# US 2014/0150791 A1 · Combination respiratory therapy device, system, and method > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2014/0150791 A1 - Document ID: US20140150791A1 - Status: Published application - Kind: A1 - Application number: 13/692,192 - Filed: 2012-12-03 - Published: 2014-06-05 - Earliest claimed: 2012-12-03 - Assignees: Hill-Rom Services Pte. Ltd. - Applicants: Hill-Rom Services Pte. Ltd. - Inventors: David J. Birnkrant; Chad M. Boerst; Mike Yang ChangGuo - Web page: https://patentgrep.com/patent/US20140150791A1 ## CPC - G16H 20/40: relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture - A61H 9/0007: {Pulsating} - A61H 9/0078: {with intermittent or alternately inflated bladders or cuffs (mattresses for preventing bed-sores with alternated pressurized chambers A61G7/05776)} - A61H 31/00: Artificial respiration by a force applied to the chest; Heart stimulation, e.g. heart massage (applying electric currents by contact electrodes for stimulation, e.g. heart pace-makers, A61N1/36 {; teaching or training models, demonstration models for medical purposes G09B23/288}) - A61M 16/0006: {with means for creating vibrations in patients' airways} - A61M 16/0009: {with sub-atmospheric pressure, e.g. during expiration} - A61M 16/0051: {with alarm devices} - A61M 16/0057: {Pumps therefor} - A61M 16/024: {including calculation means, e.g. using a processor} - A61H 2201/5012: using the internet - A61H 2201/5015: using specific interfaces or standards, e.g. USB, serial, parallel - A61H 2201/5048: Audio interfaces, e.g. voice or music controlled - A61H 2201/5058: Sensors or detectors - A61H 2201/5071: Pressure sensors - A61H 2201/5087: Flow rate sensors - A61M 16/0069: {the speed thereof being controlled by respiratory parameters, e.g. by inhalation} - A61M 16/06: Respiratory or anaesthetic masks - A61M 16/1065: {in the expiratory path} - A61M 16/107: {in the inspiratory path} - A61M 16/16: Devices to humidify the respiration air {(A61M16/1045 takes precedence)} - A61M 2016/0021: {with a proportional output signal, e.g. from a thermistor} - A61M 2016/0027: {pressure meter} - A61M 2016/0039: {in the inspiratory circuit} - A61M 2016/0042: {in the expiratory circuit} - A61M 2205/18: with alarm - A61M 2205/3553: remote, e.g. between patient's home and doctor's office - A61M 2205/3561: local, e.g. within room or hospital - A61M 2205/3584: using modem, internet or Bluetooth® - A61M 2205/3592: using telemetric means, e.g. radio or optical transmission - A61M 2205/50: with microprocessors or computers - A61M 2205/505: Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches - A61M 2205/52: with memories providing a history of measured variating parameters of apparatus or patient - A61M 2205/581: by audible feedback - A61M 2205/583: by visual feedback - A61M 2205/80: voice-operated command - A61M 2209/08: Supports for equipment - G16H: HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA - A61H: PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY (electrotherapy, magnetotherapy, radiation therapy or ultrasound therapy A61N) - 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)} ## Abstract A combination respiratory therapy management system creates a combined respiratory therapy prescription that can be executed by a combined respiratory therapy device to provide multiple coordinated respiratory therapies to a patient. The system can update the combined respiratory therapy prescription and implement the updates while the combined respiratory therapy device is in use. Some versions of the system provide additional features that allow the combined respiratory therapy prescriptions to be created, accessed, shared with other users, and performed by the combination respiratory therapy device in a customizable user-friendly and non-threatening way. ## Claims ### Claim 1 A combination respiratory therapy prescription creator embodied in one or more machine-accessible storage media and executable by a computing device to: receive data indicating a respiratory condition of a person; determine, based on the respiratory condition, a combination of pre-defined respiratory therapies from a plurality of possible therapies, the possible therapies comprising lung ventilation, lung volume recruitment, mucus extraction, and mucus mobilization therapies; select a combination respiratory therapy device from a family of combination respiratory therapy devices based on the determined combination of therapies, wherein each of the combination respiratory therapy devices comprises a plurality of separate interfaces that are engageable with the person to provide a combination of lung ventilation therapy or lung volume recruitment therapy and mucus extraction therapy, or lung ventilation therapy or lung volume recruitment therapy and mucus mobilization therapy, or lung ventilation therapy or lung volume recruitment therapy and mucus extraction therapy and mucus mobilization therapy; and based on the respiratory condition, create a respiratory therapy prescription to be executed by the selected combination respiratory therapy device without disengaging the selected combination respiratory therapy device from the person, the respiratory therapy prescription specifying at least a lung ventilation or a lung volume recruitment therapy and a mucus extraction therapy or a mucus mobilization therapy to be provided by the selected combination respiratory therapy device to the person. ### Claim 2 (depends on 1) The combination respiratory therapy prescription creator of claim 1, executable by a computing device to define a treatment session to be executed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy substantially immediately followed by a lung ventilation therapy or a lung volume recruitment therapy. ### Claim 3 (depends on 2) The combination respiratory therapy prescription creator of claim 2, executable by a computing device to specify a number of times the treatment sequence is to be repeated during the treatment session and define a duration of the treatment session based on the number of times the treatment sequence is to be repeated. ### Claim 4 (depends on 2) The combination respiratory therapy prescription creator of claim 2, executable by a computing device to define a time at which the mucus mobilization therapy is to be executed by the selected combination respiratory therapy device prior to the execution of the treatment session. ### Claim 5 (depends on 2) The combination respiratory therapy prescription creator of claim 2, executable by a computing device to define a time at which another lung ventilation or lung volume recruitment therapy is to be executed by the selected combination respiratory therapy device after the execution of the treatment session. ### Claim 6 (depends on 2) The combination respiratory therapy prescription creator of claim 2, executable by a computing device to define another treatment session to be executed by the selected combination respiratory therapy device prior to the execution of the treatment session. ### Claim 7 (depends on 6) The combination respiratory therapy prescription creator of claim 6, wherein the other treatment session comprises a different treatment sequence. ### Claim 8 (depends on 1) The combination respiratory therapy prescription creator of claim 1, executable by a computing device to define a treatment session to be executed by the selected combination respiratory therapy device, wherein the treatment session comprises a plurality of treatment sequences and each treatment sequence comprises a mucus extraction therapy substantially immediately followed by a lung ventilation therapy or a lung volume recruitment therapy. ### Claim 9 (depends on 8) The combination respiratory therapy prescription creator of claim 8, executable by a computing device to define the mucus extraction therapy as a plurality of cough cycles that are consecutively repeated by the selected combination respiratory therapy device and to define each cough cycle as comprising an application of positive-pressure air flow by the selected combination respiratory therapy device followed by an application of negative-pressure air flow by the selected combination respiratory therapy device. ### Claim 10 (depends on 9) The combination respiratory therapy prescription creator of claim 9, executable by a computing device to define a duration of time for which the lung ventilation therapy or lung volume recruitment therapy is performed by the selected combination respiratory therapy device. ### Claim 11 (depends on 1) The combination respiratory therapy prescription creator of claim 1, executable by a computing device to specify an audio message to be played by the selected combination respiratory therapy device at a time prior to the combination respiratory therapy device performing the combination respiratory therapy prescription. ### Claim 12 (depends on 11) The combination respiratory therapy prescription creator of claim 11, executable by a computing device to associate a digital graphic or animation of a user-selected mascot with the audio message. ### Claim 13 (depends on 1) The combination respiratory therapy prescription creator of claim 1, executable by a computing device to receive data relating to a change in the person's respiratory condition and modify the respiratory therapy prescription based on the data relating to the change in the person's respiratory condition. ### Claim 14 (depends on 13) The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, define a time interval after which the treatment session is to be performed, receive data relating to a change in the person's respiratory condition, and change the time interval based on the data relating to the change in the person's respiratory condition. ### Claim 15 (depends on 13) The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy; receive data relating to a change in the person's respiratory condition; and add a mucus mobilization therapy to the respiratory therapy prescription based on the change in the person's respiratory condition. ### Claim 16 (depends on 13) The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy; receive data relating to a change in the person's respiratory condition; and add another lung ventilation therapy or lung volume recruitment therapy following the treatment session based on the change in the person's respiratory condition. ### Claim 17 (depends on 13) The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy; receive data relating to a change in the person's respiratory condition; and increase an inspiratory pressure associated with the mucus extraction therapy based on the change in the person's respiratory condition. ### Claim 18 (depends on 13) The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy; receive data relating to a change in the person's respiratory condition; and increase an expiratory pressure associated with the mucus extraction therapy based on the change in the person's respiratory condition. ### Claim 19 (depends on 13) The combination respiratory therapy prescription creator of claim 13, executable by a computing device to define a treatment session to be performed by the selected combination respiratory therapy device, wherein the treatment session comprises a treatment sequence to be repeated a number of times during the treatment session and the treatment sequence comprises a mucus extraction therapy followed by a lung ventilation therapy or a lung volume recruitment therapy; receive data relating to a change in the person's respiratory condition; and increase the number of times the treatment sequence is to be repeated based on the change in the person's respiratory condition. ### Claim 20 (depends on 1) The combination respiratory therapy prescription creator of claim 1, executable by a computing device to receive data relating to a change in the person's respiratory condition and select a different combination respiratory therapy device from the family of combination respiratory therapy devices based on the data relating to the change in the person's respiratory condition. ### Claim 21 (depends on 1) The combination respiratory therapy prescription creator of claim 1, executable by a computing device to electronically communicate the respiratory therapy prescription to a mobile device configured for use by a respiratory therapist. ### Claim 22 (depends on 1) The combination respiratory therapy prescription creator of claim 1, executable by a computing device to electronically communicate the respiratory therapy prescription to a device configured for use by the person. ### Claim 23 (depends on 1) The combination respiratory therapy prescription creator of claim 1, executable by a computing device to present an interactive graphical depiction of the respiratory therapy prescription at the computing device. ### Claim 24 (depends on 23) The combination respiratory therapy prescription creator of claim 23, wherein the interactive graphical depiction comprises a 24-hour timeline and one or more interactive slide bars to adjust the duration of portions of the respiratory therapy prescription along the timeline. ### Claim 25 (depends on 23) The combination respiratory therapy prescription creator of claim 23, wherein the interactive graphical depiction comprises an animated simulation of at least a portion of the respiratory therapy prescription, and the animated simulation comprises a graphical depiction of at least a portion of human lungs receiving the simulated portion of the respiratory therapy prescription. ### Claim 26 (depends on 1) The combination respiratory therapy prescription creator of claim 1, executable by a computing device to electronically communicate the respiratory therapy prescription to the selected combination respiratory therapy device for automated execution by the selected combination respiratory therapy device. ### Claim 27 (depends on 1) The combination respiratory therapy prescription creator of claim 1, executable by a computing device to receive the respiratory therapy prescription from the computing device at a mobile device configured for use by a respiratory therapist and electronically communicate the respiratory therapy prescription from the mobile device to the selected combination respiratory therapy device. ### Claim 28 A combined respiratory therapy device control module embodied in one or more machine-accessible storage media and executable by a combination respiratory therapy device controller to: monitor a period of time over which a person connected to a combination respiratory therapy device controlled by the combination respiratory therapy device controller is to receive combined respiratory therapy according to a combined respiratory therapy prescription, the combined respiratory therapy prescription defining a plurality of different therapy sessions to be performed by the combination respiratory therapy device at different times during the period of time, each of the plurality of different therapy sessions comprising at least a mucus extraction therapy followed substantially immediately by a lung ventilation therapy or a lung volume recruitment therapy; configure the combination respiratory therapy device to perform each of the plurality of different therapy sessions at the appropriate times and with the appropriate device settings according to the combined respiratory therapy prescription; and control the combination respiratory therapy device to perform each of the plurality of different therapy sessions at the appropriate times with the appropriate device settings according to the combined respiratory therapy prescription. ### Claim 29 (depends on 28) The control module of claim 28, executable by the combination respiratory therapy device controller to repeat the mucus extraction therapy followed substantially immediately by the lung ventilation therapy or lung volume recruitment therapy a predefined number of times during each treatment session. ### Claim 30 (depends on 28) The control module of claim 28, executable by the combination respiratory therapy device controller to present an audio message to the person before performing the therapy sessions. ### Claim 31 (depends on 30) The control module of claim 30, executable by the combination respiratory therapy device controller to present the audio message at a predetermined time in relation to the therapy sessions. ### Claim 32 (depends on 31) The control module of claim 31, executable by the combination respiratory therapy device controller to configure the audio message for the person based on the person's age. ### Claim 33 (depends on 31) The control module of claim 31, executable by the combination respiratory therapy device controller to configure the audio message based on the time of day. ### Claim 34 (depends on 28) The control module of claim 28, executable by the combination respiratory therapy device controller to configure the combination respiratory therapy device to supply positive-pressure air flow at a first pressure followed positive-pressure air flow at a second pressure during the lung ventilation or lung volume recruitment therapy, and configure the combination therapy device to supply positive-pressure air flow at a third pressure greater than the first pressure followed by negative-pressure air flow during the mucus extraction therapy. ### Claim 35 (depends on 28) The control module of claim 28, executable by the combination respiratory therapy device controller to configure the combination respiratory therapy device to supply a series of air pulses prior to at least one of the therapy sessions. ### Claim 36 (depends on 28) The control module of claim 28, executable by the combination respiratory therapy device controller to receive user input, reconfigure the combination respiratory therapy device based on the user input, and perform a modified therapy session based on the user input. ### Claim 37 A combined respiratory therapy system, comprising: a combination respiratory therapy device to execute a combined respiratory therapy prescription, the combined respiratory therapy prescription defining a plurality of different therapy sessions to be performed by the combination respiratory therapy device over a period of time, each of the plurality of different therapy sessions comprising at least a mucus extraction therapy followed substantially immediately by a lung ventilation therapy or a lung volume recruitment therapy; a prescription creator module embodied in one or more machine-accessible storage media, the prescription creator module executable by a computing system to interact with a physician to create the combined respiratory prescription; and a control module embodied in one or more machine-accessible storage media, the control module executable by the computing system to configure the combination respiratory therapy device to perform the therapy sessions according to the combined respiratory therapy prescription. ### Claim 38 (depends on 37) The system of claim 37, comprising a data sharing module embodied in one or more machine-accessible storage media, the data sharing module executable by the computing system to electronically communicate the combined respiratory therapy prescription to the combination respiratory therapy device. ### Claim 39 (depends on 38) The system of claim 38, wherein the data sharing module is executable by the computing system to electronically communicate the combined respiratory therapy prescription to another computing device. ### Claim 40 (depends on 38) The system of claim 38, wherein the data sharing module is executable by the computing system to display at least a portion of the combined respiratory therapy prescription at another computing device used by healthcare personnel. ### Claim 41 (depends on 38) The system of claim 38, wherein the data sharing module is executable by the computing system to electronically communicate at least a portion of the combined respiratory therapy prescription from a remote computing device used by healthcare personnel to the combination respiratory therapy device. ### Claim 42 (depends on 38) The system of claim 38, wherein the data sharing module is executable by the computing system to display at least a portion of the combined respiratory therapy prescription at another computing device used by a person receiving the combined respiratory therapy. ### Claim 43 (depends on 38) The system of claim 38, wherein the data sharing module is executable by the computing system to electronically communicate at least a portion of the combined respiratory therapy prescription from a computing device used by a person receiving the combined respiratory therapy to the combination respiratory therapy device. ### Claim 44 (depends on 38) The system of claim 38, wherein the data sharing module is executable by the computing system to enable two-way electronic communication of at least a portion of the combined respiratory therapy prescription between or among a plurality of computing devices used by a plurality of healthcare personnel. ### Claim 45 A control unit for a combination respiratory therapy device, comprising: an air supply; a first air circuit operably coupled to the air supply to supply positive-pressure air flow to a positive air flow patient interface of the combination respiratory therapy device; a second air circuit operably coupled to the air supply to supply negative-pressure air flow to a negative air flow patient interface of the combination respiratory device; the second air circuit being physically separate from the first air circuit; a controller to control the air supply; and memory accessible by the controller, the memory comprising instructions executable by the controller to: activate the air supply to supply air to the first air circuit at a first positive pressure during a ventilation or lung volume recruitment portion of a respiratory therapy treatment session; and alternatingly activate the air supply to supply air to the first air circuit at a second positive pressure greater than the first positive pressure followed by a supply of air to the second air circuit at a negative pressure during a coughing assistance portion of the respiratory therapy treatment session. ### Claim 46 (depends on 45) The control unit of claim 45, comprising another air supply and a third air circuit operably coupled to the other air supply to supply a series of air pulses to an air pulse patient interface of the combination respiratory therapy device. ### Claim 47 (depends on 46) The control unit of claim 46, wherein the third air circuit is physically separate from at least the second air circuit. ### Claim 48 (depends on 46) The control unit of claim 46, wherein the third air circuit is physically separate from the first air circuit and the second air circuit. ### Claim 49 (depends on 46) The control unit of claim 46, wherein the air pulse patient interface is selectively coupled to the positive air flow patient interface. ### Claim 50 (depends on 45) The control unit of claim 45, comprising a control panel to input patient condition information, wherein the control unit is configured to adjust the operation of the air supply in real time based on the patient condition information. ### Claim 51 (depends on 45) The control unit of claim 45, wherein the positive air flow patient interface only supplies positive air flow nasally and the negative air flow interface only supplies negative air flow orally. ### Claim 52 (depends on 45) The control unit of claim 45, comprising one or more sensors in communication with the controller to align the positive air flow with a person's normal breathing pattern during both the coughing assistance portion and the ventilation portion of the respiratory therapy treatment session. ### Claim 53 (depends on 45) A system for combination respiratory therapy, comprising the control unit of claim 45, the positive air flow patient interface, and the negative air flow patient interface. ### Claim 54 (depends on 53) The system of claim 53, wherein the control unit is in selective communication with an air pulse patient interface. ### Claim 55 (depends on 54) The system of claim 54, wherein the instructions are configured to selectively provide, during the respiratory therapy treatment session: (i) mucus extraction therapy followed by lung ventilation therapy; or (ii) mucus extraction therapy followed by lung volume recruitment therapy; or (iii) mucus mobilization therapy followed by mucus extraction therapy followed by lung ventilation therapy; or (iv) mucus mobilization therapy followed by mucus extraction therapy followed by lung volume recruitment therapy. ### Claim 56 (depends on 53) The system of claim 53, comprising a network interface to receive user input relating to a patient's condition from another device. ### Claim 57 (depends on 53) The system of claim 53, comprising a graphical user interface to create or modify the respiratory therapy prescription, the graphical user interface being located at the controller. ### Claim 58 (depends on 53) The system of claim 53, comprising an audio user interface to provide audio messages to a person using the combination respiratory therapy device.