System and method for controlling leakage of a circuit delivering a pressurized flow of breathable gas to a subject

Patent metadata

Field	Value
Publication number	US-9827386-B2
Application number	US-201013318705-A
Country	US
Kind code	B2
Filing date	May 11, 2010
Priority date	Jun 3, 2009
Publication date	Nov 28, 2017
Grant date	Nov 28, 2017

Abstract

A pressurized flow of breathable gas is delivered to the airway of a subject through a gas circuit ( 16 ) as part of a therapy regime. Leakage of gas from within the circuit to atmosphere to prevent re-breathing of gas is dynamically adjusted to stabalize the total amount of leakage.

First claim

The invention claimed is:

1. A system configured to deliver a pressurized flow of breathable gas to the airway of a subject, the system comprising:
a gas circuit forming an inlet, an outlet, and a lumen that places the inlet in communication with the outlet, wherein the outlet is configured to deliver the pressurized flow of breathable gas to the airway of a subject;
a valve configured to release gas inside the circuit to atmosphere;
one or more sensors configured to generate one or more output signals that convey information related to one or more gas parameters within the gas circuit related to gas leakage from within the circuit to atmosphere; and
a processor configured to:
communicate an electronic signal to the valve that controls the valve incrementally adjust a size of an opening through the valve to permit release of gas through the valve at a plurality of rates such that the amount of gas released from inside the circuit to atmosphere is based on the one or more output signals generated by the one or more sensors;
determine an upper leak threshold based on the one or more output signals, wherein the processor is configured to control the valve such that a flow of gas released from inside the circuit through the valve is reduced or stopped if the one or more output signals generated by the one or more sensors indicate that gas leakage from within the circuit to atmosphere has risen above the determined upper leak threshold;
adjust the upper leak threshold during inspiration and/or expiration of the subject during an individual therapy session as a function of one or more gas parameters of gas within the circuit;

determine a lower leak threshold based on the one or more output signals, the lower leak threshold being different than the upper leak threshold, wherein the processor is configured to control the valve such that a flow of gas released from inside the circuit through the valve is increased if the one or more output signals generated by the one or more sensors indicate that gas leakage from within the circuit to atmosphere has dropped below the determined lower leak threshold, and
adjust the lower leak threshold during inspiration and/or expiration of the subject during an individual therapy session as a function of the one or more gas parameters of gas within the circuit.

2. The system of claim 1 , wherein the circuit comprises:
a subject interface appliance that forms the outlet of the circuit; and
a conduit that forms at least a portion of the lumen between the inlet and the outlet, the conduit being connected to the subject interface appliance,
wherein the valve is disposed on the subject interface appliance.

3. The system of claim 1 , wherein the one or more output signals of the one or more sensors convey information related to a flow rate, a composition, a volume, a temperature, or humidity one within the circuit.

4. A method of delivering a pressurized flow of breathable gas to the airway of a subject, the method comprising:
delivering a pressurized flow of breathable gas to the airway of a subject through a circuit that interfaces with the airway of the subject;
generating one or more output signals that convey information related to one or more gas parameters of the pressurized flow of breathable gas related to leakage of gas in the pressurized flow of breathable gas from within the circuit to atmosphere wherein the one or more gas parameters include a flow rate, a composition, a volume, a temperature, or humidity;
determining a upper leak threshold based on the one or more output signals;
communicating an electronic signal to a valve that controls the valve incrementally adjust a size of an opening through the valve to permit release of gas within the circuit to atmosphere at a plurality of rates based on the one or more output signals generated by the one or more sensors; wherein release of gas within the circuit to atmosphere at the plurality of rates comprises reducing the rate at which gas within the circuit is released if the one or more output signals indicate that gas leakage from within the circuit to atmosphere has risen above the upper leak threshold;

adjusting the upper leak threshold during inspiration and/or expiration of the subject during an individual therapy session as a function of one or more gas parameters of gas within the circuit:
determining a lower leak threshold based on the one or more output signals, the lower leak threshold being different than the upper leak threshold;
increasing the rate at which gas within the circuit is released if the one or more output signals indicate that gas leakage from within the circuit to atmosphere has dropped below the lower leak threshold, and
adjusting the lower leak threshold during inspiration and/or expiration of the subject during an individual therapy session as a function of the one or more gas parameters of gas within the circuit.

5. The method of claim 4 , wherein the circuit comprises:
a subject interface appliance that interfaces with the airway of the subject; and
a conduit that delivers the pressurized flow of breathable gas to the subject interface appliance,
wherein the gas is released from within the circuit to atmosphere at the plurality of rates through the valve, the valve disposed on the subject interface appliance.

6. The method of claim 4 , wherein the one or more output signals convey information related to a flow rate, a composition, a volume, a temperature, or humidity.

7. A system configured to deliver a pressurized flow of breathable gas to the airway of a subject, the system comprising:
means for delivering a pressurized flow of breathable gas to the airway of a subject, wherein the means for delivering interfaces with the airway of the subject;
means for generating one or more output signals that convey information related to one or more gas parameters of the pressurized flow of breathable gas related to leakage of gas in the pressurized flow of breathable gas from within the means for delivering to atmosphere wherein the one or more gas parameters include a flow rate, a composition, a volume, a temperature, or humidity;
means for determining a upper leak threshold based on the one or more output signals;
means for communicating an electronic signal to means for releasing gas that controls the means for releasing gas to incrementally adjust a size of an opening through the means for releasing gas to permit release of gas within the means for delivering to atmosphere at a plurality of rates based on the one or more output signals generated by the means for generating; wherein the means for releasing gas comprises means for reducing the rate at which gas within the means for delivering is released if the one or more output signals generated by the means for generating indicate that gas leakage from within the means for delivering to atmosphere has risen above the upper leak threshold;
means for adjusting the upper leak threshold during inspiration and/or expiration of the subject during an individual therapy session as a function of one or more gas parameters of gas within the means for delivering;
means for determining a lower leak threshold based on the one or more output signals, the lower leak threshold being different than the upper leak threshold;
means for increasing the rate at which gas within the means for delivering is released if the one or more output signals generated by the means for generating indicate that gas leakage from within the means for delivering to atmosphere has dropped below the lower leak threshold; and
means for adjusting the lower leak threshold during inspiration and/or expiration of the subject during an individual therapy session as a function of the one or more gas parameters of gas within the

Assignees

• Pittman Stephen Dalton
• Hueser Lauren Elizabeth
• Koninklijke Philips Nv

Inventors

• Pittman Stephen Dalton
• Hueser Lauren Elizabeth

Classifications

• A61M16/203

  Proportional · CPC title

• A61M16/024

  including calculation means, e.g. using a processor · CPC title

• A61M16/00 Primary

  Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators (iron lungs A61H31/02); Tracheal tubes · CPC title

• A61M2205/50

  with microprocessors or computers · CPC title

• A61M2205/15

  Detection of leaks · CPC title