Respiratory support system and patient transfer device therefor

• US 10,471,229 B2
• Filed: 08/27/2014
• Issued: 11/12/2019
• Est. Priority Date: 08/27/2014
• Status: Active Grant

• Current Assignee: General Electric Company
• Original Assignee: General Electric Company
• Inventors: McCormick, Timothy Patrick, Baum, Bradley, Tzanetakis, Andreas
• Primary Examiner(s): Ho, Tan-Uyen T
• Assistant Examiner(s): Murphy, Victoria
• Application Number:
  US14/470,405
• Publication Number:
  US 20160058967A1
• Time in Patent Office: 1,903 Days
• Field of Search: 12820421, 12820422, 12820227
• CPC Class Codes: A61M 16/0045 Means for re-breathing exhaled gases, e.g. for hyperventilation treatment
• CPC Class Codes: A61M 16/0075 Bellows-type
• CPC Class Codes: A61M 16/0081 Bag or bellow in a bottle
• CPC Class Codes: A61M 16/0816 Joints or connectors
• CPC Class Codes: A61M 16/0883 Circuit type
• CPC Class Codes: A61M 16/204 used for inhalation control
• CPC Class Codes: A61M 16/205 used for exhalation control
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2205/128 with incorporated valves
• CPC Class Codes: A61M 2205/35 Communication
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/52 with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/6009 for matching patient with his treatment, e.g. to improve transfusion security
• CPC Class Codes: A61M 2205/6018 providing set-up signals for the apparatus configuration
• CPC Class Codes: A61M 2205/6054 Magnetic identification systems
• CPC Class Codes: A61M 2205/8206 battery-operated
• CPC Class Codes: A61M 2209/086 Docking stations
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/30 Blood pressure A61M2230/04 takes precedence
• CPC Class Codes: A61M 2230/43 Composition of exhalation

Abstract

A patient transfer device is configured for use with at least one host device which is capable of providing respiratory support to a patient. The patient transfer device includes an inspiratory port and an expiratory port which are configured to pneumatically connect to the host. An inspiratory connection is pneumatically connected to the inspiratory port and an expiratory connection is pneumatically connected to the expiratory port. An inspiratory valve is coupled between the inspiratory port and the inspiratory connection and expiratory valve is coupled between the expiratory port and the expiratory connection. The inspiratory valve and the expiratory valve are operable between first configurations that permit flow there though and second configurations that occlude flow through the valves. The inspiratory valve and the expiratory valve are configured to operate in the second configuration when the patient transfer device is disconnected from the at least one host device.

Claims

1. A patient transfer device for use with at least one host device comprising a ventilator capable of providing pressurized respiratory support to a patient, the patient transfer device comprising:

an inspiratory port configured to pneumatically connect to the at least one host device to receive a flow of inspiratory gases;

an inspiratory connection pneumatically connected to the inspiratory port;

an expiratory port configured to pneumatically connect to the at least one host device;

an expiratory connection pneumatically connected to the expiratory port;

an inspiratory valve coupled between the inspiratory port and the inspiratory connection and operable between a first configuration that permits flow between the inspiratory port and the inspiratory connection and a second configuration that occludes flow between the inspiratory port and the inspiratory connection;

an expiratory valve coupled between the expiratory port and the expiratory connection and operable between a first configuration that permits flow between the expiratory port and the expiratory connection and second configuration that occludes flow between the expiratory port and the expiratory connection;

an inspiratory tube connecting the inspiratory valve to the inspiratory connection;

an expiratory tube connecting the expiratory valve to the expiratory connection;

a recirculation tube extending between the inspiratory tube and the expiratory tube; and

at least one recirculation valve pneumatically connected to the recirculation tube, the recirculation valve operable to open when the inspiratory valve and expiratory valve are closed and operable to close when the inspiratory valve and expiratory valve are open;

wherein the inspiratory valve and the expiratory valve are configured to operate in the second configuration when the patient transfer device is disconnected from the at least one host device.

2. The patient transfer device of claim 1, further comprising a breathing circuit comprising:

a patient interface configured to pneumatically seal across an airway of a patient;

an inspiratory limb coupled between the inspiratory connection and the patient interface; and

an expiratory limb coupled between the expiratory connection and the patient interface;

wherein a closed pneumatic system is created within the breathing circuit when the inspiratory valve and the expiratory valve are closed.

3. The patient transfer device of claim 1, further comprising:

at least one registration feature extending from the patient transfer device, the at least one registration feature configured to engage a mated portion of the at least one host device.

4. The patient transfer device of claim 1, wherein the at least one recirculation valve is combined with at least one of the inspiratory valve and the expiratory valve.

5. The patient transfer device of claim 4, further comprising:

a processor communicatively connected to the at least one recirculation valve such that the processor operates the at least one recirculation valve to open and close.

6. The patient transfer device of claim 5, further comprising:

a pressure reservoir, the pressure reservoir configured to store pressurized gas;

a pressure valve that selectively pneumatically connects the pressure reservoir to the recirculation tube; and

at least one pressure transducer communicatively connected to the processor, wherein the processor monitors a pressure measured by the pressure transducer and selectively opens the pressure valve to maintain the pressure measured by the pressure transducer.

7. The patient transfer device of claim 1, further comprising:

a communication device configured to communicatively connect to the at least one host device;

a processor connected to the communication device; and

a memory, communicatively connected to the processor and operated by the processor to store data received at the communication device.

8. The patient transfer device of claim 7, wherein the data received at the communication device is received from the at least one host device and comprises at least one of a ventilator setting, a ventilation history, and patient data.

9. A respiratory support system comprising:

a first host device comprising a first ventilator and a first transfer bay, the first host device configured to provide a positive pressure for respiratory support to a patient;

a second host device comprising a second ventilator and a second transfer bay, the second host device configured to provide the positive pressure for respiratory support to the patient; and

a patient transfer device configured to be received within either of the first transfer bay and the second transfer bay, the patient transfer device comprising;

an inspiratory port configured to selectively pneumatically connect to the first or second host devices to receive flow of inspiratory gases from the first and second ventilators;

an inspiratory connection pneumatically connected to the inspiratory port;

an expiratory port configured to pneumatically connect to the at least one host device;

an expiratory connection pneumatically connected to the expiratory port;

an inspiratory valve coupled between the inspiratory port and the inspiratory connection operable between a first configuration that permits flow of pressurized gas from the inspiratory port to the inspiratory connection and a second configuration that occludes release of pressurized gas through the inspiratory port from the inspiratory connection;

an expiratory valve coupled between the expiratory port and the expiratory connection and operable between a first configuration that permits flow of pressurized gas from the expiratory connection to the expiratory port and a second configuration that occludes release of pressurized gas through the expiratory port from the expiratory connection, wherein the inspiratory valve and the expiratory valve operate in the second configurations when the patient transfer device is disconnected from the first and second host devices, to maintain the positive pressure when the patient transfer device is disconnected from the first and second host devices;

an inspiratory tube connecting the inspiratory valve to the inspiratory connection;

an expiratory tube connecting the expiratory valve to the expiratory connection;

a recirculation tube extending between the inspiratory tube and the expiratory tube; and

at least one recirculation valve pneumatically connected to the recirculation tube, the recirculation valve operable to open when the inspiratory valve and expiratory valve are closed and operable to close when the inspiratory valve and expiratory valve are open

a breathing circuit comprising a patient interface configured to pneumatically seal across an airway of a patient;

an inspiratory limb coupled between the inspiratory connection and the patient interface; and

an expiratory limb coupled between the expiratory connection and the patient interface.

10. The respiratory support system of claim 9, wherein the patient transfer device further comprises:

a processor;

a pressure reservoir, the pressure reservoir configured to store pressurized gas;

a pressure valve communicatively connected to the processor, the pressure valve operable to selectively pneumatically connect the pressure reservoir to the recirculation tube; and

at least one pressure transducer communicatively connected to the processor, wherein the processor monitors a pressure measured by the pressure transducer and selectively opens the pressure valve to maintain the pressure measured by the pressure transducer.

11. The respiratory support system of claim 9, wherein the patient transfer device further comprises:

a communication device configured to communicatively connect to a first processor of the first host device and a second processor of the second host device;

a transfer device processor connected to the communication device; and

a memory, communicatively connected to the transfer device processor and operated by the transfer device processor to store data received at the communication device from the first host device, wherein the data comprises at least one of a ventilator setting, a ventilation history, and patient data.

12. The respiratory support system of claim 11, wherein the transfer device processor and the communication device communicatively connect to the second processor of the second host device and upload the data from the memory to the second host device.

13. A method of providing respiratory support to a patient, the method comprising:

delivering pressurized respiratory support to the patient with a first host device comprising a first ventilator through a transfer device, the transfer device receives a flow of inspiratory gases from the first host device through an inspiratory port and provides the inspiratory gases to the patient through a breathing circuit and expired gases from the patient are returned through the breathing circuit to the transfer device and to the first host device through an expiratory port of the transfer device;

closing an inspiratory valve associated with the inspiratory port and an expiratory valve associated with the expiratory port to create a closed pneumatic system between the breathing circuit and the transfer device;

disconnecting the transfer device from the first host device;

monitoring the pressure in the closed pneumatic system;

selectively opening a pressure reservoir to maintain the positive airway pressure within the closed pneumatic system;

reconnecting the transfer device to a second host device comprising a second ventilator;

opening the inspiratory valve and the expiratory valve; and

delivering respiratory support to the patient with the second host device through the transfer device, the transfer device receives a second flow of inspiratory gases from the second host device through the inspiratory port and provides the inspiratory gases to the patient through the breathing circuit and expired gases from the patient are returned through the breathing circuit to the transfer device and to the second host device through the expiratory port of the transfer device.

14. The method of claim 13, wherein the delivering of the respiratory support to the patient with the first host device further comprises providing a positive airway pressure to the patient and the delivering of respiratory support to the patient with the second host device further comprises continuing providing the positive airway pressure to the patient.

15. The method of claim 14, further maintaining the positive airway pressure within the closed pneumatic system while the inspiratory and expiratory valves are closed until the inspiratory and expiratory valves are opened.

16. The method of claim 13, further comprising:

operating the first host device and the transfer device in coordination to deliver the flow of inspiratory gases to the pressure reservoir to pressurize the pressure reservoir.

17. The method of claim 13, further comprising:

communicatively connecting a first processor associated with the first host device to a transfer device processor;

storing at least ventilator settings from the first ventilator on a memory of the transfer device;

communicatively connecting the transfer device processor to a second processor associated with the second host device;

uploading the at least ventilator settings from the first ventilator from the memory of the transfer device to the second ventilator; and

delivering respiratory support to the patient with the second host device according to the ventilator settings.