Oblique hinged panels and bladder apparatus for sleep disorders

Information

  • Patent Grant
  • 10959534
  • Patent Number
    10,959,534
  • Date Filed
    Tuesday, February 11, 2020
    4 years ago
  • Date Issued
    Tuesday, March 30, 2021
    3 years ago
Abstract
A head elevation apparatus configured to be positioned under a mattress may include a base panel and a top panel positioned on the base panel. The top panel may include a center panel hingedly coupled to the base panel. An upper flap may be hingedly coupled to the center panel. A lower flap may be hingedly coupled to the center panel.
Description
BACKGROUND

The present disclosure relates to a head elevation apparatus, and more particularly, to a head elevation apparatus having panels to laterally rotate a person's head and torso to treat sleep disorders.


The subject matter disclosed herein relates generally to adverse event mitigation devices, systems, and methods and, more particularly, but not exclusively, to devices, systems, and methods for the prevention and treatment of sleep apnea. The embodiments described herein may also be effective in reducing snoring. While various adverse event mitigation devices, systems, and methods have been developed, there is still room for improvement. Thus, a need persists for further contributions in this area of technology.


SUMMARY

The present disclosure includes one or more of the features recited in the appended claims and/or the following features which, alone or in any combination, may comprise patentable subject matter.


According to an aspect of the disclosed embodiments, a head elevation apparatus configured to be positioned under a mattress may include a base panel. A top panel may be positioned on the base panel. The top panel may include a center panel hingedly coupled to the base panel. An upper flap may be hingedly coupled to the center panel. A lower flap may be hingedly coupled to the center panel. The center panel may be configured to move between a collapsed position and a raised position relative to the base panel. When the center panel is moved to the raised position, the upper flap and the lower flap may rotate relative to the center panel.


In some embodiments, the center panel may be hingedly coupled to the base panel along a center hinge that may extend at a first oblique angle relative to a front face of the base panel. The upper panel may be hingedly coupled to the center panel along an upper hinge that may extend at a second oblique angle relative to the front face. The upper hinge may extend at a third oblique angle relative to the center hinge. The lower panel may be hingedly coupled to the center panel along a lower hinge that may extend at a fourth oblique angle relative to the front face. The lower hinge may extend at a fifth oblique angle relative to the center hinge. The upper panel may be hingedly coupled to the center panel along an upper hinge. The lower panel may be hingedly coupled to the center panel along a lower hinge. The lower hinge may extend at a sixth oblique angle relative to the upper hinge.


Optionally, moving the center panel to the raised position may alter a lateral angle of the mattress. The center panel may be movable to a plurality of intermediate positions between the collapsed position and the raised position. The lateral angle of the mattress may be different at each intermediate position.


Alternatively or additionally, a bladder may be positioned between the base panel and the center panel. The bladder may be inflatable and deflatable to move the center panel between the collapsed position and the raised position. The bladder may include a lower bladder and an upper bladder coupled to the lower bladder. The upper bladder may be positioned adjacent the center panel. The lower bladder may be positioned adjacent the base panel.


It may be desired that the base panel may include a lower panel and an upper panel. The upper panel may be hingedly coupled to the lower panel and configured to move between a retracted positioned and an extended position. The upper panel may move to the extended position to alter a longitudinal angle of the mattress. The upper panel may be movable to a plurality of intermediate positions between the retracted positioned and the extended position. A bladder may be positioned between the upper panel and the lower panel. The bladder may be inflatable and deflatable to move the upper panel between the retracted position and the extended position. The bladder may include an upper bladder and a lower bladder coupled to the upper bladder. The upper bladder may be positioned adjacent the upper panel. The lower bladder may be positioned adjacent the lower panel.


According to another aspect of the disclosed embodiments, a head elevation apparatus configured to be positioned under a mattress may include a base panel. A top panel may be positioned on the base panel. The top panel may include a center panel hingedly coupled to the base panel along a center hinge that may extend at a first oblique angle relative to a front face of the base panel. An upper flap may be hingedly coupled to the center panel along an upper hinge that may extend at a second oblique angle relative to the front face. The upper hinge may extend at a third oblique angle relative to the center hinge. A lower flap may be hingedly coupled to the center panel along a lower hinge that may extend at a fourth oblique angle relative to the front face. The lower hinge may extend at a fifth oblique angle relative to the center hinge. The center panel may be configured to move between a collapsed position and a raised position relative to the base panel. When the center panel is moved to the raised position, the upper flap and the lower flap may rotate relative to the center panel. In some embodiments, the lower hinge may extend at a sixth oblique angle relative to the upper hinge.


Optionally, moving the center panel to the raised position may alter a lateral angle of the mattress. The center panel may be movable to a plurality of intermediate positions between the collapsed position and the raised position. The lateral angle of the mattress may be different at each intermediate position.


Additionally or alternatively, a bladder may be positioned between the base panel and the center panel. The bladder may be inflatable and deflatable to move the center panel between the collapsed position and the raised position. The bladder may include a lower bladder and an upper bladder coupled to the lower bladder. The upper bladder may be positioned adjacent the center panel. The lower bladder may be positioned adjacent the base panel.


It may be contemplated that the base panel may include a lower panel and an upper panel. The upper panel may be hingedly coupled to the lower panel and configured to move between a retracted position and an extended position. The upper panel may move to the extended position to alter a longitudinal angle of the mattress. The upper panel may be movable to a plurality of intermediate positions between the retracted position and the extended position. A bladder may be positioned between the upper panel and the lower panel. The bladder may be inflatable and deflatable to move the upper panel between the retracted position and the extended position. The bladder may include an upper bladder and a lower bladder coupled to the upper bladder. The upper bladder may be positioned adjacent the upper panel. The lower bladder may be positioned adjacent the lower panel.


According to yet another aspect of the disclosed embodiments, a head elevation apparatus configured to be positioned under a mattress may include a base panel. A top panel may be positioned on the base panel. The top panel may include a center panel hingedly coupled to the base panel along a center hinge. An upper flap may be hingedly coupled to the center panel along an upper hinge. A lower flap may be hingedly coupled to the center panel along a lower hinge. The center panel may be configured to move between a collapsed position and a raised position relative to the base panel. When the center panel is moved to the raised position, the upper flap and the lower flap may rotate relative to the center panel.


In some embodiments, the center hinge may extend at a first oblique angle relative to a front face of the base panel. The upper hinge may extend at a second oblique angle relative to the front face. The upper hinge may extend at a third oblique angle relative to the center hinge. The lower hinge may extend at a fourth oblique angle relative to the front face. The lower hinge may extend at a fifth oblique angle relative to the center hinge. The lower hinge may extend at a sixth oblique angle relative to the upper hinge.


Additionally or alternatively, moving the center panel to the raised position may alter a lateral angle of the mattress. The center panel may be movable to a plurality of intermediate positions between the collapsed position and the raised position. The lateral angle of the mattress may be different at each intermediate position.


Optionally, a bladder may be positioned between the base panel and the center panel. The bladder may be inflatable and deflatable to move the center panel between the collapsed position and the raised position. The bladder may include a lower bladder and an upper bladder coupled to the lower bladder. The upper bladder may be positioned adjacent the center panel. The lower bladder may be positioned adjacent the base panel.


It may be contemplated that the base panel may include a lower panel and an upper panel. The upper panel may be hingedly coupled to the lower panel and may be configured to move between a retracted positioned and an extended position. The upper panel may move to the extended position to alter a longitudinal angle of the mattress. The upper panel may be movable to a plurality of intermediate positions between the retracted positioned and the extended position. A bladder may be positioned between the upper panel and the lower panel. The bladder may be inflatable and deflatable to move the upper panel between the retracted position and the extended position. The bladder may include an upper bladder and a lower bladder coupled to the upper bladder. The upper bladder may be positioned adjacent the upper panel. The lower bladder may be positioned adjacent the lower panel.


According to a further aspect of the disclosed embodiments, a head elevation apparatus configured to be positioned under a mattress may include a base panel. A top panel may be positioned on the base panel. The top panel may include a center panel hingedly coupled to the base panel. An upper flap may be hingedly coupled to the center panel. A lower flap may be hingedly coupled to the center panel. A first bladder may be positioned between the center panel and the base panel. A blower may be coupled to the first bladder to inflate and deflate the first bladder. The center panel may be configured to move between a collapsed position and a raised position relative to the base panel when the first bladder is inflated and deflated. When the center panel is moved to the raised position, the upper flap and the lower flap may rotate relative to the center panel.


In some embodiments, the center panel may be hingedly coupled to the base panel along a center hinge that may extend at a first oblique angle relative to a front face of the base panel. The upper panel may be hingedly coupled to the center panel along an upper hinge that may extend at a second oblique angle relative to the front face. The upper hinge may extend at a third oblique angle relative to the center hinge. The lower panel may be hingedly coupled to the center panel along a lower hinge that may extend at a fourth oblique angle relative to the front face. The lower hinge may extend at a fifth oblique angle relative to the center hinge. The upper panel may be hingedly coupled to the center panel along an upper hinge. The lower panel may be hingedly coupled to the center panel along a lower hinge. The lower hinge may extend at a sixth oblique angle relative to the upper hinge.


Optionally, moving the center panel to the raised position may alter a lateral angle of the mattress. The center panel may be movable to a plurality of intermediate positions between the collapsed position and the raised position. The lateral angled of the mattress may be different at each intermediate position.


It may be desired that the base panel may include a lower panel and an upper panel. The upper panel may be hingedly coupled to the lower panel and may be configured to move between a retracted positioned and an extended position. The upper panel may move to the extended position to alter a longitudinal angle of the mattress. The upper panel may be movable to a plurality of intermediate positions between the retracted positioned and the extended position. A second bladder may be positioned between the upper panel and the lower panel. The second bladder may be inflatable and deflatable to move the upper panel between the retracted position and the extended position.


According to yet a further aspect of the disclosed embodiments, a head elevation apparatus configured to be positioned under a mattress may include a base panel that may have a lower panel and an upper panel. The upper panel may be hingedly coupled to the lower panel and may be configured to move between a retracted positioned and an extended position. A top panel may be positioned on the base panel. The top panel may include a center panel hingedly coupled to the base panel. The center panel may be configured to move between a collapsed position and a raised position relative to the base panel. An upper flap may be hingedly coupled to the center panel. A lower flap may be hingedly coupled to the center panel. A first bladder may be positioned between the center panel and the base panel. A second bladder may be positioned between the upper panel and the lower panel. When the center panel is moved to the raised position, the upper flap and the lower flap may rotate relative to the center panel to alter a lateral angle of the mattress. The upper panel may move to the extended position to alter a longitudinal angle of the mattress.


Optionally, the center panel may be hingedly coupled to the base panel along a center hinge that may extend at a first oblique angle relative to a front face of the base panel. The upper panel may be hingedly coupled to the center panel along an upper hinge that may extend at a second oblique angle relative to the front face. The upper hinge may extend at a third oblique angle relative to the center hinge. The lower panel may be hingedly coupled to the center panel along a lower hinge that may extend at a fourth oblique angle relative to the front face. The lower hinge may extend at a fifth oblique angle relative to the center hinge. The upper panel may be hingedly coupled to the center panel along an upper hinge. The lower panel may be hingedly coupled to the center panel along a lower hinge. The lower hinge may extend at a sixth oblique angle relative to the upper hinge.


Additionally or alternatively, the center panel may be movable to a plurality of intermediate positions between the collapsed position and the raised position. The lateral angle of the mattress may be different at each intermediate position. The upper panel may be movable to a plurality of intermediate positions between the retracted positioned and the extended position.


Additional features, which alone or in combination with any other feature(s), such as those listed above and/or those listed in the claims, can comprise patentable subject matter and will become apparent to those skilled in the art upon consideration of the following detailed description of various embodiments exemplifying the best mode of carrying out the embodiments as presently perceived.





BRIEF DESCRIPTION OF THE DRAWINGS

The detailed description particularly refers to the accompanying figures, in which:



FIG. 1 is a top perspective view of a head elevation apparatus that includes a top panel hingedly coupled to a base panel, wherein the top panel is illustrated in a collapsed position;



FIG. 2 is a top perspective view of the head elevation apparatus, wherein the top panel is illustrated in a raised position;



FIG. 3 is a top plan view of the head elevation apparatus is the collapsed position and positioned on a patient support apparatus;



FIG. 4 is a rear perspective view of the head elevation apparatus, wherein a center panel is raised to the raised position by a bladder and an upper flap and a lower flap are folded inward toward the center panel;



FIG. 5 is a side perspective view of the head elevation apparatus showing the top panel raised relative to the base panel by the bladder and an upper panel of the base panel raised relative to a lower panel of the base panel by another bladder;



FIG. 6 is an opposite side perspective view of the head elevation apparatus showing the top panel raised relative to the base panel by the bladder and the upper panel of the base panel raised relative to the lower panel of the base panel by the other bladder;



FIG. 7 is a rear perspective view of the head elevation apparatus showing the top panel raised relative to the base panel by the bladder and the upper panel of the base panel raised relative to the lower panel of the base panel by the other bladder; and



FIG. 8 is a front perspective view of the head elevation apparatus in a raised position to alter a lateral and longitudinal angle of a mattress positioned over a patient support apparatus.





DETAILED DESCRIPTION

Referring to FIG. 1, a head elevation apparatus 100 includes a front end 102 and a back end 104. A pair of side ends 106 extend between the front end 102 and the back end 104. The apparatus 100 includes a base panel 108 that is divided into a left side 110 and a right side 112 by a center line 114. The base panel 108 extends between the front end 102 and the back end 104. The base panel 108 also extends between the side ends 106. A top panel 120 is positioned over the right side 112 of the base panel 108. It should be appreciated that the top panel 120 may be positioned over the left side 110 of the base panel 108. In some embodiments, the apparatus 100 may include a top panel 120 positioned over each of the right side 112 and the left side 110 of the base panel 108. In some embodiments, the apparatus 100 may only include the right side 112 or the left side 110.


The top panel 120 includes a center panel 122 that is hingedly coupled to the base panel 108 along a center hinge 124 for pivoting movement about a first axis 138 (shown in FIG. 3). An upper flap 126 is hingedly coupled to the center panel 122 along an upper hinge 128 for pivoting movement about a second axis 140 (shown in FIG. 3). The remaining sides 130 of the upper flap 126 are not coupled to anything so that the upper flap 126 can move freely relative to the base panel 108 as the center panel 122 is raised and lowered. The upper flap 126 is triangular is shaped; however, it will be appreciated that the upper flap 126 may be formed with other shapes. In some embodiments, the upper flap 126 is a scalene triangle. A lower flap 132 is hingedly coupled to the center panel 122 along a lower hinge 134 for pivoting movement about a third axis 142 (shown in FIG. 3). The remaining sides 136 of the lower flap 132 are not coupled to anything so that the lower flap 132 can move freely relative to the base panel 108 as the center panel 122 is raised and lowered. The lower flap 132 is triangular in shape; however, it will be appreciated that the lower flap 132 may be formed with other shapes. In some embodiments, the lower flap 132 is a scalene triangle.


In some embodiments, hinges 124, 128, and 134 include piano hinges having hinge plates interconnected by a hinge pin that defines the respective axes 138, 140, and 142 of the hinges 124, 128, and 134. In other embodiments, living hinges made of strips of flexible material, such as plastic material or cloth material, are used as hinges 124, 128, and 134.


The first axis 138 of the center hinge 124 extends at an oblique angle 150 relative to the front end 102. In some embodiments, the angle 150 is approximately 45 degrees. The first axis 138 of the center hinge 124 also extends at oblique angles (not shown) relative to the back end 104 and the side ends 106. The second axis 140 of the upper hinge 128 extends at an oblique angle 152 relative to the front end 102. In some embodiments, the angle 152 is approximately 23 degrees. The second axis 140 of the upper hinge also extends at oblique angles (not shown) relative to the back end 104 and the side ends 106. The second axis 140 of the upper hinge 128 extends at an oblique angle 154 relative to the first axis 138 of the center hinge 124. In some embodiments, the angle 154 is approximately 68 degrees. The third axis 142 of the lower hinge 134 extends at an oblique angle 156 relative to the front end 102. In some embodiments, the angle 156 is approximately 55.2 degrees. The third axis 142 of the lower hinge 134 also extends at oblique angles (not shown) relative to the back end 104 and the side ends 106. The third axis 142 of the lower hinge 134 extends at an oblique angle 158 relative to the first axis 138 of the center hinge 124. In some embodiments, the angle 158 is approximately 79.8 degrees. The third axis 142 of the lower hinge 134 also extends at an oblique angle 160 relative to the second axis 140 of the upper hinge 128. In some embodiments, the angle 160 is approximately 11.8 degrees. It will be appreciated, that the angles 150, 152, 154, 156, 158, and 160 may be altered to alter a configuration of the head elevation apparatus 100. In this disclosure, the term “oblique” means neither perpendicular nor parallel.


The center panel 122 is configured to move between a collapsed position 170 (shown in FIG. 1) and a raised position 172 (shown in FIG. 2). Referring now to FIG. 2, the center panel 122 rotates about the first axis 138 of the center hinge 124 to the raised position 172 relative to the base panel 108. When the center panel 122 is raised, the upper flap 126 rotates about the second axis 140 of the upper hinge 128 so that a free end 180 of the upper flap 126 moves inward away from the back end 104. Another free end 182 of the upper flap 126 moves inward away from the center line 114. The degree to which the free ends 180, 182 move is dependent on how high the center panel 122 is raised. In the collapsed position 170, the free end 180 is substantially co-planar with the back end 104 and the free end 182 is substantially co-planar with the center line 114. At the raised position 172, the free ends 180 and 182 are moved to maximum inward positions. If the center panel 122 is raised to an intermediate position between the collapsed position 170 and the raised position 172, the free end 180 is moved to an intermediate position between the back end 104 and the maximum position and the free end 182 is moved to an intermediate position between the center line 114 and the maximum position.


When the center panel 122 is raised, the lower flap 132 rotates about the third axis 142 of the lower hinge 134 so that a free end 190 of the lower flap 132 moves inward away from the front end 102. Another free end 192 of the lower flap 132 moves inward away from the side end 106. The degree to which the free ends 190, 192 move is dependent on how high the center panel 122 is raised. In the collapsed position 170, the free end 190 is substantially co-planar with the front end 102 and the free end 192 is substantially co-planar with the side end 106. At the raised position 172, the free ends 190 and 192 are moved to maximum inward positions. If the center panel 122 is raised to an intermediate position between the collapsed position 170 and the raised position 172, the free end 190 is moved to an intermediate position between the front end 102 and the maximum position and the free end 192 is moved to an intermediate position between the side end 106 and the maximum position.


Referring to both FIGS. 1 and 2, the center panel 122 is raised and lowered by a bladder (described in more detail below). That is, the bladder is inflated and deflated to move the center panel 122 between the collapsed position 170 and the raised position 172. As illustrated in FIGS. 1 and 2, a hose 200 extends from the bladder to a blower 202. The blower 202 is operable to inflate and deflate the bladder to raise and lower the center panel 122 between the collapsed position 170 and the raised position 172. A controller 204 may be coupled to the blower 202 to control the blower 202. The controller 204 may include inputs that allow a user to inflate or deflate the bladder to position the center panel 122 at the collapsed position 170, the raised position 172, or a desired intermediate position between the collapsed position 170 and the raised position 172.


In some embodiments, the controller 204 is separate from the blower 202 (as illustrated) and may be positioned adjacent a patient support apparatus. In other embodiments, the controller 204 may be incorporated into a housing of the blower 202. In yet another embodiment, the controller 204 may be a pendant that a user can operate while positioned on a patient support apparatus. Accordingly, the user may adjust a height of the center panel 122 while positioned on the patient support apparatus and supported by the head elevation apparatus 100.


Referring to FIG. 4, a bladder 220 is positioned between the base panel 108 and the top panel 120. The bladder 220 extends between the base panel 108 and the center panel 122. The bladder 220 is illustrated with an upper bladder 222 and a lower bladder 224. The upper bladder 222 is positioned above the lower bladder 224. The upper bladder 222 and the lower bladder 224 are in fluid communication. The combination of the upper bladder 222 and the lower bladder 224 facilitates balancing the center panel 122 on the bladder 220. It should be noted that the bladder 220 may include any number of bladder sections, including only one bladder section. The upper bladder 222 is positioned adjacent to and in contact with the center panel 122. The lower bladder 224 is positioned adjacent to and in contact with the base panel 108.


As the bladder 220 is inflated, the center panel 122 raises relative to the base panel 108. The bladder 220 may be inflated to any desired pressure to raise the center panel 122 to a desired intermediate position between the collapsed position 170 and the raised position 172. As illustrated in FIG. 3, when the center panel 122 is raised, the upper flap 126 is rotated inward. Likewise, the lower flap 132 is rotated inward when the center panel 122 is raised. In some embodiments, at least one of the upper flap 126 and the lower flap 132 may rotate into contact with the bladder 220 to inhibit further inward movement of the upper flap 126 and the lower flap 132. However, as illustrated in FIG. 3, the upper flap 126 and the lower flap 132 do not need to contact the bladder 220 to maintain a respective position of the upper flap 126 and the lower flap 132.



FIG. 4 illustrates a single bladder 220 configured to raise and lower the center panel 122. It will be appreciated that the apparatus 100 may include any number of bladders 220 to raise and lower the center panel 122. For example, an array of bladders 220 may be configured to raise and lower the center panel 122. In such an embodiment, each bladder 220 of the array of bladders 220 may be inflated to a different pressure to balance the center panel 122. In other embodiments, an actuator other than the bladder 220 may be utilized to raise and lower the center panel 122. For example, the center panel 122 may be raised and lowered by a hydraulic mechanism.


Referring to FIG. 5, in some embodiments, the base panel 108 includes an upper panel 250 and a lower panel 252. The upper panel 250 is hingedly attached to the lower panel 252 along a base hinge 254 that extends along the front end 102. The center hinge 124 extends at the oblique angle 150 relative to the base hinge 254. The upper hinge 128 extends at the oblique angle 152 relative to the base hinge 254. The lower hinge 134 extends at the oblique angle 156 relative to the base hinge 254.


The upper panel 250 may be raised and lowered between a retracted position 260 (shown in FIGS. 1-4) and an extended position 262 (shown in FIGS. 5-8) relative to the lower panel 252. A bladder 270 is positioned between the upper panel 250 and the lower panel 252. The bladder 270 is inflated and deflated to raise and lower the upper panel 250 between the retracted position 260 and the extended position 262. The bladder 270 may also be inflated and deflated to a pressure that positions the upper panel 250 at an intermediate position between the retracted position 260 and the extended position 262. The bladder 270 may be inflated and deflated by the blower 202. That is the blower 202 may inflate and deflate the bladder 270 and the bladder 220 simultaneously. Optionally, a valve (not shown) may be provided to directed airflow from the blower 202 to one of the bladder 270 or the bladder 220. In some embodiments, the apparatus 100 may include two blowers 202, wherein each blower 202 operates one of the bladders 220 and 270. The controller 204 may be utilized to control the inflation and deflation of each of the bladders 220 and 270. The bladder 270 is illustrated as having a single section; however, the bladder 270 may include any number of sections.


As illustrated in FIG. 6, both bladders 220 and 270 may be operated at the same time. That is, the bladder 220 may be inflated to raise the center panel 122, while the bladder 270 is operated to raise the upper panel 250. The center panel 122 is raised and lowered to alter a lateral angle of the apparatus 100, whereas the upper panel 250 is raised and lowered to alter a longitudinal angle of the apparatus 100. By adjusting the bladder 220 and the bladder 270 at the same time, both the lateral angle and the longitudinal angle of the apparatus 100 are adjusted. However, the bladder 220 may be adjusted alone to adjust only the lateral angle. Likewise, the bladder 270 may be adjusted alone to alter only the longitudinal angle. When operating the apparatus 100, both the bladder 220 and the bladder 270 may be inflated or deflated to different intermediate positions to provide a desired lateral angle and a desired longitudinal angle.


Referring to FIG. 7, the apparatus 100 includes two bladders 270 on the right side 112 and two bladers 270 on the left side 110. Accordingly, each of the sides 112 and 110 of the apparatus 100 may be raised and lowered. Notably, each side 110 and 112 may include any number of bladders 270, for example one. As illustrated, the bladders 270 may all be adjusted to alter a longitudinal angle of both sides 110 and 112. Additionally, the right side 112 also includes the top panel 120. The center panel 122 of the top panel 120 may also be raised and lowered to alter the lateral angle of the right side 112.



FIG. 8 illustrates a patient support apparatus 300 having a head end 302 and a foot end 304. A right side 306 and a left side 308 extend between the head end 302 and the foot end 304. A longitudinal axis 310 (shown in FIG. 3) extends from the head end 302 to the foot end 304. A lateral axis 312 (shown in FIG. 3) extends from the right side 306 to the left side 308. The apparatus 100 is positioned at the head end 302 of the patient support apparatus 300. A mattress 320 having a head end 322 is positioned over the patient support apparatus 300 so that the apparatus 100 is positioned between the head end 302 of the patient support apparatus 300 and the head end 322 of the mattress 320. The head end 322 of the mattress 320 includes a right side 330 and a left side 332. The right side 330 of the mattress 320 is positioned over the right side 112 of the apparatus 100, and the left side 332 of the mattress 320 is positioned over the left side 110 of the apparatus 100.


In the illustrated embodiment, the upper panel 250 is illustrated in the extended position 262 to raise the head end 322 of the mattress 320 and alter a longitudinal angle of the head end 322 of the mattress 320. Also, the center panel 122 is raised to the raised position 172 to alter a lateral angle of the right side 330 of the mattress 320. It should be noted that only the center panel 122 may be raised to the raised position 172 to alter the lateral angle, while the upper panel 250 is in the retracted position 260. Likewise, only the upper panel 250 may be raised to the extended position 262 to alter the longitudinal angle, while the center panel 122 is in the collapsed position 170. As set forth above, both the center panel 122 and the upper panel 250 may be raised or lowered to intermediate positions where in each of the lateral angles and the longitudinal angles are different.


The apparatus 100 provides graduated lateral rotation (GLR) as a therapy for sleep disordered breathing. The apparatus allows GLR to be added to any existing consumer bed that conforms to an adjustable frame (e.g., viscoelastic foam or air bladder) by introducing an adjustable wedge below the mattress in the head and torso sections. The apparatus 100 includes an upper module that creates a lateral angle under the mattress. In another embodiment, the apparatus 100 may also include a lower module to create a longitudinal angle (or “elevated head of bed” position). The upper module can be mounted on the lower module.


The upper module uses a single bladder and a single hinged panel to provide improved comfort by creating a more continuous support of the mattress and reducing variation that could be uncomfortable to users. The apparatus 100 also provides improved mattress wear by supporting the mattress continuously rather than leaving areas of the mattress unsupported, potentially resulting in mattress damage, wear, or breakdown. The lower module supplements the laterally angled surface of the upper module to improved comfort by providing a raised (e.g., 5-15 degree) angle under the laterally angled support. The modular nature of the apparatus 100 also simplifies installation and reduces shipping cost and burden.


Although this disclosure refers to multiple embodiments, it will be appreciated that aspects of each embodiment may be utilized with other embodiments described herein.


Although this disclosure refers to specific embodiments, it will be understood by those skilled in the art that various changes in form and detail may be made without departing from the subject matter set forth in the accompanying claims.

Claims
  • 1. A head elevation apparatus configured to be positioned under a mattress, the apparatus comprising: a base panel, anda top panel positioned on the base panel, the top panel comprising: a center panel hingedly coupled to the base panel,an upper flap hingedly coupled to the center panel, anda lower flap hingedly coupled to the center panel,wherein the center panel is configured to move between a collapsed position wherein the center panel, the upper flap and the lower flap are substantially coplanar and a raised position relative to the base panel, andwherein, when the center panel is moved to the raised position, the upper flap and the lower flap rotate substantially downward relative to the center panel.
  • 2. The apparatus of claim 1, wherein the center panel is hingedly coupled to the base panel along a center hinge that extends at a first oblique angle relative to a front face of the base panel.
  • 3. The apparatus of claim 2, wherein the upper flap is hingedly coupled to the center panel along an upper hinge that extends at a second oblique angle relative to the front face.
  • 4. The apparatus of claim 3, wherein the upper hinge extends at a third oblique angle relative to the center hinge.
  • 5. The apparatus of claim 2, wherein the lower flap is hingedly coupled to the center panel along a lower hinge that extends at a fourth oblique angle relative to the front face.
  • 6. The apparatus of claim 5, wherein the lower hinge extends at a fifth oblique angle relative to the center hinge.
  • 7. The apparatus of claim 6, wherein the upper flap is hingedly coupled to the center panel along an upper hinge,the lower flap is hingedly coupled to the center panel along a lower hinge, andthe lower hinge extends at a sixth oblique angle relative to the upper hinge.
  • 8. The apparatus of claim 1, wherein moving the center panel to the raised position alters a lateral angle of the mattress.
  • 9. The apparatus of claim 8, wherein the center panel is movable to a plurality of intermediate positions between the collapsed position and the raised position, wherein the lateral angle of the mattress is different at each intermediate position.
  • 10. The apparatus of claim 1, further comprising a bladder positioned between the base panel and the center panel, the bladder being inflatable and deflatable to move the center panel between the collapsed position and the raised position.
  • 11. The apparatus of claim 10, wherein the bladder includes a lower bladder and an upper bladder coupled to the lower bladder.
  • 12. The apparatus of claim 11, wherein: the upper bladder is positioned adjacent the center panel, andthe lower bladder is positioned adjacent the base panel.
  • 13. The apparatus of claim 1, wherein the base panel includes a lower panel and an upper panel, the upper panel being hingedly coupled to the lower panel and configured to move between a retracted position and an extended position.
  • 14. The apparatus of claim 13, wherein the upper panel moves to the extended position to alter a longitudinal angle of the mattress.
  • 15. The apparatus of claim 13, wherein the upper panel is movable to a plurality of intermediate positions between the retracted position and the extended position.
  • 16. The apparatus of claim 13, further comprising a bladder positioned between the upper panel and the lower panel, the bladder being inflatable and deflatable to move the upper panel between the retracted position and the extended position.
  • 17. The apparatus of claim 16, wherein the bladder includes an upper bladder and a lower bladder coupled to the upper bladder.
  • 18. The apparatus of claim 17, wherein: the upper bladder is positioned adjacent the upper panel, andthe lower bladder is positioned adjacent the lower panel.
CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims priority under 35 U.S.C. § 119(e) to U.S. Provisional Patent Application Ser. No. 62/811,605, filed Feb. 28, 2019, which is expressly incorporated by reference herein.

US Referenced Citations (208)
Number Name Date Kind
948644 Bjornstad Feb 1910 A
1610898 Steiner Dec 1926 A
2612645 Boland Oct 1952 A
2769182 Nunlist Nov 1956 A
2887692 Gosman May 1959 A
3392412 Aymar Jul 1968 A
3392723 Calvin Jul 1968 A
3426373 Scott et al. Feb 1969 A
3606623 Aymar et al. Sep 1971 A
3636573 Bartz Jan 1972 A
3667075 Ballard Jun 1972 A
3775785 Mittendorf Dec 1973 A
3781928 Swallert Jan 1974 A
4127906 Zur Dec 1978 A
4142263 Pierson Mar 1979 A
4150284 Trenkler et al. Apr 1979 A
4151407 Delagi et al. Apr 1979 A
4165125 Owen Aug 1979 A
4183015 Drew et al. Jan 1980 A
4216462 DiGiacomo et al. Aug 1980 A
4225953 Simon et al. Sep 1980 A
4225988 Cary Oct 1980 A
4228426 Roberts Oct 1980 A
4237344 Moore Dec 1980 A
4287620 Zur Sep 1981 A
4298863 Natitus et al. Nov 1981 A
4309783 Cammack et al. Jan 1982 A
4331953 Blevins et al. May 1982 A
4527298 Moulton Jul 1985 A
4542547 Sato Sep 1985 A
4554693 Calloway Nov 1985 A
4577185 Andersen Mar 1986 A
4578671 Flowers Mar 1986 A
4593273 Narcisse Jun 1986 A
4598275 Ross et al. Jul 1986 A
4601064 Shipley Jul 1986 A
4625348 Renggli Dec 1986 A
4649385 Aires et al. Mar 1987 A
4680790 Packard et al. Jul 1987 A
4754510 King Jul 1988 A
4807313 Ryder et al. Feb 1989 A
4814751 Hawkins et al. Mar 1989 A
4839932 Williamson Jun 1989 A
4841221 Barney et al. Jun 1989 A
4850040 Teich et al. Jul 1989 A
4873731 Williamson Oct 1989 A
4877288 Lee Oct 1989 A
4932089 Laviero Jun 1990 A
4935968 Hunt Jun 1990 A
4955000 Nastrom Sep 1990 A
4967195 Shipley Oct 1990 A
4990892 Guest et al. Feb 1991 A
4998095 Shields Mar 1991 A
4998939 Potthast et al. Mar 1991 A
5012539 Grigg May 1991 A
5036852 Leishman Aug 1991 A
5060174 Gross Oct 1991 A
5062151 Shipley Oct 1991 A
5065154 Kaiser et al. Nov 1991 A
5086290 Murray et al. Feb 1992 A
5092007 Hasty Mar 1992 A
5097551 Smith Mar 1992 A
5103108 Crimmins Apr 1992 A
5124991 Allen Jun 1992 A
5137033 Norton Aug 1992 A
5144284 Hammett Sep 1992 A
5153584 Engira Oct 1992 A
5170522 Walker Dec 1992 A
5181288 Heaton Jan 1993 A
5184112 Gusakov Feb 1993 A
5195198 Travis Mar 1993 A
5253656 Rincoe et al. Oct 1993 A
5269388 Reichow et al. Dec 1993 A
5276432 Travis Jan 1994 A
5311625 Barker et al. May 1994 A
5345630 Healy Sep 1994 A
5353012 Barham et al. Oct 1994 A
5415167 Wilk May 1995 A
5425150 Palmer, Jr. Jun 1995 A
5432967 Raftery Jul 1995 A
5490295 Boyd Feb 1996 A
5500964 Bergersen Mar 1996 A
5528783 Kunz et al. Jun 1996 A
5577278 Barker et al. Nov 1996 A
5611096 Bartlett et al. Mar 1997 A
5621931 Hamilton Apr 1997 A
5715548 Weismiller et al. Feb 1998 A
5745937 Weismiller et al. May 1998 A
5754998 Selton May 1998 A
5806115 Brown Sep 1998 A
5838223 Gallant et al. Nov 1998 A
5844488 Musick Dec 1998 A
5867821 Ballantyne et al. Feb 1999 A
5877675 Rebstock et al. Mar 1999 A
5910080 Selton Jun 1999 A
5933488 Marcus et al. Aug 1999 A
5936539 Fuchs Aug 1999 A
5942986 Shabot et al. Aug 1999 A
5944659 Flach et al. Aug 1999 A
5963137 Waters Oct 1999 A
5966762 Wu Oct 1999 A
6009873 Neviaser Jan 2000 A
6012186 Soltani Jan 2000 A
6047419 Ferguson Apr 2000 A
6081950 Selton Jul 2000 A
6093146 Filangeri Jul 2000 A
6097308 Albert et al. Aug 2000 A
6111509 Holmes Aug 2000 A
6125350 Dirbas Sep 2000 A
6131219 Roberts Oct 2000 A
6133837 Riley Oct 2000 A
6142592 Grittke et al. Nov 2000 A
6154900 Shaw Dec 2000 A
6163903 Weismiller et al. Dec 2000 A
6183417 Geheb et al. Feb 2001 B1
6208250 Dixon et al. Mar 2001 B1
D446676 Mayes Aug 2001 S
6370716 Wilkinson Apr 2002 B1
6397416 Brooke et al. Jun 2002 B2
6485441 Woodward Nov 2002 B2
6536056 Vrzalik et al. Mar 2003 B1
6671900 Davis Jan 2004 B2
6671907 Zuberi Jan 2004 B1
6681424 Bourgraf et al. Jan 2004 B1
6681425 Leventhal Jan 2004 B2
6684425 Davis Feb 2004 B2
6715172 Leventhal Apr 2004 B2
6739005 Davis May 2004 B2
6751817 Leach Jun 2004 B1
6904631 Vrzalik et al. Jun 2005 B2
7007327 Ogawa et al. Mar 2006 B2
7017213 Chisari Mar 2006 B2
7089615 Parimuha Aug 2006 B1
D527937 Aiken et al. Sep 2006 S
7154397 Zerhusen et al. Dec 2006 B2
7346945 Phillips et al. Mar 2008 B2
7418751 Bartlett et al. Sep 2008 B1
7464422 Townsend Dec 2008 B2
7513003 Mossbeck Apr 2009 B2
7568246 Weismiller et al. Aug 2009 B2
7654974 Bass Feb 2010 B2
7669263 Menkedick et al. Mar 2010 B2
7690059 Lemire et al. Apr 2010 B2
7805784 Lemire et al. Oct 2010 B2
7852208 Collins, Jr. et al. Dec 2010 B2
7861334 Lemire et al. Jan 2011 B2
7886379 Benzo et al. Feb 2011 B2
7962981 Lemire et al. Jun 2011 B2
7975335 O'Keefe et al. Jul 2011 B2
8006332 Lemire et al. Aug 2011 B2
8220091 Schultz Jul 2012 B2
8261380 Ferraresi et al. Sep 2012 B2
8356602 Crocetti Jan 2013 B2
8393026 Dionne et al. Mar 2013 B2
8413271 Blanchard et al. Apr 2013 B2
8536990 Collins, Jr. et al. Sep 2013 B2
8544126 Elliott et al. Oct 2013 B2
8656541 Muollo Feb 2014 B2
8661586 Melcher et al. Mar 2014 B2
8689376 Becker et al. Apr 2014 B2
8695134 Schultz Apr 2014 B2
8701229 Lemire et al. Apr 2014 B2
8720447 North May 2014 B2
8756736 Minson Jun 2014 B1
8789222 Blanchard et al. Jul 2014 B2
8789224 Wyatt et al. Jul 2014 B2
8832887 Mossbeck Sep 2014 B2
8844076 Becker et al. Sep 2014 B2
8870764 Rubin Oct 2014 B2
9038217 Elliot et al. May 2015 B2
9126571 Lemire et al. Sep 2015 B2
20030041378 Davis Mar 2003 A1
20030150058 Davis Aug 2003 A1
20030188386 Leventhal Oct 2003 A1
20030188387 Leventhal Oct 2003 A1
20030196270 Leventhal et al. Oct 2003 A1
20060117482 Branson Jun 2006 A1
20060123550 Davis Jun 2006 A1
20060179580 Robertson et al. Aug 2006 A1
20060230539 Goodman Oct 2006 A1
20070163051 Straub Jul 2007 A1
20080109965 Mossbeck May 2008 A1
20080147442 Warner et al. Jun 2008 A1
20080148487 Lord et al. Jun 2008 A1
20090250070 Pfeifer Oct 2009 A1
20100138998 Wilkinson et al. Jun 2010 A1
20110044959 Trivedi Feb 2011 A1
20110231996 Lemire et al. Sep 2011 A1
20120222214 Lachenbruch et al. Sep 2012 A1
20130245395 Bidarian Moniri Sep 2013 A1
20140059768 Lemire et al. Mar 2014 A1
20140088373 Phillips et al. Mar 2014 A1
20140173829 Melcher et al. Jun 2014 A1
20140180036 Bukkapatnam et al. Jun 2014 A1
20140245539 Ooba Sep 2014 A1
20140259417 Nunn et al. Sep 2014 A1
20140259418 Nunn et al. Sep 2014 A1
20140259419 Stusynski et al. Sep 2014 A1
20140259433 Nunn et al. Sep 2014 A1
20140259434 Nunn et al. Sep 2014 A1
20140266733 Hayes et al. Sep 2014 A1
20140277611 Nunn et al. Sep 2014 A1
20140277822 Nunn et al. Sep 2014 A1
20140283302 Horstmann Sep 2014 A1
20150000035 Becker et al. Jan 2015 A1
20160331616 Fisk et al. Nov 2016 A1
20180333082 Hoffman et al. Nov 2018 A1
20200275784 Soreefan Sep 2020 A1
Foreign Referenced Citations (21)
Number Date Country
1987293 Jun 1968 DE
3418072 Nov 1985 DE
4137631 May 1992 DE
0262771 Apr 1988 EP
2140847 Jan 2010 EP
2175822 Apr 2010 EP
2494946 Sep 2012 EP
3701925 Sep 2020 EP
S5438512 Mar 1979 JP
H01238859 Sep 1989 JP
H04297257 Oct 1992 JP
2011143237 Jul 2011 JP
20110083167 Jul 2011 KR
2010048310 Apr 2010 WO
2013031504 Jul 2013 WO
2013134638 Sep 2013 WO
2013166003 Nov 2013 WO
2014069713 May 2014 WO
2014117128 Jul 2014 WO
2014151707 Sep 2014 WO
2014152891 Sep 2014 WO
Non-Patent Literature Citations (156)
Entry
Service Manual—“TotalCare® Bed System” from Hill-Rom, Product No. P1900, MAN112 Rev 7, by Hill-Rom Services, Inc. (2007) (1105 pages).
User Manual—“TotalCare® Bed System” from Hill-Rom, Product No. P1900, USR042 REV11, by Hill-Rom Services, Inc. (2009) (112 pages).
PCT Search Report for PC5T/US2013/042313, completed Dec. 6, 2013 (4 pages).
SleepEducation—Blog, “Positional therapy harness helps reduce sleep apnea for some,” www.sleepeducation.com, posted Friday, Jun. 18, 2010 (7 pages).
SPANAmerica: PressureGuard® Turn Select®, www.archive.org/web/20090201172625/http://spanamerica.com/turn_select.php; Aug. 18, 2014 (2 pages).
Extended European Search Report, European Application No. 19200203.8, completed Nov. 20, 2019, (7 pages).
Joosten, S.A., et al., Obstructive Sleep Apnea Phenotypic Trait Changes from Supine to Lateral Position, Am J Respir Grit Care Med 189; 2014; A3909 (1 page).
Joshi, Girish P., et al., Society for Ambulatory Anesthesia Consensus Statement on Preoperative Selection of Adult Patients with Obstructive Sleep Apnea Scheduled for Ambulatory Surgery, Anesthesia & Ar,algesia, Nov. 2012, vol. 115, No. 5, 1060-1068 (9 pages).
Keenan, Sean P., et al., Clinical Practice Guidelines for the Use of Noninvasive Positive-Pressure Ventilation and Noninvasive Continuous Positive Airway Pressure in the Acute Care Setting, Canadian Medical Association Journal, Feb. 22, 2011, 183(3) (21 pages).
Khayat, Rami, et al., In-Hospital Resting for Sleep-Disordered Breathing in Hospitalized Patients with Decompensated Heart Failure: Report of Prevalence and Patient Characteristics, Journal of Cardiac Failure, vol. 15, No. 9 (2009) (739-746).
Kim, Eun Joong, The Prevalence and Characteristics of Positional Sleep Apnea in Korea, Korean J Otorhinolarvnqol—Head Neck Surq. 2009:52:407-12 (6 pages).
Kulkarni, Gaurav V., et al., Obstructive Sleep Apnea in General Surgery Patients: Is it More Common than we Think?, The American Journal of Surgery (2014) 207, 436-440 (5 pages).
Lakdawala, Linda, Creating a Safer Perioperative Environment With an Obstructive Sleep Apnea Screening Tool, Journal of PeriAnesthesia Nursing, vol. 26, No. 1 Feb. 2001, 15-24 (10 pages).
Lee, Chui Hee, et al., Changes in Site of Obstruction in Obstructive Sleep Apnea Patients According to Sleep Position: A OISE Study, Laryngoscope 00: Month 2014 (7 pages).
Lee, Jung Bok, et al., Determining Optimal Sleep Position in Patients with Positional Sleep-Disordered Breathing Using Response Surface Analysis, J. Sleep Res. (2009) 18, 26-35 (10 pages).
Lockhart, Ellen M., et al. Obstructive Sleep Apnea Screening and Postoperative Mortality in a Large Surgical Cohort, Sleep Medicine 14 (2013) 407-415 (9 pages).
Lynn, Lawrence A. and J. Paul Curry, Patterns of Unexpected In-Hospital Deaths: A Root Cause Analysis, Patient Safety in Surgery 2011, 5:3 (25 pages).
Mador, M. Jeffrey, et al., Are the Adverse Effects of Body Position in Patients with Obstructive Sleep Apnea Dependent on Sleep Stage?, Sleep Breath (2010) 14:13-17 (7 pages).
Mador, M. Jeffrey, et al., Prevalence of Positional Sleep Apnea in Patients Undergoing Polysomnography, CHEST 2005; 128:2130-2137 (8 pages).
Marcus, Howard, Obesity and Postoperative Surgical Risk, The Doctors Company, Third Quarter 2010, 1-8 (8 pages).
Martin-Du Pan, Remy, et al., The Role of Body Position and Gravity in the Symptoms and Treatment of Various Medical Diseases, Swiss Med. Wkly. 2004: 134:543-551 (10 pages).
Memtsoudis, Stavros G., et al., A Rude Awakening—The Perioperative Sleep Apnea Epidemic, N Engl. J. Med. 368:25, 2352-2353 (Jun. 20, 2013) (2 pages).
Menon, Akshay and Manoj Kumar, Influence of Body Position on Severity of Obstructive Sleep Apnea: A Systematic Review, Otolaryngology, vol. 2013, Article ID 670381 (2013) (8 pages).
Mininni, Nicolette C., et al., Pulse Oximetry: An Essential Tool for the Busy Med-Surg Nurse, American Nurse Today, Nov./Dec. 2009, 31-33 (3 pages).
Mokhlesi, Babak, Empiric Postoperative Autotitrating Positive Airway Pressure Therapy | Generating Evidence in the Perioperative Care of Patients at Risk for Obstructive Sleep Apnea, CHEST 144/1 (Jul. 2013) 5-7 (3 pages).
Mull, Yvonne and Marshall Bedder, Obstructive Sleep Apnea Syndrome in Ambulatory Surgical Patients, AORN Journal, vol. 76, No. 3 , 458-462 (Sep. 2002) (5 pages).
Nader, Nizar Z., et al., Newly Identified Obstructive Sleep Apnea in Hospitalized Patients: Analysis of an Evaluation and Treatment Strategy, Journal of Sleep Medicine, vol. 2, No. 4, 2006, 431-437 (7 Pages).
Pevernagie, Dirk A., et al., Effects of Body Position on the Upper Airway of Patients with Obstructive Sleep Apnea, Am J Respir Grit Care Med, vol. 152, 179-185, 1995 (7 pages).
Qureshi, Asher and Robert D. Ballard, Obstructive Sleep Apnea, J Allergy Clin Immunol, vol. 112, No. 4, 643-651 (2003) (9 pages).
Richard, Wietske, et al., The Role of Sleep Position in Obstructive Sleep Apnea Syndrome, Eur Arch Otorhinolaryngol (2006) 263:946-950 (5 pages).
Rocke, Daniel, et al., Effectiveness of a Postoperative Disposition Protocol for Sleep Apnea Surgery, American Journal of Otolaryngology—Head and Neck Medicine and Surgery 34 (2013) 273-277 (5 pages).
Gabbott, D.A., The Effect of Single-Handed Cricoid Pressure on Neck Movement After Applying Manual In-Line Stabilisation, Anaesthesia, 1997, 52, 586-602 (17 pages).
Ross, Jacqueline, Obstructive Sleep Apnea: Knowledge to Improve Patient Outcomes, Journal of PeriAnesthesia Nursing, vol. 23, No. 4 Aug. 2008, 273-275 (3 pages).
Setaro, Jill, Obstructive Sleep Apnea: A Standard of Care That Works, Journal of PeriAnesthesia Nursing, vol. 27, No. 5 Oct. 2012, 323-328 (6 pages).
Sheldon, Alison, et al., Nursing Assessment of Obstructive Sleep Apnea in Hospitalised Adults: A Review of Risk Factors and Screening Tools, Contemporary Nurse, vol. 34, Issue 1, Dec. 2009/Jan. 2010, 19-33 (16 pages).
Skinner, Margot A., et al., Efficacy of the ‘Tennis Ball Technique’ Versus nCPAP in the Management of Position-Dependent Obstructive Sleep Apnoea Syndrome, Respirology (2008) 13, 708-715 (8 pages).
Stearns, Joshua D. and Tracey L. Stierer, Peri-Operative Identification of Patients at Risk for Obstructive Sleeo Aonea, Seminars in Anesthesia, Perioperative Medicine and Pain (2007) 26, 73-82 (10 pages).
Van Kesteren, Ellen R., et al., Quantitative Effects of Trunk and Head Position on the Apnea Hypopnea Index in Obstructive Sleep Apnea, SLEEP, vol. 34, No. 8 (2011), 1075-1081 (7 pages).
Veasey, Sigrid C., et al., Medical Therapy for Obstructive Sleep Apnea: A Review by the Medical Therapy for Obstructive Sleep Apnea Task Force of the Standards of Practice Committee of the American Academy of Sleep Medicine, SLEEP, vol. 29, No. 8 (2006), 1036-1044 (9 pages).
Wolfson, Alexander, et al., Postoperative Analgesia for Patients with Obstructive Sleep Apnea Syndrome, Seminars in Anesthesia, Perioperative Medicine and Pain (2007), 26, 103-109 (7 pages).
Yantis, Mary Ann, Decreasing Surgical Risks for Patients with Obstructive Sleep Apnea, AORN Journal, vol. 68, No. 1 (Jul. 1998), 50-55 (6 pages).
Ravesloot, M.J.L., and N. de Vries, Reliable Calculation of the Efficacy of Non-Surgical Treatment of Obstructive SleefJ Aonea Revisted, SLEEP, vol. 34, No. 1 (2011), 105-110 (6 pages).
Moon, Il Joan, et al., Sleep Magnetic Resonance Imagine as a New Diagnostic Method in Obstructive Sleep Apnea Syndrome, Laryngoscope 120: Dec. 2010, 2546-2554 (9 pages).
Nepomnayshy, Dmitry, et al., Sleep Apnea: Is Routine Preoperative Screening Necessary?, OBES Surg (2013) 23:287-192 (5 pages).
Press Release: World's Leading Health Media Promotes Disinformation on Best Sleeping Positions (Sep. 22, 2010), Sleeping Positions Research Summary (24 Studies), http://www.normalbreathing.com/I-6-best-sleep-positions.php (14 pages).
Oksenberg, Arie, et al., Association of Body Position with Severity of Apneic Events in Patients with Severe Nonpositional Obstructive Sleep Apnea, CHEST 2000; 118; 1018-1024 (9 pages).
Oksenberg, Arie, The Avoidance of the Supine Posture during Sleep for Patients with Supine-related Sleep Apnea, BSM Protocols for Adherence and Treatment of Intrinsic Sleep Disorders, Chapter 23, 223-236 (14 pages).
Oksenberg, Arie and Donald Silverberg, The Effect of Body Posture on Sleep-Related Breathing Disorders: Facts and Therapeutic Implications, Sleep Medicine Reviews, vol. 2, No. 3, 139-162 (1998) (25 pages).
Oksenberg, Arie, et al., Positional Therapy for Obstructive Sleep Apnea Patients: A 6-Month Follow-Up Study, Laryngoscope 116, Nov. 2006, 1995-2000 (6 pages).
Oksenberg, Arie, et al., REM-Related Obstructive Sleep Apnea: The Effect of Body Position, Journal of Clinical Sleep Medicine, vol. 6, No. 4 (2010), 343-348 (6 pages).
Ozeke, Ozcan, et al., Influence of the Right-Versus Left-Sided Sleeping Position on the Apnea-Hypopnea Index in Patients with Sleep Apnea, Sleep Breath, published online Jun. 16, 2011 (5 pages).
Ozeke, Ozcan, et al., Sleep Apnea, Heart Failure, and Sleep Position, Sleep Breath, published online Nov. 9, 2011 (4 pages).
Permut, Irene, et al., Comparison of Positional Therapy to CPAP in Patients with Positional Obstructive Sleep Apnea, Journal of Clinical Sleep Medicine, vol. 6, No. 3 (2010), 238-243 (6 pages).
Author Unknown, Positioning of Surgical Patients With Sleep Apnea, ClinicalTrials.gov, htto://clinicaltrials.qov/ct2/show/NCT02123238?term=apnea+and+position&rank=3(2014) (5 pages).
Author Unknown, Obstructive Sleep Apnea May Block the Path to a Positive Postoperative Outcome, 2007 Pennsylvania Patient Safety Authority, reprinted from the PA-PSRS Patient Safety Advisory, vol. 4, No. 3 (Sep. 2007) (8 pages).
Proczko, Monika, et al., STOP-Bang and the Effect on Patient Outcome and Length of Hospital Stay when Patients are not Using Continuous Positive Airway Pressure, J Anesth, published online May 29, 2014 (7 pages).
Ramachandran, Satya Krishna, et al., Derivation and Validation of a Simple Perioperative Sleep Apnea Prediction Score, Society for Ambulatory Anesthesiology, vol. 110, No. 4 (Apr. 2010), 1007-1015 (9 pages).
Ravesloot, M.J.L. and N. de Vries, Calculation of Surgical and Non-Surgical Efficacy for OSA / Reliable Calculation of the Efficacy of Non-Surgical and Surgical Treatment of Obstructive Sleep Apnea Revisted, vol. 34, Issue 01 (2001) 105-110 (2 pages).
Ravesloot, M.J.L., et al., The Undervalued Potential of Positional Therapy in Position-Dependent Snoring and Obstructive Sleep Apnea—A Review of the Literature, Sleep Breath, published online Mar. 24, 2012 (11 pages).
Ravesloot, Madeline J.L, et al., Treatment Adherence Should be Taken into Account when Reporting Treatment Outcomes in Obstructive Sleep Apnea, Sleep Medicine, vol. 124, Issue 1 (Jan. 2014) 344-345 (3 pages).
Richardson, Annette and Anne Killen, How Long do Patients Spend Weaning from CPAP in Critical Care?, Intensive and Critical Care Nursing (2006) 22, 206-213 (8 pages).
Rosenberg, Russell and Paul Doghramji, Optimal Treatment of Obstructive Sleep Apnea and Excessive Sleepiness, Springer Healthcare Communication, published online Apr. 3, 2009, 295-312 (18 pages).
Rosenthal, Leon, Got CPAP? Use it in the Hospital!, Sleep Breath, published online Nov. 25, 2011 (4 pages).
Safiruddin, Faiza, et al., Analysis of the Influence of Head Rotation During Drug-Induced Sleep Endoscopy in Obstructive Sleep Apnea, Laryngoscope 124: Sep. 2014, 2195-2199 (5 pages).
Seet, Edwin and Frances Chung, Obstructive Sleep Apnea: Preoperative Assessment, Anesthesiology Clin 28 (2010) 199-215 (17 pages).
Seet, Edwin, et al., Perioperative Clinical Pathways to Manage Sleep-Disordered Breathing, Sleep Med Clin 8 (2013) 105-120 (16 pages).
Sforza, Emilia, et al., A 3-Year Longitudinal Study of Sleep Disordered Breathing in the Elderly, European Respiratory Journal, vol. 40, No. 3 (2012) 665-672 (8 pages).
Sforza, E., et al., Natural Evolution of Sleep Apnoea Syndrome: A Five Year Longitudinal Study, European Respiratory Journal, 1994, 7, 1765-1770 (6 pages).
Shafazand, Shirin, Perioperative Management of Obstructive Sleep Apnea: Ready for Prime Time?, Cleveland Clinic Journal of Medicine, vol. 76, Supp. 4, Nov. 2009 (6 pages).
Siddiqui, Fouzia, et al. Half of Patients with Obstructive Sleep Apnea have a Higher NREM AHi than REM AH/, Sleep Medicine 7 (2006) 281-285 (5 pages).
Singh, M., et al., Proporlion of Surgical Patients with Undiagnosed Obstructive Sleep Apnoea, British Journal of Anaesthesia 110 (4); 629-636 (2013) (8 pages).
Skinner, Margot A., et al., Elevated Posture for the Management of Obstructive Sleep Apnea, Sleep and Breathing, vol. 8, No. 4 (2004) 193-200 (10 pages).
Author Unknown, There's More than One Way to Improve Nightime Breathing, European Sleep Works, http://www.sleepworks.com/resource/medical-needs/sleep-apnea (2014) (3 pages).
Park, Steven V., Sleep Apnea CPAP Compliance Craziness, Doctor Steven Y_ Park, MD New York, NY Integrative Solutions for Obstructive Sleep Apnea, Upper Airway Resistance Syndrome, and Snoring (Nov. 10, 2009) (7 pages).
Monk, Timothy H., et al., Measuring Sleep Habits Without Using a Diary: The Sleep Timing Questionnaire, SLEEP, vol. 26, No. 2 (2003) 208-212 (5 pages).
Sorscher, Adam J. and Evan M. Caruso, Frequency of Provision of CPAP in the Inpatient Setting: An Observational Study, Sleep Breath, published online Nov. 23, 2011 (6 pages).
Spurr, Kathy F., et al., Prevalence of Unspecified Sleep Apnea and the use of Continuous Positive Airway Pressure in Hospitalized Patients, 2004 National Hospital Discharge Survey, Sleep Breath (2008) 12:229-234 (8 pages).
Srijithesh PR, et al., Positional Therapy for Obstructive Sleep Apnoea (Protocol), The Cochrane Library 2014, Issue 2 (11 pages).
Sundar, Eswar, et al., Perioperative Screening for the Management of Patients with Obstructive Sleep Apnea, JCOM, vol. 18, No. 9, Sep. 2011, 399-411 (13 pages).
Szollosi, Irene, et al., Lateral Sleeping Position Reduces Severity of Central Sleep Apnea/Cheyne-Stokes Respiration, SLEEP, vol. 29, No. 8 (2006), 1045-1051 (7 pages).
Author Unknown, A Promising Concept of Combination Therapy for Positional Obstructive Sleep Apnea, Sorim:ier Link, http://link.springer.com/article/10.1007/s11325-014-1068-8, Oct. 2014 (4 pages).
Author Unknown, Upper Airway Collapse During Drug Induced Sleep Endoscopy: Head Rotation in Supine Position Compared with Lateral Head and Truck Position, Springer Link, http://link.springer.com/article/10.1007/s00405-014-3215-z, Aug. 2014 (4 pages).
Vasu, Tajender S., et al., Obstructive Sleep Apnea Syndrome and Postoperative Complications, Arch Otolarvnaol Head Neck Sura. vol. 136, No. 10, Oct. 2010 (5 pages).
Matthews, Dan, Mattresses—A Futile Weapon in the Fight Against Sleep Apnea, http://www.danmatthewsdds.com/mattresses-%E2%80%93-futile-weapon-fight-sleep-apnea/ (2014) (1 page).
Marks, Steve, Hospital Care of Patients with Sleep Apnea, Arete Sleep Health, last modified on May 16, 2013 (63 pages).
Carlisle, Heather, The Case for Capnography in Patients Receiving Opioids, American Nurse Today, vol. 9, No. 9 (Sep. 2014) 22-27 (69 pages).
Gold, Jenny, The Sleep Apnea Business Is Booming, and Insurers Aren't Happy, NPR_ApnesvsInsurers.mht, (Jan. 16, 2012) (3 pages).
Author unknown, Sleep right, Sleep tight, Natural sleep before medicines, Sleep Diary, www.nps.org.au/sleep, last modified Jul. 7, 2010 (4 pages).
Quan, S. F., Evolution of OSA, Thorax 1998; 53:532 (4 pages).
Maurer, J. T., et al., Treatment of Obstructive Sleep Apnea with a New Vest Preventing the Supine Position, Thieme-Connect (2003) (1 page).
Schreuder, K.E., The Effect of Cervical Positioning on Benign Snoring by Means of a Custom-Fitted Pillow, Centre for Sleep and Wake Disorders Kempenhaeghe, 5591 Ve Heeze, the Netherlands, last modified Dec. 1, 2011 (4 pages).
Chung, Frances, Semi-up Right Position Study, Clinical Trials.gov, last updated May 28, 2014 (5 pages).
Author Unknown, National Sleep Foundation Sleep Diary, National Sleep Foundation, last modified Apr. 18, 2003 (2 pages).
Takaoka, Shanon, CPAP Adherence, Is it too much “pressure”?, Feb. 7, 2007 (41 pages).
Seren, Suaf, The Effect of Pure Prone Positioning Therapy for the Patients With Mild to Moderate Obstructive Sleep Apnea, ClinicalTrials.gov, last updated Jun. 7, 2011 (4 pages).
Jackman, Shawn M. and Bruce Hubbert, Riding the Wireless Wave (without wiping out), HIMSS12 Annual Conference & Exhibition, last modified Feb. 20, 2012 (133 pages).
De Vries, Nico and Madeline Ravesloot, Apnea Calculator, http://apneacalculator.com (2014) (2 pages).
Oexman, Robert, Can a Mattress Really Impact Your Sleep?, Huffpost Healthy Living, Posted Oct. 14, 2012, 10:00 a.m. (8 pages).
Palmer, Laura and Suzanne R. Morrison, Obesity and Obstructive Sleep Apnea | Is there a limit for ambulatory surgery?, OR Nurse Journal, Sep. 2014 (9 pages).
Oksenberg, Arie, Are We Missing a Simple Treatment for Most Adults Sleep Apnea Patients? The Avoidance of the Supine Sleep Position, ResearchGate.net, Aug. 12, 2014 (2 pages).
Author Unknown, Obstructive Sleep Apnea (OSA), Care of Adult Patients, St. Anthony Central Hospital Clinical Standards, Jul. 8, 2009 (9 pages).
PCT Search Report and Written Opinion for PCT/US2014/18033, completed Aug. 18, 2014 (17 pages).
O'Connor, Anahad, Treating Sleep Apnea Without the Mask, NYTimes.com, Apr. 9, 2012 (7 pages).
Stradling, J. R. and R. J. 0. Davies, Sleep 1: Obstructive Sleep Apnea/Hypopnoea Syndrome: Definitions, Epidemiology, and Natural History, Thorax 2004;59:73-78 (6 pages).
Pyke, Josh, et al, Continuous Pulse Oximetry Monitoring in the Inpatient Population, Patient Safety & Quality Healthcare, May/Jun. 2009 (5 pages).
EP Search Report for Application No. EP 13 79 3571, dated Sep. 8, 2015 (9 pages).
Adesanya, Adebola O., et al., Perioperative Management of Obstructive Sleep Apnea, CHEST/138/6, Dec. 2010 (10 pages).
Ankichetty, Saravanan and Frances Chung, Considerations for Patients with Obstructive Sleep Apnea Undergoing Ambulatory Surgery, Current O inion in Anesthesiology 2011, 24:605-611 (7 pages).
Arnold, Donald H., et al., Estimation of Airway Obstruction Using Oximeter Plethysmograph Waveform Data, Respiratory Research 2005, 6:65 (8 pages).
American Society of Anesthesiologists, Inc., Practice Guidelines for the Perioperative Management of Patients with Obstructive Sleep Apnea, Anesthesiology 2006, V. 104, 1081-93, No. 5, May 2006, (13 pages).
Benumof, Jonathan L., Obstructive Sleep Apnea in the Adult Obese Patient: Implications for Airway Management, Journal of Clinical Anesthesia 13:144-156, 2001 (13 pages).
Berend, Keith R., et al., Prevalence and Management of Obstructive Sleep Apnea in Patients Undergoing Total Joint Arthroolastv. The Journal of Arthroplastv vol. 25 No. 6 Suppl. 1 2010 (4 pages).
Berger, G. et al., Progression of Snoring and Obstructive Sleep Apnoea: The Role of Increasing Weight and Time, European Respiratory Journal, vol. 33, No. 2, 2009 (8 pages).
Bianchi, Matt T., Screening for Obstructive Sleep Apnea: Bayes Weighs In, The Open Sleep Hournal, 2009, 2, 56-59 (4 pages).
Bignold, James J., et al., Accurate Position Monitoring and Improved Supine-Dependent Obstructive Sleep Apnea with a New Position Recording and Supine Avoidance Device, Journal of Clinical Sleep Medicine. vol. 7. No. 4. 2001 (8 pages).
Bloom, Harrison G., et al., Evidence-Based Recommendations for the Assessment and Management of Sleep Disorders in Older Persons, J Am Geriatr Soc 57:761-789, 2009 (30 pages).
Bolden, Norman, et al., Avoiding Adverse Outcomes in Patients with Obstructive Sleep Apnea (OSA): Development and Implementation of a Perioperative OSA Protocol, Journal of Clinical Anesthesia (2009) 21, 286-293 (8 pages).
Bourne, Richard S., et al., Clinical Review: Sleep Measurement in Critical Care Patients: Research and Clinical Implications, Critical Care 2007, 11:226 (17 pages).
Brown, Carlos VR and George C. Velmahos, The Consequences of Obesity on Trauma, Emergency Surgery, and Surgical Critical Care, World Journal of Emergency Surgery 2006, 1:27 (5 pages).
Bush, Haydn, Screening for Sleep Apnea, American Hospital Association Health Forum, Hospital & Healt Networks, hhn@omeda.com, 2013 (2 pages).
Camilo, Millene R., et al., Supine Sleep and Positional Sleep Apnea After Acute Ischemic Stroke and Intracerebral Hemorrhage, CLINICS 2012; 67(12); 1357-1360 (4 pages).
Carr, Gordon E., et al., Acute Cardiopulmonary Failure From Sleep-Disordered Breathing, CHEST 2012; 141(3); 798-808 (11 pages).
Casey, Kenneth R. and Michael J. Lefor, Management of the Hospitalized Patient with Sleep Disordered Breathina. Current Opinion in Pulmonary Medicine 2002, 8:511-515 (5 pages).
Chia, P., et al., The Association of Pre-Operative STOP-BANG Scores with Postoperative Critical Care Admission, Anaesthesic3 2013, 68, 950-952 (3 pages).
Choi, Jae-Kap, et al., Effect of Jaw and Head Position on Airway Resistance in Obstructive Sleep Apnea, Sleep and Breathing, vol. 4, No. 4, 163-168, 2000 (8 pages).
Choi, Ji Ho, et al., Efficacy Study of a Vest-Type Device for Positional Therapy in Position Dependent Snorers, Sleep and Biological Rhythms 2009; 7; 181-187 (7 pages).
Chung, Sharon A., et al., A Systemic Review of Obstructive Sleep Apnea and Its Implications for Anesthesiologists, Ambulatory Anesthesiology, vol. 107, No. 5, Nov. 2008, 1543-1563 (21 pages).
Chung, F., et al., High STOP-Band Score Indicates a High Probability of Obstructive Sleep Apnoea, British Journal of Anaesthesia 108 (5): 768-75 (2012), (8 pages).
Chung, Frances and Babak Mokhlesi, Postoperative Complications Associates with Obstructive Sleep Apnea: Time to Wake Up!, Anesthesia & Analgesia, Feb. 2014, vol. 118, No. 2, 251-253 (3 pages).
Chung, Frances et al., Preoperative Identification of Sleep Apnea Risk in Elective Surgical Patient6s, Using the Berlin Questionnaire, Journal of Clinical Anesthesia (2007) 19, 130-134 (5 pages).
Chung, Frances and Hisham Elsaid, Screening for Obstructive Sleep Apnea Before Surgery: Why is it Important?, Current Opinion in Anaesthesiology 2009, 22:405-411 (7 pages).
Chung, Frances, et al., Validation of the Berlin Questionnaire and American Society of Anesthesiologists Checklist as Screening Tools for Obstructive Sleep Apnea in Surgical Patients, Anesthesiology, vol. 108, No. 5, May 2008, 822-830 (9 pages).
Curry, J. Paul and Lawrence A. Lynn, Threshold Monitoring, Alarm Fatigue, and the Patterns of Unexpected Hospital Death, The Official Journal of the Anesthesia Patient Safety Foundation, Fall 2011 (8 pages).
D'Apuzzo, Michele R. and James A. Browne, Obstructive Sleep Apnea as a Risk Factor for Postoperative Complications After Revision Joint Arthroplasty, The Journal of Arthroplasty, vol. 27, No. 8, Suppl. 1 (2012), 95-98 (4 pages).
Den Herder, Cindy et al., Risks of General Anaesthesia in People with Obstructive Sleep Apnoea, British Medical Journal, vol. 329, Oct. 23, 2004, 955-959 (5 pages).
Dolezal, Donna, et al., Implementing Preoperative Screening of Undiagnosed Obstructive Sleep Apnea, Journal of PeriAnesthesia Nursing, vol. 26, No. 5 Oct. 2011, 338-342 (5 pages).
Ead, Heather, Meeting the Challenge of Obstructive Sleep Apnea: Developing a Protocol that Guides Perianesthesia Patient Care, Journal of PeriAnesthesia Nursing, vol. 24, No. 2 Apr. 2009, 103-113 (11 pages).
Farney, Robert J., et al., The STOP-Bang Equivalent Model and Prediction of Severity of Obstructive Sleep Apnea: Relation to Polysomnographic Measurements of the Apnea/Hypopnea Index, Journal of Clinical Sleep Medicine, vol. 7, NcU5, 2011, 459-467 (9 pages).
Finkel, Kevin J., et al., Prevalence of Undiagnosed Obstructive Sleep Apnea Among Adult Surgical Patients in an Academic Medical Center, Sleep Medicine 10 (2009) 753-758 (6 pages).
Finucane, Thomas E., Evidence-Based Recommendations for the Assessment and Management of Sleep Disorders in Older Persons, JAGS, Nov. 2009, vol. 57, No. 11, 2173-2174 (3 pages).
Fletcher, Eugene C., “Near Miss” Death in Obstructive Sleep Apnea: A Critical Care Syndrome, Critical Care Medicine, vol. 19, No. 9, Sep. 1991, 1158-1164 (7 pages).
Galhotra, Sanjay, Mature Rapid Response System and Potentially Avoidable Cardiopulmonary Arrests in Hospital, Qual. Saf. Health Care 2007, 16:260-265 (6 pages).
Gammon, Brian T. and Karen F. Ricker, An Evidence-Based Checklist for the Postoperative Management of Obstructive Sleep Apnea, Journal of PeriAnesthesia Nursing, vol. 27, No. 5 Oct. 2012, 316-322 (7 pages).
Gay, Peter C., Sleep and Sleep-Disordered Breathing in the Hospitalized Patient, Respiratory Care, Sep. 2010, vol. 55, No. 9, 1240-1254 (15 pages).
Gay, Peter C., The Value of Assessing Risk of Obstructive Sleep Apnea in Surgical Patients: It Only Takes One, Journal of Clinical Sleep Medicine, vol. 6, No. 5, 2010, 473-474 (2 pages).
Global Industry Analysts, Inc., GIA Market Report: Sleep Apnea Diagnostic and Therapeutic Devices, A Global Strategic Business Report, MCP-3307, Oct. 2010, www.StrategyR.com, (321 pages).
Gibson, G. J., Obstructive Sleep Apnoea Syndrome: Underestimated and Undertreated, British Medical Bulletin 2004; 72: 49-64 (16 pages).
Gupta, Rakesh M., et al., Postoperative Complications in Patients With Obstructive Sleep Apnea Syndrome Undergoing Hip or Knee Replacement: A Case-Control Study, May Clin Proc. 2001; 76:897-905 (9 pages).
Guralnick, Amy S., et al., CPAP Adherence in Patients with Newly Diagnosed Obstructive Sleep Apnea Prior to Elective Surgery, Journal of Clinical Sleep Medicine, vol. 8, No. 5, 2012, 501-506 (6 pages).
Heinzer, Raphael C., et al., Positional Therapy for Obstructive Sleep Apnea: An Objective Measurement of Patients' Usage and Efficacy at Home, Sleep MedicineJ3 (2012) 425-428 (4 pages).
Hoque, Enamul, et al., Monitoring Body Positions and Movements During Sleep Using WISPs, Wireless Health '10, Oct. 5-7, 2010 (10 pages).
Isono, Shiroh, et al., Lateral Position Decreases Collapsibility of the Passive Pharynx in Patients with Obstructive Sleep Apnea, Anesthesiology, VoUn. No. 4, Oct. 2002, 780-785 (6 pages).
Itasaka, Yoshiaki and Kazuo Ishikawa, The Influence of Sleep Position and Obesity on Sleep Apnea, Psychiatry and Clinical Neurosciences (2000), 54, 340-341 (3 pages).
Jensen, Candice, et al., Postoperative CPAP and BiPAP Use Can be Safely Omitted after Laparoscopic Roux-en-Y Gastric Bypass, Surgery for Obesity and Related Diseases 4 (2008) 512-514 (3 pages).
Joho, Shuji, et al., Impact of Sleeping Position on Central Sleep Apnea/Cheyne-Stokes Respiration in Patients with Heart Failure, Sleep Medicine 11 (2010) 143-148 (6 pages).
Jokic, Ruzica, et al., Positional Treatment vs. Continuous Positive Airway Pressure in Patients with Positional Obstructive Sleep Apnea Syndrome, CHEST/115/3/Mar. 1999, 771-781 (11 pages).
Related Publications (1)
Number Date Country
20200275784 A1 Sep 2020 US
Provisional Applications (1)
Number Date Country
62811605 Feb 2019 US