Method and apparatus for regulating fluid flow or conserving fluid flow

• US 8,146,592 B2
• Filed: 02/28/2005
• Issued: 04/03/2012
• Est. Priority Date: 02/26/2004
• Status: Active Grant

• Current Assignee: Ameriflo2, Inc.
• Original Assignee: Ameriflo, Inc.
• Inventors: Voege, James A., Ferrer, David A., Thie, Matthew G.
• Primary Examiner(s): Bianco, Patricia
• Assistant Examiner(s): PATEL, NIHIR B
• Application Number:
  US11/069,084
• Publication Number:
  US 20050192538A1
• Time in Patent Office: 2,591 Days
• Field of Search: 128/200.24, 128/203.12, 128/203.24, 128/204.18, 128/204.21, 128/204.23, 128/204.25, 128/205.18, 128/205.22, 128/205.24, 128/207.12, 128/207.14, 128/207.15, 128/207.16, 128/207.17, 128/207.18, 128/204.26
• US Class Current: 128/204.26
• CPC Class Codes: A61M 16/0666 Nasal cannulas or tubing devices for improving normal breathing through the nose A61F5/08; nose filters A62B23/06; outside holding devices A61M25/02
• CPC Class Codes: A61M 16/0677 Gas-saving devices therefor
• CPC Class Codes: A61M 16/0866 Passive resistors therefor
• CPC Class Codes: A61M 16/10 Preparation of respiratory gases or vapours
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 16/20 Valves specially adapted to medical respiratory devices
• CPC Class Codes: A61M 16/201 Controlled valves
• CPC Class Codes: A61M 16/202 electrically actuated
• CPC Class Codes: A61M 16/207 Membrane valves with pneumatic amplification stage, i.e. having master and slave membranes

Abstract

Fluid flow regulators and fluid conservers are disclosed. An exemplary fluid conserver may be operated in one of an intermittent mode of operation and a continuous mode of operation. Further, the exemplary conserver provides at least two pulses of fluid in response to a first trigger, such as the inhalation of a patient.

Claims

1. An apparatus for connection to a source of pressurized fluid and for connection to a cannula, the apparatus comprising:

a revolved body having a first end, a second end, a central longitudinal axis, an input adapted to be coupled to the source of pressurized fluid, an output configured to be coupled to the cannula, and a fluid passage configured to connect the input to the output; and

a flow selector positioned between the input and the output, the flow selector being rotatably coupled to the revolved body at a location between the first end and the second end of the revolved body, the flow selector being actuatable from the exterior of the revolved body and positioned such that an axis of rotation of the flow selector is parallel to and offset from the central longitudinal axis of the revolved body, wherein the flow selector includes a first fluid passage configured to restrict the flow of fluid to a first flow rate from the input to the output when the first fluid passage is aligned with the fluid passage which connects the input and the output.

2. The apparatus of claim 1, wherein the flow selector further includes a second fluid passage configured to restrict the flow of fluid to a second flow rate from the input to the output when the second fluid passage is aligned with the fluid passage connecting the input and the output, the first fluid passage and the second fluid passage each being alignable with the fluid passage by rotating the flow selector about its axis of rotation.

3. The apparatus of claim 2, further comprising a detent coupled to one of the revolved body and the flow selector and configured to interact with the other of the revolved body and the flow selector to provide an indication of when one of the first fluid passage and the second fluid passage is aligned with the fluid passage.

4. The apparatus of claim 3, further comprising an axle coupled to the revolved body and configured to support the flow selector, the axle including a central fluid passage which is in fluid communication with the fluid inlet passage.

5. The apparatus of claim 1, wherein a portion of the fluid passage is generally aligned with the central longitudinal axis of the revolved body.

6. The apparatus of claim 1, wherein an exterior surface of the revolved body defines an envelope of the revolved body and the flow selector is substantially contained within the envelope of the revolved body.

7. The apparatus of claim 6, wherein the flow selector has a first radial extent, the flow selector being positioned so that at least a portion of the first radial extent extends outside the envelope of the revolved body.

8. The apparatus of claim 7, wherein the flow selector has a second radial extent including an indicia corresponding to the alignment of the first fluid passage of the flow selector with the fluid passage of the revolved body, the second radial extent being less than the first radial extent and the flow selector being positioned so that the second radial extent is contained within the envelope of the revolved body, the revolved body including a window such that the indicia of the second radial extent is visible through the window when the first fluid passage of the flow selector is aligned with the fluid passage of the revolved body.

9. An apparatus comprising:

a device having a first fluid inlet in fluid communication with a first fluid outlet and a second fluid inlet in fluid communication with a second fluid outlet;

a body member rotatably coupled to the device, the body member including a plurality of fluid passages, each fluid passage being selectably positionable in fluid communication with the first fluid inlet and the first fluid outlet by rotating the body member relative to the device, each fluid passage being configured to provide a respective flow rate of fluid from the first fluid inlet to the first fluid outlet when positioned in fluid communication with the first fluid inlet and the first fluid outlet;

an axle coupled to the body member, the axle having a central fluid passage in fluid communication with the second fluid inlet and the second fluid outlet to provide a flow of fluid from the second fluid inlet to the second fluid outlet; and

a knob coupled to the body member, the knob having an outer surface being actuatable from the exterior of the device, wherein the body member is positioned between the axle and the knob such that the knob overlaps the body member.

10. The apparatus of claim 9, wherein at least a first of the plurality of fluid passages includes an occluder positioned within an opening formed in the body member to reduce the size of the first fluid passage and hence control the amount of fluid that is communicated from the first fluid inlet to the first fluid outlet when the first fluid passage is aligned with the first fluid inlet and the first fluid outlet.

11. The apparatus of claim 10, wherein the first fluid passage is generally parallel to the axle and wherein the occluder is received in an opening that intersects with the first fluid passage.

12. An apparatus for coupling a first fluid inlet of a device to a first fluid outlet of the device and a second fluid inlet of the device to a second fluid outlet of the device, the apparatus comprising:

a body member rotatably coupled to the device, the body member including a plurality of fluid passages, each fluid passage being selectably positionable in fluid communication with the first fluid inlet and the first fluid outlet by rotating the body member relative to the device, each fluid passage being configured to provide a respective flow rate of fluid from the first fluid inlet to the first fluid outlet when positioned in fluid communication with the first fluid inlet and the first fluid outlet;

an axle coupled to the body member, the axle having a central fluid passage in fluid communication with the second fluid inlet and the second fluid outlet to provide a flow of fluid from the second fluid inlet to the second fluid outlet, wherein at least a first of the plurality of fluid passages includes an occluder positioned within an opening formed in the body member to reduce the size of the first fluid passage and hence control the amount of fluid that is communicated from the first fluid inlet to the first fluid outlet when the first fluid passage is aligned with the first fluid inlet and the first fluid outlet, the first fluid passage is generally parallel to the axle and wherein the occluder is received in an opening that intersects with the first fluid passage, and the opening is generally radial to the first fluid passage and the occluder is a ball.

13. An apparatus for connection to a source of pressurized fluid and for connection to a cannula for communication of fluid to a patient, the apparatus comprising:

a body having an input adapted to be coupled to the source of pressurized fluid, an output configured to be coupled to the cannula, and a fluid passage configured to connect the input to the output; and

a pneumatic controller including a valve assembly in communication with the fluid passage of the body, the pneumatic controller being configured to detect an inhalation of the patient and to provide a series of at least two pulses of the fluid to the output during the inhalation of the patient, the pneumatic controller providing an initial pulse having a fluid amplitude greater than a fluid amplitude of subsequent pulses in the series of at least two pulses without the aid of a fluid reservoir separate from the fluid passage of the body.

14. The apparatus of claim 13, wherein the fluid passage of the body includes a seat for receiving a seal, and the pneumatic controller includes a piston moveably coupled to the body and configured to move between a first position preventing the passage of fluid to the outlet and a second position permitting the passage of fluid to the outlet, the movement of the piston between the first position and the second position being controlled to provide the at least two pulses of the fluid to the outlet, wherein a first portion of the piston contacts and cooperates with the seal to prevent the passage of fluid to the outlet in the first position and wherein the first portion is spaced apart from the seal to permit the passage of fluid to the outlet in the second position.

15. The apparatus of claim 14, wherein the piston includes a seat surface for sealing against the seal when the piston is in the first position, the piston being biased toward the second position by a biasing member.

16. The apparatus of claim 15, wherein the body further includes a second fluid passage receiving fluid from the input and providing fluid to a cavity partially bounded by the piston and wherein an accumulation of fluid in the cavity biases the piston to the first position against the biasing force of the biasing member.

17. The apparatus of claim 16, further comprising a vent fluid passage connected to the cavity and to atmosphere and a diaphragm coupled to the body and moveable between a first position preventing the flow of fluid from the cavity to atmosphere through the vent passage and a second position permitting the flow of fluid from the cavity to atmosphere through the vent passage, the diaphragm being biased toward the first position by a diaphragm biasing member.

18. The apparatus of claim 17, wherein the output is in fluid communication with a first side of the diaphragm through a sense fluid passage and wherein the presence of an inhalation of the patient reduces an effective force of the diaphragm biasing member.

19. The apparatus of claim 18, wherein a combination of the accumulation of fluid in the cavity and the reduction of the effective force on the diaphragm biasing member results in the diaphragm being moved toward the second position thereby permitting the passage of fluid from the cavity to atmosphere.

20. The apparatus of claim 19, wherein the passage of the accumulated fluid to atmosphere results in the movement of the piston to the second position permitting the flow of fluid to the outlet, and wherein once a first portion of the accumulated fluid has left the cavity the diaphragm returns to the first position and the piston is moved toward the first position due to further accumulation of fluid in the cavity.

21. The apparatus of claim 13, wherein the cannula is a single lumen cannula.

22. The apparatus of claim 13, wherein the series of pulses are sinusoidal pulses.

23. The apparatus of claim 13, wherein the pneumatic controller is configured to provide a continuous flow of fluid to the outlet by maintaining the piston in the second position.

24. The apparatus of claim 13, wherein the controller compensates for at least one of breath depth and breath length to reduce an oxygen saturation recovery time for the patient.

25. The apparatus of claim 24, wherein the recovery time is less than one minute.

26. The apparatus of claim 24, wherein the recovery time is about 35 seconds.

27. An apparatus for providing fluid from a source of pressurized fluid to a patient, the apparatus comprising:

a single lumen cannula configured to be received by the nostrils of the patient;

a body having an input adapted to be coupled to the source of pressurized fluid, an output configured to be coupled to the cannula, and a fluid passage configured to connect the input to the output;

a flow selector having at least a first fluid passage configured to provide a first restricted fluid flow rate and a second fluid passage configured to provide a second restricted fluid flow rate, each of the first fluid passage and the second fluid passage being selectably positionable in the fluid passage of the body between the input and the output; and

a controller configured to detect a first trigger corresponding to a beginning portion of an inhalation of the patient and a second trigger corresponding to one of an ending portion of the inhalation of the patient and an exhalation of the patient, the controller being further configured to provide fluid to the cannula through the output between the detection of the first trigger and the detection of the second trigger in a first mode of operation and continuously in a second mode of operation.

28. The apparatus of claim 27, wherein the controller is a electronic controller.

29. The apparatus of claim 27, wherein the controller is a pneumatic controller.

30. The apparatus of claim 27, wherein the controller is further configured to provide at least two pulses of fluid between the detection of the first trigger and the detection of the second trigger.

31. The apparatus of claim 27, wherein the controller is further configured to provide at least three pulses of fluid to the controller between the detection of the first trigger and the detection of the second trigger.

32. The apparatus of claim 27, wherein the ending of the inhalation corresponds to the second trigger.

33. The apparatus of claim 27, wherein the exhalation of the patient corresponds to the second trigger.

34. The apparatus of claim 27, wherein the first trigger and the second trigger are sensed through the single lumen cannula.

35. An apparatus for connection to a source of pressurized fluid and for connection to a cannula for delivery of fluid to a patient, the apparatus comprising:

a body having an input adapted to be coupled to the source of pressurized fluid, an output adapted to be coupled to the cannula, and a fluid passage configured to connect the input to the output;

a flow selector having at least a first fluid passage configured to provide a first restricted flow rate of fluid and a second fluid passage configured to provide a second restricted flow rate of fluid, each of the first fluid passage and the second fluid passage being positionable in the fluid passage of the body between the input and the output to provide a first flow setting and a second flow setting respectively, the flow selector being positionable in the first flow setting or the second flow setting by an operator from an exterior of the body;

a controller configured to provide fluid to the cannula based on the respective flow setting of the flow selector, the controller being operable in two modes of operation, a continuous mode of operation wherein fluid is provided to the cannula in a continuous flow and an intermittent mode of operation wherein the fluid is provided to the cannula as at least three pulses of fluid during a respective inhalation of the patient; and

a mode selector accessible from the exterior of the body and actuatable by an operator independent of an actuation of the flow selector, the mode selector having a first mode setting and a second mode setting, the mode selector being operably coupled to the controller and configured such that the first mode setting configures the controller to operate in the continuous mode of operation and the second mode setting configures the controller to operate in the intermittent mode of operation.

36. The apparatus of claim 35, wherein the controller is a pneumatic controller and is configured to detect a first trigger corresponding to a beginning portion of the respective inhalation of the patient and a second trigger corresponding to one of an ending portion of the respective inhalation of the patient and an exhalation of the patient, the at least three pulses of fluid only being provided during a timeframe between the first trigger and the second trigger.

37. The apparatus of claim 35, wherein the apparatus further comprises an interlock operably coupled to the mode selector and operably coupled to the flow selector, the interlock configured to prevent the selection of the first mode setting with the mode selector when the flow selector is positioned in the second flow setting and to permit the selection of the first mode setting with the mode selector when the flow selector is positioned in the first flow setting.

38. The apparatus of claim 37, wherein the interlock is further configured to prevent the selection of the second flow setting with the flow selector when the mode selector is positioned in the first mode setting and to permit the selection of the second flow setting with the flow selector when the mode selector is positioned in the second mode setting.

39. An apparatus for connection to a source of pressurized fluid and for connection to a cannula for delivery of fluid to a patient, the apparatus comprising:

a body having an input adapted to be coupled to the source of pressurized fluid, an output adapted to be coupled to the cannula, and a fluid passage configured to connect the input to the output, the fluid passage including a seat for receiving a seal;

a flow selector having at least a first fluid passage configured to provide a first restricted flow rate of fluid and a second fluid passage configured to provide a second restricted flow rate of fluid, each of the first fluid passage and the second fluid passage being positionable in the fluid passage of the body between the input and the output; and

a pneumatic controller including a piston moveably coupled to the body and configured to move between a first position preventing the passage of fluid to the outlet and a second position permitting the passage of fluid to the outlet, the movement of the piston between the first position and the second position being controlled to provide an intermittent flow of fluid to the outlet, wherein a first portion of the piston contacts and cooperates with the seal to prevent the passage of fluid to the outlet in the first position and wherein the first portion is spaced apart from the seal to permit the passage of fluid to the outlet in the second position.

40. The apparatus of claim 39, wherein the first portion of the piston is tapered to aid in centering the first portion relative to the seal.

41. The apparatus of claim 39, wherein the controller is further configured detect a first trigger corresponding to a beginning portion of an inhalation of the patient and a second trigger corresponding to one of an ending portion of the inhalation of the patient and an exhalation of the patient, the controller being further configured to provide fluid from the flow selector to the cannula through the output only between the detection of the first trigger and the detection of the second trigger.

42. An apparatus for connection to a source of pressurized fluid and for connection to a cannula for delivery of fluid to a patient, the apparatus comprising:

a body having an input adapted to be coupled to the source of pressurized fluid and an output adapted to be coupled to the cannula and a fluid passage configured to connect the input to the output, the body including at least three body portions which when assembled form the body, the at least three body portions being keyed to permit the assembly of the body portions in a single orientation;

a coupler configured to couple the at least three body portions together;

a flow selector coupled to the body and positioned such that an outer surface of the flow selector is actuatable by an operator, the outer surface of the flow selector being positioned between a first end of the body and a second end of the body, the flow selector having at least a first fluid passage configured to provide a first restricted flow rate of fluid and a second fluid passage configured to provide a second restricted flow rate of fluid, each of the first fluid passage and the second fluid passage being positionable in the fluid passage of the body between the input and the output; and

a controller configured to provide fluid to the output at least in an intermittent mode of operation, wherein the fluid is provided as multiple pulses of fluid during an inhalation of the patient.

43. The apparatus of claim 42, wherein the coupler includes a plurality of couplers, the first body portion includes a plurality of threaded openings each configured to threadably receive one of the plurality of couplers, the remaining of the at least three body portions including a plurality of openings configured to receive the plurality of couplers and positioned to align with the plurality of threaded openings when the body portions are arranged in the single orientation.

44. An apparatus for connection to a source of pressurized fluid and for connection to a cannula for delivery of fluid to a patient, the apparatus comprising:

a body having an input adapted to be coupled to the source of pressurized fluid and an output configured to be coupled to the cannula and a fluid passage configured to connect the input to the output, the body being a revolved body about a first axis;

a flow selector rotatable coupled to the body and having a first outer surface at least partially concealed within the revolved body, the flow selector including a plurality of fluid passages, each of the plurality of fluid passages being configured to restrict the flow of fluid from the input to the output by a respective amount when the respective fluid passage is aligned with the fluid passage, wherein the selection of a first fluid passage from the plurality of fluid passages is performed by a rotation of the flow selector, the rotation being imparted by an operator applying a force to a portion of the first outer surface of the flow selector which is accessible from an exterior of the body, wherein an exterior of the body defines an envelope of the body and the flow selector is substantially contained within the envelope of the body, wherein the flow selector has a first radial extent including the portion of the first outer surface of the flow selector, the flow selector being positioned so that at least the portion of the first radial extent extends outside the envelope of the body and a second radial extent including an indicia corresponding to the alignment of the first fluid passage with the fluid passage, the second radial extent being less than the first radial extent and the flow selector being positioned so that the second radial extent is contained within the envelope of the body, the body including a window such that the indicia of the second radial extent is visible through the window when the first fluid passage is aligned with the fluid passage.

45. An apparatus for use with a fluid apparatus, the fluid apparatus including a body having an interior cavity, a fluid inlet which is configured to receive a high pressure fluid from a source of pressurized fluid, and an application device which utilizes fluid at a lower pressure, wherein the apparatus is configured to provide fluid for the application device at the lower pressure, the apparatus comprising:

a base member adapted to be received within the interior cavity of the fluid apparatus, the base member including a base portion and a guide portion extending from the base portion, the base member having a central passageway extending there through, the central passageway being positioned such that it is in fluid communication with the fluid inlet of the fluid apparatus;

a piston adapted to be received within the interior cavity of the fluid apparatus, the piston including a piston base portion and a stem portion, the stem portion being configured to be received by the central passageway in the guide portion of the base member, the piston having a fluid passageway there through with a fluid inlet in the stem portion and a fluid outlet in the piston base portion, the fluid outlet being in fluid communication with the application device; and

a spring sized to receive the guide portion of the base member, a first end of the spring being positioned adjacent the base portion of the base member and a second end of the spring being positioned adjacent a seat surface of the piston base portion, the seat surface being located in a recess of the piston base portion, the recess being sized to receive a first end of the guide portion of the base member.

46. The apparatus of claim 45, further comprising a housing which is adapted to be received within the interior cavity of the fluid apparatus, the housing including an interior cavity and wherein the base member, the piston, and the spring are generally positioned within the interior cavity of the housing.

47. The apparatus of claim 46, further comprising a first seal positioned generally between a seat surface of the interior cavity of the body of the fluid apparatus and the base member, the first seal being received within a half dovetailed groove in the body portion of the fluid apparatus.

48. An apparatus for providing fluid from a source of pressurized fluid to a cannula for communication to a patient, the apparatus comprising:

a body having an input adapted to be coupled to the source of pressurized fluid, an output configured to be coupled to the cannula, and a fluid passage configured to connect the input to the output;

a pneumatic controller being operable in two modes of operation, a continuous mode of operation wherein fluid is provided to the cannula in a continuous flow and an intermittent mode of operation wherein the fluid is provided to the cannula as multiple pulses of fluid within a time period generally between the detection of a first trigger and a second trigger; and

a mode selector accessible from the exterior of the body and actuatable by an operator, the mode selector having a first mode setting and a second mode setting, the mode selector being operably coupled to the pneumatic controller and configured such that the first mode setting configures the pneumatic controller to operate in the continuous mode of operation and the second mode setting configures the pneumatic controller to operate in the intermittent mode of operation.

49. The apparatus of claim 48, wherein the multiple pulses are provided throughout the time period.

50. The apparatus of claim 48, wherein the first trigger corresponds to a beginning of an inhalation of the patient and the second trigger corresponds to one of an ending of the inhalation of the patient or an exhalation of the patient.

51. The apparatus of claim 50, wherein the multiple pulses are provided throughout the time period.