Abstract: Various embodiments of a patient interface device, such as a mask (10, 46), nasal pillow (42), or nasal cannula (54, 76, 76?, 78, 82, 90 96), that includes an adhesive layer (40) provided on a surface thereof that is structured to temporarily bond to the skin of a user of the patient interface device. The adhesive layer may include a bonding agent, such as a polymer gel, having a residual extraction force of between about 50 grams and about 200 grams.

Abstract: A conduit operative or to be operative between a patient interface and both (a) a tidal volume gas delivery device that can deliver controlled tidal volume gasses to a patient for the purposes of resuscitation and (b) a CPAP device for delivery of CPAP to the patient. The conduit comprises a primary lumen having an inlet operatively connectable with said tidal volume gas delivery device. Also provides is a secondary lumen having an inlet operatively connectable with the CPAP device. A manifold, via respective outlets of the primary and secondary lumens and a manifold outlet, allows fluid communication to be established between a patient interface and both the CPAP device and the tidal volume gas delivery device.

Abstract: The breathing assistance apparatus of the present invention includes a manifold that is provided with or retrofittable to gases supply and humidifying devices. The manifold allows gases from an oxygen concentrator to be combined with the flow through a gases supply and humidifying device, most usually air. The combined output of oxygen and other breathing gases (air) is then humidified. The breathing assistance apparatus and manifold of the present invention provides a safe method to add oxygen to the input air stream of a gases supply and humidifying device and reduces the amount of accumulation of oxygen within the gases supply device, reducing fire risk should sparking occur within the device.

Abstract: A device for humidifying respiratory gases. The device includes: a humidification component that holds a water volume; and a heating element that converts received electrical energy to electromagnetic radiation, wherein the electromagnetic radiation is transferred to the water volume, thereby heating the water volume to achieve a heated water volume.

Abstract: The present invention provides an improved means of treating tracheobronchitis, bronchiectasis and pneumonia in the nosocomial patient, preferably with aerosolized anti gram-positive and anti-gram negative antibiotics administered in combination or in seriatim in reliably sufficient amounts for therapeutic effect. In one aspect, the invention assures this result when aerosol is delivered into the ventilator circuit. In one embodiment the result is achieved mechanically. In another embodiment, the result is achieved by aerosol formulation. In another aspect, the invention assures the result when aerosol is delivered directly to the airways distal of the ventilator circuit. The treatment means eliminates the dosage variability that ventilator systems engender when aerosols are introduced via the ventilator circuit.

Abstract: A breathable air safety system and method is disclosed. In an embodiment, a safety system of a structure includes a supply unit (100) of a structure to facilitate delivery of breathable air from a source of compressed air to an air distribution system (150, 250, 350) of the structure, a valve (408) to prevent leakage of the breathable air from the air distribution system (150, 250, 350) potentially leading to loss of system pressure, a fill station (102A) interior to the structure to provide the breathable air to a breathable air apparatus at multiple locations of the structure, and a distribution structure (104) that is compatible with use with compressed air that facilitates dissemination of the breathable air of the source of compressed air to multiple locations of the structure.

Abstract: The disclosed embodiments relate to a system and method for assuring validity of monitoring parameters in combination with a therapeutic device. An exemplary embodiment of the present technique comprises perturbing a treatment administered to a patient, measuring at least one parameter of the patient reflecting the underlying physiological state and associated with the treatment, and comparing the perturbations of the treatment to measurements of the at least one parameter to determine if the perturbations to the treatment are reflected by the parameter.

Abstract: A method and system for delivering a pharmaceutical gas to a patient. The method and system provide a known desired quantity of the pharmaceutical gas to the patient independent of the respiratory pattern of the patient. The preferred pharmaceutical gases are CO and NO, both of which are provided as a concentration in a carrier gas. The gas control system determines the delivery of the pharmaceutical gas to the patient to result in the known desired quantity (e.g. in molecules, milligrams or other quantified units) of the pharmaceutical gas being delivered. Upon completion of that known desired quantity of pharmaceutical gas over a plurality of breaths, the system can either terminate any further delivery of the pharmaceutical gas or can activate an alarm to alert the user that the known quantity has been delivered. The system also has alarm functions to alert the user of possible malfunctions of the system.

Abstract: The present invention encompasses the inclusion of non-heat, active-force humidifiers into CPAP devices. These humidifier modules use for example ultrasonics, atomization, and nebulization to increase the relative humidity of the air being delivered to the patient. Humidity is important in CPAP devices because it is vital to patient comfort and optimum health. All of these various, non-heat active humidifier modules are components or attachments to a CPAP device, and all optionally employ various procedures and devices for dealing with excess condensation. Most importantly, these humidification modules avoid the main problems associated with heat-requiring humidifiers, such as the added cost and time needed to operate these humidifiers, the excess condensation produced, and the increased likelihood of microbial growth.

Abstract: A breathing assistance system for providing breathing assistance to a patient is provided. The breathing assistance system may include a ventilation system for supplying a gas flow, a conduit operatively coupled to the ventilation system, and a pressure sensor configured to measure the pressure of the gas flow through the conduit. The pressure sensor may include a structure configured to create a localized pressure drop in the gas flow proximate the pressure sensor structure.

Abstract: A pulmonary testing device and method are provided that measure an inspired volume of a selected gas component. In one configuration, the selected gas component is injected into the device in an airway of the device upstream of a gas analyzer. The device has opposing open ends, one for the patient's mouth and the other for inspiration of air.

Abstract: A method of operating a ventilator that includes steps of (a) providing a specified ventilation therapy to a patient through a ventilator according to a specification; (b) determining and storing a backup parameter relating to the operation of the ventilator or the breathing of the patient during the step of providing the specified ventilation therapy; (c) determining that an alarm condition exists that indicates a problem with the ventilator that would prevent the ventilator from providing the specified ventilation therapy to the patient according to the specification; and (d) responsive to determining that the alarm condition exists, providing backup ventilation therapy to the patient through the ventilator that is based at least partially on the stored backup parameter. Also, a ventilator that is adapted to perform the method just described.

Abstract: The present invention relates generally to the field of ventilators, and, more specifically, to a ventilator system that addresses respiratory distress due to the onset of an epidemic or pandemic disease state. In particular, the present invention is a ventilator system that can be manufactured quickly with minimal skill requirements and employed rapidly in response to epidemic respiratory disease conditions.

Abstract: A liquid trap cup and a liquid trap assembly using the same are provided. The liquid trap cup comprises a hollow cup tube with a upper portion and a lower portion, a piston element with a top portion and a tail portion and a liquid discharge structure, in which the piston element is arranged airtight in the lower portion and is movable between a start point and an end point of the lower portion so as to control the opening and the closing of the liquid discharge structure. The liquid trap assembly includes the liquid trap cup and a multi-necked adapter tube with an expanded-plate structure, in which expanded-plate structure can be tightly sealed with the liquid trap. The liquid trap assembly is useful to a breathing system.

Abstract: A method for selecting a device adapted to treat disordered breathing includes determining a number of characteristics associated with at least a portion of the airway of a patient, comparing each of at least some of the number of characteristics to a corresponding threshold, and selecting such a device in response to the comparison. An alternative method for selecting a device adapted to treat disordered breathing includes delivering a flow of breathing gas to the airway of a patient, determining a minimum effective therapeutic pressure associated with such patient, and selecting, relative to the minimum effective therapeutic pressure, an oral appliance or one of a number of patient interface devices.

Abstract: A supraglottic airway of the type used to facilitate lung ventilation and the insertion of endo-tracheal tubes or related medical instruments through a patient's laryngeal opening where the shield is designed to have an internal increase in pressure during assisted inhalation such as positive-pressure ventilation.

Abstract: A method of assisting a patient with airway clearance includes providing a positive pressure insufflation gas flow to the patient during an insufflation phase, following completion of the insufflation phase, causing the patient to enter an expiratory hold condition wherein the patient is prevented from exhaling, providing an abdominal thrust to the patient while the patient is in the expiratory hold condition, terminating the expiratory hold condition, and following termination of the expiratory hold condition, providing a negative pressure exsufflation gas flow to the patient during an exsufflation phase.

Abstract: Provided is a method that includes automatically providing air/oxygen at a pre-selected maximum pressure limit, breath volume and respiratory-rate. The pre-selected maximum pressure limit, breath volume, and respiratory-rate are automatically set as a function of a size of a mask coupled to an air/oxygen supply system. Further provided is a ventilator system that includes a ventilator mask, a ventilator supply system, and a mask conduit. The ventilator mask is configured in a size that will fit upon a selected range of sizes of human faces. The ventilator supply system includes an air/oxygen source and an air/oxygen regulator system configured to regulate air/oxygen flow parameters as a function of the size of the mask. The mask conduit is configured to couple the ventilator supply to the ventilator mask.

Abstract: Systems and methods for estimating a leak flow in a breathing assistance system including a ventilation device connected to a patient are provided. Data of a flow waveform indicating the flow of gas between the ventilation device and the patient is accessed. A specific portion of the flow waveform is identified, and a linear regression of the identified portion of the flow waveform is performed to determine an estimated leak flow in the breathing assistance system.

Abstract: In a respiratory apparatus for treatment of sleep apnea and other disorders associated with an obstruction of a patient's airway and which uses an airflow signal, an obstruction index is generated which detects the flattening of the inspiratory portion of the airflow. The obstruction index is used to differentiate normal and obstructed breathing. The obstruction index is based upon different weighting factors applied to sections of the airflow signal thereby improving sensitivity to various types of respiration obstructions.

Abstract: Apparatus (1) for relieving dyspnoea in an ambulatory exercising subject comprises a housing (3) to be worn on the subject, and within which a variable speed air blower motor (5) is located for delivering an air supply to the subject through a mouthpiece (10) at a pressure similar to average intrinsic positive end-expiratory pressure of the subject. A pressure transducer (25) in the mouthpiece (10) monitors the pressure during breathing cycles of the subject, and a control circuit (22) determines the average intrinsic positive end-expiratory pressure of the subject over five breathing cycles. The control circuit (22) operates the air blower motor (5) for delivering the air supply to the subject at a pressure similar to the determined average intrinsic positive end-expiratory pressure.

Abstract: In one aspect, a system for delivering nitric oxide to a patient can include a first gas source including nitrogen dioxide mixed in air or oxygen, a second gas source supplying compressed air, a ventilator coupled to the first and second gas sources, where the ventilator can be resistant to nitrogen dioxide, and where the ventilator provides a gas flow having a proper amount of nitrogen dioxide, one or more conversion devices operably coupled to the ventilator, where the conversion devices covert nitrogen dioxide into nitric oxide, and a patient interface operably coupled to the conversion devices, where the patient interface delivers nitric oxide to the patient.

Abstract: A redundant gas supply or oxygen supply for an aircraft comprising two main lines and a group supply line that is connected to one consumer or to a multitude of consumers. In each case a connecting line connects the respective one main line to the group supply line. Flow limiters and nonreturn valves can be provided in the connecting lines.

Abstract: A method and an apparatus for controlling a ventilator to automatically adjust ventilation assistance to an active or passive subject. The method includes determining volume and flow rate of gas to the patient during inspiration on an ongoing basis, and generating control signals in proportion to the volume and flow rate of gas to the patient wherein proportionality factors, and support levels for the elastic and resistive components of pressure are automatically adjusted by the ventilator. The ongoing pressure applied by the ventilator is a sum of elastic and resistive pressures that are automatically controlled by the system. When the patient breathes spontaneously, the support levels are automatically adjusted based on the patient's requirements. If the patient does not breathe spontaneously, the ventilator provides ventilation at an optimal level and rate. The method may be used in weaning or in a management phase of ventilation.

Abstract: A method for treatment of severe diffuse acute respiratory distress syndrome in an intubated-ventilated patient which includes sedating said patient with at least one alpha-2 agonist, maintaining spontaneous ventilation and applying pressure support ventilation of at least 5-10 cmH2O combined to a high positive end expiratory pressure (PEEP) of 10-24 cmH2O. A pharmaceutical composition containing at least one alpha-2 agonist suitable for treatment of ARDS in combination with, if appropriate, at least one sedative agent which does not depress ventilatory drive is also disclosed.

Abstract: An adapter for connecting, in particular, respiratory implements such as tubes, tube extensions, filters, breather bags, or artificial noses to a tube having a particularly conically tapered connector. the adapter has a clamping section that may be fixed to the connector in a frictionally engaged manner. The clamping section of the adapter may be radially expanded from a first clamping position in which the inner diameter of the clamping section is less than the outer diameter of the connector into a second release position in which the inner diameter of the clamping section is greater than the outer diameter of the connector.

Abstract: A blower assembly including a motor, an impeller and a volute that is configured such that an inlet chamber of the volute and an outlet chamber of the volute are divided from one another by an airtight membrane and the membrane is configured to allow the transmission of pressure waves between the inlet and outlet chambers.

Abstract: A patient ventilation system has a flow regulating and gas mixing assembly for providing oxygen to a first gas inlet and at least a second gas to a second gas inlet. The first and second gas inlets are connected to an inspiratory channel for conveying a delivered gas mixture including the oxygen and the at least second gas to a proximal tubing. The proximal tubing in turn is connected to an expiratory channel and connectable to a patient. The patient ventilation system further has a gas identification unit with which the at least second gas can be identified. The gas identification unit is arranged to measure actively a first value which is dependent on the characteristics of the at least second gas and attempt to identify the at least second gas based on said first value. The flow regulating and gas mixing assembly changes, at least temporarily, the concentration of the at least second gas in the delivered gas mixture if the gas identification attempt fails.

Abstract: Similar lengths of corrugated stretch hose are components used to form a tube-in-tube breathing circuit assembly having a smaller diameter inner hose that extends loosely through a larger diameter outer hose. Overlying end regions of the inner and outer hoses are joined by connectors that communicate separately with each of the inner and outer hoses near opposite ends of the assembly. Exhaled breath from a patient that travels through the outer hose warms breathing gas supplied to the patient through the inner hose. In one form of preferred practice, the inner hose draws taut regardless of the extent to which the breathing circuit assembly may be extended, retracted and bent, which minimizes resistance to flow through each of the two hoses.

Abstract: A mounting unit for use with a portable blower device and a system of a simple portable blower device that is interchangeable with a plurality of mounting devices. The portable blower device has a gas flow generator for providing a flow of gas to a mask for delivery of gas flow to an airway of a patient.

Abstract: The invention relates to an oxygen breathing device, in particular for cockpit crew member of an aircraft, comprising a pressurized oxygen source for storing pressurized oxygen, an oxygen mask, adapted to fit to nose and mouth of a person to be supplied with oxygen from the pressurized oxygen source, an oxygen supply line connecting the pressurized oxygen source with the oxygen mask, a pressure regulator/safety valve coupled in the oxygen supply line to selectively open or shut off oxygen flow from the pressurized oxygen source to the oxygen mask and/or to control pressure of said oxygen supplied to the oxygen mask.

Abstract: The invention relates to a respiratory device for keeping a patient breathing artificially or support his or her breathing naturally. Said respiratory device comprises an air inlet, an air source, and at least one proportionally adjustable control valve. The control valve is provided with a housing (11) and a rotary valve (12) which is arranged in the housing so as to be twistable about the longitudinal axis thereof and which allows through-holes (11d) of the housing (11) to be entirely or partially closed by twisting the rotary valve (12). The rotary valve (12) and a corresponding support surface (11f) of the housing (11) have a conical shape, the support surface (11f) cooperating with the rotary valve (12). The through-holes (11d) are disposed in the area of the support surface (11f).

Abstract: A process for operating a respirator and/or anesthesia device in the APRV mode with the % PEF criterion which includes a detection of a spontaneous expiratory effort by the patient and initiation of a pressure release phase when the detected spontaneous expiratory effort by the patient falls within a predetermined trigger window (Tfreg). A device is provided that is operated correspondingly.

Abstract: Devices and systems for monitoring weaning of a subject from a respiratory ventilator including a processing logic configured to characterize distinct patterns in a series of CO2 waveforms, the distinct patterns indicative of the effectiveness of a weaning process; and to provide an indication relating to the effectiveness of the weaning process.

Abstract: A system for mechanical ventilation treatment is described. In one embodiment the system provides advice on treatment and/or weaning of patients from mechanical ventilation based on the patient's conditions. In another embodiment the system includes apparatus to monitor and analyze the patient's data and data from the mechanical ventilator and controls the ventilator automatically.

Abstract: Provided herein is a respiratory apparatus comprising a means for conducting breathable gasses directly to the trachea of a patient, via a tracheotomy or via a tube through the mouth to the trachea, and a means suitable for supplying the breathable gasses, under pressure, thereto and means for exhausting gases therefrom, characterised in that the pressuring means is so located as to impart pressure to said gasses immediately adjacent the site of the tracheotomy or the patient's mouth, thereby substantially reducing the length of the air supply hose to an endotracheal tube, so that problems associated with high pressures and large volumes of dead space can be alleviated.

Abstract: There is described an apparatus (1) for respiratory support and non-invasive detection of alveolar derecruitment for patients suffering from respiratory failure. Such an apparatus (1) generally comprises a mechanical ventilator (3) for inspiration/expiration functions and means (15) allowing to impose an additional periodic pressure component (Pstim) having a higher frequency than the spectral content of the inspiration/expiration pressure component (Presp). There are provided computing means (12) to obtain the inspiratory average reactance (Xrs) of the respiratory system of the patient (2) as the positive end-expiratory pressure (PEEP) varies, in order to detect the presence of alveolar derecruitment. There is also described a procedure allowing to obtain an optimal positive end-expiratory pressure.

Abstract: An emergency oxygen supply system for use on aircraft in the event of a loss in cabin pressure is configured for delivering allotments of oxygen and timing the delivery such allotments to each passenger so as maximize the efficiency of the transfer of such oxygen into the passenger's bloodstream. The delivery of each allotment is selected so that the entire allotment is available for inhalation into the region of the lung most efficient at oxygen transfer while the volume of the allotment is selected to substantially coincide with the volume of such region of the lung.

Abstract: The present invention relates to methods and systems for resuscitation of an infant which maintains healthy blood oxygen saturation values in the infant by titration of supplemental oxygen concentrations.

Abstract: A device, system, and method for isolating a ventilator from one or more patients in which the delivery conditions of gas delivered to an isolation device from a ventilator may drive the delivery of breathing-gas delivered to one or more patients, the breathing-gas having the same or different delivery conditions. In one embodiment, an isolation device may have a housing and a movable partition. The movable partition may be joined to the housing, The movable partition may have a patient side on a first side of the partition and an actuating side on a second side of the partition. The isolation device may include an inlet pressure regulator on the actuating side and/or an exhaust pressure regulator on the patient side. These regulators may alter the delivery conditions (including, but not limited to, pressure and volume) of breathing-gas delivered to a patient.

Abstract: A PAP device for generating a supply of pressurized gas to be provided to a patient for treatment includes a housing, a core including a motor and at least one impeller, and a vibration isolation system to support the core within the housing in a flexible, vibration-isolated manner.

Abstract: CPAP treatment apparatus is disclosed having a controllable flow generator (34, 38, 40) operable to produce breathable gas at a treatment pressure elevated above atmosphere to a patient by a delivery tube (32) coupled to a mask (30) having connection with a patient's airway. A sensor (44, 50, 56, 58) generates a signal representative of patient respiratory flow, that is provided to a controller (54, 62, 64). The controller (54, pressure. In one preferred form the increase in pressure is zero if the treatment pressure before the apnea exceeds a pressure threshold. Below the pressure threshold the increase in pressure is an increasing function of the duration of the apnea multiplied by the difference between the pressure threshold and the current treatment pressure.

Abstract: Methods and apparatus for treatment of medical disorders such as obstructive sleep apnea and congestive heart failure are disclosed. A method involves delivering pressurized air, oxygen or other breathing gas to a patient during a respiratory cycle, where pressure of the air is decreased according to an expiratory unloading factor during expiration. The timing and magnitude of the pressure change may be fully automated and responsive to feedback from a motor load sensor, optionally in combination with a pressure sensor.

Abstract: This invention relates to medical treatment and monitoring of a living body, and more particularly to a multipurpose apparatus and method for measuring a living body's respiratory airflow, analyzing the composition of a gas exhaled by a living body and/or insufflating a treating gas into the living body.

Abstract: A portable ventilator uses a ROOTS-type blower as a compressor to reduce both the size and power consumption of the ventilator. Various functional aspects of the ventilator are delegated to multiple subassemblies having dedicated controllers and software that interact with a ventilator processor to provide user interface functions, exhalation control and flow control servos, and monitoring of patient status. The ventilator overcomes noise problems through the use of noise reducing pressure compensating orifices on the ROOTS-type blower housing and multiple baffling chambers. The ventilator is configured with a highly portable form factor, and may be used as a stand-alone device or as a docked device having a docking cradle with enhanced interface and monitoring capabilities.

Abstract: A device for the flow rate limitation at low differential pressures, in particular for the limitation of the inhalation volume flow during the inhalation of therapeutic aerosols, comprising a housing with at least an inlet opening, at least an outlet opening and a flow channel arranged therebetween, wherein the flow channel is restricted by a flexible wall extending along the flow channel, characterized in that the flexible wall has a control area of less than 100 mm2.

Abstract: A multipart medical engineering system, which comprises at least two components that can be connected via positioning-determining connection feature (410, 411). At least one component (44) is intended to remain in the vicinity of the patient in the connected and unconnected states of the system and at least one component (41) can be removed or replaced with other components in the unconnected state. The component (44) intended to remain in the vicinity of the patient contains a data storage element (45) that can be written to and read via an interface (46) that is mechanically integrated in the position-determining connection means (410, 411).

Abstract: The disclosure describes a novel approach for displaying information on a ventilator system. The disclosure describes a novel respiratory system including a removable primary display and system status display. Further, the disclosure describes a novel method for displaying ventilator information and a novel method for controlling a ventilator system.

Abstract: In aspects, a portable breathing apparatus is provided that includes a face mask having a breathing valve, a blower for the supply of breathing air to the breathing valve via a supply line, a filter device for cleaning of the breathing air from the blower, and a compressed-air reservoir for alternative supply of breathing air to the breathing valve. Additionally, the breathing valve is a demand valve configured to supply pressure equal to or above an ambient pressure, a check-valve is arranged on the upstream side of the blower, and the compressed-air reservoir is provided with a pressure control valve for establishing an overpressure above the ambient pressure in the entire breathing system, wherein the pressure control valve is upstream of the breathing valve and downstream of the check valve, so that gas or liquid cannot penetrate into the system when breathing gas is supplied from the compressed-air reservoir.

Abstract: A method and apparatus for controlling a brushless DC (BLDC) motor over a wide range of angular speeds is presented. Analog magnetic sensors provide continuous signal measurements related to the rotor angular position at a sample rate independent of rotor angular speed. In one embodiment, analog signal measurements are subsequently processed using an arctangent function to obtain the rotor angular position. The arctangent may be computed using arithmetic computation, a small angle approximation, a polynomial evaluation approach, a table lookup approach, or a combination of various methods. In one embodiment, the BLDC rotor is used to drive a Roots blower used as a compressor in a portable mechanical ventilator system.