Breathing aid device

• US 5,664,562 A
• Filed: 03/13/1995
• Issued: 09/09/1997
• Est. Priority Date: 09/18/1992
• Status: Expired due to Term

• Current Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc), Pierre Medical S.A.
• Original Assignee: Pierre Medical S.A.
• Inventors: Bourdon, Guy
• Primary Examiner(s): Millin, V.
• Assistant Examiner(s): Deane, Jr., William J.
• Application Number:
  US08/403,684
• Time in Patent Office: 911 Days
• Field of Search: 128/204.18, 128/204.21, 128/204.23, 128/204.26, 128/205.13, 128/205.18, 128/205.24, 128/205.25
• US Class Current: 128/204.23
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/202 electrically actuated
• CPC Class Codes: A61M 16/204 used for inhalation control
• CPC Class Codes: A61M 16/205 used for exhalation control
• CPC Class Codes: A61M 16/206 Capsule valves, e.g. mushroom, membrane valves
• CPC Class Codes: A61M 16/208 Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit

Abstract

A patient circuit (1) comprises an inspiratory branch (3) connected to an inspiratory flow rate source (11), and an expiratory branch (4) connected to the atmosphere through an expiratory valve (V_E). An inspiratory valve (V_I) is arranged between the inspiratory flow rate source (11) and the inspiratory branch (3). During inspiration, the inspiration valve (V_I) is open and the pressure of the inspiratory flow source is applied to the expiration valve (V_I) to close the latter. During expiration, the inspiration valve (V_I) is closed, and the control inlet (6) for controlling the expiration valve (V_I) is connected through a control valve (VC1) to a low pressure source (14) adjustable in a range including the zero value. The patient breathes as desired under atmospheric pressure or under positive expiratory pressure. Utilization for making a simple apparatus which provides for multiple adjustments, and compatible with its utilization at home.

Claims

1. Breathing aid device of the type with inspiration under substantially constant pressure, comprising a patient circuit (1) having an inspiratory branch (11) connected to a pressurized inspiratory flow source (3) and an expiratory branch (4) in which is installed an expiration valve (V_E) which is controlled so as to be closed during inspiration, the device also comprising electronic control (12) connected to at least one sensor (18, 19) detecting the respiratory activity of the patient and distribution means (V_I) which in inspiratory phase establish the communication between the inspiratory flow source (11) and the inspiratory branch (3) of the patient circuit, and in expiratory phase interrupt this communication at least partially, characterized in that the distribution means (V_I) are controlled by the driving means (12), which control the interruption of the said communication when the sensor detects that the patient is preparing an expiratory phase, and in that the driving means (12) also control, at least indirectly, the expiration valve (V_E) in order that it determines a predefined expiratory pressure substantially independent of the operating state of the inspiratory flow source (11).

2. The device according to claim 1 comprising an inspiratory control adapted to maintain said inspiratory pressure during said expiration.

3. The device according to claim 1 wherein said inspiratory control is adapted to adjust said pressurized source to provide a substantially equal pressure during said inspiration and said expiration.

4. A breathing aid device for a patient adapted to provide inspiration under substantially constant inspiratory pressure, said device comprising

a patient circuit (1) having an inspiratory branch (3) connected to an outlet of a pressurized inspiratory flow source (11) and an expiratory branch (4), a sensor control connected to at least one sensor which is adapted to detect respiratory activity of said patient,

a distribution element (V_I) controlled by said sensor control to establish communication between said pressurized source (11) and said inspiratory branch (3) during inspiration by said patient and having means to at least partially interrupt said communication when said patient is about to begin expiration, and

an expiration valve 617 (V_E) in said expiration branch controlled by said sensor control to be closed during said inspiration and having means to determine, during said expiration, a predefined expiratory pressure substantially independently of said said pressurized source (11).

5. Device according to claim 4, characterized in that the inspiratory flow source is a motor turbine group (11).

6. The device according to claim 4 characterized in that said distribution element comprises a pneumatically controlled inspiration valve (V_I), and a control inlet (41) connected selectively to said outlet of said pressurized source (11) during said expiration and to a lower pressure (43) during said inspiration.

7. The device according to claim 6 wherein, during said inspiration, said control inlet (41) is connected to said inspiration branch (3).

8. The device according to claim 4 wherein said distribution element (V_I) is adapted to allow a leak compensation flow (44) between said pressurized source (11) and said patient circuit (1) during said expiration.

9. The device according to claim 4 wherein said distribution element (V_I) is by-passed by a loop (53,54) having a restriction (52) and, downstream from said restriction, also has a supplementary gate valve (VR) controlled to be closed during said inspiration to maintain in said loop (53,54) and downstream from said restriction (52), during expiration, a pressure close to said predefined expiratory pressure (PEP).

10. The device according to claim 4 wherein an expiration control actuates a connection (7,VC1) between a control inlet (6) of said expiration valve (V_E) and a low pressure source (9,15) to pneumatically control expiration valve (V_E).

11. The device according to claim 10 wherein said connection comprises a gate (VC1) in a control circuit (7) of said expiration valve (V_E), said gate controlled by control (12) to connect said control inlet (6) of said expiration valve to said low pressure source (14) during said expiration.

12. The device according to claim 11 wherein said gate comprises a three-way gate valve (VC1) selectively connecting said control inlet (6) of said expiration valve (V_E) to said pressurized source (11) and to said low pressure source (14).

13. The device according to claim 10 wherein said low pressure source comprises a link between an exhaust nozzle (17) and an outlet of a second flow source (16).

14. The device according to claim 13 wherein said second flow source comprises a compressor (16).

15. The device according to claim 13 wherein said second flow source comprises a device (15) linking with the said pressurized source (11).

16. The device according to claim 4 wherein said predefined expiratory pressure is adjustable and can assume a value at least equal to atmospheric pressure.

17. The device according to claim 4 wherein control (12) controls the closure of said expiration valve (V_E) when the pressure in the patient circuit falls at the end of said expiration.

18. The device according to claim 17 wherein said control (12) is responsive to variation in pressure in said patient circuit in relation to time.

19. The device according to claim 4 comprising sensors (18, 19) for measuring the pressure (P) and the flow rate (D) in said inspiratory branch (3) of said patient circuit, and a device for determining a variable indicative of a volume of inspired gas.

20. The device according to claim 4 comprising an actuator for a disconnection alarm if the flow rate remains high in said inspiratory branch (4) for a predetermined period.

21. A breathing aid device for a patient of the type with inspiration under substantially constant inspiration pressure comprising

a patient circuit (1) having an inspiratory branch (3) connected to a pressurized inspiratory flow source (11) and an expiratory branch (4),

a sensor control (12) connected to at least one sensor (18, 19) which is adapted to detect respiratory activity of said patient,

a distribution element (V_I) controlled by said sensor control to establish communication between said inspiratory flow source (11) and said inspiratory branch (3) of the patient circuit during inspiration phase and to interrupt said communication at least partially when said patient is about to begin said expiration, and

an expiration valve (V_E) mounted in said expiratory branch and at least indirectly controlled by said sensor control to be closed during inspiration and to determine during expiration a predefined expiratory pressure substantially independent of the operating state of the inspiratory flow source (11),

wherein said distribution element comprises a pneumatically controlled inspiration valve, a control inlet which is connected selectively to the outlet of the inspiratory flow source during expiration and to a lower pressure during inspiration.

22. The device according to claim 21 wherein the inspiratory flow source is a motor turbine group.

23. The device according to claim 21 comprising an inspiratory flow source control which is operative for keeping the inspiratory flow source in pressure delivering operation during the expiratory phase.

24. The device according to claim 21 wherein the inspiratory control comprises a device for adjusting the inspiratory flow source to provide a substantially equal outlet pressure during inspiration and expiration.

25. The device according to claim 21 wherein during inspiration said control inlet (41) is connected to a flow path between the inspiration valve (V_I) and the patient circuit (1).

26. The device according to claim 21 wherein the distribution element is adapted to allow a leak compensation flow (44) between the inspiratory flow source (11) and the patient circuit (1) during expiration.

27. The device according to claim 21 wherein the distribution element (V_I) is by-passed by a loop (53,54) fitted with a restriction (52) and, downstream from this restriction, is provided with a supplementary gate valve (VR) adapted to be closed during inspiration to maintain in said loop and downstream from said restriction (52), during expiration, a pressure close to the predefined expiratory pressure (PEP).

28. The device according to claim 21 wherein the expiration valve (V_E) is pneumatically controlled, and wherein, to control the expiration valve (V_E), an expiration control controls actuation of a connection (7, VC1) between a control inlet (6) of the expiration valve (V_E) and a low pressure source (9,15).

29. The device according to claim 28 wherein the connection comprises a gate (VC1) in a control circuit (7) of the expiration valve (V_E) and controlled by the expiration control (12) to connect the control inlet (6) of the expiration valve to the low pressure source (14) when the patient is breathing out.

30. The device according to claim 29 wherein the gate comprises a three-way gate valve (VC1) selectively connecting the control inlet (6) of the expiration valve (V_F) to the pressurized flow source (11) and to the low pressure source (14).

31. The device according to claim 28 wherein the low pressure source comprises a link (14) between an exhaust nozzle (17) and an outlet of a second flow source (16).

32. The device according to claim 31 wherein the second flow source comprises a compressor (16).

33. The device according to claim 31 wherein the second flow source comprises a device (15) linking with the inspiratory flow source (11).

34. The device according to claim 21 wherein the predefined expiratory pressure is adjustable and can assume a value at least equal to atmospheric pressure.

35. The device according to claim 21 wherein the expiration control (12) controls closure of the expiration valve (V_E) when pressure in the patient circuit falls at the end of said expiration.

36. The device according to claim 35 wherein the expiration control (12) is responsive to variations in pressure in the patient circuit over time.

37. The device according to claim 21 comprising a device (18, 19) for measuring pressure (P) and flow rate (D) in the inspiratory branch (3) of the patient circuit, and a calculation for determining variable indicative of the volume of inspired gas.

38. The device according to claim 21 having means for an actuator for setting off a disconnection alarm if the flow rate remains high in the inspiratory branch (4) for a predetermined period.

39. A breathing aid device for a patient of the type with inspiration under substantially constant inspiration pressure comprising

a patient circuit (1) having an inspiratory branch (3) connected to a pressurized inspiratory flow source (11) and an expiratory branch (4),

a sensor control (12) connected to at least one sensor (18, 19) which is adapted to detect respiratory activity of the patient,

a distribution element (V₁) controlled by said sensor control to establish communication between the inspiratory flow source (11) and the inspiratory branch (3) of the patient circuit during inspiration and to interrupt this communication at least partially, when said patient is about to begin said expiration, and

an expiration valve (V_E) mounted in said expiratory branch and at least indirectly controlled by said sensor control to be closed during inspiration and to determine during expiration a predefined expiratory pressure substantially independent of the operating state of the inspiratory flow source (11),

wherein said distribution element is by-passed by a loop (53, 54) having a restriction (52) and, downstream from this restriction, having a supplementary gate valve (VR) adapted to be closed during inspiration and to maintain in said loop and downstream from said restriction (52), during expiration, a pressure close to the predefined expiratory pressure (PEP).

40. The device according to claim 39 wherein the inspiratory flow source is a motor turbine group.

41. The device according to claim 39 comprising inspiratory flow source control means which are operative for keeping the inspiratory flow source in pressure-delivering operation during the expiratory phase.

42. The device according to claim 39 wherein the inspiratory control comprises a device for adjusting the inspiratory flow source to provide a substantially equal outlet pressure during inspiration phases and expiration.

43. The device according to claim 39 wherein the distribution element is adapted to allow a leak compensation flow (44) between the inspiratory flow source (11) and the patient circuit (1) during expiration.

44. The device according to claim 39 wherein the expiration valve (V_E) is pneumatically controlled and wherein, to control the expiration valve (V_E) an expiration control actuator of a connection (7, VC1) between a control inlet (6) of the expiration valve (V_E) and a low pressure source (9,15).

45. The device according to claim 44 wherein the connection comprises a gate (VC1) in a control circuit (7) of the expiration valve (V_E) and controlled by expiration control (12) to connect the control inlet (6) of the expiration valve to the low pressure source (14) when the patient is breathing out.

46. The device according to claim 45 wherein a gate comprises a three-way gate valve (VC1) selectively connecting the control inlet (6) of the expiration valve (V_E) to the pressurized flow source (11) and to the low pressure source (14).

47. The device according to claim 39 wherein the low pressure source comprises a link (14) between an exhaust nozzle (17) and an outlet of a second flow source (16).

48. The device according to claim 47 wherein the second flow source comprises a compressor (16).

49. The device according to claim 47 wherein the second flow source comprises a device (15) linking with the inspiratory flow source (11).

50. The device according to claim 39 wherein the predefined expiratory pressure is adjustable and can assume a value at least equal to atmospheric pressure.

51. The device according to claim 39 wherein the expiration control (12) controls closure of the expiration valve (V_E) when pressure in the patient circuit falls at the end of said expiration.

52. The device according to claim 51 wherein expiration control (12) is responsive to variations in pressure in the patient circuit over time.

53. The device according to claim 39 comprising a device (18, 19) for measuring pressure (P) and flow rate (D) in the inspiratory branch (3) of the patient circuit, and means for calculating a variable indicative of the volume of inspired gas.

54. The device according to claim 39 having means for an actuator for setting off a disconnection alarm if the flow rate remains high in the inspiratory branch (4) for a predetermined period.

55. A breathing aid device for a patient of the type with inspiration under substantially constant inspiration pressure, comprising

a patient circuit (1) having an inspiratory branch (11) connected to a pressurized inspiratory flow source (3) and an expiratory branch (4),

a sensor control (12) connected to at least one sensor (18, 19) which is adapted to detect respiratory activity of the patient,

a distribution element (V_I) controlled by said sensor control to establish communication between the inspiratory flow source (11) and the inspiratory branch (3) of the patient circuit during inspiration and to interrupt this communication at least partially, when said patient is about to begin said expiration, and

a pneumatically controlled expiration valve (V_E) mounted in said expiratory branch and at least indirectly controlled by said sensor control to be closed during inspiration and to determine during expiration a predefined expiratory pressure substantially independent of the operating state of the inspiratory flow source (11),

wherein to control the expiration valve (V_E), the sensor control controls a three-way gate valve (VC1) installed in a control circuit (7) of the expiration valve (V_E) to connect a control inlet (6) of the expiration valve to a low pressure source (14) when the patient is breathing out, and to the pressurized flow source (11) when the patient is breathing in.

56. The device according to claim 55 wherein the inspiratory flow source is a motor turbine group.

57. The device according to claim 55 comprising inspiratory flow source control means which are operative for keeping the inspiratory flow source in pressure-delivering operation during the expiratory phase.

58. The device according to claim 55 wherein the inspiratory control comprises a device for adjusting the inspiratory flow source to provide a substantially equal outlet pressure during inspiration and expiration.

59. The device according to claim 55 wherein the distribution element is adapted to allow a leak compensation flow (44) between the inspiratory flow source (11) and the patient circuit (1) during expiration.

60. The device according to claim 55 wherein the distribution element (V_I) is by-passed by a loop (53, 54) fitted with a restriction (52) and, downstream from this restriction, having a supplementary gate valve (VR) adapted to be closed during inspiration and to maintain in said loop and downstream from said restriction (52), during expiration, a pressure close to the predefined expiratory pressure (PEP).

61. The device according to claim 55 wherein the low pressure source comprises a link (14) between an exhaust nozzle (17) and an outlet of a second flow source (16).

62. The device according to claim 61 wherein the second flow source comprises a compressor (16).

63. The device according to claim 61 wherein the second flow source comprises a device (15) linking with the inspiratory flow source (11).

64. The device according to claim 55 wherein the predefined expiratory pressure is adjustable and can assume a value equal to the atmospheric pressure.

65. The device according to claim 55 wherein inspiration control (12) controls the closure of the expiration valve (V_E) when the pressure in the patient circuit falls at the end of the patient'"'"'s expiration phase.

66. The device according to claim 65 wherein the inspiration control (12) is responsive to variations in pressure in the patient circuit in relation to time.

67. The device according to claim 55 comprising a device (18, 19) for measuring pressure (P) and flow rate (D) in the inspiratory branch (3) of the patient circuit, and a calculation for determining variable indicative of the volume of inspired gas.

68. The device according to claim 55 having an actuator for setting off a disconnection alarm if the flow rate remains high in the inspiration branch (4) for a predetermined period.