Humidifier and respiratory assistance device
11305089 ยท 2022-04-19
Assignee
Inventors
Cpc classification
A61M16/0003
HUMAN NECESSITIES
A61M11/002
HUMAN NECESSITIES
A61M2205/7536
HUMAN NECESSITIES
A61M11/003
HUMAN NECESSITIES
International classification
A61M16/08
HUMAN NECESSITIES
A61M11/00
HUMAN NECESSITIES
A61M16/00
HUMAN NECESSITIES
Abstract
A humidifier that can easily control temperature and humidity in an independent manner, irrespective of a flow rate of medical gas to be supplied, is provided. The humidifier is connected to a respiratory assistance device configured to regulate or assist ventilation of a user. The humidifier is configured to add moisture to gas fed from a gas source in the form of fine particles or water vapor. The humidifier includes a liquid container configured to contain liquid containing at least water, a mist-droplet generation unit configured to generate mist droplets being fine particles of the liquid, and a water retaining member configured to hold at least a part of the mist droplets.
Claims
1. A humidifier that is to be connected to a respiratory assistance device configured to regulate or assist ventilation of a user, the humidifier being configured to add moisture to a gas fed from a gas source in the form of fine particles or water vapor, the humidifier comprising: a liquid container configured to contain a liquid containing at least water; a mist-droplet generation unit configured to generate mist droplets being fine particles of the liquid; and a water retaining member configured to hold at least a part of the mist droplets; wherein a part of the gas passes through an inside of the water retaining member, and a remaining part of the gas does not pass through the inside of the water retaining member.
2. The humidifier according to claim 1, wherein one end of the water retaining member that is open on the side of the gas source is joined to an inner peripheral surface of the humidifier, and the water retaining member closes a passage through which the gas flows.
3. The humidifier according to claim 2, wherein the humidifier has the passage through which the gas flows, the passage is closed by the water retaining member, and the water retaining member partitions the passage into an upstream side that is on a side of the gas source and has the liquid container and the mist-droplet generation unit, and a downstream side that is on a side of the user.
Description
BRIEF DESCRIPTION OF DRAWINGS
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DESCRIPTION OF EMBODIMENTS
(18) Embodiments of the present invention will be described below with reference to the attached drawings.
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(21) The mist-droplet generation unit 70 has an ultrasonic generation unit configured to generate the mist droplets by adding vibration to the liquid. In other words, in the humidifier according to the first embodiment, the mist-droplet generation unit 70 is an ultrasonic mist-droplet generation unit configured to use so-called cavitation effect that generates air bubbles on a liquid surface by a vibration energy from an ultrasonic oscillator. The mist-droplet generation unit 70 includes a case 55, an ultrasonic oscillator 60, and an ultrasonic transfer material 50. The ultrasonic transfer material 50 is, for example, water. The water that is the ultrasonic transfer material 50 held in the case 55, as well as water 40 that is brought into contact with the case 55 through a case 25, has a high specific heat, and hence has high resistant to increase in temperature. Therefore, the water is suitable for long time use on the whole of the humidifier 10. The mist-droplet generation unit 70 and the liquid container 80 are tightly attached to each other through an ultrasonic transferable material, such as a nonvolatile oil, at a boundary 85 therebetween.
(22) The ultrasonic oscillator 60 is controlled by a controller 130 (not illustrated). The controller 130 includes a CPU, a RAM, a ROM, and the like to perform entire control of the humidifier 10. The CPU is a so-called central processing unit that performs various functions by execution of various types of programs. The RAM is used as an operation area and a memory area of the CPU. The ROM stores an operating system and the programs executed by the CPU. The controller 130 preferably has the functions of monitoring a thermometer 100, a thermometer (not illustrated) in the vicinity of the mask 260 (see
(23) A mist-droplet generation amount by the mist-droplet generation unit 70 is controlled by the controller 130. For example, when an alternating current voltage to be applied to the ultrasonic oscillator 60 has an increased amplitude, the vibration of the ultrasonic oscillator 60 has an increased amplitude, and therefore the mist-droplet generation amount is increased. The liquid container 80 may be preferably taken out of the case 25. The mist-droplet generation unit 70 may also be preferably taken out of the liquid container 80.
(24) The humidifier 10 has a passage configured to allow the fed gas to pass therethrough. The passage is closed by the water retaining member 20. The water retaining member 20 partitions the passage into an upstream side that is on the side of the gas source (ventilator) 280 and has the liquid container 80 and the mist-droplet generation unit 70, and a downstream side that is on the side of the user.
(25) To be more specific, the water retaining member 20 has gas permeability, and has a tubular structure that is closed at one end on the side of the user, and is open at the other end on the side of the gas source (ventilator) 280. The gas penetrates the inside of the water retaining member 20 through an opening 19, passes through the water retaining member 20, and is released into the breathing circuit-side pipe 110. The opening 19 of the tube of the water retaining member 20 is joined to an inner peripheral surface of the case 25 at its end part, so as to close the passage.
(26) To reduce the resistance of the gas passing through the water retaining member 20, a gas flow area is preferably increased. Therefore, a spacer is preferably provided between the tubular water retaining member 20 and the inner peripheral surface of the case 25, to secure a gap therebetween. Instead of providing the spacer, the diameter of the tube of the water retaining member 20 may be made sufficiently smaller than the internal diameter of the case 25, to secure a gap therebetween. The water retaining member 20 is preferably made of a water absorptive nonwoven fabric, and is preferably an exchangeable member. The material of the nonwoven fabric of the water retaining member 20 is, for example, polypropylene to which a surface-active agent treatment, a fluoride gas treatment, a sulfonation treatment, an acrylic acid graft treatment, a plasma discharge treatment, or the like is preferably applied to impart hydrophilicity thereto.
(27) The water retaining member 20 is disposed in the case 25. The droplet heating unit 30, which heats at least one of droplets, i.e., the mist droplets and moisture held in the water retaining member and vaporizes the mist droplets or the moisture into water vapor, is disposed inside the water retaining member 20 on the side of the liquid container 80. The droplet heating unit 30 is a resistance heater made of, for example, a nichrome wire or the like, and is connected to a power supply (not illustrated). The controller 130 controls electric power on the basis of the temperature detected by the thermometer 100 and the like, to control temperature and humidity. The water retaining member 20 blocks the mist droplets, while allowing gas containing the water vapor to pass therethrough.
(28) Next, the operation of the above-described embodiment will be described with reference to
(29) A dry medical gas is supplied from the ventilator-side pipe 90 to the humidifier 10. The role of the humidifier 10 is to add moisture to the medical gas, and humidification is performed by the following two methods.
(30) (1) The droplet heating unit 30 vaporizes mist droplets being generated in a surface of the liquid container 80 into water vapor. An ultrasonic vibration energy generated by the ultrasonic oscillator 60 is transmitted to a water surface of the liquid container 80. By weakening surface tension at a part of the water surface, the minute mist droplets are generated. Since the mist droplets are minute droplets having a large surface area relative to its volume, the mist droplets are easily vaporized. When the mist droplets reach the vicinity of the droplet heating unit 30 where the temperature is high and the saturated vapor pressure is large, the mist droplets are more easily vaporized. As a result, the water vapor generated by the vaporization humidifies the dry medical gas.
(31) (2) Mist droplets being generated in the surface of the liquid container 80 reach the water retaining member 20, and adhere to the water retaining member 20. Since the water retaining member 20 has a water absorbing property, moisture adhering to the water retaining member is held as water in a liquid form. When the gas fed from the ventilator-side pipe 90 passes in the vicinity of the water retaining member 20, the vapor pressure of the gas is further increased by the moisture held by the water retaining member 20, and therefore the gas is humidified.
(32) As described above, in the humidifier 10 according to the first embodiment, the water vapor for humidification is generated with a lower energy than general vaporization by boiling. Since a large amount of water vapor can be generated without boiling the stored water 40, the humidifier 10 has the beneficial effect of controlling the humidity independently of the temperature, without excessively increasing the temperature of the medical gas. Since the water retaining member 20 filters the fed gas, the water retaining member 20 has the effect of playing a role as a bacteria filter, as well as a humidifier.
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(34) The droplet heating unit 30 may be integrally formed with the water retaining member 20, or may be provided outside the water retaining member 20, in other words, on the side of an inspiratory pipe or on the side of the case. The positional relationship between the water retaining member 20 and the droplet heating unit 30 is the same as those in the other embodiments and modification embodiments. The droplet heating unit 30 may be disposed inside or outside the water retaining member 20, and the water retaining member 20 and the droplet heating unit 30 may be integrated with each other.
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(39) The humidifier 10 has a passage configured to allow fed gas to pass therethrough. The passage is closed by the water retaining member 20. The water retaining member 20 partitions the passage into an upstream side that is on the side of a gas source (ventilator) 280 and has the liquid container 80 and the mist-droplet generation unit 70, and a downstream side that is on the side of a user. To be more specific, an end part of the water retaining member 20 is joined to the case 25 so as to close the passage. The water retaining member 20 blocks the mist droplets, while allowing a gas containing water vapor to pass therethrough.
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(43) The inspiratory pipe 250 is connected to a pipe 26 through a connector 23, and the pipe 26 is connected to a housing 28. A gas is fed into nasal cavities of a user P through a nasal prong 29 supported by the housing 28.
(44) Inside the housing 28, a water retaining member 24 is provided as a droplet absorbing unit. When condensation occurs in the vicinity of the nasal prong 29, droplets may enter a respiratory tract together with the fed medical gas. Since bacteria tend to occur in liquid water, the entry of the droplets into the respiratory tract may cause pneumonia. Disposing the water retaining member 24 in the vicinity of the nasal prong 29 has the significant effect of preventing the droplets from entering the respiratory tract, by absorbing the condensed droplets.
(45) Note that the water retaining member 20 is preferably divided into at least two members, which are disposed separately. The water retaining member 20 on the side of the humidifier 10 is always supplied with mist droplets, and is in a wet state, in principle. On the contrary, the water retaining member 24 disposed in the vicinity of the nasal prong 29 aims at absorbing droplets, and is preferably dry. Therefore, by dividing the water retaining member 20 into at least two members, i.e. into the water retaining member 20 and the water retaining member 24, as shown in
(46) A major feature of the present embodiment is that the water retaining member 20 extends to the inside of the inspiratory pipe 250. Specifically, the water retaining member 20 is provided inside the inspiratory pipe of the breathing circuit provided to the respiratory assistance device 1 along a longitudinal direction, and the length of the water retaining member 20 is 50 cm or more. For sufficient humidification, irrespective of a gas flow rate, the length of the water retaining member 20 is preferably 50 cm or more, and more preferably 1 m or more. According to this configuration, the water retaining member 20 has an extremely wide surface area, thus having the extremely significant effect of facilitating vaporization of moisture held in the water retaining member 20. If the water retaining member 20 containing moisture is present along an inner wall of the inspiratory pipe 250, when the inspiratory pipe 250 of the breathing circuit is heated with an anti-condensation heater attached thereto, the majority of the heat is used for evaporating the moisture from the water retaining member 20, thus having the beneficial effect of preventing an increase in temperature of the inspiratory pipe 250.
(47) The water retaining member 20 has gas permeability, and has a tubular structure that is closed at one end on the side of the user P, i.e. a water retaining member end part 22, and is open at the other end on the side of the gas source (ventilator) 280. The gas penetrates the inside of the water retaining member 20 through an opening 19, passes through the water retaining member, and is released into the inspiratory pipe 250. In the present embodiment, the droplet heating unit 30, configured to heat the mist droplets and the moisture held in the water retaining member 20 to vaporize them into water vapor, is provided inside the water retaining member 20. The droplet heating unit 30 is controlled by a controller 130 (not illustrated) at a predetermined temperature. The droplet heating unit 30 is a resistance heater made of, for example, a nichrome wire or the like. The droplet heating unit 30 controls temperature and humidity using the controller 130 on the basis of the temperature detected by a thermometer (not illustrated) and the like provided in the inspiratory pipe 250. As shown in
(48) When the water retaining member 20 has a net-shaped structure such as mesh, the diameters of mesh pores are preferably smaller than the diameters of mist droplets.
(49) As a modification embodiment, the droplet heating unit 30 may be provided in a circumscribed manner on the water retaining member 20, or the droplet heating unit 30 may be embedded in fibers constituting the water retaining member 20. In addition to providing the droplet heating unit 30 in the vicinity of the water retaining member 20, the droplet heating unit 30 may be provided in an inscribed or circumscribed manner in or on the inspiratory pipe 250 itself of the breathing circuit provided in a respiratory assistance device. When the gas is fed at a low flow rate, in particular, an anti-condensation heating unit 270 of the inspiratory pipe 250 that doubles as a droplet heating unit 30, without providing the droplet heating unit 30 in the vicinity of the water retaining member 20, produces a sufficient humidification effect.
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(53) When the water retaining member 20 has the shape of
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(55) Although a water retaining member 24 (not illustrated) is disposed inside the housing 28, droplets beyond absorption drain out of the housing 28 through the drain hole 31. When pipe attachment holes 32 are provided on both sides of the housing 28 to connect a pipe 26 therethrough and the pipe attachment hole 32 is clogged with a plug, it is conceivable to provide a drain hole 31 in the plug itself. The pipe attachment hole 32 may double as the drain hole 31.
(56) Embodiments of the present invention are not limited to the embodiments described above, but can be variously modified, as a matter of course, without departing from the scope of the present invention. As a modification example of each of the embodiments, it is conceivable to apply the following embodiment.
(57) In the above-described embodiments, the entire gas humidified with the water vapor generated in the liquid container 80 is fed into the breathing circuit-side pipe 110, after being filtered with the water retaining member 20. However, a part of the fed gas may pass through the inside of the water retaining member 20, while the remaining part of the gas may not pass through the inside of the water retaining member 20. For example, as shown in
REFERENCE SIGNS LIST
(58) 1 respiratory assistance device 10 humidifier 20 water retaining member 22 water retaining member end part 23 connector 24 water retaining member 25 case 26 pipe 28 housing 29 nasal prong 30 droplet heating unit 31 drain hole 32 pipe attachment hole 35 fiber 37 core wire 38 plate-shaped part 39 pipe-shaped part 40 water 45 humidification member 50 ultrasonic transfer material 55 case 60 ultrasonic oscillator 70 mist-droplet generation unit 80 liquid container 85 boundary 90 ventilator-side pipe 100 thermometer 110 breathing circuit-side pipe 120 heating unit 130 controller 140 water feeding pipe 150 oscillator 160 vibration generation device 170 water 180 mesh 190 baffle 195 compressor-side pipe 200 water inlet pipe 210 nozzle 220 humidification chamber 230 expiratory pipe 240 thermometer 250 inspiratory pipe (hose) 260 mask 270 anti-condensation heating unit 280 gas source (ventilator) 290 heater S virtual plane