Systems and methods for delivery of therapeutic gas

1. An electronically controlled gas blending device, comprising:

a flow control channel in fluid communication with a therapeutic gas supply, wherein the flow control channel comprises:

at least one secondary subsystem flow control valve, wherein the at least one secondary subsystem flow control valve is configured to be in communication over a communication path with a therapeutic gas delivery system controller; and

two or more secondary subsystem flow sensors, wherein the two or more secondary subsystem flow sensors are in fluid communication with the at least one secondary subsystem flow control valve, and the two or more secondary subsystem flow sensors are configured to be in communication over a communication path with the therapeutic gas delivery system controller;

one or more inlets configured to connect to a gas supply;

one or more inlet flow sensors in fluid communication with at least one of the one or more inlets;

a blending junction in fluid communication with the one or more inlet flow sensors, and the blending junction is connected to and in fluid communication with the flow control channel; and

the therapeutic gas delivery system controller configured to be in electrical communication with at least one of the at least one secondary subsystem flow control valve and the at least one secondary subsystem flow sensor to form a feedback loop, and configured to:

receive a set dose of therapeutic gas from a primary gas delivery subsystem and a flow value from the one or more inlet flow sensors;

calculate a flow rate of the therapeutic gas through the two or more secondary subsystem flow sensors to provide a dose of the therapeutic gas exiting the blending junction; and

compare the dose of the therapeutic gas exiting the blending junction to the set dose.

2. The electronically controlled gas blending device of claim 1 , which further comprises a secondary subsystem shut-off valve in fluid communication with the flow control channel, and wherein the secondary subsystem shut-off valve is configured to have at least an open state and a closed state, and to be in communication over a communication path with the therapeutic gas delivery system controller.

3. The electronically controlled gas blending device of claim 2 , wherein the one or more inlet flow sensors are two or more inlet flow sensors in fluid communication with at least one of the one or more inlets, and the therapeutic gas delivery system controller is configured to receive a flow value from at least two of the two or more inlet flow sensors, and compare the two flow values to determine if the two or more inlet flow sensors are providing the same flow value.

4. The electronically controlled gas blending device of claim 1 , wherein the therapeutic gas delivery system controller is configured to receive a flow value from at least two of the two or more secondary subsystem flow sensors, and compare the two flow values to determine if the two or more secondary subsystem flow sensors are providing about the same flow value.

5. The electronically controlled gas blending device of claim 4 , wherein the therapeutic gas delivery system controller is configured to generate an alarm signal if the flow values from the two of the two or more secondary subsystem flow sensors are not about the same.

6. The electronically controlled gas blending device of claim 1 , which further comprises an outlet pressure sensor in fluid communication with the blending junction, and configured to be in communication over a communication path with the therapeutic gas delivery system controller, and the outlet pressure sensor communicates pressure values to the therapeutic gas delivery system controller, and the therapeutic gas delivery system controller is configured to detect pressure fluctuations in the outlet pressure sensor.

7. The electronically controlled gas blending device of claim 1 , which further comprises a flow regulating valve between and in fluid communication with the flow control channel and the blending junction, wherein the flow regulating valve is configured to direct a flow of therapeutic gas to either the blending junction or to an outlet.

8. The electronically controlled gas blending device of claim 1 , which further comprises an over-pressure valve in fluid communication with the one or more inlet flow sensors and an external vent, wherein the over-pressure valve is configured to open at a predetermined pressure to avoid pressure surges from the one or more inlets to the one or more inlet flow sensors.

9. The electronically controlled gas blending device of claim 1 , which further comprises a secondary subsystem shut-off valve in fluid communication with the flow control channel and wherein the therapeutic gas delivery system controller is configured to receive a signal indicating a failure of another flow control channel and communicate a signal to the secondary subsystem shut-off valve to transition from a closed state to an open state.

10. A therapeutic gas delivery system, comprising:

at least one gas supply subsystem;

at least one primary gas delivery subsystem comprising at least one primary flow control channel;

at least one secondary gas delivery subsystem comprising:

at least one secondary flow control channel comprising:

two or more secondary subsystem flow sensors, wherein the two or more secondary subsystem flow sensors are in fluid communication with a secondary subsystem flow control valve, and where the two or more secondary subsystem flow sensors are configured to be in communication over a communication path with a therapeutic gas delivery system controller,

wherein the secondary subsystem flow control valve is in fluid communication with a secondary subsystem shut-off valve, and the secondary subsystem shut-off valve and secondary subsystem flow control valve are arranged in series; and

the therapeutic gas delivery system controller is configured to:

receive a set dose of therapeutic gas from the primary gas delivery subsystem; and

be in electrical communication with at least the secondary subsystem flow control valve and the secondary subsystem flow sensor to form a feedback loop, wherein the feedback loop maintains the set dose from the primary gas delivery subsystem.

11. The therapeutic gas delivery system of claim 10 , wherein the at least one primary gas delivery subsystem is controlled by a primary gas delivery subsystem controller, and the at least one secondary gas delivery subsystem is controlled separately by a secondary gas delivery subsystem controller.

12. The therapeutic gas delivery system of claim 10 , wherein the secondary subsystem shut-off valve is in fluid communication with the gas supply subsystem and the secondary subsystem flow control valve, and is configured to have at least an open state and a closed state; and the therapeutic gas delivery system controller is configured to receive a failure signal from the at least one primary gas delivery subsystem, and communicate a signal to the secondary subsystem shut-off valve to transition from the closed state to the open state if the failure signal is received.

13. The therapeutic gas delivery system of claim 12 , wherein the therapeutic gas delivery system controller comprises a primary gas delivery system controller and a secondary gas delivery system controller, and the secondary gas delivery system controller is configured to communicate a signal to the secondary subsystem shut-off valve to transition from the closed state to the open state to avoid interruption of therapeutic gas flow from the gas supply subsystem to a patient without input from a user if a failure of the primary gas delivery system controller is detected.

14. The therapeutic gas delivery system of claim 12 , which further comprises an outlet in fluid communication with the at least one primary gas delivery subsystem and the at least one secondary gas delivery subsystem, wherein the at least one secondary gas delivery subsystem is configured to deliver a therapeutic gas to the outlet in the event of a failure of the at least one primary gas delivery subsystem.

15. The therapeutic gas delivery system of claim 14 , which further comprises a breathing circuit comprising an injector module, wherein the injector module is configured to be in fluid communication with a respirator and the outlet, and the at least one secondary gas delivery subsystem is configured to deliver a therapeutic gas to the injector module at the set dose of the primary gas delivery subsystem to avoid sudden changes in the dose of therapeutic gas.

16. The therapeutic gas delivery system of claim 14 , wherein the at least one primary gas delivery subsystem and the at least one secondary gas delivery subsystem are configured to provide a flow of therapeutic gas in parallel.

17. The therapeutic gas delivery system of claim 16 , wherein the at least one secondary gas delivery subsystem further comprises a flow regulating valve between and in fluid communication with the secondary flow control channel and a blending junction, wherein the flow regulating valve is configured to direct a flow of therapeutic gas to a low pressure outlet concurrently with flow of the therapeutic gas to the outlet from the primary gas delivery subsystem.

18. The therapeutic gas delivery system of claim 17 , wherein the flow regulating valve is configured to automatically direct a flow of therapeutic gas to the outlet of the primary gas delivery system in the event the primary gas delivery subsystem fails.

19. The therapeutic gas delivery system of claim 18 , which further comprises at least one display, wherein the therapeutic gas delivery system controller is configured to provide an alarm on the at least one display to alert a user to the failure.

20. The therapeutic gas delivery system of claim 14 , wherein the therapeutic gas delivery system is configured to provide a regulated dose of therapeutic gas to the outlet utilizing only one functioning gas supply subsystem and only one functioning flow control channel.

21. An electronically controlled gas blending device, comprising:

a flow control channel in fluid communication with a therapeutic gas supply, wherein the flow control channel comprises:

at least one secondary subsystem flow control valve, wherein the at least one flow control valve is configured to be in communication over a communication path with a therapeutic gas delivery system controller; and

at least two secondary subsystem flow sensors, wherein the at least two secondary subsystem flow sensors are in fluid communication with the at least one secondary subsystem flow control valve, and the at least two secondary subsystem flow sensors are configured to be in communication over a communication path with the therapeutic gas delivery system controller;

one or more low pressure inlets configured to connect to a gas supply, comprising O 2 and/or air wherein the O 2 and/or air is from a wall source and/or pressurized cylinder;

two or more inlet flow sensors in fluid communication with at least one of the one or more low pressure inlets, wherein the two or more inlet flow sensors are arranged in series with each other;

a blending junction in fluid communication with the two or more inlet flow sensors, and the blending junction is connected to and in fluid communication with the flow control channel; and

a therapeutic gas delivery system controller comprising hardware, software, firmware, or a combination thereof, configured to:

receive a set dose of therapeutic gas from a primary gas delivery subsystem;

be in electrical communication with at least the secondary subsystem flow control valve and the at least one of the at least two secondary subsystem flow sensors to form a feedback loop,

receive a flow value from at least one of the two or more inlet flow sensors;

calculate a flow rate of therapeutic gas through the at least two secondary subsystem flow sensors to provide a dose of therapeutic gas exiting the blending junction; and

compare the dose of the therapeutic gas exiting the blending junction to the set dose.