Device and method for assisting a cough

• US 10,300,239 B2
• Filed: 07/20/2010
• Issued: 05/28/2019
• Est. Priority Date: 07/24/2009
• Status: Active Grant

• Current Assignee: Koninklijke Philips Electronics N.V. (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Brand, Maarten Leonardus Christian, Jin, Sheng
• Primary Examiner(s): Merene, Jan Christopher L
• Assistant Examiner(s): Ruddie, Elliott S
• Application Number:
  US13/384,410
• Publication Number:
  US 20120111329A1
• Time in Patent Office: 3,234 Days
• Field of Search: 12820421, 12820524, 12820519, 12820418, 12820423, 600529, 600530, 600531, 600532, 600533, 600534, 600535, 600536, 600537, 600538, 600539, 600540, 600541, 600542, 600543
• CPC Class Codes: A61H 2201/5007 computer controlled
• CPC Class Codes: A61H 2201/5071 Pressure sensors
• CPC Class Codes: A61H 23/00 Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms apparatus for passive exercising A61H1/00; generating or transmitting mechanical vibrations in general B06B
• CPC Class Codes: A61H 31/00 Artificial respiration or heart stimulation, e.g. heart massage artificial respiration by treatment with gas or air, e.g. mouth-to-mouth respiration A61M16/00; applying electric currents by contact electrodes for stimulation, e.g. heart pace-makers A61N1/36 ; teaching or training models, demonstration models for medical purposes G09B23/288
• CPC Class Codes: A61M 16/0006 with means for creating vibrations in patients' airways
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/202 electrically actuated
• CPC Class Codes: A61M 16/204 used for inhalation control
• CPC Class Codes: A61M 16/205 used for exhalation control
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0036 in the breathing tube and used in both inspiratory and expiratory phase

Abstract

The invention provides a device (11) for assisting a cough, based on an oscillation pressure. The oscillation pressure causes a periodic oscillation airflow in a lung system and the periodic oscillation airflow comprises an oscillation exhalation airflow and an oscillation inhalation airflow. The device (10) comprises a controlling unit (11), and the controlling unit (11) comprises:

• • a first determining unit (111) for determining whether an inhalation of the lung system is complete, so as to control a valve (13) which is to be closed for isolating the lung system from the external environment,
  • a second determining unit (112) for determining whether an internal air pressure in the lung system is larger than a pre-defined pressure threshold, and
  • a detecting unit (113) for detecting the start of the oscillation exhalation airflow, so as to control the valve (13) which is to be opened for starting a cough.

Claims

1. A device for assisting a cough comprising:

a velocity sensor configured to detect a velocity of inhalation airflow in a lung system;

a pressure sensor configured to detect an internal air pressure in the lung system;

a valve configured to operate in one of an open state and a closed state, the valve facilitating airflow between the lung system and an external environment in the open state, and substantially preventing airflow between the lung system and the external environment in the closed state; and

a processor configured to;

determine whether an inhalation of the lung system is complete based on the detected velocity of inhalation airflow;

control, in response to determining the inhalation of the lung system being complete, the valve to operate in the closed state;

determine whether the detected internal air pressure in the lung system is larger than a pre-defined pressure threshold;

control, in response to determining the internal air pressure being greater than the pre-defined pressure threshold, an oscillator to generate an oscillation pressure to oscillate the lung system and cause a periodic oscillation airflow in the lung system, the periodic oscillation airflow comprising an oscillation exhalation airflow and an oscillation inhalation airflow;

control the valve to operate in the open state based on detecting a start of the oscillation exhalation airflow, and

control the oscillation exhalation airflow to be synchronous with an exhalation of the cough.

2. The device as claimed in claim 1, wherein the processor is configured to determine whether the inhalation of the lung system is complete based on the detected velocity of the inhalation airflow in the lung system being lower than a pre-defined velocity threshold.

3. The device as claimed in claim 1, wherein the oscillator provides the oscillation pressure to oscillate the lung system by transmitting mechanical oscillation pressure through a ribcage and muscles surrounding the lung system via high frequency chest wall oscillations.

9. The device as claimed in claim 1, wherein a peak of the exhalation airflow occurs within a time period of the oscillation exhalation airflow.

10. The device as claimed in claim 1, wherein the periodic oscillation airflow is different than the inhalation airflow in the lung system.

11. The device as claimed in claim 1, wherein a time period of the oscillation exhalation airflow is greater than a time period of the oscillation inhalation airflow.

12. The device as claimed in claim 1, wherein the oscillation pressure is directly applied to the lung system.

4. A method of assisting a cough with an assistance system comprising a valve that operates in one of a closed state and an open state, a velocity sensor, a pressure sensor, an oscillator, and a processor, the method comprising:

detecting by the velocity sensor, a velocity of inhalation airflow in a lung system;

detecting by the pressure sensor, an internal air pressure in the lung system;

determining by the processor, whether an inhalation of the lung system is complete based on the detected velocity of inhalation airflow;

controlling, in response to the inhalation of the lung system being complete, the valve to operate in the closed state, the valve substantially preventing airflow between the lung system and the external environment in the closed state;

determining by the processor, whether the detected internal air pressure in the lung system is larger than a pre-defined pressure threshold;

generating by the oscillator, in response to the internal air pressure being greater than the pre-defined pressure threshold, an oscillation pressure to oscillate the lung system and cause a periodic oscillation airflow in the lung system, the periodic oscillation airflow comprising an oscillation exhalation airflow and an oscillation inhalation airflow;

controlling the valve to operate in the open state based on detecting a start of the oscillation exhalation airflow; and

controlling by the processor, the oscillation exhalation airflow to be synchronous with an exhalation of the cough.

5. The method as claimed in claim 4, wherein the processor determines whether the inhalation of the lung system is complete based on the detected velocity of the inhalation airflow in the lung system being lower than a pre-defined velocity threshold.

6. The method as claimed in claim 4, wherein generating the oscillation pressure to oscillate the lung system comprises transmitting mechanical oscillation pressure through a ribcage and muscles surrounding the lung system via high frequency chest wall oscillations.

7. A non-transitory computer readable medium including computer executable instructions, wherein the instructions, when executed by a computer, cause the computer to perform a method of assisting cough, the method comprising:

detecting by a velocity sensor, a velocity of inhalation airflow in a lung system;

detecting by a pressure sensor, an internal air pressure in the lung system;

determining by a processor, whether an inhalation of the lung system is complete based on the detected velocity of inhalation airflow;

controlling by the processor, in response to the inhalation of the lung system being complete, the valve to operate in the closed state, the valve substantially preventing airflow between the lung system and the external environment in the closed state;

determining by the processor, whether the detected internal air pressure in the lung system is larger than a pre-defined pressure threshold;

generating by an oscillator, in response to the internal air pressure being greater than the pre-defined pressure threshold, an oscillation pressure to oscillate the lung system and cause a periodic oscillation airflow in the lung system, the periodic oscillation airflow comprising an oscillation exhalation airflow and an oscillation inhalation airflow;

controlling the valve to operate in the open state based on detecting a start of the oscillation exhalation airflow; and

controlling by the processor, the oscillation exhalation airflow to be synchronous with an exhalation of the cough.

8. The computer readable medium as claimed in claim 7, wherein generating the oscillation pressure to oscillate the lung system comprises transmitting mechanical oscillation pressure through a ribcage and muscles surrounding the lung system via high frequency chest wall oscillations.