1. Statement of the Technical Field
The present disclosure relates generally to instruments for measuring flow and more particularly to the field of respiratory medicine and to devices for use in the measuring of inhalation and exhalation of respiratory flow of a patient and the like.
2. Description of the Related Art
A pneumotach flow-head is used as part of a medical respiratory testing device used in pulmonary function testing, or PFT. A pneumotach is used with a spirometer to measure volumetric flow rate, and determine a person's respiratory ability. Spirometer tests require a person to inhale as deeply as possible and then exhale as hard, as fast, and as long as possible in one long breath. These devices are commonly used in doctor's offices and hospitals, providing a market for affordable testing equipment. Pneumotachs are also used in pulmonary function tests, and pulmonary exercise stress testing.
One or the more commonly used designs measure a differential pressure across a fine screen or mesh located in a pipe typically of a standard 22 mm diameter. Pressure taps located on each side of the screen measure the pressure differential. Knowing this pressure differential a volumetric flow rate can be calculated. One of the problems encountered with the current designs is that the moisture in a person's breath may accumulate on the screen during testing and affect the accuracy of the measurement. This moisture build-up, on the screen, in turn further restricts the flow of air causing the calibration to become inaccurate. This problem is greater with exercise testing where the subject's breathing may be measured for 10 minutes or longer.
One of the main design criteria for a pneumotach is that it must measure the flow in both directions so that a volume flow loop can be determined. A flow loop is the flow rate of a person's inhalation and exhalation as a function of volume of air in the lungs. Shown in
The pneumotach must be accurate within a flow range from just above or about 0 to about ±15 L/sec. This volumetric flow rate may be calculated using a pressure difference between two pressure taps in the flow, or between one tap and atmospheric pressure. The device ideally should be as short as possible; this will allow the patient to be comfortable while using the spirometer. Length also adds more resistance to the flow and adds to the dead air space, which causes the subject to re-breath exhaled carbon dioxide. This parameter poses problems to the design of the pneumotach because in order for the flow to be accurately measured it must be fully developed within the tube, a fully developed flow helps dissipate swirls, as well as create a symmetric velocity distribution. In the typical 22 mm tube the flow is turbulent before it reaches the pressure taps. The pneumotach should be designed in a way that it can be produced at a low cost since this piece of equipment typically is placed in the patient's mouth and are designed to be disposable.
A final and important parameter for the design of a pneumotach used especially for exercise testing is the problem of moisture accumulation in the pneumotach 30 head. As the person exhales during the test, moisture from the breath will accumulate in the device. With most current designs, this moisture will collect in the screen that creates the pressure difference and interfere with the accuracy of the pressure measurements. One device uses a heated screen to dissipate the moisture, but this then adds the need for wires and could cause danger or electrical shock to bums to the patent, or cause leakage of radiofrequency radiation. The present invention is designed to avoid some of the limitations or more frequently used pneumotachs.
Flow tubes are also used to measure flow of fluid in equipment. In industrial or medical and other equipment, the flow of air or fluid in a system may be important to the process being done. For example, a flow tube may be used in anesthesia equipment to monitor the amount of gases being delivered to a patient. In another example air flow may be important to efficient combustion in a furnace, and flow measurement might be required to control that flow. Anemometers are another example of a use of a flow tube. For simplicity flow tubes will be referred to as pneumotachs in this document whether intended for measurement of the breath or for other utilities.
The present disclosure relates to devices for use in the measuring of fluid flow. Several particular embodiments are particularly adapted for use in measurement of the inhalation and exhalation of respiratory flow of a patient and the like. Others applications, particularly those designed for unidirectional flow have application for flow measurement in a variety of uses.
According to an aspect of the present disclosure, a pneumotach for measuring respiratory gas flow is provided and includes a conduit for enclosing a stream of flow to be measured defining a lumen having a longitudinal axis; and an airfoil diametrically supported within the lumen of the conduit and extending at least partially thereacross, the airfoil defining a chord axis. The chord axis may be angled with respect to the longitudinal axis.
The airfoil may be symmetrical about the chord axis. The airfoil may be symmetrical about a plane that is orthogonal to the chord axis. An upper and a lower surface of the airfoil may have a substantially convex profile. A leading edge and a trailing edge of the airfoil may have an arcuate profile extending from opposed ends thereof.
The pressure distribution on the surface of an airfoil is a consequence of the change in momentum of the fluid as it flows about the airfoil. The pressure depends on the speed of the free-stream flow, as well as the airfoil geometry and the fluid properties. In general, it is possible to relate the pressure at various points along the surface of the airfoil, or on the wall adjacent to the airfoil, to the free-stream velocity. This may be done through experimental calibration, numerical simulations, or exact analytical solutions.
A pressure sensor on or adjacent to the airfoil or in communication with the pressure on or adjacent to the airfoil allows sensing of the pressure and thus determination of the speed of flow of the stream. At least one pressure sensor within or in communication with the fluid stream is required. Pressure may be recorded with at least one port positioned on the surface of the airfoil, or adjacent to it.
For use with a differential pressure sensor, the differential may be recorded between the pressure within the stream and atmospheric pressure, or the pressure may be recorded across two different areas within the stream, ideally where the pressures are at the greatest differential. For practical reasons, such as cost or ease of construction or use, ports may be placed as points where the differential is not at its extremes.
In certain particular embodiments the chord axis of the airfoil may be oriented at an angle of between about 8° and about 10° relative to the longitudinal axis, and preferably, about 9° relative to the longitudinal axis.
The lumen of the conduit in which the fluid stream flows may have a uniform inner diameter along its length. The conduit may be tubular in nature. The conduit may include an inner wall having a Venturi profile. This conduit may form a housing for a pneumotach.
The airfoil may include at least one pressure port formed therein and extending through the tubular housing and through a side surface thereof. Each aperture may be in fluid communication with the at least one pressure port.
In an embodiment, the airfoil defines a leading and a trailing edge. In one embodiment, the airfoil may include at least one aperture formed therein at the leading edge and may include at least one aperture formed therein at the training edge.
The pneumotach may further include at least one pressure port extending into the airfoil through a side surface thereof. A first pressure port may be in fluid communication with the apertures formed at the leading edge of the airfoil. At least one other pressure port may be in fluid communication with the apertures formed at the training edge of the airfoil.
The pneumotach may include at least one pressure port extending into the lumen of the housing and formed proximate a superior leading edge of the airfoil; at least one pressure port extending into the lumen of the housing and formed proximate a superior trailing edge of the pressure port; and at least one sample port extending into the lumen of the housing and formed at any location along the housing.
According to another aspect of the present disclosure, a method of monitoring and/or measuring a fluid flow pressure is provided. The method includes the steps of providing a fluid pressure measuring system including a pneumotach. The pneumotach includes a housing defining a lumen and having a longitudinal axis; and an 15 airfoil diametrically supported within the lumen of the housing and extending at least partially thereacross, wherein the airfoil defining a chord axis, and wherein the chord axis may be angled with respect to the longitudinal axis. The method further includes the steps of flowing a fluid through the housing of the pneumotach, in at least one of a forward and a reverse direction; and measuring a pressure differential on a surface of the airfoil.
The method may further includes the steps of flowing a fluid through the housing of the pneumotach, in a reverse direction; and measuring a pressure differential on a surface of the airfoil so that the pressure may be measured in both directions.
The method may further include incorporating the fluid pressure 25 measuring system as part of a respiratory measurement system.
According to a further aspect of the present disclosure, a system for measuring a fluid flow is provided. The system includes a pneumotach having a housing defining a lumen and having a longitudinal axis; and an airfoil diametrically supported within the lumen of the housing and extending at least partially thereacross, wherein the 30 airfoil defining a chord axis, and wherein the chord axis is angled with respect to the longitudinal axis. The respiratory system further includes a pressure transducer in fluid communication with the lumen of the housing, for measuring a pressure differential in the housing of the pneumotach.
The airfoil may be symmetrical about at least one of the chord axis and a plane that is orthogonal to the chord axis. The chord axis of the airfoil may be oriented at 5 an angle of about 9° relative to the longitudinal axis.
The airfoil of the pneumotach may define a leading edge and a trailing edge. The airfoil may include at least one aperture formed therein at the leading edge and at least one aperture formed therein at the trailing edge. The airfoil of the pneumotach may include at least one aperture formed at the leading edge and at least one aperture formed at the trailing edge.
The pneumotach may further include at least one pressure port extending to the surface of the cord of the airfoil or adjacent to it through a side surface of the housing, wherein a pressure port may be in fluid communication with the stream. The pressure transducer may be fluidly associated with each pressure port.
The pneumotach may have at least one pressure sensor at or adjacent to the airfoil within the housing. The pneumotach may have at least one pressure port in fluid communication with the stream within the housing where the at least one pressure port is on or adjacent to the airfoil surface. The pressure ports may communicate through housing to the stream adjacent to the airfoil, or ports may be placed in the airfoil surface, or a combination of these.
According to yet another aspect of the present disclosure, a system for measuring a fluid flow is provided. The system includes a pneumotach having a housing defining a lumen and having a longitudinal axis; and a uni-directional airfoil diametrically supported within the lumen of the housing and extending at least partially thereacross. The airfoil defines a chord axis. The chord axis is one of angled with respect to the longitudinal axis and aligned with respect to the longitudinal axis. The system further includes a pressure transducer, in fluid communication with the lumen of the housing, for measuring a pressure differential in the housing of the pneumotach for bi-directional fluid flow across the airfoil.
By way of example only, preferred embodiments of the disclosure will be described with reference to the accompanying drawings, in which:
Reference is now made specifically to the drawings in which identical or similar elements are designated by the same reference numerals throughout. In the drawings and in the description which follows, the term “proximal”, as is traditional will refer to the end of the device or apparatus which is closest to the individual or patient, while the term “distal” will refer to the end of the device or apparatus which is furthest from the individual or patient.
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As is known in the art, the angle of attack of an airfoil affects the pressure differentials which may be developed and measured. If the angle of attack is too high, the airflow over the airfoil may separate from the airfoil and result in a stall condition. If the angle of attack is too low, the airflow over the airfoil may result in a generation of an insufficient pressure differential.
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Apertures 134, 136 of airfoil 120 are formed at either at or near the leading (proximal) edge of the airfoil above the cord axis (W), and at or near the trailing edge below the cord axis. As seen in
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In an alternate embodiment, the second portion 121b may be approximately ⅕* a total length of airfoil 120 as measured along the chord axis “W”. In the present embodiment, aperture(s) may be formed or located in second portion 121b of airfoil 120 and along a lower surface thereof in order to measure a high pressure along airfoil 120 when fluid flow is in the direction of arrow “A”.
While three apertures 134 are shown formed in and/or across airfoil 120 it is envisioned or contemplated that any number of apertures may be formed in and/or across airfoil 120 near its leading or trailing edges.
In one embodiment, tubular housing 110 may have an inner diameter of approximately 24 mm, and each aperture 134, 136 may have a diameter of approximately 20 0.5 mm. For pediatric use the housing conduit may have a smaller cross section.
Pneumotach 120 may be formed from an inexpensive, readily mass-producible material, such as an injection moldable plastic, so that pneumotach 120 may be marketed as a disposable unit.
In use, a pressure transducer 50, as described above, is fluidly coupled to pressure ports 130, 132. An airflow is then communicated though tubular housing 110 of pneumotach 100 in the form of respiration from an individual or patient “P”. The respiratory airflow, as shown in
As the airflow passes over airfoil 120, a pressure differential or pressure reading is measured by pressure transducer 50 at or along aperture(s) 134 as air flows over airfoil 120 during exhalation and at or along aperture(s) 136 as air flows over airfoil 120 during inhalation.
These pressure differentials or readings are then communicated to or transmitted to a processor of pressure monitor 20 (shown in
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Tubular housing 310 has a Venturi tube profile including a radially converging distal inner wall 314a, a radially diverging proximal inner wall 314b, and a constant diameter intermediate inner wall 314c interposed between distal inner wall 314a and proximal inner wall 314b.
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Airfoil 320 includes a leading edge 320a and trailing edge 320b defining a chord axis “W” therebetween. Airfoil 320 may be symmetrical along chord axis “W” and/or along a plane extending orthogonal to the chord axis “W”. Leading and trailing edges 320a, 320b may be radiused or rounded as needed or desired. In this manner, air flow over and around airfoil 320 in both a forward direction (arrows “A” of
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As is know in the art, the optimum angle of attack of an airfoil, for maximizing pressure differentials thereof, is dependent on the velocity of the flow of fluid (e.g., air) over the airfoil. Accordingly, the angles of attach selected herein, for airfoil 320 and any of the airfoils disclosed herein, is based on an fluid flow velocity of between approximately 1.0 Lpm to 60.0 Lpm (liters per minute). In accordance with the present disclosure, it is contemplated that the angle of attack “α” of airfoil 320 may be increased or decreased as needed or desired in order to maximize the pressure differentials thereof, depending on the value of the fluid flow velocity.
As is also known in the art, the angle of attack of an airfoil affects the pressure differentials which may be developed and measured. If the angle of attack is too high, the airflow over the airfoil may separate from the airfoil and result in a stall condition. If the angle of attack is too low, the airflow over the airfoil may result in a generation of an insufficient pressure differential.
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It is contemplated that the pneumotach 300 may further include additional ports (not shown) located at necessary or desired locations around airfoil 320. For example, ports may be place near a point low or lowest pressure along airfoil 320 when fluid is flowing in the direction of arrow “A” or “B”. Additionally, pressure ports may be placed at either or both edges of the airfoil where is meets the wall of the tube.
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Airfoil 420 is designed for unidirectional air flow and includes a leading edge 420a and trailing edge 420b defining a chord axis “W” therebetween. Unidirectional airflow pneumotachs may be useful to measure flow in devices. Airfoil 420 is substantially shaped as a wing or the like. In this manner, for optimal use, fluid may flow over and around airfoil 420 only in a forward direction (arrows “A” of
However, it is envisioned that while it is preferred that unidirectional fluid flow be communicated through pneumotach 400, pneumotach 400 may be used for bi-directional fluid flow as well. In this particular instance, optimum pressure readings may be obtained while fluid flow is in the direction of arrow “A”, and additional pressure readings may be taken for fluid flow in the direction of arrow “B” (i.e., opposite to the direction of arrow “A”). For pressure readings of fluid flow in the direction of arrow “B” an algorithm, computer software or other calibration methods known in the art may be used to evaluate and/or process the pressure readings obtained.
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As mentioned above, the location of arrows “C1” and “C2” illustrate the preferred approximate locations for taps or ports, however, it is understood that not all these locations are needed or may be used. The taps may be located on or long a surface of the airfoil, on the wall of the tubular housing, or any combination thereof. For example, at least one low pressure tap may be located on or along a surface of the airfoil, and at least one high pressure tap may be located on or along the wall of the surrounding tubular housing. Alternatively, in an embodiment, the high pressure tap may be eliminated and atmospheric pressure used in its place.
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Indirect calorimetry is a method of measuring metabolic activity in patients by determination of oxygen consumption and carbon dioxide production. This method is used for assessment of a patient's nutritional requirements and other testing. In this method ventilary flow is determined, and oxygen and carbon dioxide are measured in the exhaled breath and compared with the gas content of the inhaled air or other respiratory gas being delivered. This allows a precise measurement of oxygen use and carbon dioxide production by the test subject or patient. In this method precise measurement of exhaled gas is generally more important than the precision of measurement of inhaled gas.
By use of an asymmetrical airfoil 720, the precision of fluid flow can be optimized for one direction or unidirectional flow (i.e., in the direction of arrow “A”), while retaining the ability to measure flow, although with less precision, in the other or opposite direction (i.e., in the direction of arrow “B”). Knowing the flow characteristics of the pneumotach then allows use of calculations to determine the air or fluid flow in both directions.
For use in indirect calorimetry and cardiopulmonary exercise testing, pneumotach 700 may contain a sampling port 733 for sampling respiratory gases. This is especially important for testing when breath by breath analysis is performed. In a typical configuration, a pump (not shown) draws gases from pneumotach 700 during the test as a low rate, for example at about 150 ml per minute, and this gas is then tested for its CO2 and O2 content.
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The present embodiments and examples are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein.
This application is the U.S. National Phase under 35 U.S.C. § 371 of International Application No. PCT/US2007/010186, filed on Apr. 26, 2007, which in turn claims the benefit of U.S. Patent Application Ser. No. 60/794,977, filed on Apr. 26, 2006, the disclosures of which Applications are incorporated by reference herein in their entirety.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/US07/10186 | 4/26/2007 | WO | 00 | 3/10/2009 |
Number | Date | Country | |
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60794977 | Apr 2006 | US |