Ventilation system employing synchronized delivery of positive and negative pressure ventilation

• US 7,594,508 B2
• Filed: 06/29/2007
• Issued: 09/29/2009
• Est. Priority Date: 07/13/2006
• Status: Expired due to Fees

• Current Assignee: RIC INVESTMENTS LLC (Respironics Incorporated)
• Original Assignee: RIC INVESTMENTS LLC (Respironics Incorporated)
• Inventors: Doyle, Peter R.
• Primary Examiner(s): Douglas; Steven O
• Application Number:
  US11/771,061
• Publication Number:
  US 20080149099A1
• Time in Patent Office: 823 Days
• Field of Search: 128/204.18, 128/204.21, 128/204.24, 128/205.24, 601/41, 601/43, 601/44
• US Class Current: 128/204.18
• CPC Class Codes: A61H 2201/165 Wearable interfaces
• CPC Class Codes: A61H 31/02 "Iron-lungs" , i.e. involving chest expansion by applying underpressure thereon, whether or not combined with gas breathing means
• CPC Class Codes: A61M 16/00 Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes stimulating the respiratory movement by mechanical, pneumatic or electrical means, iron lungs combined with gas breathing means A61H31/00
• CPC Class Codes: A61M 16/0009 with sub-atmospheric pressure, e.g. during expiration
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• CPC Class Codes: A61M 16/022 Control means therefor
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/0627 with sealing means on a part of the body other than the face, e.g. helmets, hoods or domes
• CPC Class Codes: A61M 16/0633 with forehead support
• CPC Class Codes: A61M 16/0683 Holding devices therefor
• CPC Class Codes: A61M 16/0816 Joints or connectors
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/003 with a flowmeter
• CPC Class Codes: A61M 2205/3368 Temperature
• CPC Class Codes: A61M 2210/0618 Nose

Abstract

A ventilation system is adapted to synchronize the delivery of both positive pressure ventilation and negative pressure ventilation to a patient. The ventilation system is structured to produce a positive pressure flow of gas which is delivered to the patient'"'"'s airway and a negative pressure flow of gas which is converted into a negative extrathoracic pressure. The negative extrathoracic pressure is communicated to the patient in synchronism with the delivery of the positive pressure flow of gas.

Claims

1. A ventilation system, comprising:

a device structured to deliver positive pressure ventilation and negative pressure ventilation to a patient; and

a controller structured to cause the device to deliver a desired total pressure ventilation to the patient by synchronizing delivery of both a particular positive pressure ventilation and a particular negative pressure ventilation to the patient during an inhalation phase.

2. The ventilation system of claim 1, wherein the device comprises:

a positive pressure component; and

a negative pressure component.

3. The ventilation system of claim 2, wherein:

the positive pressure component, comprises;

a positive gas flow generator structured to generate a positive pressure flow of gas comprising the particular positive pressure ventilation;

a first conduit; and

a patient interface, wherein the first conduit and the patient interface are structured to communicate the positive pressure flow of gas from the positive gas flow generator to an airway of the patient, and wherein

the negative pressure component, comprises;

a negative gas flow generator structured to generate a negative pressure flow of gas;

a second conduit; and

a thoracic interface, wherein the second conduit is structured to communicate the negative pressure flow of gas from the negative gas flow generator to the thoracic interface, and wherein the thoracic interface is structured to convert the negative pressure flow of gas into a negative

extrathoracic pressure and to communicate the negative extrathoracic pressure to the patient, the negative extrathoracic pressure comprising the particular negative pressure ventilation.

4. The ventilation system of claim 3, wherein the controller is adapted to synchronize the delivery of the positive pressure flow of gas and the negative extrathoracic pressure to the patient during the inhalation phase in response to at least one of such a patient'"'"'s respiratory rate, a positive end expiratory pressure, a ventilatory cycle triggering event, detection of leakage of an amount of the positive pressure flow of gas, detection of loss of an amount of negative extrathoracic pressure, non-delivery of the positive pressure flow of gas to the patient, and non-delivery of the negative extrathoracic pressure to the patient.

5. The ventilation system of claim 3, wherein the positive gas flow generator is contained within a first housing, and wherein the negative gas flow generator is contained within a second housing.

6. A ventilation system, comprising:

a device structured to deliver a positive pressure flow of gas and a negative extrathoracic pressure to a patient; and

a controller structured to cause the device to deliver a desired total pressure ventilation to the patient by synchronizing delivery of both the positive pressure flow of gas and the negative extrathoracic pressure to the patient during an inhalation phase.

7. The ventilation system of claim 6, wherein the device comprises:

a gas flow generator structured to generate at least one of the positive pressure flow of gas and a negative pressure flow of gas.

8. The ventilation system of claim 7, wherein the device further comprises:

a patient conduit structured to couple with the gas flow generator; and

a patient interface structured to couple with the patient conduit, wherein the patient conduit and the patient interface are structured to communicate the positive pressure flow of gas from the gas flow generator to an airway of the patient.

9. The ventilation system of claim 8, wherein the patient interface includes at least one of a nasal mask, a full-face mask, a total face mask, an endotracheal tube, a tracheostomy tube, and a laryngeal mask airway.

10. The ventilation system of claim 8, wherein the patient interface is structured to invasively deliver the positive pressure flow of gas to the airway of the patient.

11. The ventilation system of claim 8, wherein the patient interface is structured to non-invasively deliver the positive pressure flow of gas to the airway of the patient.

12. The ventilation system of claim 7, wherein the device further comprises:

a patient conduit structured to couple with the gas flow generator; and

a thoracic interface structured to couple with the patient conduit, wherein the patient conduit is structured to communicate the negative pressure flow of gas from the gas flow generator to the thoracic interface, and wherein the thoracic interface is structured to convert the negative pressure flow of gas into the negative extrathoracic pressure and to communicate the negative extrathoracic pressure to the patient.

13. The ventilation system of claim 12, wherein the thoracic interface includes at least one of a body tank system, a chest cuirass, and a body wrap.

14. The ventilation system of claim 6, wherein the device comprises:

an electro-mechanical operator structured to generate the extrathoracic pressure and to deliver the negative extrathoracic pressure to the patient.

15. The ventilation system of claim 6, wherein the controller is adapted to cause the device to deliver to the patient a first portion of an inspiratory positive airway pressure by application of the positive pressure flow of gas and a second portion of the inspiratory positive airway pressure by application of the negative extrathoracic pressure.

16. The ventilation system of claim 6, wherein the controller is adapted to synchronize the delivery of both the positive pressure flow of gas and the negative extrathoracic pressure during the inhalation phase in response to at least one of the patient'"'"'s respiratory rate, a positive end expiratory pressure, a ventilatory cycle triggering event, detection of leakage of an amount of the positive pressure flow of gas, detection of loss of an amount of negative extrathoracic pressure, non-delivery of the positive pressure flow of gas to the patient, and non-delivery of the negative extrathoracic pressure to the patient.

17. A method for ventilating a patient, comprising:

generating a positive pressure flow of gas;

generating a negative extrathoracic pressure; and

delivering a desired total pressure ventilation to the patient by synchronizing delivery of both the positive pressure flow of gas and the negative extrathoracic pressure to the patient during an inhalation phase.

18. The method of claim 17, wherein generating a positive pressure flow of gas comprises producing the positive pressure flow of gas with at least one of a ventilator, a Bi-PAP device, a CPAP device, and pressurized bottle of gas.

19. The method of claim 17, wherein generating a negative extrathoracic pressure comprises:

generating a negative pressure flow of gas; and

communicating the negative pressure flow of gas to a thoracic interface.

20. The method of claim 17, wherein synchronizing the delivery of both the positive pressure flow of gas and the negative extrathoracic pressure to the patient during the inhalation phase comprises communicating the positive pressure flow of gas non-invasively to the patient.

21. The method of claim 17, wherein synchronizing the delivery of both the positive pressure flow of gas and the negative extrathoracic pressure to the patient during the inhalation phase comprises communicating the positive pressure flow of gas invasively to the patient.

22. The method of claim 17, wherein synchronizing the simultaneous delivery of both the positive pressure flow of gas and the negative extrathoracic pressure to the patient during the inhalation phase comprises:

selecting an inspiratory positive airway pressure;

communicating the positive pressure flow of gas to the patient to provide a first percentage of the inspiratory positive airway pressure during an inspiratory phase; and

communicating the negative extrathoracic pressure to the patient to provide a second percentage of the inspiratory positive airway pressure during the inspiratory phase.

23. The method of claim 17, wherein synchronizing the delivery of both the positive pressure flow of gas and the negative extrathoracic pressure to the patient during the inhalation phase comprises:

determining a delta pressure, wherein the absolute value of the delta pressure is greater than the amount of positive pressure which causes the onset of gastric insufflation; and

communicating the positive pressure flow of gas and the negative extrathoracic pressure to the patient to provide the delta pressure, wherein the amount of the positive pressure flow of gas communicated is less than the amount of positive pressure which causes the onset of gastric insufflation.

24. The method of claim 17 wherein synchronizing the delivery of both the positive pressure flow of gas and the negative extrathoracic pressure to the patient during the inhalation phase comprises:

delivering the positive pressure flow of gas and the negative extrathoracic pressure to the patient in response to at least one of such a patient'"'"'s respiratory rate, a positive end expiratory pressure, a ventilatory cycle triggering event, detection of leakage of an amount of the positive pressure flow of gas, detection of loss of an amount of negative extrathoracic pressure, non-delivery of the positive pressure flow of gas to the patient, and non-delivery of the negative extrathoracic pressure to the patient.