Medical Ventilator System and Method Using Oxygen Concentrators

• US 20100116270A1
• Filed: 11/09/2009
• Published: 05/13/2010
• Est. Priority Date: 11/10/2008
• Status: Abandoned Application

• Current Assignee: Chart Sequal Technologies Incorporated (Niterra Co., Ltd.)
• Original Assignee: Chart Sequal Technologies Incorporated (Niterra Co., Ltd.)
• Inventors: Armstrong, Peter S., Branson, Richard D., Edwards, Paul L.
• Application Number:
  US12/614,617
• Publication Number:
  US 20100116270A1
• Time in Patent Office: Days
• US Class Current: 128/201.210
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/0666 Nasal cannulas or tubing devices for improving normal breathing through the nose A61F5/08; nose filters A62B23/06; outside holding devices A61M25/02
• CPC Class Codes: A61M 16/0677 Gas-saving devices therefor
• CPC Class Codes: A61M 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 16/101 using an oxygen concentrator
• CPC Class Codes: A61M 16/107 in the inspiratory 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 2016/0024 with an on-off output signal, e.g. from a switch
• CPC Class Codes: A61M 2202/0007 introduced into the body
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2202/03 Gases in liquid phase, e.g. cryogenic liquids
• CPC Class Codes: A61M 2205/332 Force measuring means
• CPC Class Codes: A61M 2205/3358 Measuring barometric pressure, e.g. for compensation
• CPC Class Codes: A61M 2205/3372 Temperature compensation
• CPC Class Codes: A61M 2205/50 with microprocessors or computers
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/04 Heartbeat characteristics, e.g. ECG, blood pressure modulation
• CPC Class Codes: A61M 2230/06 Heartbeat rate only
• 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 2230/42 : Rate
• CPC Class Codes: A61M 2230/50 : Temperature
• CPC Class Codes: A61M 2230/62 : Posture
• CPC Class Codes: A61M 2230/63 : Motion, e.g. physical activity

Abstract

A medical ventilator system that allows the use of pulse flow of oxygen to gain higher FIO₂ values and/or conserve oxygen is described. In one embodiment, the ventilator system includes an oxygen concentrator, a medical ventilator and a breathing circuit between the ventilator and a patient. In one embodiment, the oxygen concentrator includes a controller module that is configured to generate a trigger signal to initiate the distribution of one or more pulses of oxygen from the oxygen concentrator to the patient circuit at the onset of a ventilator supplied breath. A small flow of oxygen can be added in between pulses to aid in gaining higher FIO₂.

Claims

1. A method of using a medical ventilator system for at least one of increasing fraction of inspired oxygen delivered to a patient and conserving oxygen, the medical ventilator system including an oxygen source for pulsed delivery of a bolus of oxygen;

a medical ventilator;

a ventilator circuit for connecting the ventilator to the patient, the ventilator circuit including a location proximal to the patient, comprising;

delivering with the ventilator a breath to the patient during an inspiration cycle;

adding a pulsed delivery of a bolus of oxygen from the oxygen source to the breath from the ventilator during the inspiration cycle to the location proximal to the patient of the ventilator circuit for at least one of increasing fraction of inspired oxygen delivered to a patient and conserving oxygen.

2. The method of claim 1, further including delivering a continuous flow rate of oxygen to the ventilator circuit.

3. The method of claim 1, further including triggering the oxygen source for pulsed delivery of a bolus of oxygen.

4. The method of claim 3, wherein triggering the oxygen source includes triggering the oxygen source based upon sensing a positive inspiratory pressure.

5. The method of claim 3, wherein triggering the oxygen source includes triggering the oxygen source using a venturi at the location proximal to the patient of the ventilator circuit.

6. The method of claim 3, wherein triggering the oxygen source includes the ventilator sending a signal to the oxygen source for pulsed delivery of a bolus of oxygen.

7. The method of claim 3, wherein the ventilator circuit includes at least one of a pressure threshold and a flow threshold, and triggering the oxygen source includes triggering the oxygen source when at least one of the pressure threshold and the flow threshold in the ventilator circuit is exceeded.

8. The method of claim 3, wherein triggering the oxygen source is based upon at least one of a rate of change based on flow of gases in the ventilator circuit and rate of change based on pressure of gases in the ventilator circuit.

9. The method of claim 3, wherein a triggering event causes the triggering of the oxygen source for oxygen bolus delivery, and a time between the triggering event and onset of oxygen bolus delivery is in the range of 0.01 ms to 1 second.

10. The method of claim 3, wherein a triggering event causes the triggering of the oxygen source for oxygen bolus delivery, and a time between the triggering event and onset of oxygen bolus delivery is in the range of 0.01 ms to 600 ms.

11. The method of claim 3, wherein a triggering event causes the triggering of the oxygen source for oxygen bolus delivery, and a time between the triggering event and full oxygen bolus delivery is in the range of 0.01 ms to 1 second.

12. The method of claim 3, wherein a triggering event causes the triggering of the oxygen source for oxygen bolus delivery, and a time between the triggering event and full oxygen bolus delivery is in the range of 0.01 ms to 600 ms.

13. The method of claim 1, wherein the location proximal to the patient of the ventilator circuit includes a wye coupled to the oxygen source, and delivering a bolus of oxygen includes delivering a bolus of oxygen from the oxygen source to the wye of the ventilator circuit.

14. The method of claim 1, wherein the location proximal to the patient of the ventilator circuit includes a ventilation delivery interface selected from the group consisting of one or more intubation tubes, a non-rebreather mask, a partial rebreather mask, a nasal cannula, and a nasal pillow.

15. The method of claim 1, wherein the patient is at least one of a spontaneously breathing patient and a non-spontaneously breathing patient.

16. The method of claim 1, wherein the oxygen source supplies oxygen flow up to 30 LPM.

17. The method of claim 1, wherein the flow rate of a delivered pulse of the bolus of oxygen exceeds 5 LPM for some portion of the pulse.

18. The method of claim 1, wherein the flow rate of a delivered pulse of the bolus of oxygen exceeds 10 LPM for some portion of the pulse.

19. The method of claim 1, wherein the method self adjusts for ventilator positive end-expiratory pressure (PEEP).

20. The method of claim 1, wherein the method is not affected by ventilator bias flow.

21. The method of claim 1, wherein the method delivers breaths at a respiratory rate of 5-55 BPM.

22. The method of claim 1, further including a gas flow standardizing to body temperature and pressure.

23. The method of claim 1, further including compensating gas flow for altitude.

24. The method of claim 1, wherein the oxygen source is a member from the group consisting of an oxygen concentrator, a portable oxygen concentrator, a compressed oxygen gas cylinder, a membrane oxygen generator, and a chemical oxygen generator.

25. The method of claim 1, further including using at least one of air liquidfaction and air distillation methods for generating at least one of liquid oxygen and gaseous oxygen.

26. The method of claim 1, wherein the oxygen source is an oxygen delivery device with both a ventilator mode wherein pulses of oxygen may be triggered when used with the ventilator and a concentrator mode used to provide supplemental oxygen to the patient.

27. The method of claim 1, wherein delivering a bolus of oxygen includes varying duration of oxygen pulses delivered to the location proximal to the patient of the ventilator circuit to accommodate varying patient inspiratory durations.