Airway valve to facilitate re-breathing, method of operation, and ventilator circuit so equipped

• US 6,123,674 A
• Filed: 10/15/1998
• Issued: 09/26/2000
• Est. Priority Date: 10/15/1998
• Status: Expired due to Term

• Current Assignee: RIC INVESTMENTS LLC (Koninklijke Philips N.V.)
• Original Assignee: NTC Technology, Inc. (Dixtal Medical, Inc.)
• Inventors: Rich, David R.
• Primary Examiner(s): O'Connor, Cary
• Assistant Examiner(s): Natnithithadha, Navin
• Application Number:
  US09/173,518
• Time in Patent Office: 712 Days
• Field of Search: 600/529, 600/531, 600/532, 600/533, 600/537, 600/538, 600/543, 128/200.24, 128/200.27, 128/201.28, 128/205.13, 128/205.23, 128/205.24, 128/207.12, 128/207.16, 128/914, 137/512.11
• US Class Current: 600/529
• CPC Class Codes: A61B 5/029 Measuring or recording blood output from the heart, e.g. minute volume A61B8/065 takes precedence
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/097 Devices for facilitating collection of breath or for directing breath into or through measuring devices
• 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 16/20 Valves specially adapted to medical respiratory devices
• CPC Class Codes: A61M 16/209 Relief valves
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)

Abstract

An airway valve, method of operation and ventilator circuit including the valve. The airway valve includes an outer housing defining a primary passage including first and second coaxial primary passage portions mutually directly communicating within the housing, and first and second diversion passages extending transversely to the primary passage, each diversion passage being integral with the housing and opening onto a primary passage portion. The airway valve controls diversion of air flow between the first primary passage portion and the second primary passage portion into and through an enlarged volume defined by a re-breathing loop external to the housing via the first and second diversion passages. To selectively effect such diversion, an elliptical valve element is oriented within the housing at a 45° angle to both the first primary passage portion and the first diversion passage and disposed on the end of an actuation shaft aligned with the first diversion passage. The actuation shaft is adapted to selectively move between a normal operating mode position wherein the valve element occludes the mouth of the first diversion passage and a re-breathing mode position occluding communication between the first primary passage portion and second primary passage portion and diverting air flow through the first diversion passage into the re-breathing loop and back into the airway valve through the second diversion passage, which opens onto the second primary passage portion.

Claims

1. An airway valve for diverting respiratory flow from a primary path to an alternative path, comprising:

a housing defining a primary passage including a first primary passage portion and a second primary passage portion, a first diversion passage perpendicular to the first primary passage portion and opening thereinto, and a second diversion passage opening into the second primary passage portion;

a valve element oriented at a 45°

angle to both the first primary passage portion and the first diversion passage and movable between a first position occluding the first diversion passage and a second position occluding communication between the first primary passage portion and the second primary passage portion.

2. The airway valve of claim 1, wherein the first primary passage portion and the first diversion passage are linear, cylindrical and of the same diameter, and the valve element is elliptical.

3. The airway valve of claim 1, wherein the valve element is secured to a shaft aligned with the first diversion passage and extending through a wall of the first primary passage portion to a spring-biased, differential pressure-driven actuation mechanism.

4. The airway valve of claim 3, wherein the first primary passage portion and the first diversion passage are linear, cylindrical and of the same diameter, and the valve element is elliptical.

5. The airway valve of claim 4, wherein the actuation mechanism includes a piston element to which the shaft is secured inside a cylinder bore defined by a wall structure, a spring inside the cylinder bore and a vent aperture between the cylinder bore and the exterior of the wall structure located on one side of the piston element and a port extending through the cylinder bore wall structure and communicating with the cylinder bore on an opposing side of the piston element.

6. The airway valve of claim 5, wherein the piston element further includes a flexible skirt extending to, and secured in sealing engagement with, the cylinder bore wall structure.

7. The airway valve of claim 6, wherein the flexible skirt is clamped between a first cylinder bore wall structure portion and a second cylinder bore wall structure portion to effect the sealing engagement.

8. The airway valve of claim 7, wherein the piston element includes a first protrusion thereon, an end wall of the cylinder bore wall structure includes a second protrusion facing the first protrusion and the spring is constrained between the two protrusions.

9. The airway valve of claim 8, wherein the spring is a coil spring, the first and second protrusions are annular, one protrusion is of an inner diameter greater than a diameter of the coil spring and the other protrusion is of an outer diameter greater than the coil spring diameter.

10. The airway valve of claim 1, wherein the second diversion passage is perpendicular to the second primary passage portion and further including another valve element oriented at a 45°

angle to both the second primary passage portion and the second diversion passage and movable between a first position occluding the second diversion passage and a second position occluding communication between the first primary passage portion and the second primary passage portion.

11. The airway valve of claim 10, wherein the first and second primary passage portions are coaxial and the first and second diversion passages are mutually parallel.

12. The airway valve of claim 11, wherein the first and second passage portions and the first and second diversion passages are linear, cylindrical and of the same diameter, and the valve elements are elliptical.

13. The airway valve of claim 11, wherein the valve element is secured to a shaft aligned with the first diversion passage and extending through a wall of the first primary passage portion to a spring-biased, differential pressure-driven actuation mechanism and the another valve element is secured to another shaft aligned with the second diversion passage and extending though a wall of the second primary passage portion to a spring-biased, differential pressure-driven actuation mechanism.

14. The airway valve of claim 13, wherein the shaft and the another shaft are connected to the same spring-biased, differential pressure-driven actuation mechanism.

15. The airway valve of claim 14, wherein the valve elements each present a concave surface to a primary passage portion and a diversion passage with which they are respectively associated.

16. The airway valve of claim 1, wherein the valve element presents a concave surface to the first primary passage portion and the first diversion passage.

17. A method of operating an airway valve for diverting respiratory air flow from a primary path to an alternate path, comprising:

providing a housing defining a primary passage including a first primary passage portion and a second primary passage portion, a first diversion passage and a second diversion passage, and a valve element associated with the first primary passage portion and the first diversion passage;

opening communication between the first and second primary passage portions and closing communication between the first primary passage portion and the first diversion passage by placing a valve element in a first position within the first diversion passage; and

closing communication between the first and second primary passage portions and

opening communication between the first passage portion and the first diversion passage by placing the valve element in a second position within the primary passage.

18. The method of claim 17, further including providing another valve element

associated with the second primary passage portion and the second diversion passage, and opening communication between the first and second primary passage portions and closing communication between the second primary passage portion and the second diversion passage by placing the another valve element in a first position within the second diversion passage;

and

closing communication between the first and second primary passage portions and opening communication between the second passage portion and the second diversion passage by placing the another valve element in a second position within the primary passage.

19. The method of claim 18, further comprising moving the first and second valve elements between their respective first and second positions simultaneously.

20. The method of claim 17, further including moving the valve element to the first position responsive to a spring bias, and moving the valve element to the second position responsive to a differential pressure sufficient to overcome the spring bias.

21. A ventilator circuit, comprising:

a primary conduit arrangement for communicating respiratory flow to and from a patient along a primary respiratory path;

a sensor device for measuring air flow incorporated in the primary conduit arrangement;

a sensor device for measuring carbon dioxide incorporated in the primary conduit arrangement;

a secondary conduit defining an alternative respiratory path;

an airway valve for diverting respiratory flow from a portion of the primary respiratory path to the alternative respiratory path, comprising;

a housing defining a primary passage in communication with the primary conduit arrangement and including a first primary passage portion and a second primary passage portion, a first diversion passage perpendicular to the first primary passage portion, opening thereinto and in communication with a first end of the secondary conduit, and a second diversion passage opening into the second primary passage portion and in communication with a second end of the secondary conduit;

a valve element oriented at a 45°

angle to both the first primary passage portion and the first diversion passage and movable between a first position occluding the first diversion passage and a second position occluding communication between the first primary passage portion and the second primary passage portion;

structure for processing signals from the sensor devices; and

structure for controlling actuation of the airway valve.

22. The ventilator circuit of claim 21, wherein the first primary passage portion and the first diversion passage are linear, cylindrical and of the same diameter, and the valve element is elliptical.

23. The ventilator circuit of claim 21, wherein the valve element is secured to a shaft aligned with the first diversion passage and extending through a wall of the first primary passage portion to a spring-biased, differential pressure-driven actuation mechanism.

24. The ventilator circuit of claim 23, wherein the first primary passage portion and the first diversion passage are linear, cylindrical and of the same diameter, and the valve element is elliptical.

25. The ventilator circuit of claim 24, wherein the actuation mechanism includes a piston element to which the shaft is secured inside a cylinder bore defined by a wall structure, a spring inside the cylinder bore and a vent aperture between the cylinder bore and the exterior of the wall structure located on one side of the piston element and a port extending through the cylinder bore wall structure and communicating with the cylinder bore on an opposing side of the piston element.

26. The ventilator circuit of claim 25, wherein the piston element further includes a flexible skirt extending to, and secured in sealing engagement with, the cylinder bore wall structure.

27. The ventilator circuit of claim 26, wherein the flexible skirt is clamped between a first cylinder bore wall structure portion and a second cylinder bore wall structure portion to effect the sealing engagement.

28. The ventilator circuit of claim 27, wherein the piston element includes a first protrusion thereon, an end wall of the cylinder bore wall structure includes a second protrusion facing the first protrusion and the spring is constrained between the two protrusions.

29. The ventilator circuit of claim 28, wherein the spring is a coil spring, the first and second protrusions are annular, one protrusion is of an inner diameter greater than a diameter of the coil spring and the other protrusion is of an outer diameter greater than the coil spring diameter.

30. The ventilator circuit of claim 21, wherein the second diversion passage is perpendicular to the second primary passage portion and further including another valve element oriented at a 45°

angle to both the second primary passage portion and the second diversion passage and movable between a first position occluding the second diversion passage and a second position occluding communication between the first primary passage portion and the second primary passage portion.

31. The ventilator circuit of claim 30, wherein the first and second primary passage portions are coaxial and the first and second diversion passages are mutually parallel.

32. The ventilator circuit of claim 31, wherein the first and second passage portions and the first and second diversion passages are linear, cylindrical and of the same diameter, and the valve elements are elliptical.

33. The ventilator circuit of claim 31, wherein the valve element is secured to a shaft aligned with the first diversion passage and extending through a wall of the first primary passage portion to a spring-biased, differential pressure-driven actuation mechanism and the another valve element is secured to another shaft aligned with the second diversion passage and extending though a wall of the second primary passage portion to a spring-biased, differential pressure-driven actuation mechanism.

34. The ventilator circuit of claim 33, wherein the shaft and the another shaft are connected to the same spring-biased, differential pressure-driven actuation mechanism.

35. The ventilator circuit of claim 34, wherein the valve elements each present a concave surface to a primary passage portion and a diversion passage with which they are respectively associated.

36. The ventilator circuit of claim 21, wherein the valve element presents a concave surface to the first primary passage portion and the first diversion passage.

37. The ventilator circuit of claim 21, wherein the structure for processing sensor signals and the structure for controlling the airway valve are incorporated in a patient monitor.