CN1735439A - Mask and components thereof - Google Patents

Mask and components thereof Download PDF

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Publication number
CN1735439A
CN1735439A CN 200380108396 CN200380108396A CN1735439A CN 1735439 A CN1735439 A CN 1735439A CN 200380108396 CN200380108396 CN 200380108396 CN 200380108396 A CN200380108396 A CN 200380108396A CN 1735439 A CN1735439 A CN 1735439A
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China
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mask
cushion
pressure
portion
frame
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CN 200380108396
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Chinese (zh)
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CN100502972C (en
Inventor
M·伯通琼斯
P·E·巴特曼
D·达金
M·K·古纳拉特纳姆
R·G·希奇库克
P·J·詹金森
S·R·林奇
G·J·马罗夫
P·J·麦考利菲
M·C·拉耶
G·C·洛宾逊
R·索科洛夫
P·T·斯塔拉德
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雷斯梅德有限公司
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Priority to US60/424,005 priority
Priority to US60/447,327 priority
Priority to US60/488,752 priority
Priority to US60/503,896 priority
Application filed by 雷斯梅德有限公司 filed Critical 雷斯梅德有限公司
Publication of CN1735439A publication Critical patent/CN1735439A/en
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Publication of CN100502972C publication Critical patent/CN100502972C/en

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Abstract

提供一种用于非侵入性正压供气装置(NIPPV)的舒适的低漏气面罩组件,可以提高患者的依从性和/或治疗作用。 To provide a comfortable low leak mask assembly noninvasive positive pressure supply means (of NIPPV) is used, adherence can be improved and / or therapeutic action. 该面罩系统包括:具有带的头戴具,该带基本上不能伸缩和/或可以进行微调;和/或面罩和/或软垫,该面罩和/或软垫包括各种部件,从而可以在患者面部的选定位置改进/定作密封性和/或配合性。 The mask system comprising: a device having a wearing belt, the belt can substantially telescopic and / or may be fine-tuned; and / or mask and / or cushion, the mask and / or the cushion includes various components, it can be in selected position of the patient's face to improve / set for sealing and / or collaborative.

Description

面罩和其组成部件 Mask and component parts thereof

技术领域 FIELD

本发明一般涉及用于非侵入性正压供气装置(NIPPA)、连续气管正压力装置(CPAP)和供气装置的整个脸部面罩。 The present invention relates generally to non-invasive positive pressure supply means (NIPPA), continuous positive airway pressure device across the face mask (CPAP) and an air supply means.

背景技术 Background technique

将正压可呼吸气体从供气装置输送到患者需要在机器和患者之间的某种界面。 The pressure of breathable gas from the supply means to the patient in need of some kind of an interface between the machine and the patient. 通常采用放在气管内的管作侵入性供气的患者界面。 Usually placed endotracheal tube for supply of invasive patient interface. 在非侵入性供气时,采用某种形式的面罩作患者的界面。 When non-invasive gas, some form of the mask as the patient interface.

面罩通常包括一个室,该室具有由外壳或者框架形成的接收鼻子的空腔。 The mask generally comprises a chamber, the chamber having a nose receiving cavity formed by the housing or the frame. 该面罩通常还包括可舒适接触面部的部分,例如软垫,该软垫固定于外壳或者框架的边缘。 The mask portion may also typically includes comfortable contact face, e.g. cushion, the cushion is fixed to the edge of the housing or frame. 面罩通常用头戴具,例如一组弹性带,固定在患者面部的适当位置。 Usually wearing a mask with, for example, a set of elastic bands, fixed in position in the patient's face. 改进面罩的舒适度,特别是在面罩需要戴若干小时时,一直是对面罩设计人员的挑战。 Improved face mask comfort, especially in the need to wear a mask for several hours, it has been a challenge for mask designers.

除非对各个使用人定制面罩,因为面形很不相同,所以面罩的大部分装置是一种折中设计。 Unless custom mask for each use, because surface shape very different, so that most of the mask means is a compromise design. 一种面罩设计可能很配合一小部分患者群的鼻子形状(例如高鼻梁骨),但是对具有不同形状鼻子(例如矮鼻梁骨)的另一部分人群就不能很好配合。 Towards a mask designed with the shape of the nose might be a small portion of the patient population (e.g., high nose bone), but another portion of the population having a different shape of the nose (e.g. short nasal bone) can not be fit well. 设计一种面罩来很好地密封鼻梁部分是特别困难的,因为面部的该区域是特别容易感受的。 To design a good seal nose mask portion is particularly difficult because the surface area is particularly easy to feel.

在面罩软垫上的折皱,在长期戴用时,可能会使患者的面部很不舒服。 In wrinkles on the face mask cushion, in the long-term wear, it may cause the patient's face uncomfortable. 另外尽管使用软垫,仍然能够通过软垫感受到面罩框架的边缘,对着患者的面部形成不舒服的表面,特别是软垫受到压缩时。 Although additional cushion, still be able to feel the edge of the mask frame by a cushion, facing the face of the patient uncomfortable formed surfaces, particularly when subjected to compression cushion.

在一些情况下,面罩适合包括通气孔隙,这种排气孔隙除其他许多东西而外,允许受控的漏气流出面罩,以便防止在面罩内积存CO2。 In some cases, the mask comprises a suitable ventilation apertures, which apertures inter exhaust many other things out, to allow a controlled outflow of mask leak, to prevent the accumulation of CO2 within the mask. 例如,在面罩和患者皮肤之间的结合部,也存在疏忽的或者无意的面罩漏气。 For example, between the mask and the binding portion of the patient's skin, there is inadvertent or unintentional mask leak. 采用形成低或者零无意漏气的面罩可以改进供气装置特别是响应呼吸气流信号的供气装置中高级控制算法的操作。 Formed using low or zero unintentional leak supply means mask can be improved in particular in response to operation of the air supply means algorithm senior respiratory flow control signal.

在睡觉期间,患者可能会动。 During sleep, the patient may move. 另外,由于例如肿胀,在睡觉期间患者头部的形状可能改变。 Further, since the swelling example, may change the shape of the patient's head during sleep. 尽管在开始配接时面罩很贴合患者,但是因为夜间的这种动,面罩随后贴合便不太好。 Although the mask is fitting the patient at the beginning of mating, but at night because of this dynamic, face mask and then it is not a good fit. 现有技术面罩通常包括弹性头戴具带,这些带可以缩短或者伸长,或者可以重新配置在头部上,使面罩回到舒适的漏气小的位置。 Prior art masks typically comprise an elastic band with a headset, which can be shortened or elongated strip, or may be reconfigured on the head, the mask for the comfort of a small leak location.

在治疗期间可以改变由供气装置提供的维持压力。 It can be varied during the treatment to maintain pressure provided by the air supply means. 一些连续的气管正压力(CPAP)装置形成一种从低压到治疗压力的初始斜坡。 Some continuous positive airway pressure (CPAP) apparatus to form a ramp from low to initial treatment pressure. 其他CPAP装置可以按照气流范围的指示,自动调节压力。 Other CPAP device can follow the instructions airflow range, automatically adjust the pressure. 其他装置可以在患者的呼吸周期内改变维持压力,例如在吸入时提供较高的维持压力,而在呼出时,提供较低的维持压力。 Other means may be varied within the patient's respiratory cycle to maintain the pressure, such as providing a higher pressure is maintained in the suction, while the outgoing call, to provide a lower pressure is maintained. 弹性头戴具带必须配置成适合于这种维持压力。 The elastic band must be configured with the headset is adapted to maintain this pressure. 如果弹性带配置成适合高压力,则有这样的危险,即弹性带在低压力时,绷得太紧而不舒服。 If the elastic band is configured for high pressures, there is a danger that the elastic bands at low pressure, stretched too tight and not comfortable.

发明内容 SUMMARY

本发明的一方面,是提供一种用于非侵入性供气装置的舒适的漏气低的面罩,该面罩可以克服现有技术面罩的局限性。 In one aspect of the present invention, a low leakage comfortable mask provides a non-invasive means for gas supply, the mask may overcome the limitations of the prior art mask.

在另一方面,希望提供一种面罩系统,该系统具有一个或多个以下的特征,其中各个特征有助于改进患者的顺从性和/或治疗:头戴具,包括基本上不能伸缩和/或可以微调的带;和/或面罩和/或软垫,这些面罩和/或软垫包括各种部件,以便增强/改进密封,和/或贴合患者面部的选出位置。 In another aspect, it is desirable to provide a mask system that has one or more of the following features, each of which features contribute to improved patient compliance and / or treatment of: wearing a tool, comprising substantially not stretching and / or may trim the tape; and / or mask and / or cushion, these masks, and / or cushion includes various components to enhance / improve the sealing and / or bonding the selected position of the patient's face.

在以下的说明中,采用以下的解剖学术语:头侧的:在从脚到头部并超过这些部分的矢量方向上。 In the following description, the following anatomical terms: cephalad: from the foot to the head in the direction of the vector and beyond these portions. 鼻子在唇部和下巴的头侧。 Nose, lips and chin of the head's side.

尾侧的:在从头部到脚并超过这些部分的矢量方向上。 Caudal: from head to foot on the vector direction and over these portions.

前部:在从身体后部到身体前部并超过这些部分的矢量方向上。 Front: on the body from the rear to the front portion and the body portion than the vector direction. 鼻子在耳朵的前部,面罩在鼻子的前部。 The nose portion in front of the ear, in the nose portion of the front mask.

后部:在从身体前部到身体后部指向的矢量方向上。 Rear: in the vector direction from the front to the rear of the body portion of the body pointed. 耳朵在鼻了的后部。 Ear nose in the rear.

冠面,一个平面,平行于包含头部、脚和肩顶点的平面。 Crown surface, a plane parallel to the plane containing the head, foot and shoulder vertices. 从左耳绕到头顶上再到右耳的带称为冠面带。 And then around the left ear from the right ear overhead band called crown surface belt.

前后向面:一个面,平行于穿过头部、脚、后部脊柱和鼻子尖的面。 The front and rear surfaces: one surface, through the head parallel to, feet, spine and rear face of the nose tip.

颈背的:与颈部后部(的肌肉)相关。 Nape of: (muscle) associated with the back of the neck.

枕骨的:与骨的隆突部相关,在该隆突部,颈部后部的肌肉进入到头颅骨底部的后部。 Occipital: correlation with bone keel portion, the keel portion, the rear portion of the neck muscles at the bottom of the head into the rear of the skull.

外耳道:耳孔。 External auditory canal: ears.

kgf:千克力。 kgf: kgf.

颧突:颧骨的大体半杏仁大小的前突(严格说是颧突的主体)。 Zygomatic process: protrusion roughly half the size of almonds cheekbone (Strictly speaking, the zygomatic process of the body).

内眼角:靠近鼻梁的上下眼脸相交的点。 Inner corner of the eye: near the bridge of the nose point of intersection of the upper and lower eyelids.

下面详细说明优选实施例的这些和其他方面,或者可以从这些说明中明显看出这些和其他方面。 The following detailed description of the preferred embodiment These and other aspects, or may be apparent from these and other aspects of these instructions.

附图说明 BRIEF DESCRIPTION

下面参考附图详细说明例示的实施例,图中相同的编号表示相同的部件,这些附图是:图1-5示出本发明的第一实施例;图5A和5B示出本发明的另一实施例;图5C-5H示出具有微调性和快速松开能力的本发明另一实施例;图6-15A示出按照输送给患者的空气压力改变带张力的机理和原理;图16-35示出本发明的另一实施例;图36-40B示出本发明的一个实施例,在该实施例中,可以有效密封患者鼻子的两侧;图41-53示出本发明的另一实施例,图中示出能够沿患者鼻子两侧增强密封的框架/软垫;图53A-53G示出框架的另一实施例,在此实施例中,形成翼片来支承软垫;图53H示出本发明的附加实施例,在此实施例中,框架包括密封垫;图53I示出本发明再实施例的分解透视图;图53J-53P示出本发明的再一实施例,在此实施例中,框架支承充气软垫;图54A-54C分别是后视图、侧视 Embodiment, the same figure showing the same part numbers illustrated in the following detailed description with reference to the accompanying drawings, in which: Figure 1-5 shows a first embodiment of the present invention; FIGS. 5A and 5B show an alternative of the present invention an embodiment; FIGS. 5C-5H illustrate the present invention and having a quick-release fine adjustment capability according to another embodiment; FIG 6-15A shows the air pressure delivered to the patient in accordance with the change of the belt tension mechanism and principle; Figure 16 35 shows another embodiment of the present invention; FIG. 36-40B shows an embodiment of the present invention, in this embodiment, can be effectively sealed on both sides of the patient's nose; FIG 41-53 illustrates another embodiment of the invention. frame can enhance sealing along the sides of the patient's nose embodiment, shown in FIG / cushion; FIGS. 53A-53G illustrates another embodiment of the frame, in this embodiment, the flap is formed to support the cushion; 53H FIG. show additional embodiments of the present invention, in this embodiment, the frame comprises a gasket; FIG. 53I shows an exploded perspective view of another embodiment of the present invention; again to Figure 53J-53P illustrate the present invention, an embodiment herein embodiment, the inflatable cushion support frame; FIG. 54A-54C are a rear view, a side 图和底视平面图,以分解图的形式示出现有技术的ACLAIM软垫;图54D是图54A-54C所示现有技术ACLAIM软垫的横截面图;图55A-55C分别是后视图、底视平面图和侧视图,示出本发明第一实施例的软垫组件;图55D是本发明第一实施例软垫组件的横截面图;图56-56F分别是本发明第一实施例软垫组件的柔性部件的后视图、顶视平面图、底视平面图、侧视图、后视透视图和前视透视图;图57-57C是曲线图,分别示出本发明第一实施例、MIRAGE软垫和ACLAIM软垫的机械特性;图58是本发明第二实施例的软垫组件的横截面图;图59A-59E分别是本发明第二实施例软垫组件柔性部件的前视图、后视图、侧视图、前视透视图和后视透视图;图60A-60D是曲线图,分别示出本发明第一和第二实施例软垫组件、MIRAGE软垫、ACLAIM软垫的机械特性,并比较了三种软垫的机械特性;图61是曲线图 A bottom view and a plan view, in an exploded diagram of a prior art illustrating ACLAIM cushion; FIG. 54D 54A-54C is a cross-sectional view of the prior art shown in ACLAIM cushion; FIG. 55A-55C are a rear view, bottom plan view and a side view showing a first embodiment of the cushion assembly according to the present invention; FIG. 55D is a cross-sectional view of a first embodiment of the cushion assembly of the present invention; FIG 56-56F embodiment are respectively the first embodiment of the present invention the cushion rear view of the flexible member of the assembly, a top plan view, a bottom plan view of the perspective view, side view, rear and front perspective view; FIG 57-57C are graphs respectively illustrating a first embodiment of the present invention, MIRAGE soft mechanical properties of the cushion pad and ACLAIM; FIG. 58 is a cross-sectional view of the cushion assembly of the second embodiment of the present invention; FIGS. 59A-59E are a front view of a second embodiment of the cushion assembly of the flexible member of the present invention, a rear view , side, front perspective view and rear perspective view; FIGS. 60A-60D are graphs respectively showing a first embodiment and a second embodiment of the cushion assembly, MIRAGE cushion, ACLAIM cushion mechanical properties of the present invention, comparison of the mechanical properties of three kinds and cushion; Figure 61 is a graph showing 示出本发明第一和第二实施例软垫组件在压力作用下的操作;图62是本发明第三实施例软垫组件的透视图;图63A-63E分别是本发明第三实施例软垫组件柔性部件的前视图、后视图、侧视图、前视透视图和后视透视图;图64A-64E分别是本发明第三实施例软垫组件保持架的前视图、后视图、侧视图、前视透视图和后视透视图;图65是本发明第四实施例软垫组件的横截面图;图66是本发明第五实施例软垫组件的横截面图;图67是本发明第六实施例软垫组件的横截面图;图68和69示出本发明的实施例,在此实施例中,可以选择性改变软垫的刚度;图70-79示出本发明软垫的其它实施例;图80示出本发明再一实施例的横截面图;图81是适合于用作本发明所有实施例柔性部件的泡沫料的松弛曲线。 It shows the operation of the first embodiment and the second embodiment of the present invention, the cushion assembly under pressure; Figure 62 is a perspective view of a third embodiment of the cushion assembly of the invention; FIGS. 63A-63E are, respectively, a third embodiment of the present invention is soft front view of a flexible member of the pad assembly, rear view, side, front perspective view and rear perspective view; FIGS. 64A-64E are, respectively, a third embodiment of the cushion assembly of the present invention, the cage front view, rear view, side view , front perspective view and rear perspective view; FIG. 65 is a cross-sectional view of a fourth embodiment of the cushion assembly of the invention; FIG. 66 is a cross-sectional view of a fifth embodiment of the cushion assembly of the invention; FIG. 67 is the present invention a cross-sectional view of a sixth embodiment of the cushion assembly; FIGS. 68 and 69 illustrate an embodiment of the present invention, in this example embodiment, the stiffness of the cushion can be selectively changed; FIG 70-79 illustrates the present invention the cushion other embodiments; FIG. 80 shows a cross-sectional view of another embodiment of the present invention; FIG. 81 is suitable for use as the relaxation curves for all foam according to the present embodiment of the invention the flexible member.

具体实施方式 Detailed ways

本发明下面的详细说明包括公开许多适用于面罩组件各种实施例的不同部件。 The following detailed description includes the disclosure of the present invention, a number of different mask member assembly applicable to various embodiments. 应当明白,对一个实施例说明的任何部件可以与另一实施例中一个或多个部件联用。 It should be appreciated that any member of the embodiment described embodiment can be a one or more components of the embodiments in combination with another embodiment.

头戴具A.不能伸缩的带图1-5示出面罩系统的一个实施例,包括面罩组件15和头戴组件20。 A. headgear with stretchable belt can not be 1-5 illustrate one embodiment of a mask system, the mask assembly comprising a headgear assembly 15 and 20. 如图1所示,头戴组件20包括许多带,这些带构造成为和配置成可以主要包围患者的头。 1, the assembly 20 includes a plurality of belt wearing, the belt may be arranged and configured as to surround the patient's head main. 这些带连接于面罩组件15,从而可以相对于患者的面部固定面罩组件15。 These bands attached to the mask assembly 15 can be fixed relative to the patient's face mask assembly 15. 仅作为一个例子,示出面罩组件15,以例示头戴组件20的使用。 As just one example, the mask assembly 15 is shown, to illustrate the use of the headgear assembly 20. 该面罩组件15可以用任何适合的呼吸面罩取代,如普通技术人员可以看出的。 The mask assembly 15 may be substituted in any suitable respiratory mask, as can be seen ordinary skill in the art.

为了使面罩组件15固定就位,头戴组件20利用前后向带25和水平带30。 In order to mask assembly 15 is fixed in position, before and after use of the headset assembly 20 to the belt 25 and belt 30 levels. 该水平带30大体水平配置,并包住患者头部的四周。 The level substantially horizontally disposed belt 30, four weeks and wrapped around the patient's head. 各个水平带30的各个端部31连接于面罩组件15。 Each end of each horizontal band 30 is attached to the mask assembly 31 15. 在下面的详细说明中,说明在水平带30和面罩组件15之间的配置。 In the detailed description below, the configuration between the horizontal strip 30 and 15 of the mask assembly. 该水平带30最好正好穿过各只耳朵的下部,并穿过颈部肌肉进入头颅骨底部的衬垫区域,此区域物在图2中总的用36表示。 The belt 30 is preferably horizontal lower portion of each right through the ears and through the spacer into the region of the bottom of the neck muscles of the skull, this region was represented by 36 in FIG. 2 in total.

前后向带25的后端部40大体位于水平带30的终点,从而定位在患者头部的中后部区域。 Front and rear end 30 of the horizontal strip 40 with a generally rear portion 25, so positioned in the back region of the patient's head. 如图1所示,在患者头部后部区域的前后向带25的宽度是相当宽的,例如是前后项向25其余部分宽度的约两倍。 1, around the rear area of ​​the patient's head to the width of the tape 25 is relatively wide, for example, about twice the width of the remainder of the longitudinal item to 25. 这种表面度增加是有利的,因为它有助于在压力改变或者带张力变化时,防止该带勒入患者头部很多脂肪的或者很软的后部。 This increase of the surface is advantageous, because it helps when the pressure changes or changes in belt tension, to prevent the patient's head with the Le a lot of fat or very soft rear. 当然,带25不应当太宽和/或很厚,使得它变得不舒服。 Of course, the band 25 should not be too wide and / or very thick, so that it becomes uncomfortable. 该带最好用凉爽材料例如BREATHOPRENETM制造。 The tape is preferably, for example, producing a cool BREATHOPRENETM material.

前后向带25从水平带30伸出例如从后端部40f伸出,越过一般用45表示的头颅骨顶点,并大体从内侧越过一般用编号50表示的患者头部的前额(见图2)。 Front from the horizontal belt 25 to the belt 30 extends from the rear end portion 40f protruding e.g., over the apex 45 is generally represented by the skull, and the head of the patient over the forehead generally by the numeral 50 denotes generally from the inside (see FIG. 2) . 该前后向带25具有连接于面罩组件15的前端55,如下面详细说明的。 The front has a distal end 55 attached to the mask assembly 15 to the belt 25, as described in detail below.

头戴组件20最好包括一对冠面带35,该带使前后向带和水平带25和30连接起来。 Headgear assembly 20 preferably includes a pair of strip crown surface 35, the front and rear belt 30 and the belt 25 and connected to the belt level. 各个冠面带35的上端60连接于靠近患者头部顶点45的前后向带25,各个冠面带35从该顶点45例如从上端60伸出,从侧向和下面越过头部,并从各个耳部的正前部和正下方,在冠面带35的下端65连接于水平带30。 60 with the upper end of each of the crown surface 35 is connected to the patient's head back and forth near the apex 45 to the belt 25, with the respective crown surface 35 extends from the upper end 60, for example, from the apex 45, laterally across the head and from below, and from the respective n and below the front portion of the ear portion, the crown surface 35 with the lower end 65 of band 30 is connected to the horizontal.

冠面带35的各个下端65通过缝纫方法和/或粘接剂连接于水平带30。 With the respective lower end faces 35 of the crown 65 by a sewing method and / or an adhesive tape 30 is connected to the horizontal. 或者,水平带30可以用一个或多个扣部件连接于冠面带35和/或前后向带25二者,该扣部件可以在一个或多个带部分之间进行调节。 Alternatively, the horizontal band 30 may be one or more snap connecting members to face with the crown 35 and / or around the snap member may be adjusted between one or more portions of the tape 25 with both. 或者,头戴组件20的一个或多个带用整片材料形成。 Alternatively, one or more components wearing band 20 is formed integral with the sheet material.

为了保持面罩组件15的安全性和舒适性,头戴组件20的带最好形成为基本上不能伸缩。 In order to maintain the mask assembly 15 of the safety and comfort of wearing belt assembly 20 is preferably formed as a substantially does not scale. 换言之,带有一些柔性,然而这些带最好不能显著拉伸。 In other words, with some flexibility, however, these bands is preferably not significantly stretched. 这些带具有足够大的韧性或者刚性,从而可以保持其形状。 The strip has sufficient toughness or stiffness that can retain its shape. 制作带的设想材料包括聚氯乙烯(PVC)、皮革、聚丙烯,或者聚氨酯。 With materials contemplated include polyvinyl chloride (PVC), leather, polypropylene, or polyurethane. 当然,也可以使用其他材料。 Of course, you can also use other materials. 例如,认为合适的其他材料可以是强度大的布带,这些带也可以考虑衬上毛毡材料,以增加患者的舒适程度,其他的变化包括穿孔或者穿眼,以便通过这些带散热。 For example, that other suitable materials may be high-intensity cloth belt, which belt is also conceivable on the felt lining material to increase the comfort of the patient, other variations include perforations or eye wear to the tape by heat.

B.带的微调1.第一实施例参考图1,最好以这样的方式将头戴组件20连接于面罩组件15,使得可以相对于头戴组件20的带调节面罩组件15的位置。 Example 1. B. Referring to FIG trim 1 with a first embodiment, preferably in such a way that the headgear assembly 20 attached to the mask assembly 15, so that the tape relative to the head mount assembly 20 adjusts the position of the mask assembly 15. 面罩组件15包括框架组件70、与患者形成界面的或者与患者接触的软垫75和插在框架组件70和软垫75之间的软垫支承件80。 Mask assembly 15 includes a frame assembly 70 is formed with the patient interface or the cushion 75 and in contact with the patient interposed between the cushion frame assembly 70 and cushion 75 of the support member 80. 软垫支承件80包括孔(未示出)利用该孔可以将加压空气输送到面罩组件70的加压室,该加压空气输送到患者的气管。 Cushion support member 80 includes an aperture (not shown) via the hole may deliver pressurized air to the mask assembly of the pressurizing chamber 70, the pressurized air is delivered to the patient's trachea. 通常肘管85松松地连接于软垫支承件80的孔。 The elbow 85 is generally loosely connected to the support member 80 of the cushion hole. 该旋转肘管包括快速松开的连接件86,该连接件连接于空气输送管(未示出),该输送管又连接于空气输送装置例如气源(未示出)。 The quick-release comprises a rotating elbow connector 86, the connecting member is connected to an air delivery tube (not shown), which in turn is connected to an air delivery tube conveying device such as a gas source (not shown).

框架组件70包括具有一个或多个横向部件100的底盘95(在图3中清楚示出)。 The frame assembly 70 includes a one or more transverse chassis 95 (best shown in FIG. 3) of the member 100. 该横向部件100支承悬臂延伸部件90,该延伸部件又连接于前后向带25的前端55。 The cantilever support member 100 transversely extending members 90 which in turn extends to the longitudinal member 25 to the front end of the belt 55 is connected. 该前后向带25的前端55具有螺纹部件105,该螺纹部分穿过延伸部件90形成的接收孔91,如图1和2清楚示出的。 The front has a distal end 55 to the tape 25 is threaded member 105, the threaded portion extends through the receiving hole 90 formed in member 91, as shown in FIG. 1 and 2 clearly shown. 螺母110可以在螺纹部分105上转动,从而可以调节延伸部件90和患者前额50之间的距离。 Nut 110 can be rotated on the threaded portion 105, which can adjust the distance between the members 90 and 50 extend the patient's forehead. 因此,可以细调带的张力,特别是在前后向带25如上所述,用基本上不能伸缩的材料制作时。 Accordingly, fine tune the tension of the belt, when made with the material substantially not stretchable band 25 as described above especially around.

图3示出面罩组件10的前视图。 Figure 3 shows a front view of the mask assembly 10. 从图3中可以看到,底盘95包括许多从底盘95伸出的指形部件115。 As can be seen in FIG. 3, the chassis 95 includes a plurality of projecting fingers 95 from the chassis member 115. 在底盘95各个侧面上的最下指形部件115包括孔120,该孔构造成为可以接收从水平带30各个端伸出的螺纹部件105。 On each side of the chassis 95 of the lowermost finger member 115 includes an aperture 120, the aperture may be configured to receive a threaded member 30 from the horizontal with the respective projecting ends 105. 螺母110可以用螺纹固定于螺纹部分105,使得可以细调面罩组件15和患者面部之间的距离。 Nut 110 can be screwed to the threaded portion 105, making it possible to fine-tune the distance between the mask assembly 15 and the patient's face. 因此,这些条可以以很高的准确度拉紧,使得在给定的约2到40cm水柱高的压力范围内,作用在面部的力恰如其分。 Thus, the strips can be tightened with high accuracy, so that within a given about 2 to 40cm of water pressure in the high range, the force of the face appropriately.

如图3和4清楚示出的,该螺纹部分105基本上为长方形横截面,包括两个相当平的侧面和具有螺纹部分的两个侧面。 3 and 4 clearly shown, the threaded portion 105 is substantially rectangular in cross-section, comprising two relatively flat sides and two sides with a threaded portion. 孔91和120的形状与螺纹部分105的形状是互补的。 Shape 91 and the threaded hole 120 of portion 105 are complementary. 例如,孔91和102具有大体长方形形状,由此在调节螺母110时,可以防止螺纹部分转动。 For example, the holes 91 and 102 has a generally rectangular shape, whereby when the adjusting nut 110, the threaded portion can be prevented from rotating. 虽然未示出,但是螺纹部分105的端部也包括具有长方形孔的部件,从而有助于防止螺纹部分105的转动。 Although not shown, the end of the threaded portion 105 also includes a rectangular member having a hole, to help prevent rotation of the threaded portion 105.

图4是侧视图,更清楚示出各个水平带30和框架组件70之间的连接。 FIG 4 is a side view more clearly show the connection between the respective horizontal band 70 and a frame assembly 30. 另外,图4示出,各个指形部分115可活动地例如可转动地连接于底盘95的横向部分96和97。 Further, FIG. 4 shows the respective finger portion 115 may be movable, for example, is rotatably connected to the chassis 95 of the lateral portions 96 and 97. 在此特殊例子中,顶部两个指形部分115连接于横杆125,而底部的两个指形部分115连接于类似的横杆130。 In this particular example, the top two finger portions 115 is connected to the crossbar 125 and the two fingers is connected to the bottom portion 115 of rail 130 similar. 因此,在底盘各个侧面上的两个顶部指形件和两个底部指形件分别可以协调一致地运动,从力的分布观点看这是有利的。 Thus, two on each side of the top chassis and two bottom fingers are fingers can be coordinated movement, from the viewpoint of the force distribution of view this is advantageous. 然而应当考虑到,各个指形件相对于底盘95的横向部件96和97可以独立活动。 It should however be taken into account, the respective fingers 96 relative to the transverse chassis members 95 and 97 may be independent activities.

在此实施例中,从各个水平带30端部31伸出的螺纹部分105穿过形成在下部两个指形部分115上形成的接收孔120。 In this embodiment, a threaded portion 31 extending through the receiving holes 105 formed in a lower portion of the two finger portions 115,120 are formed from the respective horizontal band end portion 30. 这样,当拧紧螺母110时,将会张紧在水平带30上的任何松弛。 Thus, when the nut 110 is tightened, the tension will be in the horizontal strip 30 on any slack. 当张紧所有的松弛以后,螺母110的进一步拧紧将会导致右手侧下部两个指形部分115相对于软垫支承件80顺时针方向转动(从上面观看)。 When all the tension relaxation after tightening nut 110 is screwed further will result in a lower part of the right-hand side of the two fingers 115 with respect to the cushion support member 80 is rotated clockwise (viewed from above). 左手侧下部两个部分,在从上面观看时将反时针方向转动。 The left-hand side of the lower two portions in rotation counter-clockwise as viewed from above. 软垫支承件80在至少靠近指形部分115的侧部分82是可形变的。 Cushion support member 80 at least near the side portion 115 of the finger portion 82 is deformable. 由于这种形变,该侧部分82可以向软垫75中的相应部分施加力,从而压紧患者鼻子的两侧。 Due to this deformation, the side portion 82 may apply a force to the respective cushion portion 75, thereby compressing the sides of the patient's nose.

如图4所示,软垫75与柔性的或者可形变的软垫支承件80可以通过例如指形件115形成一体,从而更好匹配各种脸面的轮廓。 4, the cushion 75 and the flexible or deformable cushion support member 80 may be integrally formed by, for example, the fingers 115, to better match the contour of the various face. 在制造很软和极软软垫支承件之间需要折中,很软是为了更好地贴合面部,极软造成面罩内部体积随每次吸气过分改变(例如大于20毫升)这使得测量潮流体积很困难。 The tradeoff between manufacturing very soft and very soft pad supports, very soft in order to better fit the face, resulting in a very soft interior volume of the mask changed over with each inhalation (e.g., greater than 20 ml) which makes measurements current volume is very difficult. 约1-3mm厚度的常规硅橡胶是合适的。 Conventional silicone rubber thickness is about 1-3mm suitable.

图5是后视图,示出面罩组件15,在此组件中,在患者面部左侧的上部两个指形部分115可以手推压在软垫支承件80的一个侧部分82上。 FIG 5 is a rear view showing the mask assembly 15, in this assembly, the upper portion of the left side of the patient's face two finger portions 115 can push against the upper side of a support member 80 of the cushion portion 82. 上部两个指形部分115作用于软垫侧部分82的力可以使软垫75发生形变,使得它可以推压鼻子的侧面,由此可以接纳不同形状的鼻子,并增强软垫75的密封性能。 Two upper finger portion 115 the force acting on the cushion side portion 82 of the cushion 75 can be deformed so that it can be pressed against the side of the nose, thereby receiving the nose of various shapes, and to enhance sealing performance cushions 75 .

在图1-5中,带的张力和支承件80的两个侧边82的可形变性一起可以使指形件转动并同时推压,由此可以挤压鼻子的两侧和一部分患者脸面。 In Figure 1-5, the belt tension and the support deformability two side edges 82 of the can 80 with the fingers and rotates while pushing, thereby squeezing both sides of the nose and the face portion of the patient. 因此,利用独立的转动性可以适配形状不规则的脸面。 Thus, use of an independent rotation of irregular shape can be adapted to the face. 这也有助于将作用力均匀分配在脸面上,由此松开高接触力的区域。 This also contributes to uniform distribution of the force on the face, whereby the areas of high contact force release.

图5示出增加顶部条(未示出)张力的结果,张力的这种增加导致压迫患者的鼻梁区域。 FIG. 5 shows the results (not shown) to increase tension top bar, this increase results in tension compression nasal bridge region of the patient. 对于双压力的治疗,这是特别有用的,使得在低压力下,只作用很低的力,而在高压下,作用高的力,这有助于改进舒适程度和密封。 For the dual treatment pressure, which is particularly useful, such that at low pressure, low force acting only, and under high pressure, high force, which helps to improve comfort and sealing. 用非弹性材料制造头戴具,有助于防止面罩在脸面上的“活塞作用”,即,在双压力治疗期间,在高压时升离面部和/或在低压时进入面部。 With non-wearing resilient material, it helps prevent the "piston effect" of the mask on the face, i.e., during the two-pressure treatment, when the high pressure lift off the face and / or into the surface at low pressures.

在图1-5所示的实施例中,形成在底盘95各个横向部分96和97上的两个上部指形部分图中表示为连接于头戴组件20的任一带部件上。 In the embodiment illustrated in Figure 1-5, the chassis 95 is formed in an upper finger portion of each of two lateral portions 96 on FIG. 97 and shown connected to a headset on either assembly 20 along the member. 然而,这种上部带部分的定位可以如图2中想象线135和140所示。 However, this positioning of the upper belt section 2 may be an imaginary line in FIG. 135 and 140 shown in FIG. 具体是,想象线135表示上部带部分连接于冠面带35中部的状态。 Specifically, the imaginary line 135 represents a portion connected with an upper face with a central crown of a state 35. 想象线140表示上部带部分在头戴具各侧连接于水平带30的状态。 Each portion having a state of wearing a belt 30 side is connected to the horizontal imaginary line 140 represents the upper belt.

2.第二实施例图5A和5B示出本发明的另一实施例,在此实施例中,水平带30包括第一连接部分C1,该连接部分可选择性地连接于第二连接部分C2。 2. Second Embodiment FIGS. 5A and 5B show another embodiment of the present invention, in the embodiment, the horizontal band 30 comprises a first connecting portion C1 in this embodiment, the connecting portion is selectively connected to the second connection portion C2 . 该第二连接部分C2固定于下部带LS和上部带US。 The second connecting portion C2 is fixed to the upper belt and the lower belt LS US. 上部和下部带LS、US可以张紧到它们紧压在框架70横向部分82的程度,由此可以在软垫75上施加向内的力,从而在侧面密封患者鼻子的两侧。 The upper and lower belt LS, US tensioned they can be pressed against the lateral extent of portion 82 of frame 70, whereby an inward force may be exerted on the cushion 75, so that both the side of the sealing patient's nose. 该上部和下部带LS和US可调地固定于框架70(如箭头所示),从而可以更好地定位向内力作用的区域。 The upper and lower belt US LS and adjustably fixed to the frame 70 (as shown by arrows), so as to better locate the region of the internal forces. 在此实施例中,支承件80的侧部分82用可形变材料制作,而顶点是更刚性的。 Embodiment, the side portion 82 of the support member 80 may be made with a deformable material In this embodiment, the apex is more rigid.

3.第三实施例图5C-5H示出本发明的再一实施例,在此实施例中,调节机构可以粗调和细调头部带的张力。 3. Third Embodiment FIGS. 5C-5H shows a further embodiment of the present invention embodiment, in this embodiment, the adjustment mechanism may be coarse and fine head band tension. 图5C示出整个面罩组件,该组件包括面罩框架800,该框架具有肘管805,该肘管包括防窒息的阀门810。 5C shows the entire mask assembly includes a mask frame 800, the frame having elbow 805 includes an anti-asphyxia valve 810 of the elbow. 配置快速松开扣件815,以便患者可以很性地取下头戴具,如2002年9月6号提出的美国专利申请No.10/235846所述,该专利申请整个作为参考文献包含在本文中。 Configuring quick release fastener 815, so that the patient can be removed wearing of tools, as described in US Patent No. 6 September 2002 made Application No.10 / 235,846 said, as throughout this patent application incorporated herein by reference in. 图5D示出处于局部打开位置的快速松开机构,而图5E示出完全打开的快速松开机构。 5D shows a quick-release mechanism in a partially open position, and FIG. 5E shows a quick-release mechanism is completely open.

带820包括用于将面罩组件保持在患者头部的一对带端部820A和820B。 With a mask assembly 820 includes means for maintaining the patient's head with a pair of end portions 820A and 820B. 其中一个带端部例如820B可以通过例如槽821连接于位于固定位置的面罩框架的一端,由此可以避免带820的长度变化,在重复的取下或者重新放上面罩组件时,可能发生这种长度变化。 Wherein a strap end portion 820B by, for example, an end of the slot 821, for example, attached to the mask frame in a fixed position, whereby to avoid change in length of tape 820 is removed when repeated or re-placed mask assembly, which may occur changes in length. 另一带端部820A配置和构造成为可调的。 The other end portion 820A with the configuration and construction become adjustable. 当然,带820的两个端部均是可调的。 Of course, the two ends of the belt 820 are adjustable. 弯曲带820,使带端部820B穿过槽821,形成一个可用铆钉822或者其他紧固件固定的环。 Curved belt 820, the belt end portion 820B passes through the slot 821, can be used to form a rivet 822 or other fastener ring.

可以配置调节组件825来调节带820。 Adjustment assembly 825 may be configured to adjust the belt 820. 具体是,如图5F所示,该调节组件包括大体长方形的棱柱体830,该棱柱体具有穿过其整个长度的带接收槽835。 Specifically, as shown in FIG. 5F, the adjustment assembly comprises a generally rectangular prism 830, the prism 835 has a belt receiving groove through its entire length. 该槽具有显示在棱柱体端面上的开口840。 The groove 840 having a display opening in the end face of the prism. 该棱柱体具有上部分836、下部分837和螺杆845,如图5G清楚示出的。 The prism 836 has an upper portion, lower portion 837 and a screw 845, shown clearly in FIG. 5G. 该上部分和下部分836和837可以采取适合于粗调带长度的第一位置,在此位置可以将带端部820A拉过槽835的长度。 The upper and lower portions 836 and 837 may be adapted to take a first position with coarse length, in this position with the end portion 820A may be pulled through the length of the slot 835. 在适合于细调的第二位置,该上部分和下部分836、837将结合在一起,使得螺杆845与带端部820A接触,从而防止带通过槽835。 In the second position suitable for fine adjustment of the upper and lower portions 836,837 will be combined so that the screw 845 into contact with the end portion 820A, thereby preventing the band through the slot 835. 螺杆845在转动时,将使带端部820A移动,从而张紧或者放松头戴具。 Screw 845 is rotated, will move with the end portion 820A, so that the tensioning or relaxing with headgear. 该上部分和下部分836、837通过槽和销钉部件841、842可以平移,从而使螺杆845移动,达到或者脱离与槽835的接触。 The upper and lower portions 836,837 can translate through the slots 841 and 842 and the pin member, so that the screw 845 is moved to reach or out of contact with the groove 835. 该螺杆845具有一个伸过棱柱体835长度的具有第一齿轮部分850的端部。 Having a screw 845 extending through the end portion 850 of the gear 835 has a first length prism. 如图5H所示,第一齿轮部分850又以直角接合第二齿轮部分855。 As shown in FIG 5H, the first gear portion 850 again engages the second gear portion 855 at right angles. 第二齿轮部分855具有固定在上面的圆柱钮860。 The second gear portion 855 has a cylindrical knob 860 fixed thereto. 转动该圆柱钮860便可以转动第二齿轮部分855,由此驱动第一齿轮部分850,因而驱动螺杆845。 Rotating the cylindrical knob 860 can rotate the second gear portion 855, thereby driving the first gear portion 850, and therefore the drive screw 845. 取决于转动方向,带或者拉出或者推入该槽,由此可以细调带的长度。 Depending on the direction of rotation, with or pushed in or pulled out of the groove, whereby the fine tune the length of the belt.

C.充气胆-气包和枕骨气动垫1.第一实施例参考图1,图中示出头戴组件20,图中示出包括特殊形状的充气胆,这种胆将称为沿例如头戴组件20前后向带25配置的“气包”145。 C. inflatable bladder - and occipital pneumatic cushion air bag 1. First Example Embodiment Referring to FIG 1, the headgear assembly shown in FIG. 20, there is shown the inflatable bladder comprises a special shape, which will be referred to in the bile head e.g. wear assembly 20 to the belt 25 disposed before and after the "air bag" 145. 该气包145配置成可以在面罩压力的整个范围内将相对恒定的带力作用在患者的面部。 The air bag 145 is disposed so as to be in full mask pressure will be relatively constant with a force acting on the patient's face. 该气包145是一种活性部件,可以用气体作功,从而在较高压下,将面罩牵引到面部。 The air bag 145 is an active member, the gas may be used as the work, so that a high pressure, pulling the mask to the face. 气包145通过小直径的硅胶管150与面罩中的压力相通,该硅胶管接在面罩组件15上的或者靠近该组件的气体出入口上。 Air bag 145 through a small-diameter silica tube 150 in communication with the pressure in the mask, the silicon tube connected to the mask assembly 15 on or near the gas entrance of the assembly. 在此例中,该管850配置在肘管845上,前后向带25上的带张力至少通过气包145由气源压力局部形成,该张力在较高压力下可以使带更加张紧/更多位移,而在较低压力下可以使带不太张紧/或者更小位移。 In this embodiment, the tube 850 is arranged on the elbow 845, the belt tension before and after the belt 25 by the air bag 145 at least partially formed by the air pressure, the tension in the belt at a higher pressure may be more tension / more multi displacement, while at lower pressure may make with less tension / displacement or less.

虽然将气包145表示为优选实施例,但是可以采用其他机构得到带张力/位移的变化,这些机构包括电动系统和机械系统。 While the air bag 145 is the preferred embodiment represented, but others may be obtained with a tension change / displacement using these bodies for electrical and mechanical systems. 当面罩压力增加时,气包压力增加使气包充气到更像球形,由此使它前后缩短,因而将向后的牵引力作用在悬臂90上,由此使面罩更可靠地压在面部上。 When the mask pressure increases, air bag pressure is increased to make the air bag inflated like a spherical, thereby making the front and rear shortened, and therefore the rearward traction force on the boom 90, thereby to more reliably press the mask on the face.

作为第一级近似,由气包或者悬臂90产生的方向向后的力正比于面罩压力。 As a first approximation, the boom 90 by the air bag or the direction of rearward force generated is proportional to the mask pressure. 在螺母110拧紧时,其比例常数较大,使得在一定面罩压力下,该气包可以更容易拉长。 When tightening the nut 110, which is a larger proportional constant, so that at a certain mask pressure, the air bag can be more easily stretched. 因此,气包145可以看作为一种自动补偿机构,如果这样调节该机构,使得在一个压力下,面罩密封,则面罩将在所有压力下密封,并将一直平衡面罩中的空气压力。 Thus, the air bag 145 can be seen as an automatic compensation mechanism, the adjusting mechanism if so, at such a pressure, seal the mask, the mask will be sealed at all pressures, and will always balance the air pressure in the mask.

压力增加ΔP时,气包将膨胀ΔV,由此做功ΔVΔP,由此反抗力的作用,将悬臂90上的连接点91向后拉一段距离。 When the pressure increase [Delta] P, [Delta] V air bag will expand, thereby acting ΔVΔP, whereby the resistance force, the connection point on the boom 90 91 pulled back some distance.

虽然只在顶部带上形成气包145,但是也可以在其余的带包括水平带30上形成另外的气包。 Although only belt to form a gas bag 145 at the top, but may further be formed on the air bag 30 with the remaining tape comprises a horizontal. 然而在此实施例中,在下部带上没有加上任何气包145,因为患者下颚和下唇部的自然走向形成波浪形,这种情况在一定程度上近似于包145的作用,从而在整个操作压力范围内,在该区域中形成良好的运动。 However, in this embodiment, the lower portion of tape without adding any air bag 145, as natural to a patient and a lower jaw lip formed wavy, in this case to a certain extent similar to the role of the package 145 so that the entire within the operating pressure range, a good movement in the region. 换言之,面罩顶部的密封机构和面罩底总后密封机构是不同的。 In other words, the sealing means and the top of the mask substrate mask GLD sealing mechanism is different. 对于面罩底部,面罩设计人员可以依靠患者的下唇部和下颚来加压,而在面罩的顶部,采用不同的机构,因为鼻梁区域的面部结构是骨头的,很硬。 For the bottom of the mask, the mask designers can rely on the patient's jaw and lip pressure in the top of the mask, using different means, since the structure of the nasal bridge region of the face is bone, very hard.

2.气包的细节已在一般意义上说明气包145,下面参看图6-15A进行说明,这些说明更详细说明了气包的更具体原理。 2. Details of the air bag has been explained in the general sense air bag 145, will be described below with reference to FIG. 6-15A, described in more detail these more specific principle of the air bag.

气包145是橡胶例如硅橡胶作的长方体薄壁管,可以沿两个侧面折皱起来,然后在非折皱的端部封闭起来。 Air bag 145 is rubber such as silicone rubber rectangular thin-walled tubes together along two side folds can then closed up in a non-bellows end portion. 将非折皱的封闭端部插入到面罩组件15的头带例如前后向带25中。 The non-crumpled portion of the closed end 15 is inserted into the mask assembly with headgear 25, for example, forward and backward. 图6和7示出气包145处于松弛状态,其中基本上没有压力或者完全没有压力,例如在患者呼气期间,而图8和9示出在治疗压力下例如在患者吸气期间的气包145。 6 and 7 show the air bag 145 in a relaxed state, wherein substantially no pressure or no pressure, such as during patient exhalation, while Figures 8 and 9 show, for example during the patient inspiratory air bag 145 at the treatment pressure . 对于双气压供气装置,患者在吸气期间曝露于相对较高的压力,而在呼气期间曝露于较低的压力,将气包145充气到压力p将使气包145缩短或者变宽,因此头部带25将被拉得更紧。 For dual pressure air supply means, exposed to the patient during inspiration relatively high pressure, while during expiration exposed to lower pressure, the air bag 145 is inflated to a pressure p air bag 145 will widen or shorten, Thus the head band 25 will be pulled tighter.

下面假定气包145在纵向是松弛的,而在横向是刚性的,使得它可以在所有压力下可以保持上述平顶横向部分。 Next, assume that air bag 145 is slack in the longitudinal direction, but is rigid in the transverse direction, so that it can be flattened portion of said lateral holding at all pressures. 在制造时,可以通过例如将刚性杆横向粘接在顶表面和底表面上,或者将顶表面和底表面模制成具有横向脊条,和/或在左右可伸缩壁之间用内部系丝,来取得这种平顶横向部分。 In manufacturing, it can have a transverse ridges, and / or wire line between the left and right internal walls of the telescopic rod by a rigid transverse side bonding for example on the top and bottom surfaces, or the top and bottom surfaces made of mold to obtain such a flat top transverse portion. 实际上,基本概念和以下说明是不用这些精细加工来得到大致的放松。 Indeed, the basic concepts and the following description are obtained without these fine processing to substantially relax.

在图10的例子中,气包145具有宽度W和充气高度2h。 In the example of FIG. 10, the air bag inflator 145 has a width W and a height of 2h. 可伸缩的侧面被假定为施加忽略不计的力,并且不包含在计算中。 Retractable side is assumed to be negligible force is not applied to the meter, and is not included in the calculation. 带上的力是f。 Belt force is f. 在图10中,气包145被横向切成两半,一对刚性板固定于该切线,其中一个刚性板用编号155表示。 In Figure 10, the air bag 145 is transversely cut in half, a pair of rigid plates fixed to the tangent, wherein a rigid plate with reference numeral 155. 由刚性杆160连接这两个板。 A rigid rod connecting the two plates 160. 在刚性杆160上的力也是f。 Force on the rigid bar 160 is f.

假定顶部带上轴向表面张力(力/单位长度)是t。 Assumed axial top belt surface tension (force / unit length) is t. 因为组件不随时间变动,所以作用在可见板155上的力其合力必须为零。 Because the component does not change with time, the plate 155 acts on the visible resultant force which must be zero. 这些力包括作用在左边的力2tW、作用在右边的力2pWh和作用在右边刚性杆160上的力f:2tW=f+2pWh (1)如果对于p>0,在带上不存在任何表面张力,则气包145的顶表面和下表面将一起形成圆柱体(θ=π/2)。 These forces include force 2TW on the left, the force acting on the right and 2pWh force f acting on the right side of the rigid bar 160: 2tW = f + 2pWh (1) If the surface tension for any p> 0, in the absence of tape , the top surface of the air bag and the lower surface 145 will form a cylinder (θ = π / 2) together. 当带25在受到张力作用时,表面将变成两个半径为r的圆柱体的不完全对称扇形,如图11的横截面所示。 When subjected to tension the belt 25, the surface of the cylinder into two radius r of the fan is not completely symmetrical cross-section 11 as shown in FIG.

两个表面与带的相交线位于平衡状态,即其上没有作用任何净力。 The line of intersection of two surfaces of the belt is located in a state of equilibrium, i.e. no effect on any net force. 因为超出连接点的气包145的表面是不相关的,所以可以用半径为r的其余圆柱体替换超过连接点的整体。 Since the surface beyond the point of attachment of the air bag 145 is not relevant, it may be replaced with a cylinder of radius remaining integrally connected over the point r.

[0093]顶部或者底部表面的横截面是圆弧,其半径为r,并且对着圆心的角为2θ。 [0093] The cross section of the top or bottom surface of a circular arc having a radius r, and angle toward the center of 2θ.

根据简单的几何图形,在气包145顶表面或者底表面和带的延伸线之间的角度也是θ,如图12所示。 The simple geometry, the angle between the surface of the air bag 145 or the extension line and the bottom surface of the belt is [theta], as shown in Fig. 因为在连接部分的净作用力为零,所以我们得到:f=2Wt cos(θ) (2) Because zero net force of the connecting portion, so we get: f = 2Wt cos (θ) (2)

[0095]从图12可以明显看出,另一个约束方程是:h=r(1-cos(θ)) (3) [0095] As apparent from FIG. 12, another constraint equation is: h = r (1-cos (θ)) (3)

最后,如果气包145具有拉平长度L(带之间的距离),则圆弧的周长为:L=2rθ (4)因此有四个连立方程,五个未知数p、h、t、f和θ,和两个常数W和L。 Finally, (the distance between the belt), if the length L of the air bag 145 has a flattened, the circumferential length of the circular arc: L = 2rθ (4) therefore even four simultaneous equations, five unknowns p, h, t, f and θ, and two constants W and L. f的解为:f=pWLcos(θ)/θ (0<θ<π/2) (5) Solutions of f is: f = pWLcos (θ) / θ (0 <θ <π / 2) (5)

[0097]注意以下的特性:(i)如果气包是拉平的,即θ→0,则任何正压力将产生无限大的力;(ii)如果θ=π/2,即气包为圆柱形,则f对于所有的p为零。 [0097] Note the following characteristics: (i) if the air bag is flattened, i.e., θ → 0, then any positive pressure force generated infinite; (ii) if θ = π / 2, i.e., a cylindrical air bag , then f is zero for all p. 忽略掉伸缩侧面的特性,W和L在力的产生中起同样作用。 Ignored side telescopic features, W and L in the same function of the force produced. 二者之一加倍将使力加倍。 Doubling the force will either be doubled.

[0098]产生的力随气包145的长度变化。 [0098] The force generated with the gas bag 145 changes in length. 从图11可以看出,气包两端的距离x由以下方程确定:x=2rsin(θ) (6)替换方程式(4)中的r可以得到:x=Lsin(θ)/θ (7)再注意到:f=pWLcos(θ)/θ (5)用上面方程列出表1。 As can be seen from FIG. 11, the distance x across the air bag is determined by the following equation: x = 2rsin (θ) (6) alternatively the equation r (4) can be obtained: x = Lsin (θ) / θ (7) and then note: f = pWLcos (θ) / θ (5) are listed in table 1 using the above equation. 表1的第二行示出对各种角度θ的作为固定长度L百分数的气包长度“x”(见图11)。 The second row of Table 1 is shown as a percentage of a fixed length L of the various angles θ of the air bag length "x" (see FIG. 11). 第三行表示产生的力“f”(见图10),该力表示为压力p、宽度W和固定长度L乘积的百分数。 The third row represents the force "f" (see FIG. 10), expressed as a percentage of the force of the pressure p, the width W and the length L of the product is fixed.

表1 Table 1

图13画出力f(表示为pLW的百分数)随长度x(表示为固定长度L的百分数)变化的函数曲线。 13 shown in FIG force f (expressed as a percentage of pLW) with the length x (expressed as a percentage of a fixed length L) is a function curve.

对θ角微分方程(5)和(7)得到:df/d=-pWL[sin(θ)/θ+cos(θ)/θ2] (5a)dx/dθ=L[cos(θ)/θ-sin(θ)/θ2] (7a)用(7a)除(5a)(对于0<θ=π/2)得到:df/dx=pW[cos(θ)/θ+sin(θ)]/[sin(θ)/θ-cos(θ)] (8a)在θ→0的极限(空的气包)中,分母变为1,而分子变为无限大,所以弹簧具有无限大的正刚度。 Angle [theta] of the differential equation (5) (7) and obtained: df / d = -pWL [sin (θ) / θ + cos (θ) / θ2] (5a) dx / dθ = L [cos (θ) / θ -sin (θ) / θ2] (7a) with (7a) except (. 5A) (for 0 <θ = π / 2) to give: df / dx = pW [cos (θ) / θ + sin (θ)] / [sin (θ) / θ-cos (θ)] (8a) in the θ → limit (empty air bag) is 0, the denominator becomes 1, and the molecule becomes infinite, so infinite spring having positive stiffness . 对于完全允气的气包(θ=π/4),刚度为正4pw/π)。 Allowed for complete air bag gas (θ = π / 4), the positive stiffness 4pw / π). 表2加上了前一表的刚度。 Table 2 together with the rigidity of the front of a table.

表2 Table 2

例子实际的气包具有:W=5cm=0.05m;L=6cm=0.06m;p=20cmH2O=1960N/m2~2000N/m2。 An air bag having a practical example: W = 5cm = 0.05m; L = 6cm = 0.06m; p = 20cmH2O = 1960N / m2 ~ 2000N / m2.

如果气包145是局部充气的,并保持在两个刚性支承件之间,则带的张力随压力线性增加。 If the air bag 145 is partially inflated, and held between two rigid supports, the belt tension increases linearly with pressure.

对于任何给定的几何形状,产生的力正比于气包的固定长度和外延。 For any given geometry, proportional to the force and extension of the fixed length of the air bag.

对于任何给定的压力,在气包位于其静止长度时,所产生的力为无穷大,然后很快下降。 For any given pressure, when the air bag is in its resting length, the force generated is infinite, then decreased rapidly.

作为一个例子,连接于20cmH2O压力的6cm长×5cm宽度的气包在缩短0.5cm时,产生约0.633kgf的力,在缩短1.0cm时,产生约0.300kgf的力,缩短1.5cm时,产生约138g的力。 As one example, is connected to a pressure 20cmH2O 6cm long × 5cm width of the air bag is shortened 0.5cm, a force of about 0.633kgf, when retracted 1.0cm, a force of about 0.300kgf, is shortened 1.5cm, generate about 138g of force.

这种力对长度有很强的依赖关系的结果是,用螺钉拉紧头带将使得在给定压力下,可以产生任何要求的力。 This force is the result of the length dependence has a strong, the screw will tighten the headband such that at a given pressure, the force may be produced in any desired.

面罩组件15利用两个带25和30保持在面部的三个点上。 Mask assembly 15 with two bands 25 and 30 are held at three points of the face. 将面罩组件15构造成为底边为12cm和高度为12cm的等腰三角形,去掉在高度为2cm和底边2cm的底部棱角中形成较小的两个三角形。 The mask assembly 15 is configured as a base and a height of 12cm to 12cm of the isosceles triangle, is removed at a height of two triangles formed smaller 2cm 2cm and bottom edges of the bottom. 因此,面罩的总面积为70cm2。 Thus, the total area of ​​the mask was 70cm2.

在20cmH2O的压力下,空气压力将施加1400g的力,而在5cmH2O压力下,将施加仅350g的力。 20cmH2O under pressure, the air pressure force applied 1400g, and 5cmH2O under pressure, applying a force of only 350g. 可以假设,为了进行密封,需要施加比此力高30%的力,或者施加1820g的力。 May be assumed, for sealing, a force needs to be applied than 30% of the force, or the force applied to 1820g.

参考图15,假定1)矩心C位于面罩底部上面4.5cm的位置,或者位于顶部下面的7.5cm的位置;2)底部带连接于面罩底部上面约3.5cm的位置,或者在矩心下面1cm的地方固定;3)顶部带在矩心的上面约15cm处连接于一根长杆。 Referring to Figure 15, assume that a) the centroid position of the mask C is 4.5cm above the bottom, or at a position below the top of 7.5cm; 2) with a bottom connected to a position of about 3.5cm above the bottom of the mask, in the following centroid or 1cm a fixed place; 3 above) in the centroid of the top belt at about 15cm is connected to a pole.

因为底部带的连接比顶部带的连接约15倍靠近矩心,所以底部带承受负载的15/16,只留下100g的力由顶部带支承。 Because the bottom than the top belt is connected with a connecting centroid close to about 15 times, so the bottom of the belt to withstand the load of 15/16, leaving only 100g of force supported by the top belt.

在顶部带上有6cm长×5cm宽的气包。 At the top belt with a 6cm long × 5cm wide air bag. 该气包用管子105连接于面罩。 The air bag 105 is connected with a pipe to the mask. 在其长度减小到4.35cm时,该气包在20cmH2O压力下将产生100g的力。 When the length is reduced to 4.35cm, the air bag at 20cmH2O pressure generated force of 100g. 在此长度和压力下,气包的刚度为0.232kg力/cm。 Under this pressure the length and stiffness of the air bag forces 0.232kg / cm.

假定气包145与弹回率为ESTRAP的可伸长的头戴具带串联。 And air bag 145 is assumed rebound rate ESTRAP extensible belt having a series of wearing. 可伸长的袋和气包的自由端部是固定的。 The free end portion of the package may be an elongated gas bag is fixed. 总系统的弹回率将使头戴具的弹回率加上气包的弹回率。 Bounce rate of the overall system will bounce rate plus wearing a gas bag with bounce rate.

例如,假定5cm宽×6cm长的气包与弹回率为10cm/kgf的好洗的传统ResMed头带串联安装。 For example, assume 5cm wide × 6cm long recoil air bag and was 10cm / kgf good wash ResMed conventional headgear mounted in series. 气包在20cmH2O压力时,为4.35cm长,并施加0.1kg的力,如前所述。 20cmH2O air bag when the pressure of 4.35cm length, and applying a force of 0.1kg, as described above.

在这种条件下,气包的弹簧常数为0.232kgf/cm,所以其弹回率为4.3cm/kg。 In this condition, the spring constant of the air bag was 0.232kgf / cm, so the spring back was 4.3cm / kg. 因此总的系统其(局部)弹回率为14.3cm/kg。 Therefore, the total system which (partial) recoil was 14.3cm / kg. 整个系统的弹回率由传统带控制。 Rebound rate of the system with conventional control.

作为另一例子,从5cm宽×6cm长的气包出发,压力为20cmH2O。 As another example, from 5cm wide × 6cm long air bag starting pressure 20cmH2O. 因此,长度仍为x0=4.35cm,产生的力f0=100g。 Therefore, the length remains x0 = 4.35cm, the force generated by f0 = 100g. 该气包仍然与弹回率为0.1kg/cm的带,即弹簧常数Kstrap=10kg/cm的带串联,下一步是确定在压力降低到5cmH2O时发生的事情。 The air bag is still playing back and was 0.1kg / cm band, i.e., the spring constant Kstrap = 10kg / cm connected in series with, the next step is to determine what happens when reduced pressure 5cmH2O.

由可伸长带产生的力与气包长度x的关系方程是:fstrap=f0-Kstrap(x-x0)将这一关系画在由气包在20cmH2O和5cmH2O压力产生力的图上,我们得到图15A。 By a force generated by the elongation of the relational equation with the air bag length is x: fstrap = f0-Kstrap (x-x0) painted on the relationship between the air bag by the forces generated 20cmH2O and FIG 5cmH2O pressure, we obtain Figure 15A.

头戴具将收缩,使得气包从4.35cm伸长到约4.8cm,并且带的张力不是按要求从0.1kg减小到0.05kg的,而是降低到仅约0.55kg。 Wearing tool will shrink, so that the air bag from the elongated 4.35cm to about 4.8cm, and the belt tension is not required to be reduced from 0.1kg 0.05kg, but is reduced to only about 0.55kg.

在没有气包时,由鼻梁支承的不需要的带张力为75g。 In the absence of the air bag, supported by a nose with unnecessary tension 75g. 用基本上不能伸缩的或者刚性的头带时,正确调节的气包通常可以将此力降到零。 When not using a substantially rigid or telescopic headband, correct adjustment of this air bag may generally be reduced to zero force. 但对于很深的头带,不需要的带张力为45g,或者是不用气包时的一半多一点。 But for deep headband, belt tension is unnecessary 45g, or not more than half the time of the air bag point.

2.第二实施例图16-35示出本发明另一实施例。 2. Second Embodiment FIGS. 16-35 illustrate another embodiment of the invention.

在图16-18中示出总的用编号410表示的面罩和头戴组件,表示为戴在模型头上的状态。 16-18 is shown in FIG overall by the reference numeral 410 denotes a mask and headgear assembly, showing a state worn on the head model. 该面具和头带组件410包括面罩组件412、头戴具414和形式为枕骨气动垫416的充气胆,该充气胆连接于头戴具414,以便调节头戴具414的接头。 The mask 410 includes a mask assembly and headgear assembly 412, and 414 with wearing the form of inflatable occipital cushion air bladder 416 of the inflatable bladder 414 is connected to a wearing tool in order to adjust the wearing tool joints 414.

面罩组件412包括面罩主体组件418和面罩框架436(下面将详细说明),该面罩框架对面罩主体组件起支承件或者“骨架”作用。 The mask 412 includes a mask body assembly 418 and the mask frame assembly 436 (described in detail below), from which the mask body to the mask frame assembly support member or "backbone" effect. 该面罩主体组件418从前面观看时,大体为三角形,如图27所示。 The mask body assembly 418 from the front when viewed, a substantially triangular, shown in Figure 27.

在一种优选形式中,面罩主体组件包括接触面部的部分420和主体部分422。 In one preferred form, the assembly includes a mask body 420 and the body contacting portion of the face portion 422. 面罩主体组件418的接触面部的部分420是提供一种精细的密接而不造成疼痛、不舒服或者使皮肤受伤。 A face mask body contacting portion 420 of component 418 to provide a fine adhesion without causing pain, discomfort or injury to the skin. 具体是,接触面部的部分420设计成可以围绕鼻子的骨头部分密封。 Specifically, the contact face portion 420 designed to seal around the nose bone parts. 为了避免损伤皮肤,如果接触面部部分420没有任何一部分作用在面部上的平均压力大于面部毛细管平均血压(通常约为20mmHg压力),这是最好的。 To avoid damage to the skin, if the contact face portion 420 does not have any part of the mean pressure acting on the face surface of the capillary is greater than the mean blood pressure (normally about 20mmHg pressure), this is the best.

一般说来,接触面部部分420一般成型为紧压着鼻染骨的两侧(压在鼻子软骨的上面)高度位于内眼角的高度。 Generally, the contact face portion 420 is generally formed as pressed against the nasal bone, on both sides (in the nose cartilage pressure above) height at the height of the inner corner. 接触面部部分420形成在鼻梁骨的两侧形成面向内的密封件。 The contact face portion 420 forming a seal at both sides of the nose facing the bone. 然而,接触面部部分420设计成不紧压着鼻子的两翼,方法是直接在软骨加压,或者间接在附近的软组件加压。 However, the contact face portion 420 is configured to not pressed against the nose wings, cartilage pressure is directly or indirectly pressed in the vicinity of the soft component. 另外,接触面部部分420最好不接触眼睛、睫毛,或者在眼内角上的泪管机构。 Further, the contact face portion 420 is preferably not in contact with the eyes, the eyelashes, or lacrimal eye angles on the mechanism.

面罩主体组件418的接触面部部件420包括若干主要的异形部件,这些部件可以从图27-31看到。 The mask body component contact surface 420 of member 418 includes a plurality of primary shaped member, these members can be seen from FIGS. 27-31. 形成缺口424,以接纳鼻梁(鼻根)。 A notch 424 to receive the nose (nasion). 形成突部426,以配合上额骨的正面突。 Projecting portion 426 is formed to fit on the front frontal projections. 形成第二缺口428,以便接纳面颊(即颧骨的上额突)。 Forming a second cutout 428, to receive cheeks (i.e., the projecting amount of the cheekbone). 另外,形成第二突部430,以密接下颊在形成第三缺口431以接纳下颚骨拱。 The second projection portion 430 is formed, adhesion to buccal took third notch 431 formed to receive the lower jaw arch.

在一种优选形式接触面部部分420用聚氨酯泡沫材料制作,上面覆盖硅胶“表层”或者片。 In a preferred form of the contact face portion 420 made of polyurethane foam, covered with silica "skin" or film. 如果硅橡胶材料是能够制作的最软(硬度最小)的材料而且又没有粘性或者脱皮特性,则是最好的。 If the material is a silicone rubber material to make the softest (hardness minimum) and the absence of tackiness or peeling characteristic, it is the best. 通常硅橡胶外层用粘合剂粘接在泡沫材料上,以防止该外层相对于泡沫材料起皱。 Typically the silicone rubber layer with an adhesive material on the foam to prevent the foam layer with respect to wrinkling.

面罩主体组件418的主体部分422支承肘管430、抗窒息的阀门和通气管。 The mask main body portion 422 of the support assembly 418 of the elbow 430, an anti-asphyxiation valve and the vent tube. 该主体部分可以相对于面罩组件412的框架436相当随意地使面罩主体组件418形变或者弯曲,该主体部分也起定位和约束机构作用,以便防止框架滑脱。 The body portion with respect to the mask frame assembly 412 of the mask 436 relatively freely deformed or curved body assembly 418, the body portion also functions as a positioning and restraining means acting to prevent the frame from slipping. 在图33A的平面图和图33B的截面图中示出该面罩主体组件418,在一种优选形式中,该主体部分422是用硅橡胶作的,并与接触面罩部分420一起模制而成,并邻接面罩接触部分422。 In plan and sectional view of FIG. 33A and 33B shows the mask body assembly 418, in one preferred form, the body portion 422 is made of silicone rubber, and in contact with the mask portion 420 is molded, The mask 422 and abutting contact portion.

面罩组件412包括加压板或者框架436,该框架可以将头戴具的作用力加在软垫上。 The mask assembly 412 includes a pressure plate or the frame 436, the frame may be wearing with force applied to the cushion. 如图21清楚示出的,该框架一般为三角形,包括底部分438、侧部分440和顶部分442。 21 clearly shows, the frame is generally triangular shape, including a bottom portion 438, side portion 440 and top portion 442. 该框架436是弹性柔曲的,使得框架436可以包在患者上下额和鼻子的四周。 The frame 436 is elastically flex, so that the frame 436 may be coated around the patient's nose and the upper and lower amount. 框架436的底部分438和顶部分422一般这样制造,使得比相对硬的侧部分440更软。 Bottom portion 436 of the frame 438 and the top portion 422 is generally manufactured such that is softer than the relatively stiff side portion 440. 顶部分和底部分442和438决定纵轴线L,该框架436可以围绕该轴线发生弹性弯曲,如图32和35所示。 And a top portion 438 and bottom portion 442 determines a longitudinal axis L, the frame 436 may be elastically bent about the axis, 32 and 35 shown in FIG. 框架436的这种弹性弯曲可以使面罩组件412更准确地配合各种各样的面部形状。 This curved frame 436 may elastically the mask assembly 412 more accurately fit a wide variety of face shape. 例如,同一面部组件412可用于具有细长脸(所谓鄂鱼形脸)的患者,也可以用于具有平宽形面部(所谓熊猫脸)的患者上。 For example, the same assembly face 412 may be used in patients having an elongated face (called face fish E) can also be used on patients having a wide flat face shape (so-called Panda face) of.

框架436的底部分438一般为“C”形或者心月形,该顶部分442一般为飞标形成或者人字形。 The bottom portion 438 of the frame 436 is generally "C" shaped or crescent heart, the top portion 442 is generally formed as a chevron or darts.

软的顶部分442和底部分438可以用约2cm宽的1mm厚聚丙烯板制作。 Soft top portion 442 and bottom portion 438 may be about 2cm wide 1mm thick plate made of polypropylene. 各个侧部分440可以用一对100mm×20mm×1mm相同形状的铝片制作。 Each side portion 440 can be produced by a pair of aluminum sheet 100mm × 20mm × 1mm same shape. 该框架436可以用四个铆钉铆在一起,或者可以用其他已知的方法例如粘合法结合在一起。 The frame 436 may be a rivet to four together, or with other known methods such as bonding method together.

在图32中,单独示出的框架436包括装在各个侧部分440上的叉形托架444。 In Figure 32, the illustrated frame 436 includes a separately mounted on the respective side portion 440 of the fork-shaped bracket 444. 各个托架444用铝或者其他基本上刚性的材料制作。 Each carrier 444 made of aluminum or other substantially rigid material. 沿侧部分440的长度有若干孔446,这些孔适合于接收螺栓,由此固定托架444。 Along the length of the side portion 440 has a plurality of holes 446, the apertures adapted to receive a bolt, thereby fixing bracket 444. 托架444相对于侧部分440的角度通过松开螺栓、调节角度和上紧螺栓的方法可以进行调节。 An angle bracket 444 with respect to the side portion 440 can be adjusted by means of loosening the bolts, tighten and adjust the angle of the bolt. 通过将螺栓固定在不同的孔内可以沿侧部分调节托架444的位置。 As the bolt can be fixed in different adjustment hole 444 along the side portion of the carriage position. 两个托架444沿侧部分440不一定装在相同的相对位置。 The carriage 444 along the side two portion 440 is not necessarily installed in the same relative position. 这样,对于患者面部的任何不对称性可以进行稍微修正。 Thus, for any asymmetry of the patient's face may be modified slightly. 在各个侧部分上固定一个托架444。 On each side portion 444 fixed to a bracket. 该托架444适合于接收和接合面罩具414螺杆450的螺母448。 The bracket 444 is adapted to receive and engage with a face mask 450 of the screw nut 448 414.

另外,框架436包括楔形的衬垫。 Further, the frame 436 includes a wedge-shaped cushion. 在使用中,该衬垫在操作上固定在面罩主体组件418的侧部分440和/或顶部分442和面部接触部分420之间。 In use, the pad is fixed to the main assembly 418 side of the mask portion 440 and / or top portion 442 and the contact portion between the portions 420 on operation. 该衬垫在顶部约为1-2cm厚,在约面罩一半的位置逐渐减小到零。 At the top of the pad is about 1-2cm thick, about half of the mask position is gradually reduced to zero. 另外,该楔形件的厚度从外部到内部逐渐减小到零。 Further, the thickness of the wedge member gradually decreases to zero from the outside to the inside. 该楔形件一般用不能压缩的材料制作。 The wedge member is generally made with an incompressible material. 该楔形件将附加的力作用在面罩主体组件418的顶部,从而有利于密封。 The wedge member additional force acting on the top of the mask body assembly 418 to facilitate sealing. 另外,该楔形件在鼻骨的两侧压迫面罩主体组件418,在面罩主体组件418的外边缘比内边缘加更大压力。 In addition, the nasal bone on both sides of the wedge compression of the mask body assembly 418, plus the pressure greater than the inner edge of the outer edge of the mask body assembly 418.

头戴具414包括带组件452、枕骨气动垫416或者其他灵敏的可调张紧部件和一对连接于面罩组件412的螺纹杆450。 Headgear assembly 452 includes a belt 414 having, occipital pad 416 or other sensitive pneumatically adjustable tensioning members and a pair of threaded rods 412 attached to the mask assembly 450. 一般说来,面罩具414构造和配置成,使得从面罩组件412到头戴具414的起源于面罩组件412气动中心的力矢量,应当穿过左右内耳道之间的中点。 Generally, with the mask 414 is configured and arranged such that force vector with the origin of the headgear 414 to the mask assembly 412 from the aerodynamic center to the mask assembly 412, it should pass through a midpoint between the left and right auditory meatus.

如图22和32清楚示出的,带组件452包括下部枕骨带456、冠面带458和一对和一对耳片460。 22 and 32 are clearly shown, the occipital strap assembly 452 includes a lower band 456, 458 with crown surface and a pair of tabs 460 and a pair. 在此实施例中,带456、458、460是整体头戴组件的端部。 In this embodiment, the end portion is integral with 456,458,460 headgear assembly. 但是在本发明的其他实施例中,这些带可以是在适当位置选择性连接在一起的单一带。 However, in other embodiments of the present invention, these bands may be connected together with a single position selectivity. 带456、458、460可以用软的一般不能伸缩的塑料例如1mm的聚丙烯板制作,这些板选择性用泡沫层、毛毡成或者其他软垫材料覆盖在一个侧面或者两个侧面上,以增加舒适性,因为这些是用软的不能伸缩的材料形成,所以带56、58、60可以配合患者头部的形状,但是在受到2kgf张力时,这些带的伸长一般不会超过1-2mm。 456,458,460 may, for example, with 1mm plate made with polypropylene are generally not stretchable soft plastic, a foam layer with selective plates, or other cushioning material into a felt covered on one side or both sides in order to increase comfort, because they are not formed from a soft stretchable material, 58 and 60 may be blended with the patient's head shape, when subjected to tension 2kgf, these belt elongation generally not more than 1-2mm.

下部枕骨带456在枕骨的下面,但在颈部肌肉的上面通过,宽度约为4cm。 With a lower portion of the occipital bone 456 below the occipital bone, but in the upper neck muscles by a width of about 4cm. 冠带458越过患者头部的冠部。 The band 458 over the crown of the patient's head. 耳片460构造成为可以局部地或者完全地围绕耳朵。 Tab 460 can be configured to partially or completely surround the ear. 该耳片460可以用椭圆环形的材料形成,宽度约2cm,并衬有可接触皮肤的毛毡。 The tab 460 may be formed of a material with elliptical ring, a width of about 2cm, and may be lined with felt in contact with the skin. 该毛毡应当稍微超越该椭圆形环,以防止勒入到耳根中。 The felt should slightly exceed the elliptical ring to prevent the Le into ears.

一对刚性的螺杆450从耳片460伸出。 A pair of rigid screw 450 extending from tab 460. 在一个实施例中,该螺杆用5mm的螺纹尼龙杆制作。 In one embodiment, the production of the screw threaded nylon rod 5mm. 该杆450配置成它们在操作上可以接近外耳道,并在近似水平面上向前伸出。 The rods 450 are arranged on the operation can approach the external auditory canal and extending forwardly at approximately a horizontal plane. 配置圆柱螺母或者手轮468,该手轮用螺纹装在沿各个杆450上,并可以沿各个杆的长度移动。 Arranged cylindrical threaded nut 468 or a hand wheel, the hand wheel mounted on the threaded rod 450 along each, and can be moved along the length of each rod. 各个螺母或者是手轮468适合于可松开地接合于装在面罩框架436上的托架444,如图16、17、19和20所示。 Each nut or the hand wheel 468 is adapted to releasably engage a bracket 444 mounted on the frame 436 of the mask, as shown in FIG. 17, 19 and 20. 该杆450利用转动连接件470连接于头戴具414的耳片460,如图19、23和24所示。 The lever 450 is rotated using the connection member 470 is connected to the headgear 414 with tab 460, 19, 23 and 24 shown in FIG. (转动连接件470的第一和第二位置分别示于图24和25)。 (A first and a second position rotatable connecting member 470 are shown in FIGS. 24 and 25). 这样,便可以调节杆450的相对角位置。 Thus, you can adjust the relative angular position of the lever 450. 沿螺纹杆移动螺母468,可以准确调节框架436和头戴具414上的张力。 Movement of the nut along the threaded rod 468, the frame 436 can be adjusted accurately and with the tension in the headset 414. 这种配置也形成快速松开装置。 This configuration also form quick release apparatus. 因为框架436包括软的底部分438和顶部分442,所以在调节它们,寻找对患者更适合的配合时,框架将按照螺母468在杆450上的位置进行弯曲。 Because the frame 436 includes a bottom portion 438 and the soft top portion 442, so that the adjustment thereof, is more suitable for the patient to find a fit, the frame 468 is bent according to the position of the nut on the rod 450.

可充气的枕骨气垫416与带456、458、460形成传力关系,并且在操作上定位在带组件452的下面和头部的后面,一般位于枕骨区域。 Inflatable occipital cushion 416 is formed with a force transmitting relationship with 456,458,460, and is positioned below and behind the head strap assembly 452 in operation, the occipital region generally located. 该枕骨气垫可以充气和放气。 The occipital cushion can be inflated and deflated. 在一个实施例中,如图23所示,该枕骨气垫416通过管子414连接于面罩组件412的送气管462。 In one embodiment, 23, the occipital cushion 416 by a tube attached to the mask assembly 414 of the snorkel 462 412. 这样,枕骨气垫416中的气压与面罩组件412中的气压相同。 Thus, the same air pressure in the occipital cushion 412 and 416 in the pressure mask assembly. 当面罩组件412的压力增加时,该枕骨气垫416便充气,这导致头戴具张力同时增加,并防止面罩组件412脱离面部,而发生漏气。 When the mask assembly 412 of the pressure increase, then the inflatable occipital cushion 416, which leads to tension and increase wearing tool, and prevents the face from the mask assembly 412, and the leak occurred. 这样便可以在不同面罩压力期间,缓冲面罩组件412的移动。 This makes it possible during different mask pressure, movement of the mask assembly 412 of the buffer.

枕骨气垫416被设计成具有足够大的面积(Abladder),使得在与枕骨气垫中416中的空气压力(Pbladder)结合时,该气垫将抵消头作用在戴具带456、458、460上的作用力(即由面罩组件412中压力造成的作用在袋456、458、460上的力)。 Occipital cushion 416 is designed to have a sufficiently large area (Abladder), such that when combined with the occipital cushion air pressure of 416 (Pbladder), which will offset the head cushion with belt wear acting role 456,458,460 force (i.e., caused by the action of the pressure force on the mask assembly 412 456,458,460 of the bag). 一般说来,枕骨气垫416的面积应当作得相当大,以便提供一个力,该力超过面罩引起的力,该力是面罩设计面积(Amask)和面罩压力(Pmask)的乘积。 Generally, occipital cushion area 416 should be made relatively large, so as to provide a force which exceeds the force caused by the mask, the mask layout area is the product of a force (AMASK), and mask pressure (PMASK) a. 因此:Abladder×Pbladder=∑加在带上的力另外,Abladder×Pbladder>Amask×Pmask在一种优选形式中,该枕骨气垫416约为11cm×16cm,其壁厚在约1.5mm-2.5mm之间,总的放气厚度为3-5mm。 Thus: Abladder × Pbladder = Σ Further force applied on the belt, Abladder × Pbladder> Amask × Pmask In one preferred form, the occipital cushion 416 is approximately 11cm × 16cm, a wall thickness of about 1.5mm-2.5mm , with a total thickness of the discharge gas 3-5mm.

在上述实施例中,在枕骨气垫416中的压力随面罩压力增加而增加。 In the above embodiment, the pressure cushion 416 along with occipital mask pressure increases. 然而,在本发明的其他实施例中,可以利用除面罩压力外的参数控制枕骨气垫416的充气和放气。 However, in other embodiments of the present invention can be controlled occipital cushion 416 inflated and deflated using the parameters except the mask pressure. 例如,传感器可以检测面罩组件412中的漏气,方法是,例如连续检测连接于面罩组件412和低通过滤器的气源中的流量,以便找到气流的泄漏量。 For example, the sensor may detect leaks mask assembly 412, is, for example, continuous flow detection mask assembly is connected to the gas source 412 and a low pass filter in order to find the amount of leakage gas flow. 当确定漏气很大时,将使枕骨气动垫416充气。 When determining a large leak, it will occipital pneumatic inflatable cushion 416. 相反,当漏气被确定为比较低时,可以使枕骨气动垫放气。 Conversely, when gas leakage is determined to be relatively low, the pneumatic cushion can be made occipital deflated. 用漏气检测传感器控制枕骨气动垫416的压力,可以使戴具414保持在最小的张力量,这种张力量也可以面罩具412保持对面部的密封,并有助于减轻使用人的不舒服、皮肤受损和过度张紧头戴具固有的其他问题。 Leak detection with a pneumatic pressure sensor 416 to control the occipital pad 414 can be made with wear at a minimum amount of tension, such tension that may be holding the mask with the seal 412 on the face, and helps to alleviate discomfort using human , wearing skin damage and excessive tension inherent with other issues.

另外,在头戴具414上可能希望采用一个以上的枕骨气垫416,如果采用一个以上的枕骨气动垫416,则枕骨气垫416可以放在若干围绕头戴具414的若干位置上。 In addition, the wearing tool 414 may wish to use more than one occipital cushion 416, if more than one occipital pneumatic pad 416, the occipital cushion 416 can be placed in several locations around the headset with several of the 414. 另外,多个枕骨气垫416中的各个气动垫可以彼此独立地充气和放气。 Further, each of the plurality of pneumatic occipital cushion pad 416 can be independently of each other inflated and deflated. 这种方式可以更容易补偿患者面部的不对称性,因为可以在局部的和在只需要的地方在头戴具414中作用张力。 This embodiment may be easier to compensate for asymmetry of the patient's face, as can be partial and only where needed in the headset 414 having the role of tension. 因此在面罩组件中的压力分别增加或者降低时,可以使多个枕动气垫416充气或者放气,或者可以通过传感和控制系统使这些气动垫充气和放气,这些传感和控制系统是基于测量漏气量工作的。 Thus the pressure in the mask assembly is increased or decreased, respectively, may be a plurality of movable cushion 416 inflated pillow or deflated, or may make these Pneumopillows inflated and deflated through the sensing and control system, the sensing and control system based on the measured air leakage work.

在本发明的另一实施例中,可以采用形状记忆合金(SMI)丝例如MIUSCLE WIRES(Mondo-Tronics,Inc,San rafael,CA,USA)作更灵敏的张力部件,该合金丝在通电流时收缩。 In another embodiment of the present invention may be employed a shape memory alloy (SMI) filaments e.g. MIUSCLE WIRES (Mondo-Tronics, Inc, San rafael, CA, USA) for the more sensitive the tension member, through which the current alloy wire contraction. (通常,通电池时产生的收缩响应是由于电流通过它引起合金丝的加热。)如果使用这种类型的部件来达到灵敏的张力调节,则需要配置分开的控制器以便使该合金丝与面罩压力增加同步的收缩。 (Typically, the shrinkage generated when the response is due to the current through the battery caused by its heating alloy wire.) If this type of sensitive components to achieve tension adjustment, the need to configure the controller to separate the alloy wire and the mask increased systolic pressure synchronized.

其他合适的灵敏张紧部件包括伺服马达和用biomimetic材料形成的“人造肌肉”。 Other suitable tensioning member comprises a sensitive servo motor and formed with a biomimetic material "artificial muscle."

D.算法按照图16所示实施例的枕骨气垫416例如一开始便充气到预定的张力。 D. Algorithm occipital cushion 16 according to the embodiment shown in FIG. 416, for example, the embodiment outset inflated to a predetermined tension. 在一个实施例中,将面罩密封地固定在患者面部上的方法包括:将枕骨气垫靠着头和/或颈部的后部配置;使一个或多个带越过或者通过该枕骨气垫,或者形成为该气垫的一部分,这些条伸向前,连接于面罩;用压力Pbladder充气枕骨气垫,该压力是面罩压力Pmisk的仿射函数Pbladder=P0+AmaskPmask其中P0是正压力,大到足以使面罩在最低预定使用压力时可以达到密封,Amask是枕骨气垫与带之间后向接触面积和枕骨气垫和前面头部后部之间前向接触面积中较小的面积。 In one embodiment, the mask seal secured to the face of a patient comprising: occipital cushion against the back of the head and / or neck configuration; one or more bands across the occipital bone or by air, or formed as part of the cushion, the front toward the strips, attached to the mask; Pbladder inflatable occipital cushion pressure, the pressure is Pbladder affine function of mask pressure Pmisk P0 = P0 + AmaskPmask wherein a normal pressure large enough to mask the lowest seal can be achieved when a predetermined pressure, Amask after occipital cushion between the belt and the smaller the contact area between the forward and the contact area of ​​the rear cushion and the occiput front of the head area.

在这些实施例中,用作为面罩压力仿射函数的压力充气枕骨气垫的方法包括:用压力传感器测量面罩压力,产生正比于面罩压力的信号;将信号加在增益和偏差可调的放大器上;将放大器的输出加到电压可控的压力源上;用上述压力源中的气体充气枕骨气垫;调节偏差使得面罩在最小要求压力达到密封;调节增益,使得面罩可以在最高要求压力下达到密封。 In these embodiments, the method inflatable occipital cushion pressure as a function of mask pressure affine comprising: measuring mask pressure pressure sensor, generates a signal proportional to the mask pressure; and a signal applied to the adjustable gain and offset amplifier; the amplifier output voltage is applied to the controllable pressure source; inflatable occipital cushion with said pressure gas source; control deviation such that the minimum required pressure to the mask seal; adjust the gain so that the mask can be achieved at the highest required pressure seal.

在这些实施例中,如果压力传感器来的信号Vpt是Vpt=KptPmask,则可控压力源产生压力Pc=KcVc,面罩与面部接触面积在向后方向的投影面积是Amask,带与枕骨气动垫接触面积在向前方向的投影面积是Abladder,在零压力达到密封所需要的力是F0,则放大器输出以下输出电压:Vout=F0/Abladder+Amask/AbladderKc/KptVin在一些实施例中,用压力为面罩压力仿射函数的压力充气枕骨气垫包括:将面罩通过第一软管连接于包含第一活塞的第一气缸,该第一气缸又通过连杆连接于第二气缸中的第二活塞,第二气缸通过第二软管连接于枕骨气垫;偏压上述连杆,使枕骨气垫充气,充到足以使面罩能够在最低预定使用压力下达到密封。 In these embodiments, if the pressure sensor signal is Vpt Vpt = KptPmask, controllable pressure source is a pressure Pc = KcVc, a face mask and a contact area of ​​the projected area in the rearward direction is AMASK, in contact with the occiput Pneumopillows area in the forward direction of the projected area of ​​Abladder, at zero pressure reaches the desired sealing force F0 is, the output of the amplifier output voltage: Vout = F0 / Abladder + Amask / AbladderKc / KptVin in some embodiments, pressure is affine function of the pressure mask pressure inflatable occipital cushion comprising: a first mask by a hose connected to the first piston comprises a first cylinder, the first cylinder and the second cylinder is connected to the second piston by a connecting rod, a first two cylinder via a second hose is connected to the occipital cushion; bias the link, so that the inflatable occipital cushion, charge enough to enable the mask seal can be achieved at a predetermined minimum pressure.

在一些实施例中,利用弹簧和/或重物形成偏压力。 In some embodiments, the biasing force is formed by a spring and / or weight.

将面罩密封在患者面部上的装置包括:第一组可伸缩的带,这些带从头的后部通向面罩,该带被张紧,张紧到在最低的预定使用压力下使上述面罩密封在面部上;第二组不能伸缩的带,该带仍然从头的后部向前伸到面罩,并放在第一组带的上面;放在头后部的可充气枕骨气垫,该气垫位于第一和第二组带之间,上述枕骨气垫与面罩中的空气气动相通。 Means for sealing the mask on the patient's face comprising: a first set of retractable tape, with these leads from the head of the rear mask, the tape is tensioned, the tension to the mask so that the seal at the lowest predetermined pressure facial; not scale with the second group, with the rear portion of the head forwardly out into the mask remains, and on top of the first set band; on the back of the head of an inflatable occipital cushion, the cushion is in the first between the belt and the second set, the air cushion and the air above the occipital bone in communication with the mask.

在操作中,第一组可伸缩的带独立于面罩压力提供固定的恒定力,而通过第二组带起作用的气动垫提供随面罩压力线性变化的力。 In operation, with the first group of independent retractable mask pressure force provides a fixed constant, to provide a force with the mask pressure changes linearly through a second set of functions with a pneumatic pad. 这两个力加在一起,形成作为面罩压力仿射函数的力。 Together these two forces, the force formed as a function of mask pressure affine. 当枕骨气垫与头后部接触面积和枕骨气垫与第二组带的接触面积中较小一个接触面积的前向投影面积,与面罩接触面部面积的后向投影面积相同时,很接近最佳配置。 When the contact area of ​​the front and back of the head occipital cushion occipital cushion contact area and the second group with the smaller contact area to a projected area, the contact surface area with the mask to the projected area of ​​the same, very close to the optimal configuration .

在另一实施例中,将面罩密封地保持在患者面部上的装置包括:一组刚性带,该带从头的后部向前伸到面罩;放在上述带和头后部之间的半刚性弹性枕骨气动垫,该枕骨气动垫在内部大气压下,前部壁和后部壁之间具有非零的内部分隔距离;软管,将枕骨气动垫连接于面罩。 In another embodiment, the mask means includes a seal on the patient's face holding: a set of rigid strip which masks out into the rear portion of the head forwardly; placed between the rear part of the semi-rigid belt and the head occipital pneumatic elastic pad, at the occipital inner pad atmospheric air, having a non-zero separation distance between the inner front wall and a rear wall; a hose, a pneumatic occipital pad attached to the mask.

枕骨气垫可以方便地用弹性材料例如硅橡胶、乳胶或者聚氨酯制作,用有弹力的材料填充该气动垫,或者用一个或多个内部弹簧或外部弹簧,可以调节该气动垫的弹性,该有弹力的材料例如为硅橡胶泡沫、乳胶泡沫、聚氨酯泡沫和/或PVC泡沫。 Occipital cushion may conveniently be e.g., silicone rubber, latex or polyurethane production, filling the pneumatic cushion material with a resilient elastomeric material, or with one or more internal or external spring springs can be adjusted elasticity of the pneumatic cushion, the elastic the foam material such as silicone rubber, latex foam, polyurethane foam and / or PVC foam. 用充满密封有空气和/或流体的第二弹性内枕骨气垫可以形成舒适的内弹簧,该内枕骨气垫小于外枕骨气垫。 Is filled with a second resilient sealed air and / or fluid occipital comfort air cushion formed within the spring, the inner air bearing smaller than the outer occipital occipital cushion.

在内部大气压下,枕骨气垫前后壁之间前后分开距离较好为约2-4cm,最好为3cm,以便允许颈部在适当的范围内运动,而不过分增加或者降低带作用力,并在面罩压力增加时,允许在头后部(头发、皮肤、脂肪、肌肉)的部件和面罩软垫以及面部组织上有相当大的压力。 Under atmospheric pressure inside occipital cushion back and forth between front and rear walls separated by a distance of preferably about 2-4cm, preferably 3cm, so as to allow movement of the neck in an appropriate range, without excessively increasing or decreasing with force, and when the mask pressure is increased, allows considerable pressure on the rear portion of the head (hair, skin, fat, muscle) and mask cushion member, and facial tissue.

枕骨气动垫壁和任何充填泡沫或者弹簧的总的刚性最好是这样,使得这种刚性可以形成一种力,该力在带张紧到约中等时,或者低于不张紧长度约1.5cm时,足以使面罩在所有预定压力下达到密封。 Occipital pad wall is preferably air and filling any head rigid foam or spring is such that this may form a rigid force which the belt is tensioned about the middle or below the untensioned length of about 1.5cm , it is sufficient to seal the mask at a predetermined pressure all. 通常该力约为200-600g,这取决于面罩的特性和配合程度。 The force is typically about 200-600g, depending on the nature and degree of fit of the mask.

当带的张力在较高的面罩压力下增加时,面罩软垫和头后部的组织将被压缩。 When the belt tension is increased at higher pressures the mask, the mask cushion and the rear head tissue will be compressed. 这将导致枕骨气动垫膨胀,因为枕骨气动垫最好特意构造成刚性的,并且已经通过张紧带到低于其放松长度而被压缩,以便在任意低压下达到密封所需要的力F0,所以在枕骨气动垫膨胀时,该枕骨气动垫的弹性将提供越来越小的力。 This will result in expansion of the occipital pad pneumatic, pneumatic occipital pad as best specially configured rigid, and have been brought by tensioning below its relaxed length and is compressed in order to achieve the desired sealing force F0 in any low pressure, so when occipital pneumatic pad expansion, the occipital pneumatic pad will provide smaller and smaller elastic force. 应当采用其面积为Abladder的枕骨气动垫来补偿初级弹簧反冲力的这种损失,该面积Abladder大于面罩的面积Amask。 It uses an area of ​​the pneumatic Abladder occipital pad to compensate for this loss of primary recoil spring, Amask area greater than the area Abladder mask.

当枕骨气动垫受到压力作用时,并且向前作用在头的后部和向后作用在带上时,该垫的一部分平的横向部分将接触带,而在带两侧的弯曲部分不会接触该带。 Occipital pad when subjected to a pneumatic pressure, and the effect of the forward and backward action of the rear head in the tape at the lateral portion of the flat portion of the contact pad with, and on both sides of the bent portion does not contact with this belt. 仅与带接触的面积,具体是该面积向前投影面积,将产生有用的带张力。 Only the contact area with the belt, in particular the area of ​​the forward projection area, the belt tension to produce useful. 实际上,对于典型尺寸的成人面部面罩,例如采用左右尺寸约17cm、上下尺寸约11.5cm和厚度3cm的气胆是合适的。 In fact, for a typical adult facial mask size, for example with a size of about 17cm or so, the vertical dimension of about 11.5cm and a thickness of 3cm bladder is suitable. 与带接触的投影面积左右尺寸约15cm,上下尺寸约10cm,因而气胆的作用近似于面积为150cm2活塞的作用。 Right and left in contact with the projected area with a size of about 15cm, the vertical dimension of about 10cm, thus acting similar to bladder area of ​​150cm2 acting piston. 当然这些仅仅是按照喜好和/或应用而变更的例子。 Of course, these are merely examples according to preference and / or application changes.

框架A.可调框架1.第一实施例图36示出本发明的实施例,该实施例包括框架170,该框架具有形式为软垫172的患者界面。 A. frame adjustable frame 1. First Embodiment FIG. 36 shows an embodiment of the present invention, this embodiment includes a frame 170, the frame having a cushion in the form of patient interface 172. 该框架170用许多带180支承在患者的头上,该带基本上采用不能伸缩的材料制作,如上所述。 The frame 170 is supported by a number of belt 180 in the patient's head, the tape is substantially not stretchable materials employed, as described above. 各个带180包括在其端部的螺纹部分,该螺纹部分适合于接收螺母185,使得患者可以调节带的张力。 Each band 180 includes a threaded portion at its end portion, which threaded portion is adapted to receive a nut 185, so that the patient can adjust the belt tension. 基本上用刚性材料作的弯曲的条175配置在框架170上。 Curved strip made substantially rigid material 175 disposed on the frame 170.

配置增加框架170调节性的调节机构176。 Configuration increases the frame 170 of the adjustment mechanism 176 adjusting. 具体是,调节机构176包括调节螺钉190,该螺钉可以转动,使契形件195平移。 Specifically, the adjustment mechanism 176 includes an adjustment screw 190, the screw may be rotated, so that translation of wedge member 195. 该契形件可以沿一根想象轴196移动,该想像轴与配置在框架170顶点上的最上部头带180成一直线。 The wedge member 196 can move along an imaginary axis, the axis of the imagined headgear arranged on the uppermost apex 170 of the frame 180 in line. 转动调节螺钉190可使契形件195靠着弯曲带175内表面平移。 Rotating the adjusting screw 190 can wedge member 195 against the curved surface 175 with the inner pan. 在图36A所示的另一种结构中,配置契形件195,使其接合弯曲带175的外表面。 In another configuration shown in FIG. 36A, arranged wedge member 195 into engagement with the outer surface 175 of the curved. 在两种情况下,如果契形件195朝上向框架170的顶部移动,则该契形件195的顶表面197将碰到弯曲带175的内表面或者外表面,这将使框架绕基本上平行于想像轴线196或者与该轴线重合的一条轴线弯曲。 In both cases, if the wedge member 195 moves upwardly to the top of the frame 170, the wedge member 197 top surface 195 of the inner surface or the outer surface 175 of the curved belt encounter, which will allow the frame about a substantially imagine parallel to the axis 196 or a curved axis coincident with the axis.

这种弯曲将使框架170的侧部分推压软垫172的两侧,由此可以将压紧力作用在患者鼻子的两侧。 This bending will cause the cushion frame 170 presses the side portion of the sides 172, whereby the pressing force may be both sides of the patient's nose. 在框架170下部上形成可调性,使得面罩可以容易地适合不同类型的鼻子特征。 It is formed adjustable on the lower frame 170, so that the mask can be readily adapted nose different types of features. 这种可调性当然也可以沿框架的顶部或者中部形成。 Such adjustability may of course be formed along the top or middle of the frame. 这种可调性可以允许患者在一定压力下调节需要的接触力。 Such adjustability may allow the patient to adjust the contact force desired under pressure. 该框架可以形变、转动或者弯曲,以便适应压力的变化,使得加在面部上的力基本上是恒定的。 The frame may be deformed, bent or rotated, in order to accommodate a change in pressure, so that the force applied to the surface is substantially constant.

2.第二实施例图37示出类似于图36所示实施例的实施例,但包括另外的特征。 2. Second Embodiment FIG. 37 shows an embodiment similar to the embodiment shown in FIG. 36, but includes additional features. 例如,图37示出孔200,该孔由环形部件例如铁环210包围。 For example, FIG. 37 shows the aperture 200, the aperture 210 surrounded by an annular e.g. hoop member. 如图38所示,该孔适合于接收连接件215,该连接件类似于肘管,该连接件包括第一铁环220,该铁环适合于磁性连接于框架170的铁环210。 As shown, the bore 38 adapted to receive a connecting member 215, the connecting member is similar to the elbow, the connecting member 220 includes a first hoop, the hoop is adapted to magnetically connected to the hoop 210 of the frame 170. 该连接件215包括第二铁环225,该铁环适合于通过形成在转动部件230上的磁环235用磁性连接该旋转部件230。 The connector 215 includes a second hoop member 225, the hoop 235 is adapted to connect the rotary member 230 is formed by a magnetic ring on the rotatable member 230.

图38示出软垫结构的更多细节。 FIG 38 shows more detail of the cushion structure. 具体是,软垫172包括底部件240例如泡沫和膜245例如硅橡胶,前者配置在框架170的内部,后者由底部分240支承。 Specifically, the cushion member 172 includes a bottom 240 and a film 245, for example, a foam such as silicone rubber, the former is disposed inside the frame 170, which is supported by the bottom portion 240.

在图37中,放大了契形件195顶表面197和弯曲带175内表面之间的距离,从而可容易地看到各个部件。 In Figure 37, the enlarged distance between the surface 197 and a curved surface 175 with the inner wedge member 195, so that the various components can be readily seen.

图39示出调节螺杆190、契形件195和框架170的细节。 39 shows the adjustment screw 190, the details of frame 170 and 195 of wedge member. 具体是,调节螺杆190包括螺纹部分250和形成在调节螺杆190调节钮260相对端部上的盘形部分255。 Specifically, the adjustment screw 190 includes a threaded portion 250 and a disk-shaped portion 255 is formed on the opposite ends of the adjusting screw 190 of the knob 260. 框架170包括适合于接收盘形部分255的横向槽260。 170 comprises a frame adapted to receive a disc-shaped portion 255 of the transverse groove 260. 该框架170具有适合于接收调节螺钉190螺纹部分250的纵向槽265。 The frame 170 has a regulator 190 adapted to receive the threaded portion of the screw longitudinal grooves 250 265. 该框架包括另外的前部槽270,以便接收契形件195的下部主体部分275。 The front frame portion further comprises a groove 270 for receiving the wedge portion 275 of the lower body member 195. 框架170包括具有直立部件272的延伸部分271,该直立部分与框架170的底边缘273间隔开。 Frame 170 includes an extension portion 271 of the upstanding member 272, the bottom edge of the upstanding portion 170 of the frame 273 and spaced apart. 该直立部件272包括有螺纹的支承部分274。 The upstanding member 272 includes a threaded portion 274 has a support. 契形件195包括槽280,该槽与形成纵向槽265的内侧壁部件285接合。 Wedge member 195 comprises a groove 280, the groove formed in the side wall 285 of member 265 engages the longitudinal groove. 该契形件195包括局部螺纹部分290。 The wedge element 195 comprises a partially threaded portion 290. 该局部螺纹部分290适合于与螺纹部分250接合。 The partially threaded portion 290 adapted to engage with the threaded portion 250.

为了组装调节机构,将螺纹部分250和盘形部件255分别插入到纵向槽265和横向槽260中。 To assemble the adjustment mechanism, the threaded portion 250 and a disk-shaped member 255 are inserted into the longitudinal grooves 265 and transverse grooves 260. 然后将契形件195的局部螺纹部分290下放到螺纹部分250的顶部,使主体部分275首先定位在直立部件272和靠近框架170底端273的内壁部件285内端部之间。 The wedge member is then partially threaded lower portion 290 into the top 195 of the threaded portion 250, the body portion 275 is positioned between the first end portion 285 close to the upright frame member 272 and inner wall 273 of the bottom member 170. 然后引导槽280,使其沿壁部件285滑动。 Then the guide groove 280, so that member 285 slides along the wall. 因此在转动旋钮260时,该契形件195将在框架170的沟槽295中前后运动。 Thus the knob 260 is rotated, the wedge member 195 will move in the groove 295 around the frame 170. 契形件195的两个极端位置分别示于图40A和40B。 Two extreme positions of the wedge member 195 are shown in FIGS. 40A and 40B.

图41-53示出其他的实施例,这些实施例可以沿患者面部/鼻子的横向两侧加压。 FIG 41-53 show other embodiments, these embodiments may be pressurized in the lateral sides of the patient's face / nose. 因为和图36-40B所示的实施例相当,所以相同的部件用相同编号表示。 Since the embodiment shown and quite 36-40B, the same components are denoted by like reference numerals. 这些实施例中各个实施例可以进行更多的调节控制,并且更容易地适配不同鼻子形状患者的外貌变化。 In these examples, various embodiments may be adjusted to control more and more easily adapted to different shapes appearance change the patient's nose.

3.第三实施例图4所示的实施例中,旋钮190在操作上连接于一个齿条,最好连接于一对齿条191,在转动旋钮190时,该齿条可以在相反方向移动。 Example 3. Third embodiment illustrated embodiment of FIG. 4, the knob 190 is connected operatively to a rack, preferably connected to a pair of racks 191, the rack may be moved in the opposite direction when the rotation of the knob 190 . 齿条191的远端193与框架的侧部分接合,例如该框架包括在远端193侧向向外移动时,厚度逐淅增加的凸轮表面,从而可使框架绕想象的垂直轴线弯曲、形变和/或转动,由此增强对患者面部/鼻子两侧的加压。 The rack-side distal end portion 193 of the frame 191 engages, for example, the frame 193 includes a laterally outwardly moved distally by Hsi increased thickness of the cam surface, thereby allowing the bending frame about a vertical axis imagined, deformation and / or rotation, thereby enhancing the pressure on the patient's face / sides of the nose.

4.第四实施例在图42A和42B所示的实施例中,膜有助于密封小的漏气,因此准确调节不是重要的。 4. Fourth Embodiment In the embodiment illustrated in FIGS. 42A and 42B, the membrane helps to seal small leaks, so an accurate adjustment is not essential. 另外,图42A和42B所示的实施例基本上可以消除从下颚的翘起。 Further, the embodiment shown in FIGS. 42A and 42B can be substantially eliminated from the tilt of the lower jaw. 图42A和42B还包括另外的调节点,由此可以使面罩和患者的配合进一步得到细调。 FIGS 42A and 42B also include additional adjustment points, thereby allowing the patient fit the mask and further fine-tune. 例如各个旋钮190在操作上连接于配置在软垫172上的部分197。 For example, each knob 190 operatively connected to the cushion 172 is disposed on the portion 197.

5.第五实施例在图43A和43B中,框架170是半刚性的,而软垫172装在柔性部件300上。 5. Fifth Embodiment In FIGS. 43A and 43B, the frame 170 is semi-rigid and cushions 172 mounted on the flexible member 300. 在增加带的张力时,部件300对软垫的弹性作用将有助于密封患者鼻子的两侧。 When the belt tension increases, the elastic member 300 pairs cushion effect will help seal against the patient on both sides of the nose. 例如,与柔性部件300的刚度相比,框架170是相当刚性的弹簧。 For example, compared to the stiffness of the flexible member 300, the frame 170 is relatively stiff spring. 因此,具有鄂鱼形脸面的患者可以依赖于柔性部件300的刚性,而具有熊猫脸的患者可以依靠靠着框架170平放的柔性部件300,该框架是柔曲的,但是其刚性大于柔性部件300的刚性。 Thus, patients having a jaw face fish may depend on the rigidity of the flexible member 300, the patient may rely on having a panda face against the flat flexible member 170 of the frame 300, the frame is flexing, but it is more rigid than the flexible member rigid 300. 该实施例未示出包括调节钮,但是可以照这样采用此实施例。 This embodiment comprises a knob, not shown, but may be employed as such this embodiment.

6.第六实施例在图44A-44C所示的实施例中,转动调节钮190可使螺杆凸轮形表面194接合软垫支承件上的突出部196,由此可使软垫向内对着患者的鼻子加压。 6. Sixth Embodiment In the embodiment shown in FIG. 44A-44C, rotation of knob 190 allows the screw 194 engages the camming surface 196 on the cushion projecting portion support member, thereby allowing an inward facing upholstered pressurizing the patient's nose.

7.第七实施例图45、46A和46B示出本发明的再一实施例,框架包括侧翼部分305,该侧翼部分可以相对于框架170转动。 7. Seventh embodiment FIGS. 45,46A and 46B shows a further embodiment of the present invention, the frame includes a side wing portion 305, the flap portions 170 can be rotated relative to the frame. 原理上该实施例类似于图1所示的实施例,在图1的实施例中,配置指形部件115,使其相对于底盘95转动。 Embodiment illustrated in FIG. 1 embodiment is similar in principle to the embodiment, in the embodiment of FIG. 1, the finger member 115 disposed, relative to the chassis 95 so as to rotate. 图46A是图45所示实施例的分解图,而图46B是图45所示实施例的组装图。 FIG. 46A is an exploded view of the embodiment shown in FIG. 45, and FIG 46B is an assembled view of the embodiment 45 shown in FIG. 此实施例像其他实施例一样,可以使软垫的侧边更容易地贴合具有不同鼻子形状的各种患者。 This embodiment, like the other embodiments, the side cushions can be made more easily fit a variety of patients having different engagement shape of the nose. 此实施例还可以自动贴合面部构形,因为带180连接于框架170的各个侧翼部分305。 This embodiment may also automatically fit facial configuration, since the belt 180 is connected to the respective side flaps 170 of the frame portion 305. 可以降低面罩/软垫从面颊上的翘起,并且可以在面部上达到更均匀的软垫压力。 The mask can be lowered / lifted from the cushion cheeks, and can achieve a more uniform pressure on the face of the cushion. 此实施例像很多上述其他实施例一样,也可以替换软垫,或者用活动软垫。 This embodiment, like many other embodiments as described above, may be replaced with a cushion, or cushion with activity.

8.第八实施例图45A和45B示出再一实施例,该实施例类似于图45所示的实施例,在此实施例中,可以利用卡合作用或者擒纵作用使侧翼部分305铰接连接在许多预定位置。 8. Eighth Embodiment FIGS. 45A and 45B illustrates a further embodiment, the embodiment shown in FIG. 45 embodiment is similar to the embodiment, in this embodiment, or may utilize snap action effect that the escapement portion 305 is hinged flaps connected to a number of predetermined positions. 图45B是局部分解图,包括配置在侧翼部分305上的两个铰接部分之间的舌形件306。 FIG. 45B is a partial exploded view comprising a tongue member disposed in the flanks between the two hinge portion 306 on the portion 305. 该框架170包括许多适合于接收该舌形件306的槽307,由此可以调节到许多分立的位置。 The frame 170 includes a plurality of adapted to receive the tongue grooves 307,306, thereby can be adjusted to a plurality of discrete positions.

图47和48示出,在增加带的张力时,侧翼部分305的逐渐密封在患者鼻子N上的位置。 47 and FIG. 48 shows, the belt tension increases, gradually flanking the sealing portion 305 on the position of the patient's nose N.

9.第九实施例图49和50示出调节机构的另一实施例,该机构允许侧翼部分运动,例如相对于底盘或者面罩组件中央框架转动。 9. Ninth 49 and 50 illustrate another embodiment of an adjustment mechanism, the moving mechanism allows the flanking portion, e.g. rotatable relative to the chassis frame or the center mask assembly embodiment of FIG. 该调节机构包括许多孔312,这些孔可以接收配置在侧翼部分305凸缘313上的销钉。 The adjusting mechanism 312 comprises a plurality of apertures, the apertures may receive a pin disposed on a portion 305 of the flange 313 of the side flaps. 该铰接部件311可以是活页、销或者组合销等。 The hinge member 311 may be a leaflet, a pin or a combination of pins or the like.

10.第十实施例图51是分解透视图,示出本发明另一实施例的面罩组件510。 10. Tenth Embodiment FIG. 51 is an exploded perspective view illustrating another embodiment of the mask assembly 510 of the present invention. 该面罩组件510具有两个主要部分,即半刚性的面罩底盘512和软垫/辅助框架514,两个部分512和514是分开的,但可以松开或者固定,如上所述。 The mask assembly 510 has two main parts, i.e., semi-rigid chassis 512 and mask cushion / auxiliary frame 514, two portions 512 and 514 are separate, but can be released or fixed, as described above. 一般说来,面罩底盘512构造和配置成连接于面罩头戴具(图51中未示出),而软垫/辅助框架514构造成为适合于与患者面部进行舒适的密封。 In general, the mask 512 is configured and arranged to chassis attached to the mask with the headgear (not shown in FIG. 51), the cushion / auxiliary frame 514 configured to be suitable for the comfort of the patient's face seal. 面罩底盘512和软垫/辅助框架514具有相配合的部件,使得软垫/辅助框架可以相对于面罩底盘512运动,或者形变,从而在使面罩组件510匹配使用人的面部时提供少量调节。 The mask 512 and the cushion chassis / sub frame 514 having a mating member, such that the cushion / auxiliary frame with respect to the chassis 512 the mask movement, or deformation, so that the mask assembly 510 to match a person's face when using a small amount of adjustment provided.

在以下说明中,将采用某些方向性的术语,例如“顶部”、“底部”、“左”和“右”。 In the following description, certain terminology will be used directional, such as "top", "bottom", "left" and "right." 除非另有说明,采用这些方向性术语是相对于各个附图的坐标系统而言。 Unless otherwise indicated, the use of these directional terms are relative to the coordinate system of the various drawings.

软垫/辅助框架514包括软垫部分516和辅助框架部分518。 Cushion / auxiliary frame 514 including a cushion portion 516 and the auxiliary frame portion 518. 该两部分516和518固定连接。 The two portions 516 and 518 fixedly connected. 软垫/辅助框架514的尺寸定为可以起口部面罩、鼻子面罩、口部-鼻子面罩或者任何一种与患者治疗协定或者与患者治疗协定相容的任何其他类型面罩的作用。 Size cushion / secondary frame 514 may function as mouth mask, a nose mask, mouth - the role of the nose mask, or any agreement with the patients or any other type of mask treatment protocol compatible with the patient.

辅助框架部分518为三角形或者棱形,具有足够大的内部体积,以便接纳面部上器官,软垫/辅助框加514被设计成在这些脸面部位上形成密封(例如鼻子、鼻子-口部等)。 Auxiliary frame portion 518 is a triangular or prismatic, has a sufficiently large internal volume to receive the face parts, the cushion / plus auxiliary frame 514 is designed to form a seal on the face portions (e.g. the nose, the nose - the mouth, etc.) . 辅助框架部分518在两侧是开口的。 Auxiliary frame portion 518 is open at both sides. 在辅助框架518的外侧,配置连接件520,该连接件连接于气源的管子。 In the outside of the auxiliary frame 518, the connecting member 520 disposed, the connecting member is connected to the air supply pipe. 在内侧,该辅助框架部分518张开的,并通到凸缘522中,软垫部分516连接于该凸缘。 Inside the auxiliary frame flared portion 518, and passed to the flange 522, the cushion portion 516 is connected to the flange. 辅助框架部分518用柔性的或者半柔性的材料例如聚丙烯制造。 Auxiliary frame portion 518 such as polypropylene for producing flexible or semi-flexible material.

软垫部分516一般是软的贴合部件,该部件可以是例如硅橡胶膜、封装在塑料膜中的泡沫材料(聚氨酯泡沫)或者充有空气和其他气体的可形变的密封袋。 Cushion portion 516 is generally soft and conformable member, the member may be, for example, a silicone rubber film, packaged in plastic films foam (polyurethane foam) is filled with air or other gases and a deformable sealing bags. 该软垫部分可以模制到(即熔化到)辅助框架部分18上、用粘接剂固定,或者用适当的连接方式固定。 The cushion may be molded to the portion (i.e., fused to) the auxiliary frame portion 18, fixing by an adhesive, or fixing by a suitable connection.

辅助框架部分518还包括构造和配置成可以将软垫/辅助框架514连接于面罩底盘512的部件。 Further comprising an auxiliary frame portion 518 may be constructed and arranged to cushion / auxiliary frame member 514 attached to the mask 512 of the chassis. 在辅助框架部分的顶部和底部,在患者外部的辅助框架部分表面上是连接部件524,该部件适合于插入到面罩底盘512上的对应接收孔526,从而将软垫/辅助框架514固定于面罩组件512。 The top and bottom portions of the auxiliary frame, on the outer surface of the auxiliary section is connected to frame members of the patient 524, the member adapted for insertion into a corresponding chassis 512 receives the aperture mask 526, so that the cushion / auxiliary frame 514 is fixed to the mask component 512. 连接部件524构造成为和配置成在插入接收孔526时可以向内偏转,从而在软垫/辅助框架514和面罩底盘512之间形成快速卡合固定。 Connection member 524 configured and arranged to be inserted into the receiving hole 526 in the can deflect inwardly to form a rapid engagement is secured between the cushion / chassis auxiliary frame 514 and the mask 512. 虽然在图51中示出连接部件524,但是在软垫/辅助框架514和面罩底盘512之间的连接件可以是任何其他类型的适当连接件。 Although the connecting member 524 shown in FIG. 51, but the connection between the cushion / chassis auxiliary frame 514 and the mask 512 may be any other suitable type of connection. 该辅助框架部分518还包括具有若干表面的突出部528,该突出部528以下面说明的方式与调节轮530配合。 The auxiliary frame 518 further includes a projecting portion having a plurality of surface portion 528, the projecting portion 528 in the manner described below and with the adjusting wheel 530.

面罩底盘512一般为半刚性材料作的三角形板,该板可以与软垫/辅助框架514一起模制。 The mask chassis 512 is generally triangular plate made of semi-rigid material, the plate may be molded with cushion / auxiliary frame 514. 该面罩底盘512提供面罩具534相应端部的连接插座532。 The chassis 512 provides a mask having a mask connected to a respective end portion 534 of the socket 532. 在面罩底盘512上,配置两个连接插座532,在面罩底盘512的左右两边缘中的各个边缘上配置一个插座。 On the mask chassis 512, two connection socket configuration 532, a socket disposed about the mask both edges of the chassis 512 in the respective upper edge. 然而,如果需要,可以配置许多连接插座532,围绕面罩底盘512配置,这取决于面罩带或者带端部的数目和位置。 However, if desired, can be configured a number of connection sockets 532, 512 disposed around the mask chassis, depending on the number and the mask tape or a tape position of the end portion. 在图51中,连接插座532和面罩头戴具534表示为可松开地快速卡合连接件。 In Figure 51, the mask and headgear connector 532 having a socket 534 to be represented releasably snap-fitting connection. 然而该连接插座532可以是任何类型的常规连接部件。 However, the receptacle connector 532 may be any type of conventional connection member. 面罩底盘512的顶边缘540一般包括连接于面罩头戴具前后向带或者带部分的连接部件。 The top edge 540 of the mask 512 typically comprises a chassis connected to the connecting member to the tape or band portion with longitudinal wearing the mask. 根据前后向带或者带端部的结构,在顶边缘540上的连接部件可以是连接插座532或者其他的连接部件。 The front structure of the belt or band end portion, on the top edge of the connecting member 540 may be connected to the socket 532 or other connection member.

面罩底盘512包括中心孔536,该孔的结构和尺寸定为可以接纳软垫/辅助框架514的突出的中心部分518,使得连接件520可以通过面罩底盘512中心孔536连接于适当的供气管子。 The mask 512 includes a central aperture of the chassis 536, the structure and size of the holes can be set to receive a projecting central cushion / 514 of the auxiliary frame portion 518, 536 such that connector 520 can be connected to a suitable air supply tube 512 through the mask center hole of the chassis . 靠近中心孔536的位置,在面罩底盘512左右两侧上的是调节轮固定部分542。 Location adjacent the central opening 536, 512 on the left and right sides of the mask round the chassis fixing portion 542 is adjusted. 该调节轮542的位置一般对应于软垫/辅助框架514上突出部528的位置。 Adjusting the position of the wheel 542 generally corresponds to the position of the cushion projecting portion / 514,528 of the auxiliary frame. 各个调节轮固定位置542相对于面罩底盘512的四周表面是突出的,并包括孔例如螺纹孔544。 Adjusting the fixed position of each wheel relative to the peripheral surfaces 542 of the chassis 512 the mask is projected, and includes, for example, a threaded bore hole 544.

在图52和53中清楚示出调节轮530、调节轮固定部分542和突出部528的操作和相互关系,这些图是示意横截面图,示出在接合位置的连接的面罩底盘512和软垫/辅助框架514的一部分,示出调节轮530,该调节轮装在调节轮固定部分542中,并接合辅助框架518上的突出部528。 In FIGS. 52 and 53 clearly shows the adjustment wheel 530, adjustment wheel 542 fixed to the operation portion and projecting portion 528 and the relationship of these figures is a schematic cross-sectional view showing the mask cushion and the chassis 512 in the engaged position of the connection / auxiliary frame part 514, wheel 530 shown adjusted, the adjusting wheel in the adjusting wheel mounted in the fixed portion 542, and the engaging protrusion on the auxiliary frame 518,528. 该调节轮530包括螺纹杆或者铆钉546,该螺纹杆的一端固定在使用人拧动的头548中,以便形成手拧螺杆,而其另一端连接或者配置在孔544中。 The adjustment wheel 530 comprises a rivet or a threaded rod 546, one end of the threaded rod 548 fixed to the head of the person using the twist so as to form a hand-tighten the screw, and the other end connected to or disposed in the bore 544. 在图52中轮530的更细或者更薄的部分与突出部528接触。 In the finer or thinner the wheel portion 530 in FIG. 52 528 contacts the projecting portion. 因此,软垫/辅助框架514基本上处于未形变的状态,这种状态不受面罩底盘的影响。 Thus, the cushion / auxiliary frame 514 is substantially undeformed state, this state is not affected by the mask chassis. 软垫/辅助框架514的未形变状态可以或者不能与使用人的皮肤形成良好密封,因为存在间隙或者密封压力不够。 Cushion / non-deformed state the auxiliary frame 514 may or may not form a good seal with the use of human skin, because of insufficient sealing pressure or gap.

为了相对于皮肤550调节软垫/辅助框架514,使用人可以转动调节轮530,使调节轮530的较厚部分移向突出部528,并接触528。 In order to adjust the cushion with respect to skin 550 / auxiliary frame 514, one can use the adjusting wheel 530 is rotated, so that the thicker portion of the regulating wheel 530 is moved toward the protruding portion 528, and contacts 528. 一当较厚的部分接触突出部528时,辅助框架部分514便弯曲,从而使软垫516向患者皮肤移动,或者更靠近患者皮肤,由此可以调节密封压力和/或调节配合。 When a relatively thick portion of the contact projection 528, the auxiliary frame portion 514 will be bent towards the skin so that the cushion 516 moves closer to the patient or the patient's skin, whereby the sealing pressure can be adjusted and / or adjusted fit. 图53示出调节轮530,该调节轮处于它使软垫/辅助框架514向皮肤弯曲的位置,从而可以消除皮肤550和软垫部分516之间的间隙和/或改进其间的配合/密封。 53 shows an adjusting wheel 530, the wheel is adjusted so that the cushion / secondary frame 514 is bent to the skin location, thereby eliminating the gap 550 between the skin and the cushion portion 516 and / or improved fit therebetween / seal.

除上述调节机构之外,可以局部地使面罩底盘512的某些部分强度降低,以便使得面罩底盘512可以稍微弯曲,以便适配各种面部形状。 In addition to the above-described adjusting mechanism can locally reduce the mask certain portions of the strength of the chassis 512, the chassis 512 so that the mask may be slightly curved to fit a variety of facial shapes. 例如局部使面罩底盘512沿线W的部分强度减弱,这样便可使面罩底盘512可以弯曲。 For example the local intensity so that the mask portion of the chassis 512 along the weakening W, the chassis 512 so that the mask can be bent. 面罩底盘512可以作得比辅助框架更具有刚性,方法是,或者采用不同的材料例如采用聚碳酸酯,或者构造成不同的几何结构例如加上增强肋,或者加上约束条件,例如用头戴具的张力,或者采用这些方法的联合方法。 The mask chassis 512 can be made more rigid than the auxiliary frame, it is, or using a different material such as polycarbonate, or different geometries configured to add, for example, reinforcing ribs, plus or constraints, for example wearing with tension, or a combination of these methods employ.

图51示出本发明的实施例,在此实施例中,面罩底盘512和软垫/辅助框架514是分开的部件,而且软垫/辅助框架514相对于面罩底盘512的运动主要由弯曲造成。 FIG 51 shows an embodiment of the present invention, in this embodiment, the chassis 512 and the mask cushion / auxiliary frame 514 is a separate member, but the cushion / movement of the auxiliary frame 514 with respect to the chassis 512 the mask is mainly caused by bending. 然而在本发明的其他实施例中,在面罩底盘和/或软垫/辅助框架中包括定位部件,以便使软垫/辅助框架相对于面罩底盘运动。 However, in other embodiments of the present invention, the mask chassis and / or the cushion / auxiliary frame includes a positioning member, so that the cushion / chassis auxiliary frame with respect to the mask movement. 另外,面罩底盘和软垫/辅助框架可以不形成为可以分开的或者可分开的部件,如其他实施例所述。 Further, the mask cushion chassis and / auxiliary frame may not be formed as a separate member or may be separate, as described in the other embodiments.

B.肋片1.第一实施例图53A-53G示出本发明两个密切相关的实施例。 B. 1. The ribs of the first embodiment shown in FIG. 53A-53G are closely related to two embodiments of the invention. 各个实施例构造和配置成有助于提高在鼻子两侧的侧向密封力。 Example embodiments each constructed and arranged to help to improve lateral sides of the nose sealing force. 这些实施例在鼻梁部分是特别有用的。 In these embodiments, the nose portion are particularly useful. 但是也可以用在其他区域例如靠近鼻子和嘴部下部分的区域。 But it may also be used in other areas such as near the portion of the underlying region of the nose and mouth.

图53A-53C示出一个实施例,在此实施例中,框架具有大体三角形的形状,在此例中该框架构造成为可以支承全面部的面罩软垫,虽然该框架适合于用作鼻子软垫的框架。 FIGS 53A-53C illustrate one embodiment, in this embodiment, the frame has a generally triangular shape, in this case the frame may be configured to support full face mask cushion portion, while the frame is suitable for use as the cushion nose s frame. 该框架600可以包括其他形状例如大体圆形的、梯形的或者适合患者预定区域的起界面作用的任何形状。 The frame 600 may comprise other shapes, such as generally circular, trapezoidal or any shape appropriate for the patient interface plays the role of a predetermined area.

该框架600包括一对侧面部件605,各个侧面部件包括连接件界面610,该界面具有至少一个孔,最好具有许多孔615。 The frame 600 includes a pair of side members 605, each side member 610 includes a connector interface, the interface having at least one aperture, preferably having a plurality of holes 615. 各个孔615构造成为可以接收头带的端部,最好可以接收上述基本上不能伸缩的头戴具带的端部。 Each aperture 615 is configured as a receiving end of the headband can be, for receiving the end portion may preferably be substantially not stretchable band with wearing. 该头戴具带可以连接于孔615中任一孔。 The headset may be connected to the hole with tape to any one of holes 615. 另外,这些孔形成在连接件界面610的侧壁617上。 Further, the holes formed on the connection member side walls 617,610 of the interface.

如图53B和53C所示,向着患者面部的表面616包括一对肋片620,该肋片配置成在使用时位于患者鼻子两侧的正外侧。 As shown in FIG. 53B and 53C, toward the surface of the patient's face 616 includes a pair of ribs 620, the rib configured to be positioned outside of the positive sides of the patient's nose in use. 如图53B所示,肋片620配置在患者鼻子的鼻梁区域,但是该肋片620也可以沿患者鼻子两侧边更大或者整个部分延伸。 As shown in FIG. 53B disposed ribs 620 in the nasal bridge region of the patient's nose, but the rib 620 may be larger along the entire side edges, or portions of the patient's nose extends. 该肋片620构造成为可以装在面部软垫(未示出)上或者在软垫外侧形成的相应槽或者沟槽中。 The rib 620 is configured to the corresponding groove or grooves can be mounted on the face cushion (not shown) formed on the outside of the cushion or the. 各个肋片包括一个或多个孔625,该孔有助于在肋片和软垫之间形成锁闩,并且还可以减轻重量。 Each of the fins 625 includes one or more apertures, the aperture helps cushion formed between the fins and the latch, and may also reduce the weight.

在使用时,肋片620形成一定程度的侧向支承,从而有助于保持对患者两侧的良好密封。 In use, the lateral support ribs 620 are formed to some extent, thus contributing to maintaining good sealing of the sides of the patient. 例如,当增加带的张力时,通常的垫将趋向于侧向向外形成波浪形,由此增加损害软垫密封性或者舒适性的可能性。 For example, when increasing the belt tension, the pad will tend to generally laterally outwardly undulated, thereby increasing the possibility of damage or sealing cushion comfort. 形成肋片620也有助于防止软垫向外起波纹,从而有助于保持对鼻子两侧的密封。 Forming ribs 620 also helps prevent the cushion outwardly corrugated to help maintain a seal both sides of the nose.

该框架构造成为具有柔性,从而可以绕轴线A转动、弯曲或者形变。 The frame is configured as a flexible, thereby axis A, around a bend or deformation. 这样,当张紧头带时,该框架600可以绕轴线A运动,由此使肋片向内运动,对患者鼻子两侧加压。 Thus, when the tension of the headband, the frame 600 may be rotated about axis A, whereby the inward movement of the fins, the pressure on both sides of the patient's nose. 另外或者按照另一种方式,在使面罩侧部弯曲、转动或者形变时,如图53C的箭头所示,框架600的顶部分601将向患者鼻梁区域弯曲、转动或者形变,如图53B的箭头所示。 Additionally or in another way, when the mask portion side bent or deformed when rotated, as shown by arrows in FIG 53C, a top frame portion 601 will be bent 600 patients with nasal bridge region, rotation or deformation, the arrow 53B in FIG. Fig. 在起始位置,顶部分601弯离患者的面部。 In the starting position, the top portion 601 bent away from the patient's face. 因此,调节侧部带可以增强鼻梁区域的密封,从而不要顶部带。 Thus, modulation may enhance the sealing band side portion of the nasal bridge region, a top tape so as not to.

当面罩围绕主垂直轴A形变时,框架趋向于沿副水平轴线B变直。 When the mask is deformed about a primary vertical axis A, along the sub-frame tends to straighten the horizontal axis B. 这造成框架600的顶端601更移近面部,因而软垫压在鼻梁上。 This causes the frame 600 to the top 601 moves closer to the surface, and thus cushion the pressure on the nose.

这种作用主要在于,当框架绕一个轴线弯曲时,已经绕另一轴线弯曲的框架部分将承受更大应变。 The main effect of this is that, when the frame about a bending axis, about the other axis has a curved frame portion will be subjected to greater strains. 因此,为了尽量减小材料中的应变,它将使固有的弯曲变直,变到较低应变能的位置。 Accordingly, in order to minimize the strain in the material, it will inherently curved straight, to change the position of the lower strain energy. 当固有弯曲离开面部时,使固有弯曲变直将使那部分面罩更靠近面部。 When leaving the natural bending portion, so that will straighten natural bending portion closer to the face mask.

可以看出,通过改变不相关的平面弯曲位置和方向,可以使框架任何的要求部分移向或者移离到像在一个已知平面上弯曲框架一样的令人满意。 As can be seen, by changing the position and orientation of the bending plane irrelevant, the frame can be of any required portion toward or away from the frame to the image on a curved plane known as satisfactory.

换一种方式或者再加上,框架600包括一条或者多休强度减弱的线630,例如活页的铰接线,如形成在框架600顶部和/或底部上的活页的铰接线。 On another way, or together, or a multi-frame 600 comprises a reduced strength 630 off-line, e.g. leaflet hinge line, as formed in the frame 600 and the top / hinge line of the leaflet or on the bottom. 该强度减弱的线600将使框架600更容易地绕轴线A活动。 The line of weakness 600 of the frame 600 will be more easily about the axis A Activity.

2.第二实施例图53D和53E很类似于图53A-53C所示的实施例。 2. Second Embodiment FIGS. 53D and the embodiment shown in 53A-53C 53E is similar to FIG. 主要差别是图53D和53D中的连接件界面610只包括一个孔615,该孔用于接收头戴具带的端部,该孔615包括槽617,该槽的尺寸构造成为可以使带的相对较薄部分滑入到其中,但是不允许带上的调节螺母通过。 The main difference is the connection interface 610 of FIG. 53D and 53D includes a bore 615, the bore for receiving the end portion with the headgear strap, the aperture 615 includes a slot 617, the size of the structure can be the belt groove opposite wherein the thinner portion to slide, but does not allow the belt adjusting nut. 另外,如图53E所示,和图53A-C所示的实施例不同,该肋片620不包括孔。 Further, as shown, and the embodiment shown in FIGS. 53A-C different 53E, the rib 620 does not include a hole.

图53F示出图53D-E所示的框架600位于放在患者头部模型上的操作位置。 FIG 53F shows a frame as shown in FIG. 53D-E 600 located in the operating position on the model of the patient's head. 软垫C和肘管已经装在框架600上。 Cushion C and elbows already mounted on the frame 600. 图53G是框架的截面图。 FIG 53G is a sectional view of the frame.

C.具有密封垫的框架图53H示出本发明的另一实施例,在此实施例中,框架640装有密封垫645。 A frame having a gasket C. FIG. 53H shows another embodiment of the present invention, in this embodiment, the frame 640 with a gasket 645. 该密封垫沿框架640的底部650延伸,并配置在扣具655和至少一部分头戴具带656的下面,该部分头戴具带配置在框架640的各个侧部660。 The gasket 650 extends along the bottom of the frame 640, and 655 and disposed at least a portion of the headgear buckle having the following belt 656, the portion having a wearing belt 660 disposed on respective side portions of the frame 640. 密封垫645因此提供另一种舒适性,可以防止扣具655和/或带656对患者下鄂的可能摩擦,该密封垫可以用凝胶和/或泡沫材料制造。 Gasket 645 thus provides a further comfort, the clip 655 can be prevented and / or may be a friction belt 656 pairs E in a patient, the seal can be a gel and / or by a foam material.

D.具有栓钉的框架图53I示出第一框架部件661和支承面部界面件例如软垫663的第二框架部件662。 D. FIG frame having a stud member 53I shows the interface member 661 and the support portion of the second frame member 663 of the first frame 662 e.g. cushion. 第一框架部件661包括主要开口664和许多第一孔665。 The first frame member 664 and 661 includes a plurality of first primary opening hole 665. 第二框架部件662包括许多与第一框架部件661的孔665对齐的第二孔666。 The second frame member 662 includes a plurality of second apertures with the first frame member 661 is aligned with aperture 665 666. 第二框架部件662包括突出部667,该突出部构造成为可以插入第一框架部件661的主要开孔665。 The second frame member 662 includes a projecting portion 667, the projecting portion may be configured to be inserted into the aperture 665 of the first main frame member 661.

许多栓钉668配置在第一和第二框架部件661和662之间。 Many pegs 668 disposed between the first and second frame members 661 and 662. 各个栓钉668包括第一端669和第二端670。 Each peg 668 includes a first end 669 and second end 670. 第一端插入到第一孔665中,而第二端670装在第二孔666中。 The first end 665 inserted into the first hole, and a second end 670 fitted in the second hole 666. 各个栓钉668具有间隔件或者止动件671。 Each peg 668 has a stopper or spacer 671. 各个栓钉668具有长度“L”,该长度选择为可以相对于软垫663的内部调节其深度。 Each peg 668 has a length "L", the length is selected to be relative to the inner depth of the cushion 663 is adjusted. 例如,示出的栓钉668具有各种长度,使得第二端670可以穿入第二孔666,穿到软垫663中对患者面部外貌特定的深度。 For example, the illustrated peg 668 have various lengths, such that the second end 670 of the second bore 666 may penetrate, through the cushion 663 to a certain depth in the surface appearance of the patient. 如图所示,该栓钉通过压配合固定,可以使框架661、662和/或软垫643固定就位,或者栓钉668可以包含其他的结构,以便固定软垫或者框架部件,例如包括倒钩或者侧凹槽。 As illustrated, the stud is fixed by press-fitting, the frame may be 661, 662 and / or cushion 643 fixed in position, the pegs 668, or may comprise other structures, in order to fix the cushion member or the frame, comprising for example an inverted hooks or the side groove.

E.可充气软垫图53J-53P示出本发明的实施例,其中框架170支承例如用硅橡胶和/或泡沫材料作的软垫172。 E. inflatable cushion FIG. 53J-53P illustrate an embodiment of the present invention, wherein the support frame 170, for example, silicone rubber and / or foam material for the cushion 172. 框架170包括一个或多个头戴具连接位置171,这些位置围绕框架170的外周配置。 Frame 170 comprises a headset having a plurality of connection locations or 171, these positions arranged around the periphery of the frame 170. 软垫172包括可充气的气胆173,该气胆配置在患者鼻子的鼻梁区域。 Cushion 172 includes an inflatable bladder 173, bladder disposed in the nasal bridge region of the patient's nose. 图中示出的气胆是嵌入到软垫172中的单一部件,但是该气胆可以包括配置在气垫172的分立部分的位于要求位置的若干分开部件。 FIG bladder is shown embedded in the cushion member 172 is a single, but the bladder can comprise a plurality of separate members disposed in a discrete portion of the cushion 172 located in the desired position. 例如,该气胆可以包括两个气胆,这两个气胆配置在软垫的各个侧面,但不包括软垫的顶点。 For example, the bladder may comprise two bladder, bladder disposed two on each side cushion, but not including a vertex of the cushion. 这一个或者各个气胆173与物质源例如空气源或者凝胶源等相通,从而调节气胆173的体积。 This is a or each bladder 173 and the substance source such as an air source or other source in communication gel, thereby adjusting the volume of the bladder 173. 配置这一或者各个气胆,可以减少或者降低相关软垫/框架部分和患者脸面之间的距离。 This configuration or each bladder, may be reduced or reduce the distance between the associated cushion / frame portion and the patient's face. 例如,图53L-53P示出在框架170压在两侧时,鼻梁区域的距离逐渐变小。 For example, FIG. 53L-53P shows the pressure in both sides, from the nasal bridge region of the frame 170 becomes gradually smaller. 图53L-53P示出,软垫两侧形状的变化是不对称的,虽然软垫和/或气胆173最好以对称的方式改变形状,这取决于患者鼻子的外貌是对称还是不对称的。 FIG. 53L-53P shown, change in shape on both sides of the cushion is asymmetric, although the cushion and / or air bladder 173 preferably changes shape in a symmetrical manner, depending on the appearance of the patient's nose is symmetrical or asymmetrical .

也可以这样形成软垫172,使其在压力增大时,尽量减小两侧软垫的波纹。 Such cushions 172 may be formed, so that when the pressure increases on both sides of the cushion to minimize the ripple. 例如,软垫的外侧壁(远离患者鼻子一侧的壁)可以由规格相对厚的壁部件组成,使得相对地不受压力增大的影响,由此可以降低外壁随压力增大而发生波纹的可能性。 For example, the cushion outer wall (side wall remote from the patient's nose) may be formed of standard components relatively thick walls, such that relatively unaffected impact pressure increase, thereby reducing the increase in pressure occurs with the outer wall of the corrugations possibility. 相反,软垫内壁(靠近患者鼻子的壁)可以由规格相对薄的壁部件构成,该壁部件可以使这些壁贴着患者的鼻子弯曲,由此可以增强密封性。 Instead, the cushion inner wall (wall near the patient's nose) may be constituted by relatively thin walls specification member, the wall member can make the nose curved walls against patients, thereby enhancing hermeticity.

软垫按照本说明的用法,术语“在后部”和“后部”是指软垫组件适合于接触患者面部的那一侧面,而术语“在前部”和“前部”是指软垫组件接触面罩外壳或者主体的那一侧面。 Cushion according to the instructions of usage the term "rear" and "back" refers to that side of the cushion assembly is adapted to contact the patient's face, and the term "front" and "front portion" refers to a cushion the mask assembly contacts that side of the housing or body. 按照本发明的用法,术语“面罩”是指鼻子面罩和整个面部的面罩。 Usage according to the present invention, the term "mask" means a mask and the entire face of the nose mask.

图54A-54C分别是另一已知面罩即由Fisher &amp; Paykel(F&amp;P)制造的ACLAIM鼻子面罩的分解后视图,侧视图和底视平面图。 FIGS 54A-54C are another known mask i.e. the Fisher & amp; Paykel (F & amp; P) decomposition ACLAIM nose mask manufacturing view, a side view and a bottom plan view. 该ACLAIM鼻子面罩包括刚性框架或者外壳50和软垫组件,该组件包括形成密封的薄硅橡胶膜10和泡沫垫环30。 The ACLAIM nose mask comprises a rigid frame or housing 50 and a cushion assembly comprising a thin silicone rubber membrane to form a seal ring 10 and the foam pad 30. 该外壳50包括由内壁52形成的沟槽51。 The housing 50 includes a groove 51 formed by the inner wall 52. 在使用时,该泡沫垫环30局部配置在沟槽51中,并向后方延伸(即靠近患者面部)。 In use, the foam pad ring 30 partially disposed in the groove 51, and extends rearward (i.e., near the patient's face). 膜10通过舌形件和沟槽机构60(图54D)固定于外壳50的边缘。 Film 10 and the groove by the tongue mechanism 60 (FIG. 54D) fixed to the edge of the housing 50. 泡沫垫环30起支承件作用。 Foam cushion ring 30 plays the role of a support member.

按照本说明从头至尾的用法,术语“ACLAIM软垫”是指图54A-54D所示的软垫组件。 Usage instructions from start to finish according to the present, the term "ACLAIM cushion" refers to the cushion assembly illustrated in FIG. 54A-54D.

一些现有技术的软垫例如ACLAIM软垫的问题是,这些软垫在高压作用下,容易塌缩,造成面部容易接触框架边缘。 Some prior art cushion ACLAIM cushion problems such that these cushions under high pressure, easy to collapse, resulting in easy access frame edge portion. 这对患者是不舒服的,并在其脸面上造成压痕或者疼痛。 This is uncomfortable for the patient, and cause pain or indentation on its face.

参考图55A-55D,本发明第一实施例的软垫组件100包括硅橡胶膜110和下层软垫(U/C)120,该下部软垫类似于MIRAGE软垫的下层软垫。 With reference to FIGS. 55A-55D, the cushion assembly of the first embodiment comprises a silicone rubber membrane 100 and the lower cushion 110 (U / C) 120 of the present invention, the lower cushion similar to cushion MIRAGE underlying cushion. 该膜110和下层软垫120由底层软垫凸缘140支承。 The lower layer film 110 and the cushion 120 from the bottom flange 140 supporting the cushion. 该膜110和下层凸缘120可以与底层软垫凸缘140形成为单一部件。 The lower layer film 110 and the flange 120 may be formed in the underlying cushion flange 140 as a single member. 该膜110、下层软垫120和底层软垫凸缘140可以用硅橡胶制作,并可以形成为分开的部件,或者形成为单一的部件。 The film 110, the lower cushion 120 and a bottom cushion flange 140 may be made of silicone rubber, and may be formed as a separate member, or formed as a single member. 虽然在图中未示出,但是软垫凸缘、膜和下层软垫一般为三角形,与鼻梁区、面颊区、或者上唇区(鼻子面罩的情况下),或者与下巴区(全面部面罩的情况)形成的戴用人面部轮廓相匹配。 Although not shown, the cushion flange, and the lower cushion film is generally triangular, with the nose region, (in the case of the nose mask) cheek region, or lip region, or (full-face mask and the chin region in FIG. case) formed employing wearing match facial contours. 如图55所示,膜110其形状一般与下层软垫120相同,并包围下层软垫120。 As shown in FIG. 55, the film 110 is generally the same shape as the underlying cushion 120, and surrounds the lower cushion 120.

软垫组件100包括在膜110和下层软垫120之间的柔性部件130。 Cushion assembly 100 includes a flexible member 130 between the film 110 and the lower cushion 120. 在优选实施例中,该柔性部件是泡沫嵌入件。 In a preferred embodiment, the flexible member is a foam insert. 参照图55D,柔性部件130配置在膜和下层软垫120之间。 Referring to FIG. 55D, the flexible member 130 is disposed between the membrane and the underlying cushion 120. 该柔性部件130由下层软垫120支承,并承受软垫组件100开始的适度压缩。 The flexible member 130 is supported by the underlying cushion 120, a cushion assembly 100 and subjected to a moderate compression begins. 在图56A-56F中示出本发明第一实施例的柔性部件。 In FIGS. 56A-56F shows the flexible member of the first embodiment of the present invention.

该柔性部件130是嵌入件,用软的可压缩的弹性材料例如聚氨酯泡沫制作。 The insert member 130 is a flexible member with a soft compressible resilient material such as polyurethane foam production. 该柔性部件130也可以用软硅橡胶制作,其硬度例如为肖氏硬度A20或者更低。 The flexible member 130 may be made of soft silicone rubber, for example a hardness Shore hardness of A20 or less. 该柔性部件130还可以是热塑性柔性部件。 The flexible member 130 may also be a thermoplastic flexible member.

柔性部件130其作用像弹簧,具有初始的低弹簧常数。 The flexible member 130 which act like spring, having an initial low spring constant. 除柔性部件130外,下层软垫120表现出相对较硬弹簧常数的特性。 In addition to the flexible member 130, the lower cushion 120 exhibits a characteristic relatively stiff spring constant. 在第一实施例中,各个层的相应作用是:(i)膜110在其外表面和患者面部之间形成密封;(ii)柔性部件130用作顺从层,由此可以防止膜110过早塌缩在下层软垫120上;(iii)软垫组件100的软垫凸缘用作支承层,防止膜110相对于面部过分运动,由此可以防止面部接触框架、面罩的主体或者壳体,或者相反,防止面部相对于膜110移动,破坏密封性。 In the first embodiment, the respective role of each layer is: (i) film 110 is formed a seal between the outer surface and the patient's face; (ii) a flexible member 130 serves as a compliant layer, thereby preventing premature membrane 110 collapsing the cushion 120 on the lower layer; a cushion layer used as a support flange (iii) of the cushion assembly 100, the membrane 110 with respect to the face to prevent excessive movement, whereby the frame can be prevented from contacting the face, mask body or housing, or conversely, to prevent movement of the membrane 110 with respect to the face, breaking the hermetic seal.

柔性部件130成形为沿着软垫组件100的膜110和下层软垫120之间的空腔。 The flexible member 130 forming a cavity 120 between the film 110 along the cushion assembly 100 and the lower cushion. 柔性部件130对于膜内表面115的间隙,是使得膜110仍能够向外部起波纹,密封在患者面部上。 A flexible film member 130 to the surface 115 of the gap, such that the membrane 110 is still capable of externally corrugated seal on the patient's face.

图57A-57C示出软垫组件100(图57A)的机械特性,并与MIRAGE软垫(图57B)和ACLAIM软垫(图57C)的机械特性进行了比较。 FIGS 57A-57C shows the mechanical properties of the cushion assembly 100 (FIG. 57A), and with the cushion MIRAGE (FIG. 57B) are compared and ACLAIM cushion (FIG. 57C) mechanical properties. y轴表示相对软垫高度h/ho,当软垫组件100位于其原来高度ho时,该相对软垫高度是1。 The y-axis represents the relative cushion height h / ho, when the cushion assembly 100 is in its original height ho, the relative height cushion 1. 如果软垫组件100被压缩到其原来高度的一半,则相对软垫高度为0.5。 If the cushion assembly 100 is compressed to half its original height, the relative height of the cushion of 0.5. x轴表示作用在软垫组件100上的压力F。 The x-axis represents the pressure acting on the cushion assembly 100 F. 该力F可以是作用在用在面罩外壳和患者面部之间软垫组件100上的合力。 The acting force F may be used on the patient's face between the mask shell and cushion assembly 100 together.

参考图58和59A-59F。 With reference to FIGS. 58 and 59A-59F. 本发明第二实施例的软垫组件200包括膜210、柔性下层软垫、柔性部件230和底层软垫凸缘240。 Cushion assembly of the second embodiment of the present invention 200 comprises a membrane 210, the flexible lower cushion, the flexible member 230 and flange 240 underlying cushion. 该膜210和下层软垫220可与底层软垫凸缘240形成单一部件。 The lower layer film 210 and the bottom cushion 220 with flange 240 is formed unitary cushion member. 底层软垫凸缘240在其后边缘固定于面罩框架或者外壳250。 Thereafter the underlying cushion flange 240 fixed to the edge of the mask frame or housing 250. 在优选实施例中,该柔性部件230是泡沫材料嵌入件。 In a preferred embodiment, the flexible member 230 is a foam insert. 该柔性部件230也可以用硅橡胶制作。 The flexible member 230 may be made of silicone rubber.

图60A-60C分别示出本发明第二实施例软垫组件200、MIRAGE软垫和ACLAIM软垫的机械特性。 FIGS 60A-60C illustrate a second embodiment of the cushion assembly embodiment 200, MIRAGE ACLAIM upholstered cushion and the mechanical properties of the present invention. 图60D示出在一个坐标系统中三个软垫的比较。 FIG 60D shows a comparison of three cushions coordinate system. y轴代表相对软垫高度h/ho,而x轴代表作用在软垫上的压力F。 The y-axis represents the relative cushion height h / ho, and the x-axis represents the pressure acting on the cushion F. 该压力表示为作用在软垫组件上最大压力的百分数。 This pressure is expressed as a percentage of the maximum pressure acts on the cushion assembly.

参考图60A,在主要对应于膜210的开始区域,施加最大力的约20%的压力,软垫高度减小到约95%。 Referring to FIG 60A, the main region corresponding to the start of the film 210, pressure is applied maximum force of around 20%, the height of the cushion is reduced to about 95%. 在对应于软垫组件200柔性部件230的第二区域,施加约60%最大力的压力时,压缩从95%增加到80%。 In the second region 200 of the flexible member corresponding to the cushion assembly 230, about 60% of the maximum force applied to the pressure from the compression of 95% to 80%. 在对应下层软垫220的第三区域,力增加到最大压力的100%,只能稍微压缩软垫组件200。 In a third region corresponding to the lower cushion 220 to 100% of the maximum pressure force of the cushion assembly 200 is only slightly compressed.

图60B示出MIRAGE软垫的机械特性。 FIG 60B shows the mechanical properties MIRAGE cushion. 在对应于膜的区域施加约50%最大压力的压缩力可以得到约75%的压缩,进一步增加压缩力则只造成软垫相对高度稍微下降,这对应下层软垫的压缩。 Compression force about 50% of the maximum pressure in the film area corresponding to about 75% can be compressed to further increase the compression force caused only a slight decrease relative height cushion, which corresponds to a lower compression pad.

图60C示出ACLAIM软垫组件的机械特性,用较小的力便可以相当容易地达到约90%的起始压缩。 Figure 60C shows the mechanical properties ACLAIM cushion assembly, a relatively small force can easily reach about 90% of the initial compression. 随后压力的进一步增加造成,施加约30%的最大压力将造成泡沫嵌入件的很大压缩。 Then a further increase in pressure caused about 30% of the maximum pressure exerted will cause a large compression of the foam insert. 施加的压力高于约30%的最大压力时,对ACLAIM软垫组件只产生很小的压缩或者甚至没有任何压缩,因为泡沫嵌入件已完全压缩在面罩外壳上。 When the applied pressure is greater than about 30% of the maximum pressure of the cushion assembly produces only a small ACLAIM compression or even without any compression, since the foam insert has been fully compressed in the mask shell.

图60B示出在一个坐标系统中前面三条曲线的比较。 FIG 60B shows a comparison of the three curves in front of a coordinate system.

图61是示意图,通过分别将柔性部件130、230和下层软垫120、220比喻成弹簧的方法,示出第一和第二实施例软垫组件100、200的作用。 FIG 61 is a schematic view, respectively, by a method of the flexible member 130, 230, 120, 220 and the lower cushion spring metaphor, illustrating the role of the first and second embodiment of the cushion assembly 100, 200 of the embodiment. 柔性部件部件130、230的弹簧常数小于下层软垫120和220的弹簧常数。 The spring constant of the flexible member is smaller than the lower member 130, 230 120 and 220, the spring constant of the cushion. 如图61所示,柔性部件130、230起软弹簧的作用,在开始吸收软垫组件的压力。 As shown in FIG. 61, 130, 230 acts as a soft spring flexible member, the pressure begins to absorb the cushion assembly. 该柔性部件130、230增强了软垫组件100、200的柔性感觉,并增加了软垫组件100、200对患者表面的贴合性,由此改进了密封性,降低或者消除了漏气。 The flexible member 130, 230 to enhance the feeling of the flexible cushion assembly 100, 200, and 100 and 200 increases the conformability of the surface of the cushion assembly to the patient, thereby improving sealability, reduces or eliminates leakage.

当作用在软垫组件100和200上的压力增加时,较刚性的下层软垫120、220将开始压缩。 When acting on the cushion assembly 100 and 200 of the pressure increase, the more rigid the lower cushion 120, 220 will begin to compress. 下层软垫120、220减小或者消除了患者面部接触面罩外壳的可能性。 Lower cushion 120, 220 reduces or eliminates the possibility of contact with the patient's face mask shell.

参考图62,本发明第三实施例的软垫组件300包括从底层软垫凸缘340伸出的膜310。 Referring to FIG 62, a third embodiment of the cushion assembly 300 of the present invention comprises a membrane 310 extending from the bottom of the cushion flange 340. 底层软垫凸缘340的后端固定于面罩外壳350。 The rear end of the bottom cushion of the flange 340 is fixed to the mask shell 350. 在膜310和底层软垫凸缘340之间配置柔性部件330。 The flexible member 330 disposed between the film 310 and the flange 340 underlying cushion. 这一实施例的柔性部件330一般比第一和第二实施例柔性部件高或者深。 The flexible member 330 of this embodiment is generally higher or deeper than the first embodiment and the second embodiment of the flexible member. 在此实施例中的柔性部件330用一种材料制造。 The flexible member 330 for producing material with one embodiment of this embodiment. 软垫凸缘340不包括下层软垫。 A lower flange 340 does not include a padded cushion. 在此实施例中,膜310达到主要的密封,并由柔性部件330支承,该柔性部件将压力分布在不同位置上,从而得到更舒服的面罩系统。 In this embodiment, film 310 to achieve the primary sealing, the flexible member 330 is supported by the flexible pressure member will be distributed over different locations, resulting in a more comfortable mask system.

在图63A-63E中示出柔性部件330的其他示图。 In FIGS. 63A-63E shows the flexible member of the other 330 shown in FIG. 在此实施例中,柔性部件330包括不同特性(受力形变特性)的多个部分331、332、334、335。 In this embodiment, the flexible member 330 includes different properties (stress-distortion feature) a plurality of portions 331,332,334,335. 如图63B所示,此图示出柔性部件330的后侧,部分333和334可以放在面罩的鼻梁区域。 As shown in FIG. 63B, this figure illustrates the rear side of the flexible member 330, section 333 and 334 can be placed in the nasal bridge region of the mask. 该部分333和334具有同样尺寸和形状,但具有不同的弹簧常数(即刚度),以便适应个别患者脸面大小和形状的差别。 The portions 333 and 334 have the same size and shape, but have different spring constants (i.e., rigidity), to accommodate differences in the size and shape of the individual patient's face. 应当注意到,部分331、332、333和334具有不同的大小、形状和弹簧常数,以便适应个别患者面部大小和形状的差别。 It should be noted, portions 331, 332 and 334 have different sizes, shapes, and the spring constant, in order to accommodate differences in face size and shape of the individual patient. 还应当注意到,可以采用任何数目的部分。 It should also be noted that any number of portions may be employed.

柔性部件330由刚性保持架335支承。 The flexible member 330 is maintained by a rigid support frame 335. 该保持架335在组装软垫组件300和面罩时,保持柔性部件330。 The holder assembly when the cushion assembly 335 and the mask 300, the flexible retaining member 330. 该柔性部件330和保持架355可以结合在一起,用作亚组件。 The flexible member 330 and the holder 355 may be bonded together as subassembly. 该保持架355还包括具有肘管固定夹具360的延伸部分。 The holder 355 further includes a fixture having an elbow extending portion 360. 该肘管固定夹具360固定气源供气所需的肘管370。 The fixing jig 360 is fixed elbow required air supply elbow 370. 图64A-64E示出该保持架的其他附图。 FIGS 64A-64E illustrate a holder of the other figures.

参考图65,本发明第四实施例的软垫组件400包括两层或者三层部件。 Referring to FIG 65, a fourth embodiment of the cushion assembly 400 of the present invention comprises two or three parts. 第一层由软垫凸缘440构成。 The first layer is composed of a cushion flange 440. 软垫凸缘440的前侧适合连接于面罩的外壳。 The front side of the flange 440 is adapted cushion attached to the mask housing. 第二层由连接于软垫凸缘440的柔性部件430构成。 The second layer is composed of a flexible member 440 is connected to the flange 430 of the cushion. 柔性部件430确定软垫的形状,并形成接触面部的部件。 The flexible member 430 determines the shape of the cushion, and forms a part of the contact surface. 该柔性部件430具有由表层460构成的第三层。 The flexible member 430 has a third layer made of a surface layer 460.

第一层(软垫凸缘440)是聚氨酯橡胶(无泡沫)刚性层。 The first layer (cushion flange 440) is a urethane rubber (no foam) the rigid layer. 第二层(柔性部件430)用尿烷泡沫或者软硅橡胶制作。 A second layer (flexible member 430) made of soft urethane foam or silicone rubber. 第三层(表层460)由硅橡胶表层构成。 A third layer (surface layer 460) is made of a silicone rubber surface layer. 表层460其厚度最好为0.2-0.6mm,该厚度或者是均匀的,或者根据负载,或者根据要求形变的程度进行变化。 Surface 460 is preferably a thickness of 0.2-0.6 mm, or the thickness be uniform, or the load, or changes according to the degree of deformation in accordance with the requirements.

参考图66,本发明第五实施例的软垫组件500包括两层或者三层部件。 Referring to FIG 66, a fifth embodiment of the cushion assembly 500 of the present invention comprises two or three parts. 第一层由软垫凸缘540构成。 The first layer is composed of a cushion flange 540. 该软垫凸缘的前侧适合连接面罩的外壳。 The front side of the cushion flange for connecting the housing to the mask. 该软垫凸缘540包括支承部分545,该支承部分从前侧伸向后侧。 The flange 540 includes a cushion support portion 545, the front side toward the rear side support portion. 该支承部分是柔性的,其作用类似于下层软垫。 The support portion is flexible, which acts like the underlying cushion. 第二层由柔性部件530组成,该柔性部件连接于是软垫凸缘540,并围绕支承部分545。 The second layer 530 composed of a flexible member, the flexible member 540 is connected so cushion flange, and around the support portion 545. 柔性部件530确定软垫形状,并形成接触面部的部件。 The flexible member 530 determines the shape of the cushion, and forms a part of the contact surface. 该柔性部件530具有由表层560构成的第三层。 The flexible member 530 has a third layer made of a surface layer 560.

第一层(软垫凸缘540)是刚性的聚氨酯橡胶(无泡沫)。 The first layer (cushion flange 540) is rigid urethane rubber (no foam). 第二由尿烷泡沫或者软硅橡胶构成。 The second consists of a soft urethane foam, or silicone rubber. 第三层(表层560)由硅橡胶表层构成,该表层具有上述的均匀厚度或者变化厚度。 A third layer (surface layer 560) is made of a silicone rubber skin layer having a uniform thickness or a variation of the above-described thickness.

在使用时,该柔性部件530在接触戴用人面部并施加压力时,便开始压缩。 When in use, the flexible member 530 in contact with the face of wearer and pressure is applied, it will begin to compress. 当压力增加时,该柔性部件530便进一步被压缩,直至完全被压在支承部分545上。 When the pressure increases, the flexible member 530 will be further compressed, until it is pressed against the supporting portion 545. 进一步施加压力将导致支承部分545的压缩。 Further pressure will cause the compression portion 545 of the support. 柔性部件530和支承部分因此起两个弹簧作用,其方式类似于图61所示的方式。 The flexible member 530 and the support portion thus serves two spring action in a manner similar to that shown in FIG. 61.

参考图67,本发明第六实施例的软垫组件600包括第一层和第二层。 Referring to FIG 67, a sixth embodiment of the cushion assembly 600 of the present invention comprises first and second layers. 第一层由软垫凸缘640组成,软垫凸缘640的前侧结合于面罩外壳。 The first layer 640 composed of cushion flange, the flange 640 of the front side of the cushion to the mask shell binding. 第二层由连接于软垫凸缘640的柔性部件630构成。 The second layer is composed of a flexible member attached to the flange 640 of the cushion 630. 该柔性部件430确定软垫的形状,并构成接触面部的部件。 The flexible member 430 determines the shape of the cushion, and the member constituting the contact surface.

第一层(软垫凸缘640)是刚性的聚氨酯橡胶(无泡沫)层。 The first layer (cushion flange 640) is rigid urethane rubber (non-foam) layer. 第二层(柔性部件630)由泡沫构成,并包括刚性相对较低的第一部分631和刚性相对较高的第二部分632。 A second layer (flexible member 630) is made of foam, and includes a relatively low rigidity of the first portion 631 and a relatively higher rigidity of the second portion 632. 采用不同密度泡沫材料形成柔性部件,可以得到不同的刚性,如在第一部分和第二部分631和632中用相对间隔的点所示。 Different density of the foam to form the flexible member, rigidity can be different, such as the point in the first and second portions 631 and 632 with the relative spacing shown in FIG. 柔性部件630是具有不同密度的单一部件,或者是具有不同密度的若干部件。 The flexible member 630 is a unitary member having different densities, or having several components of different densities. 虽然在图67中将柔性部件630表示为具有两种不同的刚度(密度),但是应当认识到,柔性部件630可以具有两种以上的刚度(密度)。 Although shown as having two different stiffness (density), it should be appreciated that the flexible member 67 in the FIG. 630, the flexible member 630 may have two or more stiffness (density). 如图67所示,第二部分632包括伸过软垫凸缘640的区域632a,由此可以防止戴用人面部压在软垫凸缘640上。 As illustrated, the second portion 632 extends through the region 632a cushion 67 includes a flange 640, thereby preventing the wearer flange portion 640 is pressed against the cushion.

在使用时,柔性部件630的第一部分631在接触戴用人面部和加上压力时,便开始压缩。 When in use, the first portion 631,630 of the flexible member at a contact portion wearer and attached to a pressure, it begins to compress. 当压力增加时,第一部分631完全压缩,同时第二部分632开始压缩。 When the pressure increases, the first portion 631 is fully compressed, while the second portion 632 begins to compress. 因为第二部分632比第一部分631硬,所以由施加压力造成的软垫组件600的相对高度在第二区域632中的降低小于第一区域631。 Because the first portion 632 than the second portion 631 hard, the application of pressure decrease caused by the relative height of the cushion assembly 600 in the second region 632 is smaller than the first area 631.

虽然在图67中未示出,但是应当看到,软垫组件600可以具有第三层例如表层。 Although not shown in FIG. 67, it will be seen, the cushion assembly 600 may have a third surface layer, for example.

图68和69示出本发明的另一实施例。 68 and 69 show another embodiment of the present invention. 泡沫软垫700固定在框架705上。 Foam cushion 700 fixed to the frame 705. 该框架包括穿过支承杆715的孔710。 The frame comprises a through hole 710,715 in the support bar. 该孔710和支承杆715彼此螺纹拧合,使得杆715头部分720的位置可以移动,如双箭头所示。 The hole 710 and the support rod 715 threadedly engaged with each other, such that the lever position 720 of head portion 715 may be moved, such as double arrows. 如图69所示,框架705具有调节钮725,从而使杆715移动。 Shown in Figure 69, the frame 705 has a knob 725, so that the rod 715 moves. 虽然图上示出框架705只包括一个调节杆715,但是可以配置多个这样的调节杆。 Although shown on FIG frame 705 includes an adjusting rod 715, but may be a plurality of such adjustment lever. 在给定的压力范围内,调节杆715的位置可以使得软垫的构形改变。 Within a given pressure range is adjusted such that the position of the lever 715 may be configured to change the cushion.

图70-79是横截面图,示出本发明其他的泡沫软垫实施例。 FIG. 70-79 is a cross-sectional view illustrating another embodiment of the present invention the foam cushion.

在图70和71中,泡沫软垫729的内部包括弹簧部件730。 In FIGS. 70 and 71, the foam cushion 729 of the inner member 730 comprises a spring. 可以根据软垫相对于患者面部的位置,改变弹簧部件730上面的软垫材料的量。 Relative to the position of the cushion according to the patient's face, the change amount of the spring member 730 above cushion material. 例如,在有问题的或者敏感的密封区域,可以变形软垫,使得弹簧部件730可以更深地嵌入到软垫中,由此可以利用软垫本身达到与有问题或者敏感区域的密封,而弹簧部件的作用,如果有的话,也不是太大,一个优点是弹簧部件730是完全嵌入的,看不见,所以感觉看起来简单,这可能影响患者治疗的顺从性。 For example, there is a problem in the sealing region or sensitive, deformable cushion, so that the spring member 730 may be embedded deeper into the cushion, whereby the cushion itself may be utilized to seal or sensitive areas in question, and the spring member the role, if any, is not too large, the advantage of a spring member 730 is fully embedded, invisible, so it feels seems simple, which may affect patient compliance with treatment.

图72包括用泡沫材料制造的软垫732和最好用硅橡胶制造的伸缩膜734,该膜配置在软垫732的内表面上。 FIG 72 includes a cushion 732 and a stretch film is preferably made of silicone rubber foam material 734, the film 732 disposed on the inner surface of the cushion. 该伸缩膜734容易贴合患者面部。 The stretch film 734 easily fit the patient's face. 图73是一种在支承件732外侧面上具有膜736的装置。 FIG 73 is a device having a membrane 736 on the outer surface of the support member 732.

图74是一种装置,在此装置中软垫732具有与室740连通的沟槽738,该室配置在软垫732的内部。 FIG 74 is a device, this device having a cushion groove 732 communicating with the chamber 740 738, the chamber 732 is disposed inside the cushion. 该沟槽738与压缩空气源或者其他物质源例如凝胶源连通,使得可以改变软垫的刚度特性。 The groove 738 and the compressed air source such as a gel or other substance source communication source, making it possible to change the stiffness characteristics of the cushion.

图75A、75B和79示出在软垫压缩时形成至少两个弹簧刚性系数的不同横截面。 FIG. 75A, 75B, and 79 shows a cross-section is formed of at least two different spring stiffness coefficient when the compression cushion. 在图77和78中,软垫732在压缩期间包括至少三种弹簧刚性系数,在图77中软垫732包括三层L1、L2和L3,各个层具有不同的弹簧刚性系数。 78 in FIG. 77, the cushion 732 includes at least three spring rate and during the compression, the cushion 732 in FIG. 77 includes three layers L1, L2 and L3, each layer having a different spring rate. 图78在将头部分747压入到沟槽748中时具有第一弹簧刚性系数,在将中心部分749压入到第二沟槽75中时具有第二弹簧刚性系数,而在进入底部分753时具有第三弹簧刚性系数。 FIG 78 has a first spring rigidity coefficient when the head portion 747 is pressed into the grooves 748, 749 in the central portion is pressed into the second groove having a second stiffness coefficient of spring 75, into the bottom portion 753 in having a third spring rigidity coefficient.

[00242]图76示出具有凹痕756的软垫732,该凹痕有助于通过例如吸气保持软垫和患者表面之间的密封。 [00242] FIG. 76 illustrates a cushion 732 having indentations 756, for example, by the suction indentations helps maintain a seal between the cushion and the patient surface.

作为柔性部件的泡沫嵌入件的优点是,泡沫比硅橡胶更容易压缩,因此,本发明的包含泡沫嵌入件的软垫组件可以更均匀分配头戴具的作用力。 As the advantages of the flexible member is a foam insert, the foam is more easily compressed than the silicone rubber, and therefore, the cushion comprising a foam insert assembly of the present invention may be more evenly distributed with the urging force of the headset.

作为柔性部件的硅橡胶的优点是,硅橡胶容易清洁,而且与患者更加生物相容。 As the advantages of the flexible member is a silicone rubber, a silicone rubber is easy to clean, and the more biologically compatible with the patient. 应注意到,在上述实施例中的各个部件,即膜、柔性部件和软垫凸缘起一种机械弹簧的作用。 It should be noted, various components in the above embodiments, i.e. the membrane, the flexible cushion member, and the flange acts as a mechanical spring. 可以联合上述实施例,例如第一和第二实施例的柔性部件可以具有多个刚性(密度)不同的区域,或者第二实施例柔性部件的各个部分可以具有多个刚性(密度)不同的区域。 The above-described embodiments can be combined, for example, the flexible member of the first embodiment and the second embodiment may have a plurality of rigid (density) of the different regions, or parts of a second embodiment of the flexible member may have a plurality of rigid embodiment (density) of the different regions . 采用上述膜、柔性部件和软垫凸缘的多种组合方法可以达到要求的舒适程度。 With the above films, flexible cushion member and the flange various combinations of ways to achieve the required level of comfort.

柔性部件可以用密度恒定的或者具有多种密度的粘弹性泡沫制作,以达到要求效果。 The flexible member may be of constant density or a plurality of visco-elastic foam having a density in the production, to achieve the required effect. 该柔性部件也可以用密度恒定的或者具有多个密度的微孔相通的或者闭合的泡沫材料制造。 The flexible member having a constant density or a plurality of pores communicating density foam material, or the closure can also be used. 该柔性部件可以用,也可以不用表层覆盖。 The flexible member may be, may not cover the surface.

按照本发明一个实施例的包含软垫组件的面罩组件可以采用四个带的面罩具,该面罩具类似于由Res Med Limited公司制造的ULTRAMIRAGETM面罩系统的面罩具。 The mask assembly comprising a cushion assembly embodiment of the present invention may employ a mask having four bands, similar to the mask with the mask having the mask system manufactured by ULTRAMIRAGETM Res Med Limited Company.

本发明实施例的包含软垫组件的面罩组件可以采用美国专利No.6374826所述的头戴扣具,该专利的内容已作为参考文献包含在本文中。 Mask assembly comprising a cushion assembly according to embodiments of the present invention may be employed headgear buckle according to U.S. Patent No.6374826, the disclosure of which is included herein by reference.

本发明面罩系统软垫组件的优点是,增加了使用人的舒适性。 The mask cushion assembly advantages of the system according to the present invention is to increase the comfort of a user. 对于需要很大带张力才能达到密封的人,这可能是由于作用力被均匀分布所致。 The need for a large belt tension to achieve the sealing of people, this may be due to the force is evenly distributed due. 柔性部件还有助于保持膜的形状,并在使用人晚上无意识活动期间保持有效的密封。 The flexible member also helps to maintain the shape of the membrane, and maintaining an effective seal during the night using human unconscious activities.

本发明软垫组件的其它优点包括容易制造,制造成本低。 Other advantages of the present invention includes a cushion assembly is easy to manufacture, low manufacturing cost. 本发明的软垫组件和现有技术软垫例如ACLAIM软垫相比不太复杂,这种ACLAIM是三个部件的软垫,需要在固定于面罩之前进行组装。 The cushion assembly of the present invention and the prior art padded cushion ACLAIM e.g. less complex than this ACLAIM is upholstered three components need to be assembled before being secured to the mask.

本发明的再一优点是,柔性部件只引起较少的膜扭曲,这样便使得医生/临床人员在较短的时间内安装面罩,并达到更可靠的密封。 A further advantage of the present invention, the flexible member only causes less distortion of the film, thus making the doctor / clinician mask mounted in a shorter time and achieve a more reliable sealing.

本发明的再一优点是,在膜的下面配置柔性部件可以达到更稳定的密封。 A further advantage of the invention is a flexible member disposed under the membrane can achieve a more stable sealing. 该柔性部件由于减小了面罩的运动,所以在面部和软垫之间的渗漏速度变化也较小。 The flexible member by reducing the movement of the mask, so that the leakage rate of change between the face and the cushion is small. 这样,便改善了双压力机器提供的治疗。 In this way, they improve the treatment of dual-pressure machine provides.

为了提供正确的力,柔性部件应该具有适当的力位移特性,这一要求是,部件应当足够软,以便一开始便弯曲,匹配脸面器官,但是不应该因为软垫凸缘刚性部件的加压,造成完全被压缩,使使用人的不舒适。 In order to provide the correct force, the flexible member should have an appropriate force displacement characteristic, the requirement that the components should be sufficiently soft to bend the outset, the matching face organ, but should not be a rigid member as the pressing cushion flange, resulting in fully compressed, so that people are not comfortable using.

在上述一些实施例中,软垫用粘合剂配置在框架上,在图80所示的另一实施例中,该软垫用机械紧固件固定在框架上。 In some of the above embodiments, the cushion with an adhesive disposed on the frame, in another embodiment shown in FIG. 80 embodiment, the cushion is fixed to the frame with mechanical fasteners. 在图80的例子中,面罩组件900包括主体部分902和固定在该主体部分902上的软垫904,该软垫904包括用例如连续硅橡胶膜908覆盖的聚氯丁橡胶软垫906。 In the example of FIG. 80, the mask assembly 900 includes a body portion 902 and fixed to the body portion 902 of the cushion 904, the cushion 904 comprises, for example, a silicone rubber membrane 908 covers a continuous neoprene cushion 906. 柔性部分910因为上述原因,沿主体部分902的外周配置。 For the above reasons the flexible portion 910 along the outer circumference of the body portion 902 is disposed. 主体部分902和膜908在此例中由单一部件构成。 Body portion 902 and the film 908 in this embodiment is constituted by a single member. 该膜908包括内周肩部912和接合柔性框架910表面916的外周肩部914,该外周肩部914包住柔性框架910的边缘。 The film 908 includes an inner peripheral shoulder engages shoulder 912 and the outer circumferential surface of the flexible frame 910 916 914, which encloses the outer peripheral edge of the flexible shoulder portion 914 of the frame 910. 或者,外周肩部可以说成为包含接纳柔性框架910外边缘的槽。 Alternatively, the outer periphery of said shoulder may comprise a groove 910 to receive an outer edge of the flexible frame. 同样,内周肩部包括接纳软性框架910内周边缘的槽。 Similarly, the inner circumferential receiving groove includes a shoulder portion of the inner peripheral edge of the flexible frame 910. 换言之,部件908可以快速卡合在框架910的边缘上。 In other words, member 908 can be quickly engaged with the edge of the frame 910.

将软垫的边缘卡合在框架上便不再需要用将聚氯丁橡胶软垫粘接在框架上,虽然在聚氯丁橡胶软垫和硅橡胶膜之间采用这种粘接。 The cushion engages with the edge of the frame is no longer needed to cushion neoprene bonded to the frame, although the use of such a bond between the neoprene cushion and a silicone rubber membrane. 这种配置形成组件极好的整体性,在所有部件之间形成更可靠的结合,而且消除了需要粘接的聚氯丁橡胶软垫和尼龙框架之间化学相容性的有关问题。 This configuration of the assembly formed excellent integrity, a more reliable bond between all the components, and eliminates issues of chemical compatibility between nylon and neoprene cushion frame require bonding.

该面罩组件是足够结实的,可以承受极端条件施加的力,因此更为可靠,患者更为安全。 The mask assembly is sufficiently strong to withstand the extreme conditions of the force applied, and therefore more reliable, safer patient. 膜908提供一种漏气小的密封空气路径。 Film 908 to provide a small leak path seal air.

图81示出用在本发明柔性部件中泡沫材料的松弛曲线。 81 shows a curve with the relaxation in the flexible foam component of the present invention.

下面的表列出适合用于本发明所有实施例柔性部件的泡沫材料的例示性特性: The following table lists the characteristics suitable for all the exemplary embodiments of the flexible foam component of the embodiment of the present invention:

下面的定义是从现有公开文献得到的,但上面示出特性的表其计量单位不是上述定义所用的计量单位。 The following definition is derived from the prior publication, but the table above shows the properties of the measurement unit which is not used in the above-defined unit of measure.

密度是单位体积泡沫的重,下面表示为磅/英尺3(pcF),但上表密度表示为g/cm3。 Density is the weight per unit volume of foam, hereinafter referred to as lbs / ft 3 (pcF), but is represented in Table density g / cm3. 柔性的聚醚尿烷泡沫材料的一般密度范围在1-4pcf之间。 The flexible polyether urethane foam density range is generally between 1-4pcf. 这种密度不是硬度的度量,和胶乳橡胶泡沫不一样。 This is not a measure of the hardness density, foam latex rubber, and is not the same. 为满足给定的负载支承要求,较高密度的泡沫材料一般具有较好的质量和性能。 To meet the requirements of a given load bearing, high density foam materials generally have better quality and performance.

压力负载形变(CLD)(compression load defletion)也是一种支承负载的度量,一般表示为在一定百分形变条件下的磅/英寸2(psi)在此测试中,压缩整个样品,测定的数值与泡沫厚度无关,只要厚度不超长度和宽度。 The pressure load deformation (CLD) (compression load defletion) is also a measure of supporting a load, typically expressed in pounds deformation percentage under certain conditions / inch 2 (psi) in this test, the compression of the entire sample, and the measured values regardless of the thickness of the foam, as long as the thickness does not exceed the length and width. 采用CLD来表示某种特制泡沫材料硬度和一些半柔性泡沫硬度的规格。 CLD employed to indicate some special foams and some semi-flexible foam hardness hardness specifications. 这些数值也可以用来测定在各种湿老化或者加热老化条件下,负载承受能力的变化。 These measured values ​​can also be used in a variety of wet aging or heat aging conditions, changes in load bearing capacity.

负载的压痕形变(ILD)(indenation load deflection)是一种负载承受能力的度量,表示为在给定泡沫百分形变条件下的磅负载/50英寸2。 Indentation load deformation (ILD) (indenation load deflection) is a measure of the ability to withstand load, represented at a given foam pound load conditions percent strain / 50 in2. 为了得到这一数值,将50平方英寸的圆板(a)推入泡沫材料的顶表面,在给定的形变状态下停止,并读出负载或者标度。 To obtain this value, 50 square inch circular plate (a) is pushed into the top surface of the foam material, stopping at a given deformation state, and read the scale or load. 例如,30的25%ILD意味着,需要30磅的负载才能将4英寸厚的泡沫材料板压缩到3英寸厚,负载越大,泡沫材料便越硬。 For example, 25% of ILD means 30, a 30-pound load to the foam material 4-inch thick plate compressed to three inches thick, the larger the load, the more hard foam material. 在此测试中,泡沫样品的尺寸大于圆板的尺寸,对于平板的泡沫材料,一般为15×15英寸。 In this test, foam samples of size larger than the size of the circular plate, the plate material for the foam, typically 15 × 15 inches.

在一些规范中,采用其他的板结构和尺寸定义ILD。 In some specifications, the use of other plate structure and size is defined ILD. ILD有时称为RMA(橡胶制造学会),从乳胶泡沫材料的同一测量得到。 ILD is sometimes referred to as the RMA (rubber Society), give the same measurement from the latex foam material. 表征柔性泡沫规格的推荐规程是:USU(Urethane Slab Uncored);USC(UrethaneSlab Cored);UMU(Urethane Molded Uncored);UMC(Urethane MoldedCored)。 Characterization of flexible foam specification procedures are recommended: USU (Urethane Slab Uncored); USC (UrethaneSlab Cored); UMU (Urethane Molded Uncored); UMC (Urethane MoldedCored). 在此码后面的数值表示25%ILD,例如USU-30是指具有30的25%ILD的无心平板泡沫材料,当测量值受到泡沫材料原厚度影响时,必须示出泡沫材料原来厚度。 In following this code value represents 25% ILD, e.g. USU-30 refers to a foam having a centerless plate 30 of the ILD of 25%, when the measured value by the influence of the original foam thickness, have shown the original foam thickness. (见BASF Wyandotte TechnicalAdvisory,“Effect of Foam Thickness on ILD”.)垂度系数是65%ILD与25%ILD之比,表示软垫质量。 (See BASF Wyandotte TechnicalAdvisory, "Effect of Foam Thickness on ILD".) Sag factor is 65% ILD of 25% ILD ratio, expressed padded quality. 高的数值表示接触到底的阻力。 High value represents the contact resistance in the end. 具有低垂度系数的泡沫材料通常“接触到底”,性能差。 A foam material having a generally low sag factor "contact in the end," poor performance. 这一系数的其他用语是SAG系数和SAG模量。 Other terms are the coefficients SAG SAG factor and modulus.

初始硬度系数(IFH)是25%ILD与5%ILD之比。 Initial hardness coefficient (IFH) and 25% ILD was 5% ILD ratio. 这一系数确定表面感觉。 This factor determining the surface feel. 柔性的或者软表面的泡沫材料具有较高的数值,而表面硬挺的泡沫材料具有较低的值。 Flexible or soft foam material having a high value of surface, and the surface of the stiff foam material having a low value. 初始硬度系数的另一用语是舒适系数。 Another factor is the initial hardness term comfort factor.

在测量ILD时,通常读取在25%变位、65%形变和在去掉负载后又回到25%形变的数值。 When measuring the ILD, typically read 25% deflection, 65% and back to 25% strain at removing the load after deformation values. 用开始25%形变值除以去掉负载时回到该25%形变值是恢复率,表示为%。 Back when divided by 25% of the set values ​​began to remove the load value is 25% deformation recovery rate, expressed as%. 对于作衬垫用,要求较高的恢复率,而用于吸收振动则要求底低的恢复率。 For use as a liner, require a higher rate of recovery, and for absorbing vibration of the bottom of the low recovery rate is required. 低恢复率的泡沫材料有时称为“无弹性”的。 Foam low recovery rate is sometimes referred to as "inelastic" in.

Indentation residual gauge load(ERGL)是另一种负载承受能力的计量,表示为一定负载的英寸值。 Indentation residual gauge load (ERGL) is another measurement of load-bearing capacity, expressed in inches the value of a certain load. 采用测量ILD的同一50平方英寸圆板,但是该板加载一定的负载。 Using the same disk measuring 50 square inches of the ILD, but the loading plate a certain load. 正常的加载是25磅、50磅或者75磅。 The normal load is 25 lbs, 50 lbs or 75 lbs. IRGL值用英寸表示。 IRGL values ​​are expressed in inches. 必须知道泡沫材料的原来厚度,以使得到的值有意义。 You must know the original thickness of the foam material, to make a meaningful value obtained. 这种度量经常用于说明汽车用泡沫材料规格。 This measure is often used to illustrate the car with foam material specifications. 在ILD和IRGL测量值之间没有现成的相关关系。 No existing correlation between ILD and IRGL measurements.

Guide factor是25%ILD与密度之比,该术语用于确定不同密度泡沫材料的相对硬度。 Guide factor was 25% ILD and density, the term is used to determine the relative density of the foam of different hardness. 密度越接近,越好比较。 The closer the density, the better comparison. 当密度不同时,具有最高Guide factor的泡沫材料具有成本优点。 When the density of the foam material is not the same, it has the highest Guide factor has the advantage of cost. 但是性能不一定好。 But performance is not necessarily good. Gride factor的另一用语是归一化的ILD。 Another term Gride factor is normalized ILD.

压痕模量(IM)是在20%ILD和40%的ILD范围内,产生1%压痕所需的负载。 Indentation modulus (IM) within the range of 20% ILD and ILD 40%, 1% to produce a desired indentation load. 该直线的斜率取决于微孔泡沫材料壁抗弯曲的能力。 Slope of the line depends on the ability microporous foam wall against bending.

回弹性是泡沫材料弹性或者弹力的一种度量。 It is a measure of the resilience or elastic force of an elastic foam material. 在此测试中,将钢球落在泡沫材料上,并将反弹表示为百分回弹性,和回复率一样,要求的值取决于应用。 In this test, the ball landed on the foam material, and expressed as a percentage rebound resilience, and recovery rate as required values ​​depend on the application. 对于很软的泡沫材料回弹性可能使人误解,因为在球的作用下,泡沫材料将接触到底。 For very soft resilient foam material may be misleading, because under the action of the ball, the foam will be in contact with in the end. 这样,即使泡沫材料是“灵活的”或者是弹性的,但是也得到很低的回弹性值。 Thus, even if the foam material is "flexible" or elastic, but also a very low resilience value. 球反弹是这一特性的另一用语。 Ball rebound is another term for this feature.

抗拉强度是在将泡沫材料拉伸而断裂所需应力量的一种度量,并表示为磅/英寸2(psi)抗张强度可用作质检控制,一种普通的测试是在加热老化之后,测定抗拉强度的变化。 The tensile strength of the foam material is stretched to be a measure of the force required to break, and expressed in pounds / inch 2 (psi) Tensile strength can be used as quality control, in a conventional heat aging test Thereafter, the measured change in tensile strength.

拉伸率一般在测定抗拉强度的同时进行测量。 Draw rate is generally measured at the same time the tensile strength. 拉伸率是在泡沫材料断裂之前能够拉伸的伸长量的度量,表示为原来长度的百分数。 Is a measure of the tensile elongation before breaking of the foam material is capable of stretching, expressed as a percentage of the original length.

抗撕强度是一种在泡沫材料已开始裂开或者断开之后,继续撕该泡沫材料所需力的一种度量,表示为磅/直线英寸(pli,或者更普通为pi)。 A tear strength after the foam material has started to rupture or disconnected, a measure of the force required to continue tearing the foam material, is in pounds / linear inch (PLI, or more generally as pi). 在需要对材料进行缝纫,用用钉子钉住或者“弯曲形成环形(hog-ringed)”的应用中,为确定在测定泡沫材料的适用性,这一特性是很重要的。 The need for sewing material, with a peg or nail "to form an annular bend (hog-ringed)" application, to determine the suitability of the foam was measured, this feature is very important.

压缩形变(compression set)是在可控的时间和温度条件下,保持泡沫材料压缩之后,泡沫材料形变的度量。 Compression set (compression set) after the under controlled time and temperature conditions, maintaining the foam material compressed foam measure deformation. 标准条件是在158条件下22个小时。 Under standard conditions 158 conditions 22 hours. 在这种测试中,将泡沫材料压缩到给定的厚度,表示为其原来厚度的百分数。 In this test, the foam material is compressed to a given thickness, it indicates a percentage of its original thickness. 压缩形变最普通表示为起始压缩的百分数。 The most common compression set expressed as a percentage of the initial compression.

疲劳是一种在模拟使用条件下负载承受能力损失的一种度量,一般表示为百分率负载损耗。 A measure of fatigue is a load bearing capacity loss under simulated conditions of use, the load loss is generally expressed as a percentage. 两个最普通的疲劳测试是静态疲劳测试和压辊剪切疲劳测试(roller shear fatinue)。 The two most common are fatigue testing static fatigue test shear fatigue test and the pressure roller (roller shear fatinue).

在静态疲劳测试中,将泡沫材料在室温下压缩到其原厚度的25%,压缩17小时,将计算ILD损失,表示为原值的百分数。 In a static fatigue test, the foam material is compressed at room temperature to 25% of the original thickness, the compression for 17 hours to calculate the ILD loss, expressed as a percentage of the original value.

在压辊剪切疲劳测试中,使比泡沫材料宽度长的压辊在泡沫材料上来回滚动。 In the pressing roller shear fatigue test, so that the width of the foam material than the long press rolls rolling back and forth on the foam material. 该辊装在可横向移动的位置,以便施加剪切作用力。 The roller is mounted laterally moved position, to apply shear force. 在应用恒定形变设定值或者恒定压辊重量时,测试方法不同,按照测试方法的说明,计算ILD或者IRGL的损失量。 Deformation upon application of a constant set value or a constant pressure roller weight, different tests according to the test method described, the calculation of the ILD or loss IRGL.

空气流量是泡沫材料孔隙率或者敞开程度的一种度量,表示为立方英尺空气/min(cfm)。 Foam air flow is a measure of the porosity or degree of opening, it expressed in cubic feet of air / min (cfm). 按照ASTM方法的说明,利用真空将空气抽过泡沫材料,或者按照BASF Wyandotte Technical Advisories报告的说明,利用装置,即“BWC便携式空气流量测量装置”和“BWC便携式空气流量测量改进型装置”,使空气吹过泡沫材料。 Follow the instructions of the ASTM method, a vacuum draws air through the foam material, or the instructions BASF Wyandotte Technical Advisories report by means i.e. "BWC portable air flow measuring device" and "BWC improved portable air flow measuring device", so that blowing air through the foam.

还有许多其他泡沫材料特性和测试方法。 There are many other foam characteristics and test methods. 其中许多已经研究出来,用于考虑到的特殊方面。 Many of which have come up for specific aspects taken into account. 在ASTM特殊泡沫材料规格部分中的标准方法D-1564和D-2406中,可以找到其他的术语定义和测试方法的说明。 Standard Method D-1564 and D-2406 in a special foam in ASTM specification section may find descriptions of the other definitions of terms and testing methods.

尽管本发明已根据现在最适用的优选实施例说明本发明,但是应当明白,本发明不限于公开的实施例,相反,本发明包括在本发明精神和范围内的各种变型和等效装置。 Although the embodiments of the present invention is described in accordance with the present invention is applicable is now the most preferred, it is to be understood that the invention is not limited to the disclosed embodiments, on the contrary, the present invention includes various modifications and equivalent arrangements included within the spirit and scope of the invention.

Claims (33)

1.一种正压供气装置的面罩组件,包括:面罩主体组件,构造和配置成可以密封接触患者面部的至少一部分,从而为患者提供加压的呼吸气体;面罩框架,连接于面罩软垫,该面罩框架具有一个或多个接收部件,用于接收带固定机构的结合部分;头戴组件,包括:一个或多个带,该一个或多个带中的各个条具有带固定机构,该固定机构造和配置成可以接合面罩框架的接收部件;灵活的张紧部件,连接于一个或多个带,以便根据供给患者的呼吸气体压力,自动调节该一个或多个带的张力。 A positive pressure supply means mask assembly, comprising: a mask body assembly, may be constructed and arranged to seal at least a portion contacting the patient's face, thereby providing a pressurized breathing gas to the patient; mask frame, cushion attached to the mask the mask frame has one or more receiving means for receiving the fixed portion of the tape binding mechanism; headset assembly, comprising: one or more tape, the or each strip having a plurality of bands with a fixing mechanism, which fixing means can be made and arranged to engage the receiving member of the mask frame; flexible tension member connected to one or more bands, according to the patient's breathing gas supply pressure, automatically adjusting the tension of the one or more bands.
2.如权利要求1所述的面罩组件,其特征在于,该一个或多个带基本上是不能伸缩的。 2. The mask assembly according to claim 1, wherein the one or more belt substantially not stretchable.
3.如权利要求1和2中任一项所述的面罩组件,其特征在于,该灵活的张紧部件是可充气的气胆,例如枕骨气垫或者气包,该气胆连接于该一个或多个带。 2 and 3. The mask assembly 1 of any one of claims, characterized in that the flexible tension member is an inflatable bladder, such as the occipital cushion or air bag, which is connected to the bladder or a a plurality of tape.
4.如权利要求3所述的面罩组件,其特征在于,该可充气气胆可以利用输送到面罩组件的加压呼吸气体的一部分充气。 4. The mask assembly according to claim 3, wherein the inflatable bladder can be inflated using a part of the pressurized breathing gas delivered to the mask assembly.
5.如权利要求3和4中任一项所述的面罩组件,其特征在于,在输送给患者的呼吸气体压力增加时,可充气气胆中的压力增加。 3 and 5. The 4 mask assembly as claimed in any one of the preceding claims, characterized in that, when delivered to the patient breathing gas pressure increases, the pressure can increase in the inflatable bladder.
6.如权利要求3-5中任一项所述的面罩组件,其特征在于,还包括具有两端的导管,第一端适合连接于呼吸气体导管,第二端适合连接于可充气气胆,从而与呼吸气体导管形成气体连通。 6. The mask assembly of any one of claims 3-5, characterized in that, further comprising a conduit having two ends, a first end adapted to be connected to the breathing gas conduit, a second end adapted to be connected to an inflatable bladder, thereby forming a gas communicating with the breathing gas conduit.
7.一种在非侵入性正压供气面罩中控制带张力的方法:将灵活的张紧元件连接于面罩的带;在输送到患者的呼吸气体压力增加时,该灵活的张紧部件自动地增加带的张力。 A method of controlling the belt tension noninvasive positive pressure gas in the mask: a flexible tension element attached to the mask zone; when delivered to the patient breathing gas pressure increases, the flexible tension member of the automatic increasing the tension of the belt.
8.如权利要求7所述的方法,其特征在于,灵活的张紧部件是可充气的气胆,例如枕骨气垫或者气包。 8. The method according to claim 7, characterized in that the flexible tension member is an inflatable bladder, such as the occipital cushion or air bag.
9.如权利要求8所述的方法,其特征在于,使灵活张紧部件自动增加带张力的方法包括在输送到患者的呼吸气体压力增加时,自动充气可充气的气胆。 9. The method according to claim 8, characterized in that the flexible tension member of the automatic method of increasing the belt tension is included in the breathing gas delivered to the patient pressure is increased, the self-inflating the inflatable bladder.
10.一种基本上不能伸缩的头戴组件,构造和配置成连接于正压供气装置的面罩,该头戴具包括:一个或多个基本上不能伸缩的带;可充气气胆,例如枕骨气垫或者气包,该气胆与一个或多个带形成传力关系。 10. A substantially not wearing telescopic assembly, constructed and arranged to be connected to the mask a positive pressure air supply means, the wearing tool comprising: one or more substantially not stretchable band; inflatable bladder, e.g. occipital cushion or air bag, the air bladder with the one or more force-transmitting relation with formed.
11.一种非侵入性正压供气装置的面罩组件,包括:面罩框架,具有由软底部和软顶部连接的基本上刚性的侧部分;面罩主体组件,连接于面罩框架,并可相对于该框架移动;头戴具,构造和配置成能松开地连接于面罩框架,该头戴具包括与框架形成传力关系的灵活张紧部件,该灵活张紧部件构造成为适合于在使用面罩组件时,自由动调节头戴具张力。 11. A mask assembly noninvasive positive pressure air supply apparatus, comprising: a mask frame, having a substantially rigid side and a bottom portion connected by a flexible soft top; mask body assembly attached to the mask frame, and with respect to the frame is moved; wearing tool, constructed and configured to be releasably attached to the mask frame, the headgear includes flexible tension member formed with a force transmitting relationship with the frame, the flexible tension member configured to be suitable for use in the mask when the assembly consisting of the movable head mount with adjustable tension.
12.如权利要求11所述的方面罩组件,其特征在于,该灵活张紧部件是可充气气胆,例如枕骨气垫或者气包。 12. The assembly of aspect 11 of the shroud as claimed in claim, characterized in that the flexible tension member is an inflatable bladder, such as the occipital cushion or air bag.
13.一种用于非侵入性正压供气装置的面罩组件,适合于放在患者的面部上,包括:面罩框架,具有由软底部分和项部分连接的基本上刚性的侧部分,该顶部分和底部分确定纵轴线;面罩主体组件,连接于面罩框架;面罩软垫,连接于面罩主体;头戴具,包括至少一个带,该带构造和配置成在使用中沿头部的侧面定位;其中该面罩框架可以在患者面部周围绕该纵向轴发生弹性形变,从而可以适配患者面部的构形,并固定于至少一个带。 13. A mask assembly noninvasive positive pressure air supply means for, on the face to fit in a patient, comprising: a mask frame, having a substantially rigid side portion and bottom portion are connected by a flexible portion of items, the determining top portion and a bottom portion longitudinal axis; mask body assembly attached to the mask frame; mask cushion attached to the mask body; wearing tools, comprising at least a strip which is configured and arranged along the side of the head, in use, orientation; wherein the longitudinal axis of the mask frame can be elastically deformed around the circumference of the patient surface, the configuration can be adapted to the patient's face, and is fixed to at least one belt.
14.一种使面罩密封地保持在患者面部的方法,包括:将枕骨气垫放在头部和/或颈部的一部分上;使带越过该气垫,该带伸到前方,连接于面罩;用压力Pbladder充气该气垫,该压力是面罩压力Pmask的仿射函数:Pbladder=P0+AmaskPmask式中P0是正压,该压力大到在最低使用压力时,足以使面罩达到密封,Amask是气垫和带之间在后部的接触面积和气垫和头后部之间在前部的接触面积中较小的接触面积。 14. A method in a patient's face mask holding seal, comprising: an air cushion on the occipital part of the head and / or neck; the tape past the air, out into the front of the tape, attached to the mask; with Pbladder pressure inflation of the cushion, the pressure is a function of mask pressure Pmask affine: Pbladder = P0 + AmaskPmask where P0 is positive, while the pressure to the minimum working pressure, sufficient to seal the mask, and the cushion tape is AMASK in the area between the contact area between the front portion and the rear portion of the rear cushion and the head contact smaller contact area.
15.如权利要求14所述的方法,其特征在于,用压力充气气垫,该压力是面罩压力的仿射函数,该方法包括以下步骤:用压力传感器测量面罩压力,由此产生正比于面罩压力的信号;将该信号加到增益和偏差可调的放大器上;将放大器的输出加到电压可控的压力源上;用上述压力源中气体充气上述气垫;调节上述偏差,使软垫在最低需要的压力下可以达到密封;调节上述增益,使得面罩可以在最高需要的压力下达到密封。 15. The method according to claim 14, characterized in that the inflatable pressure cushion, the pressure of the pressure mask is an affine function, the method comprising the steps of: measuring a pressure sensor for the pressure mask, thereby generating a pressure proportional to the mask signal; the signal applied to the adjustable gain and offset amplifier; amplifier output voltage is applied to the controllable pressure source; inflatable cushion above the gas by said pressure source; adjusting the deviation to make cushion at the lowest at a pressure required to seal the can; adjust the gain so that the mask can be sealed under pressure reaches the highest required.
16.如权利要求14和15中任一项所述的方法,其特征在于,如果压力传感器的信号Vpt是Vpt=KptPmask,则可控压力源产生压力Pc=KcVc,面罩与面部接触面积在后方向的投影面积是Amask,带与气垫后表面接触面积在前方向的投影面积是Abladder,在压力为零时达到密封所需要的力是F0,则放大器产生输出电压:Vout=F0/Abladder+Amask/AbladderKc/KptVin 15 and 16. 14 A method according to any one of the preceding claims, characterized in that, if the signal of the pressure sensor is Vpt Vpt = KptPmask, controllable pressure source is a pressure Pc = KcVc, face contact with the mask area after direction is a projected area Amask, surface contact area with the front and rear direction, the projected area of ​​cushion Abladder, to achieve the desired sealing force when the pressure is zero is F0, the amplifier produces an output voltage: Vout = F0 / Abladder + Amask / AbladderKc / KptVin
17.如权利要求14-16中任一项所述的方法,其特征在于,用压力充气该气垫,该压力是面罩压力的仿射函数,该方法包括以下步骤:通过第一软管将面罩连接于包含第一活塞的第一气缸,上述第一活塞又通过连杆连接于在第二气缸中的第二活塞,上述第二气缸通过第二软管连接于上述气垫,偏压上述连杆,使上述气垫充分充气,从而使面罩在最低预定使用压力下可以达到密封。 17. The method according to any one of claims 14 to 16 claims, characterized in that the pressure of the inflatable cushion, the mask pressure is the pressure of an affine function, the method comprising the steps of: a first mask hose comprising a first cylinder connected to the first piston, the first piston is in turn connected to the second piston in a second cylinder by a connecting rod, said second cylinder by a second hose connected to the air cushion biasing the link , so that the fully inflated air cushion, so that the mask at a predetermined minimum pressure may be used to seal.
18.一种使面罩密封地保持在患者面部上的装置,包括:第一组可伸长的带,从头的后部向前伸到面罩,将上述带充分地张紧,使上述面罩在最低使用压力下密封地保持在面部上;第二组不伸缩的带,仍然从头的后部向前伸到面罩,该第二组带位于第一组带的上面;可充气的枕骨气垫,放在头的后部,位于上述第一组带和第二组带之间,上述气垫与面罩中的空气流体相通。 18. An apparatus in the mask on the patient's face holding seal, comprising: a first set of elongated strip, the rear portion of the head forward out into the mask, the tape will be sufficiently tensioned, the mask so that the minimum remains sealed to the pressure on the face; rear second group does not stretchable tape, the head remains out into the forward face mask, the second set of belt located above the first set band; inflatable occipital cushion, placed back of the head, positioned between the first set and the second set of belt strip, an air cushion above the fluid in communication with the mask.
19.一种将非侵入性正压供气装置加在患者身上的面罩组件,包括:框架,包括主体,该主体包括至少一个孔,该孔的形状构造成为可以接收输送的加压可呼吸气体,上述框架包括至少一个装在主体上的选出部分,上述选出部分相对于主体是可调的;软垫,装在框架上,该软垫构造成为形成与患者的界面,在施加正压时,上述软垫向患者作用一种力,该力可以根据1)在上述正压的给定值该选出的框架部分相对于主体的位置;和/或2)该正压的变化,进行调节。 19. A non-invasive positive pressure applied on the patient supply means mask assembly, comprising: a frame including a body comprising at least one aperture, the shape of the aperture configuration becomes may receive pressurized breathable gas delivered said frame including at least a selected portion mounted on the body, said selected portion is adjustable relative to the body; cushion mounted on the frame, the cushion configured to be formed with the patient interface, a positive pressure is applied when the cushion action of one kind of force to the patient, which may force a) at a given value of the frame portion of the selected positive pressure relative to the body; / or 2) change and the positive pressure, for regulation.
20.如权利要求19所述的面罩组件,其特征在于,还包括至少一个配置在框架部分上的头戴具连接部分,上述框架部分可以按照头戴具带张力变化进行活动,从而在使用时,可以调节作用在患者鼻子和/或面部两侧的力。 20. The mask assembly according to claim 19, wherein further comprising at least a frame portion disposed on the connecting portion with the headgear, the frame portion may be in accordance with a change in tension activities wearing tool, whereby, in use , force may be adjusted in the nose and / or sides of the patient's face.
21.如权利要求19所述的面罩组件,其特征在于,该框架包括调节机构,该调节机构包括至少一个最好许多间隔开的调节钮,该调节钮可以调节而改变主体和框架部分之间的相对位置。 Between 21. The mask assembly according to claim 19, wherein the frame comprises adjusting mechanism, the adjusting mechanism preferably includes at least a plurality of spaced apart adjustment knob, the knob may be adjusted to change the body and the frame portion the relative position.
22.如权利要求19所述的面罩组件,其特征在于,该选出的框架部分包括支承软垫的柔性部件。 22. The mask assembly as claimed in claim 19, wherein the selected portion comprises a frame member supporting a flexible cushion.
23.如权利要求19所述的面罩组件,其特征在于,该主体和选出的框架部分被形成为相互连接的两个分开部件。 23. The mask assembly according to claim 19, wherein the selected portion of the body and the frame is formed as two separate parts connected to each other.
24.如权利要求19所述的面罩组件,其特征在于,利用凸轮机构可以使该主体和选出部分移动。 24. The mask assembly as claimed in claim 19, wherein the cam mechanism allows the mobile body and the selected portion.
25.如权利要求19所述的面罩组件,其特征在于,软垫包括至少一个其中可充气的部件,从而可调节有效刚性和/或与患者的有效配合。 25. The mask assembly as claimed in claim 19, characterized in that the cushion comprises at least one inflatable member wherein, thereby adjusting the effective mating effective rigidity and / or the patient.
26.如权利要求25所述的面罩组件,其特征在于,该可充所部件配置成可选择性调节软垫鼻梁区域的大小。 26. The mask assembly according to claim 25, wherein the charging member which may be configured to selectively adjust the size of the nasal bridge region of the cushion.
27.如权利要求19所述的面罩组件,其特征在于,该选出的框架部分包括框架的用柔性材料制造的各个框架侧面部分。 27. The mask assembly as claimed in claim 19, characterized in that the frame includes a respective portion of the selected frame side portions of a flexible material of the frame.
28.如权利要求19所述的面罩组件,其特征在于,该软垫包括至少一个部件,该部件在作用力变化时,可以提供软垫多个刚性系数。 28. The mask assembly according to claim 19, characterized in that the cushion comprises at least one member which changes when a force may be provided a plurality of rigid cushions coefficients.
30.一种用于处理睡眠不规则呼吸的面罩软垫组件,该软垫组件包括:相当刚性材料作的软垫凸缘,该软垫凸缘包括适合连接于面罩主体的第一侧面和对着第一侧面的后侧面;下层软垫,连接于软垫凸缘,并伸向后侧,该下层软垫具有第一刚度;膜,连接于软垫凸缘,并伸向后侧,该膜具有大体匹配下层软垫形状的形状,并包围下层软垫,该膜具有第二刚度,该刚度小于第一刚度,该膜适合于贴着戴用人的面部,并在贴着时,在面罩和戴用人面部之间形成密封;柔性部件,配置在下层垫和膜之间,该柔性部件具有至少第三刚度,该刚度大于第二刚度,并小于第一刚度。 30. A method for processing an irregular sleep breathing mask cushion assembly of the cushion assembly comprising: a relatively rigid material for the cushion flange, the flange includes a first side cushion adapted to be connected to the mask body and for a first side surface of the rear side; lower cushion, the cushion is connected to the flange and extending toward the rear side, the lower cushion having a first stiffness; film cushion is connected to the flange and extending toward the rear side, the when a film having a shape substantially matching the lower cushion, the cushion and surrounds the lower layer, the film having a second stiffness that is less than the first stiffness, the film is adapted to face against the wearer, and against, the mask and forming a seal between the face of wearer; a flexible member disposed between the pad and the underlayer film, the flexible member having at least a third stiffness that is greater than the second stiffness and less than the first stiffness.
31.如权利要求30所述的软垫组件,其特征在于,该柔性部件由多个部分形成。 31. The cushion assembly according to claim 30, wherein the flexible member is formed of a plurality of parts.
32.如权利要求30和31中任一项所述的软垫组件,其特征在于,该柔性部件是由泡沫材料构成,该柔性部件由硅橡胶构成。 30 and cushion assembly 31 according to any one of claim 32., wherein the flexible member is composed of a foam material, the flexible member is made of silicone rubber.
33.一种用于处理睡眠不规则呼吸的面罩软件组件,该软垫组件包括:由相当刚性材料制造的软垫凸缘,该软垫凸缘包括适合连接于面罩组件主体的第一侧面和对着第一侧面的后侧面;膜,连接于软垫凸缘,并伸向后侧,该膜具有第一刚度,该膜适合于接触患者面部,并在接触时,在面罩和戴用人面部之间形成密封;柔性部件,配置在膜和软垫凸缘之间,该柔性部件具有至少大于第一刚度的第二刚度;保持架,接触其支承的柔性部件,该柔性部件配置在软垫凸缘和保持架之间。 33. A method for processing an irregular sleep breathing mask software components of the cushion assembly comprising: a cushion flange made from relatively rigid material, the cushion includes a first side flange adapted to be connected to the mask body assembly and rear side opposite the first side; film cushion is connected to the flange and extending toward the rear side, the membrane having a first stiffness, the film is adapted to contact the patient's face, and upon contact, the mask and the face of wearer form a seal between; a flexible member disposed between the film and the cushion flange, the flexible member having at least a second stiffness greater than the first stiffness; a holder, which is supported in contact with the flexible member, the flexible member disposed on the cushion between the flange and cage.
34.一种用于处理睡眠不规则呼吸的面罩软垫组件,该软垫包括:第一层,包括适合于连接于软垫主体的前侧面和对着第一侧面的后侧面;第二层,连接于第一层,并从第一层的前侧面伸向后侧面,该第二层确定软垫形状,并适合于接触戴用人的面部,并在接触时,在面罩和戴用人面部之间形成密封,而向软垫组件加力时被压缩。 34. A method for processing an irregular sleep breathing mask cushion assembly of the cushion comprising: a first layer comprising a cushion adapted to be connected to the main body of the front and rear sides against the first side surface; a second layer when connected to the first layer, and toward the rear side from the front side of the first layer, a second layer which determines the shape of the cushion, and adapted to the contact face of the wearer, and in contact with, the mask and the face of wearer formed between the seal to be compressed when the cushion assembly urging.
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CN104602745A (en) * 2012-08-08 2015-05-06 费雪派克医疗保健有限公司 Headgear for patient interface
CN104703648A (en) * 2012-10-02 2015-06-10 皇家飞利浦有限公司 Customizable cushion utilizing fitted plug inserts
CN104703648B (en) * 2012-10-02 2017-04-26 皇家飞利浦有限公司 Use customizable cushion plug insert mounted
CN105530905A (en) * 2013-06-11 2016-04-27 赖特治疗产品股份有限公司 Methods and systems for determining use compliance of a compression therapy device
CN105451823A (en) * 2013-06-11 2016-03-30 普雷文泰克有限公司 Particle filter mask
CN104874080A (en) * 2015-05-19 2015-09-02 湖南明康中锦医疗科技发展有限公司 Intelligent respirator mask

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