Ventilation system (having a ventilator and having a diagnostic device, wherein the ventilator comprises a ventilation unit for generating a respiratory gas flow for ventilation and a detection unit (for detecting a ventilation signal characteristic for the respiratory gas flow over time. The diagnostic device comprises a sensor unit for detecting a diagnostic signal over time. The synchronization unit is operationally connected to the detection unit and the sensor unit and is suitable and configured for studying a time curve of the ventilation signal and a time curve of the diagnostic signal respectively for a signal change caused by the same event and bringing the curve of the ventilation signal and the curve of the diagnostic signal into chronological correspondence so that the event occurs simultaneously in both signal curves.

The invention provides new systems/methods for providing oxygen to chronically ill patients, such as COPD patients, through a more efficient portable oxygen concentrator (“POC”) that at least sometimes delivers an enriched airflow having a significantly lower overall oxygen concentration than that administered by typical POCs. In aspects, the methods/systems of the present invention are configured to automatically switch from pulse delivery to continuous delivery, from continuous delivery to pulse delivery, or any combination thereof, at least once per day, when certain conditions occur. Methods/system can comprise the ability to switch between mode(s) comprising delivery of a moderately enriched oxygen airflow (MEOA) and mode(s) comprising delivery of intensively enriched oxygen airflow, highly enriched oxygen airflow, or both, and back again, based on one or more parameters.

A ventilator (100), for mechanical ventilation of a patient (102), includes a sensor unit that measures a course profile (114) of gas flow-dependent measured values (115) in a ventilation circuit (105) of the ventilator and outputs a corresponding sensor signal (116). A plurality of ventilation parameters (122) of a provided ventilation mode, stored in a memory unit (120), indicate an inspiration time (124) of the ventilation currently provided and a subsequent expiration time (126) for a corresponding breathing cycle. A processing unit (130) is configured to receive the sensor signal, to determine at least one current end-expiratory gas flow (132) based on the course profile and to adjust a ratio (136), between the inspiration time and the expiration time, for the current ventilation mode depending on a comparison between the determined current end expiratory gas flow and a lower threshold value (134) and/or an upper threshold value (135).

A method of controlling a medical device is disclosed for delivering respiratory therapy to a user to treat sleep-disordered breathing, for instance obstructive sleep apnea, Cheyne-Stokes respiration etc. by estimating the user's CO2 percentage or concentration from a dynamic lung model driven by an observed respiration signal. The estimated user's CO2 percentage or concentration can be used to predict breathing events, such as hypopnea and apnea. The predictive capacity can be used for adjusting the respiratory therapy as required or for applying a ramp cycle therapy, in an attempt to reduce the prevalence and adverse effects of the breathing events. In other examples a variable ventilation therapy is provided in which pressure is supplied between first and second pressures, with the pressure being increased over more than one breath, and then dropped relatively rapidly, for example during expiration of a single breath.

Disclosed are methods, apparatus and systems for treating a respiratory disorder in a patient. The apparatus comprises a pressure generator configured to generate a flow of air so as to provide ventilatory support to the patient; a transducer configured to generate a flow signal representing a property of the flow of air; and a controller configured to analyse the flow signal to estimate the inspiratory volume and the expiratory volume of a breath of the patient and servo-control the degree of ventilatory support to adjust an estimated tidal volume toward a target tidal volume. A gain of the servo-control is dependent on a difference between the estimated inspiratory volume and the estimated expiratory volume. The method comprises operating an apparatus or system in a similar manner.

A plurality of flow rate values associated with pressurized air directed to an airway of a user of a respiratory therapy system is received. A plurality of pressure values associated with the pressurized air directed to the airway of the user is received. A first time associated with a first breath of the user and a second time associated with a second breath of the user are identified. The plurality of flow rate values is filtered based at least in part on the identified first time and the identified second time. The filtering produces a subset of the plurality of flow rate values. An intentional leak characteristic curve for the respiratory therapy system is determined using at least two of the subset of the plurality of flow rate values and the corresponding pressure values for said at least two of the subset of the plurality of flow rate values.

A method of controlling a medical device is disclosed for delivering respiratory therapy to a user to treat sleep-disordered breathing, for instance obstructive sleep apnea, Cheyne-Stokes respiration etc. by estimating the user's CO2 percentage or concentration from a dynamic lung model driven by an observed respiration signal. The estimated user's CO2 percentage or concentration can be used to predict breathing events, such as hypopnea and apnea. The predictive capacity can be used for adjusting the respiratory therapy as required or for applying a ramp cycle therapy, in an attempt to reduce the prevalence and adverse effects of the breathing events. In other examples a variable ventilation therapy is provided in which pressure is supplied between first and second pressures, with the pressure being increased over more than one breath, and then dropped relatively rapidly, for example during expiration of a single breath.

The present invention relates to a method and a respiration device having a respiration unit for generating an airflow for the respiration and having a monitoring unit. The monitoring unit is used to detect a respiration parameter and to classify events in the respiration on the basis of monitoring of the respiration parameter. In this case, the monitoring unit is configured to carry out an event analysis to recognize an occurrence, which is characteristic for Cheyne-Stokes respiration, of chronologically successive events and for this purpose to ascertain the period length thereof and to compare them to one another and to register the presence of Cheyne-Stokes respiration when the compared period lengths each deviate by less than 40% from one another.

A breathing device includes a first and second nasal insert for each nostril of a user. Each insert includes an opening and a valve provided at the opening for selectively restricting or allowing the passage of air through the opening. The breathing device also includes a controller adapted to control each of the valves so that the passage of air is restricted at one of the nasal inserts and allowed at the other.

An apparatus for oxygenation and/or CO2 clearance of a patient. The apparatus comprising: a flow source or a connection for a flow source for providing a gas flow, a gas flow modulator, a controller to control the gas flow. The controller is operable to: receive input relating to heart activity and/or trachea gas flow of the patient, and control the gas flow modulator to provide a varying gas flow with at least two oscillating components. One oscillating component has a frequency based on the heart activity and/or trachea flow of the patient. One oscillating component has a frequency to: promote bulk gas flow movement, or promote mixing.