Portable drag compressor powered mechanical ventilator

• US 5,868,133 A
• Filed: 02/03/1997
• Issued: 02/09/1999
• Est. Priority Date: 10/14/1994
• Status: Expired due to Term

• Current Assignee: Bird Products Corporation (Becton, Dickinson & Co)
• Original Assignee: Bird Products Corporation (Becton, Dickinson & Co)
• Inventors: DeVries, Douglas F., Graves, Warner V. Jr., Williams, Malcolm R., Cegielski, Michael J., Holmes, Michael B.
• Primary Examiner(s): Asher, Kimberly L.
• Application Number:
  US08/794,296
• Time in Patent Office: 736 Days
• Field of Search: 128/204.18, 128/204.21, 128/204.22, 128/204.23, 128/204.26, 128/205.11
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0057 Pumps therefor
• CPC Class Codes: A61M 16/0063 Compressors
• 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 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 16/1015 using a gas flush valve, e.g. oxygen flush valve
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 16/12 by mixing different gases
• CPC Class Codes: A61M 16/125 Diluting primary gas with ambient air
• CPC Class Codes: A61M 16/20 Valves specially adapted to medical respiratory devices
• CPC Class Codes: A61M 16/202 electrically actuated
• 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 16/209 Relief 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 2016/0036 in the breathing tube and used in both inspiratory and expiratory phase
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2016/0042 : in the expiratory circuit
• CPC Class Codes: A61M 2202/0208 : Oxygen
• CPC Class Codes: A61M 2205/16 : with back-up system in case of failure
• CPC Class Codes: A61M 2205/18 : with alarm
• CPC Class Codes: A61M 2205/3331 : Pressure; Flow
• CPC Class Codes: A61M 2205/3365 : Rotational speed
• CPC Class Codes: A61M 2205/3561 : local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/3569 : sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3592 : using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2205/42 : Reducing noise
• CPC Class Codes: A61M 2205/502 : User interfaces, e.g. screens or keyboards
• CPC Class Codes: A61M 2205/581 : by audible feedback
• CPC Class Codes: A61M 2205/587 : Lighting arrangements
• CPC Class Codes: A61M 2205/70 : with testing or calibration facilities
• CPC Class Codes: A61M 2205/8206 : battery-operated
• CPC Class Codes: A61M 2205/8212 : with means or measures taken for minimising energy consumption
• CPC Class Codes: A61M 2230/46 : Resistance or compliance of the lungs
• CPC Class Codes: G01F 1/40 : Details of construction of the flow constriction devices
• CPC Class Codes: G01F 1/42 : Orifices or nozzles

Abstract

A ventilator device and system comprising a rotating compressor, preferably a drag compressor, which, at the beginning of each inspiratory ventilation phase, is accelerated to a sufficient speed to deliver the desired inspiratory gas flow, and is subsequently stopped or decelerated to a basal flow level to permit the expiratory ventilation phase to occur. The ventilator device is small and light weight enough to be utilized in portable applications. The ventilator device is power efficient enough to operate for extended periods of time on internal or external batteries. Also provided is an oxygen blending apparatus which utilizes solenoid valves having specific orifice sizes for blending desired amounts of oxygen into the inspiratory gas flow. Also provided is an exhalation valve having an exhalation flow transducer which incorporates a radio frequency data base to provide an attendant controller with specific calibration information for the exhalation flow transducer. Stored, individualized compressor characterization information is used to control the acceleration and deacceleration of the rotating compressor.

Claims

1. A rotary drag compressor ventilator device for ventilating the lungs of a mammalian patient, said device comprising:

A. a rotary drag compressor comprising;

i. a housing having a gas inflow passageway and a gas outflow passageway;

ii. a rotor mounted within said housing, said rotor having a multiplicity of blades formed circularly therearound such that, when said rotor is rotated in a first direction, said blades will compress gas within said housing and expel said compressed gas out of said outflow passageway;

iii. a motor coupled to said compressor for rotating said rotor within said compressor housing; and

B. a controller apparatus to intermittently accelerate and decelerate the rotation of said rotor in accordance with desired flow rate and pressure of inspiratory gas and in accordance with stored individualized compressor characterization information so as to deliver discrete periods of inspiratory gas flow at said flow rate and pressure through said outflow passageway.

2. The ventilator of claim 1, further in combination with:

C. an oxygen blending apparatus connected to said inflow passageway for blending oxygen with ambient air to provide oxygen-enriched air to the inlet aperture of said compressor housing.

3. The ventilator of claim 2 wherein said oxygen blending apparatus comprises:

an ambient air receiving passageway;

an oxygen receiving passageway;

an accumulator for receiving ambient air through said ambient air passageway and oxygen through said oxygen passageway; and

,

a series of independently actuatable solenoid valves positioned, in parallel, within the oxygen receiving passageway of said bending apparatus, each of said solenoid valves having a predetermined flow rate when fully open, each of said solenoid valves thereby permitting passage therethrough of a predetermined amount of oxygen per time period; and

,

said oxygen blending apparatus being connected to said controller and said controller being further programmable to receive input of a desired oxygen concentration setting and to emit control signals to the solenoid valves to cause individual opening and closing of said solenoid valves to result in said desired oxygen concentration within said accumulator.

4. The ventilator system of claim 3 wherein said solenoid valves comprises three to five separate solenoid valves.

5. The ventilator system of claim 3 wherein said controller is programmed to apply a pulse-width modulation signal to control the opening and closing of said solenoid valves.

6. The ventilator of claim 1 wherein said controller comprises at least one microprocessor.

7. The ventilator of claim 1 wherein said compressor rotor comprises a dual-faced compressor rotor having first and second series of blades mounted opposite sides thereof;

and, wherein said compressor housing is configured to define first and second compressor flow paths which are positioned in relation to said first and second series of blades, respectively, such that rotation of said compressor rotor in said first direction will a) draw gas into said inflow passageway, b) concomitantly compress and move gas through both of said first and second flow paths and, c) expel the combined gas from said first and second compressor flow paths to compressor flow paths to provide inspiratory gas flow from said ventilator device.

8. The ventilator of claim 7 wherein said compressor rotor is round in configuration and has a diameter of 2-6 inches.

9. The ventilator of claim 7 wherein said blades are disposed at angles of attack of 30-60 degrees.

10. The ventilator of claim 9 wherein said blades are disposed at 55°

angles of attack.

11. The compressor of claim 7 wherein said blades are mounted within concave annular troughs formed on opposite sides of said dual-faced compressor rotor and wherein said first and second compressor flow paths are formed in relation to said first and second annular troughs such that the series of blades mounted within the first annular trough will compress gas within said first compressor flow path and the series of blades mounted within said second trough will compress gas within said second compressor flow path.

12. The ventilator of claim 7 wherein rotor, including said blades, had a mass of less than 40 grams.

13. The ventilator of claim 7 wherein said rotor further comprises:

the convex rotor hub having a central transverse motor shaft receiving aperture formed therein, to facilitate rotation of said rotor by said motor.

14. The ventilator of claim 7 wherein said rotor is formed of molded material.

15. The ventilator of claim 7 wherein said blades are formed of aluminum.

16. The ventilator of claim 7 wherein approximately 30-40 blades are positioned on either side of said rotor.

17. The ventilator of claim 1 further comprising:

a differential pressure transducer for measuring the difference in pressure between gas entering the inlet of said compressor and gas exiting the outlet of said compressor.

18. The ventilator of claim 1 further comprising:

a tachometer for measuring the rotational speed of said compressor.

19. The ventilator of claim 18 wherein said tachometer comprises an optical encoder.

20. The ventilator of claim 1 further comprising:

a differential pressure transducer for measuring the difference in pressure between gas entering the inlet of said compressor and gas entering the outlet of said compressor;

a tachometer for measuring the rotational speed of said compressor; and

said differential pressure transducer and said tachometer being in communication with said controller; and

said controller being programmed to determine the instantaneous flow rate and current accumulated volume of inspiratory gas flow delivered by said ventilator based on the pressure differential measured by said differential pressure transducer and the rotational speed measured by said tachometer.

21. The ventilator of claim 1 wherein said compressor incorporates a controller-readable data base containing specific rotational speed, differential pressure and flow rate data for that particular compressor;

and

wherein said controller is further programmed to read said data base and to utilize information obtained from said data base in the calculation of inspiratory flow, volume or pressure delivered by said ventilator.

22. The ventilator of claim 21 wherein said controller-readable data base comprises an EPROM.

23. The ventilator of claim 1 further in combination with a portable battery for supplying power to said device.

24. The ventilator of claim 23 wherein said portable battery contains sufficient power to operate said mechanical ventilator device for at least two hours.

25. A drag compressor apparatus for creating inspiratory gas flow in a mechanical ventilator, said compressor apparatus comprising:

a housing having a gas inflow passageway and a gas outflow passageway;

a rotor rotatably mounted within said housing, said rotor being configured and constructed such that rotation of said rotor in a first direction will cause said rotor to a) draw gas in said inflow passageway, b) compress said gas and c) expel said gas out of said outflow passageway;

a controller for controlling the rotation of said rotor within said housing, said controller being operative to cause said rotor to intermittently accelerate and decelerate in accordance with desired flow rate and pressure of inspiratory gas and in accordance with stored individualized compressor characterization information so as to deliver discrete periods of inspiratory gas flow at said flow rate and pressure through said outflow passageway.

26. The compressor of claim 25 wherein said rotor incorporates at least one series of blades having leading edges, each of said blades being disposed at a positive angle of attack such that, when said rotor is rotated in said first direction, the leading edge of each blade will precede the remainder thereof.

27. The compressor of claim 26 wherein said blades are disposed at angles of attack of 30-60 degrees.

28. The compressor of claim 27 wherein said blades are disposed at 55 degree angles of attack.

29. The compressor of claim 26 wherein said blades are disposed at spaced intervals within an annular trough which extends about said rotor such that, when said rotor is rotating said first direction, said blades will serially contact and compress gas within said housing.

30. The compressor of claim 29 wherein said housing is further configured to define therewithin at least one compressor flow path said flow path being positioned in relation to said annular trough and being connected to said inflow and outflow passageways such that, when said rotor is rotated in said first direction, the blades of said rotor will a) draw gas inwardly through said inflow passageway into said compressor flow path, b) compress said gas within said compressor flow path, and c) expel said gas out of said outflow passageway.

31. The compressor of claim 30 wherein each of said blades has a leading edge and at least one peripheral edge, and wherein said blades are mounted within said trough such that the leading edges of the blades extend transversely across the trough and the peripheral edge of said blades are in abutment with said trough.

32. The compressor of claim 30 wherein said at least one concave annular trough comprises:

a first annular trough which extends about the periphery of said rotor on a first side thereof; and

,

a second annular trough which extends about the periphery of said rotor on a second side thereof.

33. The compressor of claim 32 wherein said housing is configured to define therewithin:

a first compressor flow path which is at least partially within said first annular trough and is connected to said inflow passageway and said outflow passageway; and

,

a second compressor flow path which is at least partially within said second annular trough and is connected to said inflow passageway and said outflow passageway;

said first and second compressor flow paths being configured and positioned such that, when said rotor is rotated in said first direction, the blades mounted within said first annular trough will draw gas into said inflow passageway, compress said gas within said first flow path, and expel said gas out of said outflow passageway and the blades mounted within said second annular trough will draw gas into said inflow passageway, compress said gas within said second flow path, and expel said gas out of said outflow passageway.

34. The compressor of claim 33 wherein said first concave trough and the blades mounted therewithin are mirror images of said second concave trough and the blades mounted therewithin.

35. The compressor of claim 25 further comprising a drive motor located within said compressor housing and coupled to said rotor to rotatably drive said rotor.

36. The compressor of claim 35 further comprising a tachometer for measuring the rotational speed of said rotor.

37. The compressor of claim 36 wherein said tachometer comprises an optical encoder.

38. The compressor of claim 25 wherein said housing further comprises a number of heat dissipation fins formed on the outside of the portion of said housing wherein said motor is positioned to facilitate dissipation of heat from said motor.

39. A method of providing pulmonary ventilation to a mammalian patient, said method comprising the steps of:

a) providing a rotary drag compressor device comprising;

i) a housing having an inflow passageway and an outflow passageway formed therein;

ii) a rotor rotatably mounted within said housing such that rotation of said rotor in a first direction will draw gas into said inflow passageway, compress said gas, and expel said gas out of said outflow passageway;

iii) a controller for controlling the rotation of said rotor within said housing, said controller being operative to cause said rotor to intermittently accelerate and decelerate in accordance with desired flow rate and pressure of inspiratory gas and in accordance with stored individualized compressor characterization information so as to deliver discrete periods of inspiratory gas flow at said flow rate and pressure through said outflow passageway;

b) connecting the outflow passageway of said rotary drag compressor to a conduit through which respiratory gas flow may be passed into lungs of the patient;

c) accelerating said rotor to a first rotational speed for sufficient time to deliver in accordance with desired flow rate and pressure a desired inspiratory gas flow through said conduit at said flow rate and pressure and into the lungs of the patient;

d) stopping said rotor or decelerating said rotor to a basal rotational speed to terminate the inspiratory gas flow through said conduit and to allow an expiratory phase of a ventilation cycle to occur.

40. The method of claim 39 wherein step b comprises connecting said outflow passageway to an endotracheal tube inserted into the trachea of the patient.

41. The method of claim 39 wherein step b comprises connecting said outflow passageway to a nasotracheal tube inserted into the trachea of the patient.

42. The method of claim 39 wherein step b comprises connecting said outflow passageway to a tracheostomy tube inserted into the trachea of the patient.

43. The method of claim 39 wherein step b comprises connecting said outflow passageway to a mask which is positioned over the nose and mouth of the patient.

44. The method of claim 39 wherein step c is commenced upon the occurrence of a triggering event, said triggering event being selected from the group of triggering events consisting of:

i) the passing of a predetermined time period; and

ii) the initiation of spontaneous inspiratory effort by the patient.

45. The method of claim 39 wherein the inspiratory gas flow delivered in step c is limited by a limiting parameter selected from the group of limiting parameters consisting of:

i. a predetermined minimum airway pressure;

ii. a predetermined maximum airway pressure;

iii. a predetermined minimum flow rate;

iv. a predetermined maximum flow rate;

V. a predetermined minimum tidal volume; and

vi. a predetermined maximum tidal volume.

46. The method of claim 39 wherein step c is terminated and step d is commenced upon the occurrence of a selected terminating event, said terminating event being selected from the group of terminating events consisting of:

i. the passing of a predetermined period of time since the commencement of step c;

ii. the attainment of a predetermined airway pressure; and

iii. the passage of a predetermined tidal volume of inspiratory gas.

47. The method of claim 39 wherein step c further comprises controlling the speed to which said rotor is accelerated during the inspiratory phase by:

i. storing specific rotor speed, compressor differential pressure and flow rate characterization data for the compressor;

ii. providing a first input signal to said compressor which is intended to cause the rotor to rotate at a speed calculated to deliver a desired flow rate;

iii. determining the actual flow rate generated by said compressor in response to said first input signal;

iv. comparing the actual flow rate determined in step iii, to the desired flow rate;

v. adjusting the input signal to said compressor to provide the desired flow rate.

48. The method of claim 42 wherein step c further comprises:

vi. repeating steps ii-v, as necessary to achieve said desired flow rate.

49. A rotary drag compressor ventilator device for delivering inspiratory gas flow to a mammalian patient, said device comprising:

a) a rotary drag compressor having an intake port and an outflow port;

b) an inspiratory gas flow passageway for carrying gas from the outflow port of the compressor to the patient during an inspiratory phase of a ventilation cycle;

c) means for accelerating said compressor at the beginning of the inspiratory phase of the ventilation cycle to deliver inspiratory gas flow through said passageway to said patient;

d) means for controlling said compressor during the inspiratory phase of the ventilation cycle to maintain a desired inspiratory pressure and flow rate in accordance with stored individualized compressor characterization information; and

e) means for decelerating said compressor at the end of the inspiratory phase of the ventilation cycle.

50. The ventilator device of claim 49 wherein said inspiratory gas flow passageway is devoid of valves for diverting the inspiratory gas flow away from said patient.

51. The ventilator device of claim 49 wherein said rotary drag compressor comprises:

a compressor housing having said intake and outflow ports formed therein;

a rotor mounted within said housing such that rotation of said rotor in a first direction will cause said inspiratory gas flow to be delivered out of said outflow port and through said inspiratory gas flow passageway to said patient; and

,

a motor for rotating said rotor within said housing.

52. The ventilator device of claim 49 wherein said means for accelerating, controlling and decelerating said compressor comprise:

a microprocessor controller connected to said compressor.

53. The ventilator device of claim 49 further comprising:

f) an exhalation conduit for carrying expiratory gas flow from said patient during the expiratory phase of the ventilation cycle;

g) an exhalation valve positioned on said exhalation conduit, said exhalation valve being constructed to;

i) open during the expiratory phase of the ventilation cycle to permit the expiratory gas flow to pass out of said exhalation conduit, and

ii) close during the inspiratory phase of the ventilation cycle to prevent gas from being drawn into said patient through said exhalation conduit.

54. The ventilator device of claim 49 further comprising:

f) an oxygen blending apparatus connected to said intake port to provide oxygen-enriched air to said compressor.