Abstract: 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 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: Methods for estimating the volume of the carbon dioxide stores of an individual's respiratory tract include determining a carbon dioxide store volume at which a correlation between corresponding signals of carbon dioxide elimination and an indicator of the content of carbon dioxide in blood of the individual is optimized. The estimate of the volume of carbon dioxide stores, which comprises a model of the respiratory tract, or lungs, of the individual, may be used as a transformation to improve the accuracy of one or both of the carbon dioxide elimination and carbon dioxide content signals. Transformation, or filtering, algorithms are also disclosed, as are systems in which the methods and algorithms may be used. The methods, algorithms, and systems may be used to accurately and noninvasively determine one or both of the pulmonary capillary blood flow and cardiac output of the individual.

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: A chest brace and method of using same that prevents the chest wall from buckling inwards during patient breathing by providing a distending force on the patient's thorax. The chest brace also restores the normal anterior-to-posterior chest dimensions by providing a distending force in this direction. The chest brace includes an anterior member adapted to overly a patient's chest. An adhesive mechanism secures the anterior member to a surface of such a patient. A support structure is coupled to the anterior member such that, in use, the support structure imparts a force on the anterior member in a manner so as to distend a thorax of such a patient.

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: 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 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 heater for a window of an optical gas sensor is provided. The heater may be positioned over a portion of the window or may form at least a portion of the window. Alternatively, the heater may be separate from the optical gas sensor and positionable (e.g., by a transducer) over the window either in contact therewith or in close proximity thereto. The heater may be substantially transparent to the relevant wavelengths of electromagnetic radiation that are used in optical (e.g., infrared or luminescence quenching) monitoring of respiratory gases, anesthetic agents, or the like. Alternatively, the heater may be configured so as to provide a substantially unobstructed optical pathway through the window. Optical gas sensors and complementary transducers that include the healer are also disclosed.

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: 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: A system and method embodying the invention can be used to detect a characteristic or condition of a patient. A method embodying the invention may include the steps of illuminating a portion of a skin of the patient with light, detecting a frequency spectrum of light scattered from the skin, determining, from first and second portions of the spectrum, a first parameter indicative of a blood content of the skin and a second parameter indicative of a melanin content of the skin, determining, from a third portion of the spectrum, a third parameter indicative of an uncorrected bilirubin concentration, and calculating a corrected bilirubin concentration based on the first, second and third parameters.

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 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 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: An insufflation system that includes a first tube that inserts into a patient's airway for providing a primary flow of breathing gas to such a patient. At least one insufflation catheter is provided in or within the first tube for delivering a flow of insufflation gas to the patient. In one embodiment, a flow control system is coupled between the first tube, the insufflation catheter, and a source of insufflation gas to control the flow of gas between the patient circuit, the insufflation catheter, and the source of insufflation gas. In another embodiment, a ventilator and tracheal gas insufflation system are provided in a common housing.