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WO2018134849A1 - Dispositif à pression expiratoire positive continue - Google Patents

Dispositif à pression expiratoire positive continue Download PDF

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Publication number
WO2018134849A1
WO2018134849A1 PCT/IN2018/050029 IN2018050029W WO2018134849A1 WO 2018134849 A1 WO2018134849 A1 WO 2018134849A1 IN 2018050029 W IN2018050029 W IN 2018050029W WO 2018134849 A1 WO2018134849 A1 WO 2018134849A1
Authority
WO
WIPO (PCT)
Prior art keywords
pressure
airflow
gas source
flow rate
source unit
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.)
Ceased
Application number
PCT/IN2018/050029
Other languages
English (en)
Inventor
Nachiket DEVAL
Nitesh Kumar Jangir
Jagdish CHATURVEDI
Basava Kumar M
Saravanan A
Sujay SHETTY
Raksha RAGHAVAN
Vimal Kishore Kakani
Kristian R. OLSON
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.)
Coeo Labs Private Ltd
Original Assignee
Coeo Labs Private Ltd
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 Coeo Labs Private Ltd filed Critical Coeo Labs Private Ltd
Priority to CN201880007344.1A priority Critical patent/CN110520181A/zh
Publication of WO2018134849A1 publication Critical patent/WO2018134849A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A61M16/208—Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
    • A61M16/209—Relief valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A61M16/0666—Nasal cannulas or tubing
    • A61M16/0672—Nasal cannula assemblies for oxygen therapy
    • A61M16/0677—Gas-saving devices therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/20—Valves specially adapted to medical respiratory devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057—Pumps therefor
    • A61M16/0072—Tidal volume piston pumps
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057—Pumps therefor
    • A61M16/0078—Breathing bags
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/021—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes operated by electrical means
    • A61M16/022—Control means therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
    • A61M16/16—Devices to humidify the respiration air
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/0027—Accessories therefor, e.g. sensors, vibrators, negative pressure pressure meter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M2016/003—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter
    • A61M2016/0033—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical
    • A61M2016/0039—Accessories therefor, e.g. sensors, vibrators, negative pressure with a flowmeter electrical in the inspiratory circuit
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M2202/00—Special media to be introduced, removed or treated
    • A61M2202/02—Gases
    • A61M2202/0208—Oxygen
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/82—Internal energy supply devices
    • A61M2205/8206—Internal energy supply devices battery-operated

Definitions

  • the present invention relates to a device for providing a constant pressure and airflow and, in particular, relates to a device for providing stabilized continuous positive airway pressure.
  • Respiratory Distress Syndrome is a breathing disorder, which may cause the lungs to collapse and disable a patient from breathing. Treatment for such patients is provided by external respiratory support. For example, prematurely born infants having lungs with insufficient surfactant production and underdeveloped alveoli at birth may develop RDS. Typically, ventilators are used to provide external respiratory support in case of RDS.
  • Ventilator is a machine designed to mechanically move breathable air into and out of the lungs of a patient who is physically unable to breathe sufficiently. Ventilators are of different types and use different methods for providing respiratory support to sustain life. There are manual ventilators, such as bag valve masks and anesthesia bags that require the operator to hold the ventilator and maintain breaths with their hands. Some ventilators, such as mechanical ventilators are typically computer-controlled and have several components incorporated in them. In some cases, Bag Valve Masks (BVM) are used as a manual alternative to provide ventilation for a short duration when ventilator is not available.
  • BVM Bag Valve Masks
  • Fig. 1(a) illustrates a schematic diagram of Continuous Positive
  • CPAP Airway Pressure
  • Fig. 1(b) illustrates a Continuous Positive Airway Pressure (CPAP) device, in accordance with an implementation of the present subject matter.
  • CPAP Continuous Positive Airway Pressure
  • Fig. 1(c) illustrates a Continuous Positive Airway Pressure (CPAP) device, in accordance with an implementation of the present subject matter.
  • CPAP Continuous Positive Airway Pressure
  • Fig 1(d) illustrates a perspective view of the Continuous Positive
  • CPAP Airway Pressure
  • Fig. 1(e) illustrates components of stabilizing unit arranged in the outer chamber, in accordance with an implementation of the present subject matter.
  • Fig. 1(f) illustrates a perspective view of the Continuous Positive
  • CPAP Airway Pressure
  • FIG. 2 illustrates a method for providing a continuous positive airway pressure, in accordance with an implementation of the present subject matter.
  • Fig. 3(a) illustrates a graph of pressure and flow rate of input airflow of CPAP device, in accordance with an implementation of the present subject matter.
  • Fig. 3(b) illustrates a graph of pressure and flow rate of output airflow of CPAP device, in accordance with an implementation of the present subject matter.
  • Fig. 3(c) illustrates a graph of pressure and flow rate of output airflow of CPAP device having a T-joint configuration of pressure stabilizer, in accordance with an implementation of the present subject matter.
  • Fig. 3(d) illustrates a graph of pressure and flow rate of output airflow of CPAP device without pressure stabilizer, in accordance with an implementation of the present subject matter.
  • Fig. 4 illustrates a waveform representing change in lung pressure during inhalation and exhalation with CPAP, in accordance with an implementation of the present subject matter.
  • FIGs. 5a and 5b illustrate yet another embodiment of a CPAP device, in accordance with an implementation of the present subject matter.
  • the present subject matter relates to a device for providing a constant pressure and airflow to maintain a continuous positive airway pressure, particularly in resource constrained settings. It will be understood that while the present invention disclosed hereinafter has been explained with neonates as an example, it can be used for providing continuous positive airway pressure to patients of different age groups as will be readily understood from the description.
  • RDS Respiratory Distress Syndrome
  • pulmonary hypoplasia pulmonary hypoplasia
  • RDS Respiratory Distress Syndrome
  • chronic lung diseases etc.
  • RDS Respiratory Distress Syndrome
  • RDS is a breathing disorder common in premature infants and begins shortly after birth. RDS is caused mainly due to insufficiency of surfactant production and structural immaturity of the lungs. Further, various factors like poor genetics, diabetic mother, multiple pregnancy, rapid labor, etc., increase the risk of RDS in neonates.
  • the deficiency of surfactant causes the lungs to collapse at the end of exhalation and the infant experiences difficulty in breathing.
  • the infant might not be able to breathe in enough oxygen to support the body's organs, which could be fatal.
  • a lack of oxygen can damage the infant's brain and other organs if proper treatment is not provided.
  • Fast breathing, fast heart rate, chest wall retractions, expiratory grunting, nasal flaring, etc. are common early symptoms of RDS. As the symptoms worsen, breathing complications escalate, such as prolonged cessations of breathing or apnea, and collapsing of lungs. In such situations, a respiratory support is provided until sufficient surfactant is produced in the alveoli and the lungs can perform breathing independently.
  • the respiratory support is usually provided when spontaneous breathing or ventilation stops or when respiratory failure is a possibility.
  • Ventilation refers to movement of air between the lungs via inhalation and exhalation and the ventilator is a machine designed to mechanically move breathable air in and out of the lungs.
  • the ventilator is connected to a breathing tube that runs through the patient's mouth or nose into the windpipe to assist or replace spontaneous breathing.
  • ventilators are of many different types and have different methods of operation. Some of the common modes of ventilation include mechanical ventilation, Continuous Positive Airway Pressure (CPAP), Assist mode ventilation (Triggered ventilation), Pressure support ventilation (PSV), and the like. There are manual ventilators, such as bag valve masks and anesthesia bags that require the users to hold the ventilators to the face or to an artificial airway and maintain breathing with hands.
  • CPAP Continuous Positive Airway Pressure
  • Triggered ventilation Assist mode ventilation
  • PSV Pressure support ventilation
  • manual ventilators such as bag valve masks and anesthesia bags that require the users to hold the ventilators to the face or to an artificial airway and maintain breathing with hands.
  • ventilators have many different components, such as computing devices, displays, controllers, etc., that demand constant monitoring and assistance from an expert.
  • computing devices such as computing devices, displays, controllers, etc.
  • controllers such as controllers, etc.
  • cost such ventilators increase complexity, size, and cost associated with them.
  • the ventilators used as respiratory support have large size, involve complex configuration, and are expensive. Therefore, these ventilators are not portable and limited to major health care settings in urban areas, and not employed in remote geographical locations with poor infrastructure or when a patient is in transit.
  • a device and method for providing continuous positive airway pressure is described.
  • the device and method may be used to provide a constant pressure and constant airflow from an input airflow having variable flow rate and pressure.
  • the constant pressure and airflow is used to maintain a positive pressure in the airway of a patient suffering from Respiratory Distress Syndrome (RDS).
  • RDS Respiratory Distress Syndrome
  • the device can be used even without access to wall air and oxygen and can implement the lifesaving technique of CPAP using an oxygen canister or oxygen concentrator with added pressure to open the alveoli.
  • the device disclosed thus provides a multi-powered low-cost version for implementing the continuous positive airway pressure (CPAP) technology.
  • the device described herein according to the present subject matter includes a stabilizing unit, a nasal cannula, and a valve.
  • the stabilizing unit includes an inlet port, a pressure stabilizer, and a flow meter.
  • the inlet port is connected to a first gas source unit for providing an input airflow at a variable flow rate.
  • the first gas source unit may be a manually operated device, such as a bag valve mask, piston pump, or foot pump, to produce the input airflow.
  • the pressure stabilizer receives the input airflow through the inlet port of the stabilizing unit.
  • the pressure stabilizer may be an elastic bag-like structure, such as a balloon or bellow, which has two openings: a first opening and a second opening.
  • the first opening receives the input airflow while the second opening discharges a continuous airflow.
  • the pressure stabilizer expands and contracts to absorb any variations in pressure of the input airflow and provides a continuous flow of air at a controlled pressure.
  • the flow meter is connected to the second opening of the pressure stabilizer to receive the continuous airflow.
  • the flow meter provides an output airflow having a regulated flow rate based on a preset flow rate.
  • the flow meter may include a flow control valve and an actuator, for controlling the flow of air.
  • the actuator may control the flow control valve based on the difference between the preset flow rate and the flow rate of the air and provide regulated output airflow.
  • the output airflow at the output of the flow meter has a constant flow rate and flows through an outlet port of the stabilizing unit.
  • the stabilizing unit includes a second inlet port for connecting a second gas source unit.
  • the second gas source unit may be an air pump or an air compressor, powered by a battery.
  • the third gas source unit may be a compressed gas source or an oxygen cylinder, to provide a continuous airflow through the second inlet port. The continuous airflow may be provided to the flow meter for producing regulated output airflow.
  • the stabilizing unit may be enclosed in an outer chamber. The outer chamber is ergonomically designed to allow an operator to hold the device comfortably during operation.
  • the outlet port of the stabilizing unit is connected to the nasal cannula and the valve.
  • the nasal cannula is a lightweight tube which on one end is connected to the outlet port of the stabilizing unit and on the other is split into to two prongs placed in the nostrils.
  • the tube receives the output airflow from the stabilizing unit and delivers the output airflow to the patient.
  • the valve may be a pressure control valve, which is attached in conjunction with the nasal cannula for maintaining a positive pressure in the lungs of the patient.
  • the pressure control valve maintains the positive pressure by controlling flow of air exhaled from the lungs.
  • a humidifier is coupled to the pressure control valve for humidifying the output gas provided to the patient.
  • a device and method for providing a continuous positive airway pressure is provided that is simple, cost-effective, and easy to operate.
  • the CPAP device is portable and may be used in resource constrained settings, such as outpatient clinics, and in emergency situations where ventilators may not be available, such as in a vehicle.
  • the CPAP device is multi-powered device and can be used either manually or electrically.
  • the CPAP device can also incorporate independent separate modules like temperature monitoring module, oxygen saturation module, pulse monitoring module, etc., such that each independent separate module has its own controller, sensor, display and battery source.
  • the device does not require an expert assistance and may be used in remote geographical locations and in areas lacking medical infrastructure.
  • Fig. 1(a) illustrates a schematic diagram of Continuous Positive
  • the CPAP device 100 includes a stabilizing unit 102, a first gas source unit 104, and a patient interface unit 106.
  • the stabilizing unit 102 includes a first inlet port 108, a pressure stabilizer 110, and a flow meter 112.
  • the first inlet port 108 is connected to the first gas source unit 104 for providing an input airflow at a variable flow rate.
  • the first gas source unit 104 may be a manually operated device, such as a bag valve mask, piston pump, or foot pump, to produce the input airflow.
  • the pressure stabilizer 110 is connected to the first inlet port 108 to receive the input airflow.
  • a one-way valve may be connected between the first gas source unit 104 and the pressure stabilizer 110.
  • the pressure stabilizer 110 may be an elastic bag-like structure, such as a balloon or bellow, which has two openings: a first opening and a second opening. The first opening receives the input airflow while the second opening discharges a continuous airflow. The pressure stabilizer 110 expands and contracts to absorb any variations in pressure of the input airflow and provides a continuous flow of air at a controlled pressure.
  • the first opening and the second opening may be coupled with collets to provide a secure connection with connecting pipes, which may be used for connecting the components of the stabilizing unit 102.
  • the flow meter 112 is connected to the second opening of the pressure stabilizer 110 to receive the continuous airflow.
  • the flow meter 112 provides an output airflow having a regulated flow rate based on a preset flow rate.
  • the flow meter 112 may include a flow control valve and an actuator, for controlling the flow of air.
  • a pressure relief valve 114 is connected to the second opening of pressure stabilizer 110.
  • the pressure relief valve 114 ensures that a controlled pressure is maintained within the CPAP device 100.
  • the pressure in the device particularly in the line after the pressure stabilizer 110, increases abnormally or an excess pressure develops in the line, a portion of the air is diverted through a bypass or released into atmosphere. This reduces excess pressure and the unreleased portion of the air flows towards the flow meter 112.
  • the flow meter 112 may be connected to a pressure gauge 116 for measuring the pressure applied by the output airflow.
  • the output airflow generated by the flow meter 112 has a substantially constant flow rate and flows through an outlet port 118 of the stabilizing unit 102.
  • the pressure stabilizer 110, the flow meter 112, the pressure relief valve 114, and the pressure gauge 116 may be included in the stabilizing unit 102.
  • the outlet port 118 of the stabilizing unit 102 is connected to the nasal cannula 120 and the valve 122.
  • the nasal cannula 120 is a lightweight tube which on one end is connected to the outlet port 118 of the stabilizing unit 102 and on the other is split into to two prongs placed in the nostrils.
  • the tube receives the output airflow from the stabilizing unit 102 and delivers the output airflow to the patient.
  • the valve 122 may be a pressure control valve, which is attached in conjunction with the nasal cannula 120 for maintaining a positive pressure in the lungs of the patient.
  • the pressure control valve maintains the positive pressure by controlling flow of air exhaled from the lungs.
  • a humidifier is coupled to the pressure control valve for humidifying the output gas provided to the patient.
  • Fig. 1(c) illustrates a CPAP device 100, in accordance with an implementation of the present subject matter.
  • the CPAP device 100 includes the stabilizing unit 102, the first gas source unit 104, and the patient interface unit 106.
  • the first gas source unit 104 includes one or more of the bag valve mask, oxygen cylinder, and the piston pump assembly that provides the input airflow.
  • the first gas source unit 104 includes a venture to receive gas from an oxygen cylinder and a piston pump assembly and provide the mixture of oxygen and air to the stabilizing unit 102.
  • oxygen enriched air can also be supplied through the first gas source unit 104.
  • the stabilizing unit 102 may be enclosed in an outer chamber 124.
  • the outer chamber 124 may be ergonomically designed to allow an operator to hold the CPAP device 100 comfortably during operation.
  • the outer chamber 124 encloses the stabilizing unit 102, the pressure relief valve 114, and the pressure gauge 116, as shown.
  • the pressure stabilizer 110 may be enclosed in an inner chamber 126.
  • the inner chamber may also include an input flow indicator (not shown in the figure), which can include a movable stopper plate, a plurality of labels, and a view window, as will be discussed later.
  • a E-module 128 may be connected to the outer chamber 124 using a detachable mechanism.
  • the E-module 128 may include an air compressor 130 connected to a battery 132 and an electrical interface (not shown in figure).
  • the air compressor 130 may be connected to a second inlet port 134 of the stabilizing unit 102 and provides a continuous flow of air with minimal variations in pressure.
  • the flow of air may be directly provided to a flow meter 112 via a junction port 136.
  • the junction port 136 may include a pair of one-way valves - one for providing connection between pressure stabilizer 110 and flow meter 112 and other for providing connection between second inlet port and flow meter 112. The one-way valves prevent the reverse flow of air provided by pressure stabilizer 110 and/or the second gas source unit 130.
  • the output airflow generated by the flow meter 112 has a substantially constant flow rate and flows through the outlet port 118 of the stabilizing unit 102.
  • the outlet port 118 of the stabilizing unit 102 is connected to the patient interface unit for providing a positive pressure to the patient as explained earlier.
  • the E- module 128 may be used either in conjunction with the first gas source unit 104 or independently.
  • Fig. 1(d) illustrates a perspective view of the CPAP device, in accordance with an embodiment of the present subject matter.
  • the outer chamber 124 encloses the components of the stabilizing unit 102, which are compactly connected and enclosed, to provide an ergonomic design with an optimized size, shape, and weight.
  • the outer chamber 124 provides a handle 138 at the top of the outer chamber 124 to carry the CPAP device 100.
  • the CPAP device 100 includes components, such as pressure stabilizer, flow meters, pressure gauge, etc., which are not heavy, the handle 138 enables the operator to carry the device with minimal effort.
  • the outer chamber 124 provides a viewing window 140 for providing a clear view of the pressure stabilizer 110.
  • the viewing window 140 may include a status indicator (not shown in figure).
  • the status indicator may include a movable stopper plate and a plurality of labels for indicating a status of the pressure stabilizer 110.
  • the pressure stabilizer 110 maybe placed beneath the movable stopper plate, which is connected to the plurality of labels. Each label may indicate the status of the pressure stabilizer.
  • labels having different colors may be used to indicate volume of air inside the pressure stabilizer 110.
  • a first red color label may be used for indicating that the air volume inside the pressure stabilizer 110 is less than a minimum threshold volume
  • a second red color label may be used for indicating that the air volume inside the pressure stabilizer 110 is more than the maximum threshold volume
  • a green label may be used to indicate that the air volume inside the pressure stabilizer 110 is within a desired working range, i.e., more than the minimum threshold volume and less than the maximum threshold volume.
  • one of the pluralities of labels may be visible through the view window 140.
  • the first red label indicating that the volume of air in the pressure stabilizer 110 is less than the minimum threshold may be visible.
  • the movable stopper plate is displaced and correspondingly the labels move so that the green label becomes visible after the volume of air has increased to more than the minimum threshold.
  • the labels may move further so that the second red label becomes visible indicating that the volume of air has increased beyond the maximum threshold.
  • the volume of air in the pressure stabilizer 1 10 depends on the pressure of the input airflow.
  • the labels indicate that the volume of air is outside the working range, the operator can vary the input airflow pressure to bring it within the working range.
  • the input flow indicator having a simple and compact arrangement in a view window 140 can enable the operator to adjust the input airflow to be provided through the first gas source unit 104.
  • the status indicator may include a pair of stopper plates and a switch arrangement.
  • the pressure stabilizer 1 10 may be placed between a pair of stopper plates that are separated vertically and placed substantially parallel to each other. The separation between the stopper plates increases when the pressure stabilizer 110 expands, and decreases when the pressure stabilizer 110 contracts. If the pressure stabilizer 110 expands abnormally more due to high pressure, then one of the stopper plates may come in contact with a touch switch to indicate the high volume of air present in the pressure stabilizer 110.
  • Figs. 1(e) illustrates components of stabilizing unit 102 arranged in the outer chamber 124, in accordance with an implementation of the present subject matter. As shown, the components of the CPAP device 100 are compactly arranged and connected. Further, the physical parameters of the components may provide an additional advantage to the operator during the operation of the device.
  • the pressure stabilizer 110 may be in ellipsoidal shape, which optimally occupies volume of the outer chamber 124 and thereby providing other components to be compactly arranged.
  • the pressure stabilizer 110 may be in other shapes, such as spherical, cylindrical, etc.
  • the pressure stabilizer 110 may be made of natural rubber latex, neoprene, or elastomeric material to provide a high elongation, tensile strength, and increased longevity.
  • Table 1 and Table 2 illustrate a set of experimental results carried out to determine the relaxation time of the pressure stabilizer 110 based on its usage.
  • the relaxation time refers to the amount of time a constant pressure is provided by the pressure stabilizer.
  • the pressure stabilizer 110 was subjected to high number of cycles (1000 approx.), however, it produced a minimum relaxation time for 45s without failure. allowable flow & pressure range)
  • the pressure stabilizer 110 works by meeting all the functional requirements without failure/burst and with maximum 25% of reduction in the thickness.
  • the different components of the CPAP device are similar as described with reference to Fig. 1(d) and Fig 1(e), but are arranged to form a substantially horizontal casing.
  • the CPAP device has a contour comprising of a tray 135 to hold the neonate over the device. This makes the CPAP device 100 easier to use during transportation.
  • Fig. 2 illustrates a method 200 for providing a continuous positive airway pressure.
  • the method 200 described is in congruence with reference to the CPAP device 100 described earlier, however, it will be understood that the method 200 can be implemented in other devices also.
  • the input airflow is supplied by the first gas source unit 104 to the pressure stabilizer 110.
  • the input airflow has a variable flow rate and may be supplied by a piston pump assembly.
  • the input air may flow through the one-way valve to the inlet port of the stabilizing unit 102.
  • the pressure stabilizer 110 has a first opening that receives the input airflow from the first gas source unit 104 and absorbs the variations in the flow rate of the input airflow by expanding and contracting. The second opening of the pressure stabilizer 110 releases a continuous flow of air at controlled pressure.
  • the flow meter 112 generates a regulated flow of output air based on a preset flow rate.
  • the air released from the pressure stabilizer 110 flows towards the flow meter 112.
  • the flow meter 112 comprises the flow control valve which provides a controlled output airflow by means of an actuator depending on the difference between flow rate of the air and the preset flow rate. Based on this the regulated flow rate of the output air flow is generated.
  • the output airflow is transferred from the outlet port 118 of the stabilizing unit 102 by the nasal cannula 120 to the patient.
  • the nasal cannula 120 may be a lightweight tube offering minimum friction to the output airflow.
  • a positive pressure is maintained by the valve 122, which is connected to the nasal cannula 120.
  • the nasal cannula 120 may be coupled to a humidifier to humidify the output airflow.
  • the valve 122 maintains the positive pressure in the lungs by controlling the amount of air exhaled by the patient.
  • Fig. 3(a) and 3(b) illustrates the variation in pressure and flow rate of the input airflow and the variation in pressure and flow rate of the output airflow, respectively.
  • the gas source unit 104 is a manual pumping unit and the pressure stabilizer 110 is a balloon.
  • the output end of the manual pumping unit is connected to pressure gauge 116 and flow meter 112, which measure the pressure and flow rate of the input airflow.
  • the measurement of pressure and flow rate at different locations in the device is depicted in Table 1, Table 2, and Table 3, below. In this analysis, the measurements are recorded by repeating the experiment 5 times to examine the variations in pressure and flow rate.
  • the variations in the input pressure and flow rate is controlled and a constant range of pressure and flow rate is achieved at the balloon output.
  • the flow meter 1 12 connected to the second opening of the balloon generates a regulated flow rate and pressure. Therefore, the CPAP device 100 provides an output airflow having constant pressure and flow rate from an input airflow having variable pressure and flow rate.
  • a three-port valve may be used in the
  • CPAP device 100 The three -port valve provides a T-joint configuration that connects the manual pumping unit, the flow meter 1 12 and the balloon of the stabilizing unit 102 at the remaining ports.
  • the input pressure and flow rate of the input airflow provided by the manual pumping unit is measured by the pressure gauge 1 16 and flow meter 1 12 connected to the gas source unit 104.
  • Fig. 3(c) illustrates the variation in pressure and flow rate achieved by the CPAP device 100 having T-joint configuration and Table 4 provides the measured values of pressure and flow rates at input and output. In this analysis, the measurements are recorded by repeating the experiment 5 times to examine the variations in pressure and flow rate.
  • the pressure and flow rates are measured by applying 30 strokes per minute in the manual pumping unit.
  • the balloon only partially inflates or contracts when the input gas is provided by the gas source unit. Therefore, a pulsating output is generated by the device, i.e., the pressure and flow rate is not constant and cannot be used as breathing support.
  • FIG. 3(d) illustrates the variation in the pressure and flow rate in the CPAP device 100 without the pressure stabilizer 110, i.e., balloon.
  • the input pressure and flow rate is measured by the pressure gauge 116 and flow meter 112 connected to the manual pumping unit.
  • the pressure and flow rates are measured on applying 30 strokes per second in the manual pumping unit.
  • Table 5 provides the measured values of pressure and flow rates at input and output.
  • the pressure stabilizer 110 provides a mechanism to absorb the variations in pressure and provides a continuous flow at a controlled pressure. Therefore, in absence of such a pressure and flow absorbing mechanism the CPAP device 100 provides a pulsating output.
  • the bag valve mask is of three types classified on the basis of their volume: Adult bag valve mask, Child bag valve mask, and infant bag valve mask.
  • a rebreathing bag is used as a pressure stabilizer 110 in the analysis. Further, the rebreathing bag may be a latex type or a non-latex type.
  • the experimental analysis determines the maximum pressure provided by the bag valve masks and the manual pumping unit. In addition, the experimental analysis also determines the number of squeezes or strokes required to generate a constant pressure and the relaxation time.
  • the manual pumping unit provides the highest pressure and relaxation time. Further, the manual pumping unit requires lesser number of strokes so that the CPAP device provides a constant pressure and airflow despite having a relatively less volume. Although, the Infant bag valve mask is easy to squeeze a constant pressure is not provided by the CPAP device 100 when it is the gas source unit 104.
  • the volume of different pressure stabilizers 102 is determined. The analysis is performed by comparing the balloon and the rebreathing bag as pressure stabilizers and the data is depicted in Table 7 and Table 8.
  • the manual pumping unit is connected to the balloon or the rebreathing bag, which is connected to the flow meter 112 and the pressure gauge 116.
  • the volume of gas present in the balloon and rebreathing bag is calculated from ideal gas law. According to the ideal gas law,
  • V is the volume of the gas
  • n is the amount of substance of gas (also known as number of moles)
  • R is the ideal, or universal, gas constant, equal to the product of the Boltzmann constant and the Avogadro constant.
  • T is the temperature of the gas.
  • the pressure inside the balloon is calculated by the pressure gauge 116.
  • the pressure gauge 116 may be connected to the second of the balloon to measure to the pressure of the air in the balloon.
  • both the balloon and the rebreathing bag expand and contract to absorb variations in pressure and provide continuous flow of air at controlled pressure.
  • the balloon can store a higher volume of air than the rebreathing bag and the rebreathing bag can withstand a greater pressure of air in comparison to the balloon.
  • Fig. 4 illustrates a waveform representing change in lung pressure during inhalation and exhalation.
  • the waveform 402 represents the change in lung pressure during the breathing cycle without the CPAP device 100.
  • the breathing process is a consequence of change in pressure and volume of lungs.
  • the volume of the lungs increases and air from the atmosphere flows into the lungs.
  • the process of exhalation occurs due to elastic recoil of the lung tissue which causes an increase the lung pressure and decrease in volume. Therefore, air flows out of the lungs to the atmosphere.
  • the positive peak pressure exerted by lungs to exhale is represented by E and the negative peak pressure to inhale is represented by I.
  • the waveform 404 represents the change in the lung pressure during breathing cycle with CPAP device 100.
  • the CPAP device 100 maintains a positive pressure in the lungs to prevent the alveoli in the lungs from collapsing.
  • the minimum positive pressure is represented by I in the waveform 404. Therefore, the positive pressure is maintained by the CPAP device at the end of exhalation.
  • Figs. 5(a) and 5(b) illustrate yet another embodiment of a CPAP device 500, in accordance with an implementation of the present subject matter.
  • Fig. 5(a) illustrates an external view of the device and
  • Fig. 5(b) illustrates the components and their interconnections.
  • the device 500 as illustrated in Figs. 5(a) and 5(b) corresponds to another implementation of the device 100 as described earlier.
  • the device 500 includes an input port 504, which can be connected to an Ambubag or other manual oxygen/ air input device and an output port 506 that can be used to provide the pressurized air/ oxygen to an infant.
  • the device 500 has various casings, such as top casing 508-1, back casing 508-2, bottom casing 508-3, front casing 508-4, and balloon casing 508-5, that form the external perimeters of the device 500.
  • a power switch 510 can be used to power on/off the device 500. The working of the device can be monitored using the flowmeter 512, LED panel 514, and pressure gauge 516.
  • an oxygen port 518 can be provided to connect to a source of pressurized oxygen in addition to or alternatively to the manual input source.
  • Fig. 5(b) illustrates the interconnections between the various components of the device 500, including an ambubag, an oxygen cylinder, various valves, and the pressure stabilizer, such as a balloon.
  • the CPAP device as described in various implementations above can have various other features in addition to those described with respect to various implementation.
  • the device can have an inbuilt oxygen concentrator and air-oxygen mixer/ blender.
  • the device can have an inbuilt active humidifier to provide heated humidified gas to the neonate.
  • the device can use a pressure sensor to detect the lung resistance and control the outflow or/and pressure of the product.
  • the device can have an electronic/ mechanically controlled intermittent pressure and flow output and an inbuilt bubble based CPAP pressure control also.
  • the device as per the various implementations can be used for the resuscitation of the neonatal and pediatric population.
  • the subject matter has been described in considerable detail with reference to certain examples and implementations thereof, other implementations are possible. As such, the scope of the present subject matter is not limited to the description of the preferred examples and implementations contained therein.

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  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Emergency Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Respiratory Apparatuses And Protective Means (AREA)

Abstract

L'invention concerne des dispositifs (100) à pression expiratoire positive continue (CPAP). Le dispositif (100) comprend une unité de stabilisation (102), un premier ensemble source de gaz (104) et un ensemble interface patient (106). Le premier ensemble source de gaz (104) achemine un gaz d'entrée à débit variable à travers un orifice d'entrée (108) de l'unité de stabilisation (102). Un stabilisateur de pression (110) de l'unité de stabilisation (102) reçoit le flux d'air d'entrée, se dilate et se contracte pour absorber les variations de pression et fournit un flux d'air continu à pression régulée. Un débitmètre (112) génère un flux d'air de sortie régulé sur la base d'un débit prédéfini. Le flux d'air de sortie est évacué par un orifice de sortie (118) de l'unité de stabilisation (102) vers l'ensemble interface patient (106), qui comprend une canule nasale (120) pour administrer un flux d'air à un patient et une valve (122) pour maintenir une pression positive.
PCT/IN2018/050029 2017-01-19 2018-01-19 Dispositif à pression expiratoire positive continue Ceased WO2018134849A1 (fr)

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CN112494766A (zh) * 2020-12-16 2021-03-16 法斯达(无锡)医学设备有限公司 一种振荡持续气道正压通气系统
CN115154805A (zh) * 2022-08-01 2022-10-11 深圳华声医疗技术股份有限公司 人工气道、人工气道的输出压力调节装置和方法

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US20130104886A1 (en) * 2010-04-27 2013-05-02 Fisher & Paykel Healthcare Limited Water out alarm
AU2007314070B2 (en) * 2006-11-01 2014-06-05 Cliff Ansel Portable life support apparatus

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SE9501938D0 (sv) * 1995-05-24 1995-05-24 Siemens Elema Ab Reservoar för en gas vid ett ventilator/narkossystem
JP4463479B2 (ja) * 2001-04-12 2010-05-19 ライフヴェント リミテッド 連続正通気路圧力装置
CN100548407C (zh) * 2005-07-22 2009-10-14 崇仁科技事业股份有限公司 气流变化指示装置
NZ588683A (en) * 2008-04-10 2012-03-30 Seattle Childrens Hospital Dba Seattle Childrens Res Inst Using the angle of a distil end of a submerged pipe with a vertical to adjust backpressure in a CPAP system
WO2013154439A1 (fr) * 2012-04-10 2013-10-17 Fisher & Paykel Healthcare Limited Systèmes et méthodes combinés de cpap et de réanimation
CN104902964A (zh) * 2012-11-27 2015-09-09 威廉马歇莱思大学 气泡式持续气道正压通气
CN204352322U (zh) * 2014-12-01 2015-05-27 广西壮族自治区人民医院 一种cpap供氧装置

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AU2007314070B2 (en) * 2006-11-01 2014-06-05 Cliff Ansel Portable life support apparatus
US20130104886A1 (en) * 2010-04-27 2013-05-02 Fisher & Paykel Healthcare Limited Water out alarm

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