Apparatus for supplying a respiratory gas to a patient

• US 5,720,276 A
• Filed: 10/25/1995
• Issued: 02/24/1998
• Est. Priority Date: 10/25/1994
• Status: Expired due to Term

• Current Assignee: Teijin Limited
• Original Assignee: Teijin Limited
• Inventors: Kobatake, Daisuke, Takemasa, Kenji
• Primary Examiner(s): Lewis, Aaron J.
• Application Number:
  US08/547,782
• Time in Patent Office: 853 Days
• Field of Search: 128/204.18, 128/204.21, 128/204.23
• US Class Current: 128/204.18
• 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 16/0063 Compressors
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/0677 Gas-saving devices therefor
• CPC Class Codes: A61M 16/101 using an oxygen concentrator
• 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

An apparatus for supplying a respiratory gas to a patient includes a respiratory gas generating device, a device for introducing the respiratory gas into the cavitas nasi of the patient, a conduit fluidly connected to the respiratory gas generating device and the introducing device; a valve, provided in the conduit, for separating and connecting the introducing device from and to the respiratory gas generating device and an orifice provided in the conduit upstream of the valve means. The apparatus for supplying the respiratory further includes a controller for operating the valve between intermittent and continuous mode. In the intermittent mode, the valve connects the introducing device to the respiratory gas generating device at a predetermined interval to provide the respiratory gas in the form of a pulse, and in the continuous mode, the valve continuously connects the introducing device to the respiratory gas generating device. The valve is provided in the conduit adjacent to the introducing device to allow the pressure pulse of the respiratory gas to reach the introducing device a delay no greater than 20 msec.

Claims

1. An apparatus for supplying a respiratory gas to a patient comprising:

means for generating a respiratory gas;

means for introducing the respiratory gas into a patient'"'"'s cavitas nasi, the introducing means including an output port which is adapted to be inserted into a patient'"'"'s cavitas nasi;

a conduit fluidly connected to the respiratory gas generating means and the introducing means;

a valve means, provided in the conduit, for separating and connecting the introducing means from and to the respiratory gas generating means; and

an orifice provided in the conduit upstream of the valve means for limiting the pressure of the respiratory gas introduced to a patient;

means for controlling the operation of the valve means between an intermittent and continuous mode such that, in the intermittent mode, the valve means connects the introducing means to the respiratory gas generating means at a predetermined interval to provide the respiratory gas in the form of a pulse or, in the continuous mode, the valve means continuously connects the introducing means to the respiratory gas generating means; and

the valve means being provided in the conduit adjacent to the introducing means to allow the pressure pulse of the respiratory gas to reach the output port of the introducing means without a delay greater than 40 msec during the intermittent mode.

2. An apparatus according to claim 1, further comprising an orifice provided in the conduit upstream of the valve means so as to limit excess respiratory gas flow when the valve means opens.

3. An apparatus according to claim 2 further comprising an accumulator means provided in the conduit between the orifice and the valve means.

4. An apparatus according to claim 1 further comprising means for detecting an inspiration phase;

and

the valve means connecting the introducing means to the respiratory gas generating means during a predetermined time after the inspiration phase is detected.

5. An apparatus according to claim 4 in which the valve means connects the introducing means to the respiratory gas generating means during a predetermined time, which is shorter than one third of the interval of the respiration phase, after the inspiration phase is detected.

6. An apparatus according to claim 1 further comprising first and second branches which are divided from the conduit;

first and second flow reducers provided in the first and second branch conduits respectively; and

a directional valve means for selecting one of the first and second branch conduits through which the respiration gas flows to the patient.

7. An apparatus according to claim 6 in which the apparatus further comprises means for determining whether the continuous mode or intermittent mode is selected;

and

the directional valve means allowing the respiratory gas to flow through the first branch conduit during the continuous mode, and to flow through the second branch conduit during the intermittent mode; and

the first flow reducer reduces the flow rate of the respiratory gas more than the second flow reducer.

8. An apparatus according to claim 1 further comprising a manual control unit which comprises:

a housing in which the valve means is provided;

an inlet connector to which the conduit is connected;

an outlet connector to which the introducing means is connected;

a selector switch for manually selecting the operational mode between the intermittent and continuous modes; and

an interval input device for selecting the interval during which the valve means fluidly connects the introducing means to the respiratory gas generating means.

9. An apparatus for supplying a respiratory gas to a patient comprising:

means for generating a respiratory gas;

means for introducing the respiratory gas into a patient'"'"'s cavitas nasi, the introducing means including an output port which is adapted to be inserted into a patient'"'"'s cavitas nasi;

a conduit fluidly connected to the respiratory gas generating means and the introducing means;

a valve means, provided in the conduit, for separating and connecting the introducing means from and to the respiratory gas generating means;

an orifice provided in the conduit upstream of the valve means for limiting the pressure of the respiratory gas introduced to a patient;

means for controlling the operation of the valve means between intermittent and continuous mode such that, in the intermittent mode, the valve means connects the introducing means to the respiratory gas generating means at a predetermined interval to provide the respiratory gas in the form of a pulse, in the continuous mode, the valve means continuously connects the introducing means to the respiratory gas generating means; and

the valve means being provided in the conduit within 2 m from an end of the output port.

10. An apparatus according to claim 9, further comprising an orifice provided in the conduit upstream of the valve means so as to limit excess respiratory gas flow when the valve means opens.

11. An apparatus according to claim 10 further comprising an accumulator means provided in the conduit between the orifice and the valve means.

12. An apparatus according to claim 11 further comprising a first and second branches which are divided from the conduit;

first and second flow reducers provided in the first and second branch conduits respectively; and

a directional valve means for selecting one of the first and second branch conduits through which the respiration gas flows to the patient.

13. An apparatus according to claim 12 in which the apparatus further comprises means for determining whether the continuous mode or intermittent mode is selected;

the directional valve means allowing the respiratory gas to flow through the first branch conduit during the continuous mode, and to flow through the second branch conduit during the intermittent mode; and

the first flow reducer reduces the flow rate of the respiratory gas more than the second flow reducer.

14. An apparatus according to claim 10 further comprising a manual control unit which comprises:

housing in which the valve means is provided;

an inlet connector to which the conduit is connected;

an outlet connector to which the introducing means is connected;

a selector switch for manually selecting the operational mode between the intermittent and continuous modes; and

an interval input device for selecting the interval during which the valve means fluidly connects the introducing means to the respiratory gas generating means.

15. An apparatus according to claim 11 further comprising means for determining whether the continuous mode or intermittent mode is selected;

and

the valve means connecting the introducing means to the respiratory gas generating means during a predetermined time after the inspiration phase is detected.

16. An apparatus according to claim 15 in which the valve means connects the introducing means to the respiratory gas generating means during a predetermined time, which is shorter than one third of the interval of the respiration phase, after the inspiration phase is detected.

17. An apparatus for supplying a respiratory gas to a patient comprising:

means for generating a respiratory gas;

means for introducing the respiratory gas into a patient'"'"'s cavitas nasi, the introducing means including an output port which is adapted to be inserted into a patient'"'"'s cavitas nasi;

a conduit fluidly connected to the respiratory gas generating means and the introducing means;

a valve means, provided in the conduit, for separating and connecting the introducing means from and to the respiratory gas generating means;

an orifice provided in the conduit upstream of the valve means for limiting the pressure of the respiratory gas introduced to a patient;

means for controlling the operation of the valve means between an intermittent and continuous mode such that, in the intermittent mode, the valve means connects the introducing means to the respiratory gas generating means at a predetermined interval to provide the respiratory gas in the form of a pulse or, in the continuous mode, the valve means continuously connects the introducing means to the respiratory gas generating means; and

an accumulator means providing in the conduit between the orifice and the valve means.

18. An apparatus for Supplying a respiratory gas to a patient comprising:

means for generating a respiratory gas;

means for introducing the respiratory gas into a patient'"'"'s cavitas nasi, the introducing means including an output port which is adapted to be inserted into a patient'"'"'s cavitas nasi;

a conduit fluidly connected to the respiratory gas generating means and the introducing means;

a valve means, provided in the conduit, for separating and connecting the introducing means from and to the respiratory gas generating means;

an orifice provided in the conduit upstream of the valve means;

means for controlling the operation of the valve means between an intermittent and continuous mode such that, in the intermittent mode, the valve means connects the introducing means to the respiratory gas generating means at a predetermined interval to provide the respiratory gas in the form of a pulse or, in the continuous mode, the valve means continuously connects the introducing means to the respiratory gas generating means;

first and second branches which are divided from the conduit;

first and second flow reducers provided in the first and second branch conduits, respectively; and

a directional valve means for selecting one of the first and second branch conduits through which the respiration gas flows to the patient.

19. An apparatus for supplying a respiratory gas to a patient comprising:

means for generating a respiratory gas;

means for introducing the respiratory gas into a patient'"'"'s cavitas nasi, the introducing means including an output port which is adapted to be inserted into a patient'"'"'s cavitas nasi;

a conduit fluidly connected to the respiratory gas generating means and the introducing means;

a valve means, provided in the conduit, for separating and connecting the introducing means from and to the respiratory gas generating means;

an orifice provided in the conduit upstream of the valve means;

means for controlling the operation of the valve means between an intermittent and continuous mode such that, in the intermittent mode, the valve means connects the introducing means to the respiratory gas generating means at a predetermined interval to provide the respiratory gas in the form of a pulse or, in the continuous mode, the valve means continuously connects the introducing means to the respiratory gas generating means; and

a manual control unit comprising;

a housing in which the valve means is provided;

an inlet connector to which the conduit is connected;

an outlet connector to which the introducing means is connected;

a selector switch for manually selecting the operational mode between the intermittent and continuous modes; and

an interval input device for selecting the interval during which the valve means fluidly connects the introducing means to the respiratory gas generating means.