Nasal and oral patient interfaces

• US 10,105,099 B2
• Filed: 12/04/2013
• Issued: 10/23/2018
• Est. Priority Date: 08/04/2006
• Status: Active Grant

• Current Assignee: Philips RS North America LLC (Koninklijke Philips N.V.)
• Original Assignee: Koninklijke Philips N.V.
• Inventors: Jaffe, Michael B., Bustamante, Ivan, Golden, Kimberly A., Terry, Randall J., Tuxbury, Patrick, Triunfo, Jr., John A., Pierry, Anthony T., Kenny, Gregory, Pannozzo, Anthony, DePiano, John, Anderson, Julia Rose, Hyman, Eric, McKeown, Deirdre
• Primary Examiner(s): Dixon, Annette
• Application Number:
  US14/096,242
• Publication Number:
  US 20140094669A1
• Time in Patent Office: 1,784 Days
• Field of Search: 12820024, 12820025, 12820026, 12820028, 12820113, 12820118, 12820123, 12820312, 12820313, 12820318, 12820322, 12820326, 12820413, 12820414, 12820418, 12820421, 12820423, 12820424, 12820425, 12820426, 12820513, 12820523, 12820525, 12820527, 12820611, 12820614, 12820615, 12820617, 12820625, 12820627, 12820711, 12820713, 12820714, 12820715, 12820717, 12820718, 128849, 128852, 128857, 128858, 128863, 128910, 128912, 128DIG 26
• CPC Class Codes: A61B 5/0205 Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
• CPC Class Codes: A61B 5/02427 Details of sensor
• CPC Class Codes: A61B 5/14552 Details of sensors specially adapted therefor
• CPC Class Codes: A61B 5/6819 Nose
• CPC Class Codes: A61M 16/0051 with alarm devices
• CPC Class Codes: A61M 16/024 including calculation means, e.g. using a processor
• CPC Class Codes: A61M 16/0666 Nasal cannulas or tubing devices for improving normal breathing through the nose A61F5/08; nose filters A62B23/06; outside holding devices A61M25/02
• CPC Class Codes: A61M 16/0683 Holding devices therefor
• CPC Class Codes: A61M 16/0688 by means of an adhesive
• CPC Class Codes: A61M 16/0841 for sampling
• CPC Class Codes: A61M 16/085 Gas sampling
• CPC Class Codes: A61M 16/0858 Pressure sampling ports
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2205/0216 Materials providing elastic properties, e.g. for facilitating deformation and avoid breaking
• CPC Class Codes: A61M 2205/3569 sublocal, e.g. between console and disposable
• CPC Class Codes: A61M 2205/3592 using telemetric means, e.g. radio or optical transmission
• CPC Class Codes: A61M 2210/0618 Nose
• CPC Class Codes: A61M 2210/0625 Mouth
• CPC Class Codes: A61M 2230/205 partial oxygen pressure (P-O2)
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)

Abstract

A patient interface for communicating fluids to and/or from a patient'"'"'s nasal cavity and/or oral cavity is disclosed. In addition, a patient interface for fluid and physiological function monitoring proximate to the patient'"'"'s nasal cavity and/or oral cavity is disclosed. An apnea monitor and a method for monitoring apnea are also disclosed.

Claims

1. A patient interface comprising:

an appliance portion including;

a body portion configured to communicate with a fluid path;

a nostril interface extending from the body portion, wherein the nostril interface is configured such that the nostril interface does not completely block a nostril of a patient'"'"'s nose responsive to being received by the nostril;

a first securement portion extending from the body portion and disposed proximate the nostril interface, wherein the first securement portion is configured to engage an exterior surface of a portion of the patient'"'"'s nose to secure the patient interface to the patient'"'"'s nose; and

a second securement portion extending from the body portion and disposed more proximate to the nostril interface than the first securement portion, wherein the second securement portion is configured to engage an interior surface of the portion of the patient'"'"'s nose to cooperate with the first securement portion so as to clamp the portion of the patient'"'"'s nose therebetween.

2. The patient interface according to claim 1, further comprising a physiological function sensor connected with the appliance portion, the physiological function sensor being configured to engage a skin of the patient'"'"'s nose and generate a signal based upon a physiological function measurement, wherein the physiological function sensor comprises an emitter for emitting a signal and a detector for detecting the signal.

3. The patient interface according to claim 2, wherein at least a portion of the physiological function sensor is disposed on the first securement portion such that the portion of the physiological function sensor is configured to engage the exterior surface of the portion of the patient'"'"'s nose.

4. The patient interface according to claim 3, wherein

(a) the emitter and the detector are disposed on the first securement portion and are configured to engage the exterior surface of the patient'"'"'s nose,

(b) the emitter is disposed on the first securement portion and is configured to engage the exterior surface of the portion of the patient'"'"'s nose and the detector is configured to be disposed within the nostril and to engage an interior surface of the portion of the patient'"'"'s nose,

(c) the detector is disposed on the first securement portion and is configured to engage the exterior surface of the portion of the patient'"'"'s nose and the emitter is configured to be disposed within the nostril and to engage an interior surface of the portion of the patient'"'"'s nose, or

(d) the emitter and the detector are configured to be disposed within the nostril and to engage the interior surface of the portion of the patient'"'"'s nose.

5. The patient interface according to claim 2, wherein the emitter and the detector are biased toward each other.

6. The patient interface according to claim 1, wherein the nostril interface and the first securement portion are integral with the body portion.

7. The patient interface according to claim 1, wherein a resiliency of the first securement portion and the nostril interface is configured to enable clamping of an alar sidewall portion of the patient'"'"'s nose therebetween.

8. The patient interface according to claim 7, wherein the nostril interface and the first securement portion are integral with the body portion.

9. The patient interface of claim 1, wherein the body portion and the nostril interface are U-shaped.

10. The patient interface of claim 1, wherein the nostril interface is configured to extend generally over an end of the patient'"'"'s nose and into a nostril of the patient responsive to be donned by the patient and to provide fluid communication between the nostril and the fluid path.

11. The patient interface of claim 1, wherein the first securement portion is configured to clamp the body portion to the patient'"'"'s nose.

12. The patient interface of claim 1, wherein the second securement portion is separated from the nostril interface.

13. The patient interface of claim 1, further comprising a tubing that defines the fluid path, wherein the tubing is coupled to the nostril interface.

14. The patient interface of claim 13, further comprising a strap coupled to the tubing and configured to support the tubing, wherein the strap is configured to be received by an ear of a patient.

15. The patient interface of claim 1, further comprising a further nostril interface extending from the body portion and operatively coupled to a further fluid path, wherein the body portion is configured to communicate with the further fluid path.

16. The patient interface of claim 1, further comprising:

a fluid delivery portion that extends from the body portion and includes a plurality of openings which are in fluid communication with the fluid path;

a first tubing that defines the fluid path; and

a second tubing that defines a further fluid path,

wherein the first tubing is coupled to the nostril interface and the second tubing is coupled to the fluid delivery portion.

17. The patient interface of claim 16, where a number and a size of the plurality of opening are alterable.

18. A patient interface comprising:

a U-shaped body portion configured to communicate with a first fluid path and a second fluid path, the body portion being configured to engage an exterior surface of a nose of a patient responsive to being donned by a patient;

a U-shaped first nostril interface extending from the body portion, wherein the first nostril interface communicates with the first fluid path, and wherein the first nostril interface is configured to extend generally over an end of the nose of the patient and into a first nostril of the patient responsive to being donned by the patient and is sized and configured such that the first nostril interface does not completely block the first nostril responsive to being donned by the patient;

a U-shaped second nostril interface extending from the body portion and operatively coupled to the second fluid path, wherein the second nostril interface is configured to extend over the end of the nose of the patient and into a second nostril of the patient responsive to being donned by the patient and is sized and configured such that second first nostril interface does not completely block the second nostril responsive to being donned by the patient;

a first tubing that defines the first fluid path, where the first tubing is coupled to the first nostril interface;

a second tubing that defines the second fluid path, where the second tubing is coupled to the second nostril interface;

a first securement portion extending from the body portion proximate the first nostril interface; and

a second securement portion extending from the body portion and disposed more proximate to the first nostril interface than the first securement portion, wherein the second securement portion is configured to engage the interior surface of the portion of the patient'"'"'s nose to cooperate with the first securement portion so as to clamp the portion of the patient'"'"'s nose therebetween.

19. The patient interface of claim 18, wherein the second securement portion is separated from the first nostril interface.

20. The patient interface of claim 18, further comprising a strap coupled to the first tubing and the second tubing and configured to support the first tubing and the second tubing, wherein the strap is configured to be received by an ear of a patient.