Patient adaptor for medical ventilator

• US 4,417,573 A
• Filed: 07/02/1981
• Issued: 11/29/1983
• Est. Priority Date: 07/02/1981
• Status: Expired due to Term

• Current Assignee: Bear Medical Systems Inc. (Becton, Dickinson & Co)
• Original Assignee: Bear Medical Systems Inc. (Becton, Dickinson & Co)
• Inventors: De Vries, Douglas F.
• Primary Examiner(s): Recla, Henry J.
• Assistant Examiner(s): Reichle, Karin M.
• Application Number:
  US06/279,957
• Time in Patent Office: 880 Days
• Field of Search: 128/204.21, 128/204.25, 128/204.26, 128/205.24
• US Class Current: 128/204.25
• 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 16/0012 by Venturi means
• CPC Class Codes: A61M 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 16/0858 Pressure sampling ports
• CPC Class Codes: A61M 16/127 by Venturi effect, i.e. entrainment mixers

Abstract

A patient adaptor fitting for a medical ventilator includes a jet pump having a nozzle receiving breathing gas from the inspiratory leg of the patient circuit, and a throat in communication with the expiratory leg of the patient circuit. Gas flows from the nozzle to the throat through a chamber in communication with the patient'"'"'s breathing passages. The nozzle and the throat are dimensioned so as to produce a pressure drop in the chamber which balances the pressure drop through the expiratory leg of the patient circuit, thereby minimizing residual positive end expiratory pressure (PEEP) caused by the pneumatic resistance in the expiratory leg. The throat and nozzle dimensions are also selected so that the minimization of the residual PEEP occurs over a relatively wide range of flow rates into the nozzle.

Claims

1. A ventilator of the type having an inspiratory flow path, an expiratory flow path, a patient adaptor connected therebetween and supply means for providing a substantially continuous flow of respiratory gas therethrough, said patient adaptor having an inlet fluidically connected to said inspiratory flow path, an outlet fluidically connected to said expiratory flow path, and patient connection means fluidically connected to said inlet and said outlet for fluidly coupling the patient adaptor to the breathing passages of a patient, wherein the improvement comprises:

a gas flow accelerating nozzle in said patient adaptor within said inlet such that substantially all gas flow through said inlet passes through said nozzle;

a chamber in said adaptor having an inlet opening and an outlet opening, said nozzle fluidly connected to said inlet opening, said chamber being in fluid communication with said patient connection means;

a throat in said adaptor downstream of said chamber and in alignment with said nozzle coupling said chamber outlet opening to said outlet;

said supply means providing said substantially continuous flow of gas within a range that would provide a depressed pressure in said chamber equal and opposite to a back pressure at said outlet opening caused by the pneumatic resistance of said continuous supply gas flow through said expiratory flow path; and

whereby said nozzle and said throat are internally dimensioned and said continuous flow of said supply means is selected such that said back pressure is substantially completely offset by the depressed pressure in said chamber created by the accelerated flow of gas through said nozzle.