Abstract: The invention relates to a spirometer for measuring pulmonary respiration of a test subject, comprising a body and a sensor unit, wherein the sensor unit can be interchanged with further sensor units. In a corresponding method, such a spirometer is operated with a sensor unit and the sensor unit is subsequently interchangeably replaced by a further sensor unit.

Abstract: Apparatus is provided, including a sensor, adapted to generate a sensor signal indicative of biorhythmic activity of a user of the apparatus, the sensor signal having a first characteristic, indicative of a voluntary action of the user, and a second characteristic, indicative of a benefit-related variable of the user. The apparatus also includes a control unit, adapted to receive the sensor signal, and, responsive to the second characteristics generate an output signal which directs the user to modify a parameter of the voluntary action indicated by the first characteristic.

Abstract: Systems and methods for detecting a general breathing event and for anticipating an onset of an obstructive sleep apnea (OSA) event. The method for detecting a general breathing event includes receiving a plurality of signals from at least one microphone. The method also includes determining a one-sided power spectral density from the received signals. The method further includes distinguishing each received signal as either a breath signal or a background noise signal. The method still further includes calculating a breath signature by processing each breath signal.

Abstract: A system and method for sleep monitoring, diagnosing and sensing temperature and pressure for a breathing cycle of a patient including a sensing device suitable for both nasal and oral breath monitoring for measuring respiratory air wave and airflow information during a sleep apnea diagnostic session and processing the acquired air wave and airflow breathing information for input to conventional polysomnography equipment.

Abstract: A nebulizer includes a body, an air channel section and medication reservoir. An air line extends through the air channel section. A venturi nozzle is configured to form at its end a low pressure mixing chamber. A primary suction line extends from the medication reservoir to the low pressure mixing chamber through which medication is drawn upward into the low pressure mixing chamber and mixed with air from the venturi nozzle and nebulized for discharge through a nebulizer outlet. The venturi nozzle, low pressure mixing chamber and air channel section are configured such that at standard temperature and pressure (STP) a differential pressure results in no medication that is drawn upward through the primary suction line for nebulization and discharged the through the nebulizer outlet until a negative inspiratory pressure is created from inhalation by a user.

Abstract: A patient manager provides activity recommendations to a patient based on monitored data. The patient manager monitors personal, environmental, and external data to identify baseline and personal best thresholds to determine appropriate activity recommendations for a patient that is trying to manage a disease such as asthma. A personal monitor measures a peak flow rate by having the patient blow through the personal monitor. An environmental monitor measures ambient conditions in a room and communicates the conditions with the patient manager. The patient manager also pulls in third-party regional weather information, and generates activity recommendations based on the personal, environmental, and regional information.

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 flattening index serves as an obstruction index used to differentiate normal and obstructed breathing. The obstruction index is based upon comparison of values of airflow in different sectors of the inspiratory peak of the wave function and is particularly suitable for distinguishing M shaped or square shaped respiratory patters indicative of partially obstructed airways.

Abstract: Minimally invasive methods, systems and devices are provided for assessing collateral ventilation in the lungs. In particular, collateral ventilation of a target compartment within a lung of a patient is assessed by advancement of a catheter through the tracheobronchial tree to a feeding airway of the target compartment. The feeding airway is occluded by the catheter and the opening and closing of a one-way valve coupled with the catheter is observed. If the valve ceases opening and closing over time, this may indicate that significant collateral ventilation into the target compartment is absent. If the valve continues to open and close over time, significant collateral ventilation into the compartment may be present. Based on the collateral ventilation assessment, a treatment plan may be generated.

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: The invention relates to a method and device for carrying out a signal-processing viewing of a measurement signal that is correlated with the respiratory activity of an individual, for example, of a measurement signal that is correlated with the respiratory gas. The aim of the invention is to provide solutions with which an improved electronic analysis of the signals that are representative with regard to respiratory activity can be achieved. To this end, the invention provides that viewing results are obtained within the scope of a signal-processing viewing of said measurement signal and make a differentiation between obstructive and central respiratory disorders possible. The viewing results are determined, in particular, while taking into account changes of selected breathing characteristics such as, for example, the change in the ratio of inhalation time to exhalation time.

Abstract: A method for use in an implantable medical device comprises the steps of monitoring respiration with an amplifier having a gain, generating a moving apneic threshold based on recent respiration cycles, accumulating differences between amplitudes of respiration cycles and the moving apnea detection threshold and comparing the accumulated differences against an apnea detection threshold to detect the onset of an episode of apnea. The method further comprises measuring respiration levels upon detecting the onset of apnea, confirming the episode of apnea based upon the respiration levels measured upon detecting the onset of apnea; and adjusting one of the gain of the amplifier and the apnea detection threshold so that the time from the detection of onset of apnea to the time of confirmation of the episode of apnea is within a predetermined time range following the detection of the onset of apnea.

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: Described herein are passive nasal respiratory devices, in particular, passive nasal respiratory devices configured to achieve positive end-expiratory pressure (PEEP) in a subject wearing the device. PEEP devices may have a threshold pressure for opening during expiration. These devices may include a flap valve that opens on inhalation nested with a spring valve that opens when exhalation pressure exceeds a predetermined threshold. The device may be configured to be comfortably worn by a sleeping subject.

Abstract: This disclosure describes systems and methods for monitoring and evaluating ventilatory parameters, analyzing those parameters and providing useful notifications and recommendations to clinicians. That is, modern ventilators monitor, evaluate, and graphically represent a myriad of ventilatory parameters. However, many clinicians may not easily identify or recognize data patterns and correlations indicative of certain patient conditions, changes in patient condition, and/or effectiveness of ventilatory treatment. Further, clinicians may not readily determine appropriate ventilatory adjustments that may address certain patient conditions and/or the effectiveness of ventilatory treatment. Specifically, clinicians may not readily detect or recognize the presence of Auto-PEEP during volume ventilation of a non-triggering patient.

Abstract: A resuscitation device comprising a main housing, and an expiratory relief valve.

Abstract: An evaluation of heart failure status is provided based on a disordered breathing index. Patient respiration is sensed and a respiration signal is generated. Disordered breathing episodes are detected based on the respiration signal. A disordered breathing index is determined based on the disordered breathing episodes. The disordered breathing index is trended and used to evaluate heart failure status. The disordered breathing index may be combined with additional information and/or may take into account patient activity, posture, sleep stage, or other patient information.

Abstract: A breath biofeedback method and system for encouraging a subject to modify respiration. The system includes a thoracic volume input module measuring thoracic volume data of the subject and a pattern module providing target breathing patterns in communication with a display generator. The display generator producing display information representing a displayable image including a first object having a first position determined as a function of the thoracic volume data and a second object having a second position determined as a function of the target breathing pattern and the thoracic volume data. The displayable image is designed such that when displayed on the display device the displayable image encourages the subject viewing the displayable image to modify respiration.

Abstract: The present invention provides, in at least one embodiment, a system, device, and method for better instructions, feedback, and capture of inspirometer data. Inspirometers are typically not used correctly, so the device provides video, picture, and/or text instructions to users on how to use the inspirometer. Since many users do not inhale at the correct slow flow rate, the device has indicators telling the user whether his or her inhalation flow rate is too fast or too slow. Since many users do not use the inspirometer at all, the device captures electronic data including the total volume inhaled, flow rate data which indicates whether the user used the inspirometer correctly, and time stamps which indicate whether the users used the inspirometer regularly or at all. The device can also include spirometer features to capture exhaled breath data as well as inhaled breath data.

Abstract: Disclosed herein is a wake-up assisting apparatus including: an electrode which comes into contact with the parietal of the human body; a signal processing part which detects brain waves through the electrode, determines the sleep stage from the thus detected brain waves, and decides the wake-up time according to the sleep stage; and a stimulating part which gives stimuli to the human body at the wake-up time.

Abstract: A plethysmograph is described that includes a test chamber having an opening; a sealing member including an annular flexible seal to receive at least a part of the head of the test animal mounted across the opening whereby the animal breathes air outside the test chamber, while the animal's body is within the test chamber; and a restraining member attachable to the sealing member, the restraining member including a clamp positionable behind the test animal's head, to prevent the animal from withdrawing its head from the restraining member. The animal is positioned in the restraining member and the sealing member is attached to the restraining member before insertion of the animal and assembly into the test chamber, avoiding previous difficulties in simultaneously placing an animal into the chamber while inserting the animal's nose into the seal. The plethysmograph also eliminates the necessity for a plunger to prevent rearward movement of the animal.

Abstract: Methods are provided for determining flow resistance within at least a portion of a vessel, whereby at least a partial biological tree image is obtained and resistance is calculated therefrom based upon at least the length of a defined vessel portion and a diameter of a stem vessel at a location proximal to a vessel crown. Methods are also provided for determining vessel volume, whereby at least a partial biological tree image is obtained and cumulative crown volume is calculated based on at least the diameter and length of the stem segment.

Abstract: Methods, devices and compositions for treatment of severe and uncontrolled asthma are provided by which high amounts of an inhaled corticosteroid are directed to the small airways of the lower lungs. The invention provides for a substantial decrease in the dose of concurrently administered oral corticosteroids. A particular advantage of the invention is the significant reduction in corticosteroid-related adverse effects.

Abstract: A method and system for detecting an ineffective effort of a patient being mechanically ventilated by a ventilator comprises (i) monitoring a respiratory flow of air of the patient after said ventilator has cycled; (ii) creating a signal indicative of said flow; (iii) removing artefact from said signal; (iv) monitoring said signal for perturbations; and (v) determining that an ineffective effort has occurred when said perturbation is significant.

Abstract: A medical apparatus includes: a breathing device comprising an air pressure generator for generating air pressure, a tube for delivering the air pressure to a patient, and a sensor configured to sense a characteristic associated with a breathing of the patient; and a processing unit configured to receive an output from the sensor, and generate a control signal for controlling a medical device based at least in part on the output from the sensor.

Abstract: A device is directly or indirectly connectable to a patient for determining a volume related to the lungs of the patient. The device has an inspiration part through which a breathing gas passes towards the patient, and an expiration part through which the breathing gas passes away from the patient. The inspiration part has a mouthpiece for introducing a change of the gas composition in the breathing gas. The device implements a method for determining the volume with a detector being arranged in the expiration part that measures a measuring parameter which is dependent on the change in the gas composition, and with a calculation unit connected to the detector unit that determines the variation in the measuring parameter, and determines the volume from the determined variation.

Abstract: A method for determining a pulmonary volume change includes: receiving a respiration event from a subject in an airflow chamber; interrupting the respiration event by an occlusion of the airflow chamber initiated at a first time instant and terminated at a second time instant subsequent to the first time instant; taking a plurality of measurements of airflow rate through the airflow chamber between the second time instant and a third time instant subsequent to the second time instant; and determining a pulmonary volume change substantially equal to a reduction of a pulmonary air volume by a pulmonary response air volume and a normal air volume, wherein the pulmonary volume change is related to a change in density of air in the airflow chamber.

Abstract: Detecting transitions in a breathing cycle which includes using a second derivative 54 of a flow waveform 51 to find breathing transitions 51c in the waveform 51.

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: The present invention provides a method of measuring an acoustic impedance of a respiratory system. The method comprises selecting a frequency range for an acoustic wave, directing the acoustic wave into the respiratory system and receiving an acoustic wave from the respiratory system. The method also comprises determining the acoustic impedance for a plurality of volumes or volume ranges of the respiratory system. Each volume, or the volumes within each volume range, is larger than RV or FRC and smaller than TLC whereby the determined acoustic impedances are specific for respective volumes or volume ranges. Further, the method includes determining a volume, or volume range, dependency of the acoustic impedance of the respiratory system and characterizing the respiratory system by analyzing the dependency of the acoustic impedance on the volume or volume range.

Abstract: A wearable respiration measurement apparatus including: an eyeglass frame having a nose flap which is formed in such a manner as to cover a user's nose; and an induced current generation device attached to the nose flap and generating an induced current corresponding to an amount of air inhaled or exhaled through the user's nose.

Abstract: Systems and methods for assessment of sleep quality in adults and children are provided. These techniques include an apparatus worn above the forehead containing the circuitry for collecting and storing physiological signals. The apparatus integrates with a sensor strip and a nasal mask to obtain the physiological signals for the user. The form factor of this apparatus is comfortable, easy to self-apply, and results in less data artifacts than conventional techniques for capturing physiological data for analyzing sleep quality. Neuro-respiratory signals are analyzed using means to extract more accurate definitions of the frequency and severity of sleep discontinuity, sleep disordered breathing and patterns of sleep architecture. Biological biomarkers and questionnaire responses can also be compared to a database of healthy and chronically diseased patients to provide a more accurate differential diagnosis and to help determine the appropriate disease management recommendations.

Abstract: A medical device monitors a level of fluid accumulation, e.g., pulmonary edema, and one or more respiratory parameters of the patient to detect worsening heart failure. The medical device may use intrathoracic impedance measurements to monitor both the fluid accumulation and the one or more respiratory parameters. Respiration rate and volume, also referred to as the tidal volume, are examples of respiratory parameters. The medical device examines the one or more respiratory parameters after determining that the fluid accumulation indicates worsening heart failure. In this manner, the medical device uses the one or more respiratory parameters to confirm a determination of worsening heart failure that was made based on the fluid accumulation.

Abstract: The invention provides a novel method of high-resolution quantifiable pulmonary regional ventilation imaging using a package of computer programs, including deformable image registration and local volume change calculation on 4-D or breath-hold CT images. High resolution 3D ventilation images have been generated using this technique with superior quality. The deformation matrices between different respiration phases are calculated using deformable image registration and applied to calculate local volume change ?V between respiration phases. The invention provides less image-noise and mismatch sensitivity than other techniques based on CT images, and is less expensive than nuclear medicine imaging. Implemented clinically, the method can derive a patient's pulmonary ventilation information from the same set of 4-D CT images, providing a cheaper but more accurate method to generate clinical lung ventilation image.

Abstract: This invention provides methods and systems for non-invasively determining the presence (and amount) or absence of dynamic hyperinflation in a subject. The invention is based on a novel combination of respiratory parameters that can be measured in a way that is non-invasive and unobtrusive to the subject. Dynamic hyperinflation is often a significant factor in the quality of life of patients suffering from a variety of obstructive pulmonary diseases, and this invention permits simple, routine tracking and management of dynamic hyperinflation in affected patients.

Abstract: Methods and devices to determine rate of particle production and the size range for the particles produced for an individual are described herein. The device (10) contains a mouthpiece (12), a filter (14), a low resistance one-way valve (16), a particle counter (20) and a computer (30). Optionally, the device also contains a gas flow meter (22). The data obtained using the device can be used to determine if a formulation for reducing particle exhalation should be administered to an individual.

Abstract: Embodiments of the present invention provide systems and methods for delivering respiratory treatment to a patient. For example, a treatment system may include a mechanism for delivering a positive pressure breath to a patient, and one or more limb flow control assemblies which modulate gas flow to and from the patient. Exemplary treatment techniques are embodied in anesthesia machines, mechanical ventilators, and manual ventilators.

Abstract: Methods and system to diagnose central sleep apnea of a patient employ a relatively short test, combining few breathing parameters. The test is short in comparison to commonly used time-consuming and complex multi-parameter sleep studies. The patient uses a positive airway pressure device, and follows breathing cues. The occurrence of a central apnea during the delivery of breathing cues may support a diagnosis of central sleep apnea.

Abstract: An apparatus for quantifying a user's expiratory and inspiratory airflow includes an air tube adapted to be sealed over at least one of the nose or mouth of a user, a pressure sensor configured to be selectively fluidly connected with one of the air tube or an ambient environment external to the air tube, a valve assembly arranged between the air tube and the pressure sensor to switch between a measuring configuration in which the pressure sensor is fluidly connected with the air tube while fluid connection with the ambient environment is excluded, and a reference configuration in which the pressure sensor is fluidly connected with the ambient environment while fluid connection with the air-tube is excluded, and a data processing unit arranged to communicate with the pressure sensor and the valve assembly. The data processing unit is configured to provide instructions to the valve assembly to switch between the measuring and the reference configurations.

Abstract: Airflow restriction systems are described herein which may be used to treat various disorders by creating expiratory positive airway pressure while providing for patient comfort regardless of the patient's anatomical variances. Such a device may be removably secured externally over the patient's nose rather than within the nasal passages to increase patient comfort. The restriction device may be secured, e.g., via an adhesive, to the patient and actuated via any number of mechanical or electromechanical mechanisms. Moreover, the restriction device may include one or more sensors to detect the patient's respiration activity such that the device may be actuated to correspond to the patient's exhalation and squeeze or otherwise constrict the nasal passages at least partially by pressing against the exterior surface of the nose to restrict the expiratory airflow.

Abstract: The invention relates to an apparatus (2, 4) for tracking a treatment for obstructive sleep apnea, including a gas passage (10) and a Venturi tube (16) having a cylindrical inlet (40) and outlet (42), said Venturi tube (16) being axially arranged in said gas passage (10), a first pressure sensor (101), and a second pressure sensor (102). The diameters (D1) of the inlet (40) and outlet (42) of the Venturi tube (16) are between 10 and 25 mm. The Venturi tube (16) includes, arranged in series between said inlet (40) and outlet (42), a convergent portion (44) having the shape of an arc (46, 48), a cylindrical neck (50), the diameter of which is smaller than the diameter (D1) of the inlet (40), and a divergent portion (52) characterized by an angle of divergence (?) of between 5° and 15°.

Abstract: Data binning methods and systems for estimating a subject's respiratory airflow from a body sound signal detected by an acoustic sensor on the subject's body. The methods and systems operate in a configuration mode followed by a monitoring mode. In the configuration mode, a body sound signal and respiratory airflow are detected by an on-body acoustic sensor and a spirometer, respectively, over a common time period. Time-aligned body sound signal and respiratory airflow data points are then generated and assigned to bins each spanning a discrete signal range (e.g. discrete signal entropy range or signal amplitude range). Respiratory airflow estimation data (e.g. mean airflow and standard deviation) are then calculated for each bin and an entry for each bin associating the discrete range and the estimation data is stored in a lookup table. Then, in the monitoring mode, the lookup table is accessed using subsequent body sound signal readings (e.g.

Abstract: A method and system for detecting an ineffective effort of a patient being mechanically ventilated by a ventilator comprises (i) monitoring a respiratory flow of air of the patient after said ventilator has cycled; (ii) creating a signal indicative of said flow; (iii) removing artefact from said signal; (iv) monitoring said signal for perturbations; and (v) determining that an ineffective effort has occurred when said perturbation is significant.

Abstract: An apparatus for determining a respiratory condition, the apparatus includes: a signal acquirer which is configured to acquire a signal waveform corresponding to a respiratory flow of a subject; a differential calculator which is configured to acquire a differential waveform which is obtained by performing differentiation of the signal waveform; and a first determiner which is configured to determine that inspiratory flow to limitation occurs in the subject, when the differential waveform satisfies a predetermined condition in a portion of the signal waveform, which corresponds to inspiration of the subject.

Abstract: What is disclosed is a system and method for estimating tidal chest volume using 3D surface reconstruction based on an analysis of captured reflections of structured illumination patterns from the subject with a video camera. The imaging system hereof captures the reflection of the light patterns from a target area of the subject's thoracic region. The captured information produces a depth map and a volume is estimated from the resulting 3D map. The teachings hereof provide a non-contact approach to patient respiration monitoring that is particularly useful for infant care in a neo-natal intensive care unit (NICU), and can aid in the early detection of sudden deterioration of physiological condition due to detectable changes in respiratory function. The systems and methods disclosed herein provide an effective tool for tidal chest volume study and respiratory function analysis.

Abstract: A breathing support system is provided. The system may include a breathing support device configured to deliver gas to a patient and a display device associated with the breathing support device. The display device may be configured to display a graphic indicating one or more measures regarding the patient's work of breathing.

Abstract: The present disclosure relates to an electronic spirometer that empowers users to quantitatively track and proactively manage respiratory diseases via simple integration with mobile devices, tablets, and computers. In one aspect, patients will be able to connect with their doctors to determine medication dosage and efficacy, avoid environmental triggers, and prevent attacks and exacerbations.

Abstract: A flow metering device for pulmonary function tests. The device has a sensing element extending in a longitudinal direction and defining an inner volume and an adapter unit. The sensing element is a measuring tube with open ends, and a pressure difference inducer is arranged in the measuring tube between the open ends. The pressure difference inducer is in contact with the measuring tube, partially occupies the inner cross section thereof, and is formed by spoke arms joined in pairs in a single point. The spoke arms in a pair close a given angle with one another, and pressure offtake grooves are formed in the surfaces of the spoke arms perpendicular to the longitudinal direction of the measuring tube. Such pressure offtake grooves enable a radial averaging of pressure. The adapter unit is provided with pneumatic low-pass filters formed as integral parts thereof.

Abstract: An incentive spirometry device designed to assist patients with respiratory therapy by means of an electronic air flow sensor that provides patients with visual or other positive feedback when they inhale or exhale at a predetermined flow rate or volume and sustain the act for a predetermined minimum time period. The objectives are to increase transpulmonary pressure and inspiratory volumes, improve inspiratory muscle performance, and re-establish or simulate the normal pattern of pulmonary hyperinflation. When the procedure is repeated on a regular basis, airway patency may be maintained and lung atelectasis prevented and reversed. By means of a connection to a personal computer, a video game like therapy session could enable patients to have a more effective and enjoyable session.

Abstract: Automated analysis and interpretation of spirograms is provided to assess lung function of a subject. If the shape of a spirogram plot is deemed suitably reliable, the spirogram may be subsequently used for diagnostic purposes. Quality control of spirograms and/or interpretation of reliable spirograms may use shape templates corresponding to common test problems and/or typical lung diseases.

Abstract: Inhalation measurement systems and methods enable, during inhalant exposure, substantially real-time respiratory measurements of a test subject using techniques that obtain measurements of respiration directly from that test subject, instead of from inhalation chamber parameter measurements. Direct test subject respiratory measurements may be, by way of example only, impedance measurements. These respiratory measurements taken directly from the test subject may be transmitted, wirelessly for example, for processing during the course of the test to a processing system to determine a cumulative volume of inhalant inspired by the test subject. From that, a cumulative amount of inhalant (or dose) inspired by the test subject may be determined during the course of the inhalation compound test.