US5645053A — Auto CPAP system and method for preventing patien…

Claim 1

Independent Claim 152 words

Method for adaptively providing continuous positive airway pressure in an upper airway system said method comprising the steps of: detecting airflow in the upper airway system in predetermined increments of time during a breath to provide an airflow profile for the breath; averaging said airflow information over a plurality of breaths; distinguishing respiratory and non-respiratory components of said airflow using said averaged airflow information; using non-respiratory airflow information to identify periods of inspiration and expiration and to provide a respiratory airflow profile; extracting from the respiratory airflow profile information a first peak inspiratory airflow and a first airflow profile; introducing a pressure change to a second pressure, which produces a second peak inspiratory airflow and a second airflow profile; comparing the first and second peak inspiratory airflow and the first and second airflow profile; and preventing a patient disturbance from occurring by setting pressure in said upper airway system using said comparison.

Claim 2

Dependent Claim 152 words

Method for adaptively providing continuous positive airway pressure in an upper airway system said method comprising the steps of: detecting airflow in the upper airway system in predetermined increments of time during a breath to provide an airflow profile for the breath; averaging said airflow information over a plurality of breaths; distinguishing respiratory and non-respiratory components of said airflow using said averaged airflow information; using non-respiratory airflow information to identify periods of inspiration and expiration and to provide a respiratory airflow profile; extracting from the respiratory airflow profile information a first peak inspiratory airflow and a first airflow profile; introducing a pressure change to a second pressure, which produces a second peak inspiratory airflow and a second airflow profile; comparing the first and second peak inspiratory airflow and the first and second airflow profile; and preventing a patient disturbance from occurring by setting pressure in said upper airway system using said comparison.

Claim 3

Dependent Claim 28 words

Method according to claim 1, wherein said step of extracting further includes a step of: determining an inspiratory airflow profile for said at least one period of inspiration.

Claim 4

Dependent Claim 35 words

Method according to claim 2, wherein said step of determining an inspiratory airflow profile further includes the step of: calculating a roundness feature and a flatness feature for said at least one period of inspiration.

Claim 5

Dependent Claim 46 words

Method according to claim 3, wherein said step of determining further includes the steps of: establishing a predetermined airflow limit from at least said roundness feature, said flatness feature and a peak airflow signal, said predetermined airflow limit being adjusted in accordance with predetermined limit modifiers.

Claim 6

Dependent Claim 26 words

Method according to claim 4, further comprising the step of: updating said predetermined airflow limit modifiers in response to patient sleep stage and detected respiratory instabilities.

Claim 7

Dependent Claim 33 words

Method according to claim 4, wherein said first and second predetermined airflow profiles correspond to peak airflow limits when said roundness and flatness features have not changed by more than a predetermined amount.

Claim 8

Dependent Claim 41 words

Method according to claim 1, further comprising the step of: identifying test periods suitable for adjusting said upper airway pressure, said step of identifying test periods further including the step of detecting respiratory instabilities which would render said test periods inaccurate.

Claim 9

Dependent Claim 36 words

Method according to claim 7, wherein said step of identifying test periods further includes the step of: initiating a test period when respiratory instabilities have been detected for a predetermined number of inspiration and expiration periods.

Claim 10

Dependent Claim 30 words

Method according to claim 7, wherein said step of detecting respiratory instabilities further includes the step of: determining that predetermined upper airway system performance indices are within predetermined physiological ranges.

Claim 11

Dependent Claim 21 words

Method according to claim 9, wherein said step of determining further includes the step of: detecting respiratory variation, apnea or hypoventilation.

Claim 12

Dependent Claim 31 words

Method according to claim 1, wherein said step of distinguishing the non-respiratory component further includes the step of: detecting airflow leaks in an airflow path connected with said upper airway system.

Claim 13

Dependent Claim 19 words

Method according to claim 1, further including the step of: storing extracted features and incremental pressure adjustments in memory.

Claim 14

Dependent Claim 24 words

Method according to claim 1 further comprising the step of: incorporating an additional external input from an oxygen saturation monitor or a snoring monitor.

Claim 15

Dependent Claim 26 words

Method according to claim 1 further comprising the step of: incorporating an additional external input from a monitor of pressure, sound, oxygen saturation or body position.

Claim 16

Dependent Claim 171 words

Method for adaptively providing continuous positive airway pressure in an upper airway system said method comprising the steps of: detecting airflow in the upper airway system in predetermined increments of time during a breath to provide an airflow profile for the breath; averaging said airflow information over a plurality of breaths; partitioning said airflow into respiratory and non-respiratory components using said averaged airflow information; using non-respiratory airflow information to identify periods of inspiration and expiration and to provide respiratory airflow profile; extracting from the respiratory airflow profile information features comprising peak inspiratory airflow, flatness and/or roundness; introducing a pressure change for a single breath and determining for that breath the peak inspiratory airflow and either flatness or roundness; comparing the peak inspiratory airflow and the flatness or roundness for the single breath with the same features extracted from said respiratory airflow profile information for said plurality of breaths; and preventing a patient disturbance from occurring by adjusting pressure in said upper airway system in response to the comparison of said features.

Claim 17

Dependent Claim 171 words

Method for adaptively providing continuous positive airway pressure in an upper airway system said method comprising the steps of: detecting airflow in the upper airway system in predetermined increments of time during a breath to provide an airflow profile for the breath; averaging said airflow information over a plurality of breaths; partitioning said airflow into respiratory and non-respiratory components using said averaged airflow information; using non-respiratory airflow information to identify periods of inspiration and expiration and to provide respiratory airflow profile; extracting from the respiratory airflow profile information features comprising peak inspiratory airflow, flatness and/or roundness; introducing a pressure change for a single breath and determining for that breath the peak inspiratory airflow and either flatness or roundness; comparing the peak inspiratory airflow and the flatness or roundness for the single breath with the same features extracted from said respiratory airflow profile information for said plurality of breaths; and preventing a patient disturbance from occurring by adjusting pressure in said upper airway system in response to the comparison of said features.

Claim 18

Dependent Claim 39 words

Method according to claim 15, wherein said step of adjusting further includes steps of: identifying a critical pressure at which a significant obstruction occurs during said inspiration; and identifying an optimum pressure for eliminating said obstruction during said inspiration.

Claim 19

Dependent Claim 54 words

Method according to claim 16, wherein said step of identifying a critical pressure and an optimum pressure further includes the step of: introducing incremental pressure perturbations into said upper airway system; extracting characteristic features of said upper airway system during inspiration; using said extracted characteristics to identify the optimum pressure and the critical pressure.

Claim 20

Dependent Claim 23 words

Method according to claim 15, wherein said step of adjusting is performed by identifying relative changes in airflow during said step of detecting.

Claim 21

Dependent Claim 25 words

Method according to claim 15, wherein said step of adjusting further includes steps of: extracting features indicative of airflow resistance in said upper airway system.

Claim 22

Dependent Claim 123 words

System for providing continuous positive airway pressure in an upper airway system said system comprising: means for detecting airflow in an tipper airway system of a patient; means for generating pressure in said tipper airway system in response to a command pressure; means for extracting peak inspiratory airflow information and airflow profile information for a plurality of breaths at a first pressure; means for determining a second peak inspiratory airflow and a second airflow profile for at least one breath at a second pressure; means for comparing the first and second peak inspiratory airflow and the first and second airflow profile; and means for preventing a patient disturbance from occurring by adaptively controlling said pressure generating means in response to said comparison means.

Claim 23

Dependent Claim 123 words

System for providing continuous positive airway pressure in an upper airway system said system comprising: means for detecting airflow in an tipper airway system of a patient; means for generating pressure in said tipper airway system in response to a command pressure; means for extracting peak inspiratory airflow information and airflow profile information for a plurality of breaths at a first pressure; means for determining a second peak inspiratory airflow and a second airflow profile for at least one breath at a second pressure; means for comparing the first and second peak inspiratory airflow and the first and second airflow profile; and means for preventing a patient disturbance from occurring by adaptively controlling said pressure generating means in response to said comparison means.

Claim 24

Dependent Claim 46 words

System according to claim 20, wherein said adaptive control means further includes: means for averaging airflow information over a predetermined period of time and for determining non-respiratory flow using said averaged information; and means for identifying periods of inspiration and expiration using said non-respiratory flow information.

Claim 25

Dependent Claim 28 words

System according to claim 21, wherein said adaptive control means identifies said critical pressure as a pressure at which a predetermined upper airway obstruction occurs during said inspiration.

Claim 26

Dependent Claim 32 words

System according to claim 22, wherein said adaptive control means extracts features indicative of airflow resistance in said upper airway system to identify said critical pressure and to set said command pressure.

Claim 27

Dependent Claim 15 words

System according to claim 23, wherein said extracted features include flatness, roundness and peak flow.

Claim 28

Dependent Claim 28 words

System according to claim 20 wherein said adaptive control means further includes: means for incorporating an additional external input from an oxygen saturation monitor or a snoring monitor.

Claim 29

Dependent Claim 30 words

System according to claim 20 wherein said adaptive control means further includes: means for incorporating an additional external input from a monitor of pressure, sound, oxygen saturation or body position.

Claim 30

Dependent Claim 144 words

Method for adaptively providing continuous positive airway pressure in an upper airway system, said method comprising the steps of: detecting airflow in the upper airway system in predetermined increments of time during a breath to provide an airflow profile for the breath; averaging said airflow information over a plurality of breaths; partitioning said airflow into respiratory and non-respiratory components using said averaged airflow information; using non-respiratory airflow information to identify periods of inspiration and expiration and to provide respiratory airflow profile; extracting from the respiratory airflow profile information a first profile shape at a first pressure; introducing a pressure change for a single breath and determining for that single breath a second profile shape; comparing the first profile shape and the second profile shape; and preventing a patient disturbance from occurring by adjusting pressure in said upper airway system in response to said comparison.

Claim 31

Dependent Claim 144 words

Method for adaptively providing continuous positive airway pressure in an upper airway system, said method comprising the steps of: detecting airflow in the upper airway system in predetermined increments of time during a breath to provide an airflow profile for the breath; averaging said airflow information over a plurality of breaths; partitioning said airflow into respiratory and non-respiratory components using said averaged airflow information; using non-respiratory airflow information to identify periods of inspiration and expiration and to provide respiratory airflow profile; extracting from the respiratory airflow profile information a first profile shape at a first pressure; introducing a pressure change for a single breath and determining for that single breath a second profile shape; comparing the first profile shape and the second profile shape; and preventing a patient disturbance from occurring by adjusting pressure in said upper airway system in response to said comparison.

Claim 32

Dependent Claim 35 words

Method according to claim 27, wherein said step of determining an inspiratory airflow profile further includes the step of: calculating a roundness feature and a flatness feature for said at least one period of inspiration.

Claim 33

Dependent Claim 46 words

Method according to claim 28, wherein said step of determining further includes the steps of: establishing a predetermined airflow limit from at least said roundness feature, said flatness feature and a peak airflow signal, said predetermined airflow limit being adjusted in accordance with predetermined limit modifiers.

Claim 34

Dependent Claim 26 words

Method according to claim 29, further comprising the step of: updating said predetermined airflow limit modifiers in response to patient sleep stage and detected respiratory instabilities.

Claim 35

Dependent Claim 41 words

Method according to claim 27, further comprising the step of: identifying test periods suitable for adjusting said upper airway pressure, said step of identifying test periods further including the step of detecting respiratory instabilities which would render said test periods inaccurate.

Claim 36

Dependent Claim 36 words

Method according to claim 31, wherein said step of identifying test periods further includes the step of: initiating a test period when respiratory instabilities have been detected for a predetermined number of inspiration and expiration periods.

Claim 37

Dependent Claim 19 words

Method according to claim 27, further including the step of: storing extracted features and incremental pressure adjustments in memory.

Claim 38

Dependent Claim 24 words

Method according to claim 27 further comprising the step of: incorporating an additional external input from an oxygen saturation monitor or a snoring monitor.

Claim 39

Dependent Claim 26 words

Method according to claim 27 further comprising the step of: incorporating an additional external input from a monitor of pressure, sound, oxygen saturation or body position.

Claim 40

Dependent Claim 54 words

Method according to claim 27, wherein said step of identifying a critical pressure and an optimum pressure further includes the step of: introducing incremental pressure perturbations into said upper airway system; extracting characteristic features of said upper airway system during inspiration; using said extracted characteristics to identify the optimum pressure and the critical pressure.

Claim 41

Dependent Claim 130 words

System for providing continuous positive airway pressure in an upper airway system, said system comprising: means for detecting airflow in an upper airway system of a patient; means for generating pressure in said upper airway system in response to a command pressure; means for partitioning said airflow into respiratory and non-respiratory components; means for identifying periods of inspiration and expiration using non-respiratory airflow in formation; means for extracting respiratory airflow profile shape for a plurality of breaths at a first pressure; means for determining a second respiratory airflow profile shape for a single breath at a second pressure; means for comparing the first and second airflow profile shapes; and means for preventing a patient disturbance from occurring by adaptively controlling said pressure generating means in response to said comparison means.

Claim 42

Dependent Claim 130 words

System for providing continuous positive airway pressure in an upper airway system, said system comprising: means for detecting airflow in an upper airway system of a patient; means for generating pressure in said upper airway system in response to a command pressure; means for partitioning said airflow into respiratory and non-respiratory components; means for identifying periods of inspiration and expiration using non-respiratory airflow in formation; means for extracting respiratory airflow profile shape for a plurality of breaths at a first pressure; means for determining a second respiratory airflow profile shape for a single breath at a second pressure; means for comparing the first and second airflow profile shapes; and means for preventing a patient disturbance from occurring by adaptively controlling said pressure generating means in response to said comparison means.

Claim 43

Dependent Claim 32 words

System according to claim 37, wherein said adaptive control means further includes: means for averaging airflow information over a predetermined period of time and for determining non-respiratory flow using said averaged information.

Claim 44

Dependent Claim 156 words

Method for adaptively providing continuous positive airway pressure in an upper airway system, said method comprising the steps of: detecting airflow in the upper airway system in predetermined increments of time during a breath to provide an airflow profile for the breath; averaging said airflow information over a plurality of breaths; partitioning said airflow into respiratory and non-respiratory components using said averaged airflow information; using non-respiratory airflow information to identify periods of inspiration and expiration and to provide respiratory airflow profile; extracting from the respiratory airflow profile information a peak inspiratory airflow; introducing a pressure change for at least one breath and determining for that pressure the peak inspiratory airflow; comparing the peak inspiratory airflow for the pressure change with the peak inspiratory airflow extracted from said respiratory airflow profile information for said plurality of breaths; and preventing a patient disturbance from occurring by adjusting pressure in said upper airway system in response to said comparison.

Claim 45

Dependent Claim 156 words

Method for adaptively providing continuous positive airway pressure in an upper airway system, said method comprising the steps of: detecting airflow in the upper airway system in predetermined increments of time during a breath to provide an airflow profile for the breath; averaging said airflow information over a plurality of breaths; partitioning said airflow into respiratory and non-respiratory components using said averaged airflow information; using non-respiratory airflow information to identify periods of inspiration and expiration and to provide respiratory airflow profile; extracting from the respiratory airflow profile information a peak inspiratory airflow; introducing a pressure change for at least one breath and determining for that pressure the peak inspiratory airflow; comparing the peak inspiratory airflow for the pressure change with the peak inspiratory airflow extracted from said respiratory airflow profile information for said plurality of breaths; and preventing a patient disturbance from occurring by adjusting pressure in said upper airway system in response to said comparison.

Claim 46

Dependent Claim 35 words

Method according to claim 39, wherein said step of determining an inspiratory airflow profile further includes the step of: calculating a roundness feature and a flatness feature for said at least one period of inspiration.

Claim 47

Dependent Claim 41 words

Method according to claim 39, further comprising the step of: identifying test periods suitable for adjusting said upper airway pressure, said step of identifying test periods further including the step of detecting respiratory instabilities which would render said test periods inaccurate.

Claim 48

Dependent Claim 36 words

Method according to claim 41, wherein said step of identifying test periods further includes the step of: initiating a test period when respiratory instabilities have been detected for a predetermined number of inspiration and expiration periods.

Claim 49

Dependent Claim 19 words

Method according to claim 39, further including the step of: storing extracted features and incremental pressure adjustments in memory.

Claim 50

Dependent Claim 24 words

Method according to claim 39 further comprising the step of: incorporating an additional external input from an oxygen saturation monitor or a snoring monitor.

Claim 51

Dependent Claim 26 words

Method according to claim 39 further comprising the step of: incorporating an additional external input from a monitor of pressure, sound, oxygen saturation or body position.

Claim 52

Dependent Claim 161 words

Method for adaptively providing continuous positive airway pressure in an upper airway, said method comprising the steps of: detecting airflow in an upper airway system to provide an airflow profile for each breath; identifying the onset of inspiration by detecting an increase in slope of the airflow profile; determining respiratory airflow and non-respiratory airflow; continuously calculating the averaged respiratory airflow as a moving average airflow over a first period of time comprising a plurality of breaths; using the moving average airflow and a weighted average of non-respiratory airflow over a second shorter period of time comprising a plurality of previous breaths to determine a corrected moving average airflow; adjusting the corrected moving average airflow using a ratio of the existing average respiratory airflow divided by mask pressure; changing the mask pressure and re-initializing the averaged respiratory airflow to equal the new mask pressure times said ratio; and adjusting pressure in said upper airway system using the re-initialized averaged respiratory airflow information.

Claim 53

Dependent Claim 161 words

Method for adaptively providing continuous positive airway pressure in an upper airway, said method comprising the steps of: detecting airflow in an upper airway system to provide an airflow profile for each breath; identifying the onset of inspiration by detecting an increase in slope of the airflow profile; determining respiratory airflow and non-respiratory airflow; continuously calculating the averaged respiratory airflow as a moving average airflow over a first period of time comprising a plurality of breaths; using the moving average airflow and a weighted average of non-respiratory airflow over a second shorter period of time comprising a plurality of previous breaths to determine a corrected moving average airflow; adjusting the corrected moving average airflow using a ratio of the existing average respiratory airflow divided by mask pressure; changing the mask pressure and re-initializing the averaged respiratory airflow to equal the new mask pressure times said ratio; and adjusting pressure in said upper airway system using the re-initialized averaged respiratory airflow information.

Claim 54

Dependent Claim 35 words

Method according to claim 46, wherein said step of determining an inspiratory airflow profile further includes the step of: calculating a roundness feature and a flatness feature for said at least one period of inspiration.

Claim 55

Dependent Claim 41 words

Method according to claim 46, further comprising the step of: identifying test periods suitable for adjusting said upper airway pressure, said step of identifying test periods further including the step of detecting respiratory instabilities which would render said test periods inaccurate.

Claim 56

Dependent Claim 36 words

Method according to claim 48, wherein said step of identifying test periods further includes the step of: initiating a test period when respiratory instabilities have been detected for a predetermined number of inspiration and expiration periods.

Claim 57

Dependent Claim 19 words

Method according to claim 46, further including the step of: storing extracted features and incremental pressure adjustments in memory.

Claim 58

Dependent Claim 24 words

Method according to claim 46 further comprising the step of: incorporating an additional external input from an oxygen saturation monitor or a snoring monitor.

Claim 59

Dependent Claim 26 words

Method according to claim 46 further comprising the step of: incorporating an additional external input from a monitor of pressure, sound, oxygen saturation or body position.

Annuity Stage	Window Opens	Payment Deadline	Surcharge Period Until	Estimated Fee	Status
3.5 Years (Year 4)	2000-07-07	2001-01-06	2001-07-08	$2000.00	Window Closed / Lapsed
7.5 Years (Year 8)	2004-07-07	2005-01-06	2005-07-08	$3760.00	Window Closed / Lapsed
11.5 Years (Year 12)	2008-07-07	2009-01-06	2009-07-08	$7700.00	Window Closed / Lapsed

Auto CPAP system and method for preventing patient disturbance using airflow profile information

Abstract

Inventors

Bibliographic Details

Claims Analysis

References Cited (Backward Citations)

USPTO Annuity & Maintenance Windows

Assigned Categories & Tags

Assign Category Tag