Apneic event detector and method

• US 4,414,982 A
• Filed: 11/26/1980
• Issued: 11/15/1983
• Est. Priority Date: 11/26/1980
• Status: Expired due to Term

• Current Assignee: State Street Boston and Trust Company, Sunrise Medical Hhg Incorporated (Sunrise Medical Incorporated)
• Original Assignee: Tritec Industries Incorporated
• Inventors: Durkan, Gerald
• Primary Examiner(s): Recla, Henry J.
• Application Number:
  US06/210,653
• Time in Patent Office: 1,084 Days
• Field of Search: 128/716, 128/725, 128/202.22, 128/204.24, 128/204.25, 128/205.23, 137/557, 137/624.11, 137/86, 137/DIG. 9, 251/47, 251/48
• US Class Current: 600/529
• 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 16/0006 with means for creating vibrations in patients' airways
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/021 operated by electrical means A61M16/202 – A61M16/205 take precedence
• CPC Class Codes: A61M 16/0677 Gas-saving devices therefor
• CPC Class Codes: A61M 16/0858 Pressure sampling ports
• CPC Class Codes: Y10S 137/908 Respirator control
• CPC Class Codes: Y10T 137/8326 Fluid pressure responsive indicator, recorder or alarm
• CPC Class Codes: Y10T 137/86389 Programmer or timer

Abstract

A fluidically-operated respirator comprises an apneic event circuit (10) and a demand gas circuit (20). The apneic event circuit (10) comprises a variable capacitance device (132) and an exhaust means (130) which rapidly discharge fluid from the circuit (10) when an inspiration occurs. If an apneic event occurs, the circuit (10) activates one or more signals (136) as a predetermined volume of fluid is built up in the circuit (10). The demand gas circuit (20) of the respirator supplies respirating gas to a patient at the beginning of an inspiration and for a time period which is a fraction of the duration of the inspiration.

Claims

1. A method of detecting apneic events comprising the steps of:

sensing pressure in an in vivo respiratory system, negative pressure in said respiratory system being created by an attempt to inspire and nonnegative pressure in said system being indicative of noninspiration;

generating a first fluid signal whenever nonnegative pressure occurs in said in vivo respiratory system, said first fluid signal having a duration related to the duration of said nonnegative pressure;

applying said first fluid signal to an elastic capacitance device, said elastic device having a pre-determined maximum capacity for storing a volume of fluid substantially equal to a volume of fluid created by the continuous application of said first fluid signal for a predetermined time period;

discharging said elastic capacitance whenever negative pressure occurs in said in vivo respiratory system and,

activating a signaling means to indicate an apneic event whenever the pressure created in said elastic capacitance device by the continuous application of said first fluid signal for a time greater than the pre-determined time period exceeds the maximum capacity of the elastic capacitance device.

2. The method of claim 1 wherein activating said signaling means includes activating an auditory alarm.

3. The method of claim 1 wherein activating said signaling means includes activating an electrocardiogram monitor.

4. The method of claim 1 wherein activating said signaling means includes activating a counter.

5. An apparatus for detecting apneic events comprising:

means for sensing pressure in an in vivo respiratory system, negative pressure in said respiratory system being created by an attempt to inspire and nonnegative pressure in said system being indicative of noninspiration;

first generating means fluidically connected to said sensing means for generating at a first output port of said first generating means a first fluid signal whenever nonnegative pressure occurs, said first fluid signal having a duration related to the duration of said nonnegative pressure;

a variable capacitance device fluidically connected to said first output port for said first generating means, said variable capacitance device having a pre-determined maximum capacity for storing a volume of fluid substantially equal to a volume of fluid created by the continuous generation and application of said first fluid signal for a pre-determined time;

exhaust means fluidically connected to said variable capacitance device, said exhaust means being adapted to close when said first generating means is generating said first fluid signal at said first output port and to open when said first generating means is not generating said first fluid signal at said first output port; and

,

signaling means responsive to the pressure in said variable capacitance device, said signaling means being adapted for activation to indicate an apneic event whenever the pressure created in said variable capacitance means by the continuous application of said first fluid signal for a time greater than the pre-determined time period exceeds the maximum capacity of the variable capacitance device.

6. The apparatus of claim 5 wherein said variable capacitance device comprises an elastomeric balloon.

7. The apparatus of claim 5 wherein said exhaust means comprises a mushroom exhaust valve.

8. The apparatus of claim 5 wherein a digital fluidic logic element is fluidically connected intermediate said variable capacitance device and said signaling means, said digital fluidic element comprising:

a first output port vented to atmosphere;

a second output port fluidically connected to said indicator means;

a first input port connected to a power stream, said power stream generally being vented to atmosphere through said first output port; and

,

a second input port fluidically connected to said variable capacitance device for receiving said first fluid signal and for deflecting said power stream from said first output port to said second output port when the pressure created in said variable capacitance device exceeds the maximum capacity of said variable capacitance device, thereby generating a second fluid signal.

9. The apparatus of claim 8 wherein said signaling means comprises:

switching means connected to said digital fluidic logic element for converting a fluidic signal to an electrical signal; and

,

an electrically-activated auditory alarm connected to said switching means.

10. The apparatus of claims 5 or 8 wherein said signaling means comprises a counter responsive to a fluidic signal.

11. The apparatus of claim 8 wherein said signaling means comprises:

switching means connected to said digital fluidic logic element for converting a fluidic signal to an electrical signal; and

,

an electrically-activated electrocardiogram monitor connected to said switching means.

12. The apparatus of claim 5 wherein said first generating means further comprises a digital fluidic logic element fluidically connected to said sensing means, said logic element being adapted to generate at said first output port said first fluid signal whenever an inspiration is not being detected by said sensing means.

13. The apparatus of claim 5 wherein said first generating means further comprises a digital fluidic logic element fluidically connected to said sensing means, said logic element being adapted to generate said first fluid signal once an expiration is being detected by said sensing means.

14. The apparatus of claim 5 wherein said sensing means comprises a laminar proportional fluidic device.