Ventilator manifold

• US 4,794,922 A
• Filed: 11/04/1986
• Issued: 01/03/1989
• Est. Priority Date: 11/04/1986
• Status: Expired due to Term

• Current Assignee: Bird Products Corporation (Becton, Dickinson & Co)
• Original Assignee: Bird Products Corporation (Becton, Dickinson & Co)
• Inventors: DeVries, Douglas F.
• Primary Examiner(s): Howell, Kyle L.
• Assistant Examiner(s): NOT, DEFINED
• Application Number:
  US06/927,250
• Time in Patent Office: 791 Days
• Field of Search: 128/205.24, 128/204.23, 128/204.21, 128/204.18, 137/884, 74/606
• 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 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/204 used for inhalation control
• CPC Class Codes: A61M 16/205 used for exhalation control
• CPC Class Codes: A61M 2205/12 with interchangeable cassettes forming partially or totally the fluid circuit

Abstract

A ventilator for providing artificial respiration to a patient has a plurality of pneumatic components mounted on a manifold. The manifold is a one piece aluminum casting having a base with ducts formed therein to permit fluid communication between the pneumatic components. The ducts are exposed on the underside of the base and are removably sealed from the atmosphere by a gasket and sealing plate which are secured to the underside of the base so as to cover the exposed portion of the ducts. Several components are formed in the manifold as part of the casting, including an accumulator and pulsation dampener, both of which are gas storage chambers. A plurality of fins are also formed as part of the manifold, and act as a heat sink for a printed circuit board which is secured to the manifold. Removable pneumatic components are secured to mounting blocks which extend upwardly from the base and have threaded bores therein for the receipt of threaded fasteners. Fluid communication between the ducts and the pneumatic components is established through stubs which extend upwardly from the base and which are sealingly engaged by the pneumatic components. A bore through the stubs forms an access port to the ducts. The access ports as aligned with inlets and outlets on the pneumatic components when the pneumatic components are secured to the mounting blocks.

Claims

1. A ventilator which provides artificial respiration to a patient from a source of pressurized gas, said ventilator comprising:

a flow control valve means for controlling the flow of inspiratory gas to said patient from said source of pressurized gas;

means for establishing gas flow into and out of said patient'"'"'s airway, said flow establishing means being in fluid communication with said flow control valve means;

an exhalation valve means for controlling the flow of gas from said patient to the atmosphere, said exhalation valve means in fluid communication with said flow establishing means;

a manifold having a top side and an underside, said flow control valve means and said exhalation valve means mounted on said top side of said manifold;

mounting surfaces formed on said top side of said manifold, said flow control and exhalation valve means being supported by said mounting surfaces when mounted on said manifold;

a plurality of integral ducts formed in said manifold, said ducts permitting fluid communication between said source of pressurized gas and said patient through said manifold;

a plurality of access ports extending through said top side of said manifold and into said ducts, said access ports positioned on said manifold so as to permit fluid communication between said flow control and exhalation valve means and said ducts when said flow control and exhalation valve means are mounted on said manifold;

an inlet fitting mounted on said manifold, said inlet fitting in fluid communication with said source of pressurized gas, a first one of said ducts establishing fluid communication between said inlet fitting and said flow control valve means, wherein substantially the entire length of said duct is exposed to the atmosphere along the underside of said manifold;

a patient fitting mounted on said manifold, said patient fitting establishing fluid communication between said flow establishing means and a second duct extending between said flow control valve means and said patient fitting, wherein substantially the entire length of said second duct is exposed to the atmosphere along the underside of said manifold;

a gasket which sealingly engages the underside of said manifold so as to seal said ducts from the atmosphere;

a sealing plate which forces said gasket into sealing engagement with said manifold, said gasket being sandwiched between said sealing plate and said manifold, said gasket and said sealing plate combining to form a wall enclosing said ducts; and

wherein the exposed structure of said ducts permits the formation of said manifold, complete with said integral ducts, through a molding or casting process.

2. The ventilator of claim 1, wherein said manifold has a one-piece construction.

3. The ventilator of claim 2, wherein said manifold is formed from cast metal.

4. The ventilator of claim 1, wherein said ducts have a longitudinal axis and a substantially inverted U-shape when viewed in cross section through a plane which is perpendicular to the longitudinal axis of each of said ducts.

5. The ventilator of claim 1, wherein said gasket and said sealing plate are substantially planar and oriented substantially parallel to the longitudinal axes of said ducts.

6. The ventilator of claim 1, wherein said manifold further comprises at least one pneumatic component formed integrally with said manifold.

7. The ventilator of claim 6, wherein said pneumatic component comprises a gas storage chamber.

8. The ventilator of claim 7, wherein said gas storage chamber is positioned downstream of said inlet fitting and upstream of said flow control valve means, said first duct establishing fluid communication between said inlet fitting and said gas storage chamber, and between said gas storage chamber and said flow control valve means.

9. The ventilator of claim 7, wherein said gas storage chamber is exposed on the underside of said manifold, and wherein said gasket and sealing plate seal said gas storage chamber from the atmosphere.

10. The ventilator of claim 1, wherein said sealing plate and gasket are removably secured to said manifold.

11. The ventilator of claim 1, wherein said flow establishing means comprises an endotracheal tube.

12. The ventilator of claim 1, further comprising a plurality of stubs formed in said manifold and extending upwardly therefrom, said access ports extending through said stubs, said flow control and exhalation valve means respectively being mounted on said manifold so as to sealingly engage said stubs and be in fluid communication with said ducts through said access ports, without requiring a coupling or fitting to join each of said access ports and said flow control and exhalation valve means.

13. The ventilator of claim 12, wherein said stubs terminate in substantially planar top surfaces, said flow control valve means sealingly engaging said top surfaces, said flow control valve means having inlet and outlet passageways which are respectively aligned with said access ports.

14. The ventilator of claim 1, wherein said ventilator further comprises a plurality of mounting blocks formed on said manifold and extending upwardly therefrom, and wherein said mounting surfaces comprise substantially planar top surfaces on said mounting blocks, said flow control and exhalation valve means resting directly on said mounting block top surfaces.

15. The ventilator of claim 14, wherein said mounting blocks include threaded bores therein so that said flow control and exhalation valve means can be removably secured to said mounting blocks by means of threaded fasteners.

16. A ventilator which provides artificial respiration to a patient from a source of pressurized gas, said ventilator comprising:

a flow control valve means for controlling the flow of inspiratory gas to said patient from said source of pressurized gas;

means for establishing gas flow into and out of said patient'"'"'s airway, said flow establishing means being in fluid communication with said flow control valve means;

a manifold having a top side and an underside, said flow control valve means being mounted on said manifold;

a plurality of integral ducts formed in said manifold, said ducts permitting fluid communication between said source of pressurized gas and said patient through said manifold;

a plurality of access ports extending through said top side of said manifold and into said ducts, said access ports positioned on said manifold so as to permit fluid communication between said valve means and said ducts when said valve means is mounted on said manifold;

a gas storage chamber integral with said manifold, said gas storage chamber being positioned between and in fluid communication with both said source of pressurized gas and said flow control valve means;

an inlet fitting mounted on said manifold, said inlet fitting in fluid communication with said source of pressurized gas, a first one of said ducts establishing fluid communication between said inlet fitting and said gas storage chamber, wherein substantially the entire length of said duct is exposed to the atmosphere along the underside of said manifold;

a second duct establishing fluid communication between said gas storage chamber and said flow control valve means, wherein substantially the entire length of said second duct is exposed to the atmosphere along the underside of said manifold;

a patient fitting mounted on said manifold, said patient fitting in fluid communication with said flow establishing means and a third duct, said third duct establishing fluid communication between said flow control valve means and said patient fitting, wherein substantially the entire length of said third duct is exposed to the atmosphere along the underside of said manifold;

means for sealingly engaging the underside of said manifold so as to form a wall enclosing said ducts and said gas storage chamber and seal said ducts and said gas storage chamber from the atmosphere; and

wherein the exposed structure of said ducts and said gas storage chamber permits the formation of said manifold, complete with said integral ducts and said integral gas storage chamber, through a molding or casting process.

17. The ventilator of claim 16, wherein said manifold has a one-piece construction.

18. The ventilator of claim 17, wherein said manifold is formed from cast metal.

19. The ventilator of claim 16, wherein said manifold further comprises:

means for mounting a printed circuit board; and

a plurality of fins integrally formed in said manifold, said fins forming a heat sink for said printed circuit board.

20. The ventilator of claim 16, wherein said flow establishing means comprises an endotracheal tube.

21. The ventilator of claim 16, wherein said sealing means comprises:

a gasket which sealingly engages the underside of said manifold; and

a sealing plate which forces said gasket into sealing engagement with said manifold, said gasket being sandwiched between said sealing plate and said manifold, said sealing plate and said gasket cooperating to form a wall enclosing said ducts and said gas storage chamber and seal said ducts and gas storage chamber from the atmosphere.

22. The ventilator of claim 21, wherein said gasket and said sealing plate are removably secured to said manifold.