US20040244804A1 - Breathing assistance apparatus - Google Patents
Breathing assistance apparatus Download PDFInfo
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- US20040244804A1 US20040244804A1 US10/489,159 US48915904A US2004244804A1 US 20040244804 A1 US20040244804 A1 US 20040244804A1 US 48915904 A US48915904 A US 48915904A US 2004244804 A1 US2004244804 A1 US 2004244804A1
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- gases
- cannula
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- nasal cannula
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0666—Nasal cannulas or tubing
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0057—Pumps therefor
- A61M16/0066—Blowers or centrifugal pumps
- A61M16/0069—Blowers or centrifugal pumps the speed thereof being controlled by respiratory parameters, e.g. by inhalation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0605—Means for improving the adaptation of the mask to the patient
- A61M16/0633—Means for improving the adaptation of the mask to the patient with forehead support
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0683—Holding devices therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0816—Joints or connectors
- A61M16/0841—Joints or connectors for sampling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1075—Preparation of respiratory gases or vapours by influencing the temperature
- A61M16/1095—Preparation of respiratory gases or vapours by influencing the temperature in the connecting tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0057—Pumps therefor
- A61M16/0066—Blowers or centrifugal pumps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
- A61M16/16—Devices to humidify the respiration air
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/14—Preparation of respiratory gases or vapours by mixing different fluids, one of them being in a liquid phase
- A61M16/16—Devices to humidify the respiration air
- A61M16/161—Devices to humidify the respiration air with means for measuring the humidity
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/208—Non-controlled one-way valves, e.g. exhalation, check, pop-off non-rebreathing valves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3331—Pressure; Flow
- A61M2205/3348—Pressure measurement using a water column
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2240/00—Specially adapted for neonatal use
Definitions
- This invention relates to Nasal Cannulae particularly though not solely to nasal cannulae for delivering Continuous Positive Airway Pressure (CPAP) to neonates.
- CPAP Continuous Positive Airway Pressure
- a respiratory supplement such as air, oxygen, or other gases.
- gases are freely supplied and/or supplied at controlled pressures.
- gases are also supplied through the patient's mouth and/or through the patient's nose.
- Nasal supply systems provide an advantage in that they are generally more convenient and less intrusive than mouth based or mouth covering devices.
- nasal based devices are deemed uncomfortable in light of securement straps placed across the face and/or around the head and used to secure the device to an individuals breathing cavity.
- conventional cannulas do not provide a proper seal around the nares to inhibit apnoea and to provide a high flow system to stimulate the patient's breathing.
- these nasal devices often dislodge from the breathing cavity. This is of particular concern with children, infants, or the elderly who do not understand the importance of keeping the nasal breathing device in place, whether it be a nasal CPAP or nasal cannula.
- CPAP continuous positive airway pressure
- CPAP devices including endotracheal tubes, head chambers, face chambers, face masks, nasal prongs, and nasal cannula. While each type of device has advantages and disadvantages, the nasal cannula provides a comfortable alternative for providing CPAP and/or airflow assistance.
- Prior art nasal cannulae have been disclosed in many forms with various methods of securing the device to the nasal passageway.
- One such cannula assembly is disclosed in U.S. Pat. No. 3,513,844 which uses an adjustable strap that encircles an individual's head.
- a similar device is disclosed in U.S. Pat. No. 4,106,505 wherein the supply tubes to the cannula are hooked over an individual's ears and around the head.
- U.S. Pat. No. 5,477,852 discloses a device with a headband for holding and positioning the nasal inserts and associated supply tubes.
- Yet another system in U.S. Pat. No. 5,271,391 discloses a cannula which is secured by applying strips of pressure sensitive adhesive tape to the supply tubes leading from each side of the cannula, thereby attaching the supply tubes to the cheeks of an individual with the cannula positioned in between.
- “Bonnet” type devices are also used to hold the CPAP nasal cannulae in place.
- this method generally puts pressure on an individual's nose and upper lip thereby causing pressure necrosis in the centre of the nose.
- a particularly sensitive individual is a young child, infant or baby.
- the bonnet also fails to adequately keep the nasal prongs in position, particularly with infants who move or roll around in their crib.
- tubing for these bonnet type CPAP's is draped around both sides of the patient's cheek which means that the most comfortable lying down position is on the patient's back. Pressure on the patient's cheeks caused by the securement device can make other positions uncomfortable.
- U.S. Pat. No. 4,823,789 discloses a nose tube anchoring strip which has an adhesive coated sheet shaped to fit over an individual's nose and an appendage for holding a nasal-gastric tube.
- U.S. Pat. No. 5,156,641 which has an anchoring cord adhesively attached to an individual's nose at one end and attached to hold a naso-gastric catheter at the other end.
- U.S. Pat. No. 5,513,635 provides a securement device with a body engagement portion which adheres across the nose of an individual with cannula engaging portions extending down therefrom.
- U.S. Pat. No. 5,682,881 discloses the use of an adhesive foam pad secured to the upper lip for positioning of the cannula.
- a unified nasal cannula comprises a hollow tubular body having an upper flat or plane surface and a pair of spaced and curved elongated tubular extensions, having exterior orifices for directing a gas flow which extensions project upwardly at an angle from the surface.
- FIGS. 2 and 3 we see that because the inlet 400 is from one side the prongs 402 , 404 may see slightly different pressures. There is also the potential for downstream prong 404 to rebreathe the expired CO 2 from upstream prong 402 .
- a cannula including an airway injecting gas in fluid communication with nostrils of a patient and aerodynamically designed passageways for both the ambient air and the injected gas to optimize the fluid flow characteristics during inhalation and exhalation of the patient.
- a cannula is described attached to an elongated flexible tube.
- the nasal prongs include bulbous portions that seat and seal the nasal tubes in the nares.
- a device for generating by ejector action a continuous positive airway pressure (CPAP), comprising a breathing-channel which at one end opens into the atmosphere and at another end is adapted to be provided with an attachment device to the nose and/or mouth of the patient as seen in FIG. 1.
- the inlet is situated between a channel open to the atmosphere and open to the prongs in such a manner that the stream of fresh gas is directed mainly co-axially into the channel, producing an ejector action.
- the present invention maybe broadly said to consist in nasal cannula for delivering respiratory gases to a neonatal infant comprising:
- a manifold including a chamber, a gases inlet configured to engage an inspiratory conduit, a gases outlet configured to engage an expiratory conduit and a low resistance path for said gases through said chamber from said inlet to said outlet
- a pair of nasal prongs in fluid communication with said chamber substantial equidistant said inlet, said prongs juxtaposed directly in said path.
- said cannula includes securement means to hold said prongs in place in the nares of said neonate.
- said securement means including a strap adapted to pass around the back of the neck of said neonate and engage with said cannula and thereby hold said prongs in place in the nares of said neonate.
- said strap includes a low resistance portion, said low resistance portion adapted to engage with said cannula in a sliding fashion to allow said strap substantial lateral (iguanian axial) movement relative to said cannula.
- said low resistance portion comprises a thin plastic strand or strip.
- the remainder of said strap includes an adjustable attachment to said low resistance portion to in use adjust the tension of said strap.
- said securement means including an infant bonnet comprising head cover means adapted to at least partially cover the head of an infant and including at least a cuff of elastic property to securely locate said cover means on said infant head, and medical tube securing means connected with said cover means on the outer surface thereof, said medical tubes adapted to in use connect to said cannula, said securing means operable to hold medical tubes passing over said cover means against at least lateral (iguanian axial) movement.
- said head cover means is formed of a knit fabric in a tubular configuration and open at both ends, said securing means is connected with said outer surface adjacent one said open end and end closing means are connected with said outer surface adjacent the other said open end, said end closing means being operable to hold the said knit fabric of its respective said end in a closed, bunched together, condition.
- either or both of said tube securing means and said end closing means are or include a lace or tie stitched to said head cover means.
- said lace or tieing is secured at its centre to said head cover means to provide two arms, said arms passing through a tightening toggle slidable on said arms.
- said tightening toggle is operable between at least two conditions, being biased to a pinch off condition in which said arms of said lace or tie are clamped within their passage through said toggle and manipulable to a free configuration in which said toggle may slide a long said arms of said lace or tie.
- the present invention may be broadly said to consist in a system for delivering respiratory gases in a neonatal infant comprising
- an inhalatory conduit in fluid communication with said source of gases and adapted to convey gases
- a nasal cannula in fluid communication with said inhalatory conduit and adapted to deliver gases to the nasal passages of said infant
- an exhalatory conduit in fluid communication with said delivery means and adapted to convey gases from said delivery means
- a pressure regulating device disposed within or in fluid communication with said exhalatory gases transport means and adapted to achieve a predetermined mean pressure of gases delivered to the nasal passages of said infant by regulating the flow of gases through said pressure regulating device.
- pressure regulating device comprising:
- a container adapted to house a body of liquid
- terminal conduit means including proximate and distal ends, said proximate end adapted for connection to said exhalatory conduit, and said distal end adapted for submergence in said body of liquid,
- FIG. 1 is a side view of a prior art cannula on an infant
- FIG. 2 is a perspective view of a prior art cannula on an infant
- FIG. 3 is a cross section of a prior art cannula
- FIG. 4 is a closeup perspective view from above of the present invention.
- FIG. 5 is a section view of the present invention
- FIG. 6 is a closeup perspective view of the present invention
- FIG. 7 is a side view of the present invention.
- FIG. 8 is a closeup view of the present invention from below
- FIG. 9 is a closeup view of the present invention from above,
- FIG. 10 is an illustration of the present invention is use on an neonate
- FIG. 11 is a block diagram of the CPAP system
- FIG. 12 is a side view of the bonnet
- FIG. 13 is an illustration of the bonnet is use on an neonate
- FIG. 11 A humidified Continuous Positive Airway Pressure (CPAP) system is shown in which a patient 19 is receiving humidified and pressurised gases through a nasal cannula 28 connected to a inhalatory conduit 21 .
- CPAP Continuous Positive Airway Pressure
- Inhalatory conduit 21 is connected to the outlet 12 of a humidification chamber 10 which contains a volume of water 15 .
- Inspiratory conduit 21 may contain heating means or heater wires 20 which heat the walls of the conduit to ensure a constant humidity profile along the conduit and therefore reduce condensation of humidified gases within the conduit.
- water vapour begins to fill the volume of the chamber above the water's surface and is passed out of the humidification chamber 10 outlet 12 with the flow of gases (for example air) provided from a gases supply means or blower 18 which enters the chamber 10 through inlet 16 .
- gases for example air
- the humidified gases pass through the inhalatory conduit 21 to the cannula 100 connected to the patient's 19 nose through prongs 116 , 118 .
- the expired gases pass through the prongs 116 , 118 to the output manifold 130 .
- the excess gases then flow through the exhalatory conduit 230 to a pressure regulator 234 .
- the pressure regulator 234 takes the form of discharging the flow of exhalatory gases into a chamber 204 containing a column of water 238 as seen in FIG. 11.
- the gases flowing through the exhalatory conduit 230 are discharged into the body of water 238 from a short conduit 236 which extends from the expiratory conduit into the chamber 204 .
- the outlet port 252 includes shielding to prevents liquid aerosols created by the vigorous bubbling on the surface of the water from being expelled.
- the short conduit 236 could equally be integrated into the end of the expiratory conduit 230 . It will also be appreciated that by adjusting the level of which the short conduit 236 is submerged in the body of water 238 the mean pressure of supplied gases through the cannula 100 can be controlled.
- the inlet manifold 110 includes an inlet port 112 . This accepts the gas flow from the humidifier and air/oxygen blender or any other flow source apparatus as would be appropriate.
- the diameter of the inlet manifold 10 is as large as possible to ensure minimal pressure drop in the gases before delivery to the patient.
- In fluid communication with the inlet manifold are two nasal prongs 116 , 118 .
- the gases are then able to flow from the inlet manifold 10 up through the nasal prongs into the corresponding nares of the patient.
- the prongs 116 , 118 themselves are cylindrical with a slight taper narrowing at the top. The diameter is carefully chosen such that it will substantially seal against the interior of the nare, without imparting any substantial pressure thereon. As well as sealing this also provides some level of securement and keeps the cannula 100 in place.
- FIG. 2 An important feature of the present invention is shown in FIG. 2 and in more detail in FIG. 3.
- the two nasal prongs 116 , 118 are spaced apart at a distance optimised for the nare spacing for a neonatal infant.
- the present invention would be equally applicable for patients of all sizes and the design is easily scalable. It will be appreciated that while the nasal structure of each infant will be somewhat different, almost inevitably the septum will be lower than the fleshy parts on the side of the nose. As mentioned in the discussion of the prior art this may result in irritation and pressure necrosis on the septum. It can be seen that the inlet manifold 110 has a notch 126 or indentation in its uppermost portion between the two nasal prongs 116 , 118 . The indentation 126 is designed such that there will be no contact with the septum.
- FIG. 5 showing a sectional view of the cannula 100 .
- the inlet manifold 110 is separated from the outlet manifold 130 by a partition 132 running horizontally the length of both manifolds.
- the partition 132 terminates approximate to the base 134 of the prongs 116 , 118 . In this fashion there will always be at least some flow flowing directly from the inlet manifold 110 to the outlet manifold 130 . This ensures that the deadspace or tidal volume is limited to the volume of the prongs 116 , 118 .
- This configuration results in the minimum build up of expired CO 2 and also reduces any opportunity for condensation in the cannula 100 .
- the prongs 116 , 118 are made from a moulded rubber or silicon insert 136 which has an interference or compression fit seal to the hard plastic body 138 of the cannula 100 .
- the prongs are able to be used as a disposable component or alternatively easily interchangeable for different sizes, a nasal mask, mouthpiece or other interface as desired.
- the inlet port 112 connects directly to inlet manifold 110 and may be provided with any typical connection configuration for commercially available conduits.
- the outlet port 142 is in fluid communication with the outlet manifold 130 .
- a further sensor port 144 is provided to measure any parameters of the delivered gases for example pressure, temperature, humidity.
- the sensor port 144 is connected to a measurement tube 156 which may also form part of the integral inlet outlet tube 154 connected to the cannula 100 .
- the infant bonnet of the present invention includes a head covering portion 330 which is preferably formed of a stretchable or elastic material having thermal insulation property.
- a head covering portion 330 is provided in the form of a open ended tube. Where the material of the covering 330 provides more stretch along one principal axis then that principal axis as preferably aligned across the axis of the tube.
- the head covering 330 preferably includes a zone adjacent one open end 332 which is stiffer than the surrounding region.
- the zone 331 may comprise for example a region of modified knit form, a cuff formed from an alternate material or material configuration or a multi layer hem of the tube.
- a securing device is provided on the outer surface of the covering 330 for supporting a breathing tube or other medical conduits or wiring.
- the securing means is a strap 333 with which is sewn onto the bonnet.
- the strap has Velcro attached at one end.
- the nasal tubing is fitted with a foam block 334 with a triangular outside shape.
- the foam block 334 is positioned on the strap 333 .
- the strap 333 is then closed around the foam block and secured with the Velcro.
- the foam block 334 is used to firmly hold the nasal tubing 321 in place on the bonnet 330 to prevent displacement of the nasal prongs from the nares.
- the second open end 347 of the head covering 330 is preferably formed with a simple hem.
- the open end 347 is preferably closeable or retainable in a closed position by a closing means 340 .
- the closing means 340 may comprise a further lace or tie of similar configuration to the securing means 333 .
- the lace or tie 340 has two arms 342 , 344 .
- the arms 342 , 344 preferably tie together or pass through a toggle.
- end 347 of head covering 330 is bunched together as an end bunch 341
- the loop of lace or tie 340 is passed over the bunch 341 .
- the bunch 341 is firmly secured in a closed configuration within the tightened loop of the lace or tie 340 .
- the closing means 340 thus provides for easy and efficient closing or opening of the infant bonnet should there be a need for access to the top of the head of the infant. Access may for example be required for placement of electrodes or for cranial ultrasounds. Where access is required the closing means 340 may be released and the bunched portion of end 347 opened to provide necessary access. This access is available without disturbing the other end 332 of the head covering 330 or the securing means 333 supporting medical tubes or wires in place.
- the neonate should not be breathing out of it's mouth. Both inhalation and exhalation should be done through the cannula.
- the neonates jaw is strapped shut to eliminate mouth leak. Mouth leak is undesirable because it causes a lower pressure thus reducing the level of CPAP.
- the cannula 100 is secured at its base to the back of the neonates head using strap 150 .
- the strap connects at the base of the neonates skull on the back of the neck. It connects to the cannula 100 by way of a sliding strap 152 .
- This strap is secured by way of clips to the hard plastic body 138 allowing the securing strap 150 substantial relative movement with respect to the cannula 100 as the neonate twists its head while providing adequate restraining force directly on the cannula 100 without any twisting of the cannula 100 . In one embodiment this is accomplished by a plastic e.g. acetal sliding strap which engages into sliding clips on the outer face of the cannula.
- the teflon strap is adjustably attached to the neck strap 150 to allow the tension to be adjusted to a comfortable level.
Abstract
A nasal cannula (100) for delivering respiratory gases to a neonatal infant comprising a manifold including a chamber (10), a gases inlet (16) to the chamber and a gases outlet (12), a low resistance path for gases through the chamber from its inlet to its outlet and a pair of nasal prongs (116, 118) in fluid communication with the chamber with each prong substantial equidistant the inlet, and directly in the low resistance path to eliminate deadspace.
Description
- This invention relates to Nasal Cannulae particularly though not solely to nasal cannulae for delivering Continuous Positive Airway Pressure (CPAP) to neonates.
- Certain individuals require a respiratory supplement such as air, oxygen, or other gases. Such gases are freely supplied and/or supplied at controlled pressures. Such gases are also supplied through the patient's mouth and/or through the patient's nose. Nasal supply systems provide an advantage in that they are generally more convenient and less intrusive than mouth based or mouth covering devices. Despite their convenience, nasal based devices are deemed uncomfortable in light of securement straps placed across the face and/or around the head and used to secure the device to an individuals breathing cavity. Moreover, conventional cannulas do not provide a proper seal around the nares to inhibit apnoea and to provide a high flow system to stimulate the patient's breathing. Hence, even with such securement straps, these nasal devices often dislodge from the breathing cavity. This is of particular concern with children, infants, or the elderly who do not understand the importance of keeping the nasal breathing device in place, whether it be a nasal CPAP or nasal cannula.
- It is known to be beneficial and therapeutic to supply an individual with a sufficient amount of respiratory airway pressure in order to maintain a minimum level of air volume in the lungs. If the air volume falls below this minimum level, then the lungs may collapse, which can be extremely dangerous or even deadly to the individual. Moreover, the back pressure can increase oxygen levels in the lungs and decrease carbon dioxide levels. This will also improve PH by removal of carbon dioxide, which is an acid, from the blood. Hence, the application of such sufficient pressure, called continuous positive airway pressure (CPAP), has been found to be advantageous in maintaining a minimum air volume or lung pressure when an individual is spontaneously breathing. CPAP can be supplied through nasal attachment devices such as a nasal cannulae, or through mouth based or endotracheal devices.
- A number of CPAP devices are known including endotracheal tubes, head chambers, face chambers, face masks, nasal prongs, and nasal cannula. While each type of device has advantages and disadvantages, the nasal cannula provides a comfortable alternative for providing CPAP and/or airflow assistance. Prior art nasal cannulae have been disclosed in many forms with various methods of securing the device to the nasal passageway. One such cannula assembly is disclosed in U.S. Pat. No. 3,513,844 which uses an adjustable strap that encircles an individual's head. A similar device is disclosed in U.S. Pat. No. 4,106,505 wherein the supply tubes to the cannula are hooked over an individual's ears and around the head. Even more cumbersome, U.S. Pat. No. 5,477,852 discloses a device with a headband for holding and positioning the nasal inserts and associated supply tubes. Yet another system in U.S. Pat. No. 5,271,391 discloses a cannula which is secured by applying strips of pressure sensitive adhesive tape to the supply tubes leading from each side of the cannula, thereby attaching the supply tubes to the cheeks of an individual with the cannula positioned in between.
- “Bonnet” type devices are also used to hold the CPAP nasal cannulae in place. However, this method generally puts pressure on an individual's nose and upper lip thereby causing pressure necrosis in the centre of the nose. A particularly sensitive individual is a young child, infant or baby. The bonnet also fails to adequately keep the nasal prongs in position, particularly with infants who move or roll around in their crib. In a hospital or care facility setting, it is not uncommon for an attendant to discover that the CPAP device has been disconnected from a patient's nose, which can lead to apnoea, desaturations, bradycardia, or hypoxia which is dangerously low oxygen levels in the blood. In practice, the tubing for these bonnet type CPAP's is draped around both sides of the patient's cheek which means that the most comfortable lying down position is on the patient's back. Pressure on the patient's cheeks caused by the securement device can make other positions uncomfortable.
- Other prior art anchoring systems include adhesive devices which attach directly to the nose. U.S. Pat. No. 4,823,789 discloses a nose tube anchoring strip which has an adhesive coated sheet shaped to fit over an individual's nose and an appendage for holding a nasal-gastric tube. A similar system is found in U.S. Pat. No. 5,156,641 which has an anchoring cord adhesively attached to an individual's nose at one end and attached to hold a naso-gastric catheter at the other end. U.S. Pat. No. 5,513,635 provides a securement device with a body engagement portion which adheres across the nose of an individual with cannula engaging portions extending down therefrom. Similarly, U.S. Pat. No. 5,682,881 discloses the use of an adhesive foam pad secured to the upper lip for positioning of the cannula.
- In U.S. Pat. No. 3,643,660 a unified nasal cannula comprises a hollow tubular body having an upper flat or plane surface and a pair of spaced and curved elongated tubular extensions, having exterior orifices for directing a gas flow which extensions project upwardly at an angle from the surface. Referring to FIGS. 2 and 3 we see that because the
inlet 400 is from one side theprongs downstream prong 404 to rebreathe the expired CO2 fromupstream prong 402. - In U.S. Pat. No. 5,975,077 a cannula is disclosed including an airway injecting gas in fluid communication with nostrils of a patient and aerodynamically designed passageways for both the ambient air and the injected gas to optimize the fluid flow characteristics during inhalation and exhalation of the patient.
- In U.S. Pat. No. 4,774,946 a cannula is described attached to an elongated flexible tube. The nasal prongs include bulbous portions that seat and seal the nasal tubes in the nares.
- In U.S. Pat. No. 5,193,532 a device is disclosed for generating by ejector action a continuous positive airway pressure (CPAP), comprising a breathing-channel which at one end opens into the atmosphere and at another end is adapted to be provided with an attachment device to the nose and/or mouth of the patient as seen in FIG. 1. The inlet is situated between a channel open to the atmosphere and open to the prongs in such a manner that the stream of fresh gas is directed mainly co-axially into the channel, producing an ejector action.
- However, while these prior art systems do provide nasal CPAP they suffer from a number of disadvantages including: insufficiently securement to the patients head, potential for unbalanced pressure in each prong, and potential for rebreathing of expired CO2.
- It is an object of the present invention to provide a nasal cannula which goes someway to overcoming the above mentioned disadvantages or which will at least give the public a useful choice.
- Accordingly in a first aspect the present invention maybe broadly said to consist in nasal cannula for delivering respiratory gases to a neonatal infant comprising:
- a manifold including a chamber, a gases inlet configured to engage an inspiratory conduit, a gases outlet configured to engage an expiratory conduit and a low resistance path for said gases through said chamber from said inlet to said outlet
- a pair of nasal prongs in fluid communication with said chamber substantial equidistant said inlet, said prongs juxtaposed directly in said path.
- Preferably said cannula includes securement means to hold said prongs in place in the nares of said neonate.
- Preferably said securement means including a strap adapted to pass around the back of the neck of said neonate and engage with said cannula and thereby hold said prongs in place in the nares of said neonate.
- Preferably said strap includes a low resistance portion, said low resistance portion adapted to engage with said cannula in a sliding fashion to allow said strap substantial lateral (iguanian axial) movement relative to said cannula.
- Preferably said low resistance portion comprises a thin plastic strand or strip.
- Preferably the remainder of said strap includes an adjustable attachment to said low resistance portion to in use adjust the tension of said strap.
- Preferably said securement means including an infant bonnet comprising head cover means adapted to at least partially cover the head of an infant and including at least a cuff of elastic property to securely locate said cover means on said infant head, and medical tube securing means connected with said cover means on the outer surface thereof, said medical tubes adapted to in use connect to said cannula, said securing means operable to hold medical tubes passing over said cover means against at least lateral (iguanian axial) movement.
- Preferably said head cover means is formed of a knit fabric in a tubular configuration and open at both ends, said securing means is connected with said outer surface adjacent one said open end and end closing means are connected with said outer surface adjacent the other said open end, said end closing means being operable to hold the said knit fabric of its respective said end in a closed, bunched together, condition.
- Preferably either or both of said tube securing means and said end closing means are or include a lace or tie stitched to said head cover means.
- Preferably said lace or tieing is secured at its centre to said head cover means to provide two arms, said arms passing through a tightening toggle slidable on said arms.
- Preferably said tightening toggle is operable between at least two conditions, being biased to a pinch off condition in which said arms of said lace or tie are clamped within their passage through said toggle and manipulable to a free configuration in which said toggle may slide a long said arms of said lace or tie.
- In a second aspect the present invention may be broadly said to consist in a system for delivering respiratory gases in a neonatal infant comprising
- a source of pressurised gases,
- an inhalatory conduit in fluid communication with said source of gases and adapted to convey gases,
- a nasal cannula in fluid communication with said inhalatory conduit and adapted to deliver gases to the nasal passages of said infant,
- an exhalatory conduit in fluid communication with said delivery means and adapted to convey gases from said delivery means, and
- a pressure regulating device disposed within or in fluid communication with said exhalatory gases transport means and adapted to achieve a predetermined mean pressure of gases delivered to the nasal passages of said infant by regulating the flow of gases through said pressure regulating device.
- Preferably pressure regulating device comprising:
- a container adapted to house a body of liquid,
- terminal conduit means including proximate and distal ends, said proximate end adapted for connection to said exhalatory conduit, and said distal end adapted for submergence in said body of liquid,
- such that in use the mean pressure of gases delivered to the nasal passages of said infant is determined by the level to which said distal end is submerged in said body of liquid.
- To those skilled in the art to which the invention relates, many changes in construction and widely differing embodiments and applications of the invention will suggest themselves without departing from the scope of the invention as defined in the appended claims. The disclosures and the descriptions herein are purely illustrative and are not intended to be in any sense limiting.
- The invention consists in the forgoing and also envisages constructions of which the following gives examples.
- One preferred form of the present invention will now be described with reference to the accompanying drawings in which:
- FIG. 1 is a side view of a prior art cannula on an infant,
- FIG. 2 is a perspective view of a prior art cannula on an infant,
- FIG. 3 is a cross section of a prior art cannula,
- FIG. 4 is a closeup perspective view from above of the present invention,
- FIG. 5 is a section view of the present invention,
- FIG. 6 is a closeup perspective view of the present invention,
- FIG. 7 is a side view of the present invention,
- FIG. 8 is a closeup view of the present invention from below,
- FIG. 9 is a closeup view of the present invention from above,
- FIG. 10 is an illustration of the present invention is use on an neonate,
- FIG. 11 is a block diagram of the CPAP system,
- FIG. 12 is a side view of the bonnet, and
- FIG. 13 is an illustration of the bonnet is use on an neonate
- Referring now to FIG. 11 in which a typical application is depicted. A humidified Continuous Positive Airway Pressure (CPAP) system is shown in which a patient19 is receiving humidified and pressurised gases through a nasal cannula 28 connected to a
inhalatory conduit 21. It should be understood that the present invention, however, is not limited to the delivery of CPAP gases but is also applicable to other types of gases delivery systems.Inhalatory conduit 21 is connected to theoutlet 12 of ahumidification chamber 10 which contains a volume ofwater 15.Inspiratory conduit 21 may contain heating means orheater wires 20 which heat the walls of the conduit to ensure a constant humidity profile along the conduit and therefore reduce condensation of humidified gases within the conduit. As the volume ofwater 15 withinhumidification chamber 10 is heated, water vapour begins to fill the volume of the chamber above the water's surface and is passed out of thehumidification chamber 10outlet 12 with the flow of gases (for example air) provided from a gases supply means orblower 18 which enters thechamber 10 throughinlet 16. - The humidified gases pass through the
inhalatory conduit 21 to thecannula 100 connected to the patient's 19 nose throughprongs prongs exhalatory conduit 230 to apressure regulator 234. - In the preferred embodiment of the present invention the
pressure regulator 234, takes the form of discharging the flow of exhalatory gases into achamber 204 containing a column ofwater 238 as seen in FIG. 11. The gases flowing through theexhalatory conduit 230 are discharged into the body ofwater 238 from ashort conduit 236 which extends from the expiratory conduit into thechamber 204. This results in a bubbling effect, whereby the gases eventually exit thechamber 204 via theoutlet port 252, which can also be used to initially fill thechamber 204 with water. Theoutlet port 252 includes shielding to prevents liquid aerosols created by the vigorous bubbling on the surface of the water from being expelled. It will be appreciated that theshort conduit 236, could equally be integrated into the end of theexpiratory conduit 230. It will also be appreciated that by adjusting the level of which theshort conduit 236 is submerged in the body ofwater 238 the mean pressure of supplied gases through thecannula 100 can be controlled. - Nasal Cannula
- Referring now to FIG. 4 to10 the
nasal cannula 100 is seen in more detail. The inlet manifold 110, includes aninlet port 112. This accepts the gas flow from the humidifier and air/oxygen blender or any other flow source apparatus as would be appropriate. The diameter of theinlet manifold 10 is as large as possible to ensure minimal pressure drop in the gases before delivery to the patient. In fluid communication with the inlet manifold are twonasal prongs inlet manifold 10 up through the nasal prongs into the corresponding nares of the patient. Theprongs cannula 100 in place. - An important feature of the present invention is shown in FIG. 2 and in more detail in FIG. 3. The two
nasal prongs notch 126 or indentation in its uppermost portion between the twonasal prongs indentation 126 is designed such that there will be no contact with the septum. - Referring now particularly to FIG. 5 showing a sectional view of the
cannula 100. The inlet manifold 110 is separated from the outlet manifold 130 by a partition 132 running horizontally the length of both manifolds. The partition 132 terminates approximate to the base 134 of theprongs prongs cannula 100. - The
prongs silicon insert 136 which has an interference or compression fit seal to the hardplastic body 138 of thecannula 100. The prongs are able to be used as a disposable component or alternatively easily interchangeable for different sizes, a nasal mask, mouthpiece or other interface as desired. Theinlet port 112 connects directly to inlet manifold 110 and may be provided with any typical connection configuration for commercially available conduits. Similarly theoutlet port 142 is in fluid communication with the outlet manifold 130. Afurther sensor port 144 is provided to measure any parameters of the delivered gases for example pressure, temperature, humidity. An integral 10mm inlet 10mm outlet conduit 154 formed from extruded PVC or silicon was found to be suitable for this purpose. Thesensor port 144 is connected to ameasurement tube 156 which may also form part of the integralinlet outlet tube 154 connected to thecannula 100. - Head Securement
- As can be seen in FIGS.10 to 12 the
cannula 100 is secured to the neonates head by a bonnet overs its head. The infant bonnet of the present invention includes ahead covering portion 330 which is preferably formed of a stretchable or elastic material having thermal insulation property. An example of appropriate material is a synthetic or cotton knit fabric. The head covering 330 is provided in the form of a open ended tube. Where the material of the covering 330 provides more stretch along one principal axis then that principal axis as preferably aligned across the axis of the tube. - The head covering330 preferably includes a zone adjacent one
open end 332 which is stiffer than the surrounding region. The zone 331 may comprise for example a region of modified knit form, a cuff formed from an alternate material or material configuration or a multi layer hem of the tube. - A securing device is provided on the outer surface of the covering330 for supporting a breathing tube or other medical conduits or wiring.
- The securing means is a
strap 333 with which is sewn onto the bonnet. The strap has Velcro attached at one end. The nasal tubing is fitted with afoam block 334 with a triangular outside shape. Thefoam block 334 is positioned on thestrap 333. Thestrap 333 is then closed around the foam block and secured with the Velcro. Thefoam block 334 is used to firmly hold thenasal tubing 321 in place on thebonnet 330 to prevent displacement of the nasal prongs from the nares. - The second
open end 347 of the head covering 330 is preferably formed with a simple hem. Theopen end 347 is preferably closeable or retainable in a closed position by a closing means 340. The closing means 340 may comprise a further lace or tie of similar configuration to the securing means 333. The lace or tie 340 has twoarms arms - In use the
end 347 of head covering 330 is bunched together as anend bunch 341 The loop of lace or tie 340 is passed over thebunch 341. Thebunch 341 is firmly secured in a closed configuration within the tightened loop of the lace ortie 340. - The closing means340 thus provides for easy and efficient closing or opening of the infant bonnet should there be a need for access to the top of the head of the infant. Access may for example be required for placement of electrodes or for cranial ultrasounds. Where access is required the closing means 340 may be released and the bunched portion of
end 347 opened to provide necessary access. This access is available without disturbing theother end 332 of the head covering 330 or the securing means 333 supporting medical tubes or wires in place. - Cannula Securement
- Ideally the neonate should not be breathing out of it's mouth. Both inhalation and exhalation should be done through the cannula. In the preferred embodiment the neonates jaw is strapped shut to eliminate mouth leak. Mouth leak is undesirable because it causes a lower pressure thus reducing the level of CPAP.
- Referring now particularly to FIGS.8 to 10 we see that the
cannula 100 is secured at its base to the back of the neonates head usingstrap 150. The strap connects at the base of the neonates skull on the back of the neck. It connects to thecannula 100 by way of a slidingstrap 152. This strap is secured by way of clips to the hardplastic body 138 allowing the securingstrap 150 substantial relative movement with respect to thecannula 100 as the neonate twists its head while providing adequate restraining force directly on thecannula 100 without any twisting of thecannula 100. In one embodiment this is accomplished by a plastic e.g. acetal sliding strap which engages into sliding clips on the outer face of the cannula. The teflon strap is adjustably attached to theneck strap 150 to allow the tension to be adjusted to a comfortable level. - What has been described is an improved nasal cannula for use with a CPAP respirator. The improvement reduces the likelihood of pressure necrosis or irritation that might normally be associated with the use of such a device. The improvement ensures a balanced feed to both prongs, low deadspace high flow through the manifold so rebreathing of expired CO2 is minimised.
Claims (14)
1. A nasal cannula for delivering respiratory gases to a neonatal infant comprising:
a manifold including a chamber, a gases inlet configured to engage an inspiratory conduit, a gases outlet configured to engage an expiratory conduit and a low resistance path for said gases through said chamber from said inlet to said outlet
a pair of nasal prongs in fluid communication with said chamber substantial equidistant said inlet, said prongs juxtaposed directly in said path.
2. A nasal cannula for delivering respiratory gases to a neonatal infant as claimed in claim 1 wherein said cannula includes securement means to hold said prongs in place in the nares of said neonate.
3. A nasal cannula for delivering respiratory gases to a neonatal infant as claimed in claim 2 wherein said securement means including a strap adapted to pass around the back of the neck of said neonate and engage with said cannula and thereby hold said prongs in place in the nares of said neonate.
4. A nasal cannula for delivering respiratory gases to a neonatal infant as claimed in claim 3 wherein said strap includes a low resistance portion, said low resistance portion adapted to engage with said cannula in a sliding fashion to allow said strap substantial lateral (egonon axial) movement relative to said cannula.
5. A nasal cannula for delivering respiratory gases to a neonatal infant as claimed in claim 4 wherein said low resistance portion comprises a thin plastic strand or strip.
6. A nasal cannula for delivering respiratory gases to a neonatal infant as claimed in claim 5 wherein the remainder of said strap includes an adjustable attachment to said low resistance portion to in use adjust the tension of said strap.
7. A nasal cannula for delivering respiratory gases to a neonatal infant as claimed in anyone of claims 2 to 6 wherein said securement means including an infant bonnet comprising head cover means adapted to at least partially cover the head of an infant and including at least a cuff of elastic property to securely locate said cover means on said infant head, and medical tube securing means connected with said cover means on the outer surface thereof, said medical tubes adapted to in use connect to said cannula, said securing means operable to hold medical tubes passing over said cover means against at least lateral (egonon axial) movement.
8. A nasal cannula for delivering respiratory gases to a neonatal infant as claimed in claim 7 wherein said head cover means is formed of a knit fabric in a tubular configuration and open at both ends, said securing means is connected with said outer surface adjacent one said open end and end closing means are connected with said outer surface adjacent the other said open end, said end closing means being operable to hold the said knit fabric of its respective said end in a closed, bunched together, condition.
9. A nasal cannula for delivering respiratory gases to a neonatal infant as claimed in claim 8 wherein either or both of said tube securing means and said end closing means are or include a lace or tie stitched to said head cover means.
10. A nasal cannula for delivering respiratory gases to a neonatal infant as claimed in claim 9 wherein said lace or tieing is secured at its centre to said head cover means to provide two arms, said arms passing through a tightening toggle slidable on said arms.
11. A nasal cannula for delivering respiratory gases to a neonatal infant as claimed in claim 10 wherein said tightening toggle is operable between at least two conditions, being biased to a pinch off condition in which said arms of said lace or tie are clamped within their passage through said toggle and manipulable to a free configuration in which said toggle may slide a long said arms of said lace or tie.
12. A system for delivering respiratory gases in a neonatal infant comprising
a source of pressurised gases,
an inhalatory conduit in fluid communication with said source of gases and adapted to convey gases,
a nasal cannula in fluid communication with said inhalatory conduit and adapted to deliver gases to the nasal passages of said infant,
an exhalatory conduit in fluid communication with said delivery means and adapted to convey gases from said delivery means, and
a pressure regulating device disposed within or in fluid communication with said exhalatory gases transport means and adapted to achieve a predetermined mean pressure of gases delivered to the nasal passages of said infant by regulating the flow of gases through said pressure regulating device.
13. A system as claimed in claim 12 wherein pressure regulating device comprising:
a container adapted to house a body of liquid,
terminal conduit means including proximate and distal ends, said proximate end adapted for connection to said exhalatory conduit, and said distal end adapted for submergence in said body of liquid,
such that in use the mean pressure of gases delivered to the nasal passages of said infant is determined by the level to which said distal end is submerged in said body of liquid.
14. A system in as claimed in claim 13 wherein said nasal cannula is constructed according to any one of claims 1 to 11 .
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Cited By (54)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20040035428A1 (en) * | 2000-06-14 | 2004-02-26 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
US20050028820A1 (en) * | 2001-11-05 | 2005-02-10 | Smith Nicholas Charles Alan | Nasal masks |
US20060112961A1 (en) * | 2004-11-29 | 2006-06-01 | Hany Aly | Pediatric mask, especially suited for premature infants |
US20060174891A1 (en) * | 2005-02-10 | 2006-08-10 | Ammann Shari R | Neonatal breathing device and method |
US20070125379A1 (en) * | 2005-12-02 | 2007-06-07 | Brian Pierro | Nasal continuous positive airway pressure device and system |
US20090032018A1 (en) * | 2007-08-03 | 2009-02-05 | Eaton Jason P | System Adapted to Provide a Flow of Gas to an Airway of a Patient |
US20090062751A1 (en) * | 2007-09-01 | 2009-03-05 | Newman Jr Lionel | Medical apparatus for suction and combination irrigation and suction |
US20090056719A1 (en) * | 2007-08-31 | 2009-03-05 | Newman Jr Lionel | Exhalatory pressure device and system thereof |
WO2009049159A1 (en) * | 2007-10-10 | 2009-04-16 | Parion Sciences, Inc. | Delivering osmolytes by nasal cannula |
US20090194108A1 (en) * | 2007-08-31 | 2009-08-06 | Newman Jr Lionel | Adjustable pressure device and system thereof |
WO2009146313A1 (en) * | 2008-05-29 | 2009-12-03 | Rutan Robert M | Liner for use with respiratory mask |
US20100113957A1 (en) * | 2006-09-11 | 2010-05-06 | Anthony Williams | System, method and apparatus for monitoring a medical condition |
WO2010057268A1 (en) * | 2008-11-21 | 2010-05-27 | Bidibots Pty Ltd | Respiratory assistance device and system and method |
WO2010091157A2 (en) | 2009-02-04 | 2010-08-12 | Robert Tero | Nasal interface device |
US20100282253A1 (en) * | 2009-02-04 | 2010-11-11 | Wet Nose Technologies, Llc. | Pressure release systems, apparatus and methods |
US7905232B2 (en) | 2001-09-13 | 2011-03-15 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
WO2012061783A1 (en) * | 2010-11-04 | 2012-05-10 | Sleep Science Llc | Breathing apparatus |
EP2497515A1 (en) * | 2011-03-11 | 2012-09-12 | Intersurgical AG | Respiratory system connector |
US8567400B2 (en) | 2010-10-05 | 2013-10-29 | Carefusion 207, Inc. | Non-invasive breathing assistance device with flow director |
US8607794B2 (en) | 2010-10-05 | 2013-12-17 | Carefusion 207, Inc. | Non-invasive breathing assistance apparatus and method |
US8770199B2 (en) | 2012-12-04 | 2014-07-08 | Ino Therapeutics Llc | Cannula for minimizing dilution of dosing during nitric oxide delivery |
US8778383B2 (en) | 2011-06-07 | 2014-07-15 | Parion Sciences, Inc. | Methods of treatment |
US8844526B2 (en) | 2012-03-30 | 2014-09-30 | Covidien Lp | Methods and systems for triggering with unknown base flow |
WO2014193847A1 (en) * | 2013-05-29 | 2014-12-04 | General Electric Company | Breathing mask for ventilating a patient |
US8945605B2 (en) | 2011-06-07 | 2015-02-03 | Parion Sciences, Inc. | Aerosol delivery systems, compositions and methods |
US9113667B2 (en) | 2008-05-29 | 2015-08-25 | Naturs Design, Inc. | Liner for use with respiratory mask |
US9211387B2 (en) | 2005-12-02 | 2015-12-15 | Carefusion 2200, Inc. | Infant nasal interface mask |
RU2574574C2 (en) * | 2010-11-04 | 2016-02-10 | ИНСЛИП ТЕКНОЛОДЖИЗ, ЭлЭлСи | Breathing apparatus |
USD757930S1 (en) | 2015-03-19 | 2016-05-31 | Insleep Technologies, Llc | Nasal pillow |
US9364624B2 (en) | 2011-12-07 | 2016-06-14 | Covidien Lp | Methods and systems for adaptive base flow |
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USD768287S1 (en) | 2015-04-03 | 2016-10-04 | Insleep Technologies, Llc | Nasal interface base |
US9498589B2 (en) | 2011-12-31 | 2016-11-22 | Covidien Lp | Methods and systems for adaptive base flow and leak compensation |
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WO2017031411A1 (en) * | 2015-08-19 | 2017-02-23 | Tortle Products Llc | Head positioning aids with attachments for medical devices |
US9649458B2 (en) | 2008-09-30 | 2017-05-16 | Covidien Lp | Breathing assistance system with multiple pressure sensors |
US9795756B2 (en) | 2012-12-04 | 2017-10-24 | Mallinckrodt Hospital Products IP Limited | Cannula for minimizing dilution of dosing during nitric oxide delivery |
US9808591B2 (en) | 2014-08-15 | 2017-11-07 | Covidien Lp | Methods and systems for breath delivery synchronization |
US9925346B2 (en) | 2015-01-20 | 2018-03-27 | Covidien Lp | Systems and methods for ventilation with unknown exhalation flow |
US9950129B2 (en) | 2014-10-27 | 2018-04-24 | Covidien Lp | Ventilation triggering using change-point detection |
US9981096B2 (en) | 2013-03-13 | 2018-05-29 | Covidien Lp | Methods and systems for triggering with unknown inspiratory flow |
US10071216B2 (en) | 2008-05-29 | 2018-09-11 | Naturs Design, Inc. | Liner for use with respiratory mask |
US10076625B2 (en) | 2011-04-29 | 2018-09-18 | Robert Tero | Nasal interface device |
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WO2019115771A1 (en) * | 2017-12-15 | 2019-06-20 | Pari Pharma Gmbh | Nebuliser system, holding system, combination comprising nebuliser system and holding system, and aerosol administration method |
US10357626B1 (en) | 2013-07-23 | 2019-07-23 | Bruce O. Baker | Liner for a respirator mask |
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EP2887984B1 (en) * | 2012-08-21 | 2020-07-29 | Philip Morris Products S.a.s. | Ventilator aerosol delivery system |
US20200368457A1 (en) * | 2019-05-24 | 2020-11-26 | Stamford Devices Ltd. | Design of aerosol system and interface to deliver clinically and economically feasible inhaled dose with neonatal cpap device |
WO2022058982A1 (en) * | 2020-09-21 | 2022-03-24 | Fisher & Paykel Healthcare Limited | A breathing assistance apparatus |
US11305082B2 (en) | 2008-05-29 | 2022-04-19 | Naturs Design, Inc. | Liner for use with respiratory mask |
US11324954B2 (en) | 2019-06-28 | 2022-05-10 | Covidien Lp | Achieving smooth breathing by modified bilateral phrenic nerve pacing |
US11642482B2 (en) | 2018-03-27 | 2023-05-09 | Naturs Design, Inc. | Liner and retaining member for use with respiratory mask |
US11957485B2 (en) | 2016-03-04 | 2024-04-16 | Surepulse Medical Limited | Hat and monitoring system |
Families Citing this family (80)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
BR0102116B1 (en) | 2000-05-10 | 2010-09-21 | component for a breathing circuit member. | |
NZ514972A (en) * | 2001-10-23 | 2004-05-28 | Fisher & Paykel Healthcare Ltd | Improved mask |
US7559324B2 (en) | 2000-06-21 | 2009-07-14 | Fisher & Paykel Healthcare Limited | Conduit with heated wick |
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AU2004202274B2 (en) * | 2003-05-30 | 2006-10-26 | Fisher & Paykel Healthcare Limited | Breathing Assistance Apparatus |
US7588033B2 (en) | 2003-06-18 | 2009-09-15 | Breathe Technologies, Inc. | Methods, systems and devices for improving ventilation in a lung area |
US7353826B2 (en) * | 2003-08-08 | 2008-04-08 | Cardinal Health 205, Inc. | Sealing nasal cannula |
EP1660004A4 (en) | 2003-08-18 | 2017-05-31 | Breathe Technologies, Inc. | Method and device for non-invasive ventilation with nasal interface |
AU2004203870B2 (en) | 2003-09-17 | 2011-03-03 | Fisher & Paykel Healthcare Limited | Breathable Respiratory Mask |
US6889689B1 (en) | 2004-01-06 | 2005-05-10 | Deborah W. Neuman | Bubble CPAP cap for neonates |
US8783257B2 (en) | 2004-02-23 | 2014-07-22 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
WO2005094928A1 (en) | 2004-04-02 | 2005-10-13 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
DE102004029034B3 (en) | 2004-06-09 | 2005-05-12 | Eberhard-Karls-Universität Tübingen | Cap for securing respiration device to head of newborn infant provided with chin strap and opening between opposing side sections of cap closed by fastenings |
WO2007025329A1 (en) * | 2005-08-29 | 2007-03-08 | Resmed Ltd | Mouth seal assembly for nasal mask system |
EP1926517A2 (en) | 2005-09-20 | 2008-06-04 | Lutz Freitag | Systems, methods and apparatus for respiratory support of a patient |
US7640934B2 (en) * | 2005-12-02 | 2010-01-05 | Carefusion 2200, Inc. | Infant nasal interface prong device |
JP4710015B2 (en) * | 2006-03-01 | 2011-06-29 | 国立大学法人埼玉大学 | Nasal CPAP element |
JP2007229207A (en) * | 2006-03-01 | 2007-09-13 | Saitama Univ | Nasal cpap element |
CN101541365A (en) | 2006-05-18 | 2009-09-23 | 呼吸科技公司 | Tracheostoma tracheotomy method and device |
CA2890556C (en) | 2006-07-14 | 2018-05-01 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
JP2009545384A (en) | 2006-08-03 | 2009-12-24 | ブリーズ テクノロジーズ, インコーポレイテッド | Method and apparatus for minimally invasive respiratory assistance |
WO2008144589A1 (en) | 2007-05-18 | 2008-11-27 | Breathe Technologies, Inc. | Methods and devices for sensing respiration and providing ventilation therapy |
CN101888868B (en) | 2007-09-26 | 2014-01-22 | 呼吸科技公司 | Methods and devices for treating sleep apnea |
CA2700878C (en) | 2007-09-26 | 2018-07-24 | Breathe Technologies, Inc. | Methods and devices for providing inspiratory and expiratory flow relief during ventilation therapy |
US8376752B2 (en) * | 2008-02-15 | 2013-02-19 | College Of William And Mary | Nasal inspiratory resistance trainer |
US20130157810A1 (en) * | 2008-02-15 | 2013-06-20 | College Of William And Mary | Nasal inspiratory resistance trainer |
EP2274036A4 (en) | 2008-04-18 | 2014-08-13 | Breathe Technologies Inc | Methods and devices for sensing respiration and controlling ventilator functions |
US8776793B2 (en) | 2008-04-18 | 2014-07-15 | Breathe Technologies, Inc. | Methods and devices for sensing respiration and controlling ventilator functions |
US10792451B2 (en) * | 2008-05-12 | 2020-10-06 | Fisher & Paykel Healthcare Limited | Patient interface and aspects thereof |
US10258757B2 (en) | 2008-05-12 | 2019-04-16 | Fisher & Paykel Healthcare Limited | Patient interface and aspects thereof |
US11660413B2 (en) | 2008-07-18 | 2023-05-30 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
US8677999B2 (en) | 2008-08-22 | 2014-03-25 | Breathe Technologies, Inc. | Methods and devices for providing mechanical ventilation with an open airway interface |
AU2009291491C1 (en) | 2008-09-12 | 2016-04-21 | ResMed Pty Ltd | A foam-based interfacing structure method and apparatus |
CA2739435A1 (en) | 2008-10-01 | 2010-04-08 | Breathe Technologies, Inc. | Ventilator with biofeedback monitoring and control for improving patient activity and health |
WO2010041966A1 (en) | 2008-10-10 | 2010-04-15 | Fisher & Paykel Healthcare Limited | Nasal pillows for a patient interface |
US9132250B2 (en) | 2009-09-03 | 2015-09-15 | Breathe Technologies, Inc. | Methods, systems and devices for non-invasive ventilation including a non-sealing ventilation interface with an entrainment port and/or pressure feature |
US9962512B2 (en) | 2009-04-02 | 2018-05-08 | Breathe Technologies, Inc. | Methods, systems and devices for non-invasive ventilation including a non-sealing ventilation interface with a free space nozzle feature |
CA2757591C (en) | 2009-04-02 | 2021-01-05 | Breathe Technologies, Inc. | Methods, systems and devices for non-invasive open ventilation with gas delivery nozzles within an outer tube |
DE102009016150A1 (en) * | 2009-04-04 | 2010-10-07 | F. Stephan Gmbh | Atraumatic nasal tube for noninvasive respiratory support (NIV-CPAP) |
CO6110132A1 (en) | 2009-07-02 | 2009-12-31 | Fundacion Universidad Del Norte | COMPACT DEVICE TO CONTROL AND MODIFY THE PRESSURE OF A GAS OR A MIXTURE OF THEM |
NZ628624A (en) | 2009-08-28 | 2015-10-30 | Resmed Ltd | Pap system |
CA2774902C (en) | 2009-09-03 | 2017-01-03 | Breathe Technologies, Inc. | Methods, systems and devices for non-invasive ventilation including a non-sealing ventilation interface with an entrainment port and/or pressure feature |
US8920301B2 (en) * | 2009-09-11 | 2014-12-30 | Pontificia Universidad Catolica Del Peru | Full neonatal critical care equipment |
US10137271B2 (en) | 2009-11-18 | 2018-11-27 | Fisher & Paykel Healthcare Limited | Nasal interface |
CA3106017A1 (en) | 2009-12-22 | 2011-06-30 | Fisher & Paykel Healthcare Limited | Components for medical circuits |
JP5563338B2 (en) * | 2010-03-16 | 2014-07-30 | アトムメディカル株式会社 | Nasal prong device |
JP6038027B2 (en) * | 2010-08-09 | 2016-12-07 | フラウンホーファー−ゲゼルシャフト ツル フェルデルング デル アンゲヴァンテン フォルシュング エー ファウFraunhofer−Gesellschaft zur Foerderung der angewandten Forschung e.V. | Device and system for aerosol delivery to assisted ventilated patients |
CA2807416C (en) | 2010-08-16 | 2019-02-19 | Breathe Technologies, Inc. | Methods, systems and devices using lox to provide ventilatory support |
WO2012045051A1 (en) | 2010-09-30 | 2012-04-05 | Breathe Technologies, Inc. | Methods, systems and devices for humidifying a respiratory tract |
US9561338B2 (en) | 2010-10-08 | 2017-02-07 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
US10159812B2 (en) * | 2011-03-29 | 2018-12-25 | Carefusion 207, Inc. | Flow splitting nCPAP device |
DE112012007300B4 (en) | 2011-04-15 | 2024-04-25 | Fisher & Paykel Healthcare Ltd. | Interface with a movable nose bridge |
US10603456B2 (en) | 2011-04-15 | 2020-03-31 | Fisher & Paykel Healthcare Limited | Interface comprising a nasal sealing portion |
DE102011120217A1 (en) | 2011-12-05 | 2013-06-06 | Dräger Medical GmbH | Nose adapter system for CPAP ventilation |
IN2014DN08888A (en) * | 2012-04-10 | 2015-05-22 | Fisher & Paykel Healthcare Ltd | |
EP2858703B1 (en) * | 2012-06-07 | 2016-11-23 | Koninklijke Philips N.V. | Pediatric total facemask |
CN107626023B (en) | 2012-08-08 | 2021-03-02 | 费雪派克医疗保健有限公司 | Interface assembly for use in providing respiratory therapy |
EP2892596B1 (en) | 2012-09-04 | 2023-07-26 | Fisher&Paykel Healthcare Limited | Valsalva mask |
WO2014085431A1 (en) * | 2012-11-27 | 2014-06-05 | William Marsh Rice University | Bubble continuous positive airway pressure |
CN109675166B (en) * | 2013-03-15 | 2022-07-01 | 费雪派克医疗保健有限公司 | Nasal cannula assemblies and related components |
JP6336575B2 (en) * | 2013-04-26 | 2018-06-06 | フィッシャー アンド ペイケル ヘルスケア リミテッド | Respirator headgear |
CN103611208B (en) * | 2013-12-17 | 2016-02-24 | 山东省千佛山医院 | A kind of infant temperature control humidifying inhalation device |
CN105992560B (en) * | 2014-02-12 | 2019-06-04 | 皇家飞利浦有限公司 | The method of the flexible respiration nose piece and manufacture breathing nose piece of low dead space volume for gas sample casing |
GB2587307B (en) | 2014-08-25 | 2021-10-27 | Fisher & Paykel Healthcare Ltd | Respiratory mask and related portions, components or sub-assemblies |
EP3725352B1 (en) * | 2015-03-30 | 2024-02-21 | Fisher & Paykel Healthcare Limited | Adaptor for respiratory assistance systems |
US10258319B2 (en) | 2015-05-18 | 2019-04-16 | Richard L. Arden | Airway assist device and method |
US10010313B2 (en) | 2015-05-18 | 2018-07-03 | Richard L. Arden | Mandibular subluxation device and method |
US10342526B2 (en) | 2015-07-01 | 2019-07-09 | Richard L. Arden | Airway assist device and method |
US20180036503A1 (en) * | 2016-08-08 | 2018-02-08 | Mohamed Aly-Helmy MOHAMED | Cpap cannula device |
CN106110465A (en) * | 2016-08-09 | 2016-11-16 | 东莞永胜医疗制品有限公司 | A kind of heat discoloration infant hat for respiratory therapy |
EP3496796B1 (en) * | 2016-08-15 | 2023-03-01 | Fisher & Paykel Healthcare Limited | Adaptor for respiratory assistance systems |
TWM536550U (en) * | 2016-09-30 | 2017-02-11 | Galemed Corp | Baby hat covering |
USD823454S1 (en) | 2017-02-23 | 2018-07-17 | Fisher & Paykel Healthcare Limited | Cushion assembly for breathing mask assembly |
USD824020S1 (en) | 2017-02-23 | 2018-07-24 | Fisher & Paykel Healthcare Limited | Cushion assembly for breathing mask assembly |
USD823455S1 (en) | 2017-02-23 | 2018-07-17 | Fisher & Paykel Healthcare Limited | Cushion assembly for breathing mask assembly |
US11826509B2 (en) * | 2017-05-22 | 2023-11-28 | Fisher & Paykel Healthcare Limited | Respiratory user interface |
US10792449B2 (en) | 2017-10-03 | 2020-10-06 | Breathe Technologies, Inc. | Patient interface with integrated jet pump |
CN108523845B (en) * | 2018-04-13 | 2020-07-28 | 北京航空航天大学 | Portable metabolism measuring instrument |
US11623063B2 (en) * | 2018-09-28 | 2023-04-11 | Koninklijke Philips N.V. | Humidifier with ingress protection for use in CPAP therapy |
CN110665100A (en) * | 2019-09-11 | 2020-01-10 | 上海万亘实业有限公司 | Portable oxygen inhalation device with humidification function |
Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4151843A (en) * | 1976-06-28 | 1979-05-01 | Brekke John H | Apparatus for administration of a gas to a human and the exhausting thereof |
US4641647A (en) * | 1985-02-08 | 1987-02-10 | Sheryl L. Taylor | Device for securing respiratory appliance during respiratory therapy |
US4906234A (en) * | 1989-01-09 | 1990-03-06 | Voychehovski Tomasz H | Medical tube holder |
US5375593A (en) * | 1994-02-10 | 1994-12-27 | Press; John R. | Oxygenating pacifier |
US5533506A (en) * | 1995-01-13 | 1996-07-09 | Medlife, Inc. | Nasal tube assembly |
US6067985A (en) * | 1996-02-28 | 2000-05-30 | Islava; Steven T. | Adjustable endotracheal tube holder |
US20030200970A1 (en) * | 2002-04-29 | 2003-10-30 | Alex Stenzler | Infant breathing assist apparatus |
US20040065330A1 (en) * | 2002-07-15 | 2004-04-08 | Landis Robert M. | Dynamic infant nasal CPAP system and method |
US6769432B1 (en) * | 2002-04-10 | 2004-08-03 | Hamilton Medical, Inc. | Method and apparatus for non-abrasive cushioning seal of assisted breathing devices |
US6805120B1 (en) * | 1999-09-20 | 2004-10-19 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
Family Cites Families (112)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US2675803A (en) | 1954-04-20 | Gas feeding mask | ||
US1081745A (en) | 1912-05-03 | 1913-12-16 | White S Dental Mfg Co | Nasal inhaler. |
US1443820A (en) | 1919-02-18 | 1923-01-30 | Melvin A Rice | Headpiece for protection from bacteria, noxious gases, etc. |
US1356708A (en) | 1919-03-25 | 1920-10-26 | Goodyear Edward Thomas Parsons | Facial pad adapted for use with field-glasses and other optical instruments and means for supporting the same alone or with other instruments or appliances on the head of the observer |
US1873160A (en) * | 1929-02-08 | 1932-08-23 | Harold V Sturtevant | Breathing apparatus |
US2295321A (en) * | 1941-06-12 | 1942-09-08 | Elmer W Anderson | Nasal filter element |
US2383649A (en) | 1941-08-23 | 1945-08-28 | Air Reduction | Breathing mask for parachute escape devices |
US2414405A (en) * | 1944-12-15 | 1947-01-14 | Howard R Bierman | Mask |
US2444417A (en) | 1945-02-27 | 1948-07-06 | Howard R Bierman | Oxygen mask |
US2765792A (en) | 1953-04-17 | 1956-10-09 | Edgar B Nichols | Tracheal devices |
US2837090A (en) | 1955-07-06 | 1958-06-03 | Bloom Aaron | Universal aviators oxygen breathing mask |
US3079917A (en) | 1958-03-21 | 1963-03-05 | Pate William Godfrey | Oxygen mask assembly and adjustable suspension means therefor |
US3013556A (en) | 1959-08-07 | 1961-12-19 | Jr Ellis A Galleher | Head strap for respiratory masks |
US3065747A (en) | 1959-08-20 | 1962-11-27 | Leonard P Frieder | Mask retaining device for a helmet |
US3513844A (en) | 1968-04-30 | 1970-05-26 | Metro Hospital Supply Co Inc | Adjustable nonrestrictive nasal cannula |
US3643660A (en) | 1969-11-21 | 1972-02-22 | Allan C Hudson | Nasal cannula |
US3792702A (en) | 1972-04-10 | 1974-02-19 | Ulmer & Co Soc | Harness for rapidly placing in position a device such as a respirator mask |
US3910269A (en) | 1972-05-22 | 1975-10-07 | Sierra Eng Co | Integrated helmet and mask structure |
US4002167A (en) | 1974-09-13 | 1977-01-11 | Minnesota Mining And Manufacturing Company | Animal gas mask assembly |
US3987798A (en) | 1975-03-20 | 1976-10-26 | Lanz Medical Products Corporation | Tracheostomy tube and retainer |
US4120300A (en) | 1976-11-29 | 1978-10-17 | City Of Hope National Medical Center | Breathing apparatus |
US4106505A (en) * | 1977-01-17 | 1978-08-15 | Salter Labs., Inc. | Nasal cannula assembly |
US4216769A (en) * | 1978-09-29 | 1980-08-12 | Grimes Jerry L | Bi-flow nasal cup |
USD257449S (en) * | 1979-01-03 | 1980-10-28 | Johnson Jr Paul E | Baby bonnet |
US4235229A (en) | 1979-06-06 | 1980-11-25 | Sherwood Medical Industries Inc. | Adjustable tracheostomy tube assembly |
US4459983A (en) * | 1979-07-24 | 1984-07-17 | Christian Beyreuther | Breathing apparatus for reanimation of newborns |
US4367735A (en) | 1979-12-31 | 1983-01-11 | Novametrix Medical Systems, Inc. | Nasal cannula |
US4414973A (en) | 1981-03-10 | 1983-11-15 | U.S.D. Corp. | Respirator face mask |
US4774946A (en) * | 1983-11-28 | 1988-10-04 | Ackrad Laboratories, Inc. | Nasal and endotracheal tube apparatus |
US4572177A (en) * | 1984-06-25 | 1986-02-25 | Tiep Brian L | Oxygen therapy apparatus |
US5237986A (en) | 1984-09-13 | 1993-08-24 | Minnesota Mining And Manufacturing Company | Respirator harness assembly |
IT1188053B (en) | 1985-10-30 | 1987-12-30 | Sasib Spa | DEVICE FOR DIVIDING A CONTINUOUS TAPE OF ENVELOPE MATERIAL INTO SUBSEQUENT SINGLE SEGMENTS |
GB8604433D0 (en) | 1986-02-22 | 1986-03-26 | Smiths Industries Plc | Support frame |
US4739755A (en) | 1986-10-17 | 1988-04-26 | American Cyanamid Company | Respirator |
US4782832A (en) * | 1987-07-30 | 1988-11-08 | Puritan-Bennett Corporation | Nasal puff with adjustable sealing means |
US4823789A (en) | 1988-02-16 | 1989-04-25 | Genetic Laboratories, Inc. | Nose tube anchoring strip |
US4907584A (en) | 1988-03-03 | 1990-03-13 | Mcginnis Gerald E | Respiratory mask |
US4832019A (en) * | 1988-03-16 | 1989-05-23 | Burton Weinstein | Endotracheal tube holder |
EP0406258A4 (en) * | 1988-03-23 | 1991-03-13 | Christa Ursula Palfy | Nasal tube holder |
FR2629719B1 (en) | 1988-04-07 | 1991-03-08 | Intertechnique Sa | DEVICE FOR FIXING A RESPIRATORY MASK ON A HELMET |
US5335656A (en) * | 1988-04-15 | 1994-08-09 | Salter Laboratories | Method and apparatus for inhalation of treating gas and sampling of exhaled gas for quantitative analysis |
CA1302009C (en) | 1988-07-08 | 1992-06-02 | Brian H. Harrison | Universal head harness |
US5042478A (en) * | 1988-08-26 | 1991-08-27 | University Technologies International, Inc. | Method of ventilation using nares seal |
US4919128A (en) * | 1988-08-26 | 1990-04-24 | University Technologies International Inc. | Nasal adaptor device and seal |
SE462614B (en) * | 1988-12-06 | 1990-07-30 | Conny Peder Gunnar Moa | DEVICE TO GENERATE CONTINUOUS POSITIVE AIR PRESSURE IN SPONTANEOUS THROUGH EJECTOR EFFECTS |
EP0419640A4 (en) * | 1989-04-13 | 1992-01-22 | Salter Laboratories | Demand oxygen system |
US5074295A (en) | 1989-08-03 | 1991-12-24 | Jamie, Inc. | Mouth-held holder |
JP3126359B2 (en) * | 1989-08-24 | 2001-01-22 | 蛇の目ミシン工業株式会社 | Frame movement control device of computer embroidery machine |
US5156641A (en) | 1990-03-07 | 1992-10-20 | Mayo Foundation For Medical Education And Research | Naso-gastric catheter anchor system |
US5042477A (en) | 1990-04-02 | 1991-08-27 | Raymond Lewis | Medical tube holder |
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 |
US5069206A (en) | 1990-06-11 | 1991-12-03 | Crosbie David B | Endotracheal tube clutch |
US5123410A (en) | 1990-06-27 | 1992-06-23 | Greene Worthington W | Tube clamp |
US5113857A (en) * | 1990-08-27 | 1992-05-19 | Stair Dickerman | Breathing gas delivery system and holding clip member therefor |
US5146913A (en) | 1991-03-04 | 1992-09-15 | Asphendiar Khorsandian | Holder and lock for oro-intubation |
US5097827A (en) | 1991-03-22 | 1992-03-24 | Ddi Industries, Inc. | Holder for medical tubing |
US5383451A (en) | 1991-06-10 | 1995-01-24 | Deiulio; David M. | Endotracheal tube stabilization device |
US5282463A (en) | 1991-09-13 | 1994-02-01 | Hammer-Plane, Inc. | Anti-disconnect apparatus and method, for breathing systems |
US5181507A (en) | 1991-10-25 | 1993-01-26 | Wgm Safety Corp. | Air purifying respirator suspension |
US5477852A (en) | 1991-10-29 | 1995-12-26 | Airways Ltd., Inc. | Nasal positive airway pressure apparatus and method |
US5687715A (en) * | 1991-10-29 | 1997-11-18 | Airways Ltd Inc | Nasal positive airway pressure apparatus and method |
US5271391A (en) * | 1991-12-20 | 1993-12-21 | Linda Graves | Apparatus for delivering a continuous positive airway pressure to an infant |
EP1149603A3 (en) | 1991-12-20 | 2003-10-22 | Resmed Limited | Ventilator for continuous positive airway pressure breathing (CPAP) |
US5613502A (en) * | 1992-07-23 | 1997-03-25 | Lee; Mary S. | Photo therapy eye mask |
US5251616A (en) | 1992-07-23 | 1993-10-12 | Wisconsin Alumni Research Foundation | Adjustable tracheostomy tube assembly |
US5542128A (en) | 1993-04-20 | 1996-08-06 | Lomas; Christiane | Headwear for supporting a breathing apparatus |
US5464010A (en) | 1993-09-15 | 1995-11-07 | Minnesota Mining And Manufacturing Company | Convenient "drop-down" respirator harness structure and method of use |
US5570689A (en) | 1993-09-30 | 1996-11-05 | Respironics, Inc. | Respiratory mask having a vertically adjustable spacer element that limits seal deformation on a wearer's face |
US5438979A (en) * | 1994-06-17 | 1995-08-08 | Johnson Enterprises, Inc. | Nasal cannula support |
US5975079A (en) | 1994-07-25 | 1999-11-02 | Hellings; Deborah | Anesthesia and respiratory face mask |
US5653228A (en) | 1994-10-25 | 1997-08-05 | Byrd; Timothy N. | Medical tube holding device and associated securing strap |
US5537997A (en) | 1995-01-26 | 1996-07-23 | Respironics, Inc. | Sleep apnea treatment apparatus and passive humidifier for use therewith |
US5513635A (en) | 1995-02-02 | 1996-05-07 | Bedi; Shan | Nasal cannula anchoring apparatus |
US5645058A (en) * | 1995-10-25 | 1997-07-08 | Odom; Donald M. | Cap with support for medical tubing |
US5662101A (en) * | 1995-12-07 | 1997-09-02 | Respironics, Inc. | Respiratory facial mask |
US6192886B1 (en) | 1996-10-17 | 2001-02-27 | Hans Rudolph, Inc. | Nasal mask |
US5682881A (en) | 1996-10-21 | 1997-11-04 | Winthrop; Neil | Nasal CPAP/Cannula and securement apparatus |
US6019101A (en) * | 1996-10-31 | 2000-02-01 | Sleepnet Corporation | Nasal air mask |
US5752510A (en) | 1996-11-14 | 1998-05-19 | Goldstein; Joseph | Nasal and oral air passageway delivery management apparatus |
AUPO400296A0 (en) | 1996-12-02 | 1997-01-02 | Resmed Limited | A mask and harness apparatus |
AUPO399596A0 (en) | 1996-12-02 | 1997-01-02 | Resmed Limited | A harness assembly for a nasal mask |
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 |
US5921239A (en) | 1997-01-07 | 1999-07-13 | Sunrise Medical Hhg Inc. | Face mask for patient breathing |
US5735272A (en) | 1997-01-22 | 1998-04-07 | Dillon; Michael M. | Nasal tube holder having a nasal dilator attached thereto |
CA2288010C (en) | 1997-04-29 | 2007-07-31 | Salter Labs | Nasal cannula |
US6439234B1 (en) * | 1998-04-03 | 2002-08-27 | Salter Labs | Nasal cannula |
US6062221A (en) | 1997-10-03 | 2000-05-16 | 3M Innovative Properties Company | Drop-down face mask assembly |
US6119693A (en) | 1998-01-16 | 2000-09-19 | Resmed Limited | Forehead support for facial mask |
NL1009440C2 (en) | 1998-06-18 | 1999-12-21 | Johannes Alphonsus Van Hegelso | Assembly for fixing a tube for medical purposes in a patient's mouth. |
US5975077A (en) * | 1998-07-28 | 1999-11-02 | Hamilton Medical, Inc. | Method and apparatus for assisting in breathing |
US6047699A (en) | 1998-10-23 | 2000-04-11 | The Ryatt Corporation | Ventilator and trach holder device |
US6796308B2 (en) | 1998-12-09 | 2004-09-28 | Resmed Limited | Mask cushion and frame assembly |
DE29902267U1 (en) * | 1999-02-09 | 1999-07-29 | Med In Medical Innovations Ver | Integrable noise protection hood for device for generating a continuous positive airway pressure (CPAP device) |
US6338342B1 (en) | 1999-02-22 | 2002-01-15 | Cabot Safety Intermediate Corporation | Respirator headpiece and release mechanism |
US6374826B1 (en) | 1999-03-18 | 2002-04-23 | Resmed Limited | Mask and headgear connector |
US6470886B1 (en) * | 1999-03-23 | 2002-10-29 | Creations By B J H, Llc | Continuous positive airway pressure headgear |
AUPP949999A0 (en) | 1999-03-29 | 1999-04-22 | Resmed Limited | Forehead support for facial mask II |
US7219669B1 (en) * | 1999-06-08 | 2007-05-22 | Sleepnet Corporation | Nose mask |
US6536436B1 (en) * | 1999-10-26 | 2003-03-25 | Mcglothen Roberta | Strap for nasal cannula |
TW453865B (en) * | 2000-05-23 | 2001-09-11 | Optovent Ab | Apparatus and method for monitoring a patient's breath and supplying a gas or gases different from ambient air to the patient, and nose adapter for the apparatus |
US6701926B2 (en) | 2000-06-14 | 2004-03-09 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
EP1163923B1 (en) * | 2000-06-14 | 2005-11-16 | Fisher & Paykel Healthcare Limited | A nasal mask |
US6789541B2 (en) * | 2000-06-14 | 2004-09-14 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
US6612309B1 (en) | 2001-06-04 | 2003-09-02 | Cindy Lou Ancona | Ventilator tube retention strap for use with endotracheal or tracheostomy tube |
AU2002301370B2 (en) | 2001-09-07 | 2008-09-25 | Resmed Limited | Mask Assembly |
CA2370995C (en) | 2001-09-13 | 2010-08-17 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
US6913017B2 (en) * | 2002-01-04 | 2005-07-05 | Bevely Roberts | Apparatus for delivering inhalant and monitoring exhaled fluid, method of making same, and method of delivering inhalant and monitoring exhaled fluid |
NZ622333A (en) | 2002-11-08 | 2016-01-29 | Resmed Ltd | Headgear assembly for a respiratory mask assembly |
AU2004203870B2 (en) | 2003-09-17 | 2011-03-03 | Fisher & Paykel Healthcare Limited | Breathable Respiratory Mask |
US7578294B2 (en) * | 2005-12-02 | 2009-08-25 | Allegiance Corporation | Nasal continuous positive airway pressure device and system |
US7878200B2 (en) * | 2006-02-13 | 2011-02-01 | Carefusion 2200, Inc. | Infant headgear for supporting a patient airway interface device |
USD540463S1 (en) * | 2006-05-30 | 2007-04-10 | Acoba, L.L.C. | Bilateral positive airway pressure mask |
-
2002
- 2002-02-07 CA CA2370995A patent/CA2370995C/en not_active Expired - Lifetime
- 2002-08-28 AT AT0128602A patent/AT500484A1/en not_active Application Discontinuation
- 2002-09-05 ES ES200202029A patent/ES2319832A1/en active Pending
- 2002-09-13 JP JP2003526468A patent/JP3962374B2/en not_active Expired - Lifetime
- 2002-09-13 WO PCT/NZ2002/000180 patent/WO2003022341A1/en active IP Right Grant
- 2002-09-13 AU AU2002334470A patent/AU2002334470B2/en not_active Expired
- 2002-09-13 CA CA002457277A patent/CA2457277C/en not_active Expired - Lifetime
- 2002-09-13 ES ES02798059T patent/ES2318062T3/en not_active Expired - Lifetime
- 2002-09-13 US US10/489,159 patent/US20040244804A1/en not_active Abandoned
- 2002-09-13 CN CN028177940A patent/CN1553820B/en not_active Expired - Lifetime
- 2002-09-13 AT AT02798059T patent/ATE415182T1/en not_active IP Right Cessation
- 2002-09-13 EP EP02798059A patent/EP1425060B1/en not_active Expired - Lifetime
- 2002-09-13 US US10/242,903 patent/US7905232B2/en not_active Expired - Fee Related
- 2002-09-13 DE DE60230048T patent/DE60230048D1/en not_active Expired - Lifetime
- 2002-09-13 BR BRPI0212453A patent/BRPI0212453B8/en not_active IP Right Cessation
Patent Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4151843A (en) * | 1976-06-28 | 1979-05-01 | Brekke John H | Apparatus for administration of a gas to a human and the exhausting thereof |
US4641647A (en) * | 1985-02-08 | 1987-02-10 | Sheryl L. Taylor | Device for securing respiratory appliance during respiratory therapy |
US4906234A (en) * | 1989-01-09 | 1990-03-06 | Voychehovski Tomasz H | Medical tube holder |
US5375593A (en) * | 1994-02-10 | 1994-12-27 | Press; John R. | Oxygenating pacifier |
US5533506A (en) * | 1995-01-13 | 1996-07-09 | Medlife, Inc. | Nasal tube assembly |
US6067985A (en) * | 1996-02-28 | 2000-05-30 | Islava; Steven T. | Adjustable endotracheal tube holder |
US6805120B1 (en) * | 1999-09-20 | 2004-10-19 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
US6769432B1 (en) * | 2002-04-10 | 2004-08-03 | Hamilton Medical, Inc. | Method and apparatus for non-abrasive cushioning seal of assisted breathing devices |
US20030200970A1 (en) * | 2002-04-29 | 2003-10-30 | Alex Stenzler | Infant breathing assist apparatus |
US20040065330A1 (en) * | 2002-07-15 | 2004-04-08 | Landis Robert M. | Dynamic infant nasal CPAP system and method |
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US20050028820A1 (en) * | 2001-11-05 | 2005-02-10 | Smith Nicholas Charles Alan | Nasal masks |
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US20060266362A1 (en) * | 2001-11-05 | 2006-11-30 | Smith Nicholas C A | Nasal masks |
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US20060174891A1 (en) * | 2005-02-10 | 2006-08-10 | Ammann Shari R | Neonatal breathing device and method |
US10143813B2 (en) | 2005-12-02 | 2018-12-04 | Vyaire Medical Consumables Llc | Nasal continuous positive airway pressure device |
US9211387B2 (en) | 2005-12-02 | 2015-12-15 | Carefusion 2200, Inc. | Infant nasal interface mask |
US9168346B2 (en) | 2005-12-02 | 2015-10-27 | Carefusion 2200, Inc. | Nasal continuous positive airway pressure device |
US8534286B2 (en) | 2005-12-02 | 2013-09-17 | Carefusion 2200, Inc. | Nasal continuous positive airway pressure device and system |
US10625039B2 (en) | 2005-12-02 | 2020-04-21 | Vyaire Medical Consumables Llc | Infant nasal interface mask |
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US20070125379A1 (en) * | 2005-12-02 | 2007-06-07 | Brian Pierro | Nasal continuous positive airway pressure device and system |
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US20100113957A1 (en) * | 2006-09-11 | 2010-05-06 | Anthony Williams | System, method and apparatus for monitoring a medical condition |
US20090032018A1 (en) * | 2007-08-03 | 2009-02-05 | Eaton Jason P | System Adapted to Provide a Flow of Gas to an Airway of a Patient |
US8235042B2 (en) | 2007-08-31 | 2012-08-07 | Wet Nose Technologies, Llc | Exhalatory pressure device and system thereof |
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US20090194108A1 (en) * | 2007-08-31 | 2009-08-06 | Newman Jr Lionel | Adjustable pressure device and system thereof |
US8225787B2 (en) | 2007-08-31 | 2012-07-24 | Wet Nose Technologies, Llc | Adjustable pressure device and system thereof |
US9427504B2 (en) | 2007-09-01 | 2016-08-30 | Wet Nose Technologies, Llc | Medical apparatus for suction and combination irrigation and suction |
US20090062751A1 (en) * | 2007-09-01 | 2009-03-05 | Newman Jr Lionel | Medical apparatus for suction and combination irrigation and suction |
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US9987443B2 (en) | 2007-10-10 | 2018-06-05 | Parion Sciences, Inc. | Inhaled hypertonic saline delivered by a heated nasal cannula |
US8551534B2 (en) | 2007-10-10 | 2013-10-08 | Parion Sciences, Inc. | Inhaled hypertonic saline delivered by a heated nasal cannula |
US9408988B2 (en) | 2007-10-10 | 2016-08-09 | Parion Sciences, Inc. | Inhaled hypertonic saline delivered by a heated nasal cannula |
US11305082B2 (en) | 2008-05-29 | 2022-04-19 | Naturs Design, Inc. | Liner for use with respiratory mask |
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WO2009146313A1 (en) * | 2008-05-29 | 2009-12-03 | Rutan Robert M | Liner for use with respiratory mask |
US20090293880A1 (en) * | 2008-05-29 | 2009-12-03 | Rutan Robert M | Liner for Use with Respiratory Mask |
US8365733B2 (en) | 2008-05-29 | 2013-02-05 | Rutan Robert M | Liner for use with respiratory mask |
US9113667B2 (en) | 2008-05-29 | 2015-08-25 | Naturs Design, Inc. | Liner for use with respiratory mask |
US10071216B2 (en) | 2008-05-29 | 2018-09-11 | Naturs Design, Inc. | Liner for use with respiratory mask |
US9649458B2 (en) | 2008-09-30 | 2017-05-16 | Covidien Lp | Breathing assistance system with multiple pressure sensors |
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US8333200B2 (en) | 2009-02-04 | 2012-12-18 | Robert Tero | Nasal interface device |
US8783247B2 (en) | 2009-02-04 | 2014-07-22 | Wet Nose Technologies, Llc. | Pressure release systems, apparatus and methods |
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US8567400B2 (en) | 2010-10-05 | 2013-10-29 | Carefusion 207, Inc. | Non-invasive breathing assistance device with flow director |
US11547826B2 (en) | 2010-10-05 | 2023-01-10 | Vyaire Medical 211, Inc. | Non-invasive breathing assistance apparatus and method |
US8607794B2 (en) | 2010-10-05 | 2013-12-17 | Carefusion 207, Inc. | Non-invasive breathing assistance apparatus and method |
US10307553B2 (en) | 2010-10-05 | 2019-06-04 | Carefusion 207, Inc. | Non-invasive breathing assistance apparatus and method |
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RU2574574C2 (en) * | 2010-11-04 | 2016-02-10 | ИНСЛИП ТЕКНОЛОДЖИЗ, ЭлЭлСи | Breathing apparatus |
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US10076625B2 (en) | 2011-04-29 | 2018-09-18 | Robert Tero | Nasal interface device |
US8945605B2 (en) | 2011-06-07 | 2015-02-03 | Parion Sciences, Inc. | Aerosol delivery systems, compositions and methods |
US8778383B2 (en) | 2011-06-07 | 2014-07-15 | Parion Sciences, Inc. | Methods of treatment |
US10335558B2 (en) | 2011-06-07 | 2019-07-02 | Parion Sciences, Inc. | Methods of treatment |
US10543327B2 (en) | 2011-12-07 | 2020-01-28 | Covidien Lp | Methods and systems for adaptive base flow |
US9364624B2 (en) | 2011-12-07 | 2016-06-14 | Covidien Lp | Methods and systems for adaptive base flow |
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US10709854B2 (en) | 2011-12-31 | 2020-07-14 | Covidien Lp | Methods and systems for adaptive base flow and leak compensation |
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US10029057B2 (en) | 2012-03-30 | 2018-07-24 | Covidien Lp | Methods and systems for triggering with unknown base flow |
US8844526B2 (en) | 2012-03-30 | 2014-09-30 | Covidien Lp | Methods and systems for triggering with unknown base flow |
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US10918819B2 (en) | 2012-12-04 | 2021-02-16 | Mallinckrodt Hospital Products IP Limited | Cannula for minimizing dilution of dosing during nitric oxide delivery |
US10130783B2 (en) | 2012-12-04 | 2018-11-20 | Mallinckrodt Hospital Products IP Limited | Cannula for minimizing dilution of dosing during nitric oxide delivery |
US8770199B2 (en) | 2012-12-04 | 2014-07-08 | Ino Therapeutics Llc | Cannula for minimizing dilution of dosing during nitric oxide delivery |
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US9795756B2 (en) | 2012-12-04 | 2017-10-24 | Mallinckrodt Hospital Products IP Limited | Cannula for minimizing dilution of dosing during nitric oxide delivery |
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WO2014193847A1 (en) * | 2013-05-29 | 2014-12-04 | General Electric Company | Breathing mask for ventilating a patient |
US10357626B1 (en) | 2013-07-23 | 2019-07-23 | Bruce O. Baker | Liner for a respirator mask |
US11744974B2 (en) | 2013-07-23 | 2023-09-05 | Athfar 828, Inc. | Liner for a respirator mask |
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US9808591B2 (en) | 2014-08-15 | 2017-11-07 | Covidien Lp | Methods and systems for breath delivery synchronization |
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USD757930S1 (en) | 2015-03-19 | 2016-05-31 | Insleep Technologies, Llc | Nasal pillow |
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US11957485B2 (en) | 2016-03-04 | 2024-04-16 | Surepulse Medical Limited | Hat and monitoring system |
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US11642482B2 (en) | 2018-03-27 | 2023-05-09 | Naturs Design, Inc. | Liner and retaining member for use with respiratory mask |
US20200368457A1 (en) * | 2019-05-24 | 2020-11-26 | Stamford Devices Ltd. | Design of aerosol system and interface to deliver clinically and economically feasible inhaled dose with neonatal cpap device |
US11324954B2 (en) | 2019-06-28 | 2022-05-10 | Covidien Lp | Achieving smooth breathing by modified bilateral phrenic nerve pacing |
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CA2457277C (en) | 2009-11-24 |
EP1425060B1 (en) | 2008-11-26 |
BRPI0212453B8 (en) | 2021-06-22 |
BR0212453A (en) | 2004-10-19 |
CA2370995A1 (en) | 2003-03-13 |
CN1553820B (en) | 2012-04-18 |
ATE415182T1 (en) | 2008-12-15 |
EP1425060A1 (en) | 2004-06-09 |
CA2370995C (en) | 2010-08-17 |
WO2003022341A1 (en) | 2003-03-20 |
US7905232B2 (en) | 2011-03-15 |
JP2005501669A (en) | 2005-01-20 |
DE60230048D1 (en) | 2009-01-08 |
US20030047185A1 (en) | 2003-03-13 |
EP1425060A4 (en) | 2005-02-02 |
ES2319832A1 (en) | 2009-05-12 |
CN1553820A (en) | 2004-12-08 |
JP3962374B2 (en) | 2007-08-22 |
AU2002334470B2 (en) | 2005-01-20 |
CA2457277A1 (en) | 2003-03-20 |
AT500484A1 (en) | 2006-01-15 |
ES2318062T3 (en) | 2009-05-01 |
BR0212453B1 (en) | 2013-10-22 |
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