EP3554605A1

EP3554605A1 - Nasal cannula for high-flow ventilation

Info

Publication number: EP3554605A1
Application number: EP17809299.5A
Authority: EP
Inventors: Helena Kaszás; Sebastian Schröter; Katrin Harms; Felix Riedel
Original assignee: Draegerwerk AG and Co KGaA
Current assignee: Draegerwerk AG and Co KGaA
Priority date: 2016-12-13
Filing date: 2017-12-06
Publication date: 2019-10-23
Also published as: DE102017004224A1; US20190328991A1; CN110121372A; WO2018108670A1

Abstract

The invention relates to a nasal cannula (1) for high-flow ventilation, wherein the nasal cannula (1) has a base body (2) with a cavity (20), a hose attachment element (6) for connecting a hose (7) to the cavity (20) for fluidic communication, and a first and a second nose tube (3, 4) pointing away from the base body and serving to connect a respective nostril to the cavity (20) for fluidic communication, wherein the first nose tube (3) has a different flow resistance than the second nose tube (4). The invention makes available a nasal cannula (1) which is easy to produce and to clean and which avoids eddies of the respiratory gas stream in the base body (2) or avoids blockages.

Description

Nasal cannula for high-flow ventilation

The invention relates to a nasal cannula for high-flow beat ^¬ ment, wherein the nasal cannula a base body having a cavity, a hose connection element for fluidkommunizierenden connecting a hose to the cavity, and a first and a second away from the base body nose tube for fluidkommunizierenden connecting ever having a nostril with the cavity.

Patients who can breathe on their own but require additional oxygen are treated with high-flow oxygen therapy. In this therapy, the patien ^¬ th heated and moistened breathing gas is supplied in the form of a Gemi ^¬ ULTRASONIC of oxygen and air. This improves the oxygenation of the patient. A nasal cannula is used as the interface between the ventilator and the patient. There are variants in which each nostril is treated with its own tube and in which only one hose is used for both nostrils to keep the number of hose connections low. The invention deals with the alternative with a hose connection for both nostrils.

In a nasal cannula with a tube connection, the tube is brought from one side of the patient to the nasal cannula. The nasal cannula has two hollow Na ^¬ spine, which are inserted into each one of the nostrils. One of the nasal pricks is closer to the tube than the other. This creates a dynamic pressure at the entrance to the nasopharynx, which is created by diverting the respiratory gas flow at the entrance of this nasal prick. As a result, more flows through the tube-side nasal spine Gas as through the nasal prick, which is located on the tube side facing away. This leads to an uneven flow of the two nostrils of the patient. This can be uncomfortable for the patient.

According to WO 2015/041546 AI a nasal cannula with hollow

Basic body and described with only one hose connection from one side. The main body has a restriction between the nasal prongs in order to distribute the respiratory gas flow evenly to the two nasal prongs. A disadvantage of this device is that it is difficult to manufacture and difficult to clean. Furthermore, turbulences can arise in the main body, which can negate the uniform distribution of the respiratory gas flow again. Furthermore, in the case of material defects, part of the restriction can break off and block the main body.

The object of the present invention is therefore to provide a nasal cannula which is easy to manufacture and clean and avoids turbulence of the respiratory gas flow in the body or blockages.

The object is solved by the features of the independent claim. Advantageous developments are the subject of the dependent claims.

In a nasal cannula for high flow ventilation, the nasal cannula comprises a base body having a lumen, a tubing connection member for fluidly communicating a tubing to the lumen, and first and second nasal tubes facing away from the base body for fluidly communicating a respective nostril with the lumen has, according to the invention provided that the first nose tube has a different flow resistance than the second nose tube.

The core of the invention is, by means of the various flow resistances in the two nasal tubes, the respiratory gas flow to regulate between the two nasal tubes. Due to the two different flow resistances in the nasal tubes a homogeneous pressure distribution in the cavity is effected. Due to the homogeneous pressure distribution flows through the two nasal tubes essentially a same size breathing gas flow.

The invention has recognized that the combination of the flow resistance in the upstream cavity between the respective nose tube and the hose connection element determines the respiratory gas flow through the respective nose tube. Due to the different flow resistances of the first compared to the second nose tube, the total flow resistances on the paths between the hose connection element and the first and second nose tubes are matched to each other.

This creates a breathing gas flow through the two nasal tubes, which is essentially the same. This is comfortable for the patient.

Furthermore, the nasal cannula according to the invention is easy to clean ^¬ gen because the nasal tubes are easily accessible from the outside. Ver ^¬ blockages of the base body through broken parts be avoided because of the respiratory gas flow is directed from the body out and fed out small broken pieces from the nasal cannula. Next turbulence is avoided in the body by these Anord ^¬ planning.

Advantageously, the first nose tube is closer to the

Hose connection element arranged as the second nose tube, wherein the first nose tube has a lower flow resistance than the second nose tube. The invention is thus based on the special realization that it is advantageous for achieving a uniform flow through the nasal tubes when the first nose tube has a lower flow resistance than the second, although the first closer to the tube connection element in comparison to the second nose tube. is orders, so that the flow path of the oxygen ersor ^¬ tion to the outlet of the respective nose tube in Durchströ ^¬ tion of the first nose tube is shorter than in the flow through the second nose tube.

Furthermore, it is advantageous that an inner diameter averaged along the longitudinal axis of the first nose tube is different from an inner diameter measured along the longitudinal axis of the second nose ^tube . Under the longitudinal axis of a nasal tube, the axis along the cavity of the nose ^¬ pipe is understood. The walls of the nasal tube extending thereabouts ^¬ at about the longitudinal axis.

Suitably, the averaged along the longitudinal axis of the first nose tube inner diameter is greater than the averaged along the longitudinal axis of the second nose tube inner diameter ^¬. In this case, the second nose tube with advantage to a Ele ^¬ element for increasing the flow resistance. Since the first nose tube is arranged closer to the hose connection element than the second nose tube, the dynamic pressure region which arises in the cavity at the second nose tube is enlarged over the entire cavity to the first nose tube. As a result, a homogeneous pressure is generated in the cavity, so that the respiratory gas flow are equalized by the first and the second nose tube. Surprisingly, it has been found in this connection that the greater proportion of the flow passes in the same dimensions of the first and second nasal tube through the second nasal tube, although the flow path is longer at the Durchströ ^¬ tion of the nasal cannula. For this reason, the flow resistance on the flow path through the first nose tube is advantageously increased by utilizing the invention in order to equalize the total flow through the two nose tubes strö ^¬ ing volume flows or adapt to each other. In an alternative embodiment, the inner diameter of the first nose tube is advantageously larger than the inner diameter of the second nose tube. In this case, the second nose tube advantageously has a restriction element.

It is further advantageous that an outlet opening of the f th ^¬ nose tube has the same diameter as an off ^¬ opening of the second nasal tube. Thus, the same components can be used in the manufacture of the nasal tubes, whereby the production costs decrease. Further, a subjective impression of the patient is avoided that flow through the two nasal tubes different sized air currents due to different sized outlet openings.

The outlet openings may advantageously have a diameter between 1 mm and 15 mm, preferably between 2 mm and 10 mm, more preferably between 3.5 mm and 6 mm.

The second nose tube can further advantageously with advantage starting from the cavity first having a conically tapered portion and then a cylindrically shaped portion, wherein the first nose tube, starting from the cavity has a cylindric ^¬ shaped portion. Due to the conically tapered section of the flow resistance of the nasal tube he ^¬ höht, since by the taper has a density increase in the flowing fluid is formed by the taper.

It is expedient if the conically tapered Ab ^{¬ section has} an opening angle between 2 degrees to 6 degrees, preferably ^¬ 3 degrees to 5 degrees, more preferably of 4 degrees.

Furthermore, the second nasal tube advantageously has a surface on an inner wall region which has a greater flow resistance than a surface in an inner wall region of the first nasal tube. Next, the conically tapering portion zweckmäßi ^¬ gerweise a length of 1 mm to 6 mm, preferably 3.5 mmm, wherein the cylindrical shaped portion has a length of 5 mm to 10 mm, preferably 7.3 mm.

In the following the invention will be explained in more detail by means of an advantageous embodiment by means of the attached drawing. Show it:

FIG. 1 shows a schematic representation of a nasal cannula;

and

Figure 2a-d: schematic sectional views of nasal cannulas with different flow resistance in the nasal tubes.

The nasal cannula for high-flow ventilation is referenced in its entirety by the reference numeral 1.

The nasal cannula 1 comprises case of Figure 1 from the branch off a Basiskör ^¬ by 2, a first nose pipe 3 and a second nose pipe. 4 Further, the base body 2 comprises a

Hose connection element 6, which can be connected to a breathing tube 7. The nasal cannula 1 further comprises a holding element 5, with which the nasal cannula on a headband be ^¬ consolidates and thus can be attached to a face of a patient.

The base body 2 further has a cavity 20, which is connected in a fluid-communicating manner with the first nose tube 3 and the second nose tube 4. The nasal tubes 3, 4 thereby represent a connection of the cavity with the environment. When the nasal tubes 3, 4 are introduced into nostrils, the cavity 20 is connected via the nasal tubes 3, 4 to the nostrils in a fluid-communicating manner. Next, the cavity 20 has a fluidkommunizierende Verbin ^¬ dung with the hose connecting element. 6 A breathing gas flow into the tube flows through the connecting element 6 in the nasal cannula 1 is distributed over the cavity 20 on the lugs ^¬ pipes 3 4.

The hose connecting element 6 is arranged relative to the direction of the nose from ^¬ pipes 3, 4 laterally. This is ge ^¬ means that an air flow, which flows through the Schlauchanschlus ^¬ selement 6 in the cavity 20, within the hollow ^¬ space 20 must perform a change of direction to flow through the nasal pipes 3, 4 by.

2a shows a schematic sectional view through a first embodiment of a nasal cannula 1. The cavity 20 within the base body 2 is connected via a first end fluidkommunizie- ^¬ A passage opening 31 with the first pipe nose. 3 With the second nose tube 4, the cavity 20 is connected via the second inlet opening 41 fluidkommunizierend.

The first nose pipe 3 is positioned closer to the Schlauchanschlussele ^¬ element 6 as the second nose pipe 4. The second Na ^¬ senrohr 3 has, starting from the second Eintrittsöff ^¬ voltage 41 a conically tapering portion 33 which is adjoined by a cylindrical portion 42 connects, which then opens into a second outlet opening 40 of the second nasal tube 3.

The first outlet opening 30 and the second outlet opening 40 have the same diameter. It follows that the second inlet opening 41 is greater than the first ^{Eintrittsöff ¬} opening 31. As a result, the inner diameter of the second nasal tube 4 averaged along a second longitudinal axis 42 is greater than that along a first longitudinal axis 32 of the first nasal tube 3. The conically tapering portion 33 has the effect that the flow of breathing gas which flows through the second nasal tube 4 is stowed so that the flow resistance increases in the two ^¬ th nose pipe. 4 This causes a backflow into the cavity 20, so that in comparison to a nasal cannula 1, which is not formed according to the invention, a smaller flow of breathing gas flows through the second nasal pipe 4.

The diameters of the outlet openings 30, 40 are between 1 mm and 15 mm, preferably between 2 mm and 10 mm, more preferably between 3.5 mm and 6 mm. Next, the conical tapered section has an opening angle Zvi ^¬ rule 2 degrees to 6 degrees, preferably 3 degrees to 5 degrees, white ^¬ ter preferably from 4 degrees to. Here, the conically tapered portion has a length of 1 mm to 6 mm, preferably ^¬ 3.5 mmm, wherein the cylindrically shaped portion of the first nose tube has a length of 5 mm to 10 mm, preferably 7.3 mm.

The hose connection element 6 may be formed as a male or female connector. A ventilator ^¬ hose 7 can thus abut either outside on the hose connecting element 6 or the breathing tube 7 is introduced into the hose connecting element. 6

Figure 2b shows a second embodiment of the invention. The nose pipes 3, 4 in this case have different Strömungswi ^¬ resistors, which are caused by different inner diameters of the nasal tubes 3 4.

In this case, the first nose tube 3, which is arranged closer to the hose connection element 6, a larger Innendurch ^¬ diameter than the second nose tube 4, which is located further away from the hose connection element 6. In this case, the inner diameter of a nose tube 3, 4 over the entire length of the respective nose tube 3, 4 is constant. The thickness of the tube wall of the nasal tubes 3, 4 can be variably selected according to the tube diameter, so that both nose tubes 3, 4 have the same outside diameter.

The larger inner diameter of the first nose tube 3 relative to the smaller inner diameter of the second nose tube 4 causes the flow resistance in the second nose tube 4 is greater than in the first nose tube 3. Therefore, the breathing gas flow through the first nose tube 3 is increased relative to the second nose tube 4. Since with the same flow resistances in the first nose tube 3 and the second nose tube 4 less breathing gas flows through the first nose tube 3, by the larger selected inner diameter of the first nose tube 3 with respect to the inner diameter of the second nose tube 4 a balanced ratio of the respiratory gas flow through the first and second nose tube 3, 4 causes.

A third embodiment is shown in FIG. 2c. The first nose tube 3 and the second nose tube 4 in this case ent ^¬ long of the respective longitudinal axis 32, 42 each have the same inner diameter. That is, the inlet openings 31, 41 and the outlet openings 30, 40 have the same diameter.

The second nose tube 4 has, in contrast to the first nose tube 3, a restriction member 35. The restriction member 35 is formed in this embodiment as an insert in the second nose tube 4. This insert has a Außendurchmes ^¬ ser corresponding to the inner diameter of the nose pipe. 4 Furthermore, the insert comprises a bore which has a smaller diameter than the inner diameter of the nose tube 4. This creates a constriction in the second nose tube 4. By the restriction member 35, the flow resistance of the second nose tube 4 is increased. As a result, the first nose tube ^¬ 3 has a lower flow resistance than the second Na ^¬ senrohr 4. In this way, by means of the Restriktionsele ^¬ element 35, the air flows through the nose tubes 3, 4 are aligned with each other.

FIG. 2 d shows a fourth embodiment of the nasal cannula 1. The first nose tube 3 and the second nose tube 4 in this case have the same inner diameter along the longitudinal axis. However, the first nose pipe 3 a Oberflä ^¬ chenelement 36, which has a coating and / or surface structure which reduces the friction between the air flow and the inner wall of the first tube 3 has nose.

The surface element 36 in this case has a groove structure which reduces the flow resistance of the respiratory gas flow flowing through the first nose tube 3.

A coating of the surface element 36 in this case has a material which has a low coefficient of friction with the inflowing air.

In this way, a lower flow resistance in the first nose tube 3 relative to the second nose tube 4 can be effected.

In a fifth embodiment according to figure 2e 4-3, the second nose tube has a surface member 43 with a Be ^¬ coating and / or surface structure that increases the flow resistance of the second nose pipe. 4

The surface structure of the surface element 43 may have projections which generate turbulence in the respiratory gas flow through the second nose tube 4. Due to the turbulence in the breathing gas flow of the second nasal pipe 4, the flow resistance of the second nasal pipe 4 is increased. A coating of the surface element 36 of the second Na ^¬ senrohrs 4 may have a high coefficient of friction with the incoming air. In this way, the edges of the breathing gas flow, which flows through the second nose tube 4, are subjected to a high degree of friction with respect to the inner wall of the first nose tube 3. This increases the flow resistance of the respiratory gas flow in the second nasal pipe 4.

Also in this embodiment, by means of the surface element 36, which increases the flow resistance of the second nose ^¬ tube 4, causes a different to the first nose tube 3 flow resistance in the second nose tube 4.

In this way, a lower flow resistance than in the second nose tube 4 can be effected in the first nose tube 3.

The above-described embodiments of the nasal cannula 1 can be combined if required so that the nose cannula 1, for example, in the second nose tube 4 has a Oberflä ^¬ chenelement 43 with a coating with a high of friction ^¬ coefficient and the first nose pipe 3, a surface member 36 with a surface structure, which has a low coefficient of friction. The other described embodiments may be similarly combined.

reference numeral

Nasal cannula for high-flow ventilation

base body

first nose tube

second nose tube

retaining element

Hose connection element

breathing tube

cavity

first exit opening

first entrance opening

first longitudinal axis

conically shaped section

cylindrically shaped section

restriction

Surface element in the first nose tube

second exit opening

second inlet

second longitudinal axis

Surface element in the second nose tube second inner wall area

Claims

1 claims

A nasal cannula for high-flow ventilation, wherein the nasal cannula (1) comprises a base body (2) having a cavity (20), a hose connector (6) for fluidly communicating a hose (7) with the cavity (20), and first and a second of the base body (2) off-oriented nose tube (3, 4) comprises, for fluid communicating connecting one each nostril with the cavity (20) on ^¬, wherein the first nose tube (3) has a different Strö ^¬ flow resistance than the second nasal tube (4), characterized in that the first nose tube (3) is arranged nä ^¬ forth on the hose connecting element (6) than the second nose tube (4), wherein the first nose tube (3) has a lower flow resistance than the second nose tube (4 ) having.

2. nasal cannula according to claim 1, characterized in that along the longitudinal axis (32) of the first nose tube (3) averaged inner diameter is different from one along the longitudinal axis (42) of the second nose tube (4) averaged ^¬ ter inner diameter.

3. nasal cannula according to claim 2, characterized in that along the longitudinal axis (32) of the first nose tube (3) averaged inner diameter is greater than the along the longitudinal axis (42) of the second nose tube (4) averaged in ^¬ nendurchmesser.

4. nasal cannula according to claim 1, characterized in that the second nose tube (4) has a restriction (35).

5. nasal cannula according to one of claims 1 to 4, characterized ge ^¬ indicates that an outlet opening (30) of the first 2

Nose tube (3) has the same diameter as an outlet opening (40) of the second nose tube (4).

6. nasal cannula according to claim 5, characterized in that the outlet openings (30, 40) has a diameter between 1 mm and 15 mm, preferably between 2 mm and 10 mm, more preferably between 3.5 mm and 6 mm, aufwei ^¬ sen.

7. The nasal cannula according to one of claims 1 to 6, characterized ge ^¬ indicates that the second nose tube (4) (20) conically tapering portion (33) and then a cylindrically shaped portion (34) starting from the cavity first the one hand, wherein the first nose tube (3) starting from the cavity (20) has a cylindrically shaped section (34).

8. The nasal cannula according to claim 7, characterized in that the conically tapering portion (33) has a Publ ^¬ opening angle between 2 degrees to 6 degrees, preferably 3 degrees to 5 degrees, more preferably from 4 degrees, has ^¬.

9. nasal cannula according to one of claims 7 or 8, characterized in that the conically tapering Ab ^{¬ section} (33) has a length of 1 mm to 6 mm, preferably 3.5 mmm, wherein the cylindrically shaped Ab ^{¬ section} (34 ) has a length of 5 mm to 10 mm, preferably 7.3 mm.

10. nasal cannula according to claim 2, characterized in that the inner diameter of the first nose tube (3) is greater than the inner diameter of the second nose tube (4). 3

The nasal cannula according to claim 2, characterized in that the second nose tube (4) having a surface on an inner wall portion (43) which has a larger flow ^¬ resistance as a surface in an inner wall portion (36) of the first nose tube (3).