Artificial ventilator

• US 4,982,735 A
• Filed: 11/18/1988
• Issued: 01/08/1991
• Est. Priority Date: 03/01/1988
• Status: Expired due to Fees

• Current Assignee: Sumitomo Bakelite Company Limited
• Original Assignee: Sumitomo Bakelite Company Limited
• Inventors: Yagata, Kazuhiko, Noguchi, Yasuo
• Primary Examiner(s): Burr, Edgar S.
• Assistant Examiner(s): Lewis, Aaron J.
• Application Number:
  US07/274,122
• Time in Patent Office: 781 Days
• Field of Search: 128/202.12, 128/205.26, 128/30, 128/30.2, 128/724, 128/204.21, 128/204.23
• US Class Current: 128/204.23
• CPC Class Codes: A61H 2031/025 using the same pump for pressure and vacuum, not being driven at the respiratory rate, e.g. blowers
• 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 2016/0021 with a proportional output signal, e.g. from a thermistor

Abstract

An artificial ventilator includes a dome for covering the precordial and the sides of the thoracoabdominal of a patient, a blower to be used for applying negative and positive pressures within the dome, a regulator for adjusting a pressure, and the like. The valve switching device is controlled by a respiration detection system. In the respiration detection system, a pyrolelectric element is used as a respiratory sensor for detecting a temperature change rate caused by an inspired and expired air flow. The temperature change rate signal obtained by the sensor is compared with a threshold value set by a variable resistor, the start timings of expired air and inspired air are detected in accordance with the comparison result, and air inspiration and expiration start timing signals are outputted. Further, the artificial ventilator can be provided with various functions of forced respiration and intermittent deep breathing by means of a timer, synchronization only with air inspiration timings, reduction of frequency of respiration assistance for the intention not to use the ventilator in the near future, backup during apnea, and the like. The artificial ventilator allows a physilogical respiration assistance matching the patient'"'"'s physiological intention by synchronizing with the patient'"'"' s respiration. Thus, an effort and pain in breathing with a conventional mechanical ventilation can be avoided so that the artificial ventilator is suitable for a long term use and useful for a quick recovery of respiration function of an acute respiratory failure patient.

Claims

1. An artificial ventilator comprising:

a dome made of hard material, said dome having an opening at the apex thereof for connection to an air duct and a fitting made of elastic material at the bottom periphery thereof;

a blower adapted to be connected to said air duct for sucking and exhausting air in said dome;

an air suction duct and an air exhaustion duct adapted to connect said dome and said blower together;

a negative pressure regulator mounted on an exhaustion piping system;

a positive pressure regulator mounted on a suction piping system;

a pressure sensor for detecting a pressure within said dome;

an exhaustion valve and a suction valve for controlling air exhaustion and suction;

a release valve for releasing a negative or positive pressure into atmospheric air;

a bypass valve for bypassing air when said air exhaustion valve or said air suction valve is closed;

a valve switching device for controlling to open and close said air exhaustion valve, air suction valve, release valve and bypass valve; and

a respiration detection system comprising a respiratory sensor including a pyroelectric element mounted at a passage of respiration air or near narises of a patient for detecting a temperature change rate at said passage or near said narises, and a respiration detection circuit for comparing a temperature change rate signal obtained by said pyroelectric element with a threshold value set at a variable resistor, detecting start timings of air expiration and air inspiration in accordance with the comparison result, and outputting a timing signal, said respiration detection system thereby controlling said valve switching device.

2. An artificial ventilator according to claim 1, wherein said backup system is selected to operate by said change-over switch and includes an air inspiration backup timer, air expiration backup timer, positive pressure assistance timer;

and wherein

said air inspiration backup timer with a previously set air inspiration time is caused to operate at the same time when air inspiration starts;

if an air expiration signal is not obtained within said set time from said respiration detection system, than an air expiration signal is automatically generated;

simultaneously with the start of air expiration, said positive pressure assistance delay timer having been set with a time lapse when a positive pressure is applied within the dome, and said air expiration backup timer having been set with an air expiration time are caused to operate;

if an air inspiration signal is not obtained from said respiration detection system, within said set air expiration backup time and within said set positive pressure assistance delay time then a positive pressure assistance signal is generated to start positive pressure assistance and said positive pressure assistance timer having been set with a duration while positive pressure is being applied is caused to operate;

if an air inspiration signal is not obtained within a remaining air expiration backup time, than an air inspiration signal is automatically generated; and

if an air inspiration signal or an air expiration signal from said respiration detection system is obtained, then immediately on reception of said signal, an air inspiration or expiration stage starts.

8. An artificial ventilator comprising:

a dome made of hard material, said dome having an opening at the apex thereof for connection to an air duct and a fitting made of elastic material at the bottom periphery thereof;

a blower adapted to be connected to said air duct for sucking and exhausting air in said dome;

an air suction duct and an air exhaustion duct adapted to connect said dome and said blower together;

a negative pressure regulator mounted on an exhaustion piping system;

a positive pressure regulator mounted on a suction piping system;

a pressure sensor for detecting a pressure within said dome;

an exhaustion valve and a suction valve for controlling air exhaustion and suction;

a release valve for releasing a negative or positive pressure into atmospheric air;

a bypass valve for bypassing air when said air exhaustion valve or said air suction valve is closed;

a valve switching device for controlling to open and close said air exhaustion valve, air suction valve, release valve and bypass valve;

a sensor mode system, a backup system, a respiration assistance frequency setting system, an inspiration timing tuning system and a timer dependent respiration adjusting system, said sensor mode system being adapted to control said valve switching device by a respiration detection system which comprises a respiratory sensor including a pyroelectric element mounted at a passage or respiration air or near said narises of a patient for detecting a temperature change rate at said passage or near said narises, and a respiration detection circuit for comparing a temperature change rate signal obtained by said pyroelectric element with a threshold value set at a variable resistor, detecting start timings of air expiration and air inspiration in accordance with the comparison result, and outputting a timing signal;

ROM storing program for operating at least one of said sensor mode system, backup system, said inspiration assistance frequency setting system, said inspiration timing tuning system and said timer dependent respiration adjusting system; and

a change-over switch for selecting at least one of said systems to be operated.

3. An artificial ventilator according to claim 8, wherein said respiration assistance frequency setting system is selected to operate by said change-over switch, and uses, as a control signal of said valve switching device in order to apply a negative or positive pressure within said dome, a fraction of the start timing signals of air inspiration and expiration generated by said respiration detection system.

4. An artificial ventilator according to claim 8, wherein said inspiration timing tuning system is selected to operate by said change-over switch, and includes a timer for controlling said valve switching device, whereby

an air inspiration excursion is set for the period from a generation of an air inspiration start timing signal from said respiration detection system to a time previously set by said timer;

and

an air expiration excursion is set for the period from the end of said air inspiration stage to the time the next air inspiration start timing signal is generated.

5. An artificial ventilator according to claim 4, wherein said respiratory sensor comprises said pyroelectric element, a field effect transistor, and a resistor element, and the entirety of said respiratory sensor is covered with a conductive material layer to shield said sensor from external electromagnetic waves.

6. An artificial ventilator according to claim 8, said change-over switch, and includes timer means presetting an air inspiration time and an air expiration time in order to control said valve switching device.

7. An artificial ventilator according to claim 6, comprising further timer means for controlling said valve switching device in order to cause a deep breathing once for every several to tens respirations, by an additional timer or program means other than said timer.

9. An artificial ventilator according to claim 8, wherein said respiratory sensor comprises said pyroelectric element, a field effect transistor, and a resistor element, and the entirety of said respiratory sensor is covered with a conductive material layer to shield said sensor from external electromagnetic waves.

10. An artificial ventilator according to claim 6, further comprising program means for controlling said valve switching device in order to cause a deep breathing once for every several to tens respirations.