CN100577232C - Mask system - Google Patents
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- CN100577232C CN100577232C CN200480039669A CN200480039669A CN100577232C CN 100577232 C CN100577232 C CN 100577232C CN 200480039669 A CN200480039669 A CN 200480039669A CN 200480039669 A CN200480039669 A CN 200480039669A CN 100577232 C CN100577232 C CN 100577232C
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Abstract
Description
优先权申请的交叉引用Cross Reference to Priority Application
本申请请求保护2003年12月31日提交的美国临时申请号为60/533,229、2004年5月17日提交的申请号为60/571,488、2004年7月16日提交的申请号为60/588,341、以及2004年10月18日提交的中请号为60/619,022的利益,在此将其作为引用全部并入。This application claims U.S. Provisional Application Nos. 60/533,229, filed December 31, 2003, 60/571,488, filed May 17, 2004, and 60/588,341, filed July 16, 2004 , and application Ser. No. 60/619,022, filed October 18, 2004, which is hereby incorporated by reference in its entirety.
技术领域 technical field
本发明涉及用于如成年患者的患者、一次性的面罩系统,其用于治疗阻塞性睡眠呼吸暂停(OSA:obstructive sleep apnea),或用于通过使用连续气道正压通气(CPAP:continuous positive airway pressure),双级的,或其他压力支持通气,来提供非侵害正压通气(NIPPV:non-invasive positive pressure ventilation)支持。所述面罩用于单一患者、以及短期使用,所述短期具有如7-14天的使用期限。优选地,该面罩仅可使用到7天。The present invention relates to a disposable mask system for a patient, such as an adult patient, for the treatment of obstructive sleep apnea (OSA: obstructive sleep apnea), or for ventilation by using continuous positive airway pressure (CPAP: continuous positive airway pressure), two-stage, or other pressure support ventilation to provide non-invasive positive pressure ventilation (NIPPV: non-invasive positive pressure ventilation) support. The mask is intended for single patient use, as well as for short-term use, such as a 7-14 day lifetime. Preferably, the mask is only usable up to 7 days.
背景技术 Background technique
雷斯梅德有限公司的一次性全罩式面罩由具有双壁硅树脂软垫的框架构成。软垫、肘管、和/或通气口部件可以从框架上拆下。虽然该面罩具有较强的密封性和舒适性,但其没有显示出最适于医院和临床使用的特性,其与最适于家用或其他使用的特性不同。Resmed Ltd's Disposable full-face masks consist of a frame with a double-walled silicone cushion. Upholstery, elbows, and/or vent components can be removed from the frame. While this mask has a strong seal and comfort, it does not exhibit the characteristics that are optimal for hospital and clinical use, unlike those that are optimal for home or other use.
另一个现有技术是雷斯梅德有限公司的一次性鼻部面罩(ResMed’sDisposable Nasal),该面罩具有PVC泡沫软垫和苯乙烯框架。来自Respironics的映像3一次性的全罩式面罩(Image3 Disposable FullFace Mask)具有框架和硅树脂软垫。又有一种全罩式一次性的面罩是具有单独PVC软垫和框架的Respironics频谱一次性的全罩式面罩(Spectrum Disposable Full Face Mask)。梅德2100序列一次性的全罩式面罩(Med Series 2100 Disposable Full Face Mask)具有PVC框架和泡沫软垫。还有一种面罩是“Performa Trak”,是来自Respironics的单一使用的全罩式面罩。Another prior art is ResMed's Disposable Nasal Mask (ResMed's Disposable Nasal ), the mask has PVC foam upholstery and a styrene frame. The Image3 Disposable Full Face Mask from Respironics has a frame and silicone cushion. Yet another full face disposable mask is the Respironics Spectrum Disposable Full Face Mask which has a separate PVC cushion and frame. The Med Series 2100 Disposable Full Face Mask has a PVC frame and foam cushion. Yet another mask is the "Performa Trak," a single-use full-face mask from Respironics.
上述现有技术的面罩没有提供在医院或临床环境中使用面罩系统的完全适当和/或最佳的解决方案。例如,这些面罩表现出一个或多个与重复使用的面罩典型有关的性质。因此,这些面罩可能会以一种对患者产生危险的方式被意外地重复使用,所述危险如扩散细菌的危险等。The prior art masks described above do not provide an entirely adequate and/or optimal solution for using a mask system in a hospital or clinical setting. For example, these masks exhibit one or more properties typically associated with reusable masks. Consequently, these masks may be accidentally reused in a manner that creates a risk to the patient, such as the risk of spreading germs and the like.
发明内容 Contents of the invention
本发明的一个特征在于提供一种面罩系统,其至少可以部分地克服现有技术的问题。It is a feature of the present invention to provide a mask system which at least partially overcomes the problems of the prior art.
本发明的另一个特征在于提供一种一次性面罩,其具有使用期限,即可以是单独使用或在一个较短的例如7-10天或再多今天的期限内使用。优选地,面罩仅可以使用到7天。Another feature of the present invention is to provide a disposable face mask that has an expiry date, ie it can be used alone or within a shorter period such as 7-10 days or more. Preferably, the mask can only be used for up to 7 days.
本发明的另一个特征在于提供一种面罩,其具有例如可视指示的指示,以表示该面罩被使用了一次、多于一次或超过了推荐的次数或期限。Another feature of the present invention is to provide a mask having an indication, such as a visual indication, that the mask has been used once, more than once, or beyond a recommended number or duration.
本发明的又一个特征在于提供一种面罩组件,其在不损坏的情况下难以拆卸,因此去除了多样的使用并且阻止了如反窒息阀门的安全部件的拆下。It is yet another feature of the present invention to provide a mask assembly that is difficult to disassemble without damage, thus eliminating multiple uses and preventing removal of safety components such as anti-asphyxia valves.
本发明的又一个特征在于提供一种面罩,其是一次性的和/或满足通常与家庭环境中使用面罩的需求不同的临床和医院环境的需要。It is yet another feature of the present invention to provide a face mask that is disposable and/or meets the needs of clinical and hospital settings that are generally different from the needs of face masks used in a home setting.
在另一方面,面罩被设计为由临床医生和护士来调整。Masks, on the other hand, are designed to be adjusted by clinicians and nurses.
本发明的另一个特征在于提供一种低成本的面罩,该面罩在功能项、审美和/或耐久性上,体现了一次性和可重复使用的产品之间的巨大不同。Another feature of the present invention is to provide a low cost face mask that represents a significant difference between disposable and reusable products in terms of functionality, aesthetics and/or durability.
本发明的这些以及其他的特征将在以下的优选实施例的描述中展现。These and other features of the invention will emerge from the following description of the preferred embodiments.
附图说明 Description of drawings
图1为从左前方观看的立体图,阐述了本发明的第一优选实施例;Figure 1 is a perspective view viewed from the front left, illustrating a first preferred embodiment of the present invention;
图2为本发明的后视图;Fig. 2 is the back view of the present invention;
图3为图1所示的部分组件的主视立体分解图;Fig. 3 is a front perspective exploded view of some components shown in Fig. 1;
图4为图1所示的部分组件的后视立体分解图;Fig. 4 is a rear perspective exploded view of some components shown in Fig. 1;
图5为图1所示的面罩组件的仰视图;Figure 5 is a bottom view of the mask assembly shown in Figure 1;
图6为图1所示的面罩组件的俯视图;Figure 6 is a top view of the mask assembly shown in Figure 1;
图7为图1所示的面罩组件的右视图;Figure 7 is a right side view of the mask assembly shown in Figure 1;
图8为根据本发明实施例的框架的立体图;8 is a perspective view of a frame according to an embodiment of the present invention;
图9为根据本发明实施例的框架的后视图;Figure 9 is a rear view of a frame according to an embodiment of the invention;
图10为根据本发明实施例的框架的俯视图;Figure 10 is a top view of a frame according to an embodiment of the present invention;
图11为根据本发明实施例的框架的仰视图;Figure 11 is a bottom view of a frame according to an embodiment of the present invention;
图12为根据本发明实施例的框架的侧视图;Figure 12 is a side view of a frame according to an embodiment of the invention;
图12A为根据本发明的另一实施例的框架的立体图;Figure 12A is a perspective view of a frame according to another embodiment of the present invention;
图13为根据本发明的软垫的主视立体图;Figure 13 is a front perspective view of a cushion according to the present invention;
图14为根据本发明的软垫的主视图;Figure 14 is a front view of a cushion according to the present invention;
图15为根据本发明的软垫的后视图;Figure 15 is a rear view of a cushion according to the present invention;
图16为根据本发明的软垫夹的后视立体图;Figure 16 is a rear perspective view of a cushion clip according to the present invention;
图17为根据本发明的软垫夹的侧视图;Figure 17 is a side view of a cushion clip according to the present invention;
图18为显示框架、软垫和软垫夹组件的分解的局部剖面图;Figure 18 is an exploded partial sectional view showing the frame, cushion and cushion clip assembly;
图19为显示框架、软垫和软垫夹组件的组装的局部剖面图;Figure 19 is a partial cutaway view showing the assembly of the frame, cushion and cushion clip assembly;
图20为图18所示的组件的分解的局部剖面立体图;Figure 20 is an exploded partial cutaway perspective view of the assembly shown in Figure 18;
图21为根据本发明的旋转肘管的分解立体图;Figure 21 is an exploded perspective view of a swivel elbow according to the present invention;
图22为根据本发明的旋转肘管的组装图;Figure 22 is an assembled view of a swivel elbow according to the present invention;
图23为根据本发明的旋转肘管的剖面图;Figure 23 is a cross-sectional view of a swivel elbow according to the present invention;
图23A为图23的局部细节放大图。FIG. 23A is an enlarged partial detail view of FIG. 23 .
图23B为根据本发明的实施例的肘管的立体及剖面图;23B is a perspective and cross-sectional view of an elbow according to an embodiment of the present invention;
图24为根据本发明的实施例的旋转肘管的后视立体图;Figure 24 is a rear perspective view of a rotating elbow in accordance with an embodiment of the present invention;
图25为根据本发明的实施例的旋转肘管的主视立体图;25 is a front perspective view of a rotating elbow according to an embodiment of the present invention;
图26为根据本发明的实施例的旋转肘管的后视图;Figure 26 is a rear view of a rotating elbow according to an embodiment of the present invention;
图27为根据本发明的实施例的旋转肘管的仰视图;Figure 27 is a bottom view of a rotating elbow according to an embodiment of the present invention;
图28为根据本发明的实施例的旋转肘管的侧视图;Figure 28 is a side view of a swivel elbow according to an embodiment of the invention;
图28A为根据本发明的另一实施例的旋转肘管的立体图;28A is a perspective view of a rotating elbow according to another embodiment of the present invention;
图28A-1和图28A-2为根据本发明的又一实施例的肘管的附图;28A-1 and 28A-2 are drawings of an elbow according to yet another embodiment of the present invention;
图28B和图28C为根据本发明一可选实施例的肘管的附图;28B and 28C are drawings of an elbow according to an alternative embodiment of the invention;
图28D至图28H为根据本发明的再一实施例的肘管的附图;28D-28H are drawings of an elbow according to yet another embodiment of the present invention;
图29为根据本发明的反窒息阀门隔膜的主视立体图;29 is a front perspective view of an anti-asphyxia valve diaphragm according to the present invention;
图30为根据本发明的反窒息阀门隔膜的主视图;30 is a front view of an anti-asphyxia valve diaphragm according to the present invention;
图31为根据本发明的反窒息阀门隔膜的侧视图;Figure 31 is a side view of an anti-asphyxia valve diaphragm according to the present invention;
图31-A至图31-I描述了与本发明的实施例相一致的面罩组件、时管、旋转和/或反窒息阀门隔膜。31-A through 31-I depict a mask assembly, time tube, swivel and/or anti-asphyxia valve diaphragm consistent with embodiments of the present invention.
图32为根据本发明的头罩夹的主视图;Figure 32 is a front view of a hood clip according to the present invention;
图33为根据本发明的头罩夹的立体图;Figure 33 is a perspective view of a headgear clip according to the present invention;
图34根据本发明的头罩夹的后视图;Figure 34 is a rear view of a hood clip according to the present invention;
图34A和图34B为根据本发明的另一实施例的头罩夹的主视和后视立体图;34A and 34B are front and rear perspective views of a headgear clip according to another embodiment of the present invention;
图35为根据本发明的一个实施例的头带的立体图;Figure 35 is a perspective view of a headgear according to one embodiment of the present invention;
图36为位于患者头部上的图35所示的头带的主视立体图;Figure 36 is a front perspective view of the headgear shown in Figure 35 positioned on a patient's head;
图37为位于患者头部上的图35所示的头带的后视立体图;Figure 37 is a rear perspective view of the headgear shown in Figure 35 positioned on a patient's head;
图38描述了根据本发明的头带的又一实施例;Figure 38 depicts yet another embodiment of a headgear according to the present invention;
图39为位于患者头部上的图38所示的头带的主视立体图;Figure 39 is a front perspective view of the headgear shown in Figure 38 positioned on a patient's head;
图40为位于患者头部上的图38所示的头带的后视立体图;Figure 40 is a rear perspective view of the headgear shown in Figure 38 positioned on a patient's head;
图41为根据本发明的再一实施例的头带的立体图;和Figure 41 is a perspective view of a headgear according to yet another embodiment of the present invention; and
图42为位于模型患者头部上的图41所示的头带的立体图。Figure 42 is a perspective view of the headgear shown in Figure 41 positioned on the head of a model patient.
具体实施方式 Detailed ways
以下,将结合附图对本发明的优选实施例进行描述,其中,相同的标记符号代表同一个部件。Hereinafter, preferred embodiments of the present invention will be described with reference to the accompanying drawings, wherein the same reference numerals represent the same components.
图1表示了面罩组件10,其包括:外壳形式的框架12、和附加在框架12上的软垫14。旋转肘管16可旋转地连接或设置于框架12。如现有技术已知的,所述旋转肘管16包括接收来自合适的加压气体源的加压可呼吸气体的进气管18。旋转肘管16包括一个或多个孔20,该孔用于连续排出从由框架12和软垫14形成的呼吸腔排出的CO2气体。框架12包括至少一对侧部外伸架22,其支持用于接收与头带(例如,见图35-图40)相连的连接器夹(例如,见图32-图34)的连接器夹插座24。框架12包括位于中部的上部延伸部38,该上部延伸部38包括有用于与头罩(headgear)的一个头罩带相互连结的多种结构。FIG. 1 shows a
框架12还包括至少一个端口26,用于引入压力监视探测器,或用于将例如氧气(O2)的单一气体引入呼吸腔的内部(通过管件)。所述端口26可以适当地被端口帽28覆盖,在图1中,端口帽28位于不相连的位置。如下所述以及所示,端口帽28可以被形成为作为软垫14的一个整合部分。The
图2为面罩组件10的患者侧视图或后视图。软垫14的面部接触部分优选地包括如转让给了雷斯梅德有限公司的美国专利号为6,513,526所描述的双层、有间隔壁的结构,并且在此将其作为引用全部并入。然而,在不超出本发明的技术思想以及范围的情况下,也可以使用其他软垫结构,如单层或三层软垫结构。另外,软垫可以由硅树脂、泡沫材料、凝胶体等、或其组合物构成。FIG. 2 is a patient side or rear view of
图2也描述了使旋转肘管16的进气管18与呼吸腔连通的孔30。在孔30周围具有作为框架12的一部分的基本为圆形的支架32。支架32形成有用于反窒息阀门隔膜34(详见图29-图31)的表面。更详细地如下所述,反窒息阀门隔膜34位于支架32与旋转肘管16之间。FIG. 2 also depicts the
图3和图4描述了如图1所示的面罩组件10的主视和后视的分解图,其中不合有旋转肘管16或相关的反窒息阀门隔膜34。如图3所示,反窒息阀门隔膜34被定位于邻近框架12的圆形支架表面36的位置。3 and 4 depict front and rear exploded views of the
框架12包括至少一个以及优选的包括多个通孔40,该通孔40用于与软垫14上的相应通孔42对准。软垫14被夹在框架12和软垫夹44之间。软垫夹44包括对应数量的扣件或杆46,其例如是沿着软垫夹44的带凸缘的周边部分48被布置。所述杆46与软垫14和框架12的通孔42和40对准并分别地穿过通孔42和40。杆46的尖端可以是搭扣配合的,热熔的或超声波变形的,从而相对于通孔40相互固定,因此有效地在框架12与软垫夹44之间的适当位置夹住软垫14。杆46可以具有锥形的扩大头部以穿过通孔40、42,来实现组装的目的。但是,扩大的头部阻止了框架、软垫夹以及软垫的拆卸。所以,软垫可以被永久地夹在所述位置,也就是很难拆卸,这一点在医院或临床环境中可能会有好处的。然而,如果需要,软垫可以构造成允许可选择的拆卸的结构。软垫14包括侧部周边凸缘50,其也可以被夹入或夹紧在框架12和软垫夹44之间。图3也显示了凸缘50可以具有通过桥29与端口帽28整体连接的支撑表面。可选的,框架可以具有杆,并且软垫夹可以具有通孔。The
图4最好地表示了框架12的内表面52。邻近于内表面52的是直立的壁部件54,其优选地沿着整体周边延伸以形成框架12的开口。壁54提供用于软垫14的侧壁以及软垫夹44的内侧壁的支撑。图5-图7为框架12、软垫14和旋转肘管16的进一步的组装图。The
图8-图12为进一步单独描述框架12的附图。图8中显示了框架12包括凹口56,凹口56用于使桥29(见图3、图14和图15)从软垫一侧通过到框架一侧的。框架12还包括多个突出物或城堡形凸起60,以实现辅助肘形组件(见图22、图23和图29)中反窒息阀门隔膜34的保持的目的。如图12所示,框架12包括形成凹槽66的周边凸缘64,旋转肘管16通过该凹槽66被固定到框架12上。8-12 are drawings further describing the
图8描述了外伸架22包括支腿68,每一个支腿都具有:连接到或设置于框架12的主体部分上的第一端,和连接到或设置于连接器夹插座24上的第二端。优选地,外伸架形成包括框架12和外伸架24的整体。而且,如图8和图9所示,外伸架22,例如支腿68可以围绕轴线72弯曲、和/或折曲。支腿68也可以设置为类似铰链的方式转动的结构。这种转动的设置有一定的好处,例如,头罩带自动绷紧和/或年限/使用指示,以下进行更完整地说明。图10-图12分别表示了框架12的俯视图、仰视图和侧视图。图10和图11中具有双向箭头,示意性的表示支腿68围绕轴线72的弯曲、转动、和/或折曲。8 depicts that the
图12A为框架12′的可选实施例的立体图。图12A中的框架与图8中所示的框架非常相似,其仅有的主要不同在于,框架12′包括16个城堡形凸起60,而不是8个。城堡形凸起的数量增加有助于减少在肘管和反窒息阀门隔膜之间的泄漏。但是,城堡形凸起的数量是可以变化的,而且例如可以包括任何高于或低于16的数量。Figure 12A is a perspective view of an alternative embodiment of a frame 12'. The frame in Figure 12A is very similar to that shown in Figure 8, with the only major difference being that frame 12' includes 16
在另一实施例中,支腿68的一端或两端可以包括一个部分70,臂围绕该部分70可以转动,弯曲和/或折曲。这将使得面罩采取各种结构,例如,如图9中箭头的示意性指示,通过相对框架的主体垂直向上或向下移动外伸架。优选地,支腿68可彼此平行以适应上述调整,即使在图8和图9中所示支腿并不平行(即呈梯形)。In another embodiment, one or both ends of the
图13至图15单独地表示了软垫14的各种附图;而图16和图17单独地表示了软垫夹44的各种附图。13-15 show various views of
图18为局部剖面和分解图,以突出显示框架12、软垫14和软垫夹44间的连接。图19为图18所描述的部件的组装图;而图20为图18所示的分解图的立体图。如图18至图20所示,框架12包括珠状的部件13,其有助于设置和确保在框架12和软垫14之间的可靠密封。图19显示了嵌入到软垫14的珠状部件13,尽管软垫14也可以包括用于容纳珠状部件13的凹槽或孔。珠状部件13可以在图4中看到。FIG. 18 is a partial cutaway and exploded view to highlight the connection between
图21为旋转肘管组件73的分解图,旋转肘管组件73包括旋转肘管16,反窒息阀门隔膜34和旋转接头76。旋转接头76包括与进气管18相连接的第一端78和与连接到加压可呼吸气体源的气体传输管相连接的第二端80。FIG. 21 is an exploded view of the
图22为图21所示的部件的组装图;而图23为组装的旋转肘管组件的剖面图。如图23所示,反窒息阀门隔膜34优选由弹性体材料制成。旋转肘管16包括基本为圆柱形的内管82。如图23中方向箭头指示,圆柱形管82可以在通过旋转接头76送入的进入气体和排出气体之间设置挡板。图23A表示了图23中所示的部分组件的详细放大图;而图23B为连接于在适当位置具有部件34的框架的肘管的局部剖面图。Figure 22 is an assembled view of the components shown in Figure 21; and Figure 23 is a cross-sectional view of the assembled swivel elbow assembly. As shown in Figure 23, the
反窒息阀门隔膜34包括主体84,其通过摩擦,与作为旋转肘管16一部分而形成的直立壁部件密封和/或互锁。反窒息阀门隔膜34还包括孔88(图21),其包括内部台肩90,该内部台肩90用于抵在旋转肘管6的圆柱形管82的外表面进行密封(图23)。反窒息阀门隔膜34包括外部台肩94,其防止隔膜34在旋转肘管16中嵌入过深,并允许与旋转肘管16的直立壁部件86的滑动配合。The
图24为从患者一侧观看的旋转肘管16的立体图。气体通过进气管18被导入旋转肘管16的圆顶部分98。旋转肘管包括多个摩擦增强部件100以确保反窒息阀门隔膜34保持与旋转肘管16的摩擦啮合。Figure 24 is a perspective view of the
如图24和图25所示,旋转肘管16还包括多个狭槽或孔102,在其附近设置有多个凸起部件104。凸起部件104为倾斜的(图24),由此,在啮合如图12所示的凸缘64时,凸起部件就发生轻微膨胀或向外凸出(cam-out),直到越过凸缘64并使得凸起部件104容置于凹槽或切口66中,在该点上,各部件搭扣配合以建立连接。孔102的设置有助于旋转肘管16变弱,从而一旦试图将旋转肘管从面罩上拆下,那么支撑凸起部件的部分或者凸起部件自身会变形,和/或脱离旋转肘管16,因此放弃不能使用的面罩,在这种情况下,需要为患者更换新的面罩。然而,选择性的削弱不会对面罩的性能造成不利的影响。在反窒息阀门部件不起作用时,孔102还可以起到用于呼吸大气的窗口的作用。As shown in FIGS. 24 and 25 , the
图26至图28为单独地描述旋转肘管16的各种附图,同时图29至图31为单独地描述反窒息阀门部件34的各种附图。FIGS. 26-28 are various drawings depicting the
图28A描述了本发明的另一实施例,其中包括与图22种所示的旋转肘管16相类似的旋转肘管16′。其中一个主要的不同在于,旋转肘管16′包括用于排除患者呼出的CO2气体的单一孔20′。孔20′可以被装有现有技术中已知的鸭嘴阀门(duck bill valve)。FIG. 28A depicts another embodiment of the present invention which includes a swivel elbow 16' similar to the
图28A-1和图28A-2描述了一种略有修改的肘管,其中,孔20″凸设出来,并且阀门部件23′连接到孔20″上。Figures 28A-1 and 28A-2 depict a slightly modified elbow in which the
在图28A、图28A-1和图28A-2的实施例中,部件23、23′构成阀门部件。在另一实施例中,部件23、23′可以构成可选择地密封孔的塞子。当塞子位于适当的位置时,孔被密封并且肘管不排气。当移除塞子时,孔就暴露出来,因此作为接收例如实质上是鼻饲的管的入口。In the embodiment of Figures 28A, 28A-1 and 28A-2, the
图28B和图28C描述了根据本发明的又一实施例的旋转肘管200。肘管200包括如上所述的反窒息阀门隔膜(未图示)。如图28A所示,肘管200包括圆顶部分202和圆柱形中心管部件204。直立壁206和管部件204被构造成支撑反窒息阀门部件。圆顶具有狭槽或孔208和凸起部件209,其每一个性能都在此被描述。提供给圆顶202的尖顶部分的是管210,其具有延伸通过反窒息阀门隔膜的中心孔的第一端212。管210具有完整地连接于或设置于圆顶202的尖顶处的第二端(不可视)。由此,如图28A所示,圆顶将只具有一个孔。28B and 28C depict a
如图28C所示,管部件204包括设置在管部件204底部的孔214。在该例中,孔214为眼睛形状,但也可以为其它任何形状。As shown in FIG. 28C , the
图28D至图28H描述了根据本发明的另一实施例的与图283和图28C的实施例相类似的肘管300。如图28D和图28E所示,圆顶部分302包括多个同心的、凸设出来的圆环303。如图28E至图28H所示,中心管部304延伸到圆顶部分302外侧,但在到达有助于CO2气体排出的肘管壳体的较低端之前为止。内管310从圆顶部分302的顶部开始延伸并且经过肘管壳体的端部。内管310的顶部311的剖面图,如图28E-图28G所示。通向大气的开口313的横截面比管310的中心部分315小。在开口313与中心部分315之间形成过渡317。该过渡例如可以是渐缩的圆锥部件的形式。如图28B和图28C的实施例,中心管302包括孔314以使得来自气体传输管的气流进入管302内部,这一点有助于降低阻抗。28D-28H depict an
图31-A至图31-I描述了根据本发明的另一实施例的面罩组件10。图31-A为面罩组件10的主视图,而图31-B为面罩组件10的侧视图。附图标记表示了与如图1的上述一个或多个实施例有关的所述部件或部分。31-A through 31-I depict a
面罩10包括在图31-C至图31-F中被更详细地阐述的旋转肘管16′。肘管16′包括进气管18(图31F),该进气管18包括具有多个弹性的可变形的凸起18b的软管端18a,通过凸起18b可以有选择地连接到旋转接头76或从旋转接头76上拆下。每一个凸起18b都包括径向延伸的凸起18c,其锁定在旋转接头76的凹槽76a内部的适当位置。图31-E表示了组合状态。肘管16优选由例如普通的Bayer产品的聚酯制成,但也可使用其它材料。旋转接头76可以由清洁的聚碳酸酯制成,但也可使用其它材料。该组件在不损坏框架完整性的情况下允许移除软管(未图示)。肘管16′的圆顶部分的内部几何尺寸和功能相似于或相同于图28D至图28H所述圆顶。如图31-G至图31-I,肘管16′可以与反窒息阀门部件34′一起使用,反窒息阀门部件34′的功能与图29至图31所述的部件34相似。The
图32描述了根据本发明的一个实施例的头罩夹106。该头罩夹106包括:与如图1和图2所示的头罩夹插座24结合的第一端108,和与头罩组件的头罩带结合的第二端110。第一端108包括第一和第二臂112,二者在纸平面内可以朝向彼此弯曲,从而挤入插座24。插座24包括在锁定位置具有适当的凸起或键锁114(图1)。为了从键锁114上拆下臂112,每一个插座24包括一对相对的可以朝向彼此挤压从而挤压臂112朝向彼此的臂件116,由此,将头罩夹106置于恰当的位置,以使得其可以从外伸架22和插座24上拆下。在挤压插座的相对臂116时,夹106的结构允许它们从插座24中弹出。每一个头罩夹106包括一个中心支腿118,其具有用于容纳如图2所示的凸起122的凹槽120。图33是头罩夹106的主视立体图,而图34是头罩夹106的后视立体图。当然,也可以使用不同的头罩夹和夹插座来代替。Figure 32 depicts a
图34A和图34B描述了另一实施例的头罩夹106′,其与图32至图34所示的头罩夹106相似。其中具有一些能够降低制造成本、使得制造容易、和/或增强性能的改善。34A and 34B depict another embodiment of a hood clip 106' that is similar to the
图35描述了根据本发明的头罩124的第一实施例。头罩124可以通过以下方式制造:首先使用基本上平坦的适当材料,如聚酯环形材料,皮革,布料,塑料等等;然后沿预先设定的剪切线126剪切、划线或软化头罩,由此头罩124可以被重新配置到与患者头部近似的形状。头罩124可以包括侧绑带128和前绑带130。侧绑带128可以具有单独的切口126。而且,在本实施例中,绑带的主体127具有适当数量的切口,例如为2-5个切口或者更多,以达到最优的头罩124或患者头部的覆盖和稳定性。一般地说,当头罩置于患者头部时,每一个切口126都在使用中张开来形成多个开口空间126′。Figure 35 depicts a first embodiment of a
相对于面罩组件10和患者头部,具有侧绑带128和前绑带130的头罩124的固定如图36所示。图37表示了配戴有所提供的头罩124的患者头部的后视立体图。该固定承接了头部的枕骨部,由此实现稳定。如图36和图37所示,头罩包括多个折叠线132,该折叠线132是由于头带124从如图35所示的位置到如图36和图37所示的位置的重新布置而产生的。这些预设的折叠线132对于临床或医院环境中的使用是可接受的。但它们不对头带124的性能产生相反影响。The attachment of the
图38描述了根据本发明的头罩134的第二实施例。头罩134包括侧绑带136和前绑带138。并且,头罩124可以使用基本上平坦的、针对患者适于作为头罩使用的材料制作。每一个侧绑带136都是通过沿预设剪切线140剪切来制作的。头罩134可以包括多个附加的剪切线142,如图39和图40所示,其在患者头部上形成了网状结构。每一个剪切线142形成一个开口区域142′,以有效地承接患者的头部。开口区域142′提供了患者头部的通风。开口区域142′的形状可以是多边形,例如三角形或菱形。当然,也可以采用其他头罩设置来在患者头部上支撑面罩组件。Figure 38 depicts a second embodiment of a
图41描述了根据本发明的另一实施例的头罩400。头罩包括侧绑带402、404和顶部绑带406,以便于与图1所示的面罩一起使用。头罩400包括剪切块408,其有助于通风并保证头带被完全地保持。切块408有助于头罩适合于患者头部。头罩400包括单方向伸展回缩件410。剪切块408可以被间隔物409分割,间隔物409是可以通过例如压合和/或维可牢尼龙搭扣等可拆卸地联结的。图42描述了一个位于模型患者头部上的头带。Figure 41 depicts a
一次性的特性one-time feature
面罩组件10可以在有限的使用期限由一位患者使用,而不会被其他患者再次使用。这样就省去了清洁和再组装产品所需的时间和花费。并且,其避免了当部件丢失或组装不正确时所产生的难题。从安全原因来说,其避免了交叉感染。产品应该具有一次性的产品的性能和/或美观,以警告用户并阻止延期的使用或用于不止一位患者。The
面罩组件被设置为用来满足临床或医院职员的需求的结构。这一点在保持患者所需的面罩性能时已经实现,所述性能包括:舒适、泄漏的最小化等等,并且因此促进患者配合进行治疗。The mask assembly is configured to meet the needs of clinical or hospital personnel. This has been achieved while maintaining the mask performance desired by the patient, including: comfort, minimization of leakage, etc., and thus promoting patient cooperation for treatment.
根据感觉面罩呈现出是一次性的,一次性面罩没有可再次使用的面罩耐用。该面罩通过处理有目的地倾向于扭曲,因为其由具有预期的使用期限的材料制成,该使用期限例如7-14天,优选不超过7天。另外,该面罩具有通过应力致白(以下会更详细地阐述)显示其“使用时间”的特性,并且因此向用户提供面罩系统的老化程度以及接近使用寿命的指示。该老化性能与现有技术的一般不具有警示、在使用过程中失效的一次性面罩形成对比,所述的使用过程例如,经历拆卸、冲洗、组装或配合过程中面罩受到压力的时候。The mask appears to be disposable based on the perception that a disposable mask is not as durable as a reusable mask. The mask is purposely tended to distort by handling because it is made of a material that has an intended lifetime, eg 7-14 days, preferably not more than 7 days. In addition, the mask has the property of displaying its "age" through stress whitening (explained in more detail below), and thus provides the user with an indication of the age of the mask system and the approaching end of life. This aging performance is in contrast to prior art disposable masks that generally have no warning of failure during use, for example, when the mask is subjected to stress during disassembly, rinsing, assembly or mating.
面罩系统具有向用户发出警告,以提示接近使用期限。另外,老化特性适用于阻止患者交叉使用的安全特性,并且第二位用户并不想选择或配戴上使用过的面罩。这样,老化特性使得交叉感染容易控制,并且因此其在临床的多个患者的环境中是很实用的。The mask system has a warning to the user that the expiration date is approaching. In addition, the aging feature is suitable for safety features that prevent patient cross-use, and a second user does not want to select or fit a used mask. As such, the aging properties allow for easy control of cross-infection, and thus it is very practical in a clinical multi-patient setting.
框架frame
框架可以由聚丙烯、聚乙烯、PETE等形成,并且框架可以通过例如喷射模塑法的模制过程制造。优选地,框架由聚丙烯制成,并具有很薄的壁部分(约为0.25-1mm,优选0.5mm),所述很薄的壁部分带来了比典型的多用途面罩框架更易弯曲的特性。弯曲性正是想要的,因为其产生不大耐用的感觉。The frame may be formed from polypropylene, polyethylene, PETE, etc., and the frame may be manufactured by a molding process such as injection molding. Preferably, the frame is made of polypropylene and has very thin wall sections (approximately 0.25-1mm, preferably 0.5mm) which result in a more flexible characteristic than typical multipurpose mask frames . Flexibility is exactly what is desired, as it creates a not-so-durable feel.
在本发明的实施例中,老化是通过“应力致白”的显示来实现的。应力致白作为聚丙烯以及其他例如聚乙烯或PETE的材料的过多或反复的变形的结果而产生。这样过多和/或反复的变形将最终引起框架材料变白,由此产生术语“应力致白”。In an embodiment of the invention, aging is achieved through the manifestation of "stress whitening". Stress whitening occurs as a result of excessive or repeated deformation of polypropylene and other materials such as polyethylene or PETE. Such excessive and/or repeated deformation will eventually cause the frame material to whiten, hence the term "stress whitening".
本发明的实施例通过适当的设计和/或部件的结合,包括了显示应力致白的特性。例如,可以设计壁厚度和压力负荷,以能够控制应力致白显示在面罩上最容易被临床医生发现的部分。例如,图8所示的外伸架22、支腿68可以被设计为其在与头罩配合时会变形以及在使用中会显示应力致白。如上所述,如图8和图9所示,外伸架22具有易于围绕轴线72弯曲、折曲或转动的支腿68。这样过多和/或反复的运动会引起应力致白。在其他实施例中,应力致白可以被用来形成可读的文字信息(例如,“更换面罩”或“丢弃”),该文字信息仅仅在发生应力致白之后出现。当然,面罩可以被设计为使应力致白发生在其他地方。Embodiments of the present invention, through appropriate design and/or combination of components, include properties exhibiting stress whitening. For example, wall thickness and pressure loading can be designed to enable control of the portion of the mask where stress whitening manifests most easily to the clinician. For example, the
应力致白将会给出一个该面罩系统已经被使用过的视觉指示。如果面罩框架被设置为使应力致白的发展作为使用期间反复变形的结果发生,然后面罩也将会提供一个老化过程和接近使用期限的可视指示。Stress whitening will give a visual indication that the mask system has been used. If the mask frame is arranged so that the development of stress whitening occurs as a result of repeated deformation during use, then the mask will also provide a visual indication of the aging process and approaching end of life.
应力致白的发展也用于向用户发出安全警告。通过发出即将到达使用期限的警告,因此,患者会小心地拒绝使用在使用中会失效的面罩。The development of stress whitening is also used to issue safety warnings to users. By providing a warning that the expiry date is imminent, the patient thus carefully refuses to use a mask that would fail in use.
尽管面罩可以显示一些应力致白的程度,但只有应力致白是不会产生损坏的,由此引起毁灭性的失效。通过对比,现有技术的情形为面罩显示一个朝向不希望的毁灭性的失效的趋势,毁灭性的失效例如在没有警告的情况下的部件折断。Although masks can exhibit some degree of stress whitening, only stress whitening will not produce damage, thereby causing catastrophic failure. By way of contrast, the prior art situation is that the mask exhibits a tendency towards an undesired catastrophic failure, eg a component snapping off without warning.
一个相应的但独立的特征进一步增强了框架的一次性的特性。一些和优选全部部件被设计组装为具有一次性折断动作。一旦面罩框架/通气口和反窒息阀门和软垫部件被组装,那么它们在不发生损坏的情况下不被拆卸。而且,面罩系统的一次性的特性在于面罩不能有效地清洗,因为其不能被拆卸,这一点进一步表明了面罩是一次性的、低成本的,其具有易脏易沾污且易穿戴的白色头带,和/或被适当地标记。A corresponding but independent feature further enhances the one-off nature of the frame. Some and preferably all parts are designed to assemble with a one-time snap-off action. Once the mask frame/vent and anti-asphyxia valve and cushion components are assembled, they cannot be disassembled without damage. Moreover, the disposable nature of the mask system is such that the mask cannot be effectively cleaned because it cannot be disassembled, which further indicates that the mask is disposable, low cost, has a white cap that is easily soiled and easy to wear. tape, and/or be appropriately marked.
框架可以包括具有自动绷紧特性的头罩带。这将帮助临床部门(即,非患者)在不需要患者的辅助的情况下使面罩适合配戴。从框架延伸出的易弯曲的支腿68包括用于较低的两个头罩带的连接点。易弯曲性允许了支腿向患者头部后方折叠,并且由此在与面罩系统配合时向头罩带/易弯曲的臂的结合提供额外的长度,因此允许了头罩被固定在患者头部上。然后,当面罩和头罩位于适当的位置时,支腿向前弹出,即远离患者的面部,由此施加一定的张力到头带面罩组件上。这有助于避免与患者配合。The frame may include headgear straps with an automatic tensioning feature. This will assist the clinical department (ie, non-patient) to fit the mask without the patient's assistance.
软垫Upholstered
在此公开的软垫14可以采用至少是一些相同的结构,如可以使用现有的全罩式面罩,该面罩包括上部隔膜和底部轮廓。请见美国专利号6,513,526,在此将其作为引用全部并入。The
通过将软垫夹在软垫夹44和框架12之间,来使软垫14连接到框架12上。但是,通过利用机械的(如凸榫和凹槽)和/或粘合的技术,也可以将软垫14与框架12连接。The
在可选的组件中,软垫可以直接地模铸成型到框架上,例如通过包覆成型,并且框架由聚丙烯制成以及软垫有TPE制成。In an optional assembly, the upholstery can be molded directly onto the frame, for example by overmolding, and the frame is made of polypropylene and the upholstery is made of TPE.
反窒息和/或回流减压阀门Anti-asphyxia and/or backflow relief valves
适用于旋转肘管16的反窒息阀门起到反窒息阀门和回流减压装置的作用。该阀门通过三个部件即肘管、阀门隔膜34和框架12被永久组装。为了组装,隔膜34与肘管16(见图23、23A23B)过盈配合,然后肘管16永久地与框架12搭扣配合。该搭扣配合包括一个底切,例如图12中的凹槽66,其与例如在肘管16上的六个凸起部件104相连接。The anti-suffocation valve suitable for rotating the
当气流发生器被切断时,或者在例如切断电源的故障情况下,阀门隔膜34被容纳在原来的或未延长的位置。隔膜的边缘形成了相对于肘管16的内管82的密封,并且因此阻止了来自面罩的气流到达进气管18以及进一步进入气流发生器。因此,阀门阻止了气体回流到气流发生器中,该气流发生器特别地用于将氧气输送到面罩的情况下。只要是供给到面罩的氧气就不能在回到气流发生器,即,阀门起到了氧气转向阀门(ODV)的作用,并且避免了潜在的火灾。另外,请见已转让给雷斯梅德有限公司的美国专利号为10/433,980的文件,在此将其作为引用全部并入。When the flow generator is switched off, or in the event of a failure such as a power cut, the
在加压的情况下,气体通过肘管16上的六个狭槽102(图23B、图24和图25)进入面罩,所述肘管16与框架中的圆形入口连接。周围的空气被导入阀门部件34的下表面和框架12的表面36(图3)。因此,阀门也可以起到反窒息装置的作用。该实施例具有超过上述雷斯梅德的反窒息阀门的优点,其在于阻断了朝向进气管18的气流。这样防止了来自进气管18的空气被反复呼吸。Under pressurization, gas enters the mask through six slots 102 (Fig. 23B, Fig. 24 and Fig. 25) in the
当气流发生器开通并施加压力时,隔膜34从原来的位置延伸并且相对于框架12的圆形入口(如图3中的表面36)形成密封。所述来自进气管18的加压空气在肘管内管82的周围流动,并且直接通过框架的圆形入口。内部台肩90可以从管82的端部分离,如图23A中的剖面部分。在该位置,布置阀门部件以使得其具有能听得见的噪音,如汽笛声。这可以向患者/临床医生提供一个合适的或积极的反馈信号,表明装备恰当地安装和/或加压气体被适当地导入。例如汽笛声的可听见的噪音可以通过一种类似于在吹动乐器的簧片时产生的振动产生。When the flow generator is turned on and pressure is applied, the
可选择地,可以设计一个小缝隙来产生汽笛声的效果。可以设置例如反窒息阀门的装置,以使得在系统不是正确组装的时候产生噪音,从而向用户或临床医生发出警告。通常地,根据喜好,面罩可以被设计为具有或不具有噪音。Optionally, a small gap can be designed to produce the effect of a siren. Devices such as anti-asphyxia valves may be provided to generate noise to alert the user or clinician when the system is not properly assembled. In general, masks can be designed with or without noise, depending on preference.
这一设计实现了外形较低的肘管,该肘管是所希望的,因为其既符合美学又提高了面罩的稳定性。另一个在设计肘管时所考虑的因素是面罩的整体阻抗。值得希望的是最小化阻抗,以阻止呼吸时发生的压力摆动。This design achieves a low profile elbow, which is desirable for both aesthetics and increased mask stability. Another factor to consider when designing an elbow is the overall impedance of the mask. It is desirable to minimize impedance to prevent the pressure swings that occur during breathing.
构成外形较低的肘管要有多个因素。第一,肘管起到用于隔膜的外壳的作用,以及在框架中阀门位于肘管的接触面上。这样减少了所需部件的数量,并且进一步减小了接口的体积。第二,进气管18与面罩形成一个大于90°的角,例如100°-120°。第三,增大了输入腔的直径。在给定的肘管入口角的情况下,这一点增大了进气流的有效横截面积(因此减低了整体阻抗)。There are several factors that make up the low profile elbow. First, the elbow acts as a housing for the diaphragm, and in the frame the valve sits on the interface of the elbow. This reduces the number of parts required and further reduces the size of the interface. Second, the
阀门在物理上比上述的现有的雷斯梅德的反窒息阀门大,以实现在肘管中具有比目前使用的ODV小的阻抗。The valve is physically larger than the existing ResMed's anti-asphyxia valve described above to achieve a lower impedance in the elbow than currently used ODVs.
面罩通气口mask vents
面罩通气口结合在肘管中。现有的雷斯梅德的全罩式面罩使它们的通气口结合在面罩框架中。The mask vents are incorporated into the elbow. Existing Resmed full face masks have their vents incorporated into the mask frame.
由于通气口和反窒息阀门的结构,无意的泄漏实质上为零。这一性能一部分是通过设置反窒息阀门具有相对软的部分来实现的,所述相对软的部分例如是由例如硅树脂制成的隔膜34,其密封在框架和旋转肘管之间。Due to the construction of the vent and anti-asphyxia valve, there is essentially zero inadvertent leakage. This performance is achieved in part by providing the anti-asphyxia valve with a relatively soft part, such as a
当采用通气面罩与通风设备一起使用的时候,需要校准通气口。这一过程要求阻断全部通向大气的路径,以使得在通气口产生的通向大气的路径被隔绝并且成为特征。When using a ventilation mask with a ventilation device, calibration of the vents is required. This process requires blocking the entire path to the atmosphere so that the path to the atmosphere created at the vent is isolated and characterized.
通过在肘管上设置通气口,可以相对容易地阻挡连接面罩腔体和位于通气口下游的肘管的孔,以达到所要求的隔绝。这一结构消除了阻挡通向大气的大路径的困难,所述大路径产生在面罩孔处,即容置患者面部的面罩腔体入口处。可以使用塞子来阻挡肘管与面罩腔体间的孔,但该阻挡也可以通过将手指放置在孔上来简单地实现。By providing the vent on the elbow, it is relatively easy to block the hole connecting the mask cavity to the elbow downstream of the vent to achieve the required isolation. This configuration eliminates the difficulty of blocking the large path to atmosphere that occurs at the mask aperture, ie the entrance to the mask cavity that accommodates the patient's face. A plug can be used to block the hole between the elbow and the mask cavity, but this blocking can also be accomplished simply by placing a finger over the hole.
与现有技术相比,其优点在于,具有三种尺寸的框架,每一种框架都具有通气口,因此需要不同的工具校准每一个框架/通气口。本发明的实施例简单地具有单一的肘管,以为了保证气流、面罩框架尺寸的独立而校准。This has the advantage over the prior art that there are three sizes of frames, each with a vent, thus requiring a different tool to calibrate each frame/vent. Embodiments of the present invention simply have a single elbow calibrated for airflow, mask frame size independence.
反窒息阀门可以用于多用途全罩式面罩,因为它是由硅树脂制成的,坚固、可洗且可重新组装。由此,反窒息阀门成为了普通部件,需要较少的库存并且不需要为新的面部面罩开发新的反窒息阀门。The anti-asphyxia valve can be used in multi-purpose full-face masks because it is made of silicone, which is strong, washable and reassembleable. Thus, the anti-asphyxia valve becomes a common part, requires less inventory and does not need to develop new anti-asphyxia valves for new face masks.
框架端口和端口帽Frame ports and port caps
框架端口帽被设置为满足临床需要。端口帽被结合到软垫结构中,软垫结构允许端口帽在制造软垫的时候形成,因此去除了单独制造的需要。这就可以采用一个造型操作来制造软垫和面罩部件。也可以使端口帽作为一个部件与软垫通过制造和销售过程。这简化了处理和库存后勤,并且减少了制造和贮存成本。Frame port caps are configured to meet clinical needs. The port caps are incorporated into the cushion structure which allows the port caps to be formed at the time the cushion is manufactured, thus removing the need for separate fabrication. This enables the upholstery and mask parts to be manufactured in one modeling operation. It is also possible to make the port cap go through the manufacturing and distribution process as a part with the cushion. This simplifies handling and inventory logistics, and reduces manufacturing and storage costs.
端口帽相对于软垫的位置按照下述方式设置:当软垫连接到框架上时,端口帽便容易地被定位,与框架端口连接。The port caps are positioned relative to the cushion in such a way that when the cushion is attached to the frame, the port caps are easily positioned for connection to the frame ports.
这些性质在需要频繁安装和拆卸端口帽(例如,在框架端口连接或拆卸线路时、或为了测量治疗压力时、伺服控制流发生器时、或传输如氧气的治疗气体时)的临床设置中非常受欢迎。由于端口帽附加在软垫上,所以其一直很容易地与框架端口连接。These properties are very useful in clinical settings where frequent installation and removal of port caps is required (e.g., when connecting or removing lines from a frame port, or for measuring therapeutic pressure, servo-controlling flow generators, or delivering therapeutic gases such as oxygen). popular. Since the port caps are attached to the soft pads, it is always easy to connect to the frame ports.
而且,端口帽具有一个或多个大的把手翼,以促进容易操作。发明人所发现的一个问题是,用于现有技术的面罩的典型的小端口帽对于普通的临床用户来说是一个烦恼。把手翼可以用于一组端口帽或单个地与每一个端口帽连接。Also, the port cap has one or more large handle wings to facilitate easy handling. One problem discovered by the inventors is that the typical small port caps used in prior art masks are an annoyance to the average clinical user. The handle flaps can be used with a set of port caps or individually attached to each port cap.
优选地,端口与端口帽位于面罩的底部,以避免与面罩组件的其他部件的干涉,如已转让给雷斯梅德有限公司的美国专利申请号为6,439,230的文件中所述,在此将其作为引用全部并入。当然,端口和端口帽可以为面罩框架上的其他的适宜位置。而且,可以向相同的面罩提供多个端口和端口帽。Preferably, the ports and port caps are located on the bottom of the mask to avoid interference with other components of the mask assembly, as described in U.S. Patent Application No. 6,439,230 assigned to Resmed, Inc., which is hereby incorporated Incorporated by reference in its entirety. Of course, the ports and port caps can be other suitable locations on the mask frame. Also, multiple ports and port caps can be provided to the same mask.
头罩hood
头罩以能够反映出系统老化特性的方式被设置。该特性通过使用能够显示其污垢积累即沾污的材料来实现。所选的材料积聚污垢并通过例如视觉和触觉信号来显示污垢的积聚。优选地,第一次使用的头罩一般为白色或其他浅颜色。The hood is set in a way that reflects the aging characteristics of the system. This characteristic is achieved through the use of materials that are capable of exhibiting their accumulation of dirt, ie staining. The selected material accumulates dirt and indicates the accumulation of dirt by, for example, visual and tactile signals. Preferably, the hood used for the first time is generally white or other light colors.
除了客观的视觉信号外,通过感知沾污实现的老化特性将提供一个有用的心理上的信息。在临床医生倾向于为患者选择新的面罩系统时,特别是在与对面罩不熟悉的患者配合时,潜在用户不想配戴严重沾污的头罩。In addition to objective visual signals, aging properties through perceived staining will provide a useful psychological information. When clinicians tend to choose new mask systems for their patients, especially when fitting with patients who are not familiar with masks, potential users do not want to wear a heavily soiled headgear.
污垢可以归因于皮肤、汗、油、面部分泌物等。通过一种方式,老化特性可以被结合到头带和/或面罩框架中,所述的方式为头带或面罩框架根据关于污垢源的暴露显示使用时间。也就是,污垢可以在头带框架上提供一个迹象,以告示临床医生该更换面罩系统了。Dirt can be attributed to skin, sweat, oil, facial secretions, and more. By one approach, aging characteristics may be incorporated into the headgear and/or mask frame in such a way that the headgear or mask frame exhibits age based on exposure to sources of dirt. That is, dirt can provide an indication on the headgear frame that it is time for the clinician to replace the mask system.
在其他可选实施例中,老化特性可以包括在重复使用超过一般规定限度后磨损或分解的头罩。In other alternative embodiments, the aging characteristic may include a headgear that wears or decomposes after repeated use beyond generally prescribed limits.
头罩带结构考虑到了患者耳朵下的更合适的绑带位置,所以可以避免了绑带与耳朵下部的令人厌烦的接触。The headgear strap structure allows for a better strap placement under the patient's ears, so annoying contact of the straps with the lower part of the ear is avoided.
头罩可以由例如薄板状材料的冲切边件构成,所述薄板状材料在未组装的形式时,是为了使消耗最小化以及由此减少成本/控制而成形的。华夫形式(waffle pattern)在展开时将会考虑到膨胀和位于头部的正确放置。该设计实现了三点配合的结构。使用二维的材料部件来实现具有四点或五点头罩的性能的三点头罩。这是考虑到了顶部绑带的布置,沿耳朵上形成下面的路线,并且与用四个绑带的头罩达到的效果类似。而上述四个绑带的头罩虽然可以理想地分散受力,但却不具有一个顶部绑带的便利性。The hood may be constructed from, for example, die-cut trim pieces of sheet-like material which, in unassembled form, is shaped to minimize consumption and thereby reduce cost/control. The waffle pattern will allow for expansion and proper placement at the head when unfolded. The design realizes the structure of three-point fit. Use 2D material parts to achieve a three-point mask with the performance of a four-point or five-point mask. This allows for the placement of the top straps, along the lines of the ears forming the underside, and is similar to what is achieved with four strap hoods. Although the above-mentioned hood with four straps can ideally disperse the force, it does not have the convenience of a top strap.
头罩夹hood clip
头罩夹装置包括与释放凸起结合的外壳,并且释放凸起形成为框架的一部分。头罩夹在一侧是以弹性配合的方式插入插座,并且在另一侧起到作为头罩连接点的作用。头罩连接侧具有两个狭槽。最靠近面罩的第一狭槽111(图32至图34),该狭槽为头罩可穿过的完全形成的狭槽。最靠近头带的第二狭槽113在一侧具有大的成形凸起115,在凸起115之间存在一间隙G。间隙G以及凸起的锥形允许头罩通过向下拉经过凸起而穿过第二狭槽来连接。这种组装技术比螺纹更简单。The headgear clip device includes a housing combined with the release protrusion, and the release protrusion is formed as a part of the frame. The hood clip is inserted into the socket in a resilient fit on one side and acts as a hood attachment point on the other side. The hood attachment side has two slots. Closest to the
夹的设计的进一步的优点在于,夹非常大,由此使得操作更加容易。松开夹的凸起116(图1)从顶部和底部操作,促进用户配置容易。而且,凸起116是框架的一部分,而不是夹的一部分。因此,垂片与夹一起滑动,这可以使单手操作更为简单。A further advantage of the design of the clip is that the clip is very large, thereby making handling easier. The clip release tabs 116 (FIG. 1) are accessible from the top and bottom, facilitating easy user configuration. Also, the
头罩夹可以包括梯锁引子设计。头罩夹可以作为快速松开装置,即夹的弹性松开是快速松开机制。其具有夸张的手握凸起,以使得容易地发现是否需要快速响应的松开。The hood clip can include a ladder lock guide design. The hood clip can act as a quick release device, i.e. the elastic release of the clip is the quick release mechanism. It has exaggerated grip bumps to make it easy to see if a quick-response release is needed.
头罩夹允许快速人工组装。由于考虑到了完全组装产品的呈现,所以快速人工组装起到制造的辅助和给消费者带来益处的作用;由于考虑到了需要时的快速组装,所以快速人工组装给临床设置带来了益处。Hood clips allow for quick manual assembly. Rapid manual assembly serves as an aid to manufacturing and a benefit to the consumer by allowing for the presentation of a fully assembled product and a benefit in the clinical setting by allowing for rapid assembly when needed.
优选实施例的普遍效果的总结Summary of general effects of preferred embodiments
医院以及全面具有医院特点的使用具有以下一些特点:单一患者使用、临床医生要求、和/或阻止重复使用的愿望。Hospital and hospital-specific use in general has some of the following characteristics: single patient use, clinician requirements, and/or desire to discourage reuse.
配合的方便可以通过头罩弹性部件/外伸架设计来实现。组装的方便避免了不正确的组装并且保护了面罩系统不受干扰和损坏。不允许在软垫和框架间拆卸,因为它们永久连接。肘管通过单向的搭扣与框架搭扣在一起,其在肘管和/或框架没有损坏或破坏的情况下是不可以拆开的。端口帽作为软垫的一个完整部分而形成,因此避免了其丢失或被拆卸。Ease of fit can be achieved through the hood elastic/outrigger design. Ease of assembly avoids incorrect assembly and protects the mask system from tampering and damage. Disassembly between upholstery and frame is not permitted as they are permanently connected. The elbow is snapped together with the frame by a one-way hasp which cannot be disassembled without damage or damage to the elbow and/or frame. The port cap is formed as an integral part of the cushion, thus preventing it from being lost or disassembled.
面罩被设计为阻止重复使用,因为没有办法有效地清洁,如因为不能进入反窒息阀门。而且,面罩显示使用过的证据,例如,通过应力致白和受力变形。应力致白可以通过一些材料的组合、壁的尺寸、结构形式和/或易弯曲的可弯曲部分的使用来实现。所述材料可以包括聚丙烯、聚乙稀或PETE,并且可以通过模铸成型而制成,如喷射模塑法或者它们是真空成型的。可以通过外伸架来提供应力致白,但也可以利用框架的上部支架、前额支架、端口帽等来展现应力致白。而且,也可以使用活动铰链来显示使用过的证据。Face shields are designed to discourage re-use because there is no way to effectively clean them, eg because of no access to the anti-asphyxia valve. Furthermore, the face mask shows evidence of use, for example, by stress whitening and straining. Stress whitening can be achieved through a combination of materials, wall dimensions, structural forms and/or use of flexible bendable sections. The material may comprise polypropylene, polyethylene or PETE, and may be made by molding, such as injection molding, or they may be vacuum formed. Stress whitening can be provided through outriggers, but stress whitening can also be exhibited using frame upper supports, forehead supports, port caps, etc. And, a living hinge can also be used to show evidence of use.
相对于应力致白的一种可选办法包括通过单向连接的搭扣,由此以阻止约束重复使用。其他可能的指示包括对空气、氧气或污垢的暴露,对浓缩物(湿度指示器)、CO2的暴露,探测器等等。An alternative to stress whitening involves snapping through a one-way connection, thereby preventing re-use of the restraint. Other possible indicators include exposure to air, oxygen or dirt, exposure to concentrates (humidity indicators), CO2 , probes, etc.
面罩框架看起来为一次性的并且不是耐用的,这是通过以下一个或多个标准判断的,标准为材料选择、颜色(头罩为白色,框架也可以为白色)。头罩可以是具有内部塑料、材料厚度、简单结构和/或暴露结构方法的纸板。面罩应为一次性的,例如,框架是可弯曲的并且由于预定的和/或重复的施力而变形。The mask frame appears to be disposable and not durable, as judged by one or more of the following criteria, material choice, color (the mask is white, the frame can also be white). The hood can be cardboard with inner plastic, material thickness, simple construction and/or exposed construction methods. The mask should be disposable, eg, the frame is bendable and deforms due to predetermined and/or repeated application of force.
端口和帽的结构是有优点的,因为它是与软垫一体的部件,并且不能在组装的情况下被拆分。因此,端口帽不会丢失,因为它被连接到软垫上。由于使软垫和帽成为一个部件而不是两个,所以减少了制造成本。这也组织了患者交叉使用。The port and cap configuration is advantageous because it is an integral part of the upholstery and cannot be disassembled once assembled. Therefore, the port cap cannot be lost because it is attached to the soft pad. Manufacturing costs are reduced by having the pad and cap as one component rather than two. This also organizes patient cross-use.
端口帽包括一个或多个大的把手翼,其更易于操作,特别对于临床医生。大的把手翼考虑到了易于定位。把手翼是可视的,并且表示了它们是开还是关,而且它们的操作对于没有经验的用户是显而易见的,因此避免了将帽脱掉的错误。The port cap includes one or more large handle wings, which are easier to handle, especially for the clinician. Large handle wings allow for easy positioning. The handle wings are visible and indicate whether they are on or off, and their operation is obvious to an inexperienced user, thus avoiding the mistake of taking the cap off.
端口帽是自身定位的,这是指在拆下的时候帽保持在端口附近,但需要较小的灵敏度来使端口帽被放置回端口上,而且不需要视觉上的确认,因为该确认可以通过触觉方式得到。The port cap is self-locating, which means that the cap stays near the port when removed, but requires less sensitivity for the port cap to be placed back on the port, and does not require visual confirmation as this can be achieved by Tactile way to get.
端口帽位于框架的底部,该框架靠近于鼻部,所以有利于供给氧气。端口帽是不易受到影响的,不会被患者头部的运动受到干扰。端口帽允许空气进入管和旋转接头自由旋转。空气进入管的最普通的位置一直远离底部,并且较小的管可以容易地沿通常存在的管被传送。The port cap is located at the bottom of the frame, which is close to the nose so it facilitates oxygen delivery. The port cap is insensitive and will not be disturbed by movement of the patient's head. Port caps allow air to enter the tube and the swivel to rotate freely. The most common place for air to enter the tubes is all the way away from the bottom, and smaller tubes can easily be routed along the tubes that normally exist.
可选的实施例包括从框架模制成的活动铰链。其具有显示如应力致白的使用过的证据的优点。Alternative embodiments include living hinges molded from the frame. It has the advantage of showing evidence of use such as stress whitening.
在更进一步的实施例中,倒钩头可以被拖拉通过框架或软垫壁,通过该倒钩头对框架密封。端口帽可以是模制的,并具有直接与软垫或框架相连的薄绑带。端口帽可以被夹在软垫和框架之间,这样减小了端口帽丢失的机率。端口帽可以与框架一起模制成。端口帽可以与反窒息阀门或通气口或任意弹性体部件一体模制成。端口帽可以被游目的地制作成不使用一体现医院使用,因此来传达面罩的一次性特性。可选地,端口帽可以被开发出具有过度使用的切头。In a still further embodiment, the barb head may be pulled through the frame or upholstered wall by which the barb head seals against the frame. Port caps may be molded and have thin straps that attach directly to the pad or frame. The port caps can be sandwiched between the upholstery and the frame, which reduces the chance of the port caps being lost. The port caps can be molded with the frame. The port cap can be integrally molded with the anti-asphyxia valve or vent or any elastomeric component. The port cap can be made unused by the tourist destination—reflecting hospital use, thus conveying the disposable nature of the mask. Optionally, port caps can be developed with overused cut ends.
如上所述的自动绷紧的特性使得面罩组件适合于患者。自动绷紧的弹簧在需要时提供了弹性,例如在起初将头罩放置在头上的时候。这允许了在适配时较大的开口。而且,其也可以与非弹性头罩一起使用,并且特别适于第三方/临床医生调整。The self-tensioning feature as described above allows the mask assembly to fit the patient. Self-tensioning springs provide resilience when needed, for example when initially placing the hood on the head. This allows for a larger opening when fitting. Furthermore, it can also be used with non-elastic hoods and is particularly suitable for third party/clinician adjustments.
自动绷紧的特点提供一弹簧以在拉紧绑带之间最初配合时给与一些张力。这防止了绑带的简单脱落,并且防止了绑带的混乱。The self-tightening feature provides a spring to impart some tension when tightening the initial fit between the straps. This prevents the strap from simply falling off and prevents a mess of the strap.
自动绷紧的特点提供了视觉的指示,表明了绑带没有绷紧或拉紧。在又一实施例中,可以提供张紧指示器,其通过角度(这可以同时是关于患者的)或通过永久的变形显示张紧的程度,以为了在患者使用后的临床评定。The self-tensioning feature provides a visual indication that the strap is not taut or stretched. In yet another embodiment, a tension indicator may be provided which shows the degree of tension either by angle (which may be patient-related at the same time) or by permanent deformation for clinical assessment after patient use.
自动绷紧的特点保持了头罩不受患者的扰乱,并且可以包括宽连接点,该连接点保持绑带校正并且不扭曲。The self-tightening feature keeps the hood out of the way of the patient and can include wide attachment points that keep the straps aligned and untwisted.
自动绷紧的特点可以显示使用过的证据,例如通过由于使用的应力致白。使用过的证据也可以通过各种材料组合的使用、厚度以及结构形式来证明。外伸架也可以在使用中变形到一个点,在患者使用后,该点处的变形不能恢复。The self-tightening feature can show evidence of use, for example by stress whitening due to use. Evidence of use can also be demonstrated by the use of various material combinations, thicknesses and structural forms. The outriggers may also deform in use to a point where the deformation cannot be restored after use by the patient.
在可选实施例中,外伸架可以被用在可重复使用的面罩上。头罩夹可以在一定的张力下搭扣使用。这样的优先在于,可维持形式和一个较大的开口度,但不起到弹簧的作用。这可以通过在第一次使用后不维持形式,来提供一个很强的使用指示,并且在单一患者使用后建议将产品扔掉。In an alternative embodiment, the outriggers may be used on reusable masks. The hood clip can be snapped on under some tension. Such a preference is to maintain the form and a large opening, but not to act as a spring. This can provide a strong indication of use by not maintaining the form after the first use, and recommend that the product be thrown away after a single patient use.
外伸组件可以包括活动铰链,其具有以下方面的优点:保持形式和较大的开口程度,但不起到弹簧的作用。这可以通过在第一次使用后不维持形式,来提供一个很强的使用指示,并且在单一患者使用后建议将产品扔掉。这将在铰链点处体现使用。The outrigger assembly may comprise a living hinge, which has the advantage of maintaining form and a greater degree of opening, but does not act as a spring. This can provide a strong indication of use by not maintaining the form after the first use, and recommend that the product be thrown away after a single patient use. This will reflect usage at the hinge point.
在其他可选实施例中,自动绷紧弹簧将被连接到头罩上而不是框架。而且,张紧指示器可通过同时关于患者的角度,或通过永久的变形显示张紧的程度,以为了在患者使用后的临床评定。铰链可以是软垫的一部分或软垫框架交界的被拴住的部分,而不是部分框架。该铰链可以被引入其他的现有的一次性面罩和可再使用面罩的设计中。In other alternative embodiments, the self-tensioning springs would be attached to the hood instead of the frame. Furthermore, the tension indicator may display the degree of tension either by angle with respect to the patient simultaneously, or by permanent deformation, for clinical assessment after patient use. The hinge may be part of the cushion or the tethered part of the cushion frame junction rather than part of the frame. The hinge can be incorporated into other existing disposable and reusable mask designs.
根据本发明的实施例的头罩具有一些特征和和/或优点。例如,头罩是通过使用绑带设计来制造的,这样最低化了制造体积,也就是减少了材料的浪费或无效使用。该设计从制造中的一维绑带扩展到使用时的三维承接。Hoods according to embodiments of the invention have certain features and/or advantages. For example, the hood is manufactured using a strap design, which minimizes the manufacturing volume, ie reduces wasted or ineffective use of material. The design extends from a one-dimensional strap in manufacture to a three-dimensional takeover during use.
制作头罩的过程可以由单独的冲压形成或通过在条带的周界内剪裁而成。头罩不需要覆盖住头部的太多部分,这样会凉爽并且不显眼。该头罩实现了简单且稳定的设计。不同的颜色可以被置于材料的每一侧上,以用于区分哪一部分是朝向头部和哪一部分时背向头部的。这样使得组装容易并且不会出现绑带部件的混乱。The process of making the hood can be formed by a separate stamping or by cutting within the perimeter of the strip. The hood doesn't need to cover much of the head to keep it cool and unobtrusive. This hood achieves a simple and stable design. A different color may be placed on each side of the material for distinguishing which part is towards the head and which part is facing away from the head. This allows for easy assembly and no clutter of strap parts.
用于头罩的可选材料包括泡沫材料、硅树脂和/或可透气材料。材料可以是弹性的或非弹性的,在不同方向上具有不同硬度。而且,单独的条带可以以不同硬度连接。这将允许对头罩的单独绑带的弹性进行良好的调整。各种硬度可以通过将带粘贴在部分头罩上、或通过十字缝等来达到。头罩也可以通过形成多单独部件、彼此层叠并通过缝纫、胶合等将它们连接。Alternative materials for the hood include foam, silicone and/or breathable materials. Materials can be elastic or inelastic, with different stiffness in different directions. Furthermore, individual strips can be connected with different stiffnesses. This will allow for a fine adjustment of the elasticity of the individual straps of the hood. Various hardness can be obtained by adding The tape is attached to a part of the hood, or is achieved by cross-stitching, etc. The hood can also be formed by forming separate parts, layered on top of each other and joining them by sewing, gluing or the like.
本发明描述了现在所考虑到的最使用的和最优选的实施例。本发明并不仅限于所公开的实施例,相反的,在本发明的技术思想和范围内的各种修改和等价的布置都本发明所包括的。The present invention describes the most useful and most preferred embodiment presently considered. The present invention is not limited to the disclosed embodiments, on the contrary, various modifications and equivalent arrangements within the technical idea and scope of the present invention are included in the present invention.
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| US60/533,229 | 2003-12-31 | ||
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| CN100577232C true CN100577232C (en) | 2010-01-06 |
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| CN118807060A (en) * | 2008-03-04 | 2024-10-22 | 瑞思迈私人有限公司 | Mask system |
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| JP2011519655A (en) * | 2008-05-07 | 2011-07-14 | コーニンクレッカ フィリップス エレクトロニクス エヌ ヴィ | Exhaust assembly |
| AU2009291491C1 (en) | 2008-09-12 | 2016-04-21 | ResMed Pty Ltd | A foam-based interfacing structure method and apparatus |
| JP5863049B2 (en) | 2009-11-20 | 2016-02-16 | レスメド・リミテッドResMedLimited | Mask system |
| WO2012027792A1 (en) | 2010-09-01 | 2012-03-08 | Resmed Limited | Mask system |
| CA2819647C (en) | 2010-12-03 | 2019-11-26 | Fisher & Paykel Healthcare Limited | System, apparatus and methods for supplying gases |
| US10086160B2 (en) | 2011-02-16 | 2018-10-02 | Resmed Limited | Mask vent |
| CN104379204A (en) | 2012-02-15 | 2015-02-25 | 费雪派克医疗保健有限公司 | Systems, devices and methods for supplying gas |
| CN106535975B (en) * | 2014-07-10 | 2019-07-19 | 皇家飞利浦有限公司 | For the wear indicator of patient interface |
| EP3193992B1 (en) | 2014-09-18 | 2022-04-06 | ResMed Pty Ltd | Gas washout vent for patient interface |
| CN108992753A (en) * | 2017-06-06 | 2018-12-14 | 范翠兰 | A kind of ventilator dedicated facemask |
| CN108671436B (en) * | 2018-04-09 | 2020-08-21 | 浙江镜小二网络科技有限公司 | Positive pressure air respirator for easy access to air pressure |
| WO2021123897A1 (en) * | 2019-12-20 | 2021-06-24 | ResMed Asia Pte Ltd | Patient interface with foam cushion |
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