Variable resistance pulmonary ventilation bypass valve

• US 7,686,013 B2
• Filed: 02/12/2008
• Issued: 03/30/2010
• Est. Priority Date: 01/17/2006
• Status: Expired due to Fees

• Current Assignee: Portaero, Inc
• Original Assignee: Portaero, Inc
• Inventors: Tanaka, Don, Chang, Asia
• Primary Examiner(s): Douglas; Steven O
• Application Number:
  US12/029,552
• Publication Number:
  US 20080127982A1
• Time in Patent Office: 777 Days
• Field of Search: 128/200.24, 128/200.26, 128/207.14, 128/207.15, 128/207.16
• US Class Current: 128/200.24
• CPC Class Codes: A61M 1/84 Drainage tubes; Aspiration tips for negative pressure wound therapy A61M1/90; for surgical cutting instruments A61B17/32
• CPC Class Codes: A61M 16/009 Removing used or expired gases or anaesthetic vapours filtering, sterilising or disinfecting the exhaust air in drainage systems A61M1/784; bacterial filters in the expiratory path A61M16/1065
• CPC Class Codes: A61M 16/022 Control means therefor
• CPC Class Codes: A61M 16/0406 implanted flow modifiers
• CPC Class Codes: A61M 16/0434 Cuffs
• CPC Class Codes: A61M 16/0459 one cuff behind another
• CPC Class Codes: A61M 16/0463 combined with suction tubes, catheters or the like; Outside connections
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 16/208 Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
• CPC Class Codes: A61M 2210/101 Pleural cavity
• CPC Class Codes: A61M 2210/1039 Lungs
• CPC Class Codes: A61M 39/0247 Semi-permanent or permanent transcutaneous or percutaneous access sites to the inside of the body peritoneal dialysis catheters A61M1/285; tracheostomy devices A61M16/0465; measuring pressure within the body A61B5/03; colostomy devices A61F5/445; gastrotomy feeding tubes A61J15/0015; means for fixing a feeding tube outside of the body A61J15/0053

Abstract

A collateral ventilation bypass trap system directly linked with a patient'"'"'s lung or lungs may be utilized to increase the expiratory flow from the diseased lung or lungs, thereby treating one aspect of chronic obstructive pulmonary disease. The system includes a trap, a filter/one-way valve, an air carrying conduit and a retention device for securing system elements in position. The system also includes a flow restriction device for controlling the flow of air through the air carrying conduit.

Claims

1. A ventilation bypass system for treating a lung of a patient comprising:

a conduit adapted to pass through an artificial opening in a visceral membrane of a lung such that a proximal end of the conduit is external to the lung of the patient, a distal end of the conduit is inside the lung of the patient, and air present in the lung of the patient may exit the lung via the conduit;

a seal around the artificial opening in the visceral membrane to prevent air from entering a pleural space around the lung at the artificial opening; and

a flow-control device connected to the conduit which is adapted to adjustably restrict the exit of air from the lung through the conduit

wherein the flow-control device is adapted to be controlled by the patient.

2. The ventilation bypass system of claim 1, wherein the flow-control device comprises an iris valve.

3. The ventilation bypass system of claim 1, wherein the flow-control device comprises a duckbill valve.

4. The ventilation bypass system of claim 1, wherein the flow-control device comprises a one-way flap valve.

5. The ventilation bypass system of claim 1, wherein the flow control device is configured for one of manual and electrical operation.

6. The ventilation bypass system of claim 1, wherein the flow control device is configured for automatic operation, except for a patient override.

7. The ventilation bypass system of claim 1, wherein the flow control device comprises:

a sensor to assess a condition of the patient and generate an output in response to the condition;

a valve and;

a valve actuator which operates the valve to restrict the flow of air through the conduit in response to the output of the sensor.

8. The ventilation bypass system of claim 1, wherein the flow control device comprises:

a switch adapted to be operated by the patient;

a valve; and

a valve actuator which operates the valve to restrict the flow of air through the conduit in response to the switch.

9. The ventilation bypass system of claim 1, wherein the flow control device is adapted to temporarily block the flow of air through the conduit.

10. A method of controlling air flow in a ventilation bypass system, wherein the method comprises:

(a) selecting an adjustable flow control device connected to a conduit which is adapted to adjustably restrict the exit of air from the lung through the conduit whereby the actuation of the adjustable flow control device can restrict the exit of air from the lung through the conduit, which the adjustable flow control device is adapted to be controlled by the patient; and

(b) implanting a conduit through an artificial opening in the visceral membrane of a lung such that a proximal end of the conduit is external to the lung of the patient, a distal end of the conduit is embedded within the lung of the patient, and air present in the lung of the patient exits the lung via the conduit; and

(c) creating a seal around the artificial opening in the visceral membrane to prevent air from entering a pleural space around the lung from the artificial opening in the visceral membrane.

11. The method of claim 10, further wherein said step of (a) selecting comprises:

(a1) selecting a control which automatically actuates the adjustable flow control device to temporarily restrict the exit of air from the lung through the conduit, except for a patient override.

12. The method of claim 11, wherein the step of(al) selecting a control further comprising:

(a2) selecting a control that can assess a condition of the patient with a sensor and generate an output in response to the condition; and

(a3) selecting a control that can actuate the adjustable flow control device to temporarily restrict the exit of air from the lung through the conduit in response to the output of the sensor.

13. The method of claim 11, wherein the step of(al) selecting a control further comprising:

(a2) selecting a control that can assess a condition of the patient with an airflow sensor and generating an output in response to airflow; and

(a3) selecting a control that can actuate the adjustable flow control device to temporarily restrict the exit of air from the lung through the conduit in response to the output of the airflow sensor.

14. The method of claim 11, wherein the step of(al) selecting a control further comprising:

(a2) selecting a control that can assess a condition of the patient with an air pressure sensor and generate an output in response to air pressure; and

(a3) selecting a control that can actuate the adjustable flow control device to temporarily restrict the exit of air from the lung through the conduit in response to the output of the air pressure sensor.

15. A ventilation bypass system for treating a lung of a patient comprising:

a conduit adapted to pass through an artificial opening in a visceral membrane of a lung such that a proximal end of the conduit is external to the lung of the patient, a distal end of the conduit is inside the lung of the patient, and air present in the lung of the patient may exit the lung via the conduit;

a seal around the artificial opening in the visceral membrane to prevent air from entering a pleural space around the lung at the artificial opening; and

a flow-control device connected to the conduit which is adapted to adjustably restrict the exit of air from the lung through the conduit

wherein the flow-control device is automatically controlled.

16. The ventilation bypass system of claim 15, wherein the flow-control device comprises an iris valve.

17. The ventilation bypass system of claim 15, wherein the flow-control device comprises a duckbill valve.

18. The ventilation bypass system of claim 15, wherein the flow-control device comprises a one-way flap valve.

19. The ventilation bypass system of claim 15, wherein the flow control device comprises:

a sensor to assess a condition of the patient and generate an output in response to the condition;

a valve and;

a valve actuator which operates the valve to restrict the flow of air through the conduit in response to the output of the sensor.