Process for controlling a respirator

• US 6,679,259 B2
• Filed: 08/08/2001
• Issued: 01/20/2004
• Est. Priority Date: 08/22/2000
• Status: Active Grant

• Current Assignee: Dragerwerk AG & Company KGaA (FPS Vermögensverwaltung GmbH)
• Original Assignee: Drager Medizintechnik GmbH
• Inventors: Heesch, Ralf
• Primary Examiner(s): Dawson, Glenn K.
• Assistant Examiner(s): RADEMACHER, MARK A
• Application Number:
  US09/924,694
• Publication Number:
  US 20020023646A1
• Time in Patent Office: 895 Days
• Field of Search: 128/204.26, 128/204.23, 128/204.22, 128/204.21, 128/204.18, 128/203.14, 128/203.12, 128/203.18, 128/203.25, 128/205.11, 128/205.14, 128/205.24, 128/205.18, 128/910
• US Class Current: 128/204.26
• CPC Class Codes: A61M 16/0072 Tidal volume piston pumps
• CPC Class Codes: A61M 16/01 specially adapted for anaesthetising A61M16/104, A61M16/18 take precedence
• CPC Class Codes: A61M 16/22 Carbon dioxide-absorbing devices ; Other means for removing carbon dioxidecartridges with absorbing substances for respiratory apparatus A62B19/00
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit
• CPC Class Codes: A61M 2205/3344 Measuring or controlling pressure at the body treatment site
• CPC Class Codes: A61M 2205/3351 Controlling upstream pump pressure
• CPC Class Codes: Y10S 128/91 Anesthesia gas scavenging system

Abstract

A process and system are provided for controlling a respirator with a breathing circuit (2), an inspiration branch (10) and an expiration branch (12), in which the gas components needed for the respiration are fed in by a fresh gas metering device (20) via a fresh gas line (9), as a result of which at least the amount of breathing gas consumed can be replenished. A breathing gas delivery unit (1) is provided in the inspiration branch (10) and with a volume flow sensor (13) in the expiration branch (12). The fresh gas utilization of the respirator is improved and the process and system reduces the resistances in the breathing circuit (2) for the patient (3) by the breathing gas delivery unit (1) being returned during the phase of expiration at a speed that depends on the volume flow that is measured by the volume flow sensor (13). A maximum percentage of the breathing gas volume expired via the expiration branch (12) reaches the breathing gas delivery unit (1) and can be displaced from there to the patient (3) via the inspiration branch (10).

Claims

1. A process for controlling a respirator with a breathing circuit, the process comprising the steps of:

providing a respirator with a breathing circuit with an inspiration branch and an expiration branch;

providing a fresh gas metering device fir feeding gas components needed for the respiration for at least replenishing an amount of breathing gas consumed;

providing a breathing gas delivery unit in the inspiration branch, the gas delivery unit having a delivery stroke;

providing a volume flow sensor in the expiration branch;

measuring the volume flow with the volume flow sensor to provide a volume flow measurement; and

returning the breathing gas delivery unit from the delivery stroke position during the phase of expiration at a speed that is directly obtained from the sum of the volume flow measurement and the volume flow fed in via the flesh gas metering device, so that a maximum percentage of the breathing gas volume expired via the expiration branch reaches the breathing gas delivery unit and can be displaced into the inspiration branch during a next phase of inspiration.

2. A process in accordance with claim 1, wherein the breathing gas delivery unit is returned during the phase of expiration at a speed that further depends, in addition to depending on the sum of the volume flows, on the pressure of the breathing gas that is measured by a pressure sensor, so that when the pressure of the breathing gas drops below a preset minimum pressure p_MIN of the breathing gas in the breathing circuit, the return of the breathing gas delivery unit is stopped and is continued only when the minimum pressure p_MIN is reached.

3. A process in accordance with claim 1, wherein the gas delivery unit is a piston and the volume of fresh gas is obtained from the difference between a desired position of the piston and its actual position at the beginning of the particular phase of inspiration is fed in by the flesh gas metering device via a fresh gas line.

4. A process in accordance with claim 1, wherein the difference between a desired position of the piston and its actual position at the beginning of the particular phase of inspiration is displayed to the operator.

5. A process in accordance with claim 1, wherein the breathing gas delivery unit is moved forward during the phase of inspiration at a speed that depends on the volume flow that is measured by a volume flow sensor in the inspiration branch and the pressure of the breathing gas that is measured by the pressure sensor, so that inspiratory airway resistances are compensated and a preset maximum pressure p_MAX of the breathing gas in the breathing circuit is not exceeded.

6. A process for controlling a respirator with a breathing circuit the process comprising the steps of:

providing a breathing circuit with an inspiration branch and an expiration branch

feeding gas components needed for the respiration into said breathing circuit via a fresh gas metering device;

employing a breathing gas delivery unit with a piston device in the inspiration branch to deliver breathing gas with a delivery stroke;

measuring the volume flow with a volume flow sensor to provide a volume flow measurement; and

returning the breathing gas delivery unit from a delivery stroke position during the phase of expiration at a speed that is directly obtained from the sum of the volume flow measurement and the volume flow fed in via the fresh gas metering device whereby a maximum percentage of the breathing gas volume expired via the expiration branch reaches the breathing gas delivery unit and can be displaced into the inspiration branch during a next phase of inspiration.

7. A process in accordance with claim 6, wherein the breathing gas delivery unit is returned during the phase of expiration at a speed that further depends, in addition to depending on the sum of the volume flows, on the pressure of the breathing gas that is measured by a pressure sensor, so that when the pressure of the breathing gas drops below a preset minimum pressure p_MIN of the breathing gas in the breathing circuit the return of the breathing gas delivery unit is stopped and is continued only when the minimum pressure p_MIN is reached.

8. A respirator, comprising:

a breathing circuit with an inspiration branch and an expiration branch;

a fresh gas metering device connected to said breathing circuit for feeding gas components needed for the respiration for at least replenishing an amount of breathing gas consumed;

a breathing gas delivery unit in the inspiration branch with a gas delivery unit piston having a delivery stroke;

a volume flow sensor in the expiration branch measuring the volume flow with the volume flow sensor to provide a volume flow measurement; and

a control unit connected to said volume flow sensor and to said breathing gas delivery unit for returning the breathing gas delivery unit from the delivery stroke position during the phase of expiration at a speed that is directly obtained from the sum of the volume flow measurement and the volume flow fed in via the fresh gas metering device, so that a maximum percentage of the breathing gas volume expired via the expiration branch reaches the breathing gas delivery unit and can be displaced into the inspiration branch during a next phase of inspiration.

9. A respirator in accordance with claim 8, wherein the breathing gas delivery unit is returned during the phase of expiration by command of said control unit at a speed that further depends, in addition to depending on the sum of the volume flows, on the pressure of the breathing gas that is measured by a pressure sensor, so that when the pressure of the breathing gas drops below a preset minimum pressure p_MIN of the breathing gas in the breathing circuit the return of the breathing gas delivery unit is stopped and is continued only when the minimum pressure p_MIN is reached.