Cuff-Pressure Control Device with Volume-Based Leak Detection

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Solution Overview

Problem

Existing cuff-pressure control devices struggle to accurately measure cuff pressure due to indirect measurement methods, leading to potential air leaks and insufficient pressure application, as they do not account for volume changes and pressure losses in connection paths, resulting in inaccurate cuff pressure maintenance.

Innovation Solution

A cuff-pressure control device with a pump, inner pipe, pressure sensor, and control unit that calculates cuff pressure by measuring pressures in separate spaces before and after connection, using volume ratios and pressure differences to correct for volume changes and pressure losses, ensuring accurate cuff pressure maintenance and leak detection.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Device complexity

If indirect measurement of cuff pressure is used through inner pipe pressure sensing, then device complexity is reduced, but measurement precision deteriorates due to volume changes and pressure losses in connection paths

Engineering Contradiction:
Improvedevice complexityVSAvoidmeasurement precision
Core Design Contradiction:
Device complexityVSMeasurement precision

Solution Approach 1:

The system performs preliminary actions by measuring the volume of the connection path before actual cuff pressure measurement, and by pre-calibrating the relationship between inner pipe pressure and actual cuff pressure. This allows the system to compensate for volume changes and pressure losses during subsequent measurements, improving measurement precision without significantly increasing device complexity.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system implements feedback mechanisms by continuously monitoring the relationship between inner pipe pressure and actual cuff pressure, and by using this information to adjust and correct measurements. The control unit uses feedback from pressure sensors and volume measurements to calculate accurate cuff pressure values, resolving the contradiction between simple device design and precise measurement.

Inventive Principle:
Principle #23Feedback

2Ease of operation

If cuff-pressure control device is detached for spot use, then ease of operation is improved, but reliability deteriorates due to air leaks and pressure changes during connection/disconnection

Engineering Contradiction:
Improveease of operationVSAvoidreliability
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The system replaces mechanical direct cuff pressure measurement with a computational approach using pressure sensors in the inner pipe combined with volume-based calculations. This substitution allows for reliable pressure monitoring even during connection and disconnection operations, maintaining reliability while preserving the ease of spot use operation.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Solution Approach 2:

The inner pipe acts as an intermediary element between the cuff and the pressure sensing system. By measuring pressure changes in the inner pipe and calculating the corresponding cuff pressure, the system provides reliable measurement during connection/disconnection operations without requiring direct mechanical contact with the cuff, thus maintaining both reliability and operational ease.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Object-affected harmful factors

If pump supplies gas to expand cuff, then cuff pressure increases to block secretions, but harmful factors increase due to excessive pressure causing ischemia and tissue damage

Engineering Contradiction:
Improvesecretion flow preventionVSAvoidtissue damage
Core Design Contradiction:
Object-affected harmful factorsVSObject-generated harmful factors

Solution Approach 1:

The system uses feedback from pressure sensors and volume measurements to continuously monitor cuff pressure and adjust gas supply accordingly. The control unit compares measured pressure against target pressure ranges and modulates pump operation to maintain pressure within safe limits, preventing both secretion leakage and tissue damage from excessive pressure.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system dynamically changes pressure parameters by adjusting gas supply volume and rate based on real-time measurements. The control unit modifies operational parameters such as pump duration and gas flow rate to achieve and maintain optimal cuff pressure, balancing the need to block secretions while avoiding tissue ischemia and damage.

Inventive Principle:
Principle #35Parameter changes

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enables precise cuff pressure measurement and detection of air leaks, ensuring the cuff pressure remains within a safe range, preventing secretion entry into the trachea and minimizing tissue damage.

Implementation Method 1

a pressure sensor that measures a pressure inside the inner pipe

Methodology Applied
Scientific EffectPressure measurement:

Implementation Method 2

a pump that supplies a gas to the inside of the cuff

Methodology Applied
Scientific EffectGas compression and transport:

Implementation Method 3

The cuff is a bag-like member that expands when a gas is supplied to the inside thereof

Methodology Applied
Scientific EffectGas expansion:

Data Source

PatentUS10814084B2Cuff-pressure control device, cuff-attached tracheal tube, and ventilator
Publication Date: 2020.10.27 MURATA MFG CO LTD
  • US10814084B2 patent drawing
  • US10814084B2 patent drawing
  • US10814084B2 patent drawing

AI summary

A cuff-pressure control device includes a pump, an inner pipe connected to the pump, a pressure sensor that measures an internal pressure of the inner pipe, and a control unit that controls a cuff pressure. A cuff is separable from the cuff-pressure control device, and, in a separation state, a first space in communication with the cuff is kept airtight such that the cuff pressure is maintained. The control unit adjusts a pressure in the cuff-pressure control device to a pressure of the first space before the cuff is connected to the cuff-pressure control device in a connection state in which the cuff in the separation state is connected to the cuff-pressure control device and the cuff and the inner pipe are in communication with each other.