# US 10,869,619 B2 · Method, apparatus, and system for measuring respiratory effort of a subject > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,869,619 B2 - Document ID: US10869619B2 - Status: Granted - Kind: B2 - Application number: 15/680,910 - Filed: 2017-08-18 - Published: 2018-02-22 - Granted: 2020-12-22 - Earliest claimed: 2016-08-19 - Assignees: Nox Medical - Applicants: Nox Medical - Inventors: Sveinbjorn Hoskuldsson; Jon Skirnir Agustsson - Web page: https://patentgrep.com/patent/US10869619B2 ## CPC - A61B 5/1135: {by monitoring thoracic expansion} - A61B 5/0806: {by whole-body plethysmography} - A61B 5/087: Measuring breath flow - A61B 5/6823: {Trunk, e.g., chest, back, abdomen, hip} - A61B 5/6831: {Straps, bands or harnesses} - A61B 5/7278: {Artificial waveform generation or derivation, e.g. synthesizing signals from measured signals} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A method, apparatus, and system for measuring respiratory effort of a subject are provided. According to the method, a thoracic effort signal (T) is obtained, the thoracic effort signal (T) being an indicator of a thoracic component of the respiratory effort. An abdomen effort signal (A), the abdomen effort signal (A) being an indicator of an abdominal component of the respiratory effort. A respiratory flow (F) is obtained. The respiratory effort is determined by adjusting the components of a model of the respiratory system based on the thoracic effort signal (T), the abdomen effort signal (A), or the respiratory flow (F) or any combination of the thoracic effort signal (T), the abdomen effort signal (A), and the respiratory flow (F). ## Claims ### Claim 1 A method of determining a value of one or more parameters of a respiratory effort of a subject, the method comprising: obtaining a thoracic signal (T), the thoracic signal (T) being an indicator of a thoracic component of the respiratory effort, the thoracic signal (T) being a thoracic respiratory inductive plethysmograph (RIP) signal; obtaining an abdomen signal (A), the abdomen signal (A) being an indicator of an abdominal component of the respiratory effort, the abdomen signal (A) being an abdomen respiratory inductive plethysmograph (RIP) signal; and determining, without directly measuring, the value of the one or more parameters of the respiratory effort by using constraints and/or relationships of components of a model of a respiratory system of the subject, and fitting the components of the model of the respiratory system of the subject with data from the obtained thoracic signal (T) and data from the obtained abdomen signal (A), wherein each of the determined one or more parameters of the respiratory effort is different than each of the thoracic component of the respiratory effort, the abdominal component of the respiratory effort, a weighted thoracic component of the respiratory effort, a weighted abdominal component of the respiratory effort, a paradox component of the respiratory effort, and a respiratory movement; and wherein the one or more parameters include one or more of: an airway resistance Rr of the subject; an intercostal muscle drive force FTm; a diaphragm drive force FAm; an intrathoracic pressure PIt; respiratory drive; a thoracic negative pressure force FTp; and an abdomen negative pressure force FAp. ### Claim 2 (depends on 1) The method according to claim 1, wherein the one or more parameters includes at least a thoracic negative pressure force FTp. ### Claim 3 (depends on 2) The method according to claim 2, wherein the thoracic negative pressure force FTp is based on an additional force caused by an intrathoracic pressure PIt across a thoracic area (At), such that FTp=PIt*At. ### Claim 4 (depends on 1) The method according to claim 1, wherein the one or more parameters includes at least an abdomen negative pressure force FAp. ### Claim 5 (depends on 4) The method according to claim 4, wherein the abdomen negative pressure force FAp is based on an additional force caused by an intrathoracic pressure PIt across an Abdomen area (Aa), such that FAp=PIt*Aa. ### Claim 6 (depends on 5) The method according to claim 5, wherein low airway resistance Rr of the subject results in low thoracic negative pressure force FTp and/or low abdomen negative pressure force FAp, or high airway resistance Rr of the subject results in high thoracic negative pressure force FTp and/or high abdomen negative pressure force FAp. ### Claim 7 (depends on 5) The method according to claim 5, wherein low airway resistance Rr indicates that an upper airway resistance is low. ### Claim 8 (depends on 1) The method according to claim 1, wherein the thoracic signal (T) and abdomen signal (A) are obtained by a Respiratory Inductive Plethysmograph (RIP) system, including a first stretchable belt including a first conductor formed therein, the first stretchable belt being arranged at a thoracic region of the subject, and a second stretchable belt including a second conductor formed therein, the second stretchable belt being arranged at an abdomen of the subject, and a processing unit configured to obtain the thoracic signal (T) as a first inductive signal from the first conductor and the processing unit is configured to obtain the abdomen signal (A) as a second inductive signal from the second conductor. ### Claim 9 (depends on 1) The method according to claim 1, wherein any one or more of intercostal muscle drive force FTm, a thorax counterforce FTb, a diaphragm drive force FAm, an abdomen counterforce FAb are determined based on a Respiratory Inductive Plethysmograph (RIP) system, including a first stretchable belt including a first conductor formed therein, the first stretchable belt being arranged at a thoracic region of the subject, and a second stretchable belt including a second conductor formed therein, the second stretchable belt being arranged at an abdomen of the subject, and a processing unit configured to obtain the thoracic signal (T) as a first inductive signal from the first conductor and the processing unit is configured to obtain the abdomen signal (A) as a second inductive signal from the second conductor. ### Claim 10 (depends on 1) The method according to claim 1, wherein any one or more of intercostal muscle drive force FTm, a thorax counterforce FTb, a diaphragm drive force FAm, an abdomen counterforce FAb are determined based on an evaluation of one or more inhalations. ### Claim 11 (depends on 1) The method according to claim 1, wherein any one or more of intercostal muscle drive force FTm, a thorax counterforce FTb, a diaphragm drive force FAm, an abdomen counterforce FAb are determined based on an evaluation of one or more exhalations. ### Claim 12 (depends on 1) The method according to claim 1, wherein any one or more of intercostal muscle drive force FTm, a thorax counterforce FTb, a diaphragm drive force FAm, an abdomen counterforce FAb are determined based on an evaluation of one or more respiration times. ### Claim 13 (depends on 1) The method according to claim 1, wherein any one or more of intercostal muscle drive force FTm, a thorax counterforce FTb, a diaphragm drive force FAm, an abdomen counterforce FAb are determined based on an evaluation of one or more shape deviations between the thorax signal (T) and the abdomen signal (A). ### Claim 14 (depends on 1) The method according to claim 1, wherein any one or more of intercostal muscle drive force FTm, a thorax counterforce FTb, a diaphragm drive force FAm, an abdomen counterforce FAb are determined based on an evaluation of one or more phase shifts between the thorax signal (T) and the abdomen signal (A). ### Claim 15 (depends on 1) The method according to claim 1, wherein the determining of the value of the one or more parameters of the respiratory effort is further based on a ratio of inhalation time versus exhalation time, and wherein a determination of intrathoracic pressure is determined based on a ratio of inhalation time versus exhalation time, where it is assumed that PIt becomes more negative the longer it takes to fill a respiratory capacity compared with an exhalation time. ### Claim 16 (depends on 1) The method according to claim 1, wherein determining, without directly measuring the value of the one or more parameters of the respiratory effort includes determining, without directly measuring, a weighted sum (S) of the thoracic signal (T) and the abdomen signal (A) that correctly represents the respiratory volume by the relative contribution of the thoracic signal (T) and the abdomen signal (A) to two or more harmonics of the weighted sum (S). ### Claim 17 (depends on 1) The method according to claim 1, wherein the one or more parameters include an airway resistance Rr of the subject. ### Claim 18 (depends on 1) The method according to claim 1, wherein the one or more parameters include an intercostal muscle drive force FTm. ### Claim 19 (depends on 1) The method according to claim 1, wherein the one or more parameters include a diaphragm drive force FAm. ### Claim 20 (depends on 1) The method according to claim 1, wherein the one or more parameters include an intrathoracic pressure PIt. ### Claim 21 (depends on 1) The method according to claim 1, wherein the one or more parameters include respiratory drive. ### Claim 22 A system for determining a value of one or more parameters of a respiratory effort of a subject, the system comprising: a first sensor device configured to obtain a thorax signal (T), the thorax signal (T) being an indicator of a thoracic component of the respiratory effort, the thoracic signal (T) being a thoracic respiratory inductive plethysmograph (RIP) signal; a second sensor device configured to obtain an abdomen signal (A), the abdomen signal (A) being an indicator of an abdominal component of the respiratory effort, the abdomen signal (A) being an abdomen respiratory inductive plethysmograph (RIP) signal; a processor configured to receive the thorax signal (T) and the abdomen signal (A); wherein the processor further is configured to receive the thorax signal (T), receive an abdomen signal (A), and determine, without directly measuring, the value of the one or more parameters of the respiratory effort by using constraints and/or relationships of components of a model of a respiratory system of the subject, and fitting the components of the model of the respiratory system of the subject with data from the obtained thoracic signal (T) and data from the obtained abdomen signal (A), wherein each of the determined one or more parameters of the respiratory effort is different than each of the thoracic component of the respiratory effort, the abdominal component of the respiratory effort, a weighted thoracic component of the respiratory effort, a weighted abdominal component of the respiratory effort, a paradox component of the respiratory effort, and a respiratory movement; and wherein the one or more parameters include one or more of: an airway resistance Rr of the subject; an intercostal muscle drive force FTm; a diaphragm drive force FAm; an intrathoracic pressure PIt; respiratory drive; a thoracic negative pressure force FTp; and an abdomen negative pressure force FAp. ### Claim 23 A hardware storage device having stored thereon computer executable instructions which, when executed by one or more processors, implement a method of determining a value of one or more parameters of a respiratory effort of a subject, the method comprising: obtaining a thoracic signal (T), the thoracic signal (T) being an indicator of a thoracic component of the respiratory effort, the thoracic signal (T) being a thoracic respiratory inductive plethysmograph (RIP) signal; obtaining an abdomen signal (A), the abdomen signal (A) being an indicator of an abdominal component of the respiratory effort, the abdomen signal (A) being an abdomen respiratory inductive plethysmograph (RIP) signal; and determining, without directly measuring, the value of the one or more parameters of the respiratory effort by using constraints and/or relationships of components of a model of a respiratory system of the subject, and fitting the components of the model of the respiratory system of the subject with data from the obtained thoracic signal (T) and data from the obtained abdomen signal (A), wherein each of the determined one or more parameters of the respiratory effort is different than each of the thoracic component of the respiratory effort, the abdominal component of the respiratory effort, a weighted thoracic component of the respiratory effort, a weighted abdominal component of the respiratory effort, a paradox component of the respiratory effort, and a respiratory movement; and wherein the one or more parameters include one or more of: an airway resistance Rr of the subject; an intercostal muscle drive force FTm; a diaphragm drive force FAm; an intrathoracic pressure PIt; respiratory drive; a thoracic negative pressure force FTp; and an abdomen negative pressure force FAp.