Ventilator apparatus for life-support and lung scan

• US 4,267,827 A
• Filed: 10/12/1979
• Issued: 05/19/1981
• Est. Priority Date: 10/12/1979
• Status: Expired due to Term

• Current Assignee: Regents of the University of California (University of California)
• Original Assignee: Regents of the University of California (University of California)
• Inventors: Rauscher, L. Andrew, Parsons, Donald G.
• Primary Examiner(s): Recla, Henry J.
• Application Number:
  US06/084,129
• Time in Patent Office: 585 Days
• Field of Search: 128/659, 128/654, 128/1.1, 128/203.12, 128/205.13-205.18, 128/203.28
• US Class Current: 600/3
• CPC Class Codes: A61B 5/0813 Measurement of pulmonary parameters by tracers, e.g. radioactive tracers
• CPC Class Codes: A61M 16/0081 Bag or bellow in a bottle
• CPC Class Codes: A61M 16/085 Gas sampling
• CPC Class Codes: A61M 16/1055 bacterial
• CPC Class Codes: A61M 16/1065 in the expiratory path
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 16/12 by mixing different gases
• CPC Class Codes: A61M 16/202 electrically actuated
• CPC Class Codes: A61M 16/22 Carbon dioxide-absorbing devices ; Other means for removing carbon dioxidecartridges with absorbing substances for respiratory apparatus A62B19/00
• CPC Class Codes: A61M 2202/0291 Xenon
• CPC Class Codes: A61M 2230/435 partial O2 pressure (P-O2)

Abstract

Two identical bag-in-bottle bellows assemblies are provided for separately receiving and discharging breathable oxygen/air and oxygen/air/Xenon gas mixtures. An adjustable piston/cylinder gas pump is connected with the bellows assemblies through a system of conduits and valves for selectively operating the bellows of either assembly. Hoses are interconnected between the bellows and a patient mask to form inspiratory and expiratory paths. The expiratory path includes a PEEP valve, a pressure actuated exhalation valve, an O₂ concentration analyzer, and a CO₂ absorber. The apparatus is capable of being instantaneously switched between the isolated oxygen/air and oxygen/air/Xenon delivery systems while continuously ventilating the patient and maintaining ventilation parameters (ventilation rate, inspiratory time, oxygen concentration, end-expiratory pressure, and tidal volume) substantially constant.

Claims

1. Apparatus for ventilating patient comprising:

controllable motive means for generating a predetermined sequence of motive forces;

first reservoir means for receiving an oxygen/air mixture in an amount necessary for administering said mixture to a patient for both an inhalation and exhalation phase and discharging the same to the patient in accordance with a set of predetermined ventilation parameters when the predetermined sequence of motive forces is applied thereto;

first inspiratory path means for supplying the oxygen/air mixture discharged from the first reservoir means to the patient;

second reservoir means for receiving an oxygen/air/traceable gas mixture in an amount necessary for administering said mixture to a patient for both an inhalation and exhalation phase and discharging the same to the patient in accordance with the set of predetermined ventilation parameters when the predetermined sequence of motive forces is applied thereto;

second inspiratory path means for supplying the oxygen/air/traceable gas mixture discharged from the second reservoir means to the patient;

expiratory path means for receiving expired mixture from the patient; and

switching means for selectively applying the predetermined sequence of motive forces generated by the controllable motive means to different ones of the first and second reservoir means whereby the patient is continuously ventilated and the ventilation parameters of the predetermined set are maintained substantially constant.

2. Apparatus according to claim 1 and further comprising valve means associated with the expiratory path means for maintaining a predetermined end-expiratory pressure.

3. Apparatus according to claim 1 and further comprising means associated with the expiratory path means for detecting the oxygen concentration in the expired mixture.

4. Apparatus according to claim 1 and further comprising valve means for closing the expiratory path means while mixture is being supplied to the patient through one of the first and second inspiratory path means and for thereafter opening the expiratory path means in accordance with the set of predetermined ventilation parameters.

5. Apparatus according to claim 1 and further comprising:

means for absorbing carbon dioxide from the expired mixture;

valve means associated with the expiratory path means for selectively directing the expired mixture to an exit vent or to the carbon dioxide absorbing means; and

conduit means for directing expired mixture from the carbon dioxide absorbing means back into the second reservoir means.

6. Apparatus according to claim 1 wherein

the first and second reservoir means each include a bellows having inlet and outlet openings for the mixture received thereby and a housing surrounding the bellows having inlet and outlet openings so that mixture received by the bellows through its inlet opening can be discharged therefrom through its outlet opening by pumping a gas from and to the housing through its outlet and inlet openings to expand and collapse the bellows, respectively;

the controllable motive means includes a gas pump; and

the switching means includes conduit and valve means for selectively interconnecting the gas pump with the housing of one of the first and second reservoir means to expand and collapse the bellows thereof.