Respiratory assistance apparatus

• US 10,357,629 B2
• Filed: 04/05/2013
• Issued: 07/23/2019
• Est. Priority Date: 04/05/2012
• Status: Active Grant

• Current Assignee: Fisher & Paykel Healthcare Limited
• Original Assignee: Fisher & Paykel Healthcare Limited
• Inventors: Barker, Dean Antony, Stewart, Mikael Douglas, Hawkins, Peter Geoffrey, O'Donnell, Kevin Peter, Burgess, Russel William
• Primary Examiner(s): Douglas, Steven O
• Application Number:
  US14/390,358
• Publication Number:
  US 20150059745A1
• Time in Patent Office: 2,300 Days
• CPC Class Codes: A61M 16/0003 Accessories therefor, e.g. sensors, vibrators, negative pressure
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0066 Blowers or centrifugal pumps
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/0875 Connecting tubes
• CPC Class Codes: A61M 16/101 using an oxygen concentrator
• CPC Class Codes: A61M 16/1075 by influencing the temperature A61M16/1045 takes precedence
• CPC Class Codes: A61M 16/109 the humidifying liquid or the beneficial agent
• CPC Class Codes: A61M 16/16 Devices to humidify the respiration air A61M16/1045 takes precedence
• CPC Class Codes: A61M 16/161 with means for measuring the humidity
• CPC Class Codes: A61M 16/20 Valves specially adapted to medical respiratory devices
• CPC Class Codes: A61M 2016/003 with a flowmeter
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3334 Measuring or controlling the flow rate
• CPC Class Codes: A61M 2205/3365 : Rotational speed
• CPC Class Codes: A61M 2205/3368 : Temperature
• CPC Class Codes: A61M 2205/3375 : Acoustical, e.g. ultrasonic, measuring means
• CPC Class Codes: A61M 2205/52 : with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/581 : by audible feedback
• CPC Class Codes: A61M 2205/582 : by tactile feedback
• CPC Class Codes: A61M 2205/583 : by visual feedback
• CPC Class Codes: G01N 2291/0212 : Binary gases
• CPC Class Codes: G01N 2291/0215 : Mixtures of three or more gases, e.g. air
• CPC Class Codes: G01N 2291/048 : Transmission, i.e. analysed material between transmitter and receiver
• CPC Class Codes: G01N 29/024 : by measuring propagation velocity or propagation time of acoustic waves

Abstract

A respiratory assistance apparatus has a gases inlet configured to receive a supply of gases, a blower unit configured to generate a pressurized gases stream from the supply of gases; a humidification unit configured to heat and humidify the pressurized gases stream; and a gases outlet for the heated and humidified gases stream. A flow path for the gases stream extends through the respiratory device from the gases inlet through the blower unit and humidification unit to the gases outlet. A sensor assembly is provided in the flow path before the humidification unit. The sensor assembly has an ultrasound gas composition sensor system for sensing one or more gas concentrations within the gases stream.

Claims

1. A respiratory assistance apparatus configured to provide a heated and humidified gases stream, comprising:

a gases inlet configured to receive a supply of gases;

a blower unit configured to generate a pressurised gases stream from the supply of gases;

a humidification unit configured to heat and humidify the pressurised gases stream;

a gases outlet for the heated and humidified gases stream;

a flow path for the gases stream through the respiratory assistance apparatus from the gases inlet through the blower unit and humidification unit to the gases outlet;

a sensor assembly provided in the flow path before the humidification unit such that the sensor assembly is configured to sense one or more characteristics of a bulk flow of the gases stream, the sensor assembly comprising an ultrasound gas composition sensor system and a temperature sensor, wherein the ultrasound gas composition sensor system comprises a transmitter and a receiver, the transmitter and receiver forming a transmitter and receiver transducer pair that are operable to transmit cross-flow or along-flow acoustic pulses from the transmitter to the receiver through the gases stream to measure a speed of sound in the gases stream in the vicinity of the sensor assembly, and wherein the temperature sensor is configured to measure a temperature of the gases stream in the vicinity of the sensor assembly and generate a representative temperature signal; and

a sensor control system operatively connected to the transmitter and receiver of the ultrasound gas composition sensor system, wherein the sensor control system is configured to operate the transmitter and receiver transducer pair to measure the speed of sound in the gases stream and generate a speed of sound signal and configured to calculate one or more gas concentrations within the gases stream using the speed of sound signal and the representative temperature signal,

wherein the sensor assembly comprises a housing comprising a hollow main body, wherein the flow path passes through the main body, the housing further comprising mounting assemblies configured to retain the transmitter and receiver, and wherein the temperature sensor is mounted to the main body.

2. A respiratory assistance apparatus according to claim 1 wherein the transmitter and receiver transducer pair are arranged such that the acoustic pulses traverse the gases stream in a direction substantially perpendicular to a flow direction of the gases stream.

3. A respiratory assistance apparatus according to claim 1 wherein the transmitter and receiver transducer pair are arranged such that the acoustic pulses traverse the gases stream in a cross-flow that is angled but not perpendicular with respect to the flow direction of the gases stream.

4. A respiratory assistance apparatus according to claim 1 wherein the transmitter and receiver transducer pair comprises a transducer that is configured as a transmitter and a transducer that is configured as a receiver for transmitting uni-directional acoustic pulses.

5. A respiratory assistance apparatus according to claim 4 wherein the transmitter and receiver are aligned with each other in relation to a flow direction of the gases stream and facing each other on opposite sides of the flow path.

6. A respiratory assistance apparatus according to claim 4 wherein the transmitter and receiver are displaced from each other in a flow direction of the gases stream.

7. A respiratory assistance apparatus according to claim 6 wherein the acoustic pulses have a beam path that is direct between the transmitter and receiver.

8. A respiratory assistance apparatus according to claim 6 wherein the acoustic pulses have a beam path that is indirect between the transmitter and receiver and which undergoes one or more reflections.

9. A respiratory assistance apparatus according to claim 1 wherein the transmitter and receiver transducer pair comprises a pair of transmitter-receiver transducers that are configured for transmitting bi-directional acoustic pulses.

10. A respiratory assistance apparatus according to claim 9 wherein the transmitter and receiver are aligned with each other in relation to a flow direction of the gases stream and facing each other on opposite sides of the flow path.

11. A respiratory assistance apparatus according to claim 9 wherein the transmitter and receiver are displaced from each other in a flow direction of the gases stream.

12. A respiratory assistance apparatus according to claim 11 wherein the acoustic pulses have a beam path that is direct between the transmitter and receiver.

13. A respiratory assistance apparatus according to claim 11 wherein the acoustic pulses have a beam path that is indirect between the transmitter and receiver and which undergoes one or more reflections.

14. A respiratory assistance apparatus according to claim 1 wherein the transmitter and receiver transducer pair is in the form of a single transmitter-receiver that is configured to transmit cross-flow acoustic pulses and receive echo return pulses.

15. A respiratory assistance apparatus according to claim 1 wherein the sensor assembly further comprises a humidity sensor that is configured to measure the humidity in the gases stream in the vicinity of the sensor assembly and generate a representative humidity signal, and wherein the sensor control system is configured to generate one or more gas concentration signals indicative of the gas concentration within the gases stream using the speed of sound signal and the representative humidity signal.

16. A respiratory assistance apparatus according to claim 1 wherein the sensor control system is configured to generate a gas concentration signal representing oxygen concentration in the gases stream.

17. A respiratory assistance apparatus according to claim 1 wherein the sensor control system is configured to generate a gas concentration signal representing carbon dioxide concentration in the gases stream.

18. A respiratory assistance apparatus according to claim 1 wherein the hollow main body is defined by peripheral walls that extend between a first open end and a second open end to thereby define a sensing passage in the main body between the walls through which the gases stream may flow in the direction of a flow axis extending between the first and second ends of the main body and wherein the transmitter and receiver transducer pair are located on opposite walls or sides of the sensing passage.

19. A respiratory apparatus according to claim 18 wherein the mounting assemblies are located on opposing walls of the main body, which are each configured to receive and retain a respective transducer of the transmitter and receiver transducer pair such that they are aligned, and face each other, across the sensing passage of the main body.

20. A respiratory assistance apparatus according to claim 1, wherein the temperature sensor is separated from a wall at least partially defining the flow path and is suspended into the gases stream.

21. A respiratory assistance apparatus according to claim 1, wherein the sensor assembly is releasbly mounted in the flow path.