JP6767286B2 - 鼻用アセンブリ - Google Patents
鼻用アセンブリ Download PDFInfo
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- JP6767286B2 JP6767286B2 JP2017040242A JP2017040242A JP6767286B2 JP 6767286 B2 JP6767286 B2 JP 6767286B2 JP 2017040242 A JP2017040242 A JP 2017040242A JP 2017040242 A JP2017040242 A JP 2017040242A JP 6767286 B2 JP6767286 B2 JP 6767286B2
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0683—Holding devices therefor
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- A—HUMAN NECESSITIES
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0605—Means for improving the adaptation of the mask to the patient
- A61M16/0616—Means for improving the adaptation of the mask to the patient with face sealing means comprising a flap or membrane projecting inwards, such that sealing increases with increasing inhalation gas pressure
- A61M16/0622—Means for improving the adaptation of the mask to the patient with face sealing means comprising a flap or membrane projecting inwards, such that sealing increases with increasing inhalation gas pressure having an underlying cushion
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0605—Means for improving the adaptation of the mask to the patient
- A61M16/0633—Means for improving the adaptation of the mask to the patient with forehead support
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- A—HUMAN NECESSITIES
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0605—Means for improving the adaptation of the mask to the patient
- A61M16/0633—Means for improving the adaptation of the mask to the patient with forehead support
- A61M16/0644—Means for improving the adaptation of the mask to the patient with forehead support having the means for adjusting its position
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- A—HUMAN NECESSITIES
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
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- A61M16/0666—Nasal cannulas or tubing
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- A—HUMAN NECESSITIES
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- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0816—Joints or connectors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0816—Joints or connectors
- A61M16/0825—Joints or connectors with ball-sockets
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- A—HUMAN NECESSITIES
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0816—Joints or connectors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M2016/0661—Respiratory or anaesthetic masks with customised shape
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- Health & Medical Sciences (AREA)
- Pulmonology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Anesthesiology (AREA)
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- Emergency Medicine (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
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- Otolaryngology (AREA)
- Respiratory Apparatuses And Protective Means (AREA)
- Surgical Instruments (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Description
[従来技術に関するクロス・リファレンス]
本出願は、これらの各々の全内容が本明細書に援用される、2003年12月16日に提出された米国特許仮出願第60/529,696号、2003年8月12日に提出された第60/494,119号、2003年2月21日に提出された第60/448,465号、2003年6月27日に提出された第60/482,872号及び2003年7月22日に提出された第60/488,810号に対する恩典を主張する。
添付図面は、本発明の様々な実施形態の理解を容易にする。
図1は、患者の鼻14の鼻腔12に呼吸可能な気体を移送するように構成した鼻用アセンブリ10の実施形態を示す。鼻用アセンブリ10は、枠16と、枠16と恒久的にまたは取外し可能に接続したノズルアセンブリ18を備える。ヘッドギアアセンブリ20(図18参照)は、好ましくは、枠16及びノズルアセンブリ18を患者の顔上の所望の調節位置に維持するために接続アセンブリ22と取外し可能に接続される。取入導管(例えば図49を参照)もまた、患者による呼吸のために枠16及びノズルアセンブリ18内に呼吸可能な気体を移送するために接続アセンブリ22によって枠16と取外し可能に接続される。ヘッドギアアセンブリ20及び取入導管は、取入導管及びヘッドギア接続アセンブリ22によって枠16と取外し可能に接続される。接続アセンブリ22は、枠16によって与えられる第1のコネクタ部分24(図2及び図3参照)と、第1のコネクタ部分24と取外し可能に結合されるように構成した第2のコネクタ部分26を備える。第2のコネクタ部分26は、更に議論するように、ヘッドギアアセンブリ20及び取入導管と取外し可能に接続される。
図25〜図37は、210として示す鼻用アセンブリの別の実施形態を示す。図25〜図37に最もよく示すように、鼻用アセンブリ210は、枠216と、枠216と取外し可能に接続されたノズルアセンブリ218を備える。ヘッドギアアセンブリ220(図37参照)が、好ましくは、枠216及びノズルアセンブリ218を患者の顔上の所望の調節位置に維持するために枠216に取外し可能に取り付けている。取入導管274(例えば図36及び37を参照)もまた、患者による呼吸のために枠216及びノズルアセンブリ218内に呼吸可能な気体を移送するために枠216に取外し可能に取り付けている。ヘッドギアアセンブリ220及び取入導管274は、取入導管及びヘッドギア接続アセンブリ222によって枠216に取外し可能に接続される。接続アセンブリ222は、枠216によって与えられる第1のコネクタ部分224(図28及び図29参照)と、第1のコネクタ部分224と取外し可能に結合するように構成した第2のコネクタ部分226を備える。第2のコネクタ部分226は、更に議論するように、ヘッドギアアセンブリ220及び取入導管274と取外し可能に接続される。
図38〜図51は、参照符号310で示す鼻用アセンブリの別の実施形態を示す。図38、39及び43に最もよく示すように、鼻用アセンブリ310は、枠316と、枠316と取外し可能に接続されたノズルアセンブリ318を備える。ヘッドギアアセンブリ320は、好ましくは、枠316及びノズルアセンブリ318を患者の顔上の所望の調節位置に維持するために枠316に取外し可能に取り付けられる。取入導管374もまた、患者による呼吸のために枠316及びノズルアセンブリ318内に呼吸可能な気体を移送するために枠316に取外し可能に取り付けられる。ヘッドギアアセンブリ320及び取入導管374は、取入導管及びヘッドギア接続アセンブリ322によって枠316と取外し可能に接続される。接続アセンブリ322は、枠316によって与えられる第1のコネクタ部分324(図40及び43参照)と、第1のコネクタ部分324と取外し可能に結合されるように構成した第2のコネクタ部分326と、を備える。第2のコネクタ部分326は、更に議論するように、ヘッドギアアセンブリ320及び取入導管374と取外し可能に接続される。
図52〜58は、参照符号410で示す鼻用アセンブリの別の実施形態を示す。図52及び53に最もよく示すように、鼻用アセンブリ410は、枠416と、枠416と取外し可能に接続されたノズルアセンブリ418と、を備える。ヘッドギアアセンブリ420が、枠416及びノズルアセンブリ418を患者の顔上の所望の調節位置に維持するために枠416に取外し可能に取り付けられる。取入導管474もまた、患者による呼吸のために枠416及びノズルアセンブリ418内に呼吸可能な気体を移送するために枠416に取外し可能に取り付けられる。ヘッドギアアセンブリ420及び取入導管474は、取入導管及びヘッドギア接続アセンブリ422によって枠416と取外し可能に接続される。接続アセンブリ422は、枠416によって与えられる第1のコネクタ部分424(図55及び図56参照)と、第1のコネクタ部分424と取外し可能に結合されるように構成した第2のコネクタ部分426を備える。第2のコネクタ部分426は、更に議論するように、ヘッドギアアセンブリ420及び取入導管474と取外し可能にまたは固定されて接続される。
図59〜図85は、510で示されている鼻用アセンブリの別の実施形態を示す。鼻用アセンブリ510は、枠516と、枠516と取外し可能に接続されたノズルアセンブリ518と、を備える。図61に最もよく示すように、枠516は、1対の第1のコネクタ部分524を備える。図59に戻ると、1対の取入導管574は、患者による呼吸のために枠516及びノズルアセンブリ518内に呼吸可能な気体を移送するように構成される。呼吸可能な気体は、例えば、1対の第2のコネクタ部分526及び1対のアングルコネクタ542を介して、取入導管574から枠516及びノズルアセンブリ518へ移送される。第2のコネクタ部分526は、枠516の各第1のコネクタ部分524(図61)と取外し可能かつ回転自在に接続される。アングルコネクタ542は、第2のコネクタ部分526と各取入導管574の間に接続されるかまたは配置される。ヘッドギアアセンブリ520が、更に説明するように、枠516及びノズルアセンブリ518を患者の顔上の所望の調節位置に維持するように、(a)1対の第2のコネクタ部分526及び/又は(b)アングルコネクタ542に取外し可能に取り付けられる。
した第1の細長い導管586と、取入導管574のもう一方と係合するように構成した第2の細長い導管588と、を備える。図示した実施形態では、第1及び第2の細長い導管586、588は、接続を容易にするためにテーパ付き形状を有する、例えば、上部が或る角度に形成される。また、第1及び第2の細長い導管586、588は、例えば、摩擦によって、それに各取入導管574を固定するためにその間で各取入導管574を楔合するように構成される。また、フロージェネレータコネクタ584は、実質的にY字形状を有し、第1の細長い導管586が第2の細長い導管588に対して傾斜している。フロージェネレータコネクタ584のY字形状は、取入導管574との不正確な組立てを防止し、空気経路を融合することを助ける。図59に示すように、加圧供給源との相対運動を可能にするために、スイーベル590がフロージェネレータコネクタ584に取り付けてもよい。
図86〜図88は、患者の鼻14の鼻腔12に呼吸可能な気体を移送するように構成した鼻用アセンブリ10の別の実施形態を示す(図97A及び図97B参照)。鼻用アセンブリ10は、柔軟な導管16と、ガセット部分18と、1対のノズル20、22と、ヘッドギアコネクタ25と、を備える。柔軟な導管16は、圧縮された呼吸可能な気体の供給源を受けるように構成した部分と患者側部24を有する。ガセット部分18は、柔軟な導管16の患者側部24に取り付けた第1の側部26(図89を参照)と、第2の側部28と、を備える。1対のノズル20、22は、それぞれ、ガセット部分18の第2の側部28に取り付けた第1の部分30と、使用中患者の鼻14の鼻腔12と密封係合し、鼻用アセンブリ10と患者の鼻腔12の間に密封を与えるように構成した第2の部分32と、を備える(図90参照)。ヘッドギアコネクタ25が、柔軟な導管16を患者の頭部上に配置されたヘッドギアアセンブリに取り付ける。ガセット部分18は、以下で更に議論するように、導管16と1対のノズル20、22の間の距離を変更するために膨脹及び収縮することができるように構成される。
図108〜図113は、本発明の更に別の好ましい実施形態を示す。図108に示すように、マスクアセンブリ600は、そのそれぞれが、それぞれ図60及び図61に示すヘッドギア及びクッションアセンブリ604と実質的に同様である、ヘッドギア602及びクッションアセンブリ604を備える。ヘッドギア602は、患者の頭頂部を捕捉するように構成される。ストラップ張力の調節は、頭頂部のルーズタブを両方向に引くことによって達成することができる。滑車方向は、患者に加えられるノズルアセンブリの力と整合されない。このため、患者は、ストラップの調節力からより隔離される。ヨークは、側部に安定性を与える。ヨークは、ヘッドギアの基本形状の少なくとも一部を保持し、ヘッドギアの装着を容易にする。ヘッドギアの全ての調節は、頭の後部または上部で行うことができるため、ヘッドギアは、顔の前部の方への調節可能性を備える必要はない。
12 鼻腔
14 鼻
16、216、316、416、516、616 枠
18、218、318、418、518、618 ノズルアセンブリ
20、220、320、420、520 ヘッドギアアセンブリ
22、222、322、422 接続アセンブリ
24、224、324、424、524 第1のコネクタ部分
26、26´、226、326、426、526、526´ 第2のコネクタ部分
28、228、328、428、528 主本体
30、230、330、430 中央開口
32、232、332、432、532 側部枠部材
34 接続セクション
36 標示セクション
37 溝、スロット
38、238 アーム
40、240、340 リブ部分
42、44 歯
48、248、348、448、548 ベース部分、ガセット部分
50、250、350、450、550 ノズル
52、452 側壁
54 中央壁
56 第1の部分
58 第2の部分
60、260、360、460、560 前部部分
62、262、362、462、562 後部部分
64、72、264、364、464、564 導管
66、266、366、566 くぼみ
68、70、71、270 クロスバー
72、74、76、86、88、90、272、274、286、288、290、374、386、472、474、545、574、586、588 導管
78 排気口
84、284、484、584 フロージェネレータコネクタ
90 コネクタ、導管
92、292、392、492 側部部分
94、294、394、494 後部部分
96、296、396、496 側部ストラップ
98、298、398、498、598 上側ストラップ
100、299、399、499、599 後部ストラップ
102 バックル
219、319 主本体
221、321 端部部分
278、223、323 開口
291、393 保持ストラップ
293 保持プロング
384 アングルコネクタ、フロージェネレータコネクタ
446 リム
461 アーム部材
463 ラグ
465 突起
466 くぼみ、クロスバー
519 上側輪郭部分
521 下側輪郭部分
526a タブ
530 クリップ
542 アングルコネクタ
542´ エルボーコネクタ
542a キーウェイ
542b 隆起
544 逃げ溝
546 ショルダ部分
552 細長いコネクタ
554、556 錠止部材
561 溝
565、567 通路
570 バックル
571、572 錠止部分
576 タブ
578 曲線状の表面
580、580´ ヨーク
581 保持部材
590 スイーベル
604 ノズルまたはクッションアセンブリ
630 クリップ
10、210、310 鼻用アセンブリ
18、218 ガセット部分
20、22、220、222、320、322、826、832、834、836、840、844 ノズル、鼻ピロー
25 ヘッドギアコネクタ
26、28、226、228 側壁
30、230 第1の部分
32、230 第2の部分
34、234 中央導管
236、238、336 取入導管
40、42、44、244 取入コネクタ
46 上側部分
52、54 端部セクション
56 溝
60、66、68、70 開口
62、262 排気口
64 突起
72 接続構造
74、76、90 導管部分
78 フランジ
80、82 通路
84、86、88 コネクタ
206 ヘッドギアアセンブリ
207 ストラップ
208 頭布
411、415 支持部
413 第1の部分
417 第2の部分
419 橋部
421 クッション
423 ヘッドギアコネクタ部分
425 ヘッドギアストラップ
600、650、690、702、750、780 マスクアセンブリ
602、652、692、752、782、792、800 ヘッドギアアセンブリ
604、654、694、794 鼻クッションアセンブリ、頭頂ストラップ
606 空気移送チューブ
607 スイーベルコネクタ
608 ヨーク
609 端部
611a 指標
611b マーカー
612 スイーベルエルボー
622 プラグ
656、696 後頭ストラップ
658、732、734、760、788、792、808、810 チューブ
660 端部
664、708、736、768、820 支持枠
666 下側部分
668、738 クッション
670 中央部分
672、710 上側部分
674、714、804、822 支持アーム
676、678、715 コネクタスロット
680、826 ノズル
682、824 プレナムチャンバ
698、758、783、802 アームストラップ
700、702、790 コネクタ
724、726 クロスバーストラップ
728 分岐
754、784 後部ストラップ
756、786 前頭部ストラップ
759 ヨーク部材
767 アーム
766、770 コネクタ部分
806 インターチェンジ
Claims (7)
- ベース部分及び1対のノズルを含むシリコーンノズル構造であって、前記1対のノズルが使用者の鼻腔と密封係合するように構成されたシリコーンノズル構造と、
前記シリコーンノズル構造に結合されるとともに、前記シリコーンノズル構造よりも剛性の高い材料で形成された、枠と、
使用者の鼻腔と密封係合する前記シリコーンノズル構造を支持するように構成されたヘッドギアアセンブリと、
前記シリコーンノズル構造および前記枠が前記使用者の鼻腔に対して同じ角度変位で全体として回転できるようにする調節機構であって、前記調節機構は前記ヘッドギアアセンブリの調節と無関係に調節可能である、調節機構と、
を備え、前記ヘッドギアアセンブリは、複数の下方に延在する側部ストラップを含み、及び鼻用インターフェイスが、複数の横方向アームを含み、前記複数の横方向アームは、長さ調節可能に前記下方に延在する側部ストラップのそれぞれ1つの自由端を受けるように構成されたスロットを含み、
鼻用インターフェイスは前額サポートを含まず、
前記ヘッドギアアセンブリは、前記横方向アーム及び前記調節機構を介して前記シリコーンノズル構造及び前記枠を支持する、使用者に加圧された呼吸可能な気体を移送する鼻用インターフェイス。 - 前記ベース部分が前記枠の各側壁と噛み合う対向側壁を含む、請求項1に記載の鼻用インターフェイス。
- 前記ベース部分および前記枠は前記横方向アームに対して全体として回転可能である請求項2に記載の鼻用インターフェイス。
- ノズル間の鼻翼角が70°〜90°及び135°〜155°の範囲となるように前記ベース部分が成形されており、ノズルのそれぞれの開口部が長軸及び短軸を有する楕円形状である、請求項1に記載の鼻用インターフェイス。
- 前記シリコーンノズル構造は、使用時に患者の鼻の下の軸位置の周りを回転可能である請求項1から3のいずれか一項に記載の鼻用インターフェイス。
- 枠部分が前記ベース部分に直接結合されており、かつ前記1対のノズルは前記ベース部分に直接結合されている、請求項1から5のいずれか一項に記載の鼻用インターフェイス。
- 前記シリコーンノズル構造は、前記シリコーンノズル構造に空気流を移送するように構成された導管とは独立して回転可能である、請求項1から6のいずれか一項に記載の鼻用インターフェイス。
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