Apparatus for assistance for venting a patient

• US 6,722,359 B2
• Filed: 07/31/2001
• Issued: 04/20/2004
• Est. Priority Date: 07/31/2000
• Status: Active Grant

• Current Assignee: Resmed Paris (ResMed Incorporated)
• Original Assignee: Societe d'Applications Industrielles Medicales Et Electroniques SAIME
• Inventors: Chalvignac, Philippe
• Primary Examiner(s): Bennett, Henry
• Assistant Examiner(s): Dagostino, Sabrina
• Application Number:
  US09/917,898
• Publication Number:
  US 20020014239A1
• Time in Patent Office: 994 Days
• Field of Search: 128/204.21, 128/145.8, 128/200, 128/202.28, 128/204.13
• US Class Current: 128/204.18
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• 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 16/208 Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2205/16 with back-up system in case of failure
• CPC Class Codes: A61M 2205/8206 battery-operated
• CPC Class Codes: A61M 2230/43 Composition of exhalation

Abstract

An apparatus for assisting with ventilating a patient breathing in successive cycles, each of the cycles includes a phase of inhalation and a phase of exhalation. The apparatus includes a pressurized gas source, an outlet orifice of the gas source supplies a stream of pressurized gas. The apparatus also includes a gas stream distribution unit that has a transmission circuit which connects the gas source to a main inhalation pipe. The apparatus further includes an inhalation valve for regulating the gas stream and which is interposed in the transmission circuit and is controlled by a control circuit of the apparatus particularly as a function of the values of the flow rate inhalation valve is produced in the form of a rotary directional-control valve.

Claims

1. Apparatus for assisting with ventilating a patient breathing in successive cycles, each having a phase of inhalation and a phase of exhalation, said apparatus comprising:

a pressurized gas source, an outlet orifice of said pressurized gas source supplies a stream of pressurized gas intended to be transmitted to the upper airways of the patient;

a pressurized gas stream distribution unit which comprises a transmission circuit which connects the outlet orifice of the gas source to a first free end of a main inhalation pipe, to the second free end of which is fixed a mask intended to be worn by the patient; and

an inhalation valve for regulating the gas stream and which is interposed in the transmission circuit, and is controlled by a control circuit of the apparatus, and which is produced in the form of a rotary directional-control valve,

wherein the inhalation valve for regulating the gas stream comprises a tubular valve body having a wall with a longitudinal oblong opening that allows the stream of gas from the outlet orifice of the gas source to be transmitted to the first free end of the main inhalation pipe and comprises a spool which is mounted so that the spool can turn in the body, said spool is closed at one axial end and has an axial end edge, at an opposite end to the closed end, said axial end edge has a profile that corresponds to a curve in the overall form of a spiral so that as the spool is turned, the passage cross section of the oblong opening allowing the transmission of the gas stream is varied progressively.

2. Apparatus (10) for assisting with ventilation according to claim 1, characterized in that the outlet orifice (107) of the gas source (12) opens into the first free end of a first hole (64), the second free end of which is plugged by the closed end of the spool (72) and in that the distribution unit (50) has a recess (68) which opens, on the one hand, opposite the longitudinal oblong opening (66) which it complements, and on the other hand, into a second blind hole (70) to the free end of which the first free end of the main inhalation pipe (14) is fixed.

3. Apparatus (10) for assisting with ventilation according to claim 1, characterized in that the spool (72) is turned by a motor (94), particularly of the stepping type, controlled by the control circuit of the apparatus (10).

4. Apparatus (10) for assisting with ventilation according to claim 1, characterized in that the spool (72) has a device (96) for indexing its angular position.

5. Apparatus (10) for assisting with ventilation according to claim 1, characterized in that the control circuit of the apparatus (10) controls the angular position of the spool (72) and the pressure supplied by the gas source (12) so that the passage cross section allows the predetermined volume of gas to be transmitted to the patient.

6. Apparatus (10) for assisting with ventilation according to claim 1, characterized in that the control circuit of the apparatus (10) controls the angular position of the spool (72) so that the passage cross section corresponds to the entirety of the oblong opening (66) and in that the control circuit of the apparatus (10) controls the pressure supplied by the gas source (12) so that the pressure of the gas in the inhalation pipe (14) is the predetermined gas pressure.

7. Apparatus (10) for assisting with ventilation according to claim 6, characterized in that the control circuit of the apparatus (10) controls the switching of the angular position of the spool (72) back and forth about a predetermined position that corresponds to the predetermined flow rate and controls the pressure supplied by the gas source (12).

8. Apparatus (10) for assisting with ventilation according to claim 1, characterized in that the pressurized gas source (12) comprises a rotary electric machine (100) controlled in terms of speed by the control circuit, a free end of the rotor (102) of which drives the rotation of a bladed wheel (104) which drives the gas stream through a guide volute (106) of a casing (108) when the rotary electric machine (100) is electrically powered.

9. Apparatus (10) for assisting with ventilation according to claim 8, characterized in that the casing (108) has at least one injection point (110), opening into the volute (106), for ejecting at least one compressed gas which is supplied by another upstream pressure source, at a second pressure higher than the first pressure, and in that the compressed gas at the second pressure is capable of driving the rotation of the bladed wheel (104) and of the rotor of the rotary electric machine (100) so that the pressurized gas is supplied to the patient at the first pressure and the rotary electric machine (100) acts as an electricity generator and produces electrical energy.

10. Apparatus (10) for assisting with ventilation according to claim 9, characterized in that the stream of at least one gas at a second pressure is injected into the casing (108) in a direction more or less tangential to the volute (106).

11. Apparatus (10) for assisting with ventilation according to claim 9, characterized in that the upstream pressure source at least partially consists of a pressurized gas circuit available in a hospital environment.

12. Apparatus (10) for assisting with ventilation according to claim 9, characterized in that the source of pressure comprises a pressurized gas reservoir.

13. Apparatus (10) for assisting with respiratory ventilation according to claim 12, characterized in that the reservoir is incorporated into the apparatus (10) for assisting with ventilation.

14. Apparatus (10) for assisting with respiratory ventilation according to claim 9, characterized in that the gas at the second pressure is made up at least partially of air.

15. Apparatus (10) for assisting with respiratory ventilation according to claim 9, characterized in that the compressed gas at the second pressure is made up at least partially of a therapeutic gas.

16. Apparatus (10) for assisting with ventilation according to claim 15, characterized in that the therapeutic gas is oxygen.

17. Apparatus (10) for assisting with ventilation according to claim 9, characterized in that means for regulating the pressure are inserted between the said other upstream pressure source and injection point (110).

18. Apparatus (10) for assisting with ventilation according to claim 9, characterized in that it comprises a valve for metering the compressed gas at the second pressure, the opening of which valve is controlled in proportion with the opening of the inhalation valve (54).

19. Apparatus (10) for assisting with respiratory ventilation according to claim 8, characterized in that the electrical energy supplied by the rotary electric machine (100), operating as a generator, at least partially powers the electricity-consuming systems of the apparatus (10).

20. Apparatus (10) for assisting with respiratory ventilation according to claim 9, characterized in that the electrical energy produced by the rotary electric machine (100), operating as a generator, powers and at least partially charges an accumulator battery of the apparatus (10).

21. Apparatus (10) for assisting with respiratory ventilation according to claim 9, characterized in that the electrical energy produced by the rotary electric machine (100) is more than the electrical energy consumed by the electricity-consuming systems, so that the apparatus (10) for assisting with respiratory ventilation is autonomous.

22. Apparatus (10) for assisting with respiratory ventilation according to claim 21, characterized in that the distribution unit (50) comprises controlling means (122) which can order the opening and closing of an exhalation valve (120) which is arranged with equal preference in the inhalation pipe (14) of a single circuit (116) or in the exhalation pipe (130) of a double circuit (132).

23. Apparatus (10) for assisting with ventilation according to claim 22, characterized in that, when it has a double circuit (132), the exhalation valve (120) is arranged in the module (134) which is fixed to the distribution unit (50) and comprises a pipe (124) for connecting the controlling means (122) to the exhalation valve (120).

24. Apparatus (10) for assisting with ventilation according to claim 22, characterized in that the controlling means (122) allow a positive exhalation pressure to be applied to the exhalation valve (120), and in that the positive exhalation pressure is provided by a fan.

25. Apparatus (10) for assisting with ventilation according to claim 24, characterized in that the distribution unit (50) comprises measuring means (126) which determine the flow rate of gas flowing, during the exhalation phase, through the inhalation pipe (14) of a single circuit (118) or through the exhalation pipe (130) of a double circuit (132).

26. Apparatus (10) for assisting with ventilation according to claim 25, characterized in that, when it has a double circuit (132) it comprises a module (134) which is fixed to the distribution unit (50) and comprises at least one pipe (129) connecting the measuring means (126) to the exhalation pipe (130).