Respirator construction

• US 4,227,523 A
• Filed: 01/08/1979
• Issued: 10/14/1980
• Est. Priority Date: 01/14/1978
• Status: Expired due to Term

• Current Assignee: Dragerwerk AG
• Original Assignee: Dragerwerk AG
• Inventors: Warnow, Detlef, Ziebrecht, Hans-Jorg
• Primary Examiner(s): Recla, Henry J.
• Application Number:
  US06/001,409
• Time in Patent Office: 645 Days
• Field of Search: 128/145.5-145.8, 128/204.24, 137/826, 137/624.15
• US Class Current: 128/204.24
• 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 16/107 in the inspiratory path

Abstract

A respirator, particularly for infants, for supplying respiratory gas to a patient selectively according to an intermittent positive pressure ventilation cycle, an positive end expiratory pressure cycle, a continuous positive airway pressure cycle, and an intermittent mandatory ventilation cycle comprising, a respiration gas supply line connectable to a patient for supplying a respiratory gas to the patient, an expiration valve for switching from an inspiration phase to an expiration phase and back also connectable to the patient, and a first logic element connected to the expiration valve for switching the expiration valve from an inspiration phase to an expiration phase and back again. A pressure control system is connected to the first logic element for supplying gas at selected pressures to the expiration valve for the inspiration and expiration cycles thereof. A time control system is connected to the first logic element and the pressure control system which provides a selected time duration for an inspiration phase and an expiration phase. A source of static control pressure is derived from the respiration gas supply line and the pressure and time control systems both comprise a plurality of logic elements, each connectable to the static control pressure for controlling the inspiration and expiration phase switching, the selected pressures and the selected time durations.

Claims

1. A respirator, particularly for infants, for supplying respiratory gas to a patient selectively according to IPPV, PEEP, CPAP and IMV cycles, comprising:

(a) a respiration gas supply line connectable to a patient for supplying a respiratory gas;

(b) an expiration valve for switching from an inspiration phase to an expiration phase and back connected to said respiration gas supply line;

(c) a first logic element connected to said expiration valve for switching said expiration valve from an inspiration phase to an expiration phase and back;

(d) pressure control means connected to said first logic element for supplying gas at selected pressures to said first logic element for controlling said inspiration and expiration phases of said expiration valve for IPPV, CPAP and PEEP cycling;

(e) time control means connected to said first logic element and said pressure control means for providing a selected time duration for said inspiration phase and a selected time duration for said expiration phase; and

(f) a static control pressure line associated with said pressure and time control means;

said time control means comprising a first regulating element connected to said static control pressure line, second logic element means connected to said first regulating element, said first regulating element and said second logic element means provided for controlling said selected time duration for said inspiration phase, a first volume in said second logic element means fillable by gas pressure from said static control pressure line to define said selected time duration for said inspiration phase, a second regulating element connected to said static control pressure line, third logic element means connected to said second regulating element, said second regulating element and third logic element means controlling said selected time duration for said expiration phase, a second volume in said third logic element means fillable by gas pressure from said static control pressure line for defining said selected time duration of said expiration phase, a third volume connected to said second volume means, and a reversing switch connected between said second and third volumes, said third volume being fillable by gas from said second volume via said reversing switch to selectively add an additional time duration to said expiration phase whereby the respirator functions according to IMV cycles.

2. A respirator, as claimed in claim 1, wherein said second logic element is connected in series with said first regulating element, said first volume being series connected with a portion of said second logic element, and said second logic element includes a pneumatic first functional element series connected with said first volume, said pneumatic first functional element connected to said pressure control means, said third logic element connected to said second regulating element in series, said second volume series connected to a portion of said third logic element, said third logic element further including a pneumatic second functional element series connected to said second volume, said pneumatic second functional element connected to said first logic element.

3. A respirator, as claimed in claim 1, wherein said pressure control means includes an OR-element having two inputs and one output, one of said inputs connected to said time control means, said pressure control means further including a fourth logic element connected between said static control pressure line and the other of said inputs of said OR-element, a CPAP/IPPV selector switch connected between said static control pressure line and said fourth logic element, said time control means connected to said static control pressure line downstream of said CPAP/IPPV selector switch, a fifth logic element connected to said fourth logic element at a control terminal of said fifth logic element and at an input terminal of said fifth logic element, a first throttle connected between said input terminal of said fifth logic element and said fourth logic element, said fifth logic element having a second input terminal connected to said static control pressure line downstream of said CPAP/IPPV selector switch, a second throttle connected between said static control pressure line and said second input terminal of said fifth logic element, said fifth logic element having an output connected to said first logic element, and a pressure reducer for establishing a constant reduced pressure connected between said static control pressure line downstream of said CPAP/IPPV selector switch and said first logic element.

4. A respirator, as claimed in claim 1, wherein said pressure control means comprises a CPAP/IPPV selector switch connected to said static control pressure line, said static control pressure line including a control line portion extending downstream of said CPAP/IPPV selector switch, a fourth logic element having one control terminal connected to said control line portion and one input terminal connected to said static control pressure line, an OR-element connected to an output terminal of said fourth logic element, said OR-element having two input terminals and an output terminal, said output terminal of said OR-element connected to one control terminal of said first logic element, a pressure reducer for reducing the pressure of gas in said static control pressure line connected between said control line portion and an input terminal of said first logic element, a fifth logic element having one control terminal connected to said output terminal of said fourth logic element, an input terminal of said fifth logic element connected to said output terminal of said fourth logic element, a first throttle between said output terminal and said fourth logic element and said input terminal of said fifth logic element, said control line portion connected to another input terminal of said fifth logic element, a second throttle connected between said control line portion and said other input terminal of said fifth logic element, said fifth logic element including an output terminal connected to another input terminal of said first logic element, a back pressure regulating valve connected to said other input terminal of said first logic element, an output terminal of said first logic element connected to said expiration valve for applying a back gas pressure to said expiration valve for initiating said inspiration phase and for applying a back pressure to said expiration valve during said expiration phase, said time control means connected to the other input of said OR-element.

5. A respirator, as claimed in claim 4, wherein said time control means further comprises first and second regulating elements connected to said control line portion for supplying a reduced gas flow from that of said control line portion, said CPAP/IPPV selector switch being opened to place the respirator in a CPAP cycle and reduced pressure in said control line portion to zero for stopping the operation of said time control means, and said CPAP/IPPV selector switch being closed to apply a static control pressure to said control line portion from said static control pressure line for placing the respirator in a IPPV cycle and allowing the operation of said time control means, a logic element (26) having an input terminal connected to said first regulating element, a first volume connected to an output terminal of said logic element (26) for containing an exponentially increasing pressure from said control line portion which defines said duration of said inspiration phase, a logic element (27) having one control terminal connected to said first volume and an input terminal connected to said control line portion, a logic element (28) having a control terminal connected to an output terminal of said logic element (27) and an input terminal connected to said control line portion, a logic element (29) having a control terminal connected to an output terminal of said logic element (28) and an input terminal connected to said control line portion, an expiration control line (43) connected to a control terminal of said logic element (26) and an output terminal of said logic element (29), said expiration control line connected to said other terminal of said OR-element of said pressure control means, a logic element (30) having an input terminal connected to said second regulating element and one control terminal connected to said expiration control line, a second volume connected to an output of said logic element (30) for containing an exponentially increasing pressure from said control line portion which defines said time duration of said expiration phase, a logic element (31) having one control terminal connected to said second volume and an input terminal connected to said control line portion, a logic element (32) having a control terminal connected to an output terminal of said logic element (31) and an input terminal connected to said control line portion, a logic element (33) having a control terminal connected to an output terminal of said logic element (32) and having an input terminal connected to said control line portion, another control terminal of said logic element (33) connected to said expiration control line, an inspiration control line connected to an output of said logic element (33) and connected to another control terminal (49) of element (29), said inspiration control line connected to another control terminal of said first logic element, another control terminal of said logic element (30) and another control terminal of logic element (26).

6. A respirator, as claimed in claim 5, including a selector switch connected to said second volume, and a third volume connected to said selector switch for receiving gas from said control line portion and containing an exponentially increasing pressure which defies an additional duration time applied to said second volume for adding said additional duration time to said expiration phase.

7. A respirator, as claimed in claim 6, including vents connected to another input terminal of said logic elements (26), (28), (30) and (32).

8. A respirator, particularly for infants, for supplying respiratory gas to a patient selectively according to the IPPV, PEEP, CPAP AND IMV cycles, comprising:

(a) a respiration gas supply line connectable to a patient for supplying a respiratory gas;

(b) expiration valve means for switching from an inspiration phase to an expiration phase and back connected to said respiration gas supply line;

(c) a first logic element for switching said expiration valve means from an inspiration phase to an expiration phase and back, said first logic element having first and second control inputs, first and second supply inputs, and one output connected to said expiration valve means for switching said expiration valve means;

(d) pressure control means connected to said first control input and said first and second supply inputs of said first logic element for supplying gas at selected pressures to said first and second supply inputs and said first control input, for controlling said inspiration and expiration phases of said expiration valve means for IPPB, CPAP and PEEP cycles;

(e) time control means connected to said second control input of said logic element and to said pressure control means for providing a selected time duration for said inspiration and expiration phase and for providing an IMV cycle; and

(f) a static control pressure line connected to said pressure and said time control means for supplying a static control pressure thereto for supplying gas at said selected pressures and for said selected time durations.