Method and device for non-invasive ventilation with nasal interface

• US 8,573,219 B2
• Filed: 12/09/2011
• Issued: 11/05/2013
• Est. Priority Date: 08/18/2003
• Status: Active Grant

• Current Assignee: Breathe Technologies, Inc. (Baxter International Inc.)
• Original Assignee: Breathe Technologies, Inc. (Baxter International Inc.)
• Inventors: Wondka, Anthony D.
• Primary Examiner(s): Dixon, Annette
• Application Number:
  US13/316,219
• Publication Number:
  US 20120073576A1
• Time in Patent Office: 697 Days
• Field of Search: 128/200.24, 128/200.26, 128/206.21, 128/207.13, 128/207.14, 128/207.18, 604174-180, 243/36, 243/39, 245/79, 245/75, 245/89, 246/69, 247/02, 403/389, 403/385, 403/397, 403/406.1, 403/340, 403/373, 403/314, 403/309, 403/364, 403/339, 403/331
• US Class Current: 128/207.18
• CPC Class Codes: A61M 16/0009 with sub-atmospheric pressure, e.g. during expiration
• CPC Class Codes: A61M 16/0066 Blowers or centrifugal pumps
• CPC Class Codes: A61M 16/021 operated by electrical means A61M16/202 – A61M16/205 take precedence
• CPC Class Codes: A61M 16/06 Respiratory or anaesthetic masks
• CPC Class Codes: A61M 16/0605 Means for improving the adaptation of the mask to the patient
• 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 16/0816 Joints or connectors
• CPC Class Codes: A61M 16/0833 T- or Y-type connectors, e.g. Y-piece
• CPC Class Codes: A61M 16/107 in the inspiratory path
• CPC Class Codes: A61M 2205/0205 Materials having antiseptic or antimicrobial properties, e.g. silver compounds, rubber with sterilising agent
• CPC Class Codes: A61M 2205/0238 the material being a coating or protective layer
• CPC Class Codes: A61M 2205/75 with filters
• CPC Class Codes: A61M 2209/06 Packaging for specific medical equipment

Abstract

A nasal ventilation interface including a pair of tubes configured to deliver a ventilation gas. The tubes are attachable at a first end to a ventilation gas supply hose and engageable at a second end with a person'"'"'s nostril. A coupler is configured to align the pair of tubes with the person'"'"'s nostrils, wherein each tube has an absence of pneumatic interconnection with the other tube.

Claims

1. A nasal ventilation interface for the purpose of supplying ventilation gas to a person'"'"'s airway, the interface comprising:

a generally tubular construction with a distal end configured with a first and a second tube for engagement with a person'"'"'s nostrils and each defining an angulated fenestration in alignment with and directly opposed to a nostril opening, the angulated fenestration being diagonally oriented with respect to a person'"'"'s face to define a nostril airflow direction outward from the face and downward from the nostril, a proximal end configured for attachment to a ventilation gas supply hose;

a coupler connecting the first and second distal ends of the tubes; and

a lifting device applied substantially directly under the nose to the distal end of the first and second tubes, wherein the lift creates and maintains an upward engagement force between the respective first and second distal ends of the tubes and the nostrils, and maintains the angulated fenestration oriented along the nostril airflow direction.

2. The interface of claim 1, wherein the lifting device is a first strap attachable to the distal end of the tubes via the coupler.

3. The interface of claim 2, wherein the first strap comprises two ends, wherein the two ends extend bilaterally away from the nose and join at the back or side of the head.

4. The interface of claim 2, wherein the first strap further comprises a malleable member.

5. The interface of claim 2, wherein the first strap further comprises a shape memory member.

6. The interface of claim 2, wherein the tension and location of the first strap are adjustable.

7. The interface of claim 2, further comprising a facial pad, wherein the facial pad is attachable to the first strap and positions the distal end of the interface beneath the nose.

8. A nasal ventilation interface apparatus for the purpose of supplying ventilation gas to a person'"'"'s airway, the apparatus comprising:

a generally tubular construction with a distal end comprising a first and second tube configured to engage a person'"'"'s nostrils and each defining an angulated fenestration in alignment with and directly opposed to a nostril opening, the angulated fenestration being diagonally oriented with respect to a person'"'"'s face to define a nostril airflow direction outward from the face and downward from the nostril, and a proximal end configured to attach to a ventilation gas supply hose, wherein the distal end comprises a facial pad positioned between the tubes and skin between the user'"'"'s nose and upper lip, and wherein the facial pad cushions the user'"'"'s shin and tilts the distal end of the tubes to maintain the angulated fenestration oriented along the nostril airflow direction and align each of the first tube and the second tube with a rim of the user'"'"'s nostrils.

9. The apparatus of claim 8, wherein the facial pad is comprised of a viscoelastic material and the pair of tubes are comprised of a plastic material.

10. The apparatus of claim 8, wherein the facial pad is comprised of an energy absorption material.

11. The apparatus of claim 8, wherein the facial pad is adjustable or a variety of facial pad sizes can be interchanged.

12. The apparatus of claim 8, wherein the facial pad is integral to a coupler, a head strap connector, the first and second tubes, or sealing cushions.

13. The apparatus of claim 8, wherein the facial pad is attached to a head strap connector with a hinge.

14. A nasal ventilation interface apparatus for the purpose of supplying ventilation gas to a person'"'"'s airway comprising:

a generally tubular construction with a distal end comprising a first and a second tube configured to engage a person'"'"'s nostrils and each defining an angulated fenestration in alignment with and directly opposed to a nostril opening, the angulated fenestration being diagonally oriented with respect to a person'"'"'s face to define a nostril airflow direction outward from the face and downward from the nostril, and a proximal end configured to attach to a ventilation gas supply hose,

a band member substantially circumventing the head from the chin to the top of the head, wherein the band member applies upward compression on the chin so as to bias the mouth in a close state, and

a first connector between the first tube and the band member and a second connector between the second tube and the band member, wherein the first connector and the second connector apply an upward lifting force on distal ends of the first tube and the second tube to maintain a seal with the nostrils, and maintain the angulated fenestration oriented along the nostril airflow direction.

15. The apparatus of claim 14, wherein the hand member provides an upward force on the distal end first and second tubes, wherein the force maintains compression between the nostrils and the distal ends of the first and second tubes wherein the compression substantially seals the first and second tubes to the nostrils.

16. The apparatus of claim 14, wherein the distal end of the tubes is generally circular and comprises an inner diameter generally approximately equal to or less than the diameter of the nostril opening of the user.

17. The apparatus of claim 16, wherein the distal end of the tubes has an inner diameter of about 6 mm to about 22 mm.