Abstract: A pressure support system having enhanced noise reduction and a valve assembly for use in pressure support system. The pressure support system includes a pressure generator having an inlet and an outlet. A first conduit defining a tortuous path is coupled between a gas source and the inlet of the pressure generator. A second conduit coupled to the outlet of the pressure generator delivers the flow of gas from the pressure generator to a patient. A valve assembly communicates gas from the second conduit to the first conduit to control the pressure or a rate of the flow of gas in the second conduit. By communicating gas from the second conduit to the first conduit, the noise associated with exhausting gas from the second conduit is muffled by the tortuous path of the first conduit.

Abstract: Sidestream gas sampling assembly that does not substantially degrade the waveform of expired gases. The gas sampling assembly includes a sample cell portion integrated with a filter portion for separating undesired liquid condensate from respiratory gases to be monitored. The gas sampling assembly is configured to receive expired gases through a gas sampling line, filter undesired liquid condensate from the expired gases through hydrophobic fiber elements and communicate the filtered gases to a sample chamber which is in close proximity to the filter where measurements may be taken thereof e.g., optical or infrared sensing mechanisms. The gases that are substantially free of liquid condensate are then exhausted from the sample chamber.

Abstract: An apnea/hypopnea detection system and method that monitors a patient's respiratory flow, determines (a) a long term RMS energy based on the flow, (b) a long term threshold determined based on the long term RMS energy, and (c) a short term RMS energy based on the flow. Determining whether the patient is experiencing an apnea/hypopnea is accomplished by comparing the short term RMS energy with the long term threshold. This A/H detection technique is useful in diagnosing a patient for a breathing disorder, such as OSA, and/or for controlling an auto-titration pressure support system.

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: A patient interface having a forehead support adjustably. The forehead support assembly includes a support arm that is adjustably mounted to the mask shell, thereby allowing the adjustment of the distance between the forehead support bracket and the mask shell in order to adjust for patient's of different sizes. A forehead support bracket is pivotally connected to the support arm. The pivoting forehead support bracket is self-aligning to allow the forehead pad to remain parallel to the patient's forehead at all times, thus enhancing comfort and stability. The forehead support bracket is removable from the support arm, allowing the headgear (with support bracket attached) to be donned separately from the mask and support arm. The forehead support bracket in one embodiment has a forehead pad formed from the headgear itself.

Abstract: Methods and apparatus for enhancing reliability of, and monitoring, the operation of airway valves to enhance patient safety. Pneumatic control line pressure (positive or negative) for actuation of the airway valve may be specified at a given magnitude or within a selected range and monitored continuously. Reduced or excessive pressure may be compensated by actuation of a pressure source or a bleed valve, and monitoring may be effected so as to warn the user of any deviation from the range, or deviations of selected magnitudes or frequencies or a combination thereof. The inspired volume of CO2 may be monitored using air flow and CO2 sensing, with detection of excessive CO2 volume triggering a warning. Similarly, measured end-tidal or end-inspired CO2 or other appropriate measures of CO2 concentration may be employed as a warning trigger. Other driving energy sources for airway valves, and monitoring thereof, are also disclosed.

Abstract: An airway adapter suitable for use with patients having low tidal volumes, e.g., neonates, which minimizes deadspace in the airway and promotes smooth flow of gases through the adapter. The adapter includes a first portion adapted to couple to a tubular adapter, such as an endotracheal tube adapter, and a second portion adapted to couple to a ventilation tube. A longitudinally compressible member is coupled to the first portion to minimize deadspace in the adapter. A portion of the compressible member resiliently contacts and seals against a tubular adapter upon assembly of the airway adapter therewith.

Abstract: An interactive pressure support system and method employing a pressure generating system that provides a pressure therapy to the pulmonary system of a patient and an interactive system associated with the pressure generating system 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.

Abstract: A patient interface gas delivery mask having a forehead and chin support system including a forehead support, a chin support, and a system for supplying a flow of gas to a patient that incorporates such a mask, forehead support, and chin support. The forehead support includes a supporting arm which is adjustably mounted to the mask shell, thereby allowing the adjustment of the distance between the forehead support bracket and the mask shell in order to adjust for patient's of different sizes. A forehead support bracket is pivotally connected to the support arm. Likewise the chin support is also adjustably mounted to the mask shell.

Abstract: A pressure generating system and method for generating a flow of fluid at a pressure above atmospheric pressure. The system includes a pressure generator and a pressure regulator downstream of the pressure generator. The system monitors a characteristic associated with the pressure regulator, the fluid flow downstream of the pressure regulator to the patient, the fluid flow upstream of the pressure regulator, the fluid flow exhausted from the pressure regulator, or any combination thereof. A controller coupled to the pressure generator controls an operating speed of the pressure generator based on the monitored characteristic(s) so that the output of the pressure generator is only kept as high as needed to provide the desired pressure to the patient.

Abstract: Improved methodology and apparatus for the clinical study and treatment of sleep apnea which incorporates one or more of the following features: (1) application of mono-level, alternating high and low level, or variable positive airway pressure generally within the airway of the patient with the mono-level, high and low level, or variable airway pressure generally being coordinated with and/or responsive to the spontaneous respiration of the patient, (2) usage of adjustably programmable pressure ramp circuitry capable of producing multiple pressure ramp cycles of predetermined duration and pattern whereby the ramp cycles may be customized to accommodate the specific needs of an individual sleep apnea patient so as to ease the patient's transition from wakefulness to sleep, (3) remote control or patient-sensed operation of the apparatus, (4) employment of safety circuitry, reset circuitry and minimum system leak assurance circuitry, controls and methods, and (5) utilization of clinical control circuitry whereb

Abstract: A ventilator supplies a plurality of volumes of fluid to a patient during a like plurality of inhalations by the patient. Each volume of fluid is supplied at an inspiratory positive airway pressure during a corresponding inhalation by the patient. A volume of fluid received by the patient is determined for each of the plurality of inhalations by the patient and an average volume of fluid received by the patient during each of the plurality of inhalations is determined. The average volume of fluid received by the patient during each inhalation is compared to a predetermined target volume and the inspiratory positive airway pressure each volume of fluid is supplied to the patient is adjusted as a function of the comparison.

Abstract: A face mask including a gas monitoring capability for improved patient management in combination with improved efficiency of supplemental oxygen delivery to the patient is provided. The face mask of the present invention is configured to direct substantially all of the inspiratory and expiratory gas streams to and from the patient through a gas measuring device and to efficiently deliver supplemental oxygen. As such, the face mask permits measurement of both oral and nasal gas exchange.

Abstract: A medical ventilator system and method that triggers, cycles, or both based on patient effort, which is determined from cross-correlating patient flow and patient pressure. The medical ventilator is also controlled such that sensitivity to a patient initiated trigger increases as the expiratory phase of the breathing cycle progresses. The present invention also provides adaptive adjustment of cycling criteria to optimize the cycling operation.

Abstract: A pressure support system has a motor, a switching element that supplies power to motor windings, and a blower coupled to the motor. Rotation of the blower elevates a pressure of fluid in a patient circuit coupled to an outlet of the blower. A rotational speed controller maintains the motor at a set rotational speed corresponding to a selected pressure for the fluid in the patient circuit. The rotational speed of the motor is maintained by a switching signal provided by a rotational speed controller to the switching element to control the actuation of the switching element. A fluid parameter monitoring portion monitors a parameter associated with the flow of fluid in the patient circuit, such as the magnitude, direction, or volume, based on a characteristic, such as duty cycle, of the switching signal, or based on a characteristic of a control signal that is used to generate the switching signal.

Abstract: A system for sensing respiratory pressure includes a portable pressure transducer configured to be carried by or proximate to a respiratory conduit, such as a breathing circuit or a nasal canula. The portable pressure transducer may removably couple with a pneumotach, in the form of an airway adapter, disposed along the respiratory conduit. The pneumotach may include two pressure ports positioned at opposite sides of an obstruction, which partially blocks flow through a primary conduit of the pneumotach. Corresponding sample conduits of the portable pressure transducer removably couple with the pressure ports. The pressure ports may have sealing elements which are configured to seal against piercing members of the sample conduits upon introduction of the piercing members therethrough. Upon removal of the piercing members, the sealing elements substantially reseal. Methods for using the system are also disclosed.

Abstract: The present invention discloses a nasal mask assembly that includes a seal member defined from a unitary piece of elastomeric material. The seal member defines a nose receiving cavity and has a first end portion and a second end portion generally opposite the first end portion. A first opening in the first end portion allows at least a portion of a nose to enter the nose receiving cavity such that the nares of the patient communicate with the nose receiving cavity. The seal member includes a neck portion defined in the second end portion and a second opening defined in the neck portion in communication with the nose receiving cavity. A reinforcement area is provided on the side walls of the seal member. The reinforcement area comprises a saddle shaped contoured area on each side of the seal member. Each saddle shaped area has an upper and a lower protrusion portion for providing supporting contact with the face.

Abstract: A method and apparatus for interfacing a plurality of gas measurement systems, including a mainstream and a sidestream gas measurement system, to a host system via an interface unit. The present invention also pertains to a sidestream gas measurement system that output signals emulating the signals output by a mainstream gas measurement system or portion thereof, so that the sidestream gas measurement system can seamlessly communicate with a host system configured to communicate only a mainstream gas measurement system or a portion thereof.

Abstract: A patient contacting assembly comprising a patient contacting member that secures to the surface of a patient by means of an adhesive disposed between the patient contacting member and the patient. A channel is defined through the patient contacting member to enable a release fluid to be injected between the patient contacting member that the patient. Providing the release fluid between the patient contacting member and the patient at least partially reduces the bonding strength of the adhesive, making it easier to remove the patient contacting member from the patient and provides a pneumatic lift, urging the patient contacting member off of the surface of the patient.

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.