Ventilator system

• US 6,152,135 A
• Filed: 10/23/1998
• Issued: 11/28/2000
• Est. Priority Date: 10/23/1998
• Status: Expired due to Term

• Current Assignee: Vyaire Medical 203 Incorporated (Cardinal Health, Inc.)
• Original Assignee: Pulmonetic Systems Incorporated (Cardinal Health, Inc.)
• Inventors: Holmes, Michael B., DeVries, Douglas F.
• Primary Examiner(s): Dawson, Glenn K.
• Application Number:
  US09/178,466
• Time in Patent Office: 767 Days
• Field of Search: 251/12, 251/14, 251/66, 251/129.01, 251/129.08, 251/142, 251/205, 251/206, 251/289, 251/336, 251/356, 128/204.18, 128/204.21, 128/205.24, 128/207.12, 128/206.15
• US Class Current: 128/205.24
• CPC Class Codes: A61M 16/0057 Pumps therefor
• CPC Class Codes: A61M 16/0066 Blowers or centrifugal pumps
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 16/12 by mixing different gases
• CPC Class Codes: A61M 16/20 Valves specially adapted to medical respiratory devices
• CPC Class Codes: A61M 16/204 used for inhalation control
• CPC Class Codes: A61M 16/205 used for exhalation control
• 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 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2205/42 Reducing noise

Abstract

A portable mechanical ventilator uses a constant-speed compressor compressor and a recirculating bypass circuit. Bypass flow is governed by a spring-biased bypass valve so connected to both the inlet and the outlet of the main flow control valve as to maintain a differential pressure across the flow valve sufficient to operate the ventilator with minimal energy consumption. The flow valve is operated by a microprocessor in accordance with empirically derived lookup tables to both produce the desired air flow and provide a measure of that air flow.

Claims

1. A ventilator for patients needing assistance in breathing, comprising:

a) a compressor having an air input and an air output, and being arranged to compress said air at said output to a first pressure level;

b) a flow valve having an inlet and an outlet, and a valving element interposed therebetween, said air at said first pressure level being applied to said inlet, and said air exiting said outlet at a second pressure level;

c) a bypass valve arranged to receive a portion of said air at said first pressure level and to discharge said air into the input side of said compressor when said bypass valve is open;

d) said bypass valve being biased with a bias toward the closed position and being further so connected to said outlet of said flow valve that said bypass valve opens whenever said first pressure level exceeds the sum of said bias plus said second pressure level; and

e) a conduit arranged to introduce said air exiting said outlet into the lungs of said patient.

2. The ventilator of claim 1, in which said compressor is a substantially constant speed compressor.

3. The ventilator of claim 1, in which said bias is a substantially constant bias.

4. The ventilator of claim 1, further comprising:

f) an actuator connected to said valving element for selectively increasing and reducing the air flow between said inlet and said outlet; and

g) a controller operatively connected to said actuator to continuously cause said actuator to reposition said valving element in response to a selected air flow rate and the differential pressure between said first and second pressure level.

5. The ventilator of claim 4, in which said controller contains a lookup table of valving element positions corresponding to given air flow rates at given differential pressures, and said controller is arranged to continuously compute from said lookup table the valving element position necessary to produce a selected air flow at the current sensed differential pressure, and to control said actuator to so position said valving element.

6. The ventilator of claim 5, in which said lookup table contains empirically derived values.

7. The ventilator of claim 6, in which values intermediate to the empirically derived values are obtained by interpolation.

8. The ventilator of claim 5, in which said controller includes a second lookup table of air flow rates corresponding to given valving element positions at given differential pressures, and said controller is further arranged to continously compute from said second lookup table the air flow produced by the current valving element position at the current sensed differential pressure.

9. The ventilator of claim 8, in which said second lookup table contains empirically derived values.

10. The ventilator of claim 9, in which values intermediate to the empirically derived values in the second lookup table are obtained by interpolation.

11. The ventilator of claim 5, in which said actuator is a step motor.

12. The ventilator of claim 1, further comprising:

g) a source of oxygen under pressure;

h) a transducer arranged to measure the pressure of said oxygen source; and

i) a digitally operated valve assembly connected to said oxygen source and arranged to mix a selected quantity of oxygen with said air in response to said measured source pressure.

13. A method for closed-loop control of air flow through a ventilator valve without measuring said air flow, comprising the steps of:

a) providing a valve with known flow path cross sections at various valve positions;

b) producing a pressure differential between the inlet and the outlet of said valve;

c) monitoring said pressure differential;

d) controlling the position of said valve in accordance with a control signal; and

e) using said pressure differential and said control signal to adjust said control signal for producing a desired air flow.

14. The method of claim 13, in which said pressure differential is maintained substantially constant.

15. In a ventilator for patients needing assistance in breathing, a self-regulating flow control system, comprising:

a) a flow valve having an inlet and an outlet and defining a gas flow path between the inlet and the outlet, the flow valve including a valving element in the gas flow path that is movable through a plurality of positions, each of which defines a specific cross-sectional area of the gas flow path, whereby a differential pressure is developed between the inlet and the outlet, and a gas flow rate is generated through the outlet that is a function of the cross-sectional area of the gas flow path;

b) a pressure transducer in communication with the inlet and the outlet so as to generate a differential pressure signal indicative of the differential pressure; and

c) a controller arranged to control the position of the valving element, the controller receiving the differential pressure signal and a position value indicative of the position of the valving element, wherein the controller, in response to the position value and the differential pressure signal, adjusts the position of the valving element for closed loop control of the gas flow rate.

16. The ventilator of claim 15, further comprising:

d) a bypass circuit including a biased valve and connecting the outlet of said flow valve to the inlet of said flow valve, said biased valve being so biased as to maintain a substantially constant pressure differential between the inlet and the outlet of said flow valve.