Patent Application
20220280736
The disclosure generally relates to humidification chambers for humidification systems. More specifically, the disclosure relates to humidification chambers for medical use such as in, for example, but not limited to, respiratory and/or surgical humidification systems.
Many, if not all, existing humidification systems which deliver humidified gases to a patient, or other person in need of such gases, operate under controlled operating parameters. For example, in respiratory systems, it may be desirable to deliver gases to the patient at a particular temperature, pressure, humidity, flow rate, etc.
In surgery, insufflation gases can be used for a variety of purposes. In open surgery, gas can be insufflated into a body cavity for de-airing, such as for example in cardiac surgery. In laparoscopic surgery, the abdominal wall can be distended using gas to provide room for instrument insertion and tissue dissection. During these surgical procedures, it may be desirable to introduce insufflation gas into a surgical cavity under controlled operating parameters such as a particular flow rate, pressure, temperature, or humidity.
Various systems and methods have been developed to humidify and/or warm the gas prior to providing it to the patient. However, these systems and methods have disadvantages which may be addressed by the disclosure.
It is an object of the disclosure to provide a humidification chamber which at least goes some way towards overcoming the disadvantages of the prior art systems or which will at least provide the public with a useful choice.
Particular examples are set forth in the independent claims with preferred embodiments in the dependent claims.
According to a first through sixth aspects of the disclosure there is provided a humidification chamber for use in a medical humidification system, the humidification chamber comprising: a base and a top linked by a side wall to define the chamber; the chamber being configured to contain a volume of water; a gases inlet configured to receive a gases flow from a gases source; and a gases outlet, wherein:
the humidification chamber is configured to increase a path length of gases within the chamber, and/or
the residence time of gases within the chamber; and/or
the humidification chamber is configured to increase a velocity of the gases within the chamber, and/or
the humidification chamber is configured to increase a surface area of water available for heat transfer and/or mass transfer to the gases within the chamber, and/or
the humidification chamber is configured to improve a chamber performance over a wide range of flow rates, and/or
the humidification chamber is configured to improve a heat transfer and/or mass transfer to the gases within the chamber, and/or
the humidification chamber and/or the gases inlet is/are configured to introduce the gases flow to the humidification chamber at a direction substantially tangential or adjacent to the side wall of the humidification chamber, such that the gases flow entering the chamber spins around the inside of the chamber.
The gases inlet may be provided in or pass through the sidewall of the chamber.
The gases inlet may be configured to introduce the gases flow into the humidification chamber as a gases jet.
The side wall may define a substantially circular chamber, when viewed from above.
The chamber may comprise an arcuate wall section, the inlet being located adjacent the arcuate wall section, the arcuate wall section being configured to cause the gases introduced into the chamber to travel in an arcuate path, prior to exiting the chamber. The arcuate path may be a circular path when the chamber is viewed from the top.
The gases outlet may be disposed on a top or base/bottom wall of the humidification chamber, preferably at or proximate to the center thereof. Additionally or alternatively, the gases outlet may be disposed on the side wall of the humidification chamber, optionally facing an opposite way to the direction of the gases flow in the humidification chamber generated by an orientation of the gases inlet and/or flow formations provided in the inlet or the chamber that modify the flow path of the gases.
In accordance with an aspect of this disclosure there is a provided a humidification chamber comprising:
a base,
a wall defining a cavity to hold a humidification fluid,
the wall comprising an arcuate section,
an inlet located on the wall, the inlet extending in a first direction,
an outlet located on the wall, the outlet extending in a second direction,
the second direction being substantially normal/perpendicular to the first direction.
The inlet and outlet may be arranged so as to be orthogonal.
The arcuate wall section may be located between the inlet and the outlet, the inlet being upstream of the arcuate wall section and the outlet being downstream of the arcuate wall section. (Upstream and downstream are in reference to the direction of the gases flow in normal use.) The arcuate section may provide a rotational component to the gases flow. The arcuate wall section may be defined by a cylindrical wall, the gases flow rotating within the chamber prior to exiting the outlet, the inlet and outlet optionally being normal to each other.
The gases inlet may comprise or is configured to receive a nozzle. An inner diameter of the nozzle may be configured to decrease along at least a part of a length of the nozzle so as to increase a velocity of the gases flow prior to the gases flow being introduced to the chamber. In other words, the flow path defined by the nozzle may comprise a constriction or restriction. The gases inlet may comprise a substantially tubular body. The constriction may be shaped and configured to reduce resistance to flow. For example the constriction may be internally tapered so as to be gradually narrowed along its length, wherein the internal profile is substantially smooth.
In some examples, the ratio of the inner diameters of the gases outlet to the inner diameter of the gases inlet is between 2:1 to 8:1, and more preferably 3:1 and 7:1, and in on example is approximately 5:1. The ratio may be selected in dependence upon the type of humidification system.
In some examples the inlet may not decrease in diameter and may be of substantially consistent diameter (or substantially constant cross sectional area) along the length of the inlet. In some examples, the inlet may increase in diameter along the length of the inlet (or otherwise increase in cross sectional area, for example where the inlet is non-circular).
In some examples, the gases outlet may have an inner diameter greater than an inner diameter of the gases inlet. A ratio of an inner diameter of the gases inlet to a diameter of a bottom wall of the humidification chamber may be between 1:25 and 1:10. In another example, the ratio is between 1:20 and 1:15.
The top of the humidification chamber may comprise any one of: a dome shape; a cone shape; an inverted cone shape; and a flat shape, or parts or combinations thereof. The top and/or the gases inlet may comprise an inner surface configured to produce a turbulent gases flow within the humidification chamber. The inner surface of the top and/or sidewall of the humidification chamber, and/or gases inlet may comprise at least one protrusion projecting into the space generally defined by a wall forming the chamber/inlet and/or at least one recess recessed to enlarge the space generally defined by the wall of the chamber/inlet to produce turbulent gases flow in the humidification chamber.
The inlet and side wall may be configured such that gases entering the humidification chamber at the gases inlet swirl into a spiral about an axis within the humidification chamber before exiting the chamber through the gases outlet. Preferably the gases swirl into a spiral about a substantially vertical axis of the humidification chamber. Preferably, the gases swirl into a spiral about an axis that extends from the base to the top of the chamber or vice versa. Preferably, the gases swirl into a spiral about an axis substantially perpendicular to the base of the chamber. For example, the inlet may be disposed on and orientated relative to the side wall such that a distance between adjacent winds/turns of the spiral is reduced when a flow rate of the gases entering the humidification chamber is increased. Alternatively the inlet may be associated with and/or pass through a top of the chamber with flow directors being used to create the desired flow pattern.
The humidification chamber may further comprise at least one insulating layer to prevent or reduce heat loss. In some examples, the at least one insulating layer may comprise a first insulating layer extending over at least part of any of the base, top and/or side wall, optionally the first insulating layer being provided on an external surface of the side wall. In other examples, the humidification chamber may comprise first and second sub-chambers, the second sub-chamber being configured to at least partially surround the first sub-chamber, the first sub-chamber preferably containing the volume of water. Here, the at least one insulating layer may comprise a second insulating layer provided as an air gap formed between the first and the second sub-chambers, although this space may be filled with alternative insulating material as desired.
The flow path through the gases inlet may be angled down towards the base of the humidification chamber so as to increase the volume of gases coming into contact with the water and increase moisture uptake by the gases. Preferably, the gases are not angled directly towards the water (i.e. not vertically) so that the gases are also urged about the inner surface of the chamber side wall, thereby elongating the flow path and/or possibly increasing residence time of gases inside the chamber. Alternatively, the flow path may be inclined upwards towards the top of the chamber on entry of the gases into the chamber. This may create turbulence which promotes mixture of gases inside the chamber and can help in moisture uptake.
In accordance with some aspects of this disclosure, a humidification chamber includes an inlet that “speeds” up the flow and introduces gas flow to the interior of the chamber in a substantially tangential manner such that the flow attaches to the wall and forms a vortex. The vortex flow increases path length of the gases thereby improving humidification. To avoid repetition, references throughout this specification to ‘vortex flow’ should be taken as including that the path length of the gases within the chamber is increased, as compared to a prior art chamber not configured to provide vortex flow. The increased path length is in comparison to a standard chamber for example an MR225 chamber of Fisher & Paykel Healthcare Limited, or the chamber shown in
The humidification chamber may comprise at least one internal element disposed between the gases inlet and the gases outlet to direct or redirect or influence the gases flow within the humidification chamber. In one example, the at least one internal element may be a baffle. In some examples, the at least one internal element may further be configured to heat the gases flow and/or water within the humidification chamber. In some examples, the at least one internal element may be orientated in a plane substantially parallel to the base or the side wall of the humidification chamber.
The base of the humidification chamber may be at least partially formed from or comprise a heat conductive material.
The humidification chamber may comprise a heater plate or a heat conductive plastic casing arranged to at least partially enclose the humidification chamber so as to provide additional heating and/or prevent heat loss.
The humidification chamber may be coupled and/or couplable to a delivery conduit configured to define at least part of a gases flow path between a gases source and a patient interface. The humidification chamber may be placed in the gases flow path between the gases source and the patient interface. The delivery conduit may comprise a supply tube defining at least part of the gases flow path between the gases source and the humidification chamber and/or a patient conduit defining at least part of the gases flow path between the humidification chamber and the patient interface. In some examples, the gases source may comprise a carbon dioxide supply. The patient interface may comprise a trocar or cannula, or a diffuser. In other examples, the gases source may comprise a flow generator. The patient interface may comprise one of: a nasal mask, an oro-nasal mask, an oral mask, a full face mask, a nasal cannula, nasal pillows, an endotracheal tube, and a tracheostomy tube.
The humidification chamber may be coupled and/or couplable to and/or associated with a humidification apparatus comprising a base unit comprising a heater such as a heater plate. The humidification chamber may be removably positioned in contact with the heater plate. In such examples, the base unit may comprise a gases inlet to receive gases from a gases source and a pressurized gases outlet to provide gases to the chamber inlet. The base unit may comprise a humidified gases return port for receiving humidified gases from the chamber, the humidified gases return port being fluidly coupled and/or couplable to an outlet of the base unit that is connectable to a patient interface via a delivery tube, for example. A gases source may integrate with the base unit and/or be couplable thereto, with or without the need for external tubing. Further, the patient interface may connect to the chamber outlet without gases passing through the base unit along their path from the chamber i.e. the delivery tube for the patient interface may connect directly to the chamber outlet.
The gases inlet may comprise one or more walls that define an elongate passageway, wherein the elongate passageway has an inlet end and an outlet end, the inlet end being fluidly couplable to the gases source, including via a conduit, to receive gases therefrom and the outlet end configured to direct gases into the humidification chamber. The elongate passageway may be arcuate along a least a part of its length, preferably at least at or near the outlet end thereof. More particularly, the elongate passageway may have a footprint and/or define a gases path that is parallel to or approximates the contour of at least a portion of the inside of the side wall of the humidification chamber.
The elongate passageway may be tapered along at least a portion of its length, preferably shrinking or reducing in cross-sectional area when moving from a first point to a second point along the passageway, where the second point is nearer the outlet end. Preferably a width and height of the passageway tapers.
At least a part of the elongate passageway may be defined by or coupled to the top of the humidification chamber. In other words, at least part of the passageway may be formed by a top wall of the chamber. Additionally or alternatively, the elongate passageway may be provided to and/or formed integrally with and/or couplable to an opening in the side wall or top of the chamber.
The elongate passageway may at least in part be formed by a cavity that is formed by a wall projecting at the top of the chamber. The outlet end may define a circular or elongated opening that faces the base of the humidification chamber and forms the outlet of the passageway. For example, where the passageway is formed by a projection at the top of the chamber, at least a portion of the cavity facing the chamber base may be open. An internal top wall of said walls that define the elongate passageway may be closer to the base of the chamber at a point closer to the outlet end than at the inlet end so as to direct gases towards the chamber base. Additionally or alternatively, a cross-section of an internal top wall of said walls that define the elongate passageway may be curved or arcuate such that the passageway has a generally concave wall furthest from the chamber base when viewed from inside the chamber.
The gases inlet and outlet may be orthogonal to one another.
The gases inlet may be provided in and/or extend through the side wall of the humidification chamber. Additionally or alternatively, the gases inlet may have at least a portion that defines a smaller cross-sectional area for conveying gases than the gases outlet.
According to a seventh aspect of the disclosure there is provided a humidification chamber for use in a medical humidification system, the humidification chamber comprising: a base and a top linked by a side wall to define the chamber; the chamber being configured to contain a volume of water; a gases inlet, optionally extending through the side wall, configured to receive a gases flow from a gases source; a gases outlet; and one or more elements disposed within the chamber and configured to guide the gases flow along at least a portion of the gas flow path between the gases inlet and the gases outlet of the chamber.
The gases inlet, the gases outlet, and the one or more elements may be arranged such that a length of the gases flow path and/or residence time of the gases within the chamber is increased.
At least one end of the one or more elements may be coupled to one or more of: the base; the top; and the side wall of the chamber.
In some examples, the at least one end may be attached to an inner surface of the side wall and the one or more elements may extend radially from the inner surface of the side wall towards a center of the chamber and/or an opposite side of the inner surface of the side wall. The one or more elements may extend in a direction substantially parallel to a water surface (since the gases flow will affect the surface profile, references throughout this specification to parallel to a water surface or to some other humidification liquid surface is with reference to said liquid at rest) and/or substantially horizontally. The one or more elements may be disposed above or proximate to a water level and/or to the gases inlet.
In other examples, the at least one end may be attached to an inner surface of the top and/or an inner surface of the base and the one or more elements extend from the inner surface of the top and/or the base towards a center of the chamber and/or to the opposing wall at the base or top of the chamber, respectively. The one or more elements may extend in a direction substantially perpendicular to a water surface.
The gases inlet may be orientated relative to the side wall to introduce the gases flow to the chamber at a direction substantially tangential to the side wall of the chamber, such that the gases flow entering the chamber spins around the chamber over the volume of water.
In some examples, the one or more elements may be disposed within the chamber so as to form a winding or serpentine gases flow path.
In other examples, the one or more elements may comprise one or more openings allowing the gases flow to flow through the one or more elements between the gases inlet and the gases outlet. The one or more openings may be shaped and/or dimensioned and/or disposed on the one or more elements such that a length of the gases flow path within the chamber is increased.
The humidification chamber may further be coupled or couplable to a delivery conduit configured to define at least part of a gases flow path between a gases source and a patient interface. The humidification chamber may be placed in the gases flow path between the gases source and the patient interface. The delivery conduit may comprise a supply tube defining at least part of the gases flow path between the gases source and the humidification chamber and/or a patient conduit defining at least part of the gases flow path between the humidification chamber and the patient interface. The delivery conduit may comprise a bubble tube type structure as disclosed in WO2012164407, WO2014088430 and WO2015142192, the entire contents of which are hereby incorporated by reference. The delivery conduit may comprise a dual lumen tube with a heater wire in or at the inner lumen. The dual lumen tube may comprise an outer lumen that provides thermal insulation and an inner lumen to transport gases. In some examples, the gases source may comprise a carbon dioxide supply. Other variations as described in relation to the first through sixth aspects are also possible in relation to this aspect. More generally, features of the aspects and optional features thereof may be incorporated in this and subsequent aspects and vice versa.
For surgical applications, the patient interface may comprise a trocar or cannula, or a diffuser. In respiratory assistance or anaesthesia (includes sedation) fields of use, the patient interface may comprise one of: a nasal mask, an oro-nasal mask, an oral mask, a full face mask, a nasal cannula, and nasal pillows. The patient interface may be sealing or non-sealing. For respiratory therapy when the chamber is used in CPAP therapy of BiPAP or other PAP therapy, the interface may comprise a nasal mask, oral mask, full face mask, oro-nasal mask or nasal pillows. The interface for PAP therapy may be an interface that provides a substantial seal with a portion of the user's face. When the chamber is used for respiratory therapy to provide humidified high flow therapy, the interface may be an unsealed interface e.g. a nasal cannula or an oral cannula. The gases source for all embodiments may comprise a flow generator and/or a pressurized gas reservoir and/or a wall gases source, for example of the hospital type comprising a gas outlet in a wall that is connected to a pressurized gases source within the hospital. Both may be used together to provide an additive to ambient air. For example, oxygen may be added to provide oxygen enriched air which is required for some therapies.
The humidification chamber may be coupled and/or couplable and/or associated with a humidifier or base unit comprising a heater, such as a heater plate, as per other aspects/embodiments. The humidification chamber may be removably positioned in contact with the heater plate.
In an eighth aspect of the disclosure there is provided a humidification chamber for use in a medical humidification system, the humidification chamber comprising: a base and a top linked by a side wall to define the chamber; the chamber being configured to contain a volume of water; a gases inlet, optionally extending through the side wall, configured to receive a gases flow from a gases source; a gases outlet; and one or more heating elements disposed within the chamber and/or being coupled to the chamber, wherein the one or more heating elements are configured to increase an overall surface area for heat transfer and/or mass transfer to the gases flow.
The one or more heating elements may be disposed around or below at least a portion of the chamber.
The base and/or at least a portion of the side wall may have a bowl shape and the one or more heating elements may have a corresponding bowl shape.
The base of the chamber may comprise a varying thickness. In some examples, the thickness of a central portion of the base is greater than a thickness of at least a portion of the base adjacent or proximate the side wall.
Alternatively, at least a portion of the base may be arcuate such that it is convex or concave. According to such embodiments a heater plate may have a complementary curvature such that the heater plate thermally engages at least a portion of the base.
The one or more heating elements may enclose the chamber.
The one or more elements may comprise a heat conductive casing configured to be heated by a heat source.
The one or more heating elements may be disposed within the chamber and at least one end of the one or more heating elements may be coupled or couplable to a heater plate. In some examples, the heater plate may be provided and/or coupled to the chamber such that the one or more heating elements extend from the base towards a center of the chamber and/or the top of the chamber. The one or more elements may extend in a direction substantially perpendicular to a water surface. The one or more elements may be dimensioned such that at least one portion of the one or more elements is disposed above a water level to heat the gases flow. The one or more elements may comprise a layer having hydrophilic properties such that a thin layer of water covers the at least one portion. The one or more elements may be dimensioned so as to be disposed below a water level. The one or more elements may comprise a linear arrangement of heater fins and/or curved heater fins. A portion of the heating elements may extend into the free space of the chamber above the water level. The heating elements may be dimensioned such that they are submerged within the water. The heating elements may be dimensioned such that they extend vertically below a minimum required water level of the chamber.
The gases inlet may be orientated relative to the side wall to introduce the gases flow to the chamber at a direction substantially tangential to the side wall of the chamber, such that the gases flow entering the chamber spins around the chamber over the volume of water.
The humidification chamber may further be coupled to a delivery conduit configured to define a gases flow path between a gases source and a patient interface. The humidification chamber may be placed in the gases flow path between the gases source and the patient interface. The delivery conduit may comprise a supply tube defining the gases flow path between the gases source and the humidification chamber and/or a patient conduit defining the gases flow path between the humidification chamber and the patient interface. The alternative system architectures and forms of patient interface described previously apply equally to this aspect.
The humidification chamber may similarly be coupled and/or couplable and/or associated with a humidifier or base unit comprising a heater plate. The humidification chamber may be removably positioned in contact with the heater plate.
In a ninth aspect of the disclosure there is provided a humidification chamber comprising:
a base and top linked by a side wall;
an outlet positioned in a central region of either the base or the top wall, wherein the outlet is concentric with the chamber;
an inlet;
wherein the outlet is normal to the inlet.
The outlet may be provided in the base of the chamber. The outlet may extend downwardly from the base of the chamber. The outlet may project into the chamber from the base.
In a tenth aspect of the disclosure there is provided a humidification apparatus for use in a medical humidification system, the humidification apparatus comprising at least two humidification chambers, each of the chambers comprising: a base and a top linked by a side wall to define the chamber; the chamber being configured to contain a volume of water; a gases inlet, optionally extending through the side wall, configured to receive a gases flow from a gases source; and a gases outlet; wherein the gases inlet of at least one but preferably each of the at least two humidification chambers is orientated relative to the side wall to introduce the gases flow at a direction substantially tangential to the side wall, such that the gases flow entering the respective chamber spins around that chamber over the volume of water.
The gases outlet of a first said humidification chamber may be coupled to the gases inlet of a second said humidification chamber. The gases inlet of the second humidification chamber may comprise, or may alternatively comprise, the gases outlet of the first humidification chamber. The two chambers may be separate components configured to be removably coupled together, or may be integrally formed with each other or permanently coupled to each other.
The humidification apparatus may further comprise a conduit allowing the gases flow exiting the first humidification chamber at the gases outlet to enter the second humidification chamber at the gases inlet. The conduit may be flexible, or include one or more flexible portions.
The humidification apparatus may further be coupled to a delivery conduit configured to define at least part of a gases flow path between a gases source and a patient interface. The delivery conduit may comprise part of a gas delivery or breathing circuit, the breathing circuit comprising the delivery conduit, and a gas supply tube. The humidification apparatus may be placed in the gases flow path between the gases source and the patient interface. The delivery conduit may comprise part of a breathing circuit which also comprises a supply tube defining at least part of the gases flow path between the gases source and the humidification apparatus and/or a patient conduit defining at least part of the gases flow path between the humidification apparatus and the patient interface. The alternative system architectures and forms of patient interface described previously apply equally to this aspect.
In an eleventh aspect of the disclosure there is provided a humidification chamber for use in a medical humidification system, the humidification chamber comprising: first and second internal or sub-chambers, each of the internal or sub-chambers comprising a base and a top linked by a side wall to define the respective internal or sub-chamber; at least one of the first and second internal or sub-chambers being configured to contain a volume of water; at least one of the first and second internal or sub-chambers comprising a gases inlet, optionally extending through the side wall, configured to receive a gases flow from a gases source; and at least one of the first and second internal or sub-chambers comprising a gases outlet configured to allow the gases flow to exit the humidification chamber; wherein the gases inlet is orientated relative to the side wall to introduce the gases flow to the humidification chamber at a direction substantially tangential to the side wall of the humidification chamber, such that the gases flow entering the humidification chamber spins around the humidification chamber over the volume of water.
One or more internal elements may be disposed within the first internal chamber that are configured to guide the gases flow along at least a portion of the gases flow path between the inlet and the outlet of the chamber. The one or more internal elements may comprise one or more heater elements configured to heat the gases flow flowing through the first internal chamber. The one or more internal elements may be disposed within the first internal or sub-chamber such that a length of the gases flow path within the humidification chamber is increased.
The at least one end of the one or more internal elements may be coupled to one or more of: the base; the top; and the side wall of the chamber. In some examples, the at least one end may be attached to an inner surface of the top and/or an inner surface of the base and the one or more internal elements extend from the inner surface of the top and/or the base towards a center of the first internal chamber and/or beyond the center towards the opposing wall formed by the other of the base and top, respectively.
The one or more internal elements may be disposed within the chamber so as to form a winding or serpentine gases flow path.
The one or more internal elements may comprise one or more openings allowing the gases flow to flow through the one or more elements between the gases inlet and the gases outlet. The one or more openings may be shaped and/or dimensioned and/or disposed on the one or more internal elements such that a length of the gases flow path within the humidification chamber is increased.
The first internal or sub-chamber may comprise: a first gases inlet configured to receive the gases flow from the gases source; and a first gases outlet configured to allow the gases flow to exit the humidification chamber. The second internal or sub-chamber may comprise: a second gases inlet configured to receive the gases flow from the first internal chamber; and a second gases outlet configured to allow the gases flow to exit the second internal or sub-chamber. The first internal or sub-chamber may at least partially or completely enclose the second internal or sub-chamber. In one example, at least a portion of the gases flow may flow around the outer surface of the side wall and/or top of the second internal or sub-chamber before exiting the humidification chamber at the first gases outlet. In another example, at least a portion of the gases flow may enter the second internal or sub-chamber at the second gases inlet prior to exiting the second internal or sub-chamber at the second gases outlet.
The second internal or sub-chamber may comprise the gases inlet configured to receive the gases flow from the gases source and the gases outlet configured to allow the gases flow to exit the humidification chamber. The first internal or sub-chamber may at least partly, or completely, surround the second internal or sub-chamber so as to prevent or reduce heat loss in the second internal or sub-chamber. The second internal or sub-chamber may comprise one or more heater elements. The one or more heater elements may be disposed on a wall separating the first and second internal or sub-chambers.
The humidification chamber may further be coupled to a delivery conduit configured to define at least part of a gases flow path between a gases source and a patient interface. The humidification chamber may be placed in the gases flow path between the gases source and the patient interface. The delivery conduit may comprise a supply tube defining at least part of the gases flow path between the gases source and the humidification chamber and/or a patient conduit defining at least part of the gases flow path between the humidification chamber and the patient interface. Other system features and architectures, including forms of patient interface may be taken from the earlier aspects. The same applies to coupling and/or association of the chamber with a humidifier or base unit comprising a heater plate, wherein the humidification chamber is preferably removably positionable in contact with the heater plate.
In a twelfth aspect of this disclosure there is provided a humidification chamber for use in a medical humidification system, the humidification chamber comprising:
a base and a top linked by a side wall to define the chamber;
wherein the gases inlet is configured to introduce the gases flow to the humidification chamber adjacent the side wall at a velocity sufficient to causes the gases to attach to the side wall.
In a thirteenth aspect of this disclosure there is provided a humidification chamber for use in a medical humidification system, the humidification chamber comprising:
a base and a top linked by a side wall to define the chamber;
a gases inlet configured to receive a gases flow from a gases source; and
a gases outlet,
wherein the gases inlet is configured to introduce the gases flow to the humidification chamber at a direction non-orthogonal to the side wall of the humidification chamber, such that a flow path length of the gases flow through the chamber between the gases inlet and gases outlet, is increased.
In a fourteenth aspect of the disclosure there is provided a medical insufflation system comprising a humidification apparatus, the humidification apparatus comprising a humidification chamber as defined in any one of the preceding aspects and examples.
The medical insufflation system may further comprise any one or more of: a gases source; a patient interface; and a delivery conduit configured to define a gases flow path between the gases source and the patient interface.
The humidification apparatus may be configured to be placed in the gases flow path between the gases source and the patient interface.
The delivery conduit may comprise a supply tube defining at least part of the gases flow path between at least part of the gases source and the humidification apparatus and/or a patient conduit may define the gases flow path between at least part of the humidification apparatus and the patient interface.
The medical insufflation system may further comprise a connector provided between the delivery conduit and the patient interface. The connector may be a Luer lock connector comprising at least one end configured to be coupled to a patient interface fitting, the at least one end being further configured to lock and seal around an outer surface of the patient interface fitting when the Luer lock connector is coupled to the patient interface. The at least one end may form a seal with the outer surface of the patient interface fitting when the at least one end and the patient interface fitting are coupled.
The medical insufflation system may further comprise a filter assembly forming part of the gases flow path, the filter assembly comprising: a filter medium operative to filter medical gases; a housing comprising an inlet, an outlet and the filter medium, the housing defining a gases flow path through the filter medium between the inlet and the outlet; and at least one heating element being positioned in the housing and being configured to heat the filter medium; wherein, the at least one heating element is spaced apart from the filter medium and from an inner surface of the housing.
In some examples, the patient interface may comprise a trocar or a cannula for laparoscopic surgery. In other examples, the patient interface may comprise a diffuser for use in open surgery.
The gases source may comprise a carbon dioxide supply.
The humidification chamber may be coupled to and/or couplable to and/or associated with a humidifier or base unit comprising a heater such as a heater plate. The humidification chamber may be removably positioned in contact or other thermal engagement with the heater plate.
In a fifteenth aspect of the disclosure there is provided a kit of parts for an unassembled medical insufflation system, the kit comprising a humidification chamber as defined in any one of first thirteen aspects and examples, and any one or more of: a breathing circuit comprising one or more conduits configured to define at least part of a gases flow path between a gases source and a patient interface; the breathing circuit comprising a gas delivery conduit and a supply conduit defining a gases flow path between the gases source and a humidification apparatus comprising the humidification chamber. The kit of parts may further comprise an expiratory circuit comprising an expiratory conduit configured to deliver gases from the patient to the gas source, to another device, or to the ambient environment. The or at least part of, the expiratory conduit may be breathable.
The kit of parts may further comprise a filter assembly (which may further comprise a delivery tube connector at a gases source end of the delivery tube and/or a delivery tube connector at a patient interface end of the delivery tube), a connector configured to couple the delivery conduit and the patient interface, a humidifier or base unit comprising a heater (the heater optionally being in the form of a heater plate, the humidification chamber being removably positionable in thermal contact with the heater) and a gases source (e.g. a flow generator).
In a sixteenth aspect of the disclosure there is provided a respiratory gases delivery system comprising a humidification apparatus, the humidification apparatus comprising a humidification chamber as defined in any one of the first through thirteen aspects.
The respiratory gases delivery system may further comprise a flow generator being in fluid communication with the humidification chamber, the flow generator being configured to generate the gases flow. The flow generator may be controlled to provide a desired flow. The flow generator may comprise a flow controlled gas source that controls to a set flow. Alternatively, or additionally, the gases source may be controlled to provide a desired pressure or a set pressure.
The humidification chamber may be configured to humidify the gases flow prior to delivery to a patient.
The humidification chamber may be located downstream of the flow generator.
The respiratory gases delivery system may further comprise: a patient interface; and a breathing circuit configured to define at least part of a gases flow path between the flow generator and the patient interface. The breathing circuit may comprise a supply tube defining at least part of the gases flow path between the flow generator and the humidification apparatus and/or a patient conduit defining at least part of the gases flow path between the humidification apparatus and the patient interface.
The patient interface may comprise one of: a nasal mask; an oro-nasal mask; an oral mask; a full face mask; a nasal cannula; and nasal pillows.
The humidification chamber may be coupled to and/or couplable to and/or associated with a humidifier or base unit comprising a heater such as a heater plate. The humidification chamber may be removably positioned in contact with the heater plate.
In a seventeenth aspect of the disclosure there is provided a humidification system comprising: a humidifier or base unit comprising a heater plate; and a humidification chamber as defined in any one of the first thirteen aspects and examples. The humidification chamber may be removably positioned in contact with the heater plate.
The humidification system may comprise any one or more of:
a respiratory humidification system;
an anesthesia humification system configured to provide humidification during anesthesia;
a CPAP humidification system;
a high flow therapy humidification system;
a surgical humidification system;
a medical humidification system, for example for use during other medical procedures such as upper GI procedures or endoscopy.
Any of the humidification chambers of the first to thirteenth aspects, may be configured to be used with, or comprise part of, any one or more of the systems set out above.
In an eighteenth aspect of the disclosure, there is provided an inlet for a humidification chamber for use in a medical humidification system, the inlet comprising an inlet end configured to receive gases flow from a gases source, an outlet end configured to introduce the gases flow to the inside of the humidification chamber, and at least one wall defining, at least in part, a passageway between the inlet end and the outlet end for conveying gases therebetween, wherein the inlet is configured to direct gases flow along an internal surface of a sidewall of the humidification chamber, and wherein the inlet comprises an edge at the outlet end thereof that is configured to terminate in the humidification chamber or at a wall of the humidification chamber, extend along a portion of the side wall of the chamber and be substantially normal to the direction of gases flow.
Thus the outlet end of the inlet may protrude into the chamber.
Preferably, the aperture defined at the outlet end of the inlet has first and second opposing sides, wherein the first side is upstream of the flow of gases through the inlet relative to the second side, and wherein said second side corresponds to said edge. Preferably, at least said second side protrudes into the humidification chamber.
The inlet may be configured to introduce the gases flow to the humidification chamber at a direction substantially tangential to the side wall of the humidification chamber.
The inlet may be configured to introduce the gases flow substantially parallel to a surface of a humidification liquid in the humidification chamber and/or substantially horizontally.
The inlet may be configured to introduce the gases flow with a vector at least partly towards or away from a surface of a humidification liquid in the humidification chamber.
The edge may be linear or substantially linear.
The at least one wall may comprise an inner surface comprising an inner portion configured to be proximate the humidification chamber and an outer portion opposing or substantially opposing the inner portion, the passageway being provided at least in part between the inner surface and the outer surface.
The outer portion may be configured to be substantially tangential to a side wall of the humidification chamber.
The inner and/or outer portions may be angled and/or curved to introduce the gases flow to the humidification chamber at a direction substantially tangential to the side wall of the humidification chamber.
The inner surface may be smooth and/or continuous.
The passageway may taper along at least a portion of the passageway such that there is a reduction in cross sectional area of the passageway moving from a first point along the passageway to a second point along the passageway, the second point being nearer the outlet end than the first point. The tapering may be effected at least in part by the inner portion tapering towards the outer portion.
The inlet end may define a first profile of the passageway and the outlet end may define a second profile of the passageway, wherein the first and second profiles are different in shape and/or size.
The first profile at the outlet end may comprise at least one vertex and/or at least one rounded vertex.
The passageway may transition from the first profile to the second profile along at least a part of the length of the inlet. The transition may be smooth or continuous or without any sharp corners or recesses.
The first profile may be substantially rounded and/or the second profile may be substantially quadrilateral.
The first profile may be generally circular or oval and/or the second profile may be generally square or rectangular.
The outlet end may be configured to be above a water level in the humidification chamber.
The outlet end may be configured to be at or proximate a top of the humidification chamber.
The inlet may comprise a formation provided at or proximate to the outlet end, the formation being configured to prevent water in the humidification chamber entering the inlet.
Additionally or alternatively, such a formation may form part of or be coupled to any of the humidification chambers disclosed herein.
The inlet may be configured to releasably or permanently attach to the humidification chamber.
In a nineteenth aspect of the disclosure, there is provided an inlet for a humidification chamber for use in a medical humidification system, the inlet comprising an inlet end configured to receive gases flow from a gases source, an outlet end configured to introduce the gases flow to the inside of the humidification chamber substantially along a portion of an internal surface of a side wall of the humidification chamber, and at least one wall defining, at least in part, a passageway between the inlet end and the outlet end for conveying gases therebetween, wherein the inlet is configured such that the outlet end terminates inside the humidification chamber or at a wall defining the humidification chamber, and wherein the passageway tapers along at least a portion of its length from the inlet end to the outlet end such that a cross sectional area of the passageway is reduced at a first point that is nearer to the outlet end than a second point along the passageway.
The inlet may be configured to introduce the gases flow to the humidification chamber at a direction substantially tangential to the side wall of the humidification chamber.
The inlet may be configured to introduce the gases flow substantially parallel to a surface of a humidification liquid in the humidification chamber and/or substantially horizontally.
The inlet may be configured to introduce the gases flow with a vector at least partly towards or away from a surface of a humidification liquid in the humidification chamber.
The taper may start part way along the passageway such that it spaced from the inlet end.
The taper may start proximate the outlet end.
At least a portion of the taper may be aggressive. For example, the inlet may have a first interior cross sectional area at and/or near the inlet end that is larger than a second cross sectional area of the interior of the inlet at or near the outlet end of the inlet, wherein tapering between the point of the first cross sectional area and an intermediate point between the points of the first and second cross sectional areas results in a slower reduction in cross sectional area moving towards the intermediate point than the tapering between the intermediate point and the second point at or near the outlet end of the inlet. The presence and/or configuration of the taper and/or the intermediate point may improve the resistance to flow of the inlet i.e. the control of the reduction of cross sectional area may reduce the resistance to flow of the inlet, aiding in creating the desired flow out of the inlet. The rate of reduction of cross sectional area between the intermediate point and the second point may be 1.5 times or greater than the rate of reduction of cross sectional area between the first point and the intermediate point. The position of the intermediate point may be a function of the length of the inlet and/or the size (e.g. the width) of the outlet end of the inlet. The position of the intermediate point may be at a point between 20% and 40% of length of the inlet, measured from the outlet end i.e. the intermediate point is preferably closer to the outlet end than the inlet end of the inlet and/or three to four times the length of the outlet end of the inlet, with reference to the downstream edge of the outlet end. Said tapering may be provided to any one of the chambers/inlets disclosed herein.
At least a portion of the at least one wall that defines the passageway may be angled and/or curved along the length of the passageway.
The at least one wall forming the passageway may be smooth and/or continuous.
The inlet end may define a first profile of the passageway and the outlet end may define a second profile of the passageway, wherein the first and second profiles are different in shape and/or size.
The passageway defined by the outlet end may have a width to height ratio of between about 1:20 and 1:5.
The outlet end may be configured to be above a water level in the humidification chamber.
The outlet end may be configured to be at or proximate a top of the humidification chamber.
The inlet may comprise a formation provided at or proximate to the outlet end, the formation being configured to prevent water in the humidification chamber entering the inlet.
The inlet may be configured to releasably or permanently attach to the humidification chamber.
In a twentieth aspect of the disclosure, there is provided an inlet for a humidification chamber for use in a medical humidification system, the inlet comprising an inlet end configured to receive gases flow from a gases source, an outlet end configured to introduce the gases flow to the inside of the humidification chamber, and at least one wall defining, at least in part, a passageway between the inlet end and the outlet end for conveying gases therebetween, wherein the inlet is configured to direct gases flow along an internal surface of a sidewall of the humidification chamber, and wherein the outlet end of the inlet is configured to terminate in the humidification chamber or at a wall of the humidification chamber, and wherein the inlet end defines a first profile of the passageway and the outlet end defines a second profile of the passageway, wherein the first and second profiles are different in shape and/or size.
The inlet may be configured to introduce the gases flow to the humidification chamber at a direction substantially tangential to a side wall of the humidification chamber.
The first profile may be substantially rounded and/or the second profile may be substantially quadrilateral.
The first profile may be generally circular or oval and/or the second profile may be generally square or rectangular.
The second profile may be an elongate shape.
The passageway defined by the outlet end may have a width to height ratio of between about 1:20 and 1:5.
The passageway may taper along at least a portion of the passageway such that there is a reduction in cross sectional area of the passageway moving from a first point along the passageway to a second point along the passageway, the second point being nearer the outlet end than the first point.
An inner surface of the at least one wall defining the passageway may be configured to define a curved passageway along at least a portion of the length of the inlet.
An inner surface of the at least one wall defining the passageway may be smooth and/or continuous.
The outlet end may be configured to be above a water level in the humidification chamber.
The outlet end may be configured to be at or proximate a top of the humidification chamber.
The inlet may comprise a formation provided at or proximate to the outlet end, the formation being configured to prevent water in the humidification chamber entering the inlet.
The inlet may be configured to releasably or permanently attach to the humidification chamber.
In a twenty-first aspect of the disclosure, there is provided an inlet for a humidification chamber for use in a medical humidification system, the inlet comprising an inlet end configured to receive gases flow from a gases source, an outlet end configured to introduce the gases flow to the inside of the humidification chamber, and at least one wall defining, at least in part, a passageway between the inlet end and the outlet end for conveying gases therebetween, wherein the outlet end of the inlet is configured to terminate in the humidification chamber or at a wall of the humidification chamber, and wherein the passageway is configured to guide the gases flow such that the center of the gases flow at the inlet end and at the outlet end are substantially aligned along a common axis. Preferably, the passageway is configured to guide the gases flow such that the center of the gases flow at the inlet end and the outlet end are moving substantially in the same direction along a common axis.
Aligning the gases flow at the inlet end and outlet end can reduce drag caused by the walls of the inlet on the gases flow. For example, this may happen where the gases flow skews towards one part of the walls. Further, the central part of the gases flow has the highest velocity and hence has a greater propensity to generate a jet like or blade like flow stream exiting the inlet.
The inlet may be configured such that at least a portion of the common axis is substantially tangential to a side wall of the humidification chamber.
The inlet may be configured such that said at least a portion of the common axis that is tangential to a side wall of the humidification chamber extends from or proximate the outlet end partly or completely towards the inlet end.
A cross sectional area of the passageway may vary along at least a portion of the length thereof.
The cross sectional area may be smallest at and/or proximal to the outlet end.
The outlet end may define a profile of the passageway thereat that is an elongate shape.
The outlet end may define a profile of the passageway thereat that has a width to height ratio of between about 1:20 and 1:5.
An inner surface of the at least one wall defining the passageway may be configured to define a curved passageway along at least a portion of the length of the inlet.
An inner surface of the at least one wall defining the passageway may be smooth and/or continuous.
The outlet end may be configured to be above a water level in the humidification chamber.
The outlet end may be configured to be at or proximate a top of the humidification chamber.
The inlet may comprise a formation provided at or proximate to the outlet end, the formation being configured to prevent water in the humidification chamber entering the inlet.
The inlet may be configured to releasably or permanently attach to the humidification chamber.
In a twenty-second aspect of the disclosure, there is provided an inlet for a humidification chamber for use in a medical humidification system, the inlet comprising an inlet end configured to receive gases flow from a gases source, an outlet end configured to introduce the gases flow to the inside of the humidification chamber along an internal surface of a side wall of the humidification chamber, and at least one wall defining, at least in part, a passageway between the inlet end and the outlet end for conveying gases therebetween, wherein the outlet end defines a profile of the passageway thereat that has a width and a height, a ratio of the width to height being between about 1:20 and 1:5.
The inlet may be configured to introduce the gases flow to the humidification chamber at a direction substantially tangential to the side wall of the humidification chamber.
The inlet end may define a first profile of the passageway and the outlet end defines a second profile of the passageway, wherein the first and second profiles are different in shape and/or size.
The first profile may be substantially rounded.
The first profile may be generally circular or oval.
An inner surface of the at least one wall defining the passageway may be configured to define a curved passageway along at least a portion of the length of the inlet.
An inner surface of the at least one wall defining the passageway is smooth and/or continuous.
The outlet end may be configured to be above a water level in the humidification chamber.
The outlet end may be configured to be at or proximate a top of the humidification chamber.
The inlet may comprise a formation provided at or proximate to the outlet end, the formation being configured to prevent water in the humidification chamber entering the inlet.
The inlet may be configured to releasably or permanently attach to the humidification chamber.
In a twenty third aspect of the disclosure, there is provided a humidification chamber for use in a medical humidification system, the humidification chamber comprising a base and a top linked by a side wall so as to define the chamber; the gases inlet of any one of the eighteenth to twenty-second aspects, the gases inlet being configured to receive a gases flow from a gases source; and a gases outlet.
The gases inlet may, at least in part, be integrally formed with the chamber.
The gases inlet may, at least in part, be releasably or permanently attachable or attached to the humidification chamber.
The inlet of the eighteenth to twentieth aspects may alternatively be provided to any of the other chambers disclosed herein, and/or be included in the kit of parts, respiratory therapy systems or medical insufflation systems disclosed herein.
It is intended that reference to a range of numbers disclosed herein (for example, 1 to 10) also incorporates reference to all rational numbers within that range (for example, 1, 1.1, 2, 3, 3.9, 4, 5, 6, 6.5, 7, 8, 9 and 10) and also any range of rational numbers within that range (for example, 2 to 8, 1.5 to 5.5 and 3.1 to 4.7) and, therefore, all sub-ranges of all ranges expressly disclosed herein are hereby expressly disclosed. These are only examples of what is specifically intended and all possible combinations of numerical values between the lowest value and the highest value enumerated are to be considered to be expressly stated in this application in a similar manner.
To those skilled in the art to which the disclosure relates, many changes in construction and widely differing embodiments and applications of the disclosure will suggest themselves without departing from the spirit or scope of the disclosure as defined in the appended claims. The disclosures and the descriptions herein are purely illustrative and are not intended to be in any sense limiting.
Preferred forms of the disclosure will now be described with reference to the accompanying drawings in which:
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the various principles of the disclosure. However, those skilled in the art will appreciate that not all these details are necessarily always required for practicing embodiments according to the disclosure.
Although the principles disclosed are largely described herein in relation to laparoscopy or open surgery procedures, this is an example selected for convenience of presentation, and is not limiting. The humidifiers and/or humidification chambers described herein may be used for any suitable medical/surgical procedure and in any suitable medical humidification system comprising a gas delivery circuit, such as for example invasive ventilation, non-invasive ventilation, high flow delivery, positive pressure delivery (e.g. CPAP).
Reference is now made to
The gas source 108 could be integral to the system 100 and comprise a flow generator including a blower for example (i.e. the gas source 108 and the humidifier 104 may be combined to form a single apparatus or the two separate components may be modular and configured to couple together without the need for separate conduit(s) therebetween, as is known in the art). Alternatively, or additionally the gas source could be separate but connectable to the system 100 and comprises a hospital compressed gas source for example.
The humidifier 104 can receive gas from the gas source 108 through the gas supply or inlet conduit 110. The gas can be filtered through a filter 111 and delivered to the humidifier 104 through a humidifier inlet 114. The gas is humidified as it passes through a humidifying chamber 116, which is effectively a water bath, and the gas flows out through a humidifier outlet 118 and into the patient conduit 112. The gas then moves through the patient conduit 112 to the patient 102 via a connector 140 (e.g. Luer connector) and the patient interface 136. The patient interface 136 may be, for example, but not limited to, a trocar or cannula for laparoscopic surgery or a diffuser for open surgery. Patient conduit 112 comprises a gas delivery conduit comprising part of a breathing circuit comprising one or more conduits or tubes forming a gas flow path between the flow generator and the patient, including gas supply conduit 110.
The humidifier chamber 116 may be removably engageable with a body 124 of the humidifier 104. The humidification chamber 116 may comprise a side wall, and a base/bottom. The humidification chamber 116 may further comprise a top, an openable lid, or may be topless (e.g. open topped, in which case, the humidification chamber 116 may be received in a sealable cavity of the humidifier body 124). The top, base and side walls may together define a substantially circular chamber when the chamber is viewed from the top. The side wall may be arcuate in shape and may define other arcuate shapes. For example, the chamber may be an elliptical chamber when viewed from the top, or any other chamber having an arcuate but not necessarily perfectly circular shape when viewed from above. The chamber may be symmetrical about at least one axis when viewed from the top. Preferably the chamber is symmetrical about 2 axes, that is, a horizontal and a vertical axis when viewed from above.
The base 121 of the humidification chamber 116 may have a heat conductive (e.g. metal) region or may be entirely heat conductive, and may be adapted to hold a volume or reservoir of water 120, which can be heated by a heater plate 122. The heater plate 122 may be in thermal contact with the heat conductive base 121 of the humidification chamber 116. Providing power to the heater plate 122 can cause heat to flow from the heater plate 122 to the water 120 through the heat conductive base 121. As the water 120 within the humidification chamber 116 is heated it can evaporate and the evaporated water can mix with gases flowing through the humidification chamber 116 from the gas source 108, optionally via the filter 111. Accordingly, the humidified gases leave the humidification chamber 116 via outlet 118 and are passed to the patient 102 via the patient conduit 112, the connector 140, the patient interface 136 and into the surgical site to, for example, insufflate the surgical site and/or expand a body cavity.
The humidifier 104 includes a humidifier control system 106 configured to control a temperature and/or humidity of the gases being delivered to the patient 102. The humidifier control system 106 can be configured to regulate an amount of humidity supplied to the gases by controlling an electrical power supplied to the heater plate 122. The humidifier control system 106 can control operation of the humidification system 104 in accordance with instructions set in software and in response to system inputs. System inputs can include a heater plate sensor 126, a chamber outlet temperature sensor 128, and a chamber outlet flow sensor 130. For example, the humidifier control system 106 can receive temperature information from the heater plate sensor 126 which it can use as an input to a control module used to control the power or temperature set point of the heater plate 122. The humidifier control system 106 can be provided with inputs of temperature and/or flow rates of the gases. For example, the chamber outlet temperature sensor 128 can be provided to indicate to the humidifier control system 106 the temperature of the humidified gases as they leave the outlet 118 of the humidification chamber 116. The temperature of the gases exiting the chamber can be measured using any suitable temperature sensor 128, such as a wire-based temperature sensor. The chamber outlet flow sensor 130 can be provided to indicate to the humidifier control system 106 the flow rate of the humidified gases. The flow rate of the gases through the chamber 116 can be measured using any suitable flow sensor 130, such as a hot wire anemometer, or a thermistor configured for use as a flow sensor. In some embodiments, the temperature sensor 128 and flow sensor 130 are in or otherwise provided to the same sensor housing. The temperature sensor 128 and flow sensor 130 can be connected to the humidifier 104 via connector 132. Additional sensors may be incorporated into the insufflation system 100, for example, for sensing parameters at the patient end of the patient conduit 112. Alternatively the sensors may be wirelessly coupled to the controller. Alternatively the connector may be internal, that is, the sensors are coupled to the controller by integrated wires rather than an external cable.
The humidifier control system 106 can be in communication with the heater plate 122 such that the humidifier control system 106 can control a power delivered to the heater plate 122 and/or control a temperature set point of the heater plate 122. As described further herein, the humidifier control system 106 can determine an amount of power to deliver to the heater plate 122, or a heater plate set point, based at least in part on any one or more of a flow condition, an operation mode, a flow reading, an outlet temperature reading, a heater plate sensor reading.
The insufflation system 100 can include a conduit heating wire 134 configured to provide heat to the gases traveling along the patient or gas delivery conduit 112. Gases leaving the outlet 118 of the humidification chamber 116 can have a high relative humidity (e.g., about 100%). As the gases travel along the patient conduit 112 there is a chance that water vapor may condense on the conduit wall, reducing the water content of the gases. To reduce condensation of the gases within the conduit, the conduit heating wire 134 can be provided within, throughout, and/or around the patient conduit 112, including being at least partly within a wall forming the patient conduit 112. Power can be supplied to the conduit heating wire 134 from the humidifier 104 and can be controlled through the humidifier control system 106. In some embodiments, the heating wire 134 is configured to maintain the temperature of the gas flowing through the patient conduit 112. In some embodiments, the conduit heating wire 134 can be configured to provide additional heating of the gases to elevate the gases temperature to maintain the humidity generated by the heated water bath in the humidifier 104.
The gas delivery conduit may be single walled or comprise a dual conduit configuration that includes an outer conduit and an inner conduit. The inner conduit may carry the gases and include the heating wire 134. The outer conduit may provide insulation of the inner conduit. The outer conduit and inner conduit may be co-axial and there may be an air gap between the outer conduit and the inner conduit.
A further filter or filter assembly (not shown) may be optionally provided and disposed in use between the humidifier 104 and the patient interface 136 so as to allow re-use of the inlet conduit 110 and/or an inspiratory conduit, and in some instances re-use of the humidification chamber 116. The filter assembly can comprise a filter medium for filtering the gases exiting the outlet 118 of the humidification chamber 116. The filter assembly may also comprise a housing and a heating element. The filter medium can be positioned inside the housing so that the humidified gases flowing through the housing are filtered and particles removed. The heating element can be positioned in the gases flow path between the inlet and the outlet of the housing but spaced apart from the filter medium and the housing. The heating element can be configured to heat the filter medium to reduce condensation and prevent the filter becoming clogged. Such filters are described in, for example, WO2018/106127, which is incorporated by reference herein in its entirety.
The connector 140 can be a Luer connector comprising a body having an interior region defining a gases flow passageway allowing insufflation gases to flow through. The body can comprise a first end that removably connects to a fitting of the patient interface 136 and a second end that attaches, preferably permanently, to the tubing of the patient conduit 112. It will be appreciated that the Luer connector 140 of
Additionally, and/or alternatively, the inlet 114 may be angled (e.g. angled down towards the bottom of the humidification chamber 116) such that the gases entering the humidification chamber 116 at a direction substantially tangential to the side wall are further pushed towards the water 120.
Lastly, in some embodiments, the vertical position of the inlet 114 in the side wall may be varied so as to provide different gases flow patterns for the insufflation gases within the humidification chamber 116.
In one embodiment, the top of the humidification chamber 116 comprises a dome shape configured to reflect any upwards moving gases back into the chamber 116. This dome shape may increase the length of the gases flow path within the chamber 116 and may make it harder for the gases to exit the chamber 116. The dome shape of the top of the chamber 116 may increase the length of the gases flow path of the bulk gases flow since the gases are reflected into the chamber 116 and cause the gases to move around the chamber 116 for longer, thereby increasing the path length. Additionally, and/or alternatively, the inlet 114 can be configured to provide an increased velocity to the gases entering the humidification chamber 116. For example, but not limited to, the inlet 114 can be dimensioned so as to accelerate the velocity of the gases passing through it. In another example, the inlet 114 can be configured to introduce the gases into the humidification chamber 116 as a gases jet. Additionally and/or alternatively the inlet may be nozzle shaped, or have a nozzle shaped portion wherein the internal surface of the inlet tapers or inclines such that the cross sectional area of the inlet decreases along its length. Additionally, and/or alternatively, the inlet 114 can be provided in a side wall of the humidification chamber 116 such that the direction of the gases flow entering the chamber 116 is substantially tangential to the side wall and the outlet can be positioned on the upper wall (e.g. at an apex of the dome-shaped upper wall). This configuration enables the gases entering via the inlet 114 to swirl in a vortex i.e. spiral within the humidification chamber 116 before exiting by the outlet 118.
Movement of the humidification fluid within the chamber improves heating of the humidification fluid, the movement of the fluid promoting mixing of the fluid, improving heat transfer and/or mass transfer and improving vaporization. The chamber may increase efficiency of vaporization of the fluid and may increase the rate of vaporization for a given power input to the heater plate. The water in the chamber moves in a vortex type manner. This causes convection within the water and moves water relative to the stationary conductive base of the chamber, thereby improving heat transfer and/or mass transfer to the surface of the water. This also improves the mass transfer from the water to the gases flow. This improves creation of water vapor (i.e. vaporization) and thereby improves humidification, as well as to shorten and/or reduce the warm up period of the chamber to reach a steady state, e.g. desired humidification liquid temperature, humidity of gases flow, gas temperature etc.
Maximizing the residence or dwell time and/or flow path length can be achieved by positioning the inlet and outlet on the chamber such that a vortex flow is created within the humidification chamber. The vortex allows for an extensive residence time, thereby increasing moisture pick-up. The humidification chamber may therefore increase the residence time of the gases in the chamber. The humidification chamber may maximize the path length of the gas flow within the chamber, and may therefore provide one, some or all, of the advantages stated herein. This can be achieved by positioning the inlet (and outlet) on the chamber such that a vortex flow is created within the humidification chamber. The vortex nature of the gases flow in the chamber i.e. the rotating/spinning flow for repeated rotations of gas within the chamber increases the distance travelled by the gas within the chamber, before the gas flows through the chamber outlet. The gas is therefore in contact with the wetted surfaces over a greater distance, increasing the opportunity for humidification. The increased contact with the wetted surface area can lead to more efficient humidification of the gases.
Conservation of mass in the sealed chamber requires that what goes in must be equal to what goes out. The vortex flow may also increase the residence time of the gases in the chamber thereby increasing the moisture pick up. However, the vortex may encourage the humidified gases to exit the humidification chamber before the non-humidified gases. Furthermore, warm gases are less dense (i.e. lighter) than cool gases. When the gases are rotating, the centripetal acceleration causes a centripetal force on the gases. This centripetal force (FC) is proportional to the gases density (φ, velocity (v) and radius of curvature (r) and is given by the following equation:
Therefore, the cool and yet not humidified gases experience a greater centripetal force, driving them towards the outside of the chamber and away from the central exit outlet. Conversely, the warmed and humidified gases experience less centripetal force and exit preferentially from the central exit outlet.
The gases velocity can be maintained by providing the inlet at a position on the side wall of the humidification chamber such that the direction of the gases flow is substantially tangential to the side wall and the outlet at a central location on the upper wall. In addition, increasing the gas flow path over a liquid within the chamber also increases the moisture pick-up. The entire water surface area is therefore exposed to fast moving gases which increases the humidification efficiency. Increasing the gases velocity increases the Reynolds number and turbulence of the gases flow in the chamber. Increasing the turbulence increases mixing and disrupts the boundary layer between the liquid and gases, thereby reducing the relative humidity and increasing the humidity gradient close to the water surface. Lastly, increasing the gases velocity may cause the distance between adjacent winds of the spiral/vortex to reduce, therefore increasing the residence time and/or gas flow path. Adjacent winds could include stacked winds on top and below one another along the central longitudinal axis of the chamber; or concentric winds adjacent one another along a single plane.
The vortex or spiraling flow increases moisture pick-up via surface area by increasing the efficient use of the surface area available for heat transfer and/or mass transfer and/or increasing the actual surface area available for heat transfer and/or mass transfer. Increasing the actual surface area can be achieved by causing ripples in the water surface and, at high flow rates, disrupting the liquid surface tension to cause the water to splash. The vortex causes the entirety of, or more of, the gases within the chamber to circulate and there are at least less regions of stagnant gases flow. Therefore, the entire surface area of the liquid is being exposed to gases moving over it and picking-up moisture.
Improving the heat transfer and/or mass transfer can be achieved by the movement of water. The rotation of the gases induces a rotation of the water due to viscous shear. The movement of the water over the chamber improves the efficiency of the heat transfer and/or mass transfer from the heater plate into the water itself. This is advantageous because a lower heater plate temperature will be necessary for a desired heat input, or heat transfer and/or mass transfer may be improved for a given heat input. Additionally or alternatively, the movement of water causes its mixing which homogenizes the heat distribution in and throughout the water, and/or homogenizes the water faster compared to a non-vortex chamber, e.g. the SH870 chamber shown in
Increasing the gas flow path within the chamber improves moisture pick-up from the water in the chamber. The gases flow path is increased as the gases travel in a circular or rotational direction in a spiral/vortex, from a region proximate to the side wall of the chamber to the outlet, which may be located at a center or central region of the chamber. The increased gas flow path increases the time and/or distance the gases flow is in contact with the water, thereby improving the efficiency of moisture pick-up.
Further, improving the performance over a wide range of flow rates can be achieved by using a vortex gases flow within the humidification chamber. Humidification chambers typically suffer performance issues at high flow rates as these tend to reduce path length and/or the residence time of gases inside the humidification chamber. The vortex humidification chamber provides a more reliable performance across a wide range of flow rates as will be explained hereinafter. The vortex chamber may also be advantageous because the vortex flow provides for improved humidification of the gases at low flow rates, that is, when using a respiratory gases delivery system for neonates or infants. The vortex chamber can improve humidification by making humidification faster at low flows or increase the humidity imparted to the gases. Prior art chambers also have a relatively large variance in residence time from an average residence time because some gas particles travel straight from the inlet to the outlet while other remain stagnant in the chamber. The vortex chamber of the present disclosure can reduce the variance in the residence time, because most of the gases are spinning in the chamber. This reduces stagnant regions and causes most of the gas to reside in the chamber for approximately the average residence time. The lower variance is advantageous because most of, or more of, the gases move along the longer path length and are exposed to the wet surface for a similar time leading to improved humidification. The present disclosure provides a more consistent residence time for the bulk gases flow.
Reference is now made to
Alternatively the inlet 214 may be positioned closer to an upper surface of the chamber 216. The inlet 214 is arranged such that gases entering the chamber 216 enter substantially tangential to the side wall. The inlet 214 is positioned such that at least some of the gases flow attaches to the side wall and travels along the side wall resulting in the spiral i.e. vortex flow being developed in the chamber 216.
Similar to
Further as shown in the top view in
In another embodiment illustrated in
In a further embodiment illustrated in
The rotating diffuser increases the angular momentum of the gases inside the humidification chamber 416 and thus increases the length of the gases flow path and/or increases the gases residence time. In this example the inlet 414 preferably extends through the base of the chamber 416, coaxially with the central axis of the chamber 416. The plate 419 is a rotating structure that rotates the gases in the chamber 416 to create a vortex. The rotating structure 419 may include cut outs to expose the gases to the water.
The term ‘efficient humidification’ should include faster humidification to saturation and/or increasing the amount of humidity into the gases and/or faster saturation at a lower heater plate temperature/power consumption.
In another embodiment illustrated in
In a further embodiment depicted in
In one embodiment (see
The embodiment of
In one embodiment illustrated in
In a further embodiment depicted in
In the embodiment of
The embodiment illustrated in
In a further embodiment, the humidification chamber 1916 may comprise a plurality of inlets with two inlets 1914a and 1914b and an outlet 1918 shown in
Reference is now made to
In a further embodiment the heater plate may comprise wicking structures or a wicking coating on the fins of the heater to draw water from the reservoir such that water extends and covers the entire fin. The structures may be microstructures or capillary tubes or other wicking structures that draw water along the heater fins.
In addition, an additional heating element 3125 (additional to a heater plate that heats the base of the chamber) may be provided to heat an internal wall 3131 separating the two chambers thereby further preventing heat loss in the humidification chamber 3116. In use, gases entering the first chamber 3116a via the inlet 3114 will be heated by the heating element 3125 before entering the second chamber 3116b. Heated gases enter the second chamber 3116b via an outlet of the first chamber 3116a and are humidified before exiting via the outlet 3118. In addition, the outlet of the first chamber 3116a may be configured to introduce the heated gases to the second chamber 3116b at a direction substantially tangential to the internal wall 3131 such that gases swirl in a vortex as they exit the second chamber 3116b via the outlet 3118.
Reference is now made to
In other embodiments (not shown), the velocity of the gases may be increased by providing a small inlet area, and/or reducing the friction forces inside the chamber. The inlet may be, for example, a nozzle having a taper configured to decrease in diameter so as to speed up and focus the gases flow entering the humidification chamber, that is, to create a jet flow of gases into the chamber. The jet flow of gases causes the gases to attach to the chamber. In other words, the inlet may be provided as a substantially tubular body having a first diameter distal from the humidification chamber or the side wall of the humidification chamber greater than a second diameter proximal to the humidification chamber or side wall of the humidification chamber. In addition, and/or alternatively, an inner diameter of the inlet may be less than an inner diameter of the outlet. Additionally, and/or alternatively, a particular value for a ratio between the inner diameter of the inlet and the diameter of the bottom wall of the humidification chamber may be defined. In one embodiment, the length of the inlet may be of approximately 32 mm and the inner diameter of the inlet may be of 5 mm with a 1.5 degree taper opening up into the humidification chamber. The length of the outlet may be of approximately 20.5 mm and the inner diameter of the outlet may be of 19 mm with a 1.5 degree taper opening up into the humidification chamber. Reducing the friction forces inside the chamber may be achieved by processing, for example, the inner surface of the humidification chamber so as to remove any asperities. In another example, the inner surface of the humidification chamber may be processed so as to add recesses and/or dimples to reduce the resistance to flow.
It will be apparent to those skilled in the art that the embodiments described in the previous paragraph and in relation with
Reference is now made to
Measurement of dew point was carried out for the different chambers at different flow rates. Gases were supplied to the inlet of the different chambers at a constant rate. The constant rate was a predefined flow rate and all the chambers were supplied with the same flow rate of gases. The chambers were heated in a customized Fisher & Paykel Humigard® system which allowed the heater plate temperature to be controlled by the user. The Humigard heater base essentially consists of a sprung heater plate that is provide with a rail on each side thereof. The chamber has a rim near its base which is received underneath the rails. The sprung heater plate pushes upwards into the base of the chamber to ensure good thermal contact. A sprung bar is provided at the entrance for the chamber to the rails so as to lock the chamber in the operative position. Pushing down on the bar enables insertion/removal of the chamber.
The outlet of the chamber was connected to a hygrometer (used for testing purposes in a test rig) which measured the dew point of the gases at an end of a heated insufflation tube. In addition, thermostats were used to measure the temperature of the water, the gases leaving the chamber, and the external environment or ambient conditions. The efficiency was then calculated by dividing the dew point temperature by the water temperature as illustrated in the following equation:
The results are summarized below in Table 1.
As seen in the table above and in
The embodiments of the humidification chamber are described with reference to use in surgical humidification applications such as, for example, but not limited to, humidification of insufflation gases. For surgical humidification, a flow rate of between 2 L/min to 20 L/min, preferably between 8 L/min to 15 L/min has been found to provide an improved humidification efficiency of the gases, for the chamber of
The conduit forming the inlet 4214 may be mounted horizontally or parallel to the base of the chamber 4216, but is preferably angled downwardly such that a portion of the conduit adjacent the side wall of the chamber 4216 but spaced apart therefrom is positioned above the end of the conduit joined to the side wall. Such an embodiment is shown in
As shown in
The passageway is arcuate and is preferably configured to be positioned adjacent to but inside of the side wall (when viewed from above), the flow path defined thereby generally matching the shape defined by the inner wall of the chamber 4616, in the embodiment shown, generally circular. Thus the passageway imparts a flow on the gases entering the chamber 4616 that already closes matches the internal contours of the chamber 4616, improving vortex generation and reducing flow scattering.
Further, in the embodiment shown, the top of the passageway is angled towards the base of the chamber 4616 moving from the inlet end 4614a to the outlet end 4614b, and more generally it is shown as tapering (both width and height). The taper more generally serves to increase the velocity of the gases and may provide for a more jet-like flow, or a faster flow, of gases into the chamber 4616.
Further as shown in
According to some further embodiments, the chamber and/or inlet may comprise one or more flow modifying features. For example, as shown in
With reference to
We provide below some further explanation of one or more of the possible operating principles, and one or more of the possible advantages, provided by humidification chambers in accordance with this disclosure.
Maximizing the path length of the gas flow within the chamber can be achieved by positioning the inlet and outlet on the chamber such that a vortex flow is created within the humidification chamber. The vortex allows for repeated rotations of gas within the chamber increasing the distance travelled by the gas. The gas is therefore in contact with wetted surfaces over a greater distance, increasing the opportunity for humidification.
Increasing the velocity of the gas within the chamber can be achieved by providing the inlet at a position on the side wall of the humidification chamber such that the direction of the gases flow is substantially tangential to the side wall and the outlet at a central location on the upper wall. In addition, increasing the gases velocity over a liquid also increases heat and mass transfer and therefore moisture pick-up. The continuous injection of a flow at the inlet in a direction substantially tangential to the side wall causes the gases and a vortex to accelerate to a velocity to near the injection velocity. The entire water surface area is therefore exposed to relatively fast moving gases which increases the humidification efficiency. Increasing the gases velocity increases the Reynolds number and turbulence of the gases flow in the chamber. Increasing the turbulence increases mixing and scrubs the boundary layer above the surface of the liquid water, thereby increasing the humidity gradient. Increasing the gases velocity further causes the distance between adjacent winds of the spiral/vortex to reduce, therefore increasing the gas flow path length.
The vortex or spiraling flow increases moisture pick-up via surface area by increasing the efficient use of the surface area available for heat transfer and/or mass transfer and/or increasing the actual surface available for heat transfer and/or mass transfer. Increasing the actual surface area can be achieved by causing ripples in the water surface, the rotating water being thrown up the chamber side walls and, at high flow rates, disrupting the liquid surface tension to cause the water to splash and expose the additional liquid water surface area of numerous droplets. The vortex causes the entirety of, or at least more of, the gases within the chamber to circulate and there are no regions of, or at least less regions of, stagnant gases flow. Therefore, the entire surface area, or at least more of the surface area, of the liquid is being exposed to gases moving over it and picking-up moisture.
Conservation of mass in the sealed chamber requires that what goes into the chamber must come out. The average residence time of the gas within the chamber is therefore only dependent on the volume of the chamber and the input flowrate (and to a lesser extent the volume expansion of the gas due to heating and the additional gas volume of evaporated water). The average residence time of chambers of equal volume and input flowrate should therefore be comparable. The residence time of individual pockets of gas can however differ and can be a function of chamber design. For example a chamber with regions of stagnant flow and fast moving flow could result in some gas spending a relatively long time in the chamber and some gas a relatively short time. The standard deviation in residence time is therefore relatively large. Neither the stagnant gas, which is somewhat isolated from the flow stream, nor the gas that spends the shortest time in the chamber, contribute much to the humidification of the main flow stream. The vortex causes the entirety of, or at least an increased amount of, the gases within the chamber to circulate such that there are no regions of stagnant gases flow and all the gas is rotating at substantially the same speed. The vortex can therefore create more efficient humidification.
The vortex can encourage the humidified gases to exit the humidification chamber before the non-humidified gases. Furthermore, warm gases are less dense (i.e. lighter) than cool gases. When the gases are rotating, the centripetal acceleration causes a centripetal force on the gases. This centripetal force (FC) is proportional to the gases density (φ, velocity (v) and radius of curvature (r) and is given by the following equation:
FC=(ρv{circumflex over ( )}2)/r
Therefore, the dry and denser gases experience a greater force in relation to the humidified and lighter gases, thus the dry and denser gases are pushed towards the outside of the chamber and away from the central exit outlet. The warmed and humidified gases exit preferentially from the central exit outlet.
Improving the heat transfer and/or mass transfer can be achieved by the movement of water. The rotation of the gases induces a rotation of the water due to viscous shear. The movement of the water over the chamber improves the efficiency of the heat transfer and/or mass transfer from the heater plate into the water itself. This is advantageous because a lower heater plate temperature will be necessary for a desired heat input.
Further, improving the performance over a wide range of flow rates can be achieved by using a vortex gases flow within the humidification chamber. Humidification chambers typically suffer performance issues at higher flow rates as these tend to reduce the residence time of gases inside the humidification chamber. The vortex humidification chamber provides a more reliable performance across a wide range of flow rates. This is exemplified in the test results of
The humidification chambers described herein can also be used in respiratory humidification applications. The humidification chamber may be used in invasive or non invasive ventilation or CPAP or nasal high flow delivery. The humidification chambers described herein can provide similar benefits of improved humidification efficiency that can result in lower power being used and a more stable i.e. flat humidity response over a wide range of flow ranges.
The humidification chambers can be used in any humidification system for medical or respiratory therapy. We set out below three example humidification systems in which a humidification chamber in accordance with any of the above disclosure, or aspects of the disclosure, may be used. References in the following description to ‘chamber’ are to be taken as references to any one of the humidification chambers disclosed above.
A humidification chamber according to embodiments described herein is particularly adapted for use in respiratory systems such as CPAP or high flow respiratory gas systems, for example a high flow system for use in anaesthesia procedures. Such a system is shown schematically in
Unless the context suggests otherwise, a flow source provides a flow of gases at a set flow rate. A set flow rate may be a constant flow rate, variable flow rate or may be an oscillating flow rate, for example a sinusoidal flow rate or a flow rate with a step or square wave profile. Unless the context suggests otherwise a pressure source provides a flow of gases at a set pressure. The set pressure may be a constant pressure, variable pressure or may be an oscillating pressure, for example a sinusoidal pressure or a pressure with a step or square wave profile.
‘High flow therapy’ as used in this disclosure may refer to delivery of gases to a patient at a flow rate of greater than or equal to about 5 or 10 liters per minute (5 or 10 LPM or L/min).
In some configurations, ‘high flow therapy’ may refer to the delivery of gases to a patient at a flow rate of about 5 or 10 LPM to about 150 LPM, or about 15 LPM to about 95 LPM, or about 20 LPM to about 90 LPM, or about 25 LPM to about 85 LPM, or about 30 LPM to about 80 LPM, or about 35 LPM to about 75 LPM, or about 40 LPM to about 70 LPM, or about 45 LPM to about 65 LPM, or about 50 LPM to about 60 LPM. For example, according to those various embodiments and configurations described herein, a flow rate of gases supplied or provided to an interface via a system or from a flow source, may comprise, but is not limited to, flows of at least about 5, 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 110, 120, 130, 140, 150 LPM, or more, and useful ranges may be selected to be any of these values (for example, about 20 LPM to about 90 LPM, about 40 LPM to about 70 LPM, about 40 LPM to about 80 LPM, about 50 LPM to about 80 LPM, about 60 LPM to about 80 LPM, about 70 LPM to about 100 LPM, about 70 LPM to about 80 LPM).
The gases delivered will be chosen depending on the intended use of the therapy. Gases delivered may comprise a percentage of oxygen. In some configurations, the percentage of oxygen in the gases delivered may be about 15% to about 100%, 20% to about 100%, or about 30% to about 100%, or about 40% to about 100%, or about 50% to about 100%, or about 60% to about 100%, or about 70% to about 100%, or about 80% to about 100%, or about 90% to about 100%, or about 100%, or 100%.
In some embodiments, gases delivered may comprise a percentage of carbon dioxide. In some configurations, the percentage of carbon dioxide in the gases delivered may be about 20% to about 100%, or about 30% to about 100%, or about 40% to about 100%, or about 50% to about 100%, or about 60% to about 100%, or about 70% to about 100%, or about 80% to about 100%, or about 90% to about 100%, or about 100%, or 100%.
High flow therapy has been found effective in meeting or exceeding the patient's normal real inspiratory demand, to increase oxygenation of the patient and/or reduce the work of breathing. Additionally, high flow therapy may generate a flushing effect in the nasopharynx such that the anatomical dead space of the upper airways is flushed by the high incoming gas flows. This creates a reservoir of fresh gas available of each and every breath, while minimizing re-breathing of carbon dioxide, nitrogen, etc.
By way of example, a high flow respiratory system 10 is described with reference to
When used prior to a medical procedure, high gas flow can pre-load the patient with oxygen so that their blood oxygen saturation level and volume of oxygen in the lungs is higher to provide an oxygen buffer while the patient is in an apnoeic phase during the medical procedure.
A continuous supply of oxygen is essential to sustain healthy respiratory function during medical procedures (such as during anaesthesia) where respiratory function might be compromised (e.g. diminishes or stops). When this supply is compromised, hypoxia and/or hypercapnia can occur. During medical procedures such as anaesthesia and/or general anaesthesia where the patient is unconscious, the patient is monitored to detect when this happens. If oxygen supply and/or CO2 removal is compromised, the clinician stops the medical procedure and facilitates oxygen supply and/or CO2 removal. This can be achieved for example by manually ventilating the patient through an anaesthetic bag and mask, or by providing a high flow of gases to the patient's airway using a high flow therapy system.
Further advantages of high gas flow can include that the high gas flow increases pressure in the airways of the patient, thereby providing pressure support that opens airways, the trachea, lungs/alveolar and bronchioles. The opening of these structures enhances oxygenation, and to some extent assists in removal of CO2.
The increased pressure can also keep structures such as the larynx from blocking the view of the vocal chords during intubation. When humidified, the high gas flow can also prevent airways from drying out, mitigating mucociliary damage, and reducing risk of laryngospasms and risks associated with airway drying such as nose bleeding, aspiration (as a result of nose bleeding), and airway obstruction, swelling and bleeding. Another advantage of high gas flow is that the flow can clear smoke created during surgery in the air passages. For example, smoke can be created by lasers and/or cauterizing devices.
A pressure relief or regulating device is particularly desirable for use in a respiratory system such as a high flow system comprising an unsealed patient interface, to provide an upper pressure limit for the system. Most importantly, the upper pressure limit may be configured to provide a patient safety limit, or may be configured to prevent damage to tubes, fluid connections, or other components. A pressure relief or regulating device may be used in a CPAP (continuous positive airway pressure), BiPAP (bilevel positive airway pressure) and/or Bubble CPAP systems to regulate the pressure provided to the patient.
With reference to
The controller 19 may be coupled to the flow source 12, the additive gas source 12a, humidifier 17 and sensors 18a-18d. The controller 19 can operate the flow source to provide the delivered flow of gas. It can control the flow, pressure, composition (where more than one gas is being provided), volume and/or other parameters of gas provided by the flow source based on feedback from sensors. The controller 19 can also control any other suitable parameters of the flow source to meet oxygenation requirements. The controller 19 can also control the humidifier 17 based on feedback from the sensors 18a-18d. Using input from the sensors, the controller can determine oxygenation requirements and control parameters of the flow source 12 and/or humidifier 17 as required. An input/output (I/O) interface 20 (such as a display and/or input device) is provided. The input device is for receiving information from a user (e.g. clinician or patient) that can be used for determining oxygenation requirements. In some embodiments, the system may be without a controller and/or I/O interface. A medical professional such as a nurse or technician may provide the necessary control function.
The pressure may also be controlled. As noted above, the high gas flow (optionally humidified) can be delivered to the patient 16 via a delivery conduit 14 and the patient interface 15 or ‘interface’, such as a cannula, mask, nasal interface, oral device or combination thereof. In some embodiments, the high gas flow (optionally humidified) can be delivered to the patient 16 for surgical uses, e.g. surgical insufflation. In these embodiments, the ‘interface’ could be a surgical cannula, trocar, or other suitable interface. The patient interface can be substantially sealed, partially sealed or substantially unsealed. A nasal interface as used herein is a device such as a cannula, a nasal mask, nasal pillows, or other type of nasal device or combinations thereof. A nasal interface can also be used in combination with a mask or oral device (such as a tube inserted into the mouth) and/or a mask or oral device (such as a tube inserted into the mouth) that can be detached and/or attached to the nasal interface. A nasal cannula is a nasal interface that includes one or more prongs that are configured to be inserted into a patient's nasal passages. A mask refers to an interface that covers a patient's nasal passages and/or mouth and can also include devices in which portions of the mask that cover the patient's mouth are removable, or other patient interfaces such as a laryngeal mask airway, endotracheal tube or tracheostomy tube. A mask also refers to a nasal interface that includes nasal pillows that create a substantial seal with the patient's nostrils. The controller controls the system to provide the required oxygenation.
With reference to
In general terms, the apparatus 10 comprises a main housing 100 that contains a flow generator 11 in the form of a motor/impeller arrangement, a humidifier 12, a controller 13, and a user I/O interface 14 (comprising, for example, a display and input device(s) such as button(s), a touch screen, or the like). The humidifier 12 comprises a humidification chamber as disclosed above. The controller 13 is configured or programmed to control the components of the apparatus, including: operating the flow generator 11 to create a flow of gas (gas flow) for delivery to a patient, operating the humidifier 12 to humidify and/or heat the generated gas flow, receive user input from the user interface 14 for reconfiguration and/or user-defined operation of the apparatus 10, and output information (for example on the display) to the user. The user could be a patient, healthcare professional, or anyone else interested in using the apparatus.
An alternative form of breathing assistance apparatus may be a standalone humidifier apparatus comprising a main housing and a humidifier 12. An exemplary standalone humidifier apparatus is described in WO 2015/038013. The contents of that specification are incorporated herein in their entirety by way of reference.
A patient breathing conduit 16 is connected to a gas flow output or patient outlet port 30 in the housing 100 of the breathing assistance apparatus 10, and is connected to a patient interface 17 such as a nasal cannula with a manifold 19 and nasal prongs 18. Additionally, or alternatively, the patient breathing conduit 16 could be connected to a face mask. Additionally, or alternatively, the patient breathing conduit could be connected to a nasal pillows mask, and/or a nasal mask, and/or a tracheostomy interface, or any other suitable type of patient interface. The gas flow, which may be humidified, that is generated by the breathing assistance apparatus 10 is delivered to the patient via the patient breathing conduit 16 through the patient interface 17. The patient breathing conduit 16 can have a heater wire 16a to heat gas flow passing through to the patient. The heater wire 16a is under the control of the controller 13. The patient breathing conduit 16 and/or patient interface 17 can be considered part of the breathing assistance apparatus 10, or alternatively peripheral to it. The breathing assistance apparatus 10, breathing conduit 16, and patient interface 17 may together form a breathing assistance system or, in some configurations, a flow therapy system.
General operation of an exemplary breathing assistance apparatus 10 will be known to those skilled in the art, and need not be described in detail here. However, in general terms, the controller 13 controls the flow generator 11 to generate a gas flow of the desired flow rate, controls one or more valves to control the mix of air and oxygen or other alternative gas, and controls the humidifier 12 to humidify the gas flow and/or heat the gas flow to an appropriate level. The gas flow is directed out through the patient breathing conduit 16 and patient interface 17 to the patient. The controller 13 can also control a heating element in the humidifier 12 and/or the heating element 16a in the patient breathing conduit 16 to humidify and/or heat the gas to a desired temperature that achieves a desired level of therapy and/or comfort for the patient. The controller 13 can be programmed with, or can determine, a suitable target temperature of the gas flow.
Operation sensors 3a, 3b, 3c, 20, and 25, such as flow, temperature, humidity, and/or pressure sensors, can be placed in various locations in the breathing assistance apparatus 10 and/or the patient breathing conduit 16 and/or patient interface 17. Output from the sensors can be received by the controller 13, to assist it to operate the breathing assistance apparatus 10 in a manner that provides optimal therapy. In some configurations, providing optimal therapy includes meeting a patient's inspiratory demand. The apparatus 10 may have a transmitter and/or receiver 15 to enable the controller 13 to receive signals 8 from the sensors and/or to control the various components of the breathing assistance apparatus 10, including but not limited to the flow generator 11, humidifier 12, and heater wire 16a, or accessories or peripherals associated with the breathing assistance apparatus 10. Additionally, or alternatively, the transmitter and/or receiver 15 may deliver data to a remote server or enable remote control of the apparatus 10.
The breathing assistance apparatus 10 may be any suitable type of apparatus, but in some configurations may deliver a high gas flow or high flow therapy (of e.g. air, oxygen, other gas mixture, or some combination thereof) to a patient to assist with breathing and/or treat breathing disorders. In some configurations, the gas is or comprises oxygen. In some configurations, the gas comprises a blend of oxygen and ambient air. As used herein, ‘high flow’ therapy refers to administration of gas to the airways of a patient at a relatively high flow rate that meets or exceeds the peak inspiratory demand of the patient. The flow rates used to achieve ‘high flow’ may be any of the flow rates listed below. For example, in some configurations, for an adult patient ‘high flow therapy’ may refer to the delivery of gases to a patient at a flow rate of greater than or equal to about 10 liters per minute (10 LPM), such as between about 10 LPM and about 100 LPM, or between about 15 LPM and about 95 LPM, or between about 20 LPM and about 90 LPM, or between about 25 LPM and about 85 LPM, or between about 30 LPM and about 80 LPM, or between about 35 LPM and about 75 LPM, or between about 40 LPM and about 70 LPM, or between about 45 LPM and about 65 LPM, or between about 50 LPM and about 60 LPM. In some configurations, for a neonatal, infant, or child patient ‘high flow therapy’ may refer to the delivery of gases to a patient at a flow rate of greater than 1 LPM, such as between about 1 LPM and about 25 LPM, or between about 2 LPM and about 25 LPM, or between about 2 LPM and about 5 LPM, or between about 5 LPM and about 25 LPM, or between about 5 LPM and about 10 LPM, or between about 10 LPM and about 25 LPM, or between about 10 LPM and about 20 LPM, or between about 10 LPM and 15 LPM, or between about 20 LPM and 25 LPM. A high flow therapy apparatus with an adult patient, a neonatal, infant, or child patient, may deliver gases to the patient at a flow rate of between about 1 LPM and about 100 LPM, or at a flow rate in any of the sub-ranges outlined above. Gases delivered may comprise a percentage of oxygen. In some configurations, the percentage of oxygen in the gases delivered may be between about 20% and about 100%, or between about 30% and about 100%, or between about 40% and about 100%, or between about 50% and about 100%, or between about 60% and about 100%, or between about 70% and about 100%, or between about 80% and about 100%, or between about 90% and about 100%, or about 100%, or 100%.
During high flow therapy the delivered gas flow will generally meet or exceed the patient's inspiratory demand, which may increase oxygenation of the patient and/or reduce the work of breathing. Additionally, high flow therapy may generate a flushing effect in the nasopharynx such that the anatomical dead space of the upper airways is flushed by the high incoming gas flows. This creates a reservoir of fresh gas available for each and every breath, while minimizing re-breathing of carbon dioxide, nitrogen, etc.
The patient interface 17 may be a non-sealing interface to prevent barotrauma (e.g. tissue damage to the lungs or other organs of the respiratory system due to difference in pressure relative to the atmosphere). The patient interface may be a nasal cannula with a manifold and nasal prongs, and/or a face mask, and/or a nasal pillows mask, and/or a nasal mask, and/or a tracheostomy interface, or any other suitable type of patient interface.
With reference to
The humidifier examples disclosed herein can include a controller configured to change the humidification chamber outlet temperature set point as a function of chamber inlet temperature. For example, the controller can be configured to detect inlet gas temperature. As chamber inlet temperature increases, the controller can decrease the desired humidity level at the outlet to a lower level (such as a lower therapeutic level), allowing and accounting for additional humidity that may be added in the case of a room air entraining ventilator being the gas source that is connected to the humidifier. The controller can decrease the desired humidity level by optionally changing a heater plate power set point or a heater plate temperature set point. These two parameters may be used in addition or in alternative to a chamber outlet set point. The controller may be configured to, if the inlet temperature exceeds a threshold, bound or cap a chamber outlet set point such that the amount of humidity generated by the humidifier is capped to account for the increased humidity in the ambient air. Additionally or alternatively, the power provided to the heater plate may be capped or bound if the inlet gases temperature exceeds a threshold. The controller may also cap or bound the heater plate temperature set point if the inlet gases temperature exceeds a threshold. This process enables the humidifier to maintain and/or deliver a therapeutic level of humidity while reducing condensation forming in the inspiratory tube and/or patient interface as a result of additional humidity in the incoming gas. Thus, the systems and methods described herein can account for different incoming humidity levels in a respiratory assistance system and improve patient comfort by reducing rain out when the incoming gas has a humidity greater than a dry gas.
The humidifier and humidifier controller disclosed herein may be configured to control a humidifier to operate in two modes, a first mode being a dry inlet gases mode and a second mode being a humidified inlet gases mode. The mode of operation being controlled based on the temperature of the inlet gases. If the temperature of the inlet gases, that is, the inlet temperature is below a threshold the humidifier functions in a first mode. If the temperature of the inlet gases exceeds a threshold, (that is, the inlet temperature exceeds a threshold) the controller operates in a second mode. The second mode reduces the humidity output of the humidifier. This is achieved by capping or bounding the chamber outlet temperature set point in order to reduce the amount of humidity generated by the humidifier. Alternatively, the controller may cap or bound the heater plate set point temperature or heater plate power in order to reduce or cap the humidity generated in the second mode as compared to the first mode. The second mode compensates for humidity in the inlet gases e.g. ambient air.
The humidifier and methods of use described herein can be used to provide non-invasive therapies and/or invasive therapies. The humidifier can be operated in invasive mode, non-invasive mode, high flow mode, or other modes. The humidifier can operate with various patient interfaces such as, for example, an endotracheal tube (ET tube), tracheostomy tube, full face mask, nasal mask, nasal cannula, nasal pillows, sealed prongs, or any other interface. Other desired humidity levels may be possible and other types of therapy systems may be used. The chamber outlet temperature set point can be adjusted according to the therapies provided and the desired humidity levels.
As illustrated, the gas source 102 includes a ventilator 124, which may include a blower or alternatively a turbine. The gas source 102 may also include other mechanisms to deliver or push a flow of respiratory gases to the humidifier 104, such as a valve arrangement or a pump. The gas source 102 is an example room or ambient air entraining ventilator. The gas source 102 may include an inlet 122 through which ambient air is drawn into the gas source 102, for example, by the ventilator 124. The gas source 102 may optionally include a controller 126 configured to control the operation of the ventilator 124. The gas source 102 may optionally include a user interface 132 that can provide information regarding user input to the controller 126. The controller 126 can control the operation of the ventilator 124 based on information provided by the user interface 132 and/or based on other information, for example but not limited to, feedback from the ventilator 124, such as from a sensor associated with the ventilator 124. Instead of drawing ambient air, the inlet 122 can be connected to a supply of dry gas, for example, a gas canister or tank. These type of ventilators can be referred to as non-entraining ventilators and may be controlled by one or more valves such as proportional valves. The valve or valves may be controlled by a controller, such as the controller 126.
The humidifier 104 may include a humidification chamber 134 and a heater plate 136. The humidification chamber 134 may be configured to hold a volume of water W or other suitable liquid, and comprises features in accordance with those of the humidification chambers disclosed above. The heater plate 136 may be configured to heat the volume of water W and respiratory gases within the humidification chamber 134, which may increase the temperature of the respiratory gases and may create vapor from the volume of water W that is taken up by the respiratory gases. The humidification chamber 134 may include a chamber inlet 111 and a chamber outlet 112. The inspiratory conduit 106 may be configured to be connected to the chamber outlet 112, such that heated and humidified respiratory gases may be transported by the inspiratory conduit 106 from the humidification chamber 134 to the patient interface 116 and then delivered to a patient P. Gases exhaled by the patient P into the patient interface 116 may optionally be returned by the expiratory conduit 120 to the gas source 102. The respiratory assistance system 100 may not include the expiratory conduit 120 and thus gases exhaled by the patient P into the patient interface 116 may be vented to the atmosphere, such as directly, or optionally through an exhalation port.
The humidifier 104 may include a controller 130 that can control, for example but not limited to, the operation of the heater plate 136. When the humidifier 104 and the gas source 102 form an integrated device, the controller 126, 130 may be the same hardware processor or separate processors. The humidifier 104 may also include a user interface 140 for providing and/or receiving information regarding user input to the controller 130. The humidifier 104 may further include an inlet temperature sensor 113. The inlet temperature sensor 113 may be configured to detect the temperature of gases entering the humidifier. The inlet temperature sensor 113 may measure a characteristic of the ambient air near the location of the inlet temperature sensor 113, such as a temperature of the ambient air. The inlet temperature sensor 113 can also be a temperature sensor located at or near the chamber inlet 111. The temperature sensor at the chamber inlet 111 can optionally measure both temperature and flow rate of the air coming in from the gas source 102. This measurement can provide an indication of ambient conditions. Additionally and/or alternatively, the respiratory assistance system 100 may include more than one sensor located at or near the chamber inlet 111. The inlet sensors can include a temperature sensor and a separate flow sensor. The one or more inlet sensors can be located at any location from the gas source 102 to the humidification chamber 134. The one or more outlet sensors 110 and the one or more inlet sensors may be integrated with the humidification chamber 134. The controller 130 may receive information regarding a characteristic of the ambient air near the location of the inlet temperature sensor 113 from the inlet temperature sensor 113. The controller 130 may be configured to control the operation of the heater plate 136 based on information provided by the user interface 140, based on information provided by the inlet temperature sensor 113, and/or based on other information, for example but not limited to, feedback from the heater plate 136, such as from a temperature sensor 146 located at or near the heater plate 136. The controller 130 may be configured to determine an amount of power, or a power duty cycle, to provide to the heater plate 136 such that the heater plate 136 delivers a desired amount of heat to respiratory gases and the volume of water W within the humidification chamber 134.
The respiratory assistance system 100 may include one or more outlet sensors 110 that are associated with the chamber outlet location 112. The one or more outlet sensors 110 may also be located at or near the chamber outlet 112. The outlet sensors 110 can include two sensors: a temperature sensor and a flow sensor. The temperature sensor can be a thermistor (such as a heated thermistor). The thermistor can also be used as a flow sensor. Accordingly, there may be a single sensor 110 at or near the chamber outlet 112. Other types of temperature sensors and flow sensors that can work in a respiratory assistance system 100 may also be used. The outlet sensor(s) 110 may be located at the chamber outlet 112, at the inspiratory conduit 106 near the connection between the chamber outlet 112 and the inspiratory conduit 106, or at another suitable location downstream of the humidification chamber 134. The controller 130 may receive information from the outlet sensor(s) 110 regarding a characteristic of respiratory gases flowing past the location of the outlet sensor 110. The controller 130 may be configured to control the operation of the heater plate 136 based on information provided by the outlet sensor(s) 110, instead of or in addition to other sources of information as previously described. An outlet sensor 110 may be integrated into the heater base or may be disposed on a cartridge that is removably attachable to a vertical portion of a heater base. The sensors may be insertable into the inlet port and outlet port as the chamber 134 is positioned in an operative position on the heater base. The chamber inlet and outlet may include openings that correspond to the inlet temperature sensor 113 and outlet sensor 110 to receive the sensors. The sensor openings in the chamber may include polymer covers that are configured to cover the sensor tip as the sensors are inserted into the gases path such that the sensors do not need to be sterilized, since the sensors are not actually in contact with the gases.
Respiratory gases flowing through the inspiratory conduit 106 may lose heat through the walls of the inspiratory conduit 106, which may reduce the temperature of the respiratory gases and may cause condensation to form within the inspiratory conduit 106. The inspiratory conduit 106 may include a conduit heater 144 configured to heat the inspiratory conduit 106 to reduce or prevent this loss of heat. The controller 130 may be configured to control the operation of the conduit heater 144 based on one or several sources of information as previously described. In particular, the controller 130 may be configured to determine an amount of power, or a power duty cycle, to provide to the conduit heater 144 such that the conduit heater 144 delivers a desired amount of heat to the inspiratory conduit 106. The conduit heater may be disposed into the wall of the conduit or may be disposed within the lumen of the conduit.
The respiratory assistance system 100 may include one or more conduit sensors 142 located within the inspiratory conduit 106. The conduit sensor(s) 142 may be located at the inspiratory conduit 106 near the connection between the inspiratory conduit 106 and the wye-piece 114, at the connection between the inspiratory conduit 106 and the patient interface 116 if the inspiratory conduit 106 is connected directly to the patient interface 116, or at the wye-piece 114 or the patient interface 116. The conduit sensor(s) 142 may measure a characteristic of respiratory gases flowing past the location of the conduit sensor 142, such as a temperature of the respiratory gases. The conduit sensor 142 can include a temperature sensor. The conduit sensor 142 can also include a separate flow sensor. The conduit sensor 142 can include an integral flow and temperature sensor that is capable of measuring both the temperature and flow rate such as described herein. The controller 130 may receive information regarding a characteristic of respiratory gases flowing past the location of the conduit sensor 142 from the conduit sensor 142. The controller 130 may determine the flow rate of respiratory gases flowing past the conduit sensor 142. The controller 130 may be configured to control the operation of the conduit heater 144, and/or the operation of the heater plate 136, based on information received from the conduit sensor 142, instead of or in addition to other sources of information as previously described. The conduit sensor may be integrated into the conduit and extend into the gases pathway defined by the conduit. Further, the conduit sensor's wires may be integrated into the wall of the conduit or extend along the conduit.
Respiratory gases may also lose heat through the walls of the patient interface 116, the wye-piece 114, and/or any other respiratory system component that may connect the patient interface 116 to the inspiratory conduit 106. One or more of the patient interface 116, the wye-piece 114, and any other respiratory system component that may connect the patient interface 116 to the inspiratory conduit 106 may include an associated heater and/or an associated sensor. The controller 130 may receive information from such an associated sensor regarding a characteristic of respiratory gases flowing past the location of the sensor. The controller 130 may use information received from such an associated sensor to control the operation of the respective associated heater.
One or more of the patient interface 116, the wye-piece 114, and any other respiratory system component that may connect the patient interface 116 to the inspiratory conduit 106 may not include an associated heater and/or an associated sensor. The controller 130 may use an estimate of the heat lost by respiratory gases flowing through unheated respiratory system components to control other heaters associated with the humidifier 104, such as the heater plate 136 and/or the conduit heater 144. The controller 130 may calculate such a heat loss estimate for unheated respiratory system components based on other received information, such as, but not limited to, information received from the outlet sensor 110, the conduit sensor 142, the inlet temperature sensor 113, and/or the user interface 140, and/or based on information retrieved from a data storage device, which may be located in the controller. The data received from the sensors described herein can also be stored in the data storage device.
The humidifier 104 may be used in the respiratory assistance system 100 to deliver heated and humidified respiratory gases to the patient P for multiple types of respiratory therapies, including but not limited to invasive ventilation therapy, non-invasive ventilation therapy, high flow therapy, BiPaP therapy, Continuous Positive Airway Pressure therapy, or other respiratory assistance therapy. The humidity conditions of the respiratory gases provided to the humidifier 104 by the gas source 102 may vary. For example, the type of the gas source 102 used in the respiratory assistance system 100 may depend on the type of respiratory therapy, respiratory system configurations, location of use (such as home or hospital), or availability of different gas supplies. Gases from different supplies may have different characteristics, including temperature and humidity. Ambient air, in particular, ambient air in tropical weather and/or during summer time can have a higher humidity than gas obtained from a compressed gas tank or bottle. It may be beneficial to adjust the operating parameters of the respiratory assistance system 100 using a control system such that the patient receives comfortable care, for example, with reduced and/or minimized rain out in the inspiratory tube and/or patient interface while still receiving adequately humidified gases in spite of different supply gas characteristics. The control system may be able to automatically adjust operating parameters based on an inference of whether the supply gas is dry or ambient. The operating parameters may include certain temperature set points described below. Additionally or alternatively, the operating parameters may be a dew point, humidity output of the humidifier, or other suitable parameter.
The chamber 5916 comprises a gases inlet 5914 configured to receive a gases flow and a gases outlet 5918 to deliver a gases flow. The gases inlet 5914 may connect to a source of gases using one or more conduits.
As shown in
More generally, the sidewall may comprise n side wall portions and (n−1) transition wall portions (wherein n is an integer value and is greater than or equal to 2), wherein the ith side wall portion (where i is an integer value and 1≤i≤n) is positioned between the top of the chamber and the (i−1)th side wall portion for 2≤i≤n. A first side wall portion corresponds to i=1 and is positioned between the base of the chamber and the first transition wall portion (i.e. closest to the base), and the ith transition wall portion extends between the (i+1)th and ith side wall portions.
The humidification chamber 5916 of
As shown in
The internal surface of each said side wall portion 5951, 5953, 6250 may define a constant or varying footprint along its length moving from the base to the top of the chamber. In other words, one or more or all of the side wall portions may be perpendicular to the base or may be offset from perpendicular or be curved or define some other profile.
As shown in
However, other arrangements are possible and at least one side wall portion above the lowest side wall portion may define a footprint that is greater than another side wall portion that is positioned nearer to the base.
The humidification chambers of
Thus at least some of the gases may be guided to flow substantially parallel to and/or substantially tangential to at least part of an inner surface of the side wall.
While the chambers 5916 and 6216 of
To promote the vortex or swirling flow, the inlet and/or an insert provided thereto and/or a flow formation may direct the gases flow from the inlet to a part (preferably a curved portion) of the side wall of the chamber.
At least one section through the side wall may have at least one axis of symmetry. At least one section may have two axes of symmetry. At least one section through the side wall may have two axes of symmetry, the two axes being orthogonal and lying in a plane parallel to the base. Said sections are may be parallel to the base. At least one section through the side wall may have a rotational axis of symmetry perpendicular to the base.
The entire or substantially the entire side wall may have at least one axis of symmetry or at least two axes of symmetry and/or a rotational axis of symmetry. In the embodiments shown in
As shown in
In the embodiments shown in
Alternatively, the gases outlet 5918, 6218 may be disposed in the side wall. According to such embodiments, the gases outlet 5918, 6218 may be positioned remote from the base and/or proximate the top of the chamber 5916, 6216. According to some embodiments, the gases outlet 5918, 6218 is provided at or in the uppermost or nth side wall portion although other positions are possible. In some examples, the gases outlet may be disposed in the base.
Again, the hollow tubular body may extend from and/or be coupled and/or be couplable to and/or define the outlet 5918, 6218. Further, the hollow tubular body may be linear or curved and/or include one or more bends.
The gases outlet 5918, 6218 or at least the chamber end thereof may be oriented oblique to or in an opposite direction to the bulk flow of gases in the humidification chamber.
In the embodiments of
The gases inlet 5914, 6214 and/or outlet 5918, 6218 may comprise a formation for preventing water from splashing out of the chamber. For example, a baffle may be provided.
The gases inlet 5914, 6214 and/or the conduit at the inlet and/or an insert provided thereto may be configured to introduce the gases flow into the humidification chamber as a gases jet. Additionally or alternatively, the gases inlet 5914, 6214 may comprise or be configured to receive a nozzle.
The gases inlet 5914, 6214 or conduit at the inlet may have a constant cross-section or include an increase or decrease in the cross-section of the inner surface thereof as the bulk flow of gases move through the gases inlet 5914, 6214. The inlet conduit may be defined by a hollow body comprising a first end for receiving gases from a gases source and a second end for directing gases into the chamber 5916, 6216, wherein a cross-sectional area of a first portion of the passageway defined by the hollow body is larger than the cross-sectional area of a second portion of the passageway, the first portion of the passageway comprising the first end or at least being closer to the first end than the second portion. Thus the inlet 5914, 6214 or inlet conduit may comprise and/or define a restriction or a constriction in the path of the gases proximate to or immediately prior to entering the chamber 5916, 6216. Such arrangements may encourage vortex or swirl generation by increasing a velocity of the gases and/or by better directing the gases to a portion of the chamber configured to generate swirl e.g. to the chamber side wall. In some embodiments, the cross-sectional area of the first portion of the passageway defined by the hollow body is smaller than the cross-sectional area of the second portion of the passageway.
The passageway may taper along at least a portion of its length from for example a larger cross-sectional area at or proximate to the first end to a smaller cross-sectional area at or nearer to the second end.
The inlet 5914, 6214 and/or the outlet 5918, 6218 of the humidification chamber may be circular or elliptical, although other shapes are possible. Further, the inlet and outlet may define differently shaped passageways. Further still, an inlet end and an outlet end respectively of the inlet 5914, 6214 and outlet 5918, 6218 may have different shapes. For example, an inlet end of the inlet and/or an outlet end of the outlet may be circular whereas an outlet end of the inlet and/or an inlet end of the outlet may be circular or elongated.
While the inlets 5914, 6214 are shown as being cross-sectionally smaller than the outlets 5918, 6218, they may be the same or substantially the same size or an aperture forming the outlet may be larger or smaller than an aperture forming the inlet.
At least one side wall portion may define any of a dome shape; a cone shape; an inverted cone shape; and a cylindrical shape, or parts or combinations thereof. More particularly, this may be the case for at least the inner surface of the side wall portion(s). Similarly, a top of the chamber may be flat, convexly or concavely curved, be dome or inverted dome shaped, be conical or inverted cone-shaped, or parts or combinations thereof. Again, more particularly, this may be the case for at least an inner surface of the top.
Referring to
The chamber 6316 differs from the chamber 5916 in that the chambers, or volumes defined by the side wall portions have different aspect ratios, the aspect ratios being defined as height:width.
The or at least one transition wall portion may lie wholly in a plane parallel to or substantially parallel to the base. In another example, the or at least one transition wall portion is inclined towards or away from the base moving between adjacent side wall portions. The transition walls may define a linear or curved cross-section moving between adjacent side wall portions. For example, a transition wall portion may comprise a recess or a projection in its cross-section and/or comprise an outwardly convex or concave portion.
According to some examples, at least one or even each side wall portion may define a cylinder having an axis perpendicular to a center of the base and/or at least one or even each transition wall portion may lie wholly in a plane parallel to or substantially parallel to the base. According to some examples, the cylinders defined by side wall portions may taper slightly outwards moving from the top of the chamber to the base.
Internal volumes defined by each side wall portion may vary. According to the embodiments shown, the volume may decrease for side wall portions positioned farther from the base. For example, side wall portions closer to the base may have a larger footprint when viewed from above and/or have a greater height (i.e. extend a greater distance perpendicular to the base). Other possibilities are also envisaged. For example at least one side wall portion farther from the base than another side wall portion may define a larger volume than the other side wall portion.
To encourage mixing of gases inside the chamber, any one or more of the following may be configured to encourage a turbulent flow in at least a portion of the chamber:
an inner surface of the top and/or sidewall of the chamber,
the inlet and/or an inner surface of the inlet,
an insert provided to the inlet,
a flow formation provided to the interior of the chamber,
an inner surface of a said side wall or a portion thereof and/or a said transition wall or a portion thereof.
To this end, any one or more of said surfaces or features in the preceding paragraph may comprise one or more projections and/or one or more recesses configured to produce said turbulent gases flow in the humidification chamber. The projections and/or recesses may have any shape including but not limited hemispherical, frustoconical, cylindrical or rectangular prisms, and trapezoidal. Mixtures or combinations of these are also possible.
The outlet 6418 is shown as being positioned centrally in the top wall of the chamber 6416 but may be otherwise positioned as disclosed previously. While not shown in
The inlet 6414 may comprise and/or be configured to receive a tubular wall portion (e.g. a connector) that defines an elongate passageway, wherein at least a section of the elongate passageway is parallel to or substantially parallel to the base. Alternatively the elongate passageway may be inclined along at least a portion of the length thereof and/or be otherwise configured to impart a vector to gases exiting the passageway that includes a component in the direction of or away from the base. The same is true for other examples herein.
Such an arrangement is depicted in
The inlet of
As best shown in
While the taper may be axially aligned with the insert 6681, it may alternatively be offset from being axially aligned. In such examples including an offset, an alignment feature may be provided to the insert 6681 to ensure the insert 6681 is fitted to the inlet 6614 in a predetermined orientation. For example, the insert may include a groove and the inner wall of the inlet 6614 may include a projection or rib such that the insert 6681 can only be provided to the inlet 6614 when the groove is aligned with the projection or rib.
Another example chamber 7016 with an alternative configuration of the inlet 7014 is shown in
As can be seen in
The inlet 7014 may be formed integrally with the chamber 7016 or releasably or permanently assemblable thereto. For example, the chamber 7016 may include a collar projecting external and/or internal to the chamber 7016 (e.g. similar to the protruding wall shown in
According to the example shown in
The insert 7971 defines an elongate passageway. In the embodiment shown, the elongate passageway is oriented or configured to be received in a direction perpendicular to or substantially perpendicular to the base of the chamber 7916 although it may be offset therefrom. For example, the collar defining the inlet 7914 may be angled or offset from vertical. The insert 7971 has a closed (or blind) end wall positionable inside the chamber 7916 with an aperture 7963 defined in a side wall of the insert 7971 that such a direction of flow of gases changes as gases are conveyed through the insert 7971.
As shown in
At least one insulating layer preventing or at least reducing heat loss may be provided to any one of the humidification chambers described herein. Such humidification may be conveniently provided to an outer surface of the chamber such as the base and/or top and/or side wall of the humidification chamber.
While the bases of the chambers shown in the drawings are generally omitted to facilitate viewing of internal detail, said bases are preferably formed at least in part from a heat conducting material and close off the bottom of the chamber.
The side wall and/or top of any of the chambers depicted herein may be formed from a thermoplastic or metal.
Any one of the chambers depicted or described herein may include at least one heater for heating the contents of the chamber. The at least one heater may be provided to the inlet and/or the outlet and/or the base and/or the side wall and/or the top of the chamber. The at least one heater may comprise a heater plate in at least a part of the base.
Humidification apparatus comprising the chambers described herein may comprise a heater to heat the contents of the humidification chamber. The heater may comprise a heater plate configured to heat at least a portion of the base of the chamber. The or additional heaters may be provided to other parts of the apparatus to heat any one or more of the chamber inlet, outlet, side wall and top of the chamber.
The chambers disclosed herein may be used in a respiratory therapy system, comprising a humidification apparatus configured to receive the chambers.
The respiratory therapy system may comprise a gases source. The gases source may be configured to deliver gases to a patient interface at high flow rates, preferably more than about 2 L/min, preferably more than about 20 L/min, preferably between about 2 L/min and about 120 L/min, preferably between about 20 L/min and about 120 L/min, preferably between about 20 L/min and about 90 L/min, preferably between about 40 L/min and about 70 L/min. The gases source may be configured to vary the flow rate of gases delivered thereby. The gases source may comprise air and/or an oxygen source.
The respiratory therapy system may comprise a patient interface. The patient interface may comprise a non-sealing nasal cannula although other forms of interface are possible as disclosed elsewhere herein.
The respiratory therapy system may comprise one or more conduits each configured to define at least part of a gases flow path between a gases source and a patient interface. One or more of said conduits may comprise a heater to heat gases flowing therein.
The respiratory therapy system may include the assemblable inlet or insert previously described herein. The insert may be provided to an inlet of the humidification chamber and/or to an outlet end of a conduit configured to provide at least part of a gases flow path from a gases source to the humidification chamber.
The respiratory therapy system may comprise a filter in the gases flow path between a gases source and a patient interface.
The respiratory therapy system may comprise a pressure relief valve at a point along the gases flow path between the gases source and the patient interface. The pressure relief valve may be positioned between the gases source and the humidification chamber.
The chambers and/or humidification apparatus described herein may form part of a medical insufflation system as discussed previously.
The medical insufflation system may comprise a gases source. The gases source may be configured to deliver gases to a patient interface at flow rates of between about 8 L/min and 14 L/min. The gases source may comprise a source of carbon dioxide.
The medical insufflation system may comprise a patient interface. The patient interface may comprise a trocar or a cannula for laparoscopic therapy or a diffuser for use in open surgery.
The medical insufflation system may comprise one or more conduits each configured to define at least part of a gases flow path between a gases source and a patient interface. At least one of the conduits may comprise a heater to heat gases flowing in the conduit in use.
The medical insufflation system may include the assemblable inlet or insert previously described herein. The insert may be provided to an inlet of the humidification chamber and/or to an outlet end of a conduit configured to provide at least part of a gases flow path from a gases source to the humidification chamber.
The medical insufflation system may comprise a filter in the gases flow path between a gases source and a patient interface.
As shown, the inlet 8714 is provided to a side wall of the chamber 8716 proximate to the top wall thereof. As with other embodiments, the inlet 8714 may be positioned lower on the chamber 8716 side wall and the chamber 8716 may be differently configured. For example, the top of the chamber 8716 may be non-flat (e.g. angled or curved) and the side wall may not be perpendicular to the base. Further, while the outlet 8718 is shown in the center of the top of the chamber 8716, it may be otherwise positioned, including in a base of the chamber 8716. More generally, the inlet 8714 of
Top and underneath perspective views of the humidification chamber 8716 of
f are alternative sectional views, in particular showing detail of the inlet 8714 of the humidification chamber 8716 of
The inlet 8714 is configured to improve (by reducing) the warm up time of the chamber to a steady state and/or improve the humidity of a gases flow at a given temperature of a heating element used to heat the humidification liquid. The inlet 8714 is configured such that flow into the chamber 8716 is preferably introduced as a jet which preferably has a blade-like profile (i.e. an elongate profile rather than a generally circular profile although the profile may be generally circular or polygonal, as well as other shapes). This enhances the vorticity of gases flow within the chamber. This is due to the structure and profile of the flow path within the inlet 8714 and/or that the center of the flow is aligned tangentially with the side wall of the chamber body and/or the configuration at the outlet end of the inlet including embodiments where a part of the wall defining the outlet end protrudes into the chamber. This results in less water splash and encourages an introduced gases flow that follows the profile of the interior of the side wall of the chamber 8716.
As shown (see, in particular,
With reference to
As shown for example in
The tapering and/or curvature of the flow path created by the configuration of the internal surface of the inlet 8714 also helps in introducing the gases flow as a jet into the chamber which enhances vortex mechanics in the chamber. A smooth and/or continuous profile helps to maintain laminar flow in the inlet 8714 while a curved profile helps to reduce the resistance to flow in the inlet. A smooth and/or continuous profile may also help to reduce the resistance to flow in the inlet 8714.
Gases flow enters the inlet 8714 at an inlet end 8714a and exits at an outlet end 8714b. The inlet end 8714a may be generally circular so as to provide attachment to conventional gases source outlets (including via flexible tubing) although the disclosure is not limited thereto. Other rounded shapes such as oval or ovoid are also within the scope of the invention as are non-rounded shapes or shapes only having rounded corners or vertices.
The shape of the inlet end could influence the pressure drop through the inlet and/or the flow distribution of the gases flow through the inlet. A circular inlet end may provide a desired pressure drop and/or flow distribution profile.
The outlet end 8714b is preferably configured as a slot having a height and width, the height preferably being greater than the width. More preferably, the slot preferably has a height to width ratio of between about 5:1 and 20:1. Further, the outlet end 8714b is preferably defined at least in part by an edge of one or more walls that define the inlet 8714 or that extend therefrom. The edge is preferably positioned so as to promote a jet like or blade like flow. The edge may be formed at a portion of the aperture defined by the outlet end that is furthest downstream of the gases flow through the inlet 8714.
While the aperture defined at the outlet end 8714b of the inlet 8714 may be rectangular as shown (e.g. see
The curvature of the passageway inside the inlet 8714 and/or the configuration of the outlet end 8714b of the inlet 8714 better ensure that that the direction of the gases flow at or about the center of the gases stream through the inlet 8714 is the same at the inlet end 8714a and the outlet end 8714b. Further, the centres of flow at the inlet and outlet ends 8714a, 8714b of the inlet 8714 are preferably configured so as to align or approximately align with a tangent to a side wall of the chamber 8716, preferably a tangent at or proximate the join of the inlet to the chamber side wall.
An enlarged sectional view of the inlet 8714 is shown in
Thus at least a portion of the tapering may be sharp or aggressive. For example, the inlet may have a first interior cross sectional area at and/or near the inlet end that is larger than a second cross sectional area of the interior of the inlet at or near the outlet end of the inlet, wherein tapering between the point of the first cross sectional area and an intermediate point between the points of the first and second cross sectional areas results in a slower reduction in cross sectional area moving towards the intermediate point than the tapering between the intermediate point and the second point at or near the outlet end of the inlet. The presence and/or configuration of the taper and/or the intermediate point may improve the resistance to flow of the inlet i.e. the control of the reduction of cross sectional area may reduce the resistance to flow of the inlet, aiding in creating the desired flow out of the inlet. The rate of reduction of cross sectional area between the intermediate point and the second point may be 1.5 times or greater than the rate of reduction of cross sectional area between the first point and the intermediate point. The position of the intermediate point may be a function of the length of the inlet and/or the size (e.g. the width) of the outlet end of the inlet. The position of the intermediate point may be at a point between 20% and 40% of length of the inlet, measured from the outlet end i.e. the intermediate point is preferably closer to the outlet end than the inlet end of the inlet and/or three to four times the length of the outlet end of the inlet, with reference to the downstream edge of the outlet end.
Preferably, the inlet 8714 is configured such that the passageway has its smallest cross section at or near the outlet end 8714b. This can be beneficial as it means that the exit controls the resistance to flow (RTF) of the inlet 8714. Having the smallest cross section at the exit can also improve the creation of a jet like flow into the chamber 8716. If the inlet 8714 was formed with, say the smallest cross section before the outlet end 8714b, e.g. at (b) in
As can be seen in
The disclosure is not limited to inlets defining a passageway having the particular cross sections shown, although the inlet end is preferably circular so as to enable fitting thereto of components having a standard medical taper and/or to generate a desired pressure drop and/or flow distributed as disclosed previously. For example, a portion of the passageway, including that at the outlet end 8714b of the inlet 8714, may be crescent shaped, triangular, obround, oval or ovoid, elliptical or quadrilateral. This list is not intended to be exhaustive.
The structure and geometry of the aperture at the outlet end 8714b of the inlet 8714 is preferably configured so as to concentrate the flow of gases at the tangent of the internal side wall of the chamber 8716, more particularly, the internal surface of the side wall. This improves the jetting effect and causes flow to stick to the wall and move around the chamber. Thus vortex generation or swirling of gases inside the chamber 8716 may be improved. The shape of the aperture at the outlet end 8714b may be rectangular or substantially rectangular with the aperture arranged in an elongate manner such that the height is greater than the width. A ratio of the width to height of the aperture at the outlet end 8714b of the inlet 8714 may range between 1:20 and 1:5, when viewed from the inlet end 8714a (for example, the view as shown in
The chamber 9616 is substantially similar to that shown in
In an alternative embodiment as shown in
The inlet may alternatively be configured such that the center of the gases flow is positioned between the positions shown for inlets 8714, 9614, or extend laterally out of the chamber further than inlet 8714.
The inlet 10214 shown in
According to the embodiment of
The sharp taper is still preferably smoothed/curved to direct the flow to the outlet end. The sharp taper allows a larger diameter to be maintained along most of the inlet 10414. This embodiment has a lower RTF when compared to an inlet that begins to taper from the inlet end, or from closer to the inlet end. This is because flow may travel slower through the large diameter portion of the inlet 10414 as friction in this portion is lower, leading to a lower RTF.
The inlet 10614 principally differs from the inlet of
As shown in
There have been described and illustrated herein several embodiments of a humidification chamber. While particular embodiments have been described, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Thus, while particular types of inlet configurations/arrangements, outlet configurations/arrangements, heater plate, heating elements, protrusions, number, size, shape, for the humidification chambers have been disclosed, it will be appreciated that any suitable combination of these features may be used to provide a vortex humidification chamber. In addition, while particular types of inlet configurations/arrangements, outlet configurations/arrangements, heater plate, heating elements, protrusions, number, size, shape, for the humidification chambers etc. have been disclosed, it will be understood that other types can be used. It will therefore be appreciated by those skilled in the art that yet other modifications could be made to the disclosed embodiments without deviating from their spirit and scope as disclosed or claimed.
Various numbered aspects and embodiments of the invention follow:
1. A humidification chamber for use in a medical humidification system, the humidification chamber comprising:
a base and a top linked by a side wall to define the chamber;
a gases inlet configured to receive a gases flow from a gases source; and
a gases outlet,
wherein the gases inlet is configured to introduce the gases flow to the humidification chamber at a direction substantially tangential to the side wall of the humidification chamber.
2. The humidification chamber of example 1, wherein the gases inlet is configured to introduce the gases flow into the humidification chamber as a gases jet.
3. The humidification chamber of example 1 or 2, wherein the side wall defines a substantially circular chamber, when viewed from above.
4. The humidification chamber of any one of the preceding examples, wherein the gases outlet is disposed on a top of the humidification chamber.
5. The humidification chamber of any one of examples 1-3, wherein the gases outlet is disposed on the side wall of the humidification chamber, optionally facing an opposite way to the direction of the gases flow in the humidification chamber.
6. The humidification chamber of any one of the preceding examples, wherein the gases inlet comprises or is configured to receive a nozzle.
7. The humidification chamber of example 6, wherein an inner diameter of the nozzle is configured to decrease along a length of the nozzle so as to increase a velocity of the gases flow prior to the gases flow being introduced to the humidification chamber.
8. The humidification chamber of any one of the preceding examples, wherein the gases inlet comprises a substantially tubular body.
9. The humidification chamber of any one of the preceding examples, wherein an inner diameter of the gases outlet is greater than an inner diameter of the gases inlet.
10. The humidification chamber of example 9, wherein the ratio of the inner diameters of the gases outlet to the inner diameter of the gases inlet is between 3:1 and 7:1, and is preferably approximately 5:1.
11. The humidification chamber of any one of the preceding examples, wherein the ratio of an inner diameter of the gases inlet to a diameter of a bottom wall of the humidification chamber is between 1:25 and 1:10.
12. The humidification chamber of example 11, wherein the ratio is between 1:20 and 1:15.
13. The humidification chamber of any one of the preceding examples, wherein the top of the humidification chamber comprises any one of: a dome shape; a cone shape; an inverted cone shape; and a flat shape, or parts or combinations thereof.
14. The humidification chamber of any one of the preceding examples, wherein an inner surface of the top and/or sidewall of the humidification chamber, and/or the inlet, is configured to produce a turbulent gases flow within the humidification chamber.
15. The humidification chamber of any one of the preceding examples, wherein the inner surface of the top and/or sidewall of the humidification chamber, and/or the inlet, comprises at least one protrusion projecting into the chamber and/or at least one recess recessed away from the chamber to produce turbulent gases flow in the humidification chamber.
16. The humidification chamber of any one of the preceding examples, wherein the inlet extends through a side wall of the humidification chamber.
17. The humidification chamber of any one of the preceding examples, wherein the inlet and/or the side wall is configured such that gases entering the humidification chamber via the gases inlet swirl into a spiral within the humidification chamber before exiting the humidification chamber through the gases outlet.
18. The humidification chamber of example 17, wherein the inlet is disposed on and/or orientated relative to the side wall such that:
a distance between adjacent winds and/or turns of the spiral is reduced when a flow rate of the gases entering the humidification chamber is increased;
and/or the gases are introduced such that the bulk or average gases flow attaches to the side wall and follows the shape of the side wall.
19. The humidification chamber of any one of the preceding examples, comprising at least one insulating layer preventing or at least reducing heat loss from the humidification chamber.
20. The humidification chamber of example 19, wherein the at least one insulating layer comprises a first insulating layer extending over at least part of any of the base and/or top and/or side wall of the humidification chamber, optionally the first insulating layer being provided on an external surface of the side wall.
21. The humidification chamber of any one of the preceding examples, comprising first and second sub-chambers, wherein the second sub-chamber is configured to at least partially surround the first sub-chamber.
22. The humidification chamber of example 21, wherein the first sub-chamber is configured to contain the volume of water.
23. The humidification chamber of example 21 or 22, comprising an insulating layer provided as an air gap between the first and second sub-chambers.
24. The humidification chamber of any one of the preceding examples, wherein the flow path through the gases inlet is angled down towards the base of the humidification chamber, said angled down including perpendicular or substantially perpendicular to said base or offset from perpendicular or oblique to said base.
25. The humidification chamber of any one of the preceding examples, further comprising at least one internal element disposed between the gases inlet and the gases outlet to direct or redirect or influence the gases flow within the humidification chamber.
26. The humidification chamber of example 25, wherein the at least one internal element is a baffle shaped and configured to encourage rotation of the bulk gases flow.
27. The humidification chamber of example 25 or 26, wherein at least one said internal element is configured to heat the gases flow and/or water within the humidification chamber.
28. The humidification chamber of any one of example s25-27, wherein at least one said internal element is orientated in a plane substantially parallel to the base or the side wall of the humidification chamber.
29. The humidification chamber of any one of the preceding examples, wherein the base of the humidification chamber is at least partially formed from or comprises a heat conductive material.
30. The humidification chamber of any one of the preceding examples, further comprising a heater plate and/or a heat conductive plastic casing arranged to at least partially enclose the humidification chamber so as to provide additional heating and/or reduce or prevent heat loss.
31. A humidification chamber for use in a medical humidification system, the humidification chamber comprising:
a base and a top linked by a side wall to define the chamber;
a gases outlet; and
one or more elements disposed within the chamber and configured to guide the gases flow along at least a portion of the gases flow path between the gases inlet and the gases outlet of the chamber.
32. The humidification chamber of example 31, wherein the gases inlet, the gases outlet, and the or at least one of the one or more elements is arranged such that a length of the gases flow path and/or residence time within the chamber is increased.
33. The humidification chamber of example 31 or 32, wherein at least one end of the or at least one of the one or more elements is coupled to or formed integrally with one or more of: the base; the top; and the side wall of the chamber.
34. The humidification chamber of any one of examples 31-33, wherein at least one end of the or at least one of the one or more elements is attached to an inner surface of the side wall and the or at least one of the one or more elements extends radially from the inner surface of the side wall towards a center of the chamber and/or an opposing inner surface of the side wall.
35. The humidification chamber of any one of examples 31-34 wherein the or at least one of the one or more elements extends in a direction substantially parallel to the base of the chamber and/or extends substantially horizontally.
36. The humidification chamber of any one of examples 31-35, wherein the or at least one of the one or more elements is disposed above or proximate to a predetermined water level, such as a maximum water level, and/or to the gases inlet.
37. The humidification chamber of any one of examples 31-36, wherein at least one end of the or at least one of the one or more elements is attached to or formed integrally with an inner surface of the top and/or an inner surface of the base of the chamber.
38. The humidification chamber of example 37, wherein said the or at least one element extends from the inner surface of the top and/or the base towards a center of the chamber and/or the other of the top or base.
39. The humidification chamber of any one of examples 31-38, wherein the or at least one of the one or more elements extends in a direction substantially perpendicular to the base.
40. The humidification chamber of any one of examples 31-39, wherein the gases inlet is orientated relative to the side wall to introduce the gases flow to the chamber at a direction substantially tangential to the side wall of the chamber, such that the gases flow entering the chamber spins around the chamber.
41. The humidification chamber of any one of examples 31-40, wherein the or at least one of the one or more elements is disposed within the chamber so as to form a winding or serpentine gases flow path.
42. The humidification chamber of any one of examples 31 to 41, wherein the or at least one of the one or more elements comprises one or more openings allowing at least a portion of the gases flow to flow through the one or more elements between the gases inlet and the gases outlet.
43. The humidification chamber of example 42, wherein the one or more openings are shaped and/or dimensioned and/or disposed on the one or more elements such that a length of the gases flow path within the chamber is increased.
44. A humidification chamber for use in a medical humidification system, the humidification chamber comprising:
a base and a top linked by a side wall to define the chamber;
the chamber being configured to contain a volume of water with a headspace for gases above the water;
a gases inlet configured to receive a gases flow from a gases source;
a gases outlet; and
one or more heating elements disposed within the chamber and/or coupled to the chamber, wherein the one or more heating elements are configured to increase an overall surface area for heat transfer and/or mass transfer to the gases flow.
45. The humidification chamber of example 44, wherein the or at least one of the one or more heating elements is disposed around or below at least a portion of the chamber.
46. The humidification chamber of example 44 or 45, wherein the base and/or at least a portion of the side wall has a bowl shape and the or at least one of the one or more heating elements has a corresponding bowl shape.
47. The humidification chamber of any one of examples 44-46, wherein the base of the chamber comprises a varying thickness.
48. The humidification chamber of any one of examples 44-47, wherein a thickness of a central portion of the base is greater than a thickness of at least a portion of the base adjacent or proximate the side wall.
49. The humidification chamber of any one of examples 44-48, wherein the or at least one of the one or more heating elements encloses the chamber.
50. The humidification chamber of any one of examples 44-49, wherein the or at least one of the one or more heating elements comprises a conductive casing configured to be heated by a heat source.
51. The humidification chamber of any one of examples 44-50, wherein the or at least one of the one or more heating elements is disposed within the chamber and at least one end thereof is coupled to a heater plate.
52. The humidification chamber of example 51, wherein the heater plate is provided and/or coupled to the chamber such that the or at least one of the one or more heating elements extends from the base towards a center of the chamber and/or the top of the chamber.
53. The humidification chamber of any one of examples 44-52, wherein the or at least one of the one or more heating elements extends in a direction substantially perpendicular to the base.
54. The humidification chamber of any one of examples 44-53, wherein the or at least one of the one or more heating elements is dimensioned such that at least one portion thereof is disposed within a free space of the chamber, for example above a maximum water level, to heat the gases flow.
55. The humidification chamber of example 54, wherein the or at least one of the one or more heating elements comprises a layer having hydrophilic properties or being of hydrophilic material.
56. The humidification chamber of example 54, wherein said layer having hydrophilic properties is provided to at least said one portion disposed above a water level.
57. The humidification chamber of any one of examples 44-56, wherein the or at least one of the one or more heating elements is dimensioned so as to be disposed below a water level.
58. The humidification chamber of any one of examples 44-57, wherein the or at least one of the one or more heating elements comprises one or more linear heater fins and/or one or more curved heater fins.
59. The humidification chamber of any one of examples 44-58, wherein the gases inlet is orientated relative to the side wall to introduce the gases flow to the chamber at a direction substantially tangential to the side wall of the chamber, such that the gases flow entering the chamber spins around the chamber over the volume of water.
60. A humidification chamber comprising:
a base,
a wall defining a cavity to hold a humidification fluid,
the wall comprising an arcuate section,
an inlet located on the wall, the inlet extending in a first direction,
an outlet located on the wall, the outlet extending in a second direction,
the second direction being substantially normal or perpendicular to the first direction.
61. A humidification chamber comprising:
a base and top linked by a side wall;
an outlet positioned in a central region of either the base or the top wall, wherein the outlet is concentric with the chamber;
an inlet;
wherein the outlet is normal to the inlet.
62. The humidification chamber of example 61 wherein the outlet is provided in the base of the chamber.
63. The humidification chamber of example 62 wherein the outlet extends downwardly from the base of the chamber.
64. The humidification chamber of example 61 wherein the outlet projects into the chamber from the base.
65. A humidification chamber for use in a medical humidification system, the humidification chamber comprising:
a base and a top linked by a side wall to define the chamber;
wherein the gases inlet is configured to introduce the gases flow to the humidification chamber adjacent the side wall at a velocity sufficient to causes the gases to attach to the side wall.
66. A humidification chamber for use in a medical humidification system, the humidification chamber comprising:
a base and a top linked by a side wall to define the chamber;
a gases inlet configured to receive a gases flow from a gases source; and
a gases outlet,
wherein the gases inlet is configured to introduce the gases flow to the humidification chamber at a direction non-orthogonal to the side wall of the humidification chamber, such that a flow path length of the gases flow through the chamber between the gases inlet and gases outlet, is increased.
67. A humidification apparatus for use in a medical humidification system, the humidification apparatus comprising at least two humidification chambers, each of the chambers comprising:
a base and a top linked by a side wall to define the chamber;
the chamber being configured to contain a volume of water;
a gases inlet and configured to receive a gases flow from a gases source; and
a gases outlet;
wherein the gases inlet of each of the at least two humidification chambers is orientated relative to the side wall to introduce the gases flow at a direction substantially tangential to the side wall of the associated humidification chamber, such that the gases flow entering the chamber spins around the chamber over the volume of water.
68. The humidification apparatus of example 67 wherein the gases outlet of a first humidification chamber is coupled to the gases inlet of a second humidification chamber.
69. The humidification apparatus of example 67 or 68, wherein the gases inlet of the second humidification chamber comprises the gases outlet of the first humidification chamber.
70. The humidification apparatus of any one of examples 67 to 69, further comprising a conduit allowing the gases flow exiting the first humidification chamber at the gases outlet thereof to enter the second humidification chamber at the gases inlet thereof.
71. A humidification chamber for use in a medical humidification system, the humidification chamber comprising:
first and second internal or sub-chambers, each of the internal or sub-chambers comprising a base and a top linked by a side wall to define the respective internal or sub-chamber;
at least one of the first and second internal or sub-chambers being configured to contain a volume of water;
at least one of the first and second internal or sub-chambers comprising a gases inlet configured to receive a gases flow from a gases source;
at least one of the first and second internal or sub-chambers comprising a gases outlet configured to allow the gases flow to exit the humidification chamber; and
wherein the gases inlet is orientated relative to the side wall to introduce the gases flow to the humidification chamber at a direction substantially tangential to the side wall of the humidification chamber, such that the gases flow entering the humidification chamber spins around the humidification chamber over the volume of water.
72. The humidification chamber of example 71, wherein one or more internal elements are disposed within the first internal or sub-chamber and configured to guide the gases flow along at least a portion of the gas flow path between the inlet and the outlet of the humidification chamber.
73. The humidification chamber of example 72, wherein the or at least one of the one or more internal elements comprises one or more heater elements configured to heat the gases flow flowing through the first internal or sub-chamber.
74. The humidification chamber of example 72 or 73, wherein the or at least one of the one or more internal elements is disposed within the first internal or sub-chamber such that a length of the gases flow path within the humidification chamber is increased.
75. The humidification chamber of any one of examples 72-74, wherein at least one end of the or at least one of the one or more internal elements is coupled to one or more of: the base; the top; and the side wall of the humidification chamber.
76. The humidification chamber of any one of examples 72-75, wherein at least one end of the or at least one of the one or more internal elements is attached to an inner surface of the top and/or an inner surface of the base and the or at least one of the one or more internal elements extends towards a center of the first internal or sub-chamber and/or the opposing wall thereof.
77. The humidification chamber of any one of examples 72-76, wherein the or at least one of the one or more internal elements is disposed within the humidification chamber so as to form a winding or serpentine gases flow path.
78. The humidification chamber of any one of examples 72-77, wherein the or at least one of the one or more internal elements comprises one or more openings allowing the gases flow to flow through the one or more elements between the gases inlet and the gases outlet.
79. The humidification chamber of example 78, wherein the one or more openings are shaped and/or dimensioned and/or disposed on the one or more internal elements such that a length of the gases flow path within the humidification chamber is increased.
80. The humidification chamber of any one of examples 72-79, wherein:
the first internal or sub-chamber comprises:
the second internal or sub-chamber comprises:
a gases source;
a patient interface; and
a delivery conduit configured to define a gases flow path between the gases source and the patient interface.
102. The medical gases delivery system of example 101, wherein the humidification apparatus is configured to be placed in the gases flow path between the gases source and the patient interface.
103. The medical gases delivery system of example 101 or 102, wherein the delivery conduit comprises a supply tube defining at least in part the gases flow path between the gases source and the humidification apparatus and/or a patient conduit defining at least in part the gases flow path between the humidification apparatus and the patient interface.
104. The medical gases delivery system of any one of examples 101-103, further comprising a connector provided between the delivery conduit and the patient interface.
105. The medical gases delivery system of any one of examples 99-104 adapted to deliver insufflation gases.
106. The medical gases delivery system of example 105 when dependent on example 104, wherein the connector is a Luer lock connector comprising at least one end configured to be coupled to a patient interface fitting.
107. The medical gases delivery system of example 106, wherein the at least one end is further configured to lock and seal around an outer surface of the patient interface fitting when the Luer lock connector is coupled to the patient interface.
108. The medical gases delivery system of any one of example 106 or 107, wherein the at least one end forms a seal with the outer surface of the patient interface fitting when the at least one end and the patient interface fitting are coupled.
109. The medical gases delivery system of any one of examples 105-108, further comprising a filter assembly forming part of the gases flow path, the filter assembly comprising: a filter medium operative to filter medical gases; a housing comprising an inlet, an outlet and the filter medium, the housing defining a gases flow path through the filter medium between the inlet and the outlet.
110. The medical gases delivery system of example 109, further comprising at least one heating element positioned in the filter assembly housing that is configured to heat the filter medium; wherein, the at least one heating element is spaced apart from the filter medium and from an inner surface of the housing.
111. The medical gases delivery system of any one of examples 105-110, wherein the patient interface comprises a trocar or a cannula for laparoscopic surgery.
112. The medical gases delivery system of any one of examples 105-111, wherein the patient interface comprises a diffuser for use in open surgery.
113. The medical gases delivery system of any one of examples 105-112, wherein the gases source comprises a carbon dioxide supply.
114. A kit of parts for an unassembled medical insufflation system, the kit comprising:
a humidification chamber as defined in any one of examples 1-66 or 71-86 or a humidification apparatus as defined in any one of examples 67-70 or 87-98; and any one or more of:
a supply conduit defining at least part of a gases flow path between a gases source and the humidification chamber;
a patient conduit defining at least part of a gases flow path between the humidification chamber and a patient interface;
a filter assembly;
a tube connector at a gases source end of the supply conduit and/or at a patient interface end of the patient conduit;
a patient interface;
a humidifier comprising a heater plate for heating the contents of the humidification chamber; and
a gases source.
115. The medical gases delivery system of any one of examples 99-113 adapted to deliver respiratory gases.
116. The medical gases delivery system of example 115, further comprising a flow generator being in fluid communication with the humidification chamber, the flow generator being configured to generate the gases flow.
117. The medical gases delivery system of example 115 or 116, wherein the humidification chamber is configured to humidify the gases flow prior to delivery to a patient.
118. The medical gases delivery system of example 115, wherein the humidification chamber is located downstream of the flow generator.
119. The medical gases delivery system of any one of examples 115-118, further comprising:
a patient interface; and
a delivery conduit configured to define at least part of a gases flow path between the flow generator and the patient interface, wherein the delivery conduit comprises one or more tubes.
120. The medical gases delivery system of example 119, wherein the delivery conduit comprises a supply tube defining at least part of a gases flow path between the gases source and the humidification chamber and/or a patient conduit defining at least part of a gases flow path between the humidification chamber and the patient interface.
121. The medical gases delivery system of any one of examples 115-120, comprising a patient interface in the form of any one of: a nasal mask; an oro-nasal mask; an oral mask; a full face mask; a nasal cannula; and nasal pillows.
122. A kit of parts for an unassembled respiratory assistance system, the kit comprising:
a humidification chamber as defined in any one of examples 1-66 or 71-86 or a humidification apparatus as defined in any one of examples 67-70 or 87-98; and any one or more of:
a supply conduit defining at least part of a gases flow path between a gases source and the humidification chamber;
a patient conduit defining at least part of a gases flow path between the humidification chamber and a patient interface;
a filter assembly;
a tube connector at a gases source end of the supply conduit and/or at a patient interface end of the patient conduit;
a patient interface;
a humidifier comprising a heater plate for heating the contents of the humidification chamber; and
a gases source.
123. A humidification system comprising:
a humidifier or base unit comprising a heater plate; and
a humidification chamber as defined in any one of examples 1-66 or 71-86 or a humidification apparatus as defined in any one of examples 67-70 or 87-98.
124. The humidification system of example 123, wherein the humidification chamber can be removably positioned in contact with the heater plate.
125. A humidification chamber for use in a medical humidification system, the humidification chamber comprising:
a base and a top linked by a side wall to define the chamber;
a gases inlet configured to receive a gases flow; and
a gases outlet,
wherein the sidewall comprises n side wall portions and (n−1) transition wall portions, wherein n is an integer value and is greater than or equal to 2, further wherein: the ith side wall portion, where i is an integer value and 1≤i≤n, is positioned between the top of the chamber and the (i−1)th side wall portion for 2≤i≤n, a first side wall portion corresponding to i=1 and being positioned between the base of the chamber and the first transition wall portion, and
the ith transition wall portion extends between the (i+1)th and ith side wall portions.
126. The humidification chamber of example 125, wherein for n=2, the side wall comprises the first side wall portion, a second side wall portion, and the first transition wall portion extending between the first side wall portion and the second side wall portion, wherein the second side wall portion is positioned between the first transition wall portion and the top of the chamber.
127. The humidification chamber of example 125 or 126, wherein the first side wall portion extends from or proximate to the base to the first transition wall portion.
128. The humidification chamber of any one of examples 125 to 127, wherein the nth side wall portion extends from the (n−1)th transition wall portion to or proximate to the top of the chamber.
129. The humidification chamber of any one of examples 125 to 128, wherein the internal surface of each said side wall portion defines a footprint or cross-sectional area when viewed from above.
130. The humidification chamber of example 129, wherein the footprint defined by at least one said side wall portion is substantially constant along a length of that side wall portion(s).
131. The humidification chamber of example 130, wherein the footprint defined by each said side wall portion is substantially constant along its length
132. The humidification chamber of example 129 or 130, wherein the footprint defined by at least one said side wall portion varies along the length of that side wall portion(s).
133. The humidification chamber of example 129, wherein the footprint defined by each said side wall portion varies along its length.
134. The humidification chamber of any one of examples 129 to 133, wherein at least a first of said footprints is larger than at least a second of said footprints.
135. The humidification chamber of any one of examples 129 to 134, wherein each respective said footprint decreases in area moving from the base towards the top of the chamber.
136. The humidification chamber of any one of examples 125 to 135, configured to generate a vortex or swirl-like flow in the chamber.
137. The humidification chamber of any one of examples 125 to 136, configured to cause gases flowing in the chamber to be guided at least in part and/or flow parallel to and/or tangential to at least part of an inner surface of the side wall.
138. The humidification chamber of any one of examples 125 to 137, wherein at least part of at least one section through the side wall, when viewed from above, is curved.
139. The humidification chamber of any one of examples 125 to 138, wherein at least one section through the side wall is elliptical or circular when viewed from above.
140. The humidification chamber of any one of examples 125 to 139, wherein at least one section through the side wall has at least one axis of symmetry.
141. The humidification chamber of any one of examples 125 to 140, wherein at least one section through the side wall has at least two axes of symmetry.
142. The humidification chamber of example 141, wherein at least one section through the side wall has two axes of symmetry, the two axes being orthogonal and lying in a plane parallel to the base.
143. The humidification chamber of any one of examples 125 to 142, wherein at least one section through the side wall has a rotational axis of symmetry perpendicular to the base.
144. The humidification chamber of any one of examples 125 to 143, wherein the side wall, except for the inlet and outlet, has at least one axis of symmetry.
145. The humidification chamber of any one of examples 125 to 144, wherein at least the side wall, except for the inlet and outlet, has at least two axes of symmetry.
146. The humidification chamber of example 145, wherein the side wall has two axes of symmetry, the two axes being orthogonal and lying in a plane parallel to the base.
147. The humidification chamber of any one of examples 125 to 146, wherein the side wall, except for the inlet and outlet, has a rotational axis of symmetry perpendicular to the base.
148. The humidification chamber of any one of examples 125 to 147, wherein the gases outlet is disposed on the top of the humidification chamber.
149. The humidification chamber of any one of examples 125 to 148, wherein the outlet extends through the base of the chamber.
150. The humidification chamber of any one of examples 125 to 149, wherein the outlet is disposed centrally of the base when viewed from above.
151. The humidification chamber of example 150, comprising a hollow tubular body extending from and/or coupled to the outlet.
152. The humidification chamber of example 151, wherein the hollow tubular body has a first portion extending away from the base of the chamber.
153. The humidification chamber of example 152, wherein the first portion of the hollow tubular body is perpendicular to or substantially perpendicular to or offset from perpendicular to the base.
154. The humidification chamber of example 152 or 153, wherein the hollow tubular body comprises a bend such that a second portion of the hollow tubular body is oriented differently to the first portion of the hollow tubular body.
155. The humidification chamber of example 154, wherein the second portion of the hollow tubular body is parallel to or substantially parallel to or offset from parallel to the base.
156. The humidification chamber of any one of examples 125 to 147, wherein the gases outlet is disposed in the side wall.
157. The humidification chamber of example 156, wherein the gases outlet is positioned remote from the base and/or proximate the top of the chamber.
158. The humidification chamber of example 156 or 157, wherein the gases outlet is provided in the nth side wall portion.
159. The humidification chamber of any one of examples 156 to 158, comprising a hollow tubular body extending from and/or coupled to the outlet.
160. The humidification chamber of example 159, wherein the hollow tubular body has a first portion extending parallel to or substantially parallel to or offset from parallel to the base of the chamber.
161. The humidification chamber of example 160, wherein the hollow tubular body comprises a bend such that a second portion of the hollow tubular body is oriented differently to the first portion of the hollow tubular body.
162. The humidification chamber of any one of examples 156 to 161, wherein the gases outlet is oriented oblique to or in an opposite direction to the bulk flow of gases in the humidification chamber.
163. The humidification chamber of any one of examples 125 to 162, wherein the gases inlet is configured to introduce the gases flow into the humidification chamber as a gases jet.
164. The humidification chamber of any one of examples 125 to 163, wherein the gases inlet comprises or is configured to receive a nozzle.
165. The humidification chamber of any one of examples 125 to 164, wherein the inlet comprises and/or is configured to receive a hollow body that defines an elongate passageway.
166. The humidification chamber of example 165, wherein the hollow body defines a substantially constant cross-section along its length.
167. The humidification chamber of example 165, wherein the hollow body comprises a first end for receiving gases from a gases source and a second end directing gases into the chamber, wherein a cross-sectional area of a first portion of the passageway is larger than the cross-sectional area of a second portion of the passageway, the first portion of the passageway comprises the first end or at least being closer to the first end than the second portion.
168. The humidification chamber of example 167, wherein the passageway tapers along at least a portion of its length from a larger cross-sectional area at or proximate to the first end to a smaller cross-sectional area at or nearer to the second end.
169. The humidification chamber of any one of examples 125 to 168, wherein the inlet and/or outlet is circular.
170. The humidification chamber of any one of examples 125 to 168, wherein the inlet and/or outlet is elliptical.
171. The humidification chamber of any one of examples 125 to 170, wherein apertures forming the inlet and outlet are the same or substantially the same size.
172. The humidification chamber of any one of examples 125 to 170, wherein an aperture forming the outlet is larger than an aperture forming the inlet.
173. The humidification chamber of example 172, wherein the ratio of the inner width of the gases outlet to the inner width of the gases inlet is between 2:1 and 8:1 or 3:1 and 7:1.
174. The humidification chamber of example 173, wherein the ratio is approximately 5:1.
175. The humidification chamber of any one of examples 125 to 174, wherein the ratio of an inner width of the gases inlet to a width of a bottom wall of the humidification chamber is between 1:25 and 1:10.
176. The humidification chamber of example 175, wherein the ratio is between 1:20 and 1:15.
177. The humidification chamber of any one of examples 125 to 176, wherein at least one side wall portion defines any of: a dome shape; a cone shape; an inverted cone shape; and a cylindrical shape, or parts or combinations thereof.
178. The humidification chamber of any one of examples 125 to 177, wherein the or at least one transition wall portion lies wholly in a plane parallel to or substantially parallel to the base.
179. The humidification chamber of any one of examples 125 to 177, wherein the or at least one transition wall portion is inclined towards or away from the base moving between adjacent side wall portions.
180. The humidification chamber of any one of examples 125 to 177, wherein each side wall portion defines a cylinder having an axis perpendicular to the base through a center of the base and the or each transition wall portion lies wholly in a plane parallel to or substantially parallel to the base.
181. The humidification chamber of any one of examples 125 to 180, wherein the or at least one transition wall portion defines a linear transition between adjacent side wall portions.
182. The humidification chamber of any one of examples 125 to 181, wherein the or at least one transition wall portion defines a curved transition between adjacent side wall portions.
183. The humidification chamber of any one of examples 125 to 182, wherein an inner surface of the top and/or sidewall of the humidification chamber and/or the inlet and/or an insert provided to the chamber and/or the inlet is configured to produce a turbulent gases flow within the humidification chamber.
184. The humidification chamber of any one of examples 125 to 183, wherein the inner surface of the top and/or sidewall of the humidification chamber and/or the inlet comprises at least one protrusion and/or at least one recess configured to produce turbulent gases flow in the humidification chamber.
185. The humidification chamber of any one of examples 125 to 184, wherein at least one transition wall portion comprises at least one projection or recess on an inner surface thereof configured to produce turbulent gases flow in the humidification chamber.
186. The humidification chamber of any one of examples 125 to 185, wherein the inlet extends from or through a side wall of the humidification chamber.
187. The humidification chamber of any one of examples 125 to 186, wherein the gases inlet is positioned in the side wall in the nth side wall portion.
188. The humidification chamber of any one of examples 125 to 187, wherein the gases inlet is positioned in the top of the humidification chamber.
189. The humidification chamber of any one of examples 125 to 188, wherein the inlet and/or the side wall is configured such that gases entering the humidification chamber via the gases inlet swirl into a spiral within the humidification chamber before exiting the humidification chamber through the gases outlet.
190. The humidification chamber of example 189, wherein the inlet is configured and/or disposed on and/or orientated relative to the side wall such that a distance between adjacent winds of the spiral is reduced when a flow rate of the gases entering the humidification chamber is increased.
191. The humidification chamber of example 189 or 190, wherein the inlet is configured such that the gases flow or at least the bulk flow of gases introduced into the chamber flows across at least a portion of the side wall and follows the contours thereof about at least a portion of the chamber.
192. The humidification chamber of any one of examples 125 to 191, wherein the inlet comprises or is configured to receive a tubular wall that defines an elongate passageway, wherein at least a section of the elongate passageway is parallel to or substantially parallel to the base.
193. The humidification chamber of example 192, wherein said section is positioned at an outlet end of the elongate passageway.
194. The humidification chamber of any one of examples 125 to 191, wherein the inlet comprises or is configured to receive a tubular wall that defines an elongate passageway, wherein at least a section of the elongate passageway is perpendicular to or substantially perpendicular to the base.
195. The humidification chamber of any one of examples 125 to 191, wherein the inlet comprises or is configured to receive a tubular wall that defines an elongate passageway, wherein at least a section of the elongate passageway is angled offset from parallel and perpendicular to the base.
196. The humidification chamber of any one of examples 192 to 195, wherein the elongate passageway comprises at least one bend such that a direction of bulk flow of gases inside the elongate passageway changes as the gases move along the elongate passageway.
197. The humidification chamber of any one of examples 125 to 196, wherein the inlet is configured to at least in part, direct gases towards the base of the humidification chamber.
198. The humidification chamber of any one of examples 125 to 197, comprising two or more said inlets.
199. The humidification chamber of any one of examples 125 to 198, comprising at least two inlets in the side wall.
200. The humidification chamber of example 199, wherein the or at least two of said inlets are provided in the same side wall portion.
201. The humidification chamber of example 199, wherein the or at least two of said inlets are provided in different side wall portions.
202. The humidification chamber of any one of examples 199 to 201, wherein the or at least two of said inlets are provided at different locations about the perimeter of the side wall.
203. The humidification chamber of any one of examples 125 to 202, comprising at least two inlets positioned in or configured to be received in the top of the humidification chamber.
204. The humidification chamber of any one of examples 125 to 203, comprising at least one insulating layer preventing or at least reducing heat loss from the humidification chamber.
205. The humidification chamber of example 204, wherein the at least one insulating layer comprises a first insulating layer extending over at least part of any of the base and/or top and/or side wall of the humidification chamber.
206. The humidification chamber of example 205, wherein the first insulating layer is provided on an external surface of the side wall.
207. The humidification chamber of any one of examples 125 to 206, wherein each side wall portion defines a volume and a volume defined by a side wall portion nearer the top of the chamber is smaller than a volume defined by a side wall portion farther from the top.
208. The humidification chamber of any one of examples 125 to 207, wherein each side wall portion defines a volume, wherein each volume decreases moving from the volume defined by the side wall portion nearest the base to the side wall portion nearest the top.
209. The humidification chamber of any one of examples 125 to 208, wherein each side wall portion has a length measured as a perpendicular distance from the base, wherein a length of a side wall portion nearer the top of the chamber is smaller than a length of a side wall portion farther from the top.
210. The humidification chamber of any one of examples 125 to 209, wherein each side wall portion has a length measured as a perpendicular distance from the base, wherein each length decreases moving from the side wall portion nearest the base to the side wall portion nearest the top.
211. The humidification chamber of any one of examples 125 to 210, wherein the base is formed at least in part from or comprises a heat conducting material.
212. The humidification chamber of any one of examples 125 to 211, wherein the side wall and/or top of the chamber is formed from or comprises a thermoplastic.
213. The humidification chamber of any one of examples 125 to 212, comprising at least one heater for heating the contents of the chamber.
214. The humidification chamber of example 213, wherein the at least one heater is provided to the inlet and/or the outlet and/or the base and/or the side wall and/or the top of the chamber.
215. The humidification chamber of example 213 or 214, wherein the at least one heater comprises a heater plate in the base.
216. The humidification chamber of any one of examples 125 to 215, wherein the gases inlet comprises or is configured to receive one or more walls that define an elongate passageway, wherein the elongate passageway has an inlet end and an outlet end, the inlet end being configured to receive the gases flow and the outlet end configured to direct gases into the humidification chamber.
217. The humidification chamber of example 216, wherein the elongate passageway is arcuate along its length.
218. The humidification chamber of example 216 or 217, wherein the elongate passageway has a footprint and/or defines a gases path that approximates the contour of at least a portion of the inside of the side wall of the humidification chamber.
219. The humidification chamber of any one of examples 216 to 218, wherein a first part of the elongate passageway has a greater cross-sectional area than a second part of the elongate passageway, wherein the first part is closer to the inlet end of the elongate passageway than the second part.
220. The humidification chamber of example 219, wherein the elongate passageway tapers along at least a portion of its length such that its cross-sectional area reduces moving towards the outlet end thereof.
221. The humidification chamber of any one of examples 216 to 220, wherein at least a part of the elongate passageway is defined by or coupled to the top of the humidification chamber.
222. The humidification chamber of any one of examples 216 to 221, wherein the elongate passageway is provided to and/or formed integrally with and/or couplable to an opening in the side wall and/or top of the chamber.
223. The humidification chamber of any one of examples 216 to 222, wherein the outlet end defines an elongated opening that faces the base of the humidification chamber.
224. The humidification chamber of any one of examples 216 to 223, wherein the elongate passageway is at least in part formed by a cavity that is formed by a wall projecting at the top of the chamber.
225. The humidification chamber of example 224, wherein an internal top wall of said walls that define the elongate passageway is closer to the base of the chamber at a point closer to the outlet end than at the inlet end so as to direct gases towards the chamber base.
226. The humidification chamber of example 224 or 225, wherein an internal top wall of said walls that define the elongate passage is curved or arcuate such that the passageway has a generally concave wall furthest from the chamber base when viewed from inside the chamber.
227. The humidification chamber of any one of examples 125 to 226, comprising a flow director configured to direct gases introduced into the chamber in a direction substantially tangential to the side wall.
228. The humidification chamber of example 227, wherein the flow director comprises or is configured to receive a body that defines a passageway that is at least in part external to the chamber and that is configured to, at least in part, generate the flow substantially tangential to the side wall.
229. The humidification chamber of example 227 or 228, wherein the inlet is configured to, at least in part, generate the flow substantially tangential to the side wall.
230. The humidification chamber of any one of examples 227 to 229, comprising or configured to receive one or more baffles configured to, at least in part, generate the flow substantially tangential to the side wall.
231. The humidification chamber of any one of examples 227 to 230, wherein the inlet comprises or is configured to receive an elongate body that defines a passageway that extends at least in part into the chamber.
232. The humidification chamber of example 231, wherein the elongate body comprises an inlet at a first end.
233. The humidification chamber of example 232, wherein the elongate body comprises an outlet at or proximate to a second end thereof.
234. The humidification chamber of example 233, wherein the outlet is offset from the inlet.
235. The humidification chamber of example 234, wherein the outlet is perpendicular or substantially perpendicular or offset from perpendicular to the inlet.
236. The humidification chamber of any one of examples 233 to 235, wherein the outlet is oriented parallel to or substantially parallel to the base.
237. The humidification chamber of any one of examples 233 to 235, wherein the outlet is oriented offset from being parallel to the base.
238. The humidification chamber of example 237, wherein the outlet is angled obliquely towards the base.
239. The humidification chamber of any one of examples 233 to 238, wherein the elongate body comprises a hollow tubular wall.
240. The humidification chamber of example 239, wherein the first end of the hollow tubular wall is open and is configured to receive the flow of gases into the hollow body.
241. The humidification chamber of example 239 or 240, wherein the second end of the hollow tubular wall comprises or is provided with an end wall that at least in part prevents gases flow.
242. The humidification chamber of example 241, wherein the hollow tubular wall comprises an aperture.
243. The humidification chamber of example 242, wherein the aperture is offset from the opening at the first end.
244. The humidification chamber of example 243, wherein the aperture is perpendicular to or substantially perpendicular to the opening.
245. The humidification chamber of any one of examples 242 to 244, wherein the aperture is smaller than the opening.
246. The humidification chamber of any one of examples 131 to 245, wherein the elongate body defines or is configured to receive an insert that defines a flow restriction and/or constriction and/or tapering reducing in cross-sectional area passageway.
247. The humidification chamber of any one of examples 131 to 246, wherein the hollow tubular wall defines a cylinder.
248. The humidification chamber of any one of examples 131 to 247, wherein the elongate body comprises or otherwise defines a bend that changes the direction of flow of gases inside the elongate body.
249. A humidification chamber for use in a medical humidification system, the humidification chamber comprising:
a base and a top linked by a side wall to define the chamber;
a gases inlet configured to receive a gases flow; and
a gases outlet, comprising a flow director configured to direct gases introduced into the chamber in a direction substantially tangential to the side wall.
250. The humidification chamber of example 249, wherein the flow director comprises or is configured to receive a body that defines a passageway that is preferably at least in part external to the chamber and that is configured to, at least in part, generate the flow substantially tangential to the side wall.
251. The humidification chamber of example 249 or 250, wherein the inlet is configured to, at least in part, generate the flow substantially tangential to the side wall.
252. The humidification chamber of any one of examples 249 to 251, comprising or configured to receive one or more baffles configured to, at least in part, generate the flow substantially tangential to the side wall.
253. The humidification chamber of any one of examples 249 to 252, wherein the inlet comprises or is configured to receive an elongate body that defines a passageway that extends at least in part into the chamber.
254. The humidification chamber of example 253, wherein the elongate body comprises an inlet at a first end.
255. The humidification chamber of example 254, wherein the elongate body comprises an outlet at or proximate to a second end thereof.
256. The humidification chamber of example 255, wherein the outlet is offset from the inlet.
257. The humidification chamber of example 256, wherein the outlet is perpendicular or substantially perpendicular or offset from perpendicular to the inlet.
258. The humidification chamber of any one of examples 255 to 257, wherein the outlet is oriented parallel to or substantially parallel to the base.
259. The humidification chamber of any one of examples 255 to 257, wherein the outlet is oriented offset from being parallel to the base.
260. The humidification chamber of example 259, wherein the outlet is angled obliquely towards the base.
261. The humidification chamber of any one of examples 255 to 260, wherein the elongate body comprises a hollow tubular wall.
262. The humidification chamber of example 261, wherein the first end of the hollow tubular wall is open and is configured to receive the flow of gases into the hollow body.
263. The humidification chamber of example 261 or 262, wherein the second end of the hollow tubular wall comprises or is provided with an end wall that at least in part prevents gases flow.
264. The humidification chamber of example 263, wherein the hollow tubular wall comprises an aperture.
265. The humidification chamber of example 264, wherein the aperture is offset from the opening at the first end.
266. The humidification chamber of example 265, wherein the aperture is perpendicular to or substantially perpendicular to the opening.
267. The humidification chamber of any one of examples 264 to 266, wherein the aperture is smaller than the opening.
268. The humidification chamber of any one of examples 253 to 267, wherein the elongate body defines or is configured to receive an insert that defines a flow restriction and/or constriction and/or tapering reducing in cross-sectional area passageway.
269. The humidification chamber of any one of examples 253 to 268, wherein the hollow tubular wall defines a cylinder.
270. The humidification chamber of any one of examples 253 to 269, wherein the elongate body comprises or otherwise defines a bend that changes the direction of flow of gases inside the elongate body.
271. The humidification chamber of any one of examples 125 to 270 configured to generate a vortex or swirl-like flow in the chamber.
272. The humidification chamber of any one of examples 249 to 271, configured to cause gases flowing in the chamber to be guided at least in part and/or flow parallel to and/or tangential to at least part of an inner surface of the side wall.
273. The humidification chamber of any one of examples 249 to 272, wherein at least part of at least one section through the side wall, when viewed from above, is curved.
274. The humidification chamber of any one of examples 249 to 273, wherein at least one section through the side wall is elliptical or circular when viewed from above.
275. The humidification chamber of any one of examples 249 to 274, wherein at least one section through the side wall has at least one axis of symmetry.
276. The humidification chamber of any one of examples 249 to 275, wherein at least one section through the side wall has at least two axes of symmetry.
277. The humidification chamber of example 276, wherein at least one section through the side wall has two axes of symmetry, the two axes being orthogonal and lying in a plane parallel to the base.
278. The humidification chamber of any one of examples 249 to 277, wherein at least one section through the side wall has a rotational axis of symmetry perpendicular to the base.
279. The humidification chamber of any one of examples 249 to 278, wherein the side wall, except for the inlet and outlet, has at least one axis of symmetry.
280. The humidification chamber of any one of examples 249 to 279, wherein at least the side wall, except for the inlet and outlet, has at least two axes of symmetry.
281. The humidification chamber of example 280, wherein the side wall has two axes of symmetry, the two axes being orthogonal and lying in a plane parallel to the base.
282. The humidification chamber of any one of examples 249 to 281, wherein the side wall, except for the inlet and outlet, has a rotational axis of symmetry perpendicular to the base.
283. The humidification chamber of any one of examples 249 to 282, wherein the gases outlet is disposed on the top of the humidification chamber.
284. The humidification chamber of example 283, comprising a hollow tubular body extending from and/or coupled to the outlet.
285. The humidification chamber of example 284, wherein the hollow tubular body has a first portion extending away from the base of the chamber.
286. The humidification chamber of example 285, wherein the first portion of the hollow tubular body is perpendicular to or substantially perpendicular to or offset from perpendicular to the base.
287. The humidification chamber of example 285 or 286, wherein the hollow tubular body comprises a bend such that a second portion of the hollow tubular body is oriented differently to the first portion of the hollow tubular body.
288. The humidification chamber of example 287, wherein the second portion of the hollow tubular body is parallel to or substantially parallel to or offset from parallel to the base and/or is substantially horizontal.
289. The humidification chamber of any one of examples 285 to 288, wherein the gases outlet is disposed in the side wall.
290. The humidification chamber of example 289, wherein the gases outlet is positioned remote from the base and/or proximate the top of the chamber.
291. The humidification chamber of example 289 or 290, comprising a hollow tubular body extending from and/or coupled to the outlet.
292. The humidification chamber of example 291, wherein the hollow tubular body has a first portion extending parallel to or substantially parallel to or offset from parallel to the base of the chamber and/or is substantially horizontal.
293. The humidification chamber of example 292, wherein the hollow tubular body comprises a bend such that a second portion of the hollow tubular body is oriented differently to the first portion of the hollow tubular body.
294. The humidification chamber of any one of examples 289 to 293, wherein the gases outlet is oriented oblique to or in an opposite direction to the bulk flow of gases in the humidification chamber.
295. The humidification chamber of any one of examples 249 to 294, wherein the gases inlet is configured to introduce the gases flow into the humidification chamber as a gases jet.
296. The humidification chamber of any one of examples 249 to 295, wherein the gases inlet comprises or is configured to receive a nozzle.
297. The humidification chamber of any one of examples 249 to 296, wherein the inlet comprises and/or is configured to receive a hollow body that defines an elongate passageway.
298. The humidification chamber of example 297, wherein the hollow body defines a substantially constant cross-section along its length.
299. The humidification chamber of example 297, wherein the hollow body comprises a first end for receiving gases from the chamber and a second end for directing gases to a patient interface, wherein a cross-sectional area of a first portion of the passageway is larger than the cross-sectional area of a second portion of the passageway, the first portion of the passageway comprises the first end or at least being closer to the first end than the second portion.
300. The humidification chamber of example 299, wherein the passageway tapers along at least a portion of its length from a larger cross-sectional area at or proximate to the first end to a smaller cross-sectional area at or nearer to the second end.
301. The humidification chamber of any one of examples 249 to 300, wherein the inlet and/or outlet is circular.
302. The humidification chamber of any one of examples 249 to 300, wherein the inlet and/or outlet is elliptical.
303. The humidification chamber of any one of examples 249 to 302, wherein apertures forming the inlet and outlet are the same or substantially the same size.
304. The humidification chamber of any one of examples 249 to 303, wherein an aperture forming the outlet is larger than an aperture forming the inlet.
305. The humidification chamber of example 304, wherein the ratio of the inner width of the gases outlet to the inner width of the gases inlet is between 2:1 and 8:1 or 3:1 and 7:1.
306. The humidification chamber of example 305, wherein the ratio is approximately 5:1.
307. The humidification chamber of any one of examples 249 to 306, wherein the ratio of an inner width of the gases inlet to a width of a bottom wall of the humidification chamber is between 1:25 and 1:10.
308. The humidification chamber of example 307, wherein the ratio is between 1:20 and 1:15.
309. The humidification chamber of any one of examples 249 to 308, wherein the side wall defines any of: a dome shape; a cone shape; an inverted cone shape; and a cylindrical shape, or parts or combinations thereof.
310. The humidification chamber of any one of examples 249 to 309, wherein an inner surface of the top and/or sidewall of the humidification chamber and/or the inlet and/or an insert provided to the chamber and/or the inlet is configured to produce a turbulent gases flow within the humidification chamber.
311. The humidification chamber of any one of examples 249 to 310, wherein the inner surface of the top and/or sidewall of the humidification chamber and/or the inlet comprises at least one protrusion and/or at least one recess configured to produce turbulent gases flow in the humidification chamber.
312. The humidification chamber of any one of examples 249 to 311, wherein the inlet extends from or through a side wall of the humidification chamber.
313. The humidification chamber of any one of examples 249 to 311, wherein the gases inlet is positioned in the top of the humidification chamber.
314. The humidification chamber of any one of examples 249 to 313, wherein the inlet and/or the side wall is configured such that gases entering the humidification chamber via the gases inlet swirl into a spiral within the humidification chamber before exiting the humidification chamber through the gases outlet.
315. The humidification chamber of examples 314, wherein the inlet is configured and/or disposed on and/or orientated relative to the side wall such that a distance between adjacent winds of the spiral is reduced when a flow rate of the gases entering the humidification chamber is increased.
316. The humidification chamber of example 314 or 315, wherein the inlet is configured such the gases flow or at least the bulk flow of gases introduced into the chamber flows across at least a portion of the side wall and follows the contours thereof about at least a portion of the chamber.
317. The humidification chamber of any one of examples 249 to 316, wherein the inlet comprises or is configured to receive a tubular wall that defines an elongate passageway, wherein at least a section of the elongate passageway is parallel to or substantially parallel to the base and/or is substantially horizontal.
318. The humidification chamber of example 317, wherein said section is positioned at an outlet end of the elongate passageway.
319. The humidification chamber of any one of examples 249 to 316, wherein the inlet comprises or is configured to receive a tubular wall that defines an elongate passageway, wherein at least a section of the elongate passageway is perpendicular to or substantially perpendicular to the base.
320. The humidification chamber of any one of examples 240 to 316, wherein the inlet comprises or is configured to receive a tubular wall that defines an elongate passageway, wherein at least a section of the elongate passageway is angled offset from parallel and perpendicular to the base.
321. The humidification chamber of any one of examples 317 to 320, wherein the elongate passageway comprises at least one bend such that a direction of bulk flow of gases inside the elongate passageway changes as the gases move along the elongate passageway.
322. The humidification chamber of any one of examples 249 to 321, wherein the inlet is configured to at least in part, direct gases towards the base of the humidification chamber.
323. The humidification chamber of any one of examples 249 to 322, comprising two or more said inlets.
324. The humidification chamber of any one of examples 249 to 323, comprising at least two inlets in the side wall.
325. The humidification chamber of example 324, wherein the or at least two of said inlets are provided at the same distance from the base.
326. The humidification chamber of example 324, wherein the or at least two of said inlets are provided at different distances from the base.
327. The humidification chamber of any one of examples 324 to 326, wherein the or at least two of said inlets are provided at different locations about the perimeter of the side wall.
328. The humidification chamber of any one of examples 249 to 327, comprising at least two inlets positioned in or configured to be received in the top of the humidification chamber.
329. The humidification chamber of any one of examples 249 to 328, comprising at least one insulating layer preventing or at least reducing heat loss from the humidification chamber.
330. The humidification chamber of example 329, wherein the at least one insulating layer comprises a first insulating layer extending over at least part of any of the base and/or top and/or side wall of the humidification chamber.
331. The humidification chamber of example 330, wherein the first insulating layer is provided on an external surface of the side wall.
332. The humidification chamber of any one of examples 249 to 331, wherein the base is formed at least in part from a heat conducting material.
333. The humidification chamber of any one of examples 249 to 332, wherein the side wall and/or top of the chamber is formed from a thermoplastic.
334. The humidification chamber of any one of examples 249 to 333, comprising at least one heater for heating the contents of the chamber.
335. The humidification chamber of example 334, wherein the at least one heater is provided to the inlet and/or the outlet and/or the base and/or the side wall and/or the top of the chamber.
336. The humidification chamber of example 334 or 335, wherein the at least one heater comprises a heater plate in the base.
337. The humidification chamber of any one of examples 249 to 336, wherein the gases inlet comprises or is configured to receive one or more walls that define an elongate passageway, wherein the elongate passageway has an inlet end and an outlet end, the inlet end being configured to receive the gases flow and the outlet end configured to direct gases into the humidification chamber.
338. The humidification chamber of example 337, wherein the elongate passageway is arcuate along its length.
339. The humidification chamber of example 337 or 338, wherein the elongate passage has a footprint and/or defines a gases flow path that approximates the contour of at least a portion of the inside of the side wall of the humidification chamber.
340. The humidification chamber of any one of examples 337 to 339, wherein a first part of the elongate passageway has a greater cross-sectional area than a second part of the elongate passageway, wherein the first part is closer to the inlet end of the elongate passageway than the second part.
341. The humidification chamber of example 340, wherein the elongate passageway tapers along at least a portion of its length such that its cross-sectional area reduces moving towards the outlet end thereof.
342. The humidification chamber of any one of examples 377 to 341, wherein at least a part of the elongate passageway is defined by or coupled to the top of the humidification chamber.
343. The humidification chamber of any one of examples 337 to 342, wherein the elongate passageway is provided to and/or formed integrally with and/or couplable to an opening in the side wall and/or top of the chamber.
344. The humidification chamber of any one of examples 337 to 343, wherein the outlet end defines an elongated opening that faces the base of the humidification chamber.
345. The humidification chamber of any one of examples 337 to 344, wherein the elongate passageway is at least in part formed by a cavity that is formed by a wall projecting at the top of the chamber.
346. The humidification chamber of example 345, wherein an internal top wall of said walls that define the elongate passageway is closer to the base of the chamber at a point closer to the outlet end than at the inlet end so as to direct gases towards the chamber base.
347. The humidification chamber of example 345 or 346, wherein an internal top wall of said walls that define the elongate passage is curved or arcuate such that the passageway has a generally concave wall furthest from the chamber base when viewed from inside the chamber.
348. The humidification chamber of any one of examples 337 to 347, wherein the elongate passageway defines at least in part the flow
349. The humidification chamber of any one of examples 249 to 348, comprising or configured to receive one or more baffles configured to, at least in part, generate flow substantially tangential to the side wall.
350. The humidification chamber of any one of examples 249 to 336, wherein the inlet comprises or is configured to receive an elongate body that defines a passageway that extends at least in part into the chamber.
351. The humidification chamber of example 231, wherein the elongate body comprises an inlet at a first end and an outlet at or proximate to a second end thereof.
352. The humidification chamber of example 351, wherein the outlet of the elongate body is offset from the inlet of the elongate body.
353. The humidification chamber of example 351, wherein the outlet of the elongate body is perpendicular or substantially perpendicular or offset from perpendicular to the inlet of the elongate body.
354. The humidification chamber of any one of examples 351 to 353, wherein the outlet of the elongate body is oriented parallel to or substantially parallel to the base and/or is substantially horizontal.
355. The humidification chamber of any one of examples 351 to 353, wherein the outlet of the elongate body is oriented offset from being parallel to the base.
356. The humidification chamber of example 355, wherein the outlet is angled obliquely towards the base.
357. The humidification chamber of any one of examples 350 to 356, wherein the elongate body comprises a hollow tubular wall.
358. The humidification chamber of example 357, wherein the first end of the hollow tubular wall is open and is configured to receive the flow of gases into the hollow body.
359. The humidification chamber of example 357 or 358, wherein the second end of the hollow tubular wall comprises or is provided with an end wall that at least in part prevents gases flow.
360. The humidification chamber of example 359, wherein the hollow tubular wall comprises an aperture.
361. The humidification chamber of example 360, wherein the aperture is offset from the opening at the first end.
362. The humidification chamber of example 361, wherein the aperture is perpendicular to or substantially perpendicular to the opening.
363. The humidification chamber of any one of examples 360 to 362, wherein the aperture is smaller than the opening.
364. The humidification chamber of any one of examples 350 to 363, wherein the elongate body defines or is configured to receive an insert that defines a flow restriction and/or constriction and/or tapering reducing in cross-sectional area passageway.
365. The humidification chamber of any one of examples 350 to 364, wherein the hollow tubular wall defines a cylinder.
366. The humidification chamber of any one of examples 350 to 365, wherein the elongate body comprises or otherwise defines a bend that changes the direction of flow of gases inside the elongate body.
367. A connector for connecting to an inlet of a humidification chamber for use in a medical humidification system, the connector comprising:
a first end and a second end;
a gas flow path between the ends; and
a constriction or restriction in the gas flow path between the first end and the second end.
368. The connector of example 367, wherein the constriction or restriction is provided at or proximate to the second end.
369. The connector of example 367 or 368, wherein the constriction or restriction is offset from a central axis of the connector.
370. The connector of any one of examples 367 to 369, wherein, in use, gases are conveyed from the first end to the second end.
371. The connector of any one of examples 367 to 370, wherein the connector comprises an alignment feature configured to cooperate with a corresponding feature of the chamber to control at least in part an orientation of the connector.
372. The connector of any one of examples 367 to 371, wherein the connector has a circular cross-section.
373. The connector of any one of examples 367 to 372, wherein the inner surface of the connector tapers along at least a portion of the length of the connector from the first end to the second end, becoming smaller.
374. The connector of any one of examples 367 to 373, wherein an outer surface of the connector has a constant or substantially constant cross-section.
375. The connector of any one of examples 367 to 374, comprising a sealing surface for sealably engaging a mating surface of the inlet.
376. The connector of example 375, wherein the sealing surface is formed on or provided by an outer surface of the connector.
377. The connector of any one of examples 367 to 376, wherein the first end is open and configured to receive a flow of gases.
378. The connector of any one of examples 367 to 376, wherein the constriction or restriction creates a gases jet in use as gases exit the second end.
379. The connector of any one of examples 367 to 378, wherein the constriction or restriction comprises an aperture in the side wall of the connector.
380. The connector of example 379, wherein the aperture is smaller than an opening through which gases are received into the connector.
381. The connector of any one of examples 367 to 380, comprising engagement features for engaging with the inlet of the humidification chamber.
382. A humidification chamber for use in a medical humidification system, comprising the connector of any one of examples 367 to 381 connected to (including removably) or formed integrally with an inlet of the humidification chamber.
383. The humidification chamber of example 382, wherein the humidification chamber is configured as set forth in any one of examples 125 to 366.
384. A kit of parts for an unassembled respiratory therapy or other medical or surgical system, the kit comprising:
a humidification chamber as defined in any one of examples 125 to 366 or 382 to 383 and/or a connector as defined in any one of examples 367 to 381; and any one or more of:
a supply conduit defining at least part of a gases flow path between a gases source and the humidification chamber;
a patient conduit defining at least part of a gases flow path between the humidification chamber and a patient interface;
a filter assembly;
a patient interface;
a humidifier comprising a heater plate for heating the contents of the humidification chamber; and
a gases source.
385. The kit of parts of example 384, wherein the patient interface comprises a non-sealing nasal cannula or other respiratory system or medical or surgical interface.
386. The kit of parts of example 384 or 385, comprising a heatable conduit configured to form at least in part the supply conduit or the patient conduit.
387. The kit of parts of any one of examples 384 to 386, configured for single use and/or to be disposable.
388. A respiratory therapy system, comprising a humidification apparatus and the humidification chamber of any one of examples 125 to 366 or 382 to 383.
389. The respiratory therapy system of example 388, wherein the humidification apparatus comprises a heater to heat the contents of the humidification chamber.
390. The respiratory therapy system of example 389, wherein the heater comprises a heater plate configured to heat at least a portion of the base of the chamber.
391. The respiratory therapy system of any one of examples 388 to 390, comprising a gases source.
392. The respiratory therapy system of example 391, wherein the gases source is configured to deliver gases to a patient interface at flow rates of between about 40 L/min and 70 L/min.
393. The respiratory therapy system of example 391 or 392, wherein the gases source is configured to vary the flow rate of gases delivered thereby.
394. The respiratory therapy system of any one of examples 388 to 393, comprising a patient interface.
395. The respiratory therapy system of example 394, wherein the patient interface comprises a non-sealing nasal cannula.
396. The respiratory therapy system of any one of examples 388 to 396, comprising one or more conduits each configured to define at least part of a gases flow path between a gases source and a patient interface.
397. The respiratory therapy system of any one of examples 388 to 396, comprising the connector of any one of examples 367 to 381.
398. The respiratory therapy system of example 397, wherein the connector is provided to an inlet of the humidification chamber and/or to an outlet end of a conduit configured to provide at least part of a gases flow path from a gases source to the humidification chamber.
399. The respiratory therapy system of any one of examples 388 to 398, comprising a filter in the gases flow path between a gases source and a patient interface.
400. The respiratory therapy system of any one of examples 388 to 399, comprising a pressure relief valve at a point along the gases flow path between the gases source and the patient interface.
401. The respiratory therapy system of example 400, wherein the pressure relief valve is positioned between the gases source and the humidification chamber.
402. The respiratory therapy system of any one of examples 388 to 401, wherein the gases source comprises air and/or an oxygen source.
403. A medical insufflation system, comprising a humidification apparatus and the humidification chamber of any one of examples 125 to 366 or 382 to 383.
404. The medical insufflation system of example 403, wherein the humidification apparatus comprises a heater to heat the contents of the humidification chamber.
405. The medical insufflation system of example 404, wherein the heater comprises a heater plate configured to heat at least a portion of the base of the chamber.
406. The medical insufflation system of any one of examples 403 to 405, comprising a gases source.
407. The medical insufflation system of example 406, wherein the gases source is configured to deliver gases to a patient interface at flow rates of between about 8 L/min and 15 L/min.
408. The medical insufflation system of any one of examples 403 to 407, comprising a patient interface.
409. The medical insufflation system of example 408, wherein the patient interface comprises a trocar or a cannula for laparoscopic therapy.
410. The medical insufflation system of example 408, wherein the patient interface comprises a diffuser for use in open surgery.
411. The medical insufflation system of any one of examples 403 to 410, comprising one or more conduits each configured to define at least part of a gases flow path between a gases source and a patient interface.
412. The medical insufflation system of any one of examples 403 to 411, comprising the connector of any one of examples 367 to 381.
413. The medical insufflation system of example 412, wherein the connector is provided to an inlet of the humidification chamber and/or to an outlet end of a conduit configured to provide at least part of a gases flow path from a gases source to the humidification chamber.
414. The medical insufflation system of any one of examples 403 to 413, comprising a filter in the gases flow path between a gases source and a patient interface.
415. The medical insufflation system of any one of examples 403 to 414, wherein the gases source comprises a source of carbon dioxide.
416. An inlet for a humidification chamber for use in a medical humidification system, the inlet comprising an inlet end configured to receive gases flow from a gases source, an outlet end configured to introduce the gases flow to the inside of the humidification chamber, and at least one wall defining, at least in part, a passageway between the inlet and the outlet for conveying gases therebetween, wherein the inlet is configured to direct gases flow along an internal surface of a sidewall of the humidification chamber, and wherein the inlet comprises an edge at the outlet end thereof that is configured to terminate in the humidification chamber or at a wall of the humidification chamber, extend along a portion of the side wall of the chamber and be substantially normal to the direction of gases flow.
417. The inlet of example 416, configured to introduce the gases flow to the humidification chamber at a direction substantially tangential to the side wall of the humidification chamber.
418. The inlet of example 416 or 417, configured to introduce the gases flow substantially parallel to a surface of a humidification liquid in the humidification chamber and/or substantially horizontally.
419. The inlet of example 416 or 417, configured to introduce the gases flow with a vector at least partly towards or away from a surface of a humidification liquid in the humidification chamber.
420. The inlet of any one of examples 416 to 419, wherein the edge is linear or substantially linear.
421. The inlet of any one of examples 416 to 420, wherein the at least one wall comprises an inner surface comprising an inner portion configured to be proximate the humidification chamber and an outer portion opposing or substantially opposing the inner portion, the passageway being provided at least in part between the inner surface and the outer surface.
422. The inlet of example 421, wherein the outer portion is configured to be substantially tangential to a side wall of the humidification chamber.
423. The inlet of example 421 or 422, wherein the inner and/or outer portions are angled and/or curved to introduce the gases flow to the humidification chamber at a direction substantially tangential to the side wall of the humidification chamber.
424. The inlet of any one of examples 421 to 423, wherein the inner surface is smooth and/or continuous.
425. The inlet of any one of examples 421 to 424, wherein the passageway tapers along at least a portion of the passageway such that there is a reduction in cross sectional area of the passageway moving from a first point along the passageway to a second point along the passageway, the second point being nearer the outlet end than the first point.
426. The inlet of example 425, wherein said tapering is effected at least in part by the inner portion tapering towards the outer portion.
427. The inlet of any one of examples 424 to 426, wherein the inlet end defines a first profile of the passageway and the outlet end defines a second profile of the passageway, wherein the first and second profiles are different in shape and/or size.
428. The inlet of example 427, wherein the first profile at the outlet end comprises at least one vertex and/or at least one rounded vertex.
429. The inlet of example 427 or 428, wherein the passageway transitions from the first profile to the second profile along at least a part of the length of the inlet.
430. The inlet of example 429, wherein said transition is smooth.
431. The inlet of any one of examples 427 to 430, wherein the first profile is substantially rounded and/or the second profile is substantially quadrilateral.
432. The inlet of example 431 wherein the first profile is generally circular or oval and/or the second profile is generally square or rectangular.
433. The inlet of any one of examples 416 to 432, wherein the outlet end is configured to be above a water level in the humidification chamber.
434. The inlet of example 433, wherein the outlet end is configured to be at or proximate a top of the humidification chamber.
435. The inlet of any one of examples 416 to 434, comprising a formation provided at or proximate to the outlet end, the formation being configured to prevent water in the humidification chamber entering the inlet.
436. The inlet of any one of examples 416 to 435, wherein the inlet is configured to releasably or permanently attach to the humidification chamber.
437. An inlet for a humidification chamber for use in a medical humidification system, the inlet comprising an inlet end configured to receive gases flow from a gases source, an outlet end configured to introduce the gases flow to the inside of the humidification chamber substantially along a portion of an internal surface of a side wall of the humidification chamber, and at least one wall defining, at least in part, a passageway between the inlet and the outlet for conveying gases therebetween,
wherein the inlet is configured such that the outlet end terminates inside the humidification chamber or at a wall defining the humidification chamber, and
wherein the passageway tapers along at least a portion of its length from the inlet end to the outlet end such that a cross sectional area of the passageway is reduced at a first point that is nearer to the outlet end than a second point along the passageway.
438. The inlet of example 437, configured to introduce the gases flow to the humidification chamber at a direction substantially tangential to the side wall of the humidification chamber.
439. The inlet of example 437 or 438, configured to introduce the gases flow substantially parallel to a surface of a humidification liquid in the humidification chamber and/or substantially horizontally.
440. The inlet of example 437 or 438, configured to introduce the gases flow with a vector at least partly towards or away from a surface of a humidification liquid in the humidification chamber.
441. The inlet of any one of examples 437 to 440, wherein the taper starts part way along the passageway such that it spaced from the inlet end.
442. The inlet of example 441, wherein the taper starts proximate the outlet end.
443. The inlet of any one of examples 437 to 442, wherein the taper is aggressive.
444. The inlet of example 443, wherein the inlet has a first interior cross sectional area at and/or near the inlet end that is larger than a second cross sectional area of the interior of the inlet at or near the outlet end of the inlet, wherein tapering between the point of the first cross sectional area and an intermediate point between the points of the first and second cross sectional areas results in a slower reduction in cross sectional area moving towards the intermediate point than the tapering between the intermediate point and the second point at or near the outlet end of the inlet.
445. The inlet of example 444, wherein the rate of reduction of cross sectional area between the intermediate point and the second point is 1.5 times or greater than the rate of reduction of cross sectional area between the first point and the intermediate point.
446. The inlet of example 444 or 445, wherein the position of the intermediate point is a function of the length of the inlet and/or the size of the outlet end of the inlet.
447. The inlet of any one of examples 444 to 446, wherein the position of the intermediate point is a point between 20% and 40% of length of the inlet, measured from the outlet end and/or three to four times the length of the outlet end of the inlet.
448. The inlet of any one of examples 437 to 447, wherein at least a portion of the at least one wall that defines the passageway is angled and/or curved along the length of the passageway.
449. The inlet of any one of examples 437 to 448, wherein the at least one wall forming the passageway is smooth and/or continuous.
450. The inlet of any one of examples 437 to 449, wherein the inlet end defines a first profile of the passageway and the outlet end defines a second profile of the passageway, wherein the first and second profiles are different in shape and/or size.
451. The inlet of any one of examples 437 to 450, wherein the passageway defined by the outlet end has a width to height ratio of between about 1:20 and 1:5.
452. The inlet of any one of examples 437 to 451, wherein the outlet end is configured to be above a water level in the humidification chamber.
453. The inlet of example 452, wherein the outlet end is configured to be at or proximate a top of the humidification chamber.
454. The inlet of any one of examples 437 to 453, comprising a formation provided at or proximate to the outlet end, the formation being configured to prevent water in the humidification chamber entering the inlet.
455. The inlet of any one of examples 437 to 454, wherein the inlet is configured to releasably or permanently attach to the humidification chamber.
456. An inlet for a humidification chamber for use in a medical humidification system, the inlet comprising an inlet end configured to receive gases flow from a gases source, an outlet end configured to introduce the gases flow to the inside of the humidification chamber, and at least one wall defining, at least in part, a passageway between the inlet and the outlet for conveying gases therebetween,
wherein the inlet is configured to direct gases flow along an internal surface of a sidewall of the humidification chamber, and
wherein the outlet end of the inlet is configured to terminate in the humidification chamber or at a wall of the humidification chamber, and
wherein the inlet end defines a first profile of the passageway and the outlet end defines a second profile of the passageway, wherein the first and second profiles are different in shape and/or size.
457. The inlet of example 456, configured to introduce the gases flow to the humidification chamber at a direction substantially tangential to a side wall of the humidification chamber.
458. The inlet of example 456 or 457, wherein the first profile is substantially rounded and/or the second profile is substantially quadrilateral.
459. The inlet of example 458, wherein the first profile is generally circular or oval and/or the second profile is generally square or rectangular.
460. The inlet of any one of examples 456 to 459, wherein the second profile is an elongate shape.
461. The inlet of any one of examples 456 to 460, wherein the passageway defined by the outlet end has a width to height ratio of between about 1:20 and 1:5.
462. The inlet of any one of examples 456 to 461, wherein the passageway tapers along at least a portion of the passageway such that there is a reduction in cross sectional area of the passageway moving from a first point along the passageway to a second point along the passageway, the second point being nearer the outlet end than the first point.
463. The inlet of any one of examples 456 to 462, wherein an inner surface of the at least one wall defining the passageway is configured to define a curved passageway along at least a portion of the length of the inlet.
464. The inlet of any one of examples 456 to 463, wherein an inner surface of the at least one wall defining the passageway is smooth and/or continuous.
465. The inlet of any one of examples 456 to 464, wherein the outlet end is configured to be above a water level in the humidification chamber.
466. The inlet of example 465, wherein the outlet end is configured to be at or proximate a top of the humidification chamber.
467. The inlet of any one of examples 456 to 466, comprising a formation provided at or proximate to the outlet end, the formation being configured to prevent water in the humidification chamber entering the inlet.
468. The inlet of any one of examples 456 to 467, wherein the inlet is configured to releasably or permanently attach to the humidification chamber.
Reference is made to U.S. provisional patent application 62/647,966 filed 26 Mar. 2018 and International (PCT) application PCT/NZ2019/050032, the entire contents of both of which are hereby incorporated by reference and attached as Ex. A.
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/NZ2020/050027 | 3/25/2020 | WO |
| Number | Date | Country | |
|---|---|---|---|
| 62824264 | Mar 2019 | US | |
| 62905864 | Sep 2019 | US |
