fig1 shows a schematic view of a limb compression device 1 , such as a stocking , that has a bladder chamber 2 into which fits an inflatable bladder ( not shown ). a tube 3 connects a bladder within chamber 2 to a pulsing pump device 4 . the stocking and bladder form no part of this invention and are shown only for background information . this invention relates to the pulsating pump device 4 and to its structure and method of inflating the patient compression device . the pumping device 4 is a small portable unit weighing only approximately 16 pounds . to provide a very quick and reliable rise time in inflating the bladder , the compressor has an output of more than 520 mm hg ( 10 psi ). an output of 780 mm hg ( 15 psi ) works very well , but the output pressure could be 1040 mm hg ( 20 psi ), if desired . the compressor provides air to the system controlled by a pressure regulator 30 ( fig4 ), to provide an intermediate control pressure of approximately 260 mm hg ( 5 psi ). depending on the rise time and plateau pressure desired , this intermediate control pressure could be within the range of 140 mm hg ( 2 psi ) to 520 mm hg ( 10 psi ). an air compressor that merely puts out 260 mm hg ( 5 psi ) could be more likely to vary in its output pressure under differing loads on the motor during start up , etc . this could change the inflation pressure at the 5 second delay time . a compressor has been previously tried which put out 260 mm hg ( 5 psi ), but it was unsuccessful because of the inordinately long period of time it took to inflate the bladder . it might be possible that a compressor putting out 260 mm hg ( 5 psi ) which included a very large compressed air storage tank , such as used in gasoline stations to inflate tires , might provide the proper inflation time because of the large backup air supply reservoir . however , such large and cumbersome compressor would not be practical for portable hospital use . the compressor described in the present application is preferably used without a storage tank to reduce costs and weight . in applicant &# 39 ; s device compressed air from the 260 mm hg ( 5 psi ) regulator valve 30 ( fig4 ) valve is supplied directly to the compression stocking to inflate its bladder to approximately 60 mm hg ( 1 . 2 psi ) in the preferred 5 second time . there is no storage tank . as shown in fig2 the fast rise portion is shown as numeral 5 on the graph . the pressure reaches a peak , preferably in the range of 5 to 10 mm hg above the plateau pressure of 50 to 70 mm hg , in a period of 3 to 7 seconds . the pressure increase is then halted with a timing means to establish a generally constant plateau pressure for at least 10 seconds ( shown in fig2 as approximately 14 seconds ). in fig2 this plateau pressure is illustrated as 60 mm hg , and after approximately 14 seconds , a timing means actuates the deflation of the bladder . from fig2 it can be seen that the pressure is maintained above 30 mm hg ( 0 . 6 psi ) for a considerably long time , i . e . 20 seconds , but could be in the range of 15 to 25 seconds . the plateau pressure , approximately 60 mm hg ( 1 . 2 psi ), is maintained for at least 10 seconds at a generally constant pressure . while it is recognized there might be slight fluctuations in the plateau pressure , such fluctuations would be within a pressure range of 8 mm hg or less . the pressure versus time graph of fig2 shows only the sequence of the inflation , pressure peak , plateau , and relief ( deflation ). fig3 shows how these sequences are combined for alternating pulses between the patient &# 39 ; s left and right legs which both have compression devices , such as shown in fig1 . for each leg , the cycle is approximately 80 seconds long and thereafter repeats itself . it is noted in fig3 that the rise time plus the peak and plateau time for one leg is 20 seconds , while the time between terminating the plateau pressure of that particular leg and start of the rise time of the opposite leg is also 20 seconds . therefore , a simple alternating or pulse timer , as will be explained later , can control a compressor output with a repeating timing sequence of 20 seconds &# 34 ; on &# 34 ; and 20 seconds &# 34 ; off &# 34 ;. for purposes of this application , the rise time is defined as the time to reach the peak pressure . it is understood that the peak pressure is shown schematically and in practice may have a more tapered blending with the plateau pressure . still referring to fig2 and 3 , the sharp rise time of approximately 5 seconds to approximately 70 mm hg ( 1 . 4 psi ) is controlled by a 5 second delay timer . the tolerance on such timer is between 4 . 5 and 5 . 5 seconds . in fig2 as the compressor starts to inflate the bladder of the compression device , the delay timer kicks in after 5 seconds and opens a valve that is set at 60 mm hg ( 1 . 2 psi ). this causes the pressure rise to stop and establish a generally constant plateau pressure for a period of 10 seconds or more . it has been found that the peak and the plateau pressures are more easily controllable by measuring the time rather than the pressure . because of a controlled intermediate pressure from regulator 30 supplying the stocking bladder , a given period of time , i . e . 5 seconds , will establish the desired peak and plateau pressure of approximately 70 mm hg and 60 mm hg respectively . the interrelationship between the pulse timer and delay timer which are electrically coupled is best seen in fig3 . at time zero , the pulse timer begins its &# 34 ; on &# 34 ; cycle for 20 seconds , and at the same time the 5 second delay timer begins its count . at the end of 5 seconds , the peak pressure of approximately 65 - 70 mm hg has been reached . the delay timer actuates solenoid valve 22 so that an approximately constant plateau pressure is maintained . because the compressor is still running while air is bleeding out of the solenoid valve 22 and pressure relief valve 26 , this tends to dampen out the fluctuations in the generally constant plateau pressure . at the end of its 20 second &# 34 ; on &# 34 ; time , the pulse timer sequences to its 20 second &# 34 ; off &# 34 ; time and shuts off the compressor output . valve 23 or 25 exhausts air through the respective valve from port 2 to port 3 during the &# 34 ; off &# 34 ; time , causing the bladders to deflate to atmospheric pressure with approximately 15 seconds . at the end of its 20 second &# 34 ; off &# 34 ; time , the pulse timer starts the compressor output and switches the inflation to the bladder of the opposite leg . initiation of the &# 34 ; on &# 34 ; cycle also triggers the delay timer which begins its 5 second count . after the second leg bladder has been inflated and deflated , the cycle , which takes approximately 80 seconds , has been completed . it has been found that the very fast rise time , the peak pressure , the period of pressure of above 30 mm hg , and the generally constant plateau pressure for at least 10 seconds , provides improved blood flow stimulation . such pressure and time profiles are generated by the interreaction of the pulse timer , the delay timer , the compressor and its pressure relief valves . the schematic electrical and air diagrams describing the interrelationship of these parts is shown in fig4 . here a grounding type plug 10 for connecting to a 120 volt , 60 hz power supply is provided . the current l1 is routed through the cord , fuse 11 , and through a lighted double pole on - off switch 12 to a pulse timer 13 . the constant output pulses of the timer consist of 20 seconds &# 34 ; on &# 34 ; time followed by 20 seconds &# 34 ; off &# 34 ; time . a first &# 34 ; on &# 34 ; pulse energizes the coil of an alternating relay 14 latching to a relay armature causing contact 15 and 16 to be made . contact 17 has assumed the position designated as r during the previous &# 34 ; off &# 34 ; period of the timer . the two positions of contact 17 indicate right bladder and left bladder . the circuit as shown in fig4 is completed to l2 . current flows from contact 15 to the capacitor 18 of motor 19 which drives compressor 20 . the circuit is also complete to the 5 second time delay relay 21 that is connected to a solenoid actuated valve 22 . during this condition , the motor driven compressor operates and the solenoid operated air valve 23 controlling the right bladder opens . simultaneous to the above , the time delay relay 21 , which is in series with the solenoid operated ( normally closed ) air escape valve 22 prevents the solenoid from being energized until 5 seconds have elapsed . this actions activates regulator 30 , causing the right bladder to fill to the established 60 mm hg pressure within the specified time of 5 seconds . the pressure indicator light 24 is illuminated . after 5 seconds have elapsed , the time delay relay completes the circuit to the solenoid actuated escape valve 22 allowing air to escape at a balanced rate from pressure relief valve 26 and maintain the generally constant peak pressure . upon completion of the pulse timer &# 39 ; s &# 34 ; on &# 34 ; pulse of 20 seconds , the relay coil 14 becomes deenergized , releasing the armature and interrupting contacts 15 and 16 . thus , current is interrupted to the motor driving the compressor and solenoid valves 23 or 25 . also , during the release of relay armature 14 , contact 17 assumes the left leg position l . during the ensuing 20 second &# 34 ; off &# 34 ; period of the pulse timer , air pressure in the right bladder is relieved through the air conduit through exhaust port 3 of valve 23 . another 20 second &# 34 ; on &# 34 ; period follows , again causing contacts 15 and 16 to be made . contact 17 has assumed position l during the preceding &# 34 ; off &# 34 ; period of the pulse timer . the solenoid air valve 25 of the left bladder opens . the sequence of operation is as described for the previous &# 34 ; on &# 34 ; period , except that air is now directed to the left leg bladder . the indicator light 24 is illuminated . another 20 second &# 34 ; off &# 34 ; period of the pulse timer follows , completing the total cycle time of 80 seconds . the cycle is then repeated . it is important that there be a primary pulse timer and a secondary delay timer to perform the functions described above . if desired , these two timers could be consolidated into a single component which performs these two separate timing functions . if desired , solenoid valves 23 and 25 could be consolidated into a single 4 - way valve to reduce cost . the function of the 4 - way valve would be the same as the two 3 - way valves . various types of timers can be used for the pulse timer and the time delay relay . examples are the solid state schmidt trigger , r - c circuit , or a binary counter device . in fig4 all the components within the dotted line could be replaced with a compact solid state timer board assembly . if desired , the solid state timer board assembly could be designed with an adjustment ( to be made by qualified technical personel ) to alter the peak spike pattern . the motor , compressor , timers , solenoid valves , etc . are preferably compactly packaged in a small case for easy portability . in the foregoing description , a specific example has been used to describe the invention . it is understood by those skilled in the art that certain modifications can be made to this example without departing from the spirit and scope of the invention .
a method and apparatus for sequentially inflating and deflating a compression device or the like to stimulate blood flow and prevent deep vein thrombosis . the apparatus includes an air compressor with a regulator valve providing fast inflation of such device to a pressure of approximately 60 mm hg within 3 to 7 seconds . a pulse timer and a delay timer in the system are coupled together for actuating the compressor and a pressure relief valve to peak and maintain a pressure in the device for a measured period of time .