Method and apparatus for assessing sleep quality

• US 10,300,230 B2
• Filed: 11/20/2013
• Issued: 05/28/2019
• Est. Priority Date: 09/27/2006
• Status: Active Grant

• Current Assignee: ResMed Pty Ltd. (ResMed Incorporated)
• Original Assignee: Resmed Limited (ResMed Incorporated)
• Inventors: Flower, Renee Frances, Kwok, Philip Rodney, Dantanarayana, Muditha Pradeep, Richard, Ron
• Primary Examiner(s): Downey, John R
• Assistant Examiner(s): Jian, Shirley X
• Application Number:
  US14/085,327
• Publication Number:
  US 20140076318A1
• Time in Patent Office: 2,015 Days
• CPC Class Codes: A61B 5/024 Detecting, measuring or recording pulse rate or heart rate A61B5/0205, A61B5/021 take precedence
• CPC Class Codes: A61B 5/369 Electroencephalography [EEG] devices for psychotechnics A61B5/16
• CPC Class Codes: A61B 5/372 Analysis of electroencephalograms
• CPC Class Codes: A61B 5/4812 Detecting sleep stages or cycles
• CPC Class Codes: A61B 5/4815 Sleep quality
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0057 Pumps therefor
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2205/3375 Acoustical, e.g. ultrasonic, measuring means
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2230/10 Electroencephalographic signals
• CPC Class Codes: A61M 2230/18 Rapid eye-movements [REM]
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/63 Motion, e.g. physical activity

Abstract

Systems and/or methods for assessing the sleep quality of a patient in a sleep session are provided. Data is collected from the patient and/or physician including, for example, sleep session data in the form of one or more physiological parameters of the patient indicative of the patient'"'"'s sleep quality during the sleep session, a subjective evaluation of sleep quality, etc.; patient profile data; etc. A sleep quality index algorithm, which optionally may be an adaptive algorithm, is applied, taking into account some or all of the collected data. Sleep quality data may be presented to at least the patient, and it may be displayed in any suitable format (e.g., a format useful for the patient to be appraised on the progress of the treatment, a format useful for a sleep clinician to monitor progress and/or assess the effectiveness of differing treatment regimens, etc).

Claims

1. A method of assessing sleep quality of a patient undergoing therapy for a sleep disorder, the method comprising:

by way of a sensor, obtaining sleep session data comprising physiological parameters of the patient during a sleep session in which the patient undergoes the therapy, the parameters including at least sleep duration and sleep fragmentation; and

by way of a processor;

processing the sleep session data and subjective patient data to determine a composite sleep quality index indicative of the patient'"'"'s sleep session quality;

determining directions for adjustment of a therapy apparatus for future therapy sessions based on the composite sleep quality index;

displaying the directions on a display device; and

adjusting parameters of the therapy apparatus based on the determined directions.

2. The method according to claim 1, wherein the directions for adjustment of the therapy apparatus include adjusting one or more parameters of a flow generator.

3. The method according to claim 1, wherein the sleep session data includes at least two of sleep duration, sleep fragmentation, sleep structure, AHI, sleep latency, and snore for the sleep session.

4. The method according to claim 1, wherein the sensor is associated with an apparatus for treatment of sleep disordered breathing.

5. The method according to claim 4, wherein the sensor is incorporated into at least one of headgear and a patient interface of the treatment apparatus.

6. The method according to claim 1, further comprising communicating a composite sleep quality index to at least the patient.

7. The method according to claim 1, further comprising displaying data associated with the sleep quality index and/or the directions, on a display device.

8. The method according to claim 7, wherein the display device is a display of a sleep disorder treatment apparatus.

9. An apparatus for assessing sleep quality of a patient undergoing therapy for a sleep disorder, comprising:

at least one sensor configured to obtain sleep session data during a sleep session in which the patient undergoes said therapy, said sleep session data comprising physiological parameters of the patient indicative of the patient'"'"'s sleep quality during the sleep session, the patient'"'"'s sleep quality including at least sleep duration and sleep fragmentation; and

a processor configured to (a) determine a composite sleep quality index indicative of the patient'"'"'s sleep session quality using the sleep session data and subjective patient data, (b) determine directions for adjustment of a PAP device based on the composite sleep quality index, and (c) communicate feedback to the patient regarding the directions and/or adjust the PAP device based on the directions.

10. The apparatus according to claim 9, further comprising a display configured to communicate the composite sleep quality index to at least the patient.

11. The apparatus according to claim 9, further comprising an electroencephalogram.

12. The apparatus according to claim 11, wherein the electroencephalogram is incorporated into the PAP device.

13. The apparatus according to claim 11, further comprising electrodes for the electroencephalogram, the electrodes being incorporated into soft components of at least one of headgear, mask cushions, or nasal prongs.

14. The apparatus according to claim 13, further comprising at least one wire running along a gas flow tube and to the electroencephalogram, the wire being adapted to transmit data from the electrodes to a controller of the electroencephalogram.

15. The apparatus according to claim 9, further comprising a display, wherein the processor is configured to cause the directions to be viewable on the display.

16. The apparatus according to claim 9, wherein the sleep session data also includes at least one of sleep structure, AHI, sleep latency, and snore for the sleep session.

17. The apparatus according to claim 9, wherein the at least one sensor is adapted to measure at least one of the physiological parameters and is associated with the PAP device.

18. The apparatus according to claim 17, wherein the at least one sensor is incorporated into at least one of headgear and a patient interface of a PAP device.

19. The apparatus according to claim 9, further comprising a PAP device configured to supply breathable gas under pressure to the patient for treatment of sleep disordered breathing.

20. The apparatus according to claim 19, wherein the PAP device comprises a flow generator and the directions include adjusting one or more parameters of the flow generator.

21. The apparatus according to claim 19, further comprising a patient interface.