Apparatus for measuring properties of gases supplied to a patient

Abstract

The gases temperature supplied to a patient when the patient is undergoing treatment such as oxygen therapy or positive pressure treatment for conditions such as Obstructive Sleep Apnea (OSA) or Chronic Obstructive Pulmonary Disease (COPD) is often measured for safety and to enable controlling of the humidity delivered to the patient. The invention disclosed is related to measurement of properties, particularly temperature (thermister 23), of gases flowing through a heated tube (3), supplying gases to a patient, which utilises the heating wire (21, 28) within the tube.

Claims

1. A respiratory therapy system configured to provide respiratory gases to a patient to treat one or more respiratory conditions of the patient, the respiratory therapy system comprising: a gases supply providing a flow of respiratory gases; a gases outlet, the gases supply providing the flow of respiratory gases to the gases outlet, the gases outlet further comprising electrical connections configured to provide power to and receive the measurement signal from a heated delivery conduit; at least one delivery conduit configured to convey said gases to the patient, the at least one delivery conduit comprising: a heater wire configured to heat the gases flowing through the at least one delivery conduit; and at least one temperature measurement circuit configured to measure the temperature of the gases flowing through the conduit and provide the measurement signal; wherein the at least one delivery conduit is further configured to removably connect to the gases outlet and receive power from the gases outlet and provide the measurement signal to the gases outlet; wherein the heater wire and the at least one temperature measurement circuit share at least one common electrical connection between the at least one delivery conduit and the gases outlet.

2. The respiratory therapy system of claim 1, wherein the temperature measurement circuit comprises a thermistor.

3. The respiratory therapy system of claim 2, wherein the thermistor is at least partially molded into the wall of the delivery conduit.

4. The respiratory therapy system of claim 2, wherein the thermistor comprises a known resistance at ambient temperature.

5. The respiratory therapy system of claim 4, wherein the known resistance at ambient temperature of the thermistor is chosen to correspond to and provide identification of the at least one delivery conduit such that a control system measuring a resistance of the thermistor can identify the at least one delivery conduit from a plurality of different types of delivery conduits.

6. The respiratory therapy system of claim 1, wherein the heater wire and the at least one temperature measurement circuit are in a parallel circuit configuration.

7. The respiratory therapy system of claim 1, wherein the heater wire and the at least one temperature measurement circuit are in a series circuit configuration.

8. The respiratory therapy system of claim 1, wherein the measurement signal is transmitted through the heater wire.

9. A respiratory therapy system configured to provide respiratory gases to a patient to treat one or more respiratory conditions of the patient, the respiratory therapy system comprising: a gases supply providing a flow of respiratory gases; a gases outlet, the gases supply providing the flow of respiratory gases to the gases outlet, the gases outlet further comprising electrical connections configured to provide power to and receive a measurement signal from a heated delivery conduit; at least one delivery conduit configured to convey said gases to the patient, the at least one delivery conduit comprising: a heater wire arranged and configured to heat the gases flowing through the at least one delivery conduit; and at least one temperature measurement circuit configured to measure the temperature of the gases flowing through the conduit and provide the measurement signal; wherein the at least one delivery conduit is further configured to removably connect to the gases outlet and receive power from the gases outlet and provide the measurement signal to the gases outlet using fewer than four electrical connections.

10. The respiratory therapy system of claim 9, wherein the temperature measurement circuit comprises a thermistor.

11. The respiratory therapy system of claim 10, wherein thermistor is at least partially molded into the wall of the delivery conduit.

12. The respiratory therapy system of claim 10, wherein the thermistor at least partially extends into the gases supplied to the patient through the at least one delivery conduit.

13. The respiratory therapy system of claim 10, wherein the thermistor comprises a known resistance at ambient temperature.

14. The respiratory therapy system of claim 13, wherein the known resistance at ambient temperature of the thermistor is chosen to correspond to and provide identification of the at least one delivery conduit such that a control system measuring a resistance of the thermistor can identify the at least one delivery conduit from a plurality of different types of delivery conduits.

15. The respiratory therapy system of claim 9, wherein the heater wire and the at least one temperature measurement circuit are in a parallel circuit configuration.

16. The respiratory therapy system of claim 9, wherein the heater wire and the at least one temperature measurement circuit are in a series circuit configuration.

17. The respiratory therapy system of claim 9, wherein the measurement signal is provided through the heater wire.

18. A respiratory therapy delivery conduit configured to convey respiratory gases to a respiratory gases recipient, the delivery conduit comprising: a heater wire configured to heat gases flowing through delivery conduit; and at least one temperature measurement circuit configured to measure the temperature of the gases flowing through the conduit and provide the measurement signal; wherein the delivery conduit is further configured to removably connect to a respiratory therapy system, receive power from the respiratory therapy system and provide the measurement signal to the respiratory therapy system; wherein the heater wire and the at least one temperature measurement circuit share at least one common electrical connection between the delivery conduit and the respiratory therapy system.

19. The respiratory therapy system of claim 18, wherein the temperature measurement circuit comprises a thermistor.

20. The respiratory therapy system of claim 19, wherein the thermistor comprises a known resistance at ambient temperature.

21. The respiratory therapy system of claim 20, wherein the known resistance at ambient temperature of the thermistor is chosen to correspond to and provide identification of the at least one delivery conduit such that a control system measuring a resistance of the thermistor can identify the at least one delivery conduit from a plurality of different types of delivery conduits.

22. The respiratory therapy system of claim 18, wherein the heater wire and the at least one temperature measurement circuit are in a parallel circuit configuration.

23. The respiratory therapy system of claim 18, wherein the heater wire and the at least one temperature measurement circuit are in a series circuit configuration.

24. The respiratory therapy system of claim 18, wherein the measurement signal is provided through the heater wire.

25. A respiratory therapy delivery conduit configured to convey respiratory gases to a respiratory gases recipient, the delivery conduit comprising: a heater wire configured to heat gases flowing through the delivery conduit; and at least one temperature measurement circuit configured to measure the temperature of the gases flowing through the conduit and provide the measurement signal; wherein the delivery conduit is further configured to removably connect to a respiratory therapy system, receive power from the respiratory therapy system and provide the measurement signal to the respiratory therapy system using fewer than four electrical connections.

26. The respiratory therapy system of claim 25, wherein the temperature measurement circuit comprises a thermistor.

27. The respiratory therapy system of claim 26, wherein the thermistor comprises a known resistance at ambient temperature.

28. The respiratory therapy system of claim 27, wherein the known resistance at ambient temperature of the thermistor is chosen to correspond to and provide identification of the at least one delivery conduit such that a control system measuring a resistance of the thermistor can identify the at least one delivery conduit from a plurality of different types of delivery conduits.

29. The respiratory therapy system of claim 25, wherein the measurement signal is provided through the heater wire.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

(1) Preferred forms of the present invention will now be described with reference to the accompanying drawings.

(2) FIG. 1 is an illustration of a respiratory humidifier system that may be used with the method of the present invention of measuring temperature of gases supplied to a patient.

(3) FIG. 2 is a circuit diagram of the electronics enabling the measurement of the temperature of gases to a patient, where the circuit is utilised when the system of the present invention is utilising DC heating and measuring voltages.

(4) FIG. 3 is a circuit diagram of the electronics enabling the measurement of the temperature of gases to a patient, where the circuit is utilised when the system of the present invention is utilising DC or AC voltages for the heating and signal voltages.

(5) FIG. 4 is a cut away of a conduit including a circuit of the present invention on a printed circuit board and residing with the conduit in the area of gases flow.

DETAILED DESCRIPTION

(6) The present invention seeks to measure various properties, for example temperature or humidity, at the end of a gas delivery tube or conduit using sensors mounted on a wire, such as a wire used for heating the gases flow through the tube or conduit, where the wire resides within the delivery tube or conduit. A heated tube with a heating wire such as that described in Fisher & Paykel Healthcare Limited U.S. Pat. No. 6,078,730 or any other similar tube and heating wire could be utilised with the present invention.

(7) Referring to FIG. 1 a ventilation and humidifying system as might be used with the present invention is shown. A patient 13 is receiving humidified and pressurised gases through a nasal cannula 12 connected to a humidified gases transportation pathway or inspiratory conduit 3 that in turn is connected to a humidifier 8 (including humidification chamber 5) supplied with gases from a blower 15 or other appropriate gases supply means.

(8) The inspiratory conduit 3 is connected to the outlet 4 of the humidification chamber 5 that contains a volume of water 6. The humidification chamber 5 is preferably formed from a plastics material and may have a highly heat conductive base (for example an aluminium base) that is in direct contact with a heater plate 7 of humidifier 8. The humidifier 8 is provided with control means or an electronic controller 9 that may comprise a microprocessor based controller executing computer software commands stored in associated memory. Gases flowing through the inspiratory conduit 3 are passed to the patient by way of the nasal cannula 12, but may also be passed to the patient by way of other patient interfaces such as a nasal or full face mask.

(9) The controller 9 receives input from sources such as user input means or dial 10 through which a user of the device may, for example, set a predetermined required value (preset value) of humidity or temperature of the gases supplied to patient 13. In response to the user set humidity or temperature value input via dial 10 and other possible inputs such as internal sensors that sense gases flow or temperature, or by parameters calculated in the controller, controller 9 determines when (or to what level) to energise heater plate 7 to heat the water 6 within humidification chamber 5. As the volume of water 6 within humidification chamber 5 is heated, water vapour begins to fill the volume of the chamber above the surface of the water and is passed out of the humidification chamber 5 outlet 4 with the flow of gases (for example air) provided from a gases supply means or blower 15 which enters the humidification chamber 5 through inlet 16.

(10) The blower 15 may be provided with a variable speed pump or fan 2 which draws air or other gases through the blower inlet 17. The speed of the variable speed pump or fan 2 maybe controlled by a further control means or electronic controller 18 which responds either to inputs from controller 9 or to user-set predetermined required values (preset values) of pressure or fan speed, via dial 19. Alternatively, the function of this controller 18 can be combined with the other controller 9.

(11) A heating element or wire 11 is preferably provided within, around and throughout the conduit or tubing 3 to help prevent condensation of the humidified gases within the conduit. Such condensation is due to the temperature of the walls of the conduit being close to the ambient temperature, (being the temperature of the surrounding atmosphere) which is usually lower than the temperature of the humidified gases within the conduit. The heater element effectively replaces the energy lost from the gases through conduction and convection during transit through the conduit. Thus the conduit heater element ensures the gases delivered are at an optimal temperature and humidity.

(12) Such a heater wire is commonly driven either with direct current (DC) or alternating current (AC) and in both cases the heating voltage is usually switched on and off to control the power applied to the heating element. In the present invention the heating element 11, which is most preferably a wire, is used along with an electronic circuit to determine properties of the gases supplied to the patient. The circuit (20 or 40 in FIGS. 2 and 3) is preferably connected in series with the heater wire 11. The circuit may be on a printed circuit board, or wired within a housing that may be a plastic moulding in the gases flow, or a circuit board that is at least partially moulded within the wall of the conduit or tubing 3. The properties that may be measured include temperature, pressure, gas composition and humidity. Two embodiments of the present invention are described below, one that operates using only a DC heating voltage and the other that can operate with a DC or AC heating voltage.

(13) DC Heating Voltage

(14) FIG. 2 shows a circuit 20 that may be utilised for carrying out the method of measuring temperature of the present invention. When a DC heating voltage 25 is applied to the heater wire the diode 22 conducts and current flows through the heater wire 21, 28 and the heater wire functions as normal and provides heating to the delivery tube 3. When the heating voltage 25 is switched off using switch 29, a measurement voltage 26, which has opposite polarity to the heating voltage 25 is applied to the heater wire. In this case, the current in the heater wire 21, 28 does not flow through the diode 22 but flows through the thermistor 23 and through a reference resistor 24. The voltage across the reference resistor 24 can then be measured at the output 27 and the temperature of the gases determined. The voltage measurement 27 across the reference resistor, 24, is converted to a temperature using a look up table or an equation to calculate a value for temperature. This is similar to a commonly used technique where the thermistor 23 forms a potential divider with the reference resistor 24.

(15) More generally, the thermistor may be replaced by an impedance (for example, a resistor and a capacitive sensor) for pressure or humidity measurement. Either the impedance can be measured by measuring the voltage across the reference resistor 24 or the rise-time could be determined by looking at the voltage across the reference resistor 24 in time.

(16) Part of the circuit 20 would be included in the delivery conduit 3 and in particular the diode 22 and thermistor 23 (in parallel with one another) are preferably placed in series with the heater wire 21, 28 at a point in the heater wire at or near the end 30 (nearest the user 13, see FIGS. 1, 2 and 4) of the delivery tube 3, for example they may be interconnected on a printed circuit board, overmoulded with plastic for sealing and mounted in the gases stream through the delivery conduit as shown in FIG. 4. Furthermore, the circuit may be formed by interconnected parts in a housing, for example, a plastic housing, that protrudes from the plastic wall of the delivery tube into the gases flow through the conduit, in order to measure that gases properties. All other parts of the circuit 20 including the reference resistor 24 and the switching circuitry 29 would be included in the control circuitry of the humidifier 8.

(17) The thermistor's value can be chosen to have different resistance curves with known properties at ambient temperature. The choice of a particular thermistor value for use with the circuit allows identification by the control system of the present invention and matching of that thermistor value with a specific conduit or tubing 3. Such that different thermistor values can be matched with a particular and appropriate conduit types and upon connection of the conduit to a humidifier or blower device, the control system can identify that thermistor and apply the appropriate control strategy to the heating of the conduit.

(18) AC or DC Heating Voltage

(19) The circuit shown in FIG. 2 is intended to be used when a DC heating voltage is used in conjunction with the heater wire, delivery conduit and system as shown in FIG. 1. An alternative embodiment of a circuit 40 that would provide measurement of the gases properties, such as temperature and is suitable for AC and DC voltages, is shown in FIG. 3. A number of voltage signals 51, 52, 53, which are at different frequencies, are added together at an adder 50. These signals include at least one heating signal 51 and at least one measuring signal 53. The combination of these signals passes down the heater wire 44, creating currents (heating and measuring) in the heater wire 44. A number of parallel paths are established 41, 43, 45 each containing a filter (for example, as shown in FIG. 3, one low pass filter 41 and three band pass filters 43, 45, 48) that each pass a different frequency range. These parallel paths (that is, filters, thermistors and/or sensors) are preferably located at the end 30 of the delivery tube 3, in a similar manner as described in relation to FIG. 2. The parallel paths allow the heating current to be passed through a different path to the measurement currents. It also allows multiple measurement signals to be passed through the heater wire so that different properties of the gases (e.g. temperature, pressure, humidity, composition) may be measured.

(20) The heating and measurement currents return through the heater wire 46 and can be filtered through a number of measurement filters 47, 49, 57 in parallel that pass frequency bands that correspond to the filters, 41, 43, 45 located at the end 30 of the tube 3. The heating current takes a different path than the measurement currents. The measurement currents each take a different path depending on their frequency and this allows each measurement current to be measured by passing it through a reference resistor 48, 54 or similar. Again a look up table or equation may be used to convert the voltage across the reference resistor 48, 54 to, for example, a temperature. In the preferred embodiment of the present invention the measurement filters 47, 49, 57 would be included in the humidifier 8 control circuitry.

(21) In a further embodiment one or more of the sensing elements 55, 56 at the end 30 of the delivery tube 3 could be replaced by a fixed impedance to allow identification of the tube so that different control algorithms can be used for different conduits or tubes.

(22) FIG. 4 shows a cutaway view of a conduit 3 with a printed circuit board 60 housing the parts to one of the circuits of the present invention described above with reference to FIG. 2 or 3. The circuit board 60 is connected to the heating wires 21, 28 and as such is positioned within the conduit 3. In this manner, the thermistor 23 included on the board 60 is exposed to the gases flowing through the conduit 3 and can provide measurements of the properties of the gases.

(23) The circuits and method of the present invention can be applied to a number of applications of these technologies for humidification and breathing circuit products. For example, the measurement of the temperature or humidity at the end of the delivery tube (or in a patient interface, for example, nasal cannula or mask) can be used to better control the humidifier, such that a more accurate temperature of gases can be supplied to the patient, providing optimal patient comfort and therapy. Additionally, other gases properties may be measured, such as the gases pressure or gas composition near the patient.

(24) The apparatus of the present invention eliminates the need for external wires for sensing gases properties, as is required by the prior art. Furthermore the apparatus of the present invention only uses two pins or contacts (as opposed to four pins as used in current heated tube implementations). This means the system of the present invention is likely to be more reliable as the contacts/pins are likely to be less prone to breakage. The utilisation of the heater wire for measuring gases properties may also reduce the cost of the breathing tube 3 and associated parts, especially if the breathing tube is to be disposable.