ARRANGEMENT HAVING A GAS FLOW REVERSING ELEMENT AND A SWITCHABLE CONNECTION

Abstract

The present invention relates to an arrangement (1) comprising a switchable connection (2) and a gas flow reversing element (3), e.g. according to WO 2008/113752 A1, which is suitable for using a gas supply (4), in particular oxygen, which is at excess pressure in order to selectively generate a gas stream (5) from or to a line connection (6) which can be connected, in particular via a lumen (7), to an airway of a patient (8); wherein the switchable connection (2) is arranged at the branching piece (10) or at the line connection (6) and switchably connects at least one second line (15) to the first line (13), wherein the switchable connection (2) has at least two switching positions (16, 17), wherein (1) in the first switching position (16) the first line (13) is open and the second line (15) is closed, such that the gas flow (5) through the connection (2) can flow in both directions along the first line (13); (2) in the second switching position (17), if the switchable connection (2) is arranged at the branching piece (10), the second line (15) is fluidically connected, via the connection (2), to the line connection (6) and in particular to the lumen (7) or, if the switchable connection (2) is arranged at the line connection (6), the second line (15) is connected to the lumen (7).

Claims

1. An arrangement comprising a switchable connector and a gas flow reversing element which is suitable for exploiting a gas supply under positive pressure for selectively generating a gas flow from or to a line connector which is connectable to airways of a patient by way of a lumen; wherein the gas flow reversing element is embodied at least as a main piece with a branching piece, wherein the main piece connects a pressure connector for connection to the gas supply with at least one closable outlet opening and the branching piece connects, by way of a first line, the main piece to the line connector, wherein a nozzle is embodied and arranged in the main piece in such a way that a gas flow flowing from the pressure connector through the nozzle to the outlet opening also is able to produce a gas flow through the first line in the direction of the outlet opening in the main piece if the outlet opening is open, wherein the switchable connector is arranged at the branching piece or at the line connector and switchably connects at least a second line to the first line, wherein the switchable connector has at least two switching positions, wherein, in the first switching position, the first line is open and the second line is closed such that the gas flow can flow through the connector in both directions along the first line; in the second switching position, the second line is flow-connected to the line connector and, to the lumen via the connector if the switchable connector is arranged at the branching piece or the second line is connected to the lumen if the switchable connector is arranged at the line connector.

2. The arrangement as claimed in claim 1, wherein, in the second switching position, the first line to the main piece is closed and the second line is flow-connected to the line connector and/or to the lumen via the connector.

3. The arrangement as claimed in claim 1, wherein the gas flow reversing element is arranged in an ergonomically shaped housing, which is adapted to a hand of a human, wherein the switchable connector can be transferred at least from the first switching position to the second switching position manually, preferably using at least one finger of the same hand of a human.

4. The arrangement as claimed in claim 1, wherein the connector is actuatable by way of a lever element.

5. The arrangement as claimed in claim 4, wherein the lever element is rotatably arranged at the connector for the purposes of actuating the connector.

6. The arrangement as claimed in claim 5, wherein the lever element is rotated by substantially a quarter rotation for a switching process between the first switching position and the second switching position.

7. The arrangement as claimed in claim 1, wherein at least one switching process from the second switching position into the first switching position is effectuated automatically.

8. The arrangement as claimed in claim 1, wherein the connector and the gas flow reversing element are detachably connectable to one another.

9. The arrangement as claimed in claim 1, wherein the connector and the gas flow reversing element are connected to one another in a non-detachable manner.

10. The arrangement as claimed in claim 1, wherein at least one connection of the group connector with the line connector, connector with the second line, and connector with the first line is embodied as a so-called Luer lock connection.

11. A method for measuring a pressure in an arrangement as claimed in claim 1, wherein a pressure measuring device is arranged at the second line, wherein, if the switchable connector is in the second switching position, the pressure in the first line between the connector and the line connector or in the lumen between the connector and a patient can be measured by way of the pressure measuring device.

12. The method as claimed in claim 11, wherein the second line is never flow-connectable to the main piece.

Description

[0042] The explanations in respect of the method are transferable to the arrangement, and vice versa. Preferred exemplary embodiments of the invention are explained in more detail below on the basis of the drawings, with the invention however not being restricted thereto. The same reference signs indicate the same objects. In detail:

[0043] FIG. 1 shows a longitudinal section through an arrangement with schematically illustrated peripheral appliances;

[0044] FIG. 2 shows a switchable connector in the second switching position;

[0045] FIG. 3 schematically shows a section of an arrangement;

[0046] FIG. 4 schematically shows a section of a gas flow reversing element with a bypass;

[0047] FIG. 5 schematically shows a section of the gas flow reversing element of FIG. 4 in another position of the closing element; and

[0048] FIG. 6 schematically shows a section of the gas flow reversing element of FIGS. 4 and 5 with a further position of the closing element and a closed outlet opening.

[0049] FIG. 1 shows a gas flow reversing element 3 with a main piece 9 which connects a pressure connector 11 to an outlet opening 12. The pressure connector 11 can be connected by a connection line 24 to a gas supply 4 under positive pressure in a pressurized gas source 25. In general, an oxygen pressure flask is available for emergency care of patients. The pressurized gas source can also be provided by way of a stationary connector (e.g. in a hospital). A branching piece 10 branches off the main piece 9, said branching piece leading to a line connector 6. A nozzle 14, through which a gas flow 5 can flow from the pressure connector 11 to the outlet opening 12, is formed in the main piece 9, with this nozzle 14 lying in the vicinity of the branching piece 10 such that the gas flow 5 flowing through the nozzle 14 to the outlet opening 12 creates negative pressure in the branching piece 10.

[0050] Further, the branching piece 10 has two safety openings 22. For as long as these two safety openings 22 are not closed in a targeted manner, the arrangement 1 has no influence on the airways of a patient 8, even if the gas flow 5 is flowing. Only when these safety openings 22 are closed does negative pressure arise in the branching piece 10 for as long as the outlet opening 12 is open and positive pressure arise if the outlet opening 12 is closed. Preferably, all openings 12, 22 should be arranged in such a way that they can be closed by an operator with one hand in a deliberate manner, but hardly inadvertently. At least the outlet opening 12 should then be closable by one finger (e.g. the thumb) as it must be alternately opened and closed during the ventilation.

[0051] Here, the switchable connector is connected to the line connector 6, preferably by way of a so-called Luer lock connection 20. The connector 2 and the gas flow reversing element 3 are detachably connected to one another by way of this connection 20.

[0052] The whole arrangement 1 is preferably produced from plastic.

[0053] Here, the switchable connector 2 is directly arranged at the line connector 6 (between the line connector 6 and the patient 8) on the housing 18 and it connects a second line 15 in a switchable manner to the first line 13, wherein the switchable connector 2 is illustrated here in the first switching position 16. Here, the first line 13 is open and the second line 15 is closed, and so the gas flow 5 can flow through the connector 2 in both directions along the first line 13. A pressure measuring device 21 is connected to the second line 15. A lumen 7 connects the connector 2 and the airways of the patient 8. Here, the connector 2 has a T-shaped connection line 31. The T-shaped connection line 31 extends between a first end 28, a second end 29, and a third end 31. In the shown first switching position 16, the first end 28 is arranged at the line connector 6 and the third end 30 is arranged at the lumen 7, and so a gas flow 5 can flow along the first line 13, through the line connector 6, the connection line 31 and the lumen 7. The second end 29 is closed in this case (e.g. by way of a housing of the connector 2).

[0054] The connector 2 is actuatable by way of a lever element 19. The lever element 19 is arranged in rotatable fashion on the connector 2 for the purposes of actuating the connector 2. The lever element 19 is rotated through substantially a quarter rotation (90 degrees) for a switching process between the first switching position 16 and the second switching position 17 (see FIG. 2) (see direction of rotation in FIGS. 1 and 2).

[0055] The gas flow reversing element 3 is arranged in an ergonomically shaped housing 18. Here, the housing 18 is shaped in such a way that it is adapted to the human hand. The safety openings 22 can be closed with the fingers; the outlet opening 12 can be wholly or partly closed with the thumb. The connector 2 is arranged in, or, as shown here, in the direct vicinity of, the housing 18 and it can be actuated by way of the lever element 19, in particular using fingers of the same hand. As a result of such a configuration, it is possible to operate the arrangement 1 using only one human hand. It is also possible to provide only one safety opening 22 for the purposes of simplified handling. The housing 18 and the connector 2 can be produced in a manner combined or linked in various ways. What is important is that, in particular, an arrangement 1 that is easily operated manually arises, said arrangement being able to be held in one hand, wherein the outlet opening 12 and the safety openings 22 can be closed with the fingers or with other parts of this hand and wherein the connector 2 is actuatable by way of fingers of the same hand (in particular by the same finger which actuates the safety opening 22).

[0056] FIG. 2 shows a switchable connector 2 in the second switching position 17. The connector 2 has a restoring device 26 (e.g. a compression spring) such that the switching process from the second switching position 17 back into the first switching position 16 is effectuated automatically. In the second switching position 17 shown here, the second line 15 is flow-connected via the third end 30, the connection line 31, and the second end 29 of the connector 2 only to the lumen 7 such that the pressure measuring device 21 can measure the pressure in the lumen 7 and hence the pressure in the airways of a patient 8 is determinable. In the second switching position 17 shown here, the connector 2 only connects the second line 15 to the lumen 7. Here, the first end 28 is closed (e.g.

[0057] by way of a housing of the connector 2).

[0058] Shown here is that the connector 2 in the second switching position 17 closes the first line 13 to the main piece 9 and the second line 15 is only flow-connected to the lumen 7 by the connector 2.

[0059] Alternatively, it is possible to integrate the connector 2 into the housing 18 of the gas flow reversing element 3. Then, for example, the switchable connector 2 is arranged at the branching piece 10, i.e. attached to the first line 13 between the main piece 3 and line connector 6 (for a lumen 7, e.g. a catheter). The first line 13 is opened or closed by the connector 2, with the second line 15 being connectable via the first line 13 and the line connector 6 to the lumen 7.

[0060] FIG. 3 schematically shows a section of an arrangement 1. This arrangement 1 comprises a gas flow reversing element 3, e.g. according to U.S. 61/844746. Here, a gas supply 4 under positive pressure is likewise used for alternate production of a gas flow 5 from or to the line connector 6. The gas flow reversing element 3 comprises a main piece 9 with a branching piece 10, with the main piece 9 connecting a pressure connector 11 for connection with the gas supply 4 to at least one closable outlet opening 12 and the branching piece 10 connecting the main piece 9 to the line connector 6 by way of a first line 13. In the main piece 9, a nozzle 14 is embodied and arranged in such a way that a gas flow 5 through the first line 13 is producible in the direction of the outlet opening 12 by a gas flow 5 in the main piece 9 flowing from the pressure connector 11 through the nozzle 14 to the outlet opening 12 when the outlet opening 12 is open. Here, a closing element 23 (e.g. a switchable valve or a clamp which can press together and close a flexible line from the outside) is arranged in the main piece 9 such that the nozzle 14 can optionally be circumvented and the gas flow 5 can be directly supplied to the line connector 6 via the bypass 27. Here too, the switchable connector 2 is arranged at the line connector 6 and at least one second line 15 is switchably connectable to the first line 13.

[0061] FIG. 4 schematically shows a section of a gas flow reversing element 3 with a bypass 27 (e.g. according to U.S. 61/844746, and according to FIG. 3). As a result of actuating the closing element 23, the gas flow 5 in this case flows from the pressure connector 11 in the direction of the outlet opening 12 and hence produces a further gas flow 5, which flows via the line connector 6 through the branching piece 10 to the outlet opening 12.

[0062] FIG. 5 schematically shows a section of the gas flow reversing element 3 from FIG. 4 with another position of the closing element 23. Here the gas flow 5, which flows into the gas flow reversing element 3 via the pressure connector 11, is transferred via the bypass 27 directly into the first line 13 in the branching piece 10, without a pressure loss occurring as a result of flowing over the nozzle 14.

[0063] FIG. 6 schematically shows a section of the gas flow reversing element 3 from FIGS. 4 and 5 in a further position of the closing element 23 and with a closed outlet opening 12. Here, the gas flow 5, which flows into the gas flow reversing element 3 via the pressure connector 11, is transferred via the main piece 9 and the nozzle 14 into the first line 13 in the branching piece 10.

LIST OF REFERENCE SIGNS

[0064] 1 Arrangement [0065] 2 Connector [0066] 3 Gas flow reversing element [0067] 4 Gas supply [0068] 5 Gas flow [0069] 6 Line connector [0070] 7 Lumen [0071] 8 Patient [0072] 9 Main piece [0073] 10 Branching piece [0074] 11 Pressure connector [0075] 12 Outlet opening [0076] 13 First line [0077] 14 Nozzle [0078] 15 Second line [0079] 16 First switching position [0080] 17 Second switching position [0081] 18 Housing [0082] 19 Lever element [0083] 20 Connection [0084] 21 Pressure measuring device [0085] 22 Safety opening [0086] 23 Closing element [0087] 24 Connection line [0088] 25 Pressurized gas source [0089] 26 Restoring device [0090] 27 Bypass [0091] 28 First end [0092] 29 Second end [0093] 30 Third end [0094] 31 Connection line