Demand oxygen controller and respiratory monitor

• US 4,823,788 A
• Filed: 04/18/1988
• Issued: 04/25/1989
• Est. Priority Date: 04/18/1988
• Status: Expired due to Fees

• Current Assignee: Richard F.M. Smith, Robert G. Irvine
• Original Assignee: Richard F.M. Smith, Robert G. Irvine
• Inventors: Smith, Richard F. M., Irvine, Robert G.
• Primary Examiner(s): Burr, Edgar S.
• Assistant Examiner(s): Lewis, Aaron J.
• Application Number:
  US07/182,456
• Time in Patent Office: 372 Days
• Field of Search: 128/716, 128/719, 128/724, 128/204.18, 128/204.21, 128/204.22, 128/205.11, 128/204.26, 128/205.24, 73/24
• US Class Current: 128/205.24
• 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 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/0677 Gas-saving devices therefor
• CPC Class Codes: A61M 16/1055 bacterial
• CPC Class Codes: A61M 16/1065 in the expiratory path
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A62B 7/04 and lung-controlled oxygen or air valves

Abstract

An improved method and apparatus for controlling the flow of any breathing gas such as oxygen through a cannula or "mask" to a person (patient, aviator, baby, miner, or diver) can be limited to the portion of the breathing cycle when the person breathes inward. This has the effect of reducing the consumption of breathing gas to at least half and possibly less. The result of this reduction of consumption is an extended life of the gas supply and a reduction of the cost per unit time. A bidirectional dynamic mass flow sensor senses the rate of flow of a gas through it and yields an output voltage proportional to mass flow and direction of gas movement. The measured dynamic flow signal is applied to a system controller which operates a flow controller. The system controller provides for indications of operation such as system failure and apnea, rate of flow, duration of flow, and total consumption; in addition, controls are provided to set the duration of gas flow in each breathing cycle.

Claims

1. In an in vivo respiratory system, a method of supplying a mass of breathing gas, such as oxygen, to a person during each of the very initial stages of such person'"'"'s inspiration cycles to maintain the proper arterial oxygen tension in such person'"'"'s bloodstream and to significantly reduce the consumption of oxygen by such person without reducing thereby such arterial oxygen tension required to be maintained in such person'"'"'s bloodstream to support life, comprising the steps of:

supplying such person the mass of oxygen by connecting such person to said source of breathing gas;

using valve means to control the mass of oxygen being supplied to such person;

flowing such gas through mass flow sensing means to derive an electrical output voltage proportional to the magnitude and direction of such mass flow of gas through said mass flow sensing means;

operatively associating circuitry means with said valve means to control said valve means;

inputting such electrical output voltage derived from said mass flow sensing means to said circuitry means to thereby control said valve means;

operatively associating heater means with said mass flow sensing means;

thermally connecting upstream and downstream active resistor arms of a Wheatstone bridge with said Wheatstone bridge determining mass flow;

operatively associating heater control circuit means with said upstream and downstream active resistor arms of said Wheatstone bridge to lower the resistance of said upstream active resistor arm more than the resistance of said downstream active resistor arm when gas flows through said mass flow sensing means to thereby unbalance said Wheatstone bridge by an amount proportional to the mass of gas flowing through said mass flow sensing means thereby causing said heater means to heat such flowing mass of gas; and

operatively associating two resistor arms of said Wheatstone bridge with sensing bridge supply circuit means.

2. The method of claim 1 wherein in said step of operatively associating circuitry means with said valve means to control said valve means, said circuitry means opens said valve means during such person'"'"'s inspiration cycle to connect such person to said source of breathing gas to supply said mass of breathing gas to such person.

3. The method of claim 1 wherein in said step of using valve means to control the mass of oxygen being supplied to such person, said valve means selectively supplies oxygen to said respiratory system during each of said very initial stages of such person'"'"'s inspiration cycles.

4. The method of claim 1 wherein in said step of operatively associating heater control circuit means, said heater means keeps the temperature of said mass flow sensing means at a constant differential above the ambient air temperature under varying temperature and air flow.

5. The method of claim 1 wherein in said step of operatively associating circuitry means with said valve means to control said valve means, said circuitry means senses apnea by detecting such person;

s missing inspiration cycle.

6. The method of claim 5, wherein said circuitry means provides an alarm upon sensing apnea.

7. The method of claim 5, wherein said circuitry means provides visual indication of apnea upon sensing apnea.

8. The method of claim 1 wherein said in said step of operatively associating circuitry means with said valve means to control said valve means, said circuitry means actuates and opens said valve means to supply oxygen to such person corresponding to the breathing rate and intensity of such person'"'"'s inspired breath.

9. In an in vivo respiratory system, an apparatus for supplying a mass of breathing gas, such as oxygen, to a person during each of the very initial stages of such person'"'"'s inspiration cycles to maintain the proper arterial oxygen tension in such person'"'"'s bloodstream and to significantly reduce the consumption of oxygen by such person without reducing such arterial oxygen tension required to be maintained in such person'"'"'s bloodstream to support life;

said apparatus comprising a source of breathing gas, valve means, mass flow sensing means, circuitry means, heater means, a Wheatstone bridge, heater control circuitry means and sensing bridge supply circuit means;

said source of breathing gas being in communicative relationship with such person to supply such person the mass of oxygen, said valve means controlling the mass of oxygen supplied to such person, said mass flow sensing means receiving such gas in flowing relationship therethrough to derive an electrical output voltage proportional to the magnitude and direction of such mass of gas flowing through said mass flow sensing means, said circuitry means operatively controlling said valve means by said electrical output voltage derived from said mass flow sensing means being inputted to said circuitry means, said heater means being operatively associated with said mass flow sensing means, said Wheatstone bridge having thermally connected upstream and downstream active resistor arms and said Wheatstone bridge determining mass flow, said heater control circuit means having operatively associated therewith said upstream and downstream active resistor arms of said Wheatstone bridge to lower the resistance of said upstream active resistor arm more than the resistance of said downstream active resistor arm when gas flows through said mass flow sensing means to thereby unbalance said Wheatstone bridge by an amount proportional to the mass of gas flowing through said mass flow sensing means thereby causing said heater means to heat such flowing mass of gas, and said sensing bridge supply circuit means having operatively associated therewith two resistor arms of said Wheatstone bridge.

10. An apparatus in accordance with claim 9, wherein sid circuitry means in controlling said valve means opens said valve means during such person'"'"'s inspiration cycles to connect such person to said source of breathing gas to supply said mass of breathing gas to such person.

11. An apparatus in accordance with claim 9, wherein said valve means selectively supplies oxygen to said respiratory system during each of the very initial stages of such person'"'"'s inspiration cycles.

12. An apparatus in accordance with claim 9, wherein said heater means maintains the temperature of said mass flow sensing means

at a constant differential above the ambient air temperature under varying temperature and air flow.

13. An apparatus in accordance with claim 9, wherein said circuitry means senses apnea by detecting such person'"'"'s missing inspiration cycle.

14. An apparatus in accordance with claim 13, wherein said circuitry means provides an alarm upon sensing apnea.

15. An apparatus in accordance with claim 13, wherein said circuitry means provides visual indication of apnea upon sensing apnea.

16. An apparatus in accordance with claim 9, wherein said circuitry means actuates and opens said valve means to supply oxygen to such person corresponding to the breathing rate and intensity of such person'"'"'s inspired breath.