The present invention relates to the safe and proper handling of gases in the medical (e.g., hospital) environment.
A number of gases are used in the hospital environment, both for patient care and for other various purposes.
Oxygen is typically supplied for patients who require supplemental oxygen as part of their care. Nitrous oxide (N2O) has anesthetic properties and is typically supplied to operating rooms (surgical suites) for preoperative and operative procedures. Nitrogen is typically used to power mechanical items such as surgical equipment. Carbon dioxide is typically used to handle (e.g., inflate or suspend) tissue during surgery and also in some types of laser surgery. “Medical air” is typically used for patient inhalation via ventilators or for breathing treatment. “Instrument air” is another term for compressed air, typically used to drive mechanical tools. Additionally, mixtures of these gases and other gases, as well as vacuum capabilities, are typically part of the hospital environment.
In typical medical or hospital applications, oxygen is best delivered for end use at pressures of around 55 pounds per square inch (psi), nitrous oxide at about 50 psi, nitrogen at about 175 psi, carbon dioxide at about 50 psi, medical air at about 55 psi, and instrument air at about 175 psi.
The amounts of such gases used in a hospital tend to be rather large. Thus, in accordance with the ideal gas law (or its more sophisticated versions), the volume required to store gases at room temperature and typical delivery pressures also would be very large. Because of that, and as is the case in other gas-delivery circumstances, hospital gases are typically stored in groups (“banks”) of either high-pressure cylinders (e.g., at pressures up to about 2500 psi) or cryogenic tanks (oxygen and nitrogen) and then delivered at the lower end use pressures using appropriate regulators and associated hardware.
Because of the hospital environment, such regulators and related delivery hardware must meet stringent requirements that are not typical elsewhere; i.e., the hospital context is unique in a number of circumstances. Relevant best practices are well understood and have become codified in various regulations. These include (but are not limited to) the NFPA regulations in United States (e.g. 38 CFR 51.200), the CSA regulations in Canada, and the ISO regulations in Europe.
The combinations of different gas sources, different pressures at both the source and delivery positions, and the various regulations applicable to the hospital or medical environment, all create complications that must be addressed in the gas delivery system.
As used herein, the term “regulator” refers to a mechanical device that controllably reduces the pressure of an incoming gas and delivers it for use at a specified lower pressure (or pressure range). Accordingly, in the hospital environment regulators must transfer gas from high-pressure cylinders (up to 2500 psi) to the intended pressures just described, or from cryogenic cylinders. Although cryogenic cylinders store gas as a liquid, they still contain internal gas pressures of about 300 psi.
One of the requirements for the gas delivery system—particularly in hospitals—is redundancy; i.e., the gas supply cannot be interrupted under any normal circumstances (e.g., repair or resupply) or even in many abnormal circumstances. Because of that, hospitals typically have at least a primary source of gases (the “primary side”) and a complementary back up set of gases referred to as the “secondary side.” In turn, the hospital gas delivery system must likewise include primary side regulators and other delivery equipment and separate secondary side regulators and delivery equipment. In best practices, the flow of each and every gas will continue without interruption if one side is shut off. The most typical circumstance is to transfer from the primary side to the secondary side so that the primary side tanks can be replaced with full ones when empty. Additionally, other circumstances (both typical and unforeseen) can also create interruptions and the gas regular system must be able to handle such events without allowing interruptions in the gas flow.
Conventionally, the required equipment and redundancy is built from existing (“off-the-shelf”) components. Although such readily available parts can superficially lower initial costs, such conventional equipment (e.g., regulators, valves, fittings) can suffer from certain disadvantages.
As one disadvantage, certain polymer rubbers (elastomers) have properties that make them incompatible with certain hospital gases. Generally, some elastomers are compatible with oxygen, but not nitrous oxide or carbon dioxide (and vice versa). As an example, some halogenated elastomers give off toxic fumes when ignited.
In particular, the (potentially) large pressure changes within regulators (e.g., from 2500 psi in a bank to 250 psi in a manifold) can produce adiabatic compression that significantly elevates the gas temperature. When the gas is oxygen in the presence of hydrocarbon-based elastomers (e.g., sealing O-rings and related parts), combustion can-and does-result. In particular, hydrocarbon rubbers such as polyurethane, styrene butadiene, polyisoprene and ethylene-propylene-diene ignite easily, and have high fuel value and heat release.
Halogenated elastomers such as Viton® can favorably withstand higher temperatures than such other elastomers. For example, Viton® has a rated combustion temperature of about 400° F., while nitrile butyl rubbers are on the order of 212° F. Nevertheless, when halogenated elastomers burn, they tend to detrimentally release halogen gases and gas compounds.
Some such halogenated elastomers tend to absorb carbon dioxide and nitrous oxide and then disperse such absorbed gases rapidly under a relatively large pressure release, such as those experienced in high-pressure-to-low pressure regulators. In turn, such release tends to physically harm (i.e., blister or blow out) the elastomer piece and thus destroy its function, and in turn the function of the entire regulator. Some non-halogenated polymers avoid the absorption problems, but (as noted previously) suffer from a tendency to ignite in the presence of oxygen undergoing adiabatic compression.
As a result, in conventional regulators and structures incorporating regulators, some or all of the typical polymer fittings (e.g., o-rings, diaphragms, etc.) must be selected based upon the gas being used even though the equipment being fitted is otherwise identical in most or all respects. In a sense, this bases the polymer choice on potential disadvantages rather than on potential advantages. Such fittings can reduce efficiency and thus increase overall cost, for both manufacture and use (maintenance). In some cases, different regulators with different elastomers are used for the different gases, but at higher cost and lower efficiency.
As a separate and distinct problem, the regulators used in hospitals, along with their associated valves, gauges and fittings need to stay structurally intact under pressure, and a user (e.g., maintenance worker) should not be able to remove items from the regulator structure while the pieces are pressurized. This is a safety issue.
As a third distinct issue, the piston assemblies used in conventional regulators can permit larger than desired drops in pressure during flow. The elastomer diaphragms used in conventional regulators tend to have more “droop.” More specifically, pressure regulation is a function of inlet pressure. As the inlet pressure source is reduced, regulator delivery pressure may either rise or fall depending upon the regulator design. In both cases this is known as regulator “droop.” The side loading design of many regulator piston assemblies tends to increase both the friction and the droop of the assembly. Additionally, balancing the piston assembly on the line regulator also tends to increase friction and droop.
As another independent problem, regulators must be serviced from time to time and are typically mounted on a wall. The nature of much conventional regulator construction, however, makes it very difficult to operate or repair a regulator while it is in position on the wall (“vertical”). Typically the regulator and a number of associated parts must be removed from the wall or it's housing, serviced, and then returned. This series of steps decreases efficiency, takes extra time, and thus increases the cost of use.
Finally, in many conventional hospital gas delivery systems the user must review the manifold directly in order to understand the status (pressure and flow) of the various gases. Therefore, unless a person is constantly viewing or frequently inspecting the relevant gauges (or other output), real-time information will be delayed or in some cases missed altogether.
In one aspect, the invention is a gas pressure regulator that includes a reciprocating piston assembly that engages and disengages from a seat to open the higher pressure and lower pressure sides of the regulator to one another. The regulator includes an elastomer seal between the seat and the piston assembly that has an ignition rating sufficient to avoid combustion in the presence of oxygen at pressure differentials that are a factor of between 5 and 10 between the higher pressure and lower pressure sides of the regulator.
In a second aspect, the invention is a gas pressure manifold that is particularly suitable for medical industry applications. In this aspect, the invention includes at least one pair of bank regulator bodies for supporting regulators that moderate the flow of high-pressure gas from a gas source while providing redundancy for continuous gas flow through at least one regulator at all times, at least one pair of line regulator bodies for holding line regulators in gas communication with the bank regulators, and with the bank regulator bodies and the line regulator bodies being joined by at least one brace bar for preventing the brace bar from being removed when the forgings are under pressure.
In another aspect, the invention is a gas pressure regulator that includes a regulator body, a piston assembly in the regulator body, a spring chamber, a spring in the spring chamber, and a cup shaped piston diagram in the spring chamber and surrounding the portions of the spring adjacent the piston valve for eliminating or minimizing the flexing of various materials under pressure in the regulator.
In another aspect, the invention is a medical gas alarm system for use in a healthcare facility having medical gas systems which severally deliver a plurality of medical gases to a plurality of locations in the healthcare facility and having a network of computer devices. In this aspect, the invention includes a gas pressure manifold included in the network of computer devices in which the gas pressure manifold includes bank regulators, line regulators, and pressure sensors associated with each regulator, and network connectors between the sensors and the remainder of the network for remote monitoring of cylinder pressure levels, alarm status, event logs, and similar items from any computer on the network.
The foregoing and other objects and advantages of the invention and the manner in which the same are accomplished will become clearer based on the followed detailed description taken in conjunction with the accompanying drawings.
The terms “hospital” and “medical” are used in a descriptive rather than limiting context in this specification, and the invention's advantages apply in the general context regardless of whether or not the particular environment is a hospital per se.
The manifold includes an inlet fitting 21 and an outlet fitting 22. A reserve header inlet 23 is positioned adjacent the inlet 21, and a relief valve fitting 24 is adjacent the outlet fitting 22. In exemplary embodiments, the inlet portion of the bank regulator (43, 70;
A control box broadly designated at 25 is positioned adjacent the housing 29 and can be mounted on the same back panel 26 as the main portions of the manifold.
To assist in use, the manifold includes a left bank pressure gauge 27, a right bank pressure gauge 30 and a delivery pressure gauge 31. These are mounted in (or flush with) a face plate 32 which includes a plurality of light emitting diode (LED) indicators.
Each respective bank has an empty signal LED 33, a ready signal LED 34 and an in use signal LED 35. A changeover LED 36 indicates when the manifold is switching between banks The forging 41 helps to (among other advantages) eliminate the leaks to which conventional separate items are more susceptible.
The manifold 40 includes at least one pair of bank regulator bodies 124 (e.g.,
The bank regulator bodies and the line regulator bodies are joined by at least one brace bar 28 so that the relationship prevents the brace bar from being removed when the forgings are under pressure.
Some features of the manifold, it's structure, and its operations can be identified by following the flow of gas in the illustrated embodiments. Thus, gas from a bank (of tanks or cryogenic cylinders) enters the manifold through the inlet fitting 21 and the inlet pipe 42, from which it reaches the right (or “primary”) side bank regulator 43. More detailed views of the bank regulator 43 are set forth in
A pressure switch 44 is connected to the right bank regulator 43 along with a bleed valve 45 and a bank pressure gauge 46. A solenoid valve 47 and (optionally) a dome pressure regulator (not illustrated in this embodiment) help control the operation of the bank regulator 43 through the various piping connections which, for purposes of clarity, are not all individually labeled. Their structure and function are nevertheless both typical and well understood by the skilled person.
The vertical portion of the forging 41 that extends outwardly from the bank regulator 43 includes a check valve (not shown in
As generally well understood by the skilled person and as explained in the Background, the purpose of the bank regulator 43 is to reduce the high pressure of the gas received from the bank tanks or cryogenic cylinders to an intermediate pressure which is more suitable for the more detailed control provided by the line regulators.
Accordingly,
Some of these items include the respective locking collars 65 on the inlet pipes 42 (and the corresponding secondary inlet pipe 29) and respective isolation (ball) valves 66 located in the forging 41 between each respective bank regulator 43 and line regulator 52. It will be generally understood, of course, that where identical items are shown in parallel with one another, they are the same item and serve the same purpose, with the only difference being that one set serves a gas bank or cylinders entering the manifold from the left and the other serves the gas bank or cylinders entering the manifold from the right. For example, an inlet fitting 37 corresponds to the secondary inlet in the same manner as the inlet fitting 21 corresponds to the primary inlet.
In some embodiments the manifold can include a dome pressure regulator which can be connected to the solenoid valve and the bank regulators. Although positioning is a matter of design choice, in the illustrated embodiments, when a dome pressure regulator is included, it can be positioned in the lower portions of the housing 20.
Each of the regulators is associated with a respective check valve. The check valves are maintained in the portion of the forging extending vertically above each respective bank or line regulator. For the sake of completeness, the left (secondary) bank regulator is labeled at 70 and the left (secondary) line regulator at 71.
Accordingly, in this embodiment the line regulators 71 and 52 are connected to isolation valves 72 and 73 respectively. Pressure relief valves 74 and 75 are also connected to the regulators 71 and 52. The isolation valves 72 and 73 are connected to a sub-manifold 76 which provides the functional connection to the vent valve 57 and the service valve 64, as well as a common outlet 77. This embodiment also includes line regulator pressure gauges 80 and 81 respectively.
The remaining items in
In the manifold of the invention the bank regulator bodies 124 are part of a common forging 41 and the line regulators are part of a common forging 41, and the brace bar 28 is fixed to each of the common forgings. In the illustrated embodiment, the brace bar 28 is shown having several rectangular plate portions, but it will be understood that this configuration is exemplary of the possibilities rather than limiting.
In turn, the common forgings 41 comprise respective metal bridging webs 48 between the bank regulator bodies and the line regulator bodies, and the brace bar 28 is fixed to each of the respective metal bridging webs.
In exemplary embodiments, the regulator bodies and the brace bar 28 are formed of metal.
In the CSA version illustrated in
Some of the items that are more clearly illustrated include, however, the handles 83 on the isolation valves 73.
As noted previously, upper and lower spring buttons 94 are positioned at opposite ends of the spring 90, and each of the spring buttons includes a gimbal-type indentation (e.g.,
The piston diaphragm of the invention is illustrated at 95, and in exemplary embodiments is formed of brass. As
As illustrated in both
In exemplary embodiments, and as set forth with respect to
The remaining items in
A seat ring 120 is beneath piston diagram 115 with a pusher post button 121 in between. The seat ring 120 carries an O-ring (not shown in
Most of the elements illustrated in
In particular, the seat O-ring 130 functions as the seal between the high pressure (e.g., 2500 psi) and lower pressure (e.g., 250 psi) portions of the regulator. Because of that, in the invention the O-ring 130 is formed of an elastomer that can withstand adiabatic compression of a factor of at least 5, and preferably 10 (pressure to pressure) without igniting in oxygen. Certain rigid engineering polymers meet this requirement, but are not sufficiently flexible for the regulator's purpose. Various combinations of polysilphenylene-siloxane and polyphosphagene have high temperature combustion rations, but a highly favorable choice appears to the hydrogenated nitrile butyl rubber (“HNBR”).
HNBR has good viscoelastic properties, a service temperature range of between about −40° C. to +150° C. (−40 to 300 F), resistance to fluids of various chemical compositions and excellent resistance to strongly alkaline and aggressive fluids. HNBR is a derivative of nitrile rubber, which is hydrogenated in solution using precious metal catalysts. Different grades can be made by precise control of the proportion of unconverted double bonds in the material. HNBR is resistant to thermo-oxidative aging, with typical service life ratings that correspond to a long-term exposure of 1000 hours at 150° C. (about 300 F).
An exemplary embodiment is a medical gas alarm system for use in a healthcare facility having a medical gas system which delivers a plurality of medical gases to a plurality of locations in the healthcare facility and having a network of computer devices. In this context, the invention includes a gas pressure manifold that communicates with the network of computer devices. As already described, the gas pressure manifold includes bank regulators, line regulators, and pressure sensors associated with each regulator. Network connectors between the sensors and the remainder of the network permit remote monitoring of cylinder pressure levels, alarm status, event logs, and similar items, using any computer on the network. The system likewise typically includes a network hub (or equivalent), an Internet connection (with firewall), and an email server.
In most cases, the medical gas system includes vacuum pumps and medical air pumps that are also in communication with the network. In exemplary embodiments, any and all alarm devices in the system communicate with the network.
An email server 144 is connected to the network and can communicate internally through the hub 36 or with the Internet 145, with a firewall 146 typically being included for security purposes. The email server can generate messages that, using the Internet, can be directed to one or more cellular phones 147 or their equivalent; i.e. the term “cellular phone” is used in a broad sense to incorporate devices that can receive text messages, email, or other communications, including but not limited to smart phones and tablet computers. Additionally, such messages can be received by more conventional computers (“PC”s or “laptops”) that have either Wi-Fi or cellular capability or both depending upon context.
The TOTALALERT™ network monitors medical air, medical vacuum, medical master alarm, medical area alarms, and now the medical manifold of the invention. No additional software is required and the equipment on the network reside as IP points on the user's intranet. One key feature of the TOTALALERT™ network is that a single web page displays all of the equipment on the network. Although other systems may add embedded software to a product, none appear to include a centralized web page from which all of the individual components can be monitored.
In the drawings and specification there has been set forth a preferred embodiment of the invention, and although specific terms have been employed, they are used in a generic and descriptive sense only and not for purposes of limitation, the scope of the invention being defined in the claims.
Number | Date | Country | |
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61875227 | Sep 2013 | US |