US2354397A - Jacket type respirator - Google Patents

Jacket type respirator Download PDF

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Publication number
US2354397A
US2354397A US424425A US42442541A US2354397A US 2354397 A US2354397 A US 2354397A US 424425 A US424425 A US 424425A US 42442541 A US42442541 A US 42442541A US 2354397 A US2354397 A US 2354397A
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United States
Prior art keywords
jacket
gasket
shoulder
backplate
gaskets
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
US424425A
Inventor
Sidney E Miller
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Motors Liquidation Co
Original Assignee
Motors Liquidation Co
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Publication date
Application filed by Motors Liquidation Co filed Critical Motors Liquidation Co
Priority to US424425A priority Critical patent/US2354397A/en
Application granted granted Critical
Publication of US2354397A publication Critical patent/US2354397A/en
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Expired - Lifetime legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H31/00Artificial respiration or heart stimulation, e.g. heart massage
    • A61H31/02"Iron-lungs", i.e. involving chest expansion by applying underpressure thereon, whether or not combined with gas breathing means

Definitions

  • This invention relatesto atherapeutic device and more particularly to. an improved form of breathingmachine.
  • One object of this invention is to provide a breathing machine which may be applied with a minimum amount of delayand inconvenience.
  • Another objectof this invention is to provide a breathing machine which may be worn for.
  • v i 1 Another object of this invention is .to provide a breathing machine in. which the shoulder en.- closing portion may bei-removed so as to-make it possible to massage the shoulders without removing the entire machine. a i
  • FIG. 1 is a perspective view of the main portion of the breathing machine with the gaskets removed;
  • Fig. 2 is a vertical sectional view of the apparatus shown in Fig. 1;
  • Fig. 3 is a fragmentary sectional view showing the arrangement of the arm gasket
  • Fig. 4 is an elevational view of one of the arm gaskets
  • Fig. 5 is a sectional view of the gasket shown in Fig. 4;
  • Fig. 6 is similar to Fig. 1 but shows a modified breathing machine construction
  • Fig. 7 is a fragmentary elevational view showing one shoulder strap swung out of position
  • Fig. 8 is a sectional view of a modified gasket construction
  • Fig, 9 is a plan view of a modified gasket arrangement.
  • reference numeral designates a lightweight jacket type of breathing machine or respirator having a breastplate l2 and a backplate I 4.
  • the plates I2 and M are held together by means of latches l6 provided on each side of the jacket.
  • the breastplate I2 is provided with lugs I at the shoulder which engage within the pockets.
  • l1 formed on the backplate l4 so as to assist in holding the breastplate in alignment with the backplate.
  • Reference numerals l 8 and 20 designate neck and arm holes respectively, and referencenumeral 22 designates apipe which is adaptedto be connected to a suitablerespirator pump not shown.
  • the interior of'th jacket may be lined with spongev rubber or the like so as to increase the comfort. As shown in Fig.
  • the backplate I4 is provided with a relatively thick sponge rubber member 24.
  • the sponge rubberelement 24 has been made relatively thick, whereas, the sponge rubber element 26, which forms a lining for the breastplate l2, may be relatively thin or may be omitted altogether.
  • The. elements l2 and I4 may be of a lightweight metal such as aluminum, or they may be made out of a transparent plasticmaterial. I have found that transparent plastics canbe used whereby it is possible to observe the patients respiration.
  • FIG. 3 I have shown a sectional view through a gasket 290i the'type 'used for-preventing the leakage of air at the point where an-arrn or the neck passes through the wall of 'the jacket.
  • the gasket 29, as best shown in Figs. 3, 4 and5, comprises'a thin resilient-portion 32 and a circumferentially arranged resilient bead 30 which is formed integrally with the thin portion 32.
  • the thin portion 32 may be made from sponge rubber if desired or sponge rubber may be secured to a thin rubber membrane adjacent the central opening 38.
  • the bead 30 is adapted to slip into the groove 34 which is formed by providing a flange 36 surrounding the opening to be sealed.
  • the length of the bead is made such that it is necessary to stretch the bead over the flange 36.
  • Each gasket may be formed with or without a central opening 38. If formed without a central opening, then it is necessary to cut an opening of the proper size when the jacket is fitted to the patient. Inasmuch as the gaskets are readily removable and inexpensive, gaskets with several different size openings may be provided With each jacket so as to allow for differences in the siz of the patients. Thus, a patient having large arms would use gaskets having larger .arm openings than a patient having small arms.
  • Each gasket may be made up in a flat form, such as shown in Fig. 5, or it may be made in a special form, such as shown in Fig. 8. The form shown in Fig. 8 makes it possible to stretch the bead without stretching the material next to the opening 38. In Fig.
  • the thin rubber portion is formed as shown and is provided with a slit 9
  • the position of the slide element 92 determines the size of. the central opening.
  • a thin rubber flap 93 is provided adjacent the slit 9! as shown.
  • the abdominal gasket used adjacent the lower end of the jacket is constructed as shown in Fig. 6.
  • This gasket comprises a thinelastic strip 40 provided with a bead 42 along one edge thereof. Straps 44 provided with snap fasteners 45 and 41 are used for holding the asket in place at the point where the ends of the gasket overlap.
  • the bead 42 is adapted to be slid into the slot 44 (see Fig. 2) provided along the bottom edge of the backplate M.
  • the slot 44 is formed by fastening a strip 46 along th lower edge of the backplate M, as shown in Fig. 2.
  • the lower edge of the breastplate i2 is partially rolled, as best shown in Figs. 1, 2 and 6, so as to provide a groove 50 for the reception of the beaded portion 42 of the gasket 40.
  • a slide fastener of the zipper type may be substituted for the straps 44 if desired.
  • Figs. 6 and 7 I have shown a modified jacket arrangement in which hinged shoulder pieces 55 have been provided. These shoulder pieces are hinged to the backplate M by means of hinges 61. Latches 69 hold the shoulder piece in place during use.
  • the jacket shown in Figs. 6 and 'T is similar to the one shown in Figs. 1 and 2.
  • the purpose of providing shoulder straps which are hinged or similarly mounted is to make it possible to massage the patients shoulders without the necessity of removing the whole jacket.
  • Fig. '7 shows one of the shoulder straps swung open. As shown in Figs.
  • the shoulder straps are flanged adjacent the neck and arm openings whereby the beaded portions of the neck and arm gaskets assist in holding the shoulder straps in place when the breathing machine is in operation. Since it is frequently necessary for a patient to wear the jacket for prolonged periods of time, it is desirable to be able to massage the shoulder without removing the entire jacket. By virtue of the construction shown in Figs. 6 and '7, it is not necessary to remove the entire jacket in order to massage the shoulder since the shoulder straps may be swung into the position shown in Fig. 7, whereby the shoulders of the patient are accessible. This may all be done without unlatching the latches l6 and without disturbing the abdominal gasket 40. It would, of course, be necessary to remove the beaded portion of the neck and arm gaskets from the shoulder straps, but it is not necessary to completely remove these gaskets during the massaging operation.
  • a lightweight breathing machine comprising in combination, a backplate, a breastplate cooperating with said backplate to form a chest enclosing jacket, shoulder pieces connecting said backplate and said breastplate, said jacket have ing arm anduneck openings, gasket means for preventing the ingress and egress of air at said openings, and means whereby at least one of said shoulder pieces may be moved relative to the remainder of said jacket.
  • a lightweight breathing machine comprising in combination, a chest enclosing jacket, shoulder pieces connecting the back and the front of said jacket, said jacket having arm and neck openings, gasket means for preventing the ingress and egress of air at said openings, and means whereby at least one. of said shoulder pieces may be moved relative to the remainder of said jacket.

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  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Emergency Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Percussion Or Vibration Massage (AREA)

Description

July 25, 1944, i s. E. MiL ER 2,354,397
' JACKET TYPE RESPIRATOR' I Filed Dec. 26, 1941 2 Sheets-Sheet 1 Qg INVEN'IIOR.
July 25, 1944, s. E. MILLER JACKET TYPE RESPIRATOR Filed Dec. 26,1941 2 Sheets-Sheet 2 INV ENT OR.
,Mmw
Patented July 25, 1944 UN TED STATES 2 Claims. (01. lea-+30).
This invention relatesto atherapeutic device and more particularly to. an improved form of breathingmachine. v 1
One object of this invention is to provide a breathing machine which may be applied with a minimum amount of delayand inconvenience.
Another objectof this invention is to provide a breathing machine which may be worn for.
with the normal breathing movement in this region. v i 1 Another object of this invention is .to provide a breathing machine in. which the shoulder en.- closing portion may bei-removed so as to-make it possible to massage the shoulders without removing the entire machine. a i
Further objectsand advantages ofthe present invention will be apparent from the following de:
scription, reference being-had tothe accompanying drawings, wherein a preferred form of'the present invention is. clearly shown.
In the drawings: 1. ,1 Fig. l isa perspective view of the main portion of the breathing machine with the gaskets removed;
Fig. 2 is a vertical sectional view of the apparatus shown in Fig. 1;
Fig. 3 is a fragmentary sectional view showing the arrangement of the arm gasket;
Fig. 4 is an elevational view of one of the arm gaskets;
Fig. 5 is a sectional view of the gasket shown in Fig. 4;
Fig. 6 is similar to Fig. 1 but shows a modified breathing machine construction;
Fig. 7 is a fragmentary elevational view showing one shoulder strap swung out of position;
Fig. 8 is a sectional view of a modified gasket construction; and
Fig, 9 is a plan view of a modified gasket arrangement.
Referring now to Fig. 1, reference numeral designates a lightweight jacket type of breathing machine or respirator having a breastplate l2 and a backplate I 4. The plates I2 and M are held together by means of latches l6 provided on each side of the jacket. The breastplate I2 is provided with lugs I at the shoulder which engage within the pockets. l1 formed on the backplate l4 so as to assist in holding the breastplate in alignment with the backplate. Reference numerals l 8 and 20 designate neck and arm holes respectively, and referencenumeral 22 designates apipe which is adaptedto be connected to a suitablerespirator pump not shown. The interior of'th jacket may be lined with spongev rubber or the like so as to increase the comfort. As shown in Fig. 2,'the backplate I4 is provided with a relatively thick sponge rubber member 24. Inasmuch as the patient may be required to wear this jacket while lying down, the sponge rubberelement 24 has been made relatively thick, whereas, the sponge rubber element 26, which forms a lining for the breastplate l2, may be relatively thin or may be omitted altogether.
The. elements l2 and I4 may be of a lightweight metal such as aluminum, or they may be made out of a transparent plasticmaterial. I have found that transparent plastics canbe used whereby it is possible to observe the patients respiration.
In-order to prevent leakage of air around the arms, neck 'and'abdomen, special gaskets have been provided. In Fig. 3, I have shown a sectional view through a gasket 290i the'type 'used for-preventing the leakage of air at the point where an-arrn or the neck passes through the wall of 'the jacket. The gasket 29, as best shown in Figs. 3, 4 and5, comprises'a thin resilient-portion 32 and a circumferentially arranged resilient bead 30 which is formed integrally with the thin portion 32. The thin portion 32 may be made from sponge rubber if desired or sponge rubber may be secured to a thin rubber membrane adjacent the central opening 38. The bead 30 is adapted to slip into the groove 34 which is formed by providing a flange 36 surrounding the opening to be sealed. In order to provide an airtight seal between the bead 30 and the opening in the jacket, the length of the bead is made such that it is necessary to stretch the bead over the flange 36.
Each gasket may be formed with or without a central opening 38. If formed without a central opening, then it is necessary to cut an opening of the proper size when the jacket is fitted to the patient. Inasmuch as the gaskets are readily removable and inexpensive, gaskets with several different size openings may be provided With each jacket so as to allow for differences in the siz of the patients. Thus, a patient having large arms would use gaskets having larger .arm openings than a patient having small arms. Each gasket may be made up in a flat form, such as shown in Fig. 5, or it may be made in a special form, such as shown in Fig. 8. The form shown in Fig. 8 makes it possible to stretch the bead without stretching the material next to the opening 38. In Fig. 9, I have shown another type of gasket 89 in which a slide fastener 90 of the zipper type is used for adjusting the effective size of the central opening in the gasket. In this modification, the thin rubber portion is formed as shown and is provided with a slit 9| on the one side in which the slide fastener 90 is mounted. The position of the slide element 92 determines the size of. the central opening. A thin rubber flap 93 is provided adjacent the slit 9! as shown.
The abdominal gasket used adjacent the lower end of the jacket is constructed as shown in Fig. 6. This gasket comprises a thinelastic strip 40 provided with a bead 42 along one edge thereof. Straps 44 provided with snap fasteners 45 and 41 are used for holding the asket in place at the point where the ends of the gasket overlap. The bead 42 is adapted to be slid into the slot 44 (see Fig. 2) provided along the bottom edge of the backplate M. The slot 44 is formed by fastening a strip 46 along th lower edge of the backplate M, as shown in Fig. 2. The lower edge of the breastplate i2 is partially rolled, as best shown in Figs. 1, 2 and 6, so as to provide a groove 50 for the reception of the beaded portion 42 of the gasket 40. A slide fastener of the zipper type may be substituted for the straps 44 if desired.
The gaskets have been omitted from the showing in Figs. 1 and 2 so as not to interfere with the showing of the structural details of the jacket.
In Figs. 6 and 7, I have shown a modified jacket arrangement in which hinged shoulder pieces 55 have been provided. These shoulder pieces are hinged to the backplate M by means of hinges 61. Latches 69 hold the shoulder piece in place during use. In all other respects, the jacket shown in Figs. 6 and 'T is similar to the one shown in Figs. 1 and 2. The purpose of providing shoulder straps which are hinged or similarly mounted is to make it possible to massage the patients shoulders without the necessity of removing the whole jacket. Fig. '7 shows one of the shoulder straps swung open. As shown in Figs. 6 and 7, the shoulder straps are flanged adjacent the neck and arm openings whereby the beaded portions of the neck and arm gaskets assist in holding the shoulder straps in place when the breathing machine is in operation. Since it is frequently necessary for a patient to wear the jacket for prolonged periods of time, it is desirable to be able to massage the shoulder without removing the entire jacket. By virtue of the construction shown in Figs. 6 and '7, it is not necessary to remove the entire jacket in order to massage the shoulder since the shoulder straps may be swung into the position shown in Fig. 7, whereby the shoulders of the patient are accessible. This may all be done without unlatching the latches l6 and without disturbing the abdominal gasket 40. It would, of course, be necessary to remove the beaded portion of the neck and arm gaskets from the shoulder straps, but it is not necessary to completely remove these gaskets during the massaging operation.
Obviously some of the features of my invention are also applicable to high altitude flying jackets of the .type commonly used by aviators for compensating for changes in pressure resulting from changes in altitude.
While the form of embodiment of the invention as herein disclosed constitutes a preferred form, it is to be understood that other forms might be adopted, allcoming within the scope of the claims which follow.
What is claimed is as follows:
1. A lightweight breathing machine comprising in combination, a backplate, a breastplate cooperating with said backplate to form a chest enclosing jacket, shoulder pieces connecting said backplate and said breastplate, said jacket have ing arm anduneck openings, gasket means for preventing the ingress and egress of air at said openings, and means whereby at least one of said shoulder pieces may be moved relative to the remainder of said jacket.
2.. A lightweight breathing machine comprising in combination, a chest enclosing jacket, shoulder pieces connecting the back and the front of said jacket, said jacket having arm and neck openings, gasket means for preventing the ingress and egress of air at said openings, and means whereby at least one. of said shoulder pieces may be moved relative to the remainder of said jacket. I
SIDNEY E. MILLER.
US424425A 1941-12-26 1941-12-26 Jacket type respirator Expired - Lifetime US2354397A (en)

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Cited By (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2529258A (en) * 1946-07-04 1950-11-07 Lobo Fernando Gonzalez Apparatus for artificial respiration
US2572787A (en) * 1948-12-20 1951-10-23 Francis T Wallin Portable respirator
US4211223A (en) * 1979-04-18 1980-07-08 Lopiano Rocco W Pulsed oxygen chamber
US4523579A (en) * 1983-06-24 1985-06-18 Barry Edward R Lightweight body respirator having flexible walls
US5453081A (en) * 1993-07-12 1995-09-26 Hansen; Craig N. Pulsator
US5569170A (en) * 1993-07-12 1996-10-29 Electromed, Inc. Pulsator
US5769797A (en) * 1996-06-11 1998-06-23 American Biosystems, Inc. Oscillatory chest compression device
WO2001001918A1 (en) 1999-07-02 2001-01-11 Warwick Warren J Chest compression apparatus
US6210345B1 (en) 1999-10-04 2001-04-03 American Biosystems, Inc. Outcome measuring airway resistance diagnostic system
US6379316B1 (en) 1999-08-31 2002-04-30 Advanced Respiratory, Inc. Method and apparatus for inducing sputum samples for diagnostic evaluation
US20020082531A1 (en) * 1999-08-31 2002-06-27 Vanbrunt Nicholas P. Pneumatic chest compression vest with front panel air bladder
US20020111571A1 (en) * 1998-05-07 2002-08-15 Warwick Warren J. Chest compression apparatus
US6605050B2 (en) 1998-03-12 2003-08-12 Electromed, Inc. Body pulsating jacket
US6676614B1 (en) 2000-07-11 2004-01-13 Electromed, Inc. Vest for body pulsating method and apparatus
US20040158177A1 (en) * 1999-08-31 2004-08-12 Van Brunt Nicholas P. Pneumatic chest compression vest with front panel bib
US20050054956A1 (en) * 2003-09-08 2005-03-10 Gagne Donald J. Single patient use vest
US7278978B1 (en) 2001-07-10 2007-10-09 Electromed, Inc. Respiratory vest with inflatable bladder
US20070239087A1 (en) * 2005-10-14 2007-10-11 Hill-Rom Services, Inc. Variable stroke air pulse generator
US20110087143A1 (en) * 2009-10-14 2011-04-14 Bobey John A Three-dimensional layer for a garment of a hfcwo system
USD639954S1 (en) 2009-04-02 2011-06-14 Electromed, Inc. Thoracic garment
US8202237B2 (en) 2007-10-03 2012-06-19 Electromed, Inc. Portable air pulsator and thoracic therapy garment
US8460223B2 (en) 2006-03-15 2013-06-11 Hill-Rom Services Pte. Ltd. High frequency chest wall oscillation system
US9795752B2 (en) 2012-12-03 2017-10-24 Mhs Care-Innovation, Llc Combination respiratory therapy device, system, and method
US12080401B2 (en) 2012-12-03 2024-09-03 Metrohealth Ventures Llc Combination respiratory therapy device, system and method

Cited By (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2529258A (en) * 1946-07-04 1950-11-07 Lobo Fernando Gonzalez Apparatus for artificial respiration
US2572787A (en) * 1948-12-20 1951-10-23 Francis T Wallin Portable respirator
US4211223A (en) * 1979-04-18 1980-07-08 Lopiano Rocco W Pulsed oxygen chamber
US4523579A (en) * 1983-06-24 1985-06-18 Barry Edward R Lightweight body respirator having flexible walls
US5453081A (en) * 1993-07-12 1995-09-26 Hansen; Craig N. Pulsator
US5569170A (en) * 1993-07-12 1996-10-29 Electromed, Inc. Pulsator
US5769797A (en) * 1996-06-11 1998-06-23 American Biosystems, Inc. Oscillatory chest compression device
USRE40814E1 (en) 1996-06-11 2009-06-30 Hill-Rom Services, Inc. Oscillatory chest compression device
US6605050B2 (en) 1998-03-12 2003-08-12 Electromed, Inc. Body pulsating jacket
US20020111571A1 (en) * 1998-05-07 2002-08-15 Warwick Warren J. Chest compression apparatus
US6958046B2 (en) 1998-05-07 2005-10-25 Warwick Warren J Chest compression apparatus
WO2001001918A1 (en) 1999-07-02 2001-01-11 Warwick Warren J Chest compression apparatus
US20020082531A1 (en) * 1999-08-31 2002-06-27 Vanbrunt Nicholas P. Pneumatic chest compression vest with front panel air bladder
US20020087097A1 (en) * 1999-08-31 2002-07-04 American Biosystems, Inc. Method and apparatus for inducing sputum samples for diagnostic evaluation
US6379316B1 (en) 1999-08-31 2002-04-30 Advanced Respiratory, Inc. Method and apparatus for inducing sputum samples for diagnostic evaluation
US20040158177A1 (en) * 1999-08-31 2004-08-12 Van Brunt Nicholas P. Pneumatic chest compression vest with front panel bib
US6916298B2 (en) 1999-08-31 2005-07-12 Advanced Respiratory, Inc. Pneumatic chest compression vest with front panel air bladder
US7018348B2 (en) 1999-08-31 2006-03-28 Hill-Rom Services, Inc. Method and apparatus for inducing sputum samples for diagnostic evaluation
US6415791B1 (en) 1999-10-04 2002-07-09 American Biosystems, Inc. Airway treatment apparatus with cough inducement
US6340025B1 (en) 1999-10-04 2002-01-22 American Biosystems, Inc. Airway treatment apparatus with airflow enhancement
US6910479B1 (en) 1999-10-04 2005-06-28 Advanced Respiratory, Inc. Airway treatment apparatus with bias line cancellation
US6210345B1 (en) 1999-10-04 2001-04-03 American Biosystems, Inc. Outcome measuring airway resistance diagnostic system
US6676614B1 (en) 2000-07-11 2004-01-13 Electromed, Inc. Vest for body pulsating method and apparatus
US7278978B1 (en) 2001-07-10 2007-10-09 Electromed, Inc. Respiratory vest with inflatable bladder
US20050054956A1 (en) * 2003-09-08 2005-03-10 Gagne Donald J. Single patient use vest
US7316658B2 (en) 2003-09-08 2008-01-08 Hill-Rom Services, Inc. Single patient use vest
US20070239087A1 (en) * 2005-10-14 2007-10-11 Hill-Rom Services, Inc. Variable stroke air pulse generator
US7785280B2 (en) 2005-10-14 2010-08-31 Hill-Rom Services, Inc. Variable stroke air pulse generator
US8460223B2 (en) 2006-03-15 2013-06-11 Hill-Rom Services Pte. Ltd. High frequency chest wall oscillation system
US9968511B2 (en) 2006-03-15 2018-05-15 Hill-Rom Services Pte. Ltd. High frequency chest wall oscillation system
US11110028B2 (en) 2006-03-15 2021-09-07 Hill-Rom Services Pte. Ltd. High frequency chest wall oscillation system
US8202237B2 (en) 2007-10-03 2012-06-19 Electromed, Inc. Portable air pulsator and thoracic therapy garment
USD639954S1 (en) 2009-04-02 2011-06-14 Electromed, Inc. Thoracic garment
US20110087143A1 (en) * 2009-10-14 2011-04-14 Bobey John A Three-dimensional layer for a garment of a hfcwo system
US9795752B2 (en) 2012-12-03 2017-10-24 Mhs Care-Innovation, Llc Combination respiratory therapy device, system, and method
US10814082B2 (en) 2012-12-03 2020-10-27 Mhs Care-Innovation, Llc Combination respiratory therapy device, system and method
US12080401B2 (en) 2012-12-03 2024-09-03 Metrohealth Ventures Llc Combination respiratory therapy device, system and method

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