Abstract: A seal and a mask having a seal adapted for confronting engagement with a surface of a user to form an interface therewith. The seal includes a first portion defined by a gel substance and a second portion associated with the first portion. The second portion includes a selectively formable substance adapted to be molded from a first pattern into a second pattern and to retain the second pattern responsive to being so molded. The seal and mask having the seal is tailored to patient by causing the formable portion of the seal to be placed in a malleable state, applying the seal to the patient while the formable portion is in the malleable state, and causing the formable portion to be placed in a fixed state to retain a shape generally conforming to the portion of the patient underlying the seal.

Abstract: A humidification unit adapted to be disposed in a patient circuit for humidifying the flow of breathing gas delivered to the patient via the patient circuit by an artificial ventilator system. The humidification unit includes an exothermic member having an outer surface and a plurality of hollow fibers disposed on the outer surface of the exothermic member. Each hollow fiber is defined by a peripheral wall having minute openings large enough to allow a gas to pass therethrough yet small enough to prevent a liquid from passing therethrough. Liquid delivered to the hollow fibers is heated by the exothermic member and the as vapor resulting from the heating passes through the hollow fiber walls and humidifies the flow of breathing gas delivered to the patient.

Abstract: A system and method for improving the efficiency of a gas fractionalization system of the type having a compressor having an inlet for receiving air from the ambient environment. The system includes a sensor for sensing a parameter indicative of the flow of concentrated gas delivered from the gas fractionalization system to a patient. A multi-positional valve is disposed in line with the compressor for regulating the flow of air from the ambient environment into the compressor. A valve control manipulates the position of the multi-positional valve depending on the value of the parameter sensed by the sensor for regulating the quantity of air received from the ambient environment into the compressor inlet.

Abstract: A total delivery oxygen concentration system is provided to supply concentrated oxygen to end users having a variety of oxygen capacity requirements. The system includes a first oxygen concentrating device that may be operated either singularly to produce a first flow of concentrated oxygen or in conjunction with a supplemental oxygen concentrating device. When operating in conjunction with the supplemental oxygen concentrating device, the first oxygen concentrating device serves as a source of compressed air for the supplemental oxygen concentrating device and receives a second flow of concentrated oxygen from the supplemental oxygen concentrating device to provide a combined concentrated oxygen flow to the end user.

Abstract: A muffler assembly for muffling noises associated with a compressor. The muffler assembly is mounted on the compressor such that the two move as a solid body. The muffler assembly includes an intake having a hollow interior adapted to receive a first flow of gas from the ambient environment. A baffle disposed in the hollow interior of the intake restricts the flow of gas through the intake. In one embodiment, the baffle defines at least a portion of a plurality of fluid portals that separate the first flow of gas into a plurality of flows of gas as the gas passes from a first side of the baffle to a second side of the baffle. As a result, the first flow of gas is disturbed and noise from the compressor is thereby attenuated. In another embodiment, a plurality of baffles are disposed in the hollow interior of the intake to define a tortuous path for the flow of gas through the intake for attenuating noise.

Abstract: An apparatus for diagnosing a breathing disorder of a patient that includes a first sensing system that determines a dimension, such as cross-sectional area, of a portion of the patient's airway and an internal load determination system that determines an internal load on the airway. A processing system receives the output from the first sensing system and the internal load determination system and determines a compliance curve that corresponds to a relationship between the measured dimension and a plurality of internal loads on the patient's airway. The processing system also determines at least one characteristic associated with the compliance curve. This characteristic is indicative of a likelihood that the patient suffers from a breathing disorder.

Abstract: A pressure support system and method of using same that includes a pressure generator adapted to provide a gas flow, a conduit coupled to the pressure generator to deliver a gas flow to a patient, an interface device coupled to the conduit to communicate the gas flow to an airway of the patient. An exhaust vent that provides a flow of exhaust gas to atmosphere is provided in the conduit or the interface device. A flow sensor detects a rate at which gas flows in the conduit and provides a first output indicative thereof, and a pressure sensor detects a pressure of gas at the patient and provides a second output indicative thereof. A control system receives the first and second outputs and determines whether a current flow of exhaust gas passing through the exhaust vent is below an alarm threshold based on the first and second outputs and provides a third output indicative of this determination.

Abstract: A patient monitoring apparatus for quantatively measuring a physiological characteristic of a patient. A first patient interface communicates with an airway of a patient such that substantially all gas inhaled and exhaled by the patient passes through the first patient interface. One or more vent elements associated with the first patient interface communicate the first patient interface with an ambient atmosphere so that a pressure differential is created between the pressure in the first patient interface and the pressure of the ambient atmosphere. A sensor communicates with the first patient interface and measures a fluid characteristic resulting from this pressure differential and outputs a first signal indicative of that characteristic. The output from the sensor is used alone, or in combination with the output from other sensors that detect other physiological characteristics, to provide a variety of information about the patient.

Abstract: An improved methodology and systems for delivery of breathing gas such as for the treatment of obstructive sleep arena through application of alternating high and low level positive airway pressure within the airway of the patient with the high and low airway pressure being coordinated with the spontaneous respiration of the patient, and improved methods and apparatus for triggering and for leak management in such systems.

Abstract: A gas fractionalization system including a compressor for receiving air from the ambient environment and producing a flow of pressurized air, a gas separation system for producing a concentrated gas portion from the pressurized air, a valve for controlling duration during which the compressed air is delivered to the gas separation system during a pressurization cycle, and a product chamber for receiving concentrated gas produced by the gas separation system. The gas fractionalization system includes a control system that itself includes a pressure sensor for sensing the occurrence of high and low pressures within the product chamber, a processing system that determines the pressure ratio of the high and low gas pressure within the product chamber, and a valve controller that manipulates the valve, and, hence, the duration in which the flow of pressurized air is presented to the gas separation chamber based on the pressure ratio.

Abstract: A total delivery oxygen concentration system is provided to supply concentrated oxygen to end users having a variety of oxygen capacity requirements. The system includes a first oxygen concentrating device that may be operated either singularly to produce a first flow of concentrated oxygen or in conjunction with a supplemental oxygen concentrating device. When operating in conjunction with the supplemental oxygen concentrating device, the first oxygen concentrating device serves as a source of compressed air for the supplemental oxygen concentrating device and receives a second flow of concentrated oxygen from the supplemental oxygen concentrating device to provide a combined concentrated oxygen flow to the end user.

Abstract: A patient monitoring apparatus for monitoring and/or measuring a physiological characteristic of said patient. A user interface having an interior portion communicates with an airway of a user such that substantially all gas inhaled and exhaled by the user enters the interior portion of the user interface. At least one vent element is associated with the user interface and communicates the interior portion of the user interface with an ambient atmosphere outside the user interface. The vent element and user interface define a flow element across which a pressure differential is created during inhalation and exhalation. The pressure differential is the pressure difference between the pressure within the interior portion of the user interface and the pressure of the ambient atmosphere outside the user interface.

Abstract: An apparatus for selectively positioning intraoral anatomic features of a human patient to enhance upper airway stability for use alone or in combination with positive airway pressure as therapeutic treatment for obstructive sleep apnea and other conditions, such as snoring, which are symptomatic of upper airway instability.

Abstract: An apparatus and method in which the portions of the labyrinth associated with the labyrinthine sense and/or the nerves associated therewith are stimulated to perform at least one of the following functions: augment or control a patient's respiratory function, open the patient's airway, induce sleep, and/or counteract vertigo. In one embodiment, the vestibular stimulating system of the present invention includes 1) a stimulation element that performs the actual stimulation of the tissue, 2) a sensor to detect a physiological condition of the patient, and 3) a power/control unit that receives the signals provided by the sensor and causes stimulation energy to be provided to the stimulation element at an appropriate timing, level, pattern, and/or frequency to achieve the desired function. However, the present invention also contemplates eliminating the sensor in favor of applying a predetermined pattern of stimulation to the patient.

Abstract: A system and method for providing a pressure support therapy administered to a patient, where at least one parameter associated with the pressure support therapy is varied according to a time-base parameter variation function. More specifically, at least one parameter or at least one group of parameters associated with a pressure control relation for providing a proportional assist ventilation (PAV) or a proportional positive airway pressure (PPAP) mode of ventilation is varied according to a time-based parameter variation function to control the PAV or PPAP ventilation with a maximum degree of flexibility.

Abstract: An improved methodology and systems for delivery of breathing gas such as for the treatment of obstructive sleep apnea through application of alternating high and low level positive airway pressure within the airway of the patient with the high and low airway pressure being coordinated with the spontaneous respiration of the patient, and improved methods and apparatus for triggering and for leak management in such systems.

Abstract: Tracheal gas insufflation (TGI) therapy is performed by a bypass valve and a controller which control a flow of TGI gas to a TGI catheter inserted into an endotracheal tube in the tracheal of a patient. The bypass valve is activated into a pass-through state to admit the TGI gas into the catheter and into a bypass state to divert the TGI gas from the TGI catheter. Potentially dangerous over-pressure may be sensed and the TGI gas flow terminated, but then quickly resumed after the over-pressure condition passes. Selectively applying and diverting the TGI gas allows phasic TGI therapy to be performed using heated and humidified gas and also allows the heat and humidity levels of the TGI gas to be maintained during continuous TGI therapy.

Abstract: A pressure support system that includes a pressure generating system employing a pressure generator that provides a primary flow of gas to a patient and a supplemental gas system providing a supplemental flow of gas to the patient. A selectively acutable valve associated with the supplemental gas system controls the supplemental flow of gas to the patient, and a control unit coupled to the pressure generating systems controls the valve based on conditions of the pressure generator in the pressure generating system, thereby controlling the flow of the supplemental gas to the patient based on the detected conditions of the pressure generator.