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US20100043798A1 - Respirator mask - Google Patents

Respirator mask Download PDF

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Publication number
US20100043798A1
US20100043798A1 US12/443,415 US44341507A US2010043798A1 US 20100043798 A1 US20100043798 A1 US 20100043798A1 US 44341507 A US44341507 A US 44341507A US 2010043798 A1 US2010043798 A1 US 2010043798A1
Authority
US
United States
Prior art keywords
mask
manifold
straps
strap
flexible
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US12/443,415
Other languages
English (en)
Inventor
Colin Sullivan
Peter Spencer
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Australian Centre for Advanced Medical Tecnology Pty Ltd
Original Assignee
Australian Centre for Advanced Medical Tecnology Pty Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from AU2006905360A external-priority patent/AU2006905360A0/en
Application filed by Australian Centre for Advanced Medical Tecnology Pty Ltd filed Critical Australian Centre for Advanced Medical Tecnology Pty Ltd
Publication of US20100043798A1 publication Critical patent/US20100043798A1/en
Abandoned legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A61M16/0683—Holding devices therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0057—Pumps therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A61M16/0605—Means for improving the adaptation of the mask to the patient
    • A61M16/0616—Means for improving the adaptation of the mask to the patient with face sealing means comprising a flap or membrane projecting inwards, such that sealing increases with increasing inhalation gas pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A61M16/0605—Means for improving the adaptation of the mask to the patient
    • A61M16/0633—Means for improving the adaptation of the mask to the patient with forehead support

Definitions

  • This invention relates to a mask, in particular to a mask for supplying gases, typically air or oxygen, to the airways (nose or no and mouth) of humans.
  • gases typically air or oxygen
  • Such masks are often referred to as “respirator masks”.
  • Such masks are particularly suited to applying continuous positive airway pressure (CPA) to patients for treatment of sleep apnoea, however the invention is not in any way limited to masks for that use only.
  • CPA continuous positive airway pressure
  • the invention relates to a face mask including straps which terminate in webs which engage opposing walls of the mask and which have a contact length which transfers in use loadings applied to the straps through to the mask allowing the mask to displace on a users face in an X, Y or Z direction and without breaking a seal created between a face contacting part of the mask and the mask.
  • conventional respirator masks consist of a face contacting part which defines an orifice and which fits over the patient's nose and/or mouth and provides a gas tight seal against the patient's skin.
  • the reverse side of the orifice is enclosed by a manifold part for the delivery of pressurized gases to the patient's nose and/or mouth via a gas delivery tube connected to the manifold.
  • the manifold part is made from a rigid material to which an adjustable harness, for retaining the mask on a patient's head, is attached.
  • the geometry of the manifold is fixed. When adjusted and placed over the patient's head, the harness applies forces through the rigid manifold and onto the face contacting part of the mask.
  • the face contacting part is compressed against the patient's face causing a gas tight seal to form between the face contacting part and the patient's face.
  • the face contacting part of a conventional respirator mask is made from a soft flexible material such as silicone rubber. While this part will distort in one axis (the Z axis) perpendicular to the plane of the patient's face (that plane being the X-Y or facial plane), this part will typically not distort substantially in the X-Y plane, in use (note that FIG. 1 of the accompanying drawings shows the X, Y and Z axes).
  • the face contacting part is relatively thick, being several millimetres in thickness, making it substantially inflexible under the forces which are normally applied in use through the harness.
  • the face contacting part is generally held in place in a single X-Y plane by the rigid manifold which prevents any distortion of that part in the X-Y plane.
  • the configuration of the harness and mask results in any forces transmitted to the mask being transmitted in the Z direction onto the face contacting part thereby tending not to distort the mask in the X-Y plane.
  • the mask in one common design of conventional mask, as well as the relatively thicker face contacting part, includes a much thinner face sealing membrane portion attached to the face contacting part.
  • the flexible membrane In use, as the face contacting portion is lowered onto a patient's face some areas of the flexible membrane portion will contact some parts of the patient's face before others. These areas are compressed towards the relatively thicker, less flexible, section of the face contacting part. Once in place, at some sections of the interface between the mask and the patient's face, the flexible membrane is compressed tightly against the relatively thicker portion of the face contacting part, whereas at other sections the membrane seals against the face but floats freely of the relatively thicker portion. The flexible membrane provides a gas tight seal between the relatively thicker portion and the patient's face.
  • Such conventional masks have a number of significant shortcomings. In some cases, patients find them uncomfortable. In particular, the relatively thicker sections of the face contacting part can cause discomfort when pressed against a patient's face at the pressures required to create a gas tight seal. This is a particular problem where high therapeutic gas pressures are required. In other cases, such masks do not fit properly, for example where the mask is too narrow in the X-Y plane for the patient's nose. Often, the bulky rigid manifold and relatively high attachment points of the harness cause a patient's line of vision to be impaired and this can cause a degree of claustrophobia in some patients.
  • a mask made from many parts is typically more expensive to produce than a mask having fewer parts, due to increased moulding costs for the many different parts, and assembly and inventory costs.
  • a further problem with existing conventional masks is that a substantial number of patients leak gas from their mouth during positive gas pressure therapy.
  • patients using nasal masks may release gas from their mouths.
  • pressurised gas will enter a patient's oral cavity and cause the patient's cheeks to stretch and balloon out until their mouth starts to open and the gas pressure is released.
  • Such patients are often treated with full-face masks which deliver positive gas pressure both nasally and orally.
  • these masks are similar in design to conventional masks which only deliver gas nasally. They consist of a rigid manifold part attached to a face contacting part, typically made from a flexible material such as silicone.
  • Full-face masks have a face contacting part designed to encompass both a patient's nose and mouth, providing a gas tight seal at the mask/face interface in order to enable successful delivery of pressurised gas.
  • one of the problems with these masks for some patients is that they do not succeed in fully preventing gas leakage from the patient's mouth. Often gas leakage is preceded by stretching and ballooning of the patient's cheeks, which tends to substantially change the facial contours adjacent the face sealing portion of the masks. This significant facial deformation has the effect of breaking the gas tight seal around the mask, since the face contacting portion of the mask presents a relatively rigid sealing surface incapable of adapting to such large changes in facial contours.
  • the present invention seeks to address and attempt to alleviate at least some of the deficiencies of the existing masks described above.
  • the present invention provides a mask which has a flexible manifold and face-contacting components which can be distorted into different shapes to suit differing facial contours when applying tensile forces to the mask, typically by means of a straps and a harness.
  • the nature of the connection between the straps and the mask is such that loadings applied to the mask via the straps are distributed so that distortions of the mask under load will not compromise the required air seal between the users face and the face contacting part of the mask.
  • the present invention provides a mask for supplying gas under pressure to an airway of a human including:
  • the mask further comprises: at least a third strap or mask anchoring means disposed between the first and second mask shape forming elements.
  • the X, Y and Z axes are as defined above in the background of the invention.
  • a significant portion of the side wall is typically at least 50% and most preferably at least 80%, of the extent of the side wall.
  • the centre of the mask shape forming elements are preferably generally centrally located on each side wall.
  • the manifold shell should be of sufficient thickness to resist major distortion by elevated pressure present in the mask in use, while being sufficiently flexible to allow the whole mask shape to distort into the variety of different mask/orifice shapes and attitudes particularly when under external load and without compromise to the required seal between the face contacting part and a users face.
  • first and second mask shape forming elements are integral with side straps and comprise webs at the ends of the side straps which join the side walls of the mask.
  • the ends of the straps distal from the manifold preferably define a slot or other means for connection of the strap to a harness.
  • tension on these side straps when pulled laterally in the horizontal plane (X-axis) is transmitted through the mask shape forming elements to the manifold shell and face contacting portion and can cause the general shape of the mask to be in one extreme elongated in the general direction of the lateral tension or alternatively tension applied on these side straps downward in the horizontal direction (Y-axis) with an opposing force applied to the third strap or mask anchoring means causes the shape of the mask to be elongated in the general direction of this horizontal tension.
  • the third strap is most typically a nasal arch strap which optionally defines at least part of an air inlet pipe.
  • the tensile load transmitted axially through the side straps and via gussets/webs which distribute the axial load along the manifold body.
  • the web is tapered inwards in the Y direction and as it locates towards the top region of the manifold
  • the invention may be considered to be a mask incorporating three elements.
  • a second element of the mask is a mask shape forming element that is used to distribute distortional forces to a substantial portion of the perimeter of the side wall of the mask, the side wall being made up of at least a portion of the manifold shell.
  • This shape forming perimeter element is connected to a series of straps extending away from the side wall of the mask, generally with at least one strap on each side of the mask and one strap running along the nasal arch of the forehead.
  • the shape forming element attaches to or is integral to the side wall of the 25 mask.
  • the straps have a mechanism to connect to a harness at one end.
  • Tension on these side straps when pulled in the direction of the X-axis is transmitted through the mask shape forming element to the first and third elements and can cause the general shape of the mask to be in one extreme elongated in the general direction of this tension or alternatively tension applied on these side straps downward in the Y direction Y with an opposing force applied to the nasal arch strap causes the shape of the mask to be elongated in the general direction of this horizontal tension.
  • a third element of the mask is a flexible face contacting element with an orifice to accommodate the nose or mouth and nose of the subject.
  • the orifice approximates the shape of the perimeter of the base of the nose or mouth and nose.
  • the orifice is formed where this third element's surface, furthest from the manifold shell element, curves inwardly towards the centre of the mask in the general X-Y plane to form the gas sealing surface but leaves the nares in unobstructed communication with the inside of the mask.
  • the face contacting element joins the flexible manifold shell element and/or the shape forming element such that when the side straps are pulled back across the checks in a direction that passes below the ears and the nasal arch flexible strap is pulled toward the top of the head (Z-axis), the mask is pulled onto the face such that the face contacting element orifice encapsulates the subjects nose or nose and mouth and causes the face contacting element to provide an airtight seal between the mask and patient's skin.
  • This element is flexible enough to allow it to be pulled into a wide range of general mask shapes so as to vary its shape in the X-Y plane. Flexibility is also required in manufacture to enable the mask to be stripped from its mould cavity.
  • Variation in the direction and magnitude of the forces exerted from the straps through the shape forming element can be used to vary the magnitude of the gas sealing forces exerted between the subjects skin and the flexible face contacting element at different points round this element.
  • the third strap is a nasal arch strap and a portion of a mask shape forming element is integral to a portion of the gas delivery pipe.
  • the manifold is sufficiently flexible to collapse towards the patients nose when a moderate external force is applied to it.
  • manifold shell, mask shape forming elements, side walls and face contacting elements are integrally moulded in one piece from an elastomeric material such as silicone rubber, with, optionally, at least a part of the side straps and/or the nasal arch strap and/or air inlet pipe
  • the mask is also preferably sufficiently flexible to enable a patient to remove it or fix it in position without having to adjust any harness connection points where a harness connects to the straps of the mask.
  • the face contacting portion of the mask typically defines an inwardly curving 30 gas sealing surface which in use contacts the patient's face.
  • the mask further includes a series of gas bleed holes defined in the manifold shell.
  • a mask embodying the present invention may be compressed into an approximate ball shape using a moderate level of hand/digital pressure, and may weigh less than 50 grams including the weight of the straps.
  • the relative thicknesses of different sections of the flexible manifold and/or flexible face contacting portion are varied so as to vary the amount of stretch in different areas of the mask when forces are applied to the mask from the straps through the mask shape forming element in various directions.
  • the manifold includes ribbing. It is preferred that the interior surfaces of the mask are generally smooth, which makes cleaning of the mask relatively easy.
  • the manifold is flexible enough to collapse toward the patients nose when a moderate external force is applied to it, to allow, for example, a patient to scratch their nose without removing the mask.
  • the manifold With the mask in situ, the manifold can be distorted onto the patient's nose without breaking the airtight seal between the face contacting element and the patients skin. This also means that when a patient turns in sleep and their mask contacts a pillow or some other object the manifold will deform and/or displace rather than be pushed against the patient's face.
  • the mask face contacting element is preferably flexible and allows a rolling reaction in the mask as loadings are applied via the straps.
  • the mask shape forming element may include a planar band which attaches to or is integral to a significant portion of the side wall of the mask.
  • the planar band may be used for assisting in the correct location of the mask by locating on the patient's top lip, in use.
  • the mask shape forming element may provide multiple attachment points to the straps and/or flexible mask which can be adjusted in length so as to change the distribution of forces to various areas of the flexible mask, through tension exerted in any specific direction on to the straps.
  • the mask shape forming element may have attachment points to the straps and/or flexible mask which can be adjusted in their attachment position so as to change the distribution of forces to various areas of the flexible mask, through tension exerted in any specific direction on to the straps.
  • the mask shape forming element may be varied in its relative stiffness at different points around its attachment position to the flexible perimeter of the mask side wall so as to change the distribution of forces to various areas of the flexible mask, due to tension exerted in any specific direction on to the straps.
  • the adjustable mask shape forming elements may be varied in order to change the flexible mask shape and/or the gas sealing pressure between different parts of the face contacting element and the patients skin.
  • the mask is preferably sufficiently flexible to enable a patient to remove it or fix it in position without having to adjust the harness connection points where they connect to the straps.
  • the mask will typically be used in combination with a device for supplying gas, typically air, at a positive pressure to the patient's mouth, either through the patient's nose or through their nose and mouth.
  • a device for supplying gas typically air
  • a means is provided for preventing leakage from the patient's mouth while positive pressure is delivered to the patient's nose.
  • the shape of the mask during its ongoing operation on the patients face in the general X-Y dimension can be varied by first applying tension to the straps in the general X-Y planar direction, prior to fixing the face contacting element onto the patients face, in order to form the required mask shape. Then while maintaining the desired shape, an additional downward tension may be applied on the straps in the vertical Z-direction in order to fix the face contacting element on to the patients face. Then the harness tension may be adjusted in order to maintain this desired mask shape in its X-Y-Z dimensions.
  • the mask's shape on the patient's face may be changed in situ by applying external pressure to it's flexible manifold and/or face contacting portion in order to stop gas leakage from the mask, in use.
  • the flexible face contacting portion includes side walls, extending in the general Z-axis direction, one end of the side walls being attached to the first and second elements, the other end being attached to the inwardly curving gas sealing surface of the face contacting element.
  • the flexible face contacting portion includes side walls, extending in the general Z-axis direction, one end of the side walls being attached to an inwardly directed generally concertina shaped wall. Either the side walls in the general Z-axis direction or the concertina walls may be connected to the manifold and shape forming elements. The other end of the flexible face contacting element furthest from the mask shape forming elements is attached to the inwardly curving gas sealing surface of the face contacting element.
  • the concertina shaped wall is outwardly directed.
  • the flexible face contacting element is preferably sufficiently flexible that it substantially collapses onto the patient's face under the normal forces exerted on it by the harness and straps when in situ, in use.
  • the mask will preferably inflate under normal operating pressures when in situ on a patient's face, but will preferably not significantly distend in comparison with the mask's “resting” shape.
  • the manifold shell has an average wall thickness of less than 2 5 mm, preferably I mm to 2 mm, most preferably about 1.5 mm.
  • the flexible face contacting portion has as average wall thickness of less than 1.5 mm, preferably 0.3 mm to 0.7 mm, most preferably about 0.5 mm.
  • the side straps may be generally curved to follow the general shape of the contours of a patient's cheeks, in situ.
  • the face contacting portion may collapse substantially onto the patient's face when located in position on the patient's face with the harness and straps correctly adjusted.
  • the mask will typically collapse inwardly towards the patient's face during normal inspiratory effort when the mask is in position and attached to a positive gas pressure device which is not delivering a positive pressure gas flow.
  • the manifold will typically inflate to maintain its shape when subject internally to positive gas pressure.
  • the straps may cover a substantial portion of the patient's cheeks and prevent inflation of the patient's cheeks during delivery of positive airway pressure therapy.
  • the flexible face contacting portion/element may provide a substantially gas tight seal between the mask and the patient's face when the mask is subject to internal gas pressure.
  • the mask shape forming element may comprise at least three continuous sections, each attached to a strap, where the sections in total connect to at least 40% of the length of the side wall of the mask.
  • the mask shape forming element may have multiple connections to the side wall of the mask, with more than one connection attached to some straps, where a portion of the perimeter delineated by the connection points and positions extending 2 cm on either side of these points makes up at least 40% of the total perimeter of the side wall of the mask.
  • the shape forming elements are distributed along the walls of the mask continuously or as a series of point loads there will be an overall length measurement the limits of which define an overall contact length.
  • the loading may be transmitted as a distributed load or as a series of distributed point loads.
  • the leakage may be stopped by manually distorting the flexible part of the mask while is position and thereby changing the force profile around the mask/sealing surface and/or changing the X-Y sealing plane.
  • the present invention comprises:
  • the present invention comprises:
  • the mask allows distribution of pressure on the margins along a Z axis to retain a seal at the margins of the mask.
  • the straps may be used to adjust the mask in a case for instance where there is a leak at the bridge.
  • the present invention comprises:
  • the contact length of the web is determined by the sum of separate contact lengths formed by at least one abbreviation in the web.
  • a resultant force will act through a centroid of the load distribution
  • the present invention comprises:
  • Height of the manifold may be taken to refer to that distance from a lowermost wall of the masks which normally engages a face of a wearer to an uppermost wall or apex of the mask which engages a nose bridge of a user.
  • Connecting length is defined as a distance along a mask wall, (i.e. that part of the wall which extends from the upper lip to the bridge of the nose) between extremities of contact of the shape forming elements and the wall location at which they contact the manifold.
  • a preferred ratio of manifold height to wall length is in the region of 1.2.
  • a preferred ratio of the web connection length to wall length of the manifold is 0.3 but may fall within the range of 0.3-1.0
  • the X, Y and Z axes are as defined above in the background of the invention.
  • a significant portion of the side wall is typically at least 50% and most preferably at least 80%, of the extent of the side wall.
  • the invention comprises: a mask made from a flexible material and having at least one side section including a face contacting part;
  • both side sections of the face contacting part are provided with a thickening in the walls over at least part of the side sections.
  • the wall thickenings may be abrupt or gradual according to design requirements.
  • FIG. 1 illustrates the X,Y and Z facial axes of a patient
  • FIG. 2 is a front view of an embodiment of a mask in a neutral un-tensioned state
  • FIG. 3 is a front view of the mask of FIG. 2 showing tension applied to a shape forming element of the mask to stretch the mask in the Y axis;
  • FIG. 6 is a rear view of the mask of FIG. 5 showing tension applied to a shape forming element of the mask to stretch the mask in the Y axis;
  • FIG. 7 is a rear view of the mask of FIG. 5 showing tension applied to a shape forming element of the mask to stretch the mask in the X axis;
  • FIG. 9 is a side view of the mask of FIG. 5 showing tension applied to a shape forming element of the mask to stretch the mask in the Y axis;
  • FIG. 10 is a side view of the mask of FIG. 5 showing tension applied to a shape forming element of the mask to stretch the mask in the X axis;
  • FIG. 11 is a front view of a yet further embodiment of a mask in a neutral un_tensioned or un distorted state
  • FIG. 12 is a front view of a yet further embodiment of a mask in a neutral un tensioned or undistorted state
  • FIG. 13 a is a front view of a yet further embodiment of a mask in a neutral un tensioned or undistorted state
  • FIG. 14 a is a rear view of the mask of FIG. 13 a;
  • FIG. 14 b is a top plan view of the mask of FIG. 13 a;
  • FIG. 15 b is a top plan view of the embodiment of FIG. 15 a;
  • FIG. 16 a is a front view of the mask of FIG. 15 a;
  • FIG. 17 b is a rear view of the embodiment of FIG. 17 a;
  • FIG. 19 is a front view of the mask of FIG. 18 ;
  • FIG. 20 shows a variant of the mask of FIGS. 18 and 19 .
  • FIG. 22 shows a further embodiment of a full-face mask.
  • FIG. 1 shows a schematic view of a face indicating the X, Y and Z axes.
  • FIGS. 2 to 10 schematically illustrate a first embodiment of a mask 1 and the principles governing the design and operation of that mask in response to the use of an enlarged web contact portion.
  • FIG. 2 shows a back side elevation of the mask 1 .
  • Mask 1 includes a flexible face contacting element 2 and straps 3 and 4 . Each of straps 3 and 4 respectively include enlarged web portions 5 and 6 which transfer loads from the straps to the manifold.
  • Mask 1 has been moulded in a single piece from a flexible elastomeric material, most preferably a medical grade silicone. However, any suitable elastomeric material may be used.
  • Mask 1 further includes a third strap 7 and an air inlet 8 .
  • the mask of FIG. 1 is shown in a configuration without applied loads.
  • FIG. 3 shows the mask 1 of FIG. 1 with corresponding numbering.
  • the mask in FIG. 3 is shown with straps under a load creating a distortion in the face contacting element 2 .
  • FIG. 4 shows the mask 1 of FIG. 2 with opposing loading applied to straps 3 and 4 .
  • a resultant force is applied to a manifold (obscured) causing distortion of the face contacting part 2 but without compromising a seal when the mask is attached to a face of a wearer.
  • FIG. 5 shows the mask 1 of FIG. 2 from the opposite side and with corresponding numbering.
  • the mask in FIG. 5 is shown with straps unloaded and with the manifold 9 in a neutral position. under a load creating a distortion in the face contacting element 2 .
  • Mask 1 includes a flexible central manifold 9 and a flexible integral face contacting element 2 .
  • An annular air inlet pipe 14 extends away from the manifold 9 to a generally cylindrical outlet 15 at a distal end of the air inlet pipe 14 .
  • a nasal bridge strap 16 extends away from the top of the manifold 1 .
  • Two straps 3 and 4 extend away from opposite sides of the manifold 9 in a direction which is generally perpendicular to the longitudinal axis of the nasal bridge strap 16 .
  • the distal ends of straps 3 and 4 includes connecting tabs 17 and 18 for attaching the mask to a harness.
  • the proximal ends of the straps at webs 19 and 19 a where the straps meet the sides of the manifold 9 are relatively wide and in this non limiting embodiment the extent of the strap at its proximal end extends almost the entire length of the side of the manifold 9 .
  • the wall thickness of the manifold and face contacting portion 2 is thin enough to enable patients to stretch and compress different parts of the mask through the application of forces from the harness with a magnitude normally used with current conventional respirator masks. However, the wall thickness while relatively thin is also large enough to withstand therapeutic gas pressures.
  • the distortional forces applied to the mask from the harness are distributed around the body of the flexible mask using a mask shape forming component, which is integral to (or may be attached to) the sidewall of the mask.
  • the shape-forming components (webs) are designed to distribute distortional forces to a substantial portion of the mask sidewall. These forces are then transmitted from the mask sidewall to the remainder of the mask body. This outcome may be achieved using a range of shape forming component designs, although in the embodiment of FIGS. 2 to 10 , the mask shape forming elements comprise the proximal ends (webs 19 and 19 a ) of the straps 3 and 4 in particular, where they meet the side wall of the mask/manifold.
  • FIG. 6 shows from an opposite side the mask 1 of FIG. 3 with opposing loading applied to straps 3 and 4 .
  • a resultant force is applied to a manifold 9 causing distortion of the face contacting part 2 but without compromising a seal when the mask is attached to a face of a wearer.
  • FIG. 7 shows from an opposite side the mask 1 of FIG. 4 with opposing loading applied to straps 3 and 4 .
  • opposing forces are applied to the straps 3 and 4 causing a distortion in the manifold 9 .
  • FIG. 8 is a side view of the mask of FIG. 2 in a neutral un-tensioned state and with corresponding numbering. Loading on the shape forming element (strap 4 ) is in the direction of arrow 10 .
  • FIG. 8 is a schematic side view of the mask in a “neutral” position illustrating that when generally equal tensile forces are applied to the mask, via straps 3 , 4 and 7 with the forces applied to the side straps being generally perpendicular to the nasal bridge strap 7 .
  • FIG. 9 is a side view of the mask of FIG. 8 showing tension applied in the direction of arrow 11 to a shape forming element (strap 4 ) of the mask 1 to stretch the mask along the X and Y axes.
  • FIG. 9 illustrates that where the straps 3 and 4 are pulled downwardly at an obtuse angle to the nasal bridge strap 18 , increased sealing pressure occurs at the top portion 30 of the facecontacting element, adjacent to the bridge of the patient's nose.
  • FIG. 10 is a side view of the mask of FIG. 8 showing tension applied to the shape forming element (strap) 4 of the mask 1 in the direction of arrow 12 to stretch the mask along the X axis. This increases sealing pressure at the upper lip region 13 of the face contacting part 2 .
  • FIG. 11 shows a front view of a mask 20 according to an alternative embodiment in a neutral un_tensioned or un distorted state.
  • Mask 20 includes a flexible face contacting element 21 and straps 22 and 23 .
  • Each of straps 22 and 23 respectively include enlarged web portions 24 and 25 which transfer loads from the straps to the manifold 26 .
  • Mask 20 is moulded in a single piece from a flexible elastomeric material, most preferably a medical grade silicone.
  • Mask 20 further includes a third strap 27 and an air inlet 28 .
  • Mask 20 is shown in a configuration without applied tension loads to straps 22 and 23 inducing distortion.
  • Webs 24 and 25 are characterised in having a series of point load connections at the walls of manifold 26 .
  • Web 24 terminates in point connections 29 and web 25 terminates in point connections 30 .
  • FIG. 12 is a front view of a yet further embodiment of a mask in a neutral un_tensioned or undistorted state. shows a front view of a mask 40 according to an alternative embodiment in a neutral un_tensioned or undistorted state.
  • Mask 40 includes a flexible face contacting element 41 and straps 42 and 43 . Each of straps 42 and 43 respectively include enlarged web portions 44 and 45 which transfer loads from the straps to the manifold 46 .
  • Mask 40 is moulded in a single piece from a flexible elastomeric material, most preferably a medical grade silicone.
  • Mask 40 further includes a third strap 47 and an air inlet 48 .
  • Mask 40 is shown in a configuration without applied tension loads to straps 42 and 43 inducing distortion.
  • Webs 44 and 45 are characterised in having a series of point load connections at the walls of manifold 46 . Web 44 terminates in point connections 49 and web 45 terminates in point connections 50 .
  • the mask 10 is designed for pressurised gas delivery to a patient's nose only.
  • FIGS. 2 to 7 show how the mask may be distorted in the X-Y plane by application of forces to the straps.
  • FIGS. 2 and 5 show the mask in a “neutral”position where no tension is applied to the shape forming element via the straps 3 and 4 .
  • FIGS. 3 and 6 show how the mask distorts when tensile forces F 1 , F 2 , F 3 are applied to all three straps.
  • the mask becomes elongated in the Y-axis and compressed in the X-axis, suiting a patient with a long thin nose.
  • FIGS. 3 and 6 show tensile forces F 4 and F 5 applied to the shape forming element via the side straps 3 and 4 .
  • the mask becomes elongated in the X axis and compressed in the Y-axis, suiting a patient with a relatively wide nose.
  • FIGS. 8 to 10 show how the application of forces in different directions through the straps affects the forces exerted by the face contacting portion 2 on the patient. This contrasts with existing masks where the face contacting portion is relatively fixed in the X-Y plane.
  • FIG. 10 illustrates that where the straps 3 and 4 are pulled more upwardly at an acute angle to the nasal bridge strap 7 , increased sealing pressure occurs at the bottom portion 2 a of the face contacting element 2 , adjacent to the patient's nares.
  • FIGS. 11 and 12 show variants of the mask in which different shape forming elements are provided.
  • the end of the strap 20 proximal to the side wall of the mask where the strap connects to the side wall is spilt into four spaced apart fingers 34 which attach to the side wall at four respective points spaced along the length of the side wall.
  • the other strap 22 is attached in the same way.
  • the shape forming element of the mask 10 b is adjustable.
  • there is an integrally formed flange 36 which extends along the length of each side wall of the mask 10 b .
  • a series of spaced apart holes 38 are defined along the length of each flange 36 .
  • the straps 40 for attachment to a harness define a plurality of fingers 42 which are pivoted to the straps 40 .
  • the end of each finger distal from the pivot defines a protrusion which push or snap fits into a hole in the flange.
  • the attachment points of the fingers on the flange may be changed to adjust the effect of tension applied to the straps 40 and the distribution of tensile forces to the mask body.
  • Variation of the relative thickness of wall sections throughout the mask will also is change the amount of stretch or compression achieved at these positions through the administration of any given magnitude and direction of forces through the shape forming element.
  • Variation of mask wall thickness would typically be achieved by variation of the moulds used for mask production.
  • the forces of the mask may be altered by changing the size and/or direction of forces on the straps.
  • the mask for covering the nose only there are a number of preferred embodiments of the mask for covering the nose only, each of which is made from a single component including the mask manifold, face contacting component, mask shape forming component, gas tubing connector and straps (see FIGS. 14 to 18 ).
  • FIGS. 13 a shows a rear elevation of a mask 60 according to an alternative embodiment.
  • FIG. 13 b shows the mask of FIG. 13 a rotated 90 degrees.
  • Mask 60 includes a flexible face contacting element 61 and straps 62 and 63 .
  • Each of straps 62 and 63 respectively include enlarged web portions 64 and 65 which transfer loads from the straps 62 and 63 respectively to the manifold 66 .
  • Mask 60 has been moulded in a single piece from a flexible elastomeric material, most preferably a medical grade silicone. However, any suitable elastomeric material may be used.
  • Mask 60 further includes a third strap 67 and an air inlet 68 . The mask of FIG.
  • FIG. 13 a is shown in a configuration without applied loads and further comprises a gas inlet pipe 68 and nasal bridge strap 69 which are integrally constructed.
  • FIG. 14 a is a rear view of the mask 60 of FIG. 13 a and
  • FIG. 14 b is a top plan view of the mask 60 of FIG. 13 a . with corresponding numbering.
  • FIGS. 15 a shows a front elevation of mask 70 and FIG. 15 b shows a plan view of the mask of FIG. 15 a .
  • Mask 70 comprises a manifold 71 including a gas inlet pipe 72 and the nasal bridge strap 73 .
  • FIG. 16 a is a front view of the mask 70 of FIG. 15 a .
  • FIG. 16 b is a side view of the mask 70 of FIG. 15 a;
  • FIG. 17 a is a side view of a yet further embodiment of a mask 80 in a neutral un_tensioned state.
  • FIG. 17 b is a rear view of the embodiment of the mask 80 of FIG. 17 a .
  • the face-contacting component incorporates a flexible concertina section or groove 81 .
  • Mask 80 includes a flexible face contacting element 81 and straps 82 and 33 .
  • Each of straps 82 and 83 respectively include enlarged web portions 84 and 85 which transfer loads from the straps 82 and 83 respectively to the manifold 86 .
  • Mask 80 has been moulded in a single piece from a flexible elastomeric material, most preferably a medical grade silicone and further includes a third strap 87 and an air inlet 88 .
  • the mask of FIG. 17 a and 17 b is shown in a configuration without applied loads and further comprises nasal bridge strap 89 which is integrally constructed.
  • the face-contacting component is flexible enough that it substantially collapses down onto the patient's face, which facilitates the formation of an airtight seal between this component and the patients face. This feature enables it to conform to a range of contours along the Z-axis of the face, which vary substantially from patient to patient.
  • the profile is generally smaller on the patient's face resulting in less of their field of view being blocked by the mask. This tends to reduce the feeling of claustrophobia that some patients feel.
  • Each mask size can potentially fit a wider range of patient's faces due to the ability to substantially distort its shape in the X, Y and Z directions. There is less likelihood of breakage because there are no hard plastic components.
  • the cleaning process is simplified since it is not necessary to dismantle the mask and there are less crevices, which can hold dirt and micro organisms. If required the whole mask can be sterilized by autoclaving whereas this is not possible with many existing plastic mask components.
  • the mask can be adjusted to change the shape of the mask and sealing forces around the face sealing interface if leakage occurs, without taking the mask off, or adjusting the harness connectors.
  • the patient can sleep with the mask in contact with objects such as a pillow.
  • the resultant forces applied to the mask by the object do not tend to cause the face-sealing surface to lift off the face and result in gas leakage. This is because the applied force tends to distort the manifold shape rather than lift the mask off the face.
  • the patient can remove the mask without having to disconnect the harness because the mask, straps and harness are flexible and soft and can therefore stretch and be removed from the face without discomfort. This is useful if a patient wishes to remove and replace the mask at night in the dark.
  • a patient has discomfort on the skin under the mask (such as an itch) they can massage or scratch it by distorting the mask manifold or other components on the affected part and massaging it through the mask wall.
  • the advantage of having a fully flexible version, compared to conventional masks, is even more significant than in the case of the version for covering the nose only.
  • the facial contours around the perimeter of the nose vary significantly from patient to patient.
  • the contours of the facial tissue of any specific patient tend not to change during the night since they are fixed by the underlying bone structure.
  • the contours around the facial tissue of the perimeter of the mouth and nose together vary significantly from patient to patient and in addition vary for each patient as they move their jaw relative to their nose.
  • a mask which is flexible in 3 dimensional space will distort its shape as the patient's jaw moves relative to their nose. The ability of the masks face contacting part to move in real time in the X, Y and Z directions, as the patients facial contours change, enables this new mask to prevent mask leakage.
  • FIG. 19 shows a full face mask 90 in situ on a patients face 91 .
  • the manifold shape forming elements which are webs 92 according to a preferred embodiment, are largely the same as the mask of FIGS. 2 to 10 but are larger so that they encompass the patient's mouth and nose.
  • the shape forming element in addition to its attachment around the perimeter at the sides and top of the mask, the shape forming element also attaches to a significant portion of the bottom perimeter of the mask.
  • an additional lower strap section 93 pulls this lower portion towards the patients chin.
  • the side straps 92 also cover a significant portion of the patients cheeks thereby reducing the ability of the cheeks to balloon and leak due to internally delivered gas pressure.
  • FIG. 20 shows according to an alternative embodiment, a rear (patient side) elevation of a mask 100 including a face contacting part 101 and straps 102 and 103 which comprise the webs 104 and 105 of the shape forming elements of the straps 102 and 103 .
  • Mask 100 further comprises an auxiliary fixation arrangement 106 including auxiliary straps 107 and 108 .
  • Auxiliary fixation arrangement 106 pulls mask 100 towards the patients chin.
  • the side straps 107 and 108 also cover a significant portion of the patients cheeks (not shown) thereby reducing the ability of the cheeks to balloon and leak due to a break in the seal allowing escape of internally delivered gas.
  • FIG. 21 shows another embodiment of a full face flexible mask 110 which also has a flexible locating band 111 attached to the side wall of the face contacting element.
  • this band 111 locates and sits on the patient's upper lip between their nose and mouth.
  • the band 111 helps to locate and hold the mask 110 in place as the patients jaw opens and moves relative to their nose.
  • Other preferred versions may incorporate similar shape forming element, strap, face contacting element, gas tubing delivery connector and other design features as outlined in FIGS. 2 to 17 b for the nose only version of the flexible mask.
  • the full face design also incorporates a portion of the shape forming element and related straps designed to provide tension on the flexible mask in the general direction of the chin as shown in FIGS. 20 , 21 and 22 .
  • FIG. 22 shows an alternative embodiment of a mask 120 for covering a patient's nose and mouth in order to prevent mouth leakage.
  • the mask 120 can conform to the changing facial contours as the mouth moves.
  • gas pressure is delivered to the nose only, while the structure covering the patient's mouth acts to prevent air leakage from the mouth.
  • the side straps 121 cover the patient's cheeks thereby reducing the patient's ability to inflate or balloon their cheeks leading to gas leakage.
  • the mask effectively ‘floats’ on the flexible membrane such that the manifold is capable of X or Y axis movement relative to the face engaging membrane.
  • This allows movement in the mask and specifically in the manifold when under loads in either the X-Y or Z directions, allowing the membrane to deform or displace in a rolling motion to retain a gas seal on the face of a wearer.
  • the larger contact length between the web and the manifold walls have numerous advantages. For example, in a case where the mask is pressured in a Y direction and tends to lift of the face, the high contact length webs, help the mask to better accommodate the lifting off tendency by significantly enhanced load distribution through the manifold.
  • the increase in contact length imparts advantages under various load geometries applied to the mask.
  • the larger web connection to the walls of the mask causes a resultant force to be applied closer to the mid height region of the mask.
  • This is so with both the full contact web and the point load contact embodiments as a resultant or notional resultant in the case of the point load embodiment will lie at a location generally in the middle third of the height of the manifold so that the load will be more evenly distributed.
  • the resultant loading is optimally applied above a neutral axis of the manifold.
  • This places the resultant load at a location which would cause the straps to engage the users ear. This would normally motivate away from an adjustment in design which places the resultant force in a compromising location and more particularly around the middle third of the manifold.
  • the web feature of the present invention combines the use of flexible straps and an optimal load distribution which allows a user to avoid unwanted ear loading ensuring user comfort but with the improved performance of the mask.
  • the mask has the strap connection web characteristics described in the various embodiments above but is further characterised in having a manifold which not only ‘floats’ relative to the face contacting parts but has some degree of relative planar rotation. Therefore, instead of the face sealing part being formed about and extending from a periphery of the manifold the face sealing part is connected at a narrowing or waist formed between the face contacting part and the manifold.
  • the floating of the manifold relative to the face contacting membrane provides additional degrees of freedom for the manifold to move reducing transmission of manifold loadings to the face contacting part.
  • one of the side sections of the face contacting part are provided with a thickening in the walls over at least part of the side section.
  • both side sections of the face contacting part are provided with a thickening in the walls over at least part of the side sections.
  • the wall thickenings may be abrupt or gradual according to design requirements.
  • the thickening may be effected by layering at the region of increased thickness or by increasing mould thickness/width at the region of the desired increased thickness. Increasing the thickness of the side regions of the face contacting part provides increased stability in the region and specifically introduces into the art the benefits of a high stiffness wall and its inherent resistance to load but retaining the benefits of flexibility of the face contacting material.
  • the stiffening of the side contacting parts does not comprise the rolling flexibility of the contacting part required to maintain the integrity of the seal.
  • the thickened portion will have a maximum thickness falling within the range 0.5 mm-2.0.

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  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Respiratory Apparatuses And Protective Means (AREA)
US12/443,415 2006-09-28 2007-09-28 Respirator mask Abandoned US20100043798A1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
AU2006905360A AU2006905360A0 (en) 2006-09-28 Improved Respirator Mask
AU2006905360 2006-09-28
PCT/AU2007/001455 WO2008037031A1 (fr) 2006-09-28 2007-09-28 Masque respirateur amélioré

Related Parent Applications (1)

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PCT/AU2007/001455 A-371-Of-International WO2008037031A1 (fr) 2006-09-28 2007-09-28 Masque respirateur amélioré

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US14/531,679 Continuation US20150273171A1 (en) 2006-09-28 2014-11-03 Respirator mask

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US20100043798A1 true US20100043798A1 (en) 2010-02-25

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US12/443,415 Abandoned US20100043798A1 (en) 2006-09-28 2007-09-28 Respirator mask
US14/531,679 Abandoned US20150273171A1 (en) 2006-09-28 2014-11-03 Respirator mask
US15/130,443 Expired - Fee Related US11000662B2 (en) 2006-09-28 2016-04-15 Respirator mask

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US15/130,443 Expired - Fee Related US11000662B2 (en) 2006-09-28 2016-04-15 Respirator mask

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US (3) US20100043798A1 (fr)
EP (1) EP2073881A4 (fr)
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DE102010020437B4 (de) * 2010-05-12 2017-03-09 Hsiner Co. Ltd. Atemmaske mit verbessertem Kopfbandanschlussteil
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US10518054B2 (en) 2014-08-25 2019-12-31 Fisher & Paykel Healthcare Limited Respiratory mask and related portions, components or sub-assemblies
US11305084B2 (en) 2014-08-25 2022-04-19 Fisher & Paykel Healthcare Limited Respiratory mask and related portions, components or sub-assemblies
US10179220B2 (en) * 2015-08-06 2019-01-15 Rebecca G. Canaday Animal respiratory treatment masks and system
US20190201648A1 (en) * 2015-08-06 2019-07-04 Rebecca G. Canaday Animal respiratory treatment masks and system
CN108697870B (zh) * 2016-03-30 2021-07-16 人类设计医疗有限公司 用于与通风和正空气压力系统一起使用的具有内部中间上颌支撑件的面罩
CN108697870A (zh) * 2016-03-30 2018-10-23 人类设计医疗有限公司 用于与通风和正空气压力系统一起使用的具有内部中间上颌支撑件的面罩
CN113521584A (zh) * 2020-04-14 2021-10-22 北京荣瑞世纪科技有限公司 一种头戴式呼吸设备
WO2023144717A1 (fr) * 2022-01-25 2023-08-03 Tallon Eric Masque de ventilation en pression positive continue

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EP2073881A4 (fr) 2013-08-21
AU2007302631A1 (en) 2008-04-03
US20160228666A1 (en) 2016-08-11
AU2007302631B2 (en) 2013-10-31
EP2073881A1 (fr) 2009-07-01
US11000662B2 (en) 2021-05-11
WO2008037031A1 (fr) 2008-04-03
US20150273171A1 (en) 2015-10-01

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