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公开(公告)号:US10398863B2
公开(公告)日:2019-09-03
申请号:US14327922
申请日:2014-07-10
Applicant: ResMed Limited
Inventor: Chee Keong Phuah , Steven Paul Farrugia , Dion Charles Chewe Martin , Christine Wei Chih Chan
IPC: A61B5/00 , A61B5/024 , A61B5/087 , A61M16/00 , A61M16/06 , A61M16/08 , A61B5/0205 , A61B5/0464
Abstract: A method of using CPAP equipment to sense cardiogenic oscillations in a patient's airflow, and to monitor and treat the patient's cardiac condition. The apparatus diagnoses cardiac morbidity conditions, such as the existence of arrhythmias or other cardiac abnormalities, and influences and optimizes cardiac stroke volume. The apparatus further monitors pulse-transit time, changes in the heart pre-ejection period, and the duration of the cardiac cycle.
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公开(公告)号:US10307560B2
公开(公告)日:2019-06-04
申请号:US14663908
申请日:2015-03-20
Applicant: ResMed Limited
Inventor: Dion Charles Chewe Martin , Barton John Kenyon , Alexander Virr , Dmitri Anatolievich Doudkine , Philip Rodney Kwok , Richard Charles Napper , John Michael Snow
Abstract: A positive airway pressure (PAP) device for supplying a flow of breathable gas to a patient includes a flow generator configured to pressurize a flow of breathable gas and a humidifier configured to receive and humidify the pressurized flow of breathable gas from the flow generator. The PAP device also includes a power source. The flow generator, humidifier and power source are positioned so that heat generated by at least one of the flow generator and the power source is conveyed to water in the humidifier.
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公开(公告)号:US09750906B2
公开(公告)日:2017-09-05
申请号:US14334240
申请日:2014-07-17
Applicant: ResMed Limited
Inventor: Dion Charles Chewe Martin , David John Bassin
CPC classification number: A61M16/0003 , A61M16/0051 , A61M16/0069 , A61M16/026 , A61M16/0468 , A61M16/0672 , A61M16/202 , A61M16/204 , A61M2016/0018 , A61M2016/0036 , A61M2205/502 , A61M2230/06 , A61M2230/205 , A61M2230/42 , A61M2230/005
Abstract: Methods, systems and/or apparatus for slowing a patient's breathing by using positive pressure therapy. In certain embodiments, a current interim breathing rate target is set, and periodically the magnitude of a variable pressure waveform that is scaled to the current interim breathing rate target is increased if the patient's breathing rate is greater than the interim breathing rate target in order to lengthen the patient's breath duration. The magnitude of the pressure increase may be a function of the difference between the interim breathing rate target and the patient's breathing rate. The interim breathing rate target may be periodically reduced in response to the patient's breathing rate slowing down toward the current interim breathing rate target. The variable pressure waveform cycles from an inhalation phase to an exhalation phase when the patient airflow decreases to a cycle threshold, the cycle threshold being a function of flow versus time within a breath and generally increasing with time. Different interim breathing rate targets have different cycle threshold functions, and the cycle threshold functions allow easier cycling as the interim breathing rate targets decrease. Similarly, the variable pressure waveform triggers from an exhalation phase to an inhalation phase when the patient airflow increases to a trigger threshold, the trigger threshold being a function of flow versus time within a breath and generally decreasing with time. Different interim breathing rate targets have different trigger threshold functions, and the trigger threshold functions allow easier triggering as the interim breathing rate targets decrease.
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公开(公告)号:US20140041663A1
公开(公告)日:2014-02-13
申请号:US13954300
申请日:2013-07-30
Applicant: ResMed Limited
Inventor: Geoffrey Daniel Daly , Alexander Virr , Stephen Anthony Lea , Dion Charles Chewe Martin , Nicholas Jerome Reed , Larry Puckeridge , Timothy Tsun-Fai Fu
CPC classification number: A61M16/0066 , A61M16/0057 , A61M16/0069 , A61M16/06 , A61M16/0875 , A61M16/105 , A61M16/107 , A61M2205/42 , A61M2205/82 , F04D17/122 , F04D17/125 , F04D25/06 , F04D25/166 , F04D27/004 , F04D29/281 , F04D29/284 , F04D29/4213 , F04D29/4226 , F04D29/661 , F04D29/663 , F05B2240/14 , F05B2240/30
Abstract: A multiple stage variable speed blower for Continuous Positive Airway Pressure (CPAP) ventilation of patients includes two impellers in the gas flow path that cooperatively pressurize gas to desired pressure and flow characteristics. Thus, the multiple stage blower can provide faster pressure response and desired flow characteristics over a narrower range of motor speeds, resulting in greater reliability and less acoustic noise.
Abstract translation: 用于患者连续气道正压通气(CPAP)的多级变速鼓风机包括气体流路中的两个叶轮,其将气体加压至所需的压力和流动特性。 因此,多级鼓风机可以在更窄的电机速度范围内提供更快的压力响应和期望的流量特性,从而导致更高的可靠性和较少的声学噪声。
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公开(公告)号:US20180236191A1
公开(公告)日:2018-08-23
申请号:US15752725
申请日:2016-08-12
Applicant: ResMed Limited
Inventor: Dion Charles Chewe Martin , Clancy John Dennis , Benjamin John Leavens , Etienne Veschambre , Stuart Wishart
IPC: A61M16/00
Abstract: Methods and apparatus provide automated circuit disconnection monitoring such as for a respiratory apparatus or system. Disconnection of a patient circuit, including a patient interface and air delivery circuit, may be detected and a message or alarm activated. In some versions, detecting occurrences of circuit disconnection event(s), such as by a processor, may be based on an instantaneous disconnection parameter as a function of a disconnection setting. The disconnection setting may be determined based on patient circuit type. The instantaneous disconnection parameter may be determined from detected pressure and flow rate, and may be, for example, a conductance value or an impedance value. Disconnection events may be qualified by one or more detected respiratory indicators. In some cases, instantaneous impedance or conductance may be used to assess re-connection of a patient circuit, detection of flow starvation, determine breath shape for triggering and cycling and to detect patient or circuit obstructions.
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公开(公告)号:US20140326241A1
公开(公告)日:2014-11-06
申请号:US14334240
申请日:2014-07-17
Applicant: ResMed Limited
Inventor: Dion Charles Chewe Martin , David John Bassin
IPC: A61M16/00
CPC classification number: A61M16/0003 , A61M16/0051 , A61M16/0069 , A61M16/026 , A61M16/0468 , A61M16/0672 , A61M16/202 , A61M16/204 , A61M2016/0018 , A61M2016/0036 , A61M2205/502 , A61M2230/06 , A61M2230/205 , A61M2230/42 , A61M2230/005
Abstract: Methods, systems and/or apparatus for slowing a patient's breathing by using positive pressure therapy. In certain embodiments, a current interim breathing rate target is set, and periodically the magnitude of a variable pressure waveform that is scaled to the current interim breathing rate target is increased if the patient's breathing rate is greater than the interim breathing rate target in order to lengthen the patient's breath duration. The magnitude of the pressure increase may be a function of the difference between the interim breathing rate target and the patient's breathing rate. The interim breathing rate target may be periodically reduced in response to the patient's breathing rate slowing down toward the current interim breathing rate target. The variable pressure waveform cycles from an inhalation phase to an exhalation phase when the patient airflow decreases to a cycle threshold, the cycle threshold being a function of flow versus time within a breath and generally increasing with time. Different interim breathing rate targets have different cycle threshold functions, and the cycle threshold functions allow easier cycling as the interim breathing rate targets decrease. Similarly, the variable pressure waveform triggers from an exhalation phase to an inhalation phase when the patient airflow increases to a trigger threshold, the trigger threshold being a function of flow versus time within a breath and generally decreasing with time. Different interim breathing rate targets have different trigger threshold functions, and the trigger threshold functions allow easier triggering as the interim breathing rate targets decrease.
Abstract translation: 通过使用正压疗法减缓患者呼吸的方法,系统和/或装置。 在某些实施例中,设定当前临时呼吸速率目标,并且如果患者的呼吸速率大于临时呼吸速率目标,则周期性地增加缩放到当前临时呼吸率目标的可变压力波形的大小,以便 延长患者的呼吸时间。 压力增加的幅度可以是临时呼吸速率目标与患者呼吸频率之间的差异的函数。 临时呼吸率目标可以响应于患者的呼吸速率朝向当前临时呼吸率目标减慢而周期性地减少。 当患者气流降低到周期阈值时,可变压力波形从吸入阶段循环到呼气阶段,循环阈值是呼吸中的流量与时间的函数,并且通常随时间增加。 不同的临时呼吸速率目标具有不同的周期阈值功能,循环阈值功能允许随着临时呼吸速率目标的减少而更容易循环。 类似地,当患者气流增加到触发阈值时,可变压力波形从呼气阶段触发到吸入阶段,触发阈值是呼吸中的流量与时间的函数,并且通常随时间而减少。 不同的临时呼吸速率目标具有不同的触发阈值功能,并且触发阈值功能允许在临时呼吸速率目标减少时更容易触发。
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公开(公告)号:US20190111226A1
公开(公告)日:2019-04-18
申请号:US15781599
申请日:2016-12-09
Applicant: ResMed Limited
Inventor: Liam Holley , Gordon Joseph Malouf , Dion Charles Chewe Martin , Peter Wlodarczyk , Quangang Yang
Abstract: Apparatus and methods provide control for generation of a flow of air to a patient's airways for different respiratory therapies. The pressure and a flow rate may be simultaneously controlled so as to provide a pressure therapy and a flow therapy. The system may include one or more flow generators, in which the control of the pressure and flow rate may include altering the output of one or more of the flow generators and/or an optional adjustable vent. The pressure and flow rate may each be held at a constant. One or both of the pressure and flow rate may also vary in accordance with a desired therapy. The air may be provided via a patient interface that includes a vent to atmosphere, which may be the adjustable vent. The vent may be actuated by a controller to implement the simultaneous control of pressure and flow rate of the air.
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公开(公告)号:US20190099568A1
公开(公告)日:2019-04-04
申请号:US16019779
申请日:2018-06-27
Applicant: ResMed Limited
Inventor: Roger Mervyn Lloyd Foote , Ronald James Huby , Muditha Pradeep Dantanarayana , Damien Julian Mazzone , Dion Charles Chewe Martin , Jeffrey Peter Armitstead , Justin John Formica , Zhuo Ran Tang , Lance Steven Cohen , James William Charles Vandyke , David Brent Sears , Aleksandr S. Nagorny , Joseph M. Sampietro , Steven Paul Farrugia
Abstract: A control system provides automated control of gas washout of a patient interface, such as a mask or nasal prongs. A gas washout vent assembly of the system may include a variable exhaust area such as one defined by overlapping apertures of the assembly or a conduit having a variable gas passage channel. The vent assembly may be formed by nested structures, such as conic or cylindrical members, each having an opening of the overlapping apertures. The vent assembly may be attached substantially near or included with the patient interface. An actuator of the assembly, such as a solenoid or voice coil, manipulates an aperture of the vent assembly. The actuator may be configured for control by a controller to change the exhaust area of the vent assembly based on various methodologies including, for example, sleep detection, disordered breathing event detection, rebreathing volume calculation and/or leak detection.
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公开(公告)号:US20170311879A1
公开(公告)日:2017-11-02
申请号:US15520663
申请日:2015-10-23
Applicant: ResMed Limited
Inventor: Jeffrey Peter Armitstead , Mark David Buckley , Michael Waclaw Colefax , Susan Robyn Lynch , Dion Charles Chewe Martin , Gregory Robert Peake , Dinesh Ramanan , Jamie Graeme Wehbeh , Natalie Zotelo
CPC classification number: A61B5/4833 , A61B5/0004 , A61B5/0022 , A61B5/08 , A61M16/0051 , A61M16/0069 , A61M16/024 , A61M16/107 , A61M16/16 , A61M2205/15 , A61M2205/3344 , A61M2205/3553 , A61M2205/3584 , A61M2205/3592 , A61M2205/42 , A61M2205/502 , A61M2205/583 , A61M2230/40 , G06F19/3481 , Y02A90/26
Abstract: Apparatus and methods provide compliance management tools such as for respiratory pressure therapy. In some versions, a respiratory pressure therapy system may include one or more processors, such as of a data server, configured to communicate with a computing device and/or a respiratory pressure therapy device. The respiratory pressure therapy device may be configured to deliver respiratory pressure therapy to a patient for a session. The computing device may be associated with the patient. The processor(s) may be further configured to compute a therapy quality indicator of the session from usage data relating to the session. The therapy quality indicator may be a number derived from contributions of a plurality of usage variables for the session in the usage data. The processor(s) may be further configured to present, such as by transmitting, the therapy quality indicator to the computing device. The therapy quality indicator may promote patient compliance.
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公开(公告)号:US20170274165A1
公开(公告)日:2017-09-28
申请号:US15596378
申请日:2017-05-16
Applicant: ResMed Limited
Inventor: Dinesh Ramanan , Jeffrey Peter Armitstead , Dion Charles Chewe Martin
IPC: A61M16/00
CPC classification number: A61M16/0069 , A61M16/0006 , A61M16/024 , A61M2016/0027 , A61M2016/003 , A61M2016/0039 , A61M2205/3334 , A61M2205/50 , A61M2205/502 , A61M2230/00
Abstract: Respiratory pressure treatment apparatus include automated methodologies for controlling changes to pressure in the presence of sleep disordered breathing events. In an example apparatus, various levels of expiratory pressure relief can provide different pressure reductions for patient comfort during expiration (333-A, 333-B, 333-C). The control parameters for these levels may be automatically modified based on the detection of an open airway. Similarly, in some embodiments, the levels may be automatically adjusted based on a detection of persistent obstruction. In still further embodiments, control parameters associated with a rise time of an early portion of an inspiratory pressure treatment may be automatically adjusted upon detection of flow limitation to permit a change to more aggressive waveforms from more comfortable waveforms for the treatment of sleep disordered breathing events.
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