Respiratory Gas Blending for Precise Inspired CO2 Control

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Solution Overview

Problem

Traditional methods for delivering CO2 into an inspiratory gas stream to control arterial partial pressure of CO2 (PaCO2) are unreliable, as they fail to accurately maintain target CO2 concentrations, leading to inconsistencies in physiological responses being measured, particularly in studies involving brain vascular reactivity.

Innovation Solution

A method and system that continuously maintain a target CO2 concentration in the inspired respiratory gas by calculating and controlling the incremental volume of a CO2-containing gas (Gn) to be delivered in tandem with a second gas (Go), using a respiratory gas delivery system that adjusts gas output in real-time based on sensor inputs to ensure accurate cumulative volumes of CO2 and oxygen, thereby achieving precise targeting of PaCO2 levels.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Manufacturing precision

If traditional sequential gas delivery methods are used, then device complexity is reduced, but manufacturing precision of CO2 concentration is insufficient

Engineering Contradiction:
ImproveCO2 concentration precisionVSAvoidgas delivery system complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The gas delivery system is segmented into separate channels for CO2 and O2 delivery, each with independent control mechanisms. This allows precise control of each gas component's flow rate and cumulative volume, enabling accurate targeting of CO2 concentration in the blended respiratory gas without requiring a completely complex integrated system.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system incorporates feedback control where sensors continuously monitor the actual cumulative volumes of CO2 and O2 delivered, and the controller adjusts the gas delivery rates in real-time to maintain the target CO2 concentration. This feedback mechanism ensures manufacturing precision while managing system complexity through intelligent control.

Inventive Principle:
Principle #23Feedback

2Reliability

If traditional mask CO2 infusion methods are used, then ease of operation is improved, but reliability of PaCO2 control deteriorates

Engineering Contradiction:
ImprovePaCO2 control reliabilityVSAvoidgas delivery operation simplicity
Core Design Contradiction:
ReliabilityVSEase of operation

Solution Approach 1:

The system uses feedback control with sensors monitoring actual gas delivery volumes and the controller continuously adjusting delivery rates to maintain target CO2 concentration. This ensures reliable PaCO2 control by actively correcting deviations rather than relying on fixed infusion rates, while the automated control minimizes the operational burden on users.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The system replaces manual mask CO2 infusion with an automated electronic control system that uses sensors, processors, and actuators to precisely regulate gas delivery. This substitution of mechanical/manual operations with automated systems improves reliability while maintaining ease of operation through user-friendly interfaces.

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

3Measurement precision

If real-time control of incremental gas volumes is implemented, then measurement precision of physiological responses is improved, but loss of time for computation and adjustment increases

Engineering Contradiction:
Improvephysiological measurement precisionVSAvoidcomputation and control time
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The system performs preliminary calculations of the required incremental gas volumes based on the target CO2 concentration and current delivery status. By pre-computing the necessary adjustments and having control algorithms ready, the system minimizes computation time during actual gas delivery while maintaining precise control for accurate physiological measurements.

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system maintains continuous control of gas delivery with real-time monitoring and adjustment, ensuring that the useful action of maintaining target CO2 concentration continues without interruption. This continuous operation minimizes time losses by avoiding stop-start control and maintaining steady-state delivery conditions for accurate physiological measurements.

Inventive Principle:
Principle #20Continuity of useful action

Data Source

PatentEP3981459B1Gas delivery apparatus
Publication Date: 2024.10.30 THORNHILL SCI INC
  • EP3981459B1 patent drawingFigure 1a
  • EP3981459B1 patent drawingFigure 1b
  • EP3981459B1 patent drawingFigure 1c

AI summary

An apparatus for delivering C02 into an inspiratory gas stream to formulate a blended respiratory gas in a manner that continuously maintains a target C02 concentration in a volume of the inspired respiratory gas, for example, over the course of a breath or a volumetrically definable part thereof or a series of partial or full breaths. The apparatus is configured for adding at least one added gas (Gn), comprising at least one component (DAn), to an inspiratory gas (G0), to formulate a respiratory gas (GR) for delivery to a subject and for maintaining a targeted concentration of the component in a volume of the respiratory gas (DAnT).