U.S. patent number 3,811,671 [Application Number 05/283,874] was granted by the patent office on 1974-05-21 for container for forced expiration exercises.
This patent grant is currently assigned to Cheseborough-Pond's Inc.. Invention is credited to Charles H. Turnbull.
United States Patent |
3,811,671 |
Turnbull |
May 21, 1974 |
CONTAINER FOR FORCED EXPIRATION EXERCISES
Abstract
A unitary, self-supporting, semi-rigid container for forced
expiration exercises having a pair of compartments for containing
liquid into which a patient seeking respiratory stimulation can
forceably blow, a web between and integrally joined to the
compartments providing rigidity for the container, and a conduit in
the web for transferring the liquid from one compartment to the
other in response to a patient forceably blowing into the liquid
filled compartment. The conduit includes a pair of spaced channels
each connected at its lower end to the adjacent compartment and at
its upper end to an interconnecting restriction for controlling the
quantity of liquid flowing through the downstream channel to
prevent siphoning from occurring when a recuperating patient blows
into the liquid filled compartment and causes liquid in that
compartment to flow through the conduit into the other
compartment.
Inventors: |
Turnbull; Charles H. (Old Lyme,
CT) |
Assignee: |
Cheseborough-Pond's Inc. (New
York, NY)
|
Family
ID: |
23087937 |
Appl.
No.: |
05/283,874 |
Filed: |
August 25, 1972 |
Current U.S.
Class: |
482/13; 220/23.2;
220/23.8 |
Current CPC
Class: |
A63B
23/18 (20130101) |
Current International
Class: |
A63B
23/00 (20060101); A63B 23/18 (20060101); A63b
023/00 (); A61b 005/08 () |
Field of
Search: |
;272/57F,DIG.5 ;128/2.08
;46/1D ;275/11R ;220/20.5,23.2,23.8 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Oechsle; Anton O.
Assistant Examiner: Stouffer; R. T.
Claims
1. A unitary self-supporting container for forced expiration
exercises comprising: a pair of compartments for containing liquid
into which a patient can forceably blow to achieve respiratory
stimulation, a web between and integrally joined to said
compartments, and a conduit in said web which includes a pair of
substantially vertical spaced channels each of which is connected
to the lower portion of said adjacent compartment and each of which
extends upwardly therefrom in said web to the level of the upper
portions of said compartments and a restriction in said web at the
level of the upper portions of said compartments interconnected
with and having a breadth less than the breadth of said channels
for the transfer of the liquid from one compartment to the other
when a patient
2. A unitary self-supporting container for forced expiration
exercise comprising: a pair of compartments for containing liquid
into which a patient can forceably blow to achieve respiratory
stimulation, a web between and integrally joined to compartments,
and a conduit in said web for transferring the liquid from one
compartment to the other in which said conduit includes a pair of
vertical spaced channels each of which is connected to the lower
portion of said adjacent compartment and each of which extends
upwardly therefrom in said web to the level of the upper portions
of said compartments and an orifice in said web at the level of the
upper portions of said compartments interconnected with and having
a breadth less than the breadth of said channels for controlling
the quantity of liquid which can flow through said channel
downstream of said orifice so that the liquid flowing therethrough
will not remove the air therein and effect siphoning when a
recuperating patient blows into the liquid containing compartment
to cause the liquid in said compartment to
3. The unitary container according to claim 2 wherein said
container is
4. The unitary container according to claim 3 wherein said
container is at least translucent and is formed from thermoplastic
materials selected from the group consisting of high or low density
polyethylene, polycarbonate
5. A unitary self-supporting, semi-rigid container for forced
expiration exercises comprising: a pair of compartments for
containing liquid, wherein one of said compartments has a removable
cap for filling said compartment with liquid and to which is
attached means for allowing a patient to blow into said
compartment, and wherein the other of said compartments has means
attached thereto for allowing a patient to blow into said
compartment, has means attached thereto for allowing a patient to
blow into said compartment; a strengthening web to provide rigidity
to said container between and integrally joined to said
compartments; and a conduit in said web for transferring the liquid
from one compartment to the other in which said conduit includes a
pair of substantially vertical spaced channels each of which is
connected to the lower portion of said adjacent compartment and
each of which extends upwardly therefrom into the upper portion of
said web and an orifice located in the upper portion of said web
interconnecting said channels and having a breadth less than the
breadth of said channels for allowing the flow of liquid between
said channels while preventing a siphoning effect from occurring
when a recuperating patient blows into the liquid containing
compartment to cause the liquid therein to flow through said
channels and into the other of
6. The conduit according to claim 5 wherein said interconnecting
orifice is formed by a substantially horizontal channel in said
conduit having a
7. The container according to claim 5 wherein said compartments are
substantially vertical and the web is integrally joined thereto
along the
8. The container according to claim 7 wherein said web has a pair
of holes therethrough on opposite sides of the conduit in said web
for suspension
9. The container according to claim 5 wherein said compartments
have incremental graduations in the form of integral raised edges
along with the capacity of said compartments being indicated by
raised numerals at
10. The container according to claim 5 wherein said means for
blowing into
11. The unitary container according to claim 5 wherein said means
for blowing into each compartment includes a nipple, a flexible
tube fitted over said nipple, and a mouthpiece attached to the
other end of said
12. A unitary self-supporting, semi-rigid container for forced
expiration exercises comprising: a pair of vertical compartments
for containing liquid into which a patient seeking respiratory
stimulation can blow; a strengthening web to provide rigidity to
said container between and integrally joined to said compartments
along the height of each; and a conduit in said web for
transferring liquid between said compartments in which said conduit
has a pair of vertical channels each of which is connected at its
lower end to the lower portion of the adjacent compartment and
extends upwardly therefrom into the upper portion of said web, and
a horizontal channel in the upper portion of said web
interconnecting said vertical channels and having a diameter less
than the diameters of said vertical channels so that when a
recuperating patient blows into the liquid filled compartment
liquid therefrom flows upwardly through said adjacent vertical
channel across said horizontal channel and downwardly through said
other vertical channel into its adjacent compartment without
effecting siphoning.
Description
FIELD OF THE INVENTION
This invention relates to a respiratory stimulator, and more
particularly to a unitary device having compartments between which
liquid is transferred by forceably blowing thereinto.
BACKGROUND OF THE INVENTION
In the treatment of a patient it is often required to force
respiratory stimulation to insure proper ventilatory effort. The
post-surgical patient, the geriatric, and the bed-ridden patient
are prime examples of where respiratory stimulation must be
induced. This stimulation reconditions chest and abdomen muscles,
promotes healing, and, most importantly, avoids conjestion of the
lungs which can lead to hypostatic pneumonia.
One type of apparatus being used for forced expiration exercises
includes a pair of separate blow bottles with multiple segments of
independent interconnecting tubing. In practice, the patient blows
liquid from one bottle into the other bottle through flexible
interconnecting tubing. Because the bottles are separate
considerable relative movement or racking has been experienced in
handling and use. In an attempt to avoid racking, an elastic strap
has been used which is slipped about both bottles. While the strap
has been found to limit racking it does not eliminate, altogether,
undesirable relative movement.
Furthermore, the bottles are not joined permanently because they
each must be screwed into caps. In one version tubing through which
the patient blew and a rigid tube adapted to extend into the bottom
of one of the bottles had been attached to one of the caps. From
the rigid tube then extended flexible tubing which was connected to
the other cap which, in turn, was secured to the other bottle. In
operation, the patient blew through the tubing attached to the
liquid filled bottle which caused liquid to flow upwardly through
the rigid tube and on through the interconnecting tube into the
other bottle. After the liquid had been transferred to the other
bottle, the caps with the tubes were removed and bottles reversed,
so that the exercise could be repeated in reverse order.
To eliminate the necessity of interchanging the caps and tubing,
another version had attached to each cap in a preassembled manner a
blow-through tube and a depending rigid tube from which extended
flexible tubing attached to the other cap. With this version,
however, it was found that when a patient blew into one of the
bottles, the liquid flowing into and the air escaping from the
other bottle often created a siphoning effect in which the liquid
would continue to flow until the level of liquid in each bottle was
the same. Thus, by effecting a siphon the patient obviated the
purpose of the exercise. To overcome this drawback, one way flutter
valves had been attached to the liquid transferring interconnecting
tubes which allowed the flow of liquid into a bottle only in
response to continued forced breathing. But in so doing, still
additional parts had been thereby made necessary.
Accordingly, while the liquid in the blow bottles provided the
resistance necessary to produce prolonged expiration and
measurement of the patient's effort, as well as to bring relatively
unused muscles into play, the multiplicity of independent and
relatively movable parts makes the combination cumbersome and
awkward to handle and use for both the patient and the nurse or
therapist.
It is, therefore, an object of this invention to provide a new and
improved respiratory stimulator for forced expiration exercises
without the attendant disadvantages of the presently employed blow
bottles.
Among the other objects of this invention are to provide a unitary
container which employes liquid for inducing respiratory
stimulation and which can be easily handled and used by both the
patient or nurse or therapist; to provide such a unitary container
without the need for valves or other independent parts to prevent a
recuperating patient from creating a siphoning effect, to provide
such a unitary container to effectively eliminate the need for
expensive equipment for forced breathing exercises; and to provide
such container which saves time in setting up and in instructing a
patient on how to effectively use the device.
Additional objects and advantages will be set forth in part
hereinafter and in part will be obvious herefrom or may be learned
with the practice of the invention, the same being realized and
obtained by means of the respiratory stimulator recited in the
appended claims.
SUMMARY OF THE INVENTION
In accordance with the invention, there is provided a respiratory
stimulator for forced expiration exercises, comprising a unitary,
self-supporting container formed of plastic, preferably of a
semi-rigid or rigid, translucent or transparent, one-piece
construction. The container has a pair of compartments through
which liquid contained therein can be seen. These compartments are
spaced apart by an integral strengthening web having a conduit
therein for transferring liquid from one compartment to the other
in response to a patient forceably blowing into the liquid filled
compartment.
The conduit in the web includes a pair of spaced channels, each of
which is opened at its lower end to the lower end of one of the
compartments, and an interconnecting restriction positioned in the
web at the level of the upper portions of the compartments. The
interconnecting restriction in the conduit is in the form of an
orifice having a breadth less than the breadth of the channels to
prevent siphoning while allowing the flow of liquid through the
conduit when a recuperating patient forceably blows into one of the
compartments. For in the present invention, the interconnecting
orifice controls the quantity of liquid which flows through the
downstream channel so that liquid flowing therethrough does not
remove the air from that channel and thereby effect siphoning.
Preferably the compartments and channels are substantially vertical
and the interconnecting orifice is formed by a substantially
horizontal channel having a diameter less than the diameter of the
channels which prevents a siphoning effect from occurring when a
recuperating patient blows into the liquid filled compartment and
liquid flows through the channels into the other of said
compartments.
BRIEF DESCRIPTION OF THE DRAWINGS
The following is a detailed description together with accompanying
drawings of a preferred embodiment of the invention. It is to be
understood that the invention is capable of modification and
variation apparent to those skilled in the art within the spirit
and scope of the invention.
In the drawings:
FIG. 1 is a perspective view of a unitary respiratory stimulator
constructed in accordance with the present invention.
FIG. 2 is a longitudinal view, in section, of the respiratory
stimulator illustrated in FIG. 1.
FIG. 3 is a cross-sectional view, taken along the lines 3--3 of
FIG. 2.
FIG. 4 is a cross-sectional view, taken along the lines 4--4 of
FIG. 2.
Referring first to FIGS. 1 and 2 there is shown a unitary
self-supporting, semi-rigid container 10 formed from a see through
plastic in a one piece construction. The container 10 includes a
pair of compartments 12 and 14 forming vertical chambers 16 and 18
for containing liquid, and an intermediate web 20 having an
interconnecting conduit 22 extending therethrough.
The compartment 12 has a base 24 from which extends a cylindrical
wall structure 26 with an inwardly and upwardly sloping top portion
28 from which, in turn, extends a threaded neck 30 for receiving a
complimentary threaded closure, such as screw cap 32. Extending
upwardly from the screw cap 32 is a nipple 34 over which is
slidably fitted flexible tube 36 which terminates at its other end
in a mouthpiece 38.
Correspondingly, the compartment 18 has a base 40, a cylindrical
wall structure 42 and an inwardly and upwardly sloping top portion
44 from which extends a nipple 46 over which a flexible tube 48 is
slidably fitted which terminates at its other end at a mouthpiece
50.
To help the physician in prescribing the desired level of exercise
and to measure the patient's progress, the compartments 12 and 14
are incrementally graduated. As illustrated, the measured capacity
of each compartment is 900 cc (about 1 quart) graduated in 50 cc
increments.
The interconnecting web 20 is integrally joined to the central
portions of the compartment wall structures 26 and 42 and is of a
flat solid construction so as to act as strengthening member which
provides rigidity to the container 10. In the described embodiment
of the invention the web 20 is about 8.0 inches high, 2.0 inches
wide between compartments 12 and 14 and 0.125 inches thick.
At its lower end the web 20 terminates in a straight base 52 at the
compartment bases 24 and 40. At its upper end the web 20 is in the
form of a truncated shaped crest 54 positioned at the level of the
nipples 34 and 46 with a horizontal upper edge 56 and depending
sides 58 and 60 which extend downwardly at oblique angles and are
integrally joined to the compartment top portion 28 and 44. To
facilitate hanging or suspending of container 10, holes 61 are
molded into or drilled through the web crest 54 on opposite sides
of conduit 22.
The conduit 22 in the web 20 includes a pair of vertical channels
62 and 64 having elbow shaped segments 66 and 68 at their lower
ends which open into the lower portion of the chambers 16 and 18.
At their upper ends, the channels 62 and 64 extend into the top of
the web 20 where they are interconnected by a channel 70
horizontally positioned within the upper segment of the crest 54.
The diameter of the horizontal channel 70 is less than the diameter
of the vertical channels 62 and 64 to prevent siphoning of the
flowing liquid when a recuperating patient blows into one of the
chambers 16 and 18, but is of sufficiently large diameter to
provide an interconnecting orifice which allows the transfer of
liquid from one vertical channel to the other during forced
expiration exercises. In the illustrated embodiment of the
invention the inner diameter of each vertical channel 62 and 64 is
0.6875 inches and the inner diameter of the horizontal channel 70
is 0.1875 inches.
In using the container 10 of the invention for forced expiration
exercises, the vertical chamber 16 is filled with water which can
be colored by dropping a tablet thereinto. The cap 32 is then
screwed firmly onto the chamber neck 30.
The patient can blow into the chamber 16 either via the nipple 34
or the mouthpiece 38 and the flexible tube 36 attached to the
nipple 34. For example, where the patient is prone in bed, the
flexible tube 36 should be used. Correspondingly the flexible tube
48 and mouthpiece 50 can be used for blowing into the chamber 18 by
simple sliding the tube 48 over the nipple 46. In the illustrated
embodiment flexible tubes of about 15.0 inches in length have been
found to be satisfactory.
With the chamber 16 filled with colored water and the flexible
tubes 36 and 48, if desired, in place, the patient blows into
mouthpiece 38 which causes water in the chamber 16 to flow upwardly
through the upstream channel 62 across orifice 70 and down through
the downstream channel 64 into the chamber 18.
Once the patient completes the forced expiration exercise which
transfers water from chamber 16 to chamber 18 the described
procedure is reversed. This procedure of blowing the water from one
chamber to the other is then repeated as often as desired.
In the preferred embodiment of the invention the orifice 70 is of a
sufficient diameter to allow that water to flow as described in
response to the blowing action of the patient while being
sufficiently constricted relative to the breadth of the channels 62
and 64 to prevent water in the descending downstream channel from
sweeping the air therein along with it. In so doing the container
10 is constructed to prevent a recuperating patient from effecting
siphoning which would occur if the air in the downstream channel
was swept out into the chamber 18 by the downwardly cascading
water.
However, where desired the relationship in the sizes or breadths of
the channels 62 and 64 and orifice 70 can be constructed so that a
recuperating patient would not be unable to effect siphoning
whereas a fully recovered patient could effect siphoning after
expending a substantial effort. In this embodiment the siphoning
provides an indication that patient's respiratory system no longer
needs forced stimulation.
The unitary container 10 of the invention is formed from plastic
materials, preferably thermoplastics which are inert and stable in
the formed container and which lend themselves to processing by
plastic forming techniques, and will, when formed, provide the see
through, self-supporting, semi-rigid or rigid container described
and claimed herein. In the preferred embodiment the container is
formed by blow molding high density polyethylene through which the
colored water in the compartments and conduit can be seen. Other
thermoplastic materials which in the formed container are
translucent or transparent also can be used, including low density
polyethylene, polycarbonate and polypropylene. Further, in blow
molding incremental graduations in the compartments 12 and 14 are
formed as raised ridges along with the capacity of each chamber 16
and 18 being indicated at each graduation by raised numerals. When
the container of the invention is formed in parts by molding or
other techniques, the parts are preferably permanently joined by
seams at their mating segments to provide a one-piece, semi-rigid
or rigid container.
The invention in its broader aspect is not limited to the specific
described embodiments and departures may be made therefrom within
the scope of the accompanying claims without departing from the
principals of the invention and without sacrificing its chief
advantages.
* * * * *