The present invention relates to the field of oral nasal cannulae for use in sampling the breath of subjects, especially for the purpose of providing capnographic data concerning the subject.
The following U.S. patents are believed to represent the current state of the art:
U.S. Pat. Nos. 6,913,017; 6,837,238; 6,655,385; 6,439,234; 6,422,240; 5,794,619; 5,740,799; 5,495,848; 5,375,593; 5,335,656; 5,269,296; 5,046,491; 4,572,177; 4,367,735; 4,156,426; 4,151,843; 4,106,505 and 2,693,800.
The present invention seeks to provide an improved oral nasal sampling cannula for use with a capnographic system.
There is thus provided in accordance with a preferred embodiment of the present invention an oral nasal cannula for sampling breath of a subject, including a main body portion, having formed therein a suction port which is adapted to be connected to a suction device for side sampling of exhaled breath of the subject, at least one nasal prong integrally formed with the main body portion and adapted to collect nasally exhaled breath of the subject and an oral scoop, integrally formed with the main body portion and adapted to collect orally exhaled breath of the subject.
In accordance with a preferred embodiment of the present invention the main body portion is formed with at least one of at least one oral oxygen delivery port and at least one nasal oxygen delivery port. Preferably, the at least one nasal oxygen delivery port includes a plurality of oxygen delivery holes formed in the main body portion. Alternatively, the at least one nasal oxygen delivery port includes at least one oxygen delivery prong which is integrally formed with the main body portion, which is shorter than the at least one nasal prong and is adapted to be inserted into a nostril of the subject.
In accordance with another preferred embodiment of the present invention, the oral nasal cannula also includes a nasal spacer, adapted to distance the at least one nasal oxygen delivery port from the nose of the subject when the oral nasal cannula is placed on the face of the subject. Preferably, the at least one oral oxygen delivery port is formed over the oral scoop. More preferably, the at least one oral oxygen delivery port is directed sideways, such that delivered oxygen is directed around the oral scoop.
In accordance with yet another preferred embodiment of the present invention, the oral scoop includes an inner surface which is configured to direct breath, exhaled from the mouth of the subject in substantially any direction, toward the suction port. Preferably, the oral scoop covers substantially a majority of the mouth of the subject when the oral nasal cannula is placed on the face of the subject. Additionally or alternatively, the oral nasal cannula is formed with an angle between the at least one nasal prong and the oral scoop. Preferably, the angle is in the range of 145-165 degrees.
In accordance with a further preferred embodiment of the present invention the inner surface includes a plurality of flow surfaces each having a different flow direction. According to some embodiments, there is provided herein an oral nasal cannula for sampling breath of a subject, comprising a main body portion, comprising a suction port which is adapted to be connected to a suction device for side sampling of exhaled breath of the subject, wherein the main body portion comprises a recess adapted to support a medical tube, wherein the tube is intended to be inserted through a first nostril of the subject, and a nasal prong and adapted to collect nasally exhaled breath from a second nostril of the subject, and in fluid flow communication with a nasal breath collection bore. The oral nasal cannula may further include an oral scoop adapted to collect orally exhaled breath of the subject, and terminating in an oral breath collection bore. The recess may be adapted to clip the tube to secure the tube to the recess. This may prevent movement or its displacement and also prevent it from being pulled from the nostril. This may also replace the use of an adhesive tape to attach the tube to the subject's face. The oral nasal cannula may further include a clip. The clip may be a the recess itself gripping the tube or a separate element, such as a pin, a hook, a fastener or any other element adapted to secure the tube to the recess.
The main body portion may be formed with at least one of an oral oxygen delivery port and a nasal oxygen delivery port. The nasal oxygen delivery port may include a plurality of oxygen delivery holes formed in the main body portion. The nasal oxygen delivery port may include an oxygen delivery prong which is shorter than the nasal prong and is adapted to be inserted into a nostril of the subject. The oral nasal cannula may include a nasal spacer, adapted to distance the at least one nasal oxygen delivery port from the nose of the subject when the oral nasal cannula is placed on the face of the subject.
The at least one oral oxygen delivery port may be formed over the oral scoop. The at least one oral oxygen delivery port may be directed sideways, such that delivered oxygen is directed around the oral scoop. The oral scoop may include an inner surface which is configured to direct breath, exhaled from the mouth of the subject in substantially any direction, toward the suction port. The oral scoop may cover substantially a majority of the mouth of the subject when the oral nasal cannula is placed on the face of the subject. The oral scoop may include an inner surface which is configured to direct breath, exhaled from the mouth of the subject in substantially any direction, toward the suction port.
The oral nasal cannula may be formed with an angle between the nasal prong and the oral scoop. The angle may be in the range of 145-165 degrees.
The oral breath collection bore may be substantially narrower than the oral scoop, such that the pressure of the orally exhaled breath is amplified in the oral breath collection bore. The nasal prong may be integrally formed with the main body portion. The oral scoop may integrally formed with the main body portion.
The oxygen delivery prong may be integrally formed with the main body portion. According to some embodiment, there is provided herein a system for sampling breath comprising an oral nasal cannula for sampling breath of a subject, comprising: a main body portion, comprising a suction port which is adapted to be connected to a suction device for side sampling of exhaled breath of the subject, wherein the main body portion comprises a recess adapted to support a medical tube, wherein the tube is intended to be inserted through a first nostril of the subject; and a nasal prong and adapted to collect nasally exhaled breath from a second nostril of the subject, and in fluid flow communication with a nasal breath collection bore; and a gas analyzer. The gas analyzer may include a capnograph.
According to some embodiment, there is further provided herein a method of sampling breath, comprising supporting a medical tube intended to be inserted through a first nostril of a subject in a recess located within a the main body portion of an oral nasal cannula. The method may further include clipping the tube to the recess. The method may further include sampling breath.
The present invention will be understood and appreciated more fully from the following detailed description, taken in conjunction with the drawings in which:
Reference is now made to
The oral nasal sampling cannula 10 comprises a main body portion 12, having formed therein an exhaled breath collection bore 14 and an oxygen delivery bore 16. A pair of hollow nasal prongs 18, having inner ends 20 which are in fluid flow communication with a pair of nasal breath collection bores 21, is adapted for insertion into the nostrils of the subject and is integrally formed with the main body portion 12.
An oral scoop element 22, including an internal surface 24, is integrally formed with main body portion 12. Oral scoop element 22 terminates at a top portion thereof in an oral breath collection bore 26, which is in fluid flow connection with nasal breath collection bores 21, thereby forming an essentially single junction 28.
Single junction 28 is in fluid flow communication with exhaled breath collection bore 14, which in turn is in fluid flow communication with an exhaled breath collection tube 30, which is adapted to be connected to a suctioning pump, such as that used in a side-stream capnograph (not shown), for example Microcap®, which is commercially available from Oridion BreathID of Jerusalem, Israel.
Main body portion 12 includes, preferably at a forward facing surface thereof or alternatively at any other suitable location, nasal oxygen delivery openings 32 and may optionally also include oral oxygen delivery openings 34, both nasal and oral oxygen delivery openings being in fluid flow communication with oxygen delivery bore 16, as seen with particular clarity in
Oxygen delivery tube 36 and exhaled breath collection tube 30 may optionally be placed around the ears of the subject, thereby stabilizing the oral nasal sampling cannula 10 on the subject's face.
As seen clearly in
Preferably, the oral nasal sampling cannula 10 is suited to the structure of a human face by having an angle, indicated by the letter a in
Reference is now made to
As seen in
Turning to
It is appreciated that the importance of the use of several nasal oxygen delivery openings 32 is that during exhalation, which is the period at which the subject's exhaled breath is sampled, it is crucial that the sampled breath is substantially not diluted by the oxygen that is being delivered. In the oral nasal sampling cannula 10, the positive pressure caused by the exhalation is used to push away at least most of the oxygen from the direction of the nostril, thereby ensuring that the majority of the oxygen is not sucked into the nasal prongs 18 and does not dilute the sampled breath. The use of several nasal oxygen delivery openings 32 spreads out the pressure of the oxygen flow, and thus the exhaled air is at an even larger positive pressure relative to the pressure of the oxygen exiting each delivery opening 32, thus more effectively pushing away the oxygen.
It is appreciated that the importance of the use of an oral scoop element is in the fact that a larger percentage of the orally exhaled breath is collected and eventually reaches the sample analysis element. This feature is especially important when monitoring the breath of heavily sedated subjects, which tend to breathe through an open mouth and to have a very low breath rate, typically fewer than 10 breaths per minute, as opposed to greater than 12 breaths per minute in a non-sedated subject. Additionally, the collection of all the exhaled breath from oral scoop element 22 into the oral breath collection bore 26, which is substantially narrower than oral scoop element 22, amplifies the pressure of the orally exhaled breath, which is typically very low, specifically in sedated subjects.
Moreover, amplification of the pressure of orally exhaled breath is important for the accuracy of the sampling due to the fact that the pressure created during exhalation at the exit of a mouth which is wide open is much lower than the pressure created by the flow of exhaled breath via the nostrils.
It is also appreciated that the sampled exhaled breath is substantially not diluted by ambient air due to pressure gradients within the system, and a majority of the sampled exhaled breath does not escape from the system.
If the subject is performing oral and nasal breathing, there is a slightly higher pressure in nasal breath collection bores 21 (
In a similar manner, in the case of oral breath only, the air in nasal prongs 18 and in nasal breath collection bores 21 is of the same pressure as the air all around it, whereas there is a slightly higher pressure in the oral breath collection bore 26 pushing up via the single junction 28 (
Reference is now made to
The oral nasal sampling cannula 50 comprises a main body portion 52, having formed therein an exhaled breath collection bore 54 and an oxygen delivery bore 56. A hollow nasal prong 58, having an inner end 60 which is in fluid flow communication with a nasal breath collection bore 61, is adapted for insertion into one nostril of the subject and is integrally formed with the main body portion 52.
An oral scoop element 62, including an internal surface 64, is integrally formed with main body portion 52. Oral scoop element 62 terminates at a top portion thereof in an oral breath collection bore 66, which is in fluid flow connection with nasal breath collection bore 61, thereby forming a junction 68.
Junction 68 is in fluid flow communication with exhaled breath collection bore 54, which in turn is in fluid flow communication with an exhaled breath collection tube 70, which is adapted to be connected to a suctioning pump, such as that used in a side-stream capnograph (not shown), for example Microcap®, which is commercially available from Oridion BreathID of Jerusalem, Israel.
Main body portion 52, includes, preferably at a forward facing surface thereof, or alternatively at any other suitable location, nasal oxygen delivery openings 72 which are in fluid flow communication with oxygen delivery bore 56, as seen with particular clarity in
Oxygen delivery tube 76 and exhaled breath collection tube 70 may optionally be placed around the ears of the subject, thereby stabilizing the oral nasal sampling cannula 50 on the subject's face.
As seen clearly in
Preferably, the oral nasal sampling cannula 50 is suited to the structure of a human face by having an angle, indicated by the letter α in
Reference is now made to
As seen in
It is appreciated that the importance of the use of several nasal oxygen delivery openings 72 is that during exhalation, which is the period at which the subject's exhaled breath is sampled, it is crucial that the sampled breath is substantially not diluted by the oxygen that is being delivered. In the oral nasal sampling cannula 50, the positive pressure caused by the exhalation is used to push away at least most of the oxygen from the direction of the nostril, thereby ensuring that the majority of the oxygen is not sucked into the nasal prongs 58 and does not dilute the sampled breath. The use of several nasal oxygen delivery openings 72 spreads out the pressure of the oxygen flow, and thus the exhaled air is at an even larger positive pressure relative to the pressure of the oxygen exiting each delivery opening 72, thus more effectively pushing away the oxygen.
It is appreciated that the importance of the use of an oral scoop element is in the fact that a larger percentage of the orally exhaled breath is collected and eventually reaches the sample analysis element. This feature is especially important when monitoring the breath of heavily sedated subjects, which tend to breathe through an open mouth and to have a very low breath rate, typically fewer than 10 breaths per minute, as opposed to greater than 12 breaths per minute in a non-sedated subject.
Additionally, the collection of all the exhaled breath from oral scoop element 62 into the oral breath collection bore 66, which is substantially narrower than oral scoop element 62, amplifies the pressure of the orally exhaled breath, which is typically very low, specifically in sedated subjects.
Moreover, amplification of the pressure of orally exhaled breath is important for the accuracy of the sampling due to the fact that the pressure created during exhalation at the exit of a mouth which is wide open is much lower than the pressure created by the flow of exhaled breath via the nostril.
It is also appreciated that the sampled exhaled breath is substantially not diluted by ambient air due to pressure gradients within the system, and a majority of the sampled exhaled breath does not escape from the system.
If the subject is performing oral and nasal breathing, there is a slightly higher pressure in nasal breath collection bore 61 (
In the case of nasal breath only, the air in oral scoop element 62 is of the same pressure as the air all around it, whereas there is slightly higher pressure in the nasal breath collection bore 61 pushing down via the junction 68 (
In a similar manner, in the case of oral breath only, the air in nasal prong 58 and in nasal breath collection bore 61 is of the same pressure as the air all around it, whereas there is a slightly higher pressure in the oral breath collection bore 66 pushing up via the junction 68, to create a relatively positive pressure at the nasal breath collection bore 61, thereby ensuring that essentially no ambient air will enter the system. Additionally, essentially a majority of the exhaled breath does not escape the system due to the pumping element that constantly creates a relatively negative pressure in exhaled breath collection bore, thereby ensuring that essentially most of the exhaled breath will travel toward the exhaled breath collection tube 70 and not out toward the ambient air.
Reference is now made to
The oral nasal sampling cannula 110 comprises a main body portion 112, having formed therein an exhaled breath collection bore 114 and an oxygen delivery bore 116. A pair of hollow nasal prongs 118, having inner ends 120, which are in fluid flow communication with a pair of nasal breath collection bores 121, is adapted for insertion into the nostrils of the subject and is integrally formed with the main body portion 112.
An oral scoop element 122, including an internal surface 124, is integrally formed with main body portion 112. Oral scoop element 122 additionally has formed thereon a pair of extension portions 125, each having an internal surface 126, and terminates at a top portion thereof in an oral breath collection bore 127. Oral breath collection bore 127 is in fluid flow connection with nasal breath collection bores 121, thereby forming a single junction 128.
Single junction 128 is in fluid flow communication with exhaled breath collection bore 114, which in turn is in fluid flow communication with an exhaled breath collection tube 130, which is adapted to be connected to a suctioning pump, such as that used in a side-stream capnograph (not shown), for example Microcap®, which is commercially available from Oridion BreathID of Jerusalem, Israel.
Main body portion 112 includes, preferably at a forward facing surface thereof or alternatively at any other suitable location, nasal oxygen delivery prongs 132 which are typically shorter than nasal prongs 118 such that they do not enter the subject's nostrils. The nasal oxygen delivery prongs 132 are in fluid flow communication with oxygen delivery bore 116, as seen with particular clarity in
Oxygen delivery tube 136 and exhaled breath collection tube 130 may optionally be placed around the ears of the subject, thereby stabilizing the oral nasal sampling cannula 110 on the subject's face.
As seen clearly in
Preferably, the oral nasal sampling cannula 110 is suited to the structure of a human face by having an angle, indicated by the letter α in
Reference is now made to
As seen in
It is appreciated that the nasal oxygen delivery prongs 132 are shorter than the nasal prongs 118 such that during exhalation, which is the period at which the subject's exhaled breath is sampled, it is crucial that the sampled breath is substantially not diluted by the oxygen that is being delivered. In the oral nasal sampling cannula 110, the positive pressure caused by the exhalation is used to push away at least a majority of the oxygen from the direction of the nostril, thereby ensuring that most of the delivered oxygen is not sucked into the nasal prongs 118 and essentially does not dilute the sampled breath. If the nasal oxygen delivery prongs 132 were at the same height as the nasal prongs 118, even if the oxygen were pushed back and away during exhalation, some oxygen would still enter the sampling nasal prongs 118 thereby diluting the sample. The fact that the nasal oxygen delivery prongs 132 are lower than sampling nasal prongs 118 prevents this from occurring.
It is appreciated that the importance of the use of an oral scoop element is in the fact that a larger percentage of the orally exhaled breath is collected and eventually reaches the sample analysis element. The use of extension portions 125 ensures that generally an oral breath collection device covers a majority of the subject's mouth, thereby collecting most of the subject's orally exhaled breath. These features are especially important when monitoring the breath of heavily sedated subjects, which tend to breathe through an open mouth and to have is a very low breath rate, typically fewer than 10 breaths per minute, as opposed to greater than 12 breaths per minute in a non-sedated subject.
Additionally, the collection of most of the exhaled breath from oral scoop element 122 and extension portions 125 into the oral breath collection bore 127, which is substantially narrower than oral scoop element 122 and extension portions 125 thereof, amplifies the pressure of the orally exhaled breath, which is typically very low, specifically in sedated subjects.
Moreover, amplification of the pressure of orally exhaled breath is important for the accuracy of the sampling due to the fact that the pressure created during exhalation at the exit of a mouth which is wide open is much lower than the pressure created by the flow of exhaled breath via the nostrils.
It is also appreciated that the sampled exhaled breath is substantially not diluted by ambient air due to pressure gradients within the system, and a majority of the sampled exhaled breath does not escape from the system.
If the subject is performing oral and nasal breathing, there is slightly higher pressure in nasal breath collection bores 121 (
In the case of nasal breath only, the air in oral scoop element 122 and in extension portions 125 is of the same pressure as the air all around it, whereas there is slightly higher pressure in the nasal breath collection bores 121, thereby ensuring that essentially no ambient air will enter the oral nasal sampling cannula 110. Additionally, essentially a majority of the exhaled breath does not escape the system due to the pumping element that constantly creates a relatively negative pressure in exhaled breath collection bore, thereby ensuring that most of the exhaled breath will travel toward the exhaled breath collection tube 130 and not out toward the ambient air.
In a similar manner, in the case of oral breath only, the air in nasal prongs 118 and in nasal breath collection bores 121 is of the same pressure as the air all around it, whereas there is slightly higher pressure in the oral breath collection bore 127 pushing up via the single junction 128, to create a relatively positive pressure at the nasal breath collection bores 121, thereby ensuring that essentially no ambient air will enter the oral nasal sampling cannula 110. Additionally, essentially a majority of the exhaled breath does not escape the system due to the pumping element that constantly creates a relatively negative pressure in exhaled breath collection bore, thereby ensuring that most of the exhaled breath will travel toward the exhaled breath collection tube 130 and not out toward the ambient air.
It is appreciated by persons skilled in the art that the present invention is not limited by what has been particularly shown and described hereinabove. Rather the scope of the present invention includes both combinations and subcombinations of various features described hereinabove as well as variations and modifications thereto which would occur to a person of skill in the art upon reading the above description and which are not in the prior art.
Reference is now made to
The oral nasal sampling cannula 200 comprises a main body portion 252, having formed therein an exhaled breath collection bore 254 on the “prong-free” section 252A thereof, and an oxygen delivery bore 256 on a “prong-containing” section 252B thereof. A hollow nasal prong 258 is located on “prong-containing” section 252B of main body portion 252 of cannula 200. Hollow nasal prong 258 has an inner end (not shown), which is in fluid flow communication with a nasal breath collection bore (not shown). Hollow nasal prong 258 is adapted for insertion into one nostril of the subject and to collect breath through opening 259. Hollow nasal prong 258 may be integrally formed with main body portion 252 as shown herein or may be connected to main body portion 252.
An oral scoop element 262, including an internal surface 264, is connected to (may be integrally formed with) main body portion 252. Similar to oral scoop element 62 of cannula 50, shown in
“Prong-containing” section 252B of the main body portion 252, includes, preferably at a forward facing surface thereof, or alternatively at any other suitable location, nasal oxygen delivery openings 272 which are in fluid flow communication with oxygen delivery bore 256.
Oxygen delivery bore 256, is in fluid flow communication with an oxygen delivery tube 276, which is adapted to be connected to a source of oxygen (not shown). Oxygen delivery tube 276 and exhaled breath collection tube 270 may optionally be placed around the ears of the subject, thereby stabilizing the oral nasal sampling cannula 200 on the subject's face.
As seen clearly in
The present application is a continuation in part of U.S. patent application Ser. No. 11/286,295 filed Nov. 22, 2005 which claims the benefit of U.S. Provisional Application 60/630,244 filed Nov. 22, 2004, the disclosure of which is incorporated herein by reference—
Number | Date | Country | |
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60630244 | Nov 2004 | US |
Number | Date | Country | |
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Parent | 11286295 | Nov 2005 | US |
Child | 12149417 | US |