Nasal and oral patient interface

• US 8,161,971 B2
• Filed: 08/01/2007
• Issued: 04/24/2012
• Est. Priority Date: 08/04/2006
• Status: Active Grant

• Current Assignee: Philips RS North America LLC (Koninklijke Philips N.V.)
• Original Assignee: RIC INVESTMENTS LLC (Respironics Incorporated)
• Inventors: Jaffe, Michael B., Bustamante, Ivan, Golden, Kimberly A., Terry, Randall J., Tuxbury, Patrick, Triunfo, John A. Jr., Pierry, Anthony T., Kenny, Gregory, Pannozzo, Anthony, DePiano, John, Anderson, Julia Rose, Hyman, Eric, McKeown, Deirdre
• Primary Examiner(s): Dixon, Annette
• Application Number:
  US11/888,677
• Publication Number:
  US 20080190436A1
• Time in Patent Office: 1,728 Days
• Field of Search: 128/857, 128/858, 128/863, 128/200.24, 128/200.26, 128/203.12, 128/203.13, 128/203.18, 128/203.22, 128/204.18, 128/206.11, 128/207.13, 128/207.18, 128/DIG.26, 604/93.01, 604/94.01, 604/174, 604/516, 604/164.04, 604/103.03, 600/484, 600/529, 600/532
• US Class Current: 128/206.11
• 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:

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

a first securement portion extending from the body portion proximate the first nostril interface, wherein, in use, the securement portion is constructed and arranged to engage only an exterior alar sidewall surface of the patient'"'"'s nose to clamp the body portion to the patient'"'"'s nose and to secure the patient interface to the patient'"'"'s nose, and wherein a resiliency of the first securement portion and the first nostril interface is configured to enable clamping of the alar sidewall portion of the patient'"'"'s nose therebetween,

wherein the body portion is configured to communicate with a second fluid path and further comprising a second U-shaped 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 tip of the nose of the patient and into a second nostril of the patient responsive to being donned by a patient, and

wherein the body portion further includes an oral sampler configured to communicate with at least one of the first fluid path and the second fluid path through at least one conduit internal to the body portion, the oral sampler having an orifice configured to one or both of sample a fluid exhaled from the patient'"'"'s mouth and supply oxygen to the patient'"'"'s mouth.

2. A patient interface according to claim 1, wherein the securement portion is biased toward the first nostril interface responsive to the securement portion being disposed on the patient'"'"'s nose.

3. A patient interface according to claim 1, further comprising a strap coupled to the tubing and adapted to support the tubing, the strap being configured to be received by an ear of a patient.

4. A patient interface according to claim 1, further comprising a second tubing that defines the second fluid path.

5. A patient interface according to claim 4, further comprising a strap for supporting the second tubing, the strap being configured to be received by an ear of the patient.

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

7. A patient interface comprising:

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

U-shaped first nostril interface extending from the body portion, wherein the nostril interface communicates with the first fluid path, and wherein the first nostril interface is configured to extend generally over a tip of the nose of the patient and into a first nostril of the patient responsive to being donned by a patient and is sized and configured such that the first nostril interface does not completely block a 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 first securement portion extending from the body portion proximate the first nostril interface, wherein, in use, the securement portion is constructed and arranged to engage only an exterior alar sidewall surface of the patient'"'"'s nose to clamp the body portion to the patient'"'"'s nose and to secure the patient interface to the patient'"'"'s nose, and wherein a resiliency of the first securement portion and the first nostril interface is configured to enable clamping of the alar sidewall portion of the patient'"'"'s nose therebetween; and

a physiological function sensor connected with the first securement portion for engagement with the skin of the nose of the patient, and wherein the physiological function sensor generates a signal based on a physiological function measurement,

wherein the body portion further includes an oral sampler configured to communicate with at least one of the first fluid path and the second fluid path through at least one conduit internal to the body portion, the oral sampler having an orifice configured to one or both of sample a fluid exhaled from the patient'"'"'s mouth and supply oxygen to the patient'"'"'s mouth.

8. A patient interface according to claim 7, wherein the sensor comprises an emitter for emitting a signal and a detector for detecting the signal.

9. A patient interface according to claim 8, wherein the emitter comprises at least one light source and the detector comprises a photodetector.

10. A patient interface comprising:

a U-shaped body portion configured to communicate with a first fluid path, the body portion being configured to engage a bridge 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 nostril interface communicates with the first fluid path, and wherein the first nostril interface is configured to extend generally over a tip of the nose of the patient and into a first nostril of the patient responsive to being donned by a patient and is sized and configured such that the first nostril interface does not completely block a 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 first securement portion extending from the body portion proximate the first nostril interface, wherein, in use, the securement portion is constructed and arranged to engage only an exterior alar sidewall surface of the patient'"'"'s nose to clamp the body portion to the patient'"'"'s nose and to secure the patient interface to the patient'"'"'s nose, and wherein a resiliency of the first securement portion and the first nostril interface is configured to enable clamping of the alar sidewall portion of the patient'"'"'s nose therebetween; and

a second securement portion constructed and arranged to engage an interior surface of a patient'"'"'s nose such that a portion of a nose is disposed between the first securement portion and the second securement portion,

wherein the body portion further includes an oral sampler configured to communicate with at least one of the first fluid path and the second fluid path through at least one conduit internal to the body portion, the oral sampler having an orifice configured to one or both of sample a fluid exhaled from the patient'"'"'s mouth and supply oxygen to the patient'"'"'s mouth.

11. A patient interface according to claim 10, further comprising a physiological function sensor connected with the first securement portion, the second securement portion or both for engagement with the skin of a nose of such a patient, and wherein the physiological function sensor generates a signal based on a physiological function measurement.

12. A patient interface according to claim 11, wherein the Physiological function sensor is disposed on the first securement portion and comprises an emitter for emitting a signal and a detector for detecting the signal, the second securement portion or both such that (a) the emitter engages an external surface of a portion the nose and the detector engages an internal surface of a portion of the nose, (b) the detector engages the external surface of a portion of the nose and the emitter engages the internal surface of a portion of such nose, (c) the emitter and the detector both engage the external surface of the nose, or (d) the emitter and the detector both engage the internal surface of the nose.

13. A patient interface comprising:

an appliance portion including;

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

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

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

a securement portion extending from the body portion and disposed proximate the nostril interface, and wherein, in use, the securement portion is constructed and arranged to engage only an exterior alar sidewall surface of a patient'"'"'s nose to clamp the body portion to the patient'"'"'s nose and to secure the patient interface to the patient'"'"'s nose; and

a physiological function sensor connected with the appliance portion for engagement with the skin of the nose of the patient and generating a signal based upon a physiological function measurement,

wherein the body portion further includes an oral sampler configured to communicate with at least one of the first fluid path and the second fluid path through at least one conduit internal to the body portion, the oral sampler having an orifice configured to one or both of sample a fluid exhaled from the patient'"'"'s mouth and supply oxygen to the patient'"'"'s mouth.

14. A patient interface according to claim 13, wherein the sensor comprises an emitter for emitting a signal and a detector for detecting the signal.

15. A patient interface according to claim 14, wherein the emitter and the detector are biased toward each other.

16. A patient interface according to claim 13, wherein at least a portion of the sensor is disposed on the securement portion such that the portion of the sensor engages the exterior surface of the portion of the patient'"'"'s nose.

17. A patient interface according to claim 16, wherein the sensor comprises an emitter for emitting a signal and a detector for detecting the signal, and wherein (a) the emitter and the detector are disposed on the securement portion and engage the exterior surface of the patient'"'"'s nose, (b) the emitter is disposed on the securement portion and engages the exterior surface of the patient'"'"'s nose and the detector is disposed within the nostril and engages an interior surface of the portion of the patient'"'"'s nose, (c) the detector is disposed on the securement portion and engages the exterior surface of the patient'"'"'s nose and the emitter is disposed within the nostril and engages an interior surface of the portion of the patient'"'"'s nose, or (d) the emitter and the detector are disposed within the nostril and engage the interior surface of the patient'"'"'s nose.

18. A patient interface according to claim 13, wherein a resiliency of the securement portion and the nostril interface is configured to enable clamping of an alar sidewall portion of the patient'"'"'s nose therebetween.

19. A patient interface according to claim 13, wherein the nostril interface and the securement portion are integral with the body portion.

20. 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 a bridge 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 a tip of the nose of the patient and into a first nostril of the patient responsive to being donned by a 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 tip of the nose of the patient and into a second nostril of the patient responsive to being donned by a 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; and

a first securement portion extending from the body portion proximate the first nostril interface and a second securement portion extending from the body portion proximate the second nostril interface, the first and the second nostril interfaces located on the body portion between the first and the second securement portions, wherein, in use, each of the first and second securement portions is constructed and arranged to engage an exterior alar sidewall surface of a patient'"'"'s nose to clamp the body portion to the patient'"'"'s nose and to secure the patient interface to such a patient'"'"'s nose,

wherein the body portion further includes an oral sampler configured to communicate with at least one of the first fluid path and the second fluid path through at least one conduit internal to the body portion, the oral sampler haying an orifice configured to one or both of sample a fluid exhaled from the patient'"'"'s mouth and supply oxygen to the patient'"'"'s mouth.