APPARATUS AND METHOD FOR SUPPLYING A RESPIRATORY GAS

• US 20100180898A1
• Filed: 03/31/2010
• Published: 07/22/2010
• Est. Priority Date: 01/29/2001
• Status: Active Grant

• Current Assignee: ResMed R&D Germany GmbH (ResMed Incorporated)
• Original Assignee: MAP Medizin-Technologie GMBH (ResMed Incorporated)
• Inventors: Jackobs, Rainer, SCHNEIDER, Hartmut, Vogele, Harald, Madaus, Stefan, Schatzl, Stefan, Heidmann, Dieter, Meier, Jörg, Brandmeier, Richard
• Granted Patent: US 8,061,354 B2
• Time in Patent Office: Days
• US Class Current: 128/204.230
• 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 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient

Abstract

An apparatus for supplying a respiratory gas to a patient within the scope of the diagnosis and/or the treatment of sleep-related breathing disorders includes an electronic signal processing device for generating a pressure control signal on the basis of indicative signals relating to the breathing activity and/or the physiological state of a person. The signal processing device comprises a signal inputting device and an extraction device for generating data field entries according to predefined signal analysis procedures. A pressure signal generator is provided for generating the pressure control signal, taking into account determined data field entries which are at least selected by the extraction device.

Claims

1. An apparatus for supplying a respiratory gas to a patient, comprising:

a signal input device configured to receive signals indicative of an instantaneous respiratory gas flow, a position of the patient, and a respiratory gas pressure;

a processing device configured to dynamically generate entries of a multi-dimensional data field in accordance with predetermined signal analysis procedures, the entries defining a relationship between the respiratory gas pressure and a maximum respiratory gas flow for a plurality of different physiological states of the patient;

a pressure presetting device configured to dynamically determine, on the basis of selected data field entries of the multi-dimensional data field, a maximum inspiration phase pressure, a maximum expiration phase pressure, and a pressure adapted to the instantaneous physiological state of the patient at a change between the respiration phases, the pressure presetting device being further configured to dynamically generate a pressure control signal indicative of the pressure adapted to the instantaneous physiological state of the patient at the change between the respiration phases;

a respiration phase coordinating device configured to dynamically identify, on the basis of selected data field entries of the multi-dimensional data field and on the basis of the dynamic pressure control signal generated by the pressure presetting device, a respiration phase of the patient; and

a pressure control device configured to receive the dynamic pressure control signal generated by the pressure presetting device and dynamically control the respiratory gas pressure to the pressure adapted to the instantaneous physiological state of the patient at a change between respiration phases.

2. An apparatus according to claim 1, further comprising a signal bypass configured to bypass the signals indicative of the instantaneous respiratory gas flow, the position of the patient, and the respiratory gas pressure directly to the respiration phase coordinating device and/or the pressure control device.

3. An apparatus according to claim 2, further comprising a filter configured to filter the bypassed signals.

4. An apparatus according to claim 3, wherein the filter comprises a band pass filter.

5. An apparatus according to claim 1, wherein the processing device is further configured to generate, based on a statistical classification of the entries of the multi-dimensional data field, a patient-specific data set that defines a relationship between the respiratory gas pressure and a physiological state of the patient.

6. An apparatus according to claim 5, wherein the patient-specific data set defines a relationship between the respiratory gas pressure and a body position of the patient.

7. An apparatus according to claim 6, wherein the body position of the patient comprises a degree of turning of the neck of the patient.

8. An apparatus according to claim 1, wherein the signals indicative of the instantaneous respiratory gas flow are generated by a dynamic pressure detection device.

9. An apparatus according to claim 1, wherein the signals indicative of the instantaneous respiratory gas flow are generated by a measurement circuit configured to detect a Doppler effect of an ultrasonic event.

10. An apparatus according to claim 1, wherein the respiration phase coordinating device is in a substantially dead time-free signal relationship with the signal input device.

11. An apparatus according to claim 5, wherein the respiration phase coordinating device is configured to identify the respiration phase in dependence on a difference between a mean inspiration pressure and a mean expiration pressure over a period of time and a physiological state of the patient.

12. An apparatus according to claim 11, wherein the patient-specific data set comprises a maximum inspiration pressure and a minimum expiration pressure of the patient.

13. An apparatus according to claim 12, wherein the maximum inspiration pressure and the minimum expiration pressure are between a range of about 4-18 millibar.

14. An apparatus according to claim 11, wherein the respiration phase coordinating device is configured to identify the respiration phase in dependence on a first derivative of the respiratory gas flow.

15. An apparatus according to claim 14, wherein the respiration phase coordinating device is configured to identify the respiration phase in dependence on a second derivative of the respiratory gas flow.

16. An apparatus according to claim 1, wherein the instantaneous physiological state of the patient comprises at least one instantaneous physiological demand of the patient.

17. An apparatus according to claim 16, wherein the at least one physiological demand of the patient comprises an increased blood oxygen content during a phase of dropping off to sleep.

18. A CPAP apparatus, comprising:

a blower configured to generate a flow of pressurized breathable gas; and

an apparatus according to claim 1.

19. A CPAP apparatus according to claim 18, wherein the pressure control signal is configured to control a rotary speed of the blower.

20. A method of supplying a respiratory gas to a patient, comprising:

receiving signals indicative of an instantaneous respiratory gas flow, a position of the patient, and a respiratory gas pressure;

dynamically generating entries of a multi-dimensional data field in accordance with predetermined signal analysis procedures, the entries defining a relationship between the respiratory gas pressure and a maximum respiratory gas flow for a plurality of different physiological states of the patient;

dynamically determining, on the basis of selected data field entries of the multi-dimensional data field, a maximum inspiration phase pressure, a maximum expiration phase pressure, and a pressure adapted to the instantaneous physiological state of the patient at a change between the respiration phases;

dynamically generating a pressure control signal indicative of the pressure adapted to the instantaneous physiological state of the patient at the change between the respiration phases;

dynamically identifying, on the basis of selected data field entries of the multi-dimensional data field and on the basis of the dynamic pressure control signal, a respiration phase of the patient; and

dynamically controlling the respiratory gas pressure to the pressure adapted to the instantaneous physiological state of the patient at the change between the respiration phases on the basis of the pressure control signal.