# US 11,298,480 B2 · Systems and methods for setup of CPAP systems

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- Number: US 11,298,480 B2
- Document ID: US11298480B2
- Status: Granted
- Kind: B2
- Application number: 16/661,250
- Filed: 2019-10-23
- Published: 2020-04-23
- Granted: 2022-04-12
- Earliest claimed: 2018-10-23
- Assignees: ResMed Limited
- Applicants: ResMed Inc.
- Inventors: Robert Hudson; Kristina Zlomislic; Peter Dassos; Clare Donker; Chinmayee Somaiya; Ben Dwyer; Maria Jolliff; Ryan Hernandez; Brian Hickey
- Web page: https://patentgrep.com/patent/US11298480B2

## CPC

- A61M 16/0003: {Accessories therefor, e.g. sensors, vibrators, negative pressure}
- A61M 16/0066: {Blowers or centrifugal pumps}
- A61M 16/024: {including calculation means, e.g. using a processor}
- A61M 16/06: Respiratory or anaesthetic masks
- G16H 20/40: relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
- G16H 40/60: for the operation of medical equipment or devices
- A61M 16/16: Devices to humidify the respiration air {(A61M16/1045 takes precedence)}
- A61M 2016/0027: {pressure meter}
- A61M 2016/003: {with a flowmeter}
- A61M 2205/15: Detection of leaks
- A61M 2205/3334: Measuring or controlling the flow rate
- A61M 2205/3553: remote, e.g. between patient's home and doctor's office
- A61M 2205/3569: sublocal, e.g. between console and disposable
- A61M 2205/3576: with non implanted data transmission devices, e.g. using external transmitter or receiver
- A61M 2205/3584: using modem, internet or Bluetooth®
- A61M 2205/3592: using telemetric means, e.g. radio or optical transmission
- A61M 2205/502: User interfaces, e.g. screens or keyboards
- A61M 2205/505: Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
- A61M 2205/581: by audible feedback
- A61M 2205/583: by visual feedback
- A61M 2205/6018: providing set-up signals for the apparatus configuration
- A61M 2205/6054: Magnetic identification systems
- A61M 2205/702: automatically during use
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}
- G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA

## Abstract

A system for providing continuous positive air pressure therapy is provided. The system includes a patient interface, a flow generator, a sensor, and a computing device. Wireless transceivers allow wireless communication between the computing device and the flow generator and/or patient interface. Sensor data is communicated to the computing device and a leak determination is made by the computing device based on the sensor data. If a leak is detected, then troubleshooting options for correcting the leak are displayed to the patient on a display of the computing device. The troubleshooting options may be selected based on the sensed data, the type of patient interface, the type of flow generator, or characteristics of the patient using the device.

## Claims

### Claim 1

A system for providing continuous positive air pressure (CPAP) to a patient, the system comprising:
a flow generator configured to generate a supply of breathable gas that is delivered to the patient via a patient interface that is configured to engage with at least one airway of the patient, wherein the breathable gas is output from the flow generator at a pressure level that is above atmospheric pressure;
at least one sensor that is configured to measure a physical quantity while the breathable gas is supplied to the patient;
a first wireless communication transceiver that is electronically coupled to the patient interface or the flow generator; and
a computing device that includes at least a second wireless communications transceiver and at least one hardware processor, the at least one hardware processor configured to:
cause the pressure level supplied by the flow generator to increase from a first pressure level to a second pressure level,
receive, via a wireless transmission from the first wireless communication transceiver to the second wireless communications transceiver, first sensor data that is based on measured physical quantity of the at least one sensor,
perform, based on the received first sensor data and while the pressure level is controlled to increase to the second pressure level, a leak determination,
in response to leak detection by the leak determination:
display, to a display device that is coupled to the at least one hardware processor, a display screen that includes instructions for at least a first troubleshooting option that is selected to correct the leak detection, wherein the first troubleshooting option is selected based on a type identification of the flow generator and/or the patient interface, and
cause, via wireless communication, the flow generator to hold at a pressure level that is based on when the leak determination occurred,
after display of the instructions, acquire second sensor data that is based on another instance of the measured physical quantity,
perform, based on the received second sensor data, a subsequent leak determination, and
based on the subsequent leak determination that there is no leak, cause the pressure level increase to resume increasing to the second pressure level.

### Claim 2 (depends on 1)

The system of claim 1, wherein the at least one hardware processor is further configured to:
store a patient interface type for the patient interface or to store a flow generator type for the flow generator.

### Claim 3 (depends on 2)

The system of claim 2, wherein the at least one hardware processor is further configured to:
determine the patient interface type based on acquisition of an identifying feature of the patient interface; or
determine the flow generator type based on acquisition of an identifying feature of the flow generator.

### Claim 4 (depends on 1)

The system of claim 1, wherein the first troubleshooting option is among a plurality of troubleshooting options.

### Claim 5 (depends on 4)

The system of claim 4, wherein another troubleshooting option among the plurality of troubleshooting options is presented on the display device in response to subsequent leak detection at the subsequent leak determination.

### Claim 6 (depends on 1)

The system of claim 1, wherein the first troubleshooting option includes at least one of: repositioning the patient interface, checking straps of the patient interface, checking if the mouth of the patient is closed, checking connectors of the CPAP system, and taking off and putting the patient interface back on.

### Claim 7 (depends on 1)

The system of claim 1, wherein the at least one hardware processor is further configured to:
set, via wireless communication using the first and second wireless transceivers, the flow generator to the first pressure level, and
in response to reception of user input, cause, via wireless communication, the flow generator to increase the supply of breathable gas to the second pressure level.

### Claim 8 (depends on 1)

The system of claim 1, further comprising the patient interface.

### Claim 9 (depends on 1)

The system of claim 1, wherein the computing device includes a plurality of computing devices, with a first one of the plurality of computing devices communicates, via the second wireless communications transceiver, with the first wireless communication transceiver, and a second one of the plurality of computing devices communicates with the first one of the plurality of computing devices via a computer network.

### Claim 10 (depends on 9)

The system of claim 9, wherein the leak determination is performed by the second one of the plurality of computing devices.

### Claim 11 (depends on 1)

The system of claim 1, wherein the leak determination is automatically performed.

### Claim 12 (depends on 1)

The system of claim 1, wherein the leak determination is performed responsive to input provided to the computing device from a user.

### Claim 13 (depends on 1)

The system of claim 1, wherein the at least one hardware processor is further configured to, based on determination that no leak is present, cause the pressure level that is being supplied by the flow generator to be increased.

### Claim 14 (depends on 13)

The system of claim 13, wherein the pressure level is caused to be increased automatically.

### Claim 15 (depends on 1)

The system of claim 1, wherein the wireless transmission from the first wireless communication transceiver to the second wireless communications transceiver is Bluetooth.

### Claim 16

A non-transitory computer readable storage medium storing instructions for use with a computing device that is configured to control a continuous positive air pressure (CPAP) device that is coupled to a first wireless communication transceiver, the CPAP device configured to generate a supply of breathable gas that is delivered to a patient via a patient interface, wherein the breathable gas is output from a flow generator at a pressure level that is above atmospheric pressure, the CPAP device associated with at least one sensor that is configured to measure a physical quantity while the breathable gas is supplied to the patient, the computing device including at least one hardware processor and a second wireless communication transceiver, the stored instructions comprising instructions that are configured to cause the computing device to:
receive, via a wireless transmission from the first wireless communication transceiver to the second wireless communications transceiver, first sensor data that is based on measured physical quantity of the at least one sensor;
cause the pressure level supplied by the flow generator to increase from a first pressure level to a second pressure level;
perform, based on the received first sensor data and while the pressure level is controlled to increase to the second pressure level, a leak determination;
based on leak detection by the leak determination:
cause the increase from the first pressure level to the second pressure level to hold at a level at which the leak detection was determined,
display, to a display device that is coupled to the computing device, a graphical interface that includes instructions for at least a first troubleshooting option to address the leak detection,
subsequent to output of the first troubleshooting option for display, acquire second sensor data that is based on another instance of the measured physical quantity from the at least one sensor, and
perform, based on the acquired second sensor data, a subsequent leak determination; and
based on the subsequent leak determination that there is no leak, cause the pressure level increase to resume increasing to the second pressure level.

### Claim 17 (depends on 16)

The non-transitory computer readable storage medium of claim 16, wherein the stored instructions comprise further instructions that are configured to cause the computing device to:
store a patient interface type for the patient interface, or
store a flow generator type for the flow generator.

### Claim 18 (depends on 17)

The non-transitory computer readable storage medium of claim 17, wherein the first troubleshooting option is selected for inclusion into the display screen based on which flow generator type and/or patient interface type is stored.

### Claim 19 (depends on 16)

The non-transitory computer readable storage medium of claim 16, wherein the first troubleshooting option is among a plurality of troubleshooting options.

### Claim 20 (depends on 19)

The non-transitory computer readable storage medium of claim 19, wherein a different troubleshooting option among the plurality of troubleshooting options is presented on the display device based on leak detection by the subsequent leak determination.

### Claim 21 (depends on 16)

The non-transitory computer readable storage medium of claim 16, wherein the first troubleshooting option includes at least one of: repositioning the patient interface, checking straps of the patient interface, checking if the mouth of the patient is closed, checking connectors of the CPAP system, and taking off and putting the patient interface back on.

### Claim 22 (depends on 16)

The non-transitory computer readable storage medium of claim 16, wherein the stored instructions comprise further instructions that are configured to cause the computing device to:
cause, via wireless communication, the flow generator to be set to the first pressure level; and
in response to reception of user input, cause, via wireless communication, the flow generator to increase the supply of breathable gas to the second pressure level.

### Claim 23 (depends on 22)

The non-transitory computer readable storage medium of claim 22, wherein the stored instructions comprise further instructions that are configured to cause the computing device to:
in response to the leak detection that is based on the first sensor data during the increase of the supply of breathable gas from the first pressure level to the second pressure level, cause, via wireless communication, the flow generator to hold at a pressure level that is based on when the leak detection occurred.

### Claim 24 (depends on 16)

The non-transitory computer readable storage medium of claim 16, wherein the computing device includes a plurality of computing devices, with a first one of the plurality of computing devices communicates, via the second wireless communications transceiver, with the first wireless communication transceiver, and a second one of the plurality of computing devices communicates with the first one of the plurality of computing devices via a computer network.

### Claim 25 (depends on 16)

The non-transitory computer readable storage medium of claim 16, wherein the stored instructions comprise further instructions that are configured to cause the computing device to:
cause the pressure level that is being supplied by the flow generator to be increased in a stepwise manner while no leaks are detected.

### Claim 26 (depends on 16)

The non-transitory computer readable storage medium of claim 16, wherein resumption of increasing the pressure level to the second pressure level occurs automatically.

### Claim 27

A computing device for use with a flow generator of a continuous positive air pressure (CPAP) system, the computing device comprising:
a wireless communications transceiver; and
at least one hardware processor that is configured to:
receive, via the wireless communications transceiver, first sensor data that is based on a measured physical quantity of at least one sensor while breathable gas is supplied by a flow generator, of the CPAP system, to a patient via a patient interface that is configured to engage with at least one airway of the patient,
cause a pressure level supplied by the flow generator to increase from a first pressure level to a second pressure level;
perform, based on the received first sensor data and while the pressure level is controlled to increase to the second pressure level, a leak determination in connection with the supplied breathable gas,
in response to leak detection by the leak determination, cause the increase from the first pressure level to the second pressure level to hold at a level at which the leak detection was determined,
in response to the leak detection by the leak determination, display, to a display device that is coupled to the at least one hardware processor, a graphical user interface that includes instructions for at least a first troubleshooting option to correct the leak detection,
subsequent to the graphical user interlace that includes the instructions being output for display, acquire second sensor data that is based on another instance of the measured physical quantity, and
perform, based on the acquired second sensor data, a subsequent leak determination; and
based on the subsequent leak determination that there is no leak, cause the pressure level increase to resume increasing to the second pressure level.

### Claim 28

A method for addressing leaks in a CPAP system, the method comprising:
generating, via a flow generator of the CPAP system, a supply of breathable gas that is delivered to a patient via a patient interface that is configured to engage with at least one airway of the patient, wherein the breathable gas is output from the flow generator at a pressure level that is above atmospheric pressure;
executing an application program on a computing device that is separate from the flow generator;
causing the pressure level supplied by the flow generator to increase from a first pressure level to a second pressure level;
receiving, via a wireless transmission from the flow generator and at the computing device, first sensor data that is based on measurement of a physical quantity by using at least one sensor;
performing, based on the received first sensor data and while the pressure level is controlled to increase to the second pressure level, a leak determination for the supply of breathable gas being delivered to the patient;
determining a leak detection by the leak determination, and subsequent the leak detection:
displaying, to a display device that is coupled to the computing device, a user interface that includes instructions for at least a first troubleshooting option that is selected to correct the leak detection, wherein the first troubleshooting option is selected based on which type of flow generator and/or the patient interface is determined for the flow generator and/or patient interface, and
causing, via wireless communication, the flow generator to hold at a pressure level that is based on when the leak determination occurred,
subsequent to the display of the user interface with the instructions, acquiring second sensor data that is based on another instance of the measured physical quantity by using the at least one sensor;
performing, based on the received second sensor data, a subsequent leak determination for the supply of breathable gas being delivered to the patient;
determining, based on the subsequent leak determination that there is no leak; and
causing the pressure level increase to resume increasing to the second pressure level based on the subsequent leak determination that there is no leak.
