Systems and methods for ambulatory generation of nitric oxide
Inventors
HALL, Gregory W. • Cedrone, Kevin • Silkoff, Philip E. • Scholz, Wolfgang
Assignees
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Abstract
Systems and methods are provided for portable and compact nitric oxide (NO) generation that can be embedded into other therapeutic devices or used alone. In some embodiments, an ambulatory NO generation system can be comprised of a controller and disposable cartridge. The cartridge can contain filters and scavengers for preparing the gas used for NO generation and for scrubbing output gases prior to patient inhalation. The system can utilize an oxygen concentrator to increase nitric oxide production and compliment oxygen generator activity as an independent device. The system can also include a high voltage electrode assembly that is easily assembled and installed. Various nitric oxide delivery methods are provided, including the use of a nasal cannula.
Core Innovation
The invention relates to monitoring patient respiration and controlling gas delivery using respiration sensors of a gas delivery system. The method receives at least one respiratory measurement value measured by at least one respiration sensor, determines a respiratory event requiring gas delivery based at least in part on the at least one respiratory measurement value, and determines a delivery duration for a delivery of a gas to the patient. The method instructs the gas delivery system to perform the delivery via a delivery device during the delivery duration.
A key aspect is that the method suspends and then resumes respiratory-event determination to coordinate with the delivery timing. The method suspends the determination of respiratory events requiring gas delivery for a detection suspension period based on the delivery duration and a variable delivery delay, and resumes the determination upon completion of the detection suspension period. The detection suspension period is variable, and the variable delivery delay is determined based at least in part on a respiratory rate or on prior inspiration duration of one or more prior inspirations.
In additional embodiments, the variable delivery delay is determined using timing derived from prior respiratory events. The method determines the variable delivery delay based at least in part on a prior inspiration duration of each prior inspiration defined by a time between onset of inspiration and end of inspiration of one or more prior inspirations, and defines the detection suspension period based at least in part on the delivery duration and the variable delivery delay. Another embodiment receives an inspiration indicator indicating a respiratory event from at least one external device and instructs a nitric oxide (NO) delivery system to deliver at least one of NO gas or a purge gas with a delivery duration.
Claims Coverage
The document contains five independent method claims. The main inventive features are respiratory-event monitoring, delivery timing using delivery duration and a variable delivery delay, and a variable respiration detection suspension period that suspends and later resumes determination of respiratory events requiring gas delivery.
Respiration monitoring with sensor measurement values
monitoring patient respiration by receiving at least one respiratory measurement value measured by at least one respiration sensor of a gas delivery system
Event requiring gas delivery based on respiratory measurement values
determining a respiratory event requiring gas delivery based at least in part on the at least one respiratory measurement value
Delivery duration and controlled delivery during delivery duration
determining a delivery duration for a delivery of a gas to the patient and instructing the gas delivery system to perform a delivery of a gas to the patient via a delivery device during the delivery duration
Respiration detection suspension period coordinated with delivery timing
suspending the determination of respiratory events requiring gas delivery for a detection suspension period based at least in part on the delivery duration and a variable delivery delay, and resuming the determination upon completion of the detection suspension period
Variable delivery delay based on respiratory rate
determining the variable delivery delay based at least in part on a respiratory rate
Variable delivery delay based on prior inspiration duration
determining a variable delivery delay based at least in part on a prior inspiration duration of each prior inspiration of one or more prior inspirations, defined by a time between onset of inspiration and end of inspiration
Variable delivery delay based on prior breath period duration from successive respiration events
determining a variable delivery delay based at least in part on a prior breath period duration of prior respiratory cycles, defined by a time between successive respiration events, as indicated by the external device
Inspiration indicator from an external device for no or purge gas delivery
receiving from at least one external device an inspiration indicator indicating a respiratory event and instructing a nitric oxide (NO) delivery system to perform a delivery of at least one of NO gas or a purge gas to a patient via a delivery device, the delivery having a delivery duration
Overall, the claims cover methods that monitor respiration, determine respiratory events requiring gas delivery, compute delivery duration and a variable delivery delay using respiratory rate or prior inspiration/breath-period timing, and suspend and then resume respiratory-event determination using a variable respiration detection suspension period coordinated with the delivery timing. An external-device embodiment further instructs a nitric oxide (NO) delivery system to deliver NO gas and/or purge gas based on an inspiration indicator.
Stated Advantages
Documented Applications
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