Respiratory humidification system

• US 6,694,974 B1
• Filed: 06/01/2000
• Issued: 02/24/2004
• Est. Priority Date: 06/17/1997
• Status: Expired due to Term

• Current Assignee: Fisher & Paykel Healthcare Limited
• Original Assignee: Fisher & Paykel Limited
• Inventors: George-Gradon, Lewis, McPhee, Stephen William, Leonard, Peter John, Seakins, Paul John
• Primary Examiner(s): Lo, Weilun
• Assistant Examiner(s): WEISS JR, JOSEPH
• Application Number:
  US09/585,867
• Time in Patent Office: 1,363 Days
• Field of Search: 128/203.12, 128/203.16, 128/203.17, 128/203.26, 128/204.17, 128/204.22, 261/129, 261/130, 261/131, 261/142, 261/DIG.65, 219/490, 219/494, 165/222, 165/223, 165/229, 165/230, 165/253, 165/281, 165/287-290, 165/295, 236/44.R, 236/20.E, 236/912, 236/DIG.13, 392/460-466
• US Class Current: 128/203.17
• CPC Class Codes: A61M 16/0051 with alarm devices
• 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 16/0841 for sampling
• CPC Class Codes: A61M 16/1075 by influencing the temperature A61M16/1045 takes precedence
• CPC Class Codes: A61M 16/109 the humidifying liquid or the beneficial agent
• CPC Class Codes: A61M 16/1095 in the connecting tubes
• CPC Class Codes: A61M 16/16 Devices to humidify the respiration air A61M16/1045 takes precedence
• CPC Class Codes: A61M 16/161 with means for measuring the humidity
• CPC Class Codes: A61M 16/162 Water-reservoir filling system, e.g. automatic
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2205/18 with alarm
• CPC Class Codes: A61M 2205/3331 Pressure; Flow
• CPC Class Codes: A61M 2205/3368 Temperature
• CPC Class Codes: G01F 1/684 Structural arrangements; Mounting of elements, e.g. in relation to fluid flow
• CPC Class Codes: G01F 1/6842 with means for influencing the fluid flow
• CPC Class Codes: G01F 1/6888 Thermoelectric elements, e.g. thermocouples, thermopiles
• CPC Class Codes: G08B 21/16 Combustible gas alarms
• CPC Class Codes: Y10S 261/65 Vaporizers

Abstract

A flow probe for use in a humidification system is disclosed. The flow probe is adapted to be positioned in a humidified gases flow (for example oxygen or anaesthetic gases) such as that which is provided to a patient in a hospital environment. The flow probe is designed to provide both temperature and flow rate sensing of the gases flow by incorporating two sensors (preferably thermistors) and the shape and alignment of the probe enables accurate readings by reducing the occurrence of condensation on the sensors. A number of possible applications are disclosed wherein the flow sensor is included in humidification control systems which provide a patient with a desired humidity level or simplify the amount of user input required or wherein the flow sensor provides a controller with flow information which may then be used to determine certain, possibly dangerous, conditions (such as incorrect flow sensor placement, breathing circuit disconnected, no water in the humidification chamber or humidity out of required limits).

Claims

1. Humidification apparatus for humidifying a gas flow to be supplied to a patient or other person in need of such gas comprising:

humidification chamber means for holding a quantity of water and having an inlet and an outlet to allow said gas flow to pass through said humidification chamber means,

heating means provided adjacent said humidification chamber means for providing heat to said quantity of water in said humidification chamber means in order to provide water vapour to said gas flow passing through said humidification chamber means,

gas transportation pathway means connected to said outlet of said humidification chamber means for conveying said gas flow to said patient or other person in need of such gas,

flow probe means for sensing the flow rate of said gas flow,

temperature sensing means for sensing the temperature of said gas flow,

user input means for user selection of one of two or more states corresponding to two or more gas delivery configurations, each delivery configuration including a predetermined gas temperature and humidity level,

a controller configured to receive input from said flow probe means, said temperature sensing means and said user input means and activate said heating means to provide said gas flow to said patient to other person in need of such gas at a temperature and humidity level depending on the configuration selected by said user input means.

2. Humidification apparatus as claimed in claim 1 wherein said user input means comprise a two state input device with a first state corresponding to an intubated gas delivery configuration and a second state corresponding to an intact airways gas delivery configuration.

3. Humidification apparatus as claimed in claim 2 wherein said intubated gas delivery configuration comprises delivering gas at a temperature of about 37°

C. and a humidity of about 44 mg H₂O per litre of gas and said intact airways gas delivery configuration comprises delivering gas at a temperature of about 32°

C. and a humidity level of about 30 mg H₂O per litre of gas.

4. Humidification apparatus as claimed in claim 1claim 2 wherein said controller receives input from said flow probe means and said controller is configured to

(i) calculate the power usage required of said heating means in order to humidify said gas flow to a predetermined level at the gas flow rate sensed by said flow probe means,

(ii) determine the present power usage of said heating means, and

(iii) supply said predetermined level of power to said heating means if the determined present power usage of said heating means is less than said required power usage.

5. Humidification apparatus as claimed in claim 4 further comprising data storage means for storing data and wherein said step of calculating the power usage required of said heating means in order to humidify said gas flow comprises sensing the present gas flow by said flow probe means and searching in said data storage means for a previously stored power value associated with said sensed gas flow rate, said data storage means being previously supplied with flow rate and associated power usage values.

6. Humidification apparatus as claimed in claim 4 wherein said step of calculating the power usage required of said heating means in order to humidify said gas flow also comprises the steps of calculating the rate of evaporation required in order to attain said predetermined level at the sensed gas flow rate and then determining the power required of said heating means to produce the required said rate of evaporation.

7. Humidification apparatus as claimed in claim 4 wherein said program stored by said controller is also configured to

iia) control said heating means in order to maintain said gas flow rate exiting said humidification chamber means at a predetermined temperature.

8. Humidification apparatus as claimed in claim 4 wherein said controller is also configured to

iv) sense the temperature of the gas leaving the humidification chamber means and returning to step (i) when the sensed temperature is less than said predetermined temperature.

9. Humidification apparatus as claimed in claim 1 or claim 2 further comprising data storage means for storing information on target gas temperatures at various gas flow rates of a number of humidification chamber outlet means temperatures and said controller configured to receive input from said temperature sensing means and said user input means and using said flow information from said flow probe means repeatedly obtains corresponding target temperature information from said data storage means corresponding to the desired gas humidity level and varies the heat provided by said heating means until the sensed temperature is substantially equivalent to said target temperature in order to obtain said desired gas humidity level.

10. Humidification apparatus as claimed in claim 1 or 2 wherein said gas transportation pathway means includes a heating wire means for, depending on a setting determined by said controller, supplying heat to said gas flow between said humidification means outlet and said patient or other person in need to such gas and wherein said controller configured to control temperature changes in said gas flow along said gas transportation pathway means, and adjusting said setting of said heating wire to control the temperature of said gas flow delivered to said patient or other person in need of such gas to a user set desired temperature.

11. Humidification apparatus as claimed in claim 1 or claim 2 wherein said flow probe means comprises:

sensor housing means for positioning in said gas flow, said sensor housing means having a longitudinal axis substantially perpendicular to said humidified gas flow and a sensing end,

sensing means for sensing said gas flow housed within said sensor housing means at or near said sensing end, and

at least two projecting tabs means for extending laterally from said sensor housing means, oppositely positioned around said sensor housing means and aligned parallel to said gas flow, wherein liquid condensate is dispersed along the lines of intersection between said sensor housing means and said at least two tab means away from said sensing end of said sensor housing means, there existing a localised area of low surface tension along said lines of intersection.

12. Humidification apparatus as claimed in claim 11 wherein said flow probe means comprise two sensor housing means, a temperature sensor housing means and a flow rate sensor housing means, each comprising a temperature dependent resistance, and wherein said sensing means of said flow rate sensor housing means is occasionally heated to a predetermined difference temperature above the temperature of said gas flow, the power required by said sensor means of said flow rate sensor housing means to maintain said predetermined difference temperature providing an indication of the flow rate of said gas, and wherein said sensing means of said flow rate sensor housing means is exposed at or near the sensing end of the flow rate sensor housing means, the sensing means of said temperature sensor housing means is encapsulated at or near the sensing end of the temperature sensor housing means, and wherein said flow rate sensor housing means is positioned downstream of said temperature sensor housing means in order that heat produced by the sensing means of said fow rate sensor housing means does not effect the sensing means of said temperature sensor housing means.

13. Humidification apparatus as claimed in claim 11 wherein said gas transportation pathway means has a known cross-sectional area, at least in the region adjacent said flow probe means, and is provided with a sensor entry port adapted to receive said flow probe means, said sensor entry port being provided with a fixed locating depression and said flow probe means being provided with a complimentary fixed locating tooth, the positioning of said temperature sensor housing means and said flow rate sensor housing means relative to said gas flow being controlled by interconnection of said locating depression and tooth.

14. Humidification apparatus for humidifying a gas flow to be supplied to a patient or other person in need of such gas comprising:

humidification chamber means for holding a quantity of water and having an inlet and an outlet to allow said gas flow to pass through said humidification chamber means,

heating means provided adjacent said humidification chamber means and adapted for providing heat to said quantity of water in said humidification chamber means in order to provide water vapour to said gas flow passing through said humidification chamber means, said heating means utilising a measurable quantity of power,

gas transportation pathway means connected to said outlet of said humidification chamber means for conveying said gas flow to said patient or other person in need of such gas,

gas transportation pathway heating means for supplying heat to said gas flow along at least a part of the length of said gas transportation pathway means,

gas temperature sensing means for sensing the temperature of said gas flow leaving said humidification chamber means,

user input means for a user to enter a required temperature offset value which is the required difference in temperature between the said sensed gas temperature and the temperature of the gas flow delivered to said patient,

a controller configured to;

i) determine the gas temperature of the gas leaving said humidification chamber means using said gas temperature sensing means,

ii) receive said offset temperature value from said user input means,

iii) calculate an airway set-point temperature by adding said gas temperature to said offset temperature,

iv) energise said gas transportation pathway heating means to increase the temperature of said gas flow by said offset value along the length of said gas transportation pathway means.

15. Humidification apparatus means as claimed in claim 14 wherein said controller is also configured to

v) determine whether said offset temperature has been achieved along said gas transportation pathway means and if said offset temperature has not been achieved after a predetermined period of time then said heating means is controlled to reduce the temperature sensed by said gas temperature sensing means by a predetermined amount.

16. Humidification apparatus means as claimed in claim 14 wherein said controller is also configured to

vi) repeating steps i) to iv) until said offset temperature is maintained along said gas transportation pathway means.