Exhalation valve assembly with integrated filter and flow sensor

• US 8,439,037 B2
• Filed: 12/01/2009
• Issued: 05/14/2013
• Est. Priority Date: 12/01/2009
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Winter, David Phillip, Sanborn, Warren G.
• Primary Examiner(s): MATTER, KRISTEN CLARETTE
• Application Number:
  US12/628,882
• Publication Number:
  US 20110126835A1
• Time in Patent Office: 1,260 Days
• Field of Search: 128/200.24, 128/201.25, 128/202.22, 128/202.27, 128/204.18, 128/205.12, 128/205.23, 128/205.24, 12820527-20529, 251/331, 251/291, 137/544, 137/547, 137/550, 137/269, 137/271
• US Class Current: 128/205.24
• CPC Class Codes: A61M 16/0808 Condensation traps
• 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 16/105 Filters A61M16/047, A61M16/22 take precedence; water traps A61M16/08
• CPC Class Codes: A61M 16/1065 in the expiratory path
• CPC Class Codes: A61M 16/20 Valves specially adapted to medical respiratory devices
• CPC Class Codes: A61M 16/205 used for exhalation control
• CPC Class Codes: A61M 16/206 Capsule valves, e.g. mushroom, membrane valves
• CPC Class Codes: A61M 2016/0027 pressure meter
• CPC Class Codes: A61M 2016/0042 in the expiratory circuit
• CPC Class Codes: A61M 2205/11 with means for preventing cross-contamination when used for multiple patients
• CPC Class Codes: A61M 2205/273 preventing reuse, e.g. of disposables
• CPC Class Codes: A61M 2205/3368 Temperature
• CPC Class Codes: A61M 2205/36 related to heating or cooling
• CPC Class Codes: A61M 2205/3606 cooled
• CPC Class Codes: A61M 2205/362 by gas flow
• CPC Class Codes: A61M 2205/3633 thermally insulated
• CPC Class Codes: A61M 2205/3666 using heat loss of a motor
• CPC Class Codes: A61M 2205/583 by visual feedback

Abstract

An exhalation valve assembly that controls the pressure of exhaled gas in a ventilation system is described. The exhalation valve assembly includes an actuator module that may be fixed to the ventilation system and a valve module, removable for cleaning or disposal, through which the exhaled gas flows and that controls the pressure and release of the exhaled gas to the environment. Other components may also be incorporated into the assembly including a filter module, a flow meter and a condensate trap.

Claims

1. An exhalation valve assembly for controlling pressure in a ventilation system comprising:

a valve module including a valve body and attached seal element, the valve body defining an inlet port providing access to a valve chamber and an exhaust port allowing gas to exit the valve chamber, the inlet port and exhaust port being the only routes for gas to enter the valve chamber, the valve body having a valve seat opposite the attached seal element wherein displacement of the seal element relative to the valve seat controls gas pressure within the inlet port;

an actuator module removably connectable to the valve module that, when attached to the valve module, is operable to move a diaphragm relative to the valve seat to control the pressure of gas in the inlet port and the release of gas via the exhaust port;

a filter module comprising a filter body containing filter media and wherein the filter module is removably and directly connectable to the valve module, wherein the filter module, when attached to the valve module, filters gas delivered to the exhalation valve assembly prior to the gas entering the inlet port of the valve module;

a condensate trap including a trap body attached to the filter body, the condensate trap receiving the gas delivered to the exhalation valve assembly prior to delivery of the gas to the filter body, wherein the condensate trap holds the gas received in a condensate chamber for a first residence time based on the condensate chamber'"'"'s volume and gas flow therethrough and collects moisture that condenses from the gas during the first residence time; and

a flow sensor contained within the valve body monitoring the flow of gas between the inlet port and the valve seat.

2. The exhalation valve assembly of claim 1, wherein a portion of the valve body is moveable to provide access to the flow sensor and removal of the flow sensor.

3. The exhalation valve assembly of claim 2, wherein the condensate trap includes a trap inlet port that directs the gas delivered to the exhalation valve assembly along an interior surface of a wall that defines the condensate chamber and wherein when assembled the wall that defines the condensate chamber of the condensate trap is exposed to the ambient atmosphere.

4. The exhalation valve assembly of claim 1, wherein the valve body further includes at least one pressure sensor port.

5. The exhalation valve assembly of claim 4, wherein the valve body further includes a first pressure sensor port between the inlet port and the valve seat and a second pressure sensor port between the valve seat and the exhaust port.

6. The exhalation valve assembly of claim 1, wherein when assembled the actuator module is positioned vertically above the valve module, the valve module is positioned vertically above the filter module and the filter module is positioned vertically above the condensate trap.

7. The exhalation valve assembly of claim 1, wherein the seal element is removably connected to the removable valve body, such that when removed the valve chamber can be accessed for cleaning.

8. The exhalation valve assembly of claim 1, wherein at least one cover is provided that creates a substantially trapped air space around the filter body and flow sensor, the trapped air space insulating the filter body and the flow sensor from the ambient atmosphere.

9. The exhalation valve assembly of claim 1, wherein the actuator module includes an actuator controlling displacement of a poppet that engages the seal element of the valve module and engagement elements for removably engaging the valve body.

10. A respiratory ventilation system comprising:

a pressure delivery system in a housing;

an inspiratory limb that receives respiratory gas from the pressure delivery system and delivers the respiratory gas to a patient interface;

an expiratory limb that receives exhaled gas from the patient interface;

a valve module comprising a valve body and attached seal element, the valve body defining an inlet port that receives the exhaled gas from the expiratory limb and directs the exhaled gas through a valve seat to a valve chamber and an exhaust port allowing exhaled gas to exit the valve chamber, the inlet port and exhaust port being the only routes for gas to enter the valve chamber, the valve seat opposite the attached seal element wherein displacement of the seal element relative to the valve seat controls gas pressure within the expiratory limb;

an actuator module removably connected to the valve module and, when attached to the valve module, is operable to move the seal element relative to the valve seat to control the pressure of gas in the inlet port and the release of gas via the exhaust port;

a filter module comprising a filter body containing filter media and wherein the filter module is removably and directly connectable to the valve module, wherein the filter module, when attached to the valve module, filters gas delivered from the expiratory limb prior to the gas entering the inlet port of the valve module; and

a flow sensor contained in the valve body monitoring the flow of gas between the valve inlet port and the valve seat.

11. The respiratory ventilation system of claim 10, wherein a portion of the valve body is moveable to provide access to the flow sensor and removal of the flow sensor.

12. The respiratory ventilation system of claim 10, wherein the valve body further includes at least one pressure sensor port.

13. The respiratory ventilation system of claim 10 further comprising:

a condensate trap including a trap body attached to the filter body, the condensate trap receiving the gas delivered to the exhalation valve assembly prior to delivery of the gas to the filter body, wherein the condensate trap holds the gas received in a condensate chamber for a first residence time based on the condensate chamber'"'"'s volume and gas flow therethrough and collects moisture that condenses from the gas during the first residence time.

14. The respiratory ventilation system of claim 13, wherein the condensate trap includes a trap inlet port that directs the gas delivered to the exhalation valve assembly along an interior surface of a wall that defines the condensate chamber and wherein the wall that defines the condensate chamber of the condensate trap is exterior to the housing and exposed to the ambient atmosphere external to the pressure delivery system.

15. The respiratory ventilation system of claim 13, wherein when assembled the actuator module is positioned vertically above the valve module, the valve module is positioned vertically above the filter module and the filter module is positioned vertically above the condensate trap.

16. The respiratory ventilation system of claim 10 further comprising:

a cover that when installed on the respiratory ventilation system creates a substantially enclosed volume of trapped air within the housing and the at least one cover and around the filter chamber.

17. A method of controlling pressure in an expiratory limb of a ventilation system comprising:

receiving a patient'"'"'s exhaled gas from an expiratory limb through a filter inlet port into a filter module comprising a filter body containing filter media and wherein the filter module is removably and directly connectable to a valve module;

filtering the exhaled gas by allowing a pressure differential between the expiratory limb and the atmosphere to drive the gas through the filter;

passing the filtered exhaled gas into a removable valve body connected to the ventilation system, the removable valve body having a valve body inlet port, an exhalation port through which gas is released to the environment and a surface comprising a seal element, wherein the inlet port and exhaust port are the only routes for gas to enter the valve chamber;

displacing a member external to the removable valve body that interfaces with the seal element on the removable valve body, thereby changing a distance between the seal element and a valve seat in the removable valve body and controlling the pressure of the exhaled gas in the expiratory limb; and

monitoring the flow of gas with a flow meter located between the valve inlet port and the valve seat of the removable valve body.

18. The method of claim 17 further comprising:

monitoring a difference in pressure between the exhaled gas in the ventilation system on the expiratory limb-side of the valve seat and a gas pressure of the environment.

19. The method of claim 18 further comprising:

calculating a first flow measurement from the difference in pressure and the distance between the seal element and the valve seat; and

performing an action related to the delivery of gas to the patient based on a comparison of the first flow measurement and the monitored flow of gas from the flow meter.

20. The method of claim 18 wherein performing an action comprises one or more of indicating an alarm condition, changing a pressure of gas delivered to the patient based on the comparison of the first flow measurement and the monitored flow of gas from the flow meter, and changing a flow of gas delivered to the patient based on the comparison of the first flow measurement and the monitored flow of gas from the flow meter.