Multi-frequency jet ventilation technique and apparatus

• US 4,747,403 A
• Filed: 01/27/1986
• Issued: 05/31/1988
• Est. Priority Date: 01/27/1986
• Status: Expired due to Term

• Current Assignee: Nellcor Puritan Bennett Incorporated (Medtronic Plc)
• Original Assignee: Advanced Pulmonary Technologies Incorporated
• Inventors: Sabnis, Jayant S., Gluck, Eric H., McDonald, Henry, Weinberg, Bernard C.
• Primary Examiner(s): Coven, Edward M.
• Assistant Examiner(s): REICHLE, KARIN M
• Application Number:
  US06/822,535
• Time in Patent Office: 855 Days
• Field of Search: 128/204.18, 128/204.21-25, 128/205.24, 128/207.17, 128/203.12, 128/203.14
• US Class Current: 128/204.21
• 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 16/04 Tracheal tubes catheters in general A61M25/00
• CPC Class Codes: A61M 16/127 by Venturi effect, i.e. entrainment mixers
• CPC Class Codes: A61M 16/16 Devices to humidify the respiration air A61M16/1045 takes precedence
• CPC Class Codes: A61M 2016/0033 electrical

Abstract

Respiration therapy is accomplished by generating pulses of inhalation gas for delivery to a patient. The inhalation gas pulses may be generated by entraining humidified low pressure gas with pulses of high pressure entrainment gas. The pulses of entrainment gas may be of variable frequency, duration and duty cycle and are produced by modulating the flow of a highly pressured gas with a solenoid operated valve.

Claims

1. A variable frequency jet ventilator system comprising:

entrainment module means for defining an entrainment chamber having an axis and a supply outlet which is coaxial with said chamber, said entrainment module means further defining an inlet port and a constantly open vent port for said entrainment chamber, said inlet and vent ports being in uninterrupted fluid communication via said entrainment chamber whereby gas entering said entrainment chamber through said inlet port may continuously flow through said vent port, each of said ports having an axis and upstream and downstream ends, said inlet port and said vent port being generally axially aligned;

means connected to the upstream end of said inlet port for continuously supplying humidified gas to said entrainment chamber via said inlet port to thereby establish a bias flow across said entrainment chamber between said inlet and vent ports;

means for generating pulses of gas;

means for controlling said pulse generating means to vary the frequency of generation of the gas pulses;

nozzle means for imparting a high velocity to gas pulses, said nozzle means having a discharge end which opens into said entrainment chamber, said nozzle means being fluidically coupled to said pulse generating means to receive the pulses of gas whereby high velocity gas pulses are discharged into said entrainment chamber, said nozzle means being oriented to cause the discharged gas pulses to be directed along said entrainment chamber axis toward said supply outlet, said nozzle means being positioned such that high velocity gas pulses discharged from said nozzle means will entrain humidified gas from the bias flow to produce humidified gas pulses which exit said supply outlet; and

means coupled to said entrainment chamber supply outlet for delivering the humidified gas pulses to a patient'"'"'s respiratory system.

2. The ventilator system of claim 1 wherein said nozzle means has an axis which is coaxial with said discharge end and said chamber and protrudes into said chamber so as to extend at least part way into the bias flow.

3. The ventilator system of claim 2 wherein the entrainment module means has a generally T-shaped configuration, respective arm portions of said T-shaped configuration defining said inlet and vent ports whereby said inlet and vent ports are coaxial, the stem of said T-shaped configuration being coaxial with said chamber axis whereby said inlet and vent ports are oriented generally transversely with respect to said chamber axis.

4. The ventilator system of claim 3 wherein said nozzle means is exteriorly configured to at least in part direct the bias flow in the direction of said entrainment chamber supply outlet.

5. The ventilator system of claim 1 wherein said pulse generating means comprises:

a source of highly pressurized gas;

a conduit providing fluid communication between said source of highly pressurized gas and said nozzle means; and

normally closed controllable valve means interposed in said conduit to selectively interrupt the flow of pressurized gas through said conduit, said valve means being connected to said controlling means whereby said valve means is responsive to said controlling means.

6. The ventilator system of claim 5 wherein said valve means comprises a solenoid actuated valve and wherein said controlling means comprises electronic control means for generating a variable frequency electrical signal for energizing the solenoid of said valve to cause opening of said valve.

7. The ventilator system of claim 6 wherein said nozzle means has an axis which is coaxial with said discharge end and said chamber and protrudes into said chamber so as to extend at least part way into the bias flow.

8. The ventilator system of claim 7 wherein the entrainment module means has a generally T-shaped configuration, respective arm portions of said T-shaped configuration defining said inlet and vent ports whereby said inlet and vent ports are coaxial, the stem of said T-shaped configuration being coaxial with said chamber axis whereby said inlet and vent ports are oriented generally transversely with respect to said chamber axis.

9. The ventilator system of claim 8 wherein said electronic control means comprises means for generating solenoid control voltage pulses having first and second magnitude levels, the second voltage level being sufficient to cause current flow through said solenoid adequate to hold said valve in the open state but insufficient to open said valve, the first voltage level being greater than the second voltage level and causing sufficient current flow through said solenoid to actuate said valve from the closed state to the open state.

10. The ventilator of claim 9 wherein said electronic control means includes means for varying the width and duty cycle of said solenoid control voltage pulses and said pulses have a stepped waveform with a substantially instantaneous rise time.

11. The ventilator system of claim 10 wherein said nozzle means is exteriorly configured to at least in part direct the bias flow in the direction of said entrainment chamber supply outlet.

12. The ventilator system of claim 6 wherein said electronic control means comprises means for generating solenoid control voltage pulses having first and second magnitude levels, the second voltage level being sufficient to cause current flow through said solenoid adequate to hold said valve in the open state but insufficient to open said valve, the first voltage level being greater than the second voltage level and causing sufficient current flow through said solenoid to actuate said valve from the closed state to the open state.

13. The ventilator of claim 12 wherein said electronic control means includes means for varying the width and duty cycle of said solenoid control voltage pulses.

14. The ventilator system of claim 13 wherein said nozzle means protrudes into said chamber so as to extend at least part way into the bias flow and is externally configured to at least in part direct the bias flow in the direction of said entrainment module means supply outlet.

15. The ventilator system of claim 1 wherein said nozzle means protrudes into said chamber so as to extend at least part way into the bias flow and is externally configured to at least in part direct the bias flow in the direction of said entrainment module means supply outlet.

16. The ventilator system of claim 1 wherein said means for supplying humidified gas includes:

a source of pressurized ventilation gas;

means coupling said source of ventilation gas to said entrainment chamber inlet port; and

means disposed in said coupling means for humidifying the gas discharged from said source, said humidfying means being positioned upstream of said entrainment module means inlet port in the direction of flow of ventilating gas through said coupling means.

17. The ventilator system of claim 16 wherein said humidifying means comprises:

a first humidifier; and

ultrasonic nebulizer means located downstream of said first humidifier in the direction of gas flow through said coupling means for introducing a vapor mist into the humidified gas from said first humidifier.

18. A variable frequency jet ventilation system comprising:

means for generating gas pulses, said gas pulse generating means including;

a source of pressurized gas, said gas source having a discharge port;

conduit means having first and second ends, said conduit means being coupled at a first end thereof to said discharge port;

normally closed valve means interposed in said conduit means to selectively interrupt the flow of pressurized gas from said source through said conduit means, said valve means comprising a solenoid actuated valve; and

means for generating control voltage pulses for said valve means solenoid operated valve, said control voltage pulses each having at least initial and second magnitude levels, said second voltage level being sufficient to cause current flow through the solenoid of the valve adequate to hold the valve in the open state but insufficient to open the valve, said initial voltage level being greater than said second voltage level and causing sufficient current flow through the solenoid of the valve to actuate the valve from the closed state to the open state;

means defining an entrainment chamber, said entrainment chamber having a supply outlet at one end thereof, said supply outlet having an axis;

nozzle means for imparting high velocity to gas pulses delivered thereto, said nozzle means being in fluid communication with said gas pulse generating means via the second end of said conduit means and having an open discharge end which extends into said entrainment chamber whereby the generated gas pulses are accelerated injected into said chamber, said nozzle means having an axis and which is generally coaxial with said discharge end and said entrainment chamber supply outlet whereby gas pulses injected into said entrainment chamber from said nozzle means discharge end are directed toward said supply outlet, said nozzle means being at least in part externally shaped to smoothly diverge in the upstream direction from the discharge end thereof;

means for establishing a stream of gas across said entrainment chamber, the established gas stream being directed to at least in part intersect the axis of said nozzle means and supply outlet, the gas stream establishing means being located and oriented such that gas pulses from said nozzle means will entrain gas from the gas stream and carry the entrained gas through said supply outlet;

means for constantly venting said entrainment chamber, said venting means being positioned to receive the gas stream; and

means coupled to said entrainment chamber defining means supply outlet for delivering the gas pulses with entrained gas from the stream to the respiratory system of a patient.

19. The ventilation system of claim 18 wherein said stream establishing means provides a continuous flow of humidified gas.

20. The ventilation system of claim 19 wherein the flow of humidified gas at least in part impinges upon said divergent part of said nozzle means whereby a portion of the flow is redirected generally in the direction of said entrainment chamber supply outlet.

21. The ventilation system of claim 18 wherein the gas stream at least in part impinges upon said divergent part of said nozzle means whereby a portion of the stream is redirected generally in the direction of said entrainment chamber supply outlet.