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US006814073B2

(12) United States Patent ao) Patent No.: us 6,814,073 B2

Wickham (45) Date of Patent: Nov. 9,2004 Page 2

(54) RESPIRATORY APPARATUS WITH IMPROVED FLOW-FLATTENING DETECTION

(75) Inventor: Peter John D. Wickham, Five Dock (AU)

(73) Assignee: ResMed Limited, North Ryde (AU)

( * ) Notice: Subject to any disclaimer, the term ol this patent is extended or adjusted under 35 U.S.C. 154(b) by 140 days.

(21) Appl. No.: 09/924,325

(22) Filed: Aug. 8, 2001

(65) Prior Publication Data

US 2002/0043264 Al Apr. 18, 2002

Related U.S. Application Data

(60) Provisional application No. 60/228,630, filed on Aug. 29, 2000.

(51) Int. CI.7 A61M 16/00

(52) U.S. CI 128/204.18; 128/204.23

(58) Field of Search 128/204.18, 204.21,

128/204.22, 204.23, 204.26, 205.11

(56) References Cited

U.S. PATENT DOCUMENTS

5,245,995 A 9/1993 Sullivan et al.

5,335,654 A 8/1994 Rapoport

5,456,264 A 10/1995 Series et al.

5,485,851 A 1/1996 Erickson

5,490,502 A 2/1996 Rapoport et al.

5.535.738 A * 7/1996 Estes et al 128/204.23

5.535.739 A 7/1996 Rapoport et al.
5,546,933 A 8/1996 Rapoport et al.

5,549,106 A * 8/1996 Gruenke et al 128/204.23

5,551,419 A * 9/1996 Froehlich et al 128/204.23

5.645.053 A 7/1997 Remmers et al.

5.645.054 A 7/1997 Cotner et al.
5,704,345 A 1/1998 Berthon-Jones

5,740,795 A * 4/1998 Brydon 128/204.21

5,803,066 A * 9/1998 Rapoport et al 128/204.23

5,921,942 A 7/1999 Remmers et al.

5,954,050 A * 9/1999 Christopher 128/204.23

6,029,665 A 2/2000 Berthon-Jones

6,138,675 A 10/2000 Berthon-Jones

6,213,119 Bl * 4/2001 Brydon et al 128/204.23

6,273,859 Bl 8/2001 Remmers et al.

6,286,508 Bl 9/2001 Remmers et al.

6,299,581 Bl 10/2001 Rapoport et al.

(List continued on next page.)

FOREIGN PATENT DOCUMENTS

DE 197 060 92 Al 8/1998

EP 651 971 Al 5/1995

EP 1 004 325 A2 5/2000

WO WO 97/28838 8/1997

OTHER PUBLICATIONS

Schwartz, A.R., et al., "Effect of positive nasal pressure on upper airway pressure-flow relationships", J. Appl. Physiol., pp. 1626-1634, 1989.

Smith, PL., et al., "Upper airway presssure-flow relationships in obstructive sleep apnea", J. Appl. Physiol., 64(2):789-95, 1988.

International Preliminary Examining Authority, PCT Written Opinion for International Application No. PCT/AU01/ 01048, Mar. 7, 2002, pp. 1-8, Australia Patent Office, AU.

Primary Examiner—Henry Bennett
Assistant Examiner—-Joseph Weiss

(74) Attorney, Agent, or Firm—Gottlieb Rackman & Reisman, PC.

(57) 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.

40 Claims, 9 Drawing Sheets

CHECK FOR

VALID INSPIRATION

,--201

TRIM FLOW SIGNAL

CALCULATE MEAN (M) OF FLOW SIGNAL

ASSIGN WEIGHT FACTORS W, and V, to each sample F.

CALCULATE OBSTRUCTION INDEX

U.S. PATENT DOCUMENTS

6,345,619 Bl * 2/2002 Finn 128/204.21

6,363,933 Bl * 4/2002 Berthon-Jones 128/204.23

6,367,474 Bl * 4/2002 Berthon-Jones

etal 128/204.23

6,398,739 Bl * 6/2002 Sullivan et al 600/529

6,427,689 Bl * 8/2002 Estes et al 128/204.18

6,457,472 Bl * 10/2002 Schwartz et al 128/204.23

* cited by examiner

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