The present application claims priority under 35 U.S.C. § 119 of German Patent Application Nos. 102017005691.9, 102017005692.7, 102017005693.5, 102017005694.3, 102017005703.6, 102017005704.4, and 102017005705.2, all filed on Jun. 19, 2017. The entire disclosures of these applications are expressly incorporated by reference herein.
The invention relates to a respiratory mask with a mask body, and with a hinged attachment piece which is connectable to a breathing tube.
Respiratory masks are used, for example in connection with ventilators, to convey respiratory gas to the patient and to assist the discharge of the exhaled respiratory gas. The respiratory mask is typically connected to a ventilator via a breathing tube.
A disadvantage of known respiratory masks is the acoustic disturbance which resulted from the exhalation through the mask body and the breathing tube and which was unpleasant for the patient and the environment. Moreover, the exhaled stream of air gave rise to a cold draft brushing along the patient. These challenges were overcome by an adaptation of the mask according to DE 10 2005 041 717 A1 and EP 1 632 262 B1 by means of a suitable arrangement and structure of exhalation gaps between mask body and securing ring.
A disadvantage from the point of view of manufacture and maintenance is that the air in the known respiratory masks is guided to the exhalation gaps through apertures in the mask body. Moreover, apertures weaken the mechanical stability of the mask body.
Furthermore, the masks are composed of many individual parts which, although permitting increased adaptability to the patient, are complex to assemble and costly to manufacture.
In known masks, the space for receiving the respiratory openings of the patient is made available mainly inside the mask body. This entails an increased need for material in the region of the mask body, since the latter has to enclose a larger volume.
Moreover, in known respiratory masks, the coupling of the harness, for the purpose of securely fixing the mask on the head of the patient during fitting of the mask, often places high demands on the dexterity of the patient, since a view of the corresponding connection parts is not afforded.
An object of the invention is to make available a simple coupling of the harness.
The object is achieved by a respiratory mask with a mask bead, which seals off the mask in the direction of the patient, a mask body, and at least one wing which serves to receive a harness clip, wherein the harness clip fixes a head harness on the mask, characterized in that the wing has a funnel-shaped cutout, and the clip locks in the region of a locking point of the cutout.
The invention is characterized in that the cutout has two regions that are funnel-shaped to different extents.
The invention is characterized in that the locking point is arranged in the narrowest region of the funnel-shaped cutout.
The invention is characterized in that the mask body has, in the region of the wing, a spring plate which is arranged adjacent to and/or inside the cutout.
The invention is characterized in that the spring plate leans at least partially on the mask bead.
The invention is characterized in that the mask body has guide structures which direct the patient to the cutout and the joining direction of the clips.
The invention is characterized in that the guide structures are arranged on the base of the spring plate.
The invention is characterized in that the funnel guides the clip automatically to the locking point, in which the clip is fixed by the spring plate.
The invention is characterized in that the clip slides over the spring plate when it is guided to the locking point.
The invention is also characterized by a locking pin (20) on the side of the spring plate (18) facing toward the wing (12), which locking pin (20) permits the locking engagement of the harness clip (6).
The invention is also characterized by a respiratory mask having a forehead support (2).
The invention is also characterized by a respiratory mask having two different mechanical auxiliary structures for coupling of straps.
The invention is also characterized by a respiratory mask of which the forehead support (2), by virtue of its structure, has at least two options for the coupling of straps.
The invention is also characterized by a respiratory mask of which the strap coupling is embodied by at least one clip (6).
The invention is also characterized by a respiratory mask of which the mechanical auxiliary structure for the strap coupling is provided by a funnel-shaped structure (19) in the mask body (1).
The respiratory mask is also characterized in that the clip (6) has, on its upper face and lower face, depressions or elevations which are occupied by knobs or ribs (35), and, at one end, it has an eyelet (36) through which a retaining strap can be pulled and thus secured.
The invention is characterized in that the clip (6) has a pin (37) with a mushroom-shaped undercut.
The invention is characterized in that the clip (6) has a pin (37) with a mushroom-shaped undercut and has a depression (38), configured as a socket, in the head of the pin (37).
The invention is characterized in that the depression, in interaction with the locking pin on the spring plate of the mask body, ensures the locking engagement of the harness clip in the intended position on the wing of the mask body.
The invention is characterized in that the depression (38)/the locking pin (20) are axially centered in the axial direction of the pin (37).
The invention is characterized in that the depression (38) and/or the locking pin (20) are axially uncentered in the axial direction of the pin (37), wherein a pivoting movement of the clip about the axis of the pin (37) then leads to release of the connection between depression (38) and locking pin (20).
An object of the invention is to adapt the guide structures for the exhaled respiratory gases to the exhalation gaps such that no apertures are needed in the mask body.
According to the invention, this object is achieved by the fact that the guide structures are formed in the space which is created by cutouts between the mask body and a forehead support connector.
A further object of the invention is to reduce the number of individual parts needed, in order to permit cost-effective manufacture and simple assembly of the respiratory mask.
According to the invention, this object is achieved by the fact that the forehead support according to the invention combines several functions. Thus, the functions of the forehead support, the securing ring and the ball joint for receiving an attachment piece are combined in a single part. In addition, the contour of the forehead support, together with the mask body, defines a guide structure for the exhaled respiratory gases of a patient.
The assembly of the respiratory mask can additionally be simplified by the fact that the mask body is configured with rotational symmetry, as a result of which the mask body can be installed with an identical function in two positions at 180° with respect to each other.
A further object of the invention is to save material and reduce the manufacturing cost of the mask body.
This object is achieved by the fact that the space required at the respiratory openings of the patient is made available inside the mask bead.
Moreover, it is an object of the invention to make the strap coupling to the respiratory mask easier.
According to the invention, this object is achieved by adaptation of the mechanical construction of the strap coupling in such a way that a guide structure is integrated in the mask body, which guide structure assists in guiding the coupling structure present on the strap side to the fixing point during the coupling procedure. In this way, the coupling procedure is made considerably easier without seeing it.
Furthermore, this object is achieved by the fact that the forehead support affords different options for the strap coupling.
The respiratory mask according to the invention, which is to be understood not only as an individual part but also as an element of a complete ventilator, is preferably of a modular construction. This modularity comprises four main components, namely a mask body, a forehead support, a mask bead and a hinged attachment piece. The attachment piece is connectable to a breathing tube which transports the respiratory gas between respiratory mask and ventilator.
Moreover, the respiratory mask according to the invention is distinguished by the integration of at least one exhalation gap, which is delimited by certain regions of the surfaces of mask body and forehead support. To fix the respiratory mask to the head of a patient, straps are provided, for which the respiratory mask according to the invention provides coupling structures.
The mask body serves as a base of the respiratory mask and provides connection structures to the forehead support, to the mask bead and to the harness. The connection structures to mask bead and forehead support are preferably mechanically coded in order to ensure a defined positioning of the elements with respect to one another. The connection of mask body and forehead support is conceived in particular in the form of a bayonet catch with a locking function. The connection of mask body and mask bead can be realized, for example, by a plug connection with an undercut or by two-component adhesive bonding.
An advantageous embodiment of the mask body is for the latter to be designed with rotational symmetry. Thus, the mask body can be installed with an identical function in the respiratory mask in two positions offset by 180° to each other. However, for example for the purpose of mechanical coding or the configuration of exhalation gaps, mask bodies that are not completely rotationally symmetrical are also conceivable for a respiratory mask according to the invention.
At its sides, the mask body has coupling structures for straps. These are conceived in particular as the combination of a guide structure, which guides the mating piece on the strap side to the fixing point, and of a fixing mechanism. According to the invention, the fixing mechanism can be configured, for example, as a spring plate with a stub, while a funnel-shaped guide structure guides the strap-side coupling piece to the locking point defined by spring plate and stub.
The basic shape of the inner surface of the mask body is annular, for example, and opens out in a funnel shape on the side directed away from a patient. Furthermore, the surface in the inner radius of the mask body has structures which serve to mechanically secure the connection to the forehead support and to delimit one or more respiratory gas gas guide structures and at least one exhalation gap. These structures can be provided, for example, by spacer ribs, which permit a connection of mask body and forehead support without play and delimit the exhalation gaps. Furthermore, structures are provided which permit a secure connection and fixing of mask body and forehead support. They are conceived in particular as channel-like cutouts in a direction orthogonal to the radial plane, which serve as guides for bayonet teeth on the connection piece of the forehead support. Furthermore, in an advantageous embodiment of the respiratory mask according to the invention, the channels, which become free after mask body and forehead support have been screwed together, serve to guide the exhaled respiratory gases of a patient from the interior of the respiratory mask to the funnel.
The funnel-shaped opening makes it possible for the exhaled respiratory gases of a patient to be led away from the respiratory mask at an advantageous angle through at least one exhalation gap on the side directed away from the patient.
A configuration within the funnel-shaped opening of the mask body is advantageously provided which automatically closes the exhalation gaps in defined regions in connection with the mounted forehead support. For example, this concerns the region in which exhaled gases can escape directly in the direction of the eyes or are deflected by parts of the respiratory mask in the direction of the eyes, since this is particularly uncomfortable for patients.
However, embodiments are also possible which have at least one exhalation gap in the upwardly directed region of the funnel. Moreover, embodiments of the respiratory mask according to the invention can additionally use the further structure of the forehead support, particularly in the region of the web, as a guiding surface for the escaping respiratory gas.
The mask bead serves to receive the respiratory openings and to seal the mask on the face of a patient. The mask bead can be produced from a relatively soft material which, for the purpose of providing a seal on the face of a patient and for mounting on the mask body, can have a certain elasticity. In particular, the material conceived for the mask bead is plastic. The basic shape of the mask bead is preferably adapted to the human anatomy and is suitably triangular for nasal masks. On the side directed away from the patient, there is a connection opening which is adapted in size and shape to the connection form of the mask body. Through the combination of different shapes with further adapted circumferences of mask bead and mask body, the stiffness and the ratio of width and height can be adjusted in the relatively soft material of the mask bead. For example, an oval configuration of the bead seat on the mask body and a circular configuration of the opening on the mask bead are conceivable.
The forehead support of the respiratory mask according to the invention is configured in one piece and combines further functions. These functions are the completion of the guide structure for the exhaled respiratory gases of a patient in combination with the features provided in the mask body, in particular the funnel-shaped admission line of the respiratory gases to the at least one attachment piece, for example through an integrated ball cage, and also a strap coupling.
The invention is explained below on the basis of exemplary embodiments and with reference to the figures, in which:
The particulars shown herein are by way of example and for purposes of illustrative discussion of the embodiments of the present invention only and are presented in the cause of providing what is believed to be the most useful and readily understood description of the principles and conceptual aspects of the present invention. In this regard, no attempt is made to show details of the present invention in more detail than is necessary for the fundamental understanding of the present invention, the description in combination with the drawings making apparent to those of skill in the art how the several forms of the present invention may be embodied in practice.
Additional cutouts in the funnel-shaped region of the inner surface of the mask body (1) are also conceivable in order to form one or more additional outflow channels.
At its sides, the mask body (1) has two wings (12), which each have a mechanical structure for receiving a strap coupling. The strap coupling can be provided, for example, by a clip (6). In the front region of the mask body (1), the latter is provided with knobs (13) at the level of the wings (12), which knobs (13) permit a better grip during the handling of the respiratory mask.
In the embodiment of the respiratory mask shown in
Besides the illustrated connection of mask bead (3) and mask body (1) by an undercut (17), other options are also conceivable. For example, bonding of the modules with the aid of a two-component adhesive is also possible.
The mechanical receiving structure provided in the region of the wings (12), and serving for a strap coupling, consists principally of a spring plate (18) in combination with a cutout (19) in the structure of the wing (12). The cutout (19) in this case is funnel-shaped. The cutout (19) can have a first portion with a moderate funnel shape (19a) and a second portion with a pronounced funnel shape (19b). The cutout (19) opens out in a locking region (39) which is adapted at least in part to the shape of the clip (6, 37, 38). The mask body additionally has guide structures (13) which direct the patient to the cutout (19) or the joining direction of the clips. Alternatively, the guide structures (13) can also be configured as mechanical structures (grooves, channels, edges or the like) which guide the clip in the direction of the cut-out.
Other embodiments of the strap coupling (23) are also conceivable. For example, it can also be realized by only two cutouts with an additional gap (24).
In the embodiment shown, the web (22) is significantly reduced in width compared to the head part with strap coupling (23) and to the forehead support connector (21). This permits an attractive, slim design and saves on material.
To complete the bayonet catch provided in the mask body (1), the forehead support connector (21) offers a number of closure teeth (25) corresponding in position and number to the channels (8) present in the mask body. These closure teeth (25) protrude radially outward from the outer contour of the connection ring (26) and in turn each have a further radially outwardly directed tooth which, together with the locking tooth (14) in the mask body (1), ensures that mask body (1) and forehead support (2) are locked in the intended position. The inner contour of the forehead support connector (21) is configured as a ball cage (27), which can movably bear the attachment piece (4). Toward the attachment piece (4), the ball cage (27) is delimited by an outwardly narrowing ring structure (28).
The shape of the head of the forehead support (2) accommodating the strap coupling (23) has a recess (31) which affords a space between the forehead of a patient and the strap coupling (23) in the forehead support (2). In a view from above, the recess (31) has a Y shape together with the structural elements of the harness coupling. The contour in the region of the recess (31) has a rounded profile with one or more radii. In accordance with the material of the harness coupling and the wall thicknesses, the Y-shaped structure can offer an elasticity that permits adaptation of the head part of the forehead support (13) relative to the forehead of the patient.
The strap coupling (23) has a plane of symmetry S and at least four receiving means (41, 42) for a harness end of a harness, wherein the receiving means are arranged in pairs on both sides of the plane of symmetry S, and a harness end can be secured alternatively on the first receiving means (41) or on the second receiving means (42) on one side of the coupling element. The receiving means 41 is spatially adjacent to the receiving means 42 and arranged closer to the plane of symmetry S than the receiving means 42.
At the other end, a rotatably mounted sleeve (5) is provided as attachment for a hose (not shown).
The clip has a round, mushroom-shaped undercut with a pin. The pin locks in the locking point (39).
The spring plate is supported on one side on the mask bead (3). When the clip (6) is inserted into the locking point, the spring plate is forced against the mask bead (3) and elastically deforms same. In the locking point, the bead, having returned resiliently to its original shape, secures the position of the spring plate, which is also returned resiliently to its original position. The spring plate holds the clip in the locking position in the locking point. The bead additionally secures the position of the spring plate.
The mobility of the clip relative to the mask body is possible only in one spatial plane because of the round, mushroom-shaped undercut on the clip and the fixing in the funnel. In this way, the clip is movable substantially in only one plane parallel to the wing or parallel to the bead. A mobility of the clip toward the face of the patient is possible only in a range of 1° to 10°, preferably 1° to 7°.
The depression (38)/the locking pin (20) can be axially centered in the axial direction of the pin (37). The clip is then pivotable vertically up and down about the axis of the pin (37).
The depression (38)/the locking pin (20) can also be axially uncentered in the axial direction of the pin (37). A pivoting movement of the clip about the axis of the pin (37) then leads to release of the connection between depression (38) and locking pin (20). The clip is then pivotable vertically up and down, but this movement in this case serves to release the clip from the locking position.
Number | Date | Country | Kind |
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102017005691.9 | Jun 2017 | DE | national |
102017005692.7 | Jun 2017 | DE | national |
102017005693.5 | Jun 2017 | DE | national |
102017005694.3 | Jun 2017 | DE | national |
102017005703.6 | Jun 2017 | DE | national |
102017005704.4 | Jun 2017 | DE | national |
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