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First Claim
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1. A pressure support system comprising:
- a pressure generating system adapted to generate a flow of gas at a selectable pressure level;
a patient circuit having a first end adapted to be coupled to the pressure generating system and a second end adapted to be coupled to an airway of a patient;
a monitoring system associated with the patient circuit or the pressure generating system and adapted to determine a parameter indicative of a pressure at a patient'"'"'s airway, a flow of gas in such a patient'"'"'s airway, or both; and
a controller coupled to the monitoring system and the pressure generating system, wherein the controller is programmed to search for a critical pressure (Pcrit) at which obstruction of such a patient'"'"'s airway occurs by (a) causing the pressure generating system to lower a pressure of the flow of gas delivered to such a patient by a first amount and (b) monitoring the parameter, and wherein, after Pcrit is determined, the controller is programmed to search for an optimum pressure (Popt) sufficient to treat the obstruction by causing the pressure generating system to increase the pressure of the flow of gas delivered to such a patient.
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Abstract
The present invention relates to systems and methods for automatically and continuously regulating the level of nasal pressure to an optimal value during OSA treatment. OSA therapy is implemented by a device which automatically re-evaluates an applied pressure and continually searches for a minimum pressure required to adequately distend a patient'"'"'s pharyngeal airway. For example, this optimal level varies with body position and stage of sleep throughout the night. In addition, this level varies depending upon the patient'"'"'s body weight and whether or not alcohol or sleeping medicine has been ingested.
130 Citations
24 Claims
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1. A pressure support system comprising:
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a pressure generating system adapted to generate a flow of gas at a selectable pressure level;
a patient circuit having a first end adapted to be coupled to the pressure generating system and a second end adapted to be coupled to an airway of a patient;
a monitoring system associated with the patient circuit or the pressure generating system and adapted to determine a parameter indicative of a pressure at a patient'"'"'s airway, a flow of gas in such a patient'"'"'s airway, or both; and
a controller coupled to the monitoring system and the pressure generating system, wherein the controller is programmed to search for a critical pressure (Pcrit) at which obstruction of such a patient'"'"'s airway occurs by (a) causing the pressure generating system to lower a pressure of the flow of gas delivered to such a patient by a first amount and (b) monitoring the parameter, and wherein, after Pcrit is determined, the controller is programmed to search for an optimum pressure (Popt) sufficient to treat the obstruction by causing the pressure generating system to increase the pressure of the flow of gas delivered to such a patient. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A method of providing pressure support to an airway of a patient comprising:
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delivering a flow of gas to an airway of a patient;
determining a parameter indicative of a pressure at a patient'"'"'s airway, a flow of gas in such a patient'"'"'s airway, or both;
searching for a critical pressure (Pcrit) at which obstruction of such a patient'"'"'s airway occurs by (a) lowering a pressure of the flow of gas delivered to a patient by a first amount and (b) monitoring the parameter; and
searching for an optimum pressure (Popt) sufficient to treat the obstruction, after Pcrit is determined, by increasing the pressure of the flow of gas delivered to a patient. - View Dependent Claims (10, 11, 12, 13, 14, 15, 16)
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17. A pressure support system comprising:
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pressure generating means for delivering a flow of gas to an airway of a patient;
monitoring means for determining a parameter indicative of a pressure at a patient'"'"'s airway, a flow of gas in such a patient'"'"'s airway, or both;
controlling means for (1) searching for a critical pressure (Pcrit) at which obstruction of such a patient'"'"'s airway occurs by (a) causing the pressure generating means to lower a pressure of the flow of gas delivered to a patient by a first amount and (b) monitoring the parameter, and (2) searching for an optimum pressure (Popt) sufficient to treat the obstruction after Pcrit is determined by causing the pressure generating means to increase the pressure of the flow of gas delivered to a patient. - View Dependent Claims (18, 19, 20, 21, 22, 23, 24)
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Specification