Apparatus for enhancing a person's breathing and/or artificial respiration

• US 4,265,237 A
• Filed: 06/22/1979
• Issued: 05/05/1981
• Est. Priority Date: 07/17/1978
• Status: Expired due to Term

• Current Assignee: Dragerwerk AG
• Original Assignee: Dragerwerk AG
• Inventors: Schwanbom, Erik, Warnow, Detlef
• Primary Examiner(s): Recla, Henry J.
• Application Number:
  US06/051,143
• Time in Patent Office: 683 Days
• Field of Search: 128/204.24, 128/204.25, 128/204.21, 128/204.23, 128/205.11, 128/204.18, 128/205.24, 128/204.22, 128/200.21
• 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 16/0096 High frequency jet ventilation
• CPC Class Codes: A61M 16/0816 Joints or connectors

Abstract

An apparatus for enhancing a person'"'"'s breathing and artificial respiration which includes inspiration and expiration phases and operates in a situation where the inspiration phase is repeated periodically within the time content of the operation of the lungs. A respiratory gas breathing line having a tubular connection to a person'"'"'s trachea also has a connection to a gas supply line. A pressure sensor is located in the tubular connection and it is connected to pressure control means which is also connected to the tubular connection and to the gas supply. In addition, pressure sensor is located in the tubular connection and connected to pressure control means connected between the respiratory breathing line and the gas supply. A pressure reducer, a dosing valve and an inspiration valve are located in series in the connection between the gas supply and the tubular connection. The pressure control means includes a frequency control device having a housing with a control chamber therein which is separated by adjustable partition means into an inspiration control chamber and an expiration control chamber which may be adjusted in size relatively. A frequency valve is provided with an inspiration line connection to the inspiration chamber and an expiration line connected to the expiration chamber. Pneumatic inspiration control elements are located in the inspiration line and the expiration line and a second inspiration line and respiration line is connected from the respective inspiration and respiration chambers to the inspiration valve in order to open and close the valve in accordance with the setting of the control system.

Claims

1. An apparatus for enhancing a person'"'"'s breathing and artificial respiration which has inspiration and expiration phases and where the inspiration phase is repeated periodically within a time constant of the operation of a person'"'"'s lungs, comprising:

a respiratory gas breathing line having a tubular connection adapted to be connected to a person'"'"'s trachea, a blow-in line located in said tubular connection, a gas supply line connected into said tubular connection through said blow-in line in said tubular connection, a pressure sensor located in said tubular connection downstream of said blow-in line, pressure control means connected to said pressure sensor, a pressure reducer, a dosing valve, and an inspiration valve having an open and closed position all located in series in said gas supply line, said pressure control means connected to said inspiration valve and being responsive to said pressure sensor for closing said inspiration valve, frequency control means connected to said pressure control means for supplying pressure signals indicative of inspiration and expiration to said pressure control means, said pressure control means being responsive to said signals for alternately opening and closing said inspiration valve during inspiration and expiration phases, respectively, said frequency control means having a housing with a control chamber defined therein, adjustable partition means in said control chamber dividing said control chamber into an inspiration chamber portion and an expiration chamber portion of adjustable relative size, a frequency valve having an inspiration line connected to said inspiration chamber and an expiration line connected to said expiration chamber, first pneumatic diaphragm control elements in said inspiration line and said expiration line respectively, a second inspiration line connected from said inspiration chamber to said inspiration valve and a second expiration line connected from said expiration chamber to said inspiration valve, second pneumatic diaphragm control elements in said second inspiration and second expiration lines respectively, connected to said pressure control means and to said first pneumatic diaphragm control elements, said first pneumatic diaphragm control elements being responsive to said frequency control valve and signals from said second pneumatic diaphragm control elements to initiate inspiration and expiration phases, said second pneumatic diaphragm control elements producing signals at the end of inspiration and expiration phases, respectively, said pressure control means switching said second pneumatic diaphragm control elements to initiate an expiration phase and to close said inspiration valve if pressure in said tubular connection attains a selected limit.

2. An apparatus according to claim 1 including a pressure indication connected to said pressure sensor line.

3. An apparatus according to claim 1 particularly for adults wherein the amount of respiratory gas is supplied to a flow control valve, said flow control valve being controlled by the difference from the means respiratory track pressure sensed by said pressure sensor and the adjustable mean respiration pressure, said breathing line connection including the tubular portion defining an excess pressure chamber having a diaphragm valve connected to said pressure sensor for opening and closing in accordance with a predetermined pressure therein.

4. An apparatus according to claim 3 wherein said flow control valve is operated by a difference in pressure from the respiratory track pressure and the adjustable mean respiration pressure.

5. An apparatus according to claim 1, including a pressure time alarm connected to said pressure sensor line to indicate a lack of sufficient pressure in said tubular connection for a selected duration of time.

6. An apparatus according to claim 1, particularly for newborn and premature babies wherein said respiratory gas line includes a tubular portion defining an excess pressure chamber, a check valve associated with said excess pressure chamber disposed at a right angle to the axis of the connecting tube to the trachea to vent excess pressure in said excess pressure chamber and a PEEP valve connected between said gas supply line and said excess pressure chamber for supplying gas under pressure to said excess pressure chamber.