Humidification of respiratory gases
11420005 · 2022-08-23
Assignee
Inventors
- Dimitri Marco Maurer (Gosford, AU)
- Ian Malcolm SMITH (Sydney, AU)
- Richard Llewelyn Jones (Hornsby Heights, AU)
- Hargopal Verma (Sydney, AU)
Cpc classification
A61M2205/3379
HUMAN NECESSITIES
International classification
Abstract
A tub is configured to contain a supply of water and be inserted into a chamber of a humidifier. The tub includes a tub base configured to contain a supply of water and a tub lid connected to the tub base. The tub lid includes an inlet configured to receive a flow of breathable gas to be humidified and an outlet for the humidified flow of breathable gas. The tub further includes a water level indicator configured to indicate a level of the supply of water in the tub base. The water level indicator includes an inclined portion configured to direct the flow of breathable gas from the inlet away from the outlet. The water level indicator may be visible through the inlet.
Claims
1. A tub configured to contain a supply of water and to be coupled to a humidifier for a respiratory apparatus to humidify a flow of breathable gas during operation of the respirator apparatus, the tub comprising: a tub base configured to contain the supply of water; and a tub lid connected to the tub base to form a tub chamber when the tub lid is in a closed position on the tub base, the tub lid comprising: a filling inlet configured to receive the supply of water to humidify the flow of breathable gas passing through the tub chamber; an outlet for the flow of breathable gas after humidification; and a non-removable water level indicator extending from the tub lid at the filling inlet and into the tub chamber such that when the tub is in an operational orientation and the tub lid is in the closed position on the tub base, contact between the supply of water contained by the tub base and the non-removable water level indicator is visible through the filling inlet to indicate a level of the supply of water in the tub base, wherein the non-removable water level indicator comprises a plurality of indicia or markings configured to indicate different water levels within the tub.
2. The tub of claim 1, wherein the plurality of indicia or markings have a maximum fill indicator that is visible through the filling inlet.
3. The tub of claim 2, wherein the maximum fill indicator is positioned on the non-removable water level indicator such that when the tub is in the operational orientation and the tub lid is in the closed position on the tub base, the maximum fill indicator is positioned below an uppermost portion of the non-removable water level indicator.
4. The tub of claim 2, wherein the outlet has a tub chamber opening that is positioned inside of the tub chamber when the tub lid is in the closed position on the tub base, and wherein the maximum fill indicator is positioned on the non-removable water level indicator such that when the tub is in the operational orientation and the tub lid is in the closed position on the tub base, the maximum fill indicator is positioned below the tub chamber opening.
5. The tub of claim 2, wherein the non-removable water level indicator has a distal end positioned opposite the tub lid and the maximum fill indicator is positioned on the non-removable water level indicator proximal to the tub lid such that the non-removable water level indicator becomes progressively more submerged during filling of the tub.
6. The tub of claim 1, wherein: the non-removable water level indicator comprises an inclined portion and a base portion, the inclined portion extends from the base portion, and the base portion extends from the tub lid adjacent to the filling inlet.
7. The tub of claim 6, wherein the base portion extends into the tub chamber when the tub lid is in the closed position.
8. The tub of claim 6, wherein the inclined portion comprises a first surface that is visible through the filling inlet and a second surface opposite the first surface, and wherein the inclined portion is angled with respect to the tub lid such that an angle between the second surface and a bottom plane of the tub lid is between just over 90° to just under 180°.
9. The tub of claim 6, further comprising a clip to releasably secure the tub lid to the tub base in the closed position.
10. The tub of claim 6, wherein the plurality of indicia or markings are configured to contact the supply of water contained by the tub base to indicate at least a maximum water fill level of the tub base when the tub is in the operational orientation and the tub lid is in the closed position on the tub base.
11. The tub of claim 10, wherein the plurality of indicia or markings are positioned on the inclined portion.
12. The tub of claim 10, wherein the plurality of indicia or markings include wording that is oriented parallel a longitudinal axis of the inclined portion so that the wording is progressively covered as the tub base is filled with water when the tub is in the operational orientation and the tub lid is in the closed position on the tub base.
13. The tub of claim 12, wherein the plurality of indicia or markings include a line adjacent the wording to contact the supply of water contained by the tub base to indicate the maximum water fill level when the tub is in the operational orientation and the tub lid is in the closed position on the tub base.
14. The tub of claim 1, wherein the tub lid comprises a channel configured to receive the flow of breathable gas from a flow generator, the channel comprising a channel inlet and a channel outlet.
15. The tub of claim 14, wherein the tub lid comprises a cover portion that covers the channel from the channel inlet to the channel outlet.
16. The tub of claim 1, wherein the non-removable water level indicator is integrally formed in one piece with the tub lid.
17. The tub of claim 1, wherein the tub base further comprises a metal portion.
18. The tub of claim 17, wherein the metal portion comprises stainless steel or aluminum.
19. The tub of claim 1, wherein the tub lid is formed of a plastic.
20. The tub of claim 19, wherein the plastic is polycarbonate or acrylonitrile butadiene styrene (ABS).
21. The tub of claim 1, wherein each of the tub base and the tub lid is transparent or translucent.
22. The tub of claim 1, further comprising: a seal provided between the tub base and the tub lid.
23. The tub of claim 1, wherein: wherein the plurality of indicia or markings have a maximum fill indicator that is visible through the filling inlet, the non-removable water level indicator comprises an inclined portion and a base portion, the inclined portion extends from the base portion, the base portion extends from the tub lid adjacent to the filling inlet, the base portion extends into the tub chamber when the tub lid is in the closed position, the tub further comprises a clip to releasably secure the tub lid to the tub base in the closed position, the plurality of indicia or markings configured to contact the supply of water contained by the tub base to indicate at least a maximum water fill level of the tub base when the tub is in the operational orientation and the tub lid is in the closed position on the tub base, the plurality of indicia or markings are positioned on the inclined portion, the plurality of indicia or markings include wording that is oriented parallel a longitudinal axis of the inclined portion so that the wording is progressively covered as the tub base is filled with water when the tub is in the operational orientation and the tub lid is in the closed position on the tub base, the plurality of indicia or markings include a line adjacent the wording to contact the supply of water contained by the tub base to indicate the maximum water fill level when the tub is in the operational orientation and the tub lid is in the closed position on the tub base, the non-removable water level indicator is integrally formed in one piece with the tub lid, the tub base further comprises a metal portion, the tub lid is formed of a plastic, and each of the tub base and the tub lid is transparent or translucent.
24. The tub of claim 23, wherein the inclined portion comprises a first surface that is visible through the filling inlet and a second surface opposite the first surface, and wherein the inclined portion is angled with respect to the tub lid such that an angle between the second surface and a bottom plane of the tub lid is between just over 90° to just under 180°.
25. An integrated humidifier and positive airway pressure (PAP) device for providing a pressurized and humidified flow of breathable gas to be delivered to a patient at a pressure of about 2-30 cm H.sub.2O, the integrated humidifier and PAP device comprising: a chamber configured to receive the flow of breathable gas; a humidifier lid hinged to the chamber, the humidifier lid being movable between an open position and a closed position; a humidifier seal configured to seal the chamber such that the flow of breathable gas pressurizes the chamber; the tub of claim 1 configured to be inserted into the chamber; and a flow generator configured to generate the flow of breathable gas.
26. The integrated humidifier and PAP device of claim 25, wherein: the chamber comprises a cradle, the cradle comprises a cradle inlet configured to receive the flow of breathable gas from the flow generator, and the cradle comprises a cradle outlet configured to be connected to an air delivery conduit, the cradle outlet configured to supply the pressurized and humidified flow of breathable gas.
27. An integrated humidifier and positive airway pressure (PAP) device for pressurizing and humidifying a flow of breathable gas to be delivered to a patient at a pressure of about 2-30 cm H.sup.2O, the integrated humidifier and PAP device comprising: a flow generator configured to generate a flow of breathable gas, a chamber configured to receive the flow of breathable gas; a humidifier lid hinged to the chamber, the humidifier lid being movable between an open position and a closed position; a tub removable from the chamber, the tub comprising: a tub base configured to contain a supply of water; and a tub lid connected to the tub base to form a tub chamber when the tub lid is in a closed position on the tub base, the tub lid comprising: a filling inlet configured to receive the supply of water to humidify the flow of breathable gas passing through the tub; an outlet for the flow of breathable gas after humidification; and a non-removable water level indicator extending from the tub lid at the filling inlet and into the tub chamber such that when the tub is in an operational orientation and the tub lid is in the closed position on the tub base, contact between the supply of water contained by the tub base and the non-removable water level indicator is visible through the filling inlet to indicate a level of the supply of water in the tub base, wherein the non- removeable water level indicator comprises a plurality of indicia or markings configured to indicate different water levels within the tub; and a humidifier seal positioned between the tub and the humidifier lid when the humidifier lid is in the closed position.
28. The integrated humidifier and PAP device of claim 27, wherein the plurality of indicia or markings have a maximum fill indicator that is visible through the filling inlet.
29. The integrated humidifier and PAP device of claim 28, wherein the maximum fill indicator is positioned on the non-removable water level indicator such that when the tub is in the operational orientation and the tub lid is in the closed position on the tub base, the maximum fill indicator is positioned below an uppermost portion of the non-removable water level indicator.
30. The integrated humidifier and PAP device of claim 28, wherein the outlet has a tub chamber opening that is positioned inside of the tub chamber when the tub lid is in the closed position on the tub base, and wherein the maximum fill indicator is positioned on the non-removable water level indicator such that when the tub is in the operational orientation and the tub lid is in the closed position on the tub base, the maximum fill indicator is positioned below the tub chamber opening.
31. The integrated humidifier and PAP device of claim 28, wherein the non-removable water level indicator has a distal end positioned opposite the tub lid and the maximum fill indicator is positioned on the non-removable water level indicator proximal to the tub lid such that the non-removable water level indicator becomes progressively more submerged during filling of the tub.
32. The integrated humidifier and PAP device of claim 27, wherein: the non-removable water level indicator comprises an inclined portion and a base portion, the inclined portion extends from the base portion, and the base portion extends from the tub lid adjacent to the filling inlet.
33. The integrated humidifier and PAP device of claim 32, wherein the base portion extends into the tub chamber when the tub lid is in the closed position.
34. The integrated humidifier and PAP device of claim 32, wherein the inclined portion comprises a first surface that is visible through the filling inlet and a second surface opposite the first surface, and wherein the inclined portion is angled with respect to the tub lid such that an angle between the second surface and a bottom plane of the tub lid is between just over 90° to just under 180°.
35. The integrated humidifier and PAP device of claim 32, further comprising a clip to releasably secure the tub lid to the tub base in the closed position.
36. The integrated humidifier and PAP device of claim 32, wherein the plurality of indicia or markings are configured to contact contained by the tub base the supply of water to indicate at least a maximum water fill level of the tub base when the tub is in the operational orientation and the tub lid is in the closed position on the tub base.
37. The integrated humidifier and PAP device of claim 36, wherein the plurality of indicia or markings are positioned on the inclined portion.
38. The integrated humidifier and PAP device of claim 36, wherein the plurality of indicia or markings include wording that is oriented parallel a longitudinal axis of the inclined portion so that the wording is progressively covered as the tub base is filled with water when the tub is in the operational orientation and the tub lid is in the closed position on the tub base.
39. The integrated humidifier and PAP device of claim 38, wherein the plurality of indicia or the markings include a line adjacent the wording to contact the supply of water contained by the tub base to indicate the maximum water fill level when the tub is in the operational orientation and the tub lid is in the closed position on the tub base.
40. The integrated humidifier and PAP device of claim 27, wherein the tub lid comprises a channel configured to receive the flow of breathable gas from the flow generator, the channel comprising a channel inlet and a channel outlet.
41. The integrated humidifier and PAP device of claim 40, wherein the tub lid comprises a cover portion that covers the channel from the channel inlet to the channel outlet.
42. The integrated humidifier and PAP device of claim 27, wherein the non-removable water level indicator is integrally formed in one piece with the tub lid.
43. The integrated humidifier and PAP device of claim 27, wherein the tub base further comprises a metal portion.
44. The integrated humidifier and PAP device of claim 43, wherein the metal portion comprises stainless steel or aluminum.
45. The integrated humidifier and PAP device of claim 27, wherein the tub lid is formed of a plastic.
46. The integrated humidifier and PAP device of claim 45, wherein the plastic is polycarbonate or acrylonitrile butadiene styrene (ABS).
47. The integrated humidifier and PAP device of claim 27, wherein each of the tub base and the tub lid is transparent or translucent.
48. The integrated humidifier and PAP device of claim 27, further comprising: a seal provided between the tub base and the tub lid.
49. The integrated humidifier and PAP device of claim 27, wherein: wherein the plurality of indicia or markings have a maximum fill indicator that is visible through the filling inlet, the non-removable water level indicator comprises an inclined portion and a base portion, the inclined portion extends from the base portion, the base portion extends from the tub lid adjacent to the filling inlet, the base portion extends into the tub chamber when the tub lid is in the closed position, the tub further comprises a clip to releasably secure the tub lid to the tub base in the closed position, the plurality of indicia or markings configured to contact the supply of water contained by the tub base to indicate at least a maximum water fill level of the tub base when the tub is in the operational orientation and the tub lid is in the closed position on the tub base, the plurality of indicia or markings are positioned on the inclined portion, the plurality of indicia or markings include wording that is oriented parallel a longitudinal axis of the inclined portion so that the wording is progressively covered as the tub base is filled with water when the tub is in the operational orientation and the tub lid is in the closed position on the tub base, the plurality of indicia or markings include a line adjacent the wording to contact the supply of water contained by the tub base to indicate the maximum water fill level when the tub is in the operational orientation and the tub lid is in the closed position on the tub base, the non-removable water level indicator is integrally formed in one piece with the tub lid, the tub base further comprises a metal portion, the tub lid is formed of a plastic, and each of the tub base and the tub lid is transparent or translucent.
50. The integrated humidifier and PAP device of claim 49, wherein the inclined portion comprises a first surface that is visible through the filling inlet and a second surface opposite the first surface, and wherein the inclined portion is angled with respect to the tub lid such that an angle between the second surface and a bottom plane of the tub lid is between just over 90° to just under 180°.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) Embodiments of the technology will now be described with reference to the accompanying drawings, in which:
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DETAILED DESCRIPTION OF ILLUSTRATED EMBODIMENTS
(31) PAP System
(32) As schematically shown in
(33) In embodiments, a humidifier may be incorporated or integrated into the PAP device or otherwise provided downstream of the PAP device. In such embodiments, the air delivery conduit 20 may be provided between the patient interface 50 and the outlet of the humidifier 15 as schematically shown in
(34) It should be appreciated that the air delivery conduit may be provided along the air delivery path in other suitable manners. For example, as schematically shown in
(35) Generally, a heated humidifier is used to provide sufficient humidity and temperature to the air so that the patient will be comfortable. In such embodiment, the air delivery conduit may be heated to heat the gas and prevent “rain-out” or condensation forming on the inside of the conduit as the gas is supplied to the patient. In this arrangement, the air delivery conduit may include one or more wires or sensors associated with heating.
(36) Referring to
(37) The humidifier 15 comprises a humidifier chamber 16 and a lid 18 which is pivotable between an open and a closed position. A humidifier water chamber, or tub, 14 is provided in the humidifier chamber 16 and is covered by the lid 18 when the lid 18 is in the closed position. A seal 19 is provided to the lid 18. The lid 18 includes a window 30 to allow visual inspection of the contents of the humidifier tub 14. The seal 19 includes an aperture 31 that corresponds to the position of the window 30 of the lid 18. In the closed position of the lid 18, the seal 19 contacts the tub 14 to ensure good thermal contact between a bottom of the tub 14 and a heating plate (not shown) provided in the bottom of the humidifier chamber 16 as disclosed, for example, in WO 2010/031126 A1
(38) As shown in
(39) As shown in
(40) The humidifier 15 may include a control system, or controller, for example, a microprocessor provided on a printed circuit board (PCB). The PCB may be located in the wall of the humidifier chamber 16 and may include a light, e.g., a Light Emitting Diode (LED), to illuminate the contents of the tub 14 to permit visual inspection of the water level. Referring to
(41) It should also be appreciated that the flow generator 12 comprises a control system, or controller, that communicates with the controller of the humidifier 15 when the flow generator 12 and the humidifier 15 are electrically connected. The PAP system 10 may be operated according to various control algorithms stored in the controller(s) of the flow generator 12 and/or the humidifier 15. Such control algorithms are disclosed in, for example, U.S. Patent Application Publication 2009/0223514 A1, the entire contents of which are incorporated by reference.
(42) The humidifier 15 comprises the humidifier chamber 16 and the lid 18 which is pivotally connected to the humidifier chamber 16. As shown in
(43) As shown in
(44) As also shown in
(45) Humidifier Tub—Cleanable
(46) Referring to
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(48) Referring to
(49) The tub lid 86 also comprises a cover portion 301 that covers the section of the flow channel 90 from the flow generator 12 to the outlet 91 of the channel 90 that is angled down towards the flow generator 12. The cover portion 301 prevents any water from flowing back into the flow generator 12 if the tub 14 was filled with water while still connected to the flow generator 12 as water may only be poured into the tub in the region provided by the opening 300 which is designed to channel the water down towards the inlet 93 of the tub lid 86.
(50) As shown in
(51) As also shown in
(52) Referring to
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(54) As shown in
(55) Water Level Indicator
(56) Referring to
(57) In the case of
(58) As shown in
(59) As the water level indicator 320 is located adjacent the water and airflow inlet 93, a user can immediately see from the top, while pouring water into the sump region 340, when the water level has reached a desired level, and/or the maximum level. This improves usability compared to, for example, a water level indicator that is located at a position distant from the water inlet 93 that must be looked at and checked separately from the filling process, or as a water line on the side of the tub as a user would have to tilt his or her head to determine the water level or look lower down at the side to see if water has filled to the desired or maximum level. In addition, when the tub 14 is placed inside the humidifier 15 and the lid 18 is closed to form a pressurised chamber, the window 30 allows a user or clinician to look from the top through the window 30 to see the tub 14 inside the humidifier 15. The location of the inlet 93 and the water level indicator 320 is beneath the window 30 so the user or clinician can easily and immediately check the water level without having to open the lid 18 and/or take out the tub 4. A user or clinician who suspects that the water has run out can visually check without stopping or disturbing the operation of the system. Reducing the need to remove the tub 14 from the humidifier 15 also allows the user or clinician to check water level without risking spillage of the water from the tub 14 and/or into the flow generator 12.
(60) The inclined portion 303 of the water level indicator 320 baffle is located generally in front of the outlet 88 of the tub 14. This helps to deflect water away from the outlet 88 while filling the tub 14 by pouring water into the sump region 340. Also, as the water inlet 93 is also the air inlet, when the airflow enters the interior of the tub 14, it is deflected generally away from the outlet 88, thus directing the airflow across the water surface before exiting the outlet 88. As the pressurized air inflow is initially directed away from the outlet 88 there is less chance of splashing or spitting of water out of the outlet 88. The shape, angle of incline, and location of the inclined portion 303 of the water level indicator 320 may be designed to provide a desired airflow profile to improve water vapour pickup by the airflow and to reduce the likelihood of water spitting or splashing out of the outlet 88. The outlet conduit 88 may be angled upwards and the inclined portion 303 of the water level indicator 320 may be inclined to direct the pressurised airflow to not hit the water surface directly. A wall 335 may also be provided in the tub lid 86 to direct the airflow.
(61) The water level indicator 320, for example, the inclined portion 303, may be formed of a colored plastic material, for example yellow. The water level indicator 320 may be, for example, translucent. When the tub 20 is filled with water, the water level indicator 320 may appear to change color, for example appearing slightly darker or a greenish-yellowish color as the water level rises.
(62) As shown in
(63) The angle α may also be designed so that the change in the air flow direction causes only a small increase in total pressure loss through the tub and so that a swirling action is created in the air flow due to the inclined portion 303 in combination with other internal tub features, e.g., wall 335. The swirling versus pressure loss determination may be made using, for example, computational fluid dynamics (CFD) simulation.
(64) As also shown in
(65) The outlet 88 has an axis at a downward angle β to the plane of the top of the humidifier lid 86. The angle β may be, for example, about 25°-35°, for example about 29.5°. The top of the outlet 88 is also displaced a distance d from the top of the humidifier lid 86 that may be, for example, about 1 mm-10 mm, for example about 5.6 mm. The downward angle and displacement of the outlet 88 helps to prevent spill back of water from the tub.
(66) As shown in the figures, the water level indicator 320 may be a rounded D-shape, although it should be appreciated that other shapes such as rectangular, square, triangular, oval or any other shape may be used.
(67) The tub base 82 may be formed of, for example, metal. For the cleanable and reusable tub 14, the tub base 82 may be formed of stainless steel. For a cleanable and disposable tub, the tub base may be formed of a lower cost conductive material such as aluminium or conductive polymers. It should be appreciated that the tub base 82 may be formed of other metals or alloys, or of other materials.
(68) The tub lid 86 may be formed of, for example, a plastic material, such as polycarbonate. For example, the tub lid 86 may be formed of Makrolon 2458, manufactured by Bayer. For a cleanable and reusable tub, the tub lid may be formed of a dishwasher and/or disinfection safe material, such as polycarbonate. For a disposable tub, the tub lid may be formed from a lower cost material, such as ABS (acrylonitrile butadiene styrene). The tub lid 86 may be transparent, e.g. water clear, or may be translucent, including any colour of translucent material.
(69) Humidifier Tub—Disposable
(70) Referring to
(71) The disposable tub base 82 may be formed of, for example, a metal, such as aluminium. It should also be appreciated that the disposable tub base 82 may be formed of other metals or alloys, or from a plastic material.
(72) Humidifier Tub—Seal
(73) Referring to
(74) The humidifier 14 does not include any seals that are provided under the water supply of the tub base 82. The humidifier lid 18 comprises the seal 19 to allow for pressurizing of the humidifier chamber 16 with the flow provided by the flow generator 12 to reduce the pressure on the tub joints, including the disposable tub and the reusable, cleanable tub, thus reducing leaks. Pressurizing the humidifier chamber also reduces tolerances for insertion of the water tub with respect to seals on the inlet of the humidifier and the outlet tube of the humidifier 14.
(75) The seal for the cleanable and reusable tub and the seal for the disposable tub may be formed of different materials and/or different colours. For example, the seal 112 of the cleanable and reusable tub may be formed of silicone. The seal 112 of the disposable tub may be formed of, for example, TPE material, such as Dynaflex G6713-0001—Yellow [PMS 107C], manufactured by GLS Thermoplastic Elastomers (yellow colour pigment by PolyOne Corporation). It should be appreciated that the seals for the reusable and cleanable tub and for the disposable tub may be the same material and/or the same colour. It should also be appreciated that the material of the seal 112 may be moulded onto at least a portion of the water level indicator 320, for example on the indicia 304 and/or 311 and/or on the inclined portion 303, to improve the visibility of the water level indicator.
(76) While the invention has been described in connection with what are presently considered to be the most practical and preferred examples, it is to be understood that the invention is not to be limited to the disclosed examples, but on the contrary, is intended to cover various modifications and equivalent arrangements included within the spirit and scope of the technology. Also, the various examples described above may be implemented in conjunction with other embodiments, e.g., an aspect of one example may be combined with an aspect of another example to realize yet other examples. Further, each independent feature or component of any given assembly may constitute an additional example. Furthermore, each individual component of any given assembly, one or more portions of an individual component of any given assembly, and various combinations of components from one or more examples may include one or more ornamental design features. In addition, while the technology has particular application to patients who suffer from OSA, it is to be appreciated that patients who suffer from other illnesses (e.g., congestive heart failure, diabetes, morbid obesity, stroke, barriatric surgery, etc.) can derive benefit from the above teachings. Moreover, the above teachings have applicability with patients and non-patients alike in non-medical applications.
(77) In this specification, the word “comprising” is to be understood in its “open” sense, that is, in the sense of “including”, and thus not limited to its “closed” sense, that is the sense of “consisting only of”. A corresponding meaning is to be attributed to the corresponding words “comprise,” “comprised” and “comprises” where they appear.
(78) It will further be understood that any reference herein to known prior art does not, unless the contrary indication appears, constitute an admission that such prior art is commonly known by those skilled in the art to which the technology relates.