Apparatus for high continuous flow augmentation of ventilation and method therefor

• US 5,279,288 A
• Filed: 04/03/1992
• Issued: 01/18/1994
• Est. Priority Date: 11/02/1989
• Status: Expired due to Term

• Current Assignee: Cs Medical, Inc.
• Original Assignee: Kent L. Christopher
• Inventors: Christopher, Kent L.
• Primary Examiner(s): Burr, Edgar S.
• Assistant Examiner(s): Lewis, Aaron J.
• Application Number:
  US07/863,403
• Time in Patent Office: 655 Days
• Field of Search: 128/203.12, 128/203.25, 128/203.26, 128/204.18, 128/204.17, 128/204.21, 128/204.23, 128/205.11, 128/207.14, 128/207.15
• US Class Current: 128/204.18
• CPC Class Codes: A61M 16/0465 Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
• CPC Class Codes: A61M 16/0841 for sampling
• CPC Class Codes: A61M 16/10 Preparation of respiratory gases or vapours
• CPC Class Codes: A61M 16/101 using an oxygen concentrator
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2202/0007 introduced into the body
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2202/03 Gases in liquid phase, e.g. cryogenic liquids
• CPC Class Codes: A61M 2205/3368 Temperature

Abstract

The present invention provides a system for augmenting ventilation and removing carbon dioxide of a spontaneous-breathing patient and a method of use thereof. The system further allows relaxation of the breathing process thus reducing fatigue of the patient. The system involves providing a high continuous flow of a humidified oxygen/air mixture at a predetermined oxygen content and at a constant flow rate through a transtracheal catheter into the lungs of the patient. The system typically provides an oxygen/air mixture of at least 21 percent oxygen, at a humidity between 80 to 100 percent, and a temperature of 35° to 38° C. The mixture is delivered through the transtracheal catheter at a flow rate of 8 to 20 liters per minute at a back pressure of 2 to 25 psi.

Claims

1. A system for augmentation of spontaneous breathing of a patient having difficulty in fully self-breathing, said system assisting the relaxing of the respiratory muscles of the patient and in the removal of carbon dioxide from the lungs of the patient, said system comprising:

a transtracheal catheter inserted into the trachea of the patient, said transtracheal catheter having an outer diameter substantially smaller than the cross-sectional area of the trachea so not to obstruct the spontaneous breathing of the patient, said transtracheal catheter having a first end extending into the trachea to a point in the trachea just above the carina and a second end extending outwardly from the patient; and

supply means connected to said second end of said transtracheal catheter for providing an oxygen/air mixture through said transtracheal catheter at a continuous high flow rate to deliver said oxygen/air mixture evenly into the lungs of the patient to augment the spontaneous breathing of the patient, said high continuous flow of oxygen/air mixture assisting the removal of carbon dioxide from the lungs through the trachea of the patient into the ambient atmosphere so as to relax the respiratory muscles of the patient.

2. The system of claim 1 wherein said transtracheal catheter has an outer diameter not greater than 3.5 millimeters.

3. The system of claim 1 wherein said supply means provide continuous flow through said transtracheal catheter at a flow rate of at least about 8 liters per minute.

4. The system of claim 1 wherein said supply means include:

means for providing said oxygen/air mixture at a mixture of at least about twenty-one percent oxygen.

5. The system of claim 1 wherein said supply means include:

means for regulating the pressure of said oxygen/air mixture from said supply means at a pressure range of two to twenty-five pounds per square inch.

6. The system of claim 1 wherein said supply means include:

means for maintaining the humidity of said oxygen/air mixture at a humidity of at least about eighty percent humidity.

7. The system of claim 1 wherein said supply means include:

means for maintaining the temperature of said oxygen/air mixture in a temperature range of thirty-five to thirty-eight degrees Celsius.

8. A system for augmenting the spontaneous breathing of a patient having difficulty in fully self-breathing, said system assisting in the relaxing of the respiratory muscles of the patient and in the removal of carbon dioxide from the lungs of the patient, said system comprising:

a transtracheal catheter having an outer diameter not greater than 3.5 millimeters for insertion into the trachea of the patient;

said transtracheal catheter having a first end extending into the trachea of the patient and a second end extending outwardly from the trachea;

a supply tube connected to said second end of said transtracheal catheter; and

a blender connected to said supply tube for providing an oxygen/air mixture at a continuous high flow of said oxygen/air mixture through said transtracheal catheter into the lungs of the patient to augment the spontaneous breathing of the patient and said high continuous flow of oxygen/air mixture assists in removing carbon dioxide from the lungs of the patient through the trachea and into the ambient atmosphere to relax the respiratory muscles of the patient.

9. The system of claim 8 wherein said system further comprises a flow meter for providing said oxygen/air mixture at a continuous flow rate of at least about eight liters per minute.

10. The system of claim 8 wherein said blender provides said oxygen/air mixture at a mixture of at least about twenty-one percent oxygen.

11. The system of claim 8 wherein said system further comprises:

a flow meter for regulating the pressure of said oxygen/air mixture from said supply means at a pressure range of two to twenty-five pounds per square inch.

12. The system of claim 8 wherein said system further comprises:

a humidifier for maintaining the humidity of said oxygen/air mixture at a humidity of at least about eighty percent humidity.

13. The system of claim 8 wherein said system further comprises:

a heated tube for maintaining the temperature of said oxygen/air mixture in a temperature range of thirty-five to thirty-eight degrees Celsius.

14. A method for augmenting the spontaneous breathing of a patient having difficulty in fully sustained self-breathing, said system assisting in the relaxing of the respiratory muscles of the patient and in the removal of carbon dioxide from the lungs of the patient, said method comprising the steps of:

providing means for conducting an oxygen/air mixture into the lungs of a patient without interfering with the spontaneous breathing of the patient; and

providing a continuous flow of an oxygen/air mixture through said conducting means at a high continuous flow rate into the lungs of the patient to augment the breathing of the patient and said high continuous flow of said oxygen/air mixture assisting in the removal of carbon dioxide from the lungs of the patient through the trachea and into the ambient atmosphere to relax the respiratory muscles of the patient.

15. The method of claim 14 wherein said step of providing conducting means includes the step of:

inserting a transtracheal catheter having an outside diameter of a size not to substantially obstruct the trachea of the patient into the trachea of the patient.

16. The method of claim 14 wherein said step of providing conducting means includes the step of:

inserting a transtracheal having an outside diameter not greater than about 3.5 millimeters into the trachea of the patient.

17. The method of claim 14 wherein said step of providing a continuous flow of an oxygen/air mixture further includes the step of:

providing said oxygen/air mixture at a mixture of at least about twenty-one percent oxygen.

18. The method of claim 14 wherein said step of providing a continuous flow further includes the step of:

regulating the pressure of said oxygen/air mixture from said providing means at a pressure range of two to twenty-five pounds per square inch.

19. The method of claim 14 wherein said step of providing a continuous flow further includes the step of:

maintaining the humidity of said oxygen/air mixture at a humidity of at least about eighty percent.

20. The method of claim 14 wherein said step of providing a continuous flow further includes the step of:

maintaining the temperature of said oxygen/air mixture in a temperature range of thirty-five to thirty-eight degrees Celsius.