This invention relates to a chamber suitable for use by a person for hyperbaric oxygenation for therapy, prophylaxis or general health improvement. It is particularly, though not exclusively, concerned with a hyperbaric capsule suitable for use by one person at home, or for use by a clinic for the treatment individual clients. The capsule may be used with or without oxygen enrichment of air breathed by the user.
This invention also relates to methods for operating such capsules to ensure efficacy and safety.
Hyperbaric chambers known in the art are commonly designed for the recompression of divers to mitigate gas embolism, the treatment of patients in a hospital or clinic environment and for diver or athlete training. In much of the art known to the applicant, hyperbaric chambers are massive and complex devices that require expert attendant staff. Such chambers are therefore not suited for home use by individuals without attendants. Moreover, since expert staff will be in attendance while the hyperbaric chambers of the art are in use, no provision is made for the user or patient to open the chamber from within so that he or she can exit without assistance.
In many hyperbaric chambers for use in the clinical environment the patient is required to lie prone in a tube. Indeed, it is important in recompression chambers for the patient to be prone and inclined head-down at an angle of about 30 degrees. This results in the massive construction typical of many such chambers. [See, for example, U.S. Pat. Nos. 4, 727,870 to Krasel, 5,433,334 to Reneau and 6,354,457 to Aaron, and U.S. design Pat. Nos. 346,864 to Reneau and 415,278 to Bowman.] However, it is also important that recompression chambers be capable of being transported to a diver with the bends and rapidly deployed on site. Relatively compact chambers suitable for transport by truck or plane are therefore known in the art. [See, for example, U.S. Pat. Nos. 4,811,729 to Sands et al, 5,378,093 to Santi and 6,321,746 to Schneider. For relatively modest recompression pressures, portable inflatable chambers with flexible walls are also known in the art. [See, for example, the above U.S. patents to Santi and Schneider as well as U.S. Pat. Nos. 5,109,837 and 5,398,678 and to Gamow, 5,255,673 to Cardwell and 5,360,001 to Brill.]
The traditional design of a hyperbaric chamber for use in hospitals and clinics is a cylinder with a round door at one end through which the patient can be introduced in the prone position. Such a design appears to have been dictated by the need to minimize the area of the end door so that the force on the door is modest even when the chamber is fully pressurized. Nevertheless, many such chambers have the appearance and claustrophobic feel of totally enveloping ‘iron lungs’ that prevent the patient from moving significantly—let alone sitting up—and that allow visual contact with the operators through small portholes only. [See, for example, U.S. patent to Krasel above.] The fact that there is generally no way that the user can open the chamber from within exacerbates the natural claustrophobic anxiety associated with enclosure in such a confined space.
Nevertheless, the prior art does disclose designs for hyperbaric chambers that permit the patient to be seated. U.S. Pat. No. 5,327,904 to Hannum and U.S. Pat. No. 6,352,078 to Harvey disclose short cylindrical chambers of sufficient diameter to accommodate a seated person. In the former case a flat door is fitted into the cylindrical shell and in the latter case the door is set into one end. In both cases, however, the doors open inwards (to enhance strength and facilitate sealing under pressure). Since the open door must allow the user entry and, after entry, must clear the seated user as it is being closed, the size of the chamber still needs to be substantial. Hannum nevertheless notes that an important feature of his chamber is that can be made sufficiently compact to fit through double (hospital) doors. Again, both chambers require the attendance of a skilled operator throughout the treatment of the patient or user, including the opening of the door to permit entry and egress at the start and end of the procedure. Thus neither chamber is suited to home use, for installation in a normal house or for use by a person without assistance.
Finally, it is to be noted that U.S. Pat. No. 4,50a -50d9,513 to Lasley discloses a ‘hyperbaric chamber’ that appears to be suitable for home use by a person without assistance. However, the device is a bag into which the user climbs like a pair of angler's waders, securing the opening around the upper part of the body (below the shoulders and not including the arms) to form a seal. The bag is then inflated with oxygen-enriched air. Obviously this device is not, in fact, a hyperbaric chamber in the normal sense—that is, one intended for pulmonary oxygenation.
From one aspect, this invention is a hyperbaric capsule that has (i) an elongate base molding which incorporates the form of a chair and which extends forward from the chair at user foot level and upward above user head level at the back of the chair and (ii) and elongate canopy that extends forward and downward from above user head level. The canopy has an elongate transparent window and is moveable between an open position, where a user can freely move to and from the chair via the side of the capsule, and a closed position where a seated user is fully enclosed by the canopy and base, which together form a hyperbaric chamber. The base molding and the canopy define respective seal-lines that cooperate to form an air-tight seal between the base and the canopy when the canopy is closed. Preferably, the canopy and its window have convex external surfaces that are curved in both the front-to-back and the side-to-side directions, the window preferably extending from at least user head level to the level of the seat of the chair.
The capsule is preferably fitted with latches for securing the canopy to the base at a plurality of points about its periphery, the latches preferably being operable in unison by an actuator located within the capsule and an actuator located outside the capsule. The latches may take the form of hooks mounted on the ends of shafts, which extend transversely through the base, and coacting latch pins mounted on the canopy. The arrangement may be such that outward movement of the canopy sides under pressure is resisted by the hooks and their shafts. However, it is also envisaged that the sides of the canopy may fit within the periphery of the base so that outward movement of the canopy sides is also resisted directly by the periphery of the base. Preferably, where hooks are used as the latches, they have an over-center action whereby an opening force applied to the canopy acts to bias the hooks further toward their secure or closed positions, thereby inhibiting operation of the actuators to effect the opening of the canopy while it is under pressure.
The chair will normally comprise a back adapted to support the back of the user at a comfortable angle to the vertical and a seat adapted to support the buttocks of the user at a comfortable angle to the horizontal. The base of the capsule preferably includes a floor in front of and below the chair seat adapted to support and accommodate the feet of a seated user. The base, the floor and the seat and back of the chair are preferably all molded integrally from fiber-reinforced plastics material to incorporate a metal base frame to withstand the operating pressure of the capsule. The peripheral base seal-line is preferably made up of (i) a first generally horizontal U-shape periphery that extends from the seat on each side of the chair and around the front foot area of the base, and (ii), a second generally vertical inverted U-shape periphery that extends from below the seat on each side and over the back of the chair. The first and second U-shape peripheries of the base join at an angle below the seat to complete the base seal line. The canopy has downwardly extending triangular side portions that have a corresponding angle so that they will fit into the join of the first and second U-shape peripheries of the base.
With this form of canopy and base, it is preferable for multiple hook-form latches to be arranged around the join between the two U-shape peripheries of the base and for their corresponding latch pins to be arranged in the triangular portions of the canopy, so that lateral movement of the side portions under pressure is resisted in the manner noted above
To doubly ensure that the canopy cannot be flung open forcefully by premature release of the latch means, a pressure-operated lock may be fitted to prevent operation of the actuator as long as pressure within the capsule is greater than that outside. Preferably, this lock is operable within the capsule so that it can be moved manually by a person in the capsule in the event that it does not automatically release after the capsule is depressurized.
The canopy is preferably of a dished elongate oval shape that (when closed) encompasses the base from the floor area to the top of the chair back. It can be formed from a thick sheet of highly transparent thermoplastic material by applying heat and fluid pressure—without the need for a mold—to generate the desired shape. Since the transparent portion of the canopy can extend in the front-to-back direction from over the head to near the feet of a seated user and, in the side-to-side direction, over the width of the user's body, there is little sense of claustrophobia. An edging of fiber-reinforced plastic material can be applied to the periphery of the canopy to form the canopy seal line and to mount the latch pins and other fittings (such as hinges and gas struts).
The canopy is preferably hingedly attached to the base at the front of the foot area so that it can pivot forwards to allow ready ingress and egress of the user from the at least one side of the capsule. The weight of the canopy may be supported in the open or partially open position by the use of gas struts or the like located at the front of the canopy on each side near of the floor. A flexible rubber-like sealing ring can be readily fitted to the periphery of the canopy and/or that of the base to ensure a substantially hermetic seal therebetween along the respective seal-lines of the base and the canopy, when the canopy is closed.
It will be appreciated that a capsule of the type described can be readily made to be small enough to fit through the standard doorways of a normal domestic dwelling and to be handled by one or two installers, particularly if the base is provided with wheels. However, because of its small size and volume, it is desirable that there be adequate provision for heat and CO2 removal. This may be achieved by ensuring sufficient flow of pressurized air through the capsule while it is in use. The pressurized air may be conditioned to user-controlled temperature and humidity. Additionally, heat-exchanger means may be provided to cool the base or chair of the capsule.
If oxygen supplementation is required, it will generally be most safe and economical for the user to employ an oxygen mask while sitting in the capsule. Alternatively, the input air to the capsule can be enriched with oxygen.
With single-person use in mind, it is desirable that pressure, temperature and air/O2 flow controls and/or indicators are located conveniently within the capsule, preferably on the base thereof or on a lower portion of the canopy. Various audible and/or visual alarms may also desirable; for example, a power-failure alarm, an excess temperature alarm, and an excess CO2 alarm. Preferably, these indicator, controls and alarms are duplicated on the exterior of the capsule. The activation of any of the alarms may be arranged to automatically depressurize the capsule and even to operate the actuator to release and ‘pop’ the canopy. A standby pressure vessel or electric battery may be needed to effect such functions despite a mains power failure.
Having portrayed the nature of the present invention, a particular example will now be described with reference to the accompanying drawings. However, those skilled in the art will appreciate that many variations and modifications can be made to the example, and many other examples can be devised, without departing from the scope of the invention as outlined above. In the accompanying drawings:
Turning to
In this description it will be convenient to refer to the space enclosed by canopy 16 and base 12 as the hyperbaric chamber—since it can be pressurized—and to refer to the entire device as the capsule.
As best seen from
While peripheries 36 and 38 could form a continuous peripheral seal-line against which a sealing strip fitted around the inside of canopy 16 could rest, in this example the continuous seal-line 44 is formed by the faces of shoulders 45a and 45b that up-stand from peripheral edges 36 and 38 (respectively). A flexible resilient seal-strip 47 (
After being lowered to its closed position, canopy 16 can be secured to base 12 by pivoting side hook-like latches 50a-50c on each side of base 12 to engage corresponding latch pins 52a-52c each side of canopy 16. A pair of pivoting top hook-like latches 50d engage a common latch pin 52d (
The peripheral edges 36 and 38 of base 12 thus define a recess around base 12 within which the linear peripheral edges of triangular sides 20 of canopy 16 are located when the canopy is closed.
The window 18 of canopy 16 is joined to triangular side panels 20 by a curved fiber-reinforced plastic [FRP] skirt 60 molded onto and around the periphery of window 18, which is blown to shape in an oven without a mold from thick transparent plastic sheet material. Base 12, including the basic shape of chair 14, bottom 28, curved front 30, back 32 and its peripheral edges 36 and 38, is molded integrally from FRP. Included in this molding is a back support 62 and a seat support 64 (
The latching mechanism will now be described in more detail with reference to
Hook-like latches 50a-50c are arranged in opposed pairs, one latch of each pair (eg, 50a) being located opposite the other on each side of the base frame, the latches of each pair being are fixed to respective ends of a common transverse shaft. Thus, latches 50a are mounted on each end of shaft 84a, latches 50b are mounted on each end of shaft 84b and latches 50c are mounted on each end of shaft 84c. Short bell-cranks 86a, 86b and 86c are fixed to the centers of shafts or rods 84a, 84b and 84c (respectively), the free end of crank 86a on shaft 84a being pivotally attached to a horizontal actuator rod 88. The free ends of cranks 86b and 86c on shafts 84b and 84c are pivotally attached to a common generally vertical actuator rod 90 behind the back of the chair (not shown). Rear end of rod 88 is pivotally linked to lower end of rod 90 by a bell-crank 92 that is mounted for rotational movement about a fixed transverse tie-rod 93, which—together with similar tie rods 94 and 95—serve to tie sides of frame 80 together. Upper extremity of actuator rod 90 is coupled to latches 50d by a push-rod 96. This arrangement ensures that all latches 50a-50d will operate in unison when motivated by handle 54 or 56, both of which are attached to shaft 84c. Internal handle 56 is secured to shaft 84c within a seal-tube tube 98 (
The operation of hook-like latch 50a shown in
Molding 28a forms the peripheral shoulder 45a on base portion 28 that, in turn, forms upwardly facing seal-line or surface 44. As shown in
It will be noted that the planar triangle-shaped canopy sides 20 will flex outwards toward latches 50a when the capsule is under pressure, stretching seal 100, until sides 20 contact latches 50a. The force thus applied to latches 50a will be transferred to transverse shaft 84a, which can readily be designed to carry such forces, being in tension. The same considerations apply to pairs of latches 50b and 50c, which are carried by shafts 84b and 84c, as described with respect to
The pressurization, control and monitoring of the capsule of this example will now be described. In this example independent control and monitoring of the pressure, oxygen concentration (and/or CO2 concentration), humidity and temperature of air in the capsule is provided. The need to be able to set the desired pressure in a hyperbaric chamber is, of course, obvious. However, the need to monitor for temperature, CO2 and humidity is dictated by the fact that these variables can quickly rise to uncomfortable—even dangerous—levels in a capsule of small volume like that of the chosen example. If supplemental oxygenation is not used, oxygen monitoring is desirable to (i) ensure that the oxygen concentration of air in the capsule does not fall significantly below that of the atmosphere and (ii) to generate an alarm in the event of an excessive rise. When supplemental oxygenation is used, it may be via a mask or via oxygen injection into the pressurizing air. In that case, it is desirable to have a separate indicator of mask oxygen concentration, and the readings of CO2 or oxygen concentration in the capsule air may then be of little significance. Control of pressure, temperature and humidity can be achieved by known air-conditioning techniques and apparatus, except for the need for an air pump or blower of higher than normal pressure.
If desired, provision may be made for automatic depressurization and latch release in the event of power failure or excessive chamber air temperature, humidity or CO2 concentration. Excessive CO2 concentration and/or temperature can arise where air flow is too low due to malfunction or power failure and may not be noticed by the user in time to take remedial action. In this example, this safety feature is provided by:
Thus, as soon as the pressure within capsule 10 is equilibrated with atmospheric, the latches will be opened and struts 24 will pop the canopy open enough to ensure circulation of ambient air through the chamber.
Desirably, the CO2 sensor, controller 134 and automatic actuator 140 should have sufficient standby battery power to operate in the event of power failure. However, the power requirement of actuator 140 may be too large for the standby battery suited to the sensors and controller, so spring, pneumatic or other energy storage means can be used to power unit 140.
A further safety feature envisaged in a modified form of the chosen example is a pressure operated interlock that will prevent the canopy from being opened prematurely by the user. This may result in forceful and dangerous opening of the canopy if the user has sufficient strength to force internal handle 56 and release latches 50a-50d. A suitable safety interlock, located in canopy frame 82, is shown in
The modified canopy side 20 and base bottom 28 shown in
Other variations of the latching mechanism may also be employed. Some of these are shown in
The second variant, shown in
Number | Date | Country | Kind |
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2002952811 | Nov 2002 | AU | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/AU03/01540 | 11/19/2003 | WO | 12/30/2005 |