U.S. patent number 3,746,000 [Application Number 05/214,796] was granted by the patent office on 1973-07-17 for continuous feed medical nebulizer.
This patent grant is currently assigned to American Hospital Supply Corporation. Invention is credited to Frank M. Edwards.
United States Patent |
3,746,000 |
Edwards |
July 17, 1973 |
CONTINUOUS FEED MEDICAL NEBULIZER
Abstract
A continuous feed nebulizer system for medical inhalation
therapy in which a rigid dual lumen feed tube is connected with a
liquid supply source and extends into a nebulizing chamber. This
feed tube continuously replenishes liquid as it is nebulized and
has a liquid drain lumen that is of a smaller cross sectional area
and extends below an air return lumen. Constricted orifice
structures adjacent a bottom of the liquid drain lumen and a top of
the air return lumen damp out sudden changes of liquid level in the
chamber as this level ranges between a bottom of the liquid drain
lumen and a bottom of the air return lumen. This structure causes
more uniform nebulization within the continuous feed nebulizer.
Inventors: |
Edwards; Frank M. (Pacific
Palisades, CA) |
Assignee: |
American Hospital Supply
Corporation (Evanston, IL)
|
Family
ID: |
22800440 |
Appl.
No.: |
05/214,796 |
Filed: |
January 3, 1972 |
Current U.S.
Class: |
128/200.16;
261/DIG.65 |
Current CPC
Class: |
A61M
15/00 (20130101); A61M 15/0085 (20130101); A61M
16/16 (20130101); Y10S 261/65 (20130101) |
Current International
Class: |
A61M
16/16 (20060101); A61M 16/10 (20060101); A61M
15/00 (20060101); A61m 015/00 () |
Field of
Search: |
;128/194,193,201,214C,272,DIG.2 ;222/56,40 ;137/453,454 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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|
|
|
|
|
|
1,056,065 |
|
Apr 1959 |
|
DT |
|
1,498,478 |
|
Mar 1969 |
|
DT |
|
821,686 |
|
Jul 1949 |
|
DT |
|
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Recla; Henry J.
Claims
I claim:
1. An anti-surging dual-lumen liquid feed assembly in combination
with a nebulizer system comprising a gravity-feed liquid-supply
source and a container having a pool of medical liquid below and
fed by the supply source and in which the level of liquid in the
pool is substantially maintained, said antisurging assembly
comprising:
an elongated drain-tube lumen including means for connection to the
liquid-supply source for the free flow of liquid therefrom,
said drain-tube lumen including a lower terminal end portion
normally immersed in said pool of liquid for supplementing the
liquid in the pool;
an elongated air-return lumen including means connected and
communicating with said liquid-supply source below the surface
thereof and having a free open lower end in fixed relation to the
lower of said drain-tube lumen and disposed above the lowerend of
said drain-tube lumen for substantially establishing the level of
said pool,
said air-return lumen having a cross-sectional area substantially
greater than that of the drain-tube lumen capacity whereby a
greater amount of air is immediately available to replace liquid
dispensed from the liquid-supply source to said pool than can be
dispensed through the drain-tube lumen, each of the cross-sectional
areas of said air-return and drain-tube lumen being greater than a
capilary size; and
orifice means interposed between the lower open end of said
air-return lumen and the means connected and communicating with the
liquid-supply source whereby air replacing liquid in the liquid
supply source passes through the liquid-supply source and is
substantially dampened in its passage therethrough, said orifice
means defining a constriction for limiting the size of bubbles of
air passing into the source of liquid-supply.
2. The structure as claimed in claim 1 in which said orifice means
constriction being located substantially at the upper end of said
air-return lumen adjacent the lower portion of the liquid-supply
source.
3. The structure as claimed in claim 1 in which the cross-sectional
capacity of said air-inlet lumen is at least three times as great
of the corresponding capacity of said drain-tube lumen.
4. The structure as claimed in claim 1 in which said drain-tube
lumen includes constricted orifice means adjacent the lower end
thereof.
5. The structure as claimed in claim 4 in which said
constricted-orifice means of said drain-tube lumen is at the lower
terminus thereof.
6. The structure as claimed in claim 1 in which said air-return
lumen and drain-tube lumen are an integral unit with said
drain-tube lumen being integrally connected to one side of said
air-return lumen and along the inner surface thereof,
7. The structure as claimed in claim 6 in which said integral unit
includes an integral adapter cap having a depending skirt integral
with a transverse top wall for removable accomodation on a
cooperating connector of the container, said top wall including
integral tubular connectors for attachment to the liquid-supply
source.
8. The structure as claimed in claim 6 in which the ower end of
said air-return lumen is beveled upwardly from the lower end of
said drain-tube lumen and forms a progressively smaller opening as
the level of the pool rises.
9. The structure as claimed 3 in which said air-return lumen is
oval shaped in cross section, the adjacent wall portions of said
lumen being a common one, and an inner wall portion of said
drain-tube lumen extending transversely between opposed side wall
portions of said air-return lumen.
Description
BACKGROUND
In recent years it has become more prevalent to treat respiratory
illnesses such as emphysema, lung disorders, etc., with inhalation
therapy. The inhalation theapy used generally involves controlling
the gases that a patient breathes and these gases may be room air
or air enriched with oxygen. A liquid medication is usually added
to the gases for absorption in the lungs and respirating system of
the patient.
One particularly successful way of adding liquid medication to
gases breathed by a patient is with an "ultrasonic nebulizer." An
ultrasonic nebulizer applies a tuned ultrasonic energy source to a
medical liquid and causes this liquid to form a geyser at its
surface. The geyser is comprised of microscopic liquid particles
that are readily inhaled by the patient and absorbed through his
respiratory system.
Patients who are extremely ill sometimes require very prolonged
inhalation therapy of several hours. In these instances, it has
been the practice to set up a "continuous feed" ultrasonic
nebulizer to continually replenish liquid that is being breathed in
by the patient. Previous systems have included an inverted one or
two liter liquid supply bottle hung above a nebulizing chamber.
Liquid was drained from the liquid supply bottom into a nebulizing
chamber through a liquid drain tube. An air return tube fed air
from the chamber back into the supply bottle. The liquid drain tube
extended below the air return tube to control the upper and lower
limits of liquid level in the nebulizer chamber. This construction
was sometimes called the "chicken feeder" for automatically keeping
liquid in the nebulizing chamber within a specified range, because
similar constructions have been used by the poultry industry for
dispensing food and water to poultry.
In a nebulizer, the liquid drain tube and the air return tube work
like this. When the nebulizing chamber dropped below the lower end
of the liquid drain tube more liquid would flow into the chamber
from the liquid supply bottle. Air in the liquid supply bottle was
replaced with air moving up the air return tube. When the level
reached the bottom of the air return tube it would cut off the air
flow back to the bottle and a vacuum lock would occur and prvent
additional liquid drainage.
One of the main problems with these continuous feed nebulizer
devices was that their level surged up and down between its lower
ends of the liquid and air tubes. This surging can cause changes in
nebulizing rates and generally affect the geyser erupting from the
surface of the liquid. These continuous feed nebulizer systems are
used over very prolonged periods of time, on very ill patients, and
this surging causes serious problems in accurately controlling the
nebulization of medicament being continually breathed in by the
patient.
SUMMARY OF THE INVENTION
I have overcome the problem of the up and down surging of the
liquid in the nebulizing chamber when delivered through a
continuous feed system. In my invention there is a dual lumen feed
tube having a liquid drain passage and an air return passage to
form the "chicken feeder." Both of these lumens are substantially
larger than capillary dimensions so liquid can readily flow
downwardly and air can readily flow upwardly with little
resistance. One of the large area lumens has a fixed orifice
construction therein, and I have found that this damps out the
surging effect of the liquid being supplied to the nebulizing
chamber. In the preferred embodiment the air return passage has a
restricted orifice adjacent its top end and the liquid drain lumen
has a restricted orifice adjacent its bottom end. These two
restricted orifices tend to break up the air flowing back into the
liquid supply bottle and also slowly dispenses liquid from the
liquid drain tube. The combination of the large diameter tubes and
the restricted orifices cause smooth changes in the liquid level
within the nebulizing chamber and give much better control of
nebulization within the nebulizing chamber.
THE DRAWINGS
FIG. 1 is a front elevational view partially in section showing the
liquid supply source, the nebulizing chamber and the dual lumen
feed tube;
FIG. 2 is an enlarged section taken along line 2--2 of FIG. 1;
FIG. 3 is a sectional view taken along line 3--3 of FIG. 1 showing
the oval configuration of the feed tube and how it fits against a
side of the nebulizer collecting cup;
FIG. 4 is an enlarged sectional view of the dual lumen feed tube
showing its two constricted orifices;
FIG. 5 is a top view taken along line 5--5 of FIG. 4; and
FIG. 6 is a bottom view taken along line 6--6 of FIG. 4.
DETAILED DESCRIPTION
Referring to these drawings in detail, FIG. 1 shows a liquid supply
source 1 in the form of a liquid filled bottle with an outlet
closure system 2. Connected to this outlet are two flexible hollow
lead tubes 3 and 4. As shown in FIG. 1, liquid drains down tube 3
and air bubbles flow up into liquid supply source 1 through
flexible tube 4.
Spaced below the liquid supply source 1 is a hollow thermoplastic
nebulizing chamber 5. This nebulizing chamber has an inlet tube 6
and an outlet tube 7 which connect to the apparatus to feed the
nebulized liquid to the patient. Very often this apparatus includes
a blower system that forces air in through tube 6 into chamber 5
where it picks up nebulized liquid particles in the chamber and
thereafter forces them out through tube 7 and to the patient for
breathing. Nebulization of a liquid 8 at a lower portion of the
chamber causes a geyser (not shown) to erupt from the surface of
the liquid 8 and be picked up by the air stream being fed to the
patient. This nebulization takes place because of an ultrasonic
energy source 9 spaced below a collecting cup 10 of the nebulizing
chamber. Ultrasonic energy is transferred through liquid bath 11,
cup 10 and nebulizable liquid 8 to where it causes a geyser to
erupt at surface 20 of liquid 8.
As liquid 8 is nebulized within chamber 5 its level slowly
decreases. When the level reaches a certain point the dual lumen
rigid feed tube 12 will replenish the liquid. As shown in FIG. 1.
feed tube 12 has two tubular connectors 13 and 14 at its upper end
which telescopically fit into the two hollow flexible lead lines 3
and 4 from liquid supply source 1. The feed tube 12 also has an
integrally formed cap member that includes a lateral top wall 15
and a depending skirt 16 that engages with and fits over an
upstanding inlet port system 17 of the nebulizer container. Thus,
the rigid feed tube forms a connecting link between the tubes 3 and
4 and the liquid 8 in the nebulizing chamber.
At a lower end of the feed tube 12 it is seen that a liquid drain
lumen 18 extends a given distance below the air return lumen 19.
This extension of the liquid drain lumen controls the range of
vertical movement of the upper surface 20 of liquid 8. When the
liquid level 20 drops below end 21 of the liquid drain lumen 18 the
nebulizing chamber will begin to fill. This occurs because air will
flow up the air return pass lumen 19 to replace air in liquid
supply source 1 so liquid can drain. When level 20 of liquid 8
reaches the end of end 22 of the air return lumen the liquid will
block off air passage therethrough. This causes a vacuum lock in
the liquid supply source and liquid 18 will cease to flow. As
liquid 8 is nebulized, surface 20 will drop and again let air flow
back into bottle 1. This continuous process causes a "continuous
feed" of liquid to the nebulizing chamber and provides a generally
constant liquid level that can be efficiently nebulized.
As mentioned before, a serious problem of previous continuous feed
systems of this "chicken feeder" type was the up and down surging
of surface 20 of liquid 8. This surging changes the characteristics
of the nebulized geyser within chamber 5 and also varied the rate
at which the patient was receiving the nebulized medicaments.
In FIG. 1 this surging is substantially reduced by including a
retricted orifice 23 at a top portion of the air return lumen 19.
This causes air to be funneled in by the large lumen 19 with little
resistance to flow and then slowly metered out through orifice 23.
Preferably this orifice is between 0.040 and 0.100 inches in
diameter. I have found this size of orifice tends to break up large
slugs of air coming up air lumen 19. The air dispensed into liquid
source 1 is in very fine metered bubbles which slowly release the
vacuum lock in the liquid supply bottle 1. This causes the liquid
to drain down liquid drain lumen 18 more slowly.
I've also discovered that elimination of the liquid surging is
greatly benefited by a small orifice 24 of between 0.040 and 0.100
at a bottom of the liquid drain tube. This causes slow metering out
of the liquid from the liquid drain tube. Thus, as the liquid is
continuously supplied to the nebulizing chamber 5 the surface 20 of
liquid 8 will slowly creep up and down between the two extremes of
its range. Thus, a large slug of air entering air tube 19 at an
instant the surface tension of surface 20 breaks the lower end 22
of the air return lumen will not cause a large gush of liquid to be
delivered to the nebulizing chamber. As shown in FIGS. 1 and 4 the
lower end of the air tube 19 is beveled to reduce the surface area
of contact between the liquid surface and air tube at the critical
opening and closing of the air passage. This improves the
smoothness of the opening and closing of the air passage's lower
port. The beveled lower end of the air tube is preferred but it
could be made horizontal if desired.
For the non-surging feature of my invention to work very well the
liquid drain passage 18 and the air return lumen 19 have cross
sectional areas substantially larger than capillary sizes. This is
to reduce friction as liquid is draining down lumen 18 and air is
returning through lumen 19. It is also preferable to have lumen 19
with cross sectional area more than 3 times the size of liquid
drain lumen 18. This allows large slugs of air to collect in lumen
19 before they are metered through fixed orifice 23. The diameter
of lumen 18 is between 0.125 and 0.150 inch. Lumen 19 is of
irregular cross sectional area but includes a cross section more
than three times the cross sectional area of liquid drain lumen 18
as shown in FIGS. 2 and 3. As shown best in FIG. 3, the oval
configuration of the feed tube fits against a side wall of the
collecting cup so as not to interfere with an erupting geyser in a
center portion of the collecting cup. The feed tube in FIG. 1 has
been rotated from that of FIG. 2 to better show the tube's internal
structure.
In FIGS. 4, 5 and 6 the feed tube of this invention is shown in
enlarged sectional proportions so that its features may be readily
visible. This rigid thermoplastic tube with its orifices 23 and 24
provide smooth liquid flow into the nebulizing chamber. These
orifices are of fixed diameters within the rigid feed tube and thus
do not depend on the variations caused by manually adjusting an
orifice size.
In use the rigid dual lumen feed tube can be supplied to a hospital
already connected to flexible leads 3 and 4. To assemble the
apparatus as shown in FIG. 1 a nurse needs merely to connect leads
3 and 4 to a liquid supply bottle and insert the feed tube into a
nebulizer container 5. This will supply a constant liquid feed to
the nebulizer chamber 5 to replace liquid that is nebulized and
consumed by the patient.
In the foregoing descriptions I have used a specific example to
describe my invention. However, it is understood that persons
skilled in the art can make certain modifications to this
embodiment without departing from the spirit and scope of the
invention.
* * * * *