Nasal mask cushion assembly

• US 6,634,358 B2
• Filed: 05/08/2000
• Issued: 10/21/2003
• Est. Priority Date: 07/26/1996
• Status: Expired due to Term

• Current Assignee: Resmed Limited (ResMed Incorporated)
• Original Assignee: Resmed Limited (ResMed Incorporated)
• Inventors: Kwok, Philip Rodney, Styles, Robert Edward
• Primary Examiner(s): Lewis, Aaron J.
• Application Number:
  US09/566,806
• Publication Number:
  US 20020005200A1
• Time in Patent Office: 1,261 Days
• Field of Search: 128/205.25, 128/206.24, 128/207.11
• US Class Current: 128/205.25
• CPC Class Codes: A61B 5/097 Devices for facilitating collection of breath or for directing breath into or through measuring devices
• CPC Class Codes: A61B 5/6819 Nose
• CPC Class Codes: A61B 5/682 Mouth, e.g., oral cavity; tongue; Lips; Teeth
• CPC Class Codes: A61M 16/0057 Pumps therefor
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/0616 with face sealing means comprising a flap or membrane projecting inwards, such that sealing increases with increasing inhalation gas pressure
• CPC Class Codes: A61M 16/0622 having an underlying cushion
• CPC Class Codes: A61M 16/0633 with forehead support
• CPC Class Codes: A61M 16/0683 Holding devices therefor
• CPC Class Codes: A61M 2210/0618 Nose

Abstract

A nasal cushion (30) comprises a substantially triangularly shaped frame (32) from which extends a membrane (34). The frame (32) has a scalloped edge (36) by which the cushion (30) is affixed to a mask body. The membrane (34) has an aperture (38) into which the wearer'"'"'s nose is received. The membrane (34) is spaced away from the rim (40) of the frame (32), and its outer surface (41) is of substantially the same shape as the rim (40). Respective notches (42,44) receive the bridge of the wearer'"'"'s nose. The wearer'"'"'s nose is received through the aperture (38) into the chamber within the mask body (46). The seal forming portion (45) thus contacts both the surface of the wearer'"'"'s nose and a portion of the wearer'"'"'s face in the region between the base of the nose and the upper lip, and around the sides and over the bridge of the nose. The shape of the seal forming portion (45) is particularly suited to effectively seal the difficult region of the facial contour that is the crease between the sides of the nose and the face.

Claims

1. A nasal mask cushion assembly to sealingly connect a nasal mask to a wearer'"'"'s face by adjusting tension on at least one tension strap connected to the nasal mask, the cushion assembly comprising:

a generally triangular shaped frame of resilient material, the frame including a nasal bridge region, a lip region, and two cheek regions connecting the nasal bridge and lip regions, the frame also including a rim having an outer surface and a notch in the nasal bridge region; and

a generally triangularly shaped open ended membrane of resilient material, the membrane including a nasal bridge region, a lip region, and two cheek regions connecting the nasal bridge and lip regions, the membrane also including a longitudinal axis extending generally from the nasal bridge region to the lip region and a generally saddle shaped outer surface, as seen in cross section along the longitudinal axis, adapted to deform and form a seal with the wearer'"'"'s face when the mask is in use, an inwardly curved rim with an open end spaced from the frame, the inwardly curved rim including an inner surface that opposes and surrounds the rim of the frame, and a notch in the nasal bridge region corresponding to the notch in the nasal bridge region of the frame, wherein

the inner surface of the inwardly curved rim of the membrane in the nasal bridge region of the membrane is spaced a distance from the outer surface of the rim of the frame in the nasal bridge region of the frame when the mask is not in use;

the inner surface of the membrane is substantially parallel to the outer surface of the frame in the lip and cheek regions;

the inner surface of the membrane includes at least one portion that diverges away from the outer surface of the frame in the nasal bridge region, as seen in cross section transverse to the longitudinal axis when the mask is not in use;

the membrane is more flexible than the frame; and

the distance between the inner surface of the membrane and the outer surface of the rim of the frame in the nasal bridge region is variable with the tension applied to the at least one tension strap.

2. A nasal mask cushion assembly according to claim 1, wherein the distance varies where the at least one portion of the membrane diverges away from the outer surface of the frame in the nasal bridge region.

3. A nasal mask cushion assembly according to claim 2, wherein the frame and the membrane are formed as an integral, one piece unit.

4. A nasal mask cushion assembly according to claim 1, wherein the frame and the membrane are formed as an integral, one piece unit.

5. A nasal mask cushion assembly according to claim 1, wherein the membrane is formed of silicon.

6. A nasal mask cushion assembly according to claim 5, wherein the membrane is molded.

7. A nasal mask cushion assembly according to claim 6, wherein the lip region of the membrane is adapted to contact an upper lip of the wearer'"'"'s face.

8. A nasal mask cushion assembly according to claim 7, wherein the membrane is molded to generally match the contours of the wearer'"'"'s face even when the mask is not in use.

9. A nasal mask cushion assembly according to claim 8, wherein the outer surface of the membrane is substantially the same shape as the rim of the frame at least in the lip and cheek regions.

10. A nasal mask cushion assembly according to claim 9, wherein the outer surface of the membrane and the rim of the frame are convex in relation to the wearer'"'"'s face.

11. A nasal mask cushion assembly according to claim 10, wherein the rim of the frame is desired to define a maximum deformation position of the membrane in normal use.

12. A nasal mask cushion assembly according to claim 11, wherein the outer surface forms a seal upon connection to the wearer'"'"'s face and application of a minimum force to the at least one tension strap.

13. A nasal mask cushion assembly according to claim 12, wherein the rim of the flame is an order of magnitude thicker than the membrane.

14. A nasal mask cushion assembly according to claim 13, wherein the rim of the frame is approximately 1.5 mm thick.

15. A nasal mask cushion assembly according to claim 13, wherein the membrane is approximately 0.35 mm thick.

16. A nasal mask cushion assembly according to claim 13, wherein the frame is formed of silicone.

17. A nasal mask cushion assembly according to claim 16, wherein the frame is molded.

18. A nasal mask cushion assembly according to claim 17, wherein the frame and the membrane are formed as a unitary one piece unit.

19. A nasal mask cushion assembly to sealingly connect a nasal mask to a wearer'"'"'s face by adjusting tension on at least one tension strap connected to the nasal mask, the cushion assembly comprising:

a generally triangularly shaped frame of resilient material, the frame including an inner surface, an outer surface, an aperture, and a rim defining the perimeter of the aperture, the rim including a notch in a region of the rim adapted to receive the bridge of the wearer'"'"'s nose; and

a generally triangularly shaped membrane of resilient material, the membrane including an aperture adapted to receive the wearer'"'"'s nose, an outer surface including a seal forming portion adapted to deform and form a seal over a portion of the wearer'"'"'s face in a region between the base of the nose and the upper lip and around the sides and over the bridge of the wearer'"'"'s nose when the mask is in use, an inner surface opposing the outer surface of the frame and spaced a first distance from the outer surface of the frame in at least the region of the frame adapted to receive the bridge of the wearer'"'"'s nose when the mask is in use, an edge defining the perimeter of the aperture, and a notch in a region of the membrane adapted to receive the bridge of the wearer'"'"'s nose, wherein

the membrane is more flexible than the frame;

the aperture of the frame is larger than the aperture of the membrane;

the edge of the membrane is spaced a second distance from the rim, the second distance being variable in the regions of the rim and the membrane adapted to receive the bridge of the wearer'"'"'s nose; and

the first distance between the outer surface of the frame and the inner surface of the membrane is variable with the tension applied to the at least one tension strap.

20. A nasal mask cushion assembly according to claim 19, wherein the frame and the membrane are formed in a single piece.

21. A nasal mask cushion assembly according to claim 19, wherein the membrane is formed of silicone.

22. A nasal mask cushion assembly according to claim 21, wherein the membrane is molded.

23. A nasal mask cushion assembly according to claim 22, wherein the membrane is molded to generally match the contours of the wearer'"'"'s face even when the mask is not in use.

24. A nasal mask cushion assembly according to claim 23, wherein the outer surface of the membrane is substantially the same shape as the rim of the frame in at least a lip and cheek regions of the assembly.

25. A nasal mask cushion assembly according to claim 24, wherein the outer surface of the membrane and the rim of the frame are convex in relation to the wearer'"'"'s face.

26. A nasal mask cushion assembly according to claim 25, wherein the rim of the frame is designed to define a maximum deformation position of the membrane in normal use.

27. A nasal mask cushion assembly according to claim 26, wherein the outer surface of the membrane forms a seal upon connection to the wearer'"'"'s face and application of a minimum force to the at least one tension strap.

28. A nasal mask cushion assembly according to claim 27, wherein the rim of the frame is an order of magnitude thicker than the membrane.

29. A nasal mask cushion assembly according to claim 28, wherein the rim of the frame is approximately 1.5 mm thick

30. A nasal mask cushion assembly according to claim 28, wherein the membrane is approximately 0.35 mm thick.

31. A nasal mask cushion assembly according to claim 27, wherein the frame is formed of silicone.

32. A nasal mask cushion assembly according to claim 31, wherein the frame is molded.

33. A nasal mask cushion assembly according to claim 32, wherein the frame and the membrane are formed as a unitary one piece unit.

34. A nasal mask cushion assembly to sealingly connect a nasal mask to a wearer'"'"'s face by adjusting tension on at least one tension strap connected to the nasal mask, the cushion assembly comprising:

a generally triangularly shaped frame of resilient material, the frame including a first side adapted to contact a mask body of the nasal mask, a second side opposite the first side, an aperture extending from the first side to the second side, a rim on the second side extending around the perimeter of the aperture, and a notch in the rim in a region adapted to receive the bridge of the wearer'"'"'s nose; and

a generally triangularly shaped membrane of resilient material, the membrane including an aperture adapted to receive the wearer'"'"'s nose, an edge defining the perimeter of the aperture, a notch in a region adapted to receive the bridge of the wearer'"'"'s nose, a first surface including a seal forming portion disposed around the perimeter of the aperture adapted to deform and form a seal over a portion of the wearer'"'"'s face in a region between the base of the nose and the upper lip and around the sides and over the bridge of the wearer'"'"'s nose when the mask is in use, a second surface opposite the first surface that surrounds and is spaced a first distance from the rim of the frame in at least the region adapted to receive the bridge of the wearer'"'"'s nose when the mask is in use, wherein

the membrane is more flexible than the frame;

the aperture of the membrane is smaller than the aperture of the frame;

the edge of the membrane is spaced a second distance from the rim of the frame, the second distance being variable in the regions of the membrane and the frame adapted to receive the bridge of the wearer'"'"'s nose;

the first distance between the second surface of the membrane and the rim of the frame is variable with the tension applied to the at least one tension strap.

35. A nasal mask cushion assembly according to claim 34, wherein the frame and the membrane are formed in a single piece.

36. A nasal mask cushion assembly according to claim 34, wherein the membrane is formed of silicone.

37. A nasal mask cushion assembly according to claim 36, wherein the membrane is molded.

38. A nasal mask cushion assembly according to claim 37, wherein the membrane is molded to generally match the contours of the wearer'"'"'s face even when the mask is not in use.

39. A nasal mask cushion assembly according to claim 38, wherein the outer surface of the membrane is substantially the same shape as the rim of the frame in at least a lip and cheek regions of the assembly.

40. A nasal mask cushion assembly according to claim 39, wherein the second surface of the membrane and the rim of the frame are convex in relation to the wearer'"'"'s face.

41. A nasal mask cushion assembly according to claim 40, wherein the rim of the frame is designed to define a maximum deformation position of the membrane in normal use.

42. A nasal mask cushion assembly according to claim 41, wherein the seal forming portion forms a seal upon connection to the wearer'"'"'s face and application of a minimum force to the at least one tension strap.

43. A nasal mask cushion assembly according to claim 42, wherein the rim of the frame is at least an order of magnitude thicker than the membrane.

44. A nasal mask cushion assembly according to claim 43, wherein the rim of the frame is approximately 1.5 mm thick.

45. A nasal mask cushion assembly according to claim 43, wherein the membrane is approximately 0.35 mm thick.

46. A nasal mask cushion assembly according to claim 42, wherein the frame is formed of silicone.

47. A nasal mask cushion assembly according to claim 46, wherein the frame is molded.

48. A nasal mask cushion assembly according to claim 47, wherein the frame and the membrane are formed as a unitary one piece unit.

49. A nasal mask for connection to a wearer'"'"'s face comprising:

a mask body for connection with a supply of breathable gas; and

a nasal cushion secured to said mask body, the body and cushion forming a nose-receiving cavity, said cushion including;

a nasal bridge region, a cheek region and a lip region;

a substantially triangularly-shaped first membrane of resilient material having a first molded rim that at least partially surrounds a wearer'"'"'s nose, at least a portion of the first molded rim being inwardly curved; and

a second membrane also of resilient material, said second membrane having a second molded rim that is inwardly curved, said second molded rim being fixed to and extending away from said first membrane so as to have a second membrane inner surface spaced a distance from an outer surface of said first molded rim, a portion of said second molded rim forming a face contacting seal that is preformed to generally match the facial contours of the wearer;

wherein said seal portion is substantially coterminous with respect to said second molded rim and is resiliently deformable towards said first membrane in use of said mask, at least a portion of the second molded rim remaining spaced from the first molded rim when the mask is connected to the wearer'"'"'s face.

50. The nasal mask of claim 49, further comprising an arm coupled to and extending above the nasal bridge region of the mask, the arm including an oblong slot positioned on each lateral side of the arm to receive a strap.

51. The nasal mask of claim 50, further comprising a single resilient pad mounted on the arm and centered above the nasal bridge region of the mask.

52. The nasal mask of claim 49, wherein the second membrane is conformable, in use, to various facial structures with minimum force.

53. The nasal mask of claim 52, wherein a maximum deformation position of the second membrane is defined by the first membrane.

54. The nasal mask of claim 53, wherein the maximum deformation position is not reached under normal tightening force of the mask to the wearer'"'"'s face.

55. The nasal mask of claim 54, wherein the first and second membranes are formed as a one-piece unit.

56. The nasal mask of claim 55, wherein the first membrane is thicker than the second membrane.

57. A nasal mask according to claim 49, wherein the membrane is formed of silicone.

58. A nasal mask according to claim 57, wherein the lip region of the mask is adapted to contact an upper lip of the wearer'"'"'s face.

59. A nasal mask according to claim 58, wherein the second membrane is molded to generally match the contours of the wearer'"'"'s face even when the mask is not in use.

60. A nasal mask according to claim 59, wherein an outer surface of the second membrane is substantially the same shape as the first molded rim of the first membrane in at least the lip and cheek regions.

61. A nasal mask according to claim 60, wherein the second molded rim and the first molded rim are convex in relation to the wearer'"'"'s face.

62. A nasal mask according to claim 61, wherein the first molded rim of the first membrane is designed to define a maximum deformation position of the second membrane in normal use.

63. A nasal mask according to claim 62, wherein the seal portion forms a seal upon connection to the wearer'"'"'s face and application of a minimum force to a strap connected to the mask body.

64. A nasal mask according to claim 63, wherein the first molded rim is an order of magnitude thicker than second membrane.

65. A nasal mask according to claim 64, wherein the first molded rim is approximately 1.5 mm thick.

66. A nasal mask according to claim 64, wherein the second membrane is approximately 0.35 mm thick.

67. A nasal mask according to claim 63, wherein the first membrane is formed of silicone.

68. A nasal mask according to claim 67, wherein the first and second membranes are formed as a unitary one piece unit.

69. A cushion and mask assembly comprising:

a mask including a mask shell constructed to receive a supply of breathable air, an arm extending away from the mask shell and including an oblong slot positioned on each lateral side of the arm to receive a strap, and at least one resilient pad mounted on the arm; and

a cushion having a main upstanding wall, the wall having a first end removably coupleable to the mask and a second end defining an opening into a nasal cavity formed by the mask and the cushion, the wall including a first membrane positioned between the first and second ends and extending inwardly onto the nasal cavity, the second end of the wall defining a second membrane being shaped to generally match facial contours of a wearer and so as to form a seal over a portion of the wearer'"'"'s face in a region between the base of the nose and the upper lip and around the sides and over the bridge of the wearer'"'"'s nose when the mask is in use, the second membrane being spaced from the first membrane to define a gap having a width that is greater than a thickness of the first membrane, the first membrane having a width that is less than a distance from an intersection of the second membrane and the wall to an edge of the second membrane defining an aperture of the nasal cavity, the second membrane overhanging and covering substantially all portions of the first membrane, the first membrane acting to define a maximum deformation position of the second membrane in use.

70. The cushion and mask assembly of claim 69, wherein the second membrane s conformable, in use, to various facial structures with minimum force.

71. The cushion and mask assembly of claim 70, wherein the first and second membranes are formed as a one-piece unit.

72. The cushion and mask assembly of claim 71, wherein the first membrane is thicker than the second membrane.

73. A cushion and mask assembly according to claim 69, wherein the second membrane is formed of silicone.

74. A cushion and mask assembly according to claim 73, wherein the second membrane is molded.

75. A cushion and mask assembly according to claim 74, wherein the second membrane is substantially the same shape as the first membrane in at least a lip and cheek regions of the assembly.

76. A cushion and mask assembly according to claim 75, wherein the first and second membranes are convex in relation to the wearer'"'"'s face.

77. A cushion and mask assembly according to claim 76, wherein the second membrane forms a seal upon connection to the wearer'"'"'s face and application of a minimum force to the strap.

78. A cushion and mask assembly according to claim 77, wherein the first membrane is an order of magnitude thicker than the second membrane.

79. A cushion and mask assembly according to claim 78, wherein the first membrane is approximately 1.5 mm thick.

80. A cushion and mask assembly according to claim 78, wherein the second membrane is approximately 0.35 mm thick.

81. A cushion and mask assembly according to claim 77, wherein the first membrane is formed of silicone.

82. A cushion and mask assembly according to claim 81, wherein the first membrane is molded.

83. A cushion and mask assembly according to claim 82, wherein the first and second membranes are formed as a unitary one piece unit.

84. A nasal mask cushion to sealingly connect a mask to a wearer'"'"'s face, the cushion comprising:

a nasal bridge region, a cheek region and a lip region;

a first membrane comprising a substantially triangularly-shaped frame of resilient material having a first molded rim of said first membrane; and

a second membrane of resilient material, said second membrane being thinner than said first membrane, said second membrane having a second molded rim that is inwardly curved, said second rim spaced a first distance from said first rim in said lip region and said second rim spaced a second distance from said first rim in said nasal bridge region, said second distance greater than said first distance, said distances measured when the mask is not in use, a portion of said second membrane curved rim forming a face contacting seal.

85. A nasal cushion as claimed in claim 84, wherein said second molded rim and said first molded rim have a co-located notch to accommodate the bridge of a wearer'"'"'s nose.

86. A nasal cushion as claimed in claim 85, wherein said first molded rim and said second molded rim are substantially saddle-shaped.

87. A nasal cushion as claimed in claim 86, wherein said second membrane is shaped so that said seal portion, in use, contacts at least a wearer'"'"'s nose.

88. A nasal cushion as claimed in claim 87, wherein said seal portion, in use, contacts the facial tissue around the sides and over the bridge of the nose, and between the base of the nose and the top lip.

89. A nasal cushion as claimed in claim 88, wherein said second rim and seal portion are shaped to generally match facial contours in the region of facial tissue around the sides and over the bridge of the nose, and between the base of the nose and top lip.

90. The nasal mask cushion of claim 87, wherein the first and second membranes comprise one molded piece, without being adhered together by an adhesive.

91. The nasal mask cushion of claim 90, wherein the first molded inwardly curved rim of said first membrane is approximately 1.5 mm thick.

92. The nasal mask cushion of claim 91, wherein the second molded inwardly curved rim of the second membrane is approximately 0.35 mm thick.

93. A nasal mask cushion according to claim 84, wherein the second membrane is formed of silicone.

94. A nasal mask cushion according to claim 93, wherein the lip region is adapted to contact an upper lip of the wearer'"'"'s face.

95. A nasal mask cushion according to claim 94, wherein the second membrane is molded to generally watch the contours of the wearer'"'"'s face even when the mask is not in use.

96. A nasal mask cushion according to claim 95, wherein an outer surface of the second membrane is substantially the same shape as the first molded rim of the first membrane.

97. A nasal mask cushion according to claim 96, wherein the outer surface of the second membrane and the first molded rim of the frame are convex in relation to the wearer'"'"'s face.

98. A nasal mask cushion according to claim 97, wherein the first molded rim is designed to define a maximum deformation position of the second membrane in normal use.

99. A nasal mask cushion according to claim 98, wherein the seal portion forms a seal upon connection to the wearer'"'"'s face and application of a minimum force to a swap connected to the mask.

100. A nasal mask cushion according to claim 99, wherein the first molded run is an order of magnitude thicker than the second membrane.

101. A nasal mask cushion according to claim 100, wherein the first molded rim of the frame is approximately 1.5 mm thick.

102. A nasal mask cushion according to claim 100, wherein the second membrane is approximately 0.35 mm thick.

103. A nasal mask cushion according to claim 99, wherein the first membrane is formed of silicone.

104. A nasal mask cushion according to claim 103, wherein the first membrane and the second membrane are formed as a unitary one piece unit.

105. A nasal mask cushion assembly to sealingly connect a nasal mask to a wearer'"'"'s face by adjusting tension on at least one tension strap connected to the nasal mask, the cushion assembly comprising:

a generally triangular shaped frame of resilient material, the frame including a nasal bridge region, a lip region, and two cheek regions connecting the nasal bridge and lip regions, the frame also including a rim having an outer surface; and

a generally triangularly shaped open ended membrane of resilient material, the membrane including a nasal bridge region, a lip region, and two cheek regions connecting the nasal bridge and lip regions, the membrane also including a longitudinal axis extending generally from the nasal bridge region to the lip region and an outer surface adapted to deform and form a seal with the wearer'"'"'s face when the mask is in use, an inwardly curved rim with an open end spaced from the frame, the inwardly curved rim including an inner surface that opposes and surrounds the rim of the frame, and a notch in the nasal bridge region, wherein

the inner surface of the inwardly curved rim of the membrane in the nasal bridge region of the membrane is spaced a distance from the frame in the nasal bridge region of the frame when the mask is not in use;

the inner surface of the membrane is substantially parallel to the outer surface of the frame in the lip and check regions;

the inner surface of the membrane includes at least one portion that diverges away from the frame in the nasal bridge region, as seen in cross section transverse to the longitudinal axis when the mask is not in use;

the membrane is more flexible than the frame; and

the distance between the inner surface of the membrane and the frame in the nasal bridge region is variable with the tension applied to the at least one tension strap.

106. A nasal mask cushion assembly according to claim 105, wherein the membrane is formed of silicone.

107. A nasal mask cushion assembly according to claim 106, wherein the membrane is molded.

108. A nasal mask cushion assembly according to claim 107, wherein the lip region of the membrane is adapted to contact an upper lip of the wearer'"'"'s face.

109. A nasal mask cushion assembly according to claim 108, wherein the membrane is molded to generally match to contours of the wearer'"'"'s face even when the mask is not in use.

110. A nasal mask cushion assembly according to claim 109, wherein the distance varies where the at least one portion of the membrane diverges away from the outer surface of the frame in the nasal bridge region.

111. A nasal mask cushion assembly according to claim 110, wherein an edge of the inwardly curved rim of the membrane is spaced a second distance from the rim of the frame.

112. A nasal mask cushion assembly according to claim 111, wherein the second distance varies.

113. A nasal mask cushion assembly according to claim 112, wherein the outer surface of the membrane is substantially the same shape as the rim of the frame at least in the lip and cheek regions.

114. A nasal mask cushion assembly according to claim 113, wherein the outer surface of the membrane and the rim of the frame are convex in relation to the wearer'"'"'s face.

115. A nasal mask cushion assembly according to claim 114, wherein the rim of the frame is designed to define a maximum deformation position of the membrane in normal use.

116. A nasal mask cushion assembly according to claim 115, wherein the outer surface forms a seal upon connection to the wearer'"'"'s face and application of a minimum force to the least one tension strap.

117. A nasal mask cushion assembly according to claim 116, wherein the rim of the frame is an order of magnitude thicker than the membrane.

118. A nasal mask cushion assembly according to claim 117, wherein the rim of the frame is approximately 1.5 mm thick.

119. A nasal mask cushion assembly according to claim 117, wherein the membrane is approximately 0.35 mm thick.

120. A nasal mask cushion assembly according to claim 116, wherein the frame is molded.

121. A nasal mask cushion assembly according to claim 120, wherein the frame is formed of silicone.

122. A nasal mask cushion assembly according to claim 121, wherein the frame and the membrane are formed as a unitary one piece unit.

123. A nasal mask for connection to a wearer'"'"'s face, comprising:

a mask body for connection with a supply of breathable gas; and

a nasal cushion secured to said mask body, the mask body and cushion forming a nose-receiving cavity, said cushion including;

a nasal bridge region, a cheek region and an upper lip region;

a substantially triangularly-shaped inner support member of resilient material having a first surface that at least partially surrounds a wearer'"'"'s nose, at least a portion of the first surface being inwardly curved, and a notch in the nasal bridge region; and

an outer membrane also of resilient material, said outer membrane having a rim that is inwardly curved and a notch in the nasal bridge region aligned with the notch in the inner support member, said rim being structured so as to have an inner surface at least a portion of which is spaced from said first surface of said inner support member in at least the upper lip region when the mask is not in use, a portion of said rim forming a seal portion, wherein;

said seal portion is substantially coterminous with respect to said rim and is resiliently deformable towards said inner support member in use of said mask,

the outer membrane is molded of silicone,

the outer membrane is preformed to generally match the contours of the wearer'"'"'s face even when the mask is not in use, and

the rim of the outer membrane and the first surface of the inner support member are convex in relation to the wearer'"'"'s face.

124. A nasal mask according to claim 123, wherein the inner surface of the outer membrane is spaced from the first surface of the inner support member in at least a portion of the cheek region as well as the upper lip region.

125. A nasal mask according to claim 124, wherein the first surface of the inner support member is designed to define a maximum deformation position of the outer membrane in normal use.

126. A nasal mask according to claim 125, wherein the outer membrane is more flexible than the inner support member.

127. A nasal mask according to claim 125, wherein the seal portion forms a seal upon connection to the wearer'"'"'s face and application of a minimum force to a strap connected to the mask body.

128. A nasal mask according to claim 127, wherein the first surface of the inner support member is an order of magnitude thicker than the rim of the outer membrane.

129. A nasal mask according to claim 123, wherein the inner support member and the outer membrane are formed as a single piece.

130. A nasal mask according to claim 123, wherein at least a portion of the rim of the outer membrane is structured to remain spaced from the first surface of the inner support member when the mask is connected to the wearer'"'"'s face.