Method of providing interactive pressure support

• US 8,042,537 B2
• Filed: 01/06/2006
• Issued: 10/25/2011
• Est. Priority Date: 09/30/1998
• Status: Expired due to Term

• Current Assignee: RIC INVESTMENTS LLC (Respironics Incorporated)
• Original Assignee: RIC INVESTMENTS LLC (Respironics Incorporated)
• Inventors: Pujol, J. Raymond, Broadley, William H., Mechlenburg, Douglas M., Estes, Mark C.
• Primary Examiner(s): YU, JUSTINE ROMANG
• Application Number:
  US11/327,061
• Publication Number:
  US 20060112959A1
• Time in Patent Office: 2,118 Days
• Field of Search: 128/204.18, 128/204.21, 128/204.23, 128/200.24, 128/905, 128/920, 128/923, 600/529, 600/532, 600/534
• US Class Current: 128/204.21
• CPC Class Codes: A61B 5/0002 Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network A61B5/07 takes precedence; transmission systems for measured values G08C; transmission H04B; transmission of digital information H04L; wireless communication networks H04W
• CPC Class Codes: A61B 5/087 Measuring breath flow
• CPC Class Codes: A61B 5/16 Devices for psychotechnics using teaching or educational appliances G09B1/00 - G09B7/00; Testing reaction times ; Devices for evaluating the psychological state
• CPC Class Codes: A61B 5/162 Testing reaction times
• CPC Class Codes: A61B 5/4818 Sleep apnoea
• CPC Class Codes: A61B 7/003 Detecting lung or respiration noise
• CPC Class Codes: A61M 16/0051 with alarm devices
• 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 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks
• 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 2205/3553 remote, e.g. between patient's home and doctor's office
• 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 2205/505 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: Y10S 128/92 Computer assisted medical diagnostics
• CPC Class Codes: Y10S 128/923 by comparison of patient data to other data

Abstract

A method of employing a pressure generating system that provides a pressure therapy to the pulmonary system of a patient and to enable the patient to interact with the pressure support system, for example, to monitor the effectiveness of the treatment provided by the pressure support system. The interactive system includes an output device that provides first information to the patient, an input device that allows the patient to provide second information that is based on the first information and a control unit that controls the operation of the output device to present the first information and collection of the second information via the input device. In a further embodiment, the operation of the pressure generating system is controlled based on the second information provided by the patient.

Claims

1. A method of treating a breathing disorder, comprising the steps of:

providing an interactive pressure support system comprising;

(a) a pressure generating system adapted to provide a pressure therapy to a pulmonary system of a patient to treat apneas suffered by such a patient, and (b) an interactive system comprising an input device and an output device; and

causing the interactive pressure support system to provide a survey to such a patient, wherein in the survey is a series of questions or a test adapted to measure a characteristic of such a patient'"'"'s suffering from such apneas, wherein the survey is provided via the output device, wherein the characteristic that the survey is adapted to measure comprises a characteristic that is impacted by such a patient'"'"'s suffering from such apneas;

receiving a response to the survey from such a patient via the input device; and

collecting the response to the survey in the interactive pressure support system.

2. The method of claim 1, wherein the characteristic is a propensity for daytime sleepiness, and wherein the survey includes a series of questions that gage such a patient'"'"'s propensity for daytime sleepiness.

3. The method of claim 1, wherein the characteristic is a reaction time or cognitive alertness, and wherein the providing the survey comprises testing a reaction time of such a patient, testing a cognitive alertness of such a patient, or both.

4. The method of claim 1, further comprising analyzing the response to the survey;

and

determining a result based on the analyzing step, the result being a measure of the characteristic.

5. The method of claim 4, further comprising controlling the pressure generating based at least in part on the measure of the characteristic.

6. The method of claim 1, further comprising storing at least one of the response to the survey in a memory in the interactive pressure support system.

7. The method of claim 1, further comprising communicating the survey, the response to the survey, or both with a remote location.

8. The method of claim 7, further comprising controlling the communicating of the survey, the response to the survey, or both with a remote location based at least in part on the response to the survey.

9. The method claim 1, wherein the pressure generating system includes:

a pressure generator that receives gas from at least one gas source and provides the gas to a patient at an elevated pressure;

a breathing circuit having a first end operatively coupled to the pressure generator; and

a patient interface device operatively coupled to a second end of the breathing circuit.

10. The method of claim 1, further comprising collecting other information associated with the survey, the response to the survey, or both.

11. The method of claim 10, wherein the other information includes:

(1) time information identifying;

(a) a test administration time indicating a time when the survey was presented to a user,

(b) a test completion time indicating a time when the response to the survey was received from a user, or

(c) both (a) and (b),

(2) identifying information identifying the survey provided to a user, or

(3) both (1) and (2).

12. The method of claim 1, wherein the survey comprises a test that measures an effectiveness of the pressure therapy.

13. The method of claim 1, wherein the characteristic that the survey is adapted to measure comprises a patient characteristic that is impacted by suffering from such apneas.

14. A method of treating a breathing disorder, comprising the steps of:

providing a device that is adapted to administer a pressure therapy to a patient to treat apneas suffered by such a patient;

causing the device to also provide first information to a patient, wherein in the first information is a series of questions or a test adapted to measure a characteristic of such a patient'"'"'s suffering from such apneas, wherein the characteristic that the series of questions or test is adapted to measure comprises a characteristic that is impacted by such a patient'"'"'s suffering from such apneas;

acquiring, via the device, second information from a patient based on the first information, wherein the second information includes such a patient'"'"'s responses to the series of questions or the test;

causing the device to determine from the second information a measure of the characteristic;

causing the device to determine whether the measure of the characteristic warrants an alteration of the pressure therapy, and

causing the device to automatically alter the pressure therapy if the device determines that the measure of the characteristic warrants an alteration of the pressure therapy.

15. A method according to claim 14, wherein the characteristic is (a) a propensity for daytime sleepiness, (b) reaction time, or (c) cognitive alertness, and wherein the first information is a series of questions or a test that gages such a patient'"'"'s propensity for daytime sleepiness, reaction time, or cognitive alertness.

16. A method according to claim 14, further comprising the steps of:

analyzing the second information; and

determining a result based on the analysis, the result being a measure of a characteristic of a patient intended to be impacted by the pressure therapy.

17. A method according to claim 16, further comprising a step of storing at least one of the second information and the result or communicating at least one of the first information, second information and the result with a remote location.

18. A method according to claim 14, further comprising a step of collecting third information associated with at least one of the first information and the second information.

19. A method according to claim 18, wherein the third information includes at least one of (1) time information identifying at least one of (a) a test administration time indicating a time when the first information was presented to a user and (b) a test completion time indicating a time when the second information was received from a user, and (2) identifying information identifying the first information provided to a user.

20. A method according to claim 14, further comprising acquiring, via the device, other information not related to the first information.

21. A method according to claim 20, further comprising controlling the pressure therapy based at least in part on the other information.

22. A method according to claim 14, wherein controlling includes:

providing the second information to a remote location; and

providing a command from the remote location to the device, wherein the command is based on the second information and controls the pressure therapy.

23. The method of claim 14, wherein the first information includes a test that measures an effectiveness of the pressure therapy.

24. The method of claim 14, wherein the characteristic that the series of questions or test is adapted to measure comprises a patient characteristic that is impacted by suffering from such apneas.