U.S. patent number 3,885,554 [Application Number 05/313,583] was granted by the patent office on 1975-05-27 for apparatus for generating pulses of fluid pressure.
This patent grant is currently assigned to USM Corporation. Invention is credited to Adelbert W. Rockwell, Jr..
United States Patent |
3,885,554 |
Rockwell, Jr. |
May 27, 1975 |
Apparatus for generating pulses of fluid pressure
Abstract
Apparatus for supplying pulses of fluid pressure to a chamber
has means for supplying pressurized fluid to the chamber and means
responsive to the pressure of the fluid in the chamber for
controlling the supply means to provide pulses of pressure fluid.
Additional means for sequentially selecting one of a plurality of
such chambers to be supplied with pressure are provided in a
preferred embodiment and the control, selecting and sequencing
means are fluidic elements.
Inventors: |
Rockwell, Jr.; Adelbert W.
(Gloucester, MA) |
Assignee: |
USM Corporation (Boston,
MA)
|
Family
ID: |
23216304 |
Appl.
No.: |
05/313,583 |
Filed: |
December 8, 1972 |
Current U.S.
Class: |
601/150;
128/DIG.10 |
Current CPC
Class: |
A61H
9/0078 (20130101); Y10S 128/10 (20130101); A61H
2201/5056 (20130101) |
Current International
Class: |
A61H
23/04 (20060101); A61h 001/00 () |
Field of
Search: |
;128/24R,38-40,60,64,33,DIG.10 ;417/474,475,394 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Trapp; Lawrence W.
Attorney, Agent or Firm: Gelling; Ralph D. White; Vincent A.
Megley; Richard B.
Claims
I claim:
1. Apparatus for sequentially supplying fluid pressure to a system
of more than two bladders according to a predetermined sequence,
said bladders being adapted to apply external pressure to portions
of the human body comprising:
A. a source of pressurized fluid connected to each bladder;
B. a valve connected to each bladder for controlling the flow of
pressurized fluid thereto;
C. means in each bladder for sensing the pressure therein;
D. a selector for generating fluid pressure signals for actuating
the pressure control valves of the bladders according to the
predetermined sequence;
E. means to receive the pressure from the pressure sensors, compare
said pressure with a predetermined value, and generate a fluid
pressure signal when a predetermined relation between said
pressures exists;
F. means responsive to the fluid pressure signals from the selector
and the pressure comparator to sequentially actuate the valves to
inflate and deflate the bladders; and
G. timing means associated with the pressure comparator to control
the overall cycling time of each bladder.
Description
BACKGROUND OF THE INVENTION
The arts of fluid pressure devices are among the oldest known to
man. Some have been in continuous use at least from the classic
Greek period. In spite of the age of these arts, new developments
continue to be made.
One recent contribution is the art of fluidics in which fluid flow
is utilized to perform control functions. Devices for performing
both logic and sensing control functions are known.
Another recent development is described in U.S. Pat. No. 3,179,106
issued Apr. 20, 1965, in the name of Paul A. Meredith. This patent
discloses a method and apparatus for preventing venous blood
clotting through the application of rapid pulses of minimal
external pressure to human body members. The pressure is applied by
inflatable bladders fashioned to fit about the body members. The
bladders are connected to pressure chambers having mechanically
driven diaphragms for generating pressure pulses in the connected
bladders. The mechanical diaphragm pressure system is subject to
wear. Additionally, the bladders have flexible walls for conforming
to body members and for patient comfort. Accordingly, the bladders
vary in inflatable volume through the application of body member
weight to the flexible walls of the bladder. As the volume of the
bladder varies, the pressure generated by particular movement of
the pressure generating diaphragm also varys. Since the particular
pressure applied to the body members is an important part of the
treatment, such a result is undesirable.
An improvement to the apparatus for providing pressure pulses is
disclosed in U.S. Pat. No. 3,307,533 issued Mar. 7, 1967 in the
name of Paul A. Meredith et al. This patent discloses an
electro-mechanically driven, rotary valve providing both means for
applying pressure to bladders and means for exhausting air from the
bladders. Again, no pressure-responsive means are provided and the
electromechanical drive requires a source of electric power
rendering the apparatus less portable than if such power were not
required.
SUMMARY OF THE INVENTION
Accordingly, an object of the invention is to provide pressure
responsive, portable apparatus for producing pulses of fluid
pressure particularly useful for inflating bladders applying
pressure to body members.
To this end, the invention has a source of pressurized fluid and
means for supplying the pressurized fluid to a chamber which,
preferably, is an inflatable bladder. Means responsive to the
pressure of the fluid in a chamber controls the supply means to
provide a pulse of fluid pressure to the chamber. In a preferred
embodiment, means for selecting and means for sequencing among a
number of chambers to be supplied with fluid pressure are provided.
The preferred embodiment is additionally entirely of fluidic
control elements so as to improve portability of the apparatus.
DESCRIPTION OF THE DRAWINGS
A preferred embodiment will now be described with reference to a
schematic of the embodiment which is intended to be illustrative of
and not a limitation on the invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
The schematic of the preferred embodiment has three cooperatively
connected sections. The first section generally indicated at 10
sequences the application of pressure to one bladder 12 of a
plurality of bladders. A second section of the schematic generally
at 14 controls the sequential application of pressure as pulses. A
third section of the schematic generally at 16 determines the time
between successive, sequential pressure pulses supplied to the
bladders. Accordingly, a bladder is selected for inflation by the
sequence section of the schematic, the selected bladder pulsed with
pressure fluid until the control section 14 terminates the
pressure, and the apparatus then remains quiescent until the timing
section 16 signals the sequencing section to again select and
supply a bladder with pressure. All of the elements of the
schematic are fluidic and accordingly may be operated from a source
(not shown) of pressure fluid, preferably air, to provide fluid
flow control signals at appropriate ports of the elements.
The sequence section has a pair of flip-flops 18 and 20 for
selectively driving a series of OR gates 22, 24 and 26 each of
which is operatively connected to a valve 28, 30, and 32,
respectively, which controls the supply of pressurized air to a
bladder. Each of the bladders and valves 28, 30 and 32 is of
similar construction and operation; accordingly, only the
construction and operation of bladder 12 and connected valve 32
need be described.
An input signal responsive port 34, 36 and 38 of each of the OR
gates 22, 24 and 26, respectively, is connected to a one-shot
device 40, 42 and 44, respectively, each through an OR gate 46 for
power amplification. A signal responsive output of each one-shot 40
and 42 communicates with a control port 46 and 48 of the flip-flops
18 and 20, respectively, while a signal responsive output from
one-shot 44 communicates with control ports 50 and 52 of the
flip-flops 18 and 20, respectively, which ports are complementary
to the ports 46 and 48.
The flip-flops 18 and 20 perform the sequencing function. An output
port 54 of the flip-flop 18 is responsive to a control signal at
the control port 46 and is connected to an input control port 56 of
the OR gate 22 to which a signal at the output port 34 is
responsive. Similarly, an output port 58 responsive to a signal at
the input control port 50 of the flip-flop 18 is connected to an
input control port of both OR gates 24 and 26 to which a signal at
the output ports 36 and 38 is responsive. The flip-flop 20 is
similarly connected with an output port 60 responsive to a signal
at the control port 48 connected for controlling an output signal
at the port 36 and an output port 62 responsive to an input control
signal at the port 52 connected for controlling an output at the
port 38. Since each of the flip-flops 18 and 20 continually provide
an output signal at one, but only one, of their output ports, the
above described connections provide an input control signal to two
of the OR gates 22, 24, and 26 in each possible combination of
their output signals.
Fluid flow signals from the output ports 34, 36 and 38 are
connected to control their respective valves 28, 30 and 32 such
that the valves are driven to the left from the position shown in
the schematic in response to a signal at the ports. As seen in
relation to the valve 32, the pressure fluid input line will then
be closed and the pressure line connecting the valve with the
bladder 12 will be connected to exhaust to atmosphere. The bladder
12 will then be deflated. On the other hand, when no signal is
provided to an input control port of the OR gate 26, the gate
provides a normally on output signal at the port 64. The port 64 is
connected to an input control port of the valve 32 such that the
valve is driven to the position shown in the schematic in which the
fluid pressure source is connected to the bladder 12.
Only one bladder 12 is shown in the control section of the
schematic 14 because operation of each bladder is similar and only
one bladder is sequentially inflated at a time by the sequence
section logic. The bladder 12 is also connected to a pressure
control port 66 of a Schmitt trigger 68. An adjustable reference
pressure is provided at an input port 70 opposing the pressure at
port 66. So long as the reference pressure at the port 60 exceeds
that at the port 66, the Schmitt trigger provides an output signal
only to the exhaust port 72. However, when the pressure in the
bladder as applied to the port 66 exceeds the reference pressure at
the port 70, the output of the Schmitt trigger switches to the port
74 connected to a flip-flop 76 in the sequence section 10 of the
schematic. Adjustment of the reference pressure accordingly adjusts
the pressure in the bladder which will trigger a signal to the
flip-flop 76.
The Schmitt trigger 68 is physically close to the bladder 12 to
maximize pressure sensing sensitivity of the trigger. Longer
connecting lines 90 to the trigger require finitely longer real
time for fluid pressure to advance from the bladder to the trigger
than shorter lines. In addition, elasticity or leakage in the
connecting lines may further decrease the pressure sensing
sensitivity of the trigger. Accordingly, the trigger is preferably
mounted on the bladder. However, operability of the preferred
embodiment is not limited to such mounting and the trigger may be
grouped with the other fluidic elements remote from the
bladder.
A signal at an output port 78 of the flip-flop 76 is responsive to
a control signal from the Schmitt trigger. The output port 78 is
connected to an input control port of each of the OR gates 22, 24
and 26 so as to complement the gates to provide a signal at their
output ports 34, 36 and 38 respectively; of course, only one of the
gates 22, 24 and 26 will not already be providing an output signal
to its port 34, 36 or 38 under the influence of signals from the
flip-flops 18 and 20 at another input control port. Accordingly,
only one of the OR gates will actually complement in response to a
single signal from the output port 78 of the flip-flop 76. Since
the operation of each of the OR gates 22, 24 and 26 is analogous,
as already noted, only one need be described.
It may be assumed that the embodiment is in the state illustrated
in the schematic in which a signal at the output ports 34 and 36
prevents inflation of the bladders (not shown) connected to the
corresponding valves 28 and 30 and has produced an evanescent
signal from the one-shots 40 and 42 which are now self-disabled.
The signal from the one-shots 40 and 42 has appeared at the control
ports 46 and 48 of the flip-flops 18 and 20 complementing the
flip-flops to provide an output signal at the ports 54 and 60,
respectively, which latches the OR gates 22 and 24 with an output
signal at their ports 34 and 36. The flip-flops 18 and 20 are
bi-stable devices and, accordingly, will not complement from set
state until they receive an active, complementing signal.
In contrast to the OR gates 22 and 24, the OR gate 26 has been in
its stable condition with an output at its port 64 maintaining the
valve 32 in position to supply air to the bladder 12. The signal
from the output port 78 of the flip-flop 76 then complements the OR
gate 26 to provide a signal at its output port 38. The signal at
the port 38 complements the valve 32 to block further pressure
fluid input to the bladder 12 and to connect the bladder to
atmosphere for deflation and, simultaneously, provides a signal to
the connected one-shot 44. The one-shot 44 then operates to provide
a signal of predetermined time duration to its output port
connected to the control ports 50 and 52 of the flip-flops 18 and
20. The signal duration from the one-shot 44, as well as that from
the one-shots 40 and 42, is predetermined to be long enough to
complement the flip-flops 18 and 20 but less than the least time
required to inflate one of the bladders so that simultaneous
signals from more than one of the one-shots cannot cause an
indeterminate state in either of the flip-flops 18 or 20.
The signal to the input control ports 50 and 52 of the flip-flops
18 and 20 complements both of the flip-flops to provide an output
at the output ports 58 and 62 for ultimately sequentially selecting
a bladder to receive fluid. None of the OR gates 22, 24 or 26
immediately complements, however, as they are already maintained in
their unstable condition by the signal from the output port 78 of
the flip-flop 76 which continues until the flip-flop 76 is
complemented.
The timing circuit 16 provides a complementing signal to the
flip-flop 76. For this purpose, a timer 80 provides a signal at an
output port connected to an input control port of a flip-flop 82.
This signal complements the flip-flop 82 to provide an output
signal at an output port 84 connected to an input control port of
the flip-flop 76 complementary in control to the input port
connected to the Schmitt FIG. 68. Since the bladder 12 has
deflated, the output of the Schmitt trigger 68 has returned to the
port 72 and the signal from the port 84 of the flip-flop 82 is thus
effective to complement the flip-flop 76. No signal then appears
that the output port 78 of the flip-flop 76 and the one of the OR
gates 22, 24 and 26 not then otherwise disabled by the flip-flops
18 and 20, OR gate 22 in the state assumed above, returns to its
stable output condition. The valve responsive to the stable output
of that OR gate moves to the right, as seen in the schematic, to
inflate the bladder connected to the valve. For example, the OR
gate 26 would provide an output signal at the port 64 to drive the
valve 32 to the right.
To avoid an indeterminate condition in the flip-flop 76 and to
initiate timing of the cycle of the bladder then inflating, the
signal from the port 84 of the flip-flop 82 is also conducted to a
time delay relay 86 which, after a predetermined time, provides an
output pulse signal to an input control port of the flip-flop 82 so
as to complement that flip-flop. The predetermined time delay is
such as to continue the signal from the flip-flop 82 to the
flip-flop 76 long enough to insure complementing of the flip-flop
76 but less than the minimum time required to so inflate any of the
bladders as to complement the Schmitt trigger 68. An indeterminate
state in the flip-flop 76 is thus avoided. This timing cycle is
repeated for the sequential inflation of each bladder.
Since the total real time cycle for inflating and deflating the
bladder and a quiescent period between bladder inflations is
controlled by the timer 80, the timer is provided with means for
adjusting the time interval. In the preferred embodiment, the
interval adjusting means is a manually adjustable throttle 88 which
may be preset for any interval. Preferably, the interval is such as
will provide the cycle of operation described in the above recited
U.S. Pat. No. 3,179,106.
This patent additionally describes a longer quiescent period after
each of the bladders has been sequentially inflated. For this
purpose in an alternative embodiment of the invention, the throttle
88 may be responsive to inflation of a selected bladder to provide
a longer timing interval and to inflation of other bladders to
provide a shorter interval. For example, the port 64 of the OR gate
26 may be connected to means (not shown) for adjusting the throttle
88 to one predetermined position while the corresponding ports of
the OR gates 22 and 24 each adjust the throttle to another
predetermined position.
In another alternative embodiment of the invention the number of
bladders to be sequentially inflated may be increased or decreased
with appropriate expansion or diminution of the sequence logic in
section 10 of the schematic. The preferred embodiment will also
operate one or more bladders by connecting only the desired number
of bladders to one of the valves 28, 30 and 32. Similarly, each of
the bladders described may have several discrete sections; for
example, a section for embracing each arm of a patient upon whom
the apparatus is used.
Still other alternative embodiments are contemplated within the
scope of the invention defined by the following claims:
* * * * *