Abstract: An intraoral electromuscular stimulation device and method to treat a breathing disorder. The stimulation device includes a first electrode, a first support member that maintains the first electrode in a sublingual location posterior to a frenulum and proximate to one of a first molar, a second molar and a third molar of a patient. A second electrode is maintained in a sublingual position posterior relative to the first electrode by a second support member. A further embodiment of the stimulation device includes a sensor that detects a respiratory parameter of a patient and outputs a signal indicative thereof. A control unit receives the signal from the sensor, distinguishes between inspiration and expiration, and initiates an electrical stimulation at a stimulation time prior to onset of inspiration and continues stimulation through a portion of inspiration at a level sufficient to induce muscle contraction without pain.

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 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: The present invention pertains to a pressure support system in which a flow or volume of gas is measured without using a dedicated flow element used in a conventional flow meter. Instead, the present invention provides a tortuous gas flow path in which a pressure differential is created between two points in the tortuous path. This pressure differential created by the gas flow path provides the necessary pressure drop for measuring the gas flow and/or gas volume passing through the pressure support system.

Abstract: A computer-implemented method for managing medical information that includes the steps of: providing a central database of information having disparate data fields containing data, and performing an action based upon the data in the disparate data fields. The method includes of sorting, providing warnings or reminders, searching, organizing, transmitting, and presenting data from the database. The medical information management system includes a central database resident on a computing system. The central database has multiple disparate data fields containing data pertaining to patient-related information. A user interface communicates with the central database for accepting user input and transmitting system output. A visual display also communicates with the user interface to display the disparate data fields in selected or selectable formats.

Abstract: An apparatus and method for a bi-level positive airway pressure support in which the rise time from the expiratory positive airway pressure to the inspiratory positive airway pressure is automatically controlled by the pressure support system. The pressure support system includes a sensor, a control system, and a pressure generating system. The sensor monitors the patient's respiration to detect respiratory events, such as an apnea, hyponea or other disturbance, and the control system responds to the sensor information to adjust the rise time from the expiratory positive airway pressure to the inspiratory positive airway pressure gas pressure to maximize patient comfort and pressure support treatment effectiveness.

Abstract: A high frequency pressure oscillation device that selective restricts the flow of breathing gas to or from a patient to produce pressure spikes in the patient's airway that facilitate clearing secretions from the patient's airway. The device includes a patient circuit that defines a closed path between a source of breathing gas and the patient's airway. A valve is disposed in the patient circuit such that in an open position the path between the source of breathing gas and the airway of the patient is substantially unobstructed. When the valve is in a closed position, the path between the source of breathing gas and the patient's airway is at least partially obstructed to create the pressure spikes. An actuating system associated with the valve alternatively places the valve in the open position and in the closed position at a predetermined oscillation rate that is independent of patient effort.

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 w

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 impeller, a pressure generator using such an impeller, and a pressure support system and method using such a pressure generator to deliver a flow of breathing gas to a patient is disclosed. The impeller enables a pressure of a flow of breathing gas delivered by a pressure support system to a patient to remain substantially constant despite variations of the output flow rate. The impeller includes a plurality of impeller blades disposed on a face of the impeller body with an inlet area between each pair of adjacent blades being substantially equal a corresponding outlet area for each pair of adjacent blades.

Abstract: A swivel exhaust conduit for rotatably connecting a patient mask to the delivery conduit of a positive pressure air supply. The swivel exhaust conduit design provides an exhaust port that utilizes the rotating bearing of the swivel conduit's rotating two-piece design for permitting and directing exhaust of CO2 laden air. A baffle chamber formed in the clearance of the two pieces provides an area where noise is reduced. As CO2 laden exhaust exits the swivel exhaust conduit, it is directed away from the patient mask and down the outside of the delivery conduit via a slit pattern on the swivel conduit.

Abstract: An intraoral electromuscular stimulation device and method to treat a breathing disorder. The stimulation device includes a first electrode, a first support member that maintains the first electrode in a sublingual location posterior to a frenulum and proximate to one of a first molar, a second molar and a third molar of a patient. A second electrode is maintained in a sublingual position posterior relative to the first electrode by a second support member. A further embodiment of the stimulation device includes a sensor that detects a respiratory parameter of a patient and outputs a signal indicative thereof. A control unit receives the signal from the sensor, distinguishes between inspiration and expiration, and initiates an electrical stimulation at a stimulation time prior to onset of inspiration and continues stimulation through a portion of inspiration at a level sufficient to induce muscle contraction without pain.

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: 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 separate and independent gains to flow rates of pressurized gas delivered to a patient during inspiratory and expiratory phases of a respiratory cycle to deliver the pressurized gas in proportion to the respective gains during inspiration and 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 (bi-level PAP) equipment to effect various beneficial treatment applications.

Abstract: An apparatus and method for determining an anatomical deadspace volume VDANA of a patient. The apparatus includes a sensor that measures a parameter indicative of the volume of gas exhaled by the patient and a gas analyzer that measures a concentration of a gas constituent in the patient's expiratory flow. A controller determines the patient's anatomical deadspace volume based on signals provided by the sensor and the gas analyzer.

Abstract: A combined patient interface and integrated exhaust assembly that passes a controlled flow of gas from an interior of a patient interface to ambient atmosphere at a predetermined flow rate irrespective of variations of pressure in the interior of the patient interface device relative to ambient atmosphere. Control of the flow of exhaust gas is achieved by varying the effective cross sectional area of the exhaust path communicating the interior of the patient interface with ambient atmosphere based on the pressure in the interior of the patient interface relative to ambient atmospheric pressure.

Abstract: A high frequency pressure oscillation device that selective restricts the flow of breathing gas to or from a patient to produce pressure spikes in the patient's airway that facilitate clearing secretions from the patient's airway. The device includes a patient circuit that defines a closed path between a source of breathing gas and the patient's airway. A valve is disposed in the patient circuit such that in an open position the path between the source of breathing gas and the airway of the patient is substantially unobstructed. When the valve is in a closed position, the path between the source of breathing gas and the patient's airway is at least partially obstructed to create the pressure spikes. An actuating system associated with the valve alternatively places the valve in the open position and in the closed position at a predetermined oscillation rate that is independent of patient effort.

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: 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.