Abstract: The invention features methods and apparatus for the treatment of asthma patients. A controlled supply of breathable air delivered to a patient interface or mask (4) is controlled for patient comfort to maintain a steady pressure level in a range 2 to 4 cm H2O to accommodate patient respiration. The breathable air is cleaned by a high efficiency particulate arresting filter (10) to remove allergens from the air supply. The apparatus may be programmed to automatically detect asthma-related symptoms such as an asthma attack by analyzing the respiratory flow of the patient. In response to the detection of such an attack, the apparatus may provide an audible warning or if configured with a treatment delivery module (14A, 14B), the device may administer a therapeutically effective dose of a drug or substance, for example, a broncho-dilator, to alleviate the patient's breathing difficulty. Preferred mask designs allow for proper CO2 washout to accommodate the low pressures supplied to the mask and prevent asphyxia.

Abstract: The invention relates to a patient ventilation or breathing device and components therefore for use in all forms of respiratory apparatus ventilation systems including invasive and non-invasive ventilation, positive airway pressure therapy, Continuous Positive Airway Pressure (CPAP), and particularly Bi-Level therapy and treatment for sleep disordered breathing (SDB) conditions such as Obstructive Sleep Apnea (OSA), and for various other respiratory disorders and diseases. The invention particularly relates to a blower, to a blade, to a gasket, to a cable, to an impeller, to a gas inlet and inlet member, to an improved air path or fluid flow path and components thereof, and/or to a modular ventilation or breathing device as referred to above and particularly incorporating one or more of the other aspects of the invention.

Abstract: In the case of a wind power installation with at least one wind turbine and one current generator device, the current generator device has at least two generators. The generators are coupled to one another via at least one differential gear unit, the wind turbine being arranged on a balancing gear of the differential gear unit. The rotors of the generators are in each case connected to an axial gear of the differential gear unit, the stators of the generators being connected to one another to form an abutment on which the differential carrier of the differential gear unit is accommodated such that it can rotate.

Abstract: A mask system includes a cushion adapted to seal with a face of a patient. In one form an unobtrusive full-face masks system is provided which is comfortable and has a wide fit range. The cushion may include a sealing structure (127-10) and a supporting structure (127-20). The supporting structure may include gaps or spacing in a nasal bridge region (NBR) and/or a lip region CHN.

Abstract: A mask system (10) includes a frame (20) defining a breathing chamber, a cushion (40) provided to the frame and adapted to form a seal with the patient's face, and a shroud (50) provided to the frame and adapted to attach headgear. The shroud includes a retaining mechanism structured to connect the shroud to the frame. The retaining mechanism includes both a taper lock arrangement and a retaining clip arrangement.

Abstract: A mask cushion or a mask assembly therewith provides a comfortable and effective seal for provision of a gas therapy by a respiratory treatment apparatus. The mask cushion (102) may be integrated with or coupled to a mask frame. The mask cushion typically includes an inner cushion component (104). The mask cushion also includes a patient facial-contact side portion with a chamber (108) and a barrier (106) to form the chamber that may be flexible. The chamber may serve as an outer layer with respect to the inner cushion component. The chamber may be partially or completely filled with a gas, fluid or gel. The inner cushion may be formed with a soft flexible material such as an elastomer or foam, etc. The barrier may be a membrane and may also be soft flexible material.

Abstract: A controller or processor(s) (1112) implements detection of respiratory related conditions, such as asynchrony, associated with use of a respiratory treatment apparatus (1102) or ventilator. Based on data derived from sensor signals associated with the respiratory treatment, the detector may evaluate a feature set of detection values to determine whether or not an asynchrony occurs in a breath of the patient's respiratory cycle such as by comparing the values against a set of thresholds. Different events may also be identified based on the particular feature set and threshold(s) involved in the detection processing. Automated determination of feature sets may also be implemented to design different asynchrony event classifiers. The methodologies may be implemented by computers or by respiratory treatment apparatus.

Abstract: A respiratory flow limitation detection device, which can include an airway pressure treatment generator, determines a flow limitation measure (506) based one or more shape indices for detecting partial obstruction and a measure of a patient's ventilation or respiratory duty cycle. The shape indices may be based on function(s) that ascertain the likelihood of the presence of M-shaped breathing patterns and/or chair-shaped breathing patterns. The measure of ventilation may be based on analysis of current and prior tidal volumes to detect a less than normal patient ventilation. The duty cycle measure may be a ratio of current and prior measures of inspiratory time to respiratory cycle time to detect an increase in the patient's inspiratory cycle time relative to the respiratory cycle time. A pressure setting based on the flow limitation may then be used to adjust the treatment pressure to ameliorate the patient's detected flow limitation condition.

Abstract: A patient interface for delivering breathable gas to a patient includes a foam interfacing portion adapted to provide a nasal interface to contact under and around the patient's nose in use and including an orifice adapted to surround both the patient's nares in use, and a positioning and stabilizing structure to support the foam interfacing portion in an operative position on the patient's face. The positioning and stabilizing structure is structured to provide a range of rotational, axial, and/or lateral movement to the foam interfacing portion while maintaining a sufficient interface and resisting the application of tube drag and/or headgear tension to the foam interfacing portion.

Abstract: An apparatus for delivering breathable gas to a patient includes a flow generator to generate a flow of breathable gas; a humidifier chamber to contain a supply of water; a first flow path to deliver the flow of breathable gas from the flow generator to the humidifier chamber; a second flow path to deliver the flow of breathable gas from the humidifier chamber to a patient interface; and a wicking element and/or a flat, elongate heating element provided at least in the humidifier chamber. A method of delivering a flow of breathable gas to a patient includes generating a flow of breathable gas; and humidifying the flow by passing the flow over a supply of water.

Abstract: A humidifier includes a humidifier tub including an air inlet and an air outlet. The air outlet may have an exit port positioned in a plane disposed below the air inlet. A base plate is provided to the bottom of the humidifier tub. The base plate and humidifier tub define a water chamber adapted to receive a volume of water. The humidifier tub may include a guidance structure adapted to direct air entering the humidifier tub via the air inlet to swirl downwardly and around within the humidifier tub reaching the water surface before exiting the exit port. The tub may include a structure to prevent the inadvertent entry of water from the tub to the flow generator.

Abstract: In a CPAP or positive pressure ventilation system, leak is determined at each instant by a lookback for a time as long as single breath to establish the start of an averaging window over which low-pass filtered values used in the determination of a parameter of a leak model are averaged. A jamming index indicates whether the leak is rapidly changing. To the extent that jamming is high, the leak estimate used progressively changes from that using sliding breath-window averaging to a more robust and faster responding low-pass filter method, and adjustment of ventilatory support based on measures employing estimated respiratory flow is slowed down or stopped.

Abstract: A humidifying apparatus utilizing a semi-permeable membrane portion within a gas conduit where the direction of gas flow within a central lumen is given by an arrow. The humidification apparatus has a helical configuration for the semi-permeable membrane portion, a structural reinforcing member or members, a water channel and a heating element. The helical configuration of an outer wall may be similar to conventional conduits that are in common use in respiratory apparatus. Thus the humidification apparatus may be readily substituted into existing respiratory device by exchanging the gas conduit.

Abstract: A flexible tape heater (110) in a patient conduit (112) may be used to heat the flow of gas in the patient conduit (112) that is delivered to the patient mask (116). The thin, flat and extended nature of the flexible tape heater (110) may enhance heat transfer with the gas flow whilst also providing low impedance to the gas flow. Heating of the gas may facilitate the desired temperature and humidity to be reached for the gas delivered to the patient by the respiratory apparatus. The flexible tape heater (110) may be placed in the patient conduit (112) such that the flexible tape heater (110) is twisted or bent about one or more of the flexible tape heater's (110) three axes. Additionally these configurations may be used to enhance the turbulent mixing of the water vapour produced in the humidification chamber (114) with the gas flow.

Abstract: A network enabled flow generator includes a continuous source of breathable gas for delivery to airways of a patient, and a process controller processing data relating to operations of the flow generator. A network interface communicates with the process controller and is configured to support a communications protocol. In this manner, patient data can be more easily accessed, and the flow generator can be more easily maintained via access through a network such as the Internet.

Abstract: A CPAP device wherein humidification detection and/or control is performed by a microprocessor of the CPAP device without requiring a separate humidification control chip. The microprocessor may also control the flow generator motor and the flow generator display. Further, the microprocessor may include code to prevent ‘brown-out’, and/or to detect the availability (connection and/or operability) of the humidifier. Humidifier detection may be carried out using power consumption or temperature sensor signal analysis, e.g., facilitated by use of a pull-up resistor.

Abstract: A CPAP device includes a humidifier including humidifier tub having a heat conducting base plate; and a cradle to support the humidifier tub in an operative position. The cradle may also support a flow generator in operative relation to the humidifier tub. The cradle includes a heater plate in communication with the heat conducting base plate of the humidifier tub in use. The cradle further includes a retaining mechanism to retain the humidifier tub in the cradle, the retaining mechanism being structured to force the base plate into engagement with the heater plate. The humidifier and/or flow generator may include various features to manage inadvertent back-spill of water from the humidifier to the flow generator.

Abstract: A mouth seal assembly for use with a nasal mask system includes a mouth seal adapted to form a seal with the patient's mouth. The mouth seal is substantially independent from a supply of pressurized air from the nasal mask system. An anti-asphyxia valve may be provided to either the mouth seal over the patient's lips or the nasal mask system. A strap arrangement may support the mouth seal in a desired position on the patient's face in use.

Abstract: A respiratory mask assembly for delivering breathable gas to a patient includes a frame and at least one locking clip. The frame has a main body and a side frame member provided on each lateral side of the main body, at least one of the side frame members including a locking clip receiver assembly. The at least one locking clip has a main body providing a front portion adapted to be removably coupled with the at least one locking clip receiver assembly and a rear portion adapted to be removably coupled to a headgear assembly. The rear portion includes a cross bar that forms an opening through which a strap of the headgear assembly can pass and be removably coupled with the cross bar, and the front portion includes at least one resiliently flexible spring arm that is flexible within the plane of the main body.

Abstract: An improved ventilator which delivers ventilatory support that is synchronized with the phase of the patent's respiratory efforts and guarantees a targeted minimum ventilation. Improved synchronization is achieved through an instantaneous respiratory phase determination process based upon measured respiratory airflow as well as measured respiratory effort using an effort sensor accessory, preferably a suprastemal notch sensor. The ventilator processes a respiratory airflow signal, a respiratory effort signal and their respective rates of change to determine a phase using standard fuzzy logic methods. A calculated pressure amplitude is adjusted based upon the calculated phase and a smooth pressure waveform template to deliver synchronized ventilation.