High frequency ventilator and method

• US 4,821,709 A
• Filed: 03/08/1988
• Issued: 04/18/1989
• Est. Priority Date: 08/01/1983
• Status: Expired due to Term

• Current Assignee: Sensormedics Corporation (Becton, Dickinson & Co)
• Original Assignee: Sensormedics Corporation (Becton, Dickinson & Co)
• Inventors: Jensen, Robert L.
• Primary Examiner(s): Coven, Edward M.
• Application Number:
  US07/168,618
• Time in Patent Office: 406 Days
• Field of Search: 128/39, 128/204.12, 128/204.21, 128/204.23, 128/205.18, 128/205.19, 128/205.11
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/0006 with means for creating vibrations in patients' airways
• CPC Class Codes: A61M 16/0096 High frequency jet ventilation
• CPC Class Codes: A61M 16/161 with means for measuring the humidity
• CPC Class Codes: A61M 2205/3368 Temperature

Abstract

A high frequency ventilator which generates a high frequency pressure wave in a supply of ventilating gas for supporting ventilation in air breathing animals. The high frequency pressure wave causes the ventilating gas to be exchanged and to diffuse through the animal'"'"'s lungs fast enough to support ventilation without spontaneous breathing on the part of the animal and without the aid of a separate ventilator.

Claims

1. An apparatus for supporting full ventilation in an air breathing animal comprising:

means for supplying a respirating gas to an animal at elevated pressure,

a linear motor,

a diaphragm driven by said linear motor, and

circuit means for producing a high frequency, variable frequency, variable amplitude signal for driving said linear motor to drive said diaphragm to generate a pressure wave in said gas which is polar relative to the static pressure in an airway of said animal, said pressure wave having a positively sloped portion forcing gas into said airway and a negatively sloped portion drawing gas out of said airway.

2. The apparatus of claim 1 wherein said gas supply means includes an outlet opening externally of said animal.

3. The apparatus of claim 2 wherein said gas supply means further comprises a valve in said opening adjustable to vary the elevated pressure in said gas supply means.

4. The apparatus of claim 1 wherein said circuit means comprises mans for driving said linear motor with a square wave signal.

5. The apparatus of claim 1 including means for independently varying the duration of the positively sloped portion of said pressure wave and the negatively sloped portion of said pressure wave.

6. The apparatus of claim 1 further comprising a volume ventilator connected to said gas supply means.

7. The apparatus of claim 1 including multiple sets of controls for controlling said pressure wave producing means and means for selectively switching from one set of said sets of controls to another set of said sets of controls, each of said sets of controls being operable to independently control said pressure wave producing means.

8. An apparatus for ventilating an air breathing animal comprising:

a source of ventilating gas;

means for connecting an air breathing animal to said source of ventilating gas having means therein for elevating the static pressure in said connecting means; and

means in fluid connection with said connecting means for producing a high frequency pressure wave having a selected amplitude and frequency comprising a diaphragm in contact with said gas, a linear motor having an armature connected to said diaphragm, and circuit means including an oscillator and shaping circuitry for producing a high frequency polar output signal for driving said linear motor, said pressure wave producing means being operable to produce a pressure wave in said gas to force the gas in said connecting means into said animal and to draw the gas in said connecting means out of said animal.

9. The apparatus of claim 8 wherein said pressure wave producing means includes means for equalizing the pressure on opposite sides of said diaphragm to nullify the effect of the pressure on both sides of said diaphragm on the pressure wave produced by said pressure wave producing means.

10. The apparatus of claim 8 wherein said circuit means includes means for switching the frequency of said oscillator automatically between a first frequency and a second frequency.

11. The apparatus of claim 8 including a second oscillator for producing a second frequency output signal and means for superimposing said second frequency output signal on said high frequency output signal.

12. The apparatus of claim 8 including feedback means in said linear motor for producing a feedback signal indicative of the position of said armature.

13. An apparatus for supporting full ventilation in an air breathing animal comprising:

means for producing a high frequency pressure wave in a respirating gas comprising

a linear motor for driving a diaphragm,

means for driving said linear motor with a square wave signal to produce a pressure wave in the respirating gas having a selected frequency and amplitude which is polar relative to a static airway pressure in an air breathing animal to be ventilated, and

means for connecting said pressure wave producing means to the air breathing animal to be ventilated, said pressure wave being operable to draw respirating gas from the air breathing animal; and

means for maintaining a positive static pressure in said connecting means.

14. The apparatus of claim 13 further comprising a volume ventilator connected to said connecting means.

15. The apparatus of claim 13 wherein said pressure wave producing means additionally comprises circuit means for driving said linear motor.

16. The apparatus of claim 15 wherein said pressure wave producing means includes means for equalizing the pressure on both sides of said diaphragm to nullify the effect of the pressure on both sides of said diaphragm on the pressure wave produced by said pressure wave producing means.

17. The apparatus of claim 13 further comprising means for exhausting respirating gas from said connecting means.

18. The apparatus of claim 17 wherein said exhaust means includes a valve for maintaining said positive static pressure in said connecting means.

19. An apparatus for ventilation of an air breathing animal comprising:

means for producing a substantially continuous flow of gas;

means for producing a square pressure wave of selected frequency and amplitude in said flow of gas for alternately exerting positive and negative pressure on said flow of gas; and

means for connecting said pressure wave producing means to an air breathing animal including an exhaust for restricting said flow of gas to the atmosphere thereby maintaining an elevated static pressure in said connecting means, said pressure wave producing means being operable to cause the exchange of gas between said flow of gas and said air breathing animal.

20. The apparatus of claim 19 wherein said pressure wave producing means comprises a diaphragm, a linear motor for alternatively moving said diaphragm in one direction and then in the opposite direction, and circuit means for controlling the frequency of movement of said diaphragm.

21. The apparatus of claim 20 further comprising means for equalizing the pressure on both sides of said diaphragm.

22. The apparatus of claim 20 wherein said circuit means includes circuitry for moving said diaphragm a selected distance in one direction relative to the static position of said diaphragm and then back to said static position and beyond said static position by a selected distance.

23. The apparatus of claim 20 further comprising means for controlling the extent of movement of said diaphragm in both directions relative to the static position of said diaphragm.

24. The apparatus of claim 19 further comprising a volume ventilator in connection with said pressure wave producing means.

25. An apparatus for supporting full ventilation of an air breathing animal comprising:

a signal generator for producing a square wave with a selected frequency and period;

an amplifier for selectively varying the amplitude of said square wave;

a polar converter for converting said amplified square wave to a polar amplified square wave;

an airway tube;

a substantially continuous flow of respirating gas through said airway tube;

a diaphragm in contact with the gas in said airway tube;

a linear motor for driving said diaphragm to alternately exert pressure against the gas in said airway tube in one direction and then exert pressure against the gas in said airway tube in the opposite direction in response to said polar amplified square wave so that the gas in said flow of respirating gas is exchanged with the gas in the lungs of an animal to be ventilated; and

an exhaust for allowing the escape of gas from said airway tube to the atmosphere.

26. The apparatus of claim 25 wherein said diaphragm is mounted in an air tight chamber and said chamber is provided with means for connecting the sides of said chamber on both sides of said diaphragm.

27. A method of ventilating an air breathing animal comprising the steps of:

supplying a flow of respirating gas to an air breathing animal to be ventilated at an elevated positive pressure;

generating a polar pressure wave of selected amplitude and frequency to effect the exchange of the gas in the flow of respirating gas with the gas in the animal; and

exhausting the flow of respirating gas to the atmosphere to ventilate the animal without the need for spontaneous breathing or additional ventilating devices.

28. The method of claim 27 wherein the positive pressure is maintained at a pressure below about 100 centimeters of water.

29. The method of claim 27 wherein said pressure wave is generated at a frequency of from 3 Hz to 50 Hz.

30. The method of claim 27 wherein said pressure wave is generated at a frequency from 5 Hz to 30 Hz.

31. The method of claim 27 wherein the period of said pressure wave is selectively variable.

32. The method of claim 27 including selectively varying the duration of the positive portion of said pressure wave relative to the negative portion of said pressure wave to vary the inspiration to expiration ratio.

33. The method of claim 32 wherein the inspiration to expiration ratio is set at a ratio of from about 80:

20 to about 20;

80.

34. The method of claim 32 wherein the inspiration to expiration ratio is set at a ratio of from about 70:

30 to about 30;

70.

35. The method of claim 32 wherein the inspiration to expiration ratio is changed while said pressure wave is being produced.

36. The method of claim 27 including producing a pressure wave at a second frequency and superimposing said second frequency pressure wave on said high frequency pressure wave.

37. The method of claim 27 including producing a pressure wave at a second frequency and switching between said high frequency pressure wave and said second frequency pressure wave at selected intervals.

38. The method of claim 37 wherein the frequency of said second pressure wave is relatively low and the amplitude of said second pressure wave is relatively high.

39. The method of ventilating an air breathing animal comprising supplying a substantially continuous flow of gas to an animal to be ventilated at elevated static pressure and alternately forcing gas into the animal and drawing gas out of the animal with a high frequency pressure wave in the flow of gas having a selected amplitude and frequency, said pressure wave having positively and negatively sloped portions whereby carbon dioxide from said animal and oxygen in the flow of gas are exchanged to ventilate the animal without the need for spontaneous breathing or additional ventilating devices.

40. The method of claim 39 further comprising exhausting the flow of gas to the atmosphere.

41. The method of claim 40 wherein the static airway pressure of the animal is elevated by restricting the flow of said gas to the atmosphere.

42. The method of claim 39 wherein said pressure wave is generated at a frequency of from about 3 Hz to about 50 Hz.

43. The method of claim 39 wherein said pressure wave is generated at a frequency of from about 5 Hz to about 30 Hz.

44. The method of claim 39 wherein the period of said pressure wave is selectively variable.

45. The method of claim 39 wherein the elevated static pressure is maintained below 100 cm H₂ O.

46. The method of claim 39 wherein the elevated static pressure is maintained below 40 cm H₂ O.

47. The method of claim 39 wherein the airway pressure of said animal is raised by from about 5 to about 15 cm H₂ O relative to the elevated static pressure during the positively shaped portion of said pressure wave.

48. The method of claim 39 wherein the airway pressure of said animal is lowered from about 5 to about 15 cm H₂ O relative to the elevated static pressure during the negatively shaped portion of said pressure wave.

49. The method of claim 39 including selectively varying the duration of the positively sloped portion of said pressure wave relative to the negatively sloped portion of said pressure wave to vary the inspiration to expiration ratio.

50. The method of claim 49 wherein the inspiration to expiration ratio is set at a ratio of from about 80:

20 to about 20;

80.

51. The method of claim 49 wherein the inspiration to expiration ratio is set at a ratio of from about 70:

30 to about 30;

70.

52. The method of claim 49 further comprising changing the inspiration to expiration ratio.

53. The method of claim 39 further including generating a pressure wave at a second frequency and superimposing said pressure wave of said second frequency on said high frequency pressure wave.

54. The method of claim 52 including switching between said high frequency pressure wave and said pressure wave of said second frequency at timed intervals.

55. The method of claim 54 including generating said pressure wave of said second frequency at a low frequency and high amplitude to produce a sigh.

56. The method of claim 39 wherein said continuous flow of ventilating gas is about 5 liters per minute.