Apparatus for compensating for flow and pressure variances in pneumatic circuits

• US 5,794,614 A
• Filed: 06/07/1996
• Issued: 08/18/1998
• Est. Priority Date: 05/19/1989
• Status: Expired due to Fees

• Current Assignee: Nellcor Puritan Bennett LLC (Medtronic Plc)
• Original Assignee: Puritan Bennett Corp. (Medtronic Plc)
• Inventors: Snook, James A., Gruenke, Roger A., Wyble, Marilyn S., Loethen, Steven W., Lasnier, Christopher D., Trimble, Russell L., Orlt, Jiri G.
• Primary Examiner(s): Asher, Kimberly L.
• Application Number:
  US08/660,298
• Time in Patent Office: 802 Days
• Field of Search: 128/202.22, 128/204.18, 128/204.21, 128/204.22, 128/204.23, 128/204.26, 128/205.23
• US Class Current: 128/204.21
• CPC Class Codes: A61B 5/4818 Sleep apnoea
• CPC Class Codes: A61F 5/56 Devices for preventing snoring by influencing the respiratory system by gas treatment A61M16/00
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• CPC Class Codes: A61M 16/026 specially adapted for predicting, e.g. for determining an information representative of a flow limitation during a ventilation cycle by using a root square technique or a regression analysis
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/0633 with forehead support
• CPC Class Codes: A61M 16/0683 Holding devices therefor
• CPC Class Codes: A61M 16/1055 bacterial
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 16/204 used for inhalation control
• CPC Class Codes: A61M 16/205 used for exhalation control
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2205/054 with electrotherapy
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2210/0618 Nose

Abstract

An apparatus and method for facilitating the respiration of a patient are disclosed which are particularly useful in treating mixed and obstructive sleep apnea and certain cardiovascular conditions, among others, by increasing nasal air pressure delivered to the patient'"'"'s respiratory passages just prior to inhalation and by subsequently decreasing the pressure to ease exhalation effort. The preferred apparatus includes a patient-coupled gas delivery device for pressurizing the patient'"'"'s nasal passages at a controllable pressure, and a controller coupled with the delivery device having a pressure transducer for monitoring the nasal pressure and a microcontroller for selectively controlling the nasal pressure. In operation, the controller determines a point in the patient breathing cycle just prior to inhalation and initiates an increase in nasal pressure at that point in order to stimulate normal inhalation, and subsequently lowers the nasal pressure to ease exhalation efforts. The invention further comprises an apparatus for compensating variances in a circuit used for supplying airway pressure to a patient'"'"'s airway having a sensor proximal to a pneumatic circuit connection for ascertaining a circuit characteristic and producing a signal value representative thereof, as well as a memory storing a look-up table containing empirical values corresponding to known variances of pneumatic circuit connections and signal processor receiving and comparing the signal value with the empirical values to ascertain a deviation value, and a controller connected to the signal processor and source of breathing gas to control delivery of breathing gas in accordance with the deviation value an apparatus for compensating variances in a circuit used for supplying airway pressure to a patient'"'"'s airway having a sensor proximal to a pneumatic circuit connection for ascertaining a circuit characteristic and producing a signal value representative thereof, as well as a memory storing a look-up table containing empirical values corresponding to known variances of pneumatic circuit connections and signal processor receiving and comparing the signal value with the empirical values to ascertain a deviation value, and a controller connected to the signal processor and source of breathing gas to control delivery of breathing gas in accordance with the deviation value.

Claims

1. An apparatus for compensating variances in a circuit used for applying airway pressure to a patient'"'"'s airway, comprising:

a source of breathable gas provided under a controllable pressure;

a pneumatic circuit connection supplying the breathable gas from the source to the patient'"'"'s airway, wherein the pneumatic circuit connection exhibits a connection variance;

a sensor disposed proximal to the pneumatic circuit connection for ascertaining a circuit characteristic and producing a signal value representative thereof;

a memory storing a look-up table containing empirical values corresponding to known variances of pneumatic circuit connections;

a signal processor receiving and comparing the signal value with the empirical values to ascertain a deviation value; and

a controller connected to the signal processor and the source of breathable gas, wherein the controller adjusts the source in accordance with the deviation value.

2. The apparatus of claim 1, wherein the breathable gas includes ambient air.

3. The apparatus of claim 2, wherein the source of breathable gas includes a blower.

4. The apparatus of claim 3, wherein the pneumatic circuit connection includes a pneumatic hose connecting the patient to the source of breathable gas.

5. The apparatus of claim 1, wherein the controller includes a pressure controller.

6. The apparatus of claim 1, wherein the sensor includes a pressure sensor.

7. The apparatus of claim 6, wherein the circuit characteristic includes a pressure measurement.

8. The apparatus of claim 7, wherein the known variances of pneumatic circuit connections include pressure drop data of a plurality of pneumatic hoses.

9. The apparatus of claim 1, wherein the sensor includes a flow sensor.

10. The apparatus of claim 1, wherein the signal processor includes a microprocessor.

11. A method for compensating variances in a circuit used for applying positive pressure to a patient'"'"'s airway, comprising the steps of:

providing a source of breathable gas under a controllable pressure;

providing a pneumatic circuit connection that carries the breathable gas from the source to the patient'"'"'s airway, wherein the pneumatic circuit connection includes a variance;

ascertaining a circuit characteristic and producing a signal value representative thereof;

providing a memory storing a look-up table containing empirical values corresponding to known variances of pneumatic circuit connections;

comparing the signal value with the empirical values to obtain a deviation value; and

controlling the source of breathable gas in accordance with the deviation value.

12. The method of claim 11, wherein the step of adjusting the breathable gas includes adjusting an output pressure of the source.

13. The method of claim 11, wherein the pneumatic circuit connection includes a pneumatic hose.

14. The method of claim 11, wherein the source of breathable gas includes a blower.

15. The method of claim 11, wherein the step of ascertaining a circuit characteristic includes measuring a pressure drop.

16. The method of claim 11, wherein the step of controlling the source further comprises the steps of retrieving a dead zone range from memory and adjusting the source if the deviation value is outside of the dead zone range.

17. An apparatus for compensating variances in a circuit used for applying positive pressure to a patient'"'"'s airway comprising:

a source of breathable gas provided under a controllable pressure;

a pneumatic circuit connection supplying the breathable gas from the source to the patient'"'"'s airway, wherein the pneumatic circuit connection exhibits a pressure variance;

a pressure sensor disposed proximal to the pneumatic circuit connection for ascertaining a circuit pressure and producing a signal value representative thereof;

a memory storing a look-up table containing empirical values corresponding to known pressure variances of pneumatic circuit connections;

a signal processor receiving and comparing the signal value with the empirical value to ascertain a deviation value; and

a controller connected to the signal processor and the source of breathable gas, wherein the controller adjusts the pressure output of the source in accordance with the deviation value.

18. The apparatus of claim 17, wherein the pneumatic circuit connection includes a hose.

19. The apparatus of claim 18, wherein the connection variance includes a pressure drop in the hose.

20. The apparatus of claim 19, wherein the source includes a blower having a motor whose speed is adjusted by the controller.