Combination respiratory therapy device, system, and method

• US 9,795,752 B2
• Filed: 12/03/2012
• Issued: 10/24/2017
• Est. Priority Date: 12/03/2012
• Status: Active Grant

• Current Assignee: Metrohealth Ventures LLC
• Original Assignee: MHS Care-Innovation LLC
• Inventors: Birnkrant, David J., Boerst, Chad M., ChangGuo, Mike Yang
• Primary Examiner(s): Anderson, Lynne
• Assistant Examiner(s): Boecker, Joseph D
• Application Number:
  US13/692,192
• Publication Number:
  US 20140150791A1
• Time in Patent Office: 1,786 Days
• CPC Class Codes: A61H 2201/5012 using the internet
• CPC Class Codes: A61H 2201/5015 using specific interfaces or standards, e.g. USB, serial, parallel
• CPC Class Codes: A61H 2201/5048 Audio interfaces, e.g. voice or music controlled
• CPC Class Codes: A61H 2201/5058 Sensors or detectors
• CPC Class Codes: A61H 2201/5071 Pressure sensors
• CPC Class Codes: A61H 2201/5087 Flow rate sensors
• CPC Class Codes: A61H 31/00 Artificial respiration or heart stimulation, e.g. heart massage artificial respiration by treatment with gas or air, e.g. mouth-to-mouth respiration A61M16/00; applying electric currents by contact electrodes for stimulation, e.g. heart pace-makers A61N1/36 ; teaching or training models, demonstration models for medical purposes G09B23/288
• CPC Class Codes: A61H 9/0007 Pulsating
• CPC Class Codes: A61H 9/0078 with intermittent or alternately inflated bladders or cuffs mattresses for preventing bed-sores with alternated pressurized chambers A61G7/05776
• CPC Class Codes: A61M 16/0006 with means for creating vibrations in patients' airways
• CPC Class Codes: A61M 16/0009 with sub-atmospheric pressure, e.g. during expiration
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0057 Pumps therefor
• 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 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/1065 in the expiratory path
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 16/16 Devices to humidify the respiration air A61M16/1045 takes precedence
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0027 : pressure meter
• CPC Class Codes: A61M 2016/0039 : in the inspiratory circuit
• CPC Class Codes: A61M 2016/0042 : in the expiratory circuit
• CPC Class Codes: A61M 2205/18 : with alarm
• CPC Class Codes: A61M 2205/3553 : remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3561 : local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3584 : using modem, internet or bluetooth
• CPC Class Codes: A61M 2205/3592 : using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/50 : with microprocessors or computers
• CPC Class Codes: A61M 2205/505 : Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2205/52 : with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/581 : by audible feedback
• CPC Class Codes: A61M 2205/583 : by visual feedback
• CPC Class Codes: A61M 2205/80 : voice-operated command
• CPC Class Codes: A61M 2209/08 : Supports for equipment
• CPC Class Codes: G16H 20/40 : relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture

Abstract

A combination respiratory therapy management system creates a combined respiratory therapy prescription that can be executed by a combined respiratory therapy device to provide multiple coordinated respiratory therapies to a patient. The system can update the combined respiratory therapy prescription and implement the updates while the combined respiratory therapy device is in use. Some versions of the system provide additional features that allow the combined respiratory therapy prescriptions to be created, accessed, shared with other users, and performed by the combination respiratory therapy device in a customizable user-friendly and non-threatening way.

Claims

1. An apparatus including a computing device configured with a combination respiratory therapy prescription creator embodied in one or more non-transitory machine-accessible storage media executable by the computing device to:

receive data indicating a respiratory condition of a person;

determine, based on the respiratory condition, a combination of pre-defined respiratory therapies from a plurality of possible therapies, the possible therapies comprising lung ventilation, lung volume recruitment, mucus extraction, and mucus mobilization therapies;

select a combination respiratory therapy device from a family of combination respiratory therapy devices included in the apparatus based on the determined combination of therapies, wherein each of the combination respiratory therapy devices comprises a plurality of separate interfaces that are engageable with the person to provide;

(i) a combination of lung ventilation therapy or lung volume recruitment therapy and (ii) mucus extraction therapy;

or (i) lung ventilation therapy or lung volume recruitment therapy and (ii)mucus mobilization therapy;

or (i) lung ventilation therapy or lung volume recruitment therapy and (ii) mucus extraction therapy and (iii) mucus mobilization therapy; and

based on the respiratory condition, create a respiratory therapy prescription to be executed by the selected combination respiratory therapy device without disengaging the selected combination respiratory therapy device from the person, the respiratory therapy prescription specifying at least;

(i) a lung ventilation or a lung volume recruitment therapy and (ii) a mucus extraction therapy or a mucus mobilization therapy to be provided by the selected combination respiratory therapy device to the person;

wherein the computing device is included in the apparatus and the combination respiratory therapy devices of the apparatus from which to select comprise a blower for providing pressurized air to a mouthpiece coupled to the person'"'"'s airway and an air pulse generator configured for delivering air pulses to both a garment worn by the person and a nasal interface worn by the person.

2. The apparatus of claim 1, the computing device further configured to define a treatment session to be executed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy substantially immediately followed by a lung ventilation therapy or a lung volume recruitment therapy.

3. The apparatus of claim 2, the computing device further configured to specify a number of times the treatment sequence is to be repeated during the treatment session and define a duration of the treatment session based on the number of times the treatment sequence is to be repeated.

4. The apparatus of claim 2, the computing device further configured to define a time at which the mucus mobilization therapy is to be executed by the selected combination respiratory therapy device prior to the execution of the treatment session.

5. The apparatus of claim 2, the computing device further configured to define a time at which another lung ventilation or lung volume recruitment therapy is to be executed by the selected combination respiratory therapy device after the execution of the treatment session.

6. The apparatus of claim 2, the computing device further configured to define another treatment session to be executed by the selected combination respiratory therapy device prior to the execution of the treatment session.

7. The apparatus of claim 6, wherein the other treatment session comprises a different treatment sequence.

8. The apparatus of claim 1, the computing device further configured to define a treatment session to be executed by the selected combination respiratory therapy device, wherein the treatment session comprises a plurality of treatment sequences and each treatment sequence comprises a mucus extraction therapy substantially immediately followed by a lung ventilation therapy or a lung volume recruitment therapy.

9. The apparatus of claim 8, the computing device further configured to define the mucus extraction therapy as a plurality of cough cycles that are consecutively repeated by the selected combination respiratory therapy device and to define each cough cycle as comprising an application of positive-pressure air flow by the selected combination respiratory therapy device followed by an application of negative-pressure air flow by the selected combination respiratory therapy device.

10. The apparatus of claim 9, the computing device further configured to define a duration of time for which the lung ventilation therapy or lung volume recruitment therapy is performed by the selected combination respiratory therapy device.

11. The apparatus of claim 1, the computing device further configured to specify an audio message to be played by the selected combination respiratory therapy device at a time prior to the combination respiratory therapy device performing the combination respiratory therapy prescription.

12. The apparatus of claim 11, the computing device further configured to associate a digital graphic or animation of a user-selected mascot with the audio message.

13. The apparatus of claim 1, the computing device further configured to receive data relating to a change in the person'"'"'s respiratory condition and modify the respiratory therapy prescription based on the data relating to the change in the person'"'"'s respiratory condition.

14. The apparatus of claim 13, the computing device further configured to define a treatment session to be performed by the selected combination respiratory therapy device, define a time interval after which the treatment session is to be performed, receive data relating to a change in the person'"'"'s respiratory condition, and change the time interval based on the data relating to the change in the person'"'"'s respiratory condition.

15. The apparatus of claim 13, the computing device further configured to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy;

to receive data relating to a change in the person'"'"'s respiratory condition; and

to add a mucus mobilization therapy to the respiratory therapy prescription based on the change in the person'"'"'s respiratory condition.

16. The apparatus of claim 13, the computing device further configured to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy;

to receive data relating to a change in the person'"'"'s respiratory condition; and

to add another lung ventilation therapy or lung volume recruitment therapy following the treatment session based on the change in the person'"'"'s respiratory condition.

17. The apparatus of claim 13, the computing device further configured to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy;

to receive data relating to a change in the person'"'"'s respiratory condition; and

to increase an inspiratory pressure associated with the mucus extraction therapy based on the change in the person'"'"'s respiratory condition.

18. The apparatus of claim 13, the computing device further configured to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy;

to receive data relating to a change in the person'"'"'s respiratory condition; and

to increase an expiratory pressure associated with the mucus extraction therapy based on the change in the person'"'"'s respiratory condition.

19. The apparatus of claim 13, the computing device further configured to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence to be repeated a number of times during the treatment session and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy;

to receive data relating to a change in the person'"'"'s respiratory condition; and

to increase the number of times the treatment sequence is to be repeated based on the change in the person'"'"'s respiratory condition.

20. The apparatus of claim 1, the computing device further configured to receive data relating to a change in the person'"'"'s respiratory condition and select a different combination respiratory therapy device from the family of combination respiratory therapy devices based on the data relating to the change in the person'"'"'s respiratory condition.

21. The apparatus of claim 1, the computing device further configured to electronically communicate the respiratory therapy prescription to a mobile device configured for use by a respiratory therapist.

22. The apparatus of claim 1, the computing device further configured to electronically communicate the respiratory therapy prescription to a device configured for use by the person.

23. The apparatus of claim 1, the computing device further configured to present an interactive graphical depiction of the respiratory therapy prescription at the computing device.

24. The apparatus of claim 23, wherein the interactive graphical depiction comprises a 24-hour timeline and one or more interactive slide bars to adjust the duration of portions of the respiratory therapy prescription along the timeline.

25. The apparatus of claim 23, wherein the interactive graphical depiction comprises an animated simulation of at least a portion of the respiratory therapy prescription, and the animated simulation comprises a graphical depiction of at least a portion of human lungs receiving the simulated portion of the respiratory therapy prescription.

26. The apparatus of claim 1, the computing device further configured to electronically communicate the respiratory therapy prescription to the selected combination respiratory therapy device for automated execution by the selected combination respiratory therapy device.

27. The apparatus of claim 1, further configured to receive the respiratory therapy prescription from the computing device at a mobile device configured for use by a respiratory therapist and electronically communicate the respiratory therapy prescription from the mobile device to the selected combination respiratory therapy device.