U.S. patent application number 13/064998 was filed with the patent office on 2011-08-25 for portable positive airway pressure device accessories and methods for use thereof.
This patent application is currently assigned to ResMed Limited. Invention is credited to Mark Bertinetti, Geoffrey Daniel Daly, Philip James Jenkinson.
Application Number | 20110203587 13/064998 |
Document ID | / |
Family ID | 38721348 |
Filed Date | 2011-08-25 |
United States Patent
Application |
20110203587 |
Kind Code |
A1 |
Bertinetti; Mark ; et
al. |
August 25, 2011 |
Portable positive airway pressure device accessories and methods
for use thereof
Abstract
A portable cradle for carrying a PAP device includes a base and
a handle that is provided on the base. The base is structured to
receive the PAP device and attachments to the PAP device. The base
is oriented in a substantially horizontal position when the handle
is lifted. A trolley may be provided to easily wheel the PAP device
and store multiple accessories. Detachable battery packs may also
be provided for attachment to a cradle.
Inventors: |
Bertinetti; Mark;
(Ermington, AU) ; Jenkinson; Philip James;
(Chittaway Point, AU) ; Daly; Geoffrey Daniel;
(Sherwood, AU) |
Assignee: |
ResMed Limited
Bella Vista
AU
|
Family ID: |
38721348 |
Appl. No.: |
13/064998 |
Filed: |
May 2, 2011 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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11808454 |
Jun 11, 2007 |
7942380 |
|
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13064998 |
|
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60812081 |
Jun 9, 2006 |
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Current U.S.
Class: |
128/204.18 ;
248/682; 280/47.35 |
Current CPC
Class: |
A61M 2016/1025 20130101;
A61M 2205/3569 20130101; A61M 2016/0033 20130101; A61M 2205/3592
20130101; A61M 2205/6045 20130101; A61M 2205/502 20130101; A61M
2016/0021 20130101; A61G 2203/46 20130101; A61M 15/00 20130101;
A61M 2205/3561 20130101; A61M 2209/086 20130101; A61M 2230/205
20130101; A61G 12/001 20130101; A61M 16/021 20170801; A61M 2205/52
20130101; A61M 16/16 20130101; A61M 16/0057 20130101; A61M 2230/30
20130101; A61M 16/107 20140204; A61M 2202/0208 20130101; A61M 16/12
20130101; A61M 2205/8206 20130101; A61M 2205/3584 20130101; A61M
2209/084 20130101; A61M 2230/202 20130101; A61M 2230/50 20130101;
A61M 2209/082 20130101; A61M 2230/04 20130101; A61G 13/107
20130101 |
Class at
Publication: |
128/204.18 ;
248/682; 280/47.35 |
International
Class: |
A61M 16/00 20060101
A61M016/00; A62B 9/04 20060101 A62B009/04; B62B 3/00 20060101
B62B003/00 |
Claims
1-24. (canceled)
25. A portable breathing apparatus assembly, comprising: a PAP
device; and a cradle structured to receive a PAP device, wherein
the cradle comprises a handle, wherein the PAP device is oriented
in a substantially horizontal position when the handle is
lifted.
26. The portable breathing apparatus assembly of claim 25, further
comprising an oxygen blender connected to the PAP device.
27. The portable breathing apparatus assembly of claim 26, wherein
the oxygen blender is physically and pneumatically connected to the
PAP device and electrically connected to the cradle.
28. The portable breathing apparatus assembly according to claim
25, further comprising a battery module.
29. A method for providing a portable breathing apparatus that
includes a PAP device and a battery module, comprising: providing a
cradle to the battery module by connecting a first at least one
engageable member of the cradle with at least one engageable member
of the battery module; and providing the PAP device to the cradle
by connecting at least one engageable member of the PAP device with
a second at least one engageable member of the cradle.
30. The method of claim 29, further comprising attaching
communication cords disposed within the cradle to the PAP
device.
31. An air delivery system, comprising: a controllable PAP device
operable to generate a supply of pressurized breathable gas to be
provided to a patient for treatment, the PAP device adapted to be
operable in a plurality of delivery modes; a controller configured
to operate the PAP device in a selected one of the plurality of
delivery modes; and a display screen configured to display output
received from one or more patient monitoring sensors applied to the
patient.
32. The air delivery system according to claim 31, wherein the
display screen is configured to display breathing parameters
associated with the selected delivery mode.
33. The air delivery system according to claim 32, wherein the
display screen is configured to display graphs of at least one of
the pressure, flow and volume of applied gas.
34. The air delivery system according to claim 31, wherein the
display screen is configured to display output received from one or
more sensors monitoring the patient's pulse oximetry, CO2 level,
blood pressure, temperature, and/or ECG transducers.
35. The air delivery system according to claim 31, wherein the
display screen further comprises an arm attached to the display
screen, wherein the arm is provided with an electrical and
communications connector.
36. The air delivery system of claim 35, further comprising a
remote adapter configured for connection to the electrical and
communications connector of the arm.
37. The air delivery system of claim 36, wherein the remote adapter
further comprises a cord configured to connect to the PAP
device.
38. The air delivery system of claim 37, wherein the adapter
further comprises rubber feet deployed on a bottom surface
thereof.
39. The air delivery system of claim 37, wherein the adapter is
adapted to be mounted.
40. The air delivery system according to claim 31, wherein the
controller is initially configured to provide intensive monitoring
and care, and the controller is reconfigured to provide reduced
functionality for patient home use.
41. A trolley, comprising: a wheel base; a support pole provided to
the wheel base; a handle provided to a free end of the support
pole; and one or more storage shelves or bins provided along the
support pole.
42. The trolley according to claim 41, wherein the wheel base
includes five wheels.
43. The trolley according to claim 41, wherein the wheel base
includes a recessed storage area.
44. The trolley according to claim 41, wherein the wheel base
includes one or more recessed areas for storing oxygen
cylinders.
45. The trolley according to claim 41, wherein the handle is
pivotally mounted to the support pole.
46. The trolley according to claim 41, wherein the handle includes
an elongated hand opening.
47. The trolley according to claim 41, wherein each storage shelve
or bin includes an attachment portion that is removably attachable
to the support pole.
48. The trolley according to claim 41, wherein at least one of the
storage shelves or bins is structured to support a PAP device.
49. A method for providing NIPPY therapy to a patient, comprising:
introducing the patient to a NIPPY device having an assigned
configuration at a first location; relocating the patient from the
first location to a second location; transferring said NIPPY device
having the assigned configuration along with the patient to the
second location; and applying NIPPY therapy to the patient with
said NIPPY device while relocating the patient from the first
location to the second location.
50. The method according to claim 49, wherein relocating includes
relocating the patient from a hospital or sleep clinic setting to
the patient's home setting.
51. The method according to claim 49, wherein transferring the
treatment device includes reconfiguring the treatment device to a
requisite level of functionality at the second location.
52. The method according to claim 49, wherein transferring the
treatment device includes transferring the assigned configuration
of the treatment device to a substitute treatment device.
53. A method for optimizing management of NIPPY devices,
comprising: assigning a NIPPY device to a patient in a hospital or
sleep clinic setting; and providing said NIPPY device to the
patient for use in a home setting.
54. The method according to claim 53, further comprising stocking a
suitable number of NIPPV devices so that each patient can leave the
first location with his/her assigned NIPPY device.
55. The method according to claim 53, further comprising
indoctrinating the patient on usage of the NIPPV device while in
the hospital or sleep clinic setting.
Description
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] This is a divisional of U.S. application Ser. No.
11/808,454, filed Jun. 11, 2007, now allowed which claims the
benefit of U.S. Provisional Application No. 60/812,081, filed Jun.
9, 2006, each incorporated herein by reference in its entirety.
BACKGROUND OF THE INVENTION
[0002] 1. Field of the Invention
[0003] The present invention relates to a portable breathing
apparatus, and more particularly, to a portable cradle for carrying
a positive airway pressure (PAP) device, also known as a flow
generator.
[0004] 2. Description of Related Art
[0005] Sleep-disorders are fairly common. Millions of people suffer
from some form of sleep disorder, including insomnia, narcolepsy,
and sleep apnea. The most common sleep apnea form occurs when an
obstruction blocks or partially blocks the upper airway of a
person's respiratory system. Such an obstruction may cause a person
to stop breathing temporarily, which often causes snoring.
[0006] Treatment for sleep apnea can take many forms, including the
use of a breathing apparatus. A typical breathing apparatus
includes a flow generator, or blower, also known as a positive
airway pressure (PAP) device that generates airflow, and a mask
through which the air flows to a person's nose and/or mouth.
Different types of systems are used to treat specific disorders.
For example, a first type of PAP device provides continuous
positive airway pressure ("CPAP") to ensure the person's airway
stays open while the person is sleeping. A second type of PAP
device is an auto titration device that adjusts the positive air
pressure as a person's needs change during the sleep cycle. A third
type of PAP device, typically referred to as a bi-level device,
provides continuous pressure at two distinct levels of pressure. A
higher pressure is delivered when the person inhales and a lower
pressure is delivered when the person exhales. The bi-level device
is used for a broader range of respiratory treatments, not just
sleep apneas.
[0007] Although most PAP devices, regardless of type, are fairly
compact and can be moved by the user from location to location,
they are not truly portable because they are typically required to
be connected to an electrical outlet. Also, most PAP devices
require two hands to carry them, which make them unsuitable to be
easily carried around.
[0008] It is common for patients requiring IVs in hospitals to use
a portable stand so that intravenous fluids can still be
administered while the patient exercises or moves from place to
place within the hospital. However, when a person is in a hospital
and requires treatment with a breathing apparatus that includes a
PAP device, the lack of system portability prevents the patient
from being moved around the hospital by hospital personnel.
Therefore, it would be advantageous for the patient that is being
treated with a breathing apparatus to be able to use some type of
truly portable breathing apparatus so that the patient is not
forced to be confined to one room.
[0009] Such a portable system would optionally include battery
power so that an electrical cord is not needed. This adds weight to
the system and can make the PAP device more difficult to carry.
Therefore, there is a need for a device that allows the PAP device
to be easily carried and also allows a battery to be carried along
with the PAP device, as well as any additional accessories that may
be needed for proper diagnosis and treatment.
[0010] Another drawback in the art relates to storage of a range of
nasal CPAP devices. The healthcare systems in many countries,
particularly the U.S., require patients to attend a sleep lab for
sleep disorder diagnosis to obtain a prescription and consequently
receive a nasal CPAP device. Commonly, patients who have been
prescribed a nasal CPAP device take the prescription to a local
home medical equipment (HME) company who supplies them with the
appropriate device. The HME company will consequently be reimbursed
by a healthcare organization according to various schedules. With
the increasing number of different mechanical ventilator devices,
the sleep labs have to store a large range of devices. In sleep
labs, any spare space is allocated for additional sleep assessment
rooms. Therefore, the storage of a range of devices for testing
purposes can take up a significant amount of space.
[0011] Also, some sleep labs are now providing a complete service
in which they perform the sleep assessment and then immediately
supply the patients with the appropriate nasal CPAP device.
Consequently, with this complete service, there is the added
problem of storage space to store a range of nasal CPAP
devices.
SUMMARY OF THE INVENTION
[0012] It is therefore an aspect of the present invention to
provide a cradle that allows for convenient portability of a PAP
device and its attachments.
[0013] Another aspect of the present invention is directed to a
portable cradle for carrying a PAP device of a breathing apparatus,
the cradle including a base structured to receive the PAP device on
a first side and a handle provided on the base. When the handle is
lifted, the base is oriented in a substantially horizontal
position.
[0014] Another aspect of the present invention relates to a
portable cradle for carrying a breathing apparatus PAP device and
battery module. The cradle includes a base structured to receive
the battery module and a handle provided on the base. The PAP
device is attached to the battery module on a side opposite the
base.
[0015] Yet another aspect of the present invention is directed to a
portable breathing apparatus assembly including a PAP device and a
cradle structured to receive the PAP device. The cradle includes a
handle. When the handle is lifted, the PAP device is oriented in a
substantially horizontal position.
[0016] Yet another aspect of the present invention relates to a
method for providing a portable breathing apparatus that includes a
PAP device and a battery module. The method includes providing a
cradle to the battery module by connecting a first at least one
engageable member of the cradle with at least one engageable member
of the battery module, and providing the PAP device to the cradle
by connecting at least one engageable member of the PAP device with
a second at least one engageable member of the cradle.
[0017] Yet another aspect of the present invention relates to an
air delivery system including a controllable PAP device, a
controller, and a display screen. The controllable PAP device is
operable to generate a supply of pressurized breathable gas to be
provided to a patient for treatment. The PAP device is adapted to
be operable in a plurality of delivery modes. The controller is
configured to operate the PAP device in a selected one of the
plurality of delivery modes. The display screen is configured to
display output received from one or more patient monitoring sensors
applied to the patient.
[0018] Yet another aspect of the present invention relates to a
trolley including a wheel base, a support pole provided to the
wheel base, a handle provided to a free end of the support pole,
and one or more storage shelves or bins provided along the support
pole. In one embodiment, the trolley may also provide storage for
one or more oxygen cylinders. According to a further embodiment,
the trolley may allow for external humidifier attachment. The
trolley may also include an extendable arm to hold a mask and
tubing for attachment to a PAP device.
[0019] Still another aspect of the present invention relates to a
method for providing non-invasive positive pressure ventilation
(NIPPV) therapy to a patient. The method includes introducing the
patient to a NIPPV device having an assigned configuration at a
first location (e.g., a hospital), relocating the patient from the
first location to a second location, transferring the NIPPV device
having the assigned configuration along with the patient to the
second location, and applying NIPPV therapy to the patient with the
NIPPV device while relocating the patient from the first location
to the second location.
[0020] Still another aspect of the present invention relates to a
method for optimizing NIPPV device management. The method includes
assigning a NIPPV device to a patient in a hospital or sleep clinic
setting, and providing said NIPPV device to the patient for use in
a home setting.
[0021] Still another aspect of the present invention is to provide
a mechanical ventilation device or PAP device that provides a range
of pressure delivery modes to enable a single device to treat
numerous conditions.
[0022] A further aspect of the present invention relates to a
portable cradle for carrying a PAP device and at least one
rechargeable battery. This embodiment includes a cradle with a base
adapted to receive at least one interchangeable, rechargeable
battery. According to one embodiment, the cradle receives at least
two rechargeable batteries, and the batteries are hot-swappable,
that is, one can power the PAP device while the other is swapped
for a different one.
[0023] Yet another aspect of the present invention is directed at a
battery module, adapted for connection to a portable cradle for
carrying a PAP device. The battery module is provided with at least
one engaging member which is communicable with the cradle.
According to one embodiment, the battery module is also provided
with at least one handle. According to another embodiment, the
battery module is further provided with a power & communication
connector having a protective lid. The protective lid may be spring
loaded to slide into place over the connector when the battery is
disengaged from the cradle.
[0024] Still another aspect of the present invention is directed at
a portable cradle for carrying a PAP device, adapted for connection
to a battery module having at least one engaging member. The
portable cradle is provided with at least as many receiving holes
as the battery module has engaging members, and the holes are
provided on one cradle face. The cradle may be further provided
with a locking plate to lock the engaging members of the battery
module in place in the cradle once the battery module has been
engaged with the cradle. Additionally, the cradle is provided with
a locking plate release handle, adapted to release the battery
module engaging members from the locking plate.
[0025] According to yet another aspect of the present invention, a
portable cradle for carrying a PAP device is provided for reception
of a battery module disposed between an upper side of a cradle base
and a lower side of the PAP device.
[0026] A further aspect of the present invention is directed at a
portable cradle for carrying a PAP device adapted for
interconnection with a battery module and provided with at least
one engaging member which is capable of engaging at least one
engagement tab provided on a PAP device face. According to one
embodiment, the cradle is also provided with a locking pin, adapted
to lock into a receiving portion of a PAP device face. This pin may
be released from its locking position by use of a button provided
on the portable cradle.
[0027] Yet another aspect of the present invention is directed at a
PAP device adapted for portable cradle interconnection. The PAP
device is provided with at least one engagement tab capable of
engaging at least one cradle engaging member. The tab is provided
on a cradle face of the PAP device. According to one embodiment, a
receiving portion capable of receiving a locking pin is also
provided on a cradle face.
[0028] A further aspect of the present invention is directed at a
portable cradle provided with an electrical and communications
receptor for a PAP device. According to one embodiment, the
electrical and communications receptor is provided on a cradle
handle and is adapted for connection with an electrical and
communications connector.
[0029] Another aspect of the present invention is directed at a
display screen provided with an arm and an electrical and
communications connector. According to one embodiment, the
electrical and communications connector is provided at one end of
the arm, and the other end of the arm is affixed to a display
screen. The electrical and communications connector is adapted for
connection with an electrical and communications receptor.
[0030] Yet another aspect of the present invention is directed at a
remote adapter provided with an electrical and communications
receptor. The remote adapter allows display screen use with a PAP
device in the absence of a cradle. According to one embodiment, the
adapter is provided with a cord adapted for PAP device connection.
The electrical and communications receptor of the adapter is also
adapted to connect to an electrical and communications connector,
such as an electrical and communications connector provided on the
arm of a display screen. Additionally, the adapter may be provided
with rubber feet on a bottom surface, to aid in stability of the
attached screen. Alternatively, the adapter may be wall mounted or
attached to any other surface.
[0031] Other aspects, features, and advantages of this invention
will become apparent from the following detailed description when
taken in conjunction with the accompanying drawings, which are a
part of this disclosure and which illustrate, by way of example,
principles of this invention.
BRIEF DESCRIPTION OF THE DRAWINGS
[0032] The accompanying drawings facilitate an understanding of the
various embodiments of this invention. In such drawings:
[0033] FIG. 1 is a front perspective view of a portable cradle
according to an embodiment of the present invention in its unloaded
state and a rear perspective view of a PAP device;
[0034] FIG. 2 is a side view of the portable cradle and PAP device
of FIG. 1 in the loaded state;
[0035] FIG. 3 is a top view of the portable cradle and PAP device
of FIG. 2;
[0036] FIG. 4 is a rear perspective view of the portable cradle and
PAP device of FIG. 2;
[0037] FIG. 5 is a front perspective view of the portable cradle
and the PAP device of FIG. 2;
[0038] FIG. 6 is a side view of the portable cradle and PAP device
of FIG. 2, with an oxygen blender and a humidifier attached to the
PAP device;
[0039] FIG. 7 is a front perspective view of the portable cradle
and PAP device of FIG. 5 with a battery module and data screen
attached to the cradle and an oxygen blender attached to the PAP
device;
[0040] FIG. 8 is a side view of the portable cradle, PAP device,
battery module, data screen, and oxygen blender of FIG. 7;
[0041] FIG. 9 is a side view of the portable cradle, PAP device,
oxygen blender, and humidifier of FIG. 6 with a data screen shown
in varying positions;
[0042] FIG. 10 is a rear perspective view of the portable cradle,
PAP device, oxygen blender, and humidifier of FIG. 6;
[0043] FIG. 11 is a rear view of the portable cradle and PAP device
of FIG. 4 with a data module attached to the PAP device;
[0044] FIG. 12 is a front view of a display screen for a PAP device
system according to an embodiment of the present invention;
[0045] FIG. 13 is a perspective view of a trolley according to an
embodiment of the present invention;
[0046] FIG. 14 is side view of the trolley shown in FIG. 13;
[0047] FIG. 15 is top view of the trolley shown in FIG. 13;
[0048] FIG. 16 is a perspective view of a battery pack embodiment
of a cradle provided with detachable, rechargeable batteries;
[0049] FIG. 17 is a perspective view of a battery pack that may be
used with a cradle;
[0050] FIG. 18 is a side view of the battery pack of FIG. 17
engaged with a cradle shown in cross-section;
[0051] FIG. 19. is a perspective view of the battery pack/cradle
combination of FIG. 18;
[0052] FIG. 20 is a perspective view of a configuration of a
battery pack and cradle combination according to an embodiment of
the present invention;
[0053] FIG. 21 is a perspective view of a cradle provided with a
plurality of engaging pins disposed on a first side of the cradle
base according to an embodiment of the present invention;
[0054] FIG. 22 is a side view of the cradle of FIG. 21 with
engaging pins and locking pin;
[0055] FIG. 23 is a bottom face of a PAP device adapted to engage
locking pins provided on a cradle according to an embodiment of the
present invention;
[0056] FIG. 24 is a cut-away view of a PAP device in position to be
locked to a cradle according to an embodiment of the present
invention;
[0057] FIG. 25 is a perspective view of a screen outfitted with an
electrical and communications connector according to an embodiment
of the present invention; and
[0058] FIG. 26 is a perspective view of the screen of FIG. 25 where
the electrical and communications connector has been interfaced
with an adapter.
DETAILED DESCRIPTION OF ILLUSTRATED EMBODIMENTS
1. Portable Cradle
[0059] FIG. 1 shows a portable cradle 10 for carrying an apparatus
that enhances breathing and a PAP device 60, which is part of the
breathing apparatus. As shown in FIG. 1, the cradle 10 includes a
base 20 and a handle 30 that is provided on the base 20.
[0060] In the illustrated embodiment, the base 20 is a
substantially flat, elongated member that includes a first side 22
and a second side 24, as shown in FIG. 2. When the cradle 10 is
sitting on a supporting surface in its normal position, as
illustrated in, for example, FIG. 2, the base 20 is preferably
oriented in a substantially horizontal position with the first side
22 oriented upward and the second side 24 oriented downward. Thus,
the second side 24 preferably corresponds to the side of the base
20 that is in contact with the supporting surface when the cradle
10 is not being carried.
1.1 PAP Device Support
[0061] As shown in FIGS. 2-5, the base 20 is structured to receive
the PAP device 60 on the first side 22. Any shape is contemplated
so long as the overall dimensions of the base 20 are suitable to
adequately support at least the PAP device 60. The base 20 may be
substantially solid, or the base 20 may be substantially hollow. It
is also contemplated that the base 20 may further include
reinforcing ribs for added strength. For example, the second side
24 may include at least one reinforcing rib that extends downward,
away from the first side 22 when the cradle 10 is resting in its
normal position on a supporting surface.
[0062] FIG. 1 illustrates that the first side 22 of the base 20
includes at least one engageable member 26. In an embodiment, the
at least one engageable member 26 is complementary in design to at
least one engageable member located on a bottom side of the PAP
device 60, such that the cradle 10 and the PAP device 60 form an
interlocked structure when connected. This allows the PAP device 60
to be indexed to the correct position on the base 20 and secured
into place such that it becomes attached to the cradle 10.
[0063] For example, the engageable member 26 located on the first
side 22 of the base 20 may include a protrusion and the engageable
member located on the bottom of the PAP device 60 may include
depression or some type of slot-like configuration that complements
the protrusion. It is also contemplated that the PAP device 60 may
include a protrusion and the first side 22 of the base may include
a complementary depression. Any type of design that will allow the
PAP device 60 to be secured to the cradle 10 is contemplated. It is
preferable that the PAP device 60 becomes secured to the cradle 10
in such a manner that the PAP device 60 remains attached to the
cradle 10 even when the cradle 10 is oriented to a non-horizontal
position. However, the engageable members 26 may be designed such
that the PAP device 60 is also easily and selectively releasable
from the cradle 10, if desired.
[0064] In an alternative embodiment, not illustrated, the cradle 10
may include a strap to accommodate PAP devices that are not
specifically designed to be accommodated by a particular cradle.
This way, if the PAP device does not have an engageable member
located on its bottom side, the PAP device may still be secured to
the cradle.
1.2 Handle
[0065] In the illustrated embodiment, the handle 30 is provided on
the base 20. As illustrated, the handle 30 includes at least one
arm 32 and at least one carrying portion 34. In an embodiment, the
at least one arm 32 is a pair of arms 32, as illustrated in FIG. 3.
The pair of arms 32 may provide additional strength and stability
to the cradle 10, as compared to an embodiment that includes only
one arm. In the illustrated embodiment, the pair of arms 32 are
directly attached to the base 20 and extend upwardly, away from the
first side 22 of the base 20 such that the arms 32 do not interfere
with the positioning of any component to be supported by the cradle
10. In the illustrated embodiment, the carrying portion 34 is
disposed in between the arms 32, substantially parallel to the base
20. The arms 32 may provide protection for an oxygen blender
provided to the PAP device, e.g., see oxygen blender 80 in FIGS.
6-10.
[0066] The carrying portion 34 of the handle 30 is preferably sized
and shaped such that a person's hand of ordinary size can fully
grasp the handle 30 and the person can lift and carry the cradle 10
in a comfortable manner, even when the cradle 10 is fully loaded
with the PAP device 60 and its attachments. The carrying portion 34
may be specifically located to provide balance to the cradle 10
when the PAP device 60 and its attachments are loaded on the cradle
10. Specifically, when the breathing apparatus is being carried, it
may be desirable to have the PAP device 60 in a substantially
horizontal orientation. Therefore, in an embodiment, the carrying
portion 34 of the handle 30 is located in the same vertical plane
as the center of gravity of the breathing apparatus when it is on
the cradle 10, or the handle 30 is in the same vertical plane as
the center of gravity for the combined cradle 10 and PAP device 60
(and any associated componentry thereof).
[0067] In an embodiment, the cross-sectional shape of the carrying
portion 34 of the handle 30 is substantially round. The handle 30
may be substantially solid or may be hollow. The handle 30
preferably includes enough structure to fully support the weight of
the PAP device and its attachments without failing.
[0068] It is also contemplated that the handle may be provided on
the PAP device. The handle may be integrally formed on the PAP
device such that it always remains on the PAP device and the PAP
device remains balanced in a substantially horizontal orientation
when the handle is lifted. Also, the handle may be removably
attached to the PAP device such that it is possible to disconnect
the handle without damaging the PAP device.
[0069] It is further contemplated that the handle may comprise a
single protrusion positioned over the PAP device. This protrusion
may include at least one arm with a carrying portion, and could be
disposed to align with the lengthwise axis of the PAP device. This
would provide a grip aligned perpendicular on a vertical plane to
the grip 34 shown in FIG. 1.
1.3 Body Portion
[0070] In the illustrated embodiment, as shown in, for example,
FIGS. 1, 3 and 4, the cradle 10 further includes a body portion 40
that is disposed at one end of the first side 22 of the base 20. As
illustrated, the body portion 40 extends upward from the base 20
and is structured to complement the design of the PAP device 60 and
provide at least one attachment to the PAP device 60. For example,
the body portion 40 may be contoured such that the PAP device 60
can fit snugly against the body portion 40 and may contain
depressions to complement any protrusions located on the PAP device
60. In the illustrated embodiment, the body portion 40 is disposed
in between the pair of arms 32 of the handle 30.
[0071] The base 20 may also be structured to receive additional
accessories for the PAP device 60. FIG. 6 shows a humidifier 84
that is supported by the first side 22 of the base 20 and attached
to the PAP device 60. The humidifier 84 provides moisture to the
air that exits the PAP device 60. Details of the humidifier 84 are
disclosed in PCT application numbers PCT/AU02/00155 and
PCT/AU02/00156, filed Feb. 14, 2002, each of which is incorporated
herein by reference in its entirety.
1.4 Battery Module
[0072] FIG. 7 shows a battery module 70 that may be used to power
the PAP device 60. The second side 24 of the base 20 may include at
least one engageable member. In one embodiment, the at least one
engageable member is complementary in design to at least one
engageable member located on the top side of the battery module 70,
such that the cradle 10 and the battery module 70 form an
interlocked structure. This allows the battery module 70 to be
indexed to the correct position on the base 20 and secured into
place such that it becomes attached to the cradle 10.
[0073] For example, the engageable member may be one part of a
slot-like configuration or of any type of design that will allow
the battery module 70 to be secured to the cradle 10. It is also
contemplated that the second side 24 of the base 20 may include
slots or depressions that are complementary in design to any
protrusions located on the mating surface of the battery module 70,
such that the cradle 10 is received by the battery module 70. This
arrangement avoids protrusions on the second side 24 which may
affect balance when the cradle 10 is not attached to the battery
module 70. However, the second side 24 of the base 20 may include
protrusions, and the mating surface of the battery module 70 may
include slots. In one embodiment, the cradle 10 fully supports the
weight of the battery module 70, such that the battery module 70
does not fall off of the cradle 10 when the cradle 10 is lifted
away from a supporting surface or is oriented in a non-horizontal
position.
[0074] In an alternative embodiment, not illustrated, the battery
module 70 may attach to the cradle 10 on the first side 22 of the
base 20 in a similar manner. In this embodiment, the PAP device 60
attaches directly to the battery module 70, rather than the
arrangement described above where the base 20 is positioned in
between the PAP device 60 and the battery module 70. In such an
arrangement, the PAP device 60 does not attach directly to the
first side 22 of the base 20 but instead attaches to the battery
module 70 and the battery module 70 attaches to the first side 22
of the base with the use of the engageable members described
above.
1.5 Data Screen
[0075] In an embodiment, the handle 30 includes a space that is
sized large enough to allow communication cords, or wiring, to be
contained within the handle 30. This not only allows for storage of
the communications cords, but allows for the attachment of
accessories directly to the handle 30. For example, as shown in
FIGS. 7 and 8, the carrying portion 34 of the handle 30 may be
structured to receive a rod or a tube that is connected to an
accessory such as a monitor or data screen 90. The data screen 90
could then be rotated to any number of positions, as shown in FIG.
9. The appropriate communications cords, such as data cords and
power cords, may be routed from the base 20 of the cradle 10
through the arms 32 of the handle 30 such that the appropriate
connection points can be made to the accessory. According to a
further embodiment, the screen can be rotated at least 180 degrees,
allowing the screen to be stored face down against the PAP device
when not in use, or stored face up against the PAP device so the
screen can be read while the cradle is in transit and the screen is
in a lowered, stored position.
1.6 Accessory Support
[0076] FIGS. 6-10 show that the top 42 of the body portion 40 is
designed to receive accessories to the PAP device 60, such as an
oxygen blender 80. The top 42 of the body portion 40 is located
away from the base 20 a suitable distance such that the oxygen
blender 80 may rest on top 42 of the body portion 40 and be
correctly aligned with the PAP device 60 such that the proper
connections can be made between the oxygen blender 80 and the PAP
device 60. The oxygen blender 80 may connect to the PAP device 60
both physically and pneumatically. Further, the oxygen blender 80
may be electrically connected to the base 20. FIG. 10 shows an
oxygen filter 82 attached to the oxygen blender 80 and protected by
a recessed portion 48 of the body 40.
[0077] FIG. 11 shows that the recessed portion 48 of the body 40
allows a data or patient management module 62 to be attached to the
PAP device 60 such that data can be downloaded from the PAP device
60 and transferred to a computer or some other external device.
U.S. Design patent No. D486,916 shows further features of the data
module 62 and is incorporated herein by reference in its
entirety.
1.7 Openings for Passing Cords and/or Cord Storage
[0078] As shown in FIG. 1, the body portion 40 may further include
at least one opening. In the illustrated embodiment, the body
portion 40 includes openings 44 and 46. As illustrated, the opening
44 may be utilized to run communication cords 65 from one component
to another, and the opening 46 may be utilized to run communication
cords 64, such as power cords, data communication cords, or plugs,
from one component to another. For example, a power cord from the
PAP device 60 may be passed through the opening 46 in the cradle 10
to the oxygen blender 80 or the battery module 70.
[0079] Also shown in FIG. 1, the openings 44 and 46 may also define
or compose storage compartments to store and conceal the actual
communication cords. In an embodiment, the communication cords are
stored on the cradle 10 such that only the main components of the
breathing apparatus need to be moved to the cradle 10 to make the
breathing apparatus portable. For example, a data communications
cord can be stored in a storage compartment 44 towards one end of
the body portion 40 while a power cord can be stored in a storage
compartment 46 towards the opposite end of the body portion 40. The
positioning of the storage compartment 46 may correspond with the
location of the attachment port on the PAP device 60.
[0080] Any communication cords that may be stored within the
storage compartments 44 and 46 of the body portion 40 are pulled
out far enough to connect them to the appropriate connection point
located on the PAP device 60.
1.8 Master Power Switch
[0081] As shown in FIGS. 4 and 11, the body portion 40 may further
include a master power switch 50. The master power switch 50 allows
the user to press one button to turn the PAP device 60 and oxygen
blender 80 on and off. The master power switch 50 is internally
wired. That is, any power cord that is needed to connect the PAP
device 60 to the master power switch 50 cannot be seen from the
outside of the cradle 10.
1.9 Exemplary Usage
[0082] To use the cradle 10 of the illustrated embodiment, the
cradle 10 is connected to the battery module 70 by indexing the at
least one engageable member of the second side 24 of the base 20 of
the cradle 10 with the complementary at least one engageable member
of the battery module 70 and securing the cradle 10 in place. The
battery module 70 can then be placed on a supporting surface, which
orients the first side 22 of the base 20 of the cradle 10 to an
upward facing position.
[0083] After the cords are attached to the PAP device 60, any
excess cordage is fed back into its storage compartments 44 and 46
as the at least one engageable member disposed on the PAP device 60
is indexed with the at least one engageable member 26 of the first
side 22 of the base 20 of the cradle 10. At this point, compartment
46 may not be used for cord storage as it may have plugs that make
automatic power connections and ensure that the power switch is on.
When the PAP device 60 is properly aligned with the cradle 10, the
PAP device 60 is secured onto the cradle 10 by moving the PAP
device 60 in the appropriate direction. When the PAP device is
positioned, secured, and/or locked onto the cradle, compartment 44
may be used for communication cord storage. Additional accessories
to the PAP device 60, such as oxygen blender 80, can now be
attached to the PAP device 60 and secured onto the cradle 10 by
attaching any appropriate communication cord/plug to the accessory
and resting the accessory on the cradle 10 and moving the accessory
into a fully secured position.
[0084] When all of the components of the breathing apparatus are
fully attached and secured to the cradle 10, the master power
switch 50 can be used to turn on the breathing apparatus. The user
can now lift the cradle 10 by the handle 30 and easily walk around
with the now truly portable system.
[0085] It is understood that any references to direction, such as
horizontal, upward or downward, should not be considered to be
limiting and are used solely as a point of reference to better
exemplify the embodiments discussed herein.
[0086] Also, in alternative embodiments, the cradle 10 may include
flying-lead wire connections, fixed electrical connectors (both
data and power), and wireless-type data transfer means (e.g.,
infrared, bluetooth, etc.) to transfer signals between modules.
2. Device to Deliver a Range of Different Modes
[0087] A PAP device in accordance with an embodiment of the
invention includes a blower, controller, and programmable display
screen. An exemplary embodiment of the programmable display screen
300 is shown in FIG. 12. In an embodiment, the device would be
capable of supplying air at positive pressure in the range of at
least 4 to 20 cmH.sub.2O, and would provide easy selection of a
range of nasal CPAP modes including CPAP, APAP, VPAP and CS-2
waveforms.
[0088] The device may be used with a patient interface system
including an air delivery conduit and mask system such as a nasal
mask, full-face mask, or nasal prongs. Also, the device may be
coupled with a humidifier to provide humidified air to a patient.
In an embodiment, the humidifier is placed between the PAP device
outlet and the air delivery conduit.
[0089] The programmable display screen 300 of the device allows the
clinician to easily program the device to deliver the desired
treatment mode. Another advantage is that if the patient is not
comfortable with the initial treatment mode, the clinician can
easily adjust the treatment mode to expose the patient to
alternative treatment delivery modes. This saves time, storage
space, and effort for the clinician and allows more efficient
selection of the appropriate device for the patient.
[0090] As illustrated in FIG. 12, the programmable display screen
300 clearly illustrates and allows control of various parameters of
treatment. For example, the display screen 300 illustrates graphs
of the pressure 302, flow 304 and volume 306 of applied air. In
addition, the display screen 300 specifies the mode 308, the
pressure at inspiration 310 and expiration 312, and various heart
monitoring parameters 314, e.g., heart rate 316, pulse rate 318,
oxygen mix 320. Further, the display screen 300 includes various
programming menus 322, e.g., home 324, synchrony 326, display 328,
options 330, and alarms 332.
[0091] It should be understood that the programmable display screen
300 and associated controller may be incorporated into the PAP
devices described above, e.g., to provide alternative treatment
modes.
3. Device Configurable to a Patient's or Clinician's
Requirements
[0092] Another aspect of the invention relates to a breathing
system that is configurable in accordance with requirements of the
patient and the clinical pathway in which it is utilized.
Specifically, the breathing system may be configured in an
efficient manner so as to allow for the provision of therapy
consistent with patient requirements and the chosen clinical
pathway. In an embodiment, the breathing system may be configurable
along the clinical pathway both upwardly and downwardly. That is,
the breathing system may be configurable for patients requiring
different intensities of care, e.g., patients that require a high
level of care by the clinician, patients that require a low level
of care by the clinician, and anywhere in-between.
[0093] An aspect of the invention allows for the requisite degree
of device support to be maintained while the complexity and
multiplicity of functionality is reduced or increased to a level
that is consistent with the patient's needs. For example, a patient
may be identified as a candidate that is to be managed in
accordance with a high level in the clinical pathway. This position
may dictate intensive care involving the monitoring of multiple
physiological parameters and the trying of various ventilatory
assist regimes. The aim is to determine the patient's condition,
monitor fluctuations in that condition, and attempt to stabilize an
acute situation. The delivery of treatment gas, such as
oxygen-enriched air, may also be required.
[0094] This initial stage may occur with the patient being admitted
to a clinic intensive care unit. While in the intensive care unit,
the fully configured breathing unit may be utilized to its full
advantage. The fully configured breathing unit may include
physiological sensors for performing direct monitoring of breathing
parameters such as flow and pressure (e.g., by a patient interface
such as a cannulae, facials mask, or full-face mask). In addition,
the patient interface may be used to deliver medicinal gas such as
oxygen enriched air, bronchodilator, and cardiovascular treatment
pharmaceuticals. Also, other physiological parameter sensors (such
as pulse oximetry, CO.sub.2 level sensor, blood pressure,
temperature, and ECG transducers) may be applied to the patient. In
an embodiment, the fully configured breathing unit will allow for
the receiving of the output of the transducers and thereby serve to
centralize the collection, analysis, storage, and transfer of data.
The relevant data can be observed on the displays of the PAP
device, the cradle or at a remote location. For example, the
display screen may be configured such as that shown in FIG. 12
which shows various parameters of treatment.
[0095] By decision of the supervising clinician or through use of a
self-adjusting algorithm, the NIPPV treatment delivered to the
patient may vary over time. For example, in U.S. Pat. No.
6,336,454, it is taught that a stroke patient should received CPAP
during the first three hours following a stroke event. An aspect of
the invention may de directed to providing this treatment to the
patient. As the patient processes and stabilizes or other
requirements are recognized, the treatment may be varied so as to
address the patient's particular needs. The fully configured
breathing system capable of performing these tasks may be
considered to be complex in functionality and appropriately
utilized in a supervised clinical environment such an intensive
care unit. Once the patient has stabilized, then the need for
intensive monitoring and care may be reduced. At this point, the
breathing system may be reconfigured so as to just maintain the
requisite level of functionality.
[0096] The reduced functionality device configuration may continue
to service the patient. Since the elements making up the reduced
functionality device configuration were present in the fully
configured breathing unit, the patient's exposure to change and
associated stress is not dramatic. This also has the advantage of
facilitating the patient becoming involved in their treatment as
soon as their condition allows. For example, even when they are in
the intensive care unit, the patient may be introduced to the
breathing system and provided with instruction on the operation of
the reduced functionality device configuration to which hopefully
they will progress. The assigned reduced functionality device
configuration may remain serving the patient and may literally
travel with patient through the clinical pathway out of the
intensive care until, to a clinical observation unit, and finally
to the patient's domestic environment. By the provision of an
appropriate power source, such as a battery array, the patient need
not be detached from the device at any time and treatment is
maintained. The device may be easily reconfigured to the requisite
level of functionality at home, the observation ward or intensive
care unit, and while in transit between such locations. Similarly,
by incorporating the appropriate data recording or transfer modules
as envisaged by aspects of the invention, it is possible to
maintain a record of the physiological parameters and device
performance as may be considered relevant to the clinical
pathway.
[0097] Of course, if the patient is not maintained on the device
that was first utilized in the intensive care unit, a similar if
not identical device may be readily substituted with minimum
interference to the patient. Because of this modularity, the
parameters of device operation peculiar to a patient (e.g.,
gathered or determined by the fully configured breathing system)
may be readily transferred to the substitute unit via any
appropriate data exchange system such as device-to-device wireless
or wired link, a local or web based network, or physical data
transfer media systems such as by SmartCard.
[0098] The continuity of association between a patient and
treatment devices afforded by an embodiment of the present
invention allows for a gaining of familiarity and minimal need for
the patient to retain or readjust to medical devices required to
properly monitor the patient's condition whatever their progress
along the applicable clinical pathway. Such minimization of change
facilitates the patient's involvement in and compliance with
treatment and eventual success. It also allows for a flexible
approach to managing responsibility for resource demarcation and
allocation. The various modules making up the breathing systems of
the present invention, the clinical decisions determine their use,
and the consequent costs of acquisition, utilization and
maintenance are easily identified and allocated by reference to
each physical module.
[0099] For example, experience may teach that at any one time an
intensive care unit has no more than three patients receiving
oxygen while on NIPPV. At the same time, there may be seven
patients on NIPPY. Similarly, data transfer may only be required to
occur from two units at any one time while the clinical pathway
mandates that each patient remain on NIPPV as they are transferred
to another ward. In this example, the intensive care unit would
only need three oxygen modules, two data transfer modules, and
seven cradles equipped with batteries. The clinic's inventory
system would also determine whether it transferred patients onto
exchange PAP devices when they leave the intensive care unit. In
any event, the clinic would have in stock many PAP devices in order
that each patient may take home the same PAP device that was
assigned to them while at the clinic. The clinic can then transfer
the cost of the PAP device to the appropriate funding source, which
source may be different to the funding source responsible for the
cost of acquiring and maintaining the oxygen module, cradle, and
other high functionality units used in the intensive care unit.
This is only one example of how aspects of the present invention
allow for the efficient and clinical optimum management of NIPPY
devices.
[0100] Thus, an aspect of the invention relates to a mechanical
ventilator assembly or breathing unit that is adapted for use in
the ICU and home (and everywhere in-between). The mechanical
ventilator assembly may include structure having a blower (PAP
device), an interface including buttons and displays, a housing
which may be removably mountable on a stand, and a cradle adapted
to receive the PAP device.
[0101] In an embodiment, the mechanical ventilator assembly may be
assigned to continue on all patients that leave the intensive care
unit. Educating the patient and empowering them to be actively
involved in their treatment can have a significant impact on
compliance to treatment and achieving compliance is the critical
first step to ensuring effective treatment. An aspect of the
invention is to increase the level of intervention, and once
withdrawn, the functionality may be redeployed to other units being
used on other patients.
4. Trolley
[0102] FIGS. 13-15 illustrate a movable support stand or trolley
200 that may be used with breathing apparatuses such as those
described above. As illustrated, the trolley 200 includes a wheel
base 202, a support pole 204 provided to the base 202, a handle 206
provided to a free end of the support pole 204, and one or more
storage shelves or bins 208 provided along the support pole
204.
[0103] As illustrated, the wheel base 202 includes a base portion
210, five prongs 212 extending from the base portion 210, and five
wheels 214 supported by respective prongs 212. The five pronged
wheel base 202 provides stability to prevent tipping of the trolley
200 in use. However, other wheel arrangements are possible. Also,
the base portion 210 has a narrow width to allow the trolley 200 to
fit between hospital beds in use for example.
[0104] In the illustrated embodiment, the base portion 210 includes
a recessed storage area 216 for storage purposes. For example, the
storage area 216 may be used to store a battery, e.g., external
battery, for supplying power to a breathing apparatus supported on
the trolley 200. The base portion 210 also includes a pair of
recessed areas 218 for oxygen storage. For example, the recessed
areas 218 may store oxygen cylinders 220 each having an Australian
"C" size or U.S. "E" size. However, the recessed areas 218 may have
other suitable sizes for storing other size oxygen cylinders.
[0105] Also, one or more of the wheels 214, e.g., front two wheels,
may include brakes to prevent movement of the trolley 200. In an
embodiment, each wheel 214 has a diameter of about 125 mm. However,
other wheel sizes are possible.
[0106] The support pole 204 is mounted to the wheel base 202 and
extends vertically therefrom. As best shown in FIG. 14, the support
pole 204 is offset to a rear of the wheel base 202 so that the
shelves or bins 208 do not extend beyond the footprint of the wheel
base 202 in use. Also, the support pole 204 includes a slotted
configuration 222 for attaching the storage shelves or bins 208 in
user preferred configurations.
[0107] The handle 206 is pivotally attached to the free end of the
support pole 204 opposite the wheel base 202. The pivotal
attachment allows pivotal movement about an axis 224 so that the
angle of the handle 206 may be easily adjusted to suit different
user heights. In the illustrated embodiment, the handle 206 has a
smooth plate-like configuration with an elongated hand opening 226.
This structure allows the handle 206 to protect the equipment
supported on the shelves or bins 208 below it. In an embodiment,
the handle 206 is positioned 910-1000 mm from the ground, and the
hand opening 206 has a 25-40 mm diameter and a 50 mm minimum
knuckle clearance. However, other suitable dimensions are
possible.
[0108] The one or more storage shelves or bins 208 are removably
attached to the support pole 204. In the illustrated embodiment,
the trolley 200 includes two relative shallow storage shelves and a
relatively deep storage bin between the shelves. However, other
shelf arrangements are possible.
[0109] The shelves and bin 208 provide an arrangement that is open
and easy to clean. In an embodiment, the shelves and bin 208 each
provide a storage area of about 250.times.250 mm. However, other
suitable sizes are possible.
[0110] Also, each of the shelves and bin 208 include a recessed
attachment portion 228 (e.g., see FIG. 13) that is removably
attachable to the support pole 204. Specifically, the recessed
attachment portion 228 is structured to releasably interlock with
the slotted configuration 222 of the support pole 204. This
arrangement allows the user to position the shelves or bins 208 at
desired positions depending on application. Further, the shelves or
bins 208 are easily removable for rearrangement and/or cleaning
purposes.
[0111] In use, the trolley 200 may be easily wheeled to its desired
location and the removable shelf arrangement allows storage of
multiple accessories. For example, a shelf 208 may support a PAP
device such as PAP device 60 described above. In an embodiment, a
shelf 208 may be configured to take the form of base 20 described
above. Other accessories supported by the trolley 200 may include
an IV and IV hook-ups.
5. Additional Battery Pack Embodiments
[0112] FIG. 16 illustrates an embodiment of the cradle 410 provided
with at least one detachable, rechargeable battery 471. In this
embodiment, two detachable, rechargeable batteries 471 are
provided. In this configuration, with at least two batteries 471,
the cradle becomes hot swappable, that is, one battery 471 can be
exchanged while another battery 471 powers the unit. This allows a
cradle user, medical personnel, etc. to charge an extra battery
while the cradle is in use, and then swap the battery in while
providing perpetual power to the cradle. According to the
illustrated embodiment, the cradle base 421 has been adapted to
provide space for battery 471 insertion. Although the illustration
shows two batteries 471, any number of batteries may be used.
[0113] FIG. 17 illustrates a battery pack 472 that may be used with
the cradle. The battery pack 472 as illustrated is fully detachable
and may be provided with at least one battery handle 476. In this
embodiment, there are two battery handles 476 provided along the
sides of the battery pack 472, allowing the battery pack 472 to be
gripped and carried from either side. The illustrated battery pack
472 also is provided with at least one engagement pin 474. The
engagement pins 474 are positioned on a first surface 473 of the
battery pack 472 and are arranged so as to coincide with at least
one receiving hole which would be provided in a cradle to which the
battery pack 472 is to be attached. It is contemplated that a
sufficient number of receiving holes will be provided to receive
the engagement pins 474. Additional receiving holes can also be
provided to fit a variety of engagement pin configurations. In the
illustrated embodiments, the pins 474 are further configured to
engage a cradle locking plate (421 in FIG. 18), which locks the
battery pack 472 to the bottom of the cradle. In this illustrated
embodiment, the battery pack 472 also includes a power and
communication center 478 with a flip down lid 477. Although the
embodiment as illustrated shows three engaging pins 474 and two
handles 476, any number or configuration of engaging pins and
handles may be used. Further, the lid may be spring loaded to slide
back into a covering position when the battery pack is disengaged
from the cradle.
[0114] FIG. 18 shows a side view of the battery pack 472 of FIG. 17
engaged with a cross-section of a cradle 410. Each of the engaging
pins 474 has been locked into the base 420 of the cradle 410 and is
held in place by locking plate 421. The flip down lid 477 has been
pushed back, exposing the power and communications connector 478.
The flip down lid 477 may be further spring loaded such that it
springs back into position when the battery pack 472 is disengaged
from the cradle 410. The locking plate aids in holding the battery
module to the cradle, helping to prevent the battery from
accidental disengagement.
[0115] If a user desires to disengage the engaging pins 474 from
the locking plate 421 and remove the battery pack 472, the user
pulls on the locking plate release handle 423. It is contemplated
that other suitable method for disengaging the locks may be used.
In one exemplary embodiment, a locking method that is simple enough
for a home user to easily change the battery pack is employed.
[0116] FIG. 19 shows a perspective view of the battery pack 472 and
cradle 410 combination of FIG. 18. Again, the engaging pins 474
have engaged the cradle 420, and the cradle has pushed back the
flip-down lid 477. From this view, a battery pack handle 476 is
also visible. With the pins engaging the cradle, the cradle can
also be carried by the battery pack handle with less concern about
the cradle accidentally disconnecting from the battery and falling
to the ground.
[0117] FIG. 20 shows a perspective view of a configuration of a
battery pack 479 and cradle 410 combination. According to the
illustrated embodiment, the battery pack 479 in this configuration
is interposed between the PAP device 460 and the cradle base 420.
In this embodiment, the battery pack is shaped to match the
contours of the cradle, and incidental parts of the battery pack
that might accidentally snag on something do not protrude.
[0118] It is contemplated that battery packs of any configuration,
shape, and size may be used, with the variances between these
factors depending on where the battery will be used, whether
handles are desired, etc.
6. Additional Cradle Embodiments
[0119] FIG. 21 shows a perspective view of a cradle 410 provided
with a plurality of engaging pins 425 disposed on the first side
422 of the cradle base 420. These pins 425 are configured to engage
engagement tabs provided on the bottom of a PAP device e.g. see
engagement tabs 461 in FIG. 23. According to this illustrated
embodiment, an additional locking pin 427 may also be provided. The
locking pin protrudes through the first side 422 of the cradle base
420, and is designed to engage a receiving portion provided on the
bottom of a PAP device e.g. see receiving portion 463 in FIG. 23.
The locking pin may be released or otherwise disengaged from the
receiving portion by a lock release button 429. Other suitable
methods of securing the PAP device to the cradle, such as latches,
releasable tabs, etc. may also be used.
[0120] In addition to the engaging pins 425, the cradle 420 in the
illustrated embodiment has been provided with a handle 430 having
at least one arm 432 and at least one carrying portion 434.
Preferably, the at least one handle arm 432 will provide sufficient
clearance to allow a user to grip the handle 430 while a PAP device
is attached to the cradle 420. Using the handle 432, the PAP device
can be carried from place to place, and when a battery is attached
to the cradle the PAP device can be portably powered as well. The
base has also been provided with an access hole 433 allowing a
humidifier attachment to be released from a PAP device without
having to disengage the PAP device from the cradle. The cradle also
has electrical connections 431 which may be attached to the PAP
device. This allows the PAP device to continue to operate while
attached to the cradle while the humidifier is refilled, cleaned,
replaced with another device, etc. In this illustrated embodiment,
a battery pack 472 is also attached to the cradle 410.
[0121] FIG. 22 shows a side view of the cradle 410 with engaging
pins 425 and locking pin 427. From this perspective the engaging
pins' 425 mushroom-like shape is visible. Although that was the
shape chosen for engagement in this illustrated embodiment, any
shape capable of engaging a receiving tab may be used. Also, in
this view, the battery 472 is shown attached to the base 420. The
battery may be unlocked from the base by means of the locking plate
release handle 423.
[0122] FIG. 23 shows a bottom face 465 of a PAP device adapted to
engage locking pins provided on a cradle. The PAP device 460 is
provided with at least one engagement tab 461 set in the PAP device
base 465. The tab or tabs 461 provided in the PAP device base 465
are aligned so as to match up with the alignment of the engaging
pins provided on the cradle. The PAP device 460 may then be set
into the cradle and the engagement tabs 461 engage the engaging
pins and hold the PAP device 460 in place.
[0123] Additionally, the PAP device 460 may be provided with a
receiving portion 463 for a locking pin provided on the cradle. The
locking pin may lock into the receiving portion 463 and provide
further support to hold the PAP device 460 in place in the
cradle.
[0124] FIG. 24 shows a cut-away view of a PAP device 460 in
position to be locked to a cradle 410. The engagement tabs 461 have
been placed over the tops of the engaging pins 425. When the PAP
device 460 is slid backwards, the engagement tabs 461 will lock
onto the engaging pins 425, and a locking pin on the base 420 of
the cradle will lock into the receiving portion 463.
[0125] Also shown in this view is another embodiment of a handle,
provided with a receiver 431 adapted for receiving an electrical
and communications connector e.g. see electrical and communications
connector 494 in FIG. 25.
7. Additional Screen Embodiments
[0126] FIG. 25 shows a perspective view of a screen 490 outfitted
with an electrical and communications connector 494. The screen 490
is attached to an arm 492 and the end of the arm 492 is provided
with the electrical and communications connector 494. The screen
490 may be configured to provide any desired display of
information. The electrical and communications connector 494 may be
adapted to fit into an electrical and communications receptor on
the handle of a cradle.
[0127] FIG. 26 shows a perspective view of the screen 490 of FIG.
25 where the electrical and communications connector has been
interfaced with an adapter 496. The adapter 496 may be provided
with a cord 497 which may be connected to the PAP device, allowing
the adapter 496 and screen 490 to be moved away from the cradle and
viewed without use of the cradle.
[0128] While the invention has been described in connection with
what are presently considered to be the most practical and
preferred embodiments, it is to be understood that the invention is
not to be limited to the disclosed embodiments, but on the
contrary, is intended to cover various modifications and equivalent
arrangements included within the spirit and scope of the invention.
Also, the various embodiments described above may be implemented in
conjunction with other embodiments, e.g., aspects of one embodiment
may be combined with aspects of another embodiment to realize yet
other embodiments. In addition, while the invention has particular
application to patients who suffer from OSA, it is to be
appreciated that patients who suffer from other illnesses (e.g.,
congestive heart failure, diabetes, morbid obesity, stroke,
barriatric surgery, etc.) can derive benefit from the above
teachings. Moreover, the above teachings have applicability with
patients and non-patients alike in non-medical applications.
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