Monitoring of oro-nasal respiration

• US 6,155,986 A
• Filed: 07/21/1998
• Issued: 12/05/2000
• Est. Priority Date: 06/08/1995
• Status: Expired due to Term

• Current Assignee: Resmed Limited (ResMed Incorporated)
• Original Assignee: Resmed Limited (ResMed Incorporated)
• Inventors: Piccione, Patrick Michael, Brydon, John William Ernest
• Primary Examiner(s): O'Connor, Cary
• Assistant Examiner(s): Natnithithadha, Navin
• Application Number:
  US08/894,092
• Time in Patent Office: 868 Days
• Field of Search: 600/538, 600/532, 600/533, 600/537, 600/529, 600/531, 73/23.3, 128/200.24, 128/911
• US Class Current: 600/538
• CPC Class Codes: A61B 5/087 Measuring breath flow
• CPC Class Codes: A61B 5/097 Devices for facilitating collection of breath or for directing breath into or through measuring devices
• CPC Class Codes: Y10S 128/911 Unilimb inhalation-exhalation breathing tubes

Abstract

Apparatus for monitoring oro-nasal respiration. A pair of nasal prongs, suitable for insertion into the lower portion of the nares, join together via a small plenum chamber to form a single tube conveying the nasal pressure towards an electrical pressure transducer. Another prong is held in proximity with the patient'"'"'s mouth. A baffle element extends downwards from a location above the open end of the prong to redirect a portion of oral airflow. The oral tube extends towards the electrical pressure transducers and conjoins with the nasal tube at a junction to form a common tube connected to the pressure transducer. The relative lengths and/or diameters of the nasal tube and the oral tube are arranged so that the respective pneumatic impedances are different, so that the contributions of respiratory airflow from each of said tubes are substantially equal.

Claims

1. An apparatus for monitoring oro-nasal respiration comprising a nasal tube for receiving nasal respiratory flow and an oral tube for receiving oral respiratory flow, the pneumatic impedances of the nasal tube and the oral tube being arranged to be different so that the contributions of respiratory airflow from each of said tubes are substantially equal, and electrical transducer means to which both said oral tube and said nasal tube are coupled for generating an output signal representative of oro-nasal respiration.

10. The apparatus as claimed in claim 1, wherein the respective said pneumatic impedances are in a ratio substantially the same as the ratio of amplitudes of nasal respiratory flow and oral respiratory flow.

11. The apparatus as claimed in claim 10, wherein the nasal tube is of longer length than the oral tube to effect said different pneumatic impedances.

12. The apparatus as claimed in claim 10, wherein the nasal tube is of longer length than the oral tube and the relative diameter of the nasal tube is smaller than the diameter of the oral tube to effect said different pneumatic impedances.

13. The apparatus as claimed in claim 11, wherein the ratio of the nasal tube length to the oral tube length is less than about 5:

1.

14. The apparatus as claimed in claim 13, wherein the diameter of the nasal tube is smaller than the diameter of the oral tube to effect said different pneumatic impedances.

15. The apparatus as claimed in claim 14, wherein the ratio of the nasal tube diameter to the oral tube diameter is about 2:

3.

16. The apparatus as claimed in claim 1, wherein said nasal tube terminates in a pair of nasal prongs, and said oral tube is open ended.

17. The apparatus as claimed in claim 16, wherein said nasal tube and said oral tube conjoin at an end opposite to said nasal prongs and said open end respectively to form a common tube, the common tube in turn being coupled to said electrical transducer means.

18. The apparatus as claimed in claim 16, wherein said nasal tube and said oral tube conjoin at an end opposite to said nasal prongs and said open end respectively to form a common tube, the common tube in turn being coupled to said electrical transducer means.

19. The apparatus as claimed in claim 17, further compromising a mask body carrying said nasal prongs adapted to be worn by a patient, and from which depends a baffle arrangement that, when said mask body is being worn, is proximate the patient'"'"'s mouth, and wherein a portion of said oral tube is mounted from said baffle in a manner such that said open end is interposed between the baffle and the patient'"'"'s mouth.

20. The apparatus as claimed in claim 17, further compromising a mask body carrying said nasal prongs adapted to be worn by a patient, and from which depends a baffle arrangement that, when said mask body is being worn, is proximate the patient'"'"'s mouth, and wherein a portion of said oral tube is mounted from said baffle in a manner such that said open end is interposed between the baffle and the patient'"'"'s mouth.

21. The apparatus as claimed in claim 19, wherein said baffle is of curved shaped to direct oral respiration to said open end of said oral tube.

22. The apparatus as claimed in claim 19, wherein said baffle is of curved shaped to direct oral respiration to said open end of said oral tube.

23. The apparatus as claimed in claim 21, wherein said baffle is of dimensions that result in coverage of the full open extent of the patient'"'"'s mouth.

24. The apparatus as claimed in claim 21, wherein said baffle is of dimensions that result in coverage of the full open extent of the patient'"'"'s mouth.

25. The apparatus as claimed in claim 1, wherein said electrical transducer means, in use, produces an output electrical signal that is representative of respiratory flow.

26. The apparatus as claimed in claim 25, further comprising an electrical circuit that receives said respiratory flow signal, and including a first filtering sub-circuit that generates an output signal indicative of cyclic zero-crossing swing of respiration.

27. The apparatus as claimed in claim 25, further comprising an electrical circuit that receives said respiratory flow signal, and including a first filtering sub-circuit that generates an output signal indicative of cyclic zero-crossing swing of respiration.

28. The apparatus as claimed in claim 26, wherein said electrical circuit further includes a second filtering sub-circuit that generates an output signal indicative of the occurrence of a patient snoring.

29. The apparatus as claimed in claim 26, wherein said electrical circuit further includes a second filtering sub-circuit that generates an output signal indicative of the occurrence of a patient snoring.

30. The apparatus as claimed in claim 28, wherein said first filtering sub-circuit comprises the cascade connection of a low pass filter, ac coupler and a 2-level non-linear amplifier, and said first filtering sub-circuit comprises a band pass filter and a full wave rectifier.

31. The apparatus as claimed in claim 28, wherein said first filtering sub-circuit comprises the cascade connection of a low pass filter, ac coupler and a 2-level non-linear amplifier, and said first filtering sub-circuit comprises a band pass filter and a full wave rectifier.

32. The apparatus as claimed in claim 1, wherein said electrical transducer means, in use, produces an output electrical signal that is representative of respiratory flow.

2. Apparatus for detecting oro-nasal respiratory flow, comprising a nasal tube for receiving nasal respiratory flow and an oral tube for receiving oral respiratory flow, the pneumatic impedances of the nasal tube and the oral tube being arranged to be different so that the contributions of respiratory airflow from each said tube are substantially equal.

3. The apparatus as claimed in claim 2, wherein the respective said pneumatic impedances are in a ratio substantially the same as the ratio of amplitudes of nasal respiratory flow and oral respiratory flow.

4. The apparatus as claimed in claim 2, wherein said nasal tube terminates in a pair of nasal prongs, and said oral tube is open ended.

5. The apparatus as claimed in claim 3, wherein the nasal tube is of longer length than the oral tube to effect said different pneumatic impedances.

6. The apparatus as claimed in claim 5, wherein the ratio of the nasal tube length to the oral tube length is less than about 5:

1.

7. The apparatus as claimed in claim 6, wherein the nasal tube is of longer length than the oral tube and the relative diameter of the nasal tube is smaller than the diameter of the oral tube to effect said different pneumatic impedances.

8. The apparatus as claimed in claim 6, wherein the diameter of the nasal tube is smaller than the diameter of the oral tube to effect said different pneumatic impedances.

9. The apparatus as claimed in claim 8, wherein the ratio of the nasal tube diameter to the oral tube diameter is about 2:

3.

33. A method for monitoring oro-nasal respiration comprising the steps of locating a nasal tube in the vicinity of a patient'"'"'s nares to receive nasal respiratory flow, locating a mouth tube in the vicinity of the patient'"'"'s mouth to receive oral respiratory flow, arranging the pneumatic impedances of the nasal tube and the oral tube to be different so that the contributions of respiratory airflow from each said tube are substantially equal, and converting, by electrical transducer means, flow in said oral tube and said nasal tube to a signal representative of oro-nasal respiration.

34. The method of claim 33, comprising the further step of:

selecting the respective said pneumatic impedances to be in a ratio substantially the same as the ratio of amplitudes of nasal respiratory flow and oral respiratory flow.

35. The method of claim 34, comprising the further step of:

filtering said oro-nasal respiration signal to generate an output signal indicative of a cyclic zero-crossing swing of respiration.

36. The method of claim 35, comprising the further step of:

processing said oro-nasal respiration signal to generate an output signal indicative of the occurrence of snoring.