Method of forming a custom mask using an impression mask

Information

  • Patent Grant
  • 6464924
  • Patent Number
    6,464,924
  • Date Filed
    Wednesday, April 5, 2000
    25 years ago
  • Date Issued
    Tuesday, October 15, 2002
    23 years ago
  • Inventors
  • Original Assignees
    • (Dallas, TX, US)
  • Examiners
    • Silbaugh; Jan H.
    • Shipsides; Geoffrey P.
    Agents
    • Baker Botts L.L.P.
Abstract
A method of forming a custom mask (40) includes introducing a deformable material (32) to an impression mask (24) and directing the deformable material (32) against at least a portion of a user's face within the impression mask (24). This forms an impression of the user's face in the deformable material (32) to form the custom mask (40). The impression mask (24) receives the deformable material (32) and directs the deformable material (32) against at least a portion of a user's face within the impression mask (24) in response to pressure applied to the impression mask (24). The deformable material (32) may include a polycaprolactone polymer or an aliphatic polyester. The impression mask (24) may receive the deformable material (32) either before the user's face is brought within the impression mask (24) or while the user's face is within the impression mask (24).
Description




TECHNICAL FIELD OF THE INVENTION




This invention relates generally to the field of face masks, and more particularly to a custom mask formed using an impression mask.




BACKGROUND OF THE INVENTION




Many people experience breathing problems on a recurring basis, which often results in difficulty sleeping, in snoring, or in other more serious conditions such as obstructive sleep apnea. One treatment for such breathing problems involves use of a device inserted into a user's mouth for extending the user's lower jaw forward. These devices help to open the user's breathing passage more fully to allow easier breathing through the user's nose and mouth.




As technology advances and people with breathing problems demand increased performance and comfort, improving the breathing of the users becomes increasingly important. Previous devices for improving breathing include custom masks connected to an associated oral appliance. Such an oral appliance may extend the user's lower jaw forward to open the breathing passage, while the mask allows air or another gas to be delivered to the user's nose at positive pressure to further open the breathing passage. Previous masks are often relatively expensive due to the expertise that is often required to design and manufacture the masks and fit them to the users. Furthermore, previous masks have often been fitted to the user's particular bone structure and facial features poorly, if at all. As a result, previous masks have failed to adequately prevent venting from around the perimeter of the mask, have caused discomfort for the users, and have been ineffective in treating breathing problems such as snoring and sleep apnea. As a result of these and other deficiencies, previous masks are inadequate for the needs of many users who experience breathing difficulties.




SUMMARY OF THE INVENTION




According to the present invention, problems and disadvantages associated with previous custom masks and methods for making them have been substantially reduced or eliminated.




According one embodiment of the present invention, a method of forming a custom mask includes introducing a deformable material to an impression mask and directing the deformable material against at least a portion of a user's face within the impression mask. This forms a resulting impression of the user's face in the deformable material to form the custom mask. In a more particular embodiment, the deformable material includes a polycaprolactone polymer or an aliphatic polyester. In another more particular embodiment, the deformable material is introduced to the impression mask before the user's face is brought within the impression mask.




According to another embodiment of the present invention, an impression mask for forming a custom mask receives a deformable material and directs the deformable material against at least a portion of a user's face within the impression mask in response to pressure applied to the impression mask. The impression mask forms a mold of at least the portion of the user's face in the deformable material to form the custom mask. In a more particular embodiment, the deformable material includes a polycaprolactone polymer or an aliphatic polyester. In another embodiment, the impression mask may receive the deformable material before the user's face is brought within the impression mask or while the user's face is within the impression mask.




The custom mask and method of making it according to the present invention provide important technical advantages. In contrast to prior techniques, the impression mask of the present invention allows the custom mask to be made and fitted to a user relatively quickly and easily, with little expertise required, typically resulting in better efficiency for clinical professionals and reduced cost to users. In contrast to previous masks, the custom mask of the present invention is fitted substantially optimally to the particular user's facial structure and features. As a result, the custom mask provides improved fit, reduced venting, increased comfort, and better performance, whether in treating breathing problems such as snoring and sleep apnea or for any other suitable purpose for which the custom mask is used. Other technical advantages will be readily apparent to those skilled in the art.











BRIEF DESCRIPTION OF THE DRAWINGS




For a more complete understanding of the present invention and its advantages, reference is now made to the following descriptions taken in conjunction with the accompanying drawings, in which like reference numbers indicate like features and wherein:





FIG. 1

illustrates an exemplary impression mask being registered in position relative to an associated oral appliance;





FIG. 2

illustrates an exemplary custom mask assembly; and





FIG. 3

is a flow chart illustrating an exemplary method of making a custom mask assembly that is registered in position relative to an associated oral appliance.











DETAILED DESCRIPTION OF THE INVENTION





FIG. 1

illustrates an exemplary system


10


for constructing a face, nose, or other mask that is registered relative to an associated custom, non-custom, or other oral appliance. In one embodiment, the oral appliance includes at least an upper arch


12


. A lower arch (not explicitly shown) may be coupled to upper arch


12


in any appropriate manner and for any suitable purpose. For example only and not by way of limitation, upper arch


12


may be coupled to a lower arch using a suitable deformable material as described in co-pending U.S. Application No. 09/543,405, filed on Apr. 5, 2000 for a “Device for Improving Breathing and Method of Constructing Same,” may be coupled to a lower arch using a suitable hooking mechanism as described in U.S. Pat. No. 5,954,048, or may be coupled to a lower arch in any other appropriate manner. In one embodiment, a lower arch may be coupled to upper


12


so that the lower arch may be secured in a fixed forward position relative to upper arch


12


to extend the user's lower jaw forward. This opens the user's breathing passage and helps to reduce or eliminate breathing problems such as snoring and sleep apnea.




An outwardly extending post


14


is coupled to or integrally formed with upper arch


12


and includes a tapered portion


16


for force fitting post


14


into hollow


36


of registration cap


18


. Although tapered portion


16


of post


14


is shown as being rounded to some extent, the present invention contemplates tapered portion


16


being angled or having another shape appropriate to cooperate with the internal shape of hollow


36


in registration cap


18


. The present invention further contemplates a latch, knob or other protrusion, or another suitable mechanism to help secure registration cap


18


to tapered portion


16


to. Instead of or in addition to the above, a screw or other suitable fastener


20


may permanently or removably couple registration cap


18


to post


14


. The tapered portion


16


may be integral to the remainder of post


14


, may be screwed or otherwise coupled to the remainder of post


14


, may rotate relative to the remainder of post


14


to adjust the forward position of an associated lower arch (as described in U.S. Pat. No. 5,954,048, for example), or may have any other suitable relationship to the remainder of post


14


.




In one embodiment, registration cap


18


includes one or more spacers


22


used for registering the position of registration cap


18


, and thus the position of upper arch


12


, relative to an impression mask


24


. Providing accurate registration between impression mask


24


and upper arch


12


allows a custom mask to be formed using impression mask


24


such that the custom mask and upper arch


12


will be properly horizontally spaced, vertically spaced, rotated, and otherwise configured relative to one another to properly fit the particular user's bone structure and facial features. With previous custom masks, proper fit has been the primary obstacle to achieving reduced venting from around the mask perimeter, sufficient comfort for the user, and other treatment goals. The present invention overcomes these obstacles, providing an important technical advantage over previous mask construction techniques. As shown, registration cap


18


may include an extended arm


26


for coupling the upper arch


12


to one or more other components for improving the user's breathing, as described more fully in co-pending U.S. application Ser. No. 09/543,402 filed Apr. 5, 2000 for a “Device for Improving Breathing and Method of Constructing Same.”




Impression mask


24


includes an opening


28


shaped to cooperate with the shape of registration cap


18


and spacers


22


. In a particular embodiment, the spacers


22


are substantially cylindrical and opening


28


of face shield


26


includes cooperating rounded contours


30


to receive spacers


22


. However, the present invention contemplates one or more spacers


22


having any appropriate shape, and opening


28


having any appropriate cooperating shape, according to particular needs. Opening


28


of impression mask


24


may seat on registration cap


18


and spacers


22


relatively loosely, relatively tightly, or in any other suitable manner. Although spacers


22


are described, the present invention contemplates registration cap


18


without spacers


22


, in which case opening


28


may be shaped to seat impression mask


24


onto registration cap


18


alone. Impression mask


24


may be formed from an acrylic or other suitable material.




Before, during, or after impression mask


24


is seated onto registration cap


18


, a deformable material


32


is heated or otherwise placed in a deformable state and placed within impression mask


24


so as to cover appropriate portions of the user's face when deformable material


32


is brought into contact with the user's face. The deformable material


32


may be placed in its deformable state before or after being placed within impression mask


24


. In one embodiment, deformable material


32


covers and takes an impression of at least a portion of the user's nose and surrounding regions to produce, once deformable material


32


cools and hardens, a custom nose mask appropriate for delivering air or another suitable gas to the user's nose from a continuous positive air pressure (CPAP) system or other external source. Impression mask


24


may include a deeper concave portion


34


to receive the user's nose, and preferably includes suitable holes


36


to allow excess deformable material


32


to escape as an impression is taken. Deformable material


32


may couple with at least portions of registration cap


18


, spacers


22


, or both registration cap


18


and the spacers


22


to form an integral assembly incorporating at least the custom mask and registration cap


18


. In one embodiment, deformable material


32


may substantially surround registration cap


18


and spacers


22


, for increased stability or otherwise.




A suitable deformable material


32


may include, for example only and without limitation, methylmethacrylate, the polycarbonate resin thermoplastic such as that sold as LEXAN, the ethylene-vinyl acetate copolymer resin sold under the name ELVAX, a thermoplastic polymer such as polycaprolactone, or other suitable deformable material. These materials are known in substantially different contexts to those skilled in the art and other suitable materials may be used without departing from the intended scope of the present invention. In a particular embodiment, deformable material


32


includes one or more of the polycaprolactone polymers or other aliphatic polyesters as described in U.S. Pat. Nos. 5,112,225 and 4,784,123, and also in product literature distributed by UNION CARBIDE CORPORATION. One or more polycaprolactone polymers may have the formula:











where R is an aliphatic hydrocarbon and n may range between approximately 300 to approximately 650. Polycaprolactone polymers display desirable dimensional stability and thermoplasticity during cooling, biocompatibility, and other characteristics making them suitable for uses described herein. However, the present invention contemplates any suitable polycaprolactone polymer, possibly including one or more polycaprolactone polymers with other suitable formulas.




In a particular embodiment, deformable material


32


includes one or more of the TONE P-700, TONE P-767, or TONE P-787 polycaprolactone polymers manufactured by UNION CARBIDE CORPORATION, singly or in any combination. In a more particular embodiment, deformable material


32


may include approximately thirty parts by volume of TONE P-700 and sixty parts by volume of TONE P-767, together with approximately ten parts by volume of one or more other polymers, depending upon the application and particular needs. A light cured material, another polymer, or any other suitable material, such as a filler, coloring agent, stabilizer, antioxidant, or antimicrobial agent, may be used to replace or combine with a polycaprolactone polymer in forming deformable material


32


having any appropriate characteristics, properties, or uses. The present invention contemplates deformable material


32


including any suitable mixture or other combination of polycaprolactone polymers, other polymers, and other suitable materials, compounds, or compositions.




The TONE set of polycaprolactone polymers are described in U.S. Pat. Nos. 5,112,225 and 4,784,123, and in product literature distributed by UNION CARBIDE CORPORATION, as including homopolymers, block copolymers, graft copolymers, or other polymers containing epsilon-caprolactone. Polymerization may be initiated using a diol, for example and without limitation, ethylene glycol, diethylene glycol, neopentyl glycol, butane diol, hexane diol, or any other appropriate diol. The diol may have the formula:






HO—R—OH  (2)






where R is an aliphatic hydrocarbon.




Deformable material


32


may begin as extruded pellets, beads, or rods of uniform, similar, or differing size, or in other suitable form. Deformable material


32


is heated in a microwave oven, in water or other non-solvent neutral liquid, or in any other suitable manner to between approximately 140° F. and approximately 180° F. to place deformable material


32


in its deformable state. Deformable material


32


may be maintained in this deformable state until the pellets, beads, or rods congeal, coalesce, or otherwise combine to form a deformable mass capable of assuming shape and configuration desired. The deformable material


32


may be placed in its deformable state before, during, or after deformable material


32


is introduced to impression mask


24


. Deformable material


16


mixes, bonds, reacts, combines, or otherwise couples with the material used to form registration cap


18


while deformable material


32


is in a liquid or other deformable state. In one embodiment, deformable material


32


chemically bonds to registration cap


18


, to spacers


22


, or to both registration cap


18


and spacers


22


to produce an integral piece incorporating a custom mask and registration cap


18


. This assembly may be coupled permanently to the associated oral appliance or alternately removed and re-coupled in accordance with particular needs.




In one embodiment, the upper arch


12


is inserted into the user's mouth and the registration cap


18


is coupled to the tapered portion


16


of post


14


in a suitable manner. Deformable material


32


is applied to impression mask


24


, opening


28


of impression mask


24


is properly seated on registration cap


18


and spacers


22


, and impression mask


24


is pressed or otherwise brought in contact with a suitable portion of the user's face. Impression mask


24


is adjusted, if necessary, to the proper or other appropriate position relative to upper arch


12


. Deformable material


32


mixes, bonds, reacts, combines, or otherwise couples to the registration cap


18


and spacers


22


while it is in a deformable state. Deformable material


32


is then allowed to cool and harden to produce a custom mask that is in a fixed position relative to upper arch


12


. Alternatively, deformable material


32


may be introduced into impression mask


24


after impression mask


24


has been seated on registration cap


18


. The same or a different deformable material


32


may be used, after formation of the custom mask, to couple the custom mask to registration cap


18


. Deformable material


32


may be delivered while in a liquid, melted, or other deformable state using a syringe, hypodermic needle, hot glue gun, or other delivery device or technique.




Impression mask


24


may remain in contact with the user's face or be removed before, during, or after the deformable material


32


fully cools and hardens. Deformable material


32


may be used to form a custom mask in the user's home, in the office of a dental, medical, or other clinical professional, or in any other suitable location. While a particular technique is described, the present invention contemplates any appropriate technique for constructing a custom mask that is accurately registered relative to the position of an associated oral appliance.





FIG. 2

illustrates an exemplary custom mask assembly


38


, which includes custom mask


40


, constructed according to the present invention. As discussed above, custom mask assembly


38


provides important advantages over previous custom masks such as reduced venting, increased comfort, and other benefits. Although custom mask


40


is described primarily as being formed in connection with an oral appliance and the registration of its position relative to the oral appliance, impression mask


24


may be advantageously used to form custom mask


40


with or without an oral appliance or the registration of its position relative to the oral appliance. Furthermore, although custom mask


40


is described primarily for use in improving a user's breathing in combination with a CPAP system, the present invention contemplates custom mask


40


having any appropriate use or uses, according to particular needs.





FIG. 3

is a flow chart illustrating an exemplary method of constructing a custom mask registered in position relative to an associated oral appliance. The method begins at step


100


, where the user or a clinical professional couples registration cap


18


to post


14


of upper arch


12


. At step


102


, upper arch


12


is inserted into the user's mouth to substantially fix the position of registration cap


18


relative to post


14


and thus the user's upper jaw. The present invention contemplates registration cap


18


being coupled to upper arch


12


before or after upper arch


12


is inserted into the user's mouth. At step


104


, deformable material


32


is heated or otherwise placed into a deformable state and, at step


106


, deformable material is introduced to impression mask


24


. In a particular embodiment, deformable material


32


is placed in the impression mask


24


such that deformable material


32


will substantially surround at least a portion of the user's nose including the nostrils and will also surround or otherwise couple to registration cap


18


, spacers


22


, or both registration cap


18


and spacers


22


.




Impression mask


24


is seated on registration cap


18


at step


108


to substantially fix the position of impression mask


24


relative to post


14


and thus the user's upper jaw. At step


110


, the impression mask


24


is pressed against or otherwise brought in contact with the user's face to form a suitable impression of the user's nose and appropriate surrounding regions, registered in position relative to post


14


and thus the user's upper jaw. As described above, excess deformable material


32


may escape through holes


36


in impression mask


24


. Deformable material


32


may instead be placed in impression mask


24


after impression mask


24


has been properly seated on the registration cap


18


. Deformable material


32


couples to registration cap


18


, spacers


22


, or both registration cap


18


and spacers


22


at step


112


.




At step


114


, deformable material


32


is permitted to cool and harden, while in contact with the user's face or after removal from the user's face, to produce an integral custom mask assembly


38


. At step


116


, custom mask assembly


38


, incorporating both the custom mask and registration cap


18


, is separated from impression mask


24


and custom mask assembly


38


is ready for use in treating snoring, sleep apnea, or any other appropriate breathing problem. As described above, custom mask assembly


38


may be integral to or separate from upper arch


12


. At step


118


, assuming assembly


38


is not permanently coupled to upper arch


12


, assembly


38


may be repeatedly separated from and re-coupled to upper arch


12


as often as necessary or desirable to improve the user's breathing, according to particular needs.




Although the present invention has been described above in connection with several embodiments, it should be understood that a plethora of changes, substitutions, variations, alterations, transformations, and modifications may be suggested to one skilled in the art, and it is intended that the present invention encompass such changes, substitutions, variations, alterations, transformations, and modifications as fall within the spirit and scope of the appended claims.



Claims
  • 1. A method of forming a custom mask operable to be worn on a user's face to facilitate treatment of sleep disordered breathing, comprising:introducing a deformable material to an impression mask; directing the deformable material against at least a portion of a user's face within the impression mask, the at least a portion of the user's face comprising a region substantially surrounding the user's nostrils; forming an impression of the at least a portion of the user's face in the deformable material to form the custom mask, the custom mask operable to be worn on the user's face to facilitate treatment of sleep disordered breathing.
  • 2. The method of claim 1, further comprising allowing excess deformable material to escape through one or more holes in the impression mask.
  • 3. The method of claim 1, wherein the deformable material comprises a polycaprolactone polymer.
  • 4. The method of claim 1, wherein the deformable material comprises an aliphatic polyester.
  • 5. The method of claim 4, wherein the aliphatic polyester has the formula: wherein R is an aliphatic hydrocarbon.
  • 6. The method of claim 4, wherein the aliphatic polyester comprises a homopolymer of caprolactone initiated with a diol.
  • 7. The method of claim 1, wherein the deformable material is introduced to the impression mask before the user's face is brought within the impression mask.
  • 8. The method of claim 1, wherein the deformable material comprises a second polymer.
  • 9. A method of forming a custom mask operable to be used to improve a user's breathing, comprising:introducing a deformable material comprising a polycaprolactone polymer to an impression mask; directing the deformable material against at least a portion of a user's face within the impression mask; allowing excess deformable material to escape through one or more holes in the impression mask; forming an impression of at least a portion of the user's face in the deformable material to form the custom mask operable to be used to improve a user's breathing, the at least a portion of the user's face including a region substantially surrounding the nostrils of the user; and separating the impression mask from the custom mask.
  • 10. The method of claim 9, wherein the polycaprolactone polymer has the formula: wherein R is an aliphatic hydrocarbon.
  • 11. The method of claim 9, wherein the polycaprolactone polymer is an aliphatic polyester comprising a homopolymer of caprolactone initiated with a diol.
  • 12. The method of claim 9, wherein the deformable material is introduced to the impression mask before the user's face is brought within the impression mask.
  • 13. The method of claim 9, wherein the deformable material comprises a second polymer.
CROSS REFERENCE TO RELATED APPLICATIONS

This application is related to U.S. application Ser. No. 09/543,405 entitled “Oral Appliance for Improving Breathing and Method of Constructing Same,” U.S. application Ser. No. 09/543,397 entitled “Custom Mask and Method of Forming Same,” U.S. application Ser. No. 09/543,398 entitled “Custom Mask Assembly and Method for Making Same,” and U.S. application Ser. No. 09/543,402 entitled “Device for Improving Breathing and Method of Constructing Same,” all filed Apr. 5, 2000 by W. Keith Thornton. This application is also related to U.S. application Ser. No. 08/594,904, filed Jan. 31, 1996, by W. Keith Thornton and entitled “Device for Improving Breathing,” which is a continuation of U.S. application Ser. No. 08/253,949, filed Jun. 3, 1994, by W. Keith Thornton and entitled “Combination Face Mask and Dental Device for Improved Breathing During Sleep” (now U.S. Pat. No. 5,537,994). This application is also related to U.S. application Ser. No. 08/828,523, filed Mar. 31, 1997, by W. Keith Thornton and entitled “Apparatus for Prevention of Snoring and Improved Breathing During Sleep,” which is a file wrapper continuation of U.S. application Ser. No. 08/363,639, filed Dec. 24, 1994, by W. Keith Thornton and entitled “Apparatus for Prevention of Snoring and Improved Breathing During Sleep” (now abandoned), which is a continuation of U.S. application Ser. No. 08/129,598, filed Sep. 29, 1993, by W. Keith Thornton and entitled “Apparatus for Prevention of Snoring and Improved Breathing During Sleep” (now U.S. Pat. No. 5,427,117). This application is also related to U.S. application Ser. No. 08/787,529, filed Jan. 21, 1997, by W. Keith Thornton and entitled “Method and Apparatus for Adjusting a Dental Device,” which is a file wrapper continuation of U.S. application Ser. No. 08/435,277, filed May 5, 1995, by W. Keith Thornton and Andrew O. Jamieson and entitled “Method and Apparatus for Adjusting a Dental Device” (now abandoned), which is a file wrapper continuation of U.S. application Ser. No. 08/218,719, filed Mar. 24, 1994, by W. Keith Thornton and Andrew O. Jamieson and entitled “Method and Apparatus for Adjusting a Dental Device” (now abandoned). This application is also related to U.S. application Ser. No. 09/333,874, filed Jun. 15, 1999, by W. Keith Thornton and entitled “Device and Method for Improving Breathing and Method for Fitting Same,” which is based on U.S. Provisional Application No. 60/089,628, filed Jun. 16, 1998. This application is also related to U.S. application Ser. No. 09/290,512, filed Apr. 12, 1999, by W. Keith Thornton and entitled “Device for Improving Breathing,” which is a continuation of U.S. application Ser. No. 08/878,998, filed Jun. 19, 1997, by W. Keith Thornton and entitled “Device for Improving Breathing” (now U.S. Pat. No. 5,983,892), which is a continuation of U.S. application Ser. No. 08/582,526, filed Jan. 3, 1996 by W. Keith Thornton and entitled “Device for Improving Breathing” (now abandoned), which is a continuation-in-part of U.S. application Ser. No. 08/253,949. This application is also related to U.S. application Ser. No. 09/396,986, filed Sep. 15, 1999 by W. Keith Thornton and entitled “Device for Improving Breathing and Method of Fitting Same.” This application is also related to U.S. application Ser. No. 09/483,741, filed Jan. 17, 2000 by W. Keith Thornton and entitled “Oral Appliance Having a Bonding Layer and Methods for Fitting and Relining Same.” This application is also related to U.S. application Ser. No. 09/554,771, filed May 16, 2000 by W. Keith Thornton and entitled “Device and Method for Improving Breathing.”

US Referenced Citations (191)
Number Name Date Kind
339334 Searle Apr 1886 A
690663 Pratt Jan 1902 A
746869 Moulton Dec 1903 A
774446 Moulton Nov 1904 A
885196 Steil Apr 1908 A
893213 Whiteway Jul 1908 A
955562 Thomas Apr 1910 A
996783 Moreau Jul 1911 A
1076534 Wallen Oct 1913 A
1146264 Kelly Jul 1915 A
1483694 Stukey Feb 1924 A
1649664 Carter Nov 1927 A
1674336 King Jun 1928 A
1675202 Warne Jun 1928 A
1679748 Stratton Aug 1928 A
2171695 Harper Sep 1939 A
2178128 Waite Oct 1939 A
2383649 Heidbrink Aug 1945 A
2424533 Faires Jul 1947 A
2505028 Boeger Apr 1950 A
2521039 Carpenter Sep 1950 A
2521084 Oberto Sep 1950 A
2531222 Kesling Nov 1950 A
2547419 Sugarman et al. Apr 1951 A
2574623 Clyde Nov 1951 A
2590118 Oddo, Jr. Mar 1952 A
2627268 Leppich Feb 1953 A
2671446 Mann Mar 1954 A
2712160 Sterczak Jul 1955 A
2833278 Ross May 1958 A
2867212 Nunn, Jr. Jan 1959 A
2882893 Godfroy Apr 1959 A
3037501 Miller Jun 1962 A
3064354 Pos Nov 1962 A
3107668 Thompson Oct 1963 A
3124129 Grossberg Mar 1964 A
3132647 Corniello May 1964 A
3219033 Wallshein Nov 1965 A
3277892 Tepper Oct 1966 A
3312216 Wallshein Apr 1967 A
3321832 Weisberg May 1967 A
3360860 Roland Jan 1968 A
3434470 Strickland Mar 1969 A
3457916 Wolicki Jul 1969 A
3513838 Foderick et al. May 1970 A
3522805 Wallshein Aug 1970 A
3658058 Neidhart et al. Apr 1972 A
3690004 Frush Sep 1972 A
3768465 Helmer Oct 1973 A
3845768 Garrahan Nov 1974 A
3854208 Arant Dec 1974 A
3864832 Carlson Feb 1975 A
3871370 McDonald Mar 1975 A
3882601 Jahn May 1975 A
3884226 Tepper May 1975 A
4016650 Leusner et al. Apr 1977 A
4026024 Tradowsky May 1977 A
4114614 Kesling Sep 1978 A
4169473 Samelson Oct 1979 A
4182312 Mushabac Jan 1980 A
4227877 Tureaud et al. Oct 1980 A
4233972 Hauff et al. Nov 1980 A
4289127 Nelson Sep 1981 A
4304227 Samelson Dec 1981 A
4345592 Giorgini et al. Aug 1982 A
4345593 Sullivan Aug 1982 A
4376628 Aardse Mar 1983 A
4382783 Rosenberg May 1983 A
4392490 Mattingly et al. Jul 1983 A
4397701 Johnson et al. Aug 1983 A
4433956 Witzig Feb 1984 A
4439147 Magill et al. Mar 1984 A
4439149 Devincenzo Mar 1984 A
4454090 Saumell Jun 1984 A
4470413 Warncke Sep 1984 A
4495945 Liegner Jan 1985 A
4505672 Kurz Mar 1985 A
4530662 Andersson et al. Jul 1985 A
4553549 Pope et al. Nov 1985 A
4568280 Ahlin Feb 1986 A
4569342 von Nostitz Feb 1986 A
4593686 Lloyd et al. Jun 1986 A
4602905 O'Keefe, III Jul 1986 A
4639220 Nara et al. Jan 1987 A
4655213 Rapoport et al. Apr 1987 A
4668188 Wolfenson et al. May 1987 A
4669459 Spiewak et al. Jun 1987 A
4676240 Gardy Jun 1987 A
4706683 Chilton et al. Nov 1987 A
4715368 George Dec 1987 A
4773853 Kussick Sep 1988 A
4784123 Robeson Nov 1988 A
4799500 Newbury Jan 1989 A
4858606 Hamlin Aug 1989 A
4862903 Campbell Sep 1989 A
4870962 Sitnik Oct 1989 A
4886056 Simpson Dec 1989 A
4892478 Tateosian et al. Jan 1990 A
4901737 Toone Feb 1990 A
4906234 Voychehovski Mar 1990 A
4919128 Kopala et al. Apr 1990 A
4932867 Ueno Jun 1990 A
4941212 Liff Jul 1990 A
4955393 Adell Sep 1990 A
4957124 Mooney Sep 1990 A
RE33442 George Nov 1990 E
5003994 Cook Apr 1991 A
5011407 Pelerin Apr 1991 A
5018533 Hawkins May 1991 A
5026278 Oxman et al. Jun 1991 A
5028232 Snow Jul 1991 A
5040976 Ubel, III et al. Aug 1991 A
5042478 Kopala et al. Aug 1991 A
5042506 Liberati Aug 1991 A
5046512 Murchie Sep 1991 A
5052409 Tepper Oct 1991 A
5055039 Abbatte et al. Oct 1991 A
5056534 Wright Oct 1991 A
5064371 Smeltzer Nov 1991 A
5065756 Rapoport Nov 1991 A
5066231 Oxman et al. Nov 1991 A
5078600 Austin Jan 1992 A
5092346 Hays et al. Mar 1992 A
5103838 Yousif Apr 1992 A
5112225 Diesso May 1992 A
5117816 Shapiro et al. Jun 1992 A
5154184 Alvarez Oct 1992 A
5154609 George Oct 1992 A
5183057 Syrop et al. Feb 1993 A
5188529 Lüth Feb 1993 A
5190457 Schreinemakers Mar 1993 A
5193532 Moa et al. Mar 1993 A
5213498 Pelerin May 1993 A
5243971 Sullivan et al. Sep 1993 A
5245995 Sullivan et al. Sep 1993 A
5267862 Parker Dec 1993 A
5277202 Hays Jan 1994 A
5284161 Karell Feb 1994 A
5313960 Tomasi May 1994 A
5316020 Truffer May 1994 A
5320533 Lee Jun 1994 A
5365945 Halstrom Nov 1994 A
5370533 Bushnell Dec 1994 A
5373859 Forney Dec 1994 A
5409017 Lowe Apr 1995 A
5415544 Oxman et al. May 1995 A
5427117 Thornton Jun 1995 A
5456264 Series et al. Oct 1995 A
5458137 Axe et al. Oct 1995 A
5477850 Zegler et al. Dec 1995 A
5503146 Froehlich et al. Apr 1996 A
5503552 Diesso Apr 1996 A
5517983 Deighan et al. May 1996 A
5537994 Thornton Jul 1996 A
5537999 Dearman et al. Jul 1996 A
5538000 Rudolph Jul 1996 A
5551419 Froehlich et al. Sep 1996 A
5551872 Mena Sep 1996 A
5558090 James Sep 1996 A
RE35339 Rapoport Oct 1996 E
5560354 Berthon-Jones et al. Oct 1996 A
5562449 Jacobs et al. Oct 1996 A
5566683 Thornton Oct 1996 A
5582517 Adell Dec 1996 A
5592935 Elstran et al. Jan 1997 A
5611485 Davis Mar 1997 A
5657751 Karr, Jr. Aug 1997 A
5657752 Landis et al. Aug 1997 A
5676133 Hickle et al. Oct 1997 A
5678567 Thornton et al. Oct 1997 A
5687715 Landis et al. Nov 1997 A
5713349 Keaney Feb 1998 A
5718244 Thornton Feb 1998 A
5718500 Vinci guerra et al. Feb 1998 A
5720280 Elstran et al. Feb 1998 A
5720302 Belfer Feb 1998 A
5746201 Kidd May 1998 A
5752510 Goldstein May 1998 A
5755219 Thornton May 1998 A
5807100 Thornton Sep 1998 A
5829441 Kidd et al. Nov 1998 A
5832918 Pantino Nov 1998 A
5846082 Thornton Dec 1998 A
5887587 Groenke Mar 1999 A
5891372 Besset et al. Apr 1999 A
5954048 Thornton Sep 1999 A
5983892 Thornton Nov 1999 A
5988166 Hayek Nov 1999 A
6012455 Goldstein Jan 2000 A
6109265 Frantz et al. Aug 2000 A
6318997 Mayweather Nov 2001 B1
Foreign Referenced Citations (8)
Number Date Country
2764795 Jan 1998 AU
7876294 Jan 1998 AU
156627 Dec 1904 DE
0312368 Apr 1989 EP
0359135 Mar 1990 EP
1569129 Jun 1980 GB
2072567 Oct 1981 GB
WO 912777 Sep 1991 WO
Non-Patent Literature Citations (21)
Entry
Mayo Clinic Health Letter, vol. 13, No. 7, “Snoring.”, Jul. 1995.
Photocopies of 2-piece dental device manufactured by Currie-Gibson Dental Laboratory, Inc. prior to Apr. 13, 1993.
Farrar & McCarty, “A Clinical Outline of Temporomandibular Joint Diagnosis and Treatment,” Normandie Study Group for TMJ Dysfunction, 3 pages, 1983.
Professional Positioners brochure, “Dedicated to Excellence,” 4 pages, Unknown.
Great Lakes Orthodontics, Ltd., “Nocturnal Airway Patency Appliance™ (NAPA),” General Instructions, 2 pages.
Schmidt-Nowara, et al., “Oral Appliances for the Treatment of Snoring and Obstructive Sleep Apnea: A Review,” Sleep, 18(6):501-510, 1995.
George, “Treatment of Snoring and Obstructive Sleep Apnea with a Dental Device,” General Dentistry, 5 pages, Jul.-Aug. 1993.
Database WOI, Section PQ, Week 9039, Derwent Publications, Ltd., London, GB XP-002116355—Abstract “Surgical Mouth Air Duct.” Dec. 15, 1989.
CPAP/PRO®. . . Introducing a New Comfort Level for CPAP Users!! brochure (2 pages). No date.
W. Keith Thornton, “Combination Face Mask and Dental Device for Improved Breathing During Sleep,” USSN 08/594,904 filed Jan. 31, 1996 (019651.0129).
W. Keith Thornton, “Method and Apparatus for Adjusting a Dental Device,” U.S. appln. Ser. No. 08/787,529, pending (019651.0152), Jun. 15, 1999.
W. Keith Thornton, “Apparatus for Prevention of Snoring and Improved Breathing During Sleep,” U.S. appln. Ser. No. 08/828,523, pending (019651.0154), Mar. 31, 1997.
W. Keith Thornton, “Method and Apparatus for Adjusting a Dental Device,” U.S. appln. Ser. No. 08/787,529, pending (019651.0166), Jan. 21, 1997.
W. Keith Thornton, “Device for Improving Breathing,” U.S. appln. Ser. No. 09/290,512, pending (019651.0174), Jan. 31, 1996.
W. Keith Thornton, “Device for Improving Breathing and Method for Fitting Same,” U.S. appln. Ser. No. 09/396,986, pending (019651.0175), Sep. 15, 1999.
W. Keith Thornton, “Oral Appliance Having a Bonding Layer and Method for Fitting and Relining Same,” USSN 09/483,741 (019651.0178), Jul. 17, 2000.
PCT International Search Report, PCT/US97/08708, 4 pages, Aug. 12, 1997.
W. Keith Thornton and Andrew O. Jamieson, “Method and Apparatus for Adjusting a Dental Device,” U.S. appln. Ser. No. 08/218,719, abandoned (019651.0105), Mar. 24, 1994.
W. Keith Thornton, “Apparatus for Prevention of Snoring and Improved Breathing During Sleep,” U.S. appln. Ser. No. 08/363,639, abandoned (019651.0112), Dec. 24, 1994.
W. Keith Thornton and Andrew O. Jamieson, “Method and Apparatus for Adjusting a Dental Device,” U.S. appln. Ser. No. 08/435,277, abandoned (019651.0119), May 5, 1995.
W. Keith Thornton, “Device for Improving Breathing,” U.S. appln. Ser. No. 08/582,526, abandoned (019651.0121), Jan. 3, 1996.