Apparatus for conservative supplemental oxygen therapy
First Claim
1. In apparatus for intermittently supplying respiratory gas to a spontaneously breathing subject which is supplemental to said subject'"'"'s normal ambient air intake including a gas supply connection means adapted for connection to a gas supply and a subject connection means adapted for delivering said gas to said subject without substantially obstructing said subject'"'"'s access to ambient air, the improvements comprising:
- gas conduit means adapted for connection between said gas supply connection means and said subject connection means to provide a fluid path for said gas;
valve means interposed in said gas conduit means for controlling an intermittent flow of said gas by sequentially and repetitively opening said valve means for a predetermined number of ON respiratory cycles and closing said valve means for a predetermined number of OFF respiratory cycles;
respiratory cycle sensing means adapted for connection to said subject for sensing the respiratory cycles of said subject;
counter means connected to said sensing means for summing the number of respiratory cycles;
counter presetting means connected to said counter means, causing said counter means to respond when a preset number of cycles has been registered on said counter means, said presetting means including means for storing at least one ON number representing a predetermined number of ON respiratory cycles and at least one OFF number representing a predetermined number of OFF respiratory cycles;
valve controller means connected between said counter means and said valve means, wherein said valve controller means is responsive to the response of said counter means upon registration of said preset numbers by operating said valve means, wherein said valve controller means turns said valve means on when a preset OFF number has been registered by said counter means and turns said valve means off when a preset ON number has been registered by said counter means to conserve said gas supply by providing a flow of supplemental gas only during those respiratory cycles when it can be most useful and conserving said gas during other respiratory cycles when it will be less useful.
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Accused Products
Abstract
Method and apparatus for intermittent administration of supplemental oxygen to patients with chronic obstructive lung disease. The apparatus is programmable for the specific oxygen requirements of the patient and is responsive to changes in requirements with increased patient activity. Patient'"'"'s arterial blood oxygen level is measured while supplying oxygen to determine the number of respiratory cycles required to reach a first desired arterial blood oxygen level and it is again measured without supplemental oxygen to determine the number of respiratory cycles required to diminish to a second, lower particular level. These two cycle numbers are applied as a program to apparatus having respiratory cycle sensing and counting and control valve means to provide a regulated flow of supplemental oxygen to a nasal cannula for a predetermined number of on respiratory cycles and to shut off the flow for a preset number of off respiratory cycles sequentially and repetitively. The oxygen conservation properties are further enhanced by turning off the oxygen flow during the exhalation phase of each respiratory cycle throughout the on respiratory cycles. As the respiratory rate increases with activity, the duration of the on and off periods thereby changes accordingly. Performance may be further enhanced by means changing the programmed cycle numbers and ON/OFF intervals in response to changes in the respiratory rate.
136 Citations
20 Claims
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1. In apparatus for intermittently supplying respiratory gas to a spontaneously breathing subject which is supplemental to said subject'"'"'s normal ambient air intake including a gas supply connection means adapted for connection to a gas supply and a subject connection means adapted for delivering said gas to said subject without substantially obstructing said subject'"'"'s access to ambient air, the improvements comprising:
- gas conduit means adapted for connection between said gas supply connection means and said subject connection means to provide a fluid path for said gas;
valve means interposed in said gas conduit means for controlling an intermittent flow of said gas by sequentially and repetitively opening said valve means for a predetermined number of ON respiratory cycles and closing said valve means for a predetermined number of OFF respiratory cycles;
respiratory cycle sensing means adapted for connection to said subject for sensing the respiratory cycles of said subject;
counter means connected to said sensing means for summing the number of respiratory cycles;
counter presetting means connected to said counter means, causing said counter means to respond when a preset number of cycles has been registered on said counter means, said presetting means including means for storing at least one ON number representing a predetermined number of ON respiratory cycles and at least one OFF number representing a predetermined number of OFF respiratory cycles;
valve controller means connected between said counter means and said valve means, wherein said valve controller means is responsive to the response of said counter means upon registration of said preset numbers by operating said valve means, wherein said valve controller means turns said valve means on when a preset OFF number has been registered by said counter means and turns said valve means off when a preset ON number has been registered by said counter means to conserve said gas supply by providing a flow of supplemental gas only during those respiratory cycles when it can be most useful and conserving said gas during other respiratory cycles when it will be less useful. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
- gas conduit means adapted for connection between said gas supply connection means and said subject connection means to provide a fluid path for said gas;
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11. In apparatus for conservatively dispensing respiratory gas to a spontaneously breathing subject which is supplemental to said subject'"'"'s normal ambient air intake and only during those times when said gas is useful, including a gas connection means adapted for connection to a gas supply and a subject connection means adapted for delivering said gas to said subject without substantially obstructing said subject'"'"'s access to ambient air, the improvements comprising:
- gas conduit means connected between said gas connection means and said subject connection means to provide a fluid path for said gas;
valve means interposed in said gas conduit means for controlling an intermittent flow of said gas by sequentially and repetitively opening said valve means for a predetermined number of ON respiratory cycles and closing said valve means for a predetermined number of OFF respiratory cycles respiratory cycle sensing means adapted for connection to said subject, said respiratory cycle sensing means being differentially responsive to the inhalation and exhalation phases of the respiratory cycle of said subject for summing the number of respiratory cycles;
data storage means storing at least one ON number representing a predetermined number of ON respiratory cycles and at least one OFF number representing a predetermined number of OFF respiratory cycles;
control means connected to and receiving data from said (1) data storage means and also connected to and receiving respiratory cycle information from said (2) respiratory cycle sensing means, and also connected to said valve means, whereby said control means, acting on respiratory cycle information from said respiratory cycle sensing means and on data from said data storage means causes said valve means, repetitively and sequentially, to first open only during the inhalation phase of each of a series of respiratory cycles for a predetermined number of ON cycles and then second to remain closed throughout all phases of each of a series of respiratory cycles for a predetermined number of OFF cycles to conserve said gas by only permitting it to flow during periods when it is most useful to said subject. - View Dependent Claims (12, 13, 14, 15, 16)
- gas conduit means connected between said gas connection means and said subject connection means to provide a fluid path for said gas;
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17. A gas conserving method of intermittently supplying dosages of supplemental respiratory gas to a spontaneously breathing in-vivo respiratory system, said respiratory system having repetitive spontaneous respiratory cycles including an inspiratory period during which ambient air is inhaled followed by an expiratory period during which respired air is exhaled, said method comprising the steps of:
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(1) sensing each respiratory cycle; (2) supplying said supplemental respiratory gas along with said ambient air to said respiratory system for a predetermined number of spontaneous respiratory cycles when said gas is most useful; (3) discontinuing said supplemental respiratory gas supply to said respiratory system for a predetermined number of subsequent spontaneous respiratory cycles when said gas is less useful; (4) automatically and repetitively repeating the steps (1) through (3) for a plurality of successive respiratory cycles to make more effective use of said supplemental gas. - View Dependent Claims (18, 19, 20)
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Specification