PHONATION VALVE FOR BREATHING TUBE

Abstract: In accordance with the present invention, a phonation valve (10) which is cooperatively connectable to a breathing tube (18) connected to a patient's airway, includes a valve body (12) having first (14) and second (16) ends through which gas passes into and out of the valve (10). The first end (14) is connectable to the breathing tube (18) for passage of gas between the breathing tube (18) and the valve (10). A valve seat (22) is located within the valve body (12) between the first (14) and second (16) ends. A thin, flexible diaphragm (24) is provided, which is seated against the valve seat (22) when the patient exhales. The diaphragm (24) has a comfort-improving structural feature which can be 1) a shape which is at least partly concave on a side of the diaphragm (24) facing the seat (22), and/or 2) a web (42) of substantially uniform thickness with a plurality of discrete areas of different thicknesses dispersed around the web (42), which are capable of damping resonance vibration of the diaphragm (24) during breathing by the patient.

Description: PHONATION VALVE FOR BREATHING TUBE BACKGROUND OF THE INVENTION FIELD OF THE INVENTION The present invention relates to a phonation valve for a breathing tube such as a tracheostomy tube. DESCRIPTION OF THE BACKGROUND ART Phonation valves permit speaking by a patient having a breathing tube inserted into the patient's airway, such as a tracheostomy tube inserted into a patient's trachea. Various valves for tracheostomy tubes are known in the art, including those disclosed in U.S. Patent Nos. 3,137,299, 4,040,428, 4,325,366, 4,759,356, 4,971,054 and 5,259,378. Phonation valves such as disclosed in U.S. Patent No. 3,137,299 include a flapper- type valve diaphragm, which permits the patient to inhale through the valve, but closes on exhalation, thereby forcing air past the vocal cords and permitting the patient to speak. Phonation valves with flat flapper-type valve diaphragms sometimes allow harmonic vibration noise during exhalation because of the natural vibration frequency of the diaphragm. Harmonic vibration noise during exhalation resulting from natural vibration frequencies of the diaphragm can be reduced or eliminated by biasing the diaphragm against the valve seat. U.S. 4,759,356 discloses a phonation valve having a diaphragm which is biased toward the valve seat so that the valve diaphragm has a convex shape on the side of the diaphragm facing the valve seat. However, valves having diaphragms which are produced flat, and pre-loaded (biased) against the valve seat to prevent harmonic vibration during exhalation, can result in high cracking pressure to open the valve, with resulting uncomfortable breathing resistance for the patient. There remains a need in the art for improvements in phonation valves. SUMMARY OF THE INVENTION In accordance with the present invention, a phonation valve which is cooperatively connectable to a breathing tube connected to a patient's airway, comprises a valve body having first and second ends through which gas passes into and out of the valve. The first end is connectable to the breathing tube for passage of gas between the breathing tube and the valve. A valve seat is located within the valve body between the first and second ends. A thin, flexible diaphragm is provided, which is seated against the valve seat when the patient exhales. The diaphragm has comfort-improving structural features which may include: 1) a shape which is at least partly concave on a side of the diaphragm facing the seat, and/or 2) a web of substantially uniform thickness with a plurality of discrete areas of different thicknesses dispersed around the web, which are capable of damping resonance vibration of the diaphragm during breathing by the patient. BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a cross-sectional view, partly schematic, of a phonation valve in accordance with one embodiment of the present invention. Fig. 2 is a schematic illustration, partially in cross-section, showing use of a valve in accordance with the present invention. Fig. 3 A is a side elevational view, partly schematic, of a flexible diaphragm in accordance with one embodiment. Fig. 3B is a bottom elevational view of the flexible diaphragm shown in Fig. 3 A. Fig. 4A is a side elevational view, partly schematic, of a flexible diaphragm in accordance with one embodiment. Fig. 4B is a bottom elevational view of the flexible diaphragm shown in Fig. 4 A. Fig. 5 A is a side elevational view, partly schematic, of a flexible diaphragm in accordance with one embodiment. Fig. 5B is a bottom elevational view of the flexible diaphragm shown in Fig. 5 A. Fig. 6A is a side elevational view, partly schematic, of a flexible diaphragm in accordance with one embodiment. Fig. 6B is a bottom elevational view of the flexible diaphragm shown in Fig. 6 A. Fig. 6C is a side elevational schematic view of a portion of the diaphragm shown in Fig. 6B. Fig. 6D is a side elevational schematic view of a portion of the diaphragm shown in Fig. 6B. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Fig. 1 shows a phonation valve 10 in accordance with one embodiment of the present invention. Phonation valve 10 includes a valve body 12 having first and second ends 14 and 16 respectively, through which gas, such as air, or oxygen, passes into and out of valve 10. The first end 14 of valve 10 is connectable to a breathing tube such as tracheostomy tube 18 shown in Fig. 2. In the embodiment shown, phonation valve 10 is an in-line phonation valve wherein the second end 16 is connectable to a source of gas such as oxygen (not shown) by line 20. However, the invention is equally applicable to end-fitting phonation valves which, for example, can be attached to the end of a breathing tube such as tracheostomy tube 18, and which are not connectable to another line such as line 20. Referring back to Fig. 1, a valve seat 22 is located within the valve body 12 between the first and second ends 14 and 16 respectively. A thin, flexible diaphragm 24 is mounted circumferentially around a stem 26, and can be held onto stem 26 by protrusion 28 or any other suitable means. The diaphragm 24 can be formed of any suitable thin, flexible material, such as silicone rubber, and can have any suitable thickness, such as about 0.005-0.02 inch. The present invention provides a patient with comfort-improving structural features which require reduced cracking pressures to open the valve when inhaling, and reduce or prevent harmonic vibration noise from occurring during use. Figs. 3A and 3B show a diaphragm 24a which is partly concave about its circumference in region 30 on a side 32 of diaphragm 24a facing valve seat 22. A diaphragm as shown in Figs. 3A and 3B is seated against valve seat 22 when the diaphragm is at rest. According to this embodiment, an outer annular edge region 34 of the diaphragm, comprising a relatively small amount of the diaphragm mass, is positioned against the valve seat 22 in the closed position whereas the remaining bulk of the diaphragm mass comprised of concave portion 30 and the annular inner diaphragm portion 36 is positioned away from the plane 38 of valve seat 22. Accordingly, most of the diaphragm mass is positioned away from the plane 38 of valve seat 22 as the annular diaphragm edge region 34 is positioned against valve seat 22 while the valve is at rest, thus giving the valve a "closed" condition. During inspiration, a relatively small amount of diaphragm mass is required to move to the open position, thereby reducing the cracking pressure to open, reducing the pressure drop once the valve is in the open position. Furthermore, by having the diaphragm seated against the valve seat when the diaphragm is at rest, a "natural" seal is maintained while the valve is at rest, reducing or eliminating leakage and associated vibration noise. Figs. 4A and 4B show another embodiment wherein a plurality of discrete areas 40 of different thicknesses are provided on a flat (planar) diaphragm 24b. In the embodiment shown in Figs. 4A and 4B, diaphragm 24b has a web portion 42 which is of substantially uniform thickness, e.g., 0.008 inch. The discrete areas 40 are in the form of raised bumps which are distributed on the web 42, and are randomly spaced and sized to dynamically dampen the diaphragm mass such that during exhalation, a harmonic frequency and resultant vibration resonance of the diaphragm does not occur. As can be seen in Fig. 4A, the bumps have a thickness dimension which is substantially greater than the thickness dimension of the web portion 42. Additionally, it can be seen that the bumps are non-uniformly distributed over the surface of web 42. Bumps 40, in preferred embodiments, are of different sizes and are randomly spaced with respect to each other, so as to avoid vibrational resonance of the diaphragm. Figs. 5 A and 5B shown a combination diaphragm 24c having bumps 40 as described above with respect to Figs. 4A and 4B. The bumps 40 shown in Figs. 5A and 5B are located about the annular edge portion 34 of diaphragm 24c. According to this embodiment, diaphragm 24c also has a concave portion 30 as described above with reference to Figs. 3 A and 3B. In the embodiments shown in Figs. 6A, 6B, 6C, and 6D, the bumps are comprised of radially extending ribs 40a, which extend from the central collar 44 of the diaphragm to the outer edge 46 of annular edge portion 34. As can be seen in Figs. 6B, 6C and 6D, rib bumps 40a can be of different thicknesses and widths with respect to each other, and are non- uniformly spaced circumferentially with respect to diaphragm 24d, so as to reduce or eliminate harmonic vibration and resultant noise during use. The present invention provides a phonation valve which improves a patient's comfort during use by providing reduced cracking pressures to open the valve, as well as a reduction or elimination of harmonic vibration of the diaphragm and resultant noise during use.

Claims: CLAIMS: 1. A phonation valve cooperatively connectable to a breathing tube connected to a patient's airway, the valve comprising - a valve body having first and second ends through which ends gas passes into and out of said valve body, the first end connectable to said breathing tube for passage of gas between said breathing tube and said valve body; - a valve seat located within said valve body between said first and second ends; - a thin, flexible diaphragm which is seated against said valve seat when the patient exhales, said diaphragm having a comfort-improving structural feature which is 1) a shape that is at least partly concave on a side of said diaphragm facing said valve seat, 2) a web of substantially uniform thickness with a plurality of discrete areas of different thicknesses dispersed around the web, which are capable of damping resonance vibration of said diaphragm during breathing by said patient, or 3) a combination thereof. 2. The phonation valve of claim 1 wherein said diaphragm has said at least partly concave shape and is seated against said valve seat when said diaphragm is at rest. 3. The phønation valve of claim 1, wherein said diaphragm has a web portion of substantially uniform thickness, and a plurality of bumps distributed on one side of said web, said diaphragm having thickness dimensions at said bumps which are substantially greater than a thickness dimension of said web portion. 4. The phonation valve of claim 3 wherein at least a portion of said bumps are non- uniformly distributed about said web portion. 5. The phonation valve of claim 4 wherein said bumps are comprised of radially extending ribs. - 6. The phonation valve of claim 3 wherein at least a portion of said bumps are of different size with respect to others of said bumps. 7. The phonation valve of claim 6 wherein at least a portion of said bumps are of different thicknesses with respect to others of said bumps. 8. The phonation valve of claim 7 wherein said bumps are comprised of radially extending ribs. 9. The phonation valve of claim 8 wherein said ribs are non-uniformly circumferentially spaced about said diaphragm. 10. The phonation valve of claim 3 wherein at least a portion of said bumps are of different thicknesses with respect to others of said bumps.

Inventors: WONDKA TONY, YOUNG THOMAS, ZOWTIAK JOHN, WONDKA, TONY, YOUNG, THOMAS, ZOWTIAK, JOHN
Applicants: MALLINCKRODT INC, MALLINCKRODT INC.
Application year: 1999
Main classification: A61M16
IPC codes: A61M16, F16K15