BRONCHIOLAR AIRWAY AND CIRCULATORY RECRUITMENT IN MASS CASUALTY (MILITARY OR CIVIL) PATIENTS.
A totally independent Therapeutic Recruitment and Lung Stabilization Ventilator using a standard medical oxygen or air supply source to cycle the ventilator and ventilate the patient with proven reliability “equal to or better than” any other existing pulmonary ventilatory device. Requires NO batteries.
THE PRIMARY SINUSOIDAL BRONCHOTRON® CLAIMS ARE:
A PROVEN THERAPEUTIC RECRUITMENT AND LUNG STABILIZATION VENTILATOR PROVIDING FOR AUTOCYCLED® HIGHER FREQUENCY PERCUSSIVE SINUSOIDAL MECHANICAL VENTILATION, THUS ALLOWING PROFESSIONAL CIVIL OR MILITARY CARDIOPULMONARY CLINICIANS TO VENTILATE ALL NEONATAL, PEDIATRIC OR ADULT LUNGS CAPABLE OF BEING MECHANICALLY VENTILATED, INVASIVELY OR NON-INVASIVELY, DURING LAND, SEA OR AIR TRANSPORT TO AND THEN WITHIN THE MEDICAL FACILITY.
WHAT IS THE SINUSOIDAL
BRONCHOTRON® MULTI-MODE VENTILATOR?
IT IS A SELF CONTAINED THERAPEUTIC LUNG RECRUITMENT AND STABILIZATION VENTILATOR USING TECHNOLOGY CONCEIVED BY DR. FORREST M. BIRD FOR HIGHER FREQUENCY PERCUSSIVE VENTILATION IN THE 1980’S; HOUSED IN A 7” SQUARE RUGGEDIZED CONTAINER, WEIGHING UNDER FIVE (5) POUNDS.
1. It is powered by any 50-80 psi. respiratory gas source which is then internally regulated to OPERATIONAL GAS PRESSURES of from thirty to forty five (30 to 45) psig for ventilating neonatal through pediatric as well as large stiff adult lungs. Programming allows mechanical ventilation through invasive or non-invasive airways with patient assist/control breathe through.
Therapeutic programmable Oscillatory Demand CPAP assists a spontaneous respiration using selectable PULSE FREQUENCIES and OSCILLATORY CPAP to actively STABILIZE THE PULMONARY AIRWAYS. This enhances the mechanical mixing of endobronchial gases.
A programmable span of effective endobronchial percussive frequency selection is controlled by the rotation of a PULSE FREQUENCY control knob with an Arrow index.
Generally, lower frequencies favor convective CO2 wash out, with higher frequencies favoring intrapulmonary oxygen diffusion. Each patient’s pathophysiology will determine oscillatory frequency response.
Primary oscillatory percussive flow/pressure rise during Oscillatory Demand CPAP programming is controlled by the (counterclockwise) rotation of an OSCILLATORY CPAP control knob Arrow.
2. The Sinusoidal Bronchotron® is a higher frequency THERAPEUTIC RECRUITMENT AND LUNG STABILIZATION VENTILATOR with simultaneous endobronchial aerosol delivery for therapeutic airway recruitment and maintenance. Periodic sinusoidal oscillatory pressure rise intervals are programmed by INSP. and EXP. TIME control knob Arrows. Thus a selectable Sinusoidal I/E ratio can be programmed during automatic Bi-phasic™ scheduling.
3. Below is a sinusoidal wave format (modified by existing pulmonary compliance) demonstrating automatic Bi-phasic™ scheduling with a modulated HIGHER FREQUENCY PERCUSSIVE SINUSOIDAL RESPIRATION. Sinusoidal scheduling will ventilate neonates through pediatrics to large adult lungs with low pulmonary compliance. This provides for a balanced diffusive/convective intrapulmonary gas exchange.
4. By providing an Oscillatory Demand CPAP scheduled with HIGHER FREQUENCY DIFFUSSION, lung ventilation is directed toward PaO2 management. However, by alternating periods of SINUSOIDAL CONVECTIVE oscillatory pressure rise, lung recruitment as well as CO2 wash out is performed. Thus, a balanced invasive or non-invasive lung recruitment and maintenance program is maintained, while maintaining a lung protective strategy.
5. Essentially the SINUSOIDAL BRONCHOTRONÒ MULTI-MODE™ VENTILATOR, is two (2) powerful ventilators in a single housing, with an automated combined programmable diffusive/convective interface.
This enables a lower mean intrapulmonary pressure for an effective lung recruitment and stabilization, by employing a diffusive/convective intrapulmonary ventilatory scheduling.
6. The Sinusoidal Bronchotron® is a “time cycled (flow x time = volume), flow/pressure limited higher frequency percussive ventilator” with a selectable sinusoidal interval composed of an Expiratory time with selectable (I/E ratios) determining the timed periodic oscillatory pressure rises to a selected PIP, which is determined by a selectable PULSATILE FLOWRATE control knob Arrow.
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