RESPIRATORY THERAPY SYSTEM WITH ELECTROMECHANICAL DRIVER

• US 20090126734A1
• Filed: 11/19/2008
• Published: 05/21/2009
• Est. Priority Date: 11/19/2007
• Status: Active Grant

• Current Assignee: SunMed Group Holdings LLC
• Original Assignee: Allegiance Corporation (Cardinal Health, Inc.)
• Inventors: Wise, Geoffrey C., Dunsmore, Thomas J.
• Granted Patent: US 8,365,727 B2
• Time in Patent Office: Days
• US Class Current: 128/203.250
• CPC Class Codes: A61M 11/00 Sprayers or atomisers specially adapted for therapeutic purposes in general B05B; aerosol containers B65D83/14
• CPC Class Codes: A61M 11/06 of the injector type
• CPC Class Codes: A61M 16/0003 Accessories therefor, e.g. sensors, vibrators, negative pressure
• CPC Class Codes: A61M 16/0006 with means for creating vibrations in patients' airways
• CPC Class Codes: A61M 16/0012 by Venturi means
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0057 Pumps therefor
• CPC Class Codes: A61M 16/0093 by adsorption, absorption or filtration
• CPC Class Codes: A61M 16/0096 High frequency jet ventilation
• 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 16/08 Bellows; Connecting tubes having means for taking samples G01N1/22; Water traps; Patient circuits
• CPC Class Codes: A61M 16/0816 Joints or connectors
• CPC Class Codes: A61M 16/0858 Pressure sampling ports
• CPC Class Codes: A61M 16/105 Filters A61M16/047, A61M16/22 take precedence; water traps A61M16/08
• CPC Class Codes: A61M 16/1055 bacterial
• CPC Class Codes: A61M 16/1065 in the expiratory path
• CPC Class Codes: A61M 16/12 by mixing different gases
• CPC Class Codes: A61M 16/127 by Venturi effect, i.e. entrainment mixers
• CPC Class Codes: A61M 16/14 by mixing different fluids, one of them being in a liquid phase
• CPC Class Codes: A61M 16/201 : Controlled valves
• CPC Class Codes: A61M 2016/0027 : pressure meter
• CPC Class Codes: A61M 2202/0208 : Oxygen
• CPC Class Codes: A61M 2202/0468 : non-physiological
• CPC Class Codes: A61M 2205/18 : with alarm
• CPC Class Codes: A61M 2205/332 : Force measuring means
• CPC Class Codes: A61M 2205/3331 : Pressure; Flow
• CPC Class Codes: A61M 2205/502 : User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/6054 : Magnetic identification systems
• CPC Class Codes: A61M 2205/702 : automatically during use
• CPC Class Codes: A61M 2205/75 : with filters
• CPC Class Codes: A61M 2230/005 : Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/60 : Muscle strain, i.e. measured on the user
• CPC Class Codes: A61M 2230/63 : Motion, e.g. physical activity

Abstract

A respiratory therapy system includes a driver unit and a patient interface device. The driver unit is adapted to deliver pressurized gas flow from a source to the patient interface device. At least one electronic valve can be used to deliver a desired flow to the patient interface device.

Claims

1. A system for providing percussive respiratory therapy to a patient airway, the system comprising:

a patient interface device having an inlet and an outlet fluidly connected to the patient airway; and

a driver unit for delivering gas flow to the inlet, the driver unit comprising;

an inlet line fluidly connectable to a source of pressurized gas,

an outlet line fluidly connectable to the inlet of the patient interface device,

at least one electronic valve having an inlet side fluidly connected to the inlet line and an outlet side fluidly connected to the outlet line,

a controller electronically connected to the at least one electronic valve and configured to control operation of the at least one electronic valve in selectively delivering percussive pulses of gas flow from the inlet line to the outlet line.

2. The system of claim 1, wherein the controller is configured to operate the at least one electronic valve to selectively deliver high frequency pressure pulses to the outlet line.

3. The system of claim 2, wherein the at least one electronic valve has an operational frequency in the range of 2-25 Hz.

4. The system of claim 2, wherein the controller is further configured to operate the at least one electronic valve to selectively deliver a baseline positive airway pressure to the outlet line.

5. The system of claim 1, wherein the driver unit further includes:

a second electronic valve having an inlet side fluidly connected to the inlet line and an outlet side fluidly connected to the outlet line, and wherein the controller is electronically connected to the second electronic valve and is configured to operate the second electronic valve in selectively delivering gas flow from the inlet line to the outlet line.

6. The system of claim 5, wherein the controller is configured to operate the second electronic valve to selectively deliver a baseline positive airway pressure to the outlet line.

7. The system of claim 5, wherein the first-mentioned at least one electronic valve has an orifice larger than an orifice of the second electronic valve.

8. The system of claim 5, wherein the first-mentioned at least one electronic valve and the second electronic valve are fluidly connected in parallel between the inlet line and the outlet line.

9. The system of claim 1, further comprising:

a neb flow valve provided with the driver unit and having an inlet side, fluidly connected to the inlet line, and an outlet side; and

a nebulizer fluidly connectable to the outlet side of the neb flow valve;

wherein the controller is electronically coupled to the neb flow valve and is configured to control delivery of gas from the neb flow valve to the nebulizer.

10. The system of claim 9, wherein the nebulizer is provided apart from the driver unit.

12. The system of claim 1, wherein the driver unit further comprises:

a pressure regulator fluidly connected to the inlet line upstream of the at least one electronic valve.

13. The system of claim 1, wherein the driver unit further comprises:

a shutoff electronic valve fluidly connected to the outlet line downstream of the at least one electronic valve.

14. The system of claim 13, wherein the shutoff electronic valve is electronically connected to the controller, and wherein the controller is configured to control operation of the shutoff electronic valve to selectively release pressure from the outlet line.

15. The system of claim 1, wherein the driver unit further includes:

a patient pressure line fluidly connectable to the patient interface device;

a purge electronic valve having an inlet side fluidly connected to the inlet line and an outlet side fluidly connected to the patient pressure line, and wherein the controller is electronically connected to the purge electronic valve and is configured to operate the purge electronic valve to deliver gas flow from the inlet line to the patient pressure line.

16. The system of claim 15, wherein the driver unit further includes:

a patient pressure sensor selectively fluidly connected to the patient pressure line for sensing pressure in the patient interface device;

an autozero electronic valve having an inlet side fluidly connected to the patient pressure line and an outlet side fluidly connected to the patient pressure sensor, wherein the controller is electronically connected to the autozero electronic valve and is configured to selectively restrict gas flow from the patient pressure line to the patient sensor during operation of the purge electronic valve.

17. The system of claim 1, wherein the driver unit further includes:

a pressure sensor fluidly connected to the outlet line for sensing a pressure in the outlet line;

wherein the controller is electronically connected to the pressure sensor and is configured to control operation of the at least one electronic valve in response to information signaled from the pressure sensor.

18. The system of claim 1, wherein the driver unit further includes:

a patient pressure sensor selectively fluidly connected to the patient interface device for sensing a pressure in the patient interface device;

wherein the controller is electronically connected to the patient pressure sensor and is configured to control operation of the at least one electronic valve in response to information signaled from the patient pressure sensor.

19. The system of claim 1, wherein the driver unit further includes:

a graphical user interface electronically connected to the controller, wherein the controller is configured to prompt the graphical user interface to display operational parameters.

20. The system of claim 19, wherein the operational parameters include at least one minimum, mean, maximum, and trended patient pressure or frequency of pressure pulses for a current procedure.

21. The system of claim 1, wherein the driver unit further includes:

a user input device electronically connected to the controller and adapted to receive a user'"'"'s selection of an operational mode.

22. The system of claim 1, wherein the controller is configured to store at least one predetermined therapy protocol.

23. The system of claim 1, wherein the patient interface device further includes a storage medium for storing information and wherein the driver unit further includes a device electronically connected to the controller, wherein the device is configured to read information from the storage medium and transmit said information to the controller.

24. The system of claim 23 wherein information stored on the storage medium is associated with a predetermined therapy protocol to be delivered by the driver unit and wherein the controller is configured to control operation of the driver unit based on the predetermined therapy protocol.

25. The system of claim 1 wherein the controller is configured to store a predetermined therapy protocol and automatically generate the predetermined therapy protocol upon receipt of an indication to begin the predetermined therapy protocol.

26. The system of claim 25 wherein the predetermined therapy protocol comprises operating the at least one electronic valve to deliver percussive therapy at a first frequency during a first time period and deliver percussive therapy at a second frequency, lower than the first frequency, during a second time period after the first time period.

27. The system of claim 1 wherein the driver unit further includes a volume chamber fluidly coupled to the inlet line upstream of the at least one electronic valve.

11. The system of 10, wherein the nebulizer is selectively fluidly coupleable to the neb flow valve and the outlet of the patient interface device.

28. A system for providing percussive respiratory therapy to a patient airway, comprising:

a patient interface device having an inlet and an outlet fluidly connected to the patient airway; and

a driver unit for delivering gas flow to the inlet, the driver unit comprising;

an inlet line fluidly connectable to a source of pressurized gas,

an outlet line fluidly connectable to the inlet of the patient interface device,

a patient pressure line fluidly connectable to the outlet of the patient interface device,

a first electronic valve housing an inlet side fluidly connected to the inlet line and an outlet side fluidly connected to the outlet line,

a second electronic valve having an inlet side fluidly connected to the inlet line and an outlet side fluidly connected to the patient pressure line,

a controller electronically connected to the first electronic valve and the second electronic valve and configured to control operation of the first electronic valve and the second electronic valve to selectively operate a baseline mode delivering positive pressure to the outlet line, a percussive mode delivering high frequency pressure pulses to the outlet line and a purge mode delivering pressure to the patient pressure line, wherein the controller is further configured to operate the baseline mode and percussive mode simultaneously.

29. The system of claim 28, further comprising:

a neb flow valve provide with the driver unit and having an inlet side, fluidly connected to the inlet line, and an outlet side, fluidly connected to an auxiliary line; and

a nebulizer fluidly connectable to the auxiliary line and the outlet of the patient interface device;

wherein the controller is electronically coupled to the neb flow valve and is configured to operate a nebulizer mode delivering gas flow to the auxiliary line.

30. The system of claim 28 further comprising:

a first pressure sensor fluidly coupled to the patient pressure line and electronically connected to the controller to provide a first pressure signal indicative of pressure in the patient interface device;

a second pressure sensor fluidly coupled to the outlet line and electronically connected to the controller to provide a second pressure signal indicative of pressure in the outlet line;

wherein the controller is configured to operate the first electronic valve as a function of at least one of the first pressure signal and the second pressure signal.