System and respiration appliance for supporting the airway of a subject

• US 10,456,541 B2
• Filed: 12/07/2015
• Issued: 10/29/2019
• Est. Priority Date: 12/30/2008
• Status: Active Grant

• Current Assignee: Koninklijke Philips N.V.
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Witt, Erik Kurt, Clegg, William Edwin, Colbaugh, Michael Edward, Mechlenburg, Douglas
• Primary Examiner(s): Boecker, Joseph D.
• Application Number:
  US14/961,082
• Publication Number:
  US 20160082209A1
• Time in Patent Office: 1,422 Days
• 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 16/0666 Nasal cannulas or tubing devices for improving normal breathing through the nose A61F5/08; nose filters A62B23/06; outside holding devices A61M25/02
• CPC Class Codes: A61M 16/20 Valves specially adapted to medical respiratory devices
• CPC Class Codes: A61M 16/205 used for exhalation control
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2206/10 Flow characteristics
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/40 Respiratory characteristics

Abstract

A respiration appliance, system, and method for supporting the airway of a subject as the subject breaths. The flow of gas from the lungs of the subject during exhalation is leveraged to provide support to the airway. In particular, a body that encloses one or more external orifices of the subject provides a resistance differential between inhaled gas flows and exhaled gas flows that supports the subject'"'"'s airway.

Claims

1. A method of supporting the airway of a subject as the subject breathes, the method comprising:

during inhalation of a subject, providing a first resistance to gas flow for gas passing from ambient atmosphere into one or more external orifices of the airway of the subject;

during exhalation of the subject, providing a second resistance to gas flow for gas passing from the one or more external orifices of the airway of the subject to ambient atmosphere, wherein the first resistance is lower than the second resistance such that during inhalation gas passes from ambient atmosphere into the one or more external orifices of the airway of the subject substantially unimpeded and during exhalation the second resistance elevates pressure within the airway of the subject such that the elevated pressure supports the airway of the subject;

receiving a pressurized flow of breathable gas;

directing the pressurized flow of breathable gas to the one or more external orifices of the airway of the subject as the subject breathes;

generating one or more output signals that convey information related to the stability of the airway of the subject with one or more sensors; and

adjusting a flow rate of the pressurized flow of breathable gas based on the information in the one or more output signals generated by the one or more sensors.

2. The method of claim 1, wherein the one or more sensors comprise a transducer configured to generate one or more output signals that convey information related to vibration in the airway of the subject.

3. The method of claim 1, wherein the information related to the stability of the airway of the subject comprise flow and/or pressure of gas at or near the airway of the subject.

4. A respiration appliance configured to support the airway of a subject as the subject breathes, the respiration appliance comprising:

means for, during inhalation of a subject, providing a first resistance to gas flow for gas passing from ambient atmosphere into one or more external orifices of the airway of the subject;

means for, during exhalation of the subject, providing a second resistance to gas flow for gas passing from the one or more external orifices of the airway of the subject to ambient atmosphere, wherein the first resistance is lower than the second resistance such that during inhalation gas passes from ambient atmosphere into the one or more external orifices of the airway of the subject substantially unimpeded and during exhalation the second resistance elevates pressure within the airway of the subject such that the elevated pressure supports the airway of the subject;

means for receiving a pressurized flow of breathable gas;

means for directing the pressurized flow of breathable gas to the one or more external orifices of the airway of the subject as the subject breathes;

means for generating one or more output signals that convey information related to the stability of the airway of the subject; and

means for adjusting a flow rate of the pressurized flow of breathable gas based on the information in the one or more output signals.

5. The respiration appliance of claim 4, wherein the means for generating comprise a transducer configured to generate one or more output signals that convey information related to vibration in the airway of the subject.

6. The respiration appliance of claim 4, wherein the information related to the stability of the airway of the subject comprise flow and/or pressure of gas at or near the airway of the subject.

7. A respiration appliance configured to support the airway of a subject as the subject breathes, the respiration appliance comprising:

means for, during inhalation of a subject, providing a first resistance to gas flow for gas passing from ambient atmosphere into one or more external orifices of the airway of the subject;

means for, during exhalation of the subject, providing a second resistance to gas flow for gas passing from the one or more external orifices of the airway of the subject to ambient atmosphere, wherein the first resistance is lower than the second resistance such that during inhalation gas passes from ambient atmosphere into the one or more external orifices of the airway of the subject substantially unimpeded and during exhalation the second resistance elevates pressure within the airway of the subject such that the elevated pressure supports the airway of the subject;

means for receiving a pressurized flow of breathable gas;

means for directing the pressurized flow of breathable gas to the one or more external orifices of the airway of the subject as the subject breathes; and

means for adjusting a flow rate of the pressurized flow of breathable gas.

8. A respiration appliance configured to support the airway of a subject as the subject breathes, the respiration appliance comprising:

means for, during inhalation of a subject, providing a first resistance to gas flow for gas passing from ambient atmosphere into one or more external orifices of the airway of the subject;

means for, during exhalation of the subject, providing a second resistance to gas flow for gas passing from the one or more external orifices of the airway of the subject to ambient atmosphere, wherein the first resistance is lower than the second resistance such that during inhalation gas passes from ambient atmosphere into the one or more external orifices of the airway of the subject substantially unimpeded and during exhalation the second resistance elevates pressure within the airway of the subject such that the elevated pressure supports the airway of the subject;

means for receiving a pressurized flow of breathable gas; and

means for directing the pressurized flow of breathable gas to the one or more external orifices of the airway of the subject as the subject breathes, wherein the one or more external orifices of the airway of the subject comprise the nostrils of the subject, and wherein the means for directing the pressurized flow of breathable gas to the one or more external orifices of the airway of the subject as the subject breathes comprises means for directing the pressurized flow of breathable gas from a circuit to a single one of the nostrils of the subject while sealing the pressurized flow of breathable gas from reaching the other nostril of the subject.