Position control devices and methods for use with positive airway pressure systems

• US 10,314,989 B2
• Filed: 01/28/2014
• Issued: 06/11/2019
• Est. Priority Date: 01/28/2013
• Status: Active Grant

• Current Assignee: ResMed Incorporated
• Original Assignee: Hancock Medical, Inc.
• Inventors: Goff, Thomas G., Bowditch, Nathaniel L., Casebolt, Tarmigan
• Primary Examiner(s): Merene, Jan Christopher L
• Assistant Examiner(s): Boecker, Joseph D.
• Application Number:
  US14/762,683
• Publication Number:
  US 20150367092A1
• Time in Patent Office: 1,960 Days
• CPC Class Codes: A61B 2562/0204 Acoustic sensors
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 2562/0247 Pressure sensors
• CPC Class Codes: A61B 5/0875 using means carried by the fluid stream, e.g. free floating balls
• CPC Class Codes: A61B 5/1126 using a particular sensing technique
• CPC Class Codes: A61B 5/4818 Sleep apnoea
• CPC Class Codes: A61B 5/4836 Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence
• CPC Class Codes: A61B 5/6803 Head-worn items, e.g. helmets, masks, headphones or goggles
• CPC Class Codes: A61M 16/0003 Accessories therefor, e.g. sensors, vibrators, negative pressure
• CPC Class Codes: A61M 16/0057 Pumps therefor
• CPC Class Codes: A61M 16/0063 Compressors
• CPC Class Codes: A61M 16/0066 Blowers or centrifugal pumps
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/0683 Holding devices therefor
• CPC Class Codes: A61M 16/0875 Connecting tubes
• CPC Class Codes: A61M 16/20 Valves specially adapted to medical respiratory devices
• CPC Class Codes: A61M 16/209 Relief valves
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/003 with a flowmeter
• CPC Class Codes: A61M 2016/0033 : electrical
• CPC Class Codes: A61M 2205/3306 : Optical measuring means
• CPC Class Codes: A61M 2205/3317 : Electromagnetic, inductive or dielectric measuring means
• CPC Class Codes: A61M 2205/332 : Force measuring means
• CPC Class Codes: A61M 2205/3334 : Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/3375 : Acoustical, e.g. ultrasonic, measuring means
• CPC Class Codes: A61M 2205/3569 : sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3592 : using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/6045 : having complementary physical shapes for indexing or registration purposes
• CPC Class Codes: A61M 2205/8206 : battery-operated
• CPC Class Codes: A61M 2209/088 : on the body
• CPC Class Codes: A61M 2210/06 : Head
• CPC Class Codes: A61M 2210/0662 : Ears
• CPC Class Codes: A61M 2230/62 : Posture

Abstract

Described here are positive airway pressure (PAP) systems and methods with various mechanisms for altering the air pressure based in part on the head position of the user. This can be achieved actively or passively. Passively, pressure is altered when head position is altered, as gravity acts to open or close venting elements. Actively, head position information can then be communicated to a controller of the system which may be disposed within the housing having the position sensor or within a separate housing. The controller varies the output pressure of the pressure source, e.g. a rotary compressor, based, at least in part, on the head position information provided.

Claims

1. A positive airway pressure system comprising:

a wearable mask for delivery of pressurized air to a user;

a pressure source configured to provide the pressurized air;

an airway tube connecting the mask and the pressure source, the airway tube and mask defining an airway between the pressure source and the user;

an airflow-altering element positioned at least partially in the airway, the airflow-altering element moveable between a first position when the mask is in a first position and a second position when the mask is in a second position and wherein the airflow-altering element is configured to alter flow of the pressurized air in the airway in at least one of the first and second positions; and

at least one sensor configured to detect alterations in the flow of the pressurized air,

wherein the system is configured to alter an output of the pressure source based on a position of the airflow-altering element using an output of the at least one sensor.

2. The system of claim 1 wherein gravity moves the airflow-altering element between the first and second positions.

3. The system of claim 1 wherein the first position of the mask corresponds to a supine head position when the mask is worn by the user.

4. The system of claim 3 wherein the second position of the mask corresponds to a lateral head position when the mask is worn by the user.

5. The system of claim 1 wherein the airflow-altering element comprises a weight member and a suspension member connecting the weight member to a wall of the airway tube.

6. The system of claim 5 wherein the weight member is configured to hang from the wall of the airway tube when the airflow-altering element is in the first position.

7. The system of claim 6 wherein the airway comprises at least one recess, and wherein the weight member is configured to rest at least partially in the recess when the airflow-altering element is in the second position.

8. The system of claim 6 wherein the airflow-altering element in the first position is configured to oscillate during flow of the pressurized air past the airflow-altering element.

9. The system of claim 1 further comprising a controller, wherein the controller is configured to receive the output of the at least one sensor and set the output pressure based on the output of the at least one sensor.

10. A mask assembly for use with a positive airway pressure system comprising:

a wearable mask for delivery of pressurized air to a user;

an airway tube for connecting the mask to a pressure source, the airway tube and mask defining an airway therethrough;

an airflow-altering element positioned at least partially in the airway, the airflow-altering element moveable between a first position when the mask is in a first position when worn by the user and a second position when the mask is in a second position when worn by the user, wherein a position of the airflow-altering element is dependent upon a position of the mask, and wherein the airflow-altering element is configured to alter flow of the pressurized air in the airway in at least one of the first and second positions.

11. The assembly of claim 10 wherein gravity moves the airflow-altering element between the first and second positions.

12. The assembly of claim 10 wherein the first position of the mask corresponds to a supine head position.

13. The assembly of claim 12 wherein the second position of the mask corresponds to a lateral head position.

14. The assembly of claim 10 wherein the airflow-altering element comprises a weight member and a suspension member connecting the weight member to the airway.

15. A method for providing pressurized air to a user'"'"'s airway comprising:

delivering pressurized air to the user using an air pressure system comprising;

a wearable mask for delivery of the pressurized air to the user,

a pressure source configured to provide the pressurized air,

an airway tube connecting the mask and the pressure source wherein the airway tube and mask defining an airway between the pressure source and the user, and

an airflow-altering element positioned at least partially in the airway, wherein the airflow-altering element is moveable between a first position when the mask is in a first position and a second position when the mask is in a second position and wherein the airflow-altering element is configured to alter flow of the pressurized air in the airway in at least one of the first and second positions;

monitoring the flow of pressurized air through the airway to determine a head position based on a position of the airflow-altering element; and

altering an output of the pressure source based on the determined head position.

16. The method of claim 15 wherein gravity moves the airflow-altering element between the first and second positions.

17. The method of claim 15 wherein the first position of the mask corresponds to a supine head position when the mask is worn by the user.

18. The method of claim 17 wherein the second position of the mask corresponds to a lateral head position when the mask is worn by the user.

19. The method of claim 15 wherein the airflow-altering element in the first position is configured to oscillate during flow of the pressurized air past the airflow-altering element.

20. The method of claim 15, wherein monitoring the flow of pressurized air comprises detecting oscillations of the airflow-altering element.