Breathing aid apparatus in particular for treating sleep apnoea

• US 6,283,119 B1
• Filed: 04/14/1997
• Issued: 09/04/2001
• Est. Priority Date: 06/15/1992
• Status: Expired due to Fees

• Current Assignee: Covidien AG (Medtronic Plc), Pierre Medical S.A.
• Original Assignee: Nellcor Puritan Bennett France Developpement
• Inventors: Bourdon, Guy
• Primary Examiner(s): Weiss, John G.
• Assistant Examiner(s): SRIVASTAVA, VIRENDRA KUMAR
• Application Number:
  US08/839,459
• Time in Patent Office: 1,604 Days
• Field of Search: 128/204.18, 128/204.21, 128/204.22, 128/204.23, 128/204.26, 128/200.24, 128/202.22, 128/633
• US Class Current: 128/204.23
• 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 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit

Abstract

A compressor driven by a motor sends to a nasal mask a breathable gas at a low positive relative pressure whereby the motor is controlled to maintain the pressure in the delivery pipe of the compressor substantially equal to a set point, independently of the inspiration and expiration of the patient, a computer receiving on an input a motor speed signal as a parameter representative of the respiratory activity of the patient and analyzing the motor speed variations whereby the computer will increase the pressure set point if necessary or reduces the pressure set point by a predetermined amount depending upon whether there is a hypopnoea or the absence thereof.

Claims

1. Breathing aid apparatus, comprising:

means for producing a flow of breathable gas to a patient having respiratory activity;

means for controlling pressure of the flow of the breathable gas;

means for calculating an amplitude of variation indicative of the respiratory activity of a patient, further including means for calculating the amplitude of variation as a function of a variable measured from the means for producing a flow of breathable gas;

detecting means for determining the presence of a hypopnoea from an analysis of the amplitude of variation; and

adjustment means for increasing the pressure of the flow of breathable gas when said detecting means determines the presence of hypopnoea.

2. The breathing aid apparatus of claim 1, wherein said adjustment means for increasing the pressure includes means for adjusting the speed of operation of a motor driving a compressor adapted to produce the flow of breathable gas.

3. The breathing aid apparatus of claim 1, wherein said means for producing a flow of breathable gas includes a drive motor operably connected to a compressor.

4. The breathing aid apparatus of claim 3, wherein said means for controlling pressure of the flow of breathable gas includes a motor control operably connected to the drive motor, a pressure detector and a comparator operably connected to the motor control.

5. The breathing aid apparatus of claim 4, wherein said means for calculating an amplitude of variation includes a signal from the motor control indicative of the rotational speed of the drive motor.

6. The breathing aid apparatus of claim 5, wherein said detecting means includes means for comparing the present amplitude of variation indicative of the respiratory activity of the patient with at least one threshold value calculated from at least one previous amplitude of variation of indicative of the respiratory activity of the patient, wherein said adjustment means increases the pressure of the flow of breathable gas when the amplitude of variation is lower than the threshold value.

7. The breathing aid apparatus of claim 6, wherein the threshold value is calculated from an average amplitude of variation indicative of the respiratory activity of the patient calculated from at least three previous variation periods.

8. The breathing aid apparatus of claim 5, wherein said detecting means includes means for comparing the amplitude of variation with a validation threshold, wherein said adjustment means increases the pressure of the flow of breathable gas when the amplitude of variation remains below the validation threshold for a predetermined period of time.

9. The breathing aid apparatus of claim 1, wherein said detecting means includes means for comparing the amplitude of variation with a first threshold for a weak hypopnoea and a second threshold for a strong hypopnoea, wherein said adjustment means increases the pressure of the flow of breathable gas by a first incremental adjustment when the amplitude of variation is greater than the second threshold for strong hypopnoea, and by a second incremental adjustment when the amplitude is between the first and second thresholds, such that the first incremental adjustment is greater that the second incremental adjustment.

10. The breathing aid apparatus of claim 1, wherein said adjustment means includes means for reducing the pressure of the flow of breathable gas when said detecting means determines the lack of a hypopnoea over a predetermined time.

11. Breathing aid apparatus, comprising:

a compressor having a drive motor and configured to produce a flow of breathable gas to a patient;

a pressure detector in fluid communication with an outlet of said compressor;

a comparator having a first input, a second input and an output, wherein the pressure detector generates a first signal connected to the first input;

a motor control operably connected to the drive motor of said compressor and which generates a second signal indicative of the rotational speed of the drive motor, wherein the motor control accepts the output of the comparator; and

a computer configured to accept the second signal from the motor control, the computer further configured to calculate an amplitude of variation based on the second signal and to detect the presence of a hypopnoea, wherein the computer generates a pressure set point connected to the second input to the comparator, such that the set point is calculated to increase the pressure of the flow of breathable gas when the amplitude of variation is indicative of a hypopnoea.

12. The breathing aid apparatus of claim 11, wherein said computer is further configured to compare the amplitude of variation with at least one threshold value calculated from at least one previous variation period, wherein said computer increases the pressure set point when the amplitude of variation is lower than the threshold value.

13. The breathing aid apparatus of claim 12, wherein the threshold value is calculated from an average amplitude value calculated from at least three previous variation periods.

14. The breathing aid apparatus of claim 11, wherein said computer is further configured to compare the amplitude of variation a validation threshold, wherein said computer increases the pressure set point when the amplitude of variation remains below the validation threshold for a predetermined period of time.

15. The breathing aid apparatus of claim 11, wherein said computer is further configured to compare the amplitude of variation with a first threshold for a weak hypopnoea and a second threshold for a strong hypopnoea, wherein said computer increases the pressure set point by a first incremental adjustment when the amplitude of variation is greater than the second threshold for strong hypopnoea, and by a second incremental adjustment when the amplitude is between the first and second thresholds, such that the first incremental adjustment is greater that the second incremental adjustment.

16. The breathing aid apparatus of claim 11, wherein said computer is further configured to reduce the pressure of the flow of breathable gas when the amplitude of variation is indicative of lack of a hypopnoea over a predetermined time.

19. The method of claim 11, wherein the threshold value is calculated from an average amplitude value calculated from at least three previous variation periods.

17. A method for treating sleep apnoea with a breathing aid apparatus, comprising:

producing a flow of breathable gas to a patient having respiratory activity;

controlling pressure of the flow of the breathable gas;

calculating an amplitude of variation indicative of the respiratory activity of the patient, further including calculating the amplitude of variation as a function of a variable measured from a means for producing a flow of breathable gas; and

increasing the pressure of the flow of breathable gas when the amplitude of variation is indicative of a hypopnoea.

18. The method of claim 17, further including the steps of comparing the amplitude of variation with at least one threshold value calculated from at least one previous variation period, and increasing the pressure set point when the amplitude of variation is lower than the threshold value.

20. The method of claim 17, further including the steps of comparing the amplitude of variation with a validation threshold, and increasing the pressure set point when the amplitude of variation remains below the validation threshold for a predetermined period of time.

21. The method of claim 17, further including the steps of comparing the amplitude of variation with a first threshold for a weak hypopnoea and a second threshold for a strong hypopnoea, and increasing the pressure set point by a first incremental adjustment when the amplitude of variation is greater than the second threshold for strong hypopnoea, and by a second incremental adjustment when the amplitude is between the first and second thresholds, such that the first incremental adjustment is greater that the second incremental adjustment.

22. The method of claim 17, further including the step of reducing the pressure of the flow of breathable gas when the amplitude of variation is indicative of lack of a hypopnoea over a predetermined time.

23. Breathing aid apparatus, comprising:

means for producing a flow of breathable gas to a patient having respiratory activity;

means for controlling pressure of the flow of the breathable gas;

means for calculating an amplitude of variation indicative of the respiratory activity of a patient, further including means for calculating the amplitude of variation as a function of a variable-measured from the means for producing a flow of breathable gas;

detecting means for determining the presence of a hypopnoea from an analysis of the amplitude of variation; and

adjustment means for increasing the pressure of the flow of breathable gas when detecting means determines the presence of a hypopnoea, and for decreasing the pressure of the flow of breathable gas when said detecting means determines the presence of normal breathing.

24. Breathing aid apparatus, comprising:

a compressor having a drive motor and configured to produce a flow of breathable gas to a patient;

a pressure detector in fluid communication with an outlet of said compressor;

a comparator having a first input, a second input and an output, wherein the pressure detector generates a first signal connected to the first input;

a motor control operably connected to the drive motor of said compressor and which generates a second signal indicative of the rotational speed of the drive motor, wherein the motor control accepts the output of the comparator; and

a computer configured to accept the second signal from the motor control, the computer further configured to calculate an amplitude of variation based on the second signal and to detect the presence of a hypopnoea, wherein the computer generates a pressure set point connected to the second input to the comparator, such that the set point is calculated to increase the pressure of the flow of breathable gas when the amplitude of variation is indicative of a hypopnoea, and to decrease the pressure of the flow of breathable gas when the amplitude of variation is indicative of normal breathing.