Source: https://patents.google.com/patent/CN103998089B/en
Timestamp: 2019-12-13 23:45:29
Document Index: 447248495

Matched Legal Cases: ['§ 119', 'application No.61', 'art 140', 'art 102', 'art 402', 'art 402', 'art 402', 'art 402', 'art 210', 'art 360', 'art 360', 'art 360', 'art 360', 'art 360', 'art 360']

CN103998089B - There is the patient interface device of customizable liner - Google Patents
There is the patient interface device of customizable liner Download PDF
CN103998089B
CN103998089B CN201280061848.4A CN201280061848A CN103998089B CN 103998089 B CN103998089 B CN 103998089B CN 201280061848 A CN201280061848 A CN 201280061848A CN 103998089 B CN103998089 B CN 103998089B
CN201280061848.4A
CN103998089A (en
L·P·霍德科夫斯基
M·哈普
K·D·海姆斯
2011-12-14 Priority to US201161570367P priority Critical
2011-12-14 Priority to US61/570,367 priority
2012-12-07 Application filed by 皇家飞利浦有限公司 filed Critical 皇家飞利浦有限公司
2012-12-07 Priority to PCT/IB2012/057059 priority patent/WO2013088321A1/en
2014-08-20 Publication of CN103998089A publication Critical patent/CN103998089A/en
2016-10-12 Publication of CN103998089B publication Critical patent/CN103998089B/en
The present invention relates to a kind of patient interface device (8), described patient interface device includes spacer assembly (100), described spacer assembly is customizable to compensate patient to the anatomical discrepancies of patient, and therefore, described patient interface device provides effective sealing of the face with described patient.Described spacer assembly includes cushion member (102), multiple board member (108,110,112,114,116) and guiding mechanism (120,122,124), and described cushion member has the first facial side being configured to engage described patient and the second side being reversed with described first side.Described guiding mechanism is configured to adjust the position of described board member, thus changes the shape of described cushion member substantially to comply with the face of described patient.
There is the patient interface device of customizable liner
Present patent application requires in U.S. of December in 2011 submission on the 14th according to 35U.S.C. § 119 (e) State's provisional application No.61/570, the senior interest of 367, disclosure of which is herein incorporated by reference this Literary composition.
The present invention relates to respiratory patient interface system, and especially, relate to one and include customizable The respiratory patient interface device of spacer assembly.
There are many situations, wherein must or desirably gas flow be non-invasively delivered to The air flue of patient, i.e. without patient intubates or surgically inserted by endotracheal tube their food Road.For instance, it is known that utilize the technology being known as non-intruding ventilation to make patient ventilation.It is known that Be conveying continuous positive airway pressure (CPAP) or along with patient breathing cycle change variable airway pressure Power, to treat medical conditions, such as sleep apnea syndrome, particularly obstructive sleep respiratory Suspend (OSA) or congestive heart failure.
Non-intruding ventilation and pressure support therapy relate to being placed in the patient interface device including cap assembly On the face of patient.This cap assembly can be not limited to cover the nose cup of nose of patient, indwelling in patient Nose under nasal cushion (such as there is " pillow " formula of the intranarial nasal obstruction being contained in patient, or Be retained under the nostril of patient and cover " bracket " the formula nasal cushion in nostril of patient), cover nose and The nasal oral mask of oral area, or cover full facepiece mask or " always " face shield of the face of patient.Patient interface device Breather or pressure support device is made to be joined by pipe arrangement with the air flue of patient, so that respiratory air flow can The air flue of patient it is delivered to from pressure/air flow-producing device.It is known that by head frame assembly by this type of Device maintains on the face of wearer, and this head frame assembly has and one or more is adapted to fit in patient Head on/band around.
Such as, nasal oral mask typically comprises the potted component or cushion member being made up of single piece of material, This potted component or cushion member such as carry merely by the summit (pitch) changing cover or cushion member For limited adjustment.Most adjustment can be entered by handling head frame assembly attachment and/or forehead arm OK.But, anatomical features can change to next individuality significantly from body one by one.Therefore, do not have There is way such as by making cushion member or potted component shape or reshape to provide customization to patient , strengthen cooperation effectively and efficiently customize patient interface device.
Therefore, an object of the invention is to provide a kind of patient interface device, this patient interface device Overcome the deficiency of conventional patient's interface device.This target is passed through according to one embodiment of present invention There is provided and there is the patient interface device of customizable spacer assembly and realize.
A further object of the present invention is to provide a kind of method carrying respiratory air flow, and the method will not meet with Meet the shortcoming relevant to conventional art.This target realizes, the method bag by providing a kind of method Include the effectively sealing of the face utilizing customizable spacer assembly to be formed with patient and filled by patient interface Put conveying respiratory air flow.
In one embodiment, it is provided that the spacer assembly of a kind of patient interface device.This spacer assembly Including cushion member, multiple board member and guiding mechanism, this cushion member includes being configured to engage patient The first side of face and the second side of being reversed with the first side, this guiding mechanism is used for adjustment plate structure The position of part, thus change the shape of cushion member substantially to comply with the face of patient.
Additionally provide the trouble of a kind of air flue for respiratory air flow to be delivered to patient from air flow-producing device Person's interface device.This patient interface device includes spacer assembly, this spacer assembly include cushion member, Multiple board members and guiding mechanism, this cushion member includes the first side being configured to engage the face of patient And the second side being reversed with the first side, this guiding mechanism for the position of adjustment plate component, thus Change the shape of cushion member substantially to comply with the face of patient.
Additionally provide a kind of method that respiratory air flow is delivered to patient.The method includes: provide one Including the patient interface device of spacer assembly, adjust this spacer assembly and form sealing with the face with patient, Produce respiratory air flow, and respiratory air flow is delivered to patient interface device.This spacer assembly includes liner Component, multiple board member and guiding mechanism, this cushion member includes being configured to engaging the face of patient First side and the second side being reversed with the first side, this guiding mechanism is used for the position of adjustment plate component, Thus change the shape of cushion member substantially to comply with the face of patient.
When considering with reference to the description below of accompanying drawing and appending claims, the present invention these and Other target, features and characteristics, and the operation side of the combination of associated structural elements and some Method and functional and manufacture economy will become apparent from, described accompanying drawing, explanation and right want Asking book to form a part for this description, wherein similar reference indicates part corresponding in each figure. It is to be expressly understood, however, that accompanying drawing is merely for the purpose of illustration and description, and it is not intended as this The definition of the restriction of invention.
Fig. 1 be according to one exemplary embodiment of the present invention be suitable to provide respiratory to treat to patient The simplification view of the system of scheme；
Fig. 2 is to form the front view of the patient interface device of a part for system in Fig. 1；
Fig. 3 is the upward view of the spacer assembly of patient interface device in Fig. 2；
Fig. 4 is the rearview of the spacer assembly of Fig. 3；
Fig. 5 is the patient interface device of another exemplary embodiment according to the present invention and for it The rearview of spacer assembly；
Fig. 6 is the patient interface device in Fig. 5 and the front view of the spacer assembly for it；
Fig. 7 is the patient interface device of another exemplary embodiment according to the present invention and for it The front view of spacer assembly；
Fig. 8 is the sectional view intercepted along line 8-8；With
Fig. 9 is the sectional view intercepted along line 9-9.
As used herein, " one ", the singulative of " a kind of " and " described " include plural, Unless the most otherwise clear stipulaties.As used herein, two or more parts or The statement that parts " couple " should refer to, as long as connecting, described part is either directly or indirectly (i.e. By one or more mid portions or parts) combine or operate together.It is as used herein, " connect ", " attachment " and " directly coupling " refers to that two elements directly contact with each other.Such as this Literary composition is used, " regularly couple " or " fixing " refer to two parts connections using as moving integrally, Relative to each other keep constant orientation simultaneously.
As used herein, word " single " is that finger is formed single object or unit. It is to say, include being individually formed and then as an element connection multiple objects together Parts not " single " parts or main body.As used herein, two or more parts Or the statement that parts " engage " each other should refer to that some is directly or through one or more centres Part or parts are for applying a power each other.As used herein, term " number " should refer to one Individual or more than the integer (that is, multiple) of.
Direction used herein word, such as but not limited to top, bottom, left and right, upper and lower, Forward and backward and derivative, relate to element shown in figure orientation and and not according to claims carry out Limit, unless be wherein clearly set forth.
Generally illustrating the system 2 according to an exemplary embodiment in Fig. 1, system 2 is suitable to trouble Person provides respiratory therapeutic scheme.System 2 includes air flow-producing device 4, delivery conduit 6 and patient Interface device 8.Air flow-producing device 4 is configured to produce respiratory air flow and may include but be not limited to Breather, constant voltage support device (such as continuing positive airway pressure unit, or CPAP device), transformation dress Put (such as, by Philip Acoba L. L. C. (Philips of Pennsylvania Mo Lisiweier Respironics of Murrysville, Pennsylvania) manufacture and distribute Or C-FlexTMDevice) and automatic Titration pressure support device.Conduit 6 is configured to respiratory gas Flow and be sent to patient interface device 8 from air flow-producing device 4 by conduit 6.Conduit 6 and patient circle Face device 8 is generally commonly referred to as patient circuit.
In fig. 1 and 2, patient interface device 8 is nasal oral mask.Alternatively, however utilize and have It is beneficial to respiratory air flow to the other type of patient interface device of the conveying of patient airway, such as (such as And be not limited to) full facepiece mask, without deviating from the scope of the present invention.
Spacer assembly 100 includes that cushion member 102, cushion member 102 have and is configured to engage patient The first side 104 (Fig. 1) of face and the second side 106 (Fig. 2) of being reversed with the first side 104. Spacer assembly 100 also includes that multiple board member 108,110,112,114,116 is (at Fig. 1 and Tu Shown in the non-limiting example of 2 five) and guiding mechanism 120,122,124, guiding mechanism 120, 122,124 for the position of adjustment plate component 108,110,112,114,116, thus changes The shape of cushion member 102 is substantially to comply with the face of patient.
In one exemplary embodiment, board member 108,110,112,114,116 is by the most firm The material of property is made, such as (such as but not limited to) polycarbonate plastic.Cushion member 102 is by greatly The material of body elasticity is made, such as (such as but not limited to) silicones.An exemplary embodiment In, substantially rigid board member 108,110,112,114,116 and the elasticity of cushion member 102 Material (such as, being not limited to silicones) encapsulated molding.It is to be understood, therefore, that form " floating structure ", Wherein board member 108,110,112,114,116 is corresponding to may need more on the face of patient The different anatomic feature of concrete adjustment.In other words, board member 108,110,112,114, The 116 pairs of covers give to support and shape, simultaneously the silicones of liner 102 or other suitable elastomeric material As potted component, and for " suspending in midair " and gripper shoe component 108,110,112,114,116.
As it is shown in figure 1, board member 108,110,112,114,116 is spaced apart from each other, thus Cushion member 102 between adjacent plate member forms groove 130 (for example, with reference to adjacent plate member Groove 130 between 108 and 116).It will be appreciated that therefore groove 130 can act as prestrain special Levy (preload feature), shape needed for giving cushion member 102 and elasticity is formed and patient Effective sealing of face.Guiding mechanism 120,122,124 make as required board member 108,110, 112,114,116 towards or away from the basic configuration moved each other to change cover and the plate to suspention Component adds rigidity.
In the non-limiting example embodiment of Fig. 2, make use of three guiding mechanisms 120,122,124, The most each guiding mechanism 120,122,124 includes multiple connecting elements 140,142,144 respectively With fixed mechanism 150,152,154.Board member 108,116 is connected to one by connecting elements 140 Rise, and include fixed mechanism 150.Guiding mechanism 122 includes being connected to board member 110,114 Connecting elements 142 together and fixed mechanism 152.Guiding mechanism 124 include connecting plate 110, The connecting elements 144 of 112 and 114 and fixed mechanism 154.By the way of example, connect structure Part 140 is adjustable with movable plate component 108,116 in operation, thus changes and be arranged at these The interval of the groove 130 between board member.Fixed mechanism 150 is utilized with by connecting elements 140 He Corresponding board member 108,116 is fixed on desired location.By this way, all of board member 108, 110,112,114,116 shapes that can suitably adjust to customize cushion member 102 formed with The optimal seal of the face of patient.
Fig. 3 and Fig. 4 shows the independent view of the guiding mechanism 120 of aforementioned spacer assembly 100.Tool Body ground, in shown non-limiting example embodiment, connecting elements 140 is for having multiple tooth 142,144 Slender member, and fixed mechanism 150 be configured to engage slender member 140 tooth 140,142 Knob or ratchet component, with fastening or loosen slender member 140 and be fixed in desired location.
Refer again to Fig. 2, it will be appreciated that patient interface device 8 optionally may also include and is attached to liner structure The framing component 400 of the second side 106 of part 102.Such as and be not limited to, framing component 400 can include Attachment part 402, attachment part 402 is configured to be attached to for patient interface device 8 is fixed to trouble The suitable head frame assembly 500 of the face of person.Such as, framing component 400 is (in Fig. 2 in simplified form Imagination line chart is partially illustrated in) include that attachment part 402, attachment part 402 are configured to adjustably receive Strap member 502,504 (being partially illustrated in imagination line chart in Fig. 2), strap member 502,504 Can be used for desired location patient interface device 8 being fixed on the face of patient.
Fig. 5 and Fig. 6 shows that another non-limiting example of the spacer assembly 200 according to the present invention is real Execute example.Spacer assembly 200 includes that cushion member 102, cushion member 102 have the first side 204 (figure 5) and contrary the second side 206 (Fig. 6).Six board members 208,210,212,214,216, 218 are suspended in midair by cushion member 202.Groove 230 be formed between adjacent plate member (for example, with reference to Groove 230 between adjacent plate member 208,218), as shown in Figure 5.As shown in Figure 6, board member 208,218 are connected by connecting elements or the band 240 of guiding mechanism 220.Unrestricted at Fig. 6 In example, fixed mechanism is hasp (buckle) 250, and hasp 250 is arranged on connecting elements or band On 240 and be configured to connecting elements 240 and board member 208,218 are fixed on desired location.Plate structure Part 210 and 216 is connected to the central hub of cover by connecting elements or band 242,243, connects structure Part or each of band 242,243 include shown hasp 252,253.Similarly, board member 212, 214 are connected by band 244, and are adjusted by hasp 254 and are fixed.
Fig. 7 shows another unrestricted alternate embodiment, wherein cushion member of spacer assembly 300 302 also include substantially rigid central part 360.Central part 360 is arranged at the inside of cushion member 302. Cushion member 302 also includes periphery and seals wing flap 370, seals wing flap 370 near being circumferentially arranged at On first side 204 of cushion member 302.Board member 308,309,310,311,312,313, 314 (shown in the example of Fig. 7 seven) are directly attached to seal wing flap 370, to form substantially ring The investigation mission outside the city or town domain 380 extended around described central part 360, as shown.During groove 330 is formed at Between central member 360 and the investigation mission outside the city or town domain 380.Guiding mechanism include multiple adjustment assembly 320,321,322, 323,324,325,326 (shown in Fig. 7 seven), each adjustment assembly is at central part 360 and plate Extend between the correspondence of component 308,309,310,311,312,313,314 one, as shown Go out.
Groove 330 is best shown in Fig. 8, and Fig. 8 show in section cushion member 302 A part.Groove 330 is arranged between adjacent plate member 309 and 310.It will be appreciated that board member 309, The position of 310 can relative to each other be adjusted, thus the interval of on-demand adjustment groove 330 thus tune The overall shape of whole liner 302 is to comply with the face of patient.It will also be understood that illustrated herein and retouched In the example stated, that groove 330 is disposed in being distributed or the position of " opening ", wherein plate structure The degree as far as possible that part (such as, being not limited to 309,310) spaced apart liner 302 will allow. Therefore, groove 330 works as the spring being held apart at by board member 309,310.
Adjusting assembly (such as, being not limited to 322) allows patient to pull tighter by board member 309,310 It is close together for adjustment.It will also be understood that reverse spring effect is also possible according to the present invention. In the case, board member 309,310 is maintained at tensioning state by groove 330, to the greatest extent cushion member 302 May be closely packed together allow, and guiding mechanism 322 will be used for pushing away board member 309,310 Open.Thus, groove 330 works as pre-load mechanism.Therefore, this assembly also has easily " multiple Position " function, if wherein guiding mechanism 322 is such as released, then (such as) board member 309, 310 and cushion member 302 will be back to different original positions.Certainly, if need not this type of pre-add Carry function and/or reset function, then less structural groove (not shown) can be used.
Fig. 9 shows for performing the cushion member 302 of aforementioned adjustment, board member 310, central part 360 Sectional view with the part adjusting assembly 322.In the non-limiting example of Fig. 9, adjust assembly 322 Including elongated link member 342 and the ratchet component 352 being arranged on.Elongated link member 342 includes Multiple teeth 390.Ratchet component 352 includes the tooth 392 (illustrating in Fig. 9) of correspondence with hidden line.Cause This, in operation, ratchet component 352 can be adjusted relative to elongated link member 342, to incite somebody to action Board member 310 moves interval and the shape suitably adjusting groove 330 towards or away from central part 360 Shape.The joint of tooth 390 and tooth 392 reacts on and adjustment assembly 322 is fixed on desired location.
Therefore, the invention provides a kind of utilization and (such as, be not limited to silicon tree by the material of big body elasticity Fat) suspend in midair substantially rigid board member 108,110,112,114,116 (Fig. 1 and Fig. 2), 208,210,212,214,216,218 (Fig. 5 and Fig. 6), 308,309,310,311,312, 313, the spacer assembly 100 (Fig. 1 and Fig. 2) of 314 (Fig. 7), 200 (Fig. 5 and Fig. 6), 300 (Fig. 7), wherein board member directly adjustable substantially to comply with the facial characteristics of patient and at liner The face of component 102 (Fig. 1 and Fig. 2), 202 (Fig. 5 and Fig. 6), 302 (Fig. 7) and patient it Between produce effective sealing of customization.
Thus, it is appreciated that the invention provides a kind of patient interface device, this patient interface device carries Having supplied a kind of customizable spacer assembly, this customizable spacer assembly allows this assembly to the patient's amount of carrying out body Customization, to provide the improvement of the face with patient to seal.
In detail in the claims, any reference being placed between parantheses should not be construed as restriction right Requirement.Term " comprises " or " including " is not excluded for being different from claim the unit of those listed Part or the existence of step.In the device claim enumerating multiple instrument, in these instruments Multiple can be implemented with identical hardware by one.Word " one " before element or " a kind of " It is not excluded for the existence of this class component multiple.In any device claim enumerating multiple instrument, this Multiple in a little instruments can be implemented with identical hardware by one.Some element is described in the most not It is not intended that these elements can not be applied in combination the fact that of in same dependent claims.
Although the most based on being presently believed to most realistic and most preferred embodiment in detail Describe the present invention, it will be appreciated that the purpose that these type of details are merely to illustrate, and the present invention is not Be limited to disclosed embodiment, and on the contrary, it is contemplated that contain appended claims spirit and In the range of amendment and equal layout.For example, it should be appreciated that to be the present invention may expect in degree, One or more features of any embodiment can be in conjunction with one or more features of any other embodiments.
1. the spacer assembly (100) for patient interface device, described spacer assembly includes:
Cushion member (102), described cushion member (102) includes being configured to engaging the face of patient First side and the second side (106) being reversed with described first side；
Multiple board members (108,110,112,114,116), wherein said board member is spaced Open, thus the described cushion member between adjacent plate member is formed groove；With
Guiding mechanism (120,122,124), described guiding mechanism (120,122,124) is used for adjusting The position of whole described board member, thus change the shape of described cushion member substantially to comply with described patient Face, wherein said guiding mechanism includes multiple connecting elements (140), each described connecting elements (140) multiple described board members (108,116) linked together and include fixed mechanism (150), Wherein said connecting elements is adjustable with mobile described board member, thus changes and be arranged on described plate The interval of the described groove between component；And wherein said fixed mechanism is by described connecting elements and right The board member answered is fixed on desired location.
Spacer assembly the most according to claim 1, it is characterised in that described board member is substantially Rigidity, wherein said cushion member is made up of elastomeric material；And wherein said substantially rigid plate Component and the encapsulated molding of described elastomeric material of described cushion member.
Spacer assembly the most according to claim 1, it is characterised in that described connecting elements is bar Band (240)；And wherein said fixed mechanism is hasp (250).
Spacer assembly the most according to claim 1, it is characterised in that described guiding mechanism is spine Wheel assembly (120), wherein said connecting elements is the slender member with multiple tooth；And wherein institute State fixed mechanism and be configured to engage the described tooth of described slender member to fasten or to loosen described elongated structure Part.
Spacer assembly the most according to claim 1, it is characterised in that described cushion member is also wrapped Include the substantially rigid central part (360) in the inside being arranged on described cushion member, wherein said lining Pad component also includes periphery and seals wing flap (370), and described sealing wing flap (370) is near described periphery Be arranged on described first side of described cushion member, wherein said board member (308,309,310, 311,312,313,314) described sealing wing flap directly it is attached to be formed generally about described The investigation mission outside the city or town domain (380) that central part extends, wherein groove is formed at described central part and described external-adjuster Between ring；And wherein said guiding mechanism include multiple adjustment assembly (320,321,322,323, 324,325,326), each adjustment assembly (320,321,322,323,324,325,326) Extend between a corresponding board member in described central part and described board member.
6. the patient interface being used for respiratory air flow is delivered to the air flue of patient from air flow-producing device Device (8), described patient interface device (8) including:
Spacer assembly, described spacer assembly includes:
Cushion member (102), described cushion member (102) includes being configured to engage described patient The first side of face and the second side (106) of being reversed with described first side；
Multiple board members (108,110,112,114,116), wherein said board member is each other Spaced apart, thus the described cushion member between adjacent plate member is formed groove；With
Guiding mechanism (120,122,124), described guiding mechanism (120,122,124) is used In the position of the described board member of adjustment, thus the shape changing described cushion member is described substantially to comply with The face of patient, wherein said guiding mechanism includes multiple connecting elements (140), each described connection Multiple described board members (108,116) are linked together and include fixed mechanism (150) by component (140), Wherein said connecting elements is adjustable with mobile described board member, thus changes and be arranged on described plate The interval of the described groove between component；And wherein said fixed mechanism is by described connecting elements and right The board member answered is fixed on desired location.
Patient interface device the most according to claim 6, it is characterised in that described connecting elements For band (240)；And wherein said fixed mechanism is hasp.
Patient interface device the most according to claim 6, it is characterised in that described guiding mechanism For ratchet assembly, wherein said connecting elements is the slender member with multiple tooth；And it is wherein said Fixed mechanism is configured to the described tooth engaging described slender member and with fastening or loosens described slender member.
Patient interface device the most according to claim 6, it is characterised in that described cushion member Also include the substantially rigid central part (360) being arranged in the inside of described cushion member, Qi Zhongsuo Stating cushion member also include periphery and seal wing flap, described sealing wing flap is circumferentially arranged near described On described first side of described cushion member, wherein said board member (308,309,310,311, 312,313,314) described sealing wing flap directly it is attached to be formed generally about described central part The investigation mission outside the city or town domain extended, wherein groove is formed between described central part and the described investigation mission outside the city or town domain；And Wherein said guiding mechanism include multiple adjustment assembly (320,321,322,323,324,325, 326), each described adjustment assembly (320,321,322,323,324,325,326) is described Extend between a corresponding board member in central part and described board member.
Patient interface device the most according to claim 6, it is characterised in that described patient interface Device also includes the framing component being attached to described second side of described cushion member, and wherein said Framing component includes the attachment part being configured to be attached to the headstock, and the described headstock is for by described patient circle Face device is fixed to the face of described patient.
CN201280061848.4A 2011-12-14 2012-12-07 There is the patient interface device of customizable liner CN103998089B (en)
US201161570367P true 2011-12-14 2011-12-14
US61/570,367 2011-12-14
PCT/IB2012/057059 WO2013088321A1 (en) 2011-12-14 2012-12-07 Patient interface device with customizable cushion
CN103998089A CN103998089A (en) 2014-08-20
CN103998089B true CN103998089B (en) 2016-10-12
ID=47563564
CN201280061848.4A CN103998089B (en) 2011-12-14 2012-12-07 There is the patient interface device of customizable liner
US (1) US9956368B2 (en)
CN (1) CN103998089B (en)
WO (1) WO2013088321A1 (en)
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2012-12-07 US US14/362,467 patent/US9956368B2/en active Active
2012-12-07 WO PCT/IB2012/057059 patent/WO2013088321A1/en active Application Filing
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