Infant ventilator with exhalation valves

• US 5,303,699 A
• Filed: 11/18/1991
• Issued: 04/19/1994
• Est. Priority Date: 11/18/1991
• Status: Expired due to Term

• Current Assignee: Intermed Equipamento Médico Hospitalar Ltda. (Becton, Dickinson & Co)
• Original Assignee: Intermed Equipamento Médico Hospitalar Ltda. (Becton, Dickinson & Co)
• Inventors: Amato, Mario, Salles, Milton R., Bonassa, Jorge
• Primary Examiner(s): Millin, Vincent
• Assistant Examiner(s): Chiu, Raleigh W.
• Application Number:
  US07/792,868
• Time in Patent Office: 883 Days
• Field of Search: 128/204.21, 128/204.23, 128/204.24, 128/204.25, 128/204.26, 128/205.23, 128/205.24, 128/203.12
• US Class Current: 128/204.21
• 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 16/0009 with sub-atmospheric pressure, e.g. during expiration
• CPC Class Codes: A61M 16/0012 by Venturi means
• 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 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor

Abstract

A ventilator device for artificial ventilation use in infant and pediatric wards, and which may be adapted for use with adult patients as well. The ventilator device comprises a pressure control system having at least two parallel connected exhalation valves, a pressure monitoring system having bar display, optical sensors attached to the bar display, and an alarm system with a "no break" system including a rechargeable battery. One of the exhalation valves is connected at the beginning of the inspiratory airway and this valve is coupled with a moisturizing system. An inspiratory tube connected to the moisturizing system is connected to one branch of a "Y" connector where the other branch of the "Y" connector is connected to an expiratory tube leading to the other exhalation valve at the end of the expiratory airway. These exhalation valves are controlled by electronic control modules and pneumatic control through 3-way 2-position solenoid valves. These devices are capable of controlling pressure, controlling inspiratory and expiratory times, and regulating and monitoring the ratio between the inspiratory and the expiratory times. The ventilator is particularly effective in that it is capable of controlling pressure in the event of an obstruction which often increases the pressure above a safe limit, thus possibly resulting in rupturing of the lungs. The device is capable of providing a continuous flow with timed cycles and pressure control in order to guard against a sudden increase or decrease of pressure in the ventilator.

Claims

1. A ventilator device comprising:

an inspiratory tube;

an expiratory tube;

a "Y" connector having a first port leading to a patient, a second port connected to one end of said inspiratory tube, and a third port connected to one end of said expiratory tube;

a first valve coupled to the other end of said inspiratory tube and in fluid communication with a source of respiratory fluid, for controllably passing the fluid to the patient through said inspiratory tube; and

a second valve, coupled to the other end of said expiratory tube and in fluid communication with the environment for controllably passing exhaled fluid from the patient to the environment;

wherein

said first valve includes means, responsive to fluid pressure in said inspiratory tube, for communicating said inspiratory tube to the environment when the pressure in said inspiratory tube exceeds a predetermined inspiratory pressure limit.

2. The ventilator as claimed in claim 1, wherein said second valve includes means, responsive to fluid pressure in said expiratory tube, for communicating said expiratory tube to the environment when the pressure in said expiratory tube exceeds a predetermined expiratory pressure limit.

3. The ventilator as claimed in claim 2, wherein said first and second valves each have fluid actuating means which sets the pressure at which the fluid in the respective tubes is communicated to the environment, said ventilator further comprising control means for controlling said first and second value actuating means, said control means including:

an inspiratory control valve for setting the pressure limit at which said first valve couples said inspiratory tube to the environment; and

an expiratory control valve for setting the pressure limit at which said second valve couples said expiratory tube to the environment.

4. The ventilator as claimed in claim 3, wherein said control valves are fed by an adjustable pressure regulating valve.

5. The ventilator as claimed in claim 3, wherein said fluid actuating means comprises a nozzle fitted with a diaphragm closing said nozzle under pressure from said control means.

6. The ventilator as claimed in claim 1, comprising a pressure monitoring system for monitoring the pressure in said inspiratory tube, said monitoring system comprising:

a series of light emitting elements which progressively light along the series in response to increasing pressure in said inspiratory tube; and

a pair of optical sensors located along said series of light emitting elements for detecting the pressure in said inspiratory tube falling below and above preset limits.

7. The ventilator as claimed in claim 6, wherein said control means is operated by an electronic module and pneumatic control through a solenoid valve.

8. The ventilator as claimed in claim 7, wherein said electronic module includes a microprocessor for controlling the inspiration time and the frequency of respiratory cycles, by regulating the opening and closing of said first and second valves through said solenoid valve.

9. The ventilator as claimed in claim 6, wherein said optical sensors are coupled to an alarm system which indicates out-of-limits conditions as detected by said optical sensors.

10. The ventilator as claimed in claim 6, wherein said series of light emitting elements define a lighted bar display, and said monitoring system include a pair of sliding cursors upon which said optical sensors are mounted, said cursors being slidable along said lighted bar display to set the positions of said optical sensors.

11. The ventilator as claimed in claim 1, comprising a moisturizing system coupled to said inspiratory tube between said first valve and the patient.

12. The ventilator as claimed in claim 1, wherein said second valve has an unobstructed gauged opening to the environment.

13. A ventilator device comprising:

an inspiratory tube;

an expiratory tube;

a "Y" connector having a first port leading to a patient, a second port connected to one end of said inspiratory tube, and a third port connected to one end of said expiratory tube;

a first valve coupled to the other end of said inspiratory tube and in fluid communication with a source of respiratory fluid, for controllably passing the fluid to the patient through said inspiratory tube; and

a second valve, coupled to the other end of said expiratory tube and in fluid communication with the environment for controllably passing exhaled fluid from the patient to the environment, said second valve comprising;

a main body;

an opening in said main body for the admission of exhaled fluids from the patient, said opening having a cylinder transversally located to the direction of incoming fluid;

a nozzle through which the exhaled fluid from the patient passes; and

an injector directed toward said nozzle and fed through an opening in said main body by a source of pressurized fluid.