U.S. patent number 3,766,914 [Application Number 05/162,944] was granted by the patent office on 1973-10-23 for high pressure resuscitating and ventilating system incorporating humidifying means for the breathing mixture.
Invention is credited to Harvey Barry Jacobs.
United States Patent |
3,766,914 |
Jacobs |
October 23, 1973 |
HIGH PRESSURE RESUSCITATING AND VENTILATING SYSTEM INCORPORATING
HUMIDIFYING MEANS FOR THE BREATHING MIXTURE
Abstract
A resuscitating and ventilating system is provided wherein a
relatively high pressure breathing gas mixture is utilized. The
flow of the breathing mixture is cyclically controlled by inflating
and deflating valve means, which valve means is actuated by an air
motor driven by the high pressure gas. A high pressure piping
system connects the source of high pressure gas to the valve means
and to the gas supply pipe of the motor. A
gas-bubbling-through-water type humidifier is incorporated in the
system. The gas inlet of the humidifier tank is connected to the
high pressure piping system upstream of its connection to the gas
supply pipe of the motor, and the outlet pipe of the humidifier
tank is connected to the high pressure piping downstream of its
connection to the gas supply pipe of the motor. Thus, the
humidifying system bypasses the motor. Further, a water supply is
connected to the humidifying tank and the connections are so
controlled by valves whereby the water in the tank may be
replenished without shutting off the flow of the breathing mixture
to the patient.
Inventors: |
Jacobs; Harvey Barry (Reston,
VA) |
Family
ID: |
26738488 |
Appl.
No.: |
05/162,944 |
Filed: |
July 15, 1971 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
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59206 |
Jul 29, 1970 |
3682166 |
Aug 8, 1972 |
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Current U.S.
Class: |
128/200.13;
261/121.1; 128/205.19 |
Current CPC
Class: |
A61M
16/16 (20130101); A61M 25/0668 (20130101); A61M
16/0009 (20140204); A61M 16/0465 (20130101); A61M
25/00 (20130101); A61M 25/04 (20130101); A61M
16/00 (20130101); A61M 16/0452 (20140204); A61M
16/0472 (20130101) |
Current International
Class: |
A61M
25/04 (20060101); A61M 16/00 (20060101); A61M
25/02 (20060101); A61M 16/04 (20060101); A61M
25/06 (20060101); A61M 16/16 (20060101); A61M
16/10 (20060101); A61M 25/00 (20060101); A61m
016/00 () |
Field of
Search: |
;128/351,145.8,145.6,145.5,145,188,194,193 ;261/121,120 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Dunne; G. F.
Parent Case Text
This application is a continuation-In-part of my U.S. Pat.
application, Ser. No. 59,206, filed July 29, 1970 now U.S. Pat. No.
3,682,166 granted Aug. 8, 1972.
Claims
I claim:
1. A ventilating apparatus comprising a source of high pressure
breathing gas, inflating and deflating valve means, first pipe
means connecting said source of breathing gas to said inflating
valves means, output pipe means connected to said valve means for
delivering breathable gas from the inflate valve means to the
patient and for returning the exhalation from the patient to the
deflate valve means, air motor means operatively connected to said
inflate and deflate valve means to cyclically actuate the same, a
pressure gas supply line connecting said first pipe means to said
air motor, high pressure humidifying means between said breathing
source and said inflating and deflating valve means comprising a
tank having water therein, an inlet gas pipe fed with high pressure
breathing gas opening below the water level to permit a heat
exchanger, a condenser which removes liquid water from said highly
humidified vapor in said outlet and thereby prevent flooding, a
heater to maintain a high temperature in the liquid so as to assure
a supply of highly humidified air at high pressure in the tank
outlet pipe without trapped water therein, gas flowing through the
inlet pipe to bubble through the water and thereby become highly
humidified, a tank outlet pipe to permit the humidified gas to flow
out of the tank, a second pipe means connecting said inlet pipe to
said first pipe means upstream of said pressure gas supply line,
and a third pipe means connecting said tank outlet pipe to said
first pipe means downstream of said pressure gas supply line,
whereby the air motor is bypassed by the humidified air flow, which
prevents the loss of water at the interior from the humidified gas
going to the patient.
Description
This invention relates to relatively high pressure resuscitating or
ventilating apparatus which embodies a humidifying means for the
breathing air or gas mixture.
While it is old in the art to embody humidifying means in very low
pressure resuscitating or ventilating apparatus, no suitable
humidifying means has been provided for effeciently and properly
humidifying the breathing mixture in ventilating systems using high
pressure.
An object of this invention is to provide humidifying means
suitable for incorporating in a high pressure resuscitating or
ventilating apparatus, particularly the apparatus disclosed in my
parent application, Ser. No. 59,206.
A further object is to provide a humidifier which will cooperate
with the high pressure gas of the ventilating system to atomize and
vaporize water to a desired degree and at a suitable rate, and
thereby provide a properly humidified breathing mixture in
accordance with the particular requirements of the patient.
Another object is to provide a gas-bubbling-through water type
humidifier means which is connected to the high pressure gas of the
ventilating system and which is also connected to a suitable supply
of water and provided with a valve system whereby the water in the
humidifying tank may be replenished without shutting off the flow
of the breathing mixture to the patient and without removing the
humidifying means from the system.
Further objects and advantages of this invention will be apparent
from the following descriptions and accompanying drawings of
which:
FIG. 1 is schematic view of the resuscitating or ventilating
apparatus disclosed in my co-pending application, Ser. No. 59,206,
filed July 29, 1970 and incorporating breathing gas humidifying
means and control valve means therefor; and,
FIG. 2 illustrates the alternate position of the cycle control
valve means.
The resuscitating or ventilating system incorporating the
humidifying means will be sufficiently described herebelow to fully
disclose the functioning and control of the humidifying means and
its cooperation with the ventilating system whereby there is
provided a regulated and properly humidified breathing mixture. For
further disclosure of the details of construction and application
of the high pressure ventilating system, reference may be had to
the parent application, Ser. No. 59,206, filed July 29, 1970.
The system comprises a source of gas under pressure 15. This source
may be compressed air, pure oxygen or air fortified with a higher
percentage of oxygen than normal atmospheric air. The source 15 is
connected by conduit means 16 and 16' to a sputum trap 17. From
sputum trap 17, a conduit means 18 extends to the catheter attached
to the trachea of the patient.
Conduit means 16-16' has a series of three-way valves 21, 22 and 23
inserted therein. Valve 21 has a handle means 24 to move it to a
selected position. While valves 22 and 23 are shown
diagrammatically as two separate plug means, their passages may be
incorporated in a single plug valve device at axially spaced
planes. To illustrate the unitary operation of valves 22 and 23, a
handle 25 is provided for each valve, the handle being connected
for joint movement by a connecting link means 26. Valves 22 and 23
rotate in opposite 90.degree. directions.
Suction or vacuum source 27 has conduits 28 and 29 extending
therefrom with conduit 29 connected to deflate valve means 30, and
conduit 28 connected to valve 21.
A two-way valve means 31 is located between conduits 16 and 16' and
functions as an inflate valve. For illustrative purposes, valves 30
and 31 are shown as separate valves; however, they work in unison
by connecting means 32 which connects them to reduction gear drive
33.
It is preferable that the outlet ports 34a of the several passages
34 in valves 30 and 31 be of a tapered configuration. Outlet
portion 34a is elongated in the direction of valve movement and may
be of elliptical or diamond configuration whereby the flow from the
valve to the conduits connected thereto is gradually initiated and
gradually cut off. The duration of time of fluid flow may be
regulated by the length of the longer axis of the port
configuration.
Reduction gear device is driven by fluid motor 35, connected by
conduit 36 to conduit 16 and thus to source 15. The speed of motor
35 is regulated by an adjustable throttle valve means 37 inserted
in line 36, which valve is diagrammatically illustrated as an
adjustable choke valve.
A three-way valve 40 is connected by conduit 41 to valve 30 and by
conduit 41' to valve 31. The function of valve 40 is to control the
ratio of inflation pulses or phases to deflation phases during a
revolution of valves 30-31. It may be termed an inflation and
delfation phase control valve. A conduit 42 connects valve 30 to
conduit 16'. A branch conduit 43 connects conduit 42 to valve 40. A
conduit 45 connects valves 22 and 23.
To control the rate of flow of the oxygenated gas in accordance
with the age and size of the patient, throttle or choke valve 47 is
inserted in line 16 upstream of valve 31 and a similar valve 47a is
inserted in conduit 45. Valve 47 controls the rate of flow when the
system operates automatically. Valve 47a controls the rate of flow
during manual control of ventilation. The rate of flow of deflation
gas from the patient may be controlled by throttle valve 48
inserted in suction line 29.
The FIG. 1 illustrates the positions of the several valves in the
system for automatic operation of the ventilating system. Air under
suitable pressure flows from source 15 through conduits 16 and 16'
and through the connecting passages in valves 21, 22, 31 and 23 to
sputum cup and from there by conduit means 18 to the catheter.
Thus, air with the proper selected percentage of oxygen flows to
the patient at a rate controlled by throttle valve 47.
At this phase of the cycle, valve 30 cuts off the several
connecting conduits and valve 40 from suction conduit 29.
Valve means 31 and 30 are continuously rotated in the direction of
the arrows 49 at the proper desired speed by air motor 35. Assuming
the setting of the valves in FIG. 1 to be 0.degree., at 90.degree.
of rotation, valve 31 blocks flow from conduit 16 to conduit 16',
and valve 30 connects suction source 27 and conduit 29 to conduit
41 and through valve 40 to conduits 43, 42 and 16' and thereby the
catheter is connected to the suction source whereby deflation or
exhalation of the patient is aided. At 180.degree. of rotation,
valve 31 still blocks air flow to 16', and valve 30 connects
conduit 42 to conduit 29 and therethrough to suction source 27. At
270.degree. of rotation, valve 31 still blocks flow to conduit 16'
and valve 30 still connects conduit 42 to conduit 29. At
360.degree. of rotation valves 30 and 31 again assume the positions
of FIG. 1 and air is again delivered to the patient to aid in the
inhalation phase of breathing.
Thus, a single cycle or rotation of valve 30 and 31 results in one
inflation and three deflation phases. Under certain conditions, it
may be desirable to have the same extent of inflation and
deflation. Inflation and deflation phases control valve 40 is
provided for such operation. If valve 40 is moved by its handle 50
to the position illustrated in FIG. 2, the following connections
occur during a single cycle or rotation of valve means 30 and 31.
At 0.degree., valve 31 connects conduits 16 and 16' and suction
conduit 29 is cut off from all connection by valve 30. At
90.degree. of rotation in the direction of arrows 49, valve 31
disconnects conduits 16 and 16' and connects conduits 16 and 41';
and through the passages in valve 40 conduits 41', 43, 42 and 16'
are interconnected, for a second inflation phase, while deflation
(suction) is blocked. At 180.degree. or rotation, conduit 16 is cut
off from the other conduits by valve 31. Suction conduit 29 is
connected by valve 30 to conduits 42, 16', and 18 to the catheter
for the deflation phase. At 270.degree. of rotation, valve 31 still
cuts off flow from conduit 16 and valve 30 connects conduits 29, 42
and 16' for a second deflation phase. At 360.degree. of rotation,
the valves assume the positions illustrated in FIG. 2, that is, the
0.degree. position, in which an inflation phase is initiated.
Thus, with valve 40 in the position of FIG. 2, there are two
inflation and two deflation phases during a cycle or a revolution
of the valve means 30 and 31.
Under certain conditions, the patient cannot be subject to the
automatic inflation and deflation and the operator must manipulate
the inflation and deflation phases in accordance with the abnormal
conditions of the patient. Valves 22 and 23 are shifted by means of
their handles from their positions of FIG. 1 to their opposite
positions. Valve 30, 31 and 40 are by-passed, and at the same time
flow to motor 35 is shut off by valve 22. Thus, valves 22 and 23
interconnect conduit 16 to 16' at sputum cup 17 by means of conduit
45 which by-passes the valve means 30, 31 and 40, and their
interconnected conduits.
Valve 21 is then manipulated by the operator from one position to
another by handle 24. The position shown in solid lines is the
inflate position wherein oxygenated pressure gas regulated by
throttle valve 47a flows from source 15 to conduits 16, 45, 16', 18
to the catheter. When deflation is desired, valve 21 is moved
anticlockwise 90.degree. to the dotted line positions of handle 24.
In this deflate position, suction source 27 is connected by the
valve means to conduits 16, 45, 16', 18 and the catheter. The
duration of the inflation and deflation phases will be regulated by
the operator in accordance with the requirements of the patient
which is under his visual observation.
The humidifying means comprises a tank 60, preferably made of
stainless steel or other mateiral which may be subject to
sterilization and can withstand high internal pressure. The tank
has a high pressure gas input pipe 61 which is secured by a
conventional, quick acting, detachable coupling means 62 to high
pressure pipe 63. Pipe 63 is connected to pipe 16 upstream of
throttle valve 47. A throttle valve 64 is inserted in pipe 63 for
controlling the rate of flow of humidifying gas and also for
shutting off the flow through the pipe. A pipe connected to a
suitable water supply is joined to pipe 63 upstream of coupling
means 62. A check valve 67 opening toward tank 60 is inserted in
pipe 65. For controlling the temperature and the degree of vapor
saturation of the humidified breathing mixture, an electric heater
means 68 is provided and is controlled by adjustable thermostat 69
whereby any desired temperature may be selected.
Tank 60 may be provided with a transparent sight tube 71 whereby
the water level may be visually observed. A drainage valve 72 for
emptying the tank whenever desired is inserted at the bottom of
tank 60.
A tank outlet pipe 73 is secured to the top of tank 60. Pipe 73 may
have a heat exchange means therein in the form of a heavy metal
tube 74 to condense any excess water vapor which will drain back to
the tank. Pipe 73 may have a finned portion in lieu of tube 74 to
act as a heat exchanger to permit the outside air to cool and
condense any excess water vapor generated in the tank.
Outlet pipe 73 is connected by a conventional quickly detachable
coupling means 75 to pipe 77 connected to pipe 16 between throttle
valve 47 and valve 31, preferably close to valve 31. A check valve
78 opening towards line 16 is inserted in pipe 77. Pipe 77
terminates in a shut-off valve 79 whereby pipe 77 may be closed to
drain outlet 80 or be opened thereto. An optional throttle valve 82
may be inserted in pipe 77 to control the flow of humidified gas
and may be used in conjunction with throttle valve 64 in line
63.
A gas disperser 83 may be connected to the open end of tube 61
whereby the gas is dispersed into numerous paths to increase the
bubbling effect. Disperser 83 may be in the form of a hollow
cylindrical body having numerous parts in its cylindrical wall, or
may assume any other well known structure for breaking up a flow of
fluid into numerous paths, as for example, a porous body,
perforations in the walls of inlet tube 61 or any other similar
structure.
In order to insure that the bubbling gas picks up atomized or
vaporized water particles, a baffle means comprising spaced
perforated plates 85 are placed above the water level. Unduely
large droplets or particles of water would impact against the
plates and would not be carried along by the gas stream to outlet
pipe 73.
The application of the humidifying system is initiated when
application of the ventilating system is initiated, assuming
throttle valve 64 is set to permit the desired flow of gas to tank
60, and the tank is partly filled with water, as illustrated in
FIG. 1. Check valve 67 is closed under the pressure of the gas
flowing in pipe 63. The gas flows through the open ends of inlet
pipe 61 and through the gas dispersion unit 83 close to the bottom
of tank 60 and bubbles through the properly heated water. The fine
bubbling causes atomization and vaporization of the water, and the
outgoing gas at outlet pipe 73 is saturated with water moisture.
Massive bubbling and very large water particles are blocked and
returned to the water by baffle means 83. Excess moisture is
condensed by passing through cooling means 74. The humidified gas
then passes through pipe 77 and joins the gas flowing the inflating
valve 31.
The amount of moisture may be controlled by regulating the flow of
gas in pipe 63 by throttle valve 64.
To replenish the water in tank 60, valve 64 is closed to stop the
flow of gas in pipe 63 and valve 79 is actuated to connect pipe 77
to the drain 80. Shut off valve 86 in pipe 65 is opened and under
such pressure conditions, water flows through pipe 65 and check
valve 67 into pipes 63 and 61 and the tank 60. The water level may
be observed through sight tube 71, and when it reaches the desired
height valve 79 is turned to disconnect pipes 73 and 77 from the
drain 80. This action stops the flow of water and valve 83 in pipe
65 is closed to secure this inflow. By opening and regulating valve
64 the flow through pipe 63 is again resumed and humidified gas
flows to valve 31.
If sterilization of tank 60 is desired it may be quickly
disconnected from pipes 63 and 77 by means of quick acting coupling
means 62 and 75. Thermostat 69 may be detachably plugged into the
heater means.
Check valves 67 may be eliminated and check valve 77 may be
replaced by a normally shut off valve similar to valve 86. Thus in
replenishing tank 60 valves 86 and 79 would be opened to permit
water to flow into the tank and shut off valve replacing valve 77
would be closed.
While the invention has been described and illustrated in detail,
it is to be clearly understood that this is intended by way of
illustration and example only and is not to be taken by way of
limitation.
* * * * *