Patent Description:
Breathing apparatus can be used to assist breathing of patients. Examples of breathing apparatus include CPAP machines, which are used for patients with OSA, and flow therapy machines, which are used for patients with COPD or other lung/breathing disorders.

Breathing apparatus are often used by elderly, frail and/or sick people and/or people who are not technologically capable. User interfaces of breathing apparatus can be difficult to use for such people.

Further background information can be found in the following documents:.

It is an object of the present invention to provide patients with a breathing apparatus that might be easier to use, or at least provide the public with a useful choice.

The present invention provides a breathing apparatus and a method of operating a breathing apparatus as claimed.

Preferably the user interface further comprises a power button for activating the blower and/or exiting a standby mode to commence respiratory therapy, or alternatively deactivating the blower and/or entering a standby mode.

Preferably the power button is triggered by holding the button instantly or for a period longer than a predetermined amount of time, such as one minute.

Preferably the power button is triggered by operating the button several times in rapid succession.

Preferably the display comprises one or more screens, which optionally might be colour.

Preferably the menu item and/or parameter relate to one or more of: information relating to user and device data; humidity such as level of humidification; treatment pressure; ramp time; automatic ramp; wakefulness dependent pressure control; temperature control; heated tube temperature; clock and time settings; an alarm with setting options for the alarm; screen brightness; leak such as mask leak and threshold for responding to mask leak; notification relating to presence of peripherals such as USB or network connection; images relating to user feedback and vendor logos.

Preferably the display is for displaying a single menu item at one time.

Alternatively the display is for displaying two or more menu items at one time.

Preferably one of the second and third buttons could be marked with one of:.

Preferably the breathing apparatus is a CPAP apparatus and the respiratory parameter is CPAP parameter.

The term "comprising" as used in this specification means "consisting at least in part of". When interpreting statements in this specification which include that term, the features prefaced by that term in each statement all need to be present, but other features can also be present. Related terms such as "comprise" or "comprised" are to be interpreted in the same manner.

The term "and/or" means "and", "or" or "both".

As used herein, the order in which the steps of the method that is described herein are listed do not indicate the only order in which the steps are carried out. The steps can be carried out in any order, and may be carried out simultaneously.

The invention may also be said broadly to consist in the parts, elements and features referred to or indicated in the specification of the application, individually or collectively, and any or all combinations of any two or more of said parts, elements or features.

Preferred embodiments of the present invention will now be described, by way of example only, with reference to the accompanying drawings, in which:.

<FIG> shows the external form of a breathing apparatus <NUM> (in this case a continuous positive airway pressure (CPAP) apparatus although the invention is not limited to such breathing apparatus - for example, the breathing apparatus could be a high flow therapy apparatus or any other pressure therapy apparatus such as PAP, Bi-level or the like. <FIG> shows a block diagram of such an apparatus. The breathing apparatus <NUM> shown could be any standard CPAP apparatus comprising an inlet for receiving ambient air, a blower for providing pressured air, a humidifier and an outlet for providing therapy to a patient (not shown). Details of breathing apparatus such as CPAP apparatus will be known to those skilled in the art and will only be described briefly here.

The breathing apparatus <NUM> comprises a housing, a humidifier <NUM> and a blower <NUM> controllable by a controller (such as a microprocessor, microcontroller or the like) <NUM>. The controller operates the blower (based on operational parameters such as internal user definable and/or preset parameters) to take air from the inlet, pass it to the humidifier for humidification and out the outlet through the conduit to the patient.

The apparatus has a user interface <NUM> coupled to the controller, as shown in <FIG> and schematically in <FIG>. User control of the breathing apparatus <NUM>, including the setting of operational parameters, is done through use of the user interface <NUM>. The user interface comprises a display <NUM>, and buttons <NUM>-<NUM> for operating the display and setting the operational parameters of the breathing apparatus. The display <NUM> could comprise one or more of any suitable screen such as a (optionally colour) LCD or LED screen. The display is for displaying information such as: a home screen, time, icons, apparatus settings and other functionalities (more generally operational parameters) of the breathing apparatus <NUM>. At least some of the information is arranged hierarchically in a menu system as or under selectable menu items <NUM>. The menu items could be indicators for information, and/or embody actual information. The user interface <NUM> is configured as described in detail below for improved ease of use and to facilitate better user compliance.

In a preferred embodiment, the user interface <NUM> comprises five user inputs/controls (generally called buttons); a power button <NUM>, a menu button <NUM>, a confirmation (also termed selection) button <NUM>, and two adjustment buttons <NUM>, <NUM> for adjusting operational parameters of the breathing apparatus <NUM>. The buttons can be any physical or touch buttons or any other suitable control operable by the user, such as tactile and non-tactile buttons, touch screens, levers and dials. All user interface buttons may have suitable logo or graphic overlays to help distinguish the buttons from each other, and to help a user recognise the buttons and their related functions. Input from the user input is passed to the controller. The buttons do not need to be labelled or named as described herein - any type of descriptor (text or otherwise) could be used. The buttons have been nominally defined as "menu", "confirm", "up" and "down" and "on/off" herein for identification and description purposes only. Any button, however labelled, that functions as described herein is considered to fall within the scope of the invention. For example, any up/down indicia could be shown, such as arrows or the like, on the up/down buttons.

Operation of the user interface is described with reference to <FIG> and <FIG>. The power button <NUM> or on/off button, when initially pressed, sends a signal to the controller <NUM>, which in turn activates the blower and/or exits standby mode to commence respiratory therapy. The power button <NUM> can also deactivate the blower and/or change to standby mode with a second press. In a preferred embodiment, the power button <NUM> functions instantly with a single press. In alternative embodiments, the power button may function after being pressed for a period of longer than a predetermined amount of time (e.g., longer than <NUM> second), or pressed several times in rapid succession. This added level of safety may prevent unintentional usage of the apparatus when the user did not intend to press the power button <NUM>. In a preferred embodiment, the buttons may be designed to be flush with the front panel of the apparatus, which may also help in preventing unintentional pressing.

The display <NUM> defaults to the home screen <NUM>, which may be configured to display information relating to current time as a digital clock. Alternatively, or in some configurations, the home screen <NUM> may be configured to display other information, such as information relating to the current humidity, or may be configured to display no information. Upon a user pressing the menu button <NUM>, the controller <NUM> receives a signal indicating activation of the menu button, and operates the user interface <NUM> to scroll through a menu system comprising a number of hierarchical menu items, including a set of top level (may also be referred to as high-level) menu items <NUM>. The menu items <NUM> enable control of respiratory settings/parameters, such as CPAP settings/parameters, and/or other breathing apparatus parameters. Therefore, the menu items can be termed "CPAP setting menu items" or more generally "respiratory setting menu items". CPAP settings are any CPAP related parameter values relating to operation of the CPAP apparatus and/or provision of CPAP therapy. More generally, respiratory settings are any respiratory parameter values or other breathing apparatus parameter values relating to operation of a breathing apparatus and/or provision of the therapy by the breathing apparatus.

Menu items <NUM> enable display and/or setting (control) of respiratory and/or other breathing apparatus parameters, such as (but is not limited to): information relating to user and device data; level of humidification; treatment pressure; ramp time; automatic ramp; wakefulness dependent pressure control (wherein wakefulness dependent pressure control refers to an algorithm developed by Fisher and Paykel Healthcare that detects the wakefulness of the patient and modulates the pressure of therapy in response "wakefulness dependent pressure control"); heated tube temperature; clock and time settings; an alarm with setting options for the alarm; screen brightness; leak such as mask leak and threshold for responding to mask leak; notification relating to presence of peripherals such as USB or network connection; home screen; and images relating to user feedback and vendor logos. Each top level menu item can optionally comprise one or more hierarchical levels of other (lower level) menu items and/or information. One or more of the hierarchical levels provides the opportunity for the user to set operation parameters relating to/associated with the menu item <NUM>. The types of data displayed under user or device data may include information relating to therapy compliance, total hours used, and other usage data.

In the embodiment described, the set of top level menu items <NUM> comprises "humidity", "data", "alarm clock settings", "mask leak", "clock" (adjustment of clock), " wakefulness dependent pressure control", and "brightness", along with the home screen (e.g. time display) <NUM>. When the menu button <NUM> is pressed, the controller <NUM> receives a signal from the button, and controls the display <NUM> to display the next top level menu item (in this case going from home screen <NUM> to "humidity"). Each time the menu button <NUM> is pressed by a user, the next top level menu item is displayed on the display <NUM> (e.g. "data"). Therefore, by pressing the menu button <NUM>, the user can cycle ("scroll") through the set of top level menu items <NUM> in a continuous and/or sequential scrolling manner. With each successive press of the menu button <NUM>, a successive top level menu item from the set is displayed on the display <NUM>, replacing the previously displayed menu item. Once the last menu item is displayed, the next press of the menu button <NUM> results in display of the first top-level original menu item (e.g., home screen <NUM>). The home screen can be in one option considered the first top-level menu item or alternatively be considered separate to the top level menu item. The menu button <NUM> is therefore used to cycle through the list of menu items <NUM> continuously and/or sequentially on the display <NUM>. If at any stage in the top level menu the confirmation button is pressed, the controller will display the home screen <NUM>.

Once the user has cycled to their desired menu item, if further configuration is available for the selected menu item <NUM> the controller <NUM> can control the user interface <NUM> to provide the opportunity for a user to set operational parameters. The two adjustment buttons <NUM>, <NUM> or 'Up' and 'Down' buttons, may be used to configure/set operational parameters as per the menu items. The controller <NUM> receives input from the buttons <NUM>, <NUM>, and controls the user interface <NUM> to display the change of the associated operational parameter(s) (e.g. increase/decrease the parameter as per the pushing of the up and down buttons). Once the operational parameter(s) have been chosen, the user presses the confirmation (e.g. "OK" or tick) button <NUM> and the controller <NUM> changes the associated operational parameter(s) (such as settings or functionality) in its memory accordingly, and displays the parameter on the display <NUM>. The controller then displays the home screen again <NUM>. Alternatively, if the user has changed the operational parameter(s) in error or does not wish to change the operational parameter(s) in memory, instead of pressing the confirmation button <NUM> the user may press the menu button <NUM> to trigger the controller <NUM> to cycle <NUM> directly to the home screen <NUM>.

If further configuration is not available for the selected menu item <NUM>, but there exists a subsequent level of menu items in the hierarchy (for example, if the selected menu item <NUM> is 'data' and the subsequent level of menu items under 'data' comprises a plurality of data screens), then the two adjustment buttons <NUM>, <NUM>, or 'Up' and 'Down' buttons, may be used to cycle through subsequent levels of menu items in the hierarchy and/or information. Either the menu button <NUM> or confirmation button <NUM> then may be pressed to cycle through to the home screen <NUM>/first top level menu item. If a top level menu item has sub menus, but the 'Up' and 'Down' buttons are not pressed, pressing the menu button will cycle to the next top level menu item, and pressing the confirmation button will display the home screen/first top level menu item.

<FIG> shows various screen shots of the display with various menu items and information as an example of some of the settings that can be made in this manner. The humidity menu item <NUM> can be cycled to and selected using the menu button <NUM>, and then the humidity parameter can be set (adjusted up or down) by pressing the up/down buttons <NUM>, <NUM> The controller <NUM> receives input and operates the user interface <NUM> to show the humidity by highlighting the appropriate number of water drops in the humidity menu item icon <NUM>. The confirm/confirmation ("ok" or tick) button <NUM> can be pressed to confirm the parameter change, and then display the home screen, or the menu button can be pressed to cancel the change and return to display the home screen. Alternatively, if the up and down buttons are not used to change the humidity the view data menu item <NUM> can be cycled to and displayed using the menu button. At that point, if the confirm button is pressed, the controller will return to and display the home screen, or if the menu button is pressed, the controller cycles to and displays the next top level menu item. Alternatively, using the up/down buttons <NUM>, <NUM> any of the data information in the lower level 42a menu (as shown in the screen shots in <FIG>) can be displayed. When in the lower level menu 42a, the controller <NUM> receives the input from the up down buttons <NUM>, <NUM> and control the user interface <NUM> to cycle through and display the appropriate information on the display <NUM>. After using the up/down arrows to cycle through the lower level menu items 42a, the confirm or menu button can be pressed, which will cause the controller to return to and display the home screen.

The mask leak <NUM>, alarm volume <NUM> and brightness <NUM> menu items can be sequentially displayed by cycling through using the menu button and then can have their parameters set using the up/down buttons <NUM>, <NUM> in the same manner as described for the humidity menu item <NUM>, and the icons displayed as appropriate. The menu and confirmation buttons work in the same way. Similarly, upon the alarm can be turned on and off <NUM>; the alarm time set <NUM>; the alarm tune selected <NUM>; the clock set <NUM>; the <NUM> hour time selected <NUM>; the ramp time adjusted <NUM>; auto ramp turned on and off <NUM>; wakefulness dependent pressure control turned on and off <NUM> using the up/down buttons <NUM>, <NUM> as appropriate. Other menus are also shown comprising on button menu, home screen, and other screen menu. These can be selected and cycled through using the menu button <NUM> and ok button <NUM> as previously described.

In summary, a user may program or control the breathing apparatus <NUM> via the user interface <NUM>. The user may turn the blower of the breathing apparatus <NUM> on or off by triggering or activating the power button <NUM>. The apparatus <NUM> may display the home screen on the display <NUM>. The user may then press the menu button <NUM> to cycle through and display subsequent menu items <NUM> on the list (for example see <FIG> flow chart). Pressing the confirm button will cause the controller to skip to and display the home screen. If a menu item contains adjustable parameters or lower level menu items, pressing the adjustment buttons <NUM>, <NUM> allows the user to adjust the parameters or select between/cycle through lower level menu items accordingly. If parameters are adjusted, the confirm button will accept the adjusted parameter and then cause the controller to display the home screen. Alternatively, once the up/down buttons are pressed, pressing the menu button will reject the change and cause the controller to display the home screen. If lower level menu items are cycled through using the adjustment buttons <NUM>, <NUM>, then pressing either the confirmation button <NUM> or menu button will cause the controller to display the home screen. While the display <NUM> is displaying any screen other than the home screen or the basic (top level) menu items, pressing the menu button <NUM> or confirm button will cause the controller to the display <NUM> to display the home screen.

Preferably, the display <NUM> will display only one menu item <NUM> at a time. In an alternative embodiment, more than one menu item <NUM> may be displayed on the display <NUM> at any given time. In this case, when the menu button <NUM> is used to cycle through menu items, the oldest menu item will be removed from the display and the more recent menu item(s) will be displayed along with the next menu item in the seat. Possibly, the display screen <NUM> could be split so that the time is displayed on one side and the menu items/information displayed on the other. The home screen would then default to a blank screen or some other menu option.

In an alternative, the menu button <NUM> could be pressed instead of the 'OK' button <NUM> when confirming a selected parameter value. Thus the selected parameter value and the change of the menu item could occur simultaneously. Yet other actions could occur when pressing the confirmation and/or menu buttons at different points in the menu cycle/hierarchy.

The embodiment above describes the options of a top level menu item that is adjustable, or a top level menu item that has lower menu items that can be cycled through and viewed.

In another possibility, a top level menu item might have lower level menu items that themselves are adjustable. These lower level menu items could be cycled using, and the adjustment of their parameters could be made, using the up/down buttons as described above. The menu and confirmation buttons could work in the same way as described above.

The user interface could be an OEM component that is manufactured separately by another party, or it could be manufactured and incorporated into the breathing apparatus by the same party.

Another embodiment of the user interface <NUM> is described with reference to <FIG> and <FIG>. The user interface <NUM> is substantially the same as described above, which comprises a display <NUM>, and buttons <NUM>-<NUM> for operating the display, displaying information to the user and setting the operational parameters of the breathing apparatus. The display <NUM> could comprise one or more of any suitable screen such as (optionally colour) LCD or LED screen. The user interface <NUM> is configured as described in detail below for improved ease of use and to facilitate better user compliance.

The display <NUM> is configured to display selectable menu items <NUM>. The menu items <NUM> enable control of respiratory settings/parameters, such as CPAP settings/parameters, and/or other breathing apparatus parameters. Therefore, the menu items can be termed "CPAP setting menu items" or more generally "respiratory setting menu items". CPAP settings are any CPAP related parameter values relating to operation of the CPAP apparatus and/or provision of CPAP therapy. More generally, respiratory settings are any respiratory parameter values or other breathing apparatus parameter values relating to operation of a breathing apparatus and/or provision of the therapy by the breathing apparatus.

The menu items <NUM> could be indicators/indicia for information, and/or embody actual information. The menu items may be categorised or grouped into different menu groups, such as a patient menu <NUM>, clinician menu <NUM>, home screen menu <NUM>, therapy operating menu <NUM>, boot screen menu <NUM> and other miscellaneous menus <NUM>. Each set of menus comprises a number of hierarchical menu items, including a set of top level menu items and sets of lower level menu items. The lower level menu items are usually associated with configuring settings related to the corresponding top level menu item.

A possible list of top level menu items for the patient menu <NUM> comprises but is not limited to: humidity control <NUM>' therapy pressure settings control; wakefulness dependent pressure control turned on and off control <NUM> (SensAwake™); expiratory relief <NUM>; viewing data <NUM>; leak settings and temperature control; Viewing data <NUM> is associated with one or more corresponding lower level menus related to displaying performance metrics or compliance data, for example lower level menus comprises accumulative time patient was asleep, number of hours slept over time, AHI data, mask leak data, CMS data and other personal statistics.

Operation of the user interface according to the second embodiment will now be described with reference to <FIG> and <FIG>. The apparatus is powered on goes into standby mode when it is connected to power (such as a power socket in the wall). A boot screen <NUM> will be displayed on the user interface <NUM> upon first powering on / plugging in the apparatus <NUM>. The boot screen <NUM> may cycle through a series of information screens, this for example could include a manufacturer graphic / logo or splash screen, device model number, software version number, total hours used and/or other information. The boot screen <NUM> may end with messages prompting the user to press the up/down buttons <NUM>, <NUM> to change humidity, and to press menu button <NUM> for the next menu.

After the apparatus has completed the boot screen <NUM> sequence, the user may start the therapy by pressing the on/off button <NUM>. A therapy operating menu <NUM> will be displayed. The operating menu <NUM> may show a static or animated graphic of a fan and/or other indicia corresponding to the status of the therapy. The therapy operating menu <NUM> automatically cycles through number of information screens, including a ramp prompt screen (where a CPAP ramp can be initiated), and statuses of installed features such as Thermosmart™ a heated breathing tube and wakefulness dependent pressure control (SensAwake™). At the ramp prompt screen, the user may optionally hold the on/off button <NUM> for a predetermined period of time, for example <NUM> seconds, to turn on ramp therapy. The actual ramping is pre-set by the manufacturer or clinician. The user may also press the on/off button <NUM> while the therapy is active to stop the therapy.

At any time while the apparatus is turned on, the user may press the menu button <NUM> to cycle through the set of top level patient menu <NUM> items and the home screen <NUM>. The home screen <NUM> could be blank, a clock, a static or animated symbol/graphic of a fan showing the current status of the therapy. In one embodiment, the current pressure level display may be activated after <NUM> second of inaction.

Pressing the menu button <NUM> continuously and/or sequentially cycles/scrolls through the top level patient menu <NUM> items, for example humidity control <NUM>, wakefulness dependent pressure control turned on and off settings <NUM>, expiratory relief settings, <NUM> and viewing data <NUM>. Each press of the menu button cycles to the next menu item. With each successive press of the menu button <NUM>, a successive top level menu item from the set is displayed on the display <NUM>, replacing the previously displayed menu item. Once the last menu item is displayed, the next press of the menu button <NUM> results in display of the first top-level original menu item (e.g., home screen <NUM>). The menu button <NUM> is therefore used to cycle through the list of menu items <NUM> continuously and/or sequentially on the display <NUM>.

While at any one of the top level menu items, pressing up/down buttons <NUM>, <NUM> will correspondingly change (configure or set) the operational parameter associated with that menu item - for example, level of humidity, turn on/off the wakefulness dependent pressure control feature, adjust level of expiratory relief or view detailed data. Pressing the OK button <NUM> or similar confirmation button confirms the adjustment - and optionally the display defaults back to the menu item, or in an alternative embodiment the home screen. In an alternative embodiment, after a set time (such as three seconds) the change is adopted automatically. If a top level menu item is cycled to, and no action is detected the top level menu over a defined time, such as <NUM> seconds, then another screen <NUM> is displayed to prompt the user to use the up/down buttons <NUM>, <NUM> to adjust the corresponding settings. If a further defined time elapses (e.g. <NUM> seconds) before action is detected, then a further screen <NUM> is displayed prompting the use to press the menu button to cycle to the next top level menu item. Pressing up/down buttons <NUM>, <NUM> at the viewing data <NUM> menu item will cycle through a number of lower level display items <NUM> such as performance metrics and compliance data, hours slept last night or over time, and other metrics such as AHI, mask leak and CMS. The same action could occur for any other menu item that has lower level display items.

When cycled to a top level (or lower level) menu item, in one embodiment, pressing up or down buttons <NUM>, <NUM>, adjusts the value of the settings in a corresponding manner. For example up or down buttons <NUM>, <NUM> may increase or decrease the humidity level; turn wakefulness dependent pressure control on/off, and/or adjust expiratory relief. In an alternative embodiment, pressing up or down buttons <NUM>, <NUM> cycles through fixed settings, for example both up and down buttons <NUM>, <NUM> may serve the purpose of cycling the humidity level and/or expiratory relief setting from <NUM> to <NUM> to <NUM> then off and back to <NUM> again. Pressing the menu button will return the display to the home screen again.

In one embodiment, pressing the up/down buttons <NUM>, <NUM> (or optionally any other button) at the home screen <NUM> will take the user to a default menu item. The default menu item may be the humidity settings <NUM> menu, for example. The initial press of the up/down button <NUM>, <NUM> will not have the effect of cycling the menu or adjusting setting levels, it will simply take the user to the default menu item. This provides a quick way to reach a commonly used or desired menu item. Additional pressing of the up/down buttons <NUM>, <NUM> would then adjust the default menu item or the humidity settings accordingly. In alternative embodiments, the apparatus may be configured to take the user to a first menu item, a pre-configured menu item, the most frequently used menu item, or the last chosen menu item, by pressing the up/down buttons <NUM>, <NUM> at the home screen <NUM>. In one embodiment, the user or clinician may choose the default menu item.

Referring to <FIG>. A possible list of top level menu items for the clinician menu <NUM> comprises but is not limited to: CPAP pressure settings <NUM>; therapy pressure settings control; wakefulness dependent pressure control mode (SensAwake™) mode <NUM>; SensAwake™ pressure <NUM>; expiratory relief <NUM>; pressure display <NUM>; patient data <NUM>; delete patient data <NUM>; language settings <NUM>; factory reset <NUM>; service information <NUM>; time settings <NUM>; exit menu <NUM>; auto mode <NUM>; leak settings; and temperature control. Each of the top level menu items may have a corresponding lower level menu item for changing settings, viewing data or confirming setting changes. The miscellaneous or servicing menus <NUM> may comprise information screens such as send to service, diagnostic, and data synchronisation messages.

Upon a combination of key presses the user or clinician may access a hidden clinician menu <NUM>. One combination for accessing the clinician menu <NUM> is to press the on/off button <NUM> in conjunction with any other button for <NUM> seconds. The clinician menu may display a splash or welcome screen for a predetermined time period. Pressing the OK button <NUM> will bypass the splash screen. Pressing the on/off button <NUM> will exit the clinician menu immediately and take the user to the home screen <NUM>. The user may also exit the clinician menu <NUM> by pressing the menu button <NUM> and pressing the OK button <NUM> upon confirmation of exit.

While under the clinician menu <NUM>, the user may press up/down buttons <NUM>, <NUM> to cycle through top levels menu items as described above. The user may press the OK button <NUM> to select the top level menu items to display a corresponding lower menu item for further configuration. If no action is detected after a predetermined period of time, for example <NUM> seconds, then a message is displayed to remind the user to do so. At the lower menu item, the user may press up/down buttons <NUM>, <NUM> to change or cycle through settings and press the OK button <NUM> to confirm the change. Again, if no action is detected after a predetermined period of time, for example <NUM> seconds, then a message is displayed to remind the user to do so.

For menu items which are either on or off functions and requires confirmation from the user, the user may press the OK button <NUM> to confirm the selection. For example, to activate the SensAwake™ feature (wakefulness dependent pressure control), the user may navigate to the SensAwake™ setting menu item <NUM>, then press up/down buttons <NUM>, <NUM> to display a corresponding lower level menu item indicating whether to turn the feature on or off. The user can then confirm the selection by pressing the OK button <NUM> at the corresponding lower level menu. If no action or press of the OK button <NUM> is detected at the lower menu item for a predetermined period of time, for example <NUM> seconds, then the user interface will return to the high level menu item without making any changes to the settings. In an alternative embodiment, if no action is detected at the lower menu item after a predetermined period of time, the apparatus will accept the chosen setting (either on or off) corresponding to the lower level menu item that is displayed without requiring confirmation from the OK button <NUM>. For example the system will accept the settings as displayed after <NUM> seconds without requiring user confirmation from using the OK button <NUM>.

While pressing the up/down buttons <NUM>, <NUM> cycles through settings or top level menus (in the case of the clinician menu <NUM>), holding down the up/down buttons <NUM>, <NUM> will also serve the same function. Further, pressing or holding down the up/down buttons <NUM>, <NUM> will continuously cycle through the settings or menu items. In other words, after reaching the end of the menu items list the user interface will return to displaying the first item. The up/down buttons <NUM>, <NUM> is therefore used to cycle through the list of menu items continuously and/or sequentially. In an alternative embodiment, the settings or menu items do not automatically jump back to the first setting or menu item, and will stop cycling once the setting or menu item reaches the end of the setting options or the menu items list. In a further embodiment, holding down the up/down buttons <NUM>, <NUM> continuously may speed up the rate at which the settings or menus are cycled or displayed.

The default time-out interval for inaction is <NUM> seconds, after which the user interface <NUM> will reset the menu displayed to the home screen <NUM>. The time-out intervals may be configurable.

The user interface <NUM> may have buttons <NUM>-<NUM> comprising any suitable indicia displayed thereon to indicate their function (e.g. arrows, ticks, symbols, words, letters, numbers or the like). For example the up/down buttons <NUM>, <NUM> can be words, or the symbolic arrows showing up or down or a combination of both. The buttons <NUM>-<NUM> may be physical or touch buttons, capacitive display buttons, touch screens, tactile or non-tactile buttons, depressable buttons, membrane buttons or any other suitable buttons or other control known in the art.

The menu items described above are just examples for exemplary purposes and are neither limiting nor exhaustive. The menu structure and operation could work with any menu items.

The display screen could show navigation indicia indicating how many menus there are and/or which menu the user is currently in. One such non-limiting example is a scroll bar.

Claim 1:
A breathing apparatus (<NUM>) with a user interface (<NUM>) comprising
a blower (<NUM>); and
a display (<NUM>) for displaying a home screen and at least one menu item, and a plurality of buttons for operating the display and controlling the breathing apparatus via the display, comprising:
a first button operable, in a patient menu, to sequentially cycle through and display the home screen and the at least one menu item;
a second button and a third button operable, in the patient menu, to change a parameter of the at least one menu item when the at least one menu item is presented on the display, the parameter comprising at least one of a respiratory parameter and a breathing apparatus parameter; and
a fourth button operable, in the patient menu, to confirm the change of the parameter of the at least one menu item following the change to the parameter;
wherein the second button is operable, in a clinician menu, to cycle upwardly through a plurality of top level menu items and the third button is operable, in the clinician menu, to cycle downwardly through the plurality of top level menu items.