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WO2017178776A1 - Dispositifs de thérapie respiratoire - Google Patents

Dispositifs de thérapie respiratoire Download PDF

Info

Publication number
WO2017178776A1
WO2017178776A1 PCT/GB2017/000032 GB2017000032W WO2017178776A1 WO 2017178776 A1 WO2017178776 A1 WO 2017178776A1 GB 2017000032 W GB2017000032 W GB 2017000032W WO 2017178776 A1 WO2017178776 A1 WO 2017178776A1
Authority
WO
WIPO (PCT)
Prior art keywords
respiratory
counter
respiratory therapy
disc
arm
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/GB2017/000032
Other languages
English (en)
Inventor
Mohammad Qassim Mohammad KHASAWNEH
Anthony Lucio BELISARIO
Paul James Leslie Bennett
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.)
Smiths Medical International Ltd
Original Assignee
Smiths Medical International 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 Smiths Medical International Ltd filed Critical Smiths Medical International Ltd
Publication of WO2017178776A1 publication Critical patent/WO2017178776A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

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
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
    • A61M16/0006—Accessories therefor, e.g. sensors, vibrators, negative pressure with means for creating vibrations in patients' airways
    • 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
    • A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0866—Passive resistors 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
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B23/00—Exercising apparatus specially adapted for particular parts of the body
    • A63B23/18—Exercising apparatus specially adapted for particular parts of the body for improving respiratory function
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00—Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/06—Indicating or scoring devices for games or players, or for other sports activities
    • A63B71/0619—Displays, user interfaces and indicating devices, specially adapted for sport equipment, e.g. display mounted on treadmills
    • A63B71/0669—Score-keepers or score display devices
    • A63B71/0672—Score-keepers or score display devices using non-electronic means
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06M—COUNTING MECHANISMS; COUNTING OF OBJECTS NOT OTHERWISE PROVIDED FOR
    • G06M1/00—Design features of general application
    • G06M1/08—Design features of general application for actuating the drive
    • G06M1/083—Design features of general application for actuating the drive by mechanical means
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06M—COUNTING MECHANISMS; COUNTING OF OBJECTS NOT OTHERWISE PROVIDED FOR
    • G06M1/00—Design features of general application
    • G06M1/22—Design features of general application for visual indication of the result of count on counting mechanisms, e.g. by window with magnifying lens
    • G06M1/24—Drums; Dials; Pointers
    • G06M1/241—Drums
    • 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
    • A61M15/00—Inhalators
    • A61M15/0065—Inhalators with dosage or measuring devices
    • A61M15/0068—Indicating or counting the number of dispensed doses or of remaining doses
    • A61M15/007—Mechanical counters
    • A61M15/0071—Mechanical counters having a display or indicator
    • A61M15/0076—Mechanical counters having a display or indicator on a drum
    • 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
    • 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
    • A61M2205/00—General characteristics of the apparatus
    • A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/583—Means for facilitating use, e.g. by people with impaired vision by visual feedback
    • A—HUMAN NECESSITIES
    • A63—SPORTS; GAMES; AMUSEMENTS
    • A63B—APPARATUS FOR PHYSICAL TRAINING, GYMNASTICS, SWIMMING, CLIMBING, OR FENCING; BALL GAMES; TRAINING EQUIPMENT
    • A63B71/00—Games or sports accessories not covered in groups A63B1/00 - A63B69/00
    • A63B71/06—Indicating or scoring devices for games or players, or for other sports activities
    • A63B2071/0694—Visual indication, e.g. Indicia

Definitions

  • respiratory therapy devices can be highly effective at treating respiratory impairments, the relief obtained is dependent on how closely the patient adheres to the prescribed treatment regime: how regularly he uses the device and the manner in which the device is used.
  • Patients are trained to use the devices by a clinician in a hospital but it is essential that the devices are used regularly by the patient in the prescribed manner at home where there is no clinical supervision.
  • the problem is that the patient may not use the device as prescribed when unsupervised, outside a clinical environment.
  • the clinician is unable to determine whether any lack of improvement in the patient's condition is due to his failure to adhere to the treatment regime or other factors so this makes control of the patient's condition very difficult.
  • a respiratory therapy device of the above-specified kind, characterised in that the device includes a movable member arranged to be displaced backwards and forwards during each respiratory flow cycle, that a mechanical linkage is coupled with the movable member and with a counter having numerical markings, that the linkage and counter are arranged such that the counter is advanced numerically by each respiratory cycle so as to provide a numerical indication to the user of the number of breaths taken.
  • Figure 2 shows schematically one part of the counter mechanism
  • the respiratory therapy device 100 comprises a rocker assembly 1 contained within an outer housing 2 provided by an upper part 3 and a lower part 4 of substantially semi-cylindrical shape.
  • the device is completed by an adjustable dial 5 of circular section.
  • the outer housing 2 contains an air flow tube 6 with a breathing inlet 7 at one end and an inspiratory inlet 8 at the opposite end including a one-way valve (not shown) that allows air to flow into the air flow tube but prevents air flowing out through the inspiratory inlet.
  • the air flow tube 6 has an outlet opening 10 with a non-linear profile that is opened and closed by a conical valve element 11 mounted on a rocker arm 12 pivoted midway along its length about a transverse axis.
  • the air flow tube 6 and housing 2 provide a structure with which the rocker arm 12 is mounted.
  • the rocker arm 12 carries an iron pin 13 that interacts with the magnetic field produced by a permanent magnet (not visible) mounted on an adjustable support frame 14.
  • the magnet arrangement is such that, when the patient is not breathing through the device, the far end of the rocker arm 12 is held down such that its valve element 11 is also held down in sealing engagement with the outlet opening 10.
  • a cam follower projection 15 at one end of the support frame 14 locates in a cam slot 16 in the dial 5 such that, by rotating the dial, the support frame 14, with its magnet, can be moved up or down to alter the strength of the magnetic field interacting with the iron pin 13.
  • the dial 5 enables the frequency of operation and the resistance to flow of air through the device to be adjusted for maximum therapeutic benefit to the user.
  • the device differs from conventional therapy devices by the inclusion of a breath counter 100 that is arranged to indicate the number of breaths or respiratory cycles exerted by the user.
  • the breath counter 100 is provided by a unit attached with the lower part of the housing 2 and is shown in more detail in Figures 2 and 3.
  • the counter 100 includes a piston 101 slidable along a cylinder 102 that opens at its upper end into the interior of the housing 2 so that the piston is exposed to pressure change within the housing as the user inhales and exhales through the device.
  • the piston 101 has a head 103 at its upper end that makes a sliding gas-tight seal with the inside of the cylinder 102.
  • a rod 104 extends downwardly from the head 103 out of the closed lower end of the cylinder 102.
  • the invention is not confined to vibratory or expiratory therapy devices but could be used with inspiratory therapy devices and those without any vibratory effect.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Anesthesiology (AREA)
  • Emergency Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Physics & Mathematics (AREA)
  • Physics & Mathematics (AREA)
  • Theoretical Computer Science (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Human Computer Interaction (AREA)
  • Percussion Or Vibration Massage (AREA)

Abstract

La présente invention concerne un dispositif de thérapie expiratoire vibratoire (200) comprenant un compteur de respirations (100) pour compter le nombre de respirations effectuées par un utilisateur. Le compteur comprend un piston (101) dans un cylindre (102) qui s'ouvre dans le boîtier (2) du dispositif. Le piston est relié à un bras articulé (106) qui est tourné contre l'action d'un ressort (108) lorsque le piston est déplacé durant l'expiration. Le bras porte un cliquet (112) muni d'une extrémité libre (113) conçue pour venir en prise avec les dents (116) autour d'un disque de compteur (117). Le disque présente des nombres (118) autour de son bord qui avancent à chaque fois que le patient expire.
PCT/GB2017/000032 2016-04-14 2017-03-09 Dispositifs de thérapie respiratoire Ceased WO2017178776A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB201606580 2016-04-14
GB1606580.7 2016-04-14

Publications (1)

Publication Number Publication Date
WO2017178776A1 true WO2017178776A1 (fr) 2017-10-19

Family

ID=58347701

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2017/000032 Ceased WO2017178776A1 (fr) 2016-04-14 2017-03-09 Dispositifs de thérapie respiratoire

Country Status (1)

Country Link
WO (1) WO2017178776A1 (fr)

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110384895A (zh) * 2019-08-20 2019-10-29 景森 呼吸内科辅助治疗装置
CN110960835A (zh) * 2019-12-10 2020-04-07 施琴朗 一种智能呼吸训练器及其监测方法
WO2020201665A1 (fr) 2019-04-05 2020-10-08 Smiths Medical International Limited Appareil d'inhalothérapie
US10850050B2 (en) 2016-05-19 2020-12-01 Trudell Medical International Smart valved holding chamber
US10881818B2 (en) 2016-07-08 2021-01-05 Trudell Medical International Smart oscillating positive expiratory pressure device
US10894142B2 (en) 2016-03-24 2021-01-19 Trudell Medical International Respiratory care system with electronic indicator
USD910163S1 (en) 2018-01-04 2021-02-09 Trudell Medical International Oscillating positive expiratory pressure device, adapter and control module assembly
CN112742000A (zh) * 2021-01-18 2021-05-04 陈章辉 一种呼吸内科肺功能康复理疗装置
CN113171592A (zh) * 2021-04-30 2021-07-27 黄佳佩 一种呼吸科用肺部功能辅助恢复训练仪
US20210228826A1 (en) * 2018-06-09 2021-07-29 Smiths Medical International Limited Respiratory therapy apparatus and methods
CN113648619A (zh) * 2021-09-26 2021-11-16 重庆上品益生电子商务有限公司 呼吸训练器
CN113893503A (zh) * 2021-11-16 2022-01-07 中国人民解放军陆军军医大学第二附属医院 一种肺康复呼吸训练器
US11395890B2 (en) 2018-06-04 2022-07-26 Trudell Medical International Smart valved holding chamber
US11497867B2 (en) 2016-12-09 2022-11-15 Trudell Medical International Smart nebulizer
US11712175B2 (en) 2019-08-27 2023-08-01 Trudell Medical International Smart oscillating positive expiratory pressure device with feedback indicia
US11759677B2 (en) 2018-02-16 2023-09-19 University Of Louisville Research Foundation, Inc. Respiratory training and airway pressure monitoring device

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6581598B1 (en) 1999-11-24 2003-06-24 Dhd Healthcare Corporation Positive expiratory pressure device
US6776159B2 (en) 1999-11-24 2004-08-17 Dhd Healthcare Corporation Positive expiratory pressure device with bypass
WO2004096110A2 (fr) * 2003-04-28 2004-11-11 Chi, Llc Dispositif respiratoire « levres pincees »
US7059324B2 (en) 1999-11-24 2006-06-13 Smiths Medical Asd, Inc. Positive expiratory pressure device with bypass
US8534284B2 (en) 2006-11-13 2013-09-17 Carefusion 2200, Inc. Respiratory therapy device
WO2013182833A1 (fr) * 2012-06-06 2013-12-12 Smiths Medical International Limited Appareil de thérapie respiratoire
WO2014140532A1 (fr) * 2013-03-15 2014-09-18 Sheffield Hallam University Dispositif à pression expiratoire positive avec surveillance électronique
WO2016092247A1 (fr) 2014-12-11 2016-06-16 Smiths Medical International Limited Appareil de thérapie respiratoire

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6581598B1 (en) 1999-11-24 2003-06-24 Dhd Healthcare Corporation Positive expiratory pressure device
US6776159B2 (en) 1999-11-24 2004-08-17 Dhd Healthcare Corporation Positive expiratory pressure device with bypass
US7059324B2 (en) 1999-11-24 2006-06-13 Smiths Medical Asd, Inc. Positive expiratory pressure device with bypass
US7699054B2 (en) 1999-11-24 2010-04-20 Smiths Medical Asd, Inc. Positive expiratory pressure device
WO2004096110A2 (fr) * 2003-04-28 2004-11-11 Chi, Llc Dispositif respiratoire « levres pincees »
US8534284B2 (en) 2006-11-13 2013-09-17 Carefusion 2200, Inc. Respiratory therapy device
WO2013182833A1 (fr) * 2012-06-06 2013-12-12 Smiths Medical International Limited Appareil de thérapie respiratoire
WO2014140532A1 (fr) * 2013-03-15 2014-09-18 Sheffield Hallam University Dispositif à pression expiratoire positive avec surveillance électronique
WO2016092247A1 (fr) 2014-12-11 2016-06-16 Smiths Medical International Limited Appareil de thérapie respiratoire

Cited By (27)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12383695B2 (en) 2016-03-24 2025-08-12 Trudell Medical International Inc. Respiratory care system with electronic indicator
US10894142B2 (en) 2016-03-24 2021-01-19 Trudell Medical International Respiratory care system with electronic indicator
US10850050B2 (en) 2016-05-19 2020-12-01 Trudell Medical International Smart valved holding chamber
US11975140B2 (en) 2016-05-19 2024-05-07 Trudell Medical International Medication delivery system with mask
US10881818B2 (en) 2016-07-08 2021-01-05 Trudell Medical International Smart oscillating positive expiratory pressure device
US11839716B2 (en) 2016-07-08 2023-12-12 Trudell Medical International Smart oscillating positive expiratory pressure device
US11497867B2 (en) 2016-12-09 2022-11-15 Trudell Medical International Smart nebulizer
US12465705B2 (en) 2016-12-09 2025-11-11 Trudell Medical International Inc. Smart nebulizer
US12214252B2 (en) 2018-01-04 2025-02-04 Trudell Medical International Inc. Smart oscillating positive expiratory pressure device
USD910163S1 (en) 2018-01-04 2021-02-09 Trudell Medical International Oscillating positive expiratory pressure device, adapter and control module assembly
US11964185B2 (en) 2018-01-04 2024-04-23 Trudell Medical International Smart oscillating positive expiratory pressure device
US11666801B2 (en) 2018-01-04 2023-06-06 Trudell Medical International Smart oscillating positive expiratory pressure device
US11759677B2 (en) 2018-02-16 2023-09-19 University Of Louisville Research Foundation, Inc. Respiratory training and airway pressure monitoring device
US11395890B2 (en) 2018-06-04 2022-07-26 Trudell Medical International Smart valved holding chamber
US12427272B2 (en) 2018-06-04 2025-09-30 Trudell Medical International Inc. Smart valved holding chamber
US11850355B2 (en) 2018-06-04 2023-12-26 Trudell Medical International Smart valved holding chamber
US20210228826A1 (en) * 2018-06-09 2021-07-29 Smiths Medical International Limited Respiratory therapy apparatus and methods
WO2020201665A1 (fr) 2019-04-05 2020-10-08 Smiths Medical International Limited Appareil d'inhalothérapie
CN110384895B (zh) * 2019-08-20 2020-10-30 景森 呼吸内科辅助治疗装置
CN110384895A (zh) * 2019-08-20 2019-10-29 景森 呼吸内科辅助治疗装置
US11712175B2 (en) 2019-08-27 2023-08-01 Trudell Medical International Smart oscillating positive expiratory pressure device with feedback indicia
CN110960835A (zh) * 2019-12-10 2020-04-07 施琴朗 一种智能呼吸训练器及其监测方法
CN112742000A (zh) * 2021-01-18 2021-05-04 陈章辉 一种呼吸内科肺功能康复理疗装置
CN113171592B (zh) * 2021-04-30 2022-03-04 黄佳佩 一种呼吸科用肺部功能辅助恢复训练仪
CN113171592A (zh) * 2021-04-30 2021-07-27 黄佳佩 一种呼吸科用肺部功能辅助恢复训练仪
CN113648619A (zh) * 2021-09-26 2021-11-16 重庆上品益生电子商务有限公司 呼吸训练器
CN113893503A (zh) * 2021-11-16 2022-01-07 中国人民解放军陆军军医大学第二附属医院 一种肺康复呼吸训练器

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