Ventilator/Anaesthetic system with juxtaposed CO.sub.2 meter and expired gas flow meter

• US 5,720,277 A
• Filed: 02/26/1996
• Issued: 02/24/1998
• Est. Priority Date: 02/27/1995
• Status: Expired due to Fees

• Current Assignee: Maquet Critical Care AB (Getinge AB)
• Original Assignee: Siemens-Elema AB (Siemens AG)
• Inventors: Anders, Linge, Rydgren, Goran, Brauer, Stefan, Olsson, Sven-Gunnar
• Primary Examiner(s): Asher, Kimberly L.
• Application Number:
  US08/606,920
• Time in Patent Office: 729 Days
• Field of Search: 128/204.21-204.23, 128/205.23, 128/203.12
• US Class Current: 128/204.22
• 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 16/021 operated by electrical means A61M16/202 – A61M16/205 take precedence
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit
• CPC Class Codes: A61M 2202/0225 Carbon oxides, e.g. Carbon dioxide
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)

Abstract

A number of different parameters related to carbon dioxide output of a patient are routinely determined in ventilator/anaesthetic systems. For this purpose, a ventilator/anaesthetic system for determining carbon dioxide parameters includes a ventilator unit in which a first flow meter is arranged to measure an expired flow of gas, and a carbon dioxide meter is arranged to measure the concentration of carbon dioxide in expired gas. Arranging the carbon dioxide meter in the ventilator/anaesthetic unit minimizes the equipment which must be located in the immediate vicinity of patient, and a faster, more sensitive carbon dioxide meter thus can be used.

Claims

1. A ventilator/anaesthetic system comprising:

a ventilator/anaesthetic unit;

an inspiratory tube connected to said ventilator/anaesthetic unit and adapted for communication with a patient for carrying a breathing gas from said ventilator/anaesthetic unit to a patient;

an expiratory tube connected to said ventilator/anaesthetic system and adapted for communication with a patient for carrying expired breathing gas from a patient to said ventilator/anaesthetic unit;

a patient tube connected to said inspiratory tube and to said expiratory tube and adapted for connection to airways of a patient;

a flow meter disposed downstream of said patient tube for measuring a flow of expired breathing gas and for generating a flow signal corresponding to said flow of expired breathing gas;

carbon dioxide meter means, juxtaposed to said flow meter downstream from said patient tube, for measuring carbon dioxide in expired breathing gas and for generating a measurement signal and a reference signal identifying carbon dioxide in expired breathing gas at respectively different times; and

calculating means, supplied with said measurement signal, said reference signal and said flow signal, for calculating a concentration of carbon dioxide in expired breathing gas from a ratio of said measurement signal and said reference signal and for calculating a parameter related to production of carbon dioxide by a patient from said concentration and said flow signal over at least two respiratory cycles of a patient.

2. A ventilator/anaesthetic system as claimed in claim 1 wherein said carbon dioxide meter means are disposed inside said ventilator/anaesthetic unit.

3. A ventilator/anaesthetic system as claimed in claim 1 wherein said expiratory tube has a first end connected to said patient tube and an opposite, second end, and wherein said carbon dioxide meter means is disposed downstream of said second end of said expiratory tube.

4. A ventilator/anaesthetic system as claimed in claim 1 wherein said calculating means comprises integrator means for calculating a minute volume of carbon dioxide in expired breathing gas by integrating a product of said production of carbon dioxide and said flow signal, as said parameter related to carbon dioxide concentration.

5. A ventilator/anaesthetic system as claimed in claim 1 wherein said calculating means comprises means for determining a peak value for said concentration of carbon dioxide in expired breathing gas for each respiratory cycle of a patient and for using the peak value in a respiratory cycle as an end tidal concentration of carbon dioxide in a next successive respiratory cycle.

6. A ventilator/anaesthetic system as claimed in claim 1 wherein said expiratory tube and said patient tube have a combined length extending between said carbon dioxide meter means and a patient, and wherein said combined length contains a known volume of expired breathing gas, and wherein said calculating means comprises integrator means for integrating said flow signal and an end tidal concentration of carbon dioxide in one breath while said carbon dioxide meter means measures a peak concentration of carbon dioxide in expired breathing gas in a next breath, after a volume of expired breathing gas equal to said known volume has passed said flow meter.

7. A ventilator/anaesthetic system as claimed in claim 1 wherein said ventilator/anaesthetic unit comprises means for supplying a continuous flow of breathing gas to said inspiratory tube, and said ventilator/anaesthetic system further comprising a further flow meter disposed for measuring a flow of breathing gas supplied to said inspiratory tube, said further flow meter generating a further flow signal corresponding to said flow of breathing gas supplied to said inspiratory tube, and wherein said calculating means comprises means for correcting, dependent on said further flow signal, said parameter related to carbon dioxide concentration in expired breathing gas.