Rebreathing equipment is used for human life support in adverse environments, such as in diving underwater, hazardous materials handling and for manned activities in space outside of a spacecraft.
Rebreathers operate by circulating the user's expired gas through a loop comprising counterlungs, a carbon dioxide scrubber and a means to inject oxygen to make up for that lost through metabolism or vented from the loop, then back to the user to inspire.
The critical nature of the scrubber unit in the rebreather has given rise to multiple proposals for a Carbon dioxide (CO2) sensor to monitor inspired gas. For example in the European Standard for rebreathers EN14143:2003, a detailed performance requirement is stated, and the means by which that is tested, for inspired gas carbon dioxide sensors. OSHA regulations contain reference to a similar such device. There is also a problem with inspired CO2 sensors in that no company has managed to create an inspired CO2 sensor that works in practice to date
The limitation of these inspired CO2 sensors, if they were to be reduced to practice, is that they are limited to monitoring inhaled gas to detect scrubber failure or scrubber breakthrough. Unfortunately these two failure modes are just two out of nine failure modes in a rebreather that involve CO2. The full list includes:
Serious or fatal accidents appear to have occurred due to each of these root causes, in some cases a series of accidents. The population of active rebreather users does not appear to exceed 10,000 in number, so it would appear these failure modes occur frequently. Many rebreather users also report having experienced one or more of the above failure modes but survived: this reinforces the view that these failure modes occur frequently.
It is possible to add additional sensors to a breathing loop to detect specific failure modes, but it is generally uneconomic. A good example is the one way valves, which are typically mushroom valves. These valves can tear, fail to be installed, catch on the web that holds the valve, or stick either open or shut in the presence of foreign matter. A simple method of detecting mushroom valve failure is to place an infra red LED inside the mouthpiece and sensors on either side of the mouthpiece—in the breathing hoses. The output of the sensors should show a peak not less than once every ten seconds, and should not both show a signal at the same time. The problem with this method of monitoring is that it is very specific to the mouthpiece and does not indicate any failures due to excess dead volume or work of breathing. It is a large cost for just one failure mode. It is also liable to malfunction due to water ingress or detritus on the LED or sensor.
What may appear to be fixed features, such as the dead volume when the user is breathing from a mouthpiece, may not be fixed in all applications; for instance, when an oro-nasal mask is used the dead volume depends on how well the mask fits the user, and how hard the user presses their face into the mask. That is, the range of causes for a high retained CO2 is broader than simple equipment design issues.
These CO2 related failure modes quickly disable the user due to an inherent positive feedback loop. Increases in retained CO2 cause the user to breathe faster. This causes an increase in the Work Of Breathing (WOB) of the breathing loop. If the WOB increases, the users retained CO2 increases, causing their respiratory rate to increase, causing the WOB to increase further. This positive feedback loop is limited by either the user collapsing or the user switching to a task which requires much lower energy. The positive feedback nature of CO2 retention causes these fault modes to be particularly pernicious in their onset and progress, disabling the user by the time they become aware of what the problem is.
It is not practical to measure blood carbon dioxide levels directly, using light transmission or backscatter sensors for example, because there are often large changes in the circulation of the user: rebreathers are often used in cold environments, or underwater. It is also undesirable to pinch the user if the user has to complete a decompression profile, as the pinched area would be more liable to decompression damage if the pressure were to vary during the dive.
The problems of monitoring anything other than inhaled CO2 in a rebreather are compounded by the technical difficulties of measuring CO2 in practice in a rebreather. There have been many attempts to use CO2 monitors for rebreathers over the years. The only companies believed to have implemented this successfully are the British company HSM Engineering Ltd for restricted applications of monitoring inhaled gas for nitrox and pure oxygen rebreathers, and another British company, Deep Life Ltd, for commercial diving rebreathers using methods that have been maintained hitherto as a trade secret, and are revealed herein.
Carbon dioxide sensors to detect breathing and measure respiratory parameters have been in use for decades, such as in multi-patient systems that were in hospital service during the 1990s. These have fallen out of fashion in a surgical setting, but several systems are still available, such as the Innocor from Innovision AS, Denmark: one Innocor Respiratory Monitor provides a full respiratory analysis from inspired and expired gases, on a breath by breath basis, using infra-red absorption to measure carbon dioxide in a clinical environment. The same company produces a similar product using mass spectrometry. The function of these systems is to measure the respiratory function of a patient in a clinical environment: that is to measure the tidal volume, respiratory quotient, respiratory rate, anabolic threshold etc. Some inventions such as that in US2002/0104536 seem to use a subset of these functions as a respiration detector: the method in widespread use in a diving setting is to detect the fall in the partial pressure of oxygen (PPO2).
The most common method of detecting CO2 is by infra-red absorption: most gases can be detected by this means, just by placing an optical filter of the wavelength at which the gas absorbs infra-red in front of an infra-red sensor, with the gas to be sampled in a path between the sensor and an infra-red emitter having enough energy at the frequency at which absorption occurs. The infra-red absorption spectra for CO2 has been well known, with sensors generally using absorption peaks around the 4.260 nm wavelength (2349 cm−1). The spectra across a wide spectral range has been published by V. F. Golovko, “Calculations of carbon dioxide absorption spectra in wide spectral regions,” Atmospheric and Oceanic Optics, 14, pp. 807-812, 2001.
Infra-red absorption CO2 sensors have been commercially available for decades. Single wavelength systems such as that described in CA2068081 were common until the 1980s, when dual channel sensors were introduced. The dual channel sensor compares the amplitude of the received infra-red channel through a filter that passes the absorption band of interest, with that of another channel with an absorption band where the gas of interest does not absorb significant amounts of infra-red energy. The British company Analox Ltd even produces a range of dual channel sensors suitable for hyperbaric use. However, serious problems remain for carbon dioxide sensors to operate reliably in a rebreather, including:
Basic carbon dioxide sensors such as GB2394281 simply do not work in practice due to these problems. An earlier invention by the present inventor, WO 02/036294, addressed the problems by correcting the received signal for pressure and helium, using hydrophobic membrane and the scrubber heat to keep the sensor dry. Others, such as Rose in US2007/0090290, dry the gas by using an injected gas or pressure expansion to create a dry gas that avoids condensation on the sensor.
Other methods such as fluorescent, sol-gel and chemical change sensors have been proposed on some internet forums for measuring inhaled rebreather gas, but none have been brought to a state where they have worked.
Methods involving heated sensors tend not to work in a rebreather due to the condensing humidity in the loop and the large differences in heat loss caused by the use of a variable fraction of helium as the make-up gas in the loop.
It is an object of the present invention to detect a wide range of failures that cause carbon dioxide retention in rebreathers.
It is a further object of the present invention to detect one-way valve failure in rebreathers.
It is a further object of the present invention to detect when there is a failure of other parts of the breathing loop causing an increase in retained carbon dioxide levels due to excessive work of breathing.
If is a further object of the present invention to detect failures that cause an increase in the dead volume that affects the safe operation of a rebreather.
It is a further object of the present invention to detect carbon dioxide in the presence of helium, and under pressure, in a humid environment.
In one aspect of the invention, a rebreather safety monitoring device is provided, comprising:
In one embodiment of the present invention, the carbon dioxide sensor is calibrated using the carbon dioxide level in human expired gas.
In one embodiment, the carbon dioxide sensor is fitted with a hydrophobic membrane
In one embodiment of the present invention, the carbon dioxide sensor is a dual channel infra-red absorption sensor.
In one embodiment, the carbon dioxide sensor is powered up with a low periodic duty cycle, but where the alarm system is powered even when the carbon dioxide sensor is powered down.
In one embodiment of the present invention, the carbon dioxide reading is powered up and a reading taken when a change in the user's respiratory rate is detected. Preferably, that is augmented by a pressure sensor that is applied to compensate the carbon dioxide reading for changes in ambient pressure. Alternatively, that is augmented by a helium sensor that is applied to compensate the carbon dioxide reading for changes in the partial pressure of helium.
In one embodiment of the present invention, the carbon dioxide sensor is a dual channel infra-red absorption sensor with means to drive the infra-red light source with greater power when under ambient pressure or in the presence of gases having a high thermal capacity, than in air at one atmosphere pressure, thus stabilising the spectrum of the emitted light under a range of pressures or in the presence of helium.
In another embodiment of the present invention, the carbon dioxide sensor is a dual channel infra-red absorption sensor with the infra-red emitter isolated from the effects of pressure and helium such that the emitted spectrum does not change by more than 50% under the range of operating pressures or helium the monitor covers.
In one embodiment of the present invention, the alarm level is used to drive shut a valve that closes the breathing loop.
In one embodiment of the present invention, the alarm level is used to drive shut a valve that closes the breathing loop at the mouthpiece and switches the user to an alternative gas source.
In one embodiment of the present invention, the absence of carbon dioxide, or the presence at a partial pressure lower than that normally expired by a human, is applied to trigger a warning or alarm level.
In one embodiment of the present invention, the presence of carbon dioxide at a partial pressure higher than that normally expired by a human is applied to trigger a warning or alarm level.
In one embodiment of the present invention, the circuitry is integrated with a partial pressure of oxygen monitor or measurement device or controller.
In one embodiment of the present invention, the carbon dioxide sensor is coupled thermally to the scrubber such that it operates at more than 3 degrees Celsius above the ambient temperature.
In one embodiment of the present invention, the monitoring device is calibrated automatically when the scrubber canister is opened and the scrubber removed, as indicated by the presence of light on a light sensor, with a human interface that allows the background level of carbon dioxide to be indicated to the calibration system.
The present invention thus provides for a carbon dioxide sensor using the level of expired CO2 as a means to detect the presence of a broad range of rebreather safety hazards, including failure of rebreather one-way valves, excessive work of breathing, scrubber failure, and excessive dead volume. These failures are implied by the present invention from the rise in the partial pressure of carbon dioxide of the user's exhaled gas, by measurement of the partial pressure of carbon dioxide and application of the amplitude of that signal to trigger alarms or provide warnings.
The invention will now be described by way of example, without limitation to the generality of the invention, and with reference to the following figures:
c and 3d show the actual reference signal and actual CO2 signal from the reference signal amplifier (16) and CO2 signal amplifier (17) respectively, as a function of time for a series of four short light pulses. Note that the sensor amplifiers can be AC coupled, as in this case, which reduces problems of drift.
a and 4b show two different views of a moulded plastic shell around which a hydrophobic membrane can be welded, to protect the carbon dioxide sensor from humidity. The shell sits on a circuit board using an O-ring seal, and the other end is in contact with the scrubber canister in this example embodiment. The dimensions of the shell are in this case 75 mm in diameter: other dimensions can be scaled.
The operation of the invention will be described, by reference to example embodiments without limit to the generality of the invention.
The functionality of the present invention should be apparent to a person skilled in the art of rebreathers and sensor electronics from
For brevity, the examples will assume the user is a diver, and the rebreather is the closed loop type rather than semi-closed in that it uses both a make-up gas and an oxygen containing gas to maintain the loop PPO2, though the invention can be applied to the widest range of rebreathers including pure oxygen rebreathers and to semi-closed rebreathers without material modification. A loop type rebreather will be described, though by the application of a masking gate function to the sensor signal, or by use of averaging, the invention can be applied to pendulum type rebreathers. The example rebreather will use two counterlungs, but the invention is equally applicable to single counterlung rebreathers.
The partial pressure of CO2 (PPCO2) in exhaled gas is normally around 0.04 ATM, but under heavy work the respiratory quotient increases, and the exhaled gas can contain 0.06 ATM of CO2 without there being any fault condition in the rebreather. Where there is no scrubber fitted, the second or third breath will see the exhaled PPCO2 increase to 0.08 ATM or more.
The failure of the breathing loop can be indicated to the user using a tricolour LED. For example, using a Blue/Red/Green LED the CO2 information status may be communicated as:
Where the CO2 sensor has a high power consumption, it is of benefit to combined the CO2 monitoring with a respiratory monitor, such as that described in GB0516751.5 to reduce the power consumption and provide a very rapid response to a change in breathing pattern: any increase in retained CO2 causes an automatic change in breathing rate.
The fault modes are detected by the expired CO2 monitor as follows:
The above failure modes may occur singularly or multiple modes may occur at the same time. The important parameter to track is the blood CO2 level, which is well represented in the expired PPCO2 level which is measured by the present invention and used as the basis of an alarm system.
A problem that plagues CO2 sensors for measuring inhaled CO2 is that of calibration. Even the background ambient carbon dioxide level, currently averaging around 380 ppm, undergoes significant seasonal variations. In addition to that are changes in carbon dioxide levels due to nearby machines, flames, poor building ventilation and other factors. The result is that background CO2 levels vary from 200 ppm to 800 ppm, depending on location and the environment. This is a ratio of 4:1, so any extrapolation from that calibration point would produce an error of up to 400%. These large tolerances in the calibration gas makes inhale side CO2 sensors almost unworkable in an operational context, without regular recourse to laboratory calibration using trace gases.
It is possible to calibrate an inspired CO2 sensor if the user is able to provide a reference ambient carbon dioxide reading taken independently that is entered by a menu on a micro-controller display integrated with the device. However, this can cover only those environments where either an independent calibrated CO2 monitor is used or CO2 ambient data is available.
This calibration problem can be overcome in the present invention by calibrating the CO2 sensor to the partial pressure of CO2 in the exhaled gas from a relaxed user, which is normally between 0.035 and 0.04 ATM: an error band of just 14%. By the user breathing out into the exhale one-way valve in the mouthpiece (2) with the inhale side of the rebreather disconnected, a known gas can be applied to the CO2 sensor for calibration purposes, which has a very much smaller tolerance than the gas in the ambient environment, as a fraction of the full scale or range of the sensor. This process can be initiated automatically in the present invention by detecting the scrubber is open and the scrubber is removed, such as by detecting the presence of light: the inside of a scrubber canister is normally darker than the ambient light level. The user can then be prompted to exhale into the sensor assembly to obtain a reading of a users rest expired CO2 level as a calibration gas.
Attention will now turn to the practical issue of how to measure CO2 in a rebreather.
The level of carbon dioxide may be measured by some new forms of sol-gel sensor directly, but these are not readily available at the present time. There are micro-miniature phase fluorometers available commercially, but these appear to suffer significant problems in a rebreather type environment at the present state of this technology, particularly aging and contamination of the sol-gel. However, when those technologies mature, a similar method as described here can be used with those sensors, including protection from humidity, power management and multi-variate analysis to improve the signal to noise ratio under fluctuations of temperature and pressure.
The method for measuring CO2 that the invention uses in an example embodiment relies on the absorption of infra-red energy by carbon dioxide.
There are many possible circuits for a carbon dioxide sensor involving the measurement of the ratio of the signal strength between a measurement channel and a reference infra-red channel, where the measurement channel has a filter at an absorption peak for the desired gas, namely for carbon dioxide, and the reference channel has a nearby frequency that is absorbed to a much lesser extent by carbon dioxide. Sensors fitted with these filter combinations are readily available commercially.
The unique challenge for a sensor operating in a rebreather is to overcome the thermal noise, and variable effects of pressure and inert gases. The following description will therefore focus on an example embodiment using a circuit that includes pressure and helium compensation functions.
An example embodiment of a suitable carbon dioxide sensor is shown in
In
The divider (18) may be realised digitally by sampling the outputs of amplifiers (16) and (17), and applying an analogue to digital conversion process. Alternatively, it is possible to implement the ratio circuit using analogue differential amplifiers.
A thermal connection of the sensor light path to the scrubber has been found to be of benefit in raising the temperature of the gas path, to further exclude moisture and reduce the risk of condensation.
The optical filters in the detector (15) pass a wavelength of light that is inside the carbon dioxide absorption band. Sensors are available commercially with filters centred at 4.260 nm (2349 cm−1) for the detector CO2 channel, with a second wavelength of IR light that is outside the CO2 absorption band for use as the reference channel of the detector (15) at 3.900 nm or the carbon monoxide band at 4.700 nm. Other CO2 spectral bands include 15 um (667 cm−1), but producing a stable IR source at that wavelength in portable equipment is difficult. The reference channel should preferably avoid the water absorption spectra with wave numbers from 1000 to 2000, and avoid the absorption spectra for other gases that may be present.
The correction unit (19) adjusts the divider output to compensate for variations in the environment parameters that affect the divider output. The list of the compensated parameters can include ambient temperature, thermal shifts due to gas law effects, pressure, humidity, type of the gas, and circuit parameters. In some cases, it can be advantageous to generate the IR source power control feedback signal (21) from the correction unit, where limits can be introduced to provide an extra degree of safety to avoid applying too much power to the IR source (13).
The examples of the detector responses are shown in FIGS. 3.a to 3.d. A step input applied to the IR source generates one pulse shown in FIG. 3.a in each detector output channel. Each pulse of the IR source generates two pulses per detector channel shown in FIG. 3.b. The response of the IR source pulse sequence measured in the reference and the CO2 channel of the detector are shown in FIGS. 3.c and 3.d. The amplifiers (16) and (17) are normally chopper type DC amplifiers, but may include a high pass filter to remove the effects of DC offset and drift, as was used in the circuit that generated these waveforms.
It is critically important to keep liquid water from condensation or from cleaning processes out of the light path (14) between the IR source (13) and the detector (15). Liquid water strongly absorbs IR radiation at the same wavelengths as CO2, so even very small water droplets anywhere in the sensing cell will generally cause erroneously high gas concentration readings. To protect the light path and electronics against water, the shell shown in
The light power of the IR source depends on the thermal conductivity of the ambient gas. In
The IR source (13) can be of any of several different types, including infra-red bulbs and silicon micro-machined infra-red sources. If helium or high pressure gas is in contact with the infra-red source, it will cool relative to the temperature the source operates at in normal atmospheric conditions (standard pressure, temperature, dry). This cooling will change the spectrum of the emitted infra-red light: in most cases, the longer wavelengths will be attenuated. If there is no energy being emitted in the absorption band, then the entire sensor will not work. It is important therefore to maintain the spectrum of the IR source (13) constant, or reasonably constant. There are two methods by which this can be achieved:
As many gases absorb well in the IR area, it is often necessary to compensate for interfering components by correction block (19). The correction or compensating factors can be obtained by characterising the sensor in the range of environments it may be exposed to, and isolating each of the parameters affecting the accuracy of the result, using normal processes for Multi-Variate Analysis to create a set of Surrogate Models or Response Surface Models that can be applied to the output of the divider (18) to produce a CO2 signal that has an improved signal to noise ratio. The description of a typical calibration and measurement algorithm using UML (Unified Modelling Language) is given in
It is beneficial to chop or modulate the source generator (12) so that thermal background signals can be offset from the desired signal.
The power consumption of the CO2 sensor assembly generally requires management, by switching the circuit on periodically for a short period to take a measurement, then switching it off. It can be seen from the waveforms in
There are several methods by which the mean power can be reduced. If the sensor is used just once every minute, then this power reduces by a factor of 60, but the effect of a flood in a rebreather, for example, can cause a very rapid escalation of retained CO2 levels which may fall between the sample points from the time it starts to the time where the user suffers a disabling injury. A preferred method of reducing the power consumption is to use a long interval between periodic measurements, but trigger an immediate measurement if there is a change in the user's breathing rate. The breathing rate can be measured easily using a differential sensor in the mouthpiece with a 0.3 Hz low pass filter to remove noise from speech, clicks and fricative breathing noise.
It will be appreciated by a person skilled in the art that the monitor and alarms may be implemented using a micro-controller or gate array, and that various functions within the circuitry would be carried out by that digital logic. Where a rebreather controller contains a suitable micro-controller or gate array, the carbon dioxide monitoring system may be fully integrated within the rebreather controller or combined with another monitor, such as the partial pressure of oxygen (PPO2) monitor that is normally fitted to such equipment.
The present application claims the benefit of U.S. Provisional Patent Application Ser. No. 61/129,605, filed on Jul. 8, 2008, which is hereby incorporated by reference in its entirety.
| Number | Date | Country | |
|---|---|---|---|
| 61129605 | Jul 2008 | US |