Respirator and/or anesthesia supply apparatus

Claim 2

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means and exhalation conduit means for removal of an exhaled has stream from said patient, supply means for supplying said gas stream to said ventilator means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contact with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, and manual pump means associated with said propellant gas stream, said manual pump means is inflated in part by said propellant gas whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient.

Claim 3

The apparatus of claim 1, wherein said gas stream comprises a mixture of a plurality of gases, and wherein said supply means comprises a plurality of gas source means for each of said plurality of gases, and further including mixing means for mixing said plurality of gases to form said gas stream therefrom.

Claim 4

The apparatus of claim 1 including inhalation transfer conduit means between said inhalation conduit means and said inner surface of said movable wall member.

Claim 5

The apparatus of claim 3, wherein said inhalation transfer conduit means includes check valve means for preventing return flow of said gas stream from said inhalation conduit to said inner surface of said movable wall member.

Claim 6

The apparatus of claim 4, wherein said inhalation transfer conduit means includes throttle means between said check valve means and said inner surface of said movable wall member.

Claim 7

The apparatus of claim 4, including inhalation shunt conduit means connecting said supply means directly to said inhalation conduit means, and including supply valve means for selectively supplying said gas stream to either said inhalation shunt means or said inhalation transfer conduit means.

Claim 8

The apparatus of claim 1 wherein said movable wall member comprises a compressible bag member.

Claim 9

The apparatus of claim 7 including a rigid propellant gas stream chamber, and wherein said compressible bag member is enclosed within said rigid propellant gas stream chamber.

Claim 10

The apparatus of claim 7, wherein said compressible bag member comprises a bellows.

Claim 11

The apparatus of claim 1, wherein said propellant gas stream conduit means includes relief valve means whereby the existence of a predetermined maximum pressure within said propellant gas stream conduit means causes said relief valve means to open.

Claim 12

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contact with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit member including propellant gas stream valve means, manual pump means associated with said propellant gas stream, and manual pump conduit means connecting said manual pump means to outer surface of said movable wall member, said manual pump conduit means being connected to said propellant gas stream valve means, said manual pump means is inflated in part by said propellant gas whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient, and whereby said propellant gas stream valve means is actuated upon activation of said manual pump means to open said manual pump conduit means and to simultaneously close said propellant gas stream conduit means.

Claim 13

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contact with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit member including propellant gas stream valve means, manual pump means associated with said propellant gas stream, and manual pump conduit means connecting said manual pump means to outer surface of said movable wall member, said manual pump conduit means being connected to said propellant gas stream valve means, said manual pump means is inflated in part by said propellant gas whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient, and whereby said propellant gas stream valve means is actuated upon activation of said manual pump means to open said manual pump conduit means and to simultaneously close said propellant gas stream conduit means.

Claim 14

The apparatus of claim 11, including supply means for supplying said gas stream to said ventilator means.

Claim 15

The apparatus of claim 12, wherein said gas stream comprises a mixture of a plurality of gases, and wherein said supply means comprises a plurality of gas source means for each of said plurality of gases, and further including mixing means for mixing said plurality of gases to from said gas stream therefrom.

Claim 16

The apparatus of claim 12 wherein said ventilator means includes exhalation conduit means for removal of an exhaled gas stream from said patient.

Claim 17

The apparatus of claim 14, including inhalation transfer conduit means between said inhalation conduit means and said inner surface of said movable wall member.

Claim 18

The apparatus of claim 15, wherein said inhalation transfer conduit means includes check valve means for preventing return flow of said gas stream from said inhalation conduit to said inner surface of said movable wall member.

Claim 19

The apparatus of claim 16, wherein said inhalation transfer conduit means includes throttle means between said check valve means and said inner surface of said movable wall member.

Claim 20

The apparatus of claim 13, wherein said propellant gas stream conduit means includes supply conduit means for supplying at least one of said plurality of gases to said outer surface of said movable wall member as said propellant gas stream.

Claim 21

The apparatus of claim 18, including reducing valve means contained in said propellant gas stream conduit means for controlling the pressure of said at least one gas being supplied to said outer surface of said movable wall member.

Claim 22

The apparatus of claim 11, wherein said movable wall member comprises a compressible bag member.

Claim 23

The apparatus of claim 20, including a rigid propellant gas stream chamber, and wherein said compressible bag member is enclosed within said rigid propellant gas stream chamber.

Claim 24

The apparatus of claim 20, wherein said compressible bag member comprises a bellows.

Claim 25

The apparatus of claim 11, including propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member.

Claim 26

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contract with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit member including propellant gas stream valve means, manual pump means associated with said propellant gas stream, and manual pump conduit means connecting said manual pump means to outer surface of said movable wall member, said manual pump conduit means being connected to said propellant gas stream valve means, such that when pressure is applied to said manual pump means, said manual pump means is inflated in part by said propellant gas, whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient, and whereby said propellant gas stream valve means is actuated upon activation of said manual pump means to open said manual pump conduit means and to simultaneously close said propellant gas stream conduit means.

Claim 27

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contract with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit member including propellant gas stream valve means, manual pump means associated with said propellant gas stream, and manual pump conduit means connecting said manual pump means to outer surface of said movable wall member, said manual pump conduit means being connected to said propellant gas stream valve means, such that when pressure is applied to said manual pump means, said manual pump means is inflated in part by said propellant gas, whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient, and whereby said propellant gas stream valve means is actuated upon activation of said manual pump means to open said manual pump conduit means and to simultaneously close said propellant gas stream conduit means.

Claim 28

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contract with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, inhalation transfer conduit means between said inhalation conduit means and said surface wall member, wherein said inhalation transfer conduit means includes check valve means for preventing return flow of said gas stream from said inhalation conduit to said inner surface of said movable wall member and throttle means between said check valve means and said inner surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit member including propellant gas stream valve means, and manual pump means associated with said propellant gas stream, and manual pump conduit means connecting said manual pump means to outer surface of said movable wall member, said manual pump conduit means being connected to said propellant gas stream valve means, whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient, and whereby said propellant gas stream valve means is actuated upon activation of said manual pump means to open said manual pump conduit means and to simultaneously close said propellant gas stream conduit means.

Claim 29

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contract with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, inhalation transfer conduit means between said inhalation conduit means and said surface wall member, wherein said inhalation transfer conduit means includes check valve means for preventing return flow of said gas stream from said inhalation conduit to said inner surface of said movable wall member and throttle means between said check valve means and said inner surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit member including propellant gas stream valve means, and manual pump means associated with said propellant gas stream, and manual pump conduit means connecting said manual pump means to outer surface of said movable wall member, said manual pump conduit means being connected to said propellant gas stream valve means, whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient, and whereby said propellant gas stream valve means is actuated upon activation of said manual pump means to open said manual pump conduit means and to simultaneously close said propellant gas stream conduit means.

Claim 30

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contact with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit means including relief valve means whereby the existence of a predetermined maximum pressure within said propellant gas stream conduit means causes said relief valve means to open, and manual pump means associated with said propellant gas stream, whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient.

Claim 31

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contact with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit means including relief valve means whereby the existence of a predetermined maximum pressure within said propellant gas stream conduit means causes said relief valve means to open, and manual pump means associated with said propellant gas stream, whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient.

Claim 32

The apparatus of claim 26, including supply means for supplying said gas stream to said ventilator.

Claim 33

The apparatus of claim 27, wherein said gas stream comprises a mixture of a plurality of gases, and wherein said supply means comprises a plurality of gas source means for each of said plurality of gases, and further including mixing means for mixing said plurality of gases to form said gas stream therefrom.

Claim 34

The apparatus of claim 27 wherein said ventilator means includes exhalation conduit means for removal of an exhaled gas stream from said patient.

Claim 35

The apparatus of claim 29 including inhalation transfer conduit means between said inhalation conduit means and said inner surface of said movable wall member.

Claim 36

The apparatus of claim 30, wherein said inhalation transfer conduit means includes check valve means for preventing return flow of said gas stream from said inhalation conduit to said inner surface of said movable wall member.

Claim 37

The apparatus of claim 31, wherein said inhalation transfer conduit means includes throttle means between said check valve means and said inner surface of said movable wall member.

Claim 38

The apparatus of claim 31, including inhalation shunt conduit means connecting said supply means directly to said inhalation conduit means, and including supply valve means for selectively supplying said gas stream to either said inhalation shunt means or said inhalation transfer conduit means.

Claim 39

The apparatus of claim 28, including propellant gas stream conduit means for supplying at least one of said plurality of gases to said outer surface of said movable wall member as said propellant gas stream.

Claim 40

The apparatus of claim 34 including reducing valve means contained in said propellant gas stream conduit means for controlling the pressure of said at least one gas being supplied to said outer surface of said movable wall member.

Claim 41

The apparatus of claim 34, including manual pump conduit means connecting said manual pump means to said outer surface means of said movable wall member, said propellant gas stream conduit means including propellant gas stream valve means, and said manual pump conduit means being connected to said propellant gas stream valve means, whereby said propellant gas stream valve means is actuated upon activation of said manual pump means to open said manual pump conduit means and to simultaneously close said propellant gas stream conduit means.

Claim 42

The apparatus of claim 26 wherein said movable wall member comprises a compressible bag member.

Claim 43

The apparatus of claim 37 including a rigid propellant gas stream chamber, and wherein said compressible bag member is enclosed within said rigid propellant gas stream chamber.

Claim 44

The apparatus of claim 37, wherein said compressible bag member comprises a bellows.

Claim 45

The apparatus of claim 36, wherein said propellant gas stream valve means has a normal operating condition in which said manual pump conduit means is closed and said propellant gas stream conduit means is open, and wherein said propellant gas stream valve means returns to said normal operating condition between actuations of said propellant gas stream valve means.

Claim 46

The apparatus of claim 40, including inhalation measuring means for measuring the flow of said gas stream being supplied to said patient when said propellant gas stream valve means is in normal operating condition, and for measuring the flow of said gas stream being supplied to said patient when said propellant gas stream valve means is actuated, whereby said flow of said gas stream being supplied to said patient can be continuously measured and integrated, and compared with a predetermined value.

Claim 47

The apparatus of claim 41, including inhalation transfer conduit means for connecting said inhalation conduit to said inner surface of said movable wall member, and wherein said inhalation transfer conduit means includes said inhalation measuring means for measuring the flow of said gas stream in said inhalation transfer conduit means, said inhalation measuring means comprising a gas flow meter.

Claim 48

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contract with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit member including propellant gas stream valve means, manual pump means associated with said propellant gas stream, and manual pump conduit means connecting said manual pump means to outer surface of said movable wall member, said manual pump conduit means being connected to said propellant gas stream valve means, whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient, and whereby said gas propellant gas stream valve means is actuated upon activation of said manual pump means to open said manual pump conduit means and to simultaneously close said propellant gas stream conduit means, said propellant gas stream valve means having a normal operating condition to which said manual pump conduit means is closed and said propellant gas stream conduit means is open, and wherein said propellant gas stream valve means returns to said normal operating condition between actuations of said propellant gas stream valve means.

Claim 49

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contract with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit member including propellant gas stream valve means, manual pump means associated with said propellant gas stream, and manual pump conduit means connecting said manual pump means to outer surface of said movable wall member, said manual pump conduit means being connected to said propellant gas stream valve means, whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient, and whereby said gas propellant gas stream valve means is actuated upon activation of said manual pump means to open said manual pump conduit means and to simultaneously close said propellant gas stream conduit means, said propellant gas stream valve means having a normal operating condition to which said manual pump conduit means is closed and said propellant gas stream conduit means is open, and wherein said propellant gas stream valve means returns to said normal operating condition between actuations of said propellant gas stream valve means.

Claim 50

The apparatus of claim 43, including inhalation measuring means for measuring the flow of said gas stream being supplied to said patient when said propellant gas stream valve means is in said normal operating condition, and for measuring the flow of said gas stream being supplied to said patient when said propellant gas stream valve means is actuated, whereby said flow of said gas stream being supplied to said patient can be continuously measured and integrated, and compared with a predetermined value.

Claim 51

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contract with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit member including propellant gas stream valve means, manual pump means associated with said propellant gas stream, wherein said propellant gas stream conduit means includes relief valve means whereby the existence of a predetermined maximum pressure within said propellant gas stream conduit means causes said relief valve means to open, and manual pump conduit means connecting said manual pump means to outer surface of said movable wall member, said manual pump conduit means being connected to said propellant gas stream valve means, whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient, and whereby said propellant gas stream valve means is actuated upon activation of said manual pump means to open said manual pump conduit means and to simultaneously close said propellant gas stream conduit means.

Claim 52

Apparatus for supplying a gas stream to a patient comprising ventilator means for delivering said gas stream to said patient, said ventilator means including inhalation means comprising inhalation conduit means, a movable wall member having an inner surface and an outer surface, said inner surface of said movable wall member being in contact with said gas stream and with said inhalation conduit means, and said outer surface of said movable wall member being separated from said gas stream and being in contract with a propellant gas stream, whereby an increase in pressure in said gas stream within said inner surface of said movable wall member can be created by the application of said propellant gas stream against said outer surface of said movable wall member, propellant gas stream conduit means for supplying said propellant gas stream to said outer surface of said movable wall member, said propellant gas stream conduit member including propellant gas stream valve means, manual pump means associated with said propellant gas stream, wherein said propellant gas stream conduit means includes relief valve means whereby the existence of a predetermined maximum pressure within said propellant gas stream conduit means causes said relief valve means to open, and manual pump conduit means connecting said manual pump means to outer surface of said movable wall member, said manual pump conduit means being connected to said propellant gas stream valve means, whereby an increased pressure can be created in said propellant gas stream, thereby resulting in the application of said propellant gas stream against said outer surface of said movable wall member by the actuation of said manual pump means, and a resultant increase in pressure in said gas stream within said inner surface of said movable wall member, thereby resulting in an increased flow of said gas stream through said inhalation conduit means to said patient, and whereby said propellant gas stream valve means is actuated upon activation of said manual pump means to open said manual pump conduit means and to simultaneously close said propellant gas stream conduit means.

Claim 53

The apparatus of claim 44, including inhalation transfer conduit means for connecting said inhalation conduit to said inner surface of said movable wall member, and wherein said inhalation transfer conduit means includes said inhalation measuring means for measuring the flow of said gas stream in said inhalation transfer conduit means, said inhalation measuring means comprising a gas flow meter.