Method and apparatus for enhancing patient compliance during inspiration measurements

• US 6,436,053 B1
• Filed: 02/18/2000
• Issued: 08/20/2002
• Est. Priority Date: 10/01/1997
• Status: Expired due to Fees

• Current Assignee: Boston Medical Technologies Incorporated
• Original Assignee: Boston Medical Technologies Incorporated
• Inventors: Cohen, Alan M., Knapp, Keith N. II
• Primary Examiner(s): Shaver, Kevin
• Assistant Examiner(s): Natnithithadha, Navin
• Application Number:
  US09/507,770
• Time in Patent Office: 914 Days
• Field of Search: 600/529, 600/532, 600/533, 600/534, 600/535, 600/537, 600/538, 600/539
• US Class Current: 600/538
• CPC Class Codes: A61B 5/0809 by impedance pneumography
• CPC Class Codes: A61B 5/091 Measuring volume of inspired or expired gases, e.g. to determine lung capacity
• CPC Class Codes: A61B 5/1135 by monitoring thoracic expansion
• CPC Class Codes: A61B 5/4833 Assessment of subject's compliance to treatment
• CPC Class Codes: A61B 5/486 Bio-feedback A61B5/375 takes precedence
• CPC Class Codes: A63B 2071/0627 when used improperly, e.g. by giving a warning
• CPC Class Codes: A63B 2230/04 heartbeat characteristics, e.g. ECG, blood pressure modulations
• CPC Class Codes: A63B 2230/30 blood pressure A63B2230/04 takes precedence
• CPC Class Codes: A63B 2230/42 rate
• CPC Class Codes: A63B 23/185 Rhythm indicators
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A system for enhancing patient compliance with a predetermined breathing pattern during inspiration measurements utilizes patient feedback based on inspiration flow. The measured inspiration flow is displayed on a first display and a target inspiration flow is display on a second display, preferably, disposed adjacent to the first display to facilitate visual comparison. The patient is instructed to breathe in manner that causes the measured inspiration flow display to match, or flow the target inspiration flow display.

Claims

1. A system for improving patient compliance with a predetermined breathing pattern during inspiration measurements comprising:

(a) a device for measuring the inspiration flow of a patient;

(b) a display comprising;

a first display portion for displaying the measured inspiration flow of the patient;

a second display portion disposed adjacent to the first display portion for displaying a target inspiration flow; and

(c) a processor responsive to the measured inspiration flow of the patient for controlling the first display portion, wherein the processor is operative to control the second display portion in accordance with a predetermined mathematical function.

2. The system of claim 1 wherein said first display portion is for displaying only the instantaneous measured inspiration flow of the patient and the second display portion is for displaying only an instantaneous target inspiration flow.

3. The system of claim 1 wherein said predetermined mathematical function is selected from a sine wave function, a square wave function, a trapezoidal function, a chirp function, or a combination of two or more of a sine wave function, a square wave function, a trapezoidal function, and a chirp function.

4. A system for improving patient compliance with a predetermined breathing pattern during inspiration measurements, comprising:

(a) a device for measuring the inspiration flow of a patient for heart rate variability analysis;

(b) a display comprising;

a first display portion for displaying the measured inspiration flow of the patient; and

a second display portion disposed adjacent to the first display portion for displaying a target inspiration flow; and

(c) a processor responsive to the measured inspiration flow of the patient for controlling the first display portion, wherein the processor is operative to control the second display portion in accordance with a predetermined function.

5. The system of claim 4 wherein said processor is further responsive to the measured inspiration flow for computing the inspiration volume of the patient and for processing said inspiration volume to compute a deep breathing maximum level for use in a metronomic deep breathing test.

6. A method for improving patient compliance with a predetermined breathing pattern during inspiration measurements comprising of:

measuring the inspiration flow of a patent;

displaying the measured inspiration flow of the patient;

displaying a target inspiration flow, said target inspiration flow following a predetermined mathematical function; and

instructing the patient to breathe so as to cause the measured inspiration flow to match the target inspiration flow.

7. The method of claim 6 wherein said measured inspiration flow displaying step comprises displaying only the instantaneous measured inspiration flow of the patient and said target inspiration flow displaying step comprises displaying only an instantaneous target inspiration flow.

8. The method of claim 6 wherein said predetermined mathematical function is selected from a sine wave function, a square wave function, a triangular function, a trapezoidal function, a chirp function or a combination of two or more of a sine wave function, a square wave function, a trapezoidal function, and a chirp function.

9. A method for improving patient compliance with a predetermined breathing pattern during inspiration measurements, comprising the steps of:

measuring the inspiration flow of a patient;

displaying the measured inspiration flow of the patient;

displaying a target inspiration flow;

instructing the patient to breathe so as to cause the measured inspiration flow to match the target inspiration flow;

computing the inspiration volume of the patient in response to the measured inspiration flow; and

computing a deep breathing maximum level for use in performing a metronomic deep breathing test.

10. A system for improving patient compliance with a predetermined breathing pattern comprising:

(a) a device for measuring the inspiration flow of a patient;

(b) a display for displaying the measured inspiration flow of the patient, wherein said display comprises;

(i) a maximum flow display portion for indicating when the patient'"'"'s inhalation flow exceeds a predetermined maximum level, wherein said predetermined maximum level is a function of said measured inspiration flow of the patient; and

(ii) a minimum flow display portion for indicating when the patient'"'"'s exhalation flow falls below a predetermined minimum level, wherein said predetermined minimum level is a function of said measured inspiration flow of the patient; and

(c) a processor for controlling said display in accordance with said measured inspiration flow of the patient.

11. The system of claim 10 wherein said display further comprises a target inspiration flow portion for displaying a target inspiration flow.

12. The system of claim 11 wherein said processor controls said target inspiration flow portion according to a predetermined mathematical function.

13. A method for improving patient compliance with a predetermined breathing pattern during inspiration measurements, comprising the steps of:

measuring a patient'"'"'s inspiration flow;

computing a maximum inhalation flow level as a function of the patient'"'"'s measured inspiration flow and a minimum exhalation flow level as a function of the patient'"'"'s measured inspiration flow;

displaying the measured inspiration flow of the patient on a measured inspiration flow display, including when said measured inspiration flow is greater than said maximum inhalation flow level and when said measured inspiration flow is less than said minimum exhalation level;

displaying a target inspiration flow on a target inspiration flow display in accordance with a predetermined function; and

instructing the patient to breathe in a manner that causes the measured inspiration flow display to match the target inspiration flow display.

14. The method of claim 13 wherein said predetermined function is selected from a sine wave function, a square wave function, a triangular function, a trapezoidal function, a chirp function or a combination of two or more of a sine wave function, a square wave function, a trapezoidal function, and a chirp function.