Leak compensation method and apparatus for a breathing system

• US 5,313,937 A
• Filed: 06/19/1992
• Issued: 05/24/1994
• Est. Priority Date: 09/22/1989
• Status: Expired due to Term

• Current Assignee: RIC INVESTMENTS LLC (Respironics Incorporated)
• Original Assignee: Respironics Incorporated
• Inventors: Zdrojkowski, Ronald J.
• Primary Examiner(s): Burr, Edgar S.
• Assistant Examiner(s): Lewis, Aaron J.
• Application Number:
  US07/901,506
• Time in Patent Office: 704 Days
• Field of Search: 128/202.22, 128/204.18, 128/205.23, 128/205.25, 128/206.24, 128/204.21, 128/204.23, 128/204.26
• US Class Current: 128/202.22
• 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 16/026 specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis
• CPC Class Codes: A61M 16/204 used for inhalation control
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0036 in the breathing tube and used in both inspiratory and expiratory phase
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2205/15 Detection of leaks
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital

Abstract

An improved methodology and apparatus for the treatment of sleep apnea through application of alternating high and low level positive airway pressure within the airway of the patient with the high and low airway pressure being coordinated with the spontaneous respiration of the patient.

Claims

1. In a system for providing breathing gas flow from a source for breathing by a person in alternating inspiratory and expiratory breathing cycles wherein said breathing gas flow includes a patient supply flow component and a leak flow component, a method of compensating for said leak flow component comprising the steps of:

continually determining the instantaneous flow rate and the average flow rate of such breathing gas flowing between such a source and the airway of such a person;

continually comparing said instantaneous flow rate and said average flow rate to determine the flow rate of said leak flow component; and

in response to said comparing step, adjusting the flow rate of breathing gas flow from said source to such a person to compensate for said leak flow component.

2. The method as set forth in claim 1 wherein said continually determining step comprises continually determining throughout a sequence of said breathing cycles including at least one of said inspiratory cycles and one of said expiratory cycles.

3. In a system for directing a supply of breathing gas from a source for inspiration by a person in repetitive inspiratory cycles and for permitting an exhaust flow of gas to pass from such a person in repetitive expiratory cycles alternating with said inspiratory cycles, a method of compensating for leakage of gas from such a system comprising the steps of:

monitoring at least one of said supply flow and said exhaust flow of breathing gas during a sequence of said cycles including at least one of said inspiratory cycles and one of said expiratory cycles;

from said monitoring, determining the instantaneous flow rate of said supply flow of breathing gas;

processing selected parameters including said instantaneous flow rate to provide a reference indicia corresponding to an average flow rate of said supply flow of breathing gas;

comparing said instantaneous flow rate and said reference indicia to determine the magnitude of gas leakage from the system; and

in response to said comparing step, adjusting said supply flow of breathing gas to compensate for said gas leakage.

4. The method as set forth in claim 3 wherein said monitoring step includes continual monitoring.

5. The method as set forth in claim 3 wherein said determining step includes continual determining.

6. The method as set forth in claim 3 wherein said comparing step includes continual comparing.

7. The method as set forth in claim 3 wherein said monitoring of said at least one of said supply flow and said exhaust flow includes monitoring both of said supply flow and said exhaust flow.

8. The method as set forth in claim 3 wherein said processing step includes adjusting a previously determined value of said reference indicia to provide an adjusted value thereof.

9. The method as set forth in claim 8 wherein said previously determined value of said reference indicia is included among said selected parameters.

10. The method as set forth in claim 9 wherein said processing step includes first processing of said instantaneous flow rate to provide a time average of the flow rate of said supply flow of breathing gas as a first component of said reference indicia.

11. The method as set forth in claim 10 wherein said processing step additionally includes second processing of said instantaneous flow rate and said reference indicia to provide a measure of the net supply flow of breathing gas to such a patient for each spontaneous patient breath as a second component of said reference indicia.

12. The method as set forth in claim 11 wherein said processing step additionally includes third processing of said instantaneous flow rate to provide periodic measurements of said instantaneous flow rate as a third component of said reference indicia.

13. The method as set forth in claim 12 wherein said simultaneous first, second and third processing steps are carried out repetitively.

14. The method as set forth in claim 13 wherein said third processing step overrides said second processing step when said measurement of said instantaneous flow rate differs from said reference indicia.

15. The method as set forth in claim 13 wherein said first, second and third processing steps are carried out simultaneously.

16. In a system for providing breathing gas flow from a source for breathing by a person in alternating inspiratory and expiratory breathing cycles wherein said breathing gas flow includes a supply flow component and a leak flow component, a method of compensating for said leak flow component comprising the steps of:

continually determining the instantaneous flow rate and the average flow rate of such breathing gas flowing between such a source and the airway of such a person;

continually comparing said instantaneous flow rate and said average flow rate to determine the flow rate of said leak flow component; and

continually processing said flow rate of said leak flow component and said instantaneous flow rate to determine said supply flow component.

17. In a system for directing a supply flow of breathing gas from a source for inspiration by a person in repetitive inspiratory cycles and for permitting an exhaust flow of gas to pass from such a person in repetitive expiratory cycles alternating with said inspiratory cycles, a method of compensating for leakage of gas from such a system comprising the steps of:

monitoring at least one of said supply flow and said exhaust flow of breathing gas during a sequence of said cycles including at least one of said inspiratory cycles and one of said expiratory cycles;

from said monitoring determining the instantaneous flow rate of said supply flow of breathing gas;

processing selected parameters including said instantaneous flow rate to provide a reference indicia corresponding to an average flow rate of said supply flow of breathing gas; and

comparing said instantaneous flow rate and said reference indicia to determine the flow rate of gas leakage from said system.