U.S. patent number 3,863,630 [Application Number 05/304,486] was granted by the patent office on 1975-02-04 for respiratory apparatus.
This patent grant is currently assigned to Synthelabo. Invention is credited to Roger Paul Charles Cavallo.
United States Patent |
3,863,630 |
Cavallo |
February 4, 1975 |
RESPIRATORY APPARATUS
Abstract
Respiratory apparatus comprising a multistage air displacing
turbine driven by an electric motor and whose output is fed to a
mouthpiece by way of an electromagnetically operated valve that is
open and shut at a predetermined rate or as determined by the
respiration rate of a patient using the apparatus. A source of
oxygen may be provided for adding oxygen to the air supplied by the
turbine. The apparatus incorporates a safety device for connecting
the mouthpiece to the atmosphere in the event of pressure drop at
the turbine output.
Inventors: |
Cavallo; Roger Paul Charles
(Bourg-la-Reine, FR) |
Assignee: |
Synthelabo (Paris,
FR)
|
Family
ID: |
26216710 |
Appl.
No.: |
05/304,486 |
Filed: |
November 7, 1972 |
Foreign Application Priority Data
|
|
|
|
|
Nov 10, 1971 [FR] |
|
|
71.40291 |
Oct 11, 1972 [FR] |
|
|
72.35928 |
|
Current U.S.
Class: |
128/203.27;
128/207.16; 128/204.21 |
Current CPC
Class: |
A61M
16/202 (20140204); A61M 16/021 (20170801); A61M
16/209 (20140204); A61M 16/208 (20130101); A61M
16/0066 (20130101); A61M 2016/0021 (20130101); A61M
16/12 (20130101) |
Current International
Class: |
A61M
16/00 (20060101); A61M 16/12 (20060101); A61M
16/10 (20060101); A61m 016/00 () |
Field of
Search: |
;128/145.6,145.5,145.7,145.8,142,142.2,142.4,188,191,195,201,202,192,193,194
;251/65 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Recla; Henry J.
Attorney, Agent or Firm: Ross; Karl F. Dubno; Herbert
Claims
I claim:
1. A respiration apparatus comprising:
a multistage air-displacement turbine pump having a discharge
side;
an electric motor connected to said pump for driving same;
a first pipe connected to said discharge side of said pump;
a mouthpiece connected to said first pipe and receiving air from
said pump through said first pipe;
an adjustable first throttle valve along said first pipe between
said discharge side of said pump and said mouthpiece for
controlling the airflow to said mouthpiece;
an electromagnetic flow-control valve along said first pipe between
said discharge side and said throttle valve for selectively passing
and blocking flow of air to said mouthpiece from said turbine
pump;
means for periodically opening and shutting said flow-control
valve;
a safety valve communicating with said first pipe for connecting
said mouthpiece to the atmosphere upon pressure in said first pipe
upstream of said flow-control valve falling below a predetermined
level and indicating a failure at said pump;
another pipe connected to a source of oxygen under pressure and
communicating with the first-mentioned pipe between said
flow-control valve and said discharge side of said turbine pump;
and
a further throttle valve in said other pipe between said source and
said first pipe, said electromagnetic valve constituting the sole
valve for flocking and unblocking flow of air and oxygen to a
patient.
2. The apparatus defined in claim 1 wherein said other pipe is
provided with an electromagnetic valve operatively connected with
said motor and open upon operation thereof.
3. The apparatus defined in claim 1 wherein said first pipe has a
plurality of telescopically engaged parts forming a heat exchanger
between the air traversing said first pipe and the ambient
atmosphere.
4. The apparatus defined in claim 1, further comprising a
humidifier in said first pipe between said flow-control valve and
said mouthpiece.
5. The apparatus defined in claim 1 wherein said mouthpiece is
provided with valve means defining separate inhaled and exhaled gas
flow paths, said exhaled flow paths comprising apparatus sealable
by said valve means.
6. The apparatus defined in claim 1 wherein said safety valve
comprises a closure member of elastomeric magnetized material, a
housing enclosing said closure member and including a base portion
of ferro magnetic material, means forming a flow path normally
closed by the closure member, and a conduit connecting said housing
to said first pipe.
Description
This invention relates to respiratory apparatus and has particular
reference to such apparatus that is readily mobile and can be used
at a patient's home.
It is known that some patients suffering from pulmonary deficiency
require the assistance of a respiratory apparatus several times in
the course of a day and sometimes for relatively long periods.
Known forms of respiratory apparatus are somewhat cumbersome and
not readily transportable from one location to another and are not
suitable for use at a patient's home.
Accordingly it is an object of the present invention to provide an
improved respiratory apparatus which is readily transportable, easy
to use and operable from a home power supply.
According to the present invention, a respiratory apparatus
comprises a multistage air turbine pump, an electric motor for
driving the pump, a mouthpiece, a pipe interconnecting the pump
output and the mouthpiece, including an adjustable throttling valve
and upstream of the latter a flow control valve and means for
periodically opening and shutting the flow control valve.
Use of a multistage turbine pump for supplying air to the patient
provides the following advantages. The flow of air with a low
output pressure is important and, with a turbine and open or closed
control valve said pressure is substantially constant. Moreover as
explained below when oxygen is added to air, the turbine acts as a
gas holder when the said control valve is closed.
In the case of certain deep respiratory deficiencies, it is
desirable to add oxygen to the air output of the turbine, the
oxygen being supplied from cylinders via a further pipe connected
to the first mentioned pipe upstream of said control valve, said
further pipe including a further adjustable throttling device.
Owing to the first adjustable throttling device, the output of the
pump is maintained at a constant pressure slightly in excess of
atmospheric pressure even when the control valve is open, oxygen
being supplied through a throttling device at a pressure above said
output pressure into said first pipe. When the flow control valve
is open, oxygen passes directly into the air stream through the
valve but, when the latter is shut, oxygen accumulates in the
turbine and is drawn out when the valve next opens.
The means for opening and shutting the valve may include a
multivibrator of variable frequency output. The frequency may be
preset or it may be determined by the demand of a patient using the
apparatus.
The apparatus may include a humidifier. Air leaving the turbine is
normally at a temperature above ambient, so preferably the
apparatus also includes means for reducing the temperature to an
acceptable value. Such means may comprise a heat exchanger in the
form of telescopically engaged lengths of pipe forming part of the
pipe conveying gas to the mouthpiece.
Advantageously, the apparatus also includes a safety valve which
operates to connect the mouthpiece to atmosphere in the event of a
predetermined reduction in pressure at the output of the pump.
An embodiment of the invention will now be described in greater
detail with reference to the accompanying drawing in which:
FIG. 1 shows the embodiment in diagrammatic form only;
FIG. 2 is a section on the line II-II of FIG. 1; and,
FIG. 3 is a section of one of the components of the embodiment of
FIG. 1.
The embodiment shown in FIG. 1 comprises a transportable frame (not
shown) in which is mounted an A.C. motor 1 driving a multistage air
turbine via a driving belt 3. The turbine 2 draws in air via a
filter 4 and the output of the turbine consisting of warmed,
compressed air is delivered to pipe 5. Flow of compressed air along
pipe 5 is controlled by an electromagnetically-operated valve 6
having an energizing winding 7 and also by a throttling device 8
adjustable to permit a predetermined flow of air along the pipe 5
or, if necessary, to stop the flow altogether.
Upstream of the valve 6, pipe 5 is joined to a second pipe 9
through which oxygen from cylinders 10 is conveyed to pipe 5. The
pressure of oxygen from the cylinders 10 is regulated by a pressure
reducer valve 11 while the flow of oxygen is controlled by
throttling valve 14. The system so far described operates under
substantially constant pressure so that valves 8 and 14 are
calibrated in flow rates, e.g., liters per minute. Located in pipe
9 between valves 11 and 14 is an electromagnetic valve 12 whose
energizing coil 13 is directly connected across the electric power
input terminals as shown and shuts automatically when the apparatus
is disconnected from the supply source.
The frame mentioned above has provision for mounting the cylinders
10 but this is not essential. To lighten the frame and make it more
readily transportable the cylinders may be carried separately and
placed at the side of the frame. In that case, the pipe 9 includes
a flexible portion with suitable connectors to facilitate
connection to the cylinders.
The embodiment shown a humidifier 15 5 to which pipe 5 is attached
as shown. Humidifier 15 contains water 16 and an immersion heater
17. The output of the humidifier 17, which might be air or an
air/oxygen mixture, enters pipe 18, one part of the length of which
comprises telescopically engaged portions 18a, 18b which may be of
metal. That part forms a heat exchanger in which gas passing along
the pipe 18 is cooled to an extent depending upon the length of the
portion. The gas passing along the pipe 18 is sometimes hotter than
is desirable and can be cooled as it passes through the parts 18a,
18b.
Joined to pipe 18 is a mouthpiece 19 shown in more detail in FIG. 2
and which includes means for separating inhaled and exhaled gas
flows. The mouthpiece includes a conduit 45, normally connected to
pipe 18, is flattened and contoured to form the rigid mouthpiece 19
and is formed with apertures 46 in its side walls. The apertures
are normally closed by means of flap valves 48. Within the conduit
45 is a valve 47 shaped rather like a duck's bill with flexible
jaws able to flex between the closed, solid line position and the
open, dot-dash position shown in FIG. 2. When a patient using the
apparatus inhales, valve 47 opens into the dot-dash position shown
and in so doing closes the apertures 46. When the patient exhales,
valve 47 closes but flap valves 48 open so permitting exhaled air
to pass into the atmosphere.
Joined to the part 18b of the telescopic portion of the pipe 18 is
a pressure detector 20 which is responsive to the pressure within
the pipe 18 and thus within the conduit 45. When the patent
inhales, valve 47 opens and the detector 20 is exposed to the
reduced pressure then existing in pipe 18.
In the embodiment shown in the drawings, throttling valve 8
regulates the total gaseous flow to the patient while throttling
valve 14 regulates the flow of oxygen. Pipe 9 discharges into a
chamber of practically constant pressure-the air turbine 214 and so
valve 14 can be calibrated directly in units indicating volume of
oxygen supplied per unit time. Thus the volume of oxygen supplied
to the patient can be accurately determined.
When valve 6 is open, oxygen passes directly into the stream of air
emerging from the pump 2. When the valve 6 is closed, oxygen still
flows into pipe 5 but passes into the turbine and is pumped out
when the valve 6 next opens.
The apparatus is energized via a flexible connector 21 which can be
plugged into an electricity supply point. Immersion heater 17 is
supplied via conductors 22 which include a control switch as shown,
while motor 1 is supplied via conductors 23 which include a double
pole control switch. Also energized from the supply is a rectifier
24 supplying a device 25 described in more detail in the
Specification of concurrently filed co-pending Pat. application
entiled "Improvements in or relating to control devices for
respiratory apparatus" Ser. No. 304,487 . Diagrammatic switch 26
allows operation of the apparatus either at a frequency determined
by the respiratory rhythm of the patient or at some predetermined
frequency. Further details of the way in which this is achieved are
found in the Specification just mentioned.
The embodiment shown in FIG. 1 also includes a safety valve 50
mounted on the pipe 5 adjacent the humidifier. This valve is
controlled by the output pressure of the turbine 2 to which the
valve is exposed via pipe 51.
Pipe 5 is joined to the safety valve 50 via a branch pipe 52 which
is connected via an aperture 53 to the interior of a casing 54 at
least the base 54a of which is of ferro-magnetic material. Movable
within the casing 54 is a disc 55 of magnetic rubber, e.g., an
elastomer containing aligned, magneticed particles. Bolted to the
casing 54 is a plate 57 of non-magnetic material in which, in
addition to the aperture 53, there is a second aperture 56.
In the absence of pressure in the pipe 51, the disc 55, which, in
effect, constitutes a flap valve, is held against the base 54a so
that the branch 52 is in communication with the atmosphere via
apertures 53 and 56. However, when the pump 2 is in operation
pressure in pipe 51 forces the disc 55 against the plate 57 so
closing apertures 53 and 56.
Thus, as long as pressure exists in pipe 5 upstream of valve 6,
air, air/oxygen mixture or oxygen can be supplied to the patient.
Lack of pressure at the location described in effect, opens pipe 18
to atmosphere and enables the patient to breathe atmospheric air
via apertures 53 and 56.
In one particular embodiment of the invention, pump 2 is an axial
flow pump with six stages and operates at a pressure of 100-120 cm
W.G. The pump has an output of 250 liters/minute. Although an
output of 25-30 liters/minute is normally sufficient, the output
must almost instantaneously reach 75-100 liters/minute when valve 6
opens.
Air leaving the pump is normally at a temperature of from
60.degree.-70.degree.C and is saturated with water vapor by the
humidifier 15 and at the same time its temperature is reduced to
30.degree.-35.degree.C.
For human use, the frequency of operation of the valve 6 is set to
from 10-60 exhalations and inhalations per minute. However, for
veterinary use a wider range may be necessary depending upon the
animal being treated. In practice, a range of 1-100 is satisfactory
for most purposes.
The embodiment may be used to treat patients demanding the use of a
respirator and is especially suitable for treating at home patients
with chronic respiratory deficiency.
* * * * *