Anesthesia rebreathing system

• US 4,991,576 A
• Filed: 10/11/1988
• Issued: 02/12/1991
• Est. Priority Date: 10/11/1988
• Status: Expired due to Fees

• Current Assignee: Jordan M. Laby, Melvyn L. Henkin
• Original Assignee: Jordan M. Laby, Melvyn L. Henkin
• Inventors: Laby, Jordan M., Henkin, Melvyn L.
• Primary Examiner(s): Crowder, Clifford D.
• Assistant Examiner(s): Asher, Kimberly L.
• Application Number:
  US07/255,372
• Time in Patent Office: 854 Days
• Field of Search: 128/202.22, 128/202.27, 128/205.13, 128/205.14, 128/205.15, 128/909, 128/910, 128/911, 128/205.17, 128/205.24, 128/203.28
• US Class Current: 128/203.28
• 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 16/0078 Breathing bags
• CPC Class Codes: A61M 16/0081 Bag or bellow in a bottle
• CPC Class Codes: A61M 16/009 Removing used or expired gases or anaesthetic vapours filtering, sterilising or disinfecting the exhaust air in drainage systems A61M1/784; bacterial filters in the expiratory path A61M16/1065
• CPC Class Codes: A61M 16/01 specially adapted for anaesthetising A61M16/104, A61M16/18 take precedence
• CPC Class Codes: A61M 16/08 Bellows; Connecting tubes having means for taking samples G01N1/22; Water traps; Patient circuits
• CPC Class Codes: A61M 16/0816 Joints or connectors
• CPC Class Codes: A61M 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 16/085 Gas sampling
• CPC Class Codes: A61M 16/1015 using a gas flush valve, e.g. oxygen flush valve
• CPC Class Codes: A61M 16/104 specially adapted for anaesthetics A61M16/18 takes precedence
• CPC Class Codes: A61M 16/22 Carbon dioxide-absorbing devices ; Other means for removing carbon dioxidecartridges with absorbing substances for respiratory apparatus A62B19/00
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit
• CPC Class Codes: A61M 2039/1005 Detection of disconnection
• CPC Class Codes: A61M 2205/502 User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2209/084 Supporting bases, stands for equipment
• CPC Class Codes: A61M 2230/43 Composition of exhalation
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)
• CPC Class Codes: Y10S 128/909 Breathing apparatus with means for preventing patient cross-contamination
• CPC Class Codes: Y10S 128/911 : Unilimb inhalation-exhalation breathing tubes
• CPC Class Codes: Y10S 128/912 : Connections and closures for tubes delivering fluids to or from the body

Abstract

An anesthesia rebreathing system including a single use structural portion and a reusable structural portion configured so as to be readily latched together to automatically couple respective fresh gas interface ports and patient overflow ports. The single use portion includes a patient bag which is mounted in a closed rigid container in the reusable portion. Gas pressure in the container is controlled by an anesthetist squeezing an outside bag or by a mechanical vertilator, as determined by the setting of a user operable control knob subassembly, which also functions to establish gas pressure and volume in both the patient circuit and the control circuit.

Claims

1. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system including:

a single use structural portion including connector body means defining a fresh gas interface port and a patient overflow interface port;

a reusable structural portion including mounting structure means defining a fresh gas interface port and a patient overflow interface port;

means for detachably connecting said connector body means and said mounting structure means for communicating said fresh gas interface ports to one another and said patient overflow interface ports to one another;

said single use portion including;

patient airway communication means;

elongated breathing tube means having a first port coupled to said patient airway communication means and a second port coupled to said single use portion fresh gas interface port;

overflow means having a first end coupled to said breathing tube means and a second end coupled to said single use portion patient overflow interface port; and

patient breathing reservoir means having an entrance opening coupled to said breathing tube means proximate to the second port thereof;

said reusable portion including;

patient valve means having an inlet port coupled to said reusable portion patient overflow interface port; and

control means for establishing the level of pressure at said inlet port for opening said patient valve means;

said control means including;

container means;

means in communication with said container means for varying the pressure therein;

means mounting said patient breathing reservoir means in said container means whereby pressure variations therein will produce corresponding variations in said reservoir means;

said means for detachably connecting said connector body means and said mounting structure means including latching means for automatically latching said connector body means to said mounting structure means when said connector body means is seated on said mounting structure means to functionally mate said fresh gas interface ports to one another and said patient overflow ports to one another;

selectively actuatable unlatching means, said unlatching means being the sole means for unlatching said latching means; and

sensing means for indicating when said connector body means is seated on said mounting structure means.

2. The system of claim 1 wherein said means for varying the pressure in said container means includes flexible bag means and/or mechanical ventilator means.

3. The system of claim 1 wherein said single use portion further includes CO₂ absorber means for removing carbon dioxide from gas flow to said patient airway communication means.

4. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system including:

a single use structural portion including connector body means defining a fresh gas interface port and a patient overflow interface port;

a reusable structural portion including mounting structure means defining a fresh gas interface port and a patient overflow interface port;

means for detachably connecting said connector body means and said mounting structure means for communicating said fresh gas interface ports to one another and said patient overflow interface ports to one another;

said single use portion including;

patient airway communication means;

elongated breathing tube means having a first port coupled to said patient airway communication means and a second port coupled to said single use portion fresh gas interface port;

overflow means communicating said patient airway communication means to said single use portion patient overflow interface port; and

patient breathing reservoir means having an entrance opening coupled to said breathing tube means proximate to the second port thereof;

said reusable portion including;

patient valve means having an inlet port coupled to said reusable portion patient overflow interface port; and

control means for establishing the level of pressure at said inlet port for opening said patient valve means;

said control means including;

container means;

means in communication with said container means for varying the pressure therein;

means mounting said patient breathing reservoir means in said container means whereby pressure variations therein will produce corresponding variations in said reservoir means;

said means for detachably connecting said connector body means and said mounting structure means including latching means for automatically latching said connector body means to said mounting structure means when said connector body means is seated on said mounting structure means to functionally mate said fresh gas interface ports to one another and said patient overflow ports to one another;

selectively actuatable unlatching means, said unlatching means being the sole means for unlatching said latching means;

said selectively actuatable unlatching means including means for ejecting said connector body means from said mounting structure means.

5. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system including:

a single use structural portion including connector body means defining a fresh gas interface port and a patient overflow interface port;

a reusable structural portion including mounting structure means defining a fresh gas interface port and a patient overflow interface port;

means for detachably connecting said connector body means and said mounting structure means for communicating said fresh gas interface ports to one another and said patient overflow interface ports to one another;

said single use portion including;

patient airway communication means;

elongated breathing tube means having a first port coupled to said patient airway communication means and a second port coupled to said single use portion fresh gas interface port;

overflow means having a first end coupled to said breathing tube means and a second end coupled to said single use portion patient overflow interface port; and

patient breathing reservoir means having an entrance opening coupled to said breathing tube means proximate to the second port thereof;

said reusable portion including;

patient valve means having an inlet port coupled to said reusable portion patient overflow interface port; and

control means for establishing the level of pressure at said inlet port for opening said patient valve means;

said control means including;

container means;

means in communication with said container means for varying the pressure therein;

means mounting said patient breathing reservoir means in said container means whereby pressure variations therein will produce corresponding variations in said reservoir means; and

wherein

said means for detachably connecting said connector body means and said mounting structure means includes mating means on said connector body means dimensioned to be seated on said mounting structure for mating operatively (1) said fresh gas interface ports to one anotehr to permit gas flow therebetween and (2) said patient overflow ports to one another to permit gas flow therebetween;

means for sensing whether said connector body means is seated on said mounting structure; and

means for permitting gas flow out of said mounting structure means fresh gas interface port only when said connector body means is seated.

6. The system of claim 5 wherein said means for detachably connecting further includes latching means for latching said connector body means to said mounting structure means when they are seated together.

7. The system of claim 6 further including manually actuatable means for unlatching said latching means.

8. The system of claim 5 wherein said single use portion further includes CO₂ absorber means for removing carbon dioxide from gas flow to said patient airway communication means.

9. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system including:

patient breathing means defining a fresh gas inlet port;

fresh gas control means defining a fresh gas outlet port;

mating means for detachably mating said patient breathing means and said fresh gas control means with said inlet and outlet ports in communication; and

means for permitting gas flow from said outlet port only when said patient breathing means and said fresh gas control means are mated together;

said means for permitting gas flow including sensor means for sensing when said patient breathing means and said fresh gas control means are mated together; and

means including valve means responsive to said sensor means.

10. The system of claim 9 wherein said mating means includes means for latching said patient breathing means and said fresh gas control means to one another.

11. The system of claim 10 wherein said patient breathing means and said fresh gas control means are respectively configured for relative movement in a first direction;

and wherein

said latching means includes a latch member mounted for reciprocal movement in a second direction, substantially perpendicular to said first direction, in response to relative movement between said patient breathing means and said fresh gas control means.

12. The system of claim 11 further including selectively actuatable release means for moving said latch member so as to unlatch said patient breathing means and said fresh gas control means.

13. The system of claim 12 further including selectively actuatable eject means for urging apart said patient breathing means and said fresh gas control means.

14. The system of claim 9 wherein said patient breathing means includes:

connector body means defining said fresh gas inlet port, a breathing tube port, and passageway means for communicating said fresh gas inlet port and said breathing tube port; and

breathing tube means connected to said connector body for communicating with said breathing tube port.

15. The system of claim 14 wherein said fresh gas control means includes mounting means for accommodating said connector body means in a seated position with said inlet and outlet ports in communication;

and wherein said mating means includes;

a latch receptacle formed in said connector body; and

a latch member supported on said mounting means for extending into said latch receptacle when said connector body means is seated in said mounting means.

16. The system of claim 15 wherein said latch member is mounted for reciprocal movement toward and away from said latch receptacle;

means responsive to said connector body means moving toward said seated position for moving said latch member away from said latch receptacle; and

means urging said latch member into said latch receptacle when said connector body means is in said seated position.

17. The system of claim 16 including selectively actuatable pneumatic means for moving said latch member out of said latch receptacle.

18. The system of claim 17 further including eject means responsive to said pneumatic means for forcing said connector body means out of said seated position.

19. The anesthesia system of claim 9 wherein said fresh gas control means further includes:

control member means mounted for movement between an off position for preventing gas flow from said outlet port to said inlet port, and a ventilating position for allowing gas flow from said outlet port to said inlet port; and

means responsive to said sensor means for permitting movement of said control member means from said off to said ventilating position only when said patient breathing means and said fresh gas control means are mated together.

20. The system of claim 19 wherein said control member means includes a control member mounted for rotational movement between said off and ventilating positions;

and wherein

said means responsive to said signal includes locking means for normally locking said control member against said rotational movement, said locking means being responsive to said signal for releasing said control member.

21. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system including:

patient breathing means defining a fresh gas inlet port;

fresh gas control means defining a fresh gas outlet port;

mating means for detachably mating said patient breathing means and said fresh gas control means with said inlet and outlet ports in communication;

said mating means comprising latching means for latching said patient breathing means and said fresh gas control means to one another in response to relative movement therebetween;

selectively actuatable unlatching means, said unlatching means being the sole means for unlatching said latching means;

sensor means for sensing whether said patient breathing means and said fresh gas control means are mated together; and

means including valve means responsive to said sensor means for coupling said fresh gas supply means to said fresh gas outlet port only when said patient breathing means and said fresh gas control means are mated together.

22. The system of claim 21 wherein said patient breathing means and said fresh gas control means are respectively configured for relative movement in a first direction;

and wherein

said latching means includes a latch member mounted for reciprocal movement in a second direction, substantially perpendicular to said first direction, in response to relative movement between said patient breathing means and said fresh gas control means.

23. The system of claim 21 wherein said patient breathing means includes:

connector body means defining said fresh gas inlet port, a breathing tube port, and passageway means for communicating said fresh gas inlet and said breathing tube ports; and

breathing tube means connected to said connector body for communicating with said breathing tube port.

24. The system of claim 23 wherein said fresh gas control means includes mounting means for accommodating said connector body means in a seated position with said inlet and outlet ports in communication;

and wherein said latching means includes;

a latch receptacle formed in said connector body; and

a latch member supported on said mounting means for extending into said latch receptacle when said connector body means is seated in said mounting means.

25. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system including:

breathing tube means including a patient airway communication means and a connector body means defining a fresh gas inlet port and a monitoring outlet port;

mounting means defining a fresh gas outlet port and a monitoring inlet port;

said connector body means being configured to mate with said mounting means to concurrently establish communication between said fresh gas inlet and fresh gas outlet ports and said monitoring outlet and monitoring inlet ports

mating latching means carried by said mounting means and said connector body means for engaging in response to said connector body means being mated to said mounting means; and

monitoring tube means extending through said breathing tube means for coupling said monitoring outlet port to said patient airway communication means.

26. The system of claim 25 wherein said connector body means further defines an overflow outlet port;

and wherein

said mounting means further defines an overflow inlet port positioned so as to communicate with said overflow outlet port when said connector body means is seated.

27. The system of claim 25 further including means for permitting gas flow from said fresh gas outlet port to said fresh gas inlet port only when said connector body means is seated.

28. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system including:

patient breathing means defining a fresh gas inlet port;

fresh gas control means defining a fresh gas outlet port;

mating means for detachably mating said patient breathing means and said fresh gas control means with said inlet and outlet ports in communication;

control member means mounted for movement between an off position for preventing gas flow from said outlet port to said inlet port and a ventilating position for allowing gas flow from said outlet port to said inlet port;

locking means for normally locking said control member means against movement from said off position to said ventilating position; and

sensor means responsive to said patient breathing means and said fresh gas control means being mated together for disabling said locking means to permit movement of said control member means to said ventilating position.

29. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system including:

patient breathing means defining a fresh gas inlet port;

fresh gas control means defining a fresh gas outlet port;

mating means for detachably mating said patient breathing means and said fresh gas control means with said inlet and outlet ports in communication;

control member means mounted for movement between an off position for preventing gas flow from said outlet port to said inlet port and a ventilating position for allowing gas flow from said outlet port to said inlet port; and

sensor means for permitting gas flow from said outlet port to said inlet port only when said patient breathing means and said fresh gas control means are mated together;

including means for latching said patient breathing means and said fresh gas control means to one another; and

unlatching means selectively operable only when said control member means defines said off position for unlatching said patient breathing means and said fresh gas control means.

30. Patient circuit means suitable for use with an anesthesia control apparatus having a fresh gas outlet port, and a latch member and inclined surface member each mounted for linear reciprocal movement, said patient circuit means comprising:

patient airway communication means;

a connector body defining a fresh gas inlet port, a breathing tube port, and passageway means communicating said fresh gas inlet and said breathing tube ports;

breathing tube means connecting said breathing tube port to said patient airway communication means;

said connector body including latching means for latching said connector body to said anesthesia control apparatus with said fresh gas inlet port aligned with said fresh gas outlet port, said latching means including a depending member defining a receptacle for accommodating said latch member mounted on said anesthesia control apparatus;

said depending member further defining a terminal surface for engaging said latch member to move it linearly in a first direction when said connector body is moved in a second direction perpendicular to said first direction;

said depending member further defining a ramp surface engagable by said linearly moveable inclined surface on said anesthesia control apparatus for ejecting said connector body from said control apparatus.

31. The circuit means of claim 30 wherein said connector body further includes a patient reservoir port and passageway means communicating said fresh gas inlet to said patient reservoir port;

and

a flexible patient breathing reservoir communicating with said patient reservoir port.

32. The circuit means of claim 30 further including CO₂ absorber means coupled to said connector body for removing carbon dioxide from gas flow to said patient airway communication means.

33. Patient circuit means for use with an anesthesia control apparatus having a fresh gas outlet port, said circuit means comprising:

patient airway communication means;

patient breathing reservoir means adapted to communicate with said fresh gas outlet port;

elongated breathing tube means having an open first end coupled to said patient airway communication means, an open second end coupled to said patient breathing reservoir means, and an overflow port located proximate to said first end;

elongated overflow tube means having an open first end coupled to said overflow port and an open second end adapted to communicate with an overflow valve means;

one way expiratory valve means in said breathing tube means located between said overflow port and said second end for permitting gas flow only in a direction from said overflow port to said second end;

inspiratory tube means having an open first end coupled to said patient breathing reservoir means and an open second end coupled to said breathing tube means between the first end thereof and said expiratory valve means;

said inspiratory tube means including one way inspiratory valve means for permitting gas flow only in a direction from said first to said second end of said inspiratory tube means.

34. The circuit means of claim 33 further including a connector body including a fresh gas inlet port adapted to be coupled to said fresh gas outlet port, a patient breathing port adapted to be coupled to said patient breathing reservoir means, and fresh gas passageway means communicating said fresh gas inlet and patient breathing ports.

35. The circuit means of claim 34 wherein said connector body includes means depending therefrom for engaging a latch member on said anesthesia control apparatus when said connector body is seated onto said control apparatus;

and wherein

said depending means includes receptacle means for receiving said latch member.

36. The circuit means of claim 34 further including CO₂ absorber means coupled to said connector body for removing carbon dioxide from gas flow to said patient airway communication means.

37. The circuit means of claim 34 wherein said connector body further includes a monitoring interface port;

and

monitoring means coupling said patient airway communication means to said monitoring interface port.

38. Patient circuit means for use with an anesthesia control apparatus having a mounting means defining a fresh gas port and a monitoring port, said circuit means comprising:

patient airway communication means;

connector body means including a mating portion defining a fresh gas interface port and a monitoring interface port, said mating portion being configured to mate with said mounting means to concurrently establish communication of said fresh gas ports to one another and said monitoring ports to one another;

mating latching means carried by said mounting means and said mating portion for engaging in response to said mating portion means being mated to said mounting means;

said connector body means further including a breathing tube port coupled internally through said connector body means to said fresh gas interface port;

breathing tube means coupling said patient airway communication means to said breathing tube port; and

monitoring tube means extending substantially coextensive with said breathing tube means for coupling said patient airway communication means to said monitoring interface port.

39. The circuit means of claim 38 wherein said connector body means mating portion further defines an overflow interface port;

and wherein

said connector body means further includes an overflow tube port coupled internally through said connector body means to said overflow interface port; and

overflow tube means coupling said patient airway communication means to said overflow tube port.

40. The circuit means of claim 38 wherein said connector body means further includes a patient reservoir port and passageway means extending internally through said connector body means for coupling said patient reservoir port to said fresh gas interface port;

and

a flexible patient breathing reservoir communicating with said patient reservoir port.

41. The circuit means of claim 38 wherein said connector body means includes means depending therefrom for engaging a latch member on said anesthesia control apparatus when said connector body means is seated onto said control apparatus.

42. The circuit means of claim 38 further including CO₂ absorber means coupled to said connector body means for removing carbon dioxide from gas flow to said patient airway communication means.

43. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system comprising:

(1) patient circuit means including;

(a) patient airway communication means;

(b) patient reservoir means;

(c) breathing tube means having a first port coupled to said patient airway communication means, a second port coupled to said patient reservoir means, and a third port coupled to said fresh gas supply means;

(d) patient valve means including means for communicating inlet and outlet ports in response to pressure at said inlet port exceeding a control pressure;

(e) overflow passageway means having a first end coupled to said breathing tube means and a second end coupled to said patient valve means inlet port; and

(2) control circuit means for producing said control pressure, said control circuit means including;

(a) container means for accomodating said patient reservoir means; and

(b) means for varying the pressure in said container means to produce corresponding pressure variations in said patient reservoir means, said pressure varying means comprising;

(b1) working gas source means for supplying gas to said container means;

(b2) manual means including outside bag means communicating with said container means, adapted to be squeezed by a user, for producing pressure changes in said container means;

(b3) non-manual means for producing pressure changes;

(b4) user operable selector means for selectively coupling either said manual means or said non-manual means to said container;

(b5) overflow means for venting excess working gas from said outside bag and container means, said overflow means including user operable variable means for variably controlling gas flow through said overflow means;

(b6) said user operable selector means and said user operable variable flow means includes a common manually operable control member.

44. The system of claim 43 wherein said control circuit means further includes:

bias means having inlet and outlet ports;

means communicating said bias means inlet port with the pressure in said container means;

said bias means including means responsive to the pressure in said container means exceeding a predetermined bias for venting gas through said bias means outlet port.

45. The system of claim 43 wherein said patient valve means outlet port is coupled to said manual means for supplying working gas thereto.

46. The system of claim 43 further including:

a high pressure gas source; and

user operable means for selectively coupling said high pressure gas source to said manual means for supplying working gas thereto.

47. The system of claim 43 further including:

a high pressure gas source;

fill means actuatable for supplying gas from said high pressure gas source to said container means;

dump means actuatable for venting gas from said container means; and

user operable control means for concurrently actuating said fill means and said dump means.

48. The system of claim 47 wherein said dump means includes bias means for venting gas from said container means when the gas pressure therein exceeds a bias defined by said bias means.

49. The system of claim 48 wherein said user operable control means includes means for maintaining said dump means actuated slightly later than said concurrent actuation of said fill means and said dump means whereby gas pressure in said container means will be established by said bias means.

50. The system of claim 48 wherein said user operable control means includes means for actuating said dump means slightly earlier than said concurrent actuation of said fill means and said dump means for venting excess gas from said container means.

51. The system of claim 47 wherein said user operable control means includes a single control member manually operable to actuate both said fill means and said dump means.

52. The system of claim 51 wherein said single control member is mounted for movement between a rest position and an actuated position for actuating said fill means and said dump means.

53. The system of claim 52 wherein said user operable variable flow means includes said single control member;

and

means responsive to rotation of said single control member for variably opening said overflow means.

54. The system of claim 43 further including:

nonmanual means for producing pressure changes in said container means; and

user operable selector means for selectively coupling either said manual means or said nonmanual means to said container means.

55. The system of claim 54 further including:

a high pressure gas source; and

user operable means for selectively coupling said high pressure gas source to said manual means or said nonmanual means for supplying working gas thereto.

56. The system of claim 54 wherein said user operable selector means and said user operable variable flow means includes a common manually operable control member;

means mounting said control member for movement between a manual position for coupling said manual means to said container and nonmanual position for coupling said nonmanual means to said container means.

57. The system of claim 54 further including:

a high pressure gas source;

fill means actuatable for supplying gas from said high pressure gas source to said container means;

dump means actuatable for venting gas from said container means; and

means for concurrently actuating said fill means and said dump means.

58. The system of claim 54 wherein said user operable selector means and said user operable variable flow means includes a common manually operable control member;

means mounting said control member for movement between a manual position for coupling said manual means to said container means and a nonmanual position for coupling said nonmanual means to said container means.

59. The system of claim 58 further including:

a high pressure gas source;

fill means actuatable for supplying gas from said high pressure gas source to said container means;

dump means actuatable for venting gas from said container means; and

means responsive to said control member moving into said manual or nonmanual positions for concurrently actuating said fill means and said dump means.

60. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system comprising:

(1) patient circuit means including;

(a) patient airway communication means;

(b) patient reservoir means;

(c) breathing tube means having a first end, said first and having a first port coupled to said patient airway communication means, a second port coupled to said patient reservoir means, a second end having a port coupled to said fresh gas supply means, and an overflow port located proximate to said first end;

(d) patient valve means including means for communicating inlet and outlet ports in response to pressure at said inlet port exceeding a control pressure;

(e) overflow passageway means having a first end coupled to said breathing tube means and a second end coupled to said patient valve means inlet port;

(f) one way expiratory valve means in said breathing tube means located between the overflow port and second end thereof for permitting gas flow therein only in a direction from said breathing tube means overflow port to the second end thereof; and

(2) control circuit means for producing said control pressure, said control circuit means including;

(a) container means for accommodating said patient reservoir means;

(b) outside bag means coupled to said container means and adapted to be squeezed by a user therein to produce corresponding pressure variations in said patient reservoir means;

(c) control means for selectively defining either a first automatic bag mode or a second manual bag mode;

(d) working gas source means;

(e) means opeable during said manual bag mode for supplying working gas from said working gas source means to said outside bag means and container means; and

(f) user opeable variable overflow means operable during said manual bag mode for variably venting excess working gas from said outside bag means and container means.

61. The system of claim 60 further including:

fill means actuatable for supplying gas from said working gas source means to said container means;

dump means actuatable for venting gas from said container means; and

wherein

said control means includes means for concurrently actuating said fill means and said dump means.

62. The system of claim 60 further including

fill means actuatable for supplying gas from said working gas source means to said container means;

dump means actuatable for venting gas from said container means; and

means responsive to said control means switching from one mode to the other mode for concurrently actuating said fill means and said dump means.

63. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system comprising:

(1) patient circuit means including;

(a) patient airway communication means;

(b) patient reservoir means;

(c) breathing tube means having a first port coupled to said patient airway communication means, a second port coupled to said patient reservoir means, and a third port coupled to said fresh gas supply means;

(d) patient valve means including means for communicating inlet and outlet ports in response to pressure at said inlet port exceeding a control pressure;

(e) overflow passageway means having a first end coupled to said breathing tube means and a second end coupled to said patient valve means inlet port; and

(2) control circuit means for producing said control pressure, said control circuit means including;

(a) container means for accommodating said patient reservoir means; and

(b) means for varying the pressure in said container means to produce corresponding pressure variations in said patient reservoir means, said pressure varying means comprising;

(b1) manual means, including outside bag means adapted to be squeezed by a user, for producing pressure changes;

(b2) nonmanual means for producing pressure changes;

(b3) user operable selector means for selectively coupling either said manual means or said nonmanual means to said container means;

(b4) bias means having inlet and outlet ports;

(b5) means communicating said bias means inlet port with the pressure in said container means and wherein

(b6) said bias means allows gas flow out of said container means only when the pressure therein exceeds a

predetermined bias said predetermined bias creating a positive end expiratory pressure on said patent reservoir means.

64. The system of claim 63 further including:

a high pressure gas source;

fill means actuatable for supplying gas from said high pressure gas source to said container means;

dump means actuatable for venting gas from said container means; and

user operable control means for concurrently actuating said fill means and said dump means.

65. The system of claim 64 wherein said dump means includes second bias means for venting gas from said container means when the gas pressure therein exceeds a bias defined by said second bias means.

66. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system comprising:

(1) patient circuit means including;

(a) patient airway communication means;

(b) patient reservoir means;

(c) breathing tube means having a first port coupled to said patient airway communication means, a second port coupled to said patient reservoir means, and a third port coupled to said fresh gas supply means;

(d) patient valve means including means for communicating inlet and outlet ports in response to pressure at said inlet port exceeding a control pressure;

(e) overflow passageway means having a first end coupled to said breathing tube means and a second end coupled to said patient valve means inlet port;

(2) a high pressure gas source; and

(3) control circuit means for producing said control pressure, said control circuit means including;

(a) container means for accommodating said patient reservoir means;

(b) outside bag means coupled to said container means and adapted to be squeezed by a user to produce pressure variations in said patient reservoir means;

(c) fill means actuatable for supplying gas from said high pressure gas source to said container means;

(d) dump means actuatable for venting gas from said container means; and

(e) user operable control means for concurrently actuating said fill means and said dump means, said user operable control means comprising a single selectively operable control member.

67. The system of claim 66 wherein said fill means additionally supplies gas from said high pressure gas source to said patient circuit means.

68. The system of claim 66 wherein said dump means includes bias means for venting gas from said container means when the gas pressure therein exceeds a bias defined by said bias means.

69. The system of claim 66 wherein said user operable control means includes means for maintaining said dump means actuated slightly later than said concurrent actuation of said fill means and said dump means whereby gas pressure in said container means will be established by said biased check valve means.

70. The system of claim 66 wherein said user operable control means includes means for actuating said dump means slightly earlier than said concurrent actuation of said fill means and said dump means for venting excess gas from said container means.

71. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system comprising:

(1) patient circuit means including;

(a) patient airway communication means;

(b) patient reservoir means;

(c) breathing tube means having a first port coupled to said patient airway communication means, a second port coupled to said fresh gas supply means;

(d) patient valve means including means for communicating inlet and outlet ports in response to pressure at said inlet port exceeding a control pressure;

(e) overflow passageway means having a first end coupled to said breathing tube means and a second end coupled to said patient valve means inlet port;

(2) a high pressure gas source; and

(3) control circuit means for producing said control pressure, said control circuit means including;

(a) container means coupled to said patient valve means outlet port for accommodating said patient reservoir means;

(b) outside bag means coupled to said container means and adapted to be squeezed by a user to produce pressure variations in said patient reservoir means;

(c) fill means actuatable for supplying gas from said high pressure gas source to said patient circuit means;

(d) dump means actuatable for venting gas from said container means; and

(e) user operable control means for concurrently actuating said fill means and said dump means, said user operable control means comprising a single selectively operable control member.

72. The system of claim 71 wherein said dump means includes bias means for venting gas from said container means when the gas pressure therein exceeds a bias defined by said bias means.

73. In an anesthesia system including:

(1) patient circuit means comprising;

(a) patient airway communication means;

(b) patient reservoir means;

(c) breathing tube means having a first port coupled to said patient airway communication means and a second port coupled to said patient reservoir means;

(d) patient valve means including means for communicating inlet and outlet ports in response to pressure at said inlet port exceeding a control pressure;

(e) overflow passageway means having a first end coupled to said breathing tube means and a second end coupled to said patient valve means inlet port;

(2) a gas source; and

(3) control circuit means for producing said control pressure, said control circuit means including;

(a) container means for accommodating said patient reservoir means; and

(b) outside bag means adapted to be squeezed by a user coupled to said container means for producing pressure variations in said patient reservoir means, the improvement comprising;

fill means actuatable for supplying gas from said gas source to said container means;

dump means actuatable for venting gas from said container means;

a unitary control member mounted for movement between a rest position and an actuated position; and

means responsive to said control member moving to said actuated position for actuating both said fill means and said dump means.

74. The improvement of claim 73 further including

flush means actuatable in response to said control member moving to said actuated position for supplying gas from said gas source to said patient circuit means.

75. The combination of claim 73 further including:

overflow valve means for venting excess gas from said outside bag means; and

wherein

said control member is mounted for rotational movement; and

means responsive to said control member rotational movement for variably opening said overflow valve means.

76. In an anesthesia system including:

(1) patient circuit means comprising;

(a) patient airway communication means;

(b) patient reservoir means;

(c) breathing tube means having a first port coupled to said patient airway communication means and a second port coupled to said patient reservoir means;

(d) patient valve means including means for communicating inlet and outlet ports in response to pressure at said inlet port exceeding a control pressure;

(e) overflow passageway means having a first end coupled to said breathing tube means and a second end coupled to said patient valve means inlet port;

(2) a gas source; and

(3) control circuit means for producing said control pressure, said control circuit means including;

(a) container means for accommodating said patient reservoir means;

(b) manual means adapted to be squeezed by a user for producing pressure variations; and

(c) nonmanual means for producing pressure variations;

the improvement comprising;

a single control member mounted for rotational movement between a first manual position and a second nonmanual position;

means responsive to said control member defining said manual position for coupling said manual means to said container means for producing pressure variations therein;

variable overflow means coupled to said manual means for variably venting gas therefrom;

said control member being capable of limited rotational movement when in said manual position for varying said overflow means; and

means responsive to said control member defining said nonmanual position for coupling said nonmanual means to said container means for producing pressure variations therein.

77. The system of claim 76 further including:

fill means actuatable for supplying gas from said gas source to said container means;

dump means actuatable for venting gas from said container means; and

wherein

said single control member is also capable of movement between a rest position and an actuated position; and

means responsive to said control member defining said actuated position for actuating said fill means and said dump means.

78. The system of claim 77 further including:

means for compelling said control member to move into said actuated position in order to switch between said manual and nonmanual positions.

79. Patient circuit means for use in an anesthesia system for delivering fresh anesthesia gas to a patient'"'"'s airway, said patient circuit means including:

elongated breathing tube means having a first end adapted to communicate with the patient'"'"'s airway and a second end adapted to communicate with a source of fresh anesthesia gas, said breathing tube means further including an overflow port located proximate to said first end;

elongated overflow tube means, substantially coextensive with said breathing tube means, having open first and second ends, said first end being coupled to said overflow port;

patient overflow valve means coupled to said overflow tube means second end for permitting gas flow in said overflow tube means only in a direction from the first to the second end thereof;

means mounting said overflow valve means in close proximity to said elongated breathing tube means second end;

one way expiratory valve means in said breathing tube means located between the overflow port and second end thereof for permitting gas flow therein only in a direction from said breathing tube means overflow port to the second end thereof;

inspiratory tube means having an open first end coupled to said breathing tube means between said overflow port and second end thereof and an open second end coupled to said breathing tube means proximate to the first end thereof;

said inspiratory tube means including one way inspiratory valve means for permitting gas flow only in a direction from said first to said second end of said inspiratory tube means.

80. The circuit means of claim 79 further including

CO₂ absorber means for reducing the carbon dioxide content of gas flowing from said inspiratory tube means second end.

81. A method of operating an anesthesia delivery system comprised of a patient circuit portion and a control circuit portion including the concurrent steps of:

supplying high pressure gas to flush said patient circuit portion and fill said control circuit portion; and

venting said control circuit portion through a bias means for establishing a predetermined gas volume and pressure therein.

82. The method of claim 81 including the further step of manually actuating a single control member to cause said selective supplying of high pressure gas to both said patient circuit portion and said control circuit portion.

83. The method of claim 82 wherein said step of actuating said control member also causes said venting of said control circuit portion.

84. The method of claim 83 including the further step of initiating said venting earlier than said supplying of high pressure gas.

85. The method of claim 83 including the further step of terminating said venting after the termination of said supplying of high pressure gas.

86. The method of claim 82 wherein said step of actuating said single control member includes the step of manually depressing said control member to move it substantially linearly along a longitudinal axis.

87. The method of claim 86 including the further step of selectively rotating said control member to variably vent said control circuit portion.

88. A method of operating an anesthesia delivery system including a patient circuit portion comprising the steps of:

selectively supplying high pressure gas to said patient circuit portion while concurrently venting said patient circuit portion through a bias means for establishing a predetermined gas volume and pressure in said patient circuit portion; and

initiating said venting earlier than said supplying of high pressure gas

89. The method of claim 88 including a further step of manually actuating a single control member to cause said selective supplying of high pressure gas and venting of said patient circuit portion.

90. The method of claim 89 wherein said step of actuating said single control member includes the step of manually depressing said control member to move it substantially linearly along a longitudinal axis.

91. The method of claim 90 including a further step of selectively rotating said control member to variably vent said patient circuit portion.

92. The method of claim 89 including the further step of terminating said venting after the termination of said supplying of high pressure gas.

93. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system comprising:

(1) patient circuit means including;

(a) patient airway communication means;

(b) breathing tube means having a first port coupled to said patient airway communication means, a second port coupled to said fresh gas supply means;

(c) patient valve means including means for communicating inlet and outlet ports in response to pressure at said inlet port exceeding a reference pressure;

(d) overflow passageway means having a first end coupled to said breathing tube means and a second end coupled to said patient valve means inlet port;

(2) a high pressure gas source;

(3) fill means actuatable for supplying gas from said high pressure gas source to said patient circuit means;

(4) dump means actuatable for venting gas from said patient circuit means; and

(5) user operable control means for concurrently actuating said fill means and said dump means, said user operable control means comprising a single selectively operable control member.

94. The system of claim 93 wherein said dump means includes bias means for venting gas from said patient circuit means when the gas pressure therein exceeds a bias defined by said bias means.

95. The system of claim 93 wherein said user operable control means includes means for maintaining said dump means actuated slightly later than said concurrent actuation of said fill means and said dump means whereby gas pressure in said patient circuit means will be established by said biased means.

96. The system of claim 93 wherein said user operable control means includes means for actuating said dump means slightly earlier than said concurrent actuation of said fill means and said dump means for venting excess gas from said patient circuit means.

97. The system of claim 93 wherein said patient circuit means further includes patient breathing reservoir means for defining a variable gas storage volume.

98. The system of claim 93 wherein said patient circuit means further includes CO₂ absorber means for reducing the carbon dioxide content of gas flowing to said patient airway communication means.

99. An anesthesia system for coupling a fresh gas supply means to a patient'"'"'s airway, said system including:

a single use structural portion including connector body means defining a fresh gas interface port and a patient overflow interface port;

a reusable structural portion including mounting structure means defining a fresh gas interface port and a patient overflow interface port;

means for detachably connecting said connector body means and said mounting structure means for communicating said fresh gas interface ports to one another and said patient overflow interface ports to one another;

said single use portion including;

patient airway communication means;

elongated breathing tube means having a first port coupled to said patient airway communication means and a second port coupled to said single use portion fresh gas interface port;

overflow means communicating said patient airway communication means to said single use portion patient overflow interface port; and

patient breathing reservoir means having an entrance opening coupled to said breathing tube means proximate to the second port thereof;

said reusable portion including;

patient valve means having an inlet port coupled to said reusable portion patient overflow interface port for venting gas from said single use portion; and

control means for controlling the opening of said

patient valve means;

said control means including;

container means;

means in communication with said container means for varying the pressure therein;

means mounting said patient breathing reservoir means in said container means whereby pressure variations therein will produce corresponding variations in said reservoir means; and

expiratory pressure regulator means for venting gas from said patient valve means only when the pressure in said single use portion exceeds a first positive threshold level and for passing gas displaced from said container means only when the pressure therein exceeds said first positive threshold level to thus establish a positive end expiratory pressure against which a patient can breathe.

100. The system of claim 99 further including spirometer means isolated from gas supplied to said patient airway communication means for measuring the gas flow into and/or out of said container means.

101. In an anesthesia system including a patient circuit for coupling a fresh gas supply to a patient'"'"'s airway wherein said patient circuit includes valve means for venting gas from the patient circuit and a variable volume reservoir means for alternately (1) receiving gas during patient exhalation and (2) supplying stored gas during patient inhalation, the improvement comprising:

a constant volume container means for accommodating said variable volume reservoir means;

exit path means for passing gas displaced from said container means; and

bias means for establishing a positive end expiratory pressure against which a patient breathes, said bias means defining a positive threshold pressure only above which said valve means vents gas from said patient circuit and said exit path means passes gas from said container means.

102. The system of claim 101 further including spirometer means isolated from gas inhaled by said patient for measuring the gas flow into and/or out of said container means.