Respirator

• US 4,036,221 A
• Filed: 04/02/1975
• Issued: 07/19/1977
• Est. Priority Date: 05/01/1972
• Status: Expired due to Term

• Current Assignee: Sutter Hospitals Medical Research Foundation
• Original Assignee: Sutter Hospitals Medical Research Foundation
• Inventors: Hillsman, Deane, Cook, Albert M., Simes, James G.
• Primary Examiner(s): Michell, Robert W.
• Assistant Examiner(s): Recla, Henry J.
• Application Number:
  US05/564,336
• Time in Patent Office: 839 Days
• Field of Search: 128/145.5-145.8, 128/188, 128/142-142.3, 128/DIG. 17, 128/DIG. 29, 128/30.2, 137/102, 137/87, 137/88, 73/198, 73/279, 73/274
• US Class Current: 128/204.23
• CPC Class Codes: A61M 16/00 Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes stimulating the respiratory movement by mechanical, pneumatic or electrical means, iron lungs combined with gas breathing means A61H31/00
• CPC Class Codes: A61M 16/0009 with sub-atmospheric pressure, e.g. during expiration
• CPC Class Codes: A61M 16/0072 Tidal volume piston pumps
• CPC Class Codes: A61M 16/0075 Bellows-type
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor

Abstract

A volume-cycled respirator including a piston driven by a translational motor in a feedback control system for forcing a controlled volume of gas into the lungs of a patient throughout each inspiratory cycle. A waveform generator produces a volume-versus-time waveform representing the desired volume of gas to be delivered to the patient throughout each inspiratory cycle. The feedback loop includes a position transducer responsive to the changing position of the piston for producing a volume-versus-time waveform representing the actual volume of gas delivered to the patient throughout each inspiratory cycle. The desired waveform is compared with the actual waveform to produce an error signal which drives the translational motor so it forces the piston travel waveform to follow the desired waveform.

Claims

1. A volume-cycled respirator system for delivering a controlled volume of gas to a patient, the system comprising:

a. displaceable gas delivery means having a position which is adjustable for forcing periodically a volume of gas under pressure into the lungs of a patient throughout an inspiratory period of a respiratory cycle;

b. drive means operatively connected to the gas delivery means to displace the volume of gas to be delivered;

c. means for generating a reference signal representing variations in the position of the gas delivery means with respect to time throughout the inspiratory period necessary to deliver a desired volume of gas in accordance with a desired volume-versus-time waveform; and

d. closed loop feedback means for controlling the instantaneous position of the gas delivery means throughout the inspiratory period, the closed loop feedback means including

3. A respirator system according to claim 1 in which the gas delivery means comprises a cylinder-and-piston device, and the drive means comprises a translational motor to which the position error signal is applied for causing linear relative motion between the piston and the cylinder.

5. A respirator system according to claim 3 in which the magnitude and polarity of the position error signal applied to the translational motor are governed by the amount of force and direction of application of the force applied to the piston by the motor to maintain the desired volume-versus-time waveform.

6. A respirator system according to claim 3 in which the translational motor comprises a permanent magnet d.c. motor.

7. A respirator system according to claim 5 in which the position transducer comprises a linear variable-differential transformer.

8. A respirator system according to claim 1 including means for sensing the actual build-up of gas pressure in the patient during gas delivery, means for producing an output representative of a desired gas pressure build-up, means for producing a pressure error signal representing a comparison of the sensed pressure build-up with the desired pressure build-up, and volume adjusting means responsive to the pressure error signal for adjusting the time-dependent volume of gas delivered to the patient by the gas delivery means.

9. A respirator system according to claim 7 including a waveform generator defining an allowable maximum pressure-versus-time waveform for the patient during the inspiratory cycle, and means for generating said pressure error signal to represent the difference between the maximum allowable pressure build-up and the actual pressure build-up.

10. A respirator system according to claim 7 in which the means for sensing pressure build-up comprises a pressure transducer which generates an output signal representing the actual pressure build-up in the patient during the inspiratory cycle, and including a waveform generator defining a pressure-versus-time waveform defining a maximum allowable pressure build-up throughout a given inspiratory cycle, and means for generating said pressure error signal to represent the difference between the sensed pressure build-up and the maximum allowable pressure build-up.

11. A respirator system according to claim 7 in which the means for generating the desired pressure build-up comprises a pressure-versus-time waveform representing the maximum allowable pressure build-up throughout the inspiratory cycle.

12. A respirator system according to claim 10 in which the volume-adjusting means adjusts the position of the gas delivery means throughout the inspiratory period to hold the actual pressure in the patient at the maximum allowable pressure at any instant when the actual pressure reaches the maximum allowable pressure limit.

13. A respirator system according to claim 11 including means for holding the actual pressure generated by the gas delivery means at a constant hold pressure for the remainder of the inspiratory cycle when the actual pressure reaches the maximum allowable pressure limit.

14. A respirator system according to claim 1 including means for intermittently providing an overriding command to deliver a volume of gas representing a sigh volume which differs from the volume of gas required normally during the inspiration period, the sigh volume being defined by an output command signal representing the time-varying position of the gas delivery means necessary to displace a desired sigh volume of gas in accordance with a desired sigh volume-versus-time waveform, and means for varying the shape of the sigh volume-versus-time waveform independently of the volume-versus-time waveform associated with normal, sigh-absent respiration.

15. A respirator system according to claim 1 in which the gas delivery means comprises a chamber containing gas to be delivered to the patient, a conduit extending between the chamber and the patient, a piston movable only in a first portion of the chamber to force gas from the chamber through the conduit to the patient in accordance with the position error signal, the chamber also including a second portion in gas communication with the first portion for receiving the volume of gas which is forced by the piston but is not accepted by the patient, and means operative separately from the piston for forcing the gas out of the second portion of the chamber through the conduit to the patient.

16. A respirator system according to claim 14 including means for sensing pressure build-up in the lungs of the patient in response to the gas delivered by the piston, and means for adjusting the time-dependent volume of gas forced out of the second portion of the chamber in accordance with the sensed pressure build-up.

17. A respirator system according to claim 1 including means for varying the reference signal with respect to time to provide a selected volume-versus-time waveform, and in which the reference signal generating means generates said selected reference signal throughout the inspiratory period.

20. A respirator system according to claim 17 in which the feedback means further includes a pressure transducer for sensing the build-up of gas pressure in the patient during the inspiratory cycle;

means for comparing the sensed pressure build-up with an allowable pressure build-up to generate a pressure error signal representing excessive pressure build-up; and

means responsive to the pressure error for adjusting the volume of gas displaced by the gas delivery means.

21. A respirator system according to claim 17 in which the magnitude of the position error signal is proportional to the distance through which the gas delivery means is to be displaced, and the polarity of the said signal is determined by the direction in which the gas delivery means is to be displaced to maintain the desired volume-versus-time waveform.

22. A respirator system according to claim 17 in which the gas delivery means comprises a cylinder-and-piston device;

and in which the translational motor causes linear relative motion between the piston and the cylinder.

23. A respirator system according to claim 20 in which the translational motor comprises a permanent magnet d.c. motor.

24. A respirator system according to claim 21 in which the position transducer comprises a linear variable-differential transformer.

25. A respirator system according to claim 21 in which the magnitude and polarity of the position error signal applied to the translational motor are governed by the amount of force and direction of application of the force applied to the piston by the translational motor to maintain the desired volume-versus-time waveform.

26. A respirator system according to claim 21 including means for varying the reference signal with respect to time to provide a selected volume-versus-time waveform, and in which the reference signal generating means generates said selected reference signal throughout the inspiratory period.

27. A respirator system according to claim 17 including means for varying the reference signal with respect to time to provide a selected volume-versus-time waveform, and in which the reference signal generating means generates said selected reference signal throughout the inspiratory period.

29. The method according to claim 26 in which the gas delivery means is a linearly displaceable piston-and-cylinder device, and the drive means is a translational motor;

and including the step of adjusting the linear position of the piston-and-cylinder device by applying the error signal to the translational motor for converting the error signal directly into translational motion of a motor output shaft connected to the piston-and-cylinder device to displace the volume of gas to be delivered.

30. The method according to claim 27 including selecting a given reference signal representing a selected volume-versus-time waveform, and generating said selected reference signal throughout the inspiratory period.

31. The method according to claim 26 including selecting a given reference signal representing a selected volume-versus-time waveform, and generating said selected reference signal throughout the inspiratory period.

2. first means responsive to the actual position of the gas delivery means for generating a position feedback signal representing the actual volume of gas displaced by the gas delivery means with respect to time throughout the inspiratory period,second means responsive to said reference signal and said position feedback signal for providing throughout the inspiratory period a position error signal representing the deviation between the instantaneous desired position and the corresponding actual position of the gas delivery means, andthird means for applying said position error signal to the drive means for adjusting the instantaneous position of the gas delivery means in proportion to said error signal throughout the inspiratory period to deliver gas to the patient in accordance with the desired volume-versus-time waveform.

4. A respirator system according to claim 2 in which the reference signal indicates the desired position of the piston in the cylinder throughout the inspiratory period, and the first means of the closed loop feedback means comprises a position transducer for continuously sensing the actual position of the piston in the cylinder and for producing said position feedback signal, and the second means comprises means for continuously comparing the position feedback signal and the reference signal to generate the position error signal.

18. A volume-cycled respirator system for delivering a controlled volume of gas to a patient, the system comprising:

a. linearly displaceable gas delivery means having a position which is adjustable for forcing periodically a volume of gas under pressure into the lungs of a patient throughout an inspiratory period of a respiratory cycle;

b. a translational motor having an input for being converted into translational motion of an output shaft of the motor for linearly positioning the gas delivery means to displace the volume of gas to be delivered;

c. means for generating a reference signal representing variations in the position of the gas delivery means with respect to time throughout the inspiratory period necessary to deliver a desired volume of gas in accordance with a desired volume-versus-time waveform; and

d. closed loop feedback means for controlling the position of the gas delivery means throughout the inspiratory period, the closed loop feedback means including

1. a position transducer responsive to the actual position of the gas delivery means to produce a position feedback signal representing the actual volume of gas displaced by the gas delivery means with respect to time throughout the inspiratory period,

2. means for comparing said reference signal with said position feedback signal to produce throughout the inspiratory period a position error signal representing the deviation between the instantaneous desired position and the corresponding actual position of the gas delivery means, and

19. means for applying said position error signal to the input of the translational motor for adjusting the instantaneous position of the gas delivery means in proportion to said error signal throughout the inspiratory period to deliver gas to the patient in accordance with the desired volume-versus-time waveform.

28. A method for delivering a controlled volume of gas to a patient from a displaceable gas delivery means for forcing periodically a volume of gas under pressure into the lungs of the patient throughout an inspiratory period of a respiratory cycle, in which the cycling of the gas delivery means is controlled by drive means for positioning the gas delivery means to displace the volume of gas delivered to the patient, the method comprising the step of:

a. generating a reference signal representing variations in the position of the gas delivery means with respect to time throughout the inspiratory period necessary to deliver a desired volume of gas to the patient in accordance with a desired volume-versus-time waveform;

b. sensing throughout the inspiratory period the instantaneous actual position of the gas delivery means;

c. generating, in response to said sensed instantaneous position, a position feedback signal representing the actual volume of gas displaced by the gas delivery means throughout the inspiratory period;

d. generating, in response to said reference signal and said position feedback signal, a position error signal representing the deviation between the instantaneous desired position and the corresponding actual position of the gas delivery means throughout the inspiratory period; and

e. applying the error signal to the drive means to adjust the instantaneous position of the gas delivery means in proportion to said error signal to deliver gas to the patient throughout the inspiratory period in accordance with the desired volume-versus-time waveform.