U.S. patent number 3,595,228 [Application Number 04/779,529] was granted by the patent office on 1971-07-27 for flow line break alarm device.
Invention is credited to Michael W. Heron, Robert C. Simon, Robert E. Swanson.
United States Patent |
3,595,228 |
Simon , et al. |
July 27, 1971 |
FLOW LINE BREAK ALARM DEVICE
Abstract
A portable alarm device is attached to interfitting coupling
portions in a therapeutic apparatus, such as, the metal or plastic
coupling portions between a respirator hose and tracheostomy tube,
the device including normally engaging electric contacts on the
coupling portions which separate with the coupling portions to
sense a break. One contact is connected to the patient's body, the
other contact connected to a low-power electric pulse generating
circuit for triggering an electric switch, the latter being adapted
to activate the alarm element when the contacts disconnect to alert
hospital personnel.
Inventors: |
Simon; Robert C. (Aurora,
CO), Heron; Michael W. (Denver, CO), Swanson; Robert
E. (Denver, CO) |
Family
ID: |
25116735 |
Appl.
No.: |
04/779,529 |
Filed: |
November 27, 1968 |
Current U.S.
Class: |
128/202.22;
285/93; 340/652; 340/532; 340/687; 340/693.1 |
Current CPC
Class: |
A61M
16/0051 (20130101); A61M 16/021 (20170801) |
Current International
Class: |
A61M
16/00 (20060101); A62b 009/04 () |
Field of
Search: |
;128/145.5,142.2,140,142,142.3,146.5,145,145.6,145.8,1.02,2
;340/256,421,384E,379,320,236,239,242 ;331/143 ;141/94 ;285/93
;49/13 ;210/321 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Dunne; G. F.
Claims
We claim:
1. An alarm device for signaling a line separation comprising
interfitting male and female line coupling portions in the flow
line between a tracheostomy tube and a respirator hose,
sensing means including first and second electric contacts arranged
for support on said male and female line-coupling portions and
being aligned for electric connection with each other when the
coupling portions are joined for disconnection when the coupling
portions are separated,
an alarm element, and
electric circuit means coupled to said alarm element and responsive
to the disconnection of said contacts for actuating said alarm
element.
2. An alarm device as set forth in claim 1 wherein one of electric
contacts is connected to an electrode and includes means for
attachment to the body of a patient to ground said circuit means to
said patient when said contacts are closed.
3. An alarm device as set forth in claim 1 further including a
coaxial cable arranged to clamp on one of said coupling portions to
connect one of said electric contacts to said electric circuit
means.
4. An alarm device as set forth in claim 1 wherein at least one of
said electric contacts is an exposed wire loop at one end of a coil
of insulated wire slidably mounted on one of said coupling
portions.
5. An alarm device as set forth in claim 1 wherein one of said
coupling portions is formed of an insulative material and said
associated contact is an end loop of a coil of wire wound on said
coupling portion.
6. An alarm device as set forth in claim 5 wherein said coil of
wire is connected to a skin electrode including means for fastening
to the body of a patient.
7. An alarm device as set forth in claim 1 wherein the tracheostomy
tube and associated coupling portion is formed of an electrically
conductive material and having means forming one of said contacts
for connecting the circuit means to the body of the patient.
8. An alarm device as set forth in claim 1 wherein said electric
circuit means includes a relaxation oscillator circuit for
simultaneously generating pulses of an opposite polarity which are
applied across the electrodes of an electronic switch element in
the circuit of the alarm element for triggering said switch element
when the contacts are separated.
9. An alarm device as set forth in claim 8 wherein said electronic
switch element is a silicon controlled rectifier.
10. An alarm device as set forth in claim 8 wherein said oscillator
circuit includes a negative resistance element and capacitors
connected thereto and interconnected with a load resistor across
which said pulses are formed.
11. An electric alarm device for signaling a line separation,
comprising male and female line-coupling portions in the flow line
between a tracheostomy tube and a respirator hose,
an electric contact arranged for support on each of said coupling
portions to be engageable with each other when said coupling
portions are joined and disengaged when said coupling portions are
separated, and
electronic circuit means including an audible alarm element and
electric power source for the alarm element and means connected to
one of said contact elements to alternately connect the power
source to the alarm element when the contacts are in engagement and
disconnect the power source from the alarm element when the
contacts are separated.
12. An alarm device for signaling a line separation comprising
interfitting male and female line coupling portions in the flow
line between a tracheostomy tube and a respirator hose,
an electric contact arranged for slidable movement on each of the
coupling portions to be electrically connected with each other when
the coupling portions are connected and to be disconnected when the
coupling portions are separated,
a first electric circuit including a power supply, an audible alarm
element and a low voltage electronic switch arranged to turn on the
alarm element when triggered, and
a second electric circuit connected to one of said contacts and the
electronic switch having means for generating a plurality of
electric pulses which sufficiently change in amplitude when said
contacts separate to trigger said switch for activating said alarm
element.
Description
This invention relates to alarm devices and, more particularly, to
electric alarm devices suitable for use with therapeutic apparatus,
such as, the coupling portions of a respirator flow line and
tracheostomy tube assembly for indicating a break therebetween.
A variety of types of flow lines are presently in use as an
integral part of commercially available therapeutic apparatus. In
many instances, particularly when treatment with such apparatus is
carried out over extended periods of time, it is not practical to
have an attendant present at all times; yet it is readily apparent
that a failure in therapeutic apparatus such as an undetected break
in an oxygen line may be seriously harmful or even fatal to the
patient.
One typical example is the respirator hose and tube employed in a
tracheostomy which continuously delivers a negative and positive
oxygen pressure. While some types of alarm devices for detecting
breaks in airflow lines have theretofore been provided such as
pressure responsive devices they have not proved entirely
satisfactory for all applications.
Accordingly an object of this invention is to provide a simplified,
reliable, lightweight, safe and easy to use electric alarm
device.
Another object of this invention is to provide an electric alarm
device which is extremely sensitive and is readily conformable for
use with various types of therapeutic apparatus.
A further object of this invention is to provide an electric alarm
device suitable for use in the presence of oxygen without danger of
sparking for the purpose of alerting hospital personnel when there
is a break in the coupling between a respirator flow line and a
tracheostomy tube attached to a patient.
It is a still further object of this invention to provide a
portable alarm device which is easily transportable to the point of
use and is readily attachable to releasable flow line couplings of
the type utilized between a respirator supply hose and tracheostomy
tube inserted into the trachea of a patient.
Other objects, advantages and capabilities of the present invention
will become more apparent from a consideration of the following
description when taken in conjunction with the accompanying
drawings, in which:
FIG. 1 is a perspective view of an alarm device embodying features
of the present invention attached to line coupling portions between
a respirator supply line and a plastic tracheostomy tube shown
partially retracted from the trachea of a patient, the coupling
portions being shown in a separated position;
FIG. 2 is a perspective view of the alarm device shown in FIG. 1
attached to coupling portions between a respirator supply line and
metal tracheostomy tube with the coupling portions shown in an
interfitting connected position and the tracheostomy tube inserted
into the trachea of a patient; and
FIG. 3 is an electric circuit diagram of an alarm circuit which is
preferably contained in the portable box shown in FIGS. 1 and
2.
Referring now to the drawings, there is shown by way of
illustrative example in FIG. 1 a typical airflow system for
tracheostomy usage wherein a respirator supply represented at 3 has
a flexible hose outlet or line 4 which is adapted to be detachably
coupled to a tracheostomy tube 6, the latter being normally
attached to the neck of a patient P with one end inserted into the
trachea designated at T. Although the tracheostomy tube 6 is shown
partially retracted in FIG. 1, a flange member 8 is disposed on the
tracheostomy tube and in normal use is tied around the back of the
patient's neck to secure the tracheostomy tube 6 in fully inserted
position. The respirator supply 3 may be one of a variety of known
oxygen sources of the inspirator-expirator type capable of
alternately producing a positive and negative pressure in the
output line for inspiration and expiration.
A releasable connection or coupling is provided between the supply
hose 4 and the intake end of the tracheostomy tube 6 to permit
repeated cleaning and care of the trachea of the patient. This
coupling requires ease of separation, and a typical form is a
friction-fitting type coupling as shown comprising an elbow-shaped
female portion 11 at the discharge end of the supply hose 4 and a
male portion 12 at the intake end of the tracheostomy tube which
interconnect or interfit to form a detachable coupling.
The tracheostomy tube 6 and associated flange 8 may be
conventionally formed either of an electrically nonconductive or
insulative material, usually plastic, as depicted in FIG. 1; or
they are often composed of an electrically conductive material,
such as, metal as depicted in FIG. 2, and the tube and flange are
designated by numerals 15 and 16, respectively. The female coupling
portions 11 in both forms are preferably composed of an insulative
material, such as, a plastic with the male coupling end 17 of the
metal tracheostomy tube 15 also being of a conductive metal forming
an extension of the tracheostomy tube.
In accordance with the present invention, the electric alarm or
signal apparatus devised for the airflow tracheostomy systems
described broadly is capable of sensing a leak or break in the
airflow line to the tracheostomy tube, and more specifically a
separation in the friction-fitting coupling portions, and of
activating an alarm element which can be heard by hospital
personnel at a point remote from the patient. To this end, the
sensing portion or sensor arrangement of the alarm device
associated with the tracheostomy tube of FIG. 1 includes an
electric contact 19, herein referred to as the first electric
contact, supported on the female coupling portion 11; and another
electric contact, referred to as the second electric contact, is
supported on the male coupling portion 12. Essentially, the first
and second contacts engage one another when the coupling portions
are physically connected and are movable to an electrically
disconnected position when the coupling portions are separated.
Contacts 19 and 20 may be disposed on the coupling portions in a
number of ways to effect the desired electric connection and
disconnection therebetween. For convenience of assembly onto the
coupling portions presently in use on the tracheostomy tube and
respirator hose and for effecting a good electric connection
between contacts, a preferred arrangement for the first contact 19
in FIG. 1 and 2 is to utilize an insulated wire wound in a
plurality of turns to define a helical coil designated 21 in
surrounding relation to one end of the female coupling portion 11,
the end loop or turn having its insulation removed so as to be bare
or exposed. The second electric contact 20 for the form of FIG. 1
may be noninsulated wired wound in a plurality of turns or loops
defining a helical coil designated 22 of approximately the same
diameter as coil 21 in surrounding relation to the male coupling
portion 12, the end loop of the wire adjacent the exposed end loop
forming the contact 19 being similarly exposed. The helical coil
members on the coupling portions are aligned so as to compress or
bias the contacts 19 and 20 together when the coupling portions are
connected.
The first contact 19 is electrically connected to the electric
alarm actuating circuitry contained in a portable box 23 shown in
FIGS. 1 and 2 by means of an electric lead preferably a coaxial
cable 24, having an alligator-type clip 25 mounted at its extended
end. In the preferred coil arrangement shown, the other end of coil
21 is secured to the alligator-type clip 25, for instance, by
soldering. In the assembly shown the alligator-type clip 25 is
clamped to the female joint portion 11 to hold the coil 21 and
cable 24 in a proper position.
The second contact 20 for the plastic tracheostomy tube 6 is
electrically connected through coil 22 to a skin electrode 27 which
may be attached and grounded to the body of the patient as by tape
28. When the metal type tracheostomy tube 15 of FIG. 2 is employed
a second contact designated 29 need only be a piece of electrically
conductive material mounted on the outer surface of the intake end
of the male joint portion 17 which will engage the bared wire or
contact element 19 when the coupling portions are connected. The
end surface of the metal male joint portion 17 could also define
the second electric contact. The metal tracheostomy tube 15
suitably contacts the patient's body to perform the same function
as the skin electrode 27 shown in the arrangement of FIG. 1.
The box 23 or container for the electric alarm actuating circuitry
and alarm element may be of a variety of configurations but for the
instant tracheostomy application it is important that it be of a
lightweight metal such as aluminum. The top of the box serves as a
combined panel and support for an on-off switch 31, a reset button
32 and a speaker 33, described more fully hereinafter in connection
with the circuit diagram of FIG. 3.
The electric alarm-actuating circuitry shown in FIG. 3 may be
generally characterized as a relaxation oscillator type pulsing
circuit which comprises a low voltage DC power source illustrated
as two batteries 35 and 36 connected in series having the on-off
switch 31 connected therein. A series circuit is connected across
the power source including resistors 37 and 38, a negative
resistance element shown in the form of a neon lamp 39, a capacitor
41 connected between one electrode of the lamp and a variable tap
on load resistor 42. Capacitor 46 is connected between the other
electrode of the lamp and one end terminal designated 44 of the
load resistor 42, the other end terminal being designated 45, and a
capacitor 47 is connected to the lamp electrode common to resistor
38. One end of the inner solid cylindrical conductor of the coaxial
cable 24 has its outer conductor connected to the common ground or
zero potential portion of the circuit. As shown in FIG. 3 the
alligator clip is connected to the other end of the inner conductor
of cable 24 and through contacts 19 and 20 to the patient's body,
through the skin electrode 27 shown in FIG. 3, or alternately to
the metal tracheostomy tube 15 of FIG. 2.
The alarm element 48 is connected in a series circuit including the
cathode and anode of an electronic solid state switch element 49,
preferably a silicon-controlled rectifier, and a reset switch 32,
and which circuit is connected across battery 36 and on-off switch
31. The gate and cathode elements of the SCR 49 are connected
across load resistor 42, and specifically terminal 44 is connected
to the anode through switch 32 and terminal 45 to the gate. A
preselected positive firing voltage applied between the gate and
cathode elements will cause the SCR 49 to conduct between the
cathode and anode thereby applying the voltage of battery 36 to the
alarm element 48. An alarm element 48 which is suitable for the
circuit above described is a Mallory Tone-Alert, manufactured by P.
R. Mallory and Company, Inc. of Indianapolis, Ind., having a
speaker 33 for transmitting the sound to hospital personnel.
However, it is understood that a variety of warning devices such as
a relay, light for bell may be used.
In sequence of operation with the circuit elements connected as
shown, the contacts 19 and 20 are closed to establish an
essentially zero or ground reference potential at capacitor 46.
With the battery polarity as illustrated, negative pulses are
formed across load resistor 42 at its tap by the charging and
discharging of capacitor 41, and positive pulses are formed across
load resistor 42 by the charging and discharging of capacitor 41
which in effect add algebraically to form an instantaneous voltage
between the gate and anode of the SCR. An adjustment of the tap on
resistor 42 regulates this voltage level. When the contacts open,
the electrical connection to ground or zero potential for the
relaxation oscillator circuit is removed and results in a
sufficient change in the sum of the positive and negative pulses to
fire the SCR 49.
Initially the circuit resistor 42 is set with nothing connected in
series with capacitor 45, i.e., when the contacts are open. Under
this condition pairing of the positive and negative pulses is just
great enough to fire the SCR. When additional capacitors of the
cable 24 are added to the circuit, the oscillator circuit is
sufficiently altered to hold the SCR off. When the SCR fires it
will continue to conduct until the current flow in the cathode is
momentarily broken. Reset switch 32 is used to perform the function
after firing. With the use of low voltage DC batteries a typical
circuit of this type will draw on the order of 20 microamperes when
the SCR is not conducting and 9 to 14 microamperes when fired. A
positive voltage of 0.8 volt or slightly more across resistor 42
fires the SCR.
The single coaxial type cable 24 connected to one contact is
preferred for simplicity of attachment but it is understood that a
second cable connected to the other contact and grounded to the box
could be used in place of the body electrode or metal tracheostomy
tube ground. Further the present device using electric pulses to
indicate a line break is suitable for wireless transmission wherein
such pulses may be modulated and transmitted as radio waves to a
distant receiving station.
While the present invention has been described with reference to
particular structure there is no intent to limit the spirit and
scope of the present invention to such structure except as defined
by the appended claims.
* * * * *