Patient interface assembly for CPAP respiratory apparatus

• US 7,931,023 B2
• Filed: 01/29/2007
• Issued: 04/26/2011
• Est. Priority Date: 12/20/1991
• Status: Expired due to Fees

• Current Assignee: Resmed Limited (ResMed Incorporated)
• Original Assignee: Resmed Limited (ResMed Incorporated)
• Inventors: Lynch, Christopher Edward, Calluaud, Michel, Sullivan, Colin Edward, Berthon-Jones, Michael
• Primary Examiner(s): MATTER, KRISTEN CLARETTE
• Application Number:
  US11/698,894
• Publication Number:
  US 20070119454A1
• Time in Patent Office: 1,548 Days
• Field of Search: 128/200.24, 128/200.28, 128/201.22, 128/202.27, 128/203.12, 128/203.29, 128/204.11, 128/204.12, 128/205.25, 128/205.27, 128/206.12, 128/206.13, 128/206.14, 128/206.21, 128/206.27, 128/207.13, 128/207.18, 138/118, 138/119, 138/121
• US Class Current: 128/204.21
• CPC Class Codes: A61M 16/00 Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes stimulating the respiratory movement by mechanical, pneumatic or electrical means, iron lungs combined with gas breathing means A61H31/00
• CPC Class Codes: A61M 16/0069 the speed thereof being controlled by respiratory parameters, e.g. by inhalation
• CPC Class Codes: A61M 16/022 Control means 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 16/0633 with forehead support
• CPC Class Codes: A61M 16/0677 Gas-saving devices therefor
• CPC Class Codes: A61M 16/0683 Holding devices therefor
• CPC Class Codes: A61M 16/08 Bellows; Connecting tubes having means for taking samples G01N1/22; Water traps; Patient circuits
• CPC Class Codes: A61M 16/0825 with ball-sockets
• CPC Class Codes: A61M 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 16/0858 Pressure sampling ports
• CPC Class Codes: A61M 16/1045 Devices for humidifying or heating the inspired gas by using recovered moisture or heat from the expired gas
• CPC Class Codes: A61M 2016/0039 in the inspiratory circuit
• CPC Class Codes: A61M 2210/0618 Nose

Abstract

A patient interface assembly adapted to be connected to a gas supply pump to deliver pressurized breathable gas to the inlet of a patient'"'"'s respiratory system includes a patient interface structured to provide a seal with the patient and at least one inlet tube provided to the patient interface. Each inlet tube includes a substantially flat lower side wall to face the patient and a substantially arcuate upper side wall.

Claims

1. A patient interface assembly adapted to be connected to a gas supply pump to deliver pressurized breathable gas to a patient, comprising:

a patient interface in the form of a nasal-only mask or nasal prongs adapted to seal with the patient'"'"'s nostrils to provide pressurized gas to the patient in the range of about 5-20 cmH₂O for the administration of CPAP therapy, the patient interface including an aperture;

one and only one supply tube connected to the patient interface, said supply tube being flexible along at least a part thereof and having a first end portion connected to the aperture of the patient interface and a second end portion connected to a swivel connector, the first end portion having an internal diameter ranging between about 9-15 mm; and

at least one strap structured to hold the patient interface in position on the patient'"'"'s head, the at least one strap adapted to pass around the rear of the patient'"'"'s head,

wherein the swivel connector includes a bore that is substantially larger than the diameter of the one and only one supply tube to connect to a gas delivery tube having an internal diameter of about 20 mm, whereby, in use, pressure swings that would otherwise result from a change in diameter are compensated for by controlling the pressure in the patient interface.

2. The patient interface assembly according to claim 1, wherein the first end portion of the supply tube has a first cross-sectional area, and the gas delivery tube has a second cross-sectional area, and the first cross-sectional area is at least about 50% to about 80% less than the second cross-sectional area.

3. The patient interface assembly according to claim 1, further comprising a sensor or transducer at or near the patient interface to generate a signal used to control the pressure in the patient interface.

4. A patient interface assembly adapted to be connected to a gas supply pump to deliver pressurized breathable gas to a patient, comprising:

a patient interface in the form of a nasal-only mask or nasal prongs adapted to seal with the patient'"'"'s nostrils to provide pressurized gas to the patient in the range of about 5-20 cmH₂O for the administration of CPAP therapy, the patient interface including an a swivel elbow;

one and only one supply tube provided to the patient interface, the one and only one supply tube having a first end portion connected to the swivel elbow of the patient interface and a second end portion provided with a swivel connector, the first end portion having an internal diameter ranging between about 9-15 mm, said supply tube being flexible between the first and second end portions; and

a harness assembly structured to hold the patient interface in position on the patient'"'"'s head, said harness assembly including a pair of upper straps positioned in use above the patient'"'"'s ears and a pair of lower straps positioned in use below the patient'"'"'s ears,

wherein the swivel connector includes a bore that is substantially larger than the diameter of the one and only one supply tube to connect to a gas delivery tube having an internal diameter of about 20 mm, whereby, in use, pressure swings that would otherwise result from a change in diameter are compensated for by controlling the pressure in the patient interface.

5. The patient interface assembly as claimed in claim 4, wherein the length of said supply tube is no more than about 17 cm.

6. The patient interface assembly as claimed in claim 5, wherein the internal diameter of the one and only one supply tube closest to the swivel elbow is relatively small compared to the remainder of the one and only one supply tube.

7. The patient interface assembly as claimed in claim 5, wherein the one and only one supply tube is coupled to the harness assembly to extend across the forehead and over the top of the patient'"'"'s head in use.

8. The patient interface assembly according to claim 4, wherein the first end portion of the supply tube has a first cross-sectional area, and the gas delivery tube has a second cross-sectional area, and the first cross-sectional area is at least about 50% to about 80% less than the second cross-sectional area.

9. The patient interface assembly according to claim 4, further comprising a sensor or transducer at or near the patient interface to generate a signal used to control the pressure in the patient interface.

10. A patient interface assembly adapted to be connected to a gas supply pump to deliver pressurized breathable gas to a patient, comprising:

a patient interface in the form of a nasal-only mask or nasal prongs adapted to seal with the patient'"'"'s nostrils to provide pressurized gas to the patient in the range of about 5-20 cmH₂O for the administration of CPAP therapy; and

a flexible supply tube in pressure communication with the patient interface,

wherein the patient interface includes an aperture to receive the entirety of the pressurized breathable gas supplied to the patient interface as a whole from the gas supply pump via the supply tube, said aperture defining a cross-sectional area that is less than a cross-sectional area of the supply tube at a position spaced away from or upstream of the patient interface, whereby, in use, pressure swings that would otherwise result from a change in cross-sectional area are compensated for by controlling the pressure in the patient interface.

11. The patient interface assembly as claimed in claim 10, wherein the supply tube consists of a single supply tube.

12. The patient interface assembly according to claim 10, wherein a cross-sectional area of said supply tube closest to the patient interface is at least about 50% to about 80% less than the cross-sectional area of the supply tube at a position spaced away from or upstream of the patient interface.

13. The patient interface assembly according to claim 10, further comprising a sensor or transducer at or near the patient interface to generate a signal used to control the pressure in the patient interface.

14. A patient interface assembly adapted to be connected to a gas supply pump to deliver pressurized breathable gas to a patient, comprising:

a patient interface in the form of a nasal-only mask or nasal prongs adapted to seal with the patient'"'"'s nostrils to provide pressurized gas to the patient in the range of about 5-20 cmH₂O for the administration of CPAP therapy, the patient interface including an aperture; and

a flexible supply conduit provided in the vicinity of the patient'"'"'s face having a first end portion connected to the aperture of the patient interface and a second end portion adapted to be in communication with the gas supply pump, the supply conduit having an internal diameter that reduces in size as gas is guided from the pump to the patient interface, whereby, in use, pressure swings that would otherwise result from a change in diameter are compensated for by controlling the pressure in the patient interface.

15. The patient interface assembly according to claim 14, wherein the supply conduit has a first diameter that receives gas from the pump and a second diameter in the vicinity to the patient interface for delivery of gas, said first diameter being greater than the second diameter.

16. The patient interface assembly according to claim 15, wherein the first diameter is about 20 mm, and the second diameter is about 9-15 mm.

17. The patient interface assembly according to claim 16, wherein beyond the vicinity of the patient'"'"'s face the flexible supply conduit has the first diameter of about 20 mm.

18. The patient interface assembly according to claim 16, wherein the second diameter of about 9-15 mm is limited to a vicinity of the patient'"'"'s face and head.

19. The patient interface assembly according to claim 16, wherein the second diameter of about 9-15 mm is limited to a vicinity of the patient'"'"'s face.

20. The patient interface assembly according to claim 16, wherein the flexible supply conduit has a diameter of about 20 mm between the second end portion and the gas supply pump.

21. The patient interface assembly according to claim 14, wherein the patient interface includes only one said supply conduit.

22. The patient interface assembly according to claim 14, wherein a first cross-sectional area of the first end portion is at least about 50% to about 80% less than a second cross-sectional area of the second end portion.

23. The patient interface assembly according to claim 14, further comprising a sensor or transducer at or near the patient interface to generate a signal used to control the pressure in the patient interface.

24. A patient interface assembly adapted to be connected to a gas supply pump to deliver pressurized breathable gas to a patient, said gas pump being configured to deliver the gas via a standard 20 mm diameter air delivery tube, the patient interface assembly comprising:

a patient interface in the form of a nasal-only mask or nasal prongs adapted to seal with the patient'"'"'s nostrils to provide pressurized gas to the patient in the range of about 5-20 cmH₂O for the administration of CPAP therapy, the patient interface including a swivel elbow;

one and only one supply tube providing communication of the gas between the air delivery tube and the patient interface, the supply tube having a first end portion connected to the swivel elbow of the patient interface and a second end portion connected to a swivel connector; and

at least one strap structured to hold the patient interface in position on the patient'"'"'s head, the at least one strap adapted to pass around the rear of the patient'"'"'s head,

wherein the supply tube includes a flexible reduced diameter portion relative to the air delivery tube as the gas is guided towards the patient interface in use, whereby, in use, pressure swings that would otherwise result from a change in diameter are compensated for by controlling the pressure in the patient interface.

25. The patient interface assembly according to claim 24, wherein the flexible reduced diameter portion is limited to a vicinity of the patient'"'"'s face and head.

26. The patient interface assembly according to claim 24, wherein the flexible reduced diameter portion is limited to a vicinity of the patient'"'"'s face.

27. The patient interface assembly according to claim 24, wherein the flexible reduced diameter portion of the supply tube has a cross-sectional area that is at least about 50% to about 80% less than a cross-sectional area of the air delivery tube.

28. The patient interface assembly according to claim 24, further comprising a sensor or transducer at or near the patient interface to generate a signal used to control the pressure in the patient interface.

29. A patient interface assembly adapted to be connected to a gas supply pump to deliver pressurized breathable gas to a patient, comprising:

a patient interface in the form of a nasal-only mask or nasal prongs adapted to seal with the patient'"'"'s nostrils to provide pressurized gas to the patient in the range of about 5-20 cmH₂O for the administration of CPAP therapy, the patient interface including a swivel elbow;

a flexible supply tube in the vicinity of the patient'"'"'s face having a first end portion connected to the swivel elbow of the patient interface and a second end portion provided with a swivel connector, the supply tube having an internal diameter of about 9-15 mm, wherein the internal diameter closest to the swivel elbow is relatively small compared to the remainder of the supply tube; and

at least one strap structured to hold the patient interface in position on the patient'"'"'s head, whereby, in use, pressure swings that would otherwise result from a change in diameter are compensated for by controlling the pressure in the patient interface.

30. The patient interface assembly according to claim 29, wherein the relatively small diameter of the supply tube closest to the swivel elbow results in reduced discomfort to the patient if the patient rolls on the supply tube in use and/or results in a reduced obtrusiveness of the supply tube to the patient in use.

31. The patient interface assembly according to claim 29, wherein a cross-sectional area of the supply tube closest to the swivel elbow is at least about 50% to about 80% less than a cross-sectional area of the supply tube extending from the patient'"'"'s head.

32. The patient interface assembly according to claim 29, further comprising a sensor or transducer at or near the patient interface to generate a signal used to control the pressure in the patient interface.

33. A patient interface assembly adapted to be connected to a gas supply pump to deliver pressurized breathable gas to a patient, comprising:

a patient interface in the form of a nasal-only mask or nasal prongs adapted to seal with the patient'"'"'s nostrils to provide pressurized gas to the patient for the administration of CPAP therapy, the patient interface being a soft membrane including an aperture;

one and only one supply tube, said supply tube having a first end portion including an elbow connected to the aperture of the patient interface and a second end portion, an internal diameter of the one and only one supply tube closest to the patient interface being relatively small compared to the remainder of the one and only one supply tube, the supply tube being positioned in use to extend from the first end portion over a nose of the patient and between the patient'"'"'s eyes to the second end portion positioned on top of the patient'"'"'s head;

a plurality of exit apertures through which breathable gas exits to atmosphere, the exit apertures being disposed adjacent to the connection of the first end portion of the supply tube and the patient interface;

a swivel elbow connected to the second end portion of the supply tube, the swivel elbow having a first end portion connected to the second end portion of the supply tube and a second end portion for connecting to an air delivery tube in communication with the gas supply pump;

at least one head strap structured to hold the patient interface in position on the patient'"'"'s head, the at least one head strap adapted to pass around the rear of the patient'"'"'s head and over the patient'"'"'s ears in use; and

a supply tube strap structured to hold the second end of the supply tube in position on top of the patient'"'"'s head, the supply tube strap being positioned adjacent to the swivel elbow, wherein the relatively small portion of the one and only one supply tube closest to the patient interface is limited to a vicinity of the patient'"'"'s face and head, whereby, in use, pressure swings that would otherwise result from a change in diameter are compensated for by controlling the pressure in the patient interface.

34. The patient interface assembly according to claim 33, wherein the first end portion has an internal diameter ranging between about 9-15 mm.

35. The patient interface assembly according to claim 34, wherein the second end portion of the swivel elbow on top of the patient'"'"'s head has a diameter of about 20 mm.

36. The patient interface assembly according to claim 33, wherein at least a portion of the supply tube near the second end of the supply tube is flexible.

37. The patient interface assembly according to claim 33, wherein a portion of the supply tube extending from the first end portion and between the patient'"'"'s eyes has a constant diameter.

38. The patient interface assembly according to claim 33, wherein the internal diameter of the one and only one supply tube closest to the patient interface is between about 9-15 mm.

39. The patient interface assembly according to claim 33, wherein the relatively small portion of the one and only one supply tube closest to the patient interface is limited to a vicinity of the patient'"'"'s face.

40. The patient interface assembly according to claim 33, wherein a cross-sectional area of the supply tube closest to the patient interface is at least about 50% to about 80% less than a cross-sectional area of the remainder of the supply tube.

41. The patient interface assembly according to claim 33, wherein the relatively small internal diameter is limited to that portion of the supply tube between the first and second ends, and a diameter of the air delivery tube is about 20 mm from the second end of the supply tube to the gas supply pump.

42. The patient interface assembly according to claim 33, further comprising a sensor or transducer at or near the patient interface to generate a signal used to control the pressure in the patient interface.

43. A patient interface assembly adapted to be connected to a gas supply pump to deliver pressurized breathable gas to a patient, comprising:

a frame;

a patient interface mounted on the frame and including a pair of nasal prongs adapted to seal with the patient'"'"'s nostrils to provide pressurized gas to the patient for the administration of CPAP therapy;

one and only one supply tube, said supply tube being flexible and having a first end portion connected to the frame and a second end portion connected to a swivel connector, an internal diameter of the one and only one supply tube closest to the frame being relatively small compared to the remainder of the one and only one supply tube;

a plurality of exit apertures in said frame through which breathable gas exits to atmosphere; and

at least one head strap connected to the frame and structured to hold the patient interface in position on the patient'"'"'s head, the at least one head strap adapted to pass over the patient'"'"'s ears and over the top of the patient'"'"'s head in use, whereby, in use, pressure swings that would otherwise result from a change in diameter are compensated for by controlling the pressure in the patient interface.

44. The patient interface assembly according to claim 43, further comprising a supply tube strap structured to hold the second end of the supply tube in position, the supply tube strap positioned on the supply tube at a position adjacent to the swivel connector.

45. The patient interface assembly according to claim 43, wherein the first end portion has an internal diameter ranging between about 9-15 mm.

46. The patient interface assembly according to claim 45, wherein the second end portion has a diameter of about 20 mm.

47. The patient interface assembly according to claim 43, wherein the supply tube has a length of about 17 cm.

48. The patient interface assembly according to claim 43, wherein the internal diameter of the one and only one supply tube closest to the patient interface is between about 9-15 mm.

49. The patient interface assembly according to claim 43, wherein the relatively small internal diameter of the one and only one supply tube closest to the frame is limited to a vicinity of the patient'"'"'s face and head.

50. The patient interface assembly according to claim 43, wherein a cross-sectional area of the supply tube closest to the frame is at least about 50% to about 80% less than a cross-sectional area of the supply tube at the second end portion.

51. The patient interface assembly according to claim 43, further comprising a sensor or transducer at or near the patient interface to generate a signal used to control the pressure in the patient interface.

52. A patient interface assembly adapted to be connected to a gas supply pump to deliver pressurized breathable gas to a patient, comprising:

a frame;

a patient interface connected to the frame in the form of a nasal-only mask adapted to seal with the patient'"'"'s nasal region to provide pressurized gas to the patient for the administration of CPAP therapy, the patient interface being a soft membrane;

one and only one supply tube, said supply tube being flexible and having a first end portion connected to a swivel elbow provided to the frame, and a second end portion connected to a swivel connector, an internal diameter of the one and only one supply tube closest to the patient interface being relatively small compared to the remainder of the one and only one supply tube;

at least one exit aperture in said supply tube through which breathable gas exits to atmosphere;

a harness assembly structured to hold the patient interface in position on the patient'"'"'s head, said harness assembly including a pair of upper straps positioned in use above the patient'"'"'s ears, a pair of lower straps positioned in use below the patient'"'"'s ears, and a central strap positioned on top of the patient'"'"'s head in use; and

a supply tube strap structured to hold the second end of the supply tube in position, the supply tube strap positioned on the supply tube at a position adjacent to the swivel connector, whereby, in use, pressure swings that would otherwise result from a change in diameter are compensated for by controlling the pressure in the patient interface.

53. The patient interface assembly according to claim 52, wherein the first end portion has an internal diameter ranging between about 9-15 mm.

54. The patient interface assembly according to claim 53, wherein the second end portion has a diameter of about 20 mm.

55. The patient interface assembly according to claim 52, wherein the internal diameter of the one and only one supply tube closest to the patient interface is between about 9-15 mm, said supply tube being dimensioned to extend at least partly across the patient'"'"'s face and/or head.

56. The patient interface assembly according to claim 52, wherein the second end portion of the supply tube is attached to the central strap.

57. The patient interface assembly according to claim 56, wherein a small diameter portion of the supply tube extends from the first end portion and is dimensioned to extend between the patient'"'"'s eyes in use.

58. The patient interface assembly according to claim 57, wherein the supply tube has a length of no more than about 17 cm.

59. The patient interface assembly according to claim 52, wherein the relatively small internal diameter of the one and only one supply tube closest to the frame is limited to a vicinity of the patient'"'"'s face and head.

60. The patient interface assembly according to claim 52, wherein a cross-sectional area of the supply tube closest to the patient interface is at least about 50% to about 80% less than a cross-sectional area of the remainder of the supply tube.

61. The patient interface assembly according to claim 52, further comprising a sensor or transducer at or near the patient interface to generate a signal used to control the pressure in the patient interface.