Volume calculator for incentive spirometer

• US 4,241,739 A
• Filed: 11/13/1978
• Issued: 12/30/1980
• Est. Priority Date: 11/13/1978
• Status: Expired due to Term

• Current Assignee: SIMS Portex Inc. (ICU Medical Incorporated)
• Original Assignee: C.R. Bard, Inc. (Becton, Dickinson & Co)
• Inventors: Elson, Edward E.
• Primary Examiner(s): Cohen, Lee S.
• Application Number:
  US05/959,911
• Time in Patent Office: 778 Days
• Field of Search: 128/725-729, 128/716, 272/99, 73/194 E, 73/209, 73/239, 73/453
• US Class Current: 600/538
• CPC Class Codes: A61B 5/0875 using means carried by the fluid stream, e.g. free floating balls
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 for local operation
• CPC Class Codes: Y10S 482/901 having computer circuitry

Abstract

An electronic device for use in conjunction with a spirometer for measuring the time interval during which a minimum predetermined air flow is maintained through the spirometer and for calculating the minimum total volume of air flowing through the spirometer during that interval of time and for automatically providing other related information to the patient and therapist using the spirometer.

Claims

1. A device for use in conjunction with a flow meter having an indicator which moves to a position corresponding to the flow rate through said flow meter, said device comprising:

a housing containing a detector means, a timing means, a processing means, a first and a second storage means and an alphanumeric display means;

said first storage means for receiving and storing information representative of the minimum flow rate required through said flow meter to move said indicator to said position;

said detector means for detecting and indicating the presence of said indicator at said position;

said timing means coupled to said detector means for measuring the time during which said detector means indicates the presence of said indicator at said position;

said second storage means for receiving and storing information representative of a desired minimum volume;

said processing means coupled to said timing means and to said first storage means for generating information representative of the cumulative volume flow through said flow meter, said processing means further performing a comparison of said generated information and the information stored in said second storage means; and

said alphanumeric display means coupled to said processing means for displaying an indication in the event said generated information is representative of a volume equal to or greater than the volume represented by the information stored in said second storage means.

2. A device according to claim 1 wherein said housing is provided with contours complimentary to the contours provided on said flow meter whereby said housing is removably and matably mountable upon said flow meter.

3. A device according to claim 1 wherein said detector means comprises:

an energy source for generating an energy beam;

an energy sensor for sensing said energy beam;

said energy source being spaced from said energy sensor and coupled to said energy sensor by said energy beam whereby interruption of said energy beam by said indicator passing between said energy source and said energy sensor indicates the presence of said indicator.

4. A device according to claim 3 wherein said energy source is a light source and said energy sensor is a light sensor.

5. A device according to claim 4 wherein said light source is a light emitting diode and said light sensor is a photocell.

6. A device according to claim 5 wherein said housing is provided with contours complimentary to the contours provided on said flow meter whereby said housing is removably and matably mountable upon said flow meter.

7. The device according to claim 1 wherein said display means comprises an array of light emitting diodes.

8. The device according to claim 7 wherein said housing is provided with contours complimentary to the contours provided on said flow meter whereby said housing is removably and matably mountable upon said flow meter.

9. The device according to claim 8 wherein said detector means comprises a light source and a light sensor.

10. The device according to claim 9 wherein said processing means and timing means comprises a microprocessor operating according to preprogrammed instructions.

11. A device for use in conjunction with a flow meter having an indicator which moves to a position corresponding to the flow rate through said flow meter, said device comprising:

a housing containing at least one detector means, a timing means, a plurality of data storage registers, a multiplier means, a comparator means and display means;

said detector means for detecting the presence of said indicator at said position;

said timing means coupled to said detector means for measuring the time during which said indicator remains at said position;

said plurality of data storage registers for storing data;

said multiplier means coupled to said timing means and one of said plurality of data storage registers for multiplying the output of said timing means by the contents of said data storage register;

said comparator means coupled to said data storage registers and said multiplier means for comparing the output of said multiplier means with the contents of said data storage registers and for storing the results of said comparisons in some of said data storage registers; and

said display means coupled to said multiplier means, said comparator means and said data storage registers for displaying the output of the multiplier means, the results of comparisons performed by said comparator means and the contents of said data storage registers.

12. A device according to claim 11 wherein said housing and said flow meter are provided with complimentary contours whereby said housing is removably and matably mountable upon said flow meter.

13. A device according to claim 12 wherein said detector means comprises:

a light source for generating a light beam;

a light detector for detecting said light beam;

said light detector being spaced from said light source and coupled to said light source by said light beam whereby interruption of said light beam by said indicator passing between said light source and said light detector indicates the presence of said indicator.

14. A device according to claim 13 wherein said multiplier means, said comparator means, said display means, said timing means and said plurality of data storage registers comprise a microprocessor operating according to pre-programmed instructions.

15. A volume calculator and incentive display device for use with a spirometer of the type in which a movable indicator contained in a chamber moves to a certain position in said chamber only when the patient'"'"'s breathing flow rate through said spirometer equals or exceeds a value set by a flow regulator control on said spirometer, said device comprising:

a case removably placeable onto said spirometer, said case including a detector housing which is situated adjacent said chamber certain position when said case is placed on said spirometer.

detection means, situated in said detector housing, for detecting the presence of said indicator at said certain position and for providing an electrical detection signal in response thereto,

presettable volume register means, situated in said case, for storing data representing the desired minimum volume of air to be breathed by the patient in a single breath,

volume determination means, situated in said case and cooperating with said detection means, for electrically ascertaining from said detection signal the actual minimum volume of air breathed by said patient in a breath,

an alphanumeric display situated on said case, and,

incentive indication means, situated in said case and cooperating with said volume register means and said volume determination means, for providing on said display an incentive indication when said ascertained actual minimum volume equals or exceeds said desired minimum volume represented by said stored data.

16. A device according to claim 15 wherein said spirometer has a base and an upright region extending therefrom and including said chamber, said chamber being transparent and said indicator being opaque to light, said case having a channel conformal with said upright region for engagement therewith as said device is placed on said spirometer, said detector housing then matingly engaging said chamber certain position, said detection means including a light source and a photodetector situated within said detector housing so as to be on opposite sides of said chamber when said device is in place, light from said source illuminating said photodetector through said chamber except when interrupted by the presence of said indicator in said certain position.

17. A device according to claim 15 further comprising:

presettable flow rate register means, situated in said case, for storing data indicating the flow rate value set by said flow regulator control, said volume determination means utilizing said stored flow rate indicating data to ascertain said actual minimum volume.

18. A device according to claim 17 wherein said movable indicator moves in response to patient inhalation, said device further comprising:

"required efforts" register means for storing a number representing the desired number of times during a course of therapy that the patient is to take a breath having an actual minimum volume of air in excess of said desired minimum volume,

"successful efforts" register means, cooperating with said volume determination means, for counting the actual number of times said actual minimum volume has been exceeded,

"successful efforts" display means for causing the contents of said "required efforts" register means and the contents of said "successful efforts" register means to be displayed on said alphanumeric display,

presettable "hold" register means for storing data representing the desired duration of time that the patient should hold his breath following each inhalation,

20. A device according to claim 15 further comprising:

"required efforts" register means for storing a number representing the desired number of times during a course of therapy that the patient is to take a breath having an actual minimum volume of air in excess of said desired minimum volume,

"successful efforts" register means, cooperating with said volume determination means, for counting the actual number of times said actual minimum volume has been exceeded, and

"successful efforts" display means for causing the contents of said "required efforts" register means and the contents of said "successful efforts" register means to be displayed on said alphanumeric display.

21. A device according to claim 15 wherein said spirometer indicator moves in response to patient inhalation, said device further comprising:

presettable "hold" register means for storing data representing the desired duration of time that the patient should hold his breath following each inhalation,

"hold" display means, cooperating with said detection means, for causing said alphanumeric display to provide an indication that the patient should hold his breath, said indication being provided for a duration of time corresponding to that stored in said "hold" register means, said provided indication being initiated as soon as said detection means detects that said indicator is no longer present in said certain position.

22. A device according to claim 15 further comprising:

highest volume register means, cooperating with said volume determination means, for storing the highest value of actual minimum volume of air breathed by said patient in any of a series of breaths the volume of which is measured by said device, and

display switch means, situated on said case, for causing the value stored in said highest volume register means to be displayed on said alphanumeric display.

24. A device according to claim 22 wherein said incentive indication consists of the display on said alphanumeric display of a word meaning "good" and wherein said indication that the patient should hold his breath consists of the display on said alphanumeric display of a word meaning "hold".

25. A device according to claim 22 wherein said registers, said electrical means, said computation means, said hold duration means, said maximum volume storage means, said counter means and said readout means all are implemented by a microprocessor and associated memory, said microprocessor being electrically interconnected to said switches, said photodetector and said alphanumeric display and operating under the direction of a program stored in said memory.

19. "hold" display means, cooperating with said detection means, for causing said alphanumeric display to provide an indication that the patient should hold his breath, said indication being provided for a duration of time corresponding to that stored in said "hold" register means, said provided indication being initiated as soon as said detection means detects that said indicator is no longer present in said certain position,

a set of switches mounted on said case, and

data entry means, electrically connected to said switches and cooperating with said volume register means, said flow rate register means, said "required efforts" register means and said "hold" register means, for facilitating entry from said switches into the respective means of said data representing said desired minimum volume of air, said set flow rate value, said desired number of breaths and said desired duration of time.

23. A volume calculator for use with an incentive spirometer of the type in which an indicator ball contained in a transparent column moves to the top of said column when the patient'"'"'s inhalation flow rate through said spirometer equals or exceeds a value set by a flow regulator control on said spirometer, comprising:

a housing conforming in shape to said spirometer for slidingly removable mating engagement therewith, all of the following volume calculator components being contained in said housing,

an alphanumeric display visible exteriorly of said housing,

a set of registers,

switches accessible on the exterior of said housing, and electrical means interconnected with said switches for entering into said registers data representing (a) the flow rate corresponding to that set by said flow regulator control, (b) a required minimum inhalation volume per breath, and (c) the duration of time the patient is to hold his breath upon completion of inhalation,

a light source and a photodetector illuminated thereby, contained within said housing and straddling the top of said transparent column when said housing is in place on said spirometer, the presence of the indicator ball at the top of said column interrupting the illumination of said photodetector by said source,

computation means, cooperating with said photodetector, for computing from the duration of time that said indicator ball is at the top of said column the actual minimum volume of air inhaled by the patient per breath and for displaying on said alphanumeric display an incentive indication when said actual volume exceeds the required minimum inhalation volume entered in said registers,

hold duration means, actuated when the indicator ball falls so that said photodetector again is illuminated by said light source, for displaying on said alphanumeric display an indication that the patient should hold his breath, the duration of time of such display corresponding to said hold duration entered in said registers,

maximum volume storage means, cooperating with said computation means, for storing data representing the maximum volume of air inhaled by said patient in any of a series of breaths, as determined by said computation means,

counter means, cooperating with said computation means, for counting the number of times during a series of breaths that the required minimum inhalation volume has been exceeded, and

readout means for displaying on said alphanumeric display said number of times counted by said counter means, and for displaying said maximum volume stored by said maximum volume storage means.