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US5259373A Expired / Lapsed US ⏱️ 0.0 years remaining

Inspiratory airway pressure system controlled by the detection and analysis of patient airway sounds

Assignee: Nellcor Puritan Bennett LLC
•
Filing: 1992-04-09
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Granted: 1993-11-09
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Expires: 2012-04-09
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Abstract

Abstract An apparatus and method for facilitating the respiration of a patient detects patient airway sounds and resolves these sounds into audio component bands whereupon an analysis is performed to produce a trend value. In response, a pressure action is determined using the trend value for controlling the pressure delivered to a patient for preventing the onset of obstructive apnea.

Inventors

  • 👤 Roger A. Gruenke
  • 👤 Russell L. Trimble
  • 👤 Christopher D. Lasnier
  • 👤 Steven W. Loethen
  • 👤 Jiri G. Orlt
  • 👤 James A. Snook
  • 👤 Marilyn S. Wyble

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 11:25
CPC Classifications
A; A61; A61M; A61M16/00; A61M16/20; A61M16/201; A61M16/202; A61M16/203; A61M16/205; A61M16/0057; A61M16/0066; A61M16/0069; A61M16/021; A61M16/022; A61M16/024; A61M16/026; A61M16/06; A61M16/0605; A61M16/0633; A61M16/204; A61B; A61B5/00; A61B5/48; A61B5/4806; A61B5/4818; A61F; A61F5/00; A61F5/56; A61M16/0683; A61M16/10; A61M16/105; A61M16/1055; A61M16/106; A61M16/107; A61M16/0003; A61M2016/0015; A61M2016/0018; A61M2016/0021; A61M2016/003; A61M2016/0033; A61M2016/0039; A61M2205/00; A61M2205/05; A61M2205/054; A61M2205/35; A61M2205/3546; A61M2205/3561; A61M2210/00; A61M2210/06; A61M2210/0618

Claims Analysis

Total Claims: 17
Claim 1
Independent Claim 228 words
An apparatus for facilitating respiration of a patient, the patient exhibiting detectable sounds associated with respiration and exhibiting a breath cycle having inhalation and exhalation phases, the respiration-associated sounds including a spectrum of frequencies, said apparatus comprising: means for detecting a patient's respiration-associated sounds; and control means, including means for operably coupling with a gas delivery device having means for controllably pressurizing at least a portion of a patient's respiration passages with a breathable gas from a source thereof, and coupled with and responsive to said detecting means, for controlling the gas pressure delivered to at least a portion of a patient's respiratory passages in accordance with said detected sounds, said control means including means for resolving said airway sounds into a plurality of spectral bands of audio components making up said sounds; producing an analysis of said spectral bands; producing in response to said analysis a trend value representative of the breath sounds of at least two breaths; storing in memory predetermined matter correlated with pressure actions for presenting the minimum pressure necessary to a patient for preventing the onset of obstructive apnea; determining one of said pressure actions from said predetermined matter using said trend value; and controlling said gas pressure in accordance with said one of said pressure actions thereby presenting the minimum pressure necessary to a patient for preventing the onset of obstructive apnea.
Claim 2
Independent Claim 228 words
An apparatus for facilitating respiration of a patient, the patient exhibiting detectable sounds associated with respiration and exhibiting a breath cycle having inhalation and exhalation phases, the respiration-associated sounds including a spectrum of frequencies, said apparatus comprising: means for detecting a patient's respiration-associated sounds; and control means, including means for operably coupling with a gas delivery device having means for controllably pressurizing at least a portion of a patient's respiration passages with a breathable gas from a source thereof, and coupled with and responsive to said detecting means, for controlling the gas pressure delivered to at least a portion of a patient's respiratory passages in accordance with said detected sounds, said control means including means for resolving said airway sounds into a plurality of spectral bands of audio components making up said sounds; producing an analysis of said spectral bands; producing in response to said analysis a trend value representative of the breath sounds of at least two breaths; storing in memory predetermined matter correlated with pressure actions for presenting the minimum pressure necessary to a patient for preventing the onset of obstructive apnea; determining one of said pressure actions from said predetermined matter using said trend value; and controlling said gas pressure in accordance with said one of said pressure actions thereby presenting the minimum pressure necessary to a patient for preventing the onset of obstructive apnea.
Claim 3
Dependent Claim 15 words
The apparatus as set forth in claim 1, said detecting means including a pressure transducer.
Claim 4
Dependent Claim 14 words
The apparatus as set forth in claim 1, said detecting means including a microphone.
Claim 5
Dependent Claim 25 words
The apparatus as set forth in claim 1, said detecting means being operable for producing detection signals in response to said sounds and representative thereof.
Claim 6
Dependent Claim 14 words
The apparatus as set forth in claim 1, said control means including a microprocessor.
Claim 7
Dependent Claim 14 words
The apparatus as set forth in claim 1, a patient sounds including snoring sounds.
Claim 8
Dependent Claim 26 words
The apparatus as set forth in claim 6, said control means being operable for repetitively increasing gas pressure until the snoring sounds are no longer detected.
Claim 9
Dependent Claim 24 words
The apparatus as set forth in claim 6, said control means being operable for decreasing said gas pressure in the absence of snoring sounds.
Claim 10
Dependent Claim 13 words
The apparatus as set forth in claim 1, said sounds including audible sounds.
Claim 11
Dependent Claim 23 words
The apparatus as set forth in claim 1, said control means including means for resolving said sounds into low, medium and high bands.
Claim 12
Dependent Claim 35 words
The apparatus as set forth in claim 10, said low band being below about 200 Hz., said medium band being between about 200 and 800 Hz., and said high band being above about 800 Hz.
Claim 13
Dependent Claim 19 words
The apparatus as set forth in claim 1, said pressure actions including increased pressure, decreased pressure and maintained pressure.
Claim 14
Dependent Claim 19 words
The apparatus as set forth in claim 1 further including said gas delivery device coupled with said control means.
Claim 15
Dependent Claim 26 words
The apparatus as set forth in claim 13, said gas delivery device including means for coupling with a patient's nasal passages for providing said pressure thereto.
Claim 16
Independent Claim 215 words
A method of facilitating respiration of a patient, the patient exhibiting detectable sounds associated with respiration and exhibiting a breath cycle having inhalation and exhalation phases, the respiration-associated sounds including a spectrum of frequencies, said method comprising the steps of: detecting a patient's respiration-associated sounds; coupling a gas delivery device with a patient, said device being operable for controllably pressurizing at least a portion of a patient's respiration passages with a breathable gas from a source thereof, and operable for controlling the gas pressure delivered to at least a portion of a patient's respiratory passages in accordance with said sounds; resolving said airway sounds into a plurality of spectral bands of audio components making up said sounds; producing an analysis of said spectral bands; producing in response to said analysis a trend value representative of the breath sounds of at least two breaths of a patient; storing in memory predetermined matter correlated with pressure actions for presenting the minimum pressure necessary to a patient for preventing the onset of obstructive apnea; determining one of said pressure actions from said predetermined matter using said trend value; and controlling said gas pressure in accordance with said one of said pressure actions thereby presenting the minimum pressure necessary to a patient for preventing the onset of obstructive apnea.
Claim 17
Independent Claim 215 words
A method of facilitating respiration of a patient, the patient exhibiting detectable sounds associated with respiration and exhibiting a breath cycle having inhalation and exhalation phases, the respiration-associated sounds including a spectrum of frequencies, said method comprising the steps of: detecting a patient's respiration-associated sounds; coupling a gas delivery device with a patient, said device being operable for controllably pressurizing at least a portion of a patient's respiration passages with a breathable gas from a source thereof, and operable for controlling the gas pressure delivered to at least a portion of a patient's respiratory passages in accordance with said sounds; resolving said airway sounds into a plurality of spectral bands of audio components making up said sounds; producing an analysis of said spectral bands; producing in response to said analysis a trend value representative of the breath sounds of at least two breaths of a patient; storing in memory predetermined matter correlated with pressure actions for presenting the minimum pressure necessary to a patient for preventing the onset of obstructive apnea; determining one of said pressure actions from said predetermined matter using said trend value; and controlling said gas pressure in accordance with said one of said pressure actions thereby presenting the minimum pressure necessary to a patient for preventing the onset of obstructive apnea.

References Cited (Backward Citations)

US4051843A Cited
US4323064A Cited
WO1982003548A1 Cited
US4944310A Cited
US4686999A Cited
US4848360A Cited
US4919128A Cited

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 1996-11-08 1997-05-10 1997-11-09 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2000-11-08 2001-05-10 2001-11-09 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2004-11-08 2005-05-10 2005-11-09 $7700.00 Window Closed / Lapsed

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