Apparatus and method for a ventilator system

• US 5,092,326 A
• Filed: 11/19/1987
• Issued: 03/03/1992
• Est. Priority Date: 11/19/1987
• Status: Expired due to Fees

• Current Assignee: Bryan D. Winn, Howard J. Waugh Jr
• Original Assignee: Bryan D. Winn, Howard J. Waugh Jr
• Inventors: Waugh, Howard J. Jr., Winn, Bryan D.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): LACYK, JOHN P
• Application Number:
  US07/122,837
• Time in Patent Office: 1,566 Days
• Field of Search: 128/200.24, 128/203.12, 128/203.25, 128/204.18, 128/204.21, 128/204.22, 128/205.11, 128/205.16, 128/205.13, 128/205.18 , 128/205.19, 128/205.24
• US Class Current: 128/205.13
• CPC Class Codes: A61M 16/0096 High frequency jet ventilation
• CPC Class Codes: A61M 2016/1025 the O2 concentration

Abstract

An apparatus and method for a ventilator system which may be operated over a high range of frequencies from zero (0) to fifty (50) hertz as may be predetermined. A high frequency oscillator (14) has a pneumatically operated piston drive device (16) which may be operated at a predetermined frequency, a predetermined stroke length, and at a predetermined ratio between the time periods for the pressure stroke and the suction stroke. The piston (76) is operated from a plurality of solenoid operated valves (91). A microprocessor (92) controls the electronic operation of the valves (91) by suitable output signals.

Claims

1. A system for controlling the inhalation and exhalation of a gas mixture to and from an airway of a patient comprising

a gas chamber and a gas delivery line extending from the gas chamber to the airway of the patient;

an oscillating member supported in said gas chamber for movement in a pressure stroke in one direction for providing gas to the airway and a suction stroke in an opposite direction for exerting a suction to aid in exhalation of gas from the airway;

a piston and cylinder combination connected to said oscillating member for moving said oscillating member at a desired frequency and length of stroke, said combination including a piston chamber and piston mounted therein for reciprocal movement;

pneumatically operated means operatively connected to said combination for selectively providing air to said piston chamber for driving said piston; and

a microprocessor operatively connected to said pneumatically operated means for controlling the frequency and length of stroke of said piston.

2. A system as set forth in claim 1 wherein said pneumatically operated means includes a solenoid operated pneumatic valve connected to said piston and cylinder combination and a source of compressed air for said pneumatic valve, and said microprocessor provides an output signal for actuation of said pneumatic valve.

3. A system as set forth in claim 2 wherein a regulator is provided between said source of compressed air and said pneumatic valve, and said microprocessor provides an output signal to said regulator for controlling the actuation of said pneumatic valve.

4. A system as set forth in claim 2 wherein said solenoid operated pneumatic valve includes a plurality of redundant solenoid operated pneumatic valves operatively connected to said piston and cylinder combination and being operative only in the event of malfunctioning of the pneumatically operated pneumatic valve.

5. A system as set forth in claim 1 wherein said pneumatically operated means includes a solenoid operated pneumatic valve connected to said piston and cylinder combination;

a source of compressed air for said pneumatic valve utilized in the pressure stroke of the oscillating member;

a vacuum source for said pneumatic valve utilized in the suction stroke of the oscillating member;

a regulator between said source of compressed air and said pneumatic valve;

a regulator between said vacuum source and said pneumatic valve; and

said microprocessor providing output signals to said regulator for controlling the actuation of said pneumatic valve and said oscillating member.

6. A system as set forth in claim 5 wherein a pressure transducer is provided for each regulator for sensing the fluid pressure thereat, and an output signal is sent by each pressure transducer to said microprocessor representing the positive fluid pressure and negative fluid pressure exerted against said pneumatic valve.

7. A system as set forth in claim 1 wherein said oscillating member comprises a diaphragm mounted within said gas chamber and exposed to the airway of the patient;

and

said oscillating member including a quick disconnect mechanism for removal and replacement.

8. A system as set forth in claim 1 wherein an oxygen source is in fluid communication with the gas delivery line to said airway, and said microprocessor controls the amount of oxygen supplied to the airway from the oxygen source.

9. A system as set forth in claim 1 wherein a source of air and a source of oxygen are in fluid communication with the gas delivery line to said airway, and said microprocessor controls the gas mixture of oxygen and air supplied to the airway.

10. A system as set forth in claim 9 wherein means are provided to moisten said gas mixture supplied to the airway, and said microprocessor controls the amount of moisture supplied to the gas mixture.

11. A system as set forth in claim 9 wherein means are provided to heat said gas mixture supplied to said airway to a predetermined temperature, and said microprocessor controls the predetermined temperature to which said gas mixture is heated.

12. A system as set forth in claim 1 wherein means are provided to vary the time period of the pressure stroke in an operating cycle in relation to the time period for the suction stroke in an operating cycle.

13. A system as set forth in claim 12 wherein the time period for the pressure stroke in an operating cycle is substantially greater than the time period of said suction stroke thereby to assist in the rapid delivery of a predetermined medication to said airway.

14. A system as set forth in claim 12 wherein the time period for the suction stroke of an operating cycle is substantially greater than the time period for said pressure stroke thereby to assist in a rapid removal of fluids from the airway.

15. A system as set forth in claim 1 wherein an anesthesia gas source is provided in fluid communication with said air delivery line to the airway for delivery to the patient.

16. A respiratory system for controlling the delivery of gas to the airway of a patient comprising:

a displacable gas delivery means for forcing periodically in one direction of travel a volume of gas under pressure into the airway of a patient throughout an inhalation period of a respiratory cycle for effecting flow of said gas to the airway;

drive means operatively connected to said gas delivery means to displace the volume of gas to be delivered in a positive pressure stroke in one direction of travel from a first position to a second position and to effect the flow of gas from the airway throughout an exhalation period of the respiratory cycle in a return suction stroke in an opposite direction of travel from the second position to the first position; and

means to vary the frequency of the respiratory cycles to a predetermined number of cycles per second; and

means are provided to vary the time period of the inhalation period of the respiratory cycle relative to the time period of the exhalation period thereof; and

said drive means comprises a piston and cylinder combination and said displacable gas delivery means comprises a diaphragm operatively connected to the piston for movement therewith.

17. The respiratory system of claim 16 wherein a source of air and a source of oxygen are in fluid communication with the gas delivery means for providing a predetermined mixture of air and oxygen to the patient.

18. The respiratory system of claim 16 wherein a microprocessor is operatively connected to said drive means for controlling the operation of said drive means;

and

means are provided to sense the fluid pressure in said airway and to provide an output signal to said microprocessor representing said airway fluid pressure.

19. The respiratory system of claim 16 wherein a microprocessor is operatively connected to said drive means for controlling the operation of said drive means;

and

an operator keyboard and associated display are operatively connected to said microprocessor for providing a predetermined frequency for said gas delivery means.

20. The respiratory system of claim 16 wherein a source of air and a source of oxygen are in fluid communication with the gas delivery means;

and

means are provided to sense the amount of oxygen in said gas and to provide an output signal to said microprocessor for indicating the oxygen concentration.

21. Apparatus for controlling inhalation and exhalation of gas to and from the lungs of a patient comprising:

gas delivery means for delivering gas to an airway of a patient in a pressure stroke and assisting in the removal of gas from the airway in a suction stroke, said gas delivery means including a pneumatically operated piston having a diaphragm mounted on one end thereof for reciprocation with said piston;

a solenoid operated pneumatic valve operatively connected to said piston;

a source of compressed air for said pneumatic valve;

a regulator between said source of compressed air and said pneumatic valve; and

a microprocessor for controlling and providing an output signal to said regulator for controlling the actuation of said pneumatic valve and associated piston.

22. Apparatus as set forth in claim 21 wherein a vacuum source is operatively connected to said pneumatic valve and a regulator is provided between said vacuum source and said pneumatic valve;

and

said microprocessor providing an output signal to said regulator for controlling the actuation of said pneumatic valve and associated piston.

23. Apparatus as set forth in claim 21 wherein a sensor for said gas delivery means is provided to sense the frequency and length of stroke thereof and sends output signals to said microprocessor.

24. Apparatus for controlling inhalation and exhalation of gas to and from the lungs of a patient comprising:

gas delivery means for delivering gas to a airway of a patient in a pressure stroke and assisting in the removal of gas from the airway in a suction stroke, said gas delivery means including a pneumatically operated piston having a diaphragm mounted on one end thereof for reciprocation with said piston;

a solenoid operated pneumatic valve operatively connected to said piston;

a source of compressed air for said pneumatic valve;

a regulator between said source of compressed air and said pneumatic valve;

a microprocessor for controlling and providing an output signal to said regulator for controlling the actuation of said pneumatic valve and associated piston; and

a sensor for said gas delivery means to sense the frequency of the operating cycle, the length of the stroke, and the relative time period of the pressure and suction strokes in an operating cycle, said sensor providing output signals to said microprocessor representing the sensed measurements.

25. Apparatus as set forth in claim 24 wherein a vacuum source is operatively connected to said pneumatic valve and a regulator is provided between said vacuum source and said pneumatic valve;

and

said microprocessor provides an output signal to said regulator for controlling the actuation of said pneumatic valve and associated piston.

26. Apparatus as set forth in claim 25 wherein a pressure transducer is provided adjacent each regulator for sensing the fluid pressure threat, and an output signal is sent by each pressure transducer to said microprocessor representing the positive fluid pressure and negative fluid pressure exerted against said pneumatic valve.

27. Apparatus for controlling inhalation and exhalation of gas to and from the lungs of a patient comprising:

gas delivery means for delivering gas to an airway of a patient in a pressure stroke and assisting in the removal of gas from the airway in a suction stroke, said gas delivery means including a pneumatically operated piston having a diaphragm mounted on one end thereof for reciprocation with said piston;

a solenoid operated pneumatic valve operatively connected to said piston;

a source of compressed air for said pneumatic valve;

a regulator between said source of compressed air and said pneumatic valve;

a microprocessor for controlling and providing an output signal to said regulator for controlling the actuation of said pneumatic valve and associated piston;

a sensor for said gas delivery means to sense the frequency of the operating cycle, the length of the stroke, and the relative time period of the pressure and suction strokes in an operating cycle, said sensor providing output signals to said microprocessor representing the sensed measurements;

a vacuum source operatively connected to said pneumatic valve; and

a regulator between said vacuum source and said pneumatic valve;

a pressure transducer for each regulator for sensing the fluid pressure thereat and sending an output signal to said microprocessor representing the positive fluid pressure and negative fluid pressure exerted against said pneumatic valve; and

an operator keyboard and associated display operatively connected to said microprocessor for providing desired input information to said microprocessor and for visually displaying desired information on said display.

28. Apparatus for controlling inhalation and exhalation of gas to and from an airway of a patient comprising:

a gas chamber and a gas delivery line extending from the gas chamber to the airway of the patient;

an oscillating member supported in said gas chamber for movement in a pressure stroke in one direction for providing gas to the airway and a suction stroke in an opposite direction for exerting a suction to aid in exhalation of gas from the airway;

a piston and cylinder combination connected to said oscillating member for moving said oscillating member at a desired frequency and length of stroke, said combination including a piston chamber and piston mounted therein for reciprocal movement;

pneumatically operated means operatively connected to said combination for selectively providing air to said piston chamber for driving said piston; and

a microprocessor operatively connected to said pneumatically operated means for controlling the volume, frequency and waveform of the gas.

29. A system as set forth in claim 28 wherein said pneumatically operated means includes a solenoid operated pneumatic valve connected to said piston and cylinder combination and a source of compressed air for said pneumatic valve, and said microprocessor provides an output signal for actuation of said pneumatic valve.

30. A system as set forth in claim 29 wherein a regulator is provided between said source of compressed air and said pneumatic valve, and said microprocessor provides an output signal to said regulator for controlling the actuation of said pneumatic valve.

31. A system as set forth in claim 29 wherein said solenoid operated pneumatic valve includes a plurality of redundant solenoid operated pneumatic valves operatively connected to said piston and cylinder combination and being operative only in the event of malfunctioning of the pneumatically operated pneumatic valve.

32. A system as set forth in claim 28 wherein said pneumatically operated means includes a solenoid operated pneumatic valve connected to said piston and cylinder combination;

a source of compressed air for said pneumatic valve utilized in the pressure stroke of the oscillating member;

a vacuum source for said pneumatic valve utilized in the suction stroke of the oscillating member;

a regulator between said source of compressed air and said pneumatic valve;

a regulator between said vacuum source and said pneumatic valve; and

said microprocessor providing output signals to said regulator for controlling the actuation of said pneumatic valve and said oscillating member.

33. A system as set forth in claim 32 wherein a pressure transducer is provided for each regulator for sensing the fluid pressure thereat, and an output signal is sent by each pressure transducer to said microprocessor representing the positive fluid pressure and negative fluid pressure exerted against said pneumatic valve.

34. A system as set forth in claim 28 wherein said oscillating member comprises a diaphragm mounted within said gas chamber and exposed to the airway of the patient;

and

said oscillating member including a disconnect mechanism for removal and replacement.

35. A system as set forth in claim 28 wherein an oxygen source is in fluid communication with the gas delivery line to said airway, and said microprocessor controls the amount of oxygen supplied to the airway from the oxygen source.

36. A system as set forth in claim 28 wherein a source of air and a source of oxygen are in fluid communication with the gas delivery line to said airway, and said microprocessor controls the gas mixture of oxygen and air supplied to the airway.

37. A system as set forth in claim 36 wherein means are provided to moisten said gas mixture supplied to the airway, and said microprocessor controls the amount of moisture supplied to the gas mixture.

38. A system as set forth in claim 36 wherein means are provided to heat said gas mixture supplied to said airway to a predetermined temperature, and said microprocessor controls the predetermined temperature to which said gas mixture is heated.

39. A system as set forth in claim 28 wherein means are provided to vary the time period of the pressure stroke in an operating cycle in relation to the time period for the suction stroke in an operating cycle.

40. A system as set forth in claim 39 wherein the time period for the pressure stroke in an operating cycle is substantially greater than the time period of said suction stroke thereby to assist in the rapid delivery of a predetermined medication to said airway.

41. A system as set forth in claim 39 wherein the time period for the suction stroke of an operating cycle is substantially greater than the time period for said pressure stroke thereby to assist in a rapid removal of fluids from the airway.

42. A system as set forth in claim 28 wherein an anesthesia gas source is provided in fluid communication with said air delivery line to the airway for delivery to the patient.