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CA1279548C - Aspirator/nebulizer - Google Patents

Aspirator/nebulizer

Info

Publication number
CA1279548C
CA1279548C CA000518446A CA518446A CA1279548C CA 1279548 C CA1279548 C CA 1279548C CA 000518446 A CA000518446 A CA 000518446A CA 518446 A CA518446 A CA 518446A CA 1279548 C CA1279548 C CA 1279548C
Authority
CA
Canada
Prior art keywords
air
oxygen
blower
turbine
patient
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CA000518446A
Other languages
French (fr)
Inventor
Anthony C. Devuono
Richard Razgaitis
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Battelle Development Corp
Original Assignee
Battelle Development Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Battelle Development Corp filed Critical Battelle Development Corp
Application granted granted Critical
Publication of CA1279548C publication Critical patent/CA1279548C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10Preparation of respiratory gases or vapours
    • A61M16/12Preparation of respiratory gases or vapours by mixing different gases
    • A61M16/122Preparation of respiratory gases or vapours by mixing different gases with dilution
    • A61M16/125Diluting primary gas with ambient air
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057Pumps therefor
    • A61M16/0066Blowers or centrifugal pumps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/20Valves specially adapted to medical respiratory devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2202/00Special media to be introduced, removed or treated
    • A61M2202/02Gases
    • A61M2202/0208Oxygen
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/82Internal energy supply devices
    • A61M2205/8218Gas operated

Landscapes

  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Respiratory Apparatuses And Protective Means (AREA)

Abstract

ASPIRATOR/NEBULIZER

Abstract A respiratory care device utilizes pressurized oxygen to pump an oxygen/air mixture to the patient. The device comprises a coupled turbine and blower. The pres-surized oxygen drives the turbine which pumps air through the blower. The oxygen may be mixed with the air in selected ratios and delivered to the patient. Droplets may be added to the oxygen, to the air or to the mixture, upstream or downstream of the device or within the device.

Description

`~ ` 12~9S~L~

ASPIRATOR/NEBULIZER

Background of the Invention Current inhalation therapy requirements vary over a wide range. For example, high-oxygen concentration streams are occasionally required for short durations, but the longer term care generally demands low oxygen gas. But the total gas volume needs of the patient (air plus oxygen) remains nearly constant.
These broad requirements necessitate an aspirator device with a high degree of flexibility in effecting the desired composition and flow rate.
Moreover, moderate back pressures caused by patient exhalation together with the use of long, small-diameter delivery tubes could beneficially be overcome by a device capable of pro-viding necessary gas volumes.
Summary of the Invention It is an object of the present invention to provide an aspirator which has the flexibility to deliver an air/oxygen mix-ture at nearly constant volume with an easily selectable composi-tion.
It is a further object to provide a device which can deliver the gas mixture at high or low flow rates.
It is also an object to provide a device for delivering the gas mixture at such pressure as to be able to overcome the back pressures inherent in a patient delivery system using smaller-bore tubing than presently used.

~279~48 ~ 2 - 26494-107 It is finally an object ~o provide such a device which is of such simplicity and cost that it can be wholly or partly disposable.
In accordance with the objectives, the invention is an apparatus for diluting a high-pressure oxygen stream with ambient air.
In its broadest sense, the invention comprises a device for causing high-pressure oxygen to do mechanical work to pump low pressure air and then mixing selected portions of the air and oxygen into a therapeutic mixture.
In a narrower sense, the invention comprises a respira-tory care device for delivering an oxygen-containing gas under positive pressure to a patient comprising:
a source of high-pressure oxygen, a source of air, a rotatable gas turbine, a rotatable blower coupled to the gas turbine for ro-tation therewith and having an air entrance communicating with the source of air to admit the air to the blower and an air exit for discharging the air from the blower, means for utilizing at least a first portion of the high-pressure oxygen to rotate the turbine, means for delivering the air from the blower air exit to the patient, and means for mixing a second portion of the oxygen with the air prior to delivery to the patient.

.p _ 95~8 - 2a - 26494-107 Brief Description of the Drawin~s Fig. 1 is a schematic view of the turbine/blower device according to the invention.
Fig. 2 is a sectional elevation view through the inter-nal parts of the turbine/blower device.
Fig. 3 is a side view of the device in Fig. 2 looking at the turbine.

Descri tion of the Invention p It would be desirable in the respiratory care field to be able to deliver large volumes of oxygen or an oxygen/air mix-ture to a patient at fairly high pressure and a constant compo-sition. Currently the inability to do this has resulted in the use of open patient masks and large diameter corrugated tubes which have a low back pressure. With this apparatus, a flow of 40-60 liters-per-minute (lpm) of gas can reach the patient but only 1-2 lpm are used, the rest is lost out the mask openings.
Moreover, since the gas is at fairly low pressure, liquid in the gas may rainout in the patient hose leaving a site for infectious organisms to grow. Antibiotics cannot be added to the gas with-out contaminating the entire area through the open mask.

1~79548 The present device provides for the pumping of air or air/oxygen mixture at up to about 50 lpm and a pressure equal to 2-3 inches of water. This enables the use of a medium back pressure closed mask and small 05 diameter delivery tube~ The small quantities of gas (e.g.
1-2 lpm) that are genuinely needed can be delivered and maintained "on demand" because of the pressurization cap-ability. The back pressure capability allows small--bore-tubing to be used which results in high gas velo-10 cities preventing rainout. It is also now possible tofilter the gas (which requires a pressure drop) and to add antibiotics to the patient gas ~since it is directed to a closed mask).
In general, the current technology involves 15 using the high pressure (50 psi) oxygen stream in hospital rooms to aspirate air and liquid through venturi action (so called Bernoulli devices). This operation tends to limit oxygen concentration to about 27-28% minimum. The present invention proposes to more directly pump the room 20 air by causing the oxygen to do mechanical work to run an air compressor and then mixing portions of the oxygen with the compressed air. The oxygen concentration could, of course, be reduced to that of the ambient air since no oxygen need be mixed in the final gas.
Fig. 1 shows a schematic of one embodiment of the invention. The aspirator device 1 comprises an oxygen turbine 2 mounted for rotation with a blower 3 through shaft 9. The turbine may be rotated by impulse or reaction by the oxygen stream entering through an orifice 4 and 30 exiting through outlet 5. An impulse turbine is shown in the Figure. The blower pumps room air through entrance 6 out exit 7. Valve 8 allows a selectable portion of the air to be dumped through line 12 and a selected portion to be directed to the patient through delivery hose 11. Valve ;48 10 allows spent oxygen from the turbine to be dumped through line 13 or delivered to the patient through line 11 .
Figs. 2 and 3 show more detail of the turbine/-05 blower embodiment. A turbine housing consists of a circu-lar front plate 21 joined to a back container 23. The blower housing 25 is fixed to the back container 23 by convenient means. Shaft 24 is fixed to the front plate and extends axially through the turbine housing into the 10 blower housing. A cylindrical bearing 26 is rotatable on the shaft 24. Turbine 22 and blower 27 are fixed for rotation on the bearing 26.
Oxygen orifice 28 directs the oxygen stream against the turbine blades. Oxygen exit 29 exhausts the 15 spent oxygen. Air entrance 30 on the blower housing is in communication with room air to pump air through the device and out air outlet 31.
The turbine is preferably directly coupled to the blower without gears. It preferably has single stage, 20 backward curved blades though other configurations may also be used. The blower is preferably a conventional, center-draw forward-blade fan. Typically, an orifice O.2-0.5 mm in diameter can deliver 1-2 lpm oxygen to the turbine and rotate it at up to about 12,000 rpm delivering 25 air at about 50 lpm and 3 inches of water back pressure.
The aspirator is preferably disposable and made of plastic parts (except for the bearings and shaft). In this case oxygen from the turbine could be mixed with the compressed air. Alternatively, the turbine portion may be 30 designed to be reusable, allowing for use of better con-struction materials. The blower would be disposable since it has direct communication to the patient. In this case, the oxygen to the turbine would be bled from the main oxygen stream (only 1-2 lpm are needed) and any oxygen 35 requirements for mixing with the air would be met with ~27954~3 fresh oxygen from the main ~tream. The main oxygen stream could enter the compressed gas downstream of the blower or could enter the blower with the ambient air at the air inlet.
05 Liquid or a liquid/medicament mixture may be added at any convenient point. For example, a con-ventional mist generator could be used to supply moisture to the air inlet on the blower. The main oxygen stream could also be used to lift and nebulize liquid in the 10 conventional way for introduction to the blower air inlet or to the compressed gas downstream of the device.
The invention has been described particularly with respect to a turbine/blower device. In the broader sense, however, the invention envisions the use of any convenient device for converting the energy in the pres-surized oxygen into useful mechanical energy to increase the pressure of low pressure, ambient air. For example, a reciprocating positive displacement pump, pressurized bottle, gear pump, hydraulic multiplier, vibrating mem-20 brane, or shear drag turbine could be used in place of theturbine. ~nlike conventional Bernoulli the oxygen and air may be kept separate so that air itself may be delivered to the patient under slight pressure or a mixture of air and oxygen may be delivered.

Examples of the Preferred Embodiment An aspirator device such as shown in Figs. 2 and 3 was constructed. A 7.5 cm diameter turbine with back-ward-curved, single-stage blades was fixed in a housing.
The housing back was made of aluminum while the face plate 30 was a clear polycarbonate. The oxygen nozzle was about 0.4 mm in diameter. The turbine was mounted on a shaft and a porous bronze bearing.

~27~548 The blower had a 14 CFM output. The impeller was contained in a light polycarbonate housing and coupled to the turbine through the bearing.
Three feet of patient hose ~22 mm I.D.) was 05 attached to the air output. The spent oxygen from the turbine was mixed with the compressed air output. Table 1 shows the mixing results.

Air 2 input OutputShaft speed (lpm) (lpm) (rpm~ 2%

1 0.5 30.1 800 26.5 2 1.0 43.2 1148 25.8 3 1.3 51.4 1367 25.7 15 4 1.5 56.8 1511 25.6 ; 5 2.0 S9.4 1844 25.8 6 2.5 80.2 2131 26.0 7 2.7 85.6 2276 26.2

Claims (5)

1. A respiratory care device for delivering an oxygen-containing gas under positive pressure to a patient comprising:
a source of high-pressure oxygen, a source of air, a rotatable gas turbine, a rotatable blower coupled to the gas turbine for rota-tion therewith and having an air entrance communicating with the source of air to admit the air to the blower and an air exit for discharging the air from the blower, means for utilizing at least a first portion of the high-pressure oxygen to rotate the turbine, means for delivering the air from the blower air exit to the patient, and means for mixing a second portion of the oxygen with the air prior to delivery to the patient.
2. The respiratory care device of Claim 1 wherein the first and second portions of the oxygen are separate streams.
3. The respiratory care device of Claim 2 wherein the means for mixing the second portion of the oxygen is located up-stream of the blower entrance.
4. The respiratory care device of Claim 2 wherein the means for mixing the second portion of the oxygen is located downstream of the blower exit.
5. A respiratory care device for delivering an oxygen-containing gas under pressure to a patient comprising:
a source of high-pressure oxygen, a source of air, a rotatable gas turbine, a rotatable blower coupled to the gas turbine for ro-tation therewith and having an air entrance communicating with the source of air to admit the air to the blower and an air exit for discharging the air from the blower, means for utilizing at least a first portion of the high-pressure oxygen to rotate the turbine, means for delivering the air from the blower air exit to the patient, and means for nebulizing a liquid with a second portion of the high-pressure oxygen and mixing the second portion of oxygen and nebulized liquid with the air downstream of the turbine prior to the patient.
CA000518446A 1985-09-23 1986-09-18 Aspirator/nebulizer Expired - Fee Related CA1279548C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US77883885A 1985-09-23 1985-09-23
US778,838 1985-09-23

Publications (1)

Publication Number Publication Date
CA1279548C true CA1279548C (en) 1991-01-29

Family

ID=25114548

Family Applications (1)

Application Number Title Priority Date Filing Date
CA000518446A Expired - Fee Related CA1279548C (en) 1985-09-23 1986-09-18 Aspirator/nebulizer

Country Status (4)

Country Link
EP (1) EP0239615A1 (en)
JP (1) JPS63500988A (en)
CA (1) CA1279548C (en)
WO (1) WO1987001599A1 (en)

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
NL8900781A (en) * 1989-03-30 1990-10-16 Hosta B V TRAILER CONTROL.
DE19626924C2 (en) * 1996-07-04 1999-08-19 Epazon B V Breathing gas supply device
US5848591A (en) * 1996-07-05 1998-12-15 Dragerwerk Ag Respirator with oxygen enrichment
DE19714644C2 (en) * 1997-04-09 1999-09-02 Draegerwerk Ag Gas delivery device for ventilators and anesthetic devices and their use
US7204249B1 (en) * 1997-10-01 2007-04-17 Invcare Corporation Oxygen conserving device utilizing a radial multi-stage compressor for high-pressure mobile storage
US5988165A (en) 1997-10-01 1999-11-23 Invacare Corporation Apparatus and method for forming oxygen-enriched gas and compression thereof for high-pressure mobile storage utilization
US20030108441A1 (en) * 2001-12-07 2003-06-12 Mackie Scott Robert Gases mixing apparatus
CN117045914A (en) 2011-07-13 2023-11-14 费雪派克医疗保健有限公司 Pressurized gas source
WO2013116820A1 (en) 2012-02-03 2013-08-08 Invacare Corporation Pumping device
AU2013101734A4 (en) 2012-12-18 2015-09-24 Fisher & Paykel Healthcare Limited Impeller and motor assembly
CN106860990B (en) * 2017-03-15 2017-12-19 吴丽敏 A kind of medical respiration auxiliary machine
SG11201909879QA (en) 2017-04-23 2019-11-28 Fisher & Paykel Healthcare Ltd Breathing assistance apparatus
CN111450376A (en) * 2020-04-27 2020-07-28 北京海辉科技有限公司 Novel air-oxygen mixed gas circuit
DE102022002797A1 (en) 2022-08-02 2024-02-08 Rajan Govinda Dosing device for adding at least one pharmaceutically active substance to a breathing gas provided extracorporeally, device for providing a breathing gas with such a dosing device and method

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE893998C (en) * 1951-07-07 1954-09-16 Otto P Braun Device for artificial breathing
US3045668A (en) * 1959-01-20 1962-07-24 Invengineering Inc Intermittent positive pressure respirator
GB1041313A (en) * 1963-08-22 1966-09-01 Karl Ivar Edwardh Improvements in and relating to a metering and mixing apparatus for liquids and/or gases
NZ177052A (en) * 1975-03-26 1978-12-18 Fisher & Paykel Air and gas mixing constant mixture flow with varying gas supply

Also Published As

Publication number Publication date
JPS63500988A (en) 1988-04-14
EP0239615A1 (en) 1987-10-07
WO1987001599A1 (en) 1987-03-26

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