Humidifier sleep apnea treatment apparatus

• US 6,050,260 A
• Filed: 12/01/1997
• Issued: 04/18/2000
• Est. Priority Date: 12/02/1996
• Status: Expired due to Term

• Current Assignee: Fisher & Paykel Healthcare Limited
• Original Assignee: Fisher & Paykel Limited (Haier Group Company)
• Inventors: Daniell, Michael Grenfell, Gradon, Lewis George
• Primary Examiner(s): Weiss, John G.
• Assistant Examiner(s): SRIVASTAVA, VIRENDRA KUMAR
• Application Number:
  US08/982,069
• Time in Patent Office: 869 Days
• Field of Search: 128/204.22, 128/204.14, 128/204.13, 128/204.17, 128/205.11, 128/203.12, 128/203.17, 128/203.16, 128/202.22, 128/202.27 , 128/204.21, 128/203.27, 128/206.29, 128/203.25
• US Class Current: 128/204.22
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/0672 Nasal cannula assemblies for oxygen therapy
• CPC Class Codes: A61M 16/1075 by influencing the temperature A61M16/1045 takes precedence
• CPC Class Codes: A61M 16/109 the humidifying liquid or the beneficial agent
• CPC Class Codes: A61M 16/16 Devices to humidify the respiration air A61M16/1045 takes precedence
• CPC Class Codes: A61M 16/161 with means for measuring the humidity
• CPC Class Codes: A61M 2205/3368 Temperature
• CPC Class Codes: A61M 2205/3653 by Joule effect, i.e. electric resistance

Abstract

Apparatus and method of treating OSA (Obstructve Sleep Apnea) are disclosed wherein a Positive Airway Pressure device is utilized to provide a gases supply which is then passed through a humidifier. As the amount of water vapor generated by the humidifier is very low at start up (typically the humidifier comprises a water container on a heating plate) the pressure of gases supplied by the apparatus are controlled so that the humidity of the gases supplied to a patient are always at the maximum of the capability of the humidifier to humidify that air flow.

Claims

1. Breathing assistance apparatus for delivering gases to a patient to assist said patient'"'"'s breathing comprising:

gases supply means, including pressure regulating means for supplying gases at a required pressure level,

means for providing an indication of the actual pressure of said gases,

humidification means which receive said supply gases and variably humidify said gases up to a required humidity level,

humidified gases transportation pathway means which channel said humidified gases to said patient,

means for providing an indication of the humidity of said gases, and

control means programmed with stored instructions which in response to gases humidity and pressure information supplied by said means for providing an indication of the gases humidity and pressure, controls the pressure of gases supplied by said gases supply means so that the gases flow passing through said humidification means is limited to an amount which can be humidified to said required humidity level by said humidification means.

2. Breathing assistance apparatus as claimed in claim 1 wherein said breathing assistance apparatus is used in the treatment of Obstructve Sleep Apnea and also comprise mouthpiece means adapted to be worn by the patient in the region of the mouth, said mouthpiece means receiving said humidified gases supply from said humidified gases transportation pathway means.

3. Breathing assistance apparatus as claimed in claim 2 wherein said mouthpiece means includes gases outlet means to allow exhilatory gases from said patient to be expelled through said mouthpiece means to the ambient surroundings.

4. Breathing assistance apparatus as claimed in claim 1 or claim 2 also comprising nasal passage blocking means to prevent the inspiratory humidified gases from escaping directly through said patient'"'"'s nasal passage.

5. Breathing assistance apparatus as claimed in claim 1 or claim 2 wherein said mouthpiece means is connected to said humidified gases transportation pathway means by swivel fitting means to allow relative pivotal movement therebetween while maintaining a sealed pathway for said gases flow.

6. Breathing assistance apparatus as claimed in claim 1 or claim 2 wherein said mouthpiece means comprise:

lip separating means which are adapted in use to ensure that said patient'"'"'s lips are apart to allow said humidified gases to enter said patient'"'"'s mouth, and

teeth separating means adapted to be positioned between said patient'"'"'s upper and lower sets of teeth over at least a part of said patient'"'"'s teeth set,

said lip separating means also providing a gripping surface so that said patient'"'"'s lips when closed around said mouthpiece means, hold said mouthpiece means in said padent'"'"'s mouth.

7. Breathing assistance apparatus as claimed in claim 1 or claim 2 wherein said control means controls the pressure of gases supplied by said gases supply means in step with changes in the humidity of said gases.

8. Breathing assistance apparatus as claimed in claim 1 or claim 2 wherein said control means determines a difference humidity value between said predetermined required humidity value and the value obtained from said means for providing an indication of the gases humidity, said control means also determines a difference pressure value between the predetermined required pressure value and the value obtained from said means for providing an indication of the gases pressure, a required average rate of increase of pressure with respect to humidity is then determined by dividing said difference pressure value by said difference humidity value and said control means controls said variable pressure regulating means to increase the pressure of said gases at said required average rate of increase until said predetermined required pressure value is attained.

9. Breathing assistance apparatus as claimed in claim 1 or claim 2 wherein said humidification means comprise a humidification chamber means adapted to receive a volume of water and a heating means to heat said water to produce water vapour within said chamber, said gases passing through said water vapour in said chamber and thereby being humidified.

10. Breathing assistance apparatus as claimed in claim 1 or claim 2 wherein said means for providing an indication of the pressure of said gases comprises a speed sensor which senses an indication of the speed of said gases passing through said humidified gases transportation pathway means.

11. Breathing assistance apparatus as claimed in claim 1 or claim 2 wherein said pressure regulating means comprise a variable speed fan and said means for providing an indication of the pressure of said gases comprises a speed sensor which senses the speed of said fan to provide said control means with said gases pressure information.

12. Breathing assistance apparatus as claimed in claim 1 or claim 2 wherein said means for providing an indication of the humidity of said gases comprise a temperature sensor sensing the temperature of said heating means to provide said control means with said gases humidity information.

13. Breathing assistance apparatus as claimed in claim 1 or claim 2 wherein said control means also controls said pressure regulating means to increase the pressure of said gases from zero to said predetermined required pressure value over a fixed period of time if the initial humidity value determined from said means for providing an indication of the humidity of said gases is at or greater than about 75% of said required humidity value.

14. Breathing assistance apparatus as claimed in claim 12 wherein said control means also controls said pressure regulating means to increase the presume of said gases from zero to said predetermined required pressure value over a fixed period of time if the initial humidity value determined from said means for providing an indication of the humidity of said gases is a predetermined difference below said required humidity value.

15. Breathing assistance apparatus as claimed in claim 14 wherein said predetermined difference relates to a temperature difference as sensed by said temperature sensor of approximately 10°

C.

16. A method of operating breathing assistance apparatus comprising the steps of:

i) providing a breathing assistance apparatus including gases supply means, gases pressure regulating means, gases humidification means, humidified gases transportation means and control means storing predetermined required pressure and humidity values,

ii) initiating said gases humidification means to humidify the gases from said gases supply means,

iii) sensing an indication of the pressure of said gases,

iv) sensing an indication of the humidity of said gases,

v) determining a difference pressure value between said predetermined required pressure value and said sensed indicative pressure value,

vi) determining a difference humidity value between said predetermined required humidity value and said sensed indicative humidity value,

vii) calculating a required average rate of increase of pressure with respect to humidity by dividing said difference pressure value by said difference humidity value, and

viii) controlling said gases pressure regulating means to increase the pressure of said gases at said required average rate of increase until said predetermined required pressure value is attained.

17. A method of operating breathing assistance apparatus as claimed in claim 16 wherein said method is used in the treatment of Obstructive Sleep Apnea and also includes the step of supplying said gases to the mouth of a patient.

18. A method of operating breathing assistance apparatus as claimed in claim 16 or claim 17 wherein said step of controlling said gases pressure regulating means includes the step of

ix) repeating steps (iii) to (viii) so that value of said required average rate of increase of pressure is continually updated in line with changes in the gases humidification means ability to humidify said gases.

19. A method of operating breathing assistance apparatus as claimed in claim 16 or claim 17 wherein subsequent to said step (iv) of sensing an indication of the humidity of said gases, said method also includes the step of

iva) deciding if the initially sensed indicative value of the humidity of said gases is at or greater than about 75% of said predetermined required humidity value, in which case the following steps (v) to (viii) are omitted and said control means controls said gases supply means to increase the pressure of said gases from zero to said predetermined required pressure value over a fixed period of time.

20. A method of operating breathing assistance apparatus as claimed in claim 16 or claim 17 wherein subsequent to said step (iv) of sensing an indication of the humidity of said gases, said method also includes the step of

iva) deciding if the initially sensed indicative value of the humidity of said gases is within a predetermined range of said required humidity value, in which case the following steps (v) to (viii) are omitted and said control means controls said gases supply means to increase the pressure of said gases from zero to said predetermined required pressure value over a fixed period of time.

21. A method of operating breathing assistance apparatus as claimed in claim 20 wherein said step of sensing an indication of the humidity of said gases is achieved by a temperature sensor sensing the temperature of said heating means to provide said control means with said gases humidity information wherein said predetermined range is about 10°

C.

22. A method of treating Obstructive Sleep Apnea in a patient comprising the steps of:

i) generating a gases flow,

ii) humidifying said gases flow,

iii) supplying said gases flow to said patient via said patient'"'"'s mouth, and

iv) automatically controlling the pressure of said gases flow in line with stored instructions so that said pressure increases in line with increases in the humidity of said gases flow.

23. A method of treating Obstructive Sleep Apnea in a patient comprising the steps of:

i) generating a gases flow;

ii) humidifying said gases flow,

iii) supplying said gases flow to said patient via said patient'"'"'s mouth,

iv) sensing an indication of the pressure of said gases,

v) sensing an indication of the humidity of said gases,

vi) determining a difference pressure value between a predetermined required pressure value and said sensed indicative pressure value,

vii) determining a difference humidity value between a predetermined required humidity value and said sensed indicative humidity value,

viii) calculating a required average rate of increase of pressure with respect to humidity by dividing said difference pressure value by said difference humidity value, and

ix) controlling the pressure of said gases at said required average rate of increase until said predetermined required value is attained.

24. A method of treating Obstructive Sleep Apnea in a patient as claimed in claim 23 wherein said step of controlling the pressure of said gases includes the step of repeating steps (iv) to (ix) so that said value of required average rate of increase of pressure is continually updated.

26. A method of treating Obstructive Sleep Apnea in a patient as claimed in claim 23 wherein subsequent to said step (v) of sensing an indication of the humidity of said gases, said method also includes the step of deciding if the initially sensed humidity of said gases is within a predetermined range of said required humidity value, in which case said control means controls said gases supply means to increase the pressure of said gases from zero to said predetermined required pressure value over a fixed period of time.

27. A method of treating Obstructive Sleep Apnea in a patient as claimed in claim 26 wherein said step of sensing an indication of the humidity of said gases is achieved by a temperature sensor sensing the temperature of said heating means to provide said control means with said gases humidity information wherein said predetermined range is about 10°

C.

25. A method of treating Obstructive Sleep Apnea in a patient as claimed in clam 23 wherein subsequent to said step (v) of sensing an indication of the humidity of said gases, said method also includes the step of deciding if the initially sensed humidity of said gases is at or greater than about 75% of said predetermined required humidity value, in which case said control means controls said gases supply means to increase the pressure of said gases from zero to said predetermined required pressure value over a fixed period of time.