# US 12,214,192 B2 · Band with built-in stimulator

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- Number: US 12,214,192 B2
- Document ID: US12214192B2
- Status: Granted
- Kind: B2
- Application number: 17/623,124
- Filed: 2020-06-26
- Published: 2022-12-22
- Granted: 2025-02-04
- Earliest claimed: 2019-06-28
- Assignees: ResMed Pty Ltd
- Applicants: ResMed Pty Ltd
- Inventors: Peter James Dassos; Benjamin Peter Johnston; Nathan Zersee Liu; Sakeena De Souza; Mark Neil Phillips; Genevieve Claire Madafiglio
- Web page: https://patentgrep.com/patent/US12214192B2

## CPC

- A61B 5/0245: by using sensing means generating electric signals, {i.e. ECG signals}
- A61N 1/36031: {using physiological parameters for adjustment}
- A61B 5/02416: {using photoplethysmograph signals, e.g. generated by infrared radiation (A61B5/14552 takes precedence)}
- A61B 5/0295: using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography
- A61B 5/0826: {Detecting or evaluating apnoea events (sleep apnoea A61B5/4818)}
- A61B 5/113: occurring during breathing
- A61B 5/1135: {by monitoring thoracic expansion}
- A61B 5/316: Modalities, i.e. specific diagnostic methods
- A61B 5/4818: {Sleep apnoea}
- A61B 5/4836: {Diagnosis combined with treatment in closed-loop systems or methods (A61B5/0036 takes precedence)}
- A61B 5/6822: {Neck}
- A61B 5/6823: {Trunk, e.g., chest, back, abdomen, hip}
- A61B 5/6831: {Straps, bands or harnesses}
- A61B 5/7282: {Event detection, e.g. detecting unique waveforms indicative of a medical condition (cough events A61B5/0823; seizures A61B5/4094; sleep apnoea A61B5/4818)}
- A61F 5/56: Devices for preventing snoring
- A61N 1/0452: {Specially adapted for transcutaneous muscle stimulation [TMS]}
- A61N 1/0456: {Specially adapted for transcutaneous electrical nerve stimulation [TENS]}
- A61N 1/0484: {Garment electrodes worn by the patient}
- A61N 1/3601: {of respiratory organs}
- A61B 2560/0462: Apparatus with built-in sensors
- A61B 2562/0204: Acoustic sensors
- A61B 2562/164: the sensor is mounted in or on a conformable substrate or carrier
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61N: ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY (measurement of bioelectric currents A61B; surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body A61B18/00; anaesthetic apparatus in general A61M; incandescent lamps H01K; infrared radiators for heating H05B)
- A61F: FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS (dental prosthetics A61C)

## Abstract

A system includes a collar that is worn around a neck of the user. A stimulator is coupled to the collar such that the stimulator is positioned adjacent to an airway of the user. The sensor is coupled to the collar and configured to generate data associated with the airway of the user. The memory is coupled to the collar and storing machine-readable instructions. The control system is coupled to the collar and includes one or more processors configured to execute the machine-readable instructions to determine, based at least on an analysis of the generated data, that the user is currently experiencing an apnea event. In response to the determination, the control system causes the stimulator to provide electrical stimulation, at a first intensity level, to one or more muscles of the user that are adjacent to the airway to aid in stopping the apnea event.

## Claims

### Claim 1

A method for aiding a user in breathing during sleep, the method comprising:
receiving, from a first sensor, first data;
receiving, from a second sensor, second data;
analyzing the first data to determine if the user is currently experiencing a first type of apnea event;
analyzing the second data to determine if the user is currently experiencing a second type of apnea event that is different than the first type of apnea event;
in response to determining that the user is currently experiencing the first type of apnea event based on the analyzing the first data, causing a first stimulator to provide electrical stimulation to one or more muscles of the user that are adjacent to an airway of the user to aid in stopping the first type of apnea event, the first stimulator and the first sensor being coupled to a first band that is configured to be worn around a neck of the user; and
in response to determining that the user is currently experiencing the second type of apnea event based on the analyzing the second data, causing a second stimulator to provide the electrical stimulation to a diaphragm of the user to aid in stopping the second type of apnea event, the second stimulator and the second sensor being coupled to a second band that is configured to be worn around a chest or an abdomen of the user.

### Claim 2 (depends on 1)

The method of claim 1, wherein the first type of apnea event is an obstructive apnea event and the second type of apnea event is a central apnea event.

### Claim 3 (depends on 1)

The method of claim 1, wherein the first sensor is a photoplethysmography (PPG) sensor, and wherein the first data includes data associated with blood flow of the user.

### Claim 4 (depends on 3)

The method of claim 3, wherein the second sensor is a motion sensor, a strain gauge, an accelerometer, or any combination thereof, and wherein the second data includes data associated with movement of a chest of the user, one or more muscles of an abdomen of the user, or both.

### Claim 5 (depends on 1)

The method of claim 1, wherein the first sensor is a first type of sensor and the second sensor is a second type of sensor that is different than the first type of sensor.

### Claim 6

A system for aiding a user in breathing during sleep, the system comprising:
a first band configured to be worn around a neck of the user;
a first stimulator coupled to the first band such that, when the first band is worn around the neck of the user, the first stimulator is positioned to provide electrical stimulation to one or more muscles of the user that are adjacent to an airway of the user;
a second band configured to be worn around a chest or abdomen of the user;
a second stimulator coupled to the second band such that, when the second band is worn around the chest or abdomen of the user, the second stimulator is positioned to provide electrical stimulation to a diaphragm of the user;
a first sensor coupled to the first band and configured to generate first data;
a second sensor coupled to second band and configured to generate second data;
a memory storing machine-readable instructions; and
a control system including one or more processors configured to execute the machine-readable instructions to:
analyze the generated first data to determine if the user is currently experiencing a first type of apnea event;
analyze the generated second data to determine if the user is currently experiencing a second type of apnea event that is different than the first type of apnea event;
in response to a determination that the user is currently experiencing the first type of apnea event, cause the first stimulator to provide the electrical stimulation to the one or more muscles of the user that are adjacent to the airway of the user to aid in stopping the first type of apnea event; and
in response to a determination that the user is currently experiencing the second type of apnea event, cause the second stimulator to provide the electrical stimulation to the diaphragm of the user to aid in stopping the second type of apnea event.

### Claim 7 (depends on 6)

The system of claim 6, wherein the first type of apnea event is an obstructive apnea event and the second type of apnea event is a central apnea event.

### Claim 8 (depends on 6)

The system of claim 6, wherein the first sensor is a photoplethysmography (PPG) sensor, and wherein the first data includes data associated with blood flow of the user.

### Claim 9 (depends on 8)

The system of claim 8, wherein the second sensor is a motion sensor, a strain gauge, an accelerometer, or any combination thereof, and wherein the second data includes data associated with movement of a chest of the user, one or more muscles of an abdomen of the user, or both.

### Claim 10 (depends on 6)

The system of claim 6, wherein the first sensor is a first type of sensor and the second sensor is a second type of sensor that is different than the first type of sensor.

### Claim 11 (depends on 6)

The system of claim 6, wherein the first band is adjustable such that a length of the first band can be altered when worn around the neck of the user.

### Claim 12 (depends on 11)

The system of claim 11, wherein the second band is adjustable such that a length of the second band can be altered when worn around the chest or abdomen of the user.

### Claim 13 (depends on 12)

The system of claim 12, wherein the first band, the second band, or both are at least partially stretchable.

### Claim 14 (depends on 6)

The system of claim 6, wherein the memory and the control system are physically coupled to the second band and configured to wireless control the first stimulator.

### Claim 15 (depends on 6)

The system of claim 6, wherein the memory and the control system are physically coupled to the first band and configured to wireless control the second stimulator.

### Claim 16 (depends on 1)

The method of claim 1, further comprising analyzing the first data, the second data, or both to determine a sleep state of the user, a tension of the one or more muscles, or both.

### Claim 17

The method of 1, further comprising varying one or more parameters of the electrical stimulation.

### Claim 18 (depends on 17)

The method of claim 17, wherein the one or more parameters of the electrical stimulation are varied based at least in part on a measured response of the one or more muscles to the electrical stimulation.

### Claim 19 (depends on 18)

The method of claim 18, wherein the one or more parameters of the electrical stimulation include frequency, intensity, duration, dwell time, rise time in a pulse, a ratio of on-time to an off-time, or any combination thereof.

### Claim 20 (depends on 1)

The method of claim 1, wherein the one or more muscles of the user that are adjacent to the airway of the user include one or more muscles of a neck of the user, one or more muscles of a throat of the user, or both.

### Claim 21 (depends on 6)

The system of claim 6, wherein the one or more muscles of the user that are adjacent to the airway of the user include one or more muscles of a neck of the user, one or more muscles of a throat of the user, or both.

### Claim 22 (depends on 3)

The method of claim 3, wherein analyzing the first data to determine if the user is currently experiencing the first type of apnea event includes analyzing the first data to determine whether the blood flow rate of the user has fallen below a blood flow rate threshold.

### Claim 23 (depends on 22)

The method of claim 22, wherein analyzing the first data to determine whether the blood flow rate of the user has fallen below the blood flow rate threshold includes analyzing the data to determine whether the blood flow rate of the user has fallen below the blood flow rate threshold for a predetermined period of time.

### Claim 24 (depends on 8)

The system of claim 8, wherein analyzing the first data to determine if the user is currently experiencing the first type of apnea event includes analyzing the first data to determine whether the blood flow rate of the user has fallen below a blood flow rate threshold.

### Claim 25 (depends on 24)

The system of claim 24, wherein analyzing the first data to determine whether the blood flow rate of the user has fallen below the blood flow rate threshold includes analyzing the data to determine whether the blood flow rate of the user has fallen below the blood flow rate threshold for a predetermined period of time.

### Claim 26 (depends on 1)

The method of claim 1, wherein determining that the user is currently experiencing the first type of apnea event is based on only the first data, and wherein determining that the user is currently experiencing the second type of apnea event is based on only the second data.

### Claim 27 (depends on 6)

The system of claim 6, wherein determining that the user is currently experiencing the first type of apnea event is based on only the first data, and wherein determining that the user is currently experiencing the second type of apnea event is based on only the second data.
