HUMIDIFICATION APPARATUS HAVING RFID TAG SENSOR AT PATIENT END OF GAS PATHWAY
20220339390 · 2022-10-27
Inventors
- Andrew Robert Donald Somervell (Auckland, NZ)
- Nordyn Alami (Auckland, NZ)
- Dexter Chi Lun Cheung (Auckland, NZ)
- Christopher Simon James Quill (Auckland, NZ)
- Matthew Jon Payton (Auckland, NZ)
Cpc classification
A61M2205/3592
HUMAN NECESSITIES
A61M16/0069
HUMAN NECESSITIES
A61M2205/3569
HUMAN NECESSITIES
A61M2205/6018
HUMAN NECESSITIES
International classification
A61M16/00
HUMAN NECESSITIES
Abstract
A breathing circuit for delivering heated, humidified gases to a patient for medical purposes is described, comprising a humidifier chamber holding a quantity of water, a blower unit that delivers a pressurized gases stream to the chamber inlet, and a control system that adjusts output parameters of the breathing circuit, the circuit including a heater plate which heats the water in the chamber so that gases flowing through the chamber become heated and humidified, the circuit also including a gases transportation pathway and patient interface to convey heated humidified gases to a patient, the gases transportation pathway including an RFID tag located at the patient end which senses a parameter of the gases passing through the pathway, the control system including an RFID interrogator interrogating and receiving data relating to the sensed parameter from the RFID tag in real time, and adjusting the output parameters of the breathing circuit accordingly.
A breathing circuit for delivering heated, humidified gases to a patient for medical purposes is described, comprising a humidifier chamber holding a quantity of water, a blower unit that delivers a pressurized gases stream to the chamber inlet, and a control system that adjusts output parameters of the breathing circuit, the circuit including a heater plate which heats the water in the chamber so that gases flowing through the chamber become heated and humidified, the circuit also including a gases transportation pathway and patient interface to convey heated humidified gases to a patient, the gases transportation pathway including an RFID tag located at the patient end which senses a parameter of the gases passing through the pathway, the control system including an RFID interrogator interrogating and receiving data relating to the sensed parameter from the RFID tag in real time, and adjusting the output parameters of the breathing circuit accordingly. 55545445
Claims
1.-59. (canceled)
60. A respiratory apparatus system for delivery of heated, humidified gases to a patient for medical purposes, the system comprising: a humidifier configured to hold a humidifier chamber adapted to hold a quantity of liquid and including an inlet and an outlet to allow a flow of gases through the humidifier chamber, the humidifier comprising: a blower unit adapted to in use deliver the flow of gases to the inlet of the humidifier chamber, wherein the flow of gases is pressurised, a heater plate which in use is located adjacent to the humidifier chamber and which is adapted to heat the quantity of liquid in the humidifier chamber so that the flow of gases through the humidifier chamber becomes heated and humidified, and a control system configured to adjust one or more output parameters of the system, a gases transportation pathway connected to the outlet of the humidifier chamber to convey the flow of gases to the patient, the gases transportation pathway including a patient interface adapted to supply the patient with the flow of gases, and an RFID tag located at or in the patient interface, the RFID tag adapted to sense a parameter of the flow of gases, wherein the control system includes an RFID interrogator adapted to interrogate and receive data from the RFID tag in real time, the data relating to the sensed parameter, the control system configured to adjust the output parameters of the system according to the data.
61. The system of claim 60, wherein the RFID tag acts as a gases pressure sensor to sense a pressure of the flow of gases passing through the patient interface.
62. The system of claim 60, wherein the RFID tag acts as a gases temperature sensor to sense a temperature of the flow of gases passing through the patient interface.
63. The system of claim 60, wherein the RFID tag acts as a gases flow sensor to measure a flow rate of the flow of gases passing through the patient interface.
64. The system of claim 60, wherein the RFID tag is configured to measure an oxygen content of the flow of gases passing through the patient interface.
65. The system of claim 60, wherein the RFID tag is configured to measure a humidity of the flow of gases passing through the patient interface.
66. The system of claim 60, wherein the gases transportation pathway comprises a breathing conduit with a heater wire, wherein the heater wire is configured to provide heat to an inside surface of the breathing conduit.
67. The system of claim 66, wherein the output parameters adjusted by the control system comprise any combination of: fan speed, heater plate power output, or heater wire power output.
68. The system of claim 66, wherein the heater wire is further configured to act as an aerial for the RFID tag.
69. The system of claim 60, wherein the RFID tag is further configured to act as a patient interface identifier.
70. The system of claim 60, wherein the patient interface is one of a nasal cannula, a nasal mask, a full face mask, or a tracheostomy fitting.
71. The system of claim 70, wherein the control system includes a plurality of pre-set identification profiles, the RFID interrogator interrogating the RFID tag and identifying which type of the patient interface is connected to the humidifier.
72. The system of claim 71, wherein the control system automatically adjusts an initial value of the output parameters depending on the identified patient interface.
73. The system of claim 60, wherein the RFID tag contains data relating to an expiry date for the patient interface, the RFID interrogator in use interrogating the RFID tag and comparing a present date to the expiry date and initiating an alarm condition in response to the expiry date having passed.
74. The system of claim 60, wherein the RFID tag is of a semi-passive or active type.
75. The system of claim 74, wherein the gases transportation pathway comprises a breathing conduit with a heater wire, wherein the heater wire is configured to provide power to the RFID tag.
76. The system of claim 74, wherein the RFID tag includes an integral power supply.
77. The system of claim 60, wherein the blower unit further comprises a user-operable control adapted to allow a user to set the output parameters of the system.
78. The system of claim 77, wherein the output parameters that can be set by the user comprise one or both of a gases temperature and a gases humidity.
79. The system of claim 60, further comprising at least a second RFID tag at another location or component of the system.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0085] Preferred forms of the present invention will now be described with reference to the accompanying drawings and which:
[0086]
[0087]
[0088]
[0089]
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
[0090] A breathing circuit for the delivery of heated, humidified gases to a patient or other user requiring heated humidified gases at a pressure above atmospheric is described below. The breathing circuit incorporates a sensing mechanism by which system parameters such as temperature, pressure, gases flow rate, humidity and gas composition can be measured at or close to the point at which the gases are delivered to a patient or user using the system. The preferred form of the sensing mechanism is lightweight and small in size, and is therefore very suitable for use at the patient end of a breathing circuit, where additional weight and bulk can add to patient discomfort and increase the chances of non-compliance with a treatment regime. In the most preferred form described below, the sensing mechanism also serves to identify the individual component of the breathing circuit in which it is embedded or attached. The invention as described is suitable for both RH and OSA, and can be used with a CPAP blower unit, or a blower unit which provides other types of output profiles, such as BiPAP, variable flow and pressure, or similar.
[0091] An example breathing circuit apparatus or respiratory humidification system that may incorporate the sensing system and temperature sensing mechanism of the present invention is illustrated in
[0092] The preferred embodiment of the blower unit 15 also includes an integral control system, control system. or control mechanism 9, which includes control circuitry that can alter the output parameters of the breathing circuit. The functionality of the control mechanism 9 will be described in more detail below. It should be noted that the control system 9 could also be located in e.g. a humidifier heater base unit, for example if the breathing circuit is of the modular type where the blower and the humidifier unit are separate (i.e. the humidifier chamber 5 is located on a heater base unit that is separate to the blower unit). In this modular type of breathing circuit, the blower outlet and the humidifier inlet would be connected in use by a length of sub-conduit. Where it would be appropriate to do so, this length of sub-conduit should be read as being part of the blower unit 15.
[0093] In use, as the water volume 6 within chamber 5 is heated, evaporation takes place, and water vapour mixes with the gases flowing through the humidifier chamber 5. Accordingly, the gases exiting the chamber 5 via the humidifier chamber outlet 4 are heated and humidified. The heated, humidified gases are passed to a patient or user 13 via a gases transportation pathway, breathing conduit or inspiratory conduit 3, which is fluidically connected to the outlet 4. In order to reduce condensation within the inspiratory conduit 3 and in order to maintain the temperature of the gases provided to the patient 13 a heater wire 11 or other suitable heating mechanism is provided. In the preferred embodiment, heater wire 11 is helically wound in or around the conduit 3 (the heater wire 11 could also be aligned straight along the conduit 3). It is further preferred that the heater wire 11 is helically or spirally wound inside the conduit 3, against the walls of the conduit 3.
[0094] A patient interface 12 is also shown in
[0095] The control mechanism, control system or control system 9 of the preferred embodiment is a microprocessor or logic circuit, which includes an associated memory or storage mechanism that holds software programs. The control circuitry 9 is also adapted so that it can receive and process real-time data gathered by sensors located at various positions in the patient breathing circuit. The control circuit 9 in the most preferred embodiment also includes manual user-operated controls. When the breathing circuit is activated by the control system 9 the breathing circuit operates in accordance with instructions included in the embedded hardware and pre-programmed software, altering the output parameters of the hardware in the breathing circuit—for example, altering the speed of the fan 20 included in the blower unit 15 in order to alter the pressure or flow in the system, altering the power to the heater plate 7 in order to alter the heat or humidity of the gases exiting the humidifier chamber, and altering the power to the heater wire 11 in order to alter the heat or humidity of the gases delivered to the patient 13. In the most preferred embodiment, the control system 9 also alters its outputs in response to the received real-time external data inputs from sensors in the breathing circuit, in accordance with pre-programmed instructions in the hardware/software of the control system 9. For example, the heater plate 7 may include a plate temperature sensor (not shown) connected to the control system 9 so that the control system 9 is provided with information on the temperature and/or power usage of the heater plate 7. Control system 9 receives the data from the sensor, and compares this with values held in its memory (e.g. in ‘look-up’ tables). The control system 9 can then adjust the output parameters of the heater plate 7 (e.g. the power to the heater plate) accordingly. This will be described in greater detail below. In addition, the control system 9 may be provided with gases temperature data from sensors in the system. For example, a temperature sensor may be included at the humidifier chamber outlet 4 to Measure the temperature of the gases leaving the humidifier chamber 5. Both the plate temperature sensor and the humidifier chamber outlet sensor are included as part of the integrated blower/humidifier unit in the preferred embodiment, and therefore their weight is not carried by a user of the system in use. Because the weight of these temperature sensors is not carried by the patient in use, they can be of any suitable type, such as thermistors, and can be hard-wired into the control circuitry 9.
[0096] In the preferred form, some or all of the components of the breathing circuit (i.e. the blower unit 15, the humidifier chamber 5, the conduit 3 and the interface 12) also include an embedded RFID tag or tags.
[0097] In their most basic form, the embedded RFID tags can be used to identify individual components of the breathing circuit when interrogated. However, in the most preferred form, at least one of the RFID tags included in the breathing circuit is also adapted to measure a parameter of the gases flowing through the system. In one preferred embodiment as shown in
[0098] In one preferred embodiment, the RFID tag 2 is adapted to act both as a patient identifier and also as a temperature sensor. More details of this form of RFID tag 2 will be described further below.
[0099] The control circuitry 9 of the blower unit 15 includes integral RFID interrogation hardware—i.e. an RF transceiver adapted to act as an RFID interrogator—which interrogates and receives data from RFID tags such as RFID tag 2 located in the breathing circuit. The RFID interrogation hardware and software is included as part of the blower control circuitry 9. The RFID interrogation hardware interrogates the RFID tags such as tag 2 in the breathing circuit. The information received from the RFID tags such as tag 2 is fed back to the control circuitry hardware and software 9. The control circuitry 9 then adjusts the output parameters according to its pre-programming—for example, increasing or decreasing the power output of the heater plate 7, increasing or decreasing the flow or pressure by increasing or decreasing the fan speed, and increasing or decreasing the power output of the heater wire 11.
[0100] In one preferred form, RFID tag 2 is adapted or configured to measure the temperature of the gases flowing past it. When it is located in the patient interface 12 as shown in the embodiment of
[0101] RFID tag 2 as described above for one preferred embodiment is configured as a temperature sensor. It should be noted that it is possible to configure e.g. RFID tag 2 to act a pressure sensor, a humidity sensor, a flow sensor or a gases composition sensor.
[0102] RFID tags can also be located at multiple locations in the breathing circuit. For example, RFID tags could be located at the humidifier chamber outlet 4, the patient end of the conduit 3, and in the patient interface 12. These tags can be configured as temperature sensors, or some other form of sensor as outlined above. The interrogation hardware and control system 9 received data from the tags and adjust the output parameters of the breathing circuit accordingly. An example of an embodiment of the breathing circuit which contains multiple RFID tags is shown in
[0103] One problem that has been discovered with using RFID tags such as tag 2 to measure temperature is that it can be difficult to interrogate the tags in real-time over longer distances. RFID tags of the passive type are intended to be used or read over very short distances, in the region of 10cm, for example. Patient conduits are of standard lengths (e.g. six feet) and blower/humidifier units such as blower unit 15 and chamber 5 are usually located several feet away from a patient (and patient interface) in use. Because the RFID interrogation hardware is therefore usually located several feet away from e.g. RFID tag 2, it can be difficult for the interrogation hardware to receive a consistent and strong data signal, especially if RFID tag 2 is of the passive type and does not include an integral battery or an integral aerial.
[0104] Active or semi-passive RFID tags which include batteries or aerials can be reliably read over longer distances, but RFID tags of this type are usually larger in size than passive tags and are correspondingly heavier and bulkier. It is desirable to keep the weight of components in the breathing circuit as light as possible, especially at the patient end, so that a patient does not have to carly additional weight or bulk.
[0105] Therefore, in a second preferred forin, the patient interface 12 is used with a breathing conduit that includes the heater wire 11. The RFID tag 2 (in the preferred form embedded or attached to the patient interface 12) is in use connected to the heater wire 11. The RFID tag 2 could also be included at the patient. end of a stand-alone conduit. The heater wire 11 of the conduit 3 is in this embodiment adapted so that it has dual functionality: it acts as a heater wire, and also as an aerial for the RFID tag 2. The use of the heater wire 11 as an aerial greatly extends the range of data transmission. Also, one end of the heater wire 11 is located at the blower end of the breathing conduit 3, considerably closer to the blower unit 15 than the patient interface 12. Therefore the necessary transmission range is considerably shorter than would otherwise be the case. Using the heater wire 11 as an aerial allows the interrogation hardware located in the housing of the blower unit 15 to interrogate the RFID tag 2 over longer distances—for example 6 feet or more—in real time, without the RFID tag 2 requiring a battery or its own aerial. If a battery or other integral power supply is used, it does not need to be as powerful, and can therefore be smaller than would otherwise be the case. The real time temperature data gathered by the RFID tag 2 is fed back to the control circuitry 9 via the RFID interrogation hardware contained in the housing of the blower unit 15.
[0106] A semi-passive or an active tag may be required at the patient interface in some applications—e.g. RFID tag 2 may be required to be of the semi-passive or active type. In these alternative embodiments, the heater wire 11 can be further adapted so that it supplies power to the RFID tag 2 as well as acting as a heater wire in the conduit 3.
[0107] It should also be noted that the blower unit 15 can include manual user controls as well as the automatic adjustment rnechanis lns described above, where the power output adjustments are made by means of feedback from sensors (e.g. RFID tag 2) located at various points in the system. For example, the manual controls can include a user input mechanism such as a switch 10. Switch 10 is adapted to allow a user (such as a healthcare professional or the patient themselves) to manually set a desired gases temperature of the gases to be delivered. Alternatively or as well as having manual controls to adjust or set the temperature, the controls could include a manual adjustment of the desired gases humidity level. In some embodiment, other functions could also be manually controlled, or alternatively a user or healthcare professional could be given a choice of a number of automatic gases delivery configurations, the user choosing an individual configuration by selecting from a menu or setting the appropriate control.
[0108] As described above, the preferred form. of RFID tag 2 is configured to act both as a temperature sensor and as a component identifier. It is also possible to use an RFID tag that is adapted to measure one of a number of other parameters. For example, instead of using an RFID tag that is configured to measure temperature, an RFID tag that is configured to measure pressure, or gases flow rate, or gases humidity, or gases content (i.e. oxygen percentage) could be used instead or as well as the RFID tag 2.
[0109] As outlined above, as well as being used to sense the temperature (or other parameter) of humidified gases being supplied to a patient, the RFID tag 2 may be used as a patient interface identifier, providing an identification input signal to the control system. The identification signal identifies which type of patient interface (or breathing conduit) has been connected to the blower unit (which contains the interrogation hardware). In some embodiments, the conduit 3 will include a tag at both the humidifier end and at the patient end. In this case, it is preferred that the tag at the humidifier end carries the identification data—data relating to the identity of the component or the component identity. However, the component identification data can be carried by any component tag.
[0110] In the preferred embodiment, the control system contained in the casing of the blower unit is configured to automatically change the output settings in response to the identifier signal received from the RFID tag. In one preferred form, a number of different “identification profiles” are stored in the memory of the control system 9, each one based around a predetermined required gas temperature and humidity value. Each of these profiles corresponds to an RFID identification code for tags embedded in different types of patient interface. When the blower unit 15 is switched on, the transceiver or interrogation hardware polls continuously until it receives an identification code from the RFID tag 2. The returning identification code tag data information is compared to the stored “identification profiles” and the control system automatically sets the humidifier gas temperature and humidity output levels. In the preferred forms, this humidification control system can be overridden by a user manually adjusting a switch input. However, it is preferable that humidifier autonomy is maintained to provide the most effective system operation. The advantage of this system over other systems known in the art is that user error is eliminated. The setting of the user operational mode is not dependent on user input.
[0111] In some embodiments, the RFID tags embedded in components such as the conduit 3 can carry component expiry date data. The control system 9 reads the RFID tag and compares the present date with the expiry date. If the expiry date has passed, the control system 9 can alert the user by means of an audio or visual alarm, or refuse to activate the system, or similar.
[0112] In the preferred form RFID tag 2 is constructed on a piezo-electric crystal element. The RFID tag 2 is preferably located on or within the patient interface 12 or heated inspiratory conduit 3, in close proximity to the patient 13. The piezo-electric element geometric shape is configured prior to use so that when it is interrogated, it provides a means of identifying the type of patient interface to which the RFID is being attached, and also acts as a sensor—e.g. a temperature sensor, a pressure sensor, etc. The preferred type of RFID tag and means of interrogation is by using surface acoustic wave (SAW) technology, where the properties of the returning wave will differ from the transmitted wave, and can therefore be used to measure temperature, pressure, flow, gas composition, etc. as detailed below.
[0113] With the RFID tag 2 located within the patient :interface 12 or inspiratory conduit 3 and in close proximity to the patient, the piezo-electric crystal elements provide a means of sensing gas parameters (such as temperature) at the point of delivery to the patient 13. The interrogation hardwire polls the RFID 2 at predetermined intervals of time. In some embodiments, the RFID tag can be energised by this incoming radio wave from the interrogation hardware. A pulse train passes across the surface of the crystal and a modulated pulse train is returned to the interrogation hardware in control system 9. A transceiver in the interrogation hardware decodes the pulse train and uses a lookup table located in the memory of control system 9 to determine the appropriate gas parameter (e.g. temperature). The parameter retrieved from the lookup table is compared with the required parameter value (e.g. temperature) for the current configuration. For example, the measured temperature is compared with the “identification profile” for the particular patient interface and the particular treatment regime specified. If there is a difference in the two values, then a control signal is generated by the control system, and the output parameters of the breathing circuit are adjusted accordingly. For example, if the RFID tag 2 is configured to measure the temperature, and the measured temperature is too low in comparison to the retrieved lookup value, the control system increases the power to the heater plate, so that the heated, humidified gases leaving the humidifier are at a higher temperature.
[0114] It should be noted that the main form of RFID tags described above are the passive type. Semi-passive or active RFID tags can also be used if required. If an active-type RFID tag is used, it does not have to be powered by using the heater wire, it can be provided with its own power source such as a batter y. The RFID tag such as tag 2 could also be a microprocessor device, and could include a wireless transmitter and receiver, with (if required) its own power supply. For example, the RFID tag 2 could be replaced with a Bluetooth-type device, or any other active type of transmitter which uses wireless communication. If it would be appropriate to do so, the phrase “RFID tag” should be read broadly enough to cover these types of devices. However, passive RFID tags are the preferred form.
[0115] In the preferred embodiment described above, the RFID interrogator and the control system 9 are located inside the housing of the blower unit 15. In alternative embodiments, it may be preferred to use modular components, for example a separate blower and humidifier unit, with the outlet of the blower unit and the inlet of the humidifier chamber connected in use by a separate conduit so that the gases stream from the blower unit can be delivered to the humidifier chamber. In these alternative embodiments, the humidifier part of the breathing circuit includes a base unit 30, which the humidifier chamber 5 locates onto in use, the base unit including a heater plate which heats the contents of the humidifier chamber 5. The control system 9 and the RFID interrogator can be located either in the base unit 30 or (if a blower unit is used to form the breathing circuit), in the blower unit, as required. Also, in alternate forms, the base unit can be used in a hospital which includes built-in gas supply conduits or gas sources. These are usually located in the hospital walls. The base unit 30 in these situations would contain the RFID interrogator and control system 9. A conduit would connect the hospital gases supply to the inlet of the humidifier chamber. The hospital gases supply would act as a source of pressurised gases.
[0116] It should also be noted that breathing conduits or gases conduits can be formed and sold separately for use as a part of a breathing circuit which delivers heated, humidified gases to a patient for medical purposes. The breathing conduits would have a first end adapted for connection to the outlet of a humidifier chamber, and a second, patient end, which would include an RFID tag, the RFID tag adapted to sense a parameter of the gases passing through said gases transportation pathway, in a similar manner to that described above.