NZ619618B2 - Swivel elbow and connector assembly for patient interface systems - Google Patents
Swivel elbow and connector assembly for patient interface systems Download PDFInfo
- Publication number
- NZ619618B2 NZ619618B2 NZ619618A NZ61961812A NZ619618B2 NZ 619618 B2 NZ619618 B2 NZ 619618B2 NZ 619618 A NZ619618 A NZ 619618A NZ 61961812 A NZ61961812 A NZ 61961812A NZ 619618 B2 NZ619618 B2 NZ 619618B2
- Authority
- NZ
- New Zealand
- Prior art keywords
- elbow
- swivel
- ring
- patient interface
- connector assembly
- Prior art date
Links
- 210000001513 Elbow Anatomy 0.000 title claims abstract description 292
- 239000007789 gas Substances 0.000 claims abstract description 42
- 238000005516 engineering process Methods 0.000 description 46
- 210000002356 Skeleton Anatomy 0.000 description 39
- 239000000463 material Substances 0.000 description 18
- 210000000088 Lip Anatomy 0.000 description 8
- 210000001331 Nose Anatomy 0.000 description 8
- 238000007789 sealing Methods 0.000 description 8
- 229920002725 Thermoplastic elastomer Polymers 0.000 description 7
- 206010003497 Asphyxia Diseases 0.000 description 5
- 238000000465 moulding Methods 0.000 description 5
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- 238000004026 adhesive bonding Methods 0.000 description 1
- 230000000712 assembly Effects 0.000 description 1
- 238000007681 bariatric surgery Methods 0.000 description 1
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- 201000006233 congestive heart failure Diseases 0.000 description 1
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- 238000005755 formation reaction Methods 0.000 description 1
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Classifications
-
- 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
-
- 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
- A61M16/0616—Means for improving the adaptation of the mask to the patient with face sealing means comprising a flap or membrane projecting inwards, such that sealing increases with increasing inhalation gas pressure
-
- 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
- A61M16/0616—Means for improving the adaptation of the mask to the patient with face sealing means comprising a flap or membrane projecting inwards, such that sealing increases with increasing inhalation gas pressure
- A61M16/0622—Means for improving the adaptation of the mask to the patient with face sealing means comprising a flap or membrane projecting inwards, such that sealing increases with increasing inhalation gas pressure having an underlying cushion
-
- 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
- A61M16/06—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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0816—Joints or connectors
- A61M16/0825—Joints or connectors with ball-sockets
-
- 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
- A61M16/0875—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
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/201—Controlled 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
- 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
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/0085—Special media to be introduced, removed or treated product washed out
-
- 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
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/02—Gases
- A61M2202/0225—Carbon oxides, e.g. Carbon dioxide
-
- 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
- A61M2205/42—Reducing noise
-
- 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
- A61M2207/00—Methods of manufacture, assembly or production
-
- 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0618—Nose
Abstract
swivel elbow and connector assembly (10) for a patient interface system, comprising: a ring (20) configured to be sealingly secured in an aperture of the patient interface system, the ring including a first side in an interior of the patient interface system and a second side at an exterior of the patient interface system when the ring is secured in the aperture, the ring comprising a plurality of vents (21) configured to permit flow of gases from the interior to the exterior of the patient interface system; and an elbow (40) swivelably secured in the ring. The ring comprises a first flange (22) on the first side and a second flange (23) on the second side, the first and second flanges defining a channel (24) that sealingly engages the aperture of the patient interface system. Vented gas is prevented from flowing between the ring and the elbow. The elbow and the portion of the ring between the first and second flanges form a ball and socket connection in which the portion of the ring between the first and second flanges has an elbow-facing surface with an arcuate cross-section and the elbow has a ring-facing surface with an arcuate cross-section. patient interface system when the ring is secured in the aperture, the ring comprising a plurality of vents (21) configured to permit flow of gases from the interior to the exterior of the patient interface system; and an elbow (40) swivelably secured in the ring. The ring comprises a first flange (22) on the first side and a second flange (23) on the second side, the first and second flanges defining a channel (24) that sealingly engages the aperture of the patient interface system. Vented gas is prevented from flowing between the ring and the elbow. The elbow and the portion of the ring between the first and second flanges form a ball and socket connection in which the portion of the ring between the first and second flanges has an elbow-facing surface with an arcuate cross-section and the elbow has a ring-facing surface with an arcuate cross-section.
Description
/60 HCS
SWIVEL ELBOW AND CONNECTOR ASSEMBLY FOR PATIENT INTERFACE
SYSTEMS
CROSS-REFERENCE TO APPLICATIONS
This application claims the benefit of U.S. Application No. 61/505,711, filed
July 8, 2011, U.S. Application No. 61/521,139, filed August 8, 2011, and U.S. Application
No. 61/648,807 filed May 18, 2012, each incorporated herein by reference in their entirety.
Further the entire contents of International Application ,
filed June 2, 2010, and published as A1, are incorporated by reference.
FIELD OF THE TECHNOLOGY
The technology relates to an elbow for a patient interface system, for example
a nasal respiratory mask, for an air delivery system for treatment of, for example, Sleep
Disordered Breathing (SDB) with Continuous Positive Airway Pressure (CPAP) or Non-
Invasive Positive Pressure Ventilation (NIPPV).
BACKGROUND OF THE TECHNOLOGY
Apparatus to deliver breathable gas to a patient typically includes a positive
airway pressure (PAP) device, an air delivery conduit or tube, and a patient interface. The
patient interface contacts the patient’s face in use to deliver pressurized breathable gas to the
patient from the PAP device.
SUMMARY OF THE TECHNOLOGY
An aspect of the present technology relates to an elbow and a connector
assembly adapted to receive gases from a flow generator and deliver the gases to a patient
interface.
An aspect of the present technology relates to an elbow and a connector
adapted to vent gases from a patient interface.
As aspect of the present technology is to have multiple functions in one part or
component and/or manufactured together, e.g., quick release button(s)/member(s)/actuator(s),
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baffle and swivel all formed together, so patient is not required to disassemble; this may
increase potential for reduced overall part costs.
An aspect of the present technology relates to a multi-axis elbow assembly that
allows movement of a connected tube in two separate planes while substantially isolating
drag forces from the tube.
Another aspect of the present technology relates to a method for
manufacturing an elbow for a patient interface assembly, comprising providing a skeleton,
e.g., of rigid or semi-rigid material and adapted to communicate air flow under pressure
between an air delivery conduit and a mask; separately molding an anti-asphyxia valve
(AAV) with a pull tab; and assembling the skeleton and the AAV by pulling the pull tab from
inside the skeleton and through an opening in the skeleton to position, retain and/or seal the
AAV relative to the skeleton. The method may include removing at least a portion of the pull
tab once pulled through such that an outer flange of the AAV sits flush with an exterior elbow
surface. The method may further comprise providing a flexible component to secure the AAV
in position. The flexible component may form one or more release buttons or actuators on the
elbow.
Another aspect of the present technology relates to an elbow for a patient
interface assembly, comprising a skeleton or frame, e.g., of rigid or semi-rigid material, and
adapted to communicate air flow under pressure between an air delivery conduit and a mask;
an anti-asphyxia valve (AAV) with a pull tab, whereby to assembly the AAV to the skeleton,
the pull tab is inserted or guided inside the skeleton and pulled through an opening in the
skeleton to position, retain and/or seal the AAV relative to the skeleton. At least a portion of
an outer flange of the AAV, once the pull tab is pulled through, sits flush with an exterior
elbow surface. The elbow may include a flexible component to secure the AAV in position
and/or to form one or more release buttons or actuators on the elbow, the release buttons
adapted to remove the elbow from a frame.
Another aspect of the technology relates to a swivel elbow and connector
assembly for a patient interface for delivering pressurized breathable gas to a patient from a
PAP device. According to one aspect, the swivel elbow and connector assembly is connected
to a flexible patient interface structure, e.g. a cushion, through an aperture in the patient
interface structure. According to another aspect, the swivel elbow and connector assembly
includes a connector, for example a ring, which is attachable to and detachable from the
patient interface structure at the aperture. The connector includes a plurality of slots for
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venting gases from the interior of the patient interface structure to the exterior of the patient
interface structure.
Yet another aspect of the technology relates to a swivel elbow connected to the
connector and slots to permit venting of gases between the ring and the swivel elbow.
According to another aspect, the swivel elbow is connected to the connector and the slots
permit venting of gases between the connector and the patient interface structure, e.g.
cushion, and no venting occurs between the connector and the swivel elbow.
A further aspect of the technology relates to a swivel elbow and anti-asphyxia
valve assembly having a diffuse vent. A still further aspect of the technology relates to a
swivel elbow and anti-asphyxia valve assembly having a diffuse vent that may be molded in
one piece. An even further aspect of the technology relates to a swivel elbow and anti-
asphyxia valve assembly having a diffuse vent that may have engagement portions that, when
pressed, permit engagement and disengagement of the swivel elbow and anti-asphyxia valve
assembly from a patient interface, e.g. a mask.
According to an example of the technology, a swivel elbow and connector
assembly for a patient interface system comprises a ring configured to be sealingly secured in
an aperture of the patient interface system, the ring including a first side in an interior of the
patient interface system and a second side at an exterior of the patient interface system when
the ring is secured in the aperture, the ring comprising a plurality of vents configured to
permit flow of gases from the interior to the exterior of the patient interface system; and an
elbow swivelably secured in the ring. The ring comprises a first flange on the first side and a
second flange on the second side, the first and second flanges defining a channel that
sealingly engages the aperture of the patient interface system and the second flange comprises
an angled surface that directs the flow of gases from the plurality of vents at an angle to the
longitudinal axis of the ring.
According to another example of the technology, a patient interface system for
delivering a flow of breathable gas to a user comprises a patient interface structure configured
to sealingly engage the face of the user, the patient interface structure comprising an aperture;
and a swivel elbow and connector assembly as disclosed herein.
According to another example of the technology, an elbow for delivering gases
to a patient interface comprises a first connecting portion, a second connecting portion and a
venting portion. The first connecting portion is adapted to receive a tube connection, the
second connecting portion is adapted to receive a patient interface assembly, and the venting
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portion is proximal to the second connecting portion. The venting portion may be diffused
about the perimeter of the second connecting portion. The elbow may further comprise a
baffle to separate the venting portion from an incoming air stream from the first connecting
portion.
According to still another example of the technology, a swivel elbow and anti-
asphyxia valve assembly for a patient interface assembly comprises a first component
including a first connection portion configured to be sealingly secured in an aperture of the
patient interface system, a second connection portion configured to be connected to a swivel
or a delivery conduit, one or more first supports between the first connection portion and the
second connection portion, and a first aperture and a second aperture are provided between
the one or more first supports; and a second component including a valve member,
engagement members, and a flexible member, the valve member being between the one or
more first supports of the first component and movable between a first position in which the
valve member occludes the first aperture and a second position in which the valve member
does not occlude the first aperture, the engagement members being configured to engage the
one or more first supports when pressed by a user of the patient interface system, and the
flexible member being connected to the engagement members and sealing the second
aperture.
Other aspects, features, and advantages of the present technology will become
apparent from the following detailed description when taken in conjunction with the
accompanying drawings, which are a part of this disclosure and which illustrate, by way of
example, principles of the technology.
BRIEF DESCRIPTION OF THE DRAWINGS
The accompanying drawings facilitate an understanding of the various
examples of this technology. In such drawings:
Fig. 1 is an isometric cross sectional view of a swivel elbow and connector
assembly according to an example of the technology;
Fig. 2 is a cross sectional side view of the swivel elbow and connector
assembly of Fig. 1;
Figs. 3 and 4 are exploded isometric views of the swivel elbow and connector
assembly of Fig. 1;
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Figs. 5 and 6 are isometric views of a double swivel elbow and connector
assembly according to another example of the technology in a first position or configuration;
Fig. 7 is a side view of the double swivel elbow and connector assembly of
Figs. 5 and 6;
Fig. 8 is a side view of the double swivel elbow and connector assembly of
Fig. 7 in a second position or configuration;
Fig. 9 is a side view of the transition of the double swivel elbow and connector
assembly from the first position to the second position;
Fig. 10 is an isometric cross sectional view of the double swivel elbow and
connector assembly in the first position;
Fig. 11 is an isometric cross sectional view of the double swivel elbow and
connector assembly in the second position;
Fig. 12 is a cross sectional side view of the double swivel elbow and connector
assembly in the first position;
Fig. 13 is a cross sectional side view of the double swivel elbow and connector
assembly in a third position or configuration;
Fig. 14 is a cross sectional side view of the transition of the double swivel
elbow and connector assembly from the first position to the second position;
Fig. 15 is a cross sectional side view of the double swivel elbow and connector
assembly in a fourth position or configuration;
Fig. 16 is a cross sectional side view of the transition of the double swivel
elbow and connector assembly from the third position to the fourth position;
Figs. 17 and 18 are isometric views of a triple swivel elbow and connector
assembly including a second swivel cuff according to still another example of the technology
in a first position or configuration;
Fig. 19 is an isometric view of the triple swivel elbow and connector assembly
of Figs. 17 and 18 in a second position or configuration;
Fig. 20 is a side view of the triple swivel elbow and connector assembly of
Figs. 17 and 18;
Fig. 21 is a side view of the transition of the triple swivel elbow and connector
assembly from the first position to the second position;
Fig. 22 is side view of the triple swivel elbow and connector assembly in the
second position;
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Fig. 23 is a cross sectional side view of the triple swivel elbow and connector
assembly in the first position;
Fig. 24 is a cross sectional side view of the triple swivel elbow and connector
assembly in the second position;
Fig. 25 is side view of the transition of the triple swivel elbow and connector
assembly from the first position to the second position;
Fig. 26 is a cross sectional isometric view of the triple swivel elbow and
connector assembly in the first position;
Fig. 27 is a cross sectional isometric view of the triple swivel elbow and
connector assembly in the second position;
Fig. 28 is a cross sectional side view of the triple swivel elbow and connector
assembly in a third position or configuration;
Fig. 29 is a cross sectional side view of the triple swivel elbow and connector
assembly in a fourth position or configuration;
Fig. 30 is a cross sectional side view of the transition of the swivel elbow and
connector assembly from the third position to the fourth position;
Fig. 31 is a cross sectional view of a patient interface structure, or cushion,
usable with examples of the technology;
Fig. 32 is an isometric view of a swivel elbow and connector assembly
according to an example of the technology;
Fig. 33 is a partial side cross sectional view of the swivel elbow and connector
assembly of Fig. 32;
Fig. 34 is a top cross sectional view of the swivel elbow and connector
assembly of Fig. 32;
Fig. 35 is an isometric view of a variation of the swivel elbow and connector
assembly of Fig. 32;
Fig. 36 is a front view of the swivel elbow and connector assembly of Fig. 35;
Fig. 37 is a cross sectional view of the swivel elbow and connector assembly
of Fig. 35;
Fig. 38 is an isometric view of a first component of a swivel elbow and anti-
asphyxia valve assembly according to an example of the technology;
Fig. 39 is a side view of the first component of Fig. 38;
Fig. 40 is a rear view of the first component of Figs. 38 and 39;
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Fig. 41 is a cross sectional side view of the first component of Figs. 38-40;
Fig. 42 is an isometric view of the first component and a second component of
the swivel elbow and anti-asphyxia valve assembly;
Fig. 43 is a side view of the swivel elbow and anti-asphyxia valve assembly of
Fig. 42;
Fig. 44 is a rear view of the swivel elbow and anti-asphyxia valve assembly of
Figs. 42 and 43;
Fig. 45 is a front view the swivel elbow and anti-asphyxia valve assembly of
Figs. 42-44;
Fig. 46 is a cross sectional side view of the swivel elbow and anti-asphyxia
valve assembly of Figs. 42-45;
Fig. 47 is a top view of the swivel elbow and anti-asphyxia valve assembly of
Figs. 42-46;
Fig. 48 is an isometric view of a patient interface including a swivel elbow and
connector assembly according to another example of the technology;
Fig. 49 is an isometric view of a patient interface including a swivel elbow and
connector assembly according to another example of the technology;
Fig. 50 is an isometric view of the elbow of Fig. 49;
Fig. 51 is a cross sectional view of the patient interface of Fig. 49;
Fig. 52 is a cross sectional view of a patient interface including a swivel elbow
and connector assembly according to another example of the technology;
Fig. 53 is an isometric view of an elbow according to an example of the
technology;
Fig. 54 is a cross sectional view of the elbow of Fig. 53;
Fig. 55 is a cross sectional view of an elbow and tube connector assembly
according to the technology;
Fig. 56 is an enlarged view of a portion of Fig. 55;
Fig. 57 is an exploded assembly view of the elbow and tube connector
assembly of Fig. 55;
Fig. 58 is an exploded assembly view of an elbow and tube connector
assembly according to another example of the technology;
Fig. 59 is an assembly view of the elbow and tube connector assembly of Fig.
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Fig. 60 is a cross sectional view of the elbow and tube connector assembly of
Fig. 59;
Fig. 61 is an exploded assembly view of an elbow and tube connector
assembly according to another example of the technology;
Fig. 62 is an assembly view of the elbow and tube connector assembly of Fig.
Fig. 63 is a cross sectional view of the elbow and tube connector assembly of
Fig. 62;
Fig. 64 is an isometric view of the connector of the elbow and tube connector
assembly of Fig. 63;
Fig. 65 is a cross sectional view of the connector of Fig. 64;
Fig. 66 is a cross sectional view of a tube connector assembly according to an
example of the technology;
Fig. 67 is an isometric view of the tube connector assembly of Fig. 66;
Figs. 68A-D show a multi-step process for manufacturing an elbow with anti-
asphyxia valve;
Fig. 69A shows a perspective view of the a variant of the elbow;
Fig. 69B shows a cross section of the variant shown in Fig. 69A; and
Fig. 70 shows the AAV (a variant) in isolation.
DETAILED DESCRIPTION OF ILLUSTRATED EXAMPLES
The following description is provided in relation to several examples which
may share common characteristics and features. It is to be understood that one or more
features of any one example may be combinable with one or more features of the other
examples. In addition, any single feature or combination of features in any of the examples
may constitute additional examples.
In this specification, the word “comprising” is to be understood in its “open”
sense, that is, in the sense of “including”, and thus not limited to its “closed” sense, that is the
sense of “consisting only of”. A corresponding meaning is to be attributed to the
corresponding words “comprise", "comprised" and "comprises" where they appear.
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The term "air" will be taken to include breathable gases, for example air with
supplemental oxygen. It is also acknowledged that the PAP devices or blowers described
herein may be designed to pump fluids other than air.
The present technology is adapted to provide an arrangement or assembly
between a patient interface and a tube that may be adapted to decouple tube drag forces,
provide a freedom of movement for the tube to enable a patient to position the tube in a
desired position without disrupting the seal, vent exhausted gases and provide a compact,
unobtrusive design that is aesthetically acceptable to patients.
The venting arrangement may diffuse the exhausted air to prevent air jetting on
patients or their bed partners, and to reduce noise.
The venting arrangement may cooperate with the elbow or connector assembly
to further diffuse exhaled air, for example the elbow may be provided with a ridge to deflect
air in a diffused manner.
The elbow may be provided with one or more swivel connectors adapted to
provide more degrees of movement and aid in decoupling tube drag forces.
The elbow may be referred to as an adaptor, connector or may be described as
any element attach an air delivery tube to a patient interface.
Swivel Elbow and Connector Assembly – Vented Connector or Ring
Referring to Figs. 1-4, a swivel elbow and connector assembly 10 according to
an example of the technology comprises a vented elbow connector, or ring, 20 and a swivel
elbow 40. A sleeve 30 is provided between the vented elbow ring 20 and the swivel elbow
40. The sleeve 30 is provided between a first end of the swivel elbow 40 and the vented
elbow ring 20. A swivel cuff 50 is provided to a second end of the swivel elbow 40 opposite
the first end. The swivel cuff 50 comprises a swivel cuff annular engaging ring 51 that is
received in an annular groove 43 of the swivel elbow 40 so that the swivel cuff 50 is
rotatable, or swivelable, with respect to the swivel elbow 40.
The second end portion of the swivel elbow 40 also includes a tapered flange
44 that is received in an annular groove 52 of the swivel elbow 50 to secure the swivel elbow
50 to the swivel elbow 40. The swivel elbow 40 also includes an end portion 53 that is
configured to be connected to an air delivery hose or conduit that is configured to deliver a
flow of breathable gas generated by a flow generator, or blower.
Referring to Fig. 2, the vented elbow ring 20 comprises an inner flange 22 and
an outer flange 23. A patient interface structure, e.g. cushion, 5 of a patient interface system
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may be fitted into a channel 24 of the vented elbow ring 20 defined by the flanges 22, 23.
The cushion 5 may be a nasal cushion, a full face cushion, or a nasal pillows or prongs
cushion. The patient interface system may also include, for example, a support structure, or
frame, that supports the cushion 5; a tube, conduit, or hose configured to deliver a flow of
breathable gas to the cushion; and/or a patient interface positioning and stabilizing system
(e.g. headgear). It should also be appreciated that the vented elbow ring 20 may be provided
in, for example, the support structure or frame.
Referring to Fig. 31, a cushion 5 usable with the swivel elbow and connector
assembly 10 may include a sealing portion 950 having an upper lip engagement portion 962
that is supported by a supporting portion 953. The sealing portion 950 is separated from the
supporting portion 953 by a front gap in an area of a nose tip engagement portion 952. The
nose tip engagement portion 952 is flexible and can extend downward when contacted by a
patient’s nose, but will be limited in how far it can extend if it reaches the supporting portion
953. The nose tip engagement portion 952 is extended in length from the aperture 955 to fit
nose tips of different size, so that the nose tip of different patients may engage the nose tip
engagement portion at different locations. A stem 954 supports the supporting portion 953
and the sealing portion 950. The cushion 5 may be as disclosed in, for example, International
Application ( A1), the entire contents of which are
incorporated herein by reference. However, it should be appreciated that the swivel elbow
and connector assemblies disclosed herein may be used with other patient interface structures
or systems, e.g. cushions, such as those disclosed in, for example, U.S. Application
61/443,623 or U.S. 2009/0044808 A1, the entire contents of each being incorporated herein
by reference.
The stem 954 may receive the vented elbow ring 20. The vented elbow ring
may be inserted into the aperture of the cushion 5 such that the stem 954 is sealingly
located in the channel 24 between the flanges 22, 23. The sealing portion 950, the stem 954,
and the supporting portion 953 may be a flexible material such as liquid silicone rubber
material or another elastomeric material, e.g., TPE, gel or foam. The stem 954 and the
supporting portion 953 may be formed together such as in a mold, and the sealing portion 950
may be formed separately and then joined together, e.g. such as by gluing. Alternatively, the
stem 954 and the supporting portion 953 may be formed together such as in a mold, and then
the sealing portion 950 may be bonded to the supporting portion 953 and the stem 954 in the
mold.
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The cushion 5 may comprise a flexible gusset 965, which may include the
supporting portion 953 and the stem 954. The supporting portion 953 and the stem 954 may
be formed as a single unitary element. The flexible gusset 965 may be constructed of a
silicone with a hardness of about 20 to 90 Shore A, preferably about 40 Shore A. The
flexible gusset 965 could also be made from polycarbonate, polypropylene, nylon,
thermoplastic elastomer (TPE), Hytrel , etc.
Referring again to Figs. 1-4, the vented elbow ring 20 comprises a plurality of
vent slots 25 that extend through the inner flange 22 across the channel 24 and through the
outer flange 23. As shown in Fig. 2, the sleeve 30 includes a sleeve flange 31 provided
between a flange 41 of the swivel elbow 40 and the flange 23 of the vented elbow ring 20. As
shown in Fig. 1, the connection of the sleeve 30 between the swivel elbow 40 and the vented
elbow ring 20 provides a plurality of vents 21 for the venting of exhalation gases from the
interior of the cushion 5 to the exterior of the cushion 5 through the vent slots 25.
The shape of the vent hole in one example of the present technology may be
such that the cross section (e.g., round) is larger on or towards the inside (entry of air)
compared to the smaller outside cross sections (e.g., diameter) where the air exits to
atmosphere. Also, the exit point or region may be angled to diffuse air away from bed
partner/bed clothes, e.g., not perpendicular.
A smooth transition may be provided at the vent passage to help reduce/ensure
low noise providing vents along the swivel effectively increase overall length of vents, which
may allow for laminar flow development, and result in less noise.
The first end portion of the swivel elbow 40 includes a tapered flange 42 that
engages an annular surface 32 of the sleeve 30. A cylindrical portion 33 of the sleeve 30
extends between the sleeve flange 31 and the tapered flange 42 of the swivel elbow 40. The
sleeve 30 in the swivel elbow 40 may be permanently assembled by the tapered flange 42 as
shown in Fig. 2, although it should be appreciated that the sleeve 30 may be under molded, co
molded or otherwise formed with the swivel elbow 40 to reduce assembly costs.
Referring to Fig. 1, the swivel elbow and connector assembly 10 may be
provided with a plurality of vents 21, for example, 20-60 vents, for example 30-50 vents, for
example 38 vents, 40 vents or 42 vents. The cross sectional area of the vents may vary from,
for example, 0.5 mm x 0.5 mm, for example, 1.0 mm x 1.0 mm, or 0.7 mm x 0.7 mm.
The sleeve flange 31 and the flange 41 of the swivel elbow 40 may be
provided at an angle that provides for venting of the exhalation gases from the interior of the
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cushion 5, 360° around the swivel elbow 40 and in direction away from the face of the
patient. The sleeve 30 provides good diffusivity, and the vent path is contained and easily
adjustable. The formation of the vents 21 by the sleeve 30 also reduces the noise of the
venting from the interior of the cushion 5.
Although the vented elbow ring 20 is shown in Figs. 1-4 as circular, it should
be appreciated that the vented elbow ring may be, for example, elliptical in cross section, as
show in Figs. 35 and 36.
Swivel Elbow and Connector Assembly – Vented Elbow
Referring to Figs. 32-37, a swivel elbow and connector assembly 120
according to another example comprises a swivel elbow 140 and a connector, or ring, 150. A
cushion 130 comprises a flexible base 133 comprising an aperture for sealingly receiving the
ring 150. The flexible base may comprise a flange, or stem, 138 that is configured to be
received in a channel 154 of the ring 150 that is defined between an inner flange 152 and an
outer flange 153. The cushion 130 may comprise nasal pillows 131 for sealingly engaging the
nares of a patient or user and connectors 132 for connecting the cushion 130 to a patient
interface structure positioning and stabilizing system (e.g. headgear). The cushion 130 may
be as disclosed in, for example, International Application (WO
2009/052560 A1), the entire contents of which are incorporated herein by reference. It should
be appreciated that other cushions or patient interface structures may also be used with the
assembly 120, including rigid or semi-rigid patient interface support structures (e.g. frames).
The elbow 140 includes a first end 143 configured for connection to, for
example, a delivery hose or conduit. The elbow includes a tapered flange 142 at a second end
for securing the elbow 140 to the ring 150. Intermediate the first and second ends, the elbow
140 includes an angled flange 141 having a plurality of vents 145 spaced around the flange
141. The flange 141 is angled with respect to the longitudinal axis of the elbow 140. The
number and size of the vents may be as described above. It should also be appreciated that
the vents 145 may be distributed around the angled flange 141 evenly or randomly. It should
further be appreciated that the vents 145 may not extend around the entire circumference of
the angled flange 141 of the elbow 140, for example as shown in Fig. 35.
A radial flange 146 may surround the angled flange 141 that engages the outer
flange 153 of the ring 150. The ring 150 is secured between the tapered flange 142 and the
radial flange 146. The elbow 140 may further comprise a baffle 144 to separate the venting
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portion 147 from an incoming flow of breathable gas from the first end 143, although it may
be circular or have other shapes as well.
Referring to Figs. 35-37, the ring 150 may have an elliptical configuration (e.g.
elliptical cross section). A circular radial flange 155 may be provided on the ring 150 to form
a sealing interface with the radial flange 146 of the elbow 140. As also shown in Fig. 35, the
vents 145 may not be provided around the entire circumference of the elbow, for example the
lower portion 159 of the angled flange 141 may not include vents 145, and/or the angled
flange 141 may have a reinforced portion 157 between vents 145. As shown in Fig. 37, the
baffle 144 of the elbow 140 also has an elliptical configuration that provides venting portions
147 and non-venting portion 149 to the elbow 140.
Double Swivel Elbow and Connector Assembly – Vented Connector or
Ring
Referring to Figs. 5-16, a double swivel elbow and connector assembly 60
according to a example comprises a ball and socket connection i.e. a ball joint vented elbow
ring 70, a ball joint swivel elbow 80 swivelably connected to the ball joint vented elbow ring
70, and a swivel cuff 90 swivelably connected to the ball joint swivel elbow 80. The ball
joint vented elbow ring 70 includes a plurality of vent slots 71 extending around the periphery
of the elbow ring 70. As shown in Fig. 7, the slots 71 extend through an inner flange 73 of
the elbow ring 70 and through an outer flange 74 of the elbow ring 70. A cushion 5 having an
aperture may be received in a channel 75 between the inner flange 73 and the outer flange 74.
When the elbow ring 70 is positioned in the aperture of the cushion 5, vent holes are created
between the vent slots 71 in the elbow ring 70 and the cushion 5. The cushion 5 is secured to
the double swivel elbow and connector assembly 60 when the stem 454 of the cushion is
received in the channel 75 of the vented elbow ring 70. As used herein, the term “sealingly
secured” means that the flow of breathable gas delivered to the patient interface system, e.g.
cushion, through the swivel elbow will not pass from the interior to the exterior of the patient
interface system through the vents in the absence of exhalation by the patient or wearer of the
patient interface system.
Referring to Fig. 6, the vented elbow ring 70 includes an annular surface 72
that may be flush or in line with an annular surface 81 of the ball joint swivel elbow 80 when
the double swivel elbow and connector assembly 60 is in the position or configuration shown
in Figs. 5-7, i.e., with the elbow pointing generally downward. As shown in Fig. 10, the ball
joint swivel elbow 80 includes an arcuate annular, or partially spherical, outer surface 82 that
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is swivelably contained by an arcuate annular, or partially spherical, inner surface 76 of the
vented elbow ring 70. The vented elbow ring 70 and the ball joint swivel elbow 80 thus act
as a ball joint connection between the vented elbow ring 70 and the swivel elbow 80. The
inner surface 76 and the outer surface 82 have radii of curvature that are approximately equal.
The substantially equal radii of curvature may be achieved by molding the vented elbow ring
70 and the swivel elbow 80 together, without the vented elbow ring 70 and the swivel elbow
80 chemically bonding or mechanically bonding in the mold, e.g., by shrinkage. The inner
surface 76 and the outer surface 82 are engaged essentially over the area of contact between
the surfaces so that no or little gas flows between the ring 70 and the elbow 80.
The swivel elbow 80 may swivel from the position shown in Fig. 12, in which
the annular surface 81 is flush with the annular surface 72 of the vented elbow ring 70 and the
longitudinal axes of the ring 70 and the elbow 80 are co-linear, to the position shown in Figs.
13, 15 and 16, in which the annular surfaces 72, 81 are not flush and the longitudinal axes are
at an angle to each other. An annular junction 85 between the arcuate annular outer surface
82 of the swivel elbow 80 and the end portion of the swivel elbow 80 limits the swiveling of
the elbow 80 within the vented elbow ring 70, as shown in Figs. 13, 15 and 16.
Referring to Figs. 10-16, the end portion of the swivel elbow 80 includes an
annular groove 83 that receives a tapered annular engaging ring 91 of the swivel cuff 90. A
tapered flange 84 of the swivel elbow 80 engages the tapered annular engaging ring 91 of the
swivel cuff 90 to retain the swivel cuff 90 to the swivel elbow 80. As shown in Figs. 12 and
13, the swivel cuff 90 includes an angled groove 92 that allows the swivel cuff 90 to rotate
from the position shown in Fig. 12 to the position shown in Fig. 13.
Referring to Figs. 9 and 14, the pivoting of the swivel cuff 90 allows a
longitudinal axis of the double swivel elbow and connector assembly 60 to rotate through an
angle α of, for example, 40-60°, for example 50°.
The double swivel elbow and connector assembly 60 allows for swiveling of
the connection of an air delivery tube or conduit to the swivel cuff end portion 93 in two
directions. For example, as shown in Figs. 7 and 8, the swivel cuff 90 may swivel from the
position shown in Fig. 7 to the position shown in Fig. 8 while the swivel elbow 80 remains in
a position such that the annular surface 81 of the swivel elbow is flush with the annular
surface 72 of the vented elbow ring 70. The transition from the alignment shown in Fig. 7 to
the alignment shown in Fig. 8 is shown in Fig. 9 as a central axis of the swivel cuff 90 rotates
through the angle α of, for example, 50°. The swiveling of the cuff 90 from the position
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shown in Fig. 7 to the position shown in Fig. 8 allows a short air delivery tube or conduit to
straighten out thereby reducing torque forces applied to the vented elbow ring 70 and cushion
. In other masks without this swivel, if the tube is pulled in a direction that is perpendicular
to the central axis of the elbow, because the elbow has an L shaped configuration and no
swivel, it cannot rotate to be in line with the tube; therefore this pulling force is directly
applied to the mask and can disrupt the seal. The ball joint (or ball and socket connection)
design allows the elbow and the swivel to re-align depending on the forces being exerted by
the tube.
The double swivel elbow and connector assembly 60 also permits the swivel
elbow 80 to swivel with respect to the vented elbow ring 70, for example, from the position
shown in Fig. 13 to the position shown in Fig. 15. The pivoting or swiveling of the swivel
elbow 80 is limited by the annular junction 85 between the arcuate annular outer surface 82 of
the swivel elbow 80 and the end portion of the swivel elbow 80. The swivel elbow 80 may
also swivel from the position shown in Fig. 13 to the position shown in Fig. 16 while the
swivel cuff 90 may also pivot or swivel with respect to the swivel elbow 80.
Triple Swivel Elbow and Connector Assembly – Vented Connector or
Ring
Referring to Figs. 17-30, a triple swivel elbow and connector assembly 60
according to another example comprises a second swivel cuff 100 swivelably connected to
the end portion of the swivel cuff 90. The second swivel cuff 100 comprises a tapered
annular engaging ring 101 that is received in an annular groove 95 in the end portion of the
swivel cuff 90. A tapered flange 94 is provided at the end of the swivel cuff 90 to engage and
retain the annular engaging ring 101 of the second swivel cuff 100. The second swivel cuff
100 includes an annular groove 102 that receives the tapered flange 94 of the swivel cuff 90.
The second swivel cuff 100 includes an end portion 103 that is configured to receive an air
delivery tube or conduit for receiving a flow of breathable gas provided by a flow generator,
or blower, for delivery into a patient interface including the cushion 5.
The swivel cuff 90 and the swivel elbow 80 of the examples shown in Figs.
17-30 are swivelable in the same manner as described with respect to the example disclosed
in Figs. 5-16. As shown in Figs. 21 and 25, the pivoting of the swivel cuff 90 allows a
longitudinal axis of the triple swivel elbow and connector assembly 60 to rotate through an
angle β of, for example, 40-60°, for example 50°. Although the second swivel cuff 100 is
shown as including an annular groove 102 that receives the tapered flange 94 of the swivel
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cuff 90, it should be appreciated that the second swivel cuff 100 may be provided with an
angled groove similar to the angled groove 92 of the first swivel cuff 90 to permit the second
swivel cuff 100 to swivel through an angle similar to the manner in which the swivel cuff 90
swivels with respect to the swivel elbow 80.
Swivel Elbow and Anti-Asphyxia Valve Assembly
Referring to Figs. 38-47, a swivel elbow and anti-asphyxia valve assembly 300
according to an example of the technology may be provided having a diffuse vent. The
assembly may also include engagement portions, e.g. buttons or actuators, for engaging and
disengaging the assembly 300 to a patient interface, e.g. a mask. The assembly 300 may be
molded in one piece. This arrangement is advantageous as the patient is not required to
dismantle the component (thereby preventing potential loss of components or misalignment
when reassembling), the cost of the component may be lower, and the anti-asphyxia valve
may be positioned such that it cannot be tampered with or accidentally removed.
The assembly 300 may comprise a first elbow component, base moulding,
collar or skeleton portion 200, as shown in Figs. 38-41. The skeleton portion 200 may
provide the underlying structure of the assembly 300 to support the assembly in an open or
patent position. As shown in Fig. 38, the skeleton portion 200 may include vent holes 230
adapted to permit the exit of exhausted gases from a patient interface as per previously
described examples. As shown in Fig. 41, the skeleton portion 200 may further comprise a
baffle 260 adapted to separate the incoming gases from the outgoing gases in the assembly
300 as per previously described examples.
The skeleton portion 200 may also include a first connection region 245
comprising engagement tabs 240 for interfacing or connecting with a patient interface, for
example. The first connection region 245 may be substantially arcuate or define a first
arcuate region when viewed from the front. The skeleton portion 200 may also include a
second connection region 250 for interfacing or connecting with a tube or swivel, for
example. The skeleton portion 200 may further include a stop 255 to position the assembly
300 with respect to a mask, for example, and prevent the assembly 300 from travelling
through the connection with the mask or insertion of the assembly 300 into the mask.
The skeleton portion 200 may be formed of a relatively rigid, or stiff, material
so that the structure may remain open to permit the flow of gases. Stiffer materials may
minimize the noise of the air exiting the vent holes. The skeleton portion 200 may be formed
of, for example, polycarbonate, polypropylene, or nylon. A rigid material may also assist in
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maintaining the assembly 300 in an open position under certain loads, e.g. the patient lying on
the assembly. A rigid material may also be easier for the user to connect and disconnect from
the mask, tube and/or swivel.
As shown in Fig. 39, the skeleton portion 200 may further comprise supports,
arms or interconnecting regions 290 adapted to connect the first connection region 245 with
the second connection region 250. The supports 290 may also form the boundaries of a first
aperture 210 and a second aperture 220. The supports 290 may be flexible and resilient, i.e.
the supports 290 may return to their original shape after deformation. The first aperture 210
may be structured and arranged to receive an anti asphyxia valve or other valve. The second
aperture 220 may be structured and arranged to receive a flexible member or web. The
second aperture 220 may extend to an opening, gap or relief 280 at the first connection region
245, as shown in Fig. 40.
Referring to Fig. 39, the vent holes 230 may be positioned on a surface 235
that is generally circular or rounded to better diffuse exiting air streams. The surface 235 may
be tapered to prevent moisture build up on the elbow - this can cause vent whistle i.e. air
exiting the vent holes to create a high pitched whistle-like noise. The vent holes 230 may be
scattered around the surface 235 to diffuse the air flow. It should be appreciated that the vent
holes 230 may be uniformly spaced around the surface 235, or provided as otherwise
described herein.
The skeleton portion 200 may further include second supports or stops 270
adapted to receive a button or other engagement mechanism. The second supports 270 may
be adapted to transmit a force from an engagement feature or mechanism, such as a button, to
the skeleton portion 200. The second supports 270 may also reinforce or provide a foundation
for an engagement feature or mechanism, such as a button, such that when the button is
pressed it does not collapse, rather it transmits a force to the skeleton portion 200. The
second supports 270 may be an alignment feature to align the skeleton portion 200 in a tool or
mold. The second supports 270 may form a surface for a second component, for example an
over-mould, to abut or be formed against.
The skeleton portion 200 may be over-moulded or otherwise formed with a
second component (also referred to as a flexible portion or deformable region) 335, e.g. an
assembly over-mould. For example, the skeleton portion 200 may be moulded in a first tool
and then transferred to a second tool for over-moulding with the second component 335, or
could be done all in one tool. That is, second component 335 may be chemically,
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mechanically or otherwise formed to the skeleton portion 200. The second component 335
may be formed of a relatively flexible material, such as thermoplastic elastomer (TPE),
silicone, gel or other material.
The second component 335 may include engagement portions 320, a flexible
member or web 330, a lip 315 and a valve member 310. The engagement portions 320 may
be, for example, buttons, grips, tabs or other arrangements adapted to receive a pressing force
or other motion from a patient or clinician. The engagement portions 320 may be supported
and/or reinforced by the second supports 270. The engagement portions 320 may, when
pressed, squeeze towards one another thereby displacing the first supports 290 inwards. The
first supports 290 may then deform the first connection region 245 from a first, resting
position (e.g. a circular shape) to a second, pressed position (e.g. an oval or elliptical shape).
The gap or relief 280 may be adapted to permit the first connection region 245 to flex. This
change in shape may move the engagement tabs 240 from a first, engaged position, to a
second, disengaged position. The gap or relief 280 may form a second arcuate region, such
that when combined with the first arcuate region of the first connection region 245, the two
components form a circle and hence a cylinder.
The flexible member or web 330 may be connected to the engagement portions
320 and also seal the second aperture 220. The flexible member 330 may be in the form of a
membrane or other readily deformable shape, as when engagement portions 320 are pressed,
the flexible member 330 may buckle or bend.
The lip 315 may be formed about and positioned around the perimeter of the
first aperture 210. The lip 315 may be adapted to prevent objects from entering the first
aperture 210. The lip 315 may also serve as a blank off for molding elbow assembly 300.
The valve member 310, as shown in Fig. 46, may be positioned within the
body of the elbow assembly 300, i.e. between the first supports 290. The valve member 310
may act as an anti-asphyxia valve, i.e. when air is delivered from the second connection
region 250 to the first connection region 245, the valve member 310 may move into a first
position (not shown) to occlude the first aperture 210; and when there is no air being
delivered from the second connection region 250 to the first connection region 245, the valve
member 310 may move to a second position (Fig. 46) that does not occlude the first aperture
210, thereby permitting the patient to receive air from atmosphere through the first aperture
210. The valve member 310 may be a flap. The valve member 310 may be integrally formed
with the second component 335, e.g. through a living hinge attached to the lip. It should be
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appreciated that the valve member 310 may be formed separately from the second component
335 and attached to the second component 335. The valve member 310 may be larger than
the first aperture 210, so as to occlude the first aperture 210 when air is delivered from the
second connection region 250 to the first connection region 245.
The valve member 310, the lip 315, the engagement portions 320, and the
flexible member 330 may be formed from the same material in a single piece. Alternatively,
one or more of these components may be formed separately and/or from an alternative
material.
In a further example of the present technology, e.g., shown in Figs. 68A-70 an
elbow 80 may be formed or constructed in a multi-step process, e.g., three step process, to
achieve a single component with multiple functions. The elbow 800 may comprise a skeleton
or frame 805, e.g., constructed of rigid or semi-rigid material, and adapted to communicate air
flow from an air delivery tube to a mask. The skeleton 805 may be first formed or molded in
a tool. Skeleton 805 may be constructed of a polymer such as polypropylene, polycarbonate,
and nylon.
The elbow 800 may further comprise an AAV (anti-asphyxia valve) 810
having a flap 812 adapted to provide the patient with access to atmospheric gas should a flow
generator fail to deliver air to the mask. The AAV 810 may be formed or molded within the
skeleton 805 or formed or molded and then subsequently assembled to the skeleton 805. For
example, as shown in Figs. 68A-68D, the AAV 810 may be molded and then pulled through
an opening 815 in the skeleton. A pull tab 820 of the AAV may enable the AAV 810 to be
pulled through the opening 815 so as to position, retain and/or seal the AAV relative to the
skeleton. The pull tab 820 may be a sacrificial component that once utilized (e.g., pulled
through the opening) it may be cut off (such that an outer surface 810.2 of an outer flange
810.1 is substantially flush with the elbow surface) as shown in Fig. 69 or otherwise removed
(e.g., once an inner flange 825 is pulled and anchored against the inner surface of the
skeleton, further applied force will tear the pull tab away from the AAV, possibly assisted by
a perforation(s) between pull tab and outer flange 810.1). Alternatively the AAV 810 may be
molded in the opening 815 and extending through the skeleton 805 without the need for pull
tab 820. The AAV 810 may include an inner flange 825 to seal the AAV 810 against the
inner wall 830 of the skeleton 805.
The elbow 800 may comprise a flexible component 832 (Fig. 69A) adapted to
secure the AAV 810 in position and/or form one or more release buttons 835 of the elbow
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800. For example, the flexible component 832 may be a silicone or TPE which is molded
over the skeleton 805 to form the outer portions of the release buttons 835, thereby allowing
the release buttons 835 to flex; and may be molded over the AAV 810 at the opening 830 to
seal and hold the AAV 810 in position relative to the skeleton 805.
The arrangement may have one or more of the following advantages:
The AAV is sealed in position and cannot be removed from the elbow thereby
preventing the patient from accidentally disassembling the AAV and thus
rendering the device unsafe.
The flexible component can be molded in a single shot - if there was no
flexible component over the AAV then the flexible component may be molded
on either side of the elbow at each button. Since it is molded in a single shot,
it may be more efficient and less expensive to tool
The elbow may be more visually appealing.
Swivel Elbow and Connector Assembly Including Patient Interface
Cushion
Referring to Fig. 48, a patient interface system 400 for delivering a flow of
breathable gas to a patient may include a swivel elbow 410, a swivel or ring or connector 420,
and a cushion 430 for sealingly engaging the patient’s airways. Although the cushion 430 as
shown includes nasal pillows or prongs or puffs, it should be appreciated that other cushions
may be provided, for example a nasal cushion or a full face cushion. The swivel 420 may be
removably attachable to the cushion 430 by a bayonet type connection 440 that includes
detents 421 on the swivel 420 to engage with tabs 431 on the cushion 430. Vents 411 are
provided between the elbow 410 and the swivel 420. The vents 411 may include slots
provided on the elbow surface to create venting gaps between the elbow 410 and the swivel
420. It should be appreciated that the slots may be provided in the swivel instead of the
elbow, or that slots may be provided in both the elbow and the swivel.
Referring to Figs. 49-51, according to another example a patient interface
system 450 may include a swivel elbow 460, a swivel or ring or connector 470, and a cushion
490. The swivel 470 may be connected to a ring 480 that is attached to the cushion 490 at
481. The ring 480 may be permanently or removably attached to the cushion 490. For
example, the cushion 490 may be overmoulded to the ring 480 or the cushion 490 and the
ring 480 may be attached by adhesive. As another example, the cushion 490 and the ring 480
may be press fit together.
505697/60 HCS
The elbow 460 may be removably attached to the swivel 470 or the elbow may
be permanently attached to the swivel 470. The elbow 460 may have flexible buttons 462
provided between grooves 463 formed in the elbow 460. The buttons 462 may be pressed or
flexed to connect and disconnect the elbow 460 from the swivel 470.
Vents 461 are provided between the elbow 460 and the swivel 470. The vents
461 may include slots provided on the elbow surface to create venting gaps between the
elbow 460 and the swivel 470. It should be appreciated that the slots may be provided in the
swivel instead of the elbow, or that slots may be provided in both the elbow and the swivel.
Referring to Fig. 52, a patient interface system 500 according to another
example may include a swivel elbow 510, a swivel or ring or connector 520, and a cushion
530. The cushion 530 may be permanently or removably connected to the swivel 520 at 521.
The elbow 510 may be press fit to the swivel 520 and be releasable by pressing buttons 512
provided between grooves 513 as per grooves 463. Grooves 463 are made air tight by either
being thinned regions of material or an over-molded second material (e.g., TPE, silicone).
The elbow 510 may further include slots 511 to vent exhaled gases and a baffle 514 to reduce
noise and increase exhaust gas washout.
Referring to Figs. 53 and 54, an elbow 550 according to an example of the
technology may include slots 551 to vent exhaled gases and a baffle 554 to reduce noise and
increase exhaust gas washout. An aperture 552 may be provided in the elbow 550 to permit
the patient to breathe in the event that the flow of breathable gas is interrupted or stopped. An
AAV flap 555 is provided to close the aperture 552 when a flow of breathable gas is in the
elbow 550 (i.e. the flow of breathable gas biases the flap 555 into a closed position to cover
the aperture 552). As shown in Figs. 53 and 54, the AAV flap 555 is in the open position.
The elbow 550 may be moulded from, for example, a rigid material to improve vent flow
noise and to prevent the slots 551 from occluding. The AAV flap 555 may be formed of, for
example, a flexible material to enable movement of the AAV flap 555 from the open to the
closed position under the influence of the flow of breathable gas.
Elbow and Tube Connector Assembly
Referring to Figs. 55 - 57, an elbow and tube connector assembly 560 may
include an elbow 570 and a tube connector 580 that clips into the inner surface of the elbow
570. Clipping the tube connector 580 into the elbow 570 reduces the overall visual bulk of
the assembly 560 and may also create a tube-specific fitting such that only tubes 590 provided
by a certain manufacturer or provided can be used with the elbow 570.
505697/60 HCS
The elbow 570 may include a lip or flexible element 571 adapted to engage
with an outer surface, e.g. a groove, 581 of the tube connector 580 to ensure a more robust
seal. The tube connector 580 may also include a series of ridges 582 adapted to engage with
the inner surface of the elbow 570, thereby causing a seal, while avoiding increased friction
between the tube connector 580 and the elbow 570 to permit rotation of the components
relative to one another.
Straight Swivel for Elbow and Tube Connection
Referring to Figs. 58-60, a tube and elbow connector assembly may 600
include a swivel elbow 610, a tube connector 630 and a swivel or connector or ring 620. The
assembly 600 may be used to connect the elbow 610, such as the elbow disclosed in, for
example, U.S. 2010/0307502 A1, the entire contents of which are incorporated herein by
reference, to a short retractable tube, having a length of, for example 150 mm, such as
disclosed in, for example, U.S. 2009/0078259 A1, the entire contents of which are
incorporated herein by reference. The assembly 600 may reduce rotational / torque forces
between the tube and the elbow. For example, as disclosed in U.S. 2010/0000534 A1, a
patient interface system may include a “pillow cushion” that is adhesively applied to the
patient’s face. As the patient interface system has no headgear, it therefore has little to no
resistance to rotational forces being applied to the pillow cushion. The patient interface
system may include a decoupling gusset, a ring elbow and a short, retractable tube attached to
the elbow. A longer tube, e.g. a 2 m tube, may be connected to the short, retractable tube by a
swivel. As the short, retractable tube is stretched, it may rotate almost a full revolution. This
in turn rotates the elbow and distorts the pillow cushion and may pull the prongs or pillows
out of the nose. In the patient interface of U.S. 2010/0000534 A1, the short, retractable tube
assembly is designed to be ‘semi-permanent’ and have minimal leak through the tube-elbow
interface. As such, there is no ability to rotate at the short, retractable tube and elbow
interaction site and the elbow acts as a solid fixture and increases the torque onto the cushion.
By altering the location of the swivel in the patient interface system, for
example by placing the swivel between the short, retractable tube and the elbow, all the
rotational forces of both the longer tube and the short, retractable tube would be rotationally
decoupled from the cushion.
By copying the geometry of the external surface of the elbow, and the internal
surface of the short tube cuff and offsetting each by, for example, 0.2 mm, preferably 0.1 mm,
there would be clearance between both parts. As the tube is stretched and starts to rotate, the
505697/60 HCS
surface with the least resistance will swivel. The swivel may either ‘fuse’ (i.e. not rotate) on
one side, and rotate 100% on the other, or take up 50% of the rotation on either side so that
the cushion would only experience a tensile force.
Referring to Figs. 61-65, a tube and elbow connector assembly 650 according
to another example includes an elbow 660 connectable to a tube or tube cuff 690 by a swivel
component 670, 680 made by, for example, overmoulding a first swivel component 680 over
a second swivel component 670 in a mould assembly to form a freely rotating swivel in a
smaller footprint, i.e. minimising the extension of the elbow length. The internal geometry of
the cuff 690 and the external geometry of the elbow 660 were replicated to ensure a tight fit
with no leak, yet the shrinkage of the in-mould assembly would allow a smooth rotation. The
swivel components 670, 680 form a two part swivel moulded as one.
Referring to Figs. 66 and 67, a tube cuff-to-tube cuff connector 700 assembly
may also provide a swivel configured to join cuffs 710, 730 of short tubes with no
multiplication of the torque forces. A cuff connector 720 may be provided between two short
tubes of, for example, 150 mm in length, rather than one 300mm tube with 100% clockwise
torque force. The cuff connector 720 connects the two short tubes, and each the two short
tubes may be wound in different directions, (i.e. 50% clockwise, 50% anti-clockwise) to
cancel each other’s torque out.
While the technology has been described in connection with what are presently
considered to be the most practical and preferred examples, it is to be understood that the
technology is not to be limited to the disclosed examples, but on the contrary, is intended to
cover various modifications and equivalent arrangements included within the spirit and scope
of the technology. Also, the various examples described above may be implemented in
conjunction with other examples, e.g., aspects of one example may be combined with aspects
of another example to realize yet other examples. Further, each independent feature or
component of any given assembly may constitute an additional example. In addition, while
the technology has particular application to patients who suffer from OSA, it is to be
appreciated that patients who suffer from other illnesses (e.g., congestive heart failure,
diabetes, morbid obesity, stroke, bariatric surgery, etc.) can derive benefit from the above
teachings. Moreover, the above teachings have applicability with patients and non-patients
alike in non-medical applications.
505697/60
Claims (3)
1. A swivel elbow and connector assembly for a patient interface system, comprising: a ring configured to be sealingly secured in an aperture of the patient interface system, the ring including a first side in an interior of the patient interface system and a second side at an exterior of the patient interface system when the ring is secured in the aperture, the ring comprising a plurality of vents configured to permit flow of gases from the interior to the exterior of the patient interface system; and an elbow swivelably secured in the ring, wherein the ring comprises a first flange on the first side and a second flange on the second side, the first and second flanges defining a channel that sealingly engages the aperture of the patient interface system, wherein vented gas is prevented from flowing between the ring and the elbow, wherein the elbow and the portion of the ring between the first and second flanges form a ball and socket connection in which the portion of the ring between the first and second flanges has an elbow-facing surface with an arcuate cross-section and the elbow has a ring-facing surface with an arcuate cross-section.
2. A swivel elbow and connector assembly according to claim 1, further comprising a first swivel cuff having a first end rotatably connected to the elbow at a first end and having a second end configured to be connected to a conduit for delivering a flow of breathable gas to the patient interface system or to be connected to a second swivel cuff.
3. A swivel elbow and connector assembly according to claim 2, wherein the first swivel cuff is rotatably connected to the elbow which is configured to provide an angle between the longitudinal axis of the first swivel cuff and the longitudinal axis of the elbow varies as the first swivel cuff rotates relative to the elbow.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
NZ710684A NZ710684A (en) | 2011-07-08 | 2012-07-06 | Swivel elbow and connector assembly for patient interface systems |
Applications Claiming Priority (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161505711P | 2011-07-08 | 2011-07-08 | |
US61/505,711 | 2011-07-08 | ||
US201161521139P | 2011-08-08 | 2011-08-08 | |
US61/521,139 | 2011-08-08 | ||
US201261648807P | 2012-05-18 | 2012-05-18 | |
US61/648,807 | 2012-05-18 | ||
PCT/AU2012/000819 WO2013006899A1 (en) | 2011-07-08 | 2012-07-06 | Swivel elbow and connector assembly for patient interface systems |
Publications (2)
Publication Number | Publication Date |
---|---|
NZ619618A NZ619618A (en) | 2015-08-28 |
NZ619618B2 true NZ619618B2 (en) | 2015-12-01 |
Family
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