Abstract: Systems, devices and methods of use adapted for treatment of respiratory disease or sleep disordered breathing include a patient interface (10) adapted to be secured to and sealed against a portion of a patient's face, in use. A flow generator is adapted to be connected to the patient interface and to be secured by a portion of the patient's body. The flow generator includes a blower (50) adapted to provide pressurized breathable gas to a patient through the patient interface. The blower is adapted to be at least partially vibrationally isolated from the patient's body by at least one dampening system (49) or device. The dampening device or system is adapted to reduce the amount of transmitted vibration received by the patient. A PAP system includes a patient interface including sealing arrangement (30) adapted to form a seal with the patient's nose and/or mouth and headgear (40) to support the sealing arrangement in position on the patient's head.

Abstract: Systems and methods for detecting developing faults in a flow generator or ventilator during therapeutic use thereof are provided. The motor current may be measured to estimate the torque input by the motor, while the output torque from the impeller may be determined (e.g., as inferred from the motor control system model and/or by consulting a lookup table). One or more transducers may collect data useful in determining the input and output torques. A difference between the input (to the motor) torque and the output (from the impeller) torque may be calculated. The difference, optionally filtered using a low-pass filter to reduce noise, may be compared to a predetermined threshold once or over a period of time to detect gross failures and/or developing failures. Once a failure or developing failure is detected, a user may be alerted and/or the flow generator may be placed into a “service required” mode.

Abstract: A positive airway pressure (PAP) device for supplying a flow of breathable gas to a patient includes a flow generator configured to pressurize a flow of breathable gas and a humidifier configured to receive and humidify the pressurized flow of breathable gas from the flow generator. The PAP device also includes a power source. The flow generator, humidifier and power source are positioned so that heat generated by at least one of the flow generator and the power source is conveyed to water in the humidifier.

Abstract: A method of using CPAP equipment to sense cardiogenic oscillations in a patient's airflow, and to monitor and treat the patient's cardiac condition. The apparatus diagnoses cardiac morbidity conditions, such as the existence of arrhythmias or other cardiac abnormalities, and influences and optimizes cardiac stroke volume. The apparatus further monitors pulse-transit time, changes in the heart pre-ejection period, and the duration of the cardiac cycle.

Abstract: A positive airway pressure (PAP) device for supplying a flow of breathable gas to a patient includes a first housing; a flow generator provided in the first housing, the flow generator configured to generate a flow of breathable gas; a second housing configured to be connected to the first housing, the second housing including a channel having an inlet configured to receive the flow of breathable gas and an outlet configured to discharge the flow of breathable gas, wherein the first housing is provided on top of the second housing such that a footprint of the PAP device is not substantially increased beyond a footprint of the second housing.

Abstract: A chin strap includes a chin cup, side straps, and rear straps. The chin strap is used to urge the patient's jaw upwards and substantially close the patient's mouth while pressurized breathable gas is delivered to the patient's nose by the mask system.

Abstract: Methods, systems and/or apparatus for slowing a patient's breathing by using positive pressure therapy. In certain embodiments, a current interim breathing rate target is set, and periodically the magnitude of a variable pressure waveform that is scaled to the current interim breathing rate target is increased if the patient's breathing rate is greater than the interim breathing rate target in order to lengthen the patient's breath duration. The magnitude of the pressure increase may be a function of the difference between the interim breathing rate target and the patient's breathing rate. The interim breathing rate target may be periodically reduced in response to the patient's breathing rate slowing down toward the current interim breathing rate target. The variable pressure waveform cycles from an inhalation phase to an exhalation phase when the patient airflow decreases to a cycle threshold, the cycle threshold being a function of flow versus time within a breath and generally increasing with time.

Abstract: A chin strap includes a chin cup, side straps, and rear straps. The chin strap is used to urge the patient's jaw upwards and substantially close the patient's mouth while pressurized breathable gas is delivered to the patient's nose by the mask system.

Abstract: Methods, systems and/or apparatus for slowing a patient's breathing by using positive pressure therapy. In certain embodiments, a current interim breathing rate target is set, and periodically the magnitude of a variable pressure waveform that is scaled to the current interim breathing rate target is increased if the patient's breathing rate is greater than the interim breathing rate target in order to lengthen the patient's breath duration. The magnitude of the pressure increase may be a function of the difference between the interim breathing rate target and the patient's breathing rate. The interim breathing rate target may be periodically reduced in response to the patient's breathing rate slowing down toward the current interim breathing rate target. The variable pressure waveform cycles from an inhalation phase to an exhalation phase when the patient airflow decreases to a cycle threshold, the cycle threshold being a function of flow versus time within a breath and generally increasing with time.

Abstract: A control system (706) provides automated control of gas washout of a patient interface, such as a mask or nasal prongs. A gas washout vent assembly (60) of the system may include a variable exhaust area such as one defined by overlapping apertures of the assembly or a conduit having a variable gas passage channel. The vent assembly may be formed by nested structures, such as conic or cylindrical members, each having an opening of the overlapping apertures. The vent assembly may be attached substantially near or included with the patient interface. An actuator of the assembly, such as a solenoid or voice coil, manipulates an aperture of the vent assembly. The actuator may be configured for control by a controller to change the exhaust area of the vent assembly based on various methodologies including, for example, sleep detection, disordered breathing event detection, rebreathing volume calculation and/or leak detection.

Abstract: A method of using CPAP equipment to sense cardiogenic oscillations in a patient's airflow, and to monitor and treat the patient's cardiac condition. The apparatus diagnoses cardiac morbidity conditions, such as the existence of arrhythmias or other cardiac abnormalities, and influences and optimizes cardiac stroke volume. The apparatus further monitors pulse-transit time, changes in the heart pre-ejection period, and the duration of the cardiac cycle.

Abstract: In certain example embodiments, an air delivery system includes a controllable flow generator operable to generate a supply of pressurized breathable gas to be provided to a patient for treatment and a pulse oximeter. In certain example embodiments, the pulse oximeter is configured to determine, for example, a measure of patient effort during a treatment period and provide a patient effort signal for input to control operation of the flow generator. Oximeter plethysmogram data may be used, for example, to determine estimated breath phase; sleep structure information; autonomic improvement in response to therapy; information relating to relative breathing effort, breathing frequency, and/or breathing phase; vasoconstrictive response, etc. Such data may be useful in diagnostic systems.

Abstract: A multiple stage variable speed blower for Continuous Positive Airway Pressure (CPAP) ventilation of patients includes two impellers in the gas flow path that cooperatively pressurize gas to desired pressure and flow characteristics. Thus, the multiple stage blower can provide faster pressure response and desired flow characteristics over a narrower range of motor speeds, resulting in greater reliability and less acoustic noise.

Abstract: In certain example embodiments, an air delivery system includes a controllable flow generator operable to generate a supply of pressurized breathable gas to be provided to a patient for treatment and a pulse oximeter. In certain example embodiments, the pulse oximeter is configured to determine, for example, a measure of patient effort during a treatment period and provide a patient effort signal for input to control operation of the flow generator. Oximeter plethysmogram data may be used, for example, to determine estimated breath phase; sleep structure information; autonomic improvement in response to therapy; information relating to relative breathing effort, breathing frequency, and/or breathing phase; vasoconstrictive response, etc. Such data may be useful in diagnostic systems.

Abstract: A positive airway pressure (PAP) device for supplying a flow of breathable gas to a patient includes a first housing; a flow generator provided in the first housing, the flow generator configured to generate a flow of breathable gas; a second housing configured to be connected to the first housing, the second housing including a channel having an inlet configured to receive the flow of breathable gas and an outlet configured to discharge the flow of breathable gas, wherein the first housing is provided on top of the second housing such that a footprint of the PAP device is not substantially increased beyond a footprint of the second housing.

Abstract: A multiple stage variable speed blower for Continuous Positive Airway Pressure (CPAP) ventilation of patients includes two impellers in the gas flow path that cooperatively pressurize gas to desired pressure and flow characteristics. Thus, the multiple stage blower can provide faster pressure response and desired flow characteristics over a narrower range of motor speeds, resulting in greater reliability and less acoustic noise.

Abstract: A positive airway pressure (PAP) device for supplying a flow of breathable gas to a patient includes a first housing; a flow generator provided in the first housing, the flow generator configured to generate a flow of breathable gas; a second housing configured to be connected to the first housing, the second housing including a channel having an inlet configured to receive the flow of breathable gas and an outlet configured to discharge the flow of breathable gas, wherein the first housing is provided on top of the second housing such that a footprint of the PAP device is not substantially increased beyond a footprint of the second housing.

Abstract: Respiratory pressure treatment apparatus include automated methodologies for controlling changes to pressure in the presence of sleep disordered breathing events. In an example apparatus, various levels of expiratory pressure relief can provide different pressure reductions for patient comfort during expiration (333-A, 333-B, 333-C). The control parameters for these levels may be automatically modified based on the detection of an open airway. Similarly, in some embodiments, the levels may be automatically adjusted based on a detection of persistent obstruction. In still further embodiments, control parameters associated with a rise time of an early portion of an inspiratory pressure treatment may be automatically adjusted upon detection of flow limitation to permit a change to more aggressive waveforms from more comfortable waveforms for the treatment of sleep disordered breathing events.

Abstract: Systems, devices and methods of use adapted for treatment of respiratory disease or sleep disordered breathing include a patient interface (10) adapted to be secured to and sealed against a portion of a patient's face, in use. A flow generator is adapted to be connected to the patient interface and to be secured by a portion of the patient's body. The flow generator includes a blower (50) adapted to provide pressurised breathable gas to a patient through the patient interface. The blower is adapted to be at least partially vibrationally isolated from the patient's body by at least one dampening system (49) or device. The dampening device or system is adapted to reduce the amount of transmitted vibration received by the patient. A PAP system includes a patient interface including sealing arrangement (30) adapted to form a seal with the patient's nose and/or mouth and headgear (40) to support the sealing arrangement in position on the patient's head.

Abstract: A blower (10) includes a housing (20) including a proximal opening (23) and a distal opening (25) that are co-axially aligned, a stator component (30) provided to the housing, an impeller (60) positioned between the proximal opening of the housing and the stator component, and a motor (40) adapted to drive the impeller. The impeller includes a plurality of impeller blades. The stator component includes a plurality of air directing grooves (35) along its exterior surface. The leading edge of the air directing grooves extend tangentially outwards from the outer tips of the impeller blades and are configured to collect the air exiting the impeller blades and direct it from a generally tangential direction to a generally radial direction by dividing the air from the impeller and directing the air along a curved path towards the distal opening so that airflow becomes substantially laminar.