System and methods are disclosed that promote a sleep stage of a user. The systems and methods determine a current sleep stage of a user during a sleep session, with the user using a respiratory therapy system during the sleep session. The systems and methods further predict an undesired sleep stage upcoming for the user during the sleep session based, at least in part, on (i) one or more user parameters, information from one or more previous sleep sessions, or a combination thereof, and (ii) the current sleep stage. The systems and methods adjust one or more control parameters of the respiratory therapy system, of one or more devices in an environment of the user, or of a combination thereof to promote a desired sleep stage of the user, thereby optimizing sleep of the user.

A ventilator system includes a ventilation device, and is configured to operate in a passive mode configured to transmit ventilation data in response to requests from a ventilation management system, or an active mode configured to automatically transmit ventilation data as the data becomes available. The system receives ventilation system data associated with operation of the ventilation device, modifies one or more operating parameters of the ventilation device based on the received ventilation system data, receives ventilator data associated with the ventilator device, determines an alarm associated with the ventilator device or a patient based on the received ventilator data and, responsive to determining the alarm, sends the alarm to a beginning of a transmission queue for transmitting the ventilation data to the ventilation management system, wherein the alarm is communicated over the network prior to other ventilation data in the transmission queue.

A patient interface includes a shell with a central opening configured to receive the pressurized flow of air, a foam cushion, and an elastomeric support portion that is attached to the shell, supports the foam cushion, and forms at least part of a chamber together with the shell and the foam cushion. The elastomeric support portion includes a side wall that forms a continuous perimeter around the chamber and a resiliently flexible lip that supports the foam cushion and extends from the side wall toward an interior of the chamber. The resiliently flexible lip has an outer perimeter that is anchored to the side wall and an unsupported inner perimeter. The foam cushion overhangs the inner perimeter of the resiliently flexible lip, and the shell is more rigid than the elastomeric support portion. In addition, the foam cushion is configured to directly contact and engage a portion of the patient's skin in use.

The present invention provides a breathing assistance apparatus that has a convenient and effective method of cleaning internal conduits inside the apparatus. The breathing assistance apparatus is preferably a gases supply and humidification device. The cleaning method is a method of disinfection that is automated so minimal training is required to disinfect in particular an internal elbow conduit within the device. It is therefore not necessary to dismantle the gases supply and humidification device, therefore, inadvertent damage to the internal parts of the device is avoided. The present invention also provides a method of disinfecting a heated breathing conduit and a patient interface.

A method of delivering a substance, such as one or more of a triptan, a nasal steroid or carbon dioxide gas, to the nasal cavity of a subject, in particular for the treatment of headaches, for example, migraine, or rhinosinusitis, for example, chronic rhinosinusitis, optionally with polyps, the method comprising the steps of fitting a nosepiece to one nostril of the subject, delivering the substance through the nosepiece to the posterior region of the nasal cavity of the subject.

Headgear for use with a respiratory mask is described. The headgear comprises a continuous and substantially curved elongate member extending in use below a user's nose and at least two headgear straps capable of attachment to the ends of the elongate member. A mask attachment on the elongate member is disposed to sit below or on one of said user's nose, mouth, upper lip and an inlet to the mask. The attachment is capable of receiving the mask.

A control system for a heated conduit in a respiratory apparatus includes a power supply configured to provide power to the heated conduit and a heating control circuit configured to control an amount of heat generated in the heated conduit. The control system further includes a sensing circuit configured to indicate the temperature of a sensor positioned in the heated conduit by comparing a reference voltage with a sum of a voltage drop through the sensor and a voltage provided to the sensor by the power supply when the heating control circuit is on. When the heating control circuit is off, the voltage drop through the sensor is solely due to current provided by a current source.

User alertness can be monitored and leveraged while the user is interacting with a computing device, such as a mobile device (e.g., a smartphone or tablet). By monitoring interaction data, an alertness inference of the user can be generated. The interaction data can include biometric data of the user (e.g., blink rate, eye focus, and breathing rate), inertia data of the device (e.g., swaying and orientation), and software-usage data of the device (e.g., button press speed and accuracy, app or action being used, and response times). The alertness inference can be a score measuring a degree of alertness of the user, from a deep sleep through fully alert. The alertness inference can be leveraged to automatically alert presentation of a message (e.g., notification) on the device, such as withholding presentation of the message or presenting it in different fashion (e.g., silently).

A patient interface includes a shell with a central opening configured to receive the pressurized flow of air, a foam cushion, and an elastomeric support portion that is attached to the shell, supports the foam cushion, and forms at least part of a chamber together with the shell and the foam cushion. The elastomeric support portion includes a side wall that forms a continuous perimeter around the chamber and a resiliently flexible lip that supports the foam cushion and extends from the side wall toward an interior of the chamber. The resiliently flexible lip has an outer perimeter that is anchored to the side wall and an unsupported inner perimeter. The foam cushion overhangs the inner perimeter of the resiliently flexible lip, and the shell is more rigid than the elastomeric support portion. In addition, the foam cushion is configured to directly contact and engage a portion of the patient's skin in use.

The invention relates to a multifunctional applicator for mobile use having an applicator plug, a supply tube, a Y-piece, fork tubes and a nose piece with prongs, wherein the applicator plug comprises a pressure chamber that has a humidifier interface for connection with a high flow therapy device, an oxygen supply port having an opening diameter of at least 1 mm, and a therapy air supply port for the supply tube, the humidifier interface and the oxygen supply port within the pressure chamber each having an upper and a lower valve seat that are provided with a seal and a valve body being movable between said valve seats and said valve body being subjected to a force by a helical compression spring from the direction of the oxygen supply port and on the other hand being pushed against the upper valve seat by an actuating element of the high flow therapy device when the applicator plug is locked in place on the high flow therapy device.