A dual pressure respiratory assistance device including a gas source which supplies a flow of gas into an air tube having a bubbler branch and a patient branch. A first tube that is connected to the bubbler branch is at least partially submerged in a fluid. An oscillatory relief valve cycles between first and second configurations. The relief valve includes an oscillating member which captures gas released through at least one hole in the first tube when the oscillating member is in a first position. The gas in the oscillating member causes the oscillating member to rise to a second position, wherein gas is released from the oscillating member and the at least one hole is blocked when the oscillating member reaches the second position.

A system for reducing airway obstructions of a patient may include a ventilator, a control unit, a gas delivery circuit with a proximal end in fluid communication with the ventilator and a distal end in fluid communication with a nasal interface, and a nasal interface. The nasal interface may include at least one jet nozzle, and at least one spontaneous respiration sensor in communication with the control unit for detecting a respiration effort pattern and a need for supporting airway patency. The system may be open to ambient. The control unit may determine more than one gas output velocities. The more than one gas output velocities may be synchronized with different parts of a spontaneous breath effort cycle, and a gas output velocity may be determined by a need for supporting airway patency.

Systems and methods for delivering medicament to a subject use one or more sensors to generate signals that represent characteristics of the ultrasonic energy emitted into or by a respiratory medicament delivery device. Parameters based on these signals indicate energy amplitude in one or more frequency ranges. Such parameters can be used to determine respiratory parameters, patient adherence, and/or other parameters.

An oscillating positive respiratory pressure apparatus and a method of performing oscillating positive respiratory pressure therapy. The apparatus includes a housing having an interior chamber, a chamber inlet, a chamber outlet, an exhalation flow path defined between the inlet and the outlet, and a restrictor member rotatably mounted within the interior chamber. The restrictor member has an axis of rotation that is substantially perpendicular to the flow path at the inlet, and includes at least one blocking segment. Rotation of the restrictor member moves the at least one blocking segment between an open position and a closed position. Respiratory pressure at the chamber inlet oscillates between a minimum when the at least one blocking segment is in the open position and a maximum when the at least one blocking segment is in the closed position. By exhaling into the apparatus, oscillating positive expiratory pressure therapy is administered.

The present system comprises a pressure generator, an oscillator, sensors, and computer processors. The pressure generator generates a pressurized flow of breathable gas for delivery to the airway of a subject. The oscillator causes high frequency pressure level oscillations in the pressurized flow of breathable gas. The sensors generate output signals conveying information related to one or more parameters of the gas. The computer processors receive a base expiratory pressure level and a base inspiratory pressure level and control the pressure generator and the oscillator to generate the pressurized flow of breathable gas such that during exhalation the pressure level of the pressurized flow of breathable gas oscillates from or about the base expiratory pressure level and during inhalation the pressure level of the pressurized flow of breathable gas oscillates from or about the base inspiratory pressure level.

The present disclosure relates to a medical pressure measuring device (100) for measuring a pressure of a pressurized breathing gas supplied to a subject by a breathing apparatus (200). The device (100) comprises a pressure sensor (110) arranged at a point of measurement (195) and configured to measure the pressure of a sample gas at a sampling point (190). The sampling point (190) and the point of measurement (195) are connected by a pressure sampling tube (180) in which a pressure wave of the sample gas can propagate from the sampling point (190) to the point of measurement (195). The pressure sampling tube (180) has a sampling tube volume and an acoustic impedance.

The medical pressure measuring device (100) further comprises a damping arrangement (120) arranged to be brought into fluid communication with the pressure sampling tube (180). The damping arrangement (120) comprises a flow restrictor (130) and a receptor chamber arrangement (140). The receptor chamber arrangement (140) comprises a receptor chamber (141). The receptor chamber arrangement (140) is an arrangement for receiving the pressure wave of the sample gas. The flow restrictor (130) correlates to the acoustic impedance of the pressure sampling tube (180) so as to prevent acoustic resonance in the pressure sampling tube (180). The receptor chamber (141) correlates at least to the volume of the pressure sampling tube (180), so as to prevent acoustic resonance in the pressure sampling tube (180).

A cardiopulmonary resuscitation, CPR, device (100, 200, 400) for delivering intrathoracic pressure pulses to a subject (290), the device comprising an air pressure generator (110, 310, 410) for delivering air to the airways of the subject (290), wherein the air pressure generator (110, 310, 410) is configured to: operate a first mode, wherein in the first mode the air pressure generator (110, 310, 410) generates a first output (412, 770a, 770b) comprising a first plurality of positive pressure pulses (771) for temporally increasing the subject's intrathoracic pressure to induce compressions of the heart of the subject (290) by increasing the volume of the subject's lungs; operate a second mode, wherein in the second mode the air pressure generator (110, 310, 410) generates a second output (414, 880) comprising a second plurality of positive pressure pulses for providing an assured airflow to the lungs of the subject (290); and deliver a resulting output (425, 986, 1086) to the airways of the subject (290), the resulting output being the superposition of the first output (412, 770a, 770b) and of the second output (414, 880); wherein said first plurality of positive pressure pulses (771) have an amplitude greater than 30 mbar and a frequency in a range of 40-240 beats per minute; and wherein said second plurality of positive pressure pulses have an amplitude smaller than 30 mbar and a frequency in a range of 3 to 20 cycles per minute.

The percussive ventilation breathing head is adapted to be supplied with a flow of pulsatile gas fed to an elongated breathing head body at a proximal end thereof. The breathing head body defines an interior passageway therein. A reciprocating injector shuttle is movably mounted in the breathing head passageway. The shuttle moves distally due to the pulsatile gas, assisted by a diaphragm and a venturi-like jet nozzle which nozzle pulls nebulized aerosol from a depending plenum and a nebulizer attached below the depending plenum. A depending body defines the plenum. The generally cylindrical nebulizer is attached below the depending body. The shuttle is also biased in a proximal direction within the interior passageway and moves proximally due to the bias. The shuttle defines an internal flow passage from a proximal shuttle input port to a distal shuttle output port at the distalmost mouth of the percussive ventilation breathing head body.

A ventilation system provides patient-triggered support ventilation to a spontaneously breathing patient during ongoing high frequency ventilation (HFV), and has a pneumatic unit operated by a control computer for delivery of breathing gas in response to an effort to breathe by the patient, and an oscillator for superimposing high frequency oscillation onto the breathing gas. The system further includes a bioelectric sensor that measures a bioelectric signal indicative of the patient's efforts to breathe, and the control computer controls the delivery of breathing gas in response to the patient's effort to breathe, based on this bioelectric signal. The ventilation system is hence designed for neurally triggered support ventilation during ongoing HFV, which makes the trigger mechanism of the ventilation system more precise and robust compared to known trigger mechanisms of HFV ventilation systems.

A ventilator, or a breathing assistance apparatus, is disclosed to ventilate patients who may have breathing difficulties, said device comprising a inspiratory pressure control duct configured to be immersed in a first body of fluid; a positive end-expiratory pressure control duct configured to be immersed in a second body of fluid; at least one valve connected to the peak inspiratory pressure control duct and to the positive end-expiratory pressure control duct, and at least one controller communicably connected to the valve to control rate of cycling of the valve, thereby controlling number of breaths per minute, and to control the duration of peak inspiratory pressure also known as inspiratory time.