THE INHALED AIR

The subject matter of the application is a device for adjustment and/or regulation of the C0 ₂ , carbon dioxide content of the inhaled air.

In the course of a normal respiration the inhaled fresh air contains 78 % nitrogen, 21% oxygen and 1 % other gases, where the rate of CO ₂ is evanescent (in case of clean air only 0,04 %) . After the metabolic processes of respiration have passed off, the exhaled air contains only app . 16-17 % oxygen, and the level of CO ₂ increases to 4-5 %.

During inspiration the oxygen is obtained from our atmosphere and during expiration the CO ₂ , generated in the course of the metabolism will be exhaled.

The oxygen then is bound by the haemoglobin of red-blood cell and this way it enters the blood circulation and is transported by the blood to the cells.

CO ₂ is unloaded by the respiring cells in form of carbonic acid into the blood plasma. C0 ₂ then will be transported by the blood plasma to the tiny air chambers where it will be secreted.

Lungs have therefore an important role in keeping the acid - base balance of the body.

However the carbonic acid content of the blood dissociate only partly, the task of the remaining part is to stimulate the respiratory centre. Respiration is regulated therefore by the chemical composition of the blood.

Respiration is regulated automatically (independently from our will) and dependently from our will. The centre of the by psychic symptoms, like anxiety or unpleasant discomfort remitting to the unfavourable stimulated level of the cortex.

"It is well known fact from the physiology if too much air and oxygen gets into the human organism also too much carbon dioxide will be loosed. As the carbon dioxide and carbonic acid are the most important regulators of the base-acid balance (pH) this balance will be also upset.

First the respiratory alkalosis occurs, then, as a result of compensating processes due to the secondary carbic acid loss, a metabolic acidosis will be generated.

The respiratory alkalosis s accompanied and followed by the body tissue hypoxia. This is the result of the so called Bohr effect (Bohr shift), which means, that as soon as the pH becomes more alkaline due to a decrease in the C0 ₂ level, , the oxygen will binds stronger io the blood, its release, will become more difficult, and it will become less accessible to human tissues."

( http : //www . natursziget . com/eletmod/20071025butej kolegzes )

A drop in pH (more acidic) lowers the attraction of haemoglobin to oxygen. Because carbon dioxide reacts with water to produce carbonic acid, an active tissue will lower the pH of its surroundings and encourage haemoglobin to give up extra oxygen, to be used in cellular.

Fellow workers of Southern Methodist University (Meuret et al, 2010) developed a new kind of respiratory therapy which reduces the feeling of panic and anxiety, known as CART (Capnometry-Assisted-Respiratory Training) . This new therapy teaches the patient the way of breathing to turn back the hyperventilation, characterised by the low level of carbon dioxide concentration in blood. Because of this fact, in spite of the popular belief, a deep breath can increase the output aperture o ^: the control unit is connected to the valve adjusting the blending rate of blending vessel and so adjusting the CO? content of the inhaled air.

In case we would like to control the CO _: content of the air inhaled from the blending vessel, a measuring tool, determining the C0 ₂ content of the inhaled air

should be connected to the inhaled air pipe also. The output aperture of the measuring tool should be connected to the control unit's input aperture.

For further safety iz could be advantageous if a measuring tool determining the 0 ₂ , oxygen content is connected to the inhaled air pipe and the exhaled air pipe also.

An advantageous version of the device described in the application as subject matter of the invention is a device where the exhaled air pipe is connected to an exhaled air vessel, where one output aperture of the vessel is connected to the blending vessel the other output aperture is connected to a pipe opened to the atmosphere .

In this opened air pipe could be advantageously

an opening - closing valve placed where the control input of the valve should be connected to the control unit..

A further advantageous version of the subject matter of the invention is, if the C0 ₂ vessel and the exhaled air vessel are connected through a shuttle valve to the blending vessel, where the control input of the valve is connected to the output of the control unit. Solving the task of the invention mentioned before, the subject matter of invention uses the results of CART respiratory technic, but using the subject device much less care and cooperation is needed from the patient.

The subject matter of the invention will be described using the enclosed numbered figures with application examples in details, where

Figure 1 is the first version of the device based on the invention,

Figure 2 is the principled scheme of the second version of the device based on the invention

Figure 3-4 with the diagrams representing the measured and adjusted levels of C0 ₂

Some part of the device based on the invention represented on Figures 1-2 comprises the same elements and same structured elements. First these common elements will be described .

It is represented on both Figures thus, that the device comprises a by-pass element 10 leading the inhaled and exhaled air in two directions, an exhaled air pipe 11 and inhaled air pipe 21 both connected to the by-pass element 10. In both air pipes 11, 21 valves 13, 23 enabling one direction flow are placed and arranged.

To the inhaled air pipe 21 blending vessel 20 is connected comprising input aperture for fresh air 24 and input aperture for C0 ₂ 22. C0 ₂ vessel 30 is connected to the input aperture for C0 ₂ 22.

Measuring tool 15 determining the C0 ₂ content of the exhaled air is connected to the exhaled air pipe 11. Changed respiratory rate is exhibitive of hyperventilation or diseased state. This possibility can be used primarily in case of patients suffering in heavy panic or asthmatic diseases, where hyperventilation fits appear often and unpredictably.

The C02 content of the inhaied air can be adjusted and /or conditioned more preciously if a measuring tool 25 is connected to the inhaled air pipe 21. The measuring tool 25 determines the C0 ₂ content of the inhaled air, and the output of this tool 25 is connected to the input of control unit 50.

According to the measurement results the control unit can condition more preciously. In the case of the application examples represented on

Figures 1 and 2, 0 ₂ content measuring tools 16 and 26 are connected to the exhaled air pipe 11 and the inhaled air pipe 21.

Based on the results of the measuring LOOIS 16 and 26, the control unit 50 is able to adjust also the O ₂ content of the inhaled air 0 a certain level, or to keep it on a certain level. To increase the O ₂ content of the inhaled air, it is not sufficient to redirect the exhaled air, instead fresh air needs to be inducted from the atmosphere.

In the case of the application example shown on Figure 1, exhaled air pipe 11 is connected to the exhaled air vessel 40 that has two output apertures, one of them 41 is connected to the blending vessel 20, the other one 42 is connected to the air pipe 43 open to the atmosphere. In the air pipe opened to the atmosphere 43 there is an opening - closing valve 42 placed where the control input is connected to control unit 50. In the case of the appl cation example shown on Figure 1 output aperture of blending vessel 20 is connected to filter 27 which filters the air getting into the inhaled air pipe 21. As the device makes possible for the patient and the air from ati'.c.sphere a direct contact, a system comprising three filters could secure, that the patient should not contact directly with any contamination. One filter for bacterium to filter the bacteria getting in with the air of atmosphere, one filter pollen to get rid of the pollens which could cause even an allergic fit, and a filter of dusk to filter the dusk and found in the air which could be often found in the city air.

In the case of application example of the device based on the invention shown on Figure 2 instead of exhaled air vessel 40 a compressed air vessel 60 is used, where exhaled air pipe 11 is connected directly to the air pipe 43 opened to the atmosphere.

In case of this version of the device the CO ₂ vessel 30 and compressed air vessel 60 are connected to a blending valve 28 placed in the blending vessel 20.

The controllable input of the blending valve 28 is connected to the appropriate output of the control unit 50 also. The filtering of the inhaled air is not needed in this case, as the blending vessel 20 is not connected with the atmosphere and so the inhalable fresh air is not from there.

In case an 0 ₂ vessel or compressed air vessel is used besides a C0 ₂ vessel, on the one hand it is possible to set the oxygen and carbon dioxide rate of the air inhaled by the patient more precisely within certain limits, on the other hand the patient can be completely isolated breaths fresh air again. In the case of the first implementation, it is important that in case exhaled oxygen level is low, the air is not recommended to redirect. In this case the fresh air of the atmosphere should be used, whici contains the normal inspiration oxygen concentration. This can be mixed with an appropriate amount of therapeutic CC . In this case, instead of the shuttle valve 35, a blending valve 28 should be applied. In this case, due to the open system, the inhaled C0 ₂ concentration can be adjusted in such a way that the 02 level can also be kept at an appropriate value .

The size of the blending vessel 20 has to be selected in such a way that the mixed air is sufficient even for multiple respiratory cycles. The exhausted compressed air and CO ₂ vessels always need to be replaced therefore it is desirable to also display the filling level of the vessels .

Figures 3 and 4 show the time diagrams of the CO2 concentration figures measured in the inhaled and exhaled air in different therapy cycles using the device based on invention. In case of hyperventilation, the alveolar CO2 concentration decreases which results in rapid breathing and increased respiratory rate. During the rapid breathing, ventilation becomes inappropriate, the body does not get sufficient amount of oxygen, and the C0 ₂ level decreases further. In this case, if the C0 ₂ concentration measured in the exhaled air gets below 4 % that can be considered as abnormal, and normally results in hyperventilation.

In the case represented on Figure 3 the C0 ₂ content of the exhaled air decreased only in a small compass, which treatment with using the procedure described concerning Figure 3.

The device based on ^~ he subject invention occasionally could be used also for treatment acute symptoms or even continuous monitoring and treatment if needed.

The subject matter of the invention could be used also for therapeutic tasks in helping respiratory.

Generating automatic respiratory reflex the method could teach the patient right breathing, conditioning by will after words, decreasing the chance to start a hyperventilation fit again. Completing the CART respiratory therapy with the device based on the invention the hyperventilation fits of patients who are panic diseased could even more effectively decreased and besides the fits of asthmatic patients could be decreased also .

As most of the asthmatic and panic diseased patient can feel the start of a fit directly before developing, with the recommended device based on the invention the C0 ₂ poor state causing the fit could be avoided. With subject procedure all the medicines for treatment and preventing hyperventilation could be replaced, which means lower costs to the patient for long time and the decreases drug loading and risks of side effects of medicines.

Concerning all these points of view the subject matter of the invention can improve the quality of life of the patients, suffering in diseases as described above, on a significant way.

Although the subject matter of the invention was described only through two application examples in details, it doesn't mean to limit the protection and scope of subject patent, application to these examples.