CA2421808A1 - Carbon dioxide-based bi-level cpap control - Google Patents
Carbon dioxide-based bi-level cpap control Download PDFInfo
- Publication number
- CA2421808A1 CA2421808A1 CA002421808A CA2421808A CA2421808A1 CA 2421808 A1 CA2421808 A1 CA 2421808A1 CA 002421808 A CA002421808 A CA 002421808A CA 2421808 A CA2421808 A CA 2421808A CA 2421808 A1 CA2421808 A1 CA 2421808A1
- Authority
- CA
- Canada
- Prior art keywords
- carbon
- dioxide
- level
- patient
- breathing interface
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
- A61M16/16—Devices to humidify the respiration air
- A61M16/161—Devices to humidify the respiration air with means for measuring the humidity
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0057—Pumps therefor
- A61M16/0066—Blowers or centrifugal pumps
- A61M16/0069—Blowers or centrifugal pumps the speed thereof being controlled by respiratory parameters, e.g. by inhalation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes operated by electrical means
- A61M16/022—Control means therefor
- A61M16/024—Control means therefor including calculation means, e.g. using a processor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0816—Joints or connectors
- A61M16/0841—Joints or connectors for sampling
- A61M16/085—Gas sampling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3368—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2230/00—Measuring parameters of the user
- A61M2230/40—Respiratory characteristics
- A61M2230/43—Composition of exhalation
- A61M2230/432—Composition of exhalation partial CO2 pressure (P-CO2)
Abstract
A system and method of providing bi-level CPAP therapy is provided that incorporates an infrared carbon-dioxide sensor (124) to determine whether a patient is inhaling or exhaling. Patient exhalation causes the infrared ligh t to be absorbed, while patient inhalation reduces the presence of carbon- dioxide causes little or no absorption of carbon-dioxide. The level of carbo n- dioxide in an associated patient breathing interface is monitored for thresholds that trigger higher CPAP pressure upon inhalation and lower CPAP pressure upon exhalation.
Claims (28)
1. A method of providing a breathing gas comprising the steps of:
sensing a carbon-dioxide level associated with a patient breathing interface;
determining if the level of carbon-dioxide is increasing or decreasing;
if the level is decreasing, determining if the level of carbon-dioxide has crossed a threshold parameter;
if the carbon-dioxide level has crossed the threshold parameter, increasing the breathing gas pressure provided to the patient breathing interface;
decreasing the breathing gas pressure provided to the patient breathing interface after a predetermined period of time; and the increasing and decreasing of breathing gas pressure maintaining a positive pressure sufficient to sustain open the airway of a patient wearing the breathing interface.
sensing a carbon-dioxide level associated with a patient breathing interface;
determining if the level of carbon-dioxide is increasing or decreasing;
if the level is decreasing, determining if the level of carbon-dioxide has crossed a threshold parameter;
if the carbon-dioxide level has crossed the threshold parameter, increasing the breathing gas pressure provided to the patient breathing interface;
decreasing the breathing gas pressure provided to the patient breathing interface after a predetermined period of time; and the increasing and decreasing of breathing gas pressure maintaining a positive pressure sufficient to sustain open the airway of a patient wearing the breathing interface.
2. The method of claim 1 wherein the step of sensing a carbon-dioxide level associated with a patient breathing interface comprises sensing the carbon-dioxide level using infrared light.
3. The method of claim 1 wherein the step of sensing a carbon-dioxide level associated with a patient breathing interface comprises emitting infrared light within the patient breathing interface.
4. The method of claim 3 wherein the step of sensing a carbon-dioxide level associated with a patient breathing interface comprises detecting infrared light within the patient breathing interface.
5. The method of claim 3 wherein the step of emitting comprising emitting infrared light into a fiber optic cable connected to the patient breathing interface.
6. The method of claim 4 wherein the step of detecting infrared light comprising sensing the infrared light in a fiber optic cable coupled to the patient breathing interface.
7. The method of claim 1 wherein the step of sensing a carbon-dioxide level associated with a patient breathing interface comprises sensing the carbon-dioxide level vented from the patient breathing interface.
8. The method of claim 1 further comprising the step of initiating a monostable timer if the carbon-dioxide level has crossed the threshold parameter.
9. The method of claim 8 wherein the step of decreasing the breathing gas pressure provided to the patient breathing interface after a predetermined period of time comprises decreasing the breathing gas pressure upon expiration of the monostable timer.
10. A method of providing a breathing gas to a patient comprising the steps of:
sensing a carbon-dioxide level associated with a patient breathing interface;
determining if the sensed level of carbon-dioxide is increasing or decreasing;
if the sensed carbon-dioxide level is increasing, determining if the sensed carbon-dioxide level has crossed a first threshold parameter;
if the sensed carbon-dioxide level has crossed the first threshold parameter, decreasing the breathing gas pressure provided to the patient breathing interface;
if the sensed carbon-dioxide level is decreasing, determining if the sensed carbon-dioxide level has crossed a second threshold parameter;
if the sensed carbon-dioxide level has crossed the second threshold parameter, increasing the breathing gas pressure provided to the patient breathing interface; and the increasing and decreasing of breathing gas pressure maintaining a positive pressure sufficient to sustain open the airway of a patient wearing the breathing interface.
sensing a carbon-dioxide level associated with a patient breathing interface;
determining if the sensed level of carbon-dioxide is increasing or decreasing;
if the sensed carbon-dioxide level is increasing, determining if the sensed carbon-dioxide level has crossed a first threshold parameter;
if the sensed carbon-dioxide level has crossed the first threshold parameter, decreasing the breathing gas pressure provided to the patient breathing interface;
if the sensed carbon-dioxide level is decreasing, determining if the sensed carbon-dioxide level has crossed a second threshold parameter;
if the sensed carbon-dioxide level has crossed the second threshold parameter, increasing the breathing gas pressure provided to the patient breathing interface; and the increasing and decreasing of breathing gas pressure maintaining a positive pressure sufficient to sustain open the airway of a patient wearing the breathing interface.
11. The method of claim 10 wherein the step of sensing a carbon-dioxide level associated with a patient breathing interface comprises sensing the carbon-dioxide level using infrared light.
12. The method of claim 10 wherein the step of sensing a carbon-dioxide level associated with a patient breathing interface comprises emitting infrared light within the patient breathing interface.
13. The method of claim 12 wherein the step of sensing a carbon-dioxide level associated with a patient breathing interface comprises detecting infrared light within the patient breathing interface.
14. The method of claim 12 wherein the step of emitting comprising emitting infrared light into a fiber optic cable coupled to the patient breathing interface.
15. The method of claim 14 wherein the step of detecting infrared light comprising sensing the infrared light in a fiber optic cable coupled to the patient breathing interface.
16. The method of claim 10 wherein the step of sensing a carbon-dioxide level associated with a patient breathing interface comprises sensing the carbon-dioxide level vented from the patient breathing interface.
17. A method of providing a breathing gas to a patient comprising the steps of:
sensing a carbon-dioxide level associated with a patient breathing interface;
determining if the sensed level of carbon-dioxide is increasing or decreasing;
if the sensed level of carbon-dioxide is decreasing, determining whether the sensed level of carbon-dioxide at or below a threshold level;
if the sensed level of carbon-dioxide is at or below the threshold level, increasing the pressure of the breathing gas for a fixed period of time;
decreasing the pressure of the breathing gas upon expiration of the fixed period of time;
the increasing and decreasing of the pressure of the breathing gas maintaining a positive pressure sufficient to sustain open the airway of the patient.
sensing a carbon-dioxide level associated with a patient breathing interface;
determining if the sensed level of carbon-dioxide is increasing or decreasing;
if the sensed level of carbon-dioxide is decreasing, determining whether the sensed level of carbon-dioxide at or below a threshold level;
if the sensed level of carbon-dioxide is at or below the threshold level, increasing the pressure of the breathing gas for a fixed period of time;
decreasing the pressure of the breathing gas upon expiration of the fixed period of time;
the increasing and decreasing of the pressure of the breathing gas maintaining a positive pressure sufficient to sustain open the airway of the patient.
18. The method of claim 17 wherein the step of increasing the pressure of the breathing gas for a fixed period of time comprises initiating a monostable timer.
19. The method of claim 17 wherein the step of sensing a carbon-dioxide level associated with a patient breathing interface comprises the step of sensing a carbon-dioxide level with infrared light.
20. The method of claim 19 wherein the step of sensing a carbon-dioxide level with infrared light comprises the step of sensing a carbon-dioxide level vented from the patient breathing interface.
21. A method of administering a CPAP therapy comprising the steps of:
monitoring the level of carbon-dioxide vented from a patient breathing interface;
if the level of carbon-dioxide vented is decreasing, determining of the level of carbon-dioxide is at or below a threshold value;
if the level of carbon-dioxide vented is at or below the threshold value, providing a first positive airway pressure to the patient breathing interface for a fixed period of time; and upon the expiration of the fixed period of time providing a second positive airway pressure to the patient breathing interface.
monitoring the level of carbon-dioxide vented from a patient breathing interface;
if the level of carbon-dioxide vented is decreasing, determining of the level of carbon-dioxide is at or below a threshold value;
if the level of carbon-dioxide vented is at or below the threshold value, providing a first positive airway pressure to the patient breathing interface for a fixed period of time; and upon the expiration of the fixed period of time providing a second positive airway pressure to the patient breathing interface.
22. A system for administering a breathing gas to a patient breathing interface comprising:
(a) a blower for providing positive pressure breathing gas;
(b) a controller in circuit communication with the blower;
(c) an infrared light emitter and detector in circuit communication with the controller for detecting the level of carbon-dioxide associated with the patient breathing interface; and (d) logic for increasing and decreasing the level of the positive pressure breathing gas based on the level of carbon-dioxide detected to maintain open the airway of a patient.
(a) a blower for providing positive pressure breathing gas;
(b) a controller in circuit communication with the blower;
(c) an infrared light emitter and detector in circuit communication with the controller for detecting the level of carbon-dioxide associated with the patient breathing interface; and (d) logic for increasing and decreasing the level of the positive pressure breathing gas based on the level of carbon-dioxide detected to maintain open the airway of a patient.
23. The system of claim 22 wherein the logic for increasing and decreasing the level of the positive pressure breathing gas based on the level of carbon-dioxide associated with the patient breathing interface comprises logic for comparing the level of carbon-dioxide associated with the patient breathing interface to a threshold parameter.
24. The system of claim 22 further comprising a monostable timer having a variable off time period and predetermined on time period.
25. The system of claim 22 further comprising a optical fibers coupled to the infrared emitter and detector.
26. The system of claim 22 wherein the infrared emitter and detector are located within a housing accommodating the controller.
27. The system of claim 22 wherein the infrared emitter and detector are located within the patent breathing interface.
28. The system of claim 22 wherein the infrared emitter and detector are located proximate to a vent of the patient breathing interface.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US23612300P | 2000-09-28 | 2000-09-28 | |
US60/236,123 | 2000-09-28 | ||
PCT/US2001/030768 WO2002026287A2 (en) | 2000-09-28 | 2001-09-27 | Carbon dioxide-based bi-level cpap control |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2421808A1 true CA2421808A1 (en) | 2002-04-04 |
CA2421808C CA2421808C (en) | 2009-12-15 |
Family
ID=22888216
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA002421808A Expired - Fee Related CA2421808C (en) | 2000-09-28 | 2001-09-27 | Carbon dioxide-based bi-level cpap control |
Country Status (6)
Country | Link |
---|---|
US (2) | US6990980B2 (en) |
EP (1) | EP1322367A4 (en) |
AU (2) | AU9320301A (en) |
CA (1) | CA2421808C (en) |
NZ (1) | NZ524990A (en) |
WO (1) | WO2002026287A2 (en) |
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2001
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- 2001-09-27 AU AU2001293203A patent/AU2001293203B2/en not_active Ceased
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AU9320301A (en) | 2002-04-08 |
EP1322367A4 (en) | 2009-08-26 |
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US20050279358A1 (en) | 2005-12-22 |
WO2002026287A3 (en) | 2002-08-22 |
AU2001293203B2 (en) | 2004-12-02 |
NZ524990A (en) | 2005-02-25 |
CA2421808C (en) | 2009-12-15 |
US6990980B2 (en) | 2006-01-31 |
WO2002026287A2 (en) | 2002-04-04 |
US8640701B2 (en) | 2014-02-04 |
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