Apparatus for non-invasive mechanical ventilation

• US 8,240,307 B2
• Filed: 05/14/2004
• Issued: 08/14/2012
• Est. Priority Date: 05/15/2003
• Status: Expired due to Fees

• Current Assignee: Azienda Ospedaliera Pisana, Co.
• Original Assignee: Azienda Ospedaliera Pisana, Co.
• Inventors: Albertelli, Roberto
• Primary Examiner(s): Ostrup, Clinton T
• Application Number:
  US10/557,064
• Publication Number:
  US 20060283451A1
• Time in Patent Office: 3,014 Days
• Field of Search: 128/204.18, 128/204.26, 128/204.28, 128/204.29, 128/205.13, 128/205.14, 128/205.17, 128/205.24, 128/205.25, 128/205.27, 128/201.25, 128/201.28, 128/203.28, 128/203.29
• US Class Current: 128/204.18
• CPC Class Codes: A61M 16/0066 Blowers or centrifugal pumps
• CPC Class Codes: A61M 16/0078 Breathing bags
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/08 Bellows; Connecting tubes having means for taking samples G01N1/22; Water traps; Patient circuits
• CPC Class Codes: A61M 2016/0021 with a proportional output signal, e.g. from a thermistor

Abstract

An apparatus (1) for non-invasive mechanical ventilation comprises a fan (2) of Bi-level type, or BiPAP, for generating an air flow according to a succession of inspiration steps, or IPAP, and exhalation steps, or EPAP. The flow is conveyed in the aerial ducts of a patient (25) by means of a flexible tube (3) connected to a nasal mask (4). A flexible air reservoir (5) is provided pneumatically connected to the duct (3) and the nasal mask (4) in order to subtract from the inspiration flow a certain air amount before that it reaches the patient (25) at the beginning of an IPAP step. During the exhalation EPAP step, since the air flow pressure decreases automatically, there is the emptying at least partial of the flexible air reservoir (5), whereas the air exhaled by the patient exits through an opening (14) made on the nasal mask (4). This way an air exchange occurs also in the most peripheral patient'"'"'s aerial ducts and the amount of gaseous exchanges is increased, reducing at the same time the duration of the treatment.

Claims

1. An apparatus for non-invasive mechanical ventilation, comprising:

a) an air flow generator for generating an air flow deliverable to a patient'"'"'s lungs and which creates a vortex in the aerial ducts of said patient'"'"'s lungs, said air flow being generated according to a predetermined bi-level positive pressure cycle, said cycle comprising a succession of an Inspiration Positive Air Pressure (“

IPAP”

) step having a pressure P_IPAP, and an Exhalation Positive Air Pressure (“

EPAP”

) step having a pressure P_EPAP, wherein each IPAP step has its apex with a maximum pressure and each EPAP step ends with a minimum pressure, and wherein P_IPAP is greater than P_EPAP;

b) an air conveyance apparatus comprising a duct and a nasal mask for conveying said air flow to a patient'"'"'s aerial ducts, said air conveyance apparatus when in use being arranged between said air flow generating means and said patient; and

,

c) a pneumatic air subtraction system for subtracting a predetermined air amount from said air flow, said pneumatic air subtraction system being in pneumatic connection with said air conveyance apparatus,

wherein said pneumatic air subtraction system is adapted to subtract from said air flow a pre-determined amount of air before said determined amount of air reaches said aerial ducts for carrying out said IPAP step so as to temporarily prevent said pre-determined amount of air from reaching said aerial ducts, and

wherein said pneumatic air subtraction system is adapted to subtract said pre-determined amount of air at the beginning of said IPAP step.

2. The apparatus according to claim 1, wherein said pneumatic air subtraction system comprises at least one air reservoir that fills with air, thus subtracting said predetermined amount of air from said air flow in synchronism with the beginning of said IPAP step.

3. The apparatus according to claim 2, wherein said air reservoir comprises a flexible container suitable for filling of air synchronized with the beginning of said IPAP step and emptying at least in part during the EPAP step.

4. The apparatus according to claim 3, wherein said flexible container comprises either a bag or a balloon.

5. The apparatus, according to claim 1, wherein said pneumatic air subtraction system comprises a calibrated hole made in said air conveyance apparatus.

6. The apparatus, according to claim 5, wherein said calibrated hole is opened and closed automatically.

7. An apparatus for non-invasive mechanical ventilation, comprising:

a) an air flow generator for generating an air flow deliverable to a patient'"'"'s lungs and which creates a vortex in the aerial ducts of said patient'"'"'s lungs, said air flow being generated according to a predetermined bilevel positive pressure cycle, said cycle comprising a succession of an Inspiration Positive Air Pressure (“

IPAP”

) step, and an Exhalation Positive Air Pressure (“

EPAP”

) step, wherein each IPAP step has its apex with a maximum pressure and each EPAP step ends with a minimum pressure;

b) an air conveyance apparatus comprising a duct and a nasal mask for conveying said air flow to a patient'"'"'s aerial ducts, said air conveyance apparatus when in use being arranged between said air flow generating means and said patient; and

,

c) a pneumatic air subtraction system for subtracting a predetermined air amount from said air flow, said pneumatic air subtraction system

i. includes at least one expandable container that can be filled with or emptied of air,

ii. includes a hole defined in said container which can be opened or closed automatically, and

iii. is in pneumatic communication with said air conveyance apparatus,

wherein said pneumatic air subtraction system is adapted to subtract from said air flow a pre-determined amount of air before said determined amount of air reaches said aerial ducts for carrying out said IPAP step so as to temporarily prevent said pre determined amount of air from reaching said aerial ducts, and

wherein said pneumatic air subtraction system is adapted to subtract said predetermined amount of air at the beginning of said IPAP step.