CA2502280A1 - Custom fitted mask and method of forming same - Google Patents

Custom fitted mask and method of forming same Download PDF

Info

Publication number
CA2502280A1
CA2502280A1 CA002502280A CA2502280A CA2502280A1 CA 2502280 A1 CA2502280 A1 CA 2502280A1 CA 002502280 A CA002502280 A CA 002502280A CA 2502280 A CA2502280 A CA 2502280A CA 2502280 A1 CA2502280 A1 CA 2502280A1
Authority
CA
Canada
Prior art keywords
user
mask
mask blank
face
nose
Prior art date
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.)
Granted
Application number
CA002502280A
Other languages
French (fr)
Other versions
CA2502280C (en
Inventor
W. Keith Thornton
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.)
Individual
Original Assignee
Individual
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.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2502280A1 publication Critical patent/CA2502280A1/en
Application granted granted Critical
Publication of CA2502280C publication Critical patent/CA2502280C/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/06Respiratory or anaesthetic masks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/06Respiratory or anaesthetic masks
    • A61M2016/0661Respiratory or anaesthetic masks with customised shape

Abstract

According to one embodiment of the invention, a method of forming a custom fitted mask includes transitioning a mask blank including a thin sheet of deformable material from a non-deformable state into a deformable state. The mask blank is applied against at least a portion of a user's face surroundin g the user's nostrils while the mask blank is in the deformable state. The mas k blank is deformed against the portion of the user's face to cause the mask blank to conform substantially optimally to the user's unique bone structure and facial features, the mask blank once conformed substantially optimally t o the user's unique bone structure and facial features becoming the custom fitted mask. The custom fitted mask is allowed to transition from the deformable state into the non-deformable state for use.

Description

CUSTOM FITTED MASK AND METHOD OF FORMING SAME
TECHNICAL FIELD OF THE INVENTION
This invention relates generally to masks for use in medical or other clinical applications, and more particularly to a custom fitted mask and method of forming same.
BACKGROUND OF THE INVENTION
Many people experience breathing problems on a recurnng basis, which often results in sleep disordered breathing (i.e. difficulty sleeping, snoring, or other more serious conditions such as obstructive sleep apnea). As technology advances, people with such breathing problems demand increased performance and comfort.
Previous devices for improving a user's breathing have included custom fitted masks that help deliver air or another suitable gas to the user's nose at positive pressure to help force open the user's breathing passage and thus improve the user's breathing.
However, previous masks may be relatively expensive due to the expertise often required to design, manufacture, and fit the masks to each particular user. Furthermore, previous masks have often been fitted to the user's unique bone structure and facial features rather poorly, if at all. As a result, previous masks have often failed to adequately prevent lealcage from around the perimeter of the mask, have caused discomfort for users, and have been relatively ineffective in treating breathing problems such as sleep disordered breathing.
SUMMARY OF THE INVENTION
According to the present invention, problems and disadvantages associated with previous custom fitted masks and methods for forming them may be reduced or eliminated.
According to one embodiment, a method of forming a custom fitted mask includes transitioning a maslc blank including a thin sheet of deformable material from a non-deformable state into a deformable state. The maslc blanlc is applied against at least a portion of a user's face surrounding the user's nostrils while the mask blank is in the deformable state. The mask blank is deformed against the portion of the user's face to cause the mask blank to conform substantially optimally to the user's unique bone structure and facial features, the mask blank once conformed substantially optimally to the user's unique bone structure and facial features becoming the~custom fitted mask. The custom fitted mask is allowed to transition from the deformable state into the non-deformable state for use.
According to another embodiment, a custom fitted mask includes a thin sheet of deformable material that has been formed and fitted to a portion of a user's face surrounding the user's nostrils to conform substantially optimally to the user's unique bone structure and facial features. The portion of the user's face includes only soft cartilaginous portions of the user's nose and portions of the user's face on either side of and below the soft cartilaginous portions of the user's nose. The portion of the user's face excludes hard bony portions of the user's nose generally above the soft cartilaginous portions of the user's nose.
According to another embodiment, a mask blank for using in forming a custom fitted mask includes a thin sheet of deformable material capable of being transitioned from a non-deformable state into a deformable state, applied against at least a portion of a user's face surrounding the user's nostrils while the maslc blank is in the deformable state, and deformed against the portion of the user's face to cause the mask blank to conform substantially optimally to the user's unique bone structure and facial features. The mask blank once conformed substantially optimally to the user's unique bone structure and facial features becomes the custom fitted mask.
Certain embodiments of the present invention may provide one or more technical advantages. For example, in certain embodiments, a custom fitted mask may be formed and fitted to a particular user relatively quickly and easily, with little expertise required on the part of the clinical professional who is forming and fitting the mask, typically resulting in improved efficiency for the clinical professional and reduced cost to the user. Also in contrast to prior masks, in certain embodiments, a custom fitted mask may be formed and fitted to a particular user so as to conform substantially optimally to the user's unique facial structure and features. As a result, the custom fitted mask of the present invention may provide improved fit, reduced leakage, increased comfort, and better performance, whether in treating breathing problems such as sleep disordered breathing or for any other suitable purpose for which the custom fitted mask is used. Certain embodiments of the present invention may provide some, all, or more of these advantages. Certain embodiments may provide one or more other advantages, one or more of which may be readily apparent to those skilled in the art based on the figures, descriptions, and claims included herein.
BRIEF DESCRIPTION OF THE DRAWINGS
For a more complete understanding of the present invention and advantages thereof, reference is made to the following descriptions taken in conjunction with the accompanying drawings, in which like reference numbers indicate like features and wherein:
FIGURE 1 illustrates an example system for improving a user's breathing including a custom fitted mask;
FIGURE 2 illustrates a larger view of an example custom fitted maslc;
FIGURE 3 illustrates an interior view of an example custom fitted mask; and FIGURE 4 illustrates an example method of forming a custom fitted mask for a particular user.
DETAILED DESCRIPTION OF THE INVENTION
FIGURE 1 illustrates an example system 10 for improving a user's breathing including an example custom fitted maslc 12. Mask 12 includes a perimeter 14 and holes 16, one for each of the user's nostrils, into which fittings 18 may be inserted during or after formation and fitting of mask 12. Fittings 18 may be used to couple maslc 12 to an external system 20, such as a continuous positive air pressure (CPAP) system, for supplying air or another gas to the user's nose at positive pressure to help open the user's breathing passage and thereby improve the user's breathing.
For example, system 10 may include tubes 22 that snap onto, are force fitted onto, or otherwise couple to fittings 18. Mask 12 may include buckles or other devices 24 to couple maslc 12 to one or more straps 26, which may help secure mask 12 to the user's 30, face during use. Devices 24 may be coupled to maslc 12 during or after formation and fitting of mask 12. Although straps 26 are described as an example, mask 12 being secured in any appropriate manner.
Mask 12 is preferably formed and fitted to the user's face so as to conform substantially optimally to the user's unique bone structure and facial features, including at least a portion of the user's nose surrounding the user's nostrils. In one embodiment, mask 12 covers only the soft cartilaginous portions of the user's nose and portions of the user's face to the sides of and below the soft cartilaginous portions of the user's nose, but does not cover the hard bony portions of the user's nose generally above the soft cartilaginous portions of the user's nose. This may allow custom fitted mask 12 to better conform to the unique shape of the user's face and, as a result of the improved fit, to provide reduced leakage, increased comfort, and better performance. FIGURE 2 illustrates a larger view of an example mask 12, while FIGURE 3 illustrates an interior view of an example mask 12.
In another embodiment, as illustrated in FIGURE 4, mask 12 covers at least a portion of the user's nose surrounding the user's nostrils (which may or may not be limited to the soft cartilaginous portions of the user's nose and portions of the user's face to the sides of and below the soft cartilaginous portions of the user's nose) and additionally covers the user's mouth to prevent leakage from the user's mouth.
Such a maslc 12 may be formed from a single sheet of deformable material or may be formed from multiple sheets of deformable material (e.g., a first covering the user's nose and a second covering the user's mouth) coupled to one another using one or more screws, clips, glue, the same or a different deformable material that is chemically bonded to the sheets of deformable material, or another appropriate fastening technique.
Where multiple sheets of deformable material are used, the multiple sheets may be customized for the user at the same or at different times. For example, a first sheet may be customized to cover at least a portion of the user's nose at a first time and, if appropriate, a second sheet may be customized to cover the user's mouth at a subsequent second time and then coupled to the first sheet.
In another embodiment, as illustrated in FIGURE 5, mask 12 covers at least a portion of the user's nose surrounding the user's nostrils (which may or may not be limited to the soft cartilaginous portions of the user's nose and portions of the user's face to the sides of and below the soft cartilaginous portions of the user's nose), covers the user's mouth, and additionally covers at least a portion of the user's face below the user's chin to better secure mask 12 to the user's face. Such a mask 12 may be formed from a single sheet of deformable material or may be formed from multiple sheets of deformable material (e.g., a first covering the user's nose and a second covering the user's mouth and chin or a first covering the user's nose, a second covering the user's mouth, and a third covering the user's chin) coupled to one another 5 using one or more screws, clips, glue, the same or a different deformable material that is chemically bonded to the sheets of deformable material, or another appropriate fastening technique. Where multiple sheets of deformable material are used, the multiple sheets may be customized for the user at the same or at different times. For example, a first sheet may be customized to cover at least a portion of the user's nose at a first time and, if appropriate, a second sheet may be customized to cover the user's mouth and chin at a subsequent second time and then coupled to the first sheet.
W one embodiment, mask 12 begins as a deformable mask blank made of a suitable deformable material. For example, a mask blank may include a suitable thermoplastic polymer and suitable fillers, stabilizers, coloring agents, antioxidants, antimicrobial agents, or other materials. As another example, a mask blank may include a light curing material such as the material sold under the name TRIAD
by DENTSPLY INTERNATIONAL INC. Such materials are well known in various contexts to those skilled in the art.
In a more particular embodiment, a mask blank may include, possibly in addition to one or more other materials, one or more of the polycaprolactone polymers or other aliphatic polyesters that are described in U.S. Patent Nos. 4,784,123 and 5,112,225 and product literature of UNION CARBIDE CORPORATION. One or more polycaprolactone polymers may have the formula:
O O
~ ~ (1) H~O(CFI Z Js CJ" O - R - O~C(C'Hz ~s O~" H
where R is an aliphatic hydrocarbon and n may range between approximately 300 to approximately 650. The TONE polycaprolactone polymers are described in U.S.
Patent Nos. 4,784,123 and 5,112,225 and product literature of UNION CARBIDE
CORPORATION as including homopolymers, block copolymers, graft copolymers, or other polymers containing epsilon-caprolactone. Polymerization may be initiated using a diol, for example and without limitation, ethylene glycol, diethylene glycol, neopentyl glycol, butane diol, hexane diol, or any other appropriate diol. The diol may have the formula:
HO-R-OH (2) where R is an aliphatic hydrocarbon. Where a mask blank includes one or more polycaprolactone polymers, any suitable polycaprolactone polymer or polymers may be used. 1n general, polycaprolactone polymers may display desirable dimensional stability and thermoplasticity during cooling, biocompatibility, and a variety of other characteristics making them suitable for use in forming the mask blanks described herein.
In one embodiment, a mask blank may include a thin sheet of deformable material that is already contoured in the shape of a portion of a generic user's face, including at least the portion of the generic user's nose surrounding the generic user's nostrils. For example, the maslc blanlc may be sized and shaped such that it will cover only the soft cartilaginous portions of the generic user's nose and portions of the generic user's face to the sides of and below the soft cartilaginous portions of the generic user's nose, but will not cover the hard bony portions of the generic user's nose generally above the soft cartilaginous portions of the generic user's nose. In another embodiment, a mask blank may include a thin sheet of deformable material that is substantially flat except for a depression sufficient to accommodate a generic user's nose, including at least the portion of the generic user's nose surrounding the user's nostrils. In another embodiment, a mask blanlc may include a thin sheet of deformable material that is substantially flat over its entire surface and does not include any depressions. Thin sheets of an appropriate deformable material may be obtained, for example, from CHESAPEAKE MEDICAL PRODUCTS, INC. In all cases, a mask blank may include pre-formed holes positioned according to the position of a generic user's nostrils. Maslc bla~~lcs may be formed using an injection molding process (i.e. deformable material is placed into an injection molding machine while in a liquid state), using a pressing process (i.e. deformable material is placed into a press while in a deformable state), or using any other suitable technique. Mask blanks may be sized for various classes of generic users, for example, large for men, medium for women, and small for children. In one embodiment, mask blanks may be mass produced quickly, inexpensively, and with high quality and uniformity.
Mask blanks may include fittings 18, devices 24, or any other suitable features.
To form and fit mask 12 for a particular user using the mask blank, the mask blanc is placed in a deformable state. For example, where the deformable material of the mask blank includes one or more polycaprolactone polymers, the mask blank may be heated in a microwave oven, in water or other non-solvent neutral liquid, or in any other suitable manner to between approximately 140°F and approximately 180°F so as to place the mask blank in a deformable state. If desired, features such as fittings 18 and devices 24 may be coupled to the mask blank at this time if such features are not already coupled to the mask blank. The deformable material may chemically bond to features such as fittings 18 and devices 24 while the mask blanlc is in a deformable state to produce an integral unit. While in a defonnable state, the mask blank is brought in contact with the user's face, including at least a portion of the user's nose surrounding the user's nostrils. The mask blank is then pressed against or otherwise allowed to conform to the user's unique bone structure and facial features to form mask 12. As the defonnable material cools and hardens, mask 12 solidifies and will retain its custom fitted shape. Before or after the deformable material solidifies into its final custom fitted shape, mask 12 is removed from the user's face and is ready for use, for example, in treating sleep disordered breathing.
As described above, maslc 12 is preferably formed and fitted to the user's face so as to conform substantially optimally to the user's unique bone structure and facial features, including at least a portion of the user's nose surrounding the user's nostrils.
In one embodiment, maslc 12 covers only the soft cartilaginous portions of the user's nose and portions of the user's face to the sides of and below the soft cartilaginous portions of the user's nose, but does not cover the hard bony portions of the user's nose generally above the soft cartilaginous portions of the user's nose. This may allow custom fitted maslc 12 to better conform to the unique shape of the user's face and, as a result of the improved fit, to provide reduced lealcage, increased comfort, and better performance. In another embodiment, maslc 12 covers at least a portion of the user's nose surrounding the user's nostrils (which may or may not be limited to the soft cartilaginous portions of the user's nose and portions of the user's face to the sides of and below the soft cartilaginous portions of the user's nose) and additionally covers the user's mouth to prevent leakage from the user's mouth. In another embodiment, mask 12 covers at least a portion of the user's nose surrounding the user's nostrils (which may or may not be limited to the soft cartilaginous portions of the user's nose and portions of the user's face to the sides of and below the soft cartilaginous portions of the user's nose), covers the user's mouth, and additionally covers at least a portion of the user's face below the user's chin to better secure mask 12 to the user's face.
Although mask 12 is described primarily for use in treating breathing problems such as sleep disordered breathing, the present invention contemplates maslc 12 Being used or for any other suitable purpose for which a custom fitted mask may be used. As just one example, mask 12 may be used in delivering anesthetics during surgery or another medical procedure.
FIGURE 6 illustrates an example method of forming a custom fitted maslc 12 for a particular user. The method begins at step 100, a mask blank suitable for the user is placed in a deformable state. At step 102, if desired, features such as fittings 18 and devices 24 may be coupled to the maslc blank if such features are not already coupled to the mask blank. At step 104, while the mask blank is in a deformable state, the mask blank is brought in contact with the user's face, including at least a portion of the user's nose surrounding the user's nostrils. At step 106, the mask blank is pressed against or otherwise allowed to conform to the user's unique bone structure and facial features to form mask 12. At step 108, as the deformable material cools and hardens, mask 12 solidifies in its final custom fitted shape. At step 110, mask 12 is removed from the user's face and is ready for use, for example, in treating sleep disordered breathing.
Although the present invention has been described above in connection with several example embodiments, it should be understood that a plethora of changes, substitutions, variations, alterations, transformations, and modifications may be suggested to one skilled in the art, and it is intended that the present invention encompass such changes, substitutions, variations, alterations, transformations, and modifications as fall within the spirit and scope of the appended claims.

Claims (42)

1. ~A method of forming a custom fitted mask, comprising:
transitioning a mask blank comprising a thin sheet of deformable material from a non-deformable state into a deformable state;
applying the mask blank against at least a first portion of a user's face surrounding the user's nostrils while the mask blank is in the deformable state;
deforming the mask blank against the first portion of the user's face to cause the mask blank to conform substantially optimally to the user's unique bone structure and facial features, the mask blank once conformed substantially optimally to the user's unique bone structure and facial features comprising the custom fitted mask;
and allowing the custom fitted mask to transition from the deformable state into the non-deformable state for use.
2. ~The method of Claim 1, wherein the mask blank comprises a thin sheet of deformable material that is already contoured in the shape of a first portion of a generic user's face surrounding the generic user's nostrils.
3. ~The method of Claim 1, wherein the mask blank comprises a thin sheet of deformable material that is already contoured in the shape of a first portion of a generic user's face surrounding the generic user's nostrils, the first portion of the generic user's face comprising only soft cartilaginous portions of the generic user's nose and portions of the generic user's face on either side of and below the soft cartilaginous portions of the generic user's nose and excluding hard bony portions of the generic user's nose generally above the soft cartilaginous portions of the generic user's nose.
4. ~The method of Claim 1, wherein the mask blank comprises a thin sheet of deformable material that is substantially flat except for a depression sufficient to accommodate at least a portion of a generic user's nose surrounding the generic user's nostrils.
5. ~The method of Claim 1, further comprising:
applying the mask blank against at least a second portion of the user's face surrounding the user's mouth while the mask blank is in the deformable state;
and deforming the mask blank against the second portion of the user's face to cause the mask blank to conform substantially optimally to the user's unique bone structure and facial features, the mask blank once conformed substantially optimally to the user's unique bone structure and facial features comprising the custom fitted mask.
6. ~The method of Claim 5, wherein:
the mask blank comprises a first portion for applying to the first portion of the user's face and a second portion for applying to the second portion of the user's face;
and the method further comprises coupling the first portion of the mask blank to the second portion of the mask blank in forming the custom fitted mask.
7. ~The method of Claim 5, further comprising:
applying the mask blank against at least a third portion of the user's face under the user's chin while the mask blank is in the deformable state; and deforming the mask blank against the third portion of the user's face to cause the mask blank to conform substantially optimally to the user's unique bone structure and facial features, the mask blank once conformed substantially optimally to the user's unique bone structure and facial features comprising the custom fitted mask.
8. ~The method of Claim 7, wherein:
the mask blank comprises a first portion for applying to the first portion of the user's face and a second portion for applying to the second and third portions of the user's face; and the method further comprises coupling the first portion of the mask blank to the second portion of the mask blank in forming the custom fitted mask.
9. ~The method of Claim 1, wherein the mask blank comprises an injection molded mask blank.
10. ~The method of Claim 1, wherein the mask blank comprises holes, one for each of the user's nostrils, into which fittings have been inserted for coupling the custom fitted mask to an external gas supply system.
11. ~The method of Claim 1, wherein the mask blank comprises holes for receiving devices for coupling the custom fitted mask to one or more straps for securing the custom fitted mask to the user's face.
12. ~The method of Claim 1, wherein the deformable material comprises a thermoplastic polymer and the mask blank is heated to transition the mask blank into the deformable state.
13. ~The method of Claim 12, wherein the thermoplastic polymer comprises a polycaprolactone polymer.
14. ~The method of Claim 1, wherein the custom fitted mask when in use covers a portion of the user's face surrounding the user's nostrils, the portion of the user's face comprising only soft cartilaginous portions of the user's nose and portions of the user's face on either side of and below the soft cartilaginous portions of the user's nose but does not cover hard bony portions of the user's nose generally above the soft cartilaginous portions of the user's nose.
15. ~The method of Claim 1, wherein the custom fitted mask comprises a mask for use in treating sleep disordered breathing.
16. ~A custom fitted mask, comprising a first thin sheet of deformable material that has been formed and fitted to a first portion of a user's face surrounding the user's nostrils to conform substantially optimally to the user's unique bone structure and facial features, the first portion of the user's face comprising only soft cartilaginous portions of the user's nose and portions of the user's face on either side of and below the soft cartilaginous portions of the user's nose, the first portion of the user's face excluding hard bony portions of the user's nose generally above the soft cartilaginous portions of the user's nose.
17. ~The mask of Claim 16, wherein the first thin sheet of deformable material has been additionally formed and fitted to a second portion of the user's face surrounding the user's mouth to conform substantially optimally to the user's unique bone structure and facial features.
18. ~The mask of Claim 17, wherein the first thin sheet of deformable material has been additionally formed and fitted to a third portion of the user's face under the user's chin to conform substantially optimally to the user's unique bone structure and facial features.
19. ~The mask of Claim 16, further comprising:
a second thin sheet of deformable material has been formed and fitted to a second portion of the user's face surrounding the user's mouth to conform substantially optimally to the user's unique bone structure and facial features; and one or more fastening agents coupling the first thin sheet of deformable material to the second thin sheet of deformable material.
20. The mask of Claim 19, wherein the second thin sheet of deformable material has been additionally formed and fitted to a third portion of the user's face under the user's chin to conform substantially optimally to the user's unique bone structure and facial features.
21. ~The mask of Claim 16, wherein the custom fitted mask comprises holes, one for each of the user's nostrils, into which fittings have been inserted for coupling the custom fitted mask to an eternal gas supply system.
22. ~The mask of Claim 16, wherein the custom fitted mask comprises devices for coupling the custom fitted mask to one or more straps for securing the custom fitted mask to the user's face.
23. ~The mask of Claim 16, wherein the deformable material comprises a thermoplastic polymer and the custom fitted mask must be heated to place the deformable material into a deformable state.
24. ~The method of Claim 23, wherein the thermoplastic polymer comprises a polycaprolactone polymer.
25. ~The method of Claim 26, wherein the custom fitted mask comprises a mask for use in treating sleep disordered breathing.
26. ~A mask blank for using in forming a custom fitted mask, comprising a thin sheet of deformable material capable of being:
transitioned from a non-deformable state into a deformable state;
applied against at least a first portion of a user's face surrounding the user's nostrils while the mask blank is in the deformable state; and deformed against the first portion of the user's face to cause the mask blank to conform substantially optimally to the user's unique bone structure and facial features, the mask blank once conformed substantially optimally to the user's unique bone structure and facial features comprising the custom fitted mask.
27. ~The mask blank of Claim 26, wherein:
the thin sheet of deformable material is contoured in the shape of at least a first portion of a generic user's face surrounding the generic user's nostrils; and the thin sheet of deformable material is capable of being deformed against at least the first portion of the user's face surrounding the user's nostrils.
28. ~The mask blank of Claim 26, wherein:
the thin sheet of deformable material is contoured in the shape of a first portion of a generic user's face surrounding the generic user's nostrils, the first portion of the generic user's face comprising only soft cartilaginous portions of the generic user's nose and portions of the generic user's face on either side of and below the soft cartilaginous portions of the generic user's nose and excluding hard bony portions of the generic user's nose generally above the soft cartilaginous portions of the generic user's nose; and the thin sheet of deformable material is capable of being deformed against a first portion of the user's face surrounding the user's nostrils, the first portion of the user's face comprising only soft cartilaginous portions of the user's nose and portions of the user's face on either side of and below the soft cartilaginous portions of the user's nose and excluding hard bony portions of the user's nose generally above the soft cartilaginous portions of the user's nose.
29. ~The mask blank of Claim 26, wherein:

the thin sheet of deformable material is substantially flat except for a depression sufficient to accommodate at least a portion of a generic user's nose surrounding the generic user's nostrils; and the thin sheet of deformable material is capable of being deformed against at least a first portion of the user's face surrounding the user's nostrils.
30. The mask blank of Claim 26, further capable of being:
applied against at least a second portion of the user's face surrounding the user's mouth while the mask blank is in the deformable state; and deformed against the second portion of the user's face to cause the mask blank to conform substantially optimally to the user's unique bone structure and facial features, the mask blank once conformed substantially optimally to the user's unique bone structure and facial features comprising the custom fitted mask.
31. The mask blank of Claim 30, wherein the mask blank comprises a first portion for applying to the first portion of the user's face and a second portion for applying to the second portion of the user's face, the first portion of the mask blank capable of being coupled to the second portion of the mask blank in forming the custom fitted mask.
32. The mask blank of Claim 30, further capable of being:
applied against at least a third portion of the user's face under the user's chin while the mask blank is in the deformable state; and deformed against the third portion of the user's face to cause the mask blank to conform substantially optimally to the user's unique bone structure and facial features, the mask blank once conformed substantially optimally to the user's unique bone structure and facial features comprising the custom fitted mask.
33. The mask blank of Claim 32, wherein the mask blank comprises a first portion for applying to the first portion of the user's face and a second portion for applying to the second and third portions of the user's face, the first portion of the mask blank capable of being coupled to the second portion of the mask blank in forming the custom fitted mask.
34. ~The mask blank of Claim 26, wherein the mask blank comprises an injection molded mask blank.
35. ~The mask blank of Claim 26, further comprising holes, one for each of the generic user's nostrils, into which fittings may be inserted for coupling the custom fitted mask to an external gas supply system.
36. ~The mask blank of Claim 26, wherein the mask blank comprises holes for receiving devices for coupling the custom fitted mask to one or more straps for securing the custom fitted mask to the user's face.
37. ~The mask blank of Claim 26, wherein the deformable material comprises a thermoplastic polymer and the mask blank must be heated to transition the mask blank into the deformable state.
38. ~The mask blank of Claim 37, wherein the thermoplastic polymer comprises a polycaprolactone polymer.
39. ~The mask blank of Claim 26, wherein the custom fitted mask when in use covers a portion of the user's face surrounding the user's nostrils, the portion of the user's face comprising only soft cartilaginous portions of the user's nose and portions of the user's face on either side of and below the soft cartilaginous portions of the user's nose but does not cover hard bony portions of the user's nose generally above the soft cartilaginous portions of the user's nose.
40. ~The mask blank of Claim 26, wherein the custom fitted mask comprises a mask for use in treating sleep disordered breathing.
41. ~A method of forming a custom fitted mask, comprising:
accessing a mask blank comprising a thin sheet of deformable thermoplastic polymer material that is already contoured in the shape of a portion of a generic user's face surrounding the generic user's nostrils, the portion of the generic user's face comprising only soft cartilaginous portions of the generic user's nose and portions of the generic user's face on either side of and below the soft cartilaginous portions of the generic user's nose and excluding hard bony portions of the generic user's nose generally above the soft cartilaginous portions of the generic user's nose;
inserting into holes of the mask blank, one for each of a user's nostrils, fittings for coupling the custom fitted mask to an external gas supply system;
heating the mask blank to transition the mask blank from a non-deformable state into a deformable state;
while the mask blank is in the deformable state, applying the mask blank against a portion of the user's face surrounding the user's nostrils, the portion of the user's face comprising only soft cartilaginous portions of the user's nose and portions of the user's face on either side of and below the soft cartilaginous portions of the user's nose and excluding hard bony portions of the user's nose generally above the soft cartilaginous portions of the user's nose;~
deforming the mask blank against the portion of the user's face to cause the mask blank to conform substantially optimally to the user's unique bone structure and facial features, the mask blank once conformed substantially optimally to the user's unique bone structure and facial features comprising the custom fitted mask;
and allowing the custom fitted mask to transition from the deformable state into the non-deformable state for use in treating sleep disordered breathing, the custom fitted mask when in use covering a portion of the user's face surrounding the user's nostrils, the portion of the user's face comprising only soft cartilaginous portions of the user's nose and portions of the user's face on either side of and below the soft cartilaginous portions of the user's nose and excluding hard bony portions of the user's nose generally above the soft cartilaginous portions of the user's nose.
42. ~A mask blank for using in forming a custom fitted mask for treating sleep disordered breathing, the mask blank comprising a thin sheet of deformable thermoplastic polymer material contoured in the shape of a portion of a generic user's face surrounding the generic user's nostrils, the portion of the generic user's face comprising only soft cartilaginous portions of the generic user's nose and portions of the generic user's face on either side of and below the soft cartilaginous portions of the generic user's nose and excluding hard bony portions of the generic user's nose generally above the soft cartilaginous portions of the generic user's nose, the thin sheet of deformable thermoplastic polymer material comprising holes, one for each of a user's nostrils, into which fittings may be inserted for coupling the custom fitted mask to an external gas supply system, the thin sheet of deformable thermoplastic polymer material capable of being:
heated to transition the mask blank from a non-deformable state into a deformable state;
applied against at least a portion of the user's face surrounding the user's nostrils while the mask blank is in the deformable state, the portion of the user's face comprising only soft cartilaginous portions of the user's nose and portions of the user's face on either side of and below the soft cartilaginous portions of the user's nose and excluding hard bony portions of the user's nose generally above the soft cartilaginous portions of the user's nose; and deformed against the portion of the user's face to cause the mask blank to conform substantially optimally to the user's unique bone structure and facial features, the mask blank once conformed substantially optimally to the user's unique bone structure and facial features comprising the custom fitted mask.
CA2502280A 2002-10-24 2003-10-10 Custom fitted mask and method of forming same Expired - Fee Related CA2502280C (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/280,803 US6857428B2 (en) 2002-10-24 2002-10-24 Custom fitted mask and method of forming same
US10/280,803 2002-10-24
PCT/US2003/032297 WO2004037153A2 (en) 2002-10-24 2003-10-10 Custom fitted mask and method of forming same

Publications (2)

Publication Number Publication Date
CA2502280A1 true CA2502280A1 (en) 2004-05-06
CA2502280C CA2502280C (en) 2013-04-09

Family

ID=32107021

Family Applications (1)

Application Number Title Priority Date Filing Date
CA2502280A Expired - Fee Related CA2502280C (en) 2002-10-24 2003-10-10 Custom fitted mask and method of forming same

Country Status (5)

Country Link
US (2) US6857428B2 (en)
EP (1) EP1554018A4 (en)
AU (1) AU2003277360B2 (en)
CA (1) CA2502280C (en)
WO (1) WO2004037153A2 (en)

Families Citing this family (79)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7073501B2 (en) * 1999-02-04 2006-07-11 Univerity Technologies International Inc. Ventilatory stabilization technology
US8181650B2 (en) * 2003-05-15 2012-05-22 Robert Fayette Andrew Nelson Multitask medical treatment respiratory apparatus
US6997187B2 (en) * 2003-09-10 2006-02-14 Innomed Technologies, Inc. Nasal interface and system including ventilation insert
US7887493B2 (en) 2003-09-18 2011-02-15 Cardiac Pacemakers, Inc. Implantable device employing movement sensing for detecting sleep-related disorders
US7664546B2 (en) * 2003-09-18 2010-02-16 Cardiac Pacemakers, Inc. Posture detection system and method
EP1670547B1 (en) 2003-08-18 2008-11-12 Cardiac Pacemakers, Inc. Patient monitoring system
US8002553B2 (en) 2003-08-18 2011-08-23 Cardiac Pacemakers, Inc. Sleep quality data collection and evaluation
US20110208233A1 (en) * 2004-01-22 2011-08-25 Mcguckin Jr James F Device for preventing clot migration from left atrial appendage
US7827038B2 (en) 2004-06-04 2010-11-02 Resmed Limited Mask fitting system and method
US7243650B2 (en) * 2004-07-12 2007-07-17 Thornton W Keith Custom fitted mask configured for coupling to an external gas supply system and method of forming same
WO2006024253A1 (en) 2004-09-03 2006-03-09 Weinmann Geräte für Medizin GmbH & Co. KG Plastics for medical technical devices
DE102005042181B4 (en) * 2004-09-03 2021-02-04 Löwenstein Medical Technology S.A. Shaped body and method for producing a shaped body
US20060112961A1 (en) * 2004-11-29 2006-06-01 Hany Aly Pediatric mask, especially suited for premature infants
US7665465B2 (en) * 2005-03-25 2010-02-23 Ric Investments, Llc Headgear assembly for a respiratory support system
CN101237902B (en) * 2005-06-06 2012-02-29 雷斯梅德有限公司 Mask system
US7909035B2 (en) * 2005-07-11 2011-03-22 Airway Technologies, Llc Multi-chamber mask and method of forming the same
CN101252965B (en) 2005-08-29 2013-11-13 雷斯梅德有限公司 Mouth seal assembly for nasal mask system
US20080142015A1 (en) * 2006-01-27 2008-06-19 David Groll Apparatus to provide continuous positive airway pressure
EP1834660A1 (en) * 2006-03-17 2007-09-19 Innosuisse Management AG Device for introducing breathing gas directly in the nose of a user
US8316858B2 (en) 2006-04-06 2012-11-27 Airway Technologies, Llc System for coupling an oral appliance to a medical mask
US7748386B2 (en) 2006-04-06 2010-07-06 Thornton W Keith Oral appliance for treating a breathing condition
US8316857B2 (en) * 2006-04-06 2012-11-27 Airway Technologies, Llc Oral appliance for treating a breathing condition
USD623288S1 (en) 2006-04-28 2010-09-07 Resmed Limited Patient interface
US8874251B2 (en) * 2006-07-06 2014-10-28 Airway Technologies, Llc System and method for forming a custom medical mask from a three-dimensional electronic model
US8236216B2 (en) * 2006-07-06 2012-08-07 Airway Technologies, Llc System and method for forming a custom medical mask using an orientation device
US8254637B2 (en) 2006-07-27 2012-08-28 Resmed Limited Mask fitting system and method
DE102006039448B3 (en) * 2006-08-23 2008-02-21 Nierhaus, Stefan Individually adapted ventilation mask
US7992558B2 (en) * 2006-09-11 2011-08-09 Airway Technologies Llc Stability medical mask
US7904193B2 (en) * 2006-09-29 2011-03-08 Nellcor Puritan Bennett Llc Systems and methods for providing custom masks for use in a breathing assistance system
US20090036918A1 (en) * 2006-11-13 2009-02-05 Burgess James E Method and Apparatus for the Containment of a Surgical Site
US8020276B2 (en) 2006-11-30 2011-09-20 Airway Technologies, Llc System and method for custom-orienting a medical mask to an oral appliance
JP5911189B2 (en) * 2006-12-15 2016-04-27 レスメド・リミテッドResMed Limited Respiratory therapy
US20080236589A1 (en) * 2007-03-12 2008-10-02 Bronson Lela V Portable respirator with oxygen supply
US20080271739A1 (en) 2007-05-03 2008-11-06 3M Innovative Properties Company Maintenance-free respirator that has concave portions on opposing sides of mask top section
US9770611B2 (en) 2007-05-03 2017-09-26 3M Innovative Properties Company Maintenance-free anti-fog respirator
US20090007387A1 (en) * 2007-07-03 2009-01-08 Laghi Aldo A Custom Grip for Writing Instruments and Other Hand Held Items
WO2009012599A1 (en) * 2007-07-26 2009-01-29 Uti Limited Partnership Transient intervention for modifying the breathing of a patient
CN101888870B (en) * 2007-10-26 2013-11-27 优特埃合伙有限公司 Ventilation stabilization system
US20090188507A1 (en) * 2008-01-26 2009-07-30 Lacava Toni Nasal Air Pillow Holder
US9308343B2 (en) 2008-02-19 2016-04-12 Circadiance, Llc Respiratory mask with disposable cloth body
US9981104B1 (en) 2008-02-19 2018-05-29 Circadiance, Llc Full face cloth respiratory mask
WO2010139014A1 (en) 2009-06-02 2010-12-09 Resmed Ltd Unobtrusive nasal mask
US8607796B2 (en) 2009-02-27 2013-12-17 Airway Technologies, Llc Apparatus and method for coupling an oral appliance to a gas delivery device
US20120055485A1 (en) 2009-04-27 2012-03-08 Jean-Michel Anthony Wearable medical support for delivery of fluids to the nose
US8573224B2 (en) * 2009-10-16 2013-11-05 Airway Technologies, Llc Custom-molded oral appliance and method of forming
US8276588B1 (en) 2009-10-23 2012-10-02 Sleepnea Respiratory mask with adjustable shape
US20110132375A1 (en) * 2009-12-08 2011-06-09 Airway Technologies, Llc System and Method for Forming a Custom-Molded Medical Mask
US8327851B2 (en) 2010-03-15 2012-12-11 Sleepnea Llc Respiratory mask with user interface
US8684006B2 (en) * 2010-03-26 2014-04-01 Advanced Brain Monitoring, Inc. Systems and methods for optimizing oral appliance therapy for the treatment of sleep apnea
DE202010011334U1 (en) * 2010-08-12 2010-10-21 Airtec Beatmungshilfen Gmbh & Co. Kg Respiratory mask for simultaneous oral and nasal ventilation
WO2012040792A1 (en) 2010-09-30 2012-04-05 Resmed Limited Mask system
US8662084B2 (en) 2011-04-05 2014-03-04 Airway Technologies, Llc Universal oral appliance with a universal coupler
US8783261B2 (en) 2011-04-05 2014-07-22 Airway Technologies, Llc Apparatus for prevention of snoring and improved breathing
WO2012138459A1 (en) 2011-04-05 2012-10-11 Airway Technologies, Llc Oral appliance for treating particular disorders associated with sleep
US8671946B2 (en) 2011-04-05 2014-03-18 Airway Technologies, Llc Custom dental appliance and method of creating a custom dental appliance
US10166355B2 (en) * 2011-11-15 2019-01-01 Resmed Limited Nasal mask system
US11207484B2 (en) 2011-11-21 2021-12-28 Snap Cpap, Llc Respiratory assembly
US10265493B2 (en) * 2011-11-21 2019-04-23 Snap Cpap, Llc Respiratory assembly
EP2931342B1 (en) * 2012-12-11 2019-03-27 Atos Medical AB Tracheostoma device holder
US10661040B2 (en) 2013-02-14 2020-05-26 Reginald Nieberding Medical support for delivery of a treatment to the nose
US11235119B2 (en) 2013-03-15 2022-02-01 Lucy Carol Davis Facial mask apparatus and method of making
US10004866B2 (en) 2013-03-15 2018-06-26 Lucy Carol Davis Facial mask apparatus and method of making
US11235120B2 (en) 2013-03-15 2022-02-01 Lucy Carol Davis Facial mask apparatus with removable filter
US20140261430A1 (en) 2013-03-15 2014-09-18 Lucy Carol Davis Facial Mask Apparatus and Method of Making
NZ631020A (en) 2013-05-14 2017-06-30 Resmed Ltd Oro-nasal patient interface
TWI803000B (en) 2013-05-14 2023-05-21 澳大利亞商瑞思邁私人股份有限公司 Oro-nasal patient interface
US9498593B2 (en) * 2013-06-17 2016-11-22 MetaMason, Inc. Customized medical devices and apparel
WO2016000040A1 (en) 2014-07-02 2016-01-07 Resmed Limited Custom patient interface and methods for making same
US10376408B2 (en) 2014-08-25 2019-08-13 Airway Technologies, Llc Oral appliance
US11426304B2 (en) 2014-08-25 2022-08-30 Airway Technologies, Llc Oral appliance
USD777905S1 (en) 2015-04-21 2017-01-31 Parker-Hannifin Corporation Nasal mask
GB201508114D0 (en) 2015-05-12 2015-06-24 3M Innovative Properties Co Respirator tab
US10814090B2 (en) * 2015-08-17 2020-10-27 Jada Medical, Llc Carbon dioxide airway adaptor
CN108472467B (en) 2015-12-22 2021-11-19 皇家飞利浦有限公司 Custom sealing member from a blank
US10314737B2 (en) * 2017-06-09 2019-06-11 Joseph Loeffler Molded cooling and heating face mask
CN110831733B (en) 2017-06-27 2022-04-12 皇家飞利浦有限公司 Induction heated mold for personal use
JP7186213B2 (en) 2017-07-14 2022-12-08 スリーエム イノベイティブ プロパティズ カンパニー Adapter for conveying multiple liquid streams
AU2019225444A1 (en) * 2018-02-23 2020-10-01 Bespoke Medical Innovations Pty Ltd Oro-nasal patient interface for treating sleep disordered breathing
WO2021245195A1 (en) 2020-06-03 2021-12-09 Reginald Nieberding A wearable system comprising a nose mask adaptor, a kit and use thereof

Family Cites Families (245)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2712160A (en) 1955-07-05 Method of making individual bowling
US339334A (en) * 1886-04-06 Peocess of maeihg a eeveesed profile patteen of the
US3124129A (en) 1964-03-10 Teeth protector
US690663A (en) 1901-08-16 1902-01-07 Harry Pratt Appliance for swimmers.
US746869A (en) 1903-08-05 1903-12-15 Stillman Augustus Moulton Device for preventing snoring.
US781516A (en) * 1904-02-03 1905-01-31 George N Guthrie Jr Respirator and inhaler.
US774446A (en) 1904-05-19 1904-11-08 Stillman Augustus Moulton Device for preventing snoring.
US885196A (en) 1906-10-08 1908-04-21 Henry Steil Antisnoring-shield.
US893213A (en) 1908-03-14 1908-07-14 William T Whiteway Respirator.
US996783A (en) 1910-08-22 1911-07-04 Hector L Moreau Process of making sculptors' molds.
US1076534A (en) 1913-01-23 1913-10-21 Firman Tullock Wallen Dental instrument.
US1146264A (en) 1914-07-08 1915-07-13 Will S Kelly Dental splint.
US1483694A (en) 1921-02-02 1924-02-12 Albert F Stukey Breathing corrector
US1675202A (en) * 1926-02-08 1928-06-26 Flavius J Sanders Method of making plastic casts
US1649664A (en) 1927-01-06 1927-11-15 Moscow B Carter Bite meter
US1679748A (en) 1927-02-23 1928-08-07 Ray A Stratton Dental appliance for indicating the outline of the face
US1674336A (en) 1927-10-27 1928-06-19 King Edward John Respirator
US2178128A (en) 1937-03-20 1939-10-31 Warren A Casey Antisnoring device
US2171695A (en) 1939-02-08 1939-09-05 Robert N Harper Method and apparatus for procuring impressions of the surfaces of the anterior teeth or dental work
US2383649A (en) 1941-08-23 1945-08-28 Air Reduction Breathing mask for parachute escape devices
US2424533A (en) 1945-07-21 1947-07-22 Faires William Jay Antisnore device
US2531222A (en) 1946-11-25 1950-11-21 Harold D Kesling Tooth positioning appliance
US2505028A (en) 1947-11-17 1950-04-25 Surgident Ltd Syringe for applying heat-fluent impression composition to dental inlay preparationsand the like, and impression-material cartridge for use therein
US2574623A (en) 1948-01-31 1951-11-13 Clyde Martin Antisnoring device
US2521039A (en) 1949-03-16 1950-09-05 Victor H Carpenter Tooth guard
US2521084A (en) 1949-09-01 1950-09-05 William T Oberto Mandible cushion for oxygen masks
US2590118A (en) 1949-10-01 1952-03-25 Jr Vincent J Oddo Mouthpiece
US2627268A (en) 1951-03-02 1953-02-03 Elsa L Leppich Antisnoring device
US2671446A (en) * 1952-10-28 1954-03-09 Ann S V Mann Beauty mask
US2833278A (en) 1956-04-05 1958-05-06 Harold M Ross Protective mouthpiece
US2882893A (en) 1957-05-23 1959-04-21 Nicholas A C Godfroy Combination mouth piece and air-way
US2867212A (en) 1957-12-27 1959-01-06 Jr William A Nunn Snore stopping mouthpiece and process of making same
US2977636A (en) * 1958-08-05 1961-04-04 Robert D Mcguire Method of molding a hollow rubber article
US2917045A (en) * 1958-12-10 1959-12-15 Air Reduction Face mask and similar devices having body-conforming means
US3037501A (en) 1959-02-02 1962-06-05 Scott Aviation Corp Quick-donning breathing mask
US3064354A (en) 1959-12-03 1962-11-20 Irving Kayton Devices and methods for dental bites and impressions
US3132647A (en) 1962-04-19 1964-05-12 Corniello Giuseppe Anti-snoring device
US3107668A (en) 1962-07-17 1963-10-22 Junior W Thompson Method of forming a tooth protector
US3219033A (en) 1963-06-06 1965-11-23 Wallshein Melvin Thumb-sucking and tongue-thrusting deterring device
US3312216A (en) 1963-07-22 1967-04-04 Wallshein Melvin Tongue-thrusting inhibiting devices
US3321832A (en) 1963-08-26 1967-05-30 Dentists Supply Co Dental articulator analogs and method and apparatus for constructing same
US3330274A (en) 1964-10-15 1967-07-11 Puritan Compressed Gas Corp Oro-nasal face mask with improved pneumatic sealing cuff
US3277892A (en) 1966-01-06 1966-10-11 Tepper Harry William Apparatus for correcting tongue thrust problems
US3434470A (en) 1966-05-27 1969-03-25 James C Strickland Snore inhibiting device
US3457916A (en) 1966-12-30 1969-07-29 Personalized Equipment Inc Protective mouthpiece
US3513838A (en) 1967-10-11 1970-05-26 John W Foderick Teeth protector
US3522805A (en) 1968-03-04 1970-08-04 Melvin Wallshein Dental appliances for inhibiting tonguethrusting and thumb-sucking
US3658058A (en) 1970-04-06 1972-04-25 Mine Safety Appliances Co Breathing apparatus nose-closing device
US3845768A (en) 1970-09-21 1974-11-05 R Garrahan Form fit vertical flow diving head gear
US3695265A (en) * 1970-10-26 1972-10-03 Elmer Lawrence Brevik Face mask
US3690004A (en) 1971-03-08 1972-09-12 John P Frush Impression tray and method for making impressions
SE368333B (en) 1972-04-05 1974-07-01 G Carlson
US3854208A (en) 1973-01-19 1974-12-17 G Arant Dental face bow assembly
JPS5048785A (en) 1973-03-06 1975-05-01
DE2320501C3 (en) 1973-04-21 1978-08-24 Hugo Dr.Med.Dent. 7000 Stuttgart Stockfisch Device for reducing the sound of breathing during sleep
US3871370A (en) 1973-07-05 1975-03-18 Lee E Mcdonald Tongue-thrust correction appliance
US3884226A (en) 1973-09-13 1975-05-20 Harry W Tepper Apparatus for correcting tongue thrust
US4050457A (en) * 1974-09-23 1977-09-27 Davidson Stacy D Sanitary mouth-to-mouth shield
DE2454216B2 (en) 1974-11-15 1977-02-24 Bayer Ag, 5090 Leverkusen IMPRESSION SPOON FOR DENTAL PURPOSES
US4026024A (en) 1975-10-20 1977-05-31 Michael Tradowsky Vise for transfer of check-bites
US4114614A (en) 1976-11-19 1978-09-19 Kesling Peter C Athletic mouthguard
US4227877A (en) 1977-10-20 1980-10-14 Black Knight Investments, Limited Anatomical intra-orally moldable dental impression tray and method
US4182312A (en) 1977-05-20 1980-01-08 Mushabac David R Dental probe
GB1569129A (en) 1977-07-19 1980-06-11 Rata M A Anti-snoring device
US4304227A (en) 1978-03-03 1981-12-08 Samelson Charles F Device for treatment of snoring, bruxism or for avoidance of sleep apnea
US4169473A (en) 1978-03-03 1979-10-02 Samelson Charles F Anti-snoring and anti-bruxism device
US4233972A (en) 1978-05-08 1980-11-18 Wolfgang Hauff Portable air filtering and breathing assist device
US4345593A (en) 1978-07-19 1982-08-24 A-T-O Inc. Pressure-demand breathing apparatus with automatic air shut-off
US4294243A (en) * 1978-12-08 1981-10-13 The United States Of America As Represented By The Secretary Of The Air Force Respirators
US4240420A (en) * 1979-04-16 1980-12-23 Florence Riaboy Nose and mouth filter combination
US4354489A (en) * 1979-04-16 1982-10-19 Florence Riaboy Individual nose and mouth filters
NL169820C (en) 1979-05-09 1982-09-01 Gaba Bv DEVICE FOR TREATING A TOOTH.
US4289127A (en) 1979-10-29 1981-09-15 Nelson Byron G Breathing apparatus stabilizer
US4941212A (en) 1980-04-25 1990-07-17 Liff Lawrence J Method of making a face mask and applying the face mask to the head
US4345592A (en) 1980-09-10 1982-08-24 A-T-O Inc. Pressure demand regulator with automatic shut-off
US4439147A (en) 1981-01-02 1984-03-27 Magill Thomas S Bite-taking device
US4397701A (en) 1981-02-20 1983-08-09 International Mask Research Foundation Method of making masks
US4392490A (en) 1981-02-23 1983-07-12 Mattingly Glen R Multiple outlet connecting means for self-contained positive pressure or demand regulated breathing apparatus
US4433956A (en) 1981-07-27 1984-02-28 Witzig John W Orthopedic corrector and method of correction of Class II malocclusion
DE3202870C2 (en) 1982-01-29 1985-03-21 Drägerwerk AG, 2400 Lübeck Breathing connection with mouthpiece for breathing apparatus
US4495945A (en) 1982-03-29 1985-01-29 Liegner Kenneth B Bite block
US4454880A (en) * 1982-05-12 1984-06-19 Rudolph Muto Nasal hood with open-bottom mixing chamber
US4382783A (en) 1982-06-28 1983-05-10 Rosenberg Farel A Intraoral dental appliance to correct retrusive mandibles orthopedically in the treatment of Class II malocclusions
US4439149A (en) 1982-09-16 1984-03-27 John Devincenzo Vertically-indexed posterior bite plates
DE3238816A1 (en) 1982-10-20 1984-04-26 geb. Schlüter Frauke Freifrau von Nostitz 8000 München Hofacker DENTAL FUNCTIONAL IMPRESSION SPOON, METHOD AND USE OF THE SAME FOR THE PRODUCTION OF A FUNCTIONAL MODEL FROM THE UPPER OR Lower jaw and a stencil
JPS59101133A (en) 1982-11-29 1984-06-11 日本アビオニクス株式会社 Apparatus for measuring three-dimensional position and posture
US4530662A (en) 1983-04-26 1985-07-23 Andersson A E Bror Impression tray for dental purposes
US4568280A (en) 1983-06-13 1986-02-04 Ahlin Jeffrey H Craniomandibular appliance
US4454090A (en) * 1983-09-26 1984-06-12 International Flavors & Fragrances Inc. Method of forming the bridge portion in a frame for eyeglasses
US4655213A (en) 1983-10-06 1987-04-07 New York University Method and apparatus for the treatment of obstructive sleep apnea
US4505672A (en) 1983-11-14 1985-03-19 Kurz Craven H Two-piece gnathologic orthodontic positioner
US4553549A (en) 1984-10-09 1985-11-19 Pope Bryan M Oral orthopedic/orthodontic appliance for treating neuromuscular imbalance
US4593686A (en) 1984-11-13 1986-06-10 Lloyd Stephen R Monitor for an anti-apnea device
US4602905A (en) 1985-03-26 1986-07-29 Keefe Iii John T O Dental impression registration device
US4856509A (en) * 1985-07-08 1989-08-15 Lemelson Jerome H Face mask and method
US4676240A (en) 1985-09-09 1987-06-30 Gardy Victor R Tongue locking device to minimize effects of sleep apnea and to reduce snoring
US4669459A (en) 1985-11-29 1987-06-02 Spiewak Martin H Anti-snoring device
DE3543931A1 (en) 1985-12-12 1987-06-19 Ruediger Dr Dinse Breathing mask
US4706683A (en) 1985-12-20 1987-11-17 Bowman Gray School Of Medicine, Wake Forest University Method and apparatus for bolus delivery of gases and aerosols and insufflations
US4784123A (en) 1986-01-03 1988-11-15 Union Carbide Corporation Orthopedic/orthotic splint materials
US4668188A (en) 1986-01-29 1987-05-26 Wolfenson Gilbert B Oral impression tray for forming a mouthguard
US4858605A (en) * 1986-04-25 1989-08-22 Jay Danziger Oral artificial ventilation apparatus
US4715368A (en) 1986-08-06 1987-12-29 George Peter T Nocturnal airway-patency appliance
USRE33442E (en) 1986-08-06 1990-11-20 Nocturnal airway-patency appliance
US4799500A (en) 1986-09-17 1989-01-24 Newbury Renton D Method of and apparatus for treatment of muscle imbalance
GB8624230D0 (en) 1986-10-09 1987-02-04 Normalair Garrett Ltd Aircrew breathing systems
DE3707952A1 (en) 1987-03-12 1988-09-22 Ernst Dipl Ing Hoermann Breathing mask for long-term operation
US4721465A (en) * 1987-03-17 1988-01-26 Barasz Steven G Dental dam with integral deformable frame
US4901737A (en) 1987-04-13 1990-02-20 Toone Kent J Method and therapeutic apparatus for reducing snoring
DE3719009A1 (en) 1987-06-06 1988-12-22 Ernst Dipl Ing Hoermann Ventilation mask with adjustable mouthpiece and nose moulding
US5199424A (en) 1987-06-26 1993-04-06 Sullivan Colin E Device for monitoring breathing during sleep and control of CPAP treatment that is patient controlled
NZ225194A (en) 1987-07-08 1990-07-26 David William Robert Wright Snore inhibiting device
US4870962A (en) 1987-09-14 1989-10-03 Lee Sitnik Disposable self-inflating manual resuscitator bag
US4862903A (en) 1987-10-09 1989-09-05 U.S. Divers Company, Inc. Breathing mouthpiece for contacting upper palate and lower jaw of user's mouth
US5092346A (en) * 1987-10-13 1992-03-03 Hays & Meade, Inc. Dental orthosis for alleviation of snoring
AU617694B2 (en) 1987-10-13 1991-12-05 Hays & Meade Inc. Silencer
US4773853A (en) 1987-11-09 1988-09-27 Leon Kussick Oral orthopedic appliance
US5062421A (en) 1987-11-16 1991-11-05 Minnesota Mining And Manufacturing Company Respiratory mask having a soft, compliant facepiece and a thin, rigid insert and method of making
US5065756A (en) 1987-12-22 1991-11-19 New York University Method and apparatus for the treatment of obstructive sleep apnea
JPH0646997B2 (en) 1988-01-25 1994-06-22 中国歯研株式会社 Jaw position determining device
US4957124A (en) 1988-02-10 1990-09-18 Mooney Lillian A Template
GB2215615B (en) 1988-03-21 1991-12-18 Sabre Safety Ltd Breathing apparatus
US4892478A (en) 1988-03-21 1990-01-09 Dentsply Research & Development Corp. Method of preparing dental appliances
US4955393A (en) 1988-03-30 1990-09-11 Trident Laboratories, Inc. Mouthguard with conformable arch liners
US4919128A (en) 1988-08-26 1990-04-24 University Technologies International Inc. Nasal adaptor device and seal
US5042478A (en) 1988-08-26 1991-08-27 University Technologies International, Inc. Method of ventilation using nares seal
JPH062174B2 (en) 1988-09-08 1994-01-12 サンスター株式会社 Mouthpiece
US5055039A (en) 1988-10-06 1991-10-08 Great Lakes Orthodontics, Ltd. Orthodontic positioner and methods of making and using same
SE462614B (en) * 1988-12-06 1990-07-30 Conny Peder Gunnar Moa DEVICE TO GENERATE CONTINUOUS POSITIVE AIR PRESSURE IN SPONTANEOUS THROUGH EJECTOR EFFECTS
US4906234A (en) 1989-01-09 1990-03-06 Voychehovski Tomasz H Medical tube holder
CA1332905C (en) 1989-03-10 1994-11-08 John A. Murchie Method and apparatus for treatment of snoring
US5028232A (en) 1989-05-03 1991-07-02 Snow Michael D Apparatus and method for calibrating physiologic dental occlusion and determining optimal individual orthodontic appliance prescription
US5052409A (en) 1989-05-08 1991-10-01 Tepper Harry W Oral appliance for tongue thrust correction
US5011407A (en) 1989-05-22 1991-04-30 Joseph Pelerin Custom dental impression tray
US5018533A (en) 1989-05-25 1991-05-28 Hawkins Richard H Apparatus for the reduction of apnaa in the edentulous
JP2700490B2 (en) * 1989-06-02 1998-01-21 伊藤精機株式会社 Sealing device for face protection device, face protection device, and method of forming sealing device
US5003994A (en) 1989-10-10 1991-04-02 Cook George W Oral appliance for improving breathing and methods of using and making same
US5042506A (en) 1989-11-02 1991-08-27 Liberati Salvator P Antisnoring training device
US5103838A (en) * 1990-02-09 1992-04-14 Yousif Edward N Dental night guard
US5040976A (en) 1990-02-23 1991-08-20 Minnesota Mining And Manufacturing Company Expandable dental impression tray
ES2060075T3 (en) * 1990-02-23 1994-11-16 Minnesota Mining & Mfg SEMI-THERMOPLASTIC COMPOSITION FOR MOLDING THAT HAS MEMORY IN A "CUSTOMIZED" FORM, THERMALLY STABLE.
US5026278A (en) 1990-02-23 1991-06-25 Minnesota Mining And Manufacturing Company Dental impression tray with flange
US5066231A (en) 1990-02-23 1991-11-19 Minnesota Mining And Manufacturing Company Dental impression process using polycaprolactone molding composition
FR2658725B1 (en) * 1990-02-26 1992-07-03 Barthou Gilles METHOD FOR MANUFACTURING A NASAL ORTHESIS AND NASAL MASK COMPRISING SUCH AN ORTHESIS.
US5213498A (en) * 1990-05-01 1993-05-25 Advantage Dental Products, Inc. Method for making a custom impression tray
DE4014975C1 (en) * 1990-05-10 1991-10-24 Girrbach Dental Gmbh, 7530 Pforzheim, De
US5243971A (en) 1990-05-21 1993-09-14 The University Of Sydney Nasal mask for CPAP having ballooning/moulding seal with wearer's nose and facial contours
US5078600A (en) * 1990-06-25 1992-01-07 Austin David G Multifunction mandibular movement measuring device
WO1992005752A1 (en) * 1990-10-03 1992-04-16 Ernest Truffer Snoring prevention device
US5117816A (en) * 1991-01-03 1992-06-02 Shapiro Norman A Anti-snore device
US5064371A (en) 1991-03-26 1991-11-12 Smeltzer Marsha F Dental impression tray
GB9106960D0 (en) 1991-04-03 1991-05-22 Bnos Electronics Ltd Breathing apparatus
DE4202676C2 (en) * 1991-05-17 1995-02-23 Schreinemakers Josephus Process for making an impression of a toothed human jaw
US5458137A (en) 1991-06-14 1995-10-17 Respironics, Inc. Method and apparatus for controlling sleep disorder breathing
US5154609A (en) 1991-07-16 1992-10-13 George Peter T Instrument for registration of the dental bite
US5183057A (en) * 1991-07-30 1993-02-02 Syrop Steven B Fluid motion device (FMD) for exercising the temporomandibular joint
US5112225A (en) * 1991-08-02 1992-05-12 Michael Diesso Custom dental tray
US5154184A (en) 1991-09-16 1992-10-13 Alvarez Ramiro M Adjustable anti-snoring apparatus
US5687715A (en) 1991-10-29 1997-11-18 Airways Ltd Inc Nasal positive airway pressure apparatus and method
US5320533A (en) * 1992-02-12 1994-06-14 Lee Robert L Fixed prosthodontic tool kit and method for placing and fitting crowns and inlays
US5233978A (en) * 1992-04-03 1993-08-10 Medway Nasal oxygen mask
US5267557A (en) * 1992-08-17 1993-12-07 Her Mou Lin Nose mask with a filtering device
US5277202A (en) * 1992-08-26 1994-01-11 Mb Hays, Inc. Easy fit anti-snoring device
US5477850A (en) 1992-10-06 1995-12-26 Rockwell International Corp. Integrated buoyancy suit crew protection system with +/-GZ protection
US5280305A (en) * 1992-10-30 1994-01-18 The Walt Disney Company Method and apparatus for forming a stylized, three-dimensional object
US5313960A (en) * 1992-11-04 1994-05-24 Marc S. Bernstein Apparatus and method for reducing snoring and method of making same
US5284161A (en) * 1992-11-12 1994-02-08 Karell Manuel L Snopper-the snoring stopper anti-snoring mouth device
US5517983A (en) * 1992-12-09 1996-05-21 Puritan Bennett Corporation Compliance meter for respiratory therapy
US5267862A (en) 1993-01-08 1993-12-07 Parker Jonathan A Intraoral appliance
US5365945A (en) 1993-04-13 1994-11-22 Halstrom Leonard W Adjustable dental applicance for treatment of snoring and obstructive sleep apnea
US5373859A (en) 1993-04-19 1994-12-20 Forney; Leroy S. Tongue positioning device
US5582517A (en) 1993-04-29 1996-12-10 Adell; Loren S. Multi-laminar dental impression tray assembly
GB2279014B (en) * 1993-06-02 1997-07-16 Niall Keaney Device for controlling delivery of respiratory drugs
US5560354A (en) 1993-06-18 1996-10-01 Rescare Limited Facial masks for assisted respiration or CPAP
US5657751A (en) 1993-07-23 1997-08-19 Karr, Jr.; Michael A. Cardiopulmonary resuscitation unit
US5427117A (en) 1993-09-29 1995-06-27 Thornton; W. Keith Apparatus for prevention of snoring and improved breathing during sleep
US5370533A (en) 1993-11-08 1994-12-06 Bushnell; Raymond B. Dental impression tray assembly and method of taking impressions
US5503552A (en) * 1993-11-18 1996-04-02 Diesso; Michael Dental impression method and composition
US5538014A (en) * 1994-01-10 1996-07-23 James W. Wilson Deformable face shield with mouthpiece
US5503167A (en) * 1994-01-10 1996-04-02 James W. Wilson Deformable face shield with mouthpiece
US5409017A (en) * 1994-01-19 1995-04-25 The University Of British Columbia Mandible repositioning appliance
US5540223A (en) * 1994-02-17 1996-07-30 Respironics, Inc. Respiratory mask facial seal
US5678567A (en) 1994-03-25 1997-10-21 Thornton; W. Keith Apparatus for adjusting a dental device
US5456264A (en) 1994-03-31 1995-10-10 Universite Laval Accuracy of breath-by-breath analysis of flow volume loop in identifying flow-limited breathing cycles in patients
US5392773A (en) * 1994-04-13 1995-02-28 Bertrand; Archie A. Respiratory particulate filter
GB9410935D0 (en) 1994-06-01 1994-07-20 Dranez Anstalt Ventilator apparatus
JP2825758B2 (en) * 1994-06-03 1998-11-18 クリンテック株式会社 Nose heat mask
US5983892A (en) 1994-06-03 1999-11-16 Thornton; W. Keith Device for improving breathing
US5954048A (en) 1994-06-03 1999-09-21 Thornton; W. Keith Device and method for improving breathing
US5537994A (en) * 1994-06-03 1996-07-23 Thornton; W. Keith Combination face mask and dental device for improved breathing during sleep
US5488944A (en) * 1994-08-05 1996-02-06 Kennedy; Thomas M. Surgical drape support
US5611485A (en) * 1994-08-12 1997-03-18 William W. Gibbs Method and apparatus for dispensing a substance
US5551872A (en) 1994-09-30 1996-09-03 Mena; Raul Dental impression device
US5503146A (en) * 1994-10-26 1996-04-02 Devilbiss Health Care, Inc. Standby control for CPAP apparatus
DE4438512A1 (en) * 1994-10-31 1996-05-02 Igor Borrmann Medical breathing mask
US5887587A (en) * 1994-12-07 1999-03-30 Edentec Corporation Facial mask for respiratory apparatus
US5551419A (en) 1994-12-15 1996-09-03 Devilbiss Health Care, Inc. Control for CPAP apparatus
US5538000A (en) 1995-02-06 1996-07-23 Hans Rudolph, Inc. Airflow delivery system
FR2731624B1 (en) * 1995-03-16 1997-09-26 Assist Publ Hopitaux De Paris FACE VENTILATION MASK, PART AND METHOD FOR THE PRODUCTION THEREOF
DE29506512U1 (en) 1995-04-15 1995-06-08 Erkodent Erich Kopp Gmbh Oral anti-snoring device
US5562449A (en) 1995-04-18 1996-10-08 Jacobs; Allison J. Custom dental tray
US5592935A (en) * 1995-05-03 1997-01-14 Minnesota Mining And Manufacturing Company Positive/negative air pressure adaptor for use with respirators
US5724965A (en) * 1995-06-06 1998-03-10 Respironics Inc. Nasal mask
US5676133A (en) 1995-06-14 1997-10-14 Apotheus Laboratories, Inc. Expiratory scavenging method and apparatus and oxygen control system for post anesthesia care patients
DE19524534C1 (en) 1995-07-05 1996-06-05 Ruesch Willy Ag Endotracheal intubation arrangement with tube and control bow
US5718500A (en) * 1995-09-23 1998-02-17 Vinci Guerra; Mark T. Positive pressure impact resistant lens for improved vision and safety
US5558090A (en) 1995-10-30 1996-09-24 James; Lonnie A. Multi-purpose head-mounted adjustable medical tube holder
US5662101A (en) 1995-12-07 1997-09-02 Respironics, Inc. Respiratory facial mask
US5720302A (en) * 1996-03-01 1998-02-24 Belfer; William A. Anti-snoring device having an external shield
US5657752A (en) 1996-03-28 1997-08-19 Airways Associates Nasal positive airway pressure mask and method
US5810749A (en) * 1996-05-21 1998-09-22 Maas; Corey S. Nasal fixation with water-hardening fiber-mesh resin
US5846082A (en) * 1996-05-24 1998-12-08 Thornton; W. Keith System and method for customizing a dental device using an improved deformable material
US5807100A (en) 1996-05-24 1998-09-15 Thornton; W. Keith Dental device having an improved deformable material and method for forming same
FR2749152B1 (en) * 1996-06-04 1998-08-28 Soc D Etablissements Hilaire G METHOD FOR TAKING IMPRESSIONS, IN PARTICULAR FOR THE MAKING OF ORTHOPEDIC SHOES AND SUITABLE MATERIAL
FR2750578B1 (en) * 1996-07-08 1998-11-06 Intertechnique Sa METHOD FOR MANUFACTURING PERSONALIZED HELMET HAT
US5718244A (en) * 1996-08-05 1998-02-17 Thornton; W. Keith External ear occlusion device having an improved deformable material and metod for forming same
US5752510A (en) * 1996-11-14 1998-05-19 Goldstein; Joseph Nasal and oral air passageway delivery management apparatus
US6012455A (en) * 1996-11-14 2000-01-11 Goldstein; Joseph Nasal air delivery apparatus
US5832918A (en) 1996-12-20 1998-11-10 Pantino; Don A. Method of making a face mask from a facial impression and of gas delivery
US5746201A (en) * 1997-01-23 1998-05-05 Nellcor Puritan-Bennett CPAP nose mask
US5829441A (en) 1997-06-24 1998-11-03 Nellcor Puritan Bennett Customizable dental device for snoring and sleep apnea treatment
US6119694A (en) * 1997-07-24 2000-09-19 Respironics Georgia, Inc. Nasal mask and headgear
IT1299222B1 (en) * 1998-05-12 2000-02-29 Mallinckrodt Holding Bv CUSTOMIZABLE MASK, FACIAL OR NASAL, FOR NON-INVASIVE VENTILATION OF PATIENTS IN GENERAL
DE19846686A1 (en) * 1998-10-09 1999-07-29 Kleehaupt Konrad Production of an individually adapted respiration mask
US6263871B1 (en) 1998-10-29 2001-07-24 Richard I. Brown Mouthpiece with coupler
US6155267A (en) 1998-12-31 2000-12-05 Medtronic, Inc. Implantable medical device monitoring method and system regarding same
US6412488B1 (en) 1999-05-12 2002-07-02 Respironics, Inc. Low contact nasal mask and system using same
USD448473S1 (en) 1999-08-10 2001-09-25 Respironics, Inc. Nasal mask
US6305376B1 (en) 1999-09-09 2001-10-23 W. Keith Thornton Device and method for improving breathing
US6325064B1 (en) 1999-09-15 2001-12-04 W. Keith Thornton Device for improving breathing and method of fitting same
US6247926B1 (en) * 2000-01-17 2001-06-19 W. Keith Thornton Oral appliance having a bonding layer and methods for fitting and relining same
US6877513B2 (en) * 2000-01-21 2005-04-12 Respironics, Inc. Intraoral apparatus for enhancing airway patency
US6405729B1 (en) * 2000-04-05 2002-06-18 W. Keith Thornton Oral appliance for improving breathing and method of constructing same
US6464924B1 (en) * 2000-04-05 2002-10-15 W. Keith Thornton Method of forming a custom mask using an impression mask
US6571798B1 (en) * 2000-04-05 2003-06-03 W. Keith Thornton Device for improving breathing and method of constructing same
AUPQ676800A0 (en) * 2000-04-07 2000-05-11 R J & V K Bird Pty Ltd Dental device
US7823590B2 (en) 2000-05-22 2010-11-02 Sleepup Ltd. Devices, for preventing collapse of the upper airway, methods for use thereof and systems and articles of manufacture including same
GB0023250D0 (en) * 2000-09-21 2000-11-01 Smiths Industries Plc Patient ventilation devices
US6626178B2 (en) 2001-01-12 2003-09-30 Kirby Morgan Dive Systems, Inc. Full face mask with face seal and removable adaptors allowing full access to separate spaces
US6645413B2 (en) * 2001-02-26 2003-11-11 Stanley Winston Jacobs Method for making face masks for reconstructive surgical patients
EP1245204B1 (en) 2001-03-26 2007-02-07 Zimmer GmbH Knee prosthesis
US6675802B1 (en) * 2001-05-08 2004-01-13 W. Keith Thornton Device for improving breathing incorporating a detachable venting seal
EP1476097A4 (en) 2002-02-20 2010-12-08 Zimmer Inc Knee arthroplasty prosthesis and method
US7243650B2 (en) * 2004-07-12 2007-07-17 Thornton W Keith Custom fitted mask configured for coupling to an external gas supply system and method of forming same
US8042539B2 (en) 2004-12-10 2011-10-25 Respcare, Inc. Hybrid ventilation mask with nasal interface and method for configuring such a mask

Also Published As

Publication number Publication date
AU2003277360B2 (en) 2010-06-10
WO2004037153A2 (en) 2004-05-06
CA2502280C (en) 2013-04-09
US6857428B2 (en) 2005-02-22
EP1554018A4 (en) 2009-04-29
US20040079374A1 (en) 2004-04-29
WO2004037153A3 (en) 2004-08-26
US7963284B2 (en) 2011-06-21
AU2003277360A1 (en) 2004-05-13
US20050016544A1 (en) 2005-01-27
EP1554018A2 (en) 2005-07-20

Similar Documents

Publication Publication Date Title
CA2502280C (en) Custom fitted mask and method of forming same
CA2573681C (en) Custom fitted mask configured for coupling to an external gas supply system and method of forming same
US7992558B2 (en) Stability medical mask
US20220355057A1 (en) Foam cushion respiratory apparatus
US20070006879A1 (en) Multi-Chamber Mask and Method of Forming the Same
US8020276B2 (en) System and method for custom-orienting a medical mask to an oral appliance
US8236216B2 (en) System and method for forming a custom medical mask using an orientation device
US20110132375A1 (en) System and Method for Forming a Custom-Molded Medical Mask
US6571798B1 (en) Device for improving breathing and method of constructing same
US6405729B1 (en) Oral appliance for improving breathing and method of constructing same
US6464924B1 (en) Method of forming a custom mask using an impression mask
JP5230156B2 (en) Headgear stretched for breathing mask
JP2022130726A (en) Interface with patient
US8171934B1 (en) Forehead pad and forehead support assembly
US20120285469A1 (en) Textured/polished respiratory mask seal and mask
JP2008073528A6 (en) Headgear stretched for breathing mask
JP2000511085A (en) Back covering device and method
TW201442750A (en) Respiratory apparatus
AU2018332823A1 (en) Devices and methods for contacting living tissue
US20170151407A1 (en) A seal forming structure for a patient interface and a tool and method of manufacturing the seal forming structure

Legal Events

Date Code Title Description
EEER Examination request
MKLA Lapsed

Effective date: 20151013