Respiratory therapy system including a nasal cannula assembly

• US 8,225,796 B2
• Filed: 07/27/2004
• Issued: 07/24/2012
• Est. Priority Date: 07/28/2003
• Status: Expired due to Fees

• Current Assignee: Salter Labs, LLC
• Original Assignee: Salter Labs
• Inventors: Davenport, James M., Curti, James N., Crandall, Barry, Salter, Peter W.
• Primary Examiner(s): Ostrup, Clinton T
• Application Number:
  US10/566,305
• Publication Number:
  US 20080051674A1
• Time in Patent Office: 2,919 Days
• Field of Search: 128/207.18, 128/200.24, 128/200.26, 128/202.27, 128/203.12, 128/23.22, 128/204.18
• US Class Current: 128/207.18
• CPC Class Codes: A61B 5/087 Measuring breath flow
• CPC Class Codes: A61B 5/4818 Sleep apnoea
• CPC Class Codes: A61B 5/6819 Nose
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/0063 Compressors
• 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 16/0666 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 16/0672 Nasal cannula assemblies for oxygen therapy
• CPC Class Codes: A61M 16/08 Bellows; Connecting tubes having means for taking samples G01N1/22; Water traps; Patient circuits
• CPC Class Codes: A61M 16/0816 Joints or connectors
• CPC Class Codes: A61M 16/0825 with ball-sockets
• CPC Class Codes: A61M 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 16/0858 Pressure sampling ports
• CPC Class Codes: A61M 16/108 before being humidified or mixed with a beneficial agent
• CPC Class Codes: A61M 16/1085 after being humidified or mixed with a 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 2016/0027 pressure meter
• CPC Class Codes: A61M 2205/18 : with alarm
• CPC Class Codes: A61M 2205/3368 : Temperature
• CPC Class Codes: A61M 2205/3382 : Upper level detectors
• CPC Class Codes: A61M 2205/3386 : Low level detectors
• CPC Class Codes: A61M 2205/3633 : thermally insulated
• CPC Class Codes: A61M 2205/42 : Reducing noise
• CPC Class Codes: A61M 2205/52 : with memories providing a history of measured variating parameters of apparatus or patient
• CPC Class Codes: A61M 2205/581 : by audible feedback
• CPC Class Codes: A61M 2205/583 : by visual feedback

Abstract

A nasal cannula, for supplying a respiratory gas to a patient, comprising: a pair of spaced apart supply lines which each have a head at one end thereof with a discharge opening therein. The opposite end of each supply line is connectable to a respiratory gas source. Each head is sized to be snugly received and retained within one of the nasal cavities of the patient while forming a sufficient leakage passage, between a portion of inwardly facing nasal cavity skin of a patient and a portion of an exterior surface of the head, to facilitate exhausting of any excess respiratory gas supplied to the patient through the leakage passage and also facilitate inhalation of any room air required in excess of the respiratory gas to be supplied to the patient. The invention also relates to a respiratory therapy system incorporating the nasal cannula, a method of treating a patient with sleep disorder by using the nasal cannula, a diagnostic tool for measuring nasal cavity pressure of a patient, and a method of using the diagnostic tool for measuring nasal cavity pressure of a patient.

Claims

1. A nasal cannula for supplying a respiratory gas to a patient, the nasal cannula comprising:

a pair of supply lines which each have a head adjacent a leading end thereof with a discharge opening therein for discharging a respiratory gas, and an opposite end of each of the pair of supply lines being connectable to a respiratory gas source;

wherein each head is formed integrally with and from the same material as the pair of supply line and each head comprises a leading tapered section and a trailing cylindrical section, the cylindrical section having a generally cylindrical surface which is sized to be snugly received and retained within one of the nasal cavities of the patient,

each head has a maximum width dimension of between 0.345 of an inch (0.88 cm) and 0.70 of an inch (1.8 cm) and a length of between 0.30 of an inch (0.76 cm) and 0.60 of an inch (1.5 cm),

an exterior surface of each head has a plurality elongate troughs formed therein, and each of the plurality of elongate troughs extends parallel to one another and is formed in the generally cylindrical surface of the head;

each of the plurality elongate troughs is formed by a pair of adjacent planar side surfaces which diverge away from a common elongate valley toward a pair of spaced apart but adjacent elongate ridges having maximum outside diameters coequal with the maximum outside diameter of each head to partially define one of the plurality of leakage passages,

the plurality elongate troughs form, once inserted into the respective nasal cavity, a plurality of leakage passages, to facilitate exhausting of excess respiratory gas supplied to the patient through the leakage passage while maintaining a positive pressure within a respiratory passage of the patient at least during exhalation by the patient;

the pair of supply lines being connected with one another by a central bridge member; and

opposed front and rear walls of at least one of the heads have an aligned aperture therein which facilitates passage of a pressure sensing probe through the head and into the nasal cavity of the patient.

2. The nasal cannula according to claim 1, wherein the exterior surface of the head has between six and eight elongate troughs formed therein which are equally spaced about a circumference of the head, and each of the elongate troughs partially defines one of the leakage passages in the head to facilitate exhausting of the excess respiratory gas and inhalation of any room air required by the patient.

3. The nasal cannula according to claim 1, wherein each of the plurality elongate troughs is formed by a pair of adjacent planar side surfaces which diverge away from a common elongate valley toward a pair of spaced apart but adjacent elongate ridges to partially define one of the plurality of leakage passages.

4. The nasal cannula according to claim 1, wherein each one of the leakage passages has a cross sectional open area of between 0.002 square inches (0.013 cm²) and 0.0055 square inches (0.035 cm²).

5. The nasal cannula according to claim 1, wherein an upper surface of the central bridge member is rounded to avoid any sharp edge that may contact with a nasal septum of the patient.

6. The nasal cannula according to claim 5, wherein the second end of each of the supply lines is coupled to an auxiliary respiratory gas supply line, and at least the second end of each of the supply lines is curved to pass beneath a patient'"'"'s cheekbone area when the nasal cannula is donned by a patient.

7. The nasal cannula according to claim 1, wherein the supply lines and the heads are manufactured from a flexible material;

and

a second end of each of the supply lines bends away from one another.

8. The nasal cannula according to claim 1, wherein the central bridge member aligns the pair of supply lines parallel to one another to facilitate insertion of the heads, carried by the ridge of the pair of supply lines, within the nostrils of the patient, and each of the supply lines initially extends away from the central bridge member and then bends into a curved configuration having a radius of curvature of between 0.4 inch to 0.8 inch which creates a minimal pressure drop, turbulence and noise generation at a maximum flow rate.

9. A nasal cannula assembly for supplying a respiratory gas to a patient, the nasal cannula assembly comprising:

a pair of supply lines which each have a head adjacent a leading end thereof with a discharge opening therein for discharging a respiratory gas, and an opposite end of each of the pair of supply lines being connected to an auxiliary respiratory gas supply line; and

a remote end of each of the auxiliary respiratory gas supply line is connected with a respiratory gas source for supplying the respiratory gas to the patient;

wherein each head is formed integrally with and from the same material as the pair of supply line and each head comprises a leading tapered section that communicates directly with a trailing cylindrical section, the cylindrical section being longer in axial length than the tapered section, the cylindrical section having a generally cylindrical surface which is sized to be snugly received and retained within one of the nasal cavities of the patient, an exterior surface of each head has a plurality elongate troughs formed therein, and each of the plurality of elongate troughs extends parallel to one another and is formed in the surface of the tapered section and the cylindrical section of the head,

each head has a maximum width dimension of between 0.345 of an inch (0.88 cm) and 0.70 of an inch (1.8 cm) and a length of between 0.30 of an inch (0.76 cm) and 0.60 of an inch (1.5 cm);

the plurality elongate troughs form, once insert into the respective nasal cavity, a plurality of leakage passages, between a portion of inwardly facing nasal cavity skin of the patient and the plurality elongate troughs of the head, to facilitate exhausting of excess respiratory gas supplied to the patient through the leakage passage while maintaining a positive pressure within a respiratory passage of the patient at least during exhalation by the patient,

each of the plurality elongate troughs is formed by a pair of adjacent planar side surfaces which diverge away from a common elongate valley toward a pair of spaced apart but adjacent elongate ridges having maximum outside diameters coequal with the maximum outside diameter of each head to partially define one of the plurality of leakage passages; and

the pair of supply lines being connected with one another by a central bridge member; and

opposed front and rear walls of at least one of the heads have an aligned aperture therein which facilitates passage of a pressure sensing probe through the head and into the nasal cavity of the patient.

10. The nasal cannula assembly according to claim 9, wherein the exterior surface of the head has between six and eight elongate troughs formed therein which are equally spaced about a circumference of the head, and each of the elongate troughs partially defines one of the leakage passages in the head to facilitate exhausting of the excess respiratory gas and inhalation of any room air required by the patient.

11. The nasal cannula assembly according to claim 9, wherein each of the plurality elongate troughs is formed by a pair of adjacent planar side surfaces which diverge away from a common elongate valley toward a pair of spaced apart but adjacent elongate ridges to partially define one of the plurality of leakage passages.

12. The nasal cannula assembly according to claim 9, wherein each one of the leakage passages has a cross sectional open area of between 0.002 square inches (0.013 cm²) and 0.0055 square inches (0.035 cm²).

13. The nasal cannula assembly according to claim 9, wherein each head has a maximum width dimension of between 0.345 of an inch (0.88 cm) and 0.70 of an inch (1.8 cm) and a length of between 0.30 of an inch (0.76 cm) and 0.60 of an inch (1.5 cm).

14. The nasal cannula assembly according to claim 9, wherein, the central bridge member is formed integral with and from a same material as the supply lines and the heads.

15. The nasal cannula assembly according to claim 9, wherein the nasal cannula is manufactured from a flexible material;

and

a second end of each of the supply lines bends away from one another and is curved.

16. The nasal cannula assembly according to claim 9, wherein the second end of each of the supply lines is coupled to an auxiliary respiratory gas supply line, and at least the second end of each of the supply lines is curved to pass beneath a patient'"'"'s cheekbone area when the nasal cannula is donned by a patient, and the head defines an through aperture, radially spaced from an interior of the supply line and parallel to and spaced from the to the plurality of elongate troughs.

17. A nasal cannula for supplying a respiratory gas to a patient, the nasal cannula comprising:

a nasal cannula assembly having first and second cannula arms connectable to corresponding first and second supply lines, the supply lines being connectable to a respiratory gas source and each of the first and second cannula arms including an integral head at an end thereof with each head being insertable into a corresponding nasal passage of a patient, and each head including a discharge opening for providing a respiratory gas to the corresponding nasal passage of the patient,

a central bridge member, located adjacent the heads, for aligning the pair of supply lines with one another and facilitating insertion of the heads within the corresponding nasal cavities of the patient,

wherein a cylindrical exterior surface of each head has a maximum outside diameter sized so as to be snugly received and retained within one of the nasal cavities of the patient,

the exterior surface of the head has a plurality elongate troughs formed therein so as to define a plurality of leakage passages which facilitate exhausting of excess respiratory gas through the leakage passages while maintaining a positive pressure within a respiratory passage of the patient at least during exhalation by the patient, and each of the plurality of elongate troughs extends parallel to one another and is formed in the generally cylindrical surface of the head,

opposed front and rear walls of at least one of the heads have an aligned aperture therein which facilitates passage of a pressure sensing probe through the head and into the nasal cavity of the patient,

each of the plurality elongate troughs is formed by a pair of adjacent planar side surfaces which diverge away from a common elongate valley toward a pair of spaced apart but adjacent elongate ridges having maximum outside diameters coequal with the maximum outside diameter of each head to partially define one of the plurality of leakage passages, and

each of the first and second gas supply lines has a first portion curving outwards and upwards from a connection with the correspond one of the first and second cannula arms so as to follow a surface of a cheek of a patient along a path below a corresponding cheekbone of a patient to a first point in a region generally below an outer corner of a corresponding eye of a patient,

each gas supply line having a second portion extending from the first point that curves downwards and inwards along the surface of the surface of the cheek of a patient along a jawline of a patient to a second point between the outer corner of the corresponding eye of a patient and a corresponding ear of a patient,

each gas supply line having a third portion extending from the second point that curves inward below the corresponding jawline of a patient and forward along a corresponding side of a through of a patient to a third point located below a chin of a patient and near a mid-line of a patient'"'"'s face, and

each gas supply line having a fourth portion extending from the third point and curving toward the other gas supply line and downwards to a connector for connecting the first and second gas lines to a common gas supply line.