COMBINATION RESPIRATORY THERAPY DEVICE, SYSTEM, AND METHOD

• US 20140150791A1
• Filed: 12/03/2012
• Published: 06/05/2014
• Est. Priority Date: 12/03/2012
• Status: Active Grant

• Current Assignee: Metrohealth Ventures LLC
• Original Assignee: Hill-Rom Services Pte Ltd. (Baxter International Inc.)
• Inventors: Birnkrant, David J., Boerst, Chad M., ChangGuo, Mike Yang
• Granted Patent: US 9,795,752 B2
• Time in Patent Office: Days
• US Class Current: 128/204.23
• CPC Class Codes: A61H 2201/5012 using the internet
• CPC Class Codes: A61H 2201/5015 using specific interfaces or standards, e.g. USB, serial, parallel
• CPC Class Codes: A61H 2201/5048 Audio interfaces, e.g. voice or music controlled
• CPC Class Codes: A61H 2201/5058 Sensors or detectors
• CPC Class Codes: A61H 2201/5071 Pressure sensors
• CPC Class Codes: A61H 2201/5087 Flow rate sensors
• 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: A61H 9/0007 Pulsating
• CPC Class Codes: A61H 9/0078 with intermittent or alternately inflated bladders or cuffs mattresses for preventing bed-sores with alternated pressurized chambers A61G7/05776
• CPC Class Codes: A61M 16/0006 with means for creating vibrations in patients' airways
• CPC Class Codes: A61M 16/0009 with sub-atmospheric pressure, e.g. during expiration
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0057 Pumps therefor
• 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 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/1065 in the expiratory path
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 16/16 Devices to humidify the respiration air A61M16/1045 takes precedence
• 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: A61M 2016/0039 : in the inspiratory circuit
• CPC Class Codes: A61M 2016/0042 : in the expiratory circuit
• CPC Class Codes: A61M 2205/18 : with alarm
• CPC Class Codes: A61M 2205/3553 : remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3561 : local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3584 : using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/3592 : using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/50 : with microprocessors or computers
• CPC Class Codes: A61M 2205/505 : Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/52 : with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/581 : by audible feedback
• CPC Class Codes: A61M 2205/583 : by visual feedback
• CPC Class Codes: A61M 2205/80 : voice-operated command
• CPC Class Codes: A61M 2209/08 : Supports for equipment
• CPC Class Codes: G16H 20/40 : relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture

Abstract

A combination respiratory therapy management system creates a combined respiratory therapy prescription that can be executed by a combined respiratory therapy device to provide multiple coordinated respiratory therapies to a patient. The system can update the combined respiratory therapy prescription and implement the updates while the combined respiratory therapy device is in use. Some versions of the system provide additional features that allow the combined respiratory therapy prescriptions to be created, accessed, shared with other users, and performed by the combination respiratory therapy device in a customizable user-friendly and non-threatening way.

Claims

1. A combination respiratory therapy prescription creator embodied in one or more machine-accessible storage media and executable by a computing device to:

receive data indicating a respiratory condition of a person;

determine, based on the respiratory condition, a combination of pre-defined respiratory therapies from a plurality of possible therapies, the possible therapies comprising lung ventilation, lung volume recruitment, mucus extraction, and mucus mobilization therapies;

select a combination respiratory therapy device from a family of combination respiratory therapy devices based on the determined combination of therapies, wherein each of the combination respiratory therapy devices comprises a plurality of separate interfaces that are engageable with the person to provide a combination of lung ventilation therapy or lung volume recruitment therapy and mucus extraction therapy, or lung ventilation therapy or lung volume recruitment therapy and mucus mobilization therapy, or lung ventilation therapy or lung volume recruitment therapy and mucus extraction therapy and mucus mobilization therapy; and

based on the respiratory condition, create a respiratory therapy prescription to be executed by the selected combination respiratory therapy device without disengaging the selected combination respiratory therapy device from the person, the respiratory therapy prescription specifying at least a lung ventilation or a lung volume recruitment therapy and a mucus extraction therapy or a mucus mobilization therapy to be provided by the selected combination respiratory therapy device to the person.

2. The combination respiratory therapy prescription creator of claim 1, executable by a computing device to define a treatment session to be executed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy substantially immediately followed by a lung ventilation therapy or a lung volume recruitment therapy.

3. The combination respiratory therapy prescription creator of claim 2, executable by a computing device to specify a number of times the treatment sequence is to be repeated during the treatment session and define a duration of the treatment session based on the number of times the treatment sequence is to be repeated.

4. The combination respiratory therapy prescription creator of claim 2, executable by a computing device to define a time at which the mucus mobilization therapy is to be executed by the selected combination respiratory therapy device prior to the execution of the treatment session.

5. The combination respiratory therapy prescription creator of claim 2, executable by a computing device to define a time at which another lung ventilation or lung volume recruitment therapy is to be executed by the selected combination respiratory therapy device after the execution of the treatment session.

6. The combination respiratory therapy prescription creator of claim 2, executable by a computing device to define another treatment session to be executed by the selected combination respiratory therapy device prior to the execution of the treatment session.

7. The combination respiratory therapy prescription creator of claim 6, wherein the other treatment session comprises a different treatment sequence.

8. The combination respiratory therapy prescription creator of claim 1, executable by a computing device to define a treatment session to be executed by the selected combination respiratory therapy device, wherein the treatment session comprises a plurality of treatment sequences and each treatment sequence comprises a mucus extraction therapy substantially immediately followed by a lung ventilation therapy or a lung volume recruitment therapy.

9. The combination respiratory therapy prescription creator of claim 8, executable by a computing device to define the mucus extraction therapy as a plurality of cough cycles that are consecutively repeated by the selected combination respiratory therapy device and to define each cough cycle as comprising an application of positive-pressure air flow by the selected combination respiratory therapy device followed by an application of negative-pressure air flow by the selected combination respiratory therapy device.

10. The combination respiratory therapy prescription creator of claim 9, executable by a computing device to define a duration of time for which the lung ventilation therapy or lung volume recruitment therapy is performed by the selected combination respiratory therapy device.

11. The combination respiratory therapy prescription creator of claim 1, executable by a computing device to specify an audio message to be played by the selected combination respiratory therapy device at a time prior to the combination respiratory therapy device performing the combination respiratory therapy prescription.

12. The combination respiratory therapy prescription creator of claim 11, executable by a computing device to associate a digital graphic or animation of a user-selected mascot with the audio message.

13. The combination respiratory therapy prescription creator of claim 1, executable by a computing device to receive data relating to a change in the person'"'"'s respiratory condition and modify the respiratory therapy prescription based on the data relating to the change in the person'"'"'s respiratory condition.

14. The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, define a time interval after which the treatment session is to be performed, receive data relating to a change in the person'"'"'s respiratory condition, and change the time interval based on the data relating to the change in the person'"'"'s respiratory condition.

15. The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy;

receive data relating to a change in the person'"'"'s respiratory condition; and

add a mucus mobilization therapy to the respiratory therapy prescription based on the change in the person'"'"'s respiratory condition.

16. The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy;

receive data relating to a change in the person'"'"'s respiratory condition; and

add another lung ventilation therapy or lung volume recruitment therapy following the treatment session based on the change in the person'"'"'s respiratory condition.

17. The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy;

receive data relating to a change in the person'"'"'s respiratory condition; and

increase an inspiratory pressure associated with the mucus extraction therapy based on the change in the person'"'"'s respiratory condition.

18. The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy;

receive data relating to a change in the person'"'"'s respiratory condition; and

increase an expiratory pressure associated with the mucus extraction therapy based on the change in the person'"'"'s respiratory condition.

19. The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence to be repeated a number of times during the treatment session and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy;

receive data relating to a change in the person'"'"'s respiratory condition; and

increase the number of times the treatment sequence is to be repeated based on the change in the person'"'"'s respiratory condition.

20. The combination respiratory therapy prescription creator of claim 1, executable by a computing device to receive data relating to a change in the person'"'"'s respiratory condition and select a different combination respiratory therapy device from the family of combination respiratory therapy devices based on the data relating to the change in the person'"'"'s respiratory condition.

21. The combination respiratory therapy prescription creator of claim 1, executable by a computing device to electronically communicate the respiratory therapy prescription to a mobile device configured for use by a respiratory therapist.

22. The combination respiratory therapy prescription creator of claim 1, executable by a computing device to electronically communicate the respiratory therapy prescription to a device configured for use by the person.

23. The combination respiratory therapy prescription creator of claim 1, executable by a computing device to present an interactive graphical depiction of the respiratory therapy prescription at the computing device.

24. The combination respiratory therapy prescription creator of claim 23, wherein the interactive graphical depiction comprises a 24-hour timeline and one or more interactive slide bars to adjust the duration of portions of the respiratory therapy prescription along the timeline.

25. The combination respiratory therapy prescription creator of claim 23, wherein the interactive graphical depiction comprises an animated simulation of at least a portion of the respiratory therapy prescription, and the animated simulation comprises a graphical depiction of at least a portion of human lungs receiving the simulated portion of the respiratory therapy prescription.

26. The combination respiratory therapy prescription creator of claim 1, executable by a computing device to electronically communicate the respiratory therapy prescription to the selected combination respiratory therapy device for automated execution by the selected combination respiratory therapy device.

27. The combination respiratory therapy prescription creator of claim 1, executable by a computing device to receive the respiratory therapy prescription from the computing device at a mobile device configured for use by a respiratory therapist and electronically communicate the respiratory therapy prescription from the mobile device to the selected combination respiratory therapy device.

28. A combined respiratory therapy device control module embodied in one or more machine-accessible storage media and executable by a combination respiratory therapy device controller to:

monitor a period of time over which a person connected to a combination respiratory therapy device controlled by the combination respiratory therapy device controller is to receive combined respiratory therapy according to a combined respiratory therapy prescription, the combined respiratory therapy prescription defining a plurality of different therapy sessions to be performed by the combination respiratory therapy device at different times during the period of time, each of the plurality of different therapy sessions comprising at least a mucus extraction therapy followed substantially immediately by a lung ventilation therapy or a lung volume recruitment therapy;

configure the combination respiratory therapy device to perform each of the plurality of different therapy sessions at the appropriate times and with the appropriate device settings according to the combined respiratory therapy prescription; and

control the combination respiratory therapy device to perform each of the plurality of different therapy sessions at the appropriate times with the appropriate device settings according to the combined respiratory therapy prescription.

29. The control module of claim 28, executable by the combination respiratory therapy device controller to repeat the mucus extraction therapy followed substantially immediately by the lung ventilation therapy or lung volume recruitment therapy a predefined number of times during each treatment session.

30. The control module of claim 28, executable by the combination respiratory therapy device controller to present an audio message to the person before performing the therapy sessions.

31. The control module of claim 30, executable by the combination respiratory therapy device controller to present the audio message at a predetermined time in relation to the therapy sessions.

32. The control module of claim 31, executable by the combination respiratory therapy device controller to configure the audio message for the person based on the person'"'"'s age.

33. The control module of claim 31, executable by the combination respiratory therapy device controller to configure the audio message based on the time of day.

34. The control module of claim 28, executable by the combination respiratory therapy device controller to configure the combination respiratory therapy device to supply positive-pressure air flow at a first pressure followed positive-pressure air flow at a second pressure during the lung ventilation or lung volume recruitment therapy, and configure the combination therapy device to supply positive-pressure air flow at a third pressure greater than the first pressure followed by negative-pressure air flow during the mucus extraction therapy.

35. The control module of claim 28, executable by the combination respiratory therapy device controller to configure the combination respiratory therapy device to supply a series of air pulses prior to at least one of the therapy sessions.

36. The control module of claim 28, executable by the combination respiratory therapy device controller to receive user input, reconfigure the combination respiratory therapy device based on the user input, and perform a modified therapy session based on the user input.

37. A combined respiratory therapy system, comprising:

a combination respiratory therapy device to execute a combined respiratory therapy prescription, the combined respiratory therapy prescription defining a plurality of different therapy sessions to be performed by the combination respiratory therapy device over a period of time, each of the plurality of different therapy sessions comprising at least a mucus extraction therapy followed substantially immediately by a lung ventilation therapy or a lung volume recruitment therapy;

a prescription creator module embodied in one or more machine-accessible storage media, the prescription creator module executable by a computing system to interact with a physician to create the combined respiratory prescription; and

a control module embodied in one or more machine-accessible storage media, the control module executable by the computing system to configure the combination respiratory therapy device to perform the therapy sessions according to the combined respiratory therapy prescription.

38. The system of claim 37, comprising a data sharing module embodied in one or more machine-accessible storage media, the data sharing module executable by the computing system to electronically communicate the combined respiratory therapy prescription to the combination respiratory therapy device.

39. The system of claim 38, wherein the data sharing module is executable by the computing system to electronically communicate the combined respiratory therapy prescription to another computing device.

40. The system of claim 38, wherein the data sharing module is executable by the computing system to display at least a portion of the combined respiratory therapy prescription at another computing device used by healthcare personnel.

41. The system of claim 38, wherein the data sharing module is executable by the computing system to electronically communicate at least a portion of the combined respiratory therapy prescription from a remote computing device used by healthcare personnel to the combination respiratory therapy device.

42. The system of claim 38, wherein the data sharing module is executable by the computing system to display at least a portion of the combined respiratory therapy prescription at another computing device used by a person receiving the combined respiratory therapy.

43. The system of claim 38, wherein the data sharing module is executable by the computing system to electronically communicate at least a portion of the combined respiratory therapy prescription from a computing device used by a person receiving the combined respiratory therapy to the combination respiratory therapy device.

44. The system of claim 38, wherein the data sharing module is executable by the computing system to enable two-way electronic communication of at least a portion of the combined respiratory therapy prescription between or among a plurality of computing devices used by a plurality of healthcare personnel.

45. A control unit for a combination respiratory therapy device, comprising:

an air supply;

a first air circuit operably coupled to the air supply to supply positive-pressure air flow to a positive air flow patient interface of the combination respiratory therapy device;

a second air circuit operably coupled to the air supply to supply negative-pressure air flow to a negative air flow patient interface of the combination respiratory device;

the second air circuit being physically separate from the first air circuit;

a controller to control the air supply; and

memory accessible by the controller, the memory comprising instructions executable by the controller to;

activate the air supply to supply air to the first air circuit at a first positive pressure during a ventilation or lung volume recruitment portion of a respiratory therapy treatment session; and

alternatingly activate the air supply to supply air to the first air circuit at a second positive pressure greater than the first positive pressure followed by a supply of air to the second air circuit at a negative pressure during a coughing assistance portion of the respiratory therapy treatment session.

46. The control unit of claim 45, comprising another air supply and a third air circuit operably coupled to the other air supply to supply a series of air pulses to an air pulse patient interface of the combination respiratory therapy device.

47. The control unit of claim 46, wherein the third air circuit is physically separate from at least the second air circuit.

48. The control unit of claim 46, wherein the third air circuit is physically separate from the first air circuit and the second air circuit.

49. The control unit of claim 46, wherein the air pulse patient interface is selectively coupled to the positive air flow patient interface.

50. The control unit of claim 45, comprising a control panel to input patient condition information, wherein the control unit is configured to adjust the operation of the air supply in real time based on the patient condition information.

51. The control unit of claim 45, wherein the positive air flow patient interface only supplies positive air flow nasally and the negative air flow interface only supplies negative air flow orally.

52. The control unit of claim 45, comprising one or more sensors in communication with the controller to align the positive air flow with a person'"'"'s normal breathing pattern during both the coughing assistance portion and the ventilation portion of the respiratory therapy treatment session.

53. A system for combination respiratory therapy, comprising the control unit of claim 45, the positive air flow patient interface, and the negative air flow patient interface.

54. The system of claim 53, wherein the control unit is in selective communication with an air pulse patient interface.

55. The system of claim 54, wherein the instructions are configured to selectively provide, during the respiratory therapy treatment session:

(i) mucus extraction therapy followed by lung ventilation therapy;

or

(ii) mucus extraction therapy followed by lung volume recruitment therapy;

or

(iii) mucus mobilization therapy followed by mucus extraction therapy followed by lung ventilation therapy;

or

(iv) mucus mobilization therapy followed by mucus extraction therapy followed by lung volume recruitment therapy.

56. The system of claim 53, comprising a network interface to receive user input relating to a patient'"'"'s condition from another device.

57. The system of claim 53, comprising a graphical user interface to create or modify the respiratory therapy prescription, the graphical user interface being located at the controller.

58. The system of claim 53, comprising an audio user interface to provide audio messages to a person using the combination respiratory therapy device.