Apparatus and method for controlling lung ventilation

• US 4,726,366 A
• Filed: 04/18/1986
• Issued: 02/23/1988
• Est. Priority Date: 04/18/1986
• Status: Expired due to Term

• Current Assignee: Nellcor Puritan Bennett Incorporated (Medtronic Plc)
• Original Assignee: Life Products, Inc.
• Inventors: Russell, G. Kenneth, Hoerlein, James A., Apple, Wayne R.
• Primary Examiner(s): Coven, Edward M.
• Assistant Examiner(s): LACYK, JOHN P
• Application Number:
  US06/853,574
• Time in Patent Office: 676 Days
• Field of Search: 128/205.18, 128/204.21, 128/204.22, 128/204.23, 128/205.13, 128/205.14, 128/205.15, 417/45, 318/661
• US Class Current: 128/204.21
• 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 16/0072 Tidal volume piston pumps
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/107 in the inspiratory path

Abstract

A lung ventilator is provided that reduces the number of mechanical components and is able to rapidly adjust to provide a selected volume of air or other gas for delivery to a patient'"'"'s lungs. The ventilator includes a brushless-type DC electric motor having a number of coils that are energized in a predetermined manner to cause reciprocating movement of a piston within a cylinder. The retracted end position of the piston in a cylinder is used to define the volume of air that is to be received by the patient. Three Hall sensors are connected to the motor at predetermined locations and sense the position of the rotor as it rotates due to the energization of the coils. Each of the pulsed outputs from the Hall sensors is out-of-phase relative to the other Hall sensor outputs. The six different binary outputs of the Hall sensors are identified so that a ROM is able to provide a predetermined output for each of the identified Hall sensor combinations inputted to the ROM. The outputs from the ROM are applied to driving transistors, the outputs of which are applied to the motor coils to cause desired rotational movements of the motor rotor. The position of the piston is monitored also using the Hall sensor outputs. The actual position of the piston is found and compared with the desired or selected position of the piston, which is based on a selected volume of gas to be sent to the patient. When the actual position of the piston corresponds to the selected position, piston movement is stopped. A reference sensor is used in determining a reference piston position from which the actual piston position can be found at any instance in time. The present invention also includes a one-piece manifold to which the cylinder is mounted. The manifold includes a number of passageways along which air is carried to the patient.

Claims

1. A lung ventilating system, comprising:

motor means including a brushless-type electric motor having a number of coils;

housing means;

piston means movable relative to said housing means;

linkage means operatively connecting said motor means and said piston means;

first means for sensing movement of said motor means, wherein the position of said piston means relative to said housing means is continuously determinable during movement of said piston means using said motor means sensed movement;

second means communicating with said first means for controlling the operation of said motor means and thereby the movement of said piston means, said second means including processing means communicating with said first means, said processing means processing information received from said first means for controlling direction of movement of said piston means and for controlling activation of said motor means;

programmed memory means communicating with said first means and said processing means for providing a predetermined output for controlling the energization of said coils of said motor means, said programmed memory means also outputting a velocity-related signal relating to the speed of said motor means;

reference sensor means operatively associated with said piston means for sensing a reference position of said piston means relative to said housing means and communicating said reference position to said processing means;

speed controlling means communicating with said programmed memory means and receiving said velocity-related signal, said speed controlling means also continuously inputting a desired velocity-related signal to said programmed memory means relating to a desired speed of said motor means, said desired velocity-related signal being continuously adjusted, the amount of adjustment depending upon the magnitude of difference between said received velocity-related signal and a predetermined magnitude, said predetermined output of said programmed memory means depending on said input from said first means, said input from said processing means, and said input from said speed controlling means; and

input means communicating with at least one of said processing means and said speed controlling means for use in controlling the speed and amount of movement of said piston means.

3. A system, as claimed in claim 1, wherein:

said linkage means includes gear means operatively engaging said motor means for use in providing a higher resolution to improve the controlling of the position of said piston.

4. A system, as claimed in claim 1, wherein:

said motor means includes a rotor that is movable in both clockwise and counter-clockwise directions under the control of said second means.

5. A system, as claimed in claim 1, wherein:

said first means includes at least three magnetic sensors spatially disposed relative to each other adjacent to said motor means wherein each of the outputs of said three magnetic sensors communicates with said second means and is out-of-phase with the other two of said magnetic sensors.

6. A system, as claimed in claim 5, wherein:

said motor means includes a stator and a rotor and each of said magnetic sensors is fastened to said stator adjacent to said rotor.

7. A system, as claimed in claim 1, wherein:

said reference sensor means is operatively connected to said housing means adjacent to one end of said housing means.

8. A system, as claimed in claim 1, wherein:

said processing means includes means for counting pulses received from said first means and means for comparing said counted number of pulses with a predetermined number, said means for comparing operatively communicating with said programmed memory means.

9. A system, as claimed in claim 1, wherein:

said processing means includes means communicating with said first means for storing data relating to a correlation between a number of pulses and a selected volume defined by said piston means and said housing means, said number of pulses being predetermined and depending upon the position of said piston means relative to said housing means.

10. An apparatus, as claimed in claim 9, wherein:

said means for storing data stores a plurality of numbers, each of which is correlated with a value relating to piston position, and wherein a non-linear relationship exists between said correlated data.

11. An apparatus, as claimed in claim 1, wherein said housing means includes:

a cylinder; and

a one-piece manifold to which said cylinder is sealingly mounted, said manifold including a number of passageways formed in a side of said manifold opposite from the side thereof to which said cylinder is mounted, said passageways for carrying gas to a patient.

2. A lung ventilating system, comprising:

motor means having shaft means;

housing means;

piston means movable relative to said housing means;

connecting rod means having a first portion and a second portion, said second portion being connected to said piston means;

a fixed radius crank arm being rotatable relative to said shaft means of said motor means and having a first portion and a second portion, said first portion being connected to said shaft means to define a first connection position, said second portion being connected to said first portion of said connecting rod means to define a second connection position, wherein a distance is defined between said first connection position and said second connection position, said distance remaining substantially the same during operation of the lung ventilating system;

first means for sensing movement of said motor means, wherein the position of said piston means relative to said housing means is continuously determinable during movement of said piston means using said motor means sensed movement;

second means communicating with said first means for controlling the operation of said motor means and thereby movement of said piston means; and

reference means operatively associated with at least one of said piston means and said motor means for inputting to said second means a reference position relating to a position of said piston means, wherein said reference means, said fixed radius crank arm, and said first and second means cooperate to cause desired reciprocating movement of said piston means in which said fixed radius crank arm is able to rotate less than 360°

for desired positioning of said piston means relative to said housing means.