Process for determining respiratory phases of the sleep of a user

• US 20010000346A1
• Filed: 12/11/2000
• Published: 04/19/2001
• Est. Priority Date: 06/18/1998
• Status: Active Grant

• Current Assignee: Benoit Jonquet, Stephane Ruton
• Original Assignee: Benoit Jonquet, Stephane Ruton
• Inventors: Ruton, Stephane, Jonquet, Benoit
• Granted Patent: US 6,409,676 B2
• Time in Patent Office: Days
• US Class Current: 600/538
• CPC Class Codes: A61B 5/087 Measuring breath flow
• CPC Class Codes: A61B 5/09 using an element rotated by the flow toys actuated by air current A63H33/40
• CPC Class Codes: A61B 5/7264 Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems neural networks per se G06N3/00; expert systems per se G06N5/00
• CPC Class Codes: A61M 16/00 Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes stimulating the respiratory movement by mechanical, pneumatic or electrical means, iron lungs combined with gas breathing means A61H31/00
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems
• CPC Class Codes: Y02A 90/10 Information and communication technologies [ICT] supporting adaptation to climate change, e.g. for weather forecasting or climate simulation

Abstract

A process for determining respiratory phases of the sleep of a user (3), comprising measuring at least two physical variables of which at least a first physical variable is representative of the nasal flow of the user (3) and of which at least a second physical variable is representative of the user'"'"'s buccal flow. The process furthermore comprises processing and converting each physical variable with a view to establishing its degree of membership in at least one state of a fuzzy variable, and applying pre-established rules between at least one state of a first fuzzy variable and a state of a second fuzzy variable so as to evaluate the degree of membership in a respiratory phase state of the sleep of the user (3) according to fuzzy logic.

Claims

1. A process for determining respiratory phases of the sleep of a user, comprising:

measuring at least two physical variables of which at least a first physical variable is representative of the nasal flow of the user, and of which at least a second physical variable is representative of the user'"'"'s buccal flow;

processing and converting each physical variable with a view to establishing its degree of membership in at least one state of a fuzzy variable; and

applying pre-established rules between at least one state of a first fuzzy variable and a state of a second fuzzy variable so as to evaluate the degree of membership in a respiratory phase state of the sleep of the user according to fuzzy logic.

2. The process according to

claim 1

, wherein the respiratory state comprises at least one of a state of normal respiration, a state of apnea and a state of hypopnea.

3. The process according to

claim 1

, wherein each fuzzy variable possesses at least two states.

4. The process according to

claim 1

, wherein the degrees of membership of the states associated with a fuzzy variable are established on the basis of continuous curves defined over the entire universe of discourse of a measured physical variable.

5. The processing according to

claim 1

, wherein one of the measured physical variables is a pressure signal measured by a pressure sensor linked to a nose piece worn by the user.

6. The process according to

claim 5

, further comprising, during the step of processing and converting, extracting from the measured pressure signal snoring phases associated with breathing-obstruction phenomena.

7. The process according to

claim 6

, further comprising high-pass filtering of the pressure signal during extraction to obtain a filtered signal;

amplifying the filtered signal to obtain an amplified filtered signal;

interpolating the amplified filtered signal so as to obtain an envelope curve; and

comparing the envelope curve with the reference curve so as to determine the presence of snoring phases.

8. The process according to

claim 1

, further comprising measuring the current consumed by a low-inertia turbine linked to a nose piece intended to be worn by the user to obtain an image of the nasal flow of the user.

9. The process according to

claim 8

, further comprising determining the phases of nasal inhalation and exhalation of the user during extraction;

calculating the time derivative of the amplitude of the nasal flow during an inhalation phase; and

utilizing the derivative so as to determine whether the user is or is not suffering from a partial obstructive phenomenon.

10. The process according to

claim 9

, wherein the step of utilizing the derivative of the amplitude of the nasal flow comprises comparing the absolute value of the derivative with at least one reference value, and measuring the duration for which the absolute value of the derivative is less than said at least one reference value.

11. The process according to

claim 10

, wherein the step of utilizing the derivative comprises charting the number of charges of sign of the derivative when the latter is less than the reference value.

12. The process according to

claim 1

, further comprising measuring the resistance of a thermistor placed in proximity to the mouth of the user to obtain an image of the buccal flow of the user.

13. Method for diagnosing the respiratory phases of the sleep of a patient suffering from respiratory sleep disorders, wherein said respiratory phases are determined according to the process according to

claim 1

.

14. Method for diagnosing according to

claim 13

, wherein the respiratory sleep disorder is sleep apnea or hypopnea.