A61B5/7282 , A61B5/746 , A61M16/0051 , A61M16/0057 , A61M16/0066 , A61M16/0069 , A61M16/024 , A61M16/06 , A61M2016/0021 , A61M2016/0036 , A61M2205/3344 , A61M2230/005 , A61M2230/04 , A61M2230/10 , A61M2230/18 , A61M2230/40 , A61M2230/435 , A61M2230/63
摘要: Methods and apparatus for assessing the condition of and treating patients for heart failure by the delivery of continuous positive airway pressure are disclosed. Airflow of the patient is measured to determine occurrences of central apneas. A heart failure index is calculated from a count of the number of central apneas that have occurred. The present heart failure index can be compared with a previously calculated heart failure index to determine how the patient's heart failure disease has changed and how it should be treated.
摘要翻译: 公开了通过递送持续气道正压通气来评估患者心力衰竭状况和治疗方法和装置。 测量患者的气流以确定中枢性呼吸暂停的发生。 从发生的中枢性呼吸暂停的次数计算心力衰竭指数。 可以将目前的心力衰竭指数与以前计算的心力衰竭指数进行比较,以确定患者的心力衰竭疾病如何改变以及如何治疗。
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公开(公告)号:US20100043795A1
公开(公告)日:2010-02-25
申请号:US12613035
申请日:2009-11-05
申请人: Anthony John UJHAZY , Jonathan Caldwell Wright , Glenn Richards , David John Bassin , Michael Berthon-Jones
发明人: Anthony John UJHAZY , Jonathan Caldwell Wright , Glenn Richards , David John Bassin , Michael Berthon-Jones
IPC分类号: A61M16/00
CPC分类号: A61B5/4836 , A61B5/0826 , A61B5/087 , A61B5/7282 , A61B5/746 , A61M16/0051 , A61M16/0057 , A61M16/0066 , A61M16/0069 , A61M16/024 , A61M16/06 , A61M2016/0021 , A61M2016/0036 , A61M2205/3344 , A61M2230/005 , A61M2230/04 , A61M2230/10 , A61M2230/18 , A61M2230/40 , A61M2230/435 , A61M2230/63
摘要: Methods and apparatus for assessing the condition of and treating patients for heart failure by the delivery of continuous positive airway pressure are disclosed. Treatment of obstruction due to reflex vocal cord closure often experienced by heart failure patients is distinguished from treatment of upper airway obstruction typically associated with Obstructive Sleep Disorder Treatment may also be implemented by delivering synchronized cardiac pressure oscillations superimposed on a respiratory pressure level to provide assistance for the heart. Heart treatment pressure dose indicator may be calculated for prescribing and monitoring the delivery of treatment. The apparatus may also generate data to track heart failure condition that may be indicative of the degree of severity of heart failure based upon breathing patterns to assist in the diagnosis and management of heart failure patients.
摘要翻译: 公开了通过递送持续气道正压通气来评估患者心力衰竭状况和治疗方法和装置。 治疗由于心力衰竭患者经常发生的反射性声带闭合引起的阻塞与区别于通常与阻塞性睡眠障碍相关的上呼吸道阻塞治疗也可以通过递送叠加在呼吸压力水平上的同步心脏压力振荡来实现,以便为 心脏 可以计算心脏治疗压力剂量指标,用于处方和监测治疗的递送。 该装置还可以生成跟踪心力衰竭状况的数据,该状况可以基于呼吸模式来指示心力衰竭的严重程度,以帮助心力衰竭患者的诊断和管理。
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公开(公告)号:US08459260B2
公开(公告)日:2013-06-11
申请号:US13542331
申请日:2012-07-05
申请人: David John Bassin
发明人: David John Bassin
IPC分类号: F16K31/02
CPC分类号: A61M16/0057 , A61M16/0051 , A61M16/024 , A61M16/06 , A61M2016/0021 , A61M2016/003 , A61M2016/0036 , A61M2205/15 , A61M2205/16 , A61M2205/3331 , A61M2205/50
摘要: A respiratory treatment apparatus and method in which a leak is determined by using an averaging window. The window starts at the present time and extends back in time to a point determined according to a current one of progressively detected phase measures of a first respiratory cycle and a corresponding phase measure attributable to a preceding second respiratory cycle. In another aspect, a jamming index indicates whether the leak is rapidly changing. To the extent that jamming is high, the leak estimate used progressively changes from that using sliding breath-window averaging to a more robust and faster responding low-pass filter method, and adjustment of ventilatory support based on measures employing estimated respiratory flow is slowed down or stopped.
摘要翻译: 一种呼吸治疗装置和方法,其中通过使用平均窗来确定泄漏。 该窗口从当前开始,并且在时间上延伸到根据第一呼吸周期的逐渐检测的相位测量值和归因于之前的第二呼吸周期的相应相位测量值中的当前测量值确定的点。 另一方面,干扰指数指示泄漏是否迅速变化。 在干扰程度较大的情况下,泄漏估算值从使用滑动呼吸窗口平均值到更健壮,更快速响应的低通滤波方法逐渐变化,基于使用估计呼吸流量的措施调节呼吸支持减慢 或停止。
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公开(公告)号:US08448640B2
公开(公告)日:2013-05-28
申请号:US13242752
申请日:2011-09-23
申请人: David John Bassin
发明人: David John Bassin
IPC分类号: A61M16/00
CPC分类号: A61M16/0069 , A61M16/00 , A61M16/0003 , A61M16/0066 , A61M16/024 , A61M16/04 , A61M16/06 , A61M16/0875 , A61M16/20 , A61M2205/3334 , A61M2205/50 , A61M2205/502 , A61M2230/005 , A61M2230/40
摘要: A ventilator device delivers ventilatory support to a patient in a back up timed mode when patient respiration is not detected or a spontaneous mode when patient respiration is detected. The timing threshold governing the back-up mode is chosen to deviate from normal expected respiration time for the patient to promote patient initiated ventilation in the spontaneous mode but permit back-up ventilation in the event of apnea. Automated adjustments to the timing threshold during the timed mode are made from the less vigilant timing threshold to a more vigilant threshold at or near a timing of normal expected breathing of the patient. Such adjustments may be made from a minimum to a maximum vigilance timing settings or incrementally there between as a function of time in the timed mode which is preferably the number of delivered machine breaths.
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公开(公告)号:US20110203588A1
公开(公告)日:2011-08-25
申请号:US12599715
申请日:2009-05-09
IPC分类号: A61M16/00
摘要: A respiratory flow limitation detection device, which can include an airway pressure treatment generator, determines a flow limitation measure (506) based one or more shape indices for detecting partial obstruction and a measure of a patient's ventilation or respiratory duty cycle. The shape indices may be based on function(s) that ascertain the likelihood of the presence of M-shaped breathing patterns and/or chair-shaped breathing patterns. The measure of ventilation may be based on analysis of current and prior tidal volumes to detect a less than normal patient ventilation. The duty cycle measure may be a ratio of current and prior measures of inspiratory time to respiratory cycle time to detect an increase in the patient's inspiratory cycle time relative to the respiratory cycle time. A pressure setting based on the flow limitation may then be used to adjust the treatment pressure to ameliorate the patient's detected flow limitation condition.
摘要翻译: 可以包括气道压力治疗发生器的呼吸流量限制检测装置基于用于检测部分阻塞的一个或多个形状指数和患者的通气或呼吸占空比的测量来确定流量限制测量(506)。 形状指数可以基于确定存在M形呼吸模式和/或椅形呼吸模式的可能性的功能。 通气量可以基于当前和以前潮气量的分析,以检测不到一般的患者通气。 占空比测量可以是当前和先前测量吸气时间与呼吸周期时间之间的比例,以检测患者吸气循环时间相对于呼吸周期时间的增加。 然后可以使用基于流量限制的压力设置来调节治疗压力以改善患者检测到的流量限制条件。
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