Apparatus and method for assisting respiration

• US 4,481,944 A
• Filed: 11/19/1981
• Issued: 11/13/1984
• Est. Priority Date: 11/19/1981
• Status: Expired due to Term

• Current Assignee: Bunnell Life Systems Incorporated
• Original Assignee: Bunnell Life Systems Incorporated
• Inventors: Bunnell, J. Bert
• Primary Examiner(s): Kamm, William E.
• Application Number:
  US06/322,742
• Time in Patent Office: 1,090 Days
• Field of Search: 128/203.14, 128/203.16, 128/203.17, 128/203.22, 128/203.26, 128/203.27, 128/204.17, 128/204.18, 128/204.21, 128/204.23 , 128/204.25, 128/204.26, 128/205.15, 128/207.14
• US Class Current: 128/204.18
• 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 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/0841 for sampling
• CPC Class Codes: A61M 16/0858 Pressure sampling ports
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit

Abstract

Apparatus and method for assisting a person'"'"'s respiration by means of application of a series of high pressure air pulses to the person. The frequency of the pulses is varied over some range of frequencies to ensure that at least during some portion of the time, air pulses are applied to the person at the natural or resonant frequency of the person'"'"'s respiratory system.

Claims

1. Apparatus for assisting a person'"'"'s respiration by supplying gas pulses to the person'"'"'s respiratory system where the frequency of the pulses is varied over a range which includes the resos pulses to the person'"'"'s respiratory system where the frequency of the pulses is varied over a range which includes the resonant frequency of the person'"'"'s respiratory system, said apparatus comprising

means for producing a series of gas pressure pulses,

means for automatically varying the frequency of occurrence of the pulses to repetitively sweep over a selected range which includes the resonant frequency of the person'"'"'s respiratory system, and

means for supplying the pulses to the person'"'"'s respiratory system.

2. Apparatus as in claim 1 wherein said varying means includes means for periodically varying the frequency of the pulses over selectable ranges.

3. Apparatus as in claim 2 wherein said varying means includes means for selectively changing the periodicity of said frequency variation.

4. Apparatus as in claim 1 wherein said range is about 2 Hertz to 40 Hertz.

5. Apparatus as in claim 1 wherein said producing means comprises a high pressure source of gas, and inhale valve means coupled between said source of gas and said supplying means, and responsive to a first signal for closing to prevent the flow of gas from the source of gas to the supplying means, and to a second signal for opening to allow the flow of gas from the source to the supplying means, and wherein said varying means comprises means for alternately producing said first and second signals at a frequency which varies over the selected range, and for applying said signals to said inhale valve means.

6. Apparatus as in claim 5 wherein said signal producing means comprises a microprocessor.

7. Apparatus as in claim 5 further comprising heater means for warming the gas supplied by the high pressure source.

8. Apparatus as in claim 7 further comprising

control means for controlling the heat produced by said heater means to increase the heat when a temperature signal is below a certain level and to decrease the heat when the temperature signal is above the certain level,

temperature transducer means attached to the supplying means for producing a temperature signal indicative of the temperature of the gas pressure pulses, and

means for applying the temperature signal to the control means.

9. Apparatus as in claim 5 further comprising humidifier means for humidifying gas supplied by the high pressure source.

10. Apparatus as in claim 5 further comprising

pressure regulator means coupled between the high pressure source and the inhale valve means for controlling the pressure of the gas delivered to the inhale valve means by increasing the pressure when a pressure signal is below a certain level and by decreasing the pressure when the pressure signal is above the certain level, and

pressure transducer means coupled to the supplying means for producing a pressure signal representative of the pressure near the trachea of the patient.

11. Apparatus as in claim 5 wherein said producing means further includes exhale valve means coupled to said supplying means to allow escape of gas from said supplying means when the inhale valve means is closed, and to prevent the escape of gas from said supplying means when the inhale valve means is closed.

12. Apparatus as in claim 11 further comprising flow transducer means coupled to the exhale valve means for measuring the volume flow of gas flowing from the exhale valve means.

13. Apparatus as in claim 11 further comprising heater means for warming gas flowing from the supplying means.

14. Apparatus as in claim 5 further comprising

means for producing a second series of gas pressure pulses whose frequency is less than that of the first mentioned series, and

means for delivering the second series of pulses to said supplying means so that the pulses can be applied to the person'"'"'s respiratory system.

15. Apparatus as in claim 14 wherein said second pulse series producing means comprises

a second inhale valve means coupled between said source of gas and said delivering means, and responsive to a third signal for closing to prevent the flow of gas therethrough and to a fourth signal for opening to allow the flow of gas therethrough, and

means for alternately producing said third and fourth signals at a predetermined frequency and for supplying the signals to said second inhale valve means.

16. Apparatus as in claim 15 wherein said third and fourth signal producing means comprises a microprocessor.

17. Apparatus as in claim 15 further comprising heater means for warming the gas which flows through the second inhale valve means.

18. Apparatus as in claim 17 further comprising

control means for controlling the heat produced by said heater means to increase the heat when a temperature signal is below a certain level and to decrease the heat when the temperature signal is above the certain level,

temperature transducer means attached to the supplying means for producing a temperature signal indicative of the temperature of the gas in the supplying means, and

means for applying the temperature signal to the control means.

19. Apparatus as in claim 15 further comprising humidifier means for humidifying the gas which flows through the second inhale valve means.

20. Apparatus as in claim 15 wherein the frequency of the second series of pulses is from about one per minute to 100 per minute.

21. Apparatus as in claim 15 wherein said supplying means includes

a manifold coupled to said second inhale valve means for receiving gas therefrom,

a tube coupled to the manifold for insertion into the mouth and throat of the person;

said tube being coupled to the manifold to receive gas therefrom, and

a nozzle disposed to extend into the manifold to a point near or beyond the connection of the tube to the manifold, said nozzle being coupled to said first mentioned inhale valve means for receiving gas therefrom.

22. Apparatus as in claim 21 further including

exhale valve means coupled to said manifold and operable to open when said second valve means is closed to thereby allow the escape of gas from the manifold, and to close when said second valve means is opened to thereby prevent the escape of gas from the manifold.

23. A method of applying a series of gas pressure pulses to a person'"'"'s respiratory system to assist ventilation and respiration of the person, said method comprising the steps of producing a series of gas pressure pulses,

automatically varying the frequency of occurrence of the pulses to repetitively sweep over a selected range of frequencies which includes the natural frequency of the person'"'"'s respiratory system, and

supplying the pulses to the person'"'"'s respiratory system.

24. A method as in claim 23 wherein said varying step comprises varying the frequency of gas pressure pulses over a range of from about 2 Hertz to 40 Hertz.

25. A method as in claim 23 further including the step of selectively changing the periodicity of frequency variation.

26. A method as in claim 23 further comprising the step of warming the gas before supplying it to the person'"'"'s respiratory system.

27. A method as in claim 23 further comprising the step of humidifying the gas before supplying it to the person'"'"'s respiratory system.

28. A method as in claim 23 further comprising the steps of

detecting the pressure of gas introduced to the patient'"'"'s respiratory system, and

increasing the pressure of the gas pulses if the pressure detected is below some predetermined level and reducing the pressure of the gas pulses if the pressure detected is above the predetermined level.

29. A method as in claim 23 further comprising the steps of

producing a second series of gas pressure pulses which have a lower frequency than that of the first mentioned series, and

supplying the second series of pulses to the person'"'"'s respiratory system in conjunction with the first mentioned series.

30. A method as in claim 29 wherein the frequency of the second series of pulses is from about one to 100 pulses per minute.