Ventilator disconnect alarm

• US 5,640,149 A
• Filed: 08/31/1994
• Issued: 06/17/1997
• Est. Priority Date: 08/31/1993
• Status: Expired due to Fees

• Current Assignee: ULCO Engineering Pty Limited
• Original Assignee: ULCO Engineering Pty Limited
• Inventors: Campbell, Duncan
• Primary Examiner(s): Hofsass, Jeffery
• Assistant Examiner(s): MANNAVA, ASHOK K
• Application Number:
  US08/301,861
• Time in Patent Office: 1,021 Days
• Field of Search: 340/626, 340/606, 340/611, 128/204.21, 128/204.22, 128/204.23, 128/202.22
• US Class Current: 340/626
• 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 16/021 operated by electrical means A61M16/202 – A61M16/205 take precedence
• CPC Class Codes: A61M 2205/13 with means for the detection of operative contact with patient, e.g. lip sensor
• CPC Class Codes: A61M 2230/435 partial O2 pressure (P-O2)

Abstract

On method of sensing a ventilation failure measures a ventilation cycle and if the pressure is not maintained throughout the whole of an inspiration period above the setting for the low datum point 10 an alarm is signaled. A normal ventilation cycle is shown in FIG. 1(a) with the pressure over the ventilation cycle indicated by curve 14, low pressure datum 10 and the high pressure datum 12. The inspiration period 16 occurs for a given length of the cycle 14. When the tube feeding air to the patient is disconnected (whether wholly or partially) the ventilation cycle is as shown in FIG. 1(b). Inspiration peak 18 is now much lower and pressure drops rapidly, once the given volume has been delivered, from peak 18 to below set low pressure datum 10 (before termination of period 16). The peak 18 and the slope of the curve as indicated at 20 will vary depending upon the circumstances experienced. Another method measures the period between excursions of the pressure above a given level above datum 10.

Claims

1. A method for supervising the operation of a ventilating apparatus having a ventilation cycle and for indicating a failure to adequately ventilate an intubated patient, comprising:

a) measuring a pressure of a gas supplied to a patient over each ventilation cycle, each said ventilation cycle including an inspiration phase, and each said inspiration phase having an identical set period of time (T) less than the length of said inspiration phase; and

b) immediately activating an alarm if during said set period of time (T) said pressure falls below a threshold, said threshold being in the range of 4-9 cm H₂ O.

2. The method for supervising the operation of a ventilating apparatus and for indicating a failure to adequately ventilate an intubated patient according to claim 1, wherein:

said set period of time (T) is substantially similar to, but less than, said inspiration phase.

3. An apparatus for indicating abnormal ventilation of a patient for use with a ventilator having a ventilation cycle, comprising:

a) sensing means for sensing a pressure of a gas supplied to a patient during said ventilation cycle, said ventilation cycle including an inspiration phase, and said inspiration phase having a set period of time (T) less than the length of said inspiration phase;

b) setting means for setting said set period of time (T) during said inspiration phase; and

c) indicator means sensitive to said set period of time (T) and to said pressure for immediately indicating an abnormal operation of the ventilator when said pressure falls below a threshold during said set period of time (T), said threshold being in the range of 4-9 cm H₂ O.

4. An apparatus for indicating abnormal ventilation of a patient according to claim 3, wherein:

said indicator means includes a first pressure switch and a second pressure switch, said first pressure switch being closed when said pressure is below said threshold and said second pressure switch being closed throughout said set period of time (T), and

wherein said abnormal ventilation being indicated when both said first pressure switch and said second pressure switch are closed.

5. An apparatus for indicating abnormal ventilation of a patient according to claim 4, wherein:

said set period of time (T) is substantially similar to, but less than, said inspiration phase.

6. The apparatus for indicating abnormal ventilation of a patient according to claim 3, wherein:

said set period of time (T) is substantially similar to, but less than, said inspiration phase.