U.S. patent number 3,831,596 [Application Number 05/304,487] was granted by the patent office on 1974-08-27 for control device for a respiratory apparatus.
This patent grant is currently assigned to Synthelabo. Invention is credited to Roger Paul Charles Cavallo.
United States Patent |
3,831,596 |
Cavallo |
August 27, 1974 |
**Please see images for:
( Certificate of Correction ) ** |
CONTROL DEVICE FOR A RESPIRATORY APPARATUS
Abstract
Respiratory apparatus having an electromagnetically operated
valve for controlling the flow of respirable gas from a source
thereof to a mouthpiece has a control arrangement for opening and
shutting the valve in accordance with pressure changes appearing
during periods of inhalation and exhalation by a patient using the
apparatus. Alternatively, the valve can be opened and shut
according to a predetermined cycle.
Inventors: |
Cavallo; Roger Paul Charles
(Bourg-la-Reine, FR) |
Assignee: |
Synthelabo (Paris,
FR)
|
Family
ID: |
27249694 |
Appl.
No.: |
05/304,487 |
Filed: |
November 7, 1972 |
Current U.S.
Class: |
128/204.23;
128/205.24 |
Current CPC
Class: |
A61M
16/00 (20130101); A61M 16/202 (20140204); A61M
16/022 (20170801); A61M 2016/0021 (20130101); A61M
16/0066 (20130101); A61M 16/12 (20130101) |
Current International
Class: |
A61M
16/00 (20060101); A61M 16/10 (20060101); A61M
16/12 (20060101); A61m 016/00 () |
Field of
Search: |
;128/145.8,146.3,146.4,146.5,145.5,142.2,142.3,420,424,DIG.17
;137/624.14,487.5 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Recla; Henry J.
Attorney, Agent or Firm: Ross; Karl F. Dubno; Herbert
Claims
What I claim is:
1. A device for the control of a respiratory apparatus
comprising:
a source of a respirable gas connected to a patient through a
conduit provided with an electrically operated control valve;
control means for operating said valve, said control means
including a housing communicating with said conduit between said
valve and the patient, a flat membrane spanning said housing and
having an outer face exposed to the atmosphere and an inner face
exposed to the breathing air supplied to said patient, a flat
generally rigid member disposed proximal to said outer face for
securing said membrane and provided with a central aperture of a
surface area substantially less than the area of said membrane, a
rigid element connected to a central portion of said membrane, and
a distortion detector connected to said element; and
electrical means connected to said detector and to said valve for
supplying a valve-closing signal to said valve upon distortion of
the membrane in the direction of said central aperture and; for
supplying a valve-opening signal to the latter upon distortion of
the membrane in the other direction.
2. The device defined in claim 1, further comprising a flexible
member overlying said membrane, said distortion detectors being
formed as strain gauges applied to opposite faces of said flexible
member and a wheatstone bridge circuit having reference resistors
and said strain gauges connected therein.
3. The device defined in claim 2 wherein said flexible member is a
blade, further comprising means for clamping said blade at one end
to said housing, adjustment means for varying the position of the
opposite end of said blade with respect to the housing, and means
connecting an intermediate location on said blade between said ends
to said rigid element.
4. The device defined the claim 3 wherein said rigid member is a
wall of electrically insulating material carrying said detectors
and said blade.
5. The device defined in claim 1 wherein the first-mentioned and
second electrical means are respective differential amplifiers
having respective adjustable thresholds of opposite polarity, and a
bistable flip-flop responsive to said differential amplifiers.
6. The device defined in claim 1 wherein said valve is a three-way
valve and in its closed position connects said conduit to the
atmosphere through an adjust valve.
7. The device defined in claim 6, further comprising a timing
device for operating said valve independent of at least one of said
detectors.
8. The device defined in claim 1, further comprising means for
indicating visually the pressure in said conduit.
9. A device for the control of a respiratory apparatus
comprising:
a source of a respirable gas connected to a patient through a
conduit provided with an electrically operated control valve;
control means for operating said valve, said control means
including a housing communicating with said conduit between said
valve and the patient, a flat membrane spanning said housing and
having an outer face exposed to the atmosphere and an inner face
exposed to the breathing air supplied to said patient, a flat
generally rigid member disposed proximal to said outerface for
securing said membrane, a rigid element connected to a central
portion of said membrane, and a distortion detector connected to
said element;
electrical means connected to said detector and to said valve for
supplying a valve-opening signal to the latter upon distortion of
the membrane in one direction;
a second distortion detector connected to said element for sensing
deflection of said membrane in the opposite direction, and second
electrical means responsive to said second detector and connected
to said valve to apply a valve-closing signal to the latter, said
control valve is electromagnetic, said detectors are strain gauges,
and said electrical means include respective differential
amplifiers having adjustable thresholds and connected to said
strain gauges, a bistable flip-flop connected to said differential
amplifiers and having an output applied to said valve, two
resistor-capacitor combinations, each associated with said
flip-flop, and switching means for selectively applying said
resistor-capacitor combinations and said differential amplifiers to
said valve for constituting a multivibrator from the flip-flop upon
connection of a resistor-capacitor combination therewith.
10. The device defined in claim 9, further comprising variable
resistors in said resistor-capacitor combinations for determining
the switching time of the multivibrator.
Description
This invention relates to control devices for respiratory
apparatus. Respiratory apparatus for assisting natural respiration
is normally controlled to operate at a fixed frequency or rhythm by
a clock mechanism operated electrically or pneumatically but this
is not satisfactory when the respiratory rhythm of a patient to be
treated is irregular.
The present invention concerns means for supplying air to patient
according to the demand of his lungs, in other words means to
control the apparatus by shutting air supply as soon as the lungs
are full of air and by opening the air supply as soon as patient
begins an inhalation.
A control device for a respiratory apparatus comprising a source of
respirable gas connected to a mouthpiece by a conduit provided with
a control valve, according to the invention includes a pressure
sensor connected to said conduit between said valve and mouthpiece,
said sensor comprising a housing closed by a membrane, the outer
face of which exposed to ambient air is partly applied against a
rigid sustaining member, a first detector of a predetermined
outward distortion of said membrane for controlling closing of said
valve and a second detector of a predetermined inner distrotion of
said membrane for controlling opening of said valve. Thus owing to
the membrane outer sustaining member, outward displacement of a
given point on the membrane due to gas over pressure inflating the
lungs and prevailing in the housing may be of the same order as
inward displacement of the same point due to under pressure in said
housing produced by the inhalation effort of the patient.
Preferably an adjustable flexible flat member is connected to a
point of the flexible membrane, so as to respond to the flexure of
the latter and both faces of the member are provided with strain
gauges which are connected in a Wheatstone bridge with reference
resistors. Hence by adjusting the initial shape of the member, the
bridge may be exactly equilibrated when the same pressure prevails
on both faces of the membrane, so that an over pressure in the
housing provides a current of one direction in the bridge detecting
diagonal and an under pressure a current of the other direction, in
the same diagonal.
Thus the bridge arrangement is a part of the first and second
detectors.
By comparison of each of both currents with respective adjustable
thresholds, control of a flip-flop at predetermined amplitudes of
the currents (i.e. definite levels of membrane distortions) may be
obtained for the alternate control of the valve.
In one particular form of the control device according to the
invention the the flow control valve is electro-magnetically
operated by one output of a flip-flop device triggered by signals
derived from the strain gauges.
For reasons of security after control of the valve to close
position, the flip-flop is again triggered to control open position
of the valve by the output of a timing device a predetermined time
after closing of the valve.
For allowing the weak inhalation effort of the patient to entail a
negative pressure in the conduit portion the flow control valve is
adapted, when in its closed position, to place the pipe in
communication with atmosphere via a light exhaust valve.
In a further embodiment of the apparatus, means are provided for
operating the flip-flop according to a predetermined time cycle.
Such means may comprise resistorcapacitor combinations of which the
resistors are variable.
By way of example only, an embodiment of the invention will now be
described in greater detail with reference to the accompanying
drawing in which:
FIG. 1 is a plan view of part of one embodiment,
FIG. 2 is a section on the line II--II of FIG. 1, and,
FIG. 3 is a circuit diagram partly in block or schematic form of
the respiratory apparatus.
The component shown in FIGS. 1 and 2 is a pressure change detector
and it comprises a flat circular membrane 1 attached to a plate 2
concentrically with an aperture 3 in the latter. The membrane is
clamped between the plate and a cup-shaped housing 4 attached to
the plate by screws 5 which also pass through the membrane adjacent
its periphery.
The membrane 1 is made of metal or of a plastic material, for
example that known as "Stabilene."
The plate 2 is of laminated glass/resin construction and is
extended to provide support for other components described
below.
Extending externally of the housing 4 and centrally from the base
thereof is a coupling 4a by means of which connection is made to a
pipe supplying a patient with respirable gas.
Connected to the center of the membrane 1 is one end of a bolt 6
whose other end is fixed to a flexible strip 7 clamped cantilever
fashion between small clamping plates 8 bolted to plate 2. The free
end of the strip 7 rests resiliently on an adjusting screw 9, which
sets the zero position of the strip 7, and of the membrane.
To the upper and lower faces of the strip 7 are fixed strain gauges
10, 11 respectively. The gauges are connected in a Wheatstone
bridge including reference resistors 12, 13 (FIG. 3) for supplying
control signals.
Increase of pressure within the housing 4 causes the central part
only of the membrane 1 to flex upwardly as indicated by the dotted
line 1a whereas a reduction in pressure below atmospheric causes
the membrane to flex downwardly over a much greater area as
indicated by the dotted line 1b. In this way, a pressure reduction
which is only one tenth of the maximum pressure to which the
membrane is likely to be exposed produces, in the strip 7 a flexure
equal in amplitude but opposite in sense to that produced by that
maximum pressure.
The respiratory apparatus shown in FIG. 3 includes a source 14
providing respirable gas under pressure. The gas may be air with
enriched with oxygen or pure oxygen for example. The source is
connected by a pipe 18 to a mouthpiece 19 for supplying the gas
thereto.
The supply of gas is controlled by a three-way, electromagnetically
operated valve 15 whose energizing winding is shown at 16. The
valve 15 is normally closed and is in series connection in the pipe
18 with a throttle valve 17 regulating the gas flow.
A manometer 20 is joined to the pipe 18 as shown and the latter
also has a branch connection to the housing 4 via the coupling
4a.
In use, flexure of the strip 7 causes signals to be transmitted
from the bridge whose amplitude and polarity depend upon the extent
to which and the direction in which the strip is flexed and thus,
this flexure indicates the pressure in the housing 4 and so in the
pipe 18. Owing to the screw 9 output of the bridge is adjusted to
zero when both faces of the membrane are submitted to the same
pressure.
The bridge output is applied to an amplifier 31 having thus one
output on which appear positive signals representing positive
pressure in housing 4 and another output on which appear negative
signals representing negative pressures in that housing. The two
outputs are connected to respective differential amplifiers
32.sub.A, 32.sub.B each with a reference input controlled by the
respective potentiometers 33.sub.A, 33.sub.B.
Amplifier 32.sub.A and its potentiometer 33.sub.A are adapted to
deal with positive pressures and by adjustment of the potentiometer
33.sub.A can be set to deal with a range of from 0 - +100 mb as
indicated by the manometer 20. This range is selected so that a
supply pressure can be selected which suffices to fill the lungs of
a patient without smothering him.
Amplifier 32.sub.B and its potentiometer 33.sub.B are adapted to
deal with negative pressures and by adjustment of the potentiometer
33.sub.B can be set to deal with a range of pressures of from -1 mb
to -10 mb which pressure can also be indicated by manometer 20. In
practice, the pressure is determined by the comfort of the patient
in that a signal is emitted when the latter breathes undue without
effort.
By means of the contact arms 26.sub.A, 26.sub.B of a doublepole
changeover switch, the outputs of the differential amplifiers
32.sub.A, 32.sub.B can be applied to the inputs of an electronic
flip-flop circuit represented by block 34. The flip-flop has a
single output corresponding with the output of amplifier 32.sub.B
which is used, after amplification by power amplifier 35, to
energise the winding 16 and so open valve 15.
The output of differential amplifier 32A is also applied to a
timing device 37 which, in response to an input, produces an output
after a predetermined delay within the range of from 2 to 5
seconds, for example 3 seconds. The output of timing device 37 is
connected to the output of differential amplifier 32.sub.B.
The general arrangement is such that when the predetermined
positive pressure is reached pipe 18, a signal is sent to the
flip-flop 34 which responds by a change in its other stable state
and as a result valve 15 is closed. At the same time, the timing
device 37 is set into operation.
The patient then exhales and after a certain time inhales again
providing a negative pressure in housing 4 and this produces a
signal that is applied via amplifier 32.sub.B to the flip-flop 34
which switches to its other stable state with the result that valve
15 is opened.
In inhaling is insufficient to produce the necessary negative
pressure or if the latter appears after the end of the
predetermined delay to which device 37 is set, the latter produces
a signal at the end of the delay and this causes flip-flop 34 to
switch to its other state and valve 15 opens. The cycle then
repeats, timing device 37 being ready then to receive a further
signal from amplifier 32.sub.A when the pressure in pipe 18 again
rises to the predetermined positive value.
It has already been stated that valve 15 is a three-way valve. In
the open position of valve 15, pipe 18 is placed in communication
with source 14 only while in the closed position source 14 is shut
off from pipe 18 but the latter is placed in communication with the
atmosphere via an outlet 38 normally closed by a light exhaust
valve 39, for example a flexible elastomeric disc with a central
fastening positioning the valve over outlet 38. Thus, when valve 15
closes, the positive pressure then existing in pipe 18 flexes valve
39 away from the outlet 38 and the pressure rapidly drops to
ambient pressure. As the patient inhales exhaust valve 39 is closed
and negative pressure appears in pipe 18 and housing 4.
The double pole switch can be manually actuated to disconnect the
amplifiers 32.sub.A, 32.sub.B from the flip-flop 34 to connect the
latter to capacitive devices 40.sub.A, 40.sub.B which with their
respective potentiometers 41.sub.A and 41.sub.B convert the
flip-flop into a multivibrator.
The setting of the potentiometers 41.sub.A, 41.sub.B is such that
the ratio of the switching times of the multivibrator is 2:1 so
that the valve 15 is open and shut cyclically, the closed time
being twice the open time, this giving a time period for expiration
that is twice the time period for inhalation.
For medical use, the frequency of the multivibrator can be set to a
value within the range 10-60 exhalations and inhalations per
minute. However, for veterinary use, a wider range of variation may
be required and in practice, the respiratory rhythm is adjustable
within the range of from to 100 per minute.
* * * * *