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    • 1. 发明专利
    • Method for detecting and discriminating breathing pattern from respiratory signal
    • 从呼吸信号中检测和鉴别呼吸模式的方法
    • JP2012161641A
    • 2012-08-30
    • JP2012098897
    • 2012-04-24
    • Resmed Ltdレスメド・リミテッドResmed Ltd
    • ARMITSTEAD JEFFREY
    • A61B5/087A61B5/16
    • A61B5/4818A61B5/087A61B5/145A61B5/7232A61B5/726A61B5/7267A61M16/021A61M2230/40
    • PROBLEM TO BE SOLVED: To provide a method and apparatus for diagnosing Cheyne-Stokes breathing from flow readings or oximeter readings by use of appropriate software in conjunction with a small hand-held device for use in a home setting.SOLUTION: A signal representative of a patient's respiration is split into equal length epochs. A primary feature is extracted from each epoch that acts as a compressed representation of the signal events. Statistics are applied to the primary feature to produce one or more secondary features that represent the entire epoch. Each secondary feature is grouped with one or more other features that are extracted from the entire epoch rather than selected epoch events. This grouping is the epoch pattern. The pattern is manipulated with suitable classifier algorithm to produce a probability for each class within the algorithm, that the signal may be representative of a disease state (Cheyne-Stokes, OSA or the like).
    • 要解决的问题:提供一种用于通过使用适当的软件结合用于家庭设置的小型手持设备来从流量读数或血氧计读数诊断Cheyne-Stokes呼吸的方法和装置。 解决方案:代表患者呼吸的信号被分为等长的时期。 从作为信号事件的压缩表示的每个历元中提取主要特征。 将统计量应用于主要特征以产生表示整个时期的一个或多个次要特征。 每个次要特征与从整个时期提取而不是选择的时期事件的一个或多个其他特征分组。 这个分组是时代模式。 该模式用合适的分类器算法进行操作,以产生算法内每个类别的概率,信号可能代表疾病状态(Cheyne-Stokes,OSA等)。 版权所有(C)2012,JPO&INPIT
    • 3. 发明专利
    • Positive-air-pressure machine conduit
    • 正压空气压缩机
    • JP2012096077A
    • 2012-05-24
    • JP2012009839
    • 2012-01-20
    • Resmed Ltdレスメド・リミテッドResmed Ltd
    • KWOK PHILIP RODNEYDARKIN DONALD
    • A61M16/06A61M16/00A61M16/08
    • A61M16/0666A61M16/0611A61M16/0683A61M16/08A61M16/0833A61M2016/0661A61M2205/0238
    • PROBLEM TO BE SOLVED: To provide a headgear which never restricts the capability of a sleeping patient.SOLUTION: A conduit (12, 152, 400) for delivering a supply of gas (408) under a positive pressure comprises a conduit wall (402) having a first conduit end (28, 404) and a second conduit end (40, 406). The first conduit end (28, 404) is adapted to be attached to the supply of gas (408). The conduit wall (402) is deformable between (1) an open condition in which the conduit wall (402) defines a conduit passage (410) along which the supply of gas can travel between the first conduit end (28, 404) to the second conduit end (40, 406), and (2) a collapsed condition in which the conduit wall (402) substantially collapses the conduit passage (410).
    • 要解决的问题:提供从不限制睡眠患者的能力的头饰。 解决方案:用于在正压力下输送气体(408)的导管(12,152,400)包括具有第一导管端(28,404)和第二导管末端(28,404)的导管壁(402) 40,406)。 第一导管端(28,404)适于附接到气体供应(408)。 导管壁(402)可在(1)打开状态之间变形,其中导管壁(402)限定导管通道(410),气体供应沿着导管通道(410)在第一导管端(28,404)与第 第二导管端部(40,46),和(2)折叠状态,其中导管壁(402)基本上塌陷导管通道(410)。 版权所有(C)2012,JPO&INPIT
    • 4. 发明专利
    • Ventilatory assistance using external effort sensor
    • 使用外部功率传感器的通气辅助
    • JP2011200658A
    • 2011-10-13
    • JP2011103165
    • 2011-05-02
    • Resmed Ltdレスメド・リミテッドResmed Ltd
    • BERTHON-JONES MICHAELMALOUF GORDON JOSEPH
    • A61M16/00
    • A61M16/0069A61M16/026A61M2016/0024A61M2230/60A61M2230/63
    • PROBLEM TO BE SOLVED: To provide a ventilator which is uninfluenced by leak, resulting in better patient-machine synchronization.SOLUTION: The ventilator uses a respiratory effort sensor 107 that does not rely on respiratory airflow or pressure for synchronization, such as a device 102 that measures movement of a suprasternal notch in response to respiratory efforts. This makes the ventilator relatively immune to leaks. Furthermore, the mask pressure may be modulated so as to servo-control the respiratory effort signal to be zero. Because effort is servo-controlled to be near zero, it is not necessary for the effort signal to be either linear or calibrated, but merely monotonic on effort. Similarly, it is possible to achieve near 100% assistance without having to know or estimate the resistance and compliance of the patient's respiratory system, as in those systems that provide proportional assist ventilation.
    • 要解决的问题:提供不受泄漏影响的呼吸机,导致更好的患者机器同步。解决方案:呼吸机使用不依赖呼吸气流或压力进行同步的呼吸力传感器107,例如装置102 这些措施是为了响应呼吸道努力而运动的。 这使呼吸机相对免于泄漏。 此外,可以调制掩模压力,以便将呼吸努力信号的伺服控制为零。 因为努力被伺服控制为接近零,所以努力信号不是线性或校准,而是仅仅是单调的。 类似地,可以获得近100%的帮助,而不必知道或估计患者呼吸系统的阻力和顺应性,如在提供比例辅助通气的那些系统中。
    • 6. 发明专利
    • Method and apparatus for monitoring cardiovascular condition of patient with sleep disordered breathing
    • 用于监测患有睡眠障碍性呼吸的患者的心脏血管病变的方法和装置
    • JP2011104403A
    • 2011-06-02
    • JP2011035025
    • 2011-02-21
    • Resmed Ltdレスメド・リミテッドResmed Ltd
    • FARRELL MICHAELHEBBLEWHITE MALCOLMSTEWART DEIRDRETISTHAMMER ANNVANCE MAYARANDOLPH ROBIN
    • A61M16/00A61B5/00
    • A61B5/0205A61B5/4818A61M16/0051A61M16/024A61M16/085A61M2016/0039A61M2205/3569A61M2205/3592A61M2230/04
    • PROBLEM TO BE SOLVED: To treat respiratory disorders in cardiovascular disease patients, or in potential cardiovascular disease patients. SOLUTION: A method for mutually associating cardiovascular and sleep disordered breathing conditions of a patient is provided. The patient's heart rate and/or detailed echocardiogram data is monitored and recorded continuously or periodically together with sleep disordered breathing information on similar time scales. Changes in the patient's heart rate associated with changes in sleep disordered breathing can then be observed. More specifically, positive airway pressure at therapeutic levels for treatment of sleep disordered breathing is applied, while events associated with the treatment of the patient's sleep disordered breathing are detected and recorded. At the same time, information concerning the cardiovascular condition of the patient is stored and the stored information concerning the cardiovascular condition of the patient, and the recorded events associated with the treatment of the patient's sleep disordered breathing are mutually associated. COPYRIGHT: (C)2011,JPO&INPIT
    • 要解决的问题:治疗心血管疾病患者或潜在心血管疾病患者的呼吸系统疾病。 提供了一种用于相互关联患者的心血管和睡眠无序呼吸状况的方法。 患者的心率和/或详细的超声心动图数据与类似时间尺度上的睡眠紊乱呼吸信息一起被连续地或周期性地监测和记录。 然后可以观察到与睡眠紊乱呼吸相关的患者心率变化。 更具体地,应用用于治疗睡眠呼吸紊乱的治疗水平的气道正压,同时检测并记录与治疗患者睡眠无序呼吸相关的事件。 同时,存储关于患者的心血管状况的信息,存储关于患者的心血管病状的存储信息以及与治疗患者睡眠无序呼吸相关联的记录事件相互关联。 版权所有(C)2011,JPO&INPIT
    • 7. 发明专利
    • Method and device for detection of hypopnea
    • 用于检测HYPOPNEA的方法和装置
    • JP2011050731A
    • 2011-03-17
    • JP2010128941
    • 2010-06-04
    • Resmed Ltdレスメド・リミテッドResmed Ltd
    • ARMISTEAD JEFFREY PETER
    • A61B5/087
    • A61M16/0069A61B5/087A61B5/4818A61B5/725A61B5/7278A61B5/7282A61M16/00A61M16/0003A61M16/024A61M16/0666A61M16/0875A61M2016/003A61M2016/0039A61M2205/3334A61M2205/505A61M2230/205A61M2230/40A61M2230/005
    • PROBLEM TO BE SOLVED: To provide automated methods of hypopnea detection for determining a hypopnea event and/or a severity of the hypopnea event.
      SOLUTION: A short-term variance of a respiratory flow signal are compared to first and second proportions of a long-term variance of the respiratory flow signal. A detection of the hypopnea may be indicated if the first measured value falls below and does not exceed a range of the first and second proportions during a first time period. In some embodiments, a hypopnea severity is determined by automatically measuring an area bounded by first and second crossings of a short-term measured value of ventilation and a proportion of a long-term measured value. The detection methods may be implemented by a specific purpose computer, a detection device 106 that measures a respiratory airflow, or a respiratory treatment apparatus that provides a respiratory treatment regimen based on the detected hypopneas.
      COPYRIGHT: (C)2011,JPO&INPIT
    • 要解决的问题:提供用于确定呼吸不足事件和/或呼吸不良事件严重性的呼吸不足检测的自动化方法。 解决方案:将呼吸流量信号的短期方差与呼吸流量信号的长期方差的第一和第二比例进行比较。 如果第一测量值在第一时间段内下降并且不超过第一和第二比例的范围,则可以指示呼吸不足的检测。 在一些实施例中,通过自动测量由通气的短期测量值和长期测量值的比例的第一和第二交叉所界定的区域来确定呼吸不足严重性。 检测方法可以由特定用途的计算机,测量呼吸气流的检测装置106或者基于检测到的呼吸道手术提供呼吸治疗方案的呼吸治疗装置来实现。 版权所有(C)2011,JPO&INPIT
    • 9. 发明专利
    • Method of determining mask fitting pressure and correct mask fitting
    • 确定面罩贴合压力和正确贴面贴合的方法
    • JP2011036700A
    • 2011-02-24
    • JP2010228813
    • 2010-10-08
    • Resmed Ltdレスメド・リミテッドResmed Ltd
    • BREWER GREGORY NEWTONCOLLA GREGORY ALANFARRUGIA STEVEN PAULSOMAIYA CHINMAYEE
    • A61M16/06A61M16/00
    • A61M16/00A61M16/0069A61M16/024A61M16/06A61M16/0605A61M2016/0021A61M2016/0036A61M2205/13A61M2205/15A62B27/00
    • PROBLEM TO BE SOLVED: To provide a method of determining pressure suitable for testing the propriety of a mask fitting state, and a method of determining correct mask fitting.
      SOLUTION: A microcontroller includes a "mask-fitting" mode, and applies an initial fixed pressure level to a mask by a blower. The mask-fitting test pressure is "set" pressure at that time point, when an action mode is a manual mode, and the mask-fit test pressure is 95 percentile pressure of the last session, in the other hand, or base treatment pressure, for example, 10-12 cm H
      2 O, when the action mode is an automatic titration mode. The fixed pressure is applied for a period of time, in general, 1-3 minutes. The microcontroller determines continuously a leak amount of the mask as a numeric value "fLEAK" obtained from a flow sensor, compares the value with a threshold value, and provides a visual index indicating a degree of leakage to a patient.
      COPYRIGHT: (C)2011,JPO&INPIT
    • 要解决的问题:提供一种确定适合于测试掩模配合状态的适当性的压力的方法以及确定正确的掩模配合的方法。 解决方案:微控制器包括“掩模拟合”模式,并通过鼓风机将初始固定压力水平施加到掩模。 掩模配合试验压力在该时间点为“设定”压力,当动作模式为手动模式时,掩模配合试验压力为上一次会话的95%的压力,另一方面为基础处理压力 例如,当动作模式是自动滴定模式时,例如10-12cm H 2 SB 2。 固定压力施加一段时间,通常为1-3分钟。 微控制器连续地确定作为从流量传感器获得的数值“fLEAK”的掩模的泄漏量,将该值与阈值进行比较,并提供指示向病人泄漏的程度的视觉指标。 版权所有(C)2011,JPO&INPIT