Patent Application
20210299387
The present disclosure relates to a medical utility device for use with respiratory airline apparatus including but not limited to Vapotherm and/or the AirVO2, and more particularly relates to a nebulizer adapter that allows the passage of gas, that includes a drainage port that allows for the passage of moisture or water vapor that flows into an evaporative dispersal system for capturing moisture from the respiratory air or breathing gas passing through the respiratory circuit and nebulizer adapter.
People with respiratory ailments, including but not limited to general respiratory distress, RSV (respiratory syncytial virus), CHF (congestive heart failure), asthma, pneumonia, COPD (chronic obstructive pulmonary disorder), and Covid-19, other viruses, and patients in neonate care, adult intensive care, sub-acute care, palliative care, who are in need of high flow therapy (HFT) medical apparatuses that allows for the delivery of high flow pressure rate of breathing gases to the patient, in order to effectively provide an increase of fraction of inspired oxygen along with the decreasing the rate of the patients work of breathing, to prevent intubation or to help aid with normal breathing process, may utilize respiratory circuit or respiratory airline systems such as Vapotherm apparatus.
Respiratory airline apparatus such as HFT are widely used apparatuses in the medical field for facilitating patients' breathing by providing a continuous supply of clean breathing gas, such as oxygen or other needed gases or a combination of gases. In addition, the breathing system is usually used in combination with a humidifier to adjust the humidity of the breathing gas according to the patient's body temperature thereby raising the comfort level during breathing. Further, the breathing system is also capable of dosing respiratory medication to further augment the patient's breathing circulation. Patients receiving medications, may need the use of a nebulizer that allows for aerosolized respiratory medications such as bronchodilators, salbutamol, and levosalbutamol/Levalbuterol for treating the correlating ailments such as asthma, COPD, COVID-19 or other viruses, and/or the delivery of other medications such as medicinal marijuana, and pharmaceuticals to patients. Nebulizer adapter devices may be connected to HFT and other respiratory devices to provide an inlet and aerosolized medicated chamber to administer such medications while providing continuous gas flow to the patient. This nebulizer adapter with moisture trap connects to a wide range of nebulizers including but not limited to the Aeroneb nebulizer.
In a low temperature environment, the breathing gas and/or patient's exhaled breath in the respiratory circuit tends to condense inside the circuit, adapter, or cannula of the breathing system. Thus, several liquid trap assemblies are normally provided to collect the waste liquid accumulated in the circuit. This nebulizer adapter provides for a liquid trap to remove the condensate from the breathing system. Condensation in the breathing system presents both clinical and mechanical impediments as the condensate can limit flow through the system, can negate the percentage of aerosolized medication administered to the patient, and can accumulate bacteria or other materials that can become a biological risk to the patient. The waste liquid in the nebulizer adapter liquid trap assemblies must be drained regularly to properly maintain the function of the breathing system, and to prevent microbial contamination.
Comparable incidents regarding the condensation and accumulation of water caused by the Vapotherm apparatus, were noted by healthcare professionals nationwide and to the United States Food and Drug Administration (FDA). According to recent events reported by the United States Food and Drug Administration (FDA), the breathing system including the circuit to adapter to cannula of the Vapotherm HFT was accumulating water at an average rate of 3 milliliters/hour; this rate is comparable to that of the accumulation of water that was observed in the healthcare facilities. Benchmark specification testing at the Los Alamos National Laboratories found that when administering continuous flow of medication is through the adapter, 70 milliliters is accumulated every 12 hours. This versatile nebulizer adapter with moisture trap apparatus will pass the condensate through the drainage port into the moisture trap receptacle that will capture the condensate at an equal to or greater than rate of that calculated by the FDA, hospital reports, and collected data. This allows one moisture trap collection cup to accumulate water with ample time for the hospital staff to dispense the condensate from the removable and disposable moisture collection receptacle. This versatile nebulizer adapter allows for the removal of unwanted condensate and the use of continuous gas flow with medication to the patient.
Accumulation of moisture or water vapor result in water accumulation or“Raining out” and water flowing into the patients' nostrils. Without the implementation of a versatile nebulizer with moisture trap apparatus, accumulation of water forms within the aerosol adapter or other medication adapter and nebulizer adapters, causing a significant degree of rain-out formation.
Prior art related to moisture trap apparatuses comprises limitations including inability to connect accurately with the input and output lines of the respiratory circuit such as the Vapotherm, Inc. adapter provided in U.S. PG Pub. 2015/0352299. Another limitation includes obstruction to the flow of oxygen, heliox or precision flow gases due to frequent disconnection of the respiratory circuit system from the aerosol adapter, which results in both water leakage, medication, and gas flow obstruction. During the time of disconnect, the patient is not receiving high flow therapy or medication. Therefore, existing moisture trap apparatuses do not effectively solve the problem of water accumulation, efficient medication delivery and continuous air flow in high flow apparatus.
Issues continue to exist with existing adapters for nebulizers since they do not solve the water accumulation problem. The present disclosure addresses these and other issues by providing an adapter for airline circuitry or an airline circuit that can drain fluid condensate that results from warmed and humid breathing air mixing with nebulized medicine inside a mixing chamber.
In another aspect, an exemplary embodiment of the present disclosure may provide an adapter for a respiratory line comprising: a body that defines a first inlet, a second inlet, and an outlet, wherein the first inlet is associated with only a single lumen that fluidly receives breathing gas therethrough and the second inlet receives and connects with a nebulizer; an exterior surface of the body and an interior surface of the body; a mixing chamber defined by the interior surface of the body, wherein medicine from the nebulizer mixes with the breathing gas inside the mixing chamber and collective flow outwardly from the body through the outlet; and a drainage port formed in the body in fluid communication with the mixing chamber to drain fluids that condense on the interior surface when the gas and medicine are mixed in the mixing chamber. This embodiment or another exemplary embodiment may further provide a lid connected to the body below the drainage port. This embodiment or another exemplary embodiment may further provide a receptacle removably attached to the lid for collecting fluids flowing out from the mixing chamber through the drainage port. This embodiment or another exemplary embodiment may further provide a uniform and non-hollow thickness of the body between the exterior surface and the interior surface to effectuate the adapter as a single lumen adapter and not a first inlet double lumen adapter. This embodiment or another exemplary embodiment may further provide a screen between the second inlet and the mixing chamber. This embodiment or another exemplary embodiment may further provide wherein the screen is defined by holes formed in a wall of the body between the mixing chamber and the second inlet. This embodiment or another exemplary embodiment may further provide threads on the lid that removably attach the receptacle; and a seal covering drainage port that is opened in response to the receptacle being threadedly attached to the lid to permit fluid to drain from the mixing chamber through the drainage port and into the receptacle. This embodiment or another exemplary embodiment may further provide an annular sidewall on the lid extending downwardly from a circular wall integrally formed with the exterior surface of the body; wherein the annular sidewall is positioned below the mixing chamber and below the second inlet that receives the nebulizer. This embodiment or another exemplary embodiment may further provide an actuation member carried by receptacle that closes a seal for the drainage port when the receptacle is detached from the lid. This embodiment or another exemplary embodiment may further provide wherein the lid is shaped and formed in a bottle cap configuration. This embodiment or another exemplary embodiment may further provide an imaginary vertical axis extending through the body; and a center of the drainage port aligned along the imaginary vertical axis below the second inlet. This embodiment or another exemplary embodiment may further provide a downwardly tapered collar defining a portion of the interior surface of the body in the mixing chamber adjacent the drainage port configured to promote fluid accumulating near the bottom of the mixing chamber to flow outwardly through the drainage port. This embodiment or another exemplary embodiment may further provide an annular sidewall on a lid extending downwardly from a rigid connection adjacent the exterior surface of the body; a center of the annular sidewall aligned along the imaginary vertical axis; and a diameter of the annular sidewall that is greater than a diameter of the second inlet. This embodiment or another exemplary embodiment may further provide a vertically aligned length of the annular sidewall that is less than the diameter of the annular sidewall. This embodiment or another exemplary embodiment may further provide a vertically aligned length of the annular sidewall that is less than a vertically aligned length of the second inlet. This embodiment or another exemplary embodiment may further provide threads extending radially inward towards the imaginary vertical axis from an inner surface of the annular sidewall; and complementary threads on a receptacle effectuating the removable attachment between the lid and the receptacle.
The present disclosure relates to a versatile nebulizer with moisture trap assembly for a respiratory circuit, comprising: 1) a flow connector unit comprising: a body that allows for gas to flow from an inlet tube in fluid connection with an outlet tube and a drain lumen that passes from the bottom of the body to the exterior into a drainage port, wherein the inlet and outlet tubes are adapted to fit to the respiratory circuit; and 2) a receptacle removably attached to the annular lid that is attached to the bottom of the body for collecting water accumulated from trapped moisture; 3) an actuator member attached to a removable moisture collection cup or other removable moisture collection receptacle.
In yet another aspect, an exemplary embodiment of the present disclosure may provide nebulizer systems, adapters, methods, and apparatuses are described for a nebulizer adapter that includes a body, an inlet for aerosolized respiratory medications, a breathing gas inlet tube and outlet tube, a barrier or body, and a drain lumen port that passes from the bottom of the barrier or body of the apparatus to the exterior into a port drain. The port drain may be in fluid communication with a receptacle removably attached to the annular lid that is attached to the bottom of the adapter body for collecting condensed moisture, wherein the receptacle comprise an actuator member configured to actuate the airtight seal of the annular lid upon attachment.
In yet another aspect, an exemplary embodiment of the present disclosure may provide a moisture trap assembly for a respiratory circuit, comprising: a flow connector unit comprising a body that allows for gas to flow from an inlet tube in fluid connection with an outlet tube and a drainage port that passes through a bottom of the body to the exterior thereof, wherein the inlet and outlet tubes are adapted to fit to the respiratory circuit; and an actuator member attached to a removable receptacle.
In yet another aspect, an exemplary embodiment of the present disclosure may provide an adapter for a respiratory line comprising: a body that has a first end and a second end defining a longitudinal direction therebetween, a top and a bottom defining a vertical direction therebetween, and a first side and a second side defining a transverse direction therebetween, and the body defines a first inlet, a second inlet, and an outlet, wherein the first inlet is associated with only a single lumen that fluidly receives warned and humidified breathing gas therethrough and the second inlet receives and connects with a nebulizer; a central vertical axis and a central longitudinal axis, wherein the first inlet and the outlet are centered along the longitudinal axis; a convex exterior surface of the body and a concave interior surface of the body; a uniform and non-hollow thickness of the body between the exterior surface and the interior surface to effectuate the adapter as a single lumen adapter and not a first inlet double lumen adapter; a cylindrical wall on the body having a length oriented in the longitudinal direction that is greater than its diameter oriented in the vertical direction; a first tapered collar connected to one end of the cylindrical wall on the body, wherein the first tapered collar is angled downwardly towards the longitudinal axis; a second tapered collar connected to another end of the cylindrical wall on the body, wherein the second tapered collar is angled downwardly towards the longitudinal axis in a direction opposite that of the first tapered collar, and wherein the second tapered collar is angled at a steeper angle relative to the longitudinal axis than the first tapered collar; a first cylindrical extension connected with the first tapered collar defining a portion of the first inlet, and the first cylindrical extension having a diameter less than that of the cylindrical wall on the body; a second cylindrical extension connected with the second tapered collar defining a portion of the outlet, and the second cylindrical extension having a diameter less than that of the cylindrical wall on the body and less than that of the first cylindrical extension; a mixing chamber defined by the concave interior surface of the body, wherein medicine from the nebulizer mixes with the breathing gas inside the mixing chamber and collective flow outwardly from the body through the outlet along a tube connected with the outlet for inhalation by a patient; a screen between the second inlet and the mixing chamber, wherein the screen is defined by a plurality of holes formed in the cylindrical wall of the body between the mixing chamber and the second inlet; an axis of the second inlet angled in a range from about 15° to about 75° relative to the vertical axis, and wherein a portion of the nebulizer is oriented at a similar angle as the second inlet relative the central axis; a drainage port formed in near a the bottom of the body in fluid communication with the mixing chamber to drain fluids that condense on the interior surface when the warmed and humidified breathing gas and medicine are mixed in the mixing chamber, wherein the drainage port is centered along the vertical axis; a downwardly sloping wall defining a portion of the interior surface of the body in the mixing chamber adjacent the drainage port configured to promote fluid accumulating near the bottom of the mixing chamber to flow outwardly through the drainage port; a lid connected to the body below the drainage port and centered along the vertical axis, and the lid comprising an annular sidewall extending downwardly from a circular wall integrally formed with the exterior surface of the body and threads on an inner surface of the annular sidewall, wherein the annular sidewall is positioned below the mixing chamber and below the second inlet that receives the nebulizer; a diameter of the annular sidewall that is greater than a diameter of the cylindrical wall on the body; and a receptacle removably attached to the lid for collecting fluids flowing out from the mixing chamber through the drainage port and complementary threads on a receptacle effectuating the removable attachment between the lid and the receptacle.
A single module consists of an adapter, a sensory system, and a temperature regulating system that communicates with a computational device. The sensory system is made of sensors that receive information including but not limited to the patient's breathing rate, patient saturation, CO2 trends, oxygen levels, and the temperature within and outside the adapter, and relative humidity. This may include a sensor distal or proximal to the patient's face that communicates HFT pressure and/or patients' PEEP and may measure amount of medication being delivered to the patient. It then communicates this information to a computation device, which uses a machine learning algorithm that pulls in data from a plurality of other sensory systems that have stored or is storing information within it to calculate an optimal temperature in which condensation does not form and the patient comfort is also maximized. To gauge average patient comfort, patients provide numerical feedback on their comfort level periodically, and that information along with their current sensory information is recorded as data points to help calculate the optimal temperature. From there, this optimal temperature is communicated with the temperature regulating system that corresponds to the same patient as the origin of the sensory system's data, which then adjusts the temperature within the adapter to achieve the optimal temperature. The adapter is insulated to reduce energy costs, as well as to continue to maintain temperature for as long as possible in the event of a system failure of the temperature regulating system. The temperature regulating system employs electrical heating or cooling or a heat generating film and can be manually or automatically turned on or off. The sensory system uses a combination of one or more sensors located inside the adapter, outside the adapter, or both, sense a combination of one or more conditions including but not limited to temperature, humidity, patient breathing rate, patient saturation, CO2 trends, oxygen levels, and pressure inside the adapter, outside the adapter, or both, and can use frequencies in the electromagnetic spectrum to allow for wireless communication with said computational device to store sensory information as well as access collected sensory information from other sensory systems communicating with said computation device. This may include a sensor distal or proximal to the patient's face that communicates HFT pressure and/or patients' PEEP and may measure amount of medication being delivered to the patient. As mentioned before, the adapter has an accessible device to collect patient input scores and which can wirelessly communicate information including patient input scores to said computational device, wherein said computational device stores said information. The computational device uses a machine learning algorithm that receives said signals generated by the sensory system of a specific patient and compares that with stored data from past sensory system information and current sensory information from other modules to calculate using quantum computing a temperature wherein condensation will not form while maximizing patient comfort, which it then instructs the corresponding temperature regulating system to adjust to. Quantum computing is used to minimize the risk of errors in potentially life-threatening situations that is being automatically monitored. A display screen shows the information being processed by the computation device, and also allows manual override when necessary. The computational device can not only communicate with modules and display screens, but also a plurality of other devices such as computers, tablets, tissue sensors, or wireless brain implants in case medical personnel wish to access information and adjust conditions of the modules from other places. The computation device also stores individual patient outcomes and corresponding sensory information and accesses stored aggregate individual patient outcomes and corresponding sensory information from other sensory systems, wherein a machine learning algorithm utilizing quantum computing compares current individual patient sensory information, stored aggregate patient outcomes, and corresponding sensory information from other sensory systems to automatically predict statistical likelihoods of patient outcomes and automatically generate possible treatments, wherein said display screen can access and display said statistical likelihoods of similar patient outcomes and automatically generated possible treatments. By analyzing trends in previous patients and their outcomes and comparing with a present patient, statistical likelihoods can be drawn and treatments proposed, all very quickly and without the need for medical oversight. A medical professional can set a likelihood threshold of which the computational device will notify them of once a patient crosses over it through various notification systems that may or may not include an alarm beeping and/or notification to the monitor and/or wearable devices, at which point they can step in, and be informed on possible treatment options already.
In terms of workflow regarding in-home care, rural areas, and remote treatment, healthcare providers will quickly know patients' vital signs that will increase necessary trips to the home and/or reduce unnecessary trips to the home. This device will increase doctor, nurse, and/or respiratory therapist response rate and therefore prevent patient readmission to the hospital. Healthcare providers can have alerts sent to monitors and wearable devices, allowing for increased response rates, emergency alerts, and the ability to communicate with in-home care providers and patients via the communication portal. Healthcare providers can set threshold values for alerts from system. This information can also help insurance companies know when a patient was released from the hospital while still having symptoms that signify that they should have remained (not been released from the hospital), decreasing readmissions that cause double insurance charges for the same ailments/diagnosis. In term of workflow in the hospital setting, telemetry units will monitor patient data/vitals where monitors are staffed to notify doctors, nurses, and/or respiratory therapists of possible treatments, suggested diagnosis, and possible troubleshooting or recalibrating of the apparatus. Notifications and alerts may be delivered through the telemetry monitors, nurses monitors, and wearable devices. Healthcare providers may communicate via the portal. Healthcare providers can then recalibrate the adapter and HFT or other respiratory and medical devices, order blood draw and/or x-rays and/or CAT scans and/or other suggested treatments. Healthcare providers may alter cannula size, mask, or trach based on system notifications. Patient rotations may change from standard 2 to 3 to 4-hour rotations and vice versa based on systems ability to provide real-time patient vitals. Blood sugar levels may be alerted to healthcare personnel and cafeteria staff that may create a notification that automatically order specific meals at specific times that correlate with blood sugar levels. This may be replicated with meals that correlate with other patient data/vitals. In terms of workflow in transport settings, ambulance and life flight helicopters travel through diverse ambient air conditions that quickly effect the condensation that occurs in the adapters and HFT apparatuses. This may increase patient saturation showing symptoms of wheezing and coughing, or contrastingly drying of the nares, that may extend hospital stay. Immediate real-time patient data/vitals to both transport providers and hospital healthcare providers may increase response time for treatment during transportation and prepare hospital emergency providers with a real-time treatment plan upon arrival.
This invention has the capacity to be utilized in many markets. In the internet service and retailing industry, Amazon and other internet retailing service may use aggregate and nonaggregate vitals to provide suggestions for dietary balanced grocery shopping, nutritional supplements, and educational material suggestions. In the wearables, phones, computers, tablets, and electronic devices industry, vitals may be recognized on all wearable and other devices that will allow for nutritional, exercise, possible diagnosis, and suggest treatments to go to the wearer and their healthcare provider other third party. With regards to dieticians, aggregate and nonaggregate vitals may provide automated feedback and suggest meals for dieticians. In the fitness facilities and operations and sports industry, they may use aggregate and nonaggregate vitals to provide correlated workout and nutrition plans. With regards to healthcare, pharmacy and other such services, pharmacies and doctors will have real-time data on patients that will assist in identifying needs related to the patient's medication delivery, potential upcoming needs, and potential drug interactions. With regards to healthcare, insurance and management care, health insurance companies may utilize this apparatus to monitor vitals and determine if the patient was treated and/or tested and/or diagnosed properly. Insurance companies may determine if a readmitted patient was released prior to being ready and if secondary claim is justifiable. With regards to automotive manufacturers, the apparatus may be used to detect early healthcare issues that require early medical assistance by interacting with onboard software or rideshare applications to determine and develop a route to the closest medical provider. Concerning healthcare wholesalers, wholesalers for healthcare apparatuses can use aggregate patient data to identify which hospitals and medical supplies stores would benefit from which medical apparatuses and use aggregate data charts to show metrics that support their correlations. With regards to aircraft, NASA, space flights and related research, this medical apparatus may be used in terrestrial and space flights to monitor pilots and passenger vitals and to suggest fitness, nutritional, and healthcare diagnosis and treatments.
A sample embodiment of the disclosure is set forth in the following description, is shown in the drawings and is particularly and distinctly pointed out and set forth in the appended claims. The accompanying drawings, which are fully incorporated herein and constitute a part of the specification, illustrate various examples, methods, and other example embodiments of various aspects of the disclosure. It will be appreciated that the illustrated element boundaries (e.g., boxes, groups of boxes, or other shapes) in the figures represent one example of the boundaries. One of ordinary skill in the art will appreciate that in some examples one element may be designed as multiple elements or that multiple elements may be designed as one element. In some examples, an element shown as an internal component of another element may be implemented as an external component and vice versa. Furthermore, elements may not be drawn to scale.
Similar numbers refer to similar parts throughout the drawings.
Initially, the Inventors/Applicant note that the present disclosure is a continuation-in-part of U.S. patent application Ser. No. 15/918,729 (the '729 Application) filed on Mar. 12, 2018, and continuation-in-part of U.S. patent application Ser. No. 15/243,575 (the '575 Application) filed on Aug. 22, 2016, which claims the benefit of U.S. Provisional Patent Application Ser. No. 62/208,718 (the '718 Application) filed on July Aug. 23, 2015, and the present disclosure claims the benefit of U.S. Provisional Patent Application Ser. No. 62/471,360 (the '360 Application) filed on Mar. 13, 2017, the entirety of each is fully incorporated herein as if fully re-written. The present disclosure touches upon additional subject matter to the aforementioned '729 Application, '575 Application, '718 Application, and '360 Application, namely, adapters for airline circuitry that connect with a nebulizer and have a drainage port to allow fluids to drain from the mixing chamber. Since this is a continuation-in-part application of the '729 Application, and continuation-in-part application of the '575 Application, and some similar structural nomenclature is used herein when referencing some portions of the adapter. However, there may be some instances where structural nomenclature differs between similar elements and there may be other instances where nomenclature is similar between distinct elements relative to this application and the '729 Application, the '575 Application, '718 Application, and the '360 Application. The terms used in this disclosure apply to this disclosure and may not necessarily apply to other applications or issued patents in this family. Further in this regard, terms used in the specification(s) of the '729 Application, the '575 Application, '718 Application, and the '360 Application may or may not necessarily apply to this disclosure.
An adapter, which may also be referred to herein or in other related applications as a flow connecter unit, is shown generally throughout the figures at 10. The adapter 10 is configured to define a moisture trap assembly 12 (
Adapter 10 includes a body 28 that may be formed from a plurality of components connected together or may be integrally formed as one molded piece of material. In one particular embodiment, body 28 is fabricated from polymers that are sufficiently strong yet also light-weight and may include antimicrobial properties. For example, the adapter may be molded in as a single piece mold such that the body is substantially a unibody, monolithic member formed from a uniform material, and/or the adapter may be molded into multiple pieces such that the body connects together to function as a whole unit.
The body 28 of adapter 10 defines a first inlet 30, a second inlet 32, an outlet 34, and a drainage port 36 (
The body 28 has substantially uniform in thickness between the outer surface 42 and the inner surface 44. In one particular embodiment, the body 28 is solid and not hollow between the outer surface 42 and the inner surface 44. Stated otherwise, the body 28 does not form a lumen or other vacuum or space in which fluids or gases may flow between the inner surface 44 and the outer surface 42 in a circumferential manner around either the longitudinal axis 38 or the central vertical axis 68 (
The body 28 further includes a first tapered collar 46 connected with the cylindrical sidewall 40. The tapered collar 46 tapers radially inward towards the longitudinal axis 38 and is connected with a cylindrical extension 48 associated with the first end 16 of the adapter 10 and defines the first inlet 30. The cylindrical extension 8 includes an inner surface 50 that defines a lumen or passageway 52 in open communication with an opening 54 for the first inlet 30. The dimensions of the first inlet 30 and outlet 34 are sized to snugly fit with tubing of a respiratory circuit from a HFO apparatus or other breathing apparatus and output of a cannula and/or mask or other gas delivery system, respectively. The cylindrical extension has an outer diameter that is smaller than the outer diameter of the cylindrical sidewall 40. The cylindrical extension has an inner diameter that is smaller than an inner diameter of the cylindrical sidewall 40.
Adjacent the second end 18, the body 28 further includes a second tapered collar 56 that tapers downwardly towards the longitudinal axis 38 to a second cylindrical extension 58 associated with the second end 18 and defining the outlet 34. Second tapered collar 56 tapers at an angle steeper than tapered collar 46 relative to the longitudinal axis 38. In one particular embodiment, the angle in which the tapered collar 56 tapers or is angled or intersects the longitudinal axis 38 is in a range between 90° and 45°. The second cylindrical extension 58 includes an inner surface 60 defining an outlet passageway 62 in fluid communication with an outlet opening 64 for the outlet 34. The passageway 62 is centered about the longitudinal axis 38. The outer diameter of the second cylindrical extension 58 is less than that of the first cylindrical extension 48. The inner diameter of the second cylindrical extension 58 is less than that of the first cylindrical extension 48. In one particular embodiment the diameters of the second cylindrical extension 58 are no more than half those of the first cylindrical extension 48. Stated otherwise, the ratio of the outer diameter of the second cylindrical extension relative to the outer diameter of the first cylindrical extension is at most about 0.5:1. However, clearly other dimensional and ratios are entirely possible.
The body 28 that defines the second inlet 32 further includes a cylindrical wall 66 that extends and is angled upwardly and towards the first side relative to a vertical axis 68. The cylindrical wall 66 includes a convex outer surface 70 opposite a concave inner surface 72 defining a passageway 74 in open communication with an opening 76 of the second inlet 32. The cylindrical wall 66 associated with the second inlet 32 is centered about an axis 78 that is non-orthogonally angled relative to the longitudinal axis 38 and the vertical axis 68. More particularly, the axis 78 associated with the second inlet 32 is non-orthogonal to the longitudinal axis 38 and is non-orthogonal to the vertical axis 68. In one particular embodiment, the angle defined between the longitudinal axis 38 and the axis 78 of the second inlet 32 is in the range from about 20° to about 80°. In one particular embodiment, the angle may be in a range from about 45° to about 70°. In one specific example, the angle defined between the axis 78 of the second inlet 32 is about 60°. An angle is formed between the axis 78 of the second inlet 32 and the central vertical axis 68 associated with the adapter 10. The angle in one particular embodiment between axis 78 and axis 68 is about 30°. However, it may be in a range from about 15° to about 75° depending on the orientation and desired size of a device, such as a nebulizer configured to be connected with the second inlet 32. As will be described below, the orientation of the second inlet 32 causes and external device, such as a nebulizer 108, that is connected with the second inlet to be canted or angled in a similar manner. Thus, a central axis associated with a portion of the nebulizer 108 would be oriented at an angle in a range from about 45° to about 70° relative to the longitudinal axis 38 and oriented at an angle in a range from about 15° to about 75° relative to the central vertical axis 68.
As depicted in
As depicted in
The diameter of the circular wall 84 is greater than the transverse width of the cylindrical wall 40. Stated otherwise, the diameter 92 of the lid 82 is greater than the diameter 94 measured across the longitudinal axis of the cylindrical wall 40 of the body 28. In one particular embodiment, the diameter of the lid 82 is at least two times greater than the diameter 94 of the cylindrical sidewall 40 on the body 28. In another particular embodiment, the diameter 92 of the lid 82 is at least three times greater than the diameter 94. The diameter 92 of the lid 82 is smaller than the length associated with the cylindrical sidewall 40. Stated otherwise, the lid 82 is positioned below the cylindrical sidewall 40 but terminates short of the tapered collar 46 and the tapered collar 56. Stated otherwise, the lid 82 is disposed between the tapered collar 46 and the tapered collar 56. Additionally, the lid 82 is positioned below the cylindrical wall 48 associated with the first inlet 30 and is positioned below the cylindrical extension 58 associated with the outlet 34. In one particular embodiment, the thickness of the annular sidewall 86 measured between the outer surface 96 and the inner surface 98 may be similar to or thinner than the thickness of the body 28 measured between the cylindrical wall 40, outer surface 42, and inner surface 44.
The annular sidewall 86 may include a convex vertically extending outer surface 96 and an opposing concave vertically extending inner surface 98 having threads 100 extending radially inward towards the vertical axis 68. The threads 100, as will be described in greater detail below are configured to threadably connect with the receptacle 14 to effectuate an air-tight seal between the receptacle and the body 28 to assemble the moisture trap assembly thereby fully 12. Threads 100 or other airtight connection are positioned on the inner circumference of annular sidewall 86 for engaging with the threads or other connection of the receptacle 14, which can be unscrewed and/or separated during draining and cleaning. A vertically aligned length of the annular sidewall 86 that is less than the diameter 92 of the annular sidewall. Further the vertically aligned length of the annular sidewall 86 is typically less than one inch in length.
As depicted in
With continued reference to
In some instances, an additional seal, such as a gasket, can be included to cover a portion of the drainage port 36 when the receptacle is detached from the lid 82. By doing so, this enables the adapter 10 to operate in a conventional fashion similar to a traditional nebulizer adapter when the receptacle 14 is detached from its connection with the lid 82. In this regard, there may be an actuation member, such as a plunger, provided on the receptacle 14 to move the seal or gasket away from and open the drainage port 36 when the receptacle 14 is threadably attached to the lid 82 via threads 100.
In accordance with one aspect of the present disclosure, the adapter 10 enables fluids to be drained therefrom when the nebulized medicine is mixed with the breathing gas entering the mixing chamber through the lumen defined by the first inlet 30. Thus, the first inlet 30 is associated with only a single lumen (i.e., lumen or passageway 52) that fluidly receives breathing gas therethrough. The adapter of the present disclosure operates with and as a single lumen nebulizer system (i.e., not double lumen systems, such as the first inlet port having double lumens as taught by U.S. PG Pub. 2015/0352299, which may also be referred to as a first inlet double lumen adapter, the entirety of which is hereby incorporated by reference).
In one particular operation of an embodiment, the nebulized medication produced in nebulizer 108 mixes the breathing gas flowing along tube 106, which may be heated and humidified, that is passed into the mixing chamber 102 through the first inlet 30. The mixed breathing gas and nebulized medication from the second inlet 32 is then flowed out of outlet 34. When the heated and humidified gas is introduced into mixing chamber 102 through the first inlet 30, condensation may occur due to cooling. The condensation is undesirable because condensate could limit the gas flow through the system, present a biologic hazard to the patient, or could potentially flow into a nasal cannula and enter a patient's nasal passage. Condensation is a particular concern for HFT because HFT devices supply breathing gas at a high flow rate. When the breathing gas is pre-heated and humidified for patient comfort, HFT provides a high flow of gas with a high relative humidity and a high temperature. The heating and humidifying of the breathing gas used in HFT is beneficial because high flow rates of dry breathing gas leads to patient discomfort (e.g., due to drying of nasal passages). When heated and humidified gas cools, some of the moisture carried in the breathing gas cannot remain soluble and condenses. With the high flow rate of HFT, there is a substantial amount of moisture in the breathing circuit that could potentially become condensate if the gas cools. Cooling of the heated and humidified gas can occur due to expansion of the gas as it enters the gas mixing chamber. Cooling can also occur due to heat loss to the ambient environment (e.g., radiative cooling at the plastic walls of the adapter) and/or from the vibration of the nebulizer inserted in the second inlet 108.
In one exemplary embodiment, there may be inlet and outlet tubes 106, 110 respectively connected to the adapter 10 (which may sometimes also be referred to as a flow connector unit) and may be about equivalent in size to Vapotherm input and output tube dimensions, for example inlet tube diameter of 16.002 mm, congruent with the input tube of the respiratory circuit and outlet tube diameter equivalent of the outer diameter of the cannula and/or mask or other gas delivery system, allowing accurate fitment. The outlet tube comprises of the exact diameter in order to prevent disconnection from the HFT including but not limited to Vapotherm and AirVO2 products.
In addition, the inlet and outlet tubes 106, 110 may be slightly tapered along their respective lengths to ensure a snug fit with the adapter 10 and/or cannula. The inlet and outlet tubes may be linearly shaped with no slanting from the top outer ends toward the center of the lid location with the connecting mesh defined by the plurality of holes 80 at the top opening that fits a wide range of nebulizers 108 including but not limited to the Aeroneb nebulizer.
In another exemplary embodiment, the receptacle 14 comprises a containing volume with a capacity to contain equal to or greater than the condensate calculated by the FDS, hospitals, and collected data. The receptacle may be shaped similar to a cup or a jar having complementary threads formed near the top thereof for effectuating the threaded and hermetic connection with the lid. However, the receptacle may vary in volume and can be secured to the flow connected unit via annular lid. The receptacle is fully secured and does not allow the leakage of gas, water, or medication to leak from within. The collection receptacle may also comprise an actuation member configured to move a seal or gasket that covers a portion of the drainage port 36. The receptacle 14 may additionally define a secondary drainage port at the bottom of the receptacle allowing the release of accumulated water or fluid condensate from the adapter 10. When ample amount of water or fluid condensate has been accumulated in the collection receptacle, the receptacle can be unscrewed, emptied, dried, and fitted again to the adapter 10. During detachment of the receptacle, the airtight seal or gasket covering the drainage port 36 comes to a closed position to secure the air or gas flowing through the flow connector thus preventing loss of air of respiratory gas. Once the collection receptacle is to be securely attached again, the airtight seal will be moved by the actuation member carried by the receptacle, thus allowing flow of accumulated water into the collection receptacle during attachment and securing the nebulizer adapter to maintain flow of medication and gas while the receptacle device is disconnected.
An embodiment, the nebulizer adapter 10 with moisture trap assembly 12 used with respiratory apparatuses or other airline circuitry is specifically designed to connect to the input tube of the Vapotherm respiratory circuit and the output tube of the cannula by providing congruent dimensions of the body of the nebulizer adapter, while being versatile to fit other HFT and respiratory care devices such as but not limited to the AirVO2.
The moisture trap assembly 12 may comprise the exact diameter of the outer cannula dimensions, thus preventing disconnection and leakage of water into the patient respiratory line or other equipment. Moreover, the lid 82 that creates the air tight seal which engages an actuator member when the condensate collection receptacle is removed, thus preventing the loss of gas and medication that is being supplied to the patient. These as well as other advantages of the assembly and modifications within the purview of the present disclosure will be evident to those skilled in the art.
The nebulizer adapter 10 with moisture trap assembly 12 attaches accurately and easily to the Vapotherm respiratory circuit, and may be attached to other respiratory apparatuses also, in order to reduce the accumulation of water or other fluids in the respiratory apparatus systems, thereby improving patient comfort and safety. The nebulizer adapter 10 with moisture trap provides a less compromised flow of gases, including oxygen, heliox, and precision flow, or other gas(es) by providing an avenue for condensate accumulation while also allowing the uninterrupted passage of gas(es) and medication to the patient.
Although the present disclosure has been described in detail with particular reference to these preferred embodiments, other embodiments can achieve the same results. Variations and modifications of the present disclosure will be obvious to those skilled in the art and it is intended to cover all such modifications and equivalents. The entire disclosures of all references, applications, patents, and publications cited above and/or in the attachments, and of the corresponding application(s), are hereby incorporated by reference.
Also, various inventive concepts may be embodied as one or more methods, of which an example has been provided. The acts performed as part of the method may be ordered in any suitable way. Accordingly, embodiments may be constructed in which acts are performed in an order different than illustrated, which may include performing some acts simultaneously, even though shown as sequential acts in illustrative embodiments.
While various inventive embodiments have been described and illustrated herein, those of ordinary skill in the art will readily envision a variety of other means and/or structures for performing the function and/or obtaining the results and/or one or more of the advantages described herein, and each of such variations and/or modifications is deemed to be within the scope of the inventive embodiments described herein. More generally, those skilled in the art will readily appreciate that all parameters, dimensions, materials, and configurations described herein are meant to be exemplary and that the actual parameters, dimensions, materials, and/or configurations will depend upon the specific application or applications for which the inventive teachings is/are used. Those skilled in the art will recognize or be able to ascertain using no more than routine experimentation, many equivalents to the specific inventive embodiments described herein. It is, therefore, to be understood that the foregoing embodiments are presented by way of example only and that, within the scope of the appended claims and equivalents thereto, inventive embodiments may be practiced otherwise than as specifically described and claimed. Inventive embodiments of the present disclosure are directed to each individual feature, system, article, material, kit, and/or method described herein. In addition, any combination of two or more such features, systems, articles, materials, kits, and/or methods, if such features, systems, articles, materials, kits, and/or methods are not mutually inconsistent, is included within the inventive scope of the present disclosure.
All definitions, as defined and used herein, should be understood to control over dictionary definitions, definitions in documents incorporated by reference, and/or ordinary meanings of the defined terms.
The indefinite articles “a” and “an,” as used herein in the specification and in the claims, unless clearly indicated to the contrary, should be understood to mean “at least one.” The phrase “and/or,” as used herein in the specification and in the claims (if at all), should be understood to mean “either or both” of the elements so conjoined, i.e., elements that are conjunctively present in some cases and disjunctively present in other cases. Multiple elements listed with “and/or” should be construed in the same fashion, i.e., “one or more” of the elements so conjoined. Other elements may optionally be present other than the elements specifically identified by the “and/or” clause, whether related or unrelated to those elements specifically identified. Thus, as a non-limiting example, a reference to “A and/or B”, when used in conjunction with open-ended language such as “comprising” can refer, in one embodiment, to A only (optionally including elements other than B); in another embodiment, to B only (optionally including elements other than A); in yet another embodiment, to both A and B (optionally including other elements); etc. As used herein in the specification and in the claims, “or” should be understood to have the same meaning as “and/or” as defined above. For example, when separating items in a list, “or” or “and/or” shall be interpreted as being inclusive, i.e., the inclusion of at least one, but also including more than one of a number or lists of elements, and, optionally, additional unlisted items. Only terms clearly indicated to the contrary, such as “only one of” or “exactly one of,” or, when used in the claims, “consisting of,” will refer to the inclusion of exactly one element of a number or list of elements. In general, the term “or” as used herein shall only be interpreted as indicating exclusive alternatives (i.e., “one or the other but not both”) when preceded by terms of exclusivity, such as “either,” “one of,” “only one of,” or “exactly one of.” “Consisting essentially of,” when used in the claims, shall have its ordinary meaning as used in the field of patent law.
As used herein in the specification and in the claims, the phrase “at least one,” in reference to a list of one or more elements, should be understood to mean at least one element selected from any one or more of the elements in the list of elements, but not necessarily including at least one of each and every element specifically listed within the list of elements and not excluding any combinations of elements in the list of elements. This definition also allows that elements may optionally be present other than the elements specifically identified within the list of elements to which the phrase “at least one” refers, whether related or unrelated to those elements specifically identified. Thus, as a non-limiting example, “at least one of A and B” (or, equivalently, “at least one of A or B,” or, equivalently “at least one of A and/or B”) can refer, in one embodiment, to at least one, optionally including more than one, A, with no B present (and optionally including elements other than B); in another embodiment, to at least one, optionally including more than one, B, with no A present (and optionally including elements other than A); in yet another embodiment, to at least one, optionally including more than one, A, and at least one, optionally including more than one, B (and optionally including other elements); etc.
In the claims, as well as in the specification above, all transitional phrases such as “comprising,” “including,” “carrying,” “having,” “containing,” “involving,” “holding,” “composed of,” and the like are to be understood to be open-ended, i.e., to mean including but not limited to. Only the transitional phrases “consisting of” and “consisting essentially of” shall be closed or semi-closed transitional phrases, respectively, as set forth in the United States Patent Office Manual of Patent Examining Procedures.
An embodiment is an implementation or example of the present disclosure. Reference in the specification to “an embodiment,” “one embodiment,” “some embodiments,” “one particular embodiment,” or “other embodiments,” or the like, means that a particular feature, structure, or characteristic described in connection with the embodiments is included in at least some embodiments, but not necessarily all embodiments, of the present disclosure. The various appearances “an embodiment,” “one embodiment,” “some embodiments,” “one particular embodiment,” or “other embodiments,” or the like, are not necessarily all referring to the same embodiments.
If this specification states a component, feature, structure, or characteristic “may”, “might”, or “could” be included, that particular component, feature, structure, or characteristic is not required to be included. If the specification or claim refers to “a” or “an” element, that does not mean there is only one of the elements. If the specification or claims refer to “an additional” element, that does not preclude there being more than one of the additional elements.
Additionally, any method of performing the present disclosure may occur in a sequence different than those described herein. Accordingly, no sequence of the method should be read as a limitation unless explicitly stated. It is recognizable that performing some of the steps of the method in a different order could achieve a similar result.
In the foregoing description, certain terms have been used for brevity, clearness, and understanding. No unnecessary limitations are to be implied therefrom beyond the requirement of the prior art because such terms are used for descriptive purposes and are intended to be broadly construed.
Moreover, the description and illustration of various embodiments of the disclosure are examples and the disclosure is not limited to the exact details shown or described.
This application is a Continuation-In-Part of U.S. application Ser. No. 15/918,729, filed on Mar. 12, 2018, and Continuation-In-Part of U.S. application Ser. No. 15/243,575, filed on Aug. 22, 2016, which claims the benefit of U.S. Provisional Application Ser. No. 62/208,718, filed on Aug. 23, 2015; the entirety of each disclosure is incorporated herein by reference. This application claims the benefit of U.S. Provisional Application Ser. No. 62/471,360, filed on Mar. 13, 2017; the disclosure of which is incorporated herein by reference.
| Number | Date | Country | |
|---|---|---|---|
| 62208718 | Aug 2015 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 15918729 | Mar 2018 | US |
| Child | 17343738 | US | |
| Parent | 15243575 | Aug 2016 | US |
| Child | 15918729 | US |
