This invention relates to oxygen administration apparatus.
A conventional apparatus for administering oxygen to a patient comprises a source of oxygen, an oxygen administration device such as a face mask or a nasal cannula and a flexible plastics oxygen conducting line connectible at one end to the source of oxygen and at another end to the administration device.
Many patients, for example, with chronic lung disease now administer oxygen to themselves at home. Oxygen is conventionally supplied as a compressed gas in cylinders. The cylinders are often heavy and patients find them difficult to handle. Moreover, there are considerable logistical problems in ensuring that a patient at home never runs out of oxygen. As a result it is becoming increasingly more commonplace for a so-called oxygen concentrator to be used instead of a cylinder as the source of oxygen. An oxygen concentrator is a device which separates an oxygen-enriched air stream from a flow of atmospheric air. The separation may be effected by an adsorbent or by suitable semi-permeable membranes. If an adsorbent is used, it is typically employed in a plurality of beds. When one bed is adsorbing nitrogen from the air, another bed is being regenerated. In this way a bed with unused adsorptive capacity for nitrogen may be continuously presented to the incoming air, thereby allowing a continuous flow of oxygen-enriched air to be produced. Typically the oxygen concentrator includes a pump or compressor that, in use, maintains a continuous flow of air to the adsorbent or membranes.
Not only do oxygen concentrators avoid the above-mentioned problems associated with compressed oxygen cylinders but they are also safer to use. Nonetheless, it is vital that neither the patient nor anyone else smoke a cigarette or other smokable material in the vicinity of an oxygen administration device irrespective of whether it is supplied with oxygen from a cylinder, from a concentrator or from another source of oxygen. Otherwise, there is an intolerable risk of a serious fire being caused. Patients are therefore given strict instructions not to smoke when administering oxygen or oxygen-enriched air to themselves and not to permit anyone else to smoke in the immediate vicinity of the oxygen administration device. There is, however, the occasional person who is stupid enough to flout these instructions. When this happens there is an immediate risk of a violent conflagration near the patient's face. Moreover, the plastics tubing used to convey the oxygen to the patient will also catch alight and the fire will spread back along the tubing to the concentrator (or oxygen cylinder) itself. There is therefore a long length of burning plastics which may ignite other combustible material, such as soft furnishings, in the patient's living quarters. Indeed, as the tubing burns back towards the concentrator so its combustion is supported by a continuous flow of oxygen-enriched air. Even if a major or fatal fire is avoided, the concentrator can be seriously damaged.
GB-B-2 417 425 provides a solution to the above described problem by providing an oxygen administration apparatus comprising a source of oxygen, an oxygen administration device, a flexible oxygen conducting line connectible at one end to the source of oxygen and another end to the oxygen administration device, and a safety valve in the line, the safety valve comprising a shuttle, a sealing member carried by the shuttle, means biasing the shuttle in a valve-closing direction, and a fusible stop preventing closure of the valve, whereby fusing of the stop allows the biasing means to close the valve. (Such safety valve is hereinafter referred to as “firebreak”.)
In the event of a fire, the stop fuses causing the safety valve to close immediately and hence the supply of oxygen to cease. Further the safety valve itself may act as a fire break protecting the source of oxygen from the fire.
The oxygen administration apparatus according to GB-B-2 417 425 is now widely used in the United Kingdom to administer oxygen to patients at home.
In the apparatus illustrated in the drawings accompanying GB-B-2 417 425, the firebreak is shown as being located quite near the patient's nasal cannulae (or other oxygen administration device). Indeed, the firebreak may be positioned with one and engaging the nasal cannulae and the other end engaging a single length of flexible tubing suitable for conducting oxygen from a source thereof to the nasal cannulae (or other oxygen administration device). This position of the firebreak is normally effective in limiting the spread of any fire along the tubing to the oxygen source. On rare occasions it has happened that a patient has dropped a cigarette or caused a source of fire to be applied to the tubing between the firebreak and the source of oxygen. In such a situation, although the firebreak is effective to prevent the spread of the fire to the vicinity of the patient's face, it does not prevent further oxygen being fed from the oxygen source to the seat of the fire.
According to the present invention there is provided oxygen administration apparatus comprising a source of oxygen, an oxygen administration device, a length of flexible tubing for conducting oxygen from the source to the administration device, a first connection of a first end of the length of tubing to the oxygen source, the first connection being made through a first firebreak, and a second connection of a second end of the length of tubing to the oxygen administration device, the second connection being made through a second firebreak wherein both firebreaks take the form of a safety valve comprising a shuttle, a sealing member carried by the shuttle, means biasing the shuttle in a valve closing direction, and a fusible stop preventing closure of the valve, whereby fusing of the stop allows the biasing means to close the valve.
Preferably, both firebreaks have first and second connecting ends of different configuration from one another, and wherein the first firebreak has a different configuration from the second firebreak.
By using two firebreaks, it can be assured that any fire seated along the tubing will not be able to spread along either to the administration device or to the oxygen source, irrespective of the position in the tubing where the fire is seated. The arrangement of the connecting ends reduces the risk of the firebreaks being incorrectly fitted by the patent or by a person assembling the apparatus according to the invention on behalf of the patient.
The first firebreak preferably has a first hollow end with a tapering internal wall adapted to make with a fir tree connector extending from an oxygen concentrator or other form of oxygen. The first firebreak preferably has an elongate hollow second end as the form of a fir tree connector. The length of tubing that is extended to be engaged with the second end of the first firebreak is preferably provided with a trumpet connector which is configured so as to make a fluid-tight engagement with the fir tree connector at the second end of the first firebreak. The interior of the fir tree connector preferably houses an elastomeric or similar O-ring adapted to make a fluid-tight sealing engagement with a spigot member forming part of the trumpet connector.
The second firebreak preferably has an elongate first end in the form of a fir tree connector. The length of tubing that is intended to be engaged with the first end of the second firebreak is preferably provided with a trumpet connector which is configured so as to make a fluid-tight engagement with the fir tree connector at the first end of the second firebreak. The second firebreak preferably has an open, hollow, elongate second end having an external screw thread. The external screw thread is preferably adapted to self tap into a trumpet or similar connector to the oxygen administration device. The second end of the second firebreak is thus of different configuration from the first end thereof. Further the self-tapping nature of the screw-thread facilitates the making of a secure connection to the oxygen administration device. The interior of the elongate screw threaded connector at the second end of the firebreak preferably houses an elastomeric or similar O-ring adapted to make a fluid-tight sealing engagement with a spigot member forming part of the trumpet connector.
Preferably both the first and second firebreaks carry indicia that show the direction in which they are to be connected.
Preferably the shuttle has an elongate hollow stem the distal end of which abuts against the fusible stop.
The shuttle is preferable displaceable within a hollow body having a stem complementary to the stem of the shuttle and engageable with the line, the fusible stop engaging the interior of the stem of the body.
The body preferably has an internal surface that acts as a seat for the sealing member when the valve is in its closed position. The body is desirably lightweight but crush-resistant. In order to fulfill both these criteria the body may be formed of aluminium or an aluminium-based alloy.
Preferably there is a restricted passage for the flow of oxygen between the shuttle and the body member.
Preferably the biasing means is a spring. A helical compression spring may be used, but other arrangements are possible. For example, a leaf spring may be used.
There are a number of different arrangements which may be used to seat the helical compression spring. For example, the helical compression spring may be seated on a foot member which engages an insert which in turn engages the proximal end of the hollow body.
The insert preferably has an elongate stem engageable with the length of tubing.
The fusible stop is preferably of a plastics material having a melting point less than that of the material from which the length of tubing is made. The said plastics material may, for example, be an acrylic one or a polyamide.
The oxygen administration device is conveniently a nasal cannula or nasal cannulae.
An oxygen administration apparatus according to the invention will now be described by the way of example with reference to the accompanying drawings, in which:
The drawings are not to scale.
Referring to
The oxygen concentrator may be of any standard kind that is used for delivering oxygen-enriched air to a patient. Typically, the oxygen concentrator includes an electrically driven pump (not shown) which delivers a continuous flow of air to separations means (not shown) such as a bed or bed adsorbent for semi-permeable membranes. Typically, the operation of the oxygen concentrator is arranged to supply oxygen-enriched air containing about 95% by volume of oxygen. Such oxygen concentrators are well known in the art and need not be described further herein.
The length of tubing 4 is typically formed of polythene although other plastics material may be used instead. Typically the tubing 4 is at least two metres in length.
Referring to
The interior wall of the nipple 26 is formed with a shoulder 30. A fusible stop 32 is held in frictional engagement between the stem 24 and the stem 28. The stop 32 takes the form of a plastics sleeve 32. The sleeve 32 has a shoulder 34 complementary to the shoulder 30 of the nipple 26. The engagement of the shoulders 30 and 34 prevents the sleeve 32 from being withdrawn through the nipple in normal use of the safety valve. The distal end of the sleeve 32 is formed with a collar 38 which prevents the stem 28 of the shuttle 20 being withdrawn from the valve through the nipple 26 in normal use.
The stem 28 of the shuttle 20 carries at its proximal end a sealing ring 40. As shown in
The proximal end of the shuttle 20 is formed with a recess 54. Secured to the shuttle 20 in the recess 54 is a head 56. The proximal end of the body 22 receives the distal end of an elongate insert 58. The insert 58 and the body 22 are in engagement with one another such as they cannot readily be separated. The distal end of the insert 58 has a chamber 60. A foot 62 is located within the chamber 60. One end of a compression spring 64 is seated against the foot 62. The other end of the compression spring 64 bears against the head 56. In the normal open position of the safety valve 10 the compression spring 64 is held under compression and therefore acts against the shuttle 20 in a valve—closing direction. However, the stop in the form of the fusible sleeve 32 prevents translation of the sealing ring 40 from the open position in
The insert 58 is formed with an integral elongate hollow stem 70 at its proximal end. The end of the stem of 70 is formed as a nipple 72 which can make the necessary connection.
In operation, oxygen in the form of oxygen-enriched air supplied by the oxygen concentrator or other oxygen source flows through the hollow stem 70 of the insert 58. It passes through a restricted passage (not shown) defined between the shuttle 20 and the body 22. Typically, for example, the internal wall of the body 22 may have a hexagonal cross section and the external surface of the shuttle 20 a circular cross-section so as to define gas passages there. The gas flows from these gas passages into the chamber 42. From there the gas flows through the port 44 in the wall of the stem 28 and flows out of the distal end of the valve 10 through the hollow stem 28 of the shuttle 20.
Referring again to
In the event of an oxygen fire occurring along the length of its tubing 4, the fire travels rapidly backwards towards the oxygen source 2 and the firebreak 12 halts its progress short of the oxygen source 2. The fire causes the fusible stop 32 of the firebreak 12 to fuse, thus enabling the compression spring 64 to urge the shuttle to carry the sealing ring 40 into valve-closing engagement with the surface 46. Thus the flow of oxygen-enriched air (or oxygen) that supports the conflagration is stopped. Further the body 22 acts as physical firebreak, the body being made of material that will not burn under the prevailing conditions. Thus, the fire is prevented from travelling along the oxygen supply line back to the oxygen source 2.
Referring again to
The shuttle 20 and the body 22 are preferably made of a suitable lightweight material such as aluminium or an aluminium-based alloy. The wall thickness of the body 22 is preferably such as to impart to it a satisfactory degree of crush resistance so that it will not readily be damaged in normal day-to-day use in a domiciliary environment. The engagement of the body 22 and the insert 58 is preferably such as to make it difficult to dismantle the valve without a custom-made tool for disengaging the insert 58 from the body 20.
Referring now to
The second connector 74 is itself a fir tree connector, having appropriately shaped projections on its outer surface which enables it to mate with a suitable fitting, for example of the trumpet kind, on the length of tubing to which it is to be connected. It can be seen that the connectors 72 and 74 are of different configuration. This reduces the risk of connecting the device the wrong way around. Further, the body member 70 may have on its external surface an arrow (not shown) indicating the direction of flow of gas through the device. This is another aid to the correct fitting of the firebreak 10.
The inner surface of the connector 74 engages a fusible stop 79 in the form of a tube. The internal end of the tube 79 holds a valve member 80 in position within the body member 70 against the bias of a compression spring 82. In principle, the arrangement of the valve is analogous to that of the device shown in
An O-ring 86 is located within the connector 74 at its outer end. The O-ring 86 is engaged, in use, by the spigot of a trumpet connector (not shown in
The materials of construction of the firebreak 10 shown in
Referring now to
Other parts of the firebreak 12 shown in
The firebreak 12 may be made of similar materials to the firebreak 10. The fusible stop 78 is made of relatively low melting point material.
Referring now to
It will be seen from a comparison of
Number | Date | Country | Kind |
---|---|---|---|
0809392.4 | May 2008 | GB | national |
0816626.6 | Sep 2008 | GB | national |