Breathing assistance device with several secure respirator modes and associated method

• US 8,978,649 B2
• Filed: 01/11/2013
• Issued: 03/17/2015
• Est. Priority Date: 08/29/2002
• Status: Active Grant

• Current Assignee: ResMed Paris SAS (ResMed Incorporated)
• Original Assignee: ResMed Paris SAS (ResMed Incorporated)
• Inventors: Chalvignac, Philippe Auguste
• Primary Examiner(s): Dixon, Annette
• Application Number:
  US13/739,327
• Publication Number:
  US 20130125890A1
• Time in Patent Office: 795 Days
• Field of Search: 128/200.24, 128/204.26, 128/204.21, 128/202.22, 128/205.23, 12820418-20512
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0057 Pumps therefor
• CPC Class Codes: A61M 16/0066 Blowers or centrifugal pumps
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• CPC Class Codes: A61M 16/021 operated by electrical means A61M16/202 – A61M16/205 take precedence
• CPC Class Codes: A61M 16/20 Valves specially adapted to medical respiratory devices
• CPC Class Codes: A61M 16/205 used for exhalation control
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2205/702 automatically during use

Abstract

A breathing assistance device, capable of operating according to several respiratory modes forming a list of possible modes. The device is equipped with a mechanism for selecting a desired mode from a group of modes that can be selected. The device also includes a mechanism for realizing a configuration diagnostic of the device, a mechanism for associating with authorization level with each possible mode, according to the results of the diagnostic, with the lowest authorization level corresponding to unauthorized modes, a mechanism for authorizing only the selection of authorized modes, in such a way that selecting unauthorized modes is impossible.

Claims

1. A respiratory treatment apparatus comprising:

a controllable source of breathable gas;

an inspiratory duct coupled to the controllable source of breathable gas and adapted to carry the breathable gas away from the controllable source to a patient;

a sensor configured to detect a characteristic of the operation of the apparatus;

and

a controller coupled with the source of breathable gas, the controller being configured to determine a relation of the characteristic compared to a predetermined threshold, and to operate the source of breathable gas in a plurality of respiratory treatment modes of operation, including a first respirator mode and a second ventilator mode, wherein the controller being further configured to authorize at least one of the plurality of respiratory treatment modes of operation based on the determined relation of the characteristic.

2. The apparatus of claim 1 wherein the controller is configured to control a user interface to prevent user selection of at least one of the respiratory treatment modes of operation based on the determined relation of the characteristic.

3. The apparatus of claim 1 wherein one of the plurality of respiratory treatment modes of operation is a spontaneous mode.

4. The apparatus of claim 1 wherein one of the plurality of respiratory treatment modes of operation is a vpac mode.

5. The apparatus of claim 1 wherein the controller is configured to detect the presence of at least one of first and second optional ventilation components based on the determined relation of the characteristic, wherein the first component comprises an expiratory valve.

6. The apparatus of claim 5 wherein the second component comprises a pressure tap.

7. The apparatus of claim 1 wherein the controller controls a pressure setting of the controllable source of breathable gas.

8. The apparatus of claim 7 wherein the controllable source of breathable gas comprises a turbine.

9. The apparatus of claim 1 wherein the controller is configured to determine a relation of the characteristic compared to the predetermined threshold each time a new mode of operation of the plurality of respiratory treatment modes of operation is selected with a user interface of the apparatus.

10. The apparatus of claim 1 wherein the controller is configured to determine a relation of the characteristic compared to the predetermined threshold each time operation of the apparatus is initiated.

11. The apparatus according to claim 1, wherein the characteristic of the operation of the apparatus is the energy absorbed by the controllable source of breathable gas required to provide the detected pressure, wherein the energy absorbed is compared to a predefined range of energy absorbed values to determine the authorized at least one modes of operation.

12. The apparatus according to claim 1, wherein the sensor is a pressure sensor, and the characteristic of the operation of the apparatus is a difference in pressure between an end of the duct closer to the patient and an end of the duct closer to the controllable source, wherein the difference in pressure is compared to the predetermined threshold to determine the authorized at least one modes of operation.

13. A respiratory treatment apparatus comprising:

a controllable supply means for supplying breathable gas to a user of the respiratory treatment apparatus through a duct coupled to the controllable supply means;

a sensing means for detecting a characteristic of the operation of the apparatus;

a diagnostic means for determining a relation of the characteristic detected by the sensing means as compared to a predetermined threshold; and

a processing means coupled with the supply means, the processing means for operating the supply means in a plurality of respiratory treatment modes of operation including a first mode that is normally implemented by a respirator and a second mode that is normally implemented by a ventilator, and for authorizing at least one of the plurality of respiratory treatment modes of operation based on the determination of the diagnostic means.

14. The apparatus of claim 13 wherein the processing means is configured to control a user interface to prevent user selection of at least one of the respiratory treatment modes of operation based on the determination of the diagnostic means.

15. The apparatus of claim 13 wherein one of the plurality of respiratory treatment modes of operation is a spontaneous mode.

16. The apparatus of claim 13 wherein one of the plurality of respiratory treatment modes of operation is a vpac mode.

17. The apparatus of claim 13 wherein the diagnostic means is capable of detecting the presence of at least one of first and second optional ventilation components based on the determination of the diagnostic means, wherein the first component comprises an expiratory valve.

18. The apparatus of claim 15 wherein the second component comprises a pressure tap.

19. The apparatus of claim 13 wherein the processing means controls a pressure setting of the controllable supply means.

20. The apparatus of claim 13 wherein the processing means initiates the diagnostic means each time a new mode of operation of the plurality of respiratory treatment modes of operation is selected with a user interface of the apparatus.

21. The apparatus of claim 13 wherein the processing means initiates the diagnostic means each time operation of the apparatus is initiated.

22. The apparatus according to claim 13, wherein the characteristic of the operation of the apparatus is the energy absorbed by the controllable source of breathable gas required to provide the detected pressure, wherein the energy absorbed is compared to a predefined range of energy absorbed values to determine the authorized at least one modes of operation.

23. The apparatus according to claim 13, wherein the sensing means is a pressure sensing means for detecting a difference in pressure between an end of the duct closer to the patient and an end of the duct closer to the controllable supply means, the difference in pressure being compared to the predetermined threshold to determine the authorized at least one modes of operation.