Fisher & Paykel Healthcare Patente

The present disclosure relates to a nasal cannula interface for supplying a gases flow to a patient, comprising: a nasal cannula defining at least a portion of a gases flow path and comprising a body having a base portion and at least one prong extending from the base portion, the at least one prong being configured to direct the gases flow to an orifice of the patient, and one or more sensors configured to measure a parameter, wherein the body further comprises a top surface and a rear surface, the rear surface being adjacent the patient in use of the nasal cannula interface; and wherein an outer surface of the one or more sensors is flush with the top surface or the rear surface.

In one embodiment, a medical circuit component for use with humidified gases is described. The medical circuit conduit includes: a body comprising a wall having an inner surface that defines a space within which humidified gases may flow and/or be contained; and moisture transport means and/or element(s) at least partially coupled to and/or at least partially integrated into at least a part of the wall, the moisture transport means and/or element(s) being configured to receive moisture from vapors and/or liquid inside the space and transport at least some of said moisture away from where it was received.

Systems and methods for non-invasive ventilation are provided. The systems may include a gas source that provides breathing gases to a patient through one or more of a primary flow path (PFP) and a flushing flow path (FFP). The system may include a control assembly configured to open and restrict gas flow through the PFP. When the PFP is open, a significant portion of the gas flows through the PFP while the remaining gas flows through the FFP. When the PFP is restricted, a significant portion of the gas flows through the FFP. Increased flow through the FFP may have a high velocity (especially relative to the flow through the PFP). Gas delivered through the FFP may be used to flush dead space. One or both flow paths may contribute to inspiratory positive airway pressure (IPAP), expiratory positive airway pressure (EPAP), and/or positive end expiratory pressure (PEEP).

A gases flow rate sensing system may be configured to operate in at least two different target temperature modes, based upon a measured temperature of the gases flow. In some embodiments, the gases flow sensing system may have a voltage divider containing a thermistor. The gases flow rate may be determined based upon a voltage output indicating an amount of power needed to maintain the thermistor at a target temperature as specified by the target temperature mode, and a measured temperature of the gases flow.

According to this disclosure there is provided a respiratory support apparatus configured to provide a gases flow to a patient, the respiratory support apparatus comprising:a flow generator configured to generate the gases flow;a humidifier configured to humidify the gases flow; anda controller.The apparatus is controlled by the controller to function in at least two modes, being a normal mode and a high-temperature mode. In the high-temperature mode the temperature of gases delivered to the patient is higher than the temperature of gases delivered to the patient when in the normal mode.In the high-temperature mode, the controller controls one or more parameters of the gases flow to be different to that in the normal mode, whilst providing higher temperatures.The apparatus is also operative in a cool-down mode in which one or more parameters of the gases flow are controlled.The apparatus includes safety features to ensure the temperature, dew-point, enthalpy, and/or energy of the gases flow do not exceed safe limits.

A respiratory assistance apparatus configured to provide a heated and humidified gases stream, comprising: a gases inlet configured to receive a supply of gases; a blower unit configured to generate a pressurised gases stream from the supply of gases; a humidification unit configured to heat and humidify the pressurised gases stream; a gases outlet for the heated and humidified gases stream; a flow path for the gases stream through the respiratory device from the gases inlet through the blower unit and humidification unit to the gases outlet; a sensor assembly provided in the flow path before the humidification unit, the sensor assembly comprising an ultrasound gas composition sensor system for sensing one or more gas concentrations within the gases stream.

In one embodiment, there is provided a humidification chamber for use in a medical humidification system. The humidification chamber may comprise: a base and a top linked by a side wall to define the chamber, the chamber being configured to contain a volume of water; a gases inlet configured to receive a gases flow from a gases source; and a gases outlet, wherein the gases inlet is orientated relative to the side wall to introduce the gases flow to the humidification chamber at a direction substantially tangential to the side wall of the humidification chamber.

A respiratory apparatus that is configured to provide a flow of gases to a user for respiratory therapy. A flow generator is operable to generate a flow of gases. A controller is operable to control one or more properties of the flow of gases provided to the user by controlling a motor speed of the flow generator. The controller is configured to receive one or more input therapy settings that represents one or more properties desired for the generated flow of gases during a therapy session. The controller predicts if a steady-state temperature of the apparatus will exceed a high-temperature-condition threshold, based at least partly on input therapy setting(s) and a heat model of the apparatus. The controller may generate an alarm and/or initiate an alarm response counteraction control measure in response to the prediction to reduce the risk of the apparatus exceeding the high-temperature-condition threshold,.

A respiratory mask system includes a mask interface and a headgear assembly. The headgear assembly is adjustable and comprised of an elastic portion, a non-elastic portion and a restriction mechanism configured to provide a force resisting movement of the non-elastic portion when the elastic portion is extended. There is a support beam coupled to the non-elastic portion and extending along a portion of the headgear that is curved along its longitudinal extent. In this way particular seal modules can be comfortably fitted to a user and any blow off force is mitigated. A particular example of the respiratory mask system includes provision for removable attachment between the seal and a mask frame, the mask frame and a yoke of the headgear; and between a conduit and the mask frame.

In one embodiment, there is provided an inlet for a humidification chamber for use in a medical humidification system, the inlet comprising an inlet end configured to receive gases flow from a gases source, an outlet end configured to introduce the gases flow to the inside of the humidification chamber, and at least one wall defining, at least in part, a passageway between the inlet end and the outlet end for conveying gases therebetween. The outlet end of the inlet is configured to terminate in the humidification chamber or at a wall of the humidification chamber, and the passageway is configured to guide the gases flow such that the center of the gases flow at the inlet end and at the outlet end are substantially aligned along a common axis or the outlet end defines a profile of the passageway thereat that has a width and a height, a ratio of the width to height being between about 1:20 and 1:5.

A respiratory system for providing respiratory support to a patient, the system comprising:a nasal interface and a gas conduit for delivering a flow of gases to an outlet of the nasal interface, anda flow controller for selectively controlling the flow of gas into nasal interface, the flow controller configured to operate when a pressure in the system is above a predetermined value to restrict or prevent the flow of gas into the nasal interface from the gas conduit.

A respiratory assistance apparatus configured to provide a heated and humidified gases stream, comprising:a gases inlet configured to receive a supply of gases;a blower unit configured to generate a pressurised gases stream from the supply of gases;a humidification unit configured to heat and humidify the pressurised gases stream;a gases outlet for the heated and humidified gases stream;a flow path for the gases stream through the respiratory device from the gases inlet through the blower unit and humidification unit to the gases outlet;a sensor assembly provided in the flow path before the humidification unit, the sensor assembly comprising an ultrasound gas composition sensor system for sensing one or more gas concentrations within the gases stream.

A breathing assistance apparatus is configured with features that improve serviceability of the apparatus. The apparatus can include animations to provide instruction regarding correcting easily-identified fault conditions and to provide instruction regarding routine maintenance routines. The apparatus also can be configured with top level control menus that are obscured in a manner to limit manipulation of the top level control elements by unauthorized users.

This present disclosure relates to a system and method for providing a flow of respiratory gases to a patient. The system includes a controller, a flow modulator, and one or more sensors, wherein the controller is configured to control the flow modulator to modulate the flow of respiratory gases in response to determined pressure in the system exceeding or not exceeding a pressure threshold value.

A respiratory conduit has a hollow tube having an inlet, an outlet, a longitudinal axis, and defining a fluid flow path. Along at least a length of the tube, an outer surface of the tube has alternate ridges and grooves. The respiratory conduit also has a sheath surrounding at least a portion of the length of the tube, the sheath has alternate attachment portions and bridging portions. The attachment portions contact the ridges of the tube. The bridging portions extend across the grooves of the tube. Each bridging portion has a span length being the distance in the longitudinal direction between adjacent attachment portions, and a depth being the maximum distance in a radial direction between a point on the bridging portion and a point on one of the adjoining attachment portions. The depth of the bridging portion is greater than zero.

A respiratory flow therapy apparatus including a sensing chamber which measures a flow of gases provided to a patient. The sensing chamber can be located after a blower and/or mixer. The sensing chamber can include an ultrasonic transducer, a temperature sensor, a heated temperature sensing element, and/or a gas concentration sensor. A flow path of gases used in conjunction with the sensor system prevents unwanted vorticity in the flow of gases that can create anomalies in measuring flow.

A patient interface includes a mask body, an elbow, a connector and a conduit. Any one or more of the mask body, the elbow, the connector and the conduit includes a bias flow vent. The bias flow vent is configured to deform with the application of pressure but not fully collapse such that an orifice size defined by the bias flow vent can vary with the application of pressure.

Several methods of supporting respiratory function of a patient before, during and/or after a medical procedure are disclosed. In certain arrangements, supporting respiratory function while a patient is under general anaesthesia can include providing a high gas flow a high gas flow that is greater than 15 L/min while the patient is under general anaesthesia. In certain arrangements, a method of providing ventilation while a patient is under general anaesthesia involves providing only a gas flow delivered through a nasal interface that is greater than 15 L/min while the patient is under general anaesthesia

A respiratory support system having a flow source and a respiratory circuit. The respiratory circuit has a pressure relief valve and a tube assembly in fluid communication with the flow source and pressure relief valve. The respiratory circuit downstream of the pressure relief valve has a resistance to gas flow of 30 - 50 cmH2O at a selected gas flow rate.

The disclosure relates to a patient interface for non-invasive ventilation. The patient interface is configured to seal about the mouth and nares of a patient and includes an outer wall defining an interior volume which includes a first chamber having one or more oral openings to communicate gas with the mouth and a second chamber having one or more nare openings to communicate gas with the nares. The patient interface further includes a dividing wall that separates the first chamber from the second chamber. The patient interface further includes one or more flow directors which enable gas to flow into the second chamber from the first chamber or into the first chamber from the second chamber. The one or more flow directors are configured to direct the gas flow through the one or more nare openings.

A cushion for a respiratory mask is provided. The cushion includes a face contacting portion, a non-face contacting portion and an intermediate region. The face contacting portion is formed from an open cell foam material and includes an opening to provide, in use, a source of breathing gas to a user's airways. The non-face contacting portion is formed from an elastomeric material. The intermediate region is formed between the face contacting portion and the non-face contacting portion. Open cells of the open cell foam material in the intermediate region are filled with the elastomeric material.

A cushion module for a patient interface is disclosed. The cushion module comprising a first cavity, a second cavity, a nasal aperture and an oral aperture. The first and second cavities are separated by a cavity wall that enables respiratory gas to flow within the cushion module between the first and second cavities when in use. Additionally, the first cavity is configured to communicate respiratory gas to both the mouth and the nares of a patient via the oral aperture and the nasal aperture respectively. The cushion module comprises an exhaust vent to communicate respiratory gas from within the cushion module to externally of the cushion module and the second cavity is in communication with the exhaust vent. Also disclosed are a cavity wall and a cushion module.

A high-flow respiratory system operable to promote gas exchange in a patient's airway via a non sealing interface comprising: a humidifier connected to or for receiving a gas from at least one gas source, and a controller for operating the respiratory system, the respiratory system configured to provide a high-flow, heated and humidified gas flow with a unidirectional varying flow rate comprising two or more frequency components.

A mask assembly has a first upper portion movably connected to a lower portion. At least a portion of the first upper portion is configured to roll so as to overlie at least a portion of a second upper portion when a first boundary of the first upper portion is moved towards a second boundary of the second upper portion

The present disclosure provides to graphical user interfaces for controlling a flow therapy apparatus. The graphical user interface can provide a display of flow therapy treatment information and indicators of a patient's health. The graphical user interface can be configured to display the information associated with the patient on one or more user interface screens.

An interface includes a mask. The mask includes a frame and a seal supported by the frame. Headgear is connected to the mask. The interface includes at least one of (i) an adjustment mechanism that can be set to a use length for a loop defined by the mask and the headgear; and (2) a break-fit assembly that can selectively lengthen the loop defined by the mask and the headgear and return to the use length.

An interface for use in providing positive pressure respiratory therapy, the interface comprising:a mask assembly comprising a mask seal and a mask shell, the mask assembly configured to be fully positioned lower than a bridge of a nose of a face of a user and to provide an exposed bridge of the nose of the user, the mask seal being connected to the mask shell, a nasal region comprising at least one nasal opening, the mask seal comprising a first paddle on a first side of the nasal region and a second paddle on a second side of the nasal region, the first paddle configured to contact one side of the nose of the user and the second paddle configured to contact the other side of the nose of the user;

A medical tube transports gases to and/or from a patient. The medical tube has an elongate film spirally wrapped with an elongate reinforcing member, which bond to form a lumen. The elongate film has a profile such that the elongate film does not protrude into the lumen of the medical tube upon bending of the medical tube. The elongate reinforcing member can have a D-shaped cross section that can contribute to beneficial characteristics of the medical tube. The elongate reinforcing member can also have a circular cross section.

Systems and method for conducting respiratory therapy in a respiratory system can adjust a flow of respiratory gases to a patient based upon a detected patient breath cycle. The respiratory system can include a non-sealed patient interface. The respiratory system can be configured to deliver a high flow therapy. A patient breath cycle may be determined using one or more measured parameters, such as a flow rate, a blower motor speed, and/or a system pressure. A flow source may be adjusted to have a phase matching that of the patient's breath cycle, such that flow in increased in response to the patient inhaling, and decreased in response to the patient exhaling.

An interface for positive pressure therapy includes a mask assembly and a headgear assembly. The mask assembly comprises a mask seal that is adapted to underlie the nose and extend up the lateral sides of the nose to define an upwardly open valley in which the nose sits and wherein the nose of the user is exposed. The mask seal has a primary seal below the nose and a secondary seal alongside the nose.

A patient interface assembly has a patient interface and a securement system for the patient interface and/or patient interface tubing. The patient interface has a body and at least one nasal prong extending from the body. The at least one nasal prong has a gas inlet for fluid communication with a supply of breathable gas, and a gas outlet configured to direct a flow of gas towards a nare of the user's nose. The at least one nasal prong further includes an exterior surface, at least a portion of the exterior surface is a sealing surface configured to seal the nare of the user's nose. The securement system has a two-part releasable attachment or connection arrangement, the arrangement comprising a first patch and a second patch.

The disclosure relates to medical tubes and methods of manufacturing medical tubes. The tube may be a composite structure made of two or more distinct components that are spirally wound to form an elongate tube. For example, one of the components may be a spirally wound elongate hollow body, and the other component may be an elongate structural component also spirally wound between turns of the spirally wound hollow body. The tube need not be made from distinct components, however. For instance, an elongate hollow body formed (e.g., extruded) from a single material may be spirally wound to form an elongate tube. The elongate hollow body itself may in transverse cross-section have a thin wall portion and a relatively thicker or more rigid reinforcement portion. The tubes can be incorporated into a variety of medical circuits or may be employed for other medical uses.

A medical tube comprises a tail to connect an embedded wire to an electrical component. The tail may comprise a flattened portion and an exposed portion to facilitate attachment of the medical tube to an electrical component. The tail may comprise a second flattened portion. One or more wires, such as a heater wire or a sensor wire, may be embedded in the medical tube. The medical tube may comprise a connector that comprises a printed circuit board to which the one or more wires is attached. The connector may comprise features to support the printed circuit board, aid in assembly of the one or more wires to the connector, and protect electrical components against liquid ingress.

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