Abstract: An oximetry sensor that can be easily applied and attached to a portion of the body of a patient in a noninvasive manner is provided. The oximetry sensor of the present invention includes an adhesive wrap member for use with reusable pulse oximetry sensor electronics (e.g., an LED assembly and a photodiode coupled with a cable) to retain the sensor in the desired position comfortably on a patient. The adhesive member includes a release liner thereover which may include an appliqué or other member thereon, for example, instructions for use. The release liner is configured for removal from the adhesive member in at least one release liner portion subsequent to attaching of the pulse oximetry sensor electronics without disturbing such positioning.

Abstract: An airway adaptor that includes a tubular body having a first gas flow passage defined therein. A protrusion extends from an interior wall of the tubular body into the gas flow passage. The protrusion includes a distal end portion spaced apart from the interior wall of the tubular body, and a second gas flow passage defined through the protrusion. An inlet to the second gas flow passage is provided at the distal end portion of the protrusion, and an outlet of the second gas flow passage is provided at an exterior portion of the tubular body. A pair of sidewalls are disposed on the distal end portion of the protrusion. Each sidewall is generally parallel to a direction of a flow of gas through the first passage. The inlet of the second gas flow passage is disposed between the pair of sidewalls.

Abstract: A system including methods and apparatus for treatment of a medical disorder such as obstructive sleep apnea or congestive heart failure. The system involves applying a gain to flow rate of pressurized gas delivered to a patient during inspiratory and/or expiratory phases of a respiratory cycle to deliver the pressurized gas in proportion to the respective gains during inspiration and/or expiration. A base pressure may be applied in addition to the gain-modified pressures and an elevated pressure profile may be employed to assist or control inspiration. The system may be fully automated responsive to feedback provided by a flow sensor that determines the estimated patient flow rate. A leak computer can be included to instantaneously calculate gas leakage from the system. The system may be utilized in connection with conventional continuous positive airway pressure treatments, such as CPAP or bi-level positive airway pressure equipment to effect various beneficial treatment applications.

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 flow sensor is disclosed that measures a flow of fluid passing through a conduit and a flow resistive element for use in such a flow sensor. The flow sensor includes a housing having a main channel defined therethrough. A flow resistive element is disposed in the housing across the main channel. The flow resistive element includes a rigid body member having a first surface and a second surface. A plurality of unobstructed, wedge-shaped, openings are defined in the body member and extend through the rigid body member. In addition, a plurality of spokes extend from a central portion of the body member to its perimeter so that each spoke separates adjacent wedge-shaped openings from one another.

Abstract: A compliance monitoring system and method in which a modular compliance monitor is selectively disposed in-line in a patient circuit of a pressure support system. The monitor includes a housing having an inlet and an outlet, each of which is selectively connectable to the patient circuit so that the flow of gas in the patient circuit also passes through a passage is provided through the housing. A sensor operatively coupled to the passage detects a parameter indicative of patient breathing. A processor disposed in the housing and receives the output of the sensor and determines, from the output of the sensor, whether the patient is breathing into the patient circuit, and outputs compliance data based on this determination.

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: To provide a unit for adjusting humidification capable of improving inconveniences that may otherwise be caused to occur due to damages, while sustaining the humidifying ability and other performance that are to be originally achieved by the humidification adjusting unit. Around the outer surface of the exothermic member 13 are wound multiple hollow fibers 14 each having a minute diameter and having a peripheral wall with minute openings each being large enough to allow water vapor to permeate therethrough yet small enough to fail to permeate water therethrough, and the multiple hollow fibers 14 and the exothermic member 13 are inserted tightly into an extendable mesh cover tube 15 in engagement therewith. In order to perform humidification, water to be supplied to the multiple hollow fibers 14 is warmed by the exothermic member 13 to generate water vapors.

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 exhaust port assembly comprising a conduit carries a flow of gas. A vent assembly having a fixed exhaust area is provided on the conduit for venting a flow of exhaust gas from within the conduit to ambient atmosphere. The vent assembly is configured so as to minimize noise associated with the flow of exhaust gas passing to atmosphere, diffuse the flow of exhaust gas passing to ambient atmosphere over a relatively large area, and minimize the area occupied by the venting assembly on the conduit.

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: A pressure support system that includes a first housing member and a second housing member. The first housing member has a first plurality of cavities defined therein, and the second housing member has a second plurality of cavities defined therein. The first and second plurality of cavities cooperate to define (a) a first chamber adapted to receive a first component of the pressure support system, (b) a second chamber adapted to receive a second component of the pressure support system, and (c) a first conduit connecting the first component and the second in fluid communication when the first and second housing members are assembled. A fastening system secures the first and second housing members in an assembled relation.

Abstract: A method for calibrating a pulse oximeter device and an apparatus incorporating the method and a system for utilizing the method. The method is based on modeling light propagation in tissue at two wavelengths, typically, one in the red and one in the infrared range of the spectrum. A formula is derived relating the arterial oxygen saturation to a ratio R commonly measured by standard pulse oximeters. A specific parameter is identified and utilized in the calibration of the oximeter. This parameter is formulated in terms of the DC signals measured by the pulse oximeter at the two wavelengths. An empirical method for estimating this parameter based on experimental data is also described.

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 universally fitting headgear that is readily adjustable to a variety of different sized patients and that couples a patient interface device to an airway of the patient. The headgear includes a headpiece that fits on the user's heal in a cap-like fashion. The circumference of the headpiece is adjustable so that a single sized headgear can be fit to a number of different sized patient's. The headpiece includes adjustment straps which adjustably connect to each other on the sides of the patient's head. The headpiece further includes connecting straps to adjustably connecting the headgear to a patient interface device, such as a gas delivery mask. The headgear of the present invention fits a wide range of head sizes and shapes, is easy to use, and provides increased stability.

Abstract: A robust, compact spectrometer apparatus for determining respective concentrations or partial pressures of multiple gases in a gas sample with single as well as multiple and even overlapping, absorption or emission spectra that span a wide spectral range.

Abstract: A device and method for magnetic stimulation of muscles for the diagnosis and relief of a breathing disorder, such as obstructive sleep apnea is disclosed. Magnetic stimulation is used to stimulate muscles which serve to stabilize the upper airway of an individual whose nocturnal apneic events are related to diminished muscle tone. A sensor monitors a physiologic characteristic of the patient, a coil is energized to stimulate the appropriate muscles associated with the upper airway, a power supply provides power for energizing the coil, and a control system controls the application of power to the coil based on the output of the sensor. Diagnosis of obstructive sleep apnea is accomplished by measuring the subject's compliance in the presence and absence of the magnetic stimulation of the upper airway muscles. The smaller the difference between these two compliance levels, the more likely that patient suffers from obstructive sleep apnea.