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CN220588710U - Connector with a plurality of connectors - Google Patents

Connector with a plurality of connectors Download PDF

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Publication number
CN220588710U
CN220588710U CN202321155700.9U CN202321155700U CN220588710U CN 220588710 U CN220588710 U CN 220588710U CN 202321155700 U CN202321155700 U CN 202321155700U CN 220588710 U CN220588710 U CN 220588710U
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China
Prior art keywords
degrees
connector
constructions
bore
filter
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CN202321155700.9U
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Chinese (zh)
Inventor
贾森·艾伦·克伦纳
布伦特·艾恩·莱恩
凯文·布莱克·鲍威尔
马克·托马斯·奥康纳
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Fisher and Paykel Healthcare Ltd
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Fisher and Paykel Healthcare Ltd
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Priority claimed from CN202220536201.3U external-priority patent/CN219110484U/en
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Publication of CN220588710U publication Critical patent/CN220588710U/en
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Abstract

A connector for connecting a first respiratory component to a second respiratory component that is coupled to or formed with the first respiratory component, the connector comprising: a body defining a bore for receiving a docking connector component associated with a second respiratory component, the bore having a terminal end providing access to the bore for the docking connector component and including one or more retention features located in the bore to assist in retaining the docking connector component in engagement with the connector, wherein the first respiratory component has a pressure drop in the first respiratory component of between about 80Pa and about 490Pa in use, the one or more retention features being configured to provide a retention force in an axial direction of the connector of between about 10N and about 100N.

Description

Connector with a plurality of connectors
The present application is a divisional application of the utility model patent application with application number 202220536201.3, patent application number 2022, 3/10 and entitled "patient interface assembly".
Technical Field
The present disclosure relates to connectors for use in respiratory circuits, and more particularly, but not exclusively, to connectors to be used at the terminal end of an inspiratory conduit.
Background
Respiratory therapy or respiratory therapy circuits are typically disposable items. Once the patient has used the treatment circuit (e.g., respiratory gas conduit), the conduit is discarded along with the patient interface. One reason for this is to prevent contamination between patients.
Respiratory support systems used in a multi-patient environment typically require at least that the inspiratory conduit and patient interface be discarded and replaced between individual patients to ensure that the components provided to individual patients are clean and not infected by previous users. This is time consuming and may be detrimental in an emergency situation. This also results in a significant amount of waste and increases the overall cost of the procedure, or at least the overall operating costs of the hospital, as the hospital needs to stock a large number of aspiration catheters. Such costs may sometimes be passed on to the patient.
In this specification, reference is made to patent specifications, other external documents, or other sources of information, which are generally intended to provide a context for discussing the features of the utility model. Unless explicitly stated otherwise, references to such external documents should not be construed as an admission that such documents, or such sources of information, are prior art in any jurisdiction or form part of the common general knowledge in the art.
Disclosure of Invention
Sometimes, it may be necessary to remove or replace the source of airflow, or it may be necessary to remove the patient interface from the breathing circuit, or it may be necessary to replace other conduits forming part of the breathing circuit. If it is difficult or time consuming to remove a particular component (e.g., a catheter or patient interface) from the circuit, such removal may adversely affect maintenance or continued delivery of the gas therapy to the patient, or may frustrate the person doing such removal. Further, in emergency situations, slow or difficult connection mechanisms can potentially put the patient's health at risk. Thus, a catheter connector may provide greater comfort and/or safety to the patient, provide "quick connect" or "quick disconnect" capability, and in turn facilitate quick and proper alignment and connection of new connectors, as well as interchangeability of components.
In a medical setting, it may be desirable to use certain respiratory circuit components between multiple patients, particularly when each patient may require only a short period of treatment. Examples include ambulances, emergency rooms (EDs), and patient transfers between departments within a hospital, where a patient may use a respiratory support system for a short period of time (e.g., an ED may be about 2-4 hours). Thus, bacterial filters are used between the patient interface and the inhalation tube to prevent contamination of components upstream of the filter so that these components can be used between patients without reprocessing. The patient interface and filter may then be left behind as a single patient-use component, or alternatively may be discarded.
To ensure that components upstream of the filter are not contaminated and that the system components are properly connected to provide the necessary treatment, a connection assembly is disclosed that can be used between the filter and the inhalation tube such that the inhalation tube is connected only to the filter and the patient interface tube cannot be directly connected to the inhalation tube.
Reducing the risk of contamination of the aspiration conduit (and its upstream components) may result in less wastage and cost, as fewer circuit components need to be replaced. Furthermore, reducing the need to reprocess respiratory therapy devices minimizes downtime of the device. The reprocessing step typically requires replacement and/or sterilization of the components. Providing a connection assembly also improves the safety of respiratory support provided to the patient.
In one aspect of the present disclosure, in accordance with certain features, aspects and advantages of at least one of the embodiments disclosed herein, a connector for use in a respiratory system is disclosed, the connector comprising: a body defining a bore for receiving a mating connector component, the bore having: a terminal providing access to an aperture for the mating connector component; a sealing region for engagement with a seal on the mating connector component; a seal area dimension between opposing surfaces of the seal area; and a taper between the opposing surfaces, wherein the sealing area dimension is between about 25mm and about 27mm, and wherein the taper is between about 0 degrees and about 4 degrees.
In some constructions, the taper is greater than 0 degrees, alternatively greater than 0.5 degrees, alternatively greater than 1 degree, alternatively greater than 1.5 degrees.
In some constructions, the taper is less than 4 degrees, alternatively less than 3.5 degrees, alternatively less than 3 degrees, alternatively less than 2.5 degrees.
In some constructions, the taper is about 2 degrees.
In some constructions, the seal area size is between about 25.5mm and about 26.5mm, is about 25mm, about 25.1mm, about 25.2mm, about 25.3mm, about 25.4mm, about 25.5mm, about 25.6mm, about 25.7mm, about 25.8mm, about 25.9mm, about 26mm, about 26.1mm, about 26.2mm, about 26.3mm, about 26.4mm, about 26.5mm about 26.6mm, about 26.7mm, about 26.8mm, about 26.9mm, about 27mm, or is any value between any two of those values.
In some constructions, the sealing region includes an effective sealing position for contact by a surface of a seal on the mating connector component, and wherein the sealing region dimension is a distance between opposing surfaces of the effective sealing position.
In some constructions, the effective sealing location is located substantially in the center of the sealing area for contact with a centrally located surface of the seal.
In some constructions, the connector includes at least one internal retention feature.
In some constructions, the at least one internal retention feature includes diametrically opposed retention protrusions extending from an inner wall of the body into the bore.
In some constructions, the connector includes at least one internal alignment feature.
In some constructions, the at least one internal alignment feature includes at least one alignment member extending from an inner wall of the body into the bore.
In some constructions, the sealing region is closer to the terminal end than the internal retention feature and/or the internal alignment feature.
In some constructions, the sealing region includes a first radial perimeter configured to engage a first support protrusion of the mating connector component.
In some constructions, the taper is configured to provide the first radial periphery with a dimension that is less than a seal area dimension of the effective seal location.
In some constructions, the effective sealing position is closer to the terminal end relative to the first radial periphery.
In some constructions, the sealing region includes a second radial perimeter configured to engage a second support protrusion of the mating connector component.
In some constructions, the taper is configured to provide the first radial periphery with a dimension that is less than a dimension of the second radial periphery.
In some constructions, the second radial periphery is closer to the terminal end relative to the effective sealing position.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a connector for use in a respiratory system is disclosed, the connector comprising: a body defining a bore for receiving a mating connector component, the bore having: a terminal providing access to the aperture of the mating connector component; a sealing region for engagement with a seal on a mating connector component; and a seal area dimension between opposing surfaces of the seal area, the body including radially opposing retention tabs extending from an inner wall of the body into the bore, the radially opposing retention tabs having a distance between radially inward surfaces thereof, wherein the seal area dimension is between about 25mm and about 27mm, and wherein the distance between the radially inward surfaces is between about 21mm and about 23 mm.
In some constructions, the seal area size is between about 25.5mm and about 26.5mm, is about 25mm, about 25.1mm, about 25.2mm, about 25.3mm, about 25.4mm, about 25.5mm, about 25.6mm, about 25.7mm, about 25.8mm, about 25.9mm, about 26mm, about 26.1mm, about 26.2mm, about 26.3mm, about 26.4mm, about 26.5mm about 26.6mm, about 26.7mm, about 26.8mm, about 26.9mm, about 27mm, or is any value between any two of those values.
In some constructions, the distance between the radially inward surfaces is between about 21.5mm and about 22.5mm, or is about 21mm, about 21.1mm, about 21.2mm, about 21.3mm, about 21.4mm, about 21.5mm, about 21.6mm about 21.7mm, about 21.8mm, about 21.9mm, about 22mm, about 22.1mm, about 22.2mm, about 22.3mm, about 22.4mm, about 22.5mm, about 22.6mm, about 22.7mm, about 22.8mm, about 22.9mm, about 23mm, or is any value between any two of those values.
In some constructions, each of the diametrically opposed retention tabs has a retention face, wherein the retention face is at an angle between about 90 degrees and about 125 degrees relative to the longitudinal axis of the bore.
In some constructions, the angle of the retaining face relative to the longitudinal axis of the aperture is between about 95 degrees and about 120 degrees, between about 100 degrees and 115 degrees, between about 105 degrees and about 115 degrees, is about 90 degrees, about 91 degrees, about 92 degrees, about 93 degrees, about 94 degrees, about 95 degrees, about 96 degrees, about 97 degrees, about 98 degrees, about 99 degrees, about 100 degrees, about 101 degrees about 102 degrees, about 103 degrees, about 104 degrees, about 105 degrees, about 106 degrees, about 107 degrees, about 108 degrees, about 109 degrees, about 110 degrees, about 111 degrees, about 112 degrees, about 113 degrees, about 114 degrees, about 115 degrees, about 116 degrees, about 117 degrees, about 118 degrees, about 119 degrees, about 120 degrees, about 121 degrees, about 122 degrees, about 123 degrees, about 124 degrees, or about 125 degrees, or any angle between any two of those values.
In some constructions, the diametrically opposed retention projections are configured to provide a retention force in the axial direction of the connector of between about 10N and about 100N, alternatively between about 10N and about 75N, alternatively between about 10N and about 50N.
In some constructions, the diametrically opposed retention tabs include a first pair of adjacent retention tabs on one side of the aperture and a second pair of adjacent retention tabs on an opposite side of the aperture.
In some constructions, the sealing region includes an effective sealing location in contact with a surface of a seal on the mating connector component, and wherein the sealing region dimension is a dimension of the effective sealing location.
In some constructions, the effective sealing location is located substantially in the center of the sealing area for contact with a centrally located surface of the seal.
In some constructions, the sealing region is closer to the terminal end than the diametrically opposed retention tabs.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a connector for connecting a first respiratory component to a second respiratory component is disclosed that is coupled to or formed with the first respiratory component, the connector comprising: a body defining a bore for receiving a docking connector component associated with a second respiratory component, the bore having a terminal end providing access to the bore for the docking connector component and including one or more retention features in the bore to assist in retaining the docking connector component in engagement with the connector, wherein the first respiratory component has a pressure drop in the first respiratory component of between about 80Pa and about 490Pa in use, and wherein the one or more retention features are configured to provide a retention force of between about 10N and about 100N in an axial direction of the connector.
In some constructions, the first respiratory component is a filter and the second respiratory component is an inhalation conduit.
In some constructions, the filter includes a hydrophobic filter material.
In some constructions, the one or more retention features are configured to provide a retention force of between about 10N and about 75N, optionally wherein the one or more retention features are configured to provide a retention force of between about 10N and about 50N.
In some of the configurations of the present invention, the one or more retention features are configured to provide about 10N, 11N, about 12N, about 13N, about 14N, about 15N, about 16N, about 17N, about 18N, about 19N, about 20N, about 21N, about 22N, about 23N, about 24N, about 25N, about 26N, about 27N, about 28N, about 29N, about 30N, about 31N, about 32N, about 33N, about 34N, about 35N, about 36N, about 37N, about 38N, about 39N, about 40N, about 41N, about 42N, about 43N, about 44N, about 45N, about 46N, about 47N, about 48N, about 49N, about 50N, about 51N, about 52N, about 53N, about a holding force of about 54N, about 55N, about 56N, about 57N, about 58N, about 59N, about 60N, about 61N, about 62N, about 63N, about 64N, about 65N, about 66N, about 67N, about 68N, about 69N, about 70N, about 71N, about 72N, about 73N, about 74N, about 75N, about 76N, about 77N, about 78N, about 79N, about 80N, about 81N, about 82N, about 83N, about 84N, about 85N, about 86N, about 87N, about 88N, about 89N, about 90N, about 91N, about 92N, about 93N, about 94N, about 95N, about 96N, about 97N, about 98N, about 99N, about 100N, or the retention force of any value between any two of these values.
In some constructions, the one or more retention features include diametrically opposed retention protrusions extending from an inner wall of the body into the bore.
In some constructions, the radially opposed retention tabs have a distance between radially inward surfaces thereof, and wherein the distance between the radially inward surfaces is between about 21mm and about 23 mm.
In some constructions, the distance between the radially inward surfaces is between about 21.5mm and about 22.5mm, or is about 21mm, about 21.1mm, about 21.2mm, about 21.3mm, about 21.4mm, about 21.5mm, about 21.6mm about 21.7mm, about 21.8mm, about 21.9mm, about 22mm, about 22.1mm, about 22.2mm, about 22.3mm, about 22.4mm, about 22.5mm, about 22.6mm, about 22.7mm, about 22.8mm, about 22.9mm, about 23mm, or is any value between any two of those values.
In some constructions, each of the diametrically opposed retention tabs has a retention face, wherein the retention face is at an angle between about 90 degrees and about 125 degrees relative to the longitudinal axis of the bore.
In some constructions, the angle of the retaining face relative to the longitudinal axis of the aperture is between about 95 degrees and about 120 degrees, between about 100 degrees and 115 degrees, between about 105 degrees and about 115 degrees, is about 90 degrees, about 91 degrees, about 92 degrees, about 93 degrees, about 94 degrees, about 95 degrees, about 96 degrees, about 97 degrees, about 98 degrees, about 99 degrees, about 100 degrees, about 101 degrees about 102 degrees, about 103 degrees, about 104 degrees, about 105 degrees, about 106 degrees, about 107 degrees, about 108 degrees, about 109 degrees, about 110 degrees, about 111 degrees, about 112 degrees, about 113 degrees, about 114 degrees, about 115 degrees, about 116 degrees, about 117 degrees, about 118 degrees, about 119 degrees, about 120 degrees, about 121 degrees, about 122 degrees, about 123 degrees, about 124 degrees, or about 125 degrees, or any angle between any two of those values.
In some constructions, the diametrically opposed retention tabs include a first pair of adjacent retention tabs on one side of the aperture and a second pair of adjacent retention tabs on an opposite side of the aperture.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a connector for use in a respiratory system is disclosed, the connector comprising: a body defining a bore for receiving a mating connector component in an axial direction of the bore, the bore having: a terminal providing access to the aperture for the mating connector component; and a sealing region for engagement with a seal on the mating connector component; and a retaining surface, wherein an axial distance between the sealing region and the retaining surface is up to about 17mm.
In some constructions, the axial distance between the sealing region and the retention surface is at least about 1mm and up to about 17mm, alternatively greater than about 3mm and up to about 14mm.
In some constructions, the axial distance between the sealing region and the retention surface is 1mm, 2mm, 3mm, 4mm, 5mm, 6mm, 7mm, 8mm, 9mm, 10mm, 11mm, 12mm, or 13mm, 14mm, 15mm, 16mm, 17mm, or any distance between any two of those values.
In some constructions, the retention surface is disposed on at least one retention protrusion extending from an inner wall of the body into the bore.
In some constructions, the connector includes diametrically opposed retention tabs extending from the inner wall of the body into the bore, each retention tab including a retention face.
In some constructions, the sealing region includes an effective sealing position for contacting a surface of a seal on the mating connector component, and wherein a distance between the sealing region and the retention surface is a distance between the effective sealing position and the retention surface.
In some constructions, the effective sealing location is located substantially in the center of the sealing area for contact with a centrally located surface of the seal.
In some constructions, the sealing region is closer to the terminal end than the retention surface.
In some constructions, the connector includes an axially oriented recess in the body of the connector at the terminal end of the bore.
In some constructions, the retention surface is axially aligned with the axially oriented recess.
In some constructions, the connector includes an alignment member extending from the inner wall of the body into the bore, wherein the alignment member is proximate the retention surface.
In some constructions, the alignment member is offset 90 degrees about the aperture relative to the retaining face.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a connector for use in a respiratory system is disclosed, the connector comprising: a body defining a bore for receiving a mating connector component, the bore having: a central axis and a terminal providing access to the bore of the mating connector component; at least one alignment member extending from the inner wall of the body into the bore and comprising opposing engagement surfaces, the alignment member comprising a tapered configuration in an axial direction of the bore, wherein a proximal end of the opposing engagement surfaces nearer to a terminal end of the bore are closer together than a distal end of the opposing engagement surfaces farther from the terminal end of the bore, wherein the engagement surfaces comprise a twist between the proximal ends thereof and the distal ends thereof along at least a majority of their lengths.
In some constructions, the torsion portion is substantially continuous along the length of each engagement surface.
In some configurations, the alignment member comprises a tapered configuration in a radial direction of the bore, wherein inner edges of the opposing engagement surfaces that are closer to a central axis of the bore are closer together than outer edges of the opposing engagement surfaces that are farther from the central axis of the bore and closer to the inner wall.
In some constructions, the inner edge of each engagement surface is positioned inboard of an imaginary radial line extending from the outer edge of the engagement surface to the central axis of the bore.
In some constructions, the proximal end is offset from the distal end by an angle of greater than 0 degrees and less than 90 degrees, alternatively at least about 30 degrees and less than 90 degrees, alternatively between about 35 degrees and about 85 degrees, alternatively between about 40 degrees and 80 degrees, alternatively between about 45 degrees and about 75 degrees, alternatively between about 50 degrees and about 70 degrees, alternatively between about 55 degrees and about 65 degrees, alternatively at least about 60 degrees, when viewed from the terminal end of the bore.
In some constructions, the proximal end is angularly offset from the distal end by at least about 65 degrees, at least about 70 degrees, at least about 75 degrees, at least about 80 degrees, at least about 85 degrees, about 90 degrees, or any angle between any two of those angles, when viewed from the terminal end of the bore.
In some constructions, the proximal ends intersect at a distal end, or wherein the alignment member includes a rounded or radiused surface between the proximal ends.
In some constructions, the alignment member has a substantially chevron shape.
In some constructions, the at least one alignment member comprises two diametrically opposed alignment members.
In some constructions, the engagement surface is configured to engage a mating engagement surface on a mating connector component.
In some constructions, the engagement surface is configured to interact with the mating engagement surface to rotate the mating connector component into proper alignment if the mating connector component is misaligned upon initial insertion into the aperture of the connector.
In some configurations, the mating engagement surface comprises an opposing tapered configuration in an axial direction of the mating connector component, wherein a proximal portion of the opposing engagement surface that is closer to a terminal end of the mating connector receivable in the bore of the connector is spaced farther apart than a distal portion of the mating engagement surface, and wherein the mating engagement surface comprises a mating twist along at least a majority of its length between its proximal and distal portions.
In some configurations, each engagement surface is configured to contact a respective one of the mating engagement surfaces over substantially its entire length when the connector is engaged with the mating connector component.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a connector for use in a respiratory system is disclosed, the connector comprising: a body comprising an engagement portion configured to be received in the aperture of the mating connector component, wherein at least an outer surface of the engagement portion comprises a compliant material configured to at least generally conform to a wall of the aperture of the mating connector component when the engagement portion is received in the aperture of the mating connector component, and wherein the body comprises at least one alignment feature.
In some configurations, the at least one alignment feature is configured to mate with one or more mating alignment features of the mating connector component.
In some constructions, the at least one alignment feature includes an external alignment feature disposed on or in an outer surface of the engagement portion of the connector component.
In some constructions, the at least one alignment feature is configured to mate with one or more mating internal alignment features in the bore of the mating connector component.
In some constructions, the connector includes a plurality of alignment features.
In some constructions, the plurality of alignment features are angularly spaced about the periphery of the engagement portion.
In some constructions, the connector includes two, three, four, or more alignment features.
In some constructions, the body includes a terminal configured to be received in a bore of a mating connector component.
In some constructions, the alignment feature extends from the terminal in a direction away from the terminal.
In some constructions, the alignment feature extends in an axial direction.
In some constructions, the body of the connector defines an aperture defining a gas lumen.
In some constructions, the bore of the connector extends from the terminal end of the body in a direction away from the terminal end.
In some constructions, the bore of the connector includes a taper between opposing surfaces of the bore such that a lateral dimension of a portion of the bore proximate the terminal end is greater than a lateral dimension of a portion of the bore further from the terminal end.
In some constructions, the taper is between about 0 degrees and about 15 degrees.
In some constructions, the engagement portion is configured to be received in the aperture of the mating connector component by frictional engagement.
In some constructions, the mating connector component includes engagement fingers, and the aperture of the mating connector component is between the engagement fingers.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a connector for use in a respiratory system is disclosed, the connector comprising: a body defining a bore for receiving a mating connector component, the bore having a terminal end providing access to the bore for the mating connector component; at least one internal retention feature; and at least one external alignment feature.
In some configurations, the at least one external alignment feature is configured to interact with a mating external alignment feature on a mating connector component.
In some constructions, the at least one external alignment feature includes one or more protrusions or recesses configured to interact with one or more mating recesses or protrusions on the mating connector component.
In some constructions, one or more protrusions or recesses of the component are axially oriented.
In some constructions, at least one external alignment feature is at or adjacent to a terminal end of the aperture.
In some constructions, the at least one internal retention feature includes at least one retention protrusion extending from an inner wall of the body into the bore.
In some constructions, the at least one internal retention feature includes a single retention protrusion.
In some constructions, the single retention protrusion has an annular configuration.
In some constructions, the at least one internal retention feature includes a plurality of retention protrusions angularly spaced about the aperture.
In some constructions, the at least one internal retention feature is configured to engage with at least one engagement feature on the mating connector component.
In some constructions, the at least one engagement feature includes or is provided by an outwardly projecting flange.
In some constructions, the connector includes a sealing region for engagement with a seal on the mating connector component.
In some constructions, the sealing region is closer to the terminal end than the internal retention feature.
In some constructions, the connector includes a compliant material.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a connector for use in a respiratory system is disclosed, the connector comprising: a body defining a bore for receiving a mating connector component, the bore having a terminal end providing access to the bore for the mating connector component; at least one alignment feature; and at least one releasable latch member for engagement with the mating connector component.
In some configurations, the at least one alignment feature is configured to align the at least one releasable latch member with at least one mating engagement feature on the mating connector component.
In some constructions, the at least one alignment feature includes at least one internal alignment feature and/or at least one external alignment feature.
In some constructions, the at least one internal alignment feature includes at least one alignment member extending from an inner wall of the body into the bore.
In some configurations, the at least one alignment member is configured to be received in a recess in the mating connector component.
In some constructions, the recess is located between engagement fingers of the mating connector component.
In some configurations, the at least one external alignment feature is configured to interact with at least one mating external alignment feature on the mating connector component.
In some constructions, the at least one external alignment feature includes one or more protrusions or recesses configured to interact with one or more mating recesses or protrusions on the mating connector component.
In some constructions, one or more protrusions or recesses of the connector are axially oriented.
In some constructions, at least one external alignment feature is at or adjacent to a terminal end of the aperture.
In some constructions, the at least one releasable latch member is configured to engage with at least one mating engagement feature on the mating connector component.
In some constructions, the at least one engagement feature is on a mating external alignment feature on the mating connector component.
In some constructions, the at least one releasable latch member includes a latch body having a locking portion for engagement with the mating connector component, and wherein the latch body of the at least one releasable latch member is selectively movable from a locked configuration in which the locking portion is engaged with the mating connector component to an unlocked configuration in which the locking portion is disengaged from the mating connector component.
In some configurations, the at least one releasable latch member is in a locked configuration in a resting configuration of the at least one releasable latch member.
In some configurations, the at least one releasable latch member is optionally biased to the locking configuration by biasing means and/or by elasticity of the material of the at least one releasable latch member.
In some configurations, the at least one releasable latch member includes an actuation surface to enable a user to selectively move the latch body to the unlocked configuration.
In some constructions, the actuation surface of the at least one releasable latch member is located at an end of the latch body opposite the locking portion.
In some constructions, the connector includes a plurality of releasable latch members.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a connector for use in a respiratory system is disclosed, the connector comprising: a body comprising a radially inner wall, a radially outer wall, and a cavity between the radially inner wall and the radially outer wall for receiving a mating connector component, the cavity having a terminal end providing access to the cavity for the mating connector component; and at least one external alignment feature.
In some configurations, the at least one external alignment feature is configured to interact with a mating external alignment feature on a mating connector component.
In some constructions, the at least one external alignment feature includes one or more protrusions or recesses configured to interact with one or more mating recesses or protrusions on the mating connector component.
In some constructions, one or more protrusions or recesses of the connector are axially oriented.
In some constructions, the at least one external alignment feature is at or adjacent to a terminal end of the cavity.
In some constructions, the body includes at least one additional alignment feature.
In some configurations, the at least one additional alignment feature is configured to mate with one or more mating additional alignment features of the mating connector component.
In some constructions, at least one additional alignment feature is provided on an outer surface of the radially inner wall of the body of the connector.
In some configurations, the at least one additional alignment feature is configured to mate with one or more mating additional internal alignment features in the bore of the mating connector component.
In some constructions, the connector includes a plurality of additional alignment features.
In some constructions, the plurality of additional alignment features are angularly spaced around the circumference of the radially inner wall.
In some constructions, the connector includes two, three, four, or more additional alignment features.
In some constructions, the additional alignment feature extends from the terminal end of the body in a direction away from the terminal end.
In some constructions, the additional alignment feature extends in an axial direction.
In some constructions, the aperture of the connector extends from the terminal in a direction away from the terminal.
In some constructions, the bore of the connector includes a taper between opposing surfaces of the bore such that a lateral dimension of a portion of the bore proximate the terminal end is greater than a lateral dimension of a portion of the bore further from the terminal end.
In some constructions, the taper is between about 0 degrees and about 15 degrees.
In some constructions, the cavity includes a taper between the radially inner wall and the radially outer wall such that a lateral dimension of a portion of the cavity proximate the terminal end is greater than a lateral dimension of a portion of the cavity further from the terminal end.
In some constructions, the taper is between about 0 degrees and about 15 degrees.
In some constructions, the connector component includes a sealing region for engagement with a seal on the mating connector component.
In some constructions, the sealing area is provided by an inner surface of the radially outer wall.
In some constructions, the sealing region is adjacent to the terminal end.
In some constructions, the radially inner wall is configured for receipt in a bore of a mating connector component with frictional engagement therebetween.
In some constructions, the connector component includes a compliant material.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a connection assembly for use in a respiratory system is disclosed, the connection assembly comprising: a connector as hereinbefore or herein outlined, and a mating connector component.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a connection assembly for use in a respiratory system is disclosed, the connection assembly comprising: a connector and mating connector component; wherein the mating connector component has a bore providing a flow path therethrough, the bore having a central axis and a flow path dimension transverse to the central axis; and wherein the connector comprises a body defining a bore for receiving the mating connector component, the bore having a central axis and a terminal end providing an entrance to the bore for the mating connector component, the connector comprising two diametrically opposed alignment members extending into the bore from an inner wall of the body and having a first distance between radially innermost surfaces thereof, wherein the first distance is less than a flow path dimension of the mating connector component.
In some constructions, the ratio of the first distance to the flow path dimension is between about 0.6 and about 0.95.
In some constructions, the first distance is between about 11.5mm and about 18 mm.
In some constructions, the first distance is between about 12mm and about 18mm, between about 13mm and about 18mm, between about 14mm and about 18mm, between about 15mm and about 18mm, between about 16mm and about 17mm, about 11.1mm, about 11.2mm, about 11.3mm, about 11.4mm, about 11.5mm, about 11.6mm, about 11.7mm, about 11.8mm, about 11.9mm, about 12mm, about 12.1mm, about 12.2mm, about 12.3mm, about 12.4mm, about 12.5mm, about 12.6mm, about 12.7mm, about 12.8mm, about 12.9mm, about 13mm, about 13.1mm, about 13.2mm, about 13.3mm, about 13.4mm, about 13.5mm, about 13.6mm, about 13.7mm, about 13.8mm, about 13.9mm, about 14.1mm, about 14.2mm, about 14.4mm, about 14.5mm, about 15.15 mm, about 14.15 mm, about 15.15 mm, about 14.5mm, about 15.15 mm, about 16.1mm, about 16.2mm, about 16.3mm, about 16.4mm, about 16.5mm, about 16.6mm, about 16.7mm, about 16.8mm, about 16.9mm, about 17mm, about 17.1mm, about 17.2mm, about 17.3mm, about 17.4mm, about 17.5mm, about 17.6mm, about 17.7mm, about 17.8mm, about 17.9mm, about 18mm, or any distance between any two of those values.
In some constructions, the flow path dimensions are between about 10mm and about 25mm, between about 11mm and about 24mm, between about 12mm and about 23mm, between about 13mm and about 22mm, between about 14mm and about 21mm, between about 15mm and about 20mm, between about 16mm and about 20mm, between about 17mm and about 20mm, between about 18mm and about 20mm, about 10mm, about 11mm, about 12mm, about 13mm, about 14mm, about 15mm, about 16mm, about 17mm, about 18mm, about 19mm, about 20mm, about 21mm, about 22mm, about 23mm, about 24mm, about 25mm, or about 19.1mm, or any value between any two of those values.
In some constructions, the radially innermost surface includes a center of the alignment member, and wherein a laterally outward edge of the alignment member is connected to an inner wall of the bore of the connector.
In some constructions, the inner surface of each alignment member has a convex or concave shape.
In some constructions, each alignment member has a substantially chevron shape.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a filter is disclosed that includes a filter housing including a cavity that contains a filter material in a flow path through the filter, the cavity having a first cross-sectional area, the filter further including a connector having a body defining an aperture for receiving a mating connector component, a proximal end of the aperture being in fluid communication with the cavity and a terminal providing an inlet for the aperture of the mating connector component, the filter being provided in combination with the mating connector component, the mating connector component having a portion that is received in the aperture in use, wherein the portion of the mating connector component includes a mating connector component aperture, wherein the mating connector component aperture has a second cross-sectional area, wherein a ratio of the second cross-sectional area to the first cross-sectional area is greater than 0 and less than 1.
In some constructions, the ratio of the second cross-sectional area to the first cross-sectional area is at least about 0.05.
In some constructions, the ratio of the second cross-sectional area to the first cross-sectional area is at least about 0.1.
In some constructions, the pressure drop of the filter in use is between about 80Pa and about 490 Pa.
In some constructions, the connector is as outlined above or herein, or is a connector of a connection assembly as outlined above or herein.
In some constructions, the connector is attached to or integrally formed with the filter housing.
In another aspect of the present disclosure, in accordance with certain features, aspects and advantages of at least one of the embodiments disclosed herein, a filter is disclosed that includes a connector as or a connection assembly as or as outlined above or herein.
In some constructions, the filter further comprises a filter housing, wherein the connector is attached to or integrally formed with the filter housing.
In some constructions, the filter further comprises a filter material in the filter housing.
In some constructions, the filter material is hydrophobic.
In some constructions, the filter includes a flow path through the filter housing, wherein, in use, the pressure drop in the flow path is between about 80Pa and about 490 Pa.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a connector component for use in a respiratory system is disclosed, the connector component comprising: a plurality of male engagement fingers, each male engagement finger comprising a length; and a sleeve having a gripping surface on an exterior, wherein the gripping surface is at least partially offset relative to an outer surface of the male engagement finger about the connector member so as to be at least partially oriented in a lateral direction relative to a length of the finger.
In some constructions, the gripping surface is oriented in a direction substantially orthogonal to a plane intersecting the length of the male engagement finger.
In some constructions, the gripping surface is at least partially framed by surface features.
In some constructions, at least two opposing sides of the gripping surface and optionally at least three sides including two opposing sides are framed by the surface features.
In some constructions, the surface features include recesses in an outer wall of the sleeve.
In some constructions, the connector includes two diametrically opposed male engagement fingers, and the sleeve further includes two diametrically opposed gripping surfaces.
In some constructions, the male engagement finger is a locking finger.
In some constructions, the male engagement finger is configured to be received by the female connector.
In some constructions, the male engagement fingers each include engagement features on an outer surface of the fingers.
In some constructions, the engagement features each include a recess or aperture for receiving a corresponding retention protrusion extending from an inner wall of the female connector.
In some constructions, the male engagement finger includes an engagement surface for engaging with a mating engagement surface of another connector, optionally a female connector.
In some constructions, the engagement surface includes a torsion portion.
In some constructions, at least a portion of the distal end of each male engagement finger has a beveled configuration.
In some constructions, the connector component includes a seal proximate the base of the finger.
In some constructions, the seal comprises a pressure seal, and optionally wherein the seal comprises a T-shaped pressure seal.
In some constructions, a seal is disposed in the recess.
In some constructions, the sleeve has a tapered configuration in which a portion of the sleeve proximate the male engagement finger has a greater lateral dimension than a portion of the sleeve distal from the male engagement finger.
In some constructions, the gripping surface is substantially aligned with a portion of the sleeve proximate the male engagement finger in an axial direction of the connector member.
In some constructions, the connector component further includes external alignment features.
In some constructions, the external alignment feature includes a protrusion.
In some constructions, the connector component includes a stiffening rib along an inner surface of the male engagement finger.
In some constructions, the connector component includes a patient-end electrical component disposed in the gas flow lumen.
In some constructions, the inner surface of the sleeve includes opposing protrusions to engage opposing recesses on the body of the connector component, wherein the opposing protrusions are aligned with the gripping surfaces.
In some constructions, the opposing recesses are provided in an overmold on the body.
In some constructions, the sleeve includes a thermoplastic elastomer material. In some constructions, the thermoplastic elastomer includes, for example, a thermoplastic vulcanizate.
In another aspect of the present disclosure, according to certain features, aspects and advantages of at least one of the embodiments disclosed herein, there is provided a connection assembly comprising a connector as outlined above or herein, and a connector component as outlined above or herein.
In another aspect of the present disclosure, a filter is disclosed that includes a connector as described above or as outlined herein in accordance with certain features, aspects and advantages of at least one of the embodiments disclosed herein.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a filter is disclosed comprising: an inlet port for a gas stream; an outlet port for a gas stream; a cavity containing a filter material in a flow path through the filter, wherein the filter material has a first side proximate the inlet port and a second side proximate the outlet port; and a projection adjacent the outlet port and extending toward the second side of the filter material.
In some constructions, the protrusion is configured to inhibit liquid flow between the cavity and the outlet port.
In some constructions, the inlet port and the outlet port are substantially coaxial.
In some constructions, the protrusion extends into the cavity between about 1mm and about 15mm, optionally between about 3mm and about 10mm, optionally about 5mm.
In some constructions, the projection is substantially coaxial with the outlet.
In some constructions, the filter includes a connector for connection with the mating connector component.
In some constructions, the connector is attached to or integrally formed with the filter housing.
In some constructions, the connector includes a body defining a bore for receiving a mating connector component, and wherein the body defines an inlet port.
In some constructions, the connector includes one or more retention features to help retain the mating connector component in engagement with the connector.
In some constructions, the connector includes at least one internal alignment feature and/or at least one external alignment feature.
In some constructions, the connector is as outlined above or herein.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a respiratory catheter end cap is disclosed that includes: a body defining an aperture for receiving a docking connector component of a respiratory conduit and defining a cavity for receiving gas from the respiratory conduit; a support feature for supporting the end cap; and a connector for connection with the docking connector component, the connector including at least one alignment feature and one or more retention features to help retain the end cap on the docking connector component of the respiratory catheter.
In some constructions, the at least one alignment feature includes at least one internal alignment feature and/or at least one external alignment feature.
In some constructions, the respiratory catheter end cap includes at least one internal alignment feature.
In some constructions, the at least one internal alignment feature includes at least one alignment member extending from an inner wall of the body into the bore.
In some configurations, the at least one alignment member comprises opposing engagement surfaces, the at least one alignment member comprising a tapered configuration in an axial direction of the bore, wherein a proximal end of the opposing engagement surfaces that is closer to a terminal end of the bore is closer together than a distal end of the opposing engagement surfaces that is farther from the terminal end of the bore, wherein the engagement surfaces comprise a twist between the proximal ends thereof and the distal ends thereof along at least a majority of their lengths.
In some constructions, the opposing engagement surfaces are configured to interact with the mating engagement surfaces on the mating connector component of the respiratory catheter to rotate the mating connector component into proper alignment if the mating connector component is misaligned upon initial insertion into the bore of the respiratory catheter end cap.
In some constructions, the at least one alignment member comprises a substantially chevron shape.
In some constructions, the at least one alignment member includes or is formed from a plurality of ribs that extend in an axial direction of the bore.
In some constructions, the at least one internal alignment feature is configured to provide tactile feedback during connection of the end cap to the mating connector component.
In some configurations, the at least one alignment feature is configured to align the one or more retention features with one or more mating engagement features on the mating connector component.
In some constructions, the respiratory catheter end cap further comprises at least one vent for gas flow from the cavity to an outer surface of the respiratory catheter end cap.
In some configurations, when the respiratory catheter end cap is on the docking connector component of the respiratory catheter, the at least one vent includes a channel or aperture in the body, or a gap between the body and a portion of the docking connector component.
In some constructions, the one or more retention features are sized relative to the at least one vent such that the flow of gas through the vents of the catheter and the respiratory catheter end cap is up to about 60 liters/minute, alternatively up to about 90 liters/minute.
In some constructions, the support feature is configured such that the respiratory conduit end cap and the connected respiratory conduit may be suspended from another article by the support feature.
In some constructions, the support feature comprises a shackle.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a respiratory catheter end cap is disclosed that includes: a body defining an aperture for receiving a docking connector component of a respiratory conduit and defining a cavity for receiving gas from the respiratory conduit; a support feature for supporting the end cap; at least one vent for gas flow from the cavity to an outer surface of the respiratory conduit end cap; and a connector for connection with the docking connector component, the connector including one or more retention features to assist in retaining the end cap on the docking connector component of the respiratory conduit.
In some configurations, the one or more retention features are sized relative to the at least one vent such that the gas flow through the at least one vent of the conduit and respiratory conduit end cap is up to at least 60 liters/minute, alternatively up to about 90 liters/minute.
In some constructions, the at least one vent includes at least one channel in the body, and wherein the or each retention feature is disposed adjacent to the respective channel.
In some constructions, the at least one channel defines a resiliently flexible tongue, and wherein the at least one retention feature is disposed on the respective resiliently flexible tongue.
In some constructions, the respiratory catheter end cap has one or more of the features outlined above or herein.
In another aspect of the present disclosure, in accordance with certain features, aspects and advantages of at least one of the embodiments disclosed herein, a combination of a respiratory catheter end cap and a docking connector component is disclosed, the combination comprising: the respiratory catheter end cap and docking connector components outlined above or herein.
In some constructions, the docking connector component has one or more of the features outlined above or herein.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a filter is disclosed comprising: an inlet port for a gas stream; an outlet port for a gas stream; a cavity containing a filter material in a flow path through the filter; and a connector at the inlet port, the connector having a body defining a bore for receiving the mating connector component, a proximal end of the bore being in fluid communication with the cavity and the terminal providing access to the bore for the mating connector component, the connector including two or more retaining protrusions extending from an inner wall of the body into the bore, the two or more retaining protrusions configured for engagement with engagement features on diametrically opposed male engagement fingers of the mating connector component receivable in the bore.
In some constructions, the two or more retention tabs include two diametrically opposed retention tabs.
In some constructions, the connector includes at least one internal alignment feature and/or at least one external alignment feature.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a filter is disclosed comprising: an inlet port for a gas stream; an outlet port for a gas stream; a cavity containing a filter material in a flow path through the filter; and a connector at the inlet port, the connector having a body defining an aperture for receiving the mating connector component, a proximal end of the aperture being in fluid communication with the cavity and a terminal end providing access to the aperture for the mating connector component, wherein the connector includes at least one internal alignment feature and/or at least one external alignment feature.
In some constructions, the at least one internal alignment feature includes at least one alignment member extending from an inner wall of the body into the bore.
In some constructions, the at least one external alignment feature includes a recess.
In some constructions, the connector is as outlined above or herein.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a respiratory therapy kit for use in a respiratory therapy system is disclosed, the respiratory therapy kit comprising: a patient interface including a nasal cannula; and a filter, wherein the filter comprises: an inlet port for a gas stream; an outlet port for a gas stream; a cavity containing a filter material in a flow path through the filter; and a connector as outlined above or herein at the inlet port.
In some constructions, the connector is integrally formed with the filter.
In some constructions, the filter is as described above or as outlined herein.
In some constructions, the respiratory therapy kit includes a mouthpiece for delivering gas from the outlet port to the nasal cannula.
In another aspect of the present disclosure, in accordance with certain features, aspects, and advantages of at least one of the embodiments disclosed herein, a patient interface is disclosed that includes: a patient interface; a conduit; and a connector at a terminal end of the conduit for engagement with a mating connector component, the connector comprising: a body defining a bore for receiving a mating connector component, the bore having: a terminal providing access to the aperture of the mating connector component; and a sealing region for engagement with a seal on the mating connector component; and one or more retention features to help retain the mating connector component in engagement with the connector.
In some constructions, the connector is coupled to or formed with the catheter.
In some constructions, the terminal end of the conduit includes a filter, and the connector is coupled to or formed with the filter.
In some constructions, one or more retention features are in the aperture.
In some constructions, the one or more retention features include one or more retention protrusions extending from an inner wall of the body into the bore.
In some constructions, the one or more retention tabs include diametrically opposed retention tabs.
In some constructions, the sealing region is closer to the terminal end than the retention tab.
In some constructions, the connector includes a plurality of retention tabs.
In some constructions, the retention projection is configured to engage engagement features on a male engagement finger of the mating connector component.
In some constructions, the connector includes at least one internal alignment feature and/or at least one external alignment feature.
In some constructions, the connector is as outlined above or herein.
In some constructions, the patient interface is a nasal cannula.
The terms "respiratory system," "respiratory assistance device," and "respiratory device" are used interchangeably herein.
Features from one or more embodiments or configurations may be combined with features of one or more other embodiments or configurations. Additionally, more than one embodiment may be used together with the respiratory system during the respiratory support process of the patient.
As used herein, the word(s) "following a noun refers to the plural and/or singular forms of the noun.
As used herein, the term "and/or" means "and" or both.
The term "comprising" as used in this specification means "consisting at least in part of … …". When interpreting each statement in this specification that includes the term "comprising," features other than that or those that follow the term are also possible. Related terms such as "comprise" and "include" will be interpreted in the same manner.
Reference to a numerical range (e.g., 1 to 10) disclosed herein is intended to also include reference to all rational numbers (e.g., 1, 1.1, 2, 3, 3.9, 4, 5, 6, 6.5, 7, 8, 9, and 10) within that range, as well as any rational number ranges within that range (e.g., 2 to 8, 1.5 to 5.5, and 3.1 to 4.7), and thus all subranges of all ranges explicitly disclosed herein are hereby explicitly disclosed. These are merely examples of what is specifically intended to be disclosed and all possible combinations of numerical values between the lowest value and the highest value enumerated are to be considered to be expressly stated in this application in a similar manner.
The disclosure may also be said broadly to consist in the parts, elements and features referred to or indicated in the specification of the application, individually or collectively, and any or all combinations of any two or more of said parts, elements or features.
Where specific integers are mentioned herein which have known equivalents in the art to which this disclosure relates, such known equivalents are herein incorporated as if individually set forth.
The present disclosure includes the foregoing and also contemplates various structures, examples of which are given below only.
Drawings
Specific embodiments and modifications thereof will be apparent to those skilled in the art from the detailed description herein with reference to the following drawings, in which:
fig. 1 schematically illustrates a respiratory therapy system.
Fig. 2 is a perspective view of the patient end of the filter and the inspiratory conduit coupled together by a connection assembly.
Fig. 3 is a perspective view of the filter and connection assembly.
Fig. 4 (a) is a front view of the filter and connection assembly.
Fig. 4 (B) is a cross-sectional view taken along line B-B of fig. 4 (a).
Fig. 5 (a) is a front view of the inlet section of the filter and the connector of the connection assembly.
Fig. 5 (b) is an end view of the inlet section of the filter and the connector of the connection assembly.
Fig. 5 (c) is a right side view of the inlet section of the filter and the connector of the connection assembly.
Fig. 5 (d) is a cross-sectional view taken along line d-d of fig. 5 (a).
Fig. 5 (e) is a cross-sectional view taken along line e-e of fig. 5 (c).
Fig. 6 (a) is a partial end view of the connection assembly.
Fig. 6 (b) is a cross-sectional view taken along line b-b of fig. 6 (a).
Fig. 7 is a partial end view of the connector.
Fig. 8 is a cross-sectional perspective view of the connector.
Fig. 9 is a cross-sectional front view of the connector.
Fig. 10 is a partial end view of the connector.
Fig. 11 (a) is an exploded perspective view of the filter, patient end of the inspiratory conduit, and connection assembly.
Fig. 11 (b) is another exploded perspective view of the filter, patient end of the inspiratory conduit, and connection assembly.
Fig. 11 (c) is another exploded perspective view of the patient end of the inspiratory conduit and a portion of the connection assembly.
Fig. 12 (a) is a side view of the connection assembly during connection of the connector with the mating connector, wherein the connector is misaligned with the mating connector.
Fig. 12 (b) is a cross-sectional view of the connection assembly during connection of the connector with the mating connector, wherein the connector is misaligned with the mating connector.
Fig. 13 (a) is an end view of the connection assembly showing a first exemplary relative dimension of the components.
Fig. 13 (b) is an end view of the connection assembly showing a second exemplary relative dimension of the components.
Fig. 13 (c) is an end view of the connection assembly showing a third exemplary relative dimension of the components.
Figure 14 is a cross-sectional side view of the filter, patient end of the inspiratory conduit, and connection assembly.
Figure 15 illustrates the operating parameters of a respiratory therapy device that may be used with the filter, the inspiratory conduit, and the connection assembly.
Fig. 16 (a) is a front view of the mating connector component of the connection assembly.
Fig. 16 (b) is a cross-sectional view taken along line b-b of fig. 16 (a).
Fig. 17 (a) is an end view of the body of the mating connector component.
Fig. 17 (b) is a side view of the body.
Fig. 17 (c) is a front view of the body.
Fig. 18 is a perspective view of the body of fig. 17 (a) to 17 (c).
Fig. 19 shows a front view of the connector and mating connector components during assembly, and the insert of fig. 19 shows details of the components.
Fig. 20 illustrates alignment members of the connector and mating connector components, particularly the twisted engagement surfaces of those members, wherein portions of the alignment member 720 are shown as transparent for clarity.
Fig. 21 is a perspective view of an alternative mating connector component of the connection assembly.
Fig. 22 (a) is a front view of an alternative mating connector component.
Fig. 22 (b) is a side view of an alternative mating connector component.
Fig. 22 (c) is a cross-sectional view taken along line c-c of fig. 22 (b).
Fig. 23 (a) is an end view of the body of an alternative mating connector component.
Fig. 23 (b) is a side view of the body.
Fig. 23 (c) is a front view of the body.
Fig. 24 is a perspective view of the body of fig. 23 (a) to 23 (c).
Figure 25 is a perspective view of the sleeve of the docking connector component.
Figure 26 is a perspective view of a sleeve with an overmold within the sleeve.
Fig. 27 is a front view, in cross-section, of a section of a mating connector component.
Fig. 28 (a) and 28 (b) are comparative diagrams of the bodies of the docking connector part 800 and the alternative docking connector part 1800, respectively.
Fig. 29 (a) is a side view of an alternative filter.
Fig. 29 (b) is a cross-sectional side view along line b-b of fig. 29 (a).
Fig. 29 (c) is an enlarged view of the encircled area of fig. 29 (b).
Fig. 30 is a cross-sectional perspective view of an alternative filter.
Fig. 31 (a) is a cross-sectional partial side view of another alternative filter.
Fig. 31 (b) is a cross-sectional partial side view of another alternative filter.
Fig. 31 (c) is a cross-sectional partial side view of another alternative filter.
Fig. 31 (d) is a cross-sectional partial end view of a projection of another alternative filter.
Fig. 31 (e) is a partial perspective view of a projection of another alternative filter.
Fig. 32 (a) is a top perspective view of a respiratory catheter end cap attached to a docking connector of a respiratory catheter.
Fig. 32 (b) is a bottom perspective view of a respiratory catheter end cap attached to a docking connector of a respiratory catheter.
Fig. 33 (a) is a cross-sectional view of a respiratory catheter end cap attached to a docking connector of a respiratory catheter.
Fig. 33 (b) is another cross-sectional view of a respiratory catheter end cap attached to a docking connector of a respiratory catheter.
Fig. 34 (a) is a top perspective view of a respiratory catheter end cap.
Fig. 34 (b) is a bottom perspective view of the respiratory catheter end cap.
Fig. 35 (a) is a cross-sectional view of a respiratory catheter end cap.
Fig. 35 (b) is another cross-sectional view of a respiratory catheter end cap.
Fig. 36 (a) is a cross-sectional perspective view of a respiratory catheter end cap.
Fig. 36 (b) is another cross-sectional perspective view of a respiratory catheter end cap.
Fig. 37 (a) is a top perspective view of an alternative respiratory catheter end cap.
Fig. 37 (b) is a bottom perspective view of an alternative respiratory catheter end cap.
Fig. 38 (a) is a cross-sectional view of an alternative respiratory catheter end cap.
Fig. 38 (b) is another cross-sectional view of an alternative respiratory catheter end cap.
Fig. 39 (a) is a cutaway perspective view of an alternative respiratory catheter end cap.
Fig. 39 (b) is another cutaway perspective view of an alternative respiratory catheter end cap.
Fig. 40 (a) is a top perspective view of an alternative respiratory catheter end cap.
Fig. 40 (b) is a bottom perspective view of an alternative respiratory catheter end cap.
Fig. 41 (a) is a cross-sectional view of an alternative respiratory catheter end cap.
Fig. 41 (b) is another cross-sectional view of an alternative respiratory catheter end cap.
Fig. 42 (a) is a cutaway perspective view of an alternative respiratory catheter end cap.
Fig. 42 (b) is another cutaway perspective view of an alternative respiratory catheter end cap.
Fig. 43 (a) is a top perspective view of another alternative respiratory conduit end cap attached to a docking connector of a respiratory conduit.
Fig. 43 (b) is a bottom perspective view of an alternative respiratory catheter end cap attached to a docking connector of a respiratory catheter.
Fig. 44 (a) is a cross-sectional view of an alternative respiratory catheter end cap attached to a docking connector of a respiratory catheter.
Fig. 44 (b) is another cross-sectional view of a respiratory catheter end cap attached to a docking connector of a respiratory catheter.
Fig. 45 (a) is a top perspective view of an alternative respiratory catheter end cap.
Fig. 45 (b) is a bottom perspective view of the respiratory catheter end cap.
Fig. 46 (a) is a cross-sectional view of an alternative respiratory catheter end cap.
Fig. 46 (b) is another cross-sectional view of an alternative respiratory catheter end cap.
Fig. 47 (a) is a cutaway perspective view of an alternative respiratory catheter end cap.
Fig. 47 (b) is another cutaway perspective view of an alternative respiratory catheter end cap.
Fig. 48 is a schematic cross-sectional view of an alternative respiratory catheter end cap.
Fig. 49 is a schematic cross-sectional view of an alternative respiratory catheter end cap.
Figure 50 shows a perspective view of a patient interface for use on a user, the patient interface comprising an auxiliary supply conduit connected between the outlet end of the gas supply conduit and the nasal cannula, and a neck strap or harness which in use encircles the neck of the patient and is connected to the supply conduit at or near the outlet end to support the weight of the supply conduit in use, the patient interface further comprising a headgear for securing the patient interface to the patient's head in use.
Fig. 51 (a) and 51 (b) show front and side views, respectively, of an alternative patient interface in use, this alternative form having a pair of ear straps which in use are looped over the ears of a user to hold the patient interface in place on the face of the user.
Fig. 52 shows a front to side perspective view of one form of nasal cannula, the preferred form of nasal cannula having a face-fitting portion and a manifold portion, the manifold portion being removable from the face-fitting portion, the auxiliary supply conduit being connected to the manifold portion.
Fig. 53 shows the patient interface of fig. 52 with the manifold portion removed from the face mounting portion.
Fig. 54 shows a front to side perspective view of one form of facial mounting portion of a preferred form of nasal cannula, the facial mounting portion including a section adapted to receive a manifold portion, and a pair of prongs extending from the facial mounting portion.
Fig. 55 shows a perspective view of one form of facial attachment portion of a nasal cannula from the rear to one side, the facial attachment portion having a pair of prongs extending from the facial attachment portion, each prong having a gas outlet cutout in an upper portion of the prong on its back face.
Fig. 56 shows a view directly from the rear of the manifold portion of fig. 54, clearly showing the gas outlet cut.
Fig. 57 shows a top view of one form of facial attachment portion of the nasal cannula showing the preferred inward angle of the nasal prongs relative to a vertical plane bisecting the facial attachment portion, and the alignment of the surfaces defining the perimeter of the cutout section in the preferred form.
Fig. 58 shows a rear perspective view of the nasal cannula showing one form and placement of the surface.
Fig. 59 shows a view from below the nasal cannula.
Fig. 60 shows an alternative form of nasal cannula, the cannula comprising a manifold having two carrier tubes extending from the manifold and encircling the user's ears and prongs connected to the ends of each carrier tube.
Figure 61 shows another form of nasal cannula in which a carrier tube extends from the manifold, the carrier tube is connected to the face-mount portion, and prongs extend from the face-mount portion
Fig. 62 shows a perspective view of an alternative connector for use in the respiratory system.
Fig. 63 shows a side cross-sectional view of an alternative connector.
Fig. 64 shows an exploded perspective view of a connection assembly with an alternative connector.
Fig. 65 shows a perspective cross-sectional view of the connection assembly.
Fig. 66 shows a perspective view of an alternative connector for use in the respiratory system.
Fig. 67 shows an exploded perspective view of a connection assembly with an alternative connector.
Fig. 68 shows a side cross-sectional view of the connection assembly.
Fig. 69 shows a perspective view of an alternative connector for use in the respiratory system.
Fig. 70 shows another perspective view of an alternative connector.
Fig. 71 shows a perspective view of a connection assembly with an alternative connector.
Fig. 72 shows a side cross-sectional view of the connection assembly.
Fig. 73 shows a perspective view of an alternative connector for use in the respiratory system.
Fig. 74 shows an exploded perspective view of a connection assembly with an alternative connector.
Fig. 75 shows a side cross-sectional view of the connection assembly.
Detailed Description
Fig. 1 shows a breathing circuit. Patient P is receiving gas through the nasal cannula assembly of patient interface 601, which is operatively connected to a gas delivery passageway or breathing conduit, which in the illustrated construction is an inhalation conduit 401, via filter 501. The received gas may be high-flow and/or pressurized and/or humidified. The inspiratory conduit 401 is in turn connected to a flow source of a breathing assistance device 1000 comprising a flow generator or blower 15 and optionally a humidifier 200. Alternatively, the inspiratory conduit 401 may receive gas from another suitable gas supply.
The aspiration conduit 401 is connected to the outlet 257 of the flow source.
The fluid source is provided with a control means or electronic controller 205, which may comprise a microprocessor-based controller executing computer software commands stored in an associated memory. The gas flowing through the inspiratory conduit 401 is delivered to the patient by means of the filter 501 and the patient interface 601.
The controller 205 receives input from sources, such as a user input device 207, by which a user of the device can, for example, set a predetermined desired value (preset value) of the humidity or temperature of the gas supplied to the patient P.
Blower 15 may be provided with a variable speed pump or fan that draws air or other gas through blower inlet 17. The speed of the variable speed pump or fan may be controlled by the controller 205 (or alternatively by another control device or electronic controller) in response to input from the controller 205 and a predetermined desired value (preset value) of pressure or fan speed or flow rate set by a user via an input device. Alternatively, the gas may be provided by a wall-mounted supply; i.e. a wall-mounted gas port GP in the wall W.
In some constructions, blower 15 is not used, but rather the gas flow may be obtained from some other gas source. For example, in some constructions, the gas source may include one or more containers of compressed air and/or another gas, and one or more valve arrangements adapted to control the rate at which gas exits the one or more containers. As another example, in some configurations, gas may be obtained from an oxygen concentrator. The system may also include a supplemental gas source to provide a mixture of air and supplemental gas. For example, the make-up gas may be O 2 . In some configurations, the device may be adapted to deliver high flow therapy.
Humidifier 200 may be integral with a flow source. The flow source optionally includes a blower.
Humidifier 200 includes a humidification chamber that contains a volume of liquid, such as water. The humidification chamber may be formed of a plastic material and may have a high thermal conductivity base (e.g., an aluminum base) in direct contact with the heating plate of the humidifier 200.
The humidification chamber may be any suitable chamber containing a suitable liquid (such as water) for use in humidifying the gas. The humidification chamber may be a manual fill chamber and may be filled through a liquid inlet port. Alternatively, the humidification chamber may be an auto-fill chamber, and liquid may be supplied to the humidification chamber from a liquid container, bag, or other liquid source. The humidification chamber may include a float valve in the liquid reservoir, the float valve configured to control the flow of liquid from the liquid container into the liquid reservoir.
The gas delivery conduit 301 is located upstream of the humidifier 200. The gas delivery conduit 301 is in fluid/pneumatic communication with the humidifier 200, or is configured to be in fluid/pneumatic communication with the humidifier 200 upstream of the humidification chamber; that is, the humidifier 200 is located downstream of the gas conduit 301. The gas delivery conduit 301 is configured to receive one or more gases from a gas source and deliver the gases to a gas inlet port of a humidification chamber.
The inspiratory conduit 401 extends from the humidifier 200 (or alternatively from the gas conduit 301 if no humidifier is provided) to connect the humidifier 200 or the gas conduit 301 to the patient interface 601 via the in-line filter 501. The inspiratory conduit 401 may include a conduit heater 403 adapted to heat the gas passing through the conduit 401. The conduit heater 403 will help minimize or prevent the formation of condensation in the inspiratory conduit that might otherwise occur due to the temperature differential between the interior of the conduit wall and the exterior of the conduit wall. In other constructions, the conduit heater 403 may not be present.
The inspiratory conduit 401 includes an upstream gas inlet port 405 at one end of the conduit and a downstream gas outlet port 407 at an opposite end of the conduit, wherein the conduit defines a gas flow path from the gas inlet port 405 to the gas outlet port 407.
Humidifier 200 is in fluid/pneumatic communication with inhalation conduit 401 upstream of inhalation conduit 401, or is configured to be placed in fluid/pneumatic communication with inhalation conduit 401 upstream of the inhalation conduit; that is, the inspiratory conduit is positioned downstream of the humidifier 200. The gas outlet port 257 of the humidification chamber 251 and the gas inlet port 405 of the inspiratory conduit 401 may include docking coupling features to enable the inspiratory conduit to be coupled to a humidifier to provide fluid/pneumatic communication between the humidifier 200 and the inspiratory conduit 401. The docking coupling features may be disconnectable from each other to enable the inhalation conduit 401 to be decoupled from the humidifier 200. Alternatively, the docking coupling feature may be permanently or semi-permanently coupled.
The inspiratory conduit 401 typically has a longer length than the gas delivery conduit 301.
The filter 501 includes a filter housing 504 having an enlarged central body portion 503. The central body portion 503 may be generally cylindrical in shape or any other suitable shape. The central body portion 503 may be of any suitable size, including any suitable length and transverse dimensions. Alternatively, filter housing 504 may have a cylindrical shape or any other suitable shape. The leading edge of the enlarged central body portion includes a tapered wall that terminates at the upstream gas inlet port 505 and the trailing edge of the enlarged central body portion terminates at the downstream gas outlet port 507. The gas inlet port 505 and the gas outlet port 507 are in fluid/pneumatic communication via the central body portion 503. The filter may be a high efficiency particulate trap (HEPA) filter.
The enlarged central body portion 503 of the filter housing defines a cavity that accommodates a suitable filter media/filter material. For example, the filter material may comprise pleated paper, nanofibers, or any other suitable filter material, including sock filters, disc stack filters, spiral filters, single or multiple filter cartridges, multiple or multiple filter media discs having a free inflow of filter media in fluid flow from the disc. The filter captures and prevents particulates, bacteria and/or other infectious matter from passing downstream from the inspiratory conduit 401 to the patient P through the filter and captures and prevents bacteria and/or other infectious matter from passing upstream from the patient P to the inspiratory conduit 401 through the filter. In some embodiments where a flow of humidified gas is provided to the patient P and the inspiratory conduit 401 is positioned closer to the ground level relative to the patient interface 601 during use, condensate accumulating in the patient interface 601, e.g., in the patient interface gas conduit 603, may tend to flow upstream toward the inspiratory conduit 401 due to gravity. Such condensate may carry particulates, bacteria, and/or other infectious materials. The filter 501 thus captures and prevents bacteria and/or other infectious matter from passing upstream from the patient P through the filter to the inspiratory conduit 401.
Further examples of filter material types include: ceramics, manufacturing metals (e.g., woven wire cloth), porous plastics (e.g., without limitation, plastic powders molded into porous rigid shapes), non-woven media (e.g., dry-formed, wet-formed, or film-formed).
While additional examples of filter materials may include: cellulose, cotton, wood pulp, glass fibers, glass microfibers or composites; polymers such as polytetrafluoroethylene PTFE, polycarbonate (PC), acrylics including modacrylic, rayon, fluoropolymers, thermoplastic Polyurethane (TPU), polyethylene (PE), polyamide, polyester, polypropylene (PP), nylon, and metals such as galvanized steel, stainless steel, aluminum, copper, and metal wool.
The composite material may consist of: polyamides, polyethersulfones, polysulfones, ceramics, carbon, or any other polymers listed above, such as polytetrafluoroethylene PTFE, polycarbonate (PC), acrylic, rayon, fluoropolymers, thermoplastic Polyurethane (TPU), polyethylene (PE), polyamide, polyester, polypropylene (PP), nylon. The composite material may be composite in that it has a multi-layer structure. The individual layers may have different functions (e.g., support or reinforcement layers), different filtration efficiencies or pore sizes for absorbing gases so as to contain particulates and/or contaminants within the inner layer or different layers of the composite filter.
It will also be appreciated that the filter material may be or include electrostatic, hydrophilic or hydrophobic characteristics or properties.
In some constructions, the filter material may include a mechanical filter for capturing particulates by direct interception. Alternatively, the filter material may comprise an electrostatic material for capturing particles by electrical attraction. In other alternatives, the filter material may be hydrophobic such that the filter repels water and does not encourage microbial growth. The filter should allow air and water vapor (i.e., humidity) to pass through the filter without affecting the filtration of infectious materials and condensate. In various examples, the filter material or filter media composition may comprise one or more of the following: mineral fibers, glass fibers, ceramic fibers, polypropylene, expanded Polytetrafluoroethylene (PTFE), acrylic resins including modacrylic and thermoplastic polyurethane (e.g., estane), cellulosic fibers, or electrostatic fibers.
The inspiratory conduit 401 is in fluid/pneumatic communication with the filter 501 upstream of the filter, or is configured to be placed in fluid/pneumatic communication with the filter upstream of the filter; that is, the filter is positioned downstream of the inspiratory conduit 401. The gas inlet port 505 of the filter 501 and the gas outlet port 407 of the inspiratory conduit 401 include a docking coupling feature to enable the inspiratory conduit to be coupled to the filter to provide fluid/pneumatic communication between the inspiratory conduit and the filter. The interfacing coupling features of the gas inlet port 505 of the filter and the gas outlet port 407 of the inspiratory conduit are disconnectable from each other to enable decoupling of the inspiratory conduit 401 from the filter 501.
The docking coupling feature may be any connector assembly described herein.
The filter 501 is in fluid/pneumatic communication with the patient interface 601 upstream of the patient interface, or is configured to be placed in fluid/pneumatic communication with the patient interface 601 upstream of the patient interface 601; i.e. the patient interface is located downstream of the filter. In one configuration, the filter 501 is coupled to the patient interface 601 or is configured to be coupled to the patient interface 601.
The patient interface 601 includes a patient interface gas conduit 603 having an upstream gas inlet port 605 at one end of the conduit. The opposite downstream end of patient interface gas conduit 603 is in fluid/pneumatic communication with patient cannula 607 to deliver gas from patient interface gas conduit 603 to patient P.
In one configuration, the gas outlet port 507 of the filter 501 and the gas inlet port 605 of the patient interface gas conduit 603 include docking coupling features to enable the filter 501 to be coupled to the patient interface 601 to provide fluid/pneumatic communication between the filter and the patient interface gas conduit, the filter being in series with a gas flow path through the patient interface gas conduit. The docking coupling features may be disconnectable from each other to enable the filter to be decoupled from the patient interface gas tube of the patient interface. Alternatively, the docking coupling feature may be permanently or semi-permanently coupled.
In one configuration, the docking coupling feature between the gas outlet port 507 of the filter 501 and the gas inlet port 605 of the patient interface 601 comprises a 22mm medical cone connection.
In an alternative configuration, the patient interface 601 includes a patient interface gas conduit 603, and the filter 501 is integrally formed with the patient interface gas conduit 603 to provide fluid/pneumatic communication between the filter 501 and the patient interface gas conduit 603, with the filter being in series with a gas flow path through the patient interface gas conduit. That is, the filter and patient interface may be an integral unit.
Patient interface 601 is shown as a nasal cannula, but it should be understood that in some configurations, other patient interfaces may be suitable. For example, in some constructions, the patient interface can include a sealed interface or a non-sealed interface, and can include a nasal mask, a mouth mask, an oronasal mask, a full face mask, a nasal pillow mask, a nasal cannula, an endotracheal tube, a tracheostomy tube, and combinations of the foregoing or some other gas delivery systems. In an embodiment, the patient interface 601 includes a non-sealing interface, such as a nasal cannula, that allows for exchange of gases with the environment. For example, when a patient receives flow therapy from the system, the unsealed cannula allows carbon dioxide to be removed and/or purged from the patient's airway. Furthermore, in embodiments, the patient interface is in the form of a nasal interface such that the system does not interfere with other oral airway devices and/or apparatus (e.g., tracheal tubes in an intubation procedure). Accordingly, the patient may continue to receive flow therapy throughout the catheterization procedure.
Headgear 620 may be provided to support and retain the patient interface on the patient's face.
In some configurations, there may be one or more treatment accessories downstream of filter 501 and upstream of patient interface 601, the one or more accessories being in fluid communication with filter 501 and patient interface 601. For example, there may be one or more of a nebulizer, a sensor/sensor port, an exhalation port, an additional filter, and/or other accessories.
The patient interface, cannula manifold and/or catheter may have any one or more of the features described in PCT/IB2015/054585 (disclosed as WO 2015/193833), US 2020/10077764 or US 8,997,747. The contents of those specifications are incorporated herein by reference in their entirety.
In alternative constructions, the patient interface may include a non-invasive ventilation (NIV) mask or any other suitable type of patient interface. The filter 501 may be coupled directly to the patient interface 601, or alternatively may be coupled to the patient interface 601 by one or more accessories.
The patient interface gas conduit 603 forms a first gas lumen defined by the tubular wall. The first gas lumen is adapted to receive gas from the respiratory therapy system via the inspiratory conduit 401 and the filter 501 and direct the gas to the patient P.
In some constructions, the filter 501 is located at a terminal end of the patient interface gas conduit 603.
The first gas lumen is at least partially defined by a wall that can direct gas.
The first gas lumen may optionally include a stiffening element adapted to stiffen the first gas lumen and/or increase the stiffness of the first gas lumen to prevent deformation or collapse of the first gas lumen due to application of force to the first gas lumen. The stiffening element may comprise a plurality of structures including, but not limited to, plastic or metal reinforcing beads in or on the wall of the first gas lumen. Alternatively, in some configurations, the lumen may include weakened sections or sections that are unable to self-maintain their flow paths or fluid flow channels to allow the mask to seal against the patient interface (e.g., nasal cannula or mask) and reduce or prevent gas flow to the patient interface.
The patient interface, when in the form of a nasal cannula, may utilize a pair of side arms extending from the body to which the manifold is to be connected. The side arms may include features that allow the gas supply tube to be held or secured or positioned to the side arms (to prevent the gas supply tube from uncontrollably moving back and forth).
Patient interface 601 may also include a mount and/or support, such as a cheek support, for attaching and/or supporting gas lumen 603 and/or cannula 607 on the patient's face. For example, a releasable connection system may be used to position or locate the interface on the patient's face, but allow for relatively quick removal or repositioning of the interface if desired.
A patient interface, or portion thereof, may be provided in a respiratory therapy kit for use in a respiratory therapy system. The kit may include a patient interface (which may include, for example, nasal cannula 601 or 5030) and filter 501 or 1501. The kit may further comprise an interface tube for delivering gas from the outlet port of the filter to the nasal cannula.
The filter 501 may be coupled to a mouthpiece for delivering gas to a patient interface, such as a patient interface gas conduit 603 or gas lumen, which is coupled to a manifold of the patient interface. The patient interface gas conduit or gas lumen may be a small section of a tube or conduit. For example, the patient interface gas conduit or lumen may be about 20cm to about 50cm long, or about 25cm to about 40cm long, or about 30cm to about 35cm long, or may be about 32cm long.
For example, as shown in fig. 2-5, the filter housing 504 of the filter 501 may include separate housing portions 504a, 504b that are fastened together to form the filter housing. That allows a filter material (not shown) to be inserted into the filter housing 504 during assembly of the filter 501.
The filter housing 504 may include an upstream housing portion 504a providing a filter inlet 505 and a downstream housing portion 504b providing a filter outlet 507.
For example, in the configuration shown in fig. 3, the upstream housing portion 504a includes a first tubular body 504a' having a smaller cross-sectional dimension that defines a filter inlet 505 at a terminal end thereof. The opposite end of the first tubular body 504a' is connected to an enlarged portion 504a "which forms part of the enlarged central body portion 503 of the filter housing 504.
In the illustrated construction, the downstream housing portion 504b includes a second tubular body 504b' of relatively small cross-sectional dimension defining a filter outlet 507 at a terminal end thereof. The opposite end of the second tubular body 504b' is connected to an enlarged portion 504b ", which together with the enlarged portion 504a" forms an enlarged central body portion 503 of the filter housing 504.
Once assembled, the housing portions 504a, 504b may be permanently connected together or may be removable from each other. The housing portions 504a, 504b may include any suitable fastening features for connecting the housing portions together, such as clips, protrusions and recesses, fasteners, or threads.
Filter 501 may include a surrounding outer wall (not shown) surrounding filter housing 504 to provide an insulating filter. A closed air space is formed between the filter housing 504 and the surrounding outer wall. These enclosed air spaces isolate the filter housing 504 from the environmental conditions outside the surrounding outer wall. The enclosed space within the filter 501 is substantially isolated from the environmental conditions outside the outer wall and condensation formation on the filter walls within the filter will be significantly reduced.
Additionally or alternatively, the filter 501 may have one or more other configurations to reduce humidification conditions and temperature drop of variable environmental conditions (including low ambient temperature or ventilation).
The insulating filter formation may have any one or more of the features and functions described in US 62/196,235, US 62/242,549, WO 2016/157101 or US 2018/007828. The contents of those specifications are incorporated herein by reference in their entirety.
The filter 501 comprises a connector 700 for connecting a first respiratory component comprising the filter 501 to a second respiratory component comprising the inspiratory conduit 401. The connector 700 is shown, for example, in fig. 4 (b), 5, 6, and 7. In alternative constructions or applications, the first respiratory component and the second respiratory component may include different components, such as a catheter, a breathing tube, a patient interface, a noninvasive ventilation mask, a tee or wye for an accessory such as a nebulizer or other accessory, a nebulizer, a heat-moisture exchanger (HME), a cannula, or any two suitable components within a respiratory circuit. The connector 700 is disposed at the filter inlet 505 of the filter 501.
The connector 700 includes a body 701 having an inner wall 702 defining a bore 703 for receiving the mating connector component 800. The docking connector assembly 800 is associated with the inspiratory conduit 401 and is described in more detail below. Connector 700 is a female connector and mating connector component 800 is a male connector component.
The aperture 703 has a terminal end 704 that provides access to the aperture 703 for the mating connector element 800.
Referring to fig. 6 (b), the body 701 of the connector 700 has a sealing region 705 in the bore 703 for engagement with a seal 841 on the mating connector component 800. The sealing region 705 has a sealing region dimension D1 between opposing surfaces of the sealing region.
Seal area dimension D1 is in a direction perpendicular to longitudinal axis LA of bore 703. The longitudinal axis LA is the central axis.
In some constructions, the inner wall 702 defining the aperture 703 is an annular wall having a substantially circular cross-section. In such a configuration, the sealing region dimension D1 is a diameter. In other constructions, the inner wall 702 defining the aperture may have a non-circular cross-section. The geometry may be selected to provide the desired flow properties. In those other configurations, dimension D1 may be a hydraulic diameter. The mating connector component 800 will be configured accordingly.
The aperture 703 has a taper A1 between the opposing surfaces. In some constructions, the seal area size is between about 25mm and about 27mm, and the taper A1 is between about 0 degrees and about 4 degrees.
In some constructions, the taper A1 is greater than 0 degrees, alternatively greater than 0.5 degrees, alternatively greater than 1 degree, alternatively greater than 1.5 degrees.
In some constructions, the taper A1 is less than 4 degrees, alternatively less than 3.5 degrees, alternatively less than 3 degrees, alternatively less than 2.5 degrees. In some constructions, the taper A1 is about 2 degrees.
In some constructions, the seal area dimension D1 is between about 25.5mm and about 26.5mm, about 25mm, about 25.1mm, about 25.2mm, about 25.3mm, about 25.4mm, about 25.5mm, about 25.6mm, about 25.7mm, about 25.8mm, about 25.9mm, about 26mm, about 26.1mm, about 26.2mm, about 26.3mm, about 26.4mm, about 26.5mm, about 26.6mm, about 26.7mm, about 26.8mm, about 26.9mm, about 27mm, or any value between any two of those values.
The sealing region 705 may have an effective sealing position 705a for contact with a surface of a seal 841 on the mating connector component 800. In this configuration, the sealing area dimension D1 is the dimension of the effective sealing position 705a.
In the illustrated construction, the seal 841 is a symmetrical T-shaped pressure seal, and the effective sealing location 705a is located substantially at the center of the sealing area 705 for contact with the surface of the seal that is located at the center of the seal. When seal 841 is an asymmetric or different type of seal (e.g., having an L-shaped cross-section rather than a T-shaped cross-section), effective sealing position 705a may not be centered in sealing region 705.
In some constructions, the seal 841 may include a plurality of sealing features and the sealing region may include a corresponding plurality of effective sealing positions. For example, seal 841 may be a double-T seal or any other suitable configuration.
Seal 841 may be formed of any suitable material; including but not limited to, silicone, nitrile rubber, PTFE, EPDM rubber, or fluorocarbon materials, for example.
Having relatively flat (or nearly parallel walls) apertures 703 enables the formation of seals with seals 841. The small taper A1 facilitates manufacturing and also enables selective interaction with anti-shake features 851 (fig. 16) on the mating connector component 800.
Connector 700 includes at least one internal retention feature, at least one internal alignment feature, and/or at least one external alignment feature.
The at least one internal retention feature may include two or more retention protrusions extending from an inner wall 702 of the body 701 into the bore 703. In the illustrated construction, referring to fig. 4 (b), 5 (a), 5 (e), 6 and 7, at least one internal retention feature includes diametrically opposed retention protrusions 710 that extend from the inner wall 702 of the body 701 into the bore 703. In alternative constructions, the two or more retention tabs may not be diametrically opposed.
The diametrically opposed retention tabs are configured for engagement with engagement features 810 on diametrically opposed male engagement fingers 820 of the mating connector component 800.
The retention tabs 710 each have an angled or beveled entry wall 711, a radially inward surface 713, and/or a retention surface 715 for helping to guide/divert the locking fingers 820 radially inward and over the retention tabs 710 during insertion of the mating connector component into the aperture 703, and/or for helping to prevent inadvertent disengagement of the mating connector component 800 from the aperture 703. The radially inward end of the retaining surface 715 terminates in a radially inward surface 713.
The diametrically opposed retaining projections 710 have a distance D2 (fig. 7) between radially inward surfaces 713 thereof. In some constructions, the distance D2 is between about 21mm and about 23 mm.
In some constructions, the distance D2 between the radially inward surfaces 713 is between about 21.5mm and about 22.5mm, about 21mm, about 21.1mm, about 21.2mm, about 21.3mm, about 21.4mm, about 21.5mm, about 21.6mm, about 21.7mm, about 21.8mm, about 21.9mm, about 22mm, about 22.1mm, about 22.2mm, about 22.3mm, about 22.4mm, about 22.5mm, about 22.6mm, about 22.7mm, about 22.8mm, about 22.9mm, about 23mm, or any value between any two of those values.
Dimension D1 and distance D2 are related to provide proper retention and sealing between the connector and the mating connector component (in use).
The sealing region 705 is closer to the terminal 704 than the internal retention features 710 and/or the internal alignment features 720.
Referring to fig. 6 (b), the sealing region 705 includes a first radial perimeter 706a that is configured to engage a first support protrusion 849 of the mating connector component 800.
The taper A1 is configured to provide the first radial perimeter 706a with a dimension (transverse to the longitudinal axis LA) that is less than the seal area dimension D1 of the effective seal location 705 a.
The effective sealing position 705a is closer to the terminal end 704 than the first radial periphery 706 a.
The sealing region 705 includes a second radial periphery 706b configured to engage a second support protrusion 851 of the mating connector component 800.
The taper A1 is configured to provide the first radial perimeter 706a with a dimension (transverse to the longitudinal axis LA) that is smaller than a dimension (transverse to the longitudinal axis LA) of the second radial perimeter 706 b.
The second radial periphery 706b is closer to the terminal end 704 than the effective sealing position.
Referring to fig. 6 (b), in some constructions, the angle A2 of the retaining face 715 is between about 90 degrees and about 125 degrees relative to the longitudinal axis LA of the aperture 703.
In some constructions, the angle A2 of the retaining face relative to the longitudinal axis LA of the aperture is between about 95 degrees and about 120 degrees, between about 100 degrees and 115 degrees, between about 105 degrees and about 115 degrees, about 90 degrees, about 91 degrees, about 92 degrees, about 93 degrees, about 94 degrees, about 95 degrees, about 96 degrees, about 97 degrees, about 98 degrees, about 99 degrees, about 100 degrees, about 101 degrees about 102 degrees, about 103 degrees, about 104 degrees, about 105 degrees, about 106 degrees, about 107 degrees, about 108 degrees, about 109 degrees, about 110 degrees, about 111 degrees, about 112 degrees, about 113 degrees, about 114 degrees, about 115 degrees, about 116 degrees, about 117 degrees, about 118 degrees, about 119 degrees, about 120 degrees, about 121 degrees, about 122 degrees, about 123 degrees, about 124 degrees, or about 125 degrees, or any angle between any two of those values.
In the illustrated construction, the diametrically opposed retaining projections 710 include a first pair of adjacent retaining projections on one side of the aperture and a second pair of adjacent retaining projections on the opposite side of the aperture. A slot may be provided between each pair of projections. This configuration can be used to reduce material usage and increase the strength of the retention tab. In alternative constructions, the diametrically opposed retention tabs 710 may each comprise a single tab.
In alternative constructions, the at least one internal retention feature may include a single retention protrusion 710, or may include a plurality of retention protrusions 710 that are not diametrically opposed. For example, three retaining protrusions may be provided around the aperture. The three retaining protrusions 710 may be substantially evenly spaced about 120 degrees relative to one another about the aperture 703.
The retaining surface 715 may be disposed at any suitable distance D3 from the sealing region 705. In some constructions, the axial distance between the sealing region 705 and the retaining surface 715 is up to about 17mm.
In some constructions, the axial distance between the sealing region 705 and the retaining surface 715 is short. For example, the axial distance between the sealing region 705 and the retaining surface 715 may be at least about 1mm and up to about 17mm, alternatively greater than about 3mm and up to about 14mm.
In some constructions, the axial distance D3 between the sealing region 705 and the retaining surface 715 is about 1mm, about 2mm, about 3mm, about 4mm, about 5mm, about 6mm, about 7mm, about 8mm, about 9mm, about 10mm, about 11mm, about 12mm, or about 13mm, about 14mm, about 15mm, about 16mm, about 17mm, or any distance between any two of those values. In some constructions, the distance D3 is between about 12.5mm and about 15mm, alternatively between about 13mm and about 14.5mm, alternatively between about 13.5mm and 14mm, alternatively about 13.75mm.
The retaining surface 715 may be provided on at least one retaining protrusion 710 extending from the inner wall 702 of the body 701 into the aperture 703. Alternatively, retaining surface 715 may be disposed elsewhere in aperture 703. For example, the retaining surface may be provided in a groove or recess of the body 701, or on a different protrusion extending from the inner wall 702 of the body 701 into the hole 703.
The axial distance D3 between the sealing region 705 and the retaining surface 715 may be the axial distance between the effective sealing position 705a and the retaining surface 715. Alternatively, if the seal 841 is of the type that contacts the sealing region 705 over a large area (such as an O-ring), the axial distance D3 may be the axial distance between the center of the sealing region 705 and the retaining surface 715, or may be the axial distance between the retaining surface 715 and the edge of the sealing region 705 closest to the retaining surface 715.
The axial distance D3 between the sealing region 705 and the retaining surface 715 will be selected for proper retention and sealing.
Sealing region 705 is closer to terminal end 704 than to retaining surface 715.
Axially oriented recess 761 is located at terminal end 704 of bore 703 in body 701 of connector 700.
Retaining surface 715 is axially aligned with axially oriented recess 761; i.e. along the Y-axis of fig. 3.
In some constructions, an axially oriented recess 761 is formed in a surface of the wall. For example, the axially oriented recess may be recessed into the inner wall 702 of the body. In an alternative configuration, and as shown, the axially-oriented recess 761 may extend from a radially inner surface of the body 701 to a radially outer surface of the body 701.
The at least one internal alignment feature may include at least one alignment member 720 such as shown in fig. 4 (b), 5 (d), 6, 7, 8, 9, 10, and 20.
The alignment member 720 may be offset 90 degrees about the aperture relative to the retaining face 715.
The alignment member 720 extends from the inner wall 702 of the body 701 into the bore 703. The alignment member 720 includes opposing engagement surfaces 721. The opposite engagement surface faces outwardly. The alignment member 720 has a tapered configuration in the axial direction of the bore 703, wherein the proximal ends 721a of the opposing engagement surfaces 721 that are closer to the terminal end 704 of the bore 703 are closer together than the distal ends 721b of the opposing engagement surfaces 721 that are farther from the terminal end 704 of the bore 703. The engagement surface 721 includes a twist along at least a majority of its length between its proximal end 721a and its distal end 721 b.
In some constructions, the torsion portion extends along substantially the entire length of each engagement surface 721.
In some constructions, the torsion portion is substantially continuous along the length of each engagement surface 721.
The alignment member 720 comprises a tapered configuration in the radial direction of the bore, wherein the inner edges 721c of the opposing engagement surfaces 721 that are closer to the longitudinal or central axis LA of the bore are closer together than the outer edges 721d of the opposing engagement surfaces 721 that are farther from the longitudinal or central axis LA of the bore and closer to the inner wall 702.
Referring to fig. 10, the inner edge 721c of each engagement surface 721 is positioned inboard of an imaginary radial line RL extending from the outer edge 721d of the engagement surface to the longitudinal or central axis LA of the hole.
Each engagement surface 721 may be considered to be comprised of an infinite number of inwardly projecting lines extending from the outer edge 721d into the bore 703, each line being rotated relative to an adjacent line
The proximal end 721a of the engagement surface 721 (i.e., the line forming the proximal end) is angularly offset from the distal end 721b (i.e., the line forming the distal end) by an angle greater than 0 degrees and less than 90 degrees, alternatively at least about 30 degrees and less than 90 degrees, alternatively between about 35 degrees and about 85 degrees, alternatively between about 40 degrees and about 80 degrees, alternatively between about 45 degrees and about 75 degrees, alternatively between about 50 degrees and about 70 degrees, alternatively between about 55 degrees and about 65 degrees, alternatively at least about 60 degrees, when viewed from the terminal end 704 of the bore, due to the twist. The line of the proximal end 721a may extend in the radial direction of the bore, while the line of the distal end 721b may deviate from the radial direction.
In some constructions, the proximal end 721a is angularly offset from the distal end 721b by at least about 65 degrees, at least about 70 degrees, at least about 75 degrees, at least about 80 degrees, at least about 85 degrees, about 90 degrees, or any angle between any two of those angles, when viewed from the terminal end of the bore.
In the illustrated construction, the alignment member 720 has a generally chevron or inverted "V" shape, a generally "n" shape, or a capitalized delta "shape. However, because the underside of the alignment member 720 that is closer to the center of the filter 501 does not facilitate alignment of the mating connector component 800 when inserted into the aperture, the underside of the alignment member may have a different shape. For example, the underside of the alignment member 720 may be solid to connect both sides of the alignment member.
The connector 700 may include two diametrically opposed alignment members 720. Each of the alignment members 720 may have substantially the same shape and function.
The engagement surface 721 is configured to engage with a mating engagement surface 821 on the mating connector component 800.
The engagement surface 721 is configured to interact with the mating engagement surface 821 to rotate the mating connector component 800 into proper alignment about the longitudinal axis LA of the connector in the event that the mating connector component 800 is misaligned upon initial insertion into the bore 703 of the connector 700.
For example, as shown in fig. 11, 16, 17, 18, and 20, the mating engagement surface 821 includes an oppositely tapered configuration along the axial direction of the mating connector component, wherein a proximal portion 821a of the opposing engagement surface that is closer to a terminal end 804 of the mating connector component 800 that is receivable in the bore 703 of the connector 700 is spaced further than a distal portion of the mating engagement surface. The interfacing engagement surface 821 includes an interfacing twist along at least a majority of its length between its proximal portion 821a and its distal portion 821 b.
Each engagement surface 721 is configured to contact a corresponding one of the mating engagement surfaces 821 over at least a substantial portion of its length when the connector 700 is engaged with the mating connector component 800. In some constructions, each engagement surface 721 is configured to contact a respective one of the mating engagement surfaces 821 over substantially its entire length when the connector 700 is engaged with the mating connector component 800.
The torsion portion of each engagement surface 721 and each mating engagement surface 821 may be a substantially helical torsion portion. Fig. 20 shows the shape of one of the butt joint surfaces 821. As outlined above for the engagement surface 721, the engagement surface 821 may be considered to be comprised of an infinite number of inwardly protruding lines extending inwardly from the outer edge 821d of the engagement surface to the inner edge 821c of the engagement surface, each inwardly protruding line being rotated relative to an adjacent line. In the configuration shown in fig. 17, the distal portion 821b is offset by at most 90 degrees (e.g., oriented in or near the y-axis direction) relative to the proximal portion 821a (e.g., oriented in or near the x-axis direction), with the twist being continuous along the length of the engagement surface 821 in the z-direction.
Similarly, fig. 20 shows the shape of one of the engagement surfaces 721. In the configuration shown in fig. 20, the distal portion 721b is offset by at most 90 degrees (e.g., oriented in or near the y-axis direction) relative to the proximal portion 721a (e.g., oriented in or near the x-axis direction), with the twist being continuous along the length of the engagement surface 721 in the z-direction.
For a greater number of engagement surfaces, the angular offset of the ends of engagement surface 721 and docking engagement surface 821 may be smaller. For example, if connector 700 has three alignment members 720 and mating connector component 800 has three locking fingers 820 with opposing mating engagement surfaces 821, the angular offset may be up to about 60 degrees.
In the illustrated configuration, the two proximal ends 721a of the alignment member 720 meet at an end 722. End 722 may be very pointed. Alternatively, the end 722 may be rounded or radiused and may have a radius between the proximal ends 721 a. By having a point or curve at the tip, contact between the tip and the surface of the pair of locking fingers 820 at the proximal end 804 of the docking connector member 800 will cause the docking connector member 800 to rotate into alignment (about the longitudinal axis LA) during its insertion into the aperture 703 (if initially misaligned).
The angle of the alignment member 720 may be different from that shown. The alignment member may be formed from a discontinuous section.
The connector 700 and connector part 800 may be provided together in a connection assembly for use in a respiratory system.
Referring to fig. 13 (a) to 13 (c), the bore 803 of the mating connector component 800 has a flow path dimension D4 transverse to the central axis LA.
The flow path dimension D4 may be defined by the inner wall 802 of the locking finger 820.
The first distance D5 between the radially innermost surfaces 721c' of the two diametrically opposed alignment members 720 is less than the flow path dimension D4 of the mating connector component.
In some constructions, the ratio of the first distance D5 to the flow path dimension D4 is between about 0.6 and about 0.95.
In some constructions, the ratio can be about 0.6, about 0.65, about 0.7, about 0.75, about 0.8, about 0.85, about 0.9, about 0.95, or any ratio between any two of those values.
In some constructions, the first distance D5 is between about 11.5mm and about 18 mm.
In some constructions, the first distance D5 is between about 12mm and about 18mm, between about 13mm and about 18mm, between about 14mm and about 18mm, between about 15mm and about 18mm, between about 16mm and about 17mm, about 11.1mm, about 11.2mm, about 11.3mm, about 11.4mm, about 11.5mm, about 11.6mm, about 11.7mm, about 11.8mm, about 11.9mm, about 12mm, about 12.1mm, about 12.2mm, about 12.3mm, about 12.4mm, about 12.5mm, about 12.6mm, about 12.7mm, about 12.8mm, about 12.9mm, about 13mm, about 13.1mm, about 13.2mm, about 13.3mm, about 13.4mm, about 13.5mm, about 13.6mm, about 13.7mm, about 13.8mm, about 13.9mm, about 14.1mm, about 14.2mm, about 14.4mm, about 14.5mm, about 15.15 mm, about 14.5mm, about 15.5mm, about 15.15 mm, about 14.6mm, about 15.5mm, about 16.1mm, about 16.2mm, about 16.3mm, about 16.4mm, about 16.5mm, about 16.6mm, about 16.7mm, about 16.8mm, about 16.9mm, about 17mm, about 17.1mm, about 17.2mm, about 17.3mm, about 17.4mm, about 17.5mm, about 17.6mm, about 17.7mm, about 17.8mm, about 17.9mm, about 18mm, or any distance between any two of those values.
In some constructions, the flow path dimension D4 is between about 10mm and about 25mm, between about 11mm and about 24mm, between about 12mm and about 23mm, between about 13mm and about 22mm, between about 14mm and about 21mm, between about 15mm and about 20mm, between about 16mm and about 20mm, between about 17mm and about 20mm, between about 18mm and about 20mm, about 10mm, about 11mm, about 12mm, about 13mm, about 14mm, about 15mm, about 16mm, about 17mm, about 18mm, about 19mm, about 20mm, about 21mm, about 22mm, about 23mm, about 24mm, about 25mm, or about 19.1mm, or any value between any two of those values. The radially innermost surface 721c' includes the center of the alignment member 720. That is, radially innermost surface 721c' is positioned at or adjacent proximal end 721a of engagement surface 720, or at or adjacent distal end 722. The laterally outward edge of the alignment member (which is at the distal end 721b of the engagement surface 721) is connected to the inner wall 702 of the bore 703 of the connector 700.
The inner edge 721c of the alignment member may have any suitable shape when viewed from the terminal end 704 of the bore 703, including, for example, concave (as shown in the intermediate configuration of fig. 13 (b) or in the maximum dimension configuration shown in phantom in fig. 13 (c)) or convex (as shown in the minimum dimension configuration shown in phantom in fig. 13 (a)) with respect to the longitudinal or central axis LA of the bore.
By reducing the distance between the radially innermost surfaces 721c' of the alignment members 720, if the alignment features are not aligned, the angled misconnection of the mating connector component 800 with the connector 700 is inhibited.
As shown in fig. 12 (b), the end of the locking finger 820 will strike the alignment member 720 instead of the engagement feature 810 on the locking finger that connects with the peak of the alignment member 720. However, this is balanced with having a first distance D5 that is large enough not to significantly increase the flow resistance through the connection assembly. An upper limit of the first distance D5 is determined to suppress undesired misconnections that occur as a result of tilting the mating connector component 800 to an oblique angle relative to the connector 700.
In one exemplary configuration, the minimum first distance D5 is 11.5mm, the exemplary first distance is 16.4mm, and the maximum first distance is 18mm. In this exemplary configuration, the locking finger 820 may have an outer dimension of 21.5mm and an inner dimension of 19.5 mm.
In some configurations, the pressure drop within the first respiratory component (which in the illustrated configuration includes filter 501) in use is between about 80Pa and about 490Pa (flow resistance).
In some constructions, the one or more retention features of the connector 700 are configured to provide a retention force in the axial direction of the connector of between about 10N and about 100N, alternatively between about 10N and about 75N, alternatively between about 10N and about 50N. That is, the axial pull-out force required to remove the mating connector component 800 from the bore 703 of the connector 700 is between about 10N and about 100N, alternatively between about 10N and about 75N, alternatively between about 10N and about 50N.
In some of the configurations of the present invention, the one or more retention features are configured to provide about 10N, 11N, about 12N, about 13N, about 14N, about 15N, about 16N, about 17N, about 18N, about 19N, about 20N, about 21N, about 22N, about 23N, about 24N, about 25N, about 26N, about 27N, about 28N, about 29N, about 30N, about 31N, about 32N, about 33N, about 34N, about 35N, about 36N, about 37N, about 38N, about 39N, about 40N, about 41N, about 42N, about 43N, about 44N, about 45N, about 46N, about 47N, about 48N, about 49N, about 50N, about 51N, about 52N, about 53N, about a holding force of about 54N, about 55N, about 56N, about 57N, about 58N, about 59N, about 60N, about 61N, about 62N, about 63N, about 64N, about 65N, about 66N, about 67N, about 68N, about 69N, about 70N, about 71N, about 72N, about 73N, about 74N, about 75N, about 76N, about 77N, about 78N, about 79N, about 80N, about 81N, about 82N, about 83N, about 84N, about 85N, about 86N, about 87N, about 88N, about 89N, about 90N, about 91N, about 92N, about 93N, about 94N, about 95N, about 96N, about 97N, about 98N, about 99N, about 100N, or the retention force of any value between any two of these values.
An exemplary dry filter has a pressure drop within the filter of about 80-460Pa at a flow rate of 20-70L/min, thereby providing an axial force of about 1.5-11N (+/-10%) applied to the filter 501. For a given flow rate, the pressure drop and force of the saturated filter will be higher. The axial force applied to the filter 501 resists the one or more retention features 710 of the connector 700. As shown in fig. 15, the respiratory therapy device may include a leak limit (defining a maximum allowable leak) based on the allowable motor speed of blower 15 to achieve a given flow rate and a blockage limit (defining a maximum flow resistance).
The flow resistance of the downstream component (e.g., filter) causes the seal 841 to seal between the connector 700 and the mating connector component 800. Seal 841 improves the seal between terminal end 407 of aspiration conduit 401 and filter inlet 505.
The sealing region 705 may have a sealing region dimension D1 as outlined above.
The body 701 may have diametrically opposed retaining protrusions 710 as outlined above. The distance D2 between the radially inward surfaces 713 of the diametrically opposed retaining protrusions 710 may be between about 21mm and about 23 mm.
In some constructions, the distance between the radially inward surfaces 713 is between about 21.5mm and about 22.5mm, about 21mm, about 21.1mm, about 21.2mm, about 21.3mm, about 21.4mm, about 21.5mm, about 21.6mm, about 21.7mm, about 21.8mm, about 21.9mm, about 22mm, about 22.1mm, about 22.2mm, about 22.3mm, about 22.4mm, about 22.5mm, about 22.6mm, about 22.7mm, about 22.8mm, about 22.9mm, about 23mm, or any value between any two of those values.
Each diametrically opposed retaining projection 710 may have a retaining face 715 to help prevent the mating connector component 800 from disengaging from the bore 703, wherein the angle A2 of the retaining face relative to the longitudinal axis of the bore is between about 90 degrees and about 125 degrees.
In some constructions, the angle A2 of the retaining surface 715 relative to the longitudinal axis of the aperture is between about 95 degrees and about 120 degrees, between about 100 degrees and 115 degrees, between about 105 degrees and about 115 degrees, is about 90 degrees, about 91 degrees, about 92 degrees, about 93 degrees, about 94 degrees, about 95 degrees, about 96 degrees, about 97 degrees, about 98 degrees, about 99 degrees, about 100 degrees, about 101 degrees about 102 degrees, about 103 degrees, about 104 degrees, about 105 degrees, about 106 degrees, about 107 degrees, about 108 degrees, about 109 degrees, about 110 degrees, about 111 degrees about 112 degrees, about 113 degrees, about 114 degrees, about 115 degrees, about 116 degrees, about 117 degrees, about 118 degrees, about 119 degrees, about 120 degrees, about 121 degrees, about 122 degrees, about 123 degrees, about 124 degrees, or about 125 degrees, or any angle between any two of those values.
Diametrically opposed retention tabs 710 may include a first pair of adjacent retention tabs on one side of aperture 703 and a second pair of adjacent retention tabs on an opposite side of aperture 703.
Referring to fig. 14, filter housing 504 includes a cavity 506 that contains a filter material (not shown) in a flow path through the filter housing. The cavity 506 has a first cross-sectional area in the region of the filter material that is related to dimension D10 in fig. 14. The filter 501 includes a connector 700 having a body 701 defining an aperture 703 for receiving a mating connector component 800. The proximal end of the bore is in fluid communication with the cavity 506 and the terminal end 704 provides access to the bore 703 for the docking connector component 800.
The filter 501 is provided in combination with a docking connector component 800 having a portion 800a which in use is received in the aperture 703 via the terminal 704. The portion 800a of the mating connector component includes a mating connector component aperture 803. The mating connector component aperture 803 has a second cross-sectional area associated with dimension D8 in fig. 14.
The ratio of the second cross-sectional area to the first cross-sectional area is greater than 0 and less than 1.
In some constructions, the ratio is at least about 0.05, alternatively at least about 0.1, alternatively about 0.11. The aperture 803 of the docking connector member 800 may be an outlet aperture 803 of the docking connector member 800. The outlet aperture 803 may be in fluid communication with an inlet aperture 808 of a mating connector component.
The inlet aperture 808 has a third cross-sectional area that is related to dimension D7 in fig. 14. The ratio of the third cross-sectional area to the second cross-sectional area may be at least about 0.36.
The cross-sectional area may gradually increase from the inlet aperture 808 of the mating connector component to the filter cavity 506. This has an effect on controlling the flow resistance and establishing the residence time and/or velocity of the breathing gas interacting with the filter material. For example, by increasing the cross-sectional area before the filter material, the gas injection onto the surface of the filter material is suppressed, which may otherwise adversely affect the filtration.
As outlined above, the flow resistance through the filter may be between about 80Pa and 490 Pa.
TABLE 1
Table 1 summarizes an exemplary set of dimensions for the components. However, it should be appreciated that the dimensions may vary without departing from the scope of the present concepts. For example, D6 may be up to about 18mm or more, D7 may be proportionally larger, and so on.
The filter 501 disclosed herein may include or be provided in combination with a connector 700 or a connection assembly including the connector 700 and a docking connector component 800.
The connector 700 may be attached to or integrally formed with the filter housing 504 of the filter 501.
As discussed above, the filter 501 may be provided with a suitable filter material in the filter housing 504.
Although the connection assembly comprising connector 700 and docking connector member 800 is described with reference to connecting filter inlet 505 to outlet 407 of inspiratory conduit 401, the connection assembly may be used to connect any suitable first respiratory component to any suitable second respiratory component. For example, the first respiratory component and the second respiratory component may include different components, such as a catheter, a breathing tube, a patient interface, a noninvasive ventilation mask, a tee or wye for an accessory such as a nebulizer or other accessory, a nebulizer, a heat-moisture exchanger (HME), a cannula, or any two suitable components within a respiratory circuit.
Fig. 4, 6, 11, 12, 13, 14, and 16-20 illustrate details of a docking connector component 800 that may be used with the connector 700 in the connection assembly.
The mating connector component 800 has a proximal portion 800a that is received in the bore 703 of the connector 700 when assembled with the connector 700. Distal portion 800b is disposed at terminal end 407 of aspiration catheter 401. Distal portion 800b may be directly connected to terminal end 407 of the aspiration catheter or may be connected thereto by one or more accessories.
As shown in fig. 17, in some configurations, the distal portion 800b may include an introduction region or connecting portion 831 for receiving the terminal end 407 of the aspiration catheter 401.
The lead-in area 831 may include one or more protrusions 833 to help maintain the aspiration catheter 401 in engagement with the docking connector component 800.
When a plurality of protrusions 833 are provided, the protrusions 833 may be formed along a generally spiral path so that the aspiration catheter 401 having an inner threaded surface may be screwed to the connection portion 831.
In some constructions, the protrusion 833 may be axially disposed on one side of the connection portion 831. That is, there may be two or more protrusions 833 on one side of the connection portion 831. The axially aligned protrusions 833 will also fall into the helical path.
In alternative constructions, the connecting portion 831 can include external threads. The thread may be a full thread extending around the tubular member. Alternatively, the thread may be a partial thread having short thread portions with a gap or space between the short portions.
The aspiration catheter 401 may be helically wound with the path of the protrusions 833 on the connecting portion 831 arranged to generally match the taper/helical arrangement of the helically wound catheter. In some embodiments, the path of the protrusions does not exactly match the helical arrangement of the helically wound catheter, but the path is designed such that the location of the protrusions will engage with the threads of the aspiration catheter 401. The protrusions may be arranged such that the protrusions are positioned at the edges/boundaries of the internally threaded portion of the aspiration catheter 401. The use of a series of protrusions 833 instead of a typical helical thread makes the assembly more tolerant of variations in pipe dimensions.
In some constructions, the protrusions 833 will be arranged to mate with a single turn of the taper, with only the first and last protrusions axially aligned. The axial alignment of the first and last protrusions 833 also prevents, or at least significantly inhibits, axial movement of the inspiratory conduit.
The aspiration catheter 401 may be a composite structure made of two or more different components helically wound to form an elongated tube. Suitable catheters are the tubes described in WO 2012/164407 or US 10,080,866, which documents are incorporated herein by reference in their entirety. The protrusion 833 is placed in alignment with this tube such that the protrusion engages the member by causing the hollow lumen to be compressed.
The second helically wound member may be interwoven with the first member, wherein the second member is made of solid plastic. Once the protrusion 833 is engaged with the first member, the windings of the second member on both sides of the first member prevent axial movement of the inspiratory conduit 401 because the second member is substantially incompressible and therefore cannot pass over the protrusion. Since the first member is slightly wider than the protrusion itself, a slight axial movement is still possible, thereby allowing the protrusion 833 to shift between the boundaries formed by two adjacent windings of the second member.
Such axial movement may be prevented/limited by the two axially aligned protrusions 833 described above. The placement of the protrusions 833 may be varied such that one protrusion 833 engages the lower boundary of the first helical member and the other protrusion 833 engages the upper boundary of the first helical member.
In some constructions, the location of the protrusions 833 may be selected or designed such that the protrusions pinch adjacent/adjacent helical portions of the tube. During manufacture, the wires of the aspiration catheter 401 are exposed before the catheter is connected to the docking connector member 800. The docking connector component 800 may have alignment or lead-in features that locate the exposed wires of the aspiration catheter 401. The alignment or lead-in feature comprises a tapered channel, i.e., tapering down from a wide inlet to a narrow outlet. This allows the wires to be reliably guided to the desired positions so that the electrical contacts on the terminals of the wires can be soldered to the electrical pins.
The proximal portion 800a includes one or more male connection features or locking fingers 820 that extend to the proximal end 804 of the mating connector component 800.
In the illustrated construction, the mating connector component 800 includes a pair of diametrically opposed locking fingers 820. In some constructions, the docking connector component 800 includes one, two, three, four, or more locking fingers 820.
The locking finger 820 includes an engagement feature 810 on an outer surface of the finger 820. The engagement feature 810 is configured to engage with the retention protrusion 710 of the connector 700.
In some constructions, the engagement features 810 include recesses or apertures for receiving the corresponding retention protrusions 710.
When engaged, the edge of the engagement feature 810 nearest the proximal end 804 of the mating connector component (and nearest the tip 822 of the locking finger) engages the retaining face 715 of the retaining protrusion 710 to help prevent the mating connector component from being disengaged from the aperture.
The engagement feature 810 interacts with the retaining face 715 of the retaining protrusion 710 in use to provide the retaining force described above. The retention force is selected to enhance intentional connection and disconnection and to minimize the likelihood of accidental disconnection.
The distal ends 822 of the locking fingers 820 may be at least partially tapered in configuration. That is, at least a portion of the distal end 822 of the locking finger 820 may have a beveled configuration.
When an axial force is applied during insertion, the interaction of engagement surface 721 and mating engagement surface 821 causes relative rotation between the components, thereby causing mating connector component 800 to rotate into alignment (about longitudinal axis LA) during insertion into bore 703 of connector 700 if mating connector component 800 and connector 700 are initially rotationally misaligned. This helps guide the engagement feature 810 into alignment with the retention protrusion if the engagement feature and retention protrusion 710 are initially misaligned.
Each locking finger 820 has an opposing mating engagement surface 821 as described above for engagement with engagement surface 721 of alignment member 720. The interfacing engagement surface 821 includes a torsion portion as described above. In addition to providing a guiding feature, the twisting of the engagement surface 721 and the interfacing engagement surface 821 may also provide tactile feedback during connection.
The interaction of the alignment member 720 and the locking finger 820 may provide a small torsional coupling between the filter inlet 505 and the terminal end 407 of the inspiratory conduit 401, which inhibits unintended disconnection due to torque applied to the filter body 504.
The engagement surface 721 and the mating engagement surface 821 are configured such that a user may rotate the connector 700 about the longitudinal axis LA relative to the mating connector component 800 to disconnect those components from one another. This breaking method is intended to be easier to implement than pulling the parts apart directly in the axial direction. The engagement surfaces 721 and 821 will interact to separate the connector 700 and the mating connector component 800 in the axial direction. Due to the extensive contact between the torsion portions and engagement surfaces 721 and the mating engagement surfaces 821, rotation of the connector 700 relative to the mating connector component 800 will advantageously apply a substantially constant axial force to the connector 700 and the mating connector component 800 in an axial direction separating them. Alternatively, the user may simply pull the connector 700 and the mating connector component 800 apart in the axial direction.
In some configurations, the engagement surfaces 721, 821 may be asymmetric such that the mating connector component 800 and the connector 700 can only be rotationally engaged in one direction (e.g., clockwise) if initially misaligned, and can only be rotationally disengaged in the opposite direction (e.g., counterclockwise).
A recess 805 is provided between the bases of the locking fingers 820. The recess 805 is configured to receive the tip 722 of the alignment feature 721 when the proximal portion 800a is fully received in the bore 703 of the connector 700. In the illustrated construction, there are two recesses 805 between the two locking fingers 820 to receive the two ends 722 of the two alignment members 720. In alternative constructions, there may be a different number of recesses 805 (e.g., three) between a corresponding number of locking fingers 820 to receive a corresponding number of ends 722 of a corresponding number of alignment members 720.
The concavities 805 facilitate assembly and reduce the chance that the alignment members 720 will be over-constrained.
As shown in fig. 17, proximal portion 800a includes an annular sealing recess 843 for receiving seal 841.
The sealing recess 843 is located between the locking finger 820 and the distal portion 800b near the base of the locking finger. In some constructions, the sealing recess is adjacent to the base of the locking finger.
A sealing recess 843 is defined between the first outwardly protruding flange 845 nearer to the locking finger 820 and the second outwardly protruding flange 847 nearer to the distal portion 800 b. The flanges 845, 847 may be substantially continuous annular members or may be discontinuous. The flange may include one or more axial recesses therethrough.
The seal 841 may extend over the first outwardly protruding flange 845 to mount the seal.
In the illustrated construction, a radial projection array 848 including a plurality of angularly spaced, outwardly projecting radial support projections 849 is disposed adjacent the seal recess 843. The radial projection array 848 may help protect the seal 841 from damage during connection of the mating connector component 800 with the connector 700.
The radial projection array 848 may form the first outwardly projecting flange 845 or may be positioned adjacent thereto.
The radial projection array 848 may be substantially continuous around the perimeter of the body 801 or may include one or more discontinuities.
The radial support protrusions 849 of the radial protrusion array 848 may be tapered or beveled such that the front ends 849a of the radial support protrusions 849 have a smaller dimension than the rear ends 849b of the radial protrusions. The tapered configuration may help guide engagement of the proximal portion 800a into the bore 703 of the connector, particularly when the proximal portion 800a is misaligned in the initial insertion bore 703.
When the mating connector component 800 and connector 700 are connected, the radial support protrusions 849 of the radial protrusion array 848 may mate or contact with the inner wall 702 of the body 701 of the connector to limit those components from rocking relative to one another in use.
In the configuration shown in fig. 4 and 12, the mating connector component 800 includes a plurality of stiffening ribs 871, 873.
The stiffening ribs 871, 873 may extend along the inner surface of the mating connector component in the longitudinal or axial direction of the mating connector component 800.
There may be any number of stiffening ribs, but there may be, for example, 1-10 ribs, or 2-8 ribs, or 4-6 ribs, or 2 ribs, or 3 ribs, or 4 ribs, or 6 ribs, or 8 ribs, or 10 ribs.
At least some of the stiffening ribs, particularly stiffening ribs 873, may be provided in the locking finger 820 to stiffen the locking finger 820 while still allowing the locking finger 820 to turn.
The stiffening rib 873 in the locking finger 820 can extend along at least a major portion of the length of the locking finger. The stiffening rib 820 may terminate short of the end 822 of the locking finger.
The stiffening rib 873 may extend, for example, along at least 2/3 of the length of the locking finger 820, alternatively along at least 3/4 of the length of the locking finger, alternatively along at least 4/5 of the length of the locking finger.
At least some of the stiffening ribs 871, 873 may be tapered such that the radial dimension of the end of the stiffening rib that is located closer to the terminal end 804 of the mating connector component 800 between the radially inner and radially outer edges of the respective stiffening rib is smaller than the radial dimension of the stiffening rib between the portions that are located farther from the terminal end 804.
In the configuration shown in fig. 11, 16, 17, and 18, the docking connector component 800 includes one or more anti-shake features 851. When the mating connector component 800 and the connector 700 are connected together, the anti-shake features 851 inhibit shaking of the connector component relative to the connector. For example, the anti-shake feature inhibits small relative rotational displacement about the X-axis or Y-axis as shown in FIG. 3. The anti-shake feature also prevents or reduces movement of the central axes of the mating connector component 800 and the connector 700 relative to each other.
The one or more anti-shake features 851 may include a plurality of angularly spaced radial support protrusions 851 between the sealing recess 843 and the distal portion 800 b. For example, there may be 2, 3, 4, 5, 6 or more angularly spaced radial support protrusions 851.
A plurality of angularly spaced radial support protrusions 851 may be formed or may be positioned adjacent to the second outwardly protruding flange 847.
When the mating connector component 800 and connector 700 are connected, the anti-shake features 851 may mate with or contact the inner wall 702 of the body 701 of the connector to limit those components from shaking relative to one another when in use.
The anti-shake features 851 may be positioned at or near the terminal ends 704 of the apertures 703 when the mating connector component 800 and the connector 700 are connected to one another.
In the illustrated construction, the body 701 of the connector 700 includes one or more external alignment features 761 configured to interact with mating external alignment features 861 on the mating connector component 800.
The external alignment feature 761 may include one or more protrusions or recesses, and the mating external alignment feature 861 may include one or more mating recesses or protrusions. The protrusion will be arranged to be received in the recess.
The protrusions and recesses may be axially oriented.
In the illustrated construction, the external alignment feature 761 includes one or more axially oriented recesses located in the body 701 of the connector at the terminal end 704 of the bore 703. This corresponds to the inlet 505 of the filter 501.
The interfacing external alignment feature 861 includes one or more axially-oriented protrusions extending from a portion of the body 801 in the region between the proximal portion 800a and the distal portion 800 b.
The external alignment feature 761 and the interfacing external alignment feature 861 may have a tapered configuration in the axial direction to help guide features 761, 861 into contact with each other.
The external alignment features 761, 861 are used to physically align the connector 700 and the mating connector component 800 when they are connected to one another. Additionally, external alignment features may provide externally visible assistance to the alignment of connector 700 and mating connector component 800.
The connection assembly may include one, two, three, four or more external alignment features 761 and a mating external alignment feature 861.
The connector 700 and the mating connector component 800, or at least their bodies, described herein may be formed of any suitable material. Example materials include rigid polymeric materials that may be biocompatible. Example materials may include Polycarbonate (PC), polyethylene (PE), acrylonitrile Butadiene Styrene (ABS), or polypropylene (PP).
In the illustrated construction, a sleeve 881 is disposed at least substantially around the distal portion 800b of the docking connector member 800, the sleeve 881 extending substantially longitudinally along at least a portion of the length of the body 801 and the inspiratory conduit 401.
The sleeve 881 may comprise a compliant material. The sleeve 881 may, for example, comprise an elastic or resilient type of material, such as a silicone or thermoplastic elastomer (TPE) type of material.
A portion of the sleeve 881 may include a locking feature 883, such as shown in fig. 4, for engaging the sleeve with another portion of the docking connector member 800. In the configuration shown in fig. 4, the locking feature engages an optional overmold 885 on the distal portion 800b of the mating connector component 800.
The sleeve 881 may include a shaped portion corresponding to the shape of the external alignment feature 861.
In configurations such as shown in fig. 6 (a), 13 and 17, the docking connector component 800 includes a recess 891 for receiving or housing a patient-end electrical component 892. The patient-side electrical component 1892 may include a Printed Circuit Board (PCB).
For example, the PCB may be disposed on a relatively flat board and may be inserted into the body aperture of the connector component 1800. The PCB may be used for various reasons and may have circuitry to facilitate in some particular configurations: control, sensing (e.g., temperature, humidity, flow rate), heating (e.g., a heater wire), or other electronic components for a respiratory conduit to be used as part of a respiratory circuit.
The patient-end electrical component 1892 may be permanently attached or removable or integral with the connector component.
The recess 891 includes two diametrically opposed radially extending slots extending outwardly from an inner wall of the body 801. The slots are configured to hold the patient-end electrical component 892 in place across the holes 808 and/or holes 803.
As shown in fig. 17, the docking connector component 800 may include electrical and/or data connections 893 to provide electrical and/or data connections with the patient-side electrical component 892.
The patient-side electrical component 892 may include any suitable type of sensor. For example, the patient-side electrical components may include transducers, thermistors, pressure sensors, temperature sensors, humidity sensors, or other sensors. The patient-side electrical component 892 may be in communication with the controller 205 to monitor characteristics of the gas flow and/or to operate the device in a manner that provides suitable therapy. The gas flow characteristics may include gas concentration, flow rate, pressure, temperature, humidity, or other characteristics. The controller 205 may receive the output of the sensor to assist it in operating the breathing assistance apparatus in a manner that provides the appropriate therapy to determine the appropriate target temperature, flow rate, and/or pressure for the gas flow. Providing a suitable treatment may include meeting the patient's inhalation needs.
Fig. 21-27 illustrate a connector component 1800 that provides an alternative mating connector component of a connection assembly. Connector assembly 1800 may be used in conjunction with a connection assembly with connector 700 in substantially the same manner as described above for connector assembly 800. The features, functions and options are the same as those of connector component 800 unless otherwise described below. Like reference numerals indicate like parts, but increased by 1000.
Connector component 1800 includes a plurality of male engagement fingers 1820, which may also be referred to herein as locking fingers. Each male engagement finger 1820 includes a length FL (fig. 24) in the axial direction of the connector member 1800. A sleeve 1881 having a gripping surface 1886 is disposed on the exterior of the connector member 1800.
The gripping surface 1886 is offset relative to the male engagement finger 1820 at least partially about the outer surface of the connector component so as to be at least partially oriented in the lateral direction LD relative to the length FL of the male engagement finger.
This allows a user to perform a "roll-out" disconnection between connector 700 and connector component 1800, wherein the user moves connector component 1800 in a lateral direction (transverse to male engagement fingers 1820) by applying a moment to sleeve 1881 and thereby to connector component 1800 to disconnect connector 700 and mate connector component 1800.
In the illustrated configuration, the gripping surface 1886 is oriented in a direction LD that is substantially orthogonal to a plane (not shown) intersecting the length FL of the male engagement finger 1820.
In the illustrated configuration, the gripping surface 1886 is oriented in a direction LD that is substantially orthogonal to a plane (not shown) intersecting the length FL of the male engagement finger 1820.
A gripping surface 1886 is provided on the exterior of the sleeve 1881.
The gripping surface 1886 may include a surface texture that provides a gripping surface for a user. In the illustrated construction, the gripping surface 1886 includes one or more protrusions 1886a that protrude outwardly from the wall of the sleeve 1881. Additionally or alternatively, the gripping surface 1886 may include one or more recesses extending inwardly into the wall of the sleeve 1881. The protrusions and/or recesses may extend partially through the perimeter of the wall of the sleeve 1881 in a lateral direction to enable application of an axial force to the connector component 1800. For example, the protrusions and/or recesses may comprise a spline or wave or curved configuration having portions extending in the lateral direction. In another configuration, the protrusions and/or recesses may extend substantially in a lateral direction. In this configuration, the protrusions and/or recesses may be substantially straight.
Additionally or alternatively, the gripping surface 1886 may include a rough or high friction surface finish.
The gripping surface 1886 is at least partially framed by surface features 1887. In some constructions, the gripping surface 1886 is substantially framed by surface features 1887. In the illustrated construction, at least two opposing sides 1886b, 1886c of the gripping surface 1886 and at least three sides 1886b, 1886c, 1886d, optionally including two opposing sides 1886b, 1886c, are framed by the surface features 1887. Substantially the entire gripping surface 1886 may be framed by the surface features 1887.
In the illustrated construction, the surface features 1887 include recesses or channels in the outer wall of the sleeve 1886. The recess or channel may be continuous or discontinuous. In alternative constructions, the surface features 1887 may include protrusions (not shown) extending outwardly, optionally radially outwardly, from the outer wall of the sleeve. The protrusions may be continuous or discontinuous.
The surface features 1887 at least partially frame the gripping surface 1886 to indicate to a user the location where to grasp the connector member 1800. When the surface features 1887 include recesses or channels, the recesses or channels may serve as safety features to inhibit the chance of a larger connector being misconnected on the connector and sleeve 1886 of the connector component 1800, and may provide a leakage path. When the connection is incorrect, the recess or channel acts as a safety mechanism to provide intentional leakage. Such intentional leakage may trigger a leakage alarm in some flow control devices, indicating to the user that the system is not properly set.
In the illustrated construction, the connector component 1800 includes two diametrically opposed male engagement fingers 1820 and the sleeve 1881 includes two diametrically opposed gripping surfaces 1886. Each gripping surface 1886 may have any one or more of the features described herein.
In the illustrated construction, the gripping surface 1886 is offset relative to the male engagement finger 1820 about the circumference of the sleeve 1881. Thus, the gripping surface 1886 aligns with the recess 1805 between the bases of the male engagement fingers 1820 when viewed from the free end of the connector component 1800.
In the illustrated configuration, a plane extending through the longitudinal center of the gripping surface 1886 will be orthogonal to a plane extending through the length FL of the male engagement finger, the intersection of the two planes being coaxial with the longitudinal axis LA of the connector member 1800.
In alternative constructions, the connector component 1800 may have a different number of male engagement fingers 1820 and a different number of gripping surfaces 1886. For example, the connector component 1800 may have three male engagement fingers 1820 spaced around the connector component 1800, and may further include three gripping surfaces 1886 offset relative to those male engagement fingers 1820 around the circumference of the sleeve 1881.
The male engagement fingers 1820 are configured to be received by the female connector 700.
As discussed above with respect to connector component 800, male engagement fingers 1820 may each include engagement features 1810 on an outer surface of the fingers.
In the illustrated construction, the engagement features 1810 each include a recess or aperture for receiving a corresponding retention protrusion 710 extending from an inner wall of the female connector 700.
As discussed above with respect to connector component 800, male engagement fingers 1820 may each include an engagement surface 1821 for engaging with the mating engagement surface 721 of connector 700.
Each engagement surface 721, 821 includes a torsion portion.
The end 1821a or a portion of the end of each male engagement finger 1820 has a beveled configuration.
Connector component 1800 includes a seal 1841 adjacent to the base of male engagement finger 1820. The seal 1821 may include a pressure seal, alternatively the seal 1821 may include a T-shaped pressure seal.
A seal 1841 is disposed in the recess 1843.
For example, as shown in fig. 22 (c), the cuff 1881 has a tapered configuration in which the lateral dimension of the portion 1881a of the cuff proximate to the male engagement finger 1820 is greater than the lateral dimension of the portion 1881b of the cuff further from the male engagement finger 1820.
Comparing fig. 22 (a) with fig. 22 (b) and 22 (c), the edges of the sleeve having gripping surfaces 1886 may be substantially parallel or slightly tapered, and the edges of the sleeve passing through the non-gripping section (i.e., perpendicular to the grip section) may taper more.
The gripping surface 1886 is substantially aligned with a portion of the sleeve adjacent the male engagement finger in the axial direction of the connector member. That is, while the surfaces of the sleeve having gripping surfaces 1886 may be substantially parallel or only slightly tapered, their gripping surfaces 1886 are aligned with the wider portions of the sleeve.
Because the gripping surface 1886 is aligned or positioned on the wider portion of the tapered sleeve 1881, this, in addition to including surface texture, evokes in the brain of the user where to grasp the assembly to engage/disengage the connector component 1800 with the connector 700.
The connector component 1800 may include at least one external alignment feature 1861.
The external alignment feature 1861 may include a recess or protrusion to engage with a mating protrusion or recess 761 on the connector.
The connector component includes stiffening ribs 1873 along the inner surface of the male engagement finger 1820.
In the illustrated configuration, the number of ribs 1873 of the connector component 1800 is reduced as compared to the ribs 871, 873 of the connector component 800. Additionally, the ribs 1873 are not oriented radially inward from the inner wall of the connector component 1800, but are in an opposing relationship, with the ribs 1873 on one side of the bore of the connector component oriented toward the ribs 1873 on the other side of the bore in a substantially planar arrangement.
Connector member 1800 includes a patient-side electrical component 1892 disposed in the gas flow lumen. The patient-side electrical component 1892 may include a Printed Circuit Board (PCB).
For example, the PCB may be disposed on a relatively flat board and may be inserted into the body aperture of the connector component 1800. The PCB may be used for various reasons and may have circuitry to facilitate in some particular configurations: control, sensing (e.g., temperature, humidity, flow rate), heating (e.g., a heater wire), or other electronic components for a respiratory conduit to be used as part of a respiratory circuit.
The patient-end electrical component 1892 may be permanently attached or removable or integral with the connector component.
Recess 1891 includes two diametrically opposed, radially extending slots extending outwardly from an inner wall of body 1801. The slots are configured to hold the patient-end electrical component 1892 in place across the aperture of the connector component 1800.
Referring to fig. 25 and 27, the inner surface of the sleeve 1881 includes a locking feature to engage the sleeve with another portion of the connector member 1800.
In the illustrated construction, the locking feature includes opposing protrusions 1883 on the inner surface of the sleeve 1881 to engage opposing recesses 1884 on the body of the connector component. The opposing protrusions 1883 are aligned with the gripping surface 1886. That is, the protrusions 1883 are radially inward (preferably directly) of the gripping surface 1886 when viewed from the free end of the connector part 1800. When a force directed toward the central axis LA is applied to the gripping surface 1886 of the sleeve, the force may be transferred to the body 1801, either partially or completely, through the protrusions 1883 and recesses 1884. This inward force (toward the central axis LA) enhances the user's grip on the connector part 1800, for example for disengaging the connector part 1800 from the connector 700.
Connector component 1800 may include overmold 1885 on body 1801, and opposing recess 1884 may be provided in overmold 1885. Alternatively, the opposing recess 1884 may be provided directly on the body 1801.
The sleeve 1881 may be made of any suitable material, such as a compliant material. The sleeve 1881 may, for example, comprise an elastic or resilient type of material, such as a silicone or thermoplastic elastomer (TPE) type of material. In some constructions, the sleeve 1881 includes a thermoplastic elastomer material. In some constructions, the thermoplastic elastomer includes, for example, a thermoplastic vulcanizate.
Referring to fig. 23 (b), for example, the base of recess 1805 is more concave than the base of substantially planar recess 805.
Referring to fig. 28 (a) and 28 (b), the engagement surface 1821 of the male engagement finger 1820 has a different shape than the engagement surface 821 of the locking finger 820. In particular, the engagement surface 1821 has a longer (in the direction of the longitudinal axis LA) and narrower (in the direction transverse to the longitudinal axis LA) overall configuration than the engagement surface 821. The base of the engagement surface 821 (in the encircled area a and on the opposite side) has a laterally wider and more outwardly curved configuration. The base of the engagement surface 1821 (in the circled area a' and on the opposite side) has a laterally narrower and more inwardly curved configuration. That is, the base of the engagement surface 821 is laterally convex when viewed from either side of the finger 820. The base of the engagement surface 1821 is laterally concave when viewed from either side of the finger 1820. In general, the shape of the sides and ends of the engagement surface 1821 is more serpentine than the shape of the sides and ends of the engagement surface 821.
Fig. 62-65, 66-68, 69-72, and 73-75 illustrate alternative connectors 8700, 9700, 10700, 11700 for use in the respiratory system. Connectors 8700, 9700, 10700, 11700 are used to connect a first respiratory component to a second respiratory component. For example, connectors 8700, 9700, 10700, 11700 may be used to connect the filters 501, 1501 to the inspiratory conduit 401. In alternative constructions or applications, the first respiratory component and the second respiratory component may include different components, such as a catheter, a breathing tube, a patient interface, a noninvasive ventilation mask, a tee or wye for an accessory such as a nebulizer or other accessory, a nebulizer, a heat-moisture exchanger (HME), a cannula, or any two suitable components within a respiratory circuit. The connectors 8700, 9700, 10700, 11700 may be used as or in an adapter.
Connectors 8700, 9700, 10700, 11700 may be provided at filter inlets 505, 1505 of filters 501, 1501. Connectors 8700, 9700, 10700, 11700 may be attached or integrally formed with filter housings 504, 1504.
In the illustrated construction, the connectors 8700, 9700, 10700, 11700 are configured for use in a connection assembly with a mating connector component 1800. In alternative constructions, the connectors 8700, 9700, 10700, 11700 may be configured for use with the docking connector member 800 or any other suitable docking connector member.
Fig. 62-65 illustrate a first alternative connector 8700.
Connector 8700 includes a body 8701 that includes an engagement portion 8701a configured to be received in a bore 1822 of mating connector component 1800. At least an outer surface 8701a' of the engagement portion 8701a includes a compliant material. The compliant material is configured to at least generally conform to the walls 1801 of the aperture 1822 of the docking connector component 1800 when the engagement portion 8701a is received in the aperture 1822 of the docking connector component 1800.
The compliant material may be configured to substantially conform to the wall 1801 when the engagement portion 8701a is received in the aperture 1822 of the mating connector component.
For example, the compliant material may include an elastomeric material or an elastic-type material, such as a silicone or thermoplastic elastomer (TPE) type material. In some constructions, the compliant material includes a thermoplastic elastomer material. In some constructions, the thermoplastic elastomer includes, for example, a thermoplastic vulcanizate.
In some constructions, the entire connector 8700 includes a compliant material. In an alternative configuration, at least a portion of the connector 8700 includes a less compliant material in addition to the engagement portion 8701a.
In some constructions, the less compliant material includes a rigid polymeric material that may be biocompatible. Example materials may include Polycarbonate (PC), polyethylene (PE), acrylonitrile Butadiene Styrene (ABS), or polypropylene (PP).
The body 8701 includes at least one alignment feature 8720.
In the illustrated construction, the at least one alignment feature 8720 is configured to mate with one or more docking alignment features 1873 of the docking connector component 1800.
The at least one alignment feature 8720 is an external alignment feature disposed on or in the outer surface 8720 of the engagement portion 8701a of the connector member 8700.
The at least one alignment feature 8720 is configured to mate with one or more mating internal alignment features 1873 in the aperture 1822 of the mating connector component 1800.
The at least one alignment feature 8720 may be a female alignment feature or may be a male alignment feature. The at least one docking alignment feature 1873 may be a male alignment feature or may be a female alignment feature. Each of the connector 8700 and the mating connector component 1800 may include a combination of male and female alignment features/mating alignment features.
In the illustrated construction, the docking alignment feature 1873 includes a stiffening rib along the inner surface of the male engagement finger 1820. In the illustrated construction, the mating alignment feature 1873 is a stiffening rib extending in the axial direction of the mating connector component 1800. Alternatively, the docking alignment feature 1873 may include different components.
In some constructions, the connector 8700 includes a plurality of alignment features 8720. In some constructions, the docking connector component 1800 includes a corresponding plurality of docking alignment features 1873.
The plurality of alignment features 8720 are angularly spaced around the perimeter of the engagement portion 8701 a. The alignment features 8720 may be substantially evenly spaced about the perimeter or may be unevenly spaced.
The connector 8700 can include two, three, four, or more alignment features 8720. Alternatively, the connector 8700 can include a single alignment feature 8720.
The body includes a terminal 8704 configured to be received in a bore 1822 of the docking connector component 1800.
Alignment feature 8720 extends from terminal 8704 in a direction away from terminal 8704.
The alignment feature 8720 may extend in the axial direction of the connector 8700.
In the illustrated construction, the docking connector component 1800 includes engagement fingers 1820, and the aperture 1822 of the docking connector component 1800 is between the engagement fingers 1820. In alternative constructions, the aperture 1822 may be disposed elsewhere in the docking connector component 1800.
The body 8701 of the connector defines an aperture 8703 that defines a gas lumen.
The bore 8703 of the connector extends from the terminal end 8704 of the body 8701 in a direction away from the terminal end 8704.
As shown in fig. 63, the bore 8703 of the connector includes a taper 8000A1 between opposing surfaces of the bore such that the lateral dimension of the portion of the bore 8703 proximate the terminal end 8704 is greater than the lateral dimension of the portion of the bore 8703 further from the terminal end 8704.
In some constructions, the taper 8000A1 is between about 0 degrees and about 15 degrees. In some constructions, the taper 8000A1 is between about 0 degrees and up to about 15 degrees.
The engagement portion 8701a is configured to be received in the aperture 1822 of the mating connector component 1800 by frictional engagement. Once the engagement portion 8701a is received in the bore 1822, the engagement portion is retained therein in use by frictional engagement between the engagement portion 8701a and the wall 1801 of the bore 1822.
The outer surface 8701a' of the engagement portion 8701a can be configured to form a seal with the wall 1801 of the aperture 1822 of the mating connector component.
The outer surface 8701a ' of the engagement portion 8701 can include a taper such that the lateral dimension of the portion of the outer surface 8701a ' proximate the terminal end 8704 is smaller than the lateral dimension of the portion of the outer surface 8701a ' farther from the terminal end 8704.
The distal portion 8701b of the body 8701, which is distal from the terminal end 8704, can be configured to engage with, e.g., be received in, or can be located in, the first respiratory component. For example, the distal portion 8701b of the body may be configured to engage, be received in, or be located in, the filter inlets 505, 1505 of the filters 501, 1501, for example.
Similar to the engagement portion 8701a, an outer surface 8701a' of the distal portion 8701b can include a compliant material. The compliant material is configured to at least substantially conform to a wall of the first respiratory component. For example, the compliant material may be of the type described above for the outer surface 8701 a'.
The compliant material may be configured to substantially conform to a wall of the first respiratory component when the distal portion 8701b is engaged with the first respiratory component.
In the illustrated configuration, the lateral outer dimension of the outer surface 8701a 'is greater than the outer surface 8701 b'. Alternatively, the lateral outer dimension of the outer surface 8701a 'is smaller than the outer surface 8701b', or they may have the same dimensions.
The bore 8703 extends through the engagement portion 8701a of the body and through the distal portion 8701b of the body.
In the illustrated construction, the portion of the bore 8703 in the distal portion 8701b includes a taper 8000A2 located between opposing surfaces of the bore opposite the taper 8000A1 in the engagement portion. That is, within distal portion 8701b, the lateral dimension of the portion of bore 8703 adjacent engagement portion 8701a is smaller than the lateral dimension of the portion of bore 8703 further from engagement portion 8701 a.
In alternative constructions, the aperture 8703 may have the same dimensions from the terminal end 8704 up to the opposite end of the aperture 8703. In another alternative configuration, the taper 8000A1 or 8000A2 may be continuous along the entire length of the bore 8703.
In some constructions, the taper 8000A2 is between about 0 degrees and about 15 degrees. In some constructions, the taper 8000A2 is between about 0 degrees and up to about 15 degrees.
The engagement portion 8701a and distal portion 8701b can include external tapers 8000A3, 8000A4. For example, the taper may be a standard medical taper.
Fig. 66 and 68 illustrate a second alternative connector 9700.
The connector 9700 includes a body 9701 that defines an aperture 9703 for receiving the mating connector component 1800. The bore 9703 has a terminal end 9704 that provides access to the bore 9703 for the mating connector component 1800.
The aperture 9703 defines a gas lumen.
The connector includes at least one internal retention feature 9710 and at least one external alignment feature 9761.
The at least one external alignment feature 9761 is configured to interact with a mating external alignment feature 1861 on the mating connector component 1800.
The at least one external alignment feature 9761 includes one or more protrusions or recesses configured to interact with one or more mating recesses or protrusions on the mating connector component 1800.
One or more protrusions or recesses of connector 9700 may be axially oriented.
The protrusion will be arranged to be received in the recess.
In the illustrated construction, the external alignment feature 9761 includes one or more axially oriented recesses located at the terminal end 9704 of the bore 9703 in the body 9701 of the connector 9700.
The interfacing external alignment feature 1861 includes one or more axially-oriented protrusions that protrude from a portion of the body 1801 in the region between the proximal portion 1800a and the distal portion 1800 b.
The external alignment feature 9761 and the interfacing external alignment feature 1861 may have a tapered configuration in the axial direction to help guide the features 9761, 1861 into contact with one another.
The axial dimension of the external alignment feature 9761 and the interfacing external alignment feature 1861 may be less than the circumferential dimension. In some constructions, the axial dimension is less than half the circumferential dimension.
The external alignment features 9761, 1861 are used to physically align the connector 9700 and the mating connector component 1800 when they are connected to one another. Additionally, external alignment features may provide externally visible assistance to the alignment of connector 9700 and mating connector component 1800.
At least one external alignment feature 9761 is located at or adjacent to a terminal end 9704 of the aperture 9703.
The connection assembly may include one, two, three, four or more external alignment features 9761 and a docking external alignment feature 1861.
The at least one internal retention feature 9710 includes at least one retention protrusion extending from an inner wall 9702 of the body 9701 into the aperture 9703.
In the illustrated construction, the at least one internal retention feature 9710 includes a single retention protrusion.
The single retention protrusion 9710 has an annular configuration.
In alternative constructions, a single retention protrusion may extend around only a portion of the aperture 9703.
In an alternative configuration, the at least one internal retention feature 9710 may include a plurality of retention protrusions angularly spaced about the aperture. The plurality of retention tabs may be approximately annular in configuration or may include a significantly larger angular space between the retention tabs.
The at least one internal retention feature 9710 is configured to engage at least one engagement feature on the mating connector component 1800.
In the illustrated construction, at least one engagement feature includes or is provided by an outwardly projecting flange 1845 of the docking connector component 1800.
In alternative constructions, at least one engagement feature may be provided by one or more different components on the docking connector component 1800.
The connector includes a sealing region 9705 (fig. 68) for engagement with a seal 1841 on the mating connector component 1800.
The sealing region 9705 is closer to the terminal end 9704 of the aperture 9703 than the internal retention feature 9710.
The connector 9700 may include a compliant material. The compliant material may be of the type described above for the compliant material of connector 8700.
In the illustrated construction, the body 9701 of the connector 9700 includes a distal portion 9701b. The distal portion 9701b may have any one or more of the features described above for the distal portion 8701b of the connector 8700.
In the illustrated construction, the docking connector component 1800 includes engagement fingers 1820. When the connection assembly is assembled, engagement fingers 1822 of the docking connector component 1800 are received in the holes 9703.
Fig. 69-72 show a third alternative connector 10700.
The connector 10700 includes a body 10701 defining a bore 10703 for receiving the mating connector component 1800. The bore 10703 has a terminal 10704 that provides access to the bore 10703 for the mating connector element 1800.
The bore 10703 defines a gas lumen.
The connector 10700 may include at least one alignment feature 10720, 10761.
The connector 10700 includes at least one releasable latch member 10710 for engagement with the mating connector component 1800.
The at least one alignment feature 10720, 10761 is configured to align the at least one releasable latch member 10710 with the at least one mating engagement feature 1861 on the mating connector component 1800.
The at least one alignment feature includes at least one internal alignment feature 10720 and/or at least one external alignment feature 10761.
The at least one internal alignment feature 10720 includes at least one alignment member 10720a that extends from an inner wall 10702 of the body 10701 into the bore 10703.
The at least one alignment member 10720a is configured to be received in a recess 1805 in the mating connector component 1800.
In the illustrated configuration, recess 1805 is located between engagement fingers 1820 of mating connector component 1800. Alternatively, recess 1805 may be provided elsewhere in docking connector component 1800.
The connector 10700 may include a plurality of angularly spaced internal alignment features 10720, and the mating connector component 1800 may include a corresponding plurality of angularly spaced recesses 1805. In alternative constructions, the connector 10700 may include a single internal alignment feature 10720 and the mating connector component 1800 may include a single recess 1805. In alternative constructions, there may be no internal alignment features, but the connector 10700 and the mating connector component may include only external alignment features.
The internal alignment features 10720 may be substantially evenly spaced around the perimeter or may be unevenly spaced.
The at least one external alignment feature 10761 is configured to interact with at least one mating external alignment feature 1861 on the mating connector component 1800.
The at least one external alignment feature 10761 includes one or more protrusions or recesses configured to interact with one or more mating recesses or protrusions on the mating connector component 1800.
The one or more protrusions or recesses of the connector may be axially oriented.
The protrusion will be arranged to be received in the recess.
In the illustrated construction, the external alignment feature 10761 includes one or more axially oriented recesses located at the terminal end 10704 of the hole 9703 in the body 10701 of the connector 10700.
The interfacing external alignment feature 1861 includes one or more axially-oriented protrusions that protrude from a portion of the body 1801 in the region between the proximal portion 1800a and the distal portion 1800 b.
The external alignment feature 10761 and the interfacing external alignment feature 1861 may have a tapered configuration in the axial direction to help guide features 10761, 1861 into contact with each other.
The external alignment features 10761, 1861 are used to physically align the connector 10700 and the mating connector component 1800 when they are connected to one another. Additionally, external alignment features may provide externally visible assistance to the alignment of the connector 10700 and the mating connector component 1800.
The connection assembly may include one, two, three, four or more external alignment features 9761 and a docking external alignment feature 1861.
In some constructions, at least one external alignment feature 10761 is located at or adjacent to a terminal end 10704 of the bore 10703.
The at least one releasable latch member 10710 is configured to engage with at least one mating engagement feature on the mating connector component 1800.
The connector 10700 is held in connection with the mating connector part 1800 when the at least one releasable latch member 10710 is engaged with the at least one mating engagement feature on the mating connector part 1800. The at least one releasable latch member 10710 is releasable to enable the connector 10700 to be disconnected from the mating connector component 1800.
In the illustrated configuration, at least one engagement feature is on a mating external alignment feature 1861 on the mating connector component 1800.
More specifically, the at least one docking engagement feature includes a wall 1861a that docks with the external alignment feature 1861. The wall may be located at a terminal end that abuts the external alignment feature 1861.
The sleeve 1881 may include a compliant material as described above to enable the sleeve 1881 to flex to avoid the releasable latch member 10710 when engaged with the docking connector component 1800. Alternatively, the sleeve 1881 may be absent or may include a cutout to provide a recess for receiving the locking portion of the releasable latch member 10710.
In some constructions, the at least one releasable latch member 10710 includes a latch body 10711 having a locking portion 10712 for engagement with the mating connector component 1800.
The locking portion 10712 extends radially inward from the latch body 10711.
The latch body 10711 of the at least one releasable latch member 10710 is selectively movable from a locked configuration in which the locking portion 10712 is engaged with the mating connector component 1800 to an unlocked configuration in which the locking portion 10712 is disengaged from the mating connector component 1800.
The releasable latch member is shown in an engaged configuration in fig. 69-72. In the unlocked configuration, the locking portion 10712 will be radially outward of the position shown.
The at least one releasable latch member 10710 is in a locked configuration in a rest configuration of the at least one releasable latch member 10710.
The at least one releasable latch member 10710 is biased to the locked configuration. The at least one releasable latch member 10710 may be so biased by a biasing means and/or by the elasticity of the material of the at least one releasable latch member 10710.
The connector portion 10713 may connect the latch body 10711 to the body 10701 of the connector 10700. The connector portion 10713 may be configured to enable selective movement of the latch body 10711 relative to the body 10701 of the connector 10700.
In one exemplary configuration, the connector portion 10713 may include a pivot. Biasing means, such as torsion springs, tension springs, compression springs, leaf springs or elastic members, may be associated with the pivot shaft. The biasing means will be configured to bias the at least one releasable latch member 10710 into the locking configuration.
In another example configuration, the connector portion 10713 may include a resilient member that may flex to enable the latch body 10711 to selectively move relative to the body 10701 of the connector 10700.
In some constructions, the at least one releasable latch member 10710 may include a rigid polymeric material that may be biocompatible. Example materials may include Polycarbonate (PC), polyethylene (PE), acrylonitrile Butadiene Styrene (ABS), or polypropylene (PP). In some constructions, the entire connector 10700 may contain such materials.
In some constructions, the body 10701 may include a compliant material. For example, the compliant material may include an elastomeric material or an elastic-type material, such as a silicone or thermoplastic elastomer (TPE) type material. In some constructions, the compliant material includes a thermoplastic elastomer material. In some constructions, the thermoplastic elastomer includes, for example, a thermoplastic vulcanizate.
The at least one releasable latch member 10710 includes an actuation surface 10714 to enable a user to selectively move the latch body 10711 to the unlocked configuration.
The actuation surface 10714 of the at least one releasable latch member 10710 is located at an end of the latch body 10711 opposite the locking portion 10712.
The actuation surface 10714 may be urged radially inward (toward the center of the connector 10700) to move the locking portion 10712 radially outward.
In some constructions, the at least one releasable latch member 10710 may be released by applying a significant force to pull the connector 10700 and the mating connector component 1800 apart in the axial direction. In other constructions, the at least one releasable latch member 10710 cannot be released by applying a large force to the connector 10700 and the mating connector component 1800 in the axial direction without selectively moving the at least one releasable latch member 10710 to the unlocked configuration.
The connector 10700 may include one, two, three or more releasable latch members 10710.
In the illustrated construction, the body 10701 of the connector 10700 includes a distal portion 10701b. The distal portion 10701b may have any one or more of the features described above for the distal portion 8701b of the connector 8700.
The connector includes a sealing region 10705 (fig. 72) for engagement with a seal 1841 on the mating connector component 1800.
The sealing area is provided by an inner wall 10702 of the body 10701 of the connector 10700.
The sealing region 10705 is located at or adjacent to the terminal end 10704 of the bore 10703.
In the illustrated construction, the docking connector component 1800 includes engagement fingers 1820. When the connection assembly is assembled, the engagement fingers 1822 of the docking connector component 1800 are received in the holes 10703.
Fig. 73-75 illustrate a fourth alternative connector 11700.
The connector 11700 includes a body 11701 including a radially inner wall 11702a, a radially outer wall 11702b, and a cavity 11702c between the radially inner wall 11702a and the radially outer wall 11702b for receiving the mating connector element 1800. In the illustrated construction, the cavity receives engagement fingers 1820 of the docking connector component 1800. Cavity 11703c has a terminal 11704 that provides access to cavity 11703c for the docking connector assembly 1800. The connector may include at least one external alignment feature 11761.
The at least one external alignment feature 11761 is configured to interact with a mating external alignment feature 1861 on the mating connector component 1800.
The at least one external alignment feature 11761 includes one or more protrusions or recesses configured to interact with one or more mating recesses or protrusions on the mating connector component.
The one or more protrusions or recesses of the connector may be axially oriented.
The protrusion will be arranged to be received in the recess.
In the illustrated construction, the external alignment feature 11761 includes one or more axially oriented recesses located at the terminal 11704 of the hollow 11702c of the body 11701 of the connector 11700.
The interfacing external alignment feature 1861 includes one or more axially-oriented protrusions that protrude from a portion of the body 1801 in the region between the proximal portion 1800a and the distal portion 1800 b.
The external alignment feature 11761 and the interfacing external alignment feature 1861 can have a tapered configuration in the axial direction to help guide features 11761, 1861 to contact one another.
The external alignment features 11761, 1861 are used to physically align the connector 11700 and the mating connector component 1800 when they are connected to one another. Additionally, external alignment features may provide externally visible assistance to the alignment of the connector 11700 and the mating connector component 1800.
The connection assembly may include one, two, three, four or more external alignment features 11761 and a docking external alignment feature 1861.
At least one external alignment feature 11761 is located at or adjacent to the terminal 11704 of the cavity 11702 c.
The body 11701 may include at least one additional alignment feature (not shown in fig. 73-75). For example, the body 11701 can include an alignment feature 8720 as discussed above with respect to the connector 8700.
The at least one additional alignment feature 8720 may be configured to mate with one or more mating additional alignment features 1873 of the mating connector component 1800.
At least one additional alignment feature 8720 can be disposed on an outer surface of the radially inner wall 11702a of the body 11701 of the connector 11700.
The features, options, and functions of the at least one additional alignment feature may be as described above for alignment feature 8720 of connector 8700.
The aperture 11703 of the connector member extends from the terminal 11704 in a direction away from the terminal 11704.
The aperture 11703 defines a gas lumen.
As shown in fig. 75, the aperture 11703 of the connector 11700 includes a taper 11000A1 between opposing surfaces of the aperture such that the lateral dimension of the portion of the aperture 11703 proximate the terminal 11704 is greater than the lateral dimension of the portion of the aperture 11703 further from the terminal 11704.
In some constructions, the taper 11000A1 is between about 0 degrees and about 15 degrees. In some constructions, the taper 11000A1 is between about 0 degrees and up to about 15 degrees.
As shown in fig. 75, cavity 11702c includes a taper 11000A3 between radially inner wall 11702a and radially outer wall 11702b such that the lateral dimension of the portion of the cavity proximate terminal 11704 is greater than the lateral dimension of the portion of the cavity farther from terminal 11704. The taper may help enable insertion of the mating connector element 1800 into the cavity 11702 c.
In some constructions, the taper 11000A3 is between about 0 degrees and about 15 degrees. In some constructions, the taper 11000A3 is between about 0 degrees and up to about 15 degrees.
The connector 11700 includes a sealing region 11705 for engagement with a seal 1841 on the mating connector component 1800.
The sealing area 11705 is provided by the inner surface of the radially outer wall 11702 b.
The seal region 11075 is adjacent to the terminal 11704 of the cavity.
The radially inner wall 11702a is configured for receipt in a bore 1822 of the mating connector component 1800 with frictional engagement therebetween. Once the radially inner wall 11702a is received in the bore 1822, the radially inner wall is retained in the bore in use by frictional engagement between the radially inner wall 11802a and the wall 8702 of the bore 8722.
In the illustrated construction, the docking connector component 1800 includes engagement fingers 1820, and the aperture 1822 of the docking connector component 1800 is between the engagement fingers 1820. In alternative constructions, the aperture 1822 may be disposed elsewhere in the docking connector component 1800.
When the connection assembly is assembled, the engagement fingers 1822 of the docking connector component 1800 are received in the cavity 11702 c.
In some constructions, the connector component includes a compliant material. In some constructions, a portion of the radially inner wall 11702a includes a compliant material. In some constructions, the radially outer wall 11702b includes a compliant material. In some constructions, a portion of the radially inner wall 11702a and a portion of the radially outer wall 11702b comprise a compliant material. For example, the compliant material may include an elastomeric material or an elastic-type material, such as a silicone or thermoplastic elastomer (TPE) type material. In some constructions, the compliant material includes a thermoplastic elastomer material. In some constructions, the thermoplastic elastomer includes, for example, a thermoplastic vulcanizate.
In the illustrated construction, the body 11701 of the connector 11700 includes a distal portion 11701b. The distal portion 10701b may have any one or more of the features described above for the distal portion 8701b of the connector 8700.
The bodies 8701, 9701, 10701, 11701 are shown as being generally circular in cross-section transverse to the axial direction of the body. It should be appreciated that the bodies 8701, 9701, 10701, 11701 may have different cross-sectional shapes depending on the shape of the mating connector component.
Fig. 29 (a) to 31 (e) show an alternative filter 1501 for use in the respiratory system. The features, functions and options are the same as those of the filter 501, unless described differently below. Like reference numerals indicate like parts, but increased by 1000.
The filter 1501 includes a filter housing 1504, an inlet port 1505 for gas flow, and an outlet port 1507 for gas flow. The filter housing 1504 includes a cavity 1506 that contains a filter material 1508 in a flow path through the filter. The filter material 1508 has a first side 1508a adjacent the inlet port 1505 and a second side 1508b adjacent the outlet port 1507. The filter 1501 further includes a tab 1509 adjacent the outlet port 1507 and extending toward the second side 1508b of the filter material 1508.
Condensate may form in the filter due to environmental factors, such as the ambient temperature surrounding the filter housing. When humidified gases are used to provide therapy, mobile condensate may form due to saturation of the filter material and temperature gradients.
The protrusion 1509 is configured to inhibit liquid flow between the cavity 1506 and the outlet port 1507. This enables the protrusion 1509 to prevent mobile condensate from exiting the filter housing 1504 via the outlet port 1507 and being advanced to the patient interface. The protrusions 1509 may also inhibit movement of condensate that may result from the reorientation of the filter housing 1504.
In the illustrated construction, the inlet port 1505 and the outlet port 1507 of the filter 1501 are substantially coaxial. In alternative constructions, the inlet port 1505 and the outlet port 1507 may not be coaxial. For example, one of the inlet port 1505 and the outlet port 1507 may be on the side of the filter, while the other of the inlet port 1505 and the outlet port 1507 may be on the end of the filter.
In the illustrated construction, the filter 1501 has one inlet port 1505 and one outlet port 1507. In alternative constructions, the filter 1501 may have more than one inlet port 1505 and/or more than one outlet port 1507. When the filter has more than one outlet port 1507, the protrusion 1509 may be provided for one of the outlet ports or may be provided for some or each outlet port.
The protrusion 1509 extends into the cavity 1506 from a location where the body 1507a defining the outlet port 1507 intersects an adjacent wall portion 1504c of the filter housing 1504.
Referring to fig. 29 (c), the protrusion 1509 and adjacent wall portion 1504c provide a condensate collection region 1510. This helps to prevent condensate from being carried out of the outlet port 1507 in the gas flow, the direction of which is shown by the arrows in fig. 29 (b) and 29 (c).
Referring to fig. 29 (b), the protrusion 1509 extends into the cavity by a distance PD. The distance PD may be selected to reduce the flow resistance while maintaining a sufficient amount of condensate. A sufficient amount of condensate may be associated with the application and/or the length of time the filter 1501 is used.
The distance PD may be sufficient for the protrusion 1509 to contact the second side 1508b of the filter material 1508. Alternatively, the distance PD may be shorter such that the protrusion 1509 does not contact the second side 1508b of the filter material 1508. Increasing the distance PD may increase the resistance to flow through the filter housing 1504.
The protrusion 1509 may have virtually any distance PD. The distance PD may depend on the overall size of the filter 1501. If the filter 1501 is too large, it may take up undesirable space, particularly when the filter is used close to the patient. That may make the use of the breathing circuit awkward.
For example, the distance PD may be between about 1mm and about 15mm, alternatively between about 3mm and about 10mm, alternatively about 5mm. In some constructions, the distance PD may be about 1mm, about 2mm, about 3mm, about 4mm, about 5mm, about 6mm, about 7mm, about 8mm, about 9mm, about 10mm, about 11mm, about 12mm, about 13mm, about 14mm, or about 15mm, or may be any value between any two of those values.
In the illustrated construction, the protrusion 1509 is connected to the body 1507a defining the outlet port 1507 and is an extension of the body 1507 a. However, as described below, the protrusion 1509 may have a different configuration.
When the filter 1501 is disconnected from downstream components, the tab 1509 may inhibit most of the moving condensate, but allow the practitioner to drain to some extent by tilting or inverting the filter 1501.
The tab 1509 is shown in a filter having a connector 1700 for connection with the mating connector components 800, 1800. Alternatively, the tab 1509 may be used in a filter having a different connector arrangement for connecting the filter to a different respiratory component.
As outlined above for the connector 700 of the filter 501, the connector 1700 may be attached to or integrally formed with the filter housing 1504.
Connector 1700 includes a body 1701 defining a bore 1703 for receiving a mating connector component 800, 1800, and body 1701 defines an inlet port 1505 of filter 1501.
The connector 1700 includes one or more retention features 1710 to help retain the mating connector components 800, 1800 in engagement with the connector 1700. Additionally or alternatively, connector 1700 includes at least one internal alignment feature 1720 and/or at least one external alignment feature 1761.
Connector 1700 may have any one or more of the features outlined herein with respect to connector 700.
Fig. 31 (a) to 31 (e) show alternative configurations for inhibiting liquid flow to the protrusion 1509 between the cavity 1506 and the outlet port 1507.
In the configuration of fig. 31 (a), the protrusion 1509a is coaxial with the outlet port 1507. However, the protrusion 1509a has a larger lateral dimension and is offset relative to the body 1507a defining the outlet port 1507.
When the filter 1501 is disconnected from downstream components, the tab 1509a may inhibit most of the moving condensate, but allow the practitioner to drain to some extent by tilting or inverting the filter 1501.
In the configuration of fig. 31 (b), the protrusion 1509b is frustoconical or angled so as to be non-parallel to an axis 1703c extending through the outlet port 1507. The portion of the protrusion 1509b adjacent to the filter material 1508 is wider than the portion of the protrusion 1509b adjacent to the outlet port 1507, which may enhance the flow of gas through the filter 1501 and/or may minimize any increase in flow resistance at the outlet port 1507. The tab 1509b may be connected to the body 1507a or may be offset relative to the body 1507a as described in fig. 31 (a).
When the filter 1501 is disconnected from downstream components, the tab 1509b may inhibit most of the moving condensate, but allow the practitioner to drain to some extent by tilting or inverting the filter 1501.
In the configuration of fig. 31 (c), the filter is provided with two protrusions 1509c1, 1509c2. The first tab 1509c1 is an outer tab and the second tab 1059c2 is an inner tab. Both projections may be substantially solid about their periphery, or one or more gaps may be provided at their periphery. The configuration of fig. 31 (c) provides a first condensate collection zone 1510' distal to the outlet port 1507 and a second condensate collection zone 1510 proximal to the outlet port 1507. The two protrusions may have different depths PD1, PD2 or may have the same depth.
When the filter 1501 is disconnected from downstream components, the protrusions 1509c1, 1509c2 may inhibit most of the moving condensate, but allow the practitioner to drain to some extent by tilting or inverting the filter 1501.
The configuration of fig. 31 (d) is similar to the configuration of fig. 31 (c) in that it has two protrusions 1509d1, 1509d2 to provide two condensate collection regions 1510', 1510". In this configuration, the outer protrusion 1509d1 includes a plurality of wall segments 1509d1 'with gaps or slits 1509d1' between adjacent wall segments. The inner protrusion 1509d2 includes a plurality of wall segments 1509d2 'with gaps or slits 1509d2' between adjacent wall segments.
The outer protrusion 1509d1 may include two, three, four, or more wall segments. The inner protrusion 1509d2 may include two, three, four, or more wall segments.
The outer gap or slit 1509d1 "is offset relative to the inner gap or slit 1059d 2". The condensate passes from the outer condensate collection region 1510' through the inner condensate collection region 1510 "to a direct radial path of the outlet port 1507. Instead, any condensate needs to follow a tortuous path from the external condensate collection region 1510' to the outlet port 1507, for example as indicated by the arrows in fig. 31 (d).
When the filter 1501 is disconnected from downstream components, the protrusions 1509d1, 1509d2 may inhibit most of the moving condensate, but allow the practitioner to drain to some extent by tilting or inverting the filter 1501.
In the configuration of fig. 31 (e), the protrusion 1509e includes a plurality of wall segments 1509e' having serrations provided by gaps or slits 1509e "extending at least a portion of the depth of the protrusion 1509e. A gap or slit 1509e "is provided between adjacent wall segments 1509 e'. This provides a protrusion 1509e with a peripheral height (e.g., distance PD) that is not constant or varying around the protrusion 1509e.
When the filter 1501 is disconnected from downstream components, the tab 1509e may inhibit most of the moving condensate, but allow the practitioner to drain to some extent by tilting or inverting the filter 1501. This type of construction may alternatively be used in a filter having two or more protrusions, such as the filter shown in fig. 31 (c).
In the illustrated configuration, the tabs 1509, 1509a-1509e have a generally annular configuration. The protrusions 1509, 1509a-1509e are shown as being rounded. The protrusions 1509, 1509a-1509e may have any suitable shape depending on the shape of the outlet port 1507 and/or the desired shape of the condensate collection region.
Fig. 32 (a) to 49 show respiratory catheter end caps 2000, 3000, 4000, 5000, 6000, 7000 (also referred to herein more simply as "end caps" or "end caps") for use with respiratory catheters, such as the inspiratory catheter 401. The end caps 2000, 3000, 4000, 5000, 6000, 7000 each include a connector 2700, 3700, 4700, 5700, 6700, 7700 for connection with the docking connector member 1800 of the catheter 401. Unless otherwise indicated below, the features, functions and options of connectors 2700, 3700, 4700, 5700, 6700 are identical to those of connector 700 of filter 501, and like reference numerals indicate like parts, with additions of 2000, 3000, 4000, 5000, 6000 and 7000, respectively.
Although the end cap is shown as being connected to the docking connector assembly 1800, the end cap may alternatively be connected to the docking connector assembly 800 or any other suitable docking connector assembly.
Referring to fig. 32 (a) to 36 (b), the end cap 2000 includes a body 2701 defining a bore 2703 for receiving a docking connector component 1800 of the respiratory catheter 401. The aperture 2703 defines a cavity 2703b for receiving gas from the breathing conduit 401.
In the illustrated construction, the bore 2703 includes a terminal end 2704.
An enlarged entrance portion of the bore 2703a is disposed adjacent the terminal end 2704. The reduced-size portion forming the cavity 2703b is disposed away from the terminal 2704. The end wall 2701a provides a substantially closed end of the cavity 2703b. The aperture 2703 may have different configurations. For example, the inlet portion 2703a and the cavity 2703b can have substantially constant cross-sectional dimensions.
The end cap 2000 includes support features 2001 for supporting the end cap 2000. The support feature 2001 may be integrally formed with the body 2701 or may be coupled to the body 2701.
Support features 2001 may be used to support end cap 2000 from another article.
The connector 2700 for connection with the docking connector component 1800 includes at least one alignment feature and one or more retention features to help retain the end cap 2000 on the docking connector component 1800 of the respiratory catheter 401.
The at least one alignment feature includes at least one internal alignment feature and/or at least one external alignment feature.
The at least one alignment feature is configured to align the one or more retention features with one or more mating engagement features on the mating connector component.
In the illustrated construction, the at least one internal alignment feature includes at least one alignment member 2720 that extends from the inner wall 2702 of the body 2701 into the bore 2703.
Referring to fig. 35 (b), the alignment member 2720 includes opposing engagement surfaces 2721. The opposite engagement surface faces outwardly. The alignment member 2720 has a tapered configuration in the axial direction of the bore 2703, wherein proximal ends 2721a of the opposing engagement surfaces 2721 that are closer to the terminal end 2704 of the bore 2703 are closer together than distal ends 2721b of the opposing engagement surfaces 2721 that are farther from the terminal end 2704 of the bore 2703. The engagement surface 2721 includes a torsion portion along at least a majority of its length between its proximal end 2721a and its distal end 2721 b.
In some constructions, the torsion portion extends along substantially the entire length of each engagement surface 2721.
In some constructions, the torsion portion is substantially continuous along the length of each engagement surface 2721.
The torsion portion may have any one or more of the features described herein in connection with torsion portion 721.
The alignment member 2720 includes a tapered configuration in the radial direction of the bore, wherein inner edges 2721c of opposing engagement surfaces 2721 that are closer to the longitudinal or central axis LA of the bore are closer together than outer edges 2721d of opposing engagement surfaces 2721 that are farther from the longitudinal or central axis LA of the bore and closer to the inner wall 2702.
The engagement surface 2721 is configured to interact with the mating engagement surface 1821 to rotate the mating connector component 1800 into proper alignment about the longitudinal axis LA of the connector in the event that the mating connector component 1800 is misaligned upon initial insertion into the bore 2703 of the connector 2700.
The alignment member 2720 includes a generally chevron shape.
The internal alignment features are configured to provide tactile feedback during connection of the end cap 2000 to the docking connector component 1800 by providing resistance felt by a user when making the connection due to the arrangement of the alignment features.
Connector 2700 may include two diametrically opposed alignment members 2720. Each alignment member 2720 may have substantially the same shape and function.
In the illustrated construction, the body 2701 of the connector 2700 includes one or more external alignment features 2761 configured to interact with mating external alignment features 1861 on the mating connector component 1800.
The external alignment feature 2761 may include one or more protrusions or recesses, and the docking external alignment feature 1861 may include one or more docking recesses or protrusions. The protrusion will be arranged to be received in the recess.
The protrusions and recesses may be axially oriented.
In the illustrated construction, the external alignment feature 2761 includes one or more axially-oriented recesses located at terminal ends 2704 of the bore 2703 in the body 2701 of the connector 2700.
The interfacing external alignment feature 1861 includes one or more axially-oriented protrusions that protrude from a portion of the body 1801 in the region between the proximal portion 1800a and the distal portion 1800 b.
The external alignment feature 2761 and the interfacing external alignment feature 1861 may have a tapered configuration in the axial direction to help guide features 2761, 1861 contact each other.
External alignment features 2761, 1861 are used to physically align connector 2700 and mating connector component 1800 when they are connected to one another. Additionally, external alignment features may provide externally visible assistance to the alignment of connector 2700 and mating connector component 1800.
The connection assembly may include one, two, three, four or more external alignment features 2761 and a docking external alignment feature 1861.
The one or more retention features include one or more retention protrusions 2710 extending from the inner wall 2702 of the body 2701 into the bore 2703.
In the illustrated construction, the retention features include diametrically opposed retention protrusions 2710. In alternative constructions, the connector 2700 may include one, two, three, four, or more retention protrusions 2710.
Referring to fig. 35 (b), the retention protrusions 2710 each have angled or beveled entry walls 2711 for helping to guide/deflect the locking fingers 1820 radially inward and over the retention protrusions 2710 during insertion of the docking connector component into the bore 2703, a radially inward facing surface 2713, and/or a retention surface 2715 for helping to prevent inadvertent disengagement of the docking connector component 1800 from the bore 2703. The radially inward end of the retaining face 2715 terminates in a radially inward surface 2713.
The retention protrusion 2710 may provide an audible click when engaged with the engagement feature 1810.
The end cap 2000 includes at least one vent 2003 for gas flow from the cavity 2703b to the outer surface of the end cap 2000.
At least one vent 2003 provides a bypass flow feature for the flow of gas from the breathing conduit 401.
The at least one vent 2003 includes a channel or aperture in the body 2701 of the end cap 2000.
The at least one vent 2003 may have any suitable configuration. In the illustrated configuration, at least one vent 2003 includes a channel having a generally U-shaped configuration. In alternative constructions, the generally U-shaped configuration may be provided by a plurality of apertures rather than channels. The generally U-shaped configuration of the vent provides a resiliently flexible tongue 2004 in the body 2001 that is more flexible than the adjacent portions of the body 2001.
The retaining protrusion 2710 is disposed near the vent 2003. In the illustrated construction, a retaining protrusion 2710 is provided on tongue 2004. By providing the retaining protrusion 2710 near the vent 2003, the connect/disconnect force can be configured to a desired level.
The connect/disconnect force may be configured to enable the end cap 2000 to support the weight of the respiratory conduit 401 and prevent flow through the conduit 401 and the at least one vent 2003, but to enable a user to disconnect the end cap 2000 from the respiratory conduit 401.
The connection force can be varied by varying the stiffness/rigidity of the resiliently flexible tongue 2004. The stiffness/rigidity of the resiliently flexible tongue 2004 may be affected by the area of the vent 2003. The coupling force may be reduced by increasing the length of the at least one vent 2003 in the axial direction of the end cap 2000, or the coupling force may be increased by reducing the length of the at least one vent 2003 in the axial direction of the end cap 2000.
In some constructions, the one or more retention features are sized relative to the at least one vent 2003 such that the gas flow through the conduit 401 and the vent 2003 of the end cap 2000 is up to about 60 liters/minute, alternatively up to about 90 liters/minute, without the end cap being disconnected from the docking connector component 1800. The end cap may be configured to achieve a gas flow of greater than 90 liters/minute without disconnecting the end cap from the mating connector component.
The body 2701 has a sealing area 2705 in the bore 2703 for engagement with a seal 1841 on the mating connector component 1800. This forces gas from the breathing conduit 401 through the at least one vent 2003.
The end cap 2000 may have one, two, three, four or more vents 2003. In the illustrated construction, the end cap 2000 includes two diametrically opposed vents 2003 with a retaining protrusion 2710 provided on each tongue 2004 adjacent the respective vent 2003.
The support feature 2001 is configured such that the respiratory catheter end cap 2000 and the attached respiratory catheter 401 may be suspended from another item by the support feature. The further item may be any suitable item such as a medical bracket or rod, or for example a wall hook or bracket. Fig. 32 (a) schematically illustrates an end cap 2000 and attached respiratory catheter suspended from the arm of a medical stent or rod.
In the illustrated construction, the support feature 2001 includes a ring 2001 positioned at an end of the body 2701 opposite the terminal end 2704 of the bore. The ring may be circular or non-circular. The support features 2001 may have different configurations. For example, the support feature 2001 may include a hook or latch that is connected to the other item. Additionally or alternatively, the support features 2001 may be provided elsewhere on the end cap 2000; for example, on the sides of the end cap.
The support features 2001 may be sized to accommodate the user's fingers and/or thumb. Support features 2001 may be used in conjunction with gripping surfaces 1886 of the docking connector component 1800 to disconnect the end cap 2000 from the docking connector component 1800 and thereby disconnect the end cap 2000 from the respiratory catheter 401.
The support features 2001 are oriented such that their long dimensions are aligned with the gripping surface 1886 of the docking connector component 1800. The long dimension of the support feature 2001 is transverse to the gripping surface 1886.
The end cap 2000 may include a gripping surface 2886. The grip surface 2886 may include a surface texture that provides a grip surface for a user. In the illustrated construction, the grip surface 2886 includes one or more protrusions 2886a that protrude outwardly from the wall of the body 2701. Additionally or alternatively, the grip surface 2886 may include one or more recesses extending inwardly into a wall of the body 2701.
The protrusions and/or recesses may extend partially through the perimeter of the wall of the body 2701 in a lateral direction to enable application of axial force to the end cap 2000. For example, the protrusions and/or recesses may comprise a spline or wave or curved configuration having portions extending in the lateral direction. In another configuration, the protrusions and/or recesses may extend substantially in a lateral direction. In this configuration, the protrusions and/or recesses may be substantially straight.
Additionally or alternatively, the grip surface 2886 may include a rough or high friction surface finish.
The grip surfaces 2886 may be disposed on opposite outer sides of the body 2701.
The gripping surfaces 2886 may be aligned with the ends of the support features 2001 where they contact the body 2701 near the end wall 2701 a. The gripping surface 2886 may be aligned with the gripping surface 1886 to provide a visual indication of when the end cap 2000 is properly aligned with the docking connector member 1800 and to encourage a user to use the gripping surfaces 1886, 2886 to connect/disconnect the end cap 2000 and the docking connector member 1800. The gripping surfaces 1886, 2886 may reduce twisting of the respiratory catheter 401 when the gripping surfaces are used to disconnect the end cap 2000 from the docking connector member 1800. External alignment features 1861, 2761 may further help achieve this.
The end cap 2000, or at least the body thereof, may be formed of any suitable material. Example materials include rigid polymeric materials that may be biocompatible. Example materials may include Polycarbonate (PC), polyethylene (PE), acrylonitrile Butadiene Styrene (ABS), or polypropylene (PP).
Fig. 37 (a) to 39 (b) show alternative configurations of the respiratory catheter end cap 3000. Unless otherwise described below, features, functions, and options are the same as end cap 2000, and like reference numerals indicate like parts, but are increased by 1000.
In this configuration, the at least one alignment member 3720 includes or is formed from a plurality of ribs 3720a that extend in the axial direction of the bore 3703. The use of a plurality of ribs 3720a may provide manufacturability benefits.
In the illustrated configuration, each alignment member 3720 includes five ribs, but in alternative configurations, each alignment member may have a greater or lesser number of ribs, such as three, four, five, six, or more ribs.
The rib 3720a is configured to approximate the shape of the previously configured alignment member 2720. In particular, and with reference to fig. 38 (b), the outer ribs are shorter than their adjacent ribs, which are in turn shorter than the center rib.
Referring to fig. 38 (b) and 39 (a), two outer ribs have tapered leading edges 3720a', while another more central rib has a leading edge 3720a "that is substantially perpendicular to the inner wall 3702 of the body 3701. This enables the rib 3720a to approximate the torsion of the previously configured alignment member 2720.
Fig. 40 (a) to 42 (b) show alternative configurations of the respiratory catheter end cap 4000. Unless otherwise described below, features, functions, and options are the same as end cap 3000, and like reference numerals indicate like parts, but are increased by 1000.
In this configuration, at least one vent 4003 for gas flow from the cavity 4703b to the outer surface of the end cap 4000 is provided by two spaced apart channels.
The channel is disposed in the body 4001 of the end cap 4000.
The channels are shown as being substantially parallel to each other and extending in the axial direction of the bore 4703. In alternative constructions, the channels may be non-parallel and/or may extend in a non-axial direction of the bore 4703.
The elastically deformable tongue 4004 provided between the channels does not have one free end and one connecting end, but two fixed ends.
Fig. 43 (a) to 47 (b) show alternative configurations of the respiratory catheter end cap 5000. Unless otherwise described below, features, functions, and options are the same as end cap 3000, and like reference numerals indicate like parts, but increased by 2000.
In this configuration, the at least one vent 5003 for gas flow from the cavity 5703b to the outer surface of the respiratory catheter end cap 5000 includes a gap between the body 5701 and a portion of the docking connector member 1800 when the respiratory catheter end cap 5000 is connected to the docking connector member 1800 of the respiratory catheter 401.
This configuration end cap 5000 does not have a sealing area for sealing with seal 1841 on the mating connector component. Instead, the gas may be exhausted between the end cap 5000 and the butt connector part 1800 in the direction indicated by the arrow in fig. 43 (b) and 47 (b). In some constructions, the end cap 5000 cooperates with the docking connector component 1800 to allow gas to escape via the surface features 1887 of the gripping surface 1886.
One or more ribs 5707 are disposed inside the cavity 5703. The rib 5757 can extend inwardly from the wall 5702 of the body 5701 into the proximal portion 5703a of the cavity.
The ribs 5707 are configured to provide an anti-shake function to inhibit rocking of the mating connector component 1800 relative to the end cap 5000. The ribs 5707 may engage with the seal 1841, providing a gap between the ribs 5707 to provide a vent 5003.
When a plurality of ribs 5707 are provided, the ribs may each have the same length, or at least some of the ribs may have different lengths.
The longer ribs 5707 may be configured to be received in a channel 1887 adjacent to a gripping surface 1886 on the mating connector component 1800 to provide an alignment function.
The ribs 5707 extend in the axial direction of the end cap 5000, but may alternatively be oriented in a different direction.
Fig. 48 shows an alternative respiratory catheter end cap 6000. Unless otherwise described below, features, functions, and options are the same as end cap 2000, and like reference numerals indicate like parts, but are increased by 4000.
In this configuration, at least one vent 6003 is provided by one or more apertures or channels in an end wall 6701a of the body 6701 of the end cap 6000. A filter material 6010 is disposed adjacent the aperture or passage to filter the gas exiting through the at least one vent 6003 of the end cap.
The body 6701 may be a unitary structure or may be made of multiple parts. In the form shown, the body 6701 includes an outer molding 6701o and an inner molding 6701i.
The outer molded piece 6701o and the inner molded piece 6701i may include a butt engagement feature 6701f to keep the molded pieces engaged with each other. The mating engagement feature 6701f may be a protrusion that is engageable with the recess. As shown in fig. 48, the protrusions may be located on the inner mold 6701i and the recesses may be located on the outer mold 6701 o. In some constructions, the protrusion may be located on the outer molding 6701o and the recess may be located on the inner molding 6701i. There may be one or more mating engagement features 6701f. The mating engagement features 6701f may be discrete and/or continuous features.
The inner and outer mold pieces may comprise the same material. In another configuration, the inner molding 6701i may comprise a softer or more flexible material than the outer molding 6701o to provide a desired level of elasticity or flexibility to the at least one retention tab 6710.
Other respiratory catheter end caps described herein may have a unitary body or may have a body made of multiple parts. For example, fig. 49 shows an alternative respiratory catheter end cap 7000 based on end cap 3000. Unless otherwise described below, features, functions, and options are the same as end cap 3000, and like reference numerals indicate like parts, but with the addition of 4000.
The body 7701 of the end cap 7700 includes an outer molded piece 7701o and an inner molded piece 7701i. The molded article may have any one or more of the features described for the end cap 6000.
Any of the respiratory catheter end caps described herein may have any one or more of the features and functions described in connection with any other respiratory catheter end cap.
The respiratory catheter end caps may each include a flexible tether to tether the end cap to the respiratory catheter 401.
By providing a combined end cap and support feature, end caps 2000, 3000, 4000, 5000, 6000, 7000 can be used to store heated breathing conduit 401 between uses by retaining support features 2001, 3001, 4001, 5001, 6001, 7001 on another item.
At least one vent 2003, 3003, 4003, 5003, 6003, 7003 enables the airflow generator and/or humidifier to continue to operate while the breathing conduit 401 is suspended in a "resting" state to maintain proper temperature and/or humidity for treatment and reduce the time required to initiate/resume treatment.
The forward flow of gas through the breathing conduit 401 in the "resting" state minimizes the likelihood of pathogens/contaminants entering the breathing conduit.
When the disclosed connection assemblies and/or components thereof are used between the filter 501 and the inspiratory conduit 401, the filter 501 can ensure that components upstream of the filter 501 are not contaminated and that system components are properly connected to provide the necessary treatment. This enables the system components upstream of the filter 501 to be reused for subsequent patients, which may be particularly beneficial in multi-patient and/or short period use environments such as ambulances or emergency rooms. With the disclosed connection assembly and its components, the connection assembly may be used between the filter 501 and the inspiratory conduit 401 and configured such that the inspiratory conduit 401 is only connected to the filter 501 and the patient interface conduit 603 cannot be directly connected to the inspiratory conduit 401. After use by one patient, the filter 501 and downstream patient interface components may be disconnected from the inspiratory conduit 401 and replaced with new components for the next patient.
The connection assembly and/or components thereof may be used with any suitable type of breathing assistance apparatus 1000.
The breathing assistance apparatus 1000 may be used in a variety of applications. For example, device 1000 may be any of the following respiratory assistance devices or breathing devices: continuous Positive Airway Pressure (CPAP) devices, ventilators, humidifiers, high flow therapy devices, surgical humidifiers (e.g., insufflators), anesthesia machines, combinations thereof, and the like.
CPAP treatment of obstructive sleep apnea involves the delivery of pressurized breathable gas (typically air) to the airway of a user using an inspiratory conduit and a patient interface, such as a mask. The gas pressure for CPAP is typically in the range of about 4cm H2O to about 28cm H2O, with flow rates up to about 180L/min (measured at the patient interface), depending on the user's requirements. The pressurized gas acts as a pneumatic splint for the user's airway. Thus, the pressurized gas reduces the likelihood of airway collapse.
The breathing assistance apparatus 1000 may be a high flow therapy apparatus.
The respiratory system may include a high flow therapy device or system. High flow therapy as discussed herein is intended to be given the typical ordinary meaning as understood by those skilled in the art, which generally refers to a respiratory support system that delivers a humidified target respiratory airflow via an intentionally unsealed patient interface at a flow rate that is generally intended to meet or exceed the inspiratory flow rate of a patient. Typical patient interfaces include, but are not limited to, nasal or oral patient interfaces or tracheostomy interfaces. Typical flow rates for adults typically range, but are not limited to, from about fifteen Liters Per Minute (LPM) to about 70LPM or greater. Typical flow rates for pediatric patients (such as newborns, infants, and children) generally range from, but are not limited to, about one liter/minute/kilogram of patient body weight to about three liters/minute/kilogram of patient body weight or greater than about three liters/minute/kilogram of patient body weight. High flow therapy may also optionally include a gas mixture composition containing supplemental oxygen and/or administration of therapeutic agents. High flow therapies are often referred to as Nasal High Flow (NHF), humidified High Flow Nasal Cannula (HHFNC), high Flow Nasal Oxygen (HFNO), high Flow Therapies (HFT), and other common names. The flow rate used to achieve "high flow" may be any of the flow rates listed below.
For example, in some configurations, for an adult patient, "high flow therapy" may refer to delivering gas to the patient at the following flow rates: greater than or equal to about 10LPM, such as between about 10LPM and about 120LPM, or between about 10LPM and about 100LPM, or between about 15LPM and about 95LPM, or between about 20LPM and about 90LPM, or between about 25LPM and about 75LPM, or between about 25LPM and about 85LPM, or between about 30LPM and about 80LPM, or between about 35LPM and about 75LPM, or between about 40LPM and about 70LPM, or between about 45LPM and about 65LPM, or between about 50LPM and about 60 LPM. In some configurations, for neonatal, infant, or pediatric patients, "high flow therapy" may refer to delivering gas to the patient at the following flow rates: greater than 1LPM, such as between about 1LPM and about 25LPM, or between about 2LPM and about 5LPM, or between about 5LPM and about 25LPM, or between about 5LPM and about 10LPM, or between about 10LPM and about 25LPM, or between about 10LPM and about 20LPM, or between about 10LPM and 15LPM, or between about 20LPM and 25 LPM. A high flow therapy device for an adult patient, neonate, infant, or pediatric patient may deliver gas to the patient at a flow rate between about 1LPM and about 100LPM or at a flow rate in any of the subranges outlined above. The flow therapy device 10 may deliver oxygen at any concentration up to 100% at any flow rate between about 1LPM and about 100LPM (e.g., deliver oxygen fraction, fdO 2). In some constructions, any of these flow rates may be combined with an oxygen concentration (FdO 2) of about 20% to 30%, 21% to 40%, 30% to 40%, 40% to 50%, 50% to 60%, 60% to 70%, 70% to 80%, 80% to 90%, and 90% to 100%. In some combinations, the flow rate may be between about 25LPM and 75LPM and combined with an oxygen concentration (FdO 2) of about 20% to 30%, 21% to 40%, 30% to 40%, 40% to 50%, 50% to 60%, 60% to 70%, 70% to 80%, 80% to 90%, and 90% to 100%. In some constructions, the flow therapy device 10 may include safety thresholds when operating in manual mode that prevent the user from delivering too much oxygen to the patient.
The high flow therapy may be administered to the nostrils and/or orally of the user, and/or via the trachea of the user. High flow therapy may deliver gas to a user at a flow rate that is at or above the peak inspiratory flow requirement of the intended user. High flow therapy can create a flushing effect in the nasopharynx such that the anatomical dead space of the upper airway is flushed by the incoming high gas flow. This may create a fresh gas reserve available for each breath while minimizing rebreathing of nitrogen and carbon dioxide. In addition, when attempting to control the patient's inhaled oxygen fraction FiO2, it is additionally important to meet inhalation needs and to flush the airway. High flow therapy may be delivered using a non-sealing patient interface (e.g., nasal cannula). The nasal cannula may be configured to deliver breathing gas to the nostrils of the user at a flow rate that exceeds the peak inspiratory flow requirement of the intended user.
Nasal high flow may provide a level of pressure support to the patient that is inversely synchronized with the patient's breathing. For example, providing a high nasal flow to a patient may increase pressure during the exhalation phase of the patient. This may reduce the respiratory rate of the patient and reduce the respiratory effort of the patient. Reducing respiratory effort and respiratory frequency helps patients with respiratory diseases (e.g., COPD).
The term "unsealed patient interface" as used herein may refer to an interface that provides a pneumatic connection between the airway of a patient and a source of airflow that does not completely occlude the airway of the patient, such as from flow generator 15. The non-sealing pneumatic connection may include less than about 95% blockage of the patient's airway. The non-sealing pneumatic connection may include less than about 90% blockage of the patient's airway. The non-sealing pneumatic connection may include an occlusion of between about 40% and about 80% of the patient's airway. The airway may include one or more of the patient's nostrils or mouth. For nasal cannulae, the airway passes through the nostril.
The breathing assistance apparatus may deliver heated and humidified gases to a patient or user. The device may be suitable for the treatment of Chronic Obstructive Pulmonary Disease (COPD). The device may be configured to deliver gas to a patient interface at a high flow rate (high flow therapy), particularly nasal high flow therapy.
The breathing assistance device may for example be of the type described in US 2018/0185606 or WO 2016/207838. The contents of those specifications are incorporated herein by reference in their entirety.
Alternatively, the features described herein may be used with a device for different purposes. The device may be a high flow therapy device or may be a low flow therapy device. For example, these features may be provided in a device for providing Continuous Positive Airway Pressure (CPAP), which may deliver (humidified or other) gases at a low flow rate, or may be provided in a medical insufflation device.
These features may be used with a stand alone humidifier. The stand-alone humidifier may have a housing, a recess for receiving the humidification chamber, and a heating plate, but may not have a motor unit. The independent humidifier may receive gases from an external source.
Thus, an alternative form of breathing assistance apparatus 1000 may be a stand alone humidifier apparatus comprising a humidifier and a base unit defining a main housing.
The self-contained humidifier device may deliver heated and humidified gases for various medical procedures, including respiratory therapy, laparoscopy, and the like. These devices may be configured to control temperature and/or humidity. The apparatus may also include a medical circuit including various components that may be used to deliver heated and/or humidified gases to and/or from a patient. For example, in some breathing circuits, patient inhaled gases are delivered from a heater-humidifier through an inhalation tube or conduit. As another example, a tube may deliver humidified gas (typically CO 2) into the abdominal cavity in the insufflation circuit. This can help prevent the patient's internal organs from drying out or "drying out" and can reduce the time required to recover from surgery. The heating wire may extend inside at least a portion of the tubing, thereby forming a circuit for preventing or at least reducing the likelihood of forming a substantial amount of condensate.
A stand alone humidifier apparatus will typically include a base unit and a humidification chamber. The base unit may include a heating plate. The humidification chamber may be configured to hold a quantity of a liquid, such as water. The heating plate may be configured to heat an amount of liquid contained within the humidification chamber to produce a vapor.
The humidification chamber may be removable from the base unit to make it easier to sterilize or dispose of, or refilled with liquid. The body of the humidification chamber may be formed of a non-conductive glass or plastic material, but the humidification chamber may also include a conductive member. For example, the humidification chamber may include a high thermal conductivity base (e.g., an aluminum base) in contact with or associated with a heating plate on the heating base.
The base unit may also include electronic controls, such as a master controller. In response to a user-set humidity or temperature value entered via the user interface and other inputs, the master controller determines when (or at what level) to energize the heater plate to heat the liquid within the humidification chamber.
The stand alone humidifier apparatus may include a flow generator for delivering the gas to the humidifier. In some constructions, the flow generator may include a ventilator, blower, or any other suitable source of pressurized gas suitable for breathing or for medical procedures. The flow generator may be positioned in the base unit.
Alternatively, the stand alone humidifier apparatus may comprise only the base unit and humidification chamber, and may be used with a separate or remote flow generator. The base unit may be configured to be fluidly connected to a separate or remote flow generator.
Thus, the flow generator used with the stand-alone humidifier device may be, for example, a wall-mounted gas source, a ventilator, a blower, or a gas canister.
The stand alone humidifier device may be used with respiratory therapy, positive pressure devices, non-invasive ventilation, surgical procedures including, but not limited to, laparoscopy, and the like. Desirably, the humidifier apparatus may be adapted to supply moisture or vapour to the gas supply. The humidifier device may be used with a continuously variable or dual level PAP system or other form of respiratory therapy. In some constructions, the humidifier device may be integrated into a system that delivers any of this type of therapy.
An exemplary stand-alone humidifier apparatus is described in WO 2015/038013 and U.S. patent No. 10,245,407. The contents of those specifications are incorporated herein by reference in their entirety.
The stand alone humidifier device may have any one or more of the features described or illustrated herein.
Connectors for connecting a first respiratory component to a second respiratory component are described herein. For example, the connector may connect the filter or respiratory catheter end cap to the docking connector component. The connectors described herein may be coupled to or formed with a first respiratory component. When the connector is formed with the first respiratory component, the connector is an integral part of the first respiratory component and may therefore be considered the first respiratory component. The connector may be used as or in an adapter.
In some constructions, the connectors 700, 1700 may be provided in a patient interface assembly, including: a patient interface; a conduit 603; and connectors 700, 1700 at the terminal ends of the catheter 603. The connector is for engagement with the mating connector components 800, 1800. The connectors may be any of the connectors 700, 1700 described herein and/or may have any one or more of the features or functions described in connection with those connectors. The connectors 700, 1700 include: a body 701, 1701 defining a bore 703, 1703 for receiving a mating connector component 800, 1800, the bore 703, 1703 having: terminals 704, 1704 that provide access to the apertures for mating connector components 800, 1800; and sealing areas 705, 1705 for engagement with seals 841, 1841 on the mating connector component; and one or more retention features to help retain the mating connector component 800, 1800 in engagement with the connector 700, 1700.
In some constructions, the connectors 700, 1700 are coupled to or formed with the catheter 603.
In some constructions, the terminal end of the conduit includes a filter 501, 1501, and the connector 700, 1700 is coupled to or formed with the filter 501, 1501.
In some constructions, one or more retention features are in the apertures 703, 1703.
In some constructions, the one or more retention features include one or more retention protrusions 710, 1710 extending from the inner walls 702, 1702 of the bodies 701, 1701 into the apertures 703, 1703.
In some constructions, the one or more retention tabs include diametrically opposed retention tabs 710, 1710.
In some constructions, the sealing regions 705, 1705 are closer to the terminals 704, 1704 than the retention tabs 710, 1710.
In some constructions, the connector 700, 1700 includes a plurality of retention tabs 710, 1710.
In some constructions, the retention tabs 710, 1710 are configured to engage with engagement features 810, 1810 on male engagement fingers 820, 1820 of the mating connector components 800, 1800.
In some constructions, the connector 700, 1700 includes at least one internal alignment feature 720, 1720 and/or at least one external alignment feature 761, 1761.
In some constructions, the patient interface is a nasal cannula. In some constructions, the patient interface is a non-sealing patient interface. In an alternative configuration, the patient interface includes one of the alternative arrangements described herein for delivering gas to a patient.
In alternative constructions, the patient interface assembly may include one of the other types of connectors 8700, 9700, 10700, 11700 disclosed herein.
Fig. 50-61 illustrate an exemplary patient interface 5020 that includes a nasal cannula that may be used in the respiratory therapy systems described herein and that may be provided in a respiratory therapy kit having at least a filter as described herein.
Fig. 50 shows a first form of patient interface 5020. The patient interface 5020 generally consists of a head fixation mechanism and nasal cannula arrangement 5030, and further includes a gas inlet conduit or auxiliary supply conduit 5062. The head fixation mechanism enables the user to place and maintain the nasal cannula arrangement 5030 in the correct operative position. The gas inlet conduit or auxiliary supply conduit 5062 forms a fluid or gas connection between the outlet end of the main delivery conduit 5003 and the nasal cannula arrangement 5030 to allow fluid or gas to flow between the main delivery conduit and the nasal cannula arrangement. Details of the auxiliary supply catheter 5062 and the main portion of the nasal cannula arrangement 5030 will be described in detail below.
An alternative head fixation mechanism forming part of the patient interface 5020 will be described with particular reference to figures 50 and 51 (a) and 51 (b). Fig. 50 shows one form of head fixation mechanism, while fig. 51 (a) and 51 (b) show alternative forms of head fixation mechanisms.
The patient interface 5020 is secured to the patient's head or face by front strap 5050 and rear and top straps 5053a and 5053b as shown in fig. 50. The front strap 5050 is connected with the nasal cannula arrangement 5030 in use and the rear strap 5053a and the top strap 5053b are connected with the front strap 5050, the rear strap 5053a being wrapped around the top and rear of the patient's head in use. The headgear assembly may be adjustable to allow patients of different sizes and head shapes to use the nasal cannula arrangement 5030. For example, an adjustment buckle 5054, for example, may be included to allow the patient to relax or tighten the headband 5053.
Instead, the patient interface is secured to the patient's head and face by a front strap 5050 and a single rear strap 5053a attached to the front strap 5050. The rear strap may be connected to the front strap 5050 by a buckle 5054, or alternatively the rear strap 5053a may be integral with the front strap 5050. The buckle 5054 allows the patient to loosen or tighten the front and/or rear straps to achieve a comfortable fit. Alternatively, the integral front and back straps are elastic and can stretch over the patient's head. The resilience of these straps applies a force to the head to hold the nasal cannula in an optimal position in use. The elastic straps 5050, 5053a may be used with an adjusting buckle 5054, or the elastic straps 5050, 5053a may be used alone without the buckle 5054.
The headgear arrangement may also include a ring 5055 that holds and supports the mouthpiece or auxiliary supply/gas inlet conduit 5062 at or near the inlet end (described in detail below).
A neck strap or strap 5063 may also be provided with a patient interface 5020. Fig. 50 shows an example of a neck strap or sling 5063. In one form, a neck strap or hanging strap 5063 is connected to the gas inlet conduit 5062 or at a location at or near the connection between the delivery conduit 5003 and the gas inlet conduit 5062, thereby supporting the weight of the delivery conduit 5003 and the gas inlet conduit 5062 when in use.
The neck strap 5063 is provided with a latch 5064 to allow adjustment of the length of the neck strap. The tether 5064 adapts the neck strap 5063 to any size patient using the patient interface 5020. The neck strap 5063 supports the weight of the delivery catheter 5003 in use so that the weight does not act on the user or nasal cannula arrangement 5030. The use of the neck tie 5063 prevents the combined weight of the delivery conduit 5003 and the gas inlet conduit 5062 from pulling on the nasal cannula arrangement 5030, helping to prevent the nasal prongs 5033, 5034 from interfering with the sensitive lining of the nasal passages, or from shifting or misdirection during use. One configuration of neck strap or strap 5063 is to loosen the fit around the neck to prevent the user from snagging the neck. The hanging strap 5063 also provides a convenient way of supporting the delivery conduit 5003 and the gas inlet conduit 5062. This allows the patient to turn over in the bed without pulling or pulling on the conduit 5003 and helps to avoid overheating of the gas inlet conduit 5062 under the felt.
In one form, the neck strap or strap 5063 has a clip that allows the user to open and close the strap to place and secure the neck strap 5063 around the user's neck. The clip includes a male connector and a female connector that snap fit together. The clip is removed by pulling on one end of the neck strap 5063. When a user pulls on one side of the neck strap, the clip is easily removed and "disengaged" when the clip is released. This allows for quick removal of the neck strap 5063 in an emergency.
Fig. 51 (a) and 51 (b) show another configuration of the head fixing mechanism. The nasal cannula arrangement 5030 is secured to the patient's head by means of ear loops 5066. Ear loops 5066 are configured to hang over the patient's ears to support the weight of cannula arrangement 5030. These ear loops are attached to the nasal cannula arrangement by a side strap 5031 of the nasal cannula arrangement (described below). The ear loops are horizontally slidable relative to the strap 5031. The horizontal translation capability allows the user to adjust the tightness of the ear loops to ensure that the nasal cannula arrangement fits comfortably and correctly over the user's face. The ear loops 5066 support the weight of the nasal cannula arrangement 5030 so that the user's nasal passages are not subject to excessive pressure due to the weight of the nasal cannula arrangement 5030. The ear loops make the cannula arrangement 5030 more comfortable to wear.
The mouthpiece or auxiliary supply conduit 5062 will now be described in detail. The auxiliary supply conduit 5062 is a short length of conduit or tubing extending between the outlet of the main delivery conduit 5003 and the nasal cannula arrangement 5030. In use, gas exits the main delivery conduit 5003 and enters the auxiliary supply conduit 5062, traveling along the auxiliary supply conduit 5062 to the patient. One reason for using auxiliary conduits such as auxiliary supply conduit 5062 is as follows: the main delivery conduit 5003 is relatively heavy and cumbersome as it serves to deliver gas over a reasonably long distance (from the humidifier unit to a point close to the patient). Thus, the main delivery catheter 5003 needs to have walls that are strong enough to support its own weight without collapsing. This additional length and thicker wall structure increases the weight of the main delivery conduit 5003 since the main delivery conduit 5003 is thus relatively long (e.g., 8 to 10 feet). If the outlet of the main delivery conduit 5003 is directly connected to the patient interface in a manner that requires the user 5002 to support this weight, this may cause user discomfort due to the weight of the main delivery conduit acting on the user. A lighter, shorter auxiliary conduit (e.g., auxiliary supply conduit 5062) extending between the outlet of the main delivery conduit 5003 and the patient interface 5020 is used. The auxiliary supply conduit 5062 is lighter and shorter than the main delivery conduit 5003 and, as described above, is typically used with, for example, a neck tie or strap 5063 connected to the auxiliary supply conduit 5062 or to the junction between the main delivery conduit 5003 and the auxiliary supply conduit 5062 to support the weight of the main delivery conduit 3 and the auxiliary supply conduit 5062 in use.
The connection between the outlet of the main delivery catheter 5003 and the inlet of the auxiliary supply catheter 5063 is placed in close proximity to the patient to reduce twisting or pulling of the nasal cannula arrangement 5030 and to reduce possible thermal problems or overheating in the vicinity of the patient due to the heating elements provided in the main delivery catheter 5003. To reduce condensate formation in the unheated auxiliary supply duct 5062, a duct having vapor-permeable properties may be provided.
The auxiliary supply conduit 5062 may be integrally formed with the main delivery conduit 5003 or may be attached by some connection mechanism, allowing the auxiliary supply conduit 5062 to be detached from the main delivery conduit 5003. The connection mechanism may be a threaded connector or a friction locking mechanism.
Although not shown in these figures, the filters 501, 1501 described herein may be disposed between the main delivery conduit 5003 and the auxiliary supply conduit 5062. The end of the main delivery conduit 5003 may include a docking connector component 800, 1800 for connecting to the connector 700, 1700 of the filter 501, 1501.
By providing filters 501, 1501 at this location, a small filter can be used.
The auxiliary supply conduit may be made of a breathable material that allows water vapor to pass through the supply conduit and into the ambient air while substantially preventing liquid water or breathing gas from flowing out of the supply conduit. The supply conduit may have regions of breathable material along its length, or alternatively the entire conduit wall may be breathable. Due to The material may be breathable in its composition, physical structure, or a combination thereof. There are many mechanisms by which water vapor permeates these breathable materials and are known in the art. The purpose of the one or more gas permeable areas of the supply conduit wall is to allow water vapour from the gas path to pass independently of the specific discharge location. This reduces condensate accumulation within the breathing tube during their flow through the breathing tube by drying the humidified breathing gases (by transporting water vapor to the surrounding ambient air). Examples of such materials are SYMPATEXTM or GORETEX TM Or NAFION TM Etc.
As a result of the provision of the short auxiliary supply duct 5062, most of the moisture in the gas is delivered to the patient and the moisture loss through the gas permeable wall of the short auxiliary supply duct is negligible and negligible, while the formation of condensate is reduced.
The nasal cannula and its various features will now be described in more detail.
One form of nasal cannula 5030 forming part of the patient interface 5020 will now be described in more detail with particular reference to fig. 52, 53, 54, 55, 56, 57 and 58.
The preferred form nasal cannula 5030 includes two main parts: a manifold portion 5035 and a facial mount portion 5032. When assembled, the manifold portion 5035 and the face mount portion 5032 form a manifold of the nasal cannula 5030. Some configurations of these two parts will now be described with specific reference to fig. 52 and 53.
In one form, as described above, the manifold portion 5035 is connected to and in fluid communication with the auxiliary supply conduit 5062 in use. However, in alternative configurations, the manifold portion may be directly connected to the main delivery conduit 5003. Where the phrase "gas inlet manifold portion" is used in this specification, this should be taken to mean that the manifold portion 5035 incorporates the auxiliary supply conduit 5062, or just the manifold portion 5035 as the case may be.
It should also be noted that the form shown in fig. 52 and 53 shows that the manifold portion 5035 is removable from the remainder of the nasal cannula 5030. However, if preferred or desired, the manifold portion 5035 can also be formed as an integral part of the nasal cannula 5030-i.e., such that the manifold portion 5035 and the facial mount portion 5032 (described below) are one item.
The manifold portion 5035 in one form is generally tubular in shape with a substantially circular inlet 5059 on one side that curves to an elongated oval outlet 5037, the outlet 5037 being formed on one side of the manifold portion 5035 such that the outlet is perpendicular to the inlet 5059. The circular inlet 5059 in the preferred form receives the patient end of the auxiliary supply conduit 5062 such that gas from the auxiliary supply conduit 5062 can flow through the manifold portion 5035 (the inlet 5059 can alternatively be oval, or any other suitable shape-it need not be circular). In the form shown, the manifold portion 5035 is integral with the auxiliary supply conduit 5062 (i.e., is not intended to be removed and replaced repeatedly when in use, but it may be removed when needed), but alternatively the manifold portion 5035 may be removably attached to the auxiliary supply conduit 5062. The manifold portion 5035 engages with the facial mount portion 5032 so that gas may pass through the outlet 5037 and from the auxiliary supply conduit 5062 to the patient 5002 through nasal prongs 5033, 5034 (described in detail below).
In one form, the manifold portion 5035 is made of a hard plastic material that deforms only under relatively high load conditions (i.e., cannot be easily crushed by a user's hand). The manifold portion 5035 may be molded, injection molded, machined, or cast.
In use, the manifold portion 5035 is connected to the face mounting portion 5032 such that gas exiting the manifold portion 5035 enters the face mounting portion 5032. In the context of this specification, the term "attached" shall be taken to mean "detachable" or, as the case may be, "integral with" … … ". The face mounting portion will now be described in detail.
The facial mount 5032 includes nasal prongs 5033, 5034 so that gas passing through the facial mount 5032 can enter the nasal prongs 5033, 5034 and be delivered to the patient. In one form, the prongs 5033, 5034 extend parallel to each other, curving upward and inward from the face mounting portion 5032. In one form, each nasal prong is equidistant from the center of the face-mounting portion. The structure of the prongs 5033, 5034 will be described in detail below.
The face-mounting portion 5032 includes a side strap 5031 and an open tubular recess 5038 integrally molded together as shown in fig. 52 and 53. An open tubular recess 5038 extends below the face mounting portion 5032 and is adapted to receive a manifold portion 5035 (one configuration of a separable item for the face mounting portion 5032 and the manifold portion 5035). The face mount portion 5032 has a lip 5039 extending around the upper edge of the open tubular recess 5038. The manifold portion 5035 is connected to the face mounting portion 5032 by a friction fit, and a lip 5039 on the face mounting portion 5032 helps grip the manifold portion 5035 and form a strong sealing connection between the manifold portion 5035 and the face mounting portion 5032. The open tubular recess 5038 is separated by a rib 5040 that extends below the face mounting portion 5032. The ribs 5040 help to cradle and hold the manifold portion 5035 in place as the manifold portion engages the face mounting portion 5032, and the ribs 5038 extend around the outside of the manifold portion 5035. When the manifold portion 5035 is connected to the face-mounting portion 5032, the outlet 5037 on the manifold portion 5035 is aligned with the underside of the face-mounting portion 5032 in use. This alignment minimizes and reduces the amount of gas leaking from the nasal cannula arrangement 5030, allowing for effective treatment of the user by delivering a maximum amount of humidified gas.
The side straps 5031 are used to attach headgear straps 5050 or ear loops to the face attachment portion 5032. The side straps 5031 include a pair of straps (shown as straps 5031 in the figures) that extend from both sides of the face mounting portion 5032 and are formed as an integral part of the face mounting portion 5032 in one form. In use, headgear straps 5050 are attached to side straps 5031 so that a user can wear the patient interface in use. In some constructions, the ends of the headgear strap 5050 are looped through a pair of slits on the side strap 5031, with the ends including hook and loop fasteners or the like to hold the ends in place as they loop on themselves. Alternatively, the headgear strap 5050 or ear loops 5066 may be clipped to the side strap 5031, for example by mating male-female clips, or adhesively attached to the side strap 5031.
In some constructions, the face-fitting portion, the nasal prongs, the side straps, and the open tubular recess are all manufactured as one continuous article.
In some constructions, the face-fitting portion 5032, nasal prongs 5033, 5034, side straps 5031, and/or open tubular recess 38 may be made of a flexible polymeric material or silicone, preferably a soft thermoplastic elastomer (TPE).
The nasal prongs will now be described in more detail.
The nasal prongs are described below. In the following description, the terms "posterior" or "back" or any such synonym refer to the portion of the structure that faces toward or closest to the patient's face when the nasal cannula is in use. The term "anterior" or "forward" or any such synonym refers to the side, face or portion that faces away from and furthest from the face of the patient user when in use. The term "top" or "upper" refers to the side, face or portion that points away from the floor when a user or patient wearing the interface stands or sits straight and looks forward. The term "bottom" or "lower" refers to a side, face or portion that is directed or oriented toward the ground when a user or patient wearing the interface is standing or sitting straight and looking forward.
In some constructions, the face-mounting portion 5032 includes two prongs 5033, 5034 that extend upwardly and curve inwardly from an upper surface of the face-mounting portion 5032 as shown in fig. 52-55. Referring to fig. 55 and 56, prongs 5033, 5034 extend from the upper surface of the face mounting portion 5032 and are positioned one in each nostril of the patient when the nasal cannula is disposed in use. The prongs 5033, 5034 are configured to deliver a flow of gas to a patient. Nasal prongs 5033, 5034 receive humidified gas from delivery conduit 5003 via auxiliary supply conduit 5062, manifold portion 5035 and facial mount portion 5032. It should be noted that in some constructions, the gas inlet manifold portion 5035 receives gas from the auxiliary supply conduit 5062, through which the gas passes to the face-fitting portion 5032 and then into the nasal prongs 5033, 5034. Thus, the nasal prongs 5033, 5034 are in fluid connection with the gas inlet manifold portion 5035 and receive gas from the auxiliary supply conduit 5062.
As already outlined above, the gas inlet manifold portion 5035 and the face-fitting portion 5032 may be formed as one article-i.e. as a combined manifold and face-fitting portion-and if desired, this article may be formed to act as a manifold with prongs integrally formed with the manifold, the manifold being attached to one or more gas hoses or tubes in a similar manner to typical nasal cannulas known in the art. Where the phrase "gas inlet manifold portion" is used in this specification, it should be considered broad enough to encompass such an arrangement. The phrase should also be considered to be broad enough including that each side or end of a double hose manifold of the type known in the art is connected to one hose and the double hose is looped over the user's ear and then attached to a main delivery catheter or auxiliary supply catheter. It should also be noted that where the phrase "gas inlet manifold portion adapted to form a fluid connection with a delivery conduit" is used, this is to be taken to mean that the gas inlet manifold portion may be directly or indirectly connected to intermediate items comprised such as auxiliary supply conduits or double hoses of the type known in the art (or both).
In some constructions, the prongs 5033, 5034 are generally tubular in shape, having an upward and rearward curve. The nasal prongs bend upwardly and towards the rear of the patient's head in use. Preferably, the prongs bend towards the rear of the patient's nasal passages such that the flow of gas delivered by the prongs is directed towards the rear of the patient's nasal passages. The curvature of the prongs 5033, 5034 ensures that the prongs follow the natural curve of the person's nasal passages. The prongs may follow a curve with a radius of 10.5mm, but any radius between 5mm and 20mm is suitable and larger or smaller sizes are also possible. The curvature of the prongs 5033, 5034 ensures that gas is delivered into the nasal cavity of the patient, which helps reduce leakage of gas from the nasal cavity. The curvature of the prongs 5033, 5034 provides the advantage of improved comfort and efficient delivery of breathing gas into the nasal cavity of the patient.
In some constructions, the prongs 5033, 5034 fit into the patient's nasal passages. Preferably, each nasal prong is generally circular in cross-section. Alternatively, the cross-section of the nasal prongs may be triangular or oval. The circular cross-section is most advantageous for use because this shape is most consistent with the shape of the nasal passages of a person, thereby providing a comfortable fit for the patient and ensuring proper delivery of the treatment. However, the nostrils and nasal cavities of the user are not perfectly circular or geometrically standard, and other cross-sections (such as the triangular or oval cross-sections described above) may be preferred.
In one form, the nasal prongs are arranged equidistant from the center of the face mounting portion. As best shown in fig. 57, the prongs may be angled to face slightly inwardly toward each other. When viewed from the top, as seen in fig. 57, the center of each prong is preferably angled inwardly at 15 degrees relative to vertical a. That is, as shown in fig. 57, the angle X between the line a and the line B is 15 degrees. This applies to the pair of two nasal prongs. Line a defines a vertical plane that is substantially parallel to a vertical plane of symmetry that bisects the face-mounting portion 5032 of the nasal cannula 5030-i.e., a line or plane that bisects a person's nose when the nasal cannula is positioned on a user's face. The prongs 5033, 5034 are angled inwardly toward each other at 15 degrees to provide the most comfortable fit when in use. It has been found that angling the nasal prongs 15 degrees inwardly provides the user with the most comfortable fit or position and provides the best location for delivering therapeutic gas to the patient. The prongs may be placed at any other angle greater or less than 15 degrees. The angle between line a and line B may range, for example, between 0 degrees and 60 degrees inward. Alternatively, the prongs may angle outwardly from the vertical line a. Angling the prongs outward is not preferred because angling the prongs outward means that the prongs may not follow the natural shape of the nasal passages, which may make the prongs uncomfortable for most users. However, this may be applicable to some situations, or in some cases to some users.
As shown in fig. 55, 56 and 58, each nasal prong includes a gas outlet cutout section 5041 on the rear side 5043 of the nasal prong. The gas outlet slit or slit section gives each fork the appearance of a spoon. The front side 5042 of the prongs (the side farther from the patient) extends further upward and inward from the face mounting portion 5032 and forms a guide wall that guides humidified gas into the nasal passages of the patient when the prongs 5033, 5034 are in use. The cross-sectional area of the gas outlet slit in the prongs is greater than the cross-sectional area of the prongs at or near the point of entry of gas from the manifold section into the prongs-i.e. the cross-sectional area of the prongs is greater at the point of exit of gas from the prongs (and into the user's nostrils) than at or near the point of entry of gas from the manifold section into the prongs.
The cutout section 5041 may be formed in various shapes. In some constructions, the shape of the cutout section 5041 is oval when viewed from the rear, as best seen in fig. 56. That is, the perimeter of the cutout section 5041 describes an oval shape when viewed from the rear, with the top of the oval angled slightly inward toward the other nasal prong. The cutout section may also be triangular (with one point of the triangle oriented toward the base of the nasal prongs and the other two corners located at the topmost inner edge of the cutout section 5041). The shape of the cutout may also be rectangular.
The incision may extend from various locations along the nasal prongs. Preferably, the incision section 5041 may extend from between the middle and two-thirds of the way along the nasal prongs, as measured from the top end of the nasal prongs. Alternatively, the cut-out section 5041 may extend from short of the middle along the nasal prongs, as measured from the top end of the nasal prongs. As a further alternative, the incision may extend the entire length of the nasal prongs. In some constructions, the incision section 5041 extends from between the middle and two-thirds along the way of the nasal prongs to provide the best advantage. It has been found that extending the slit between the middle and two thirds ensures an optimal size of the opening. Placing the incision in this position ensures the optimal dimensions of the incision to provide the advantages described later in this specification. For nasal prongs according to some configurations, this corresponds to an incision having a height of 3mm to 15 mm. However, the size of the incision may be reduced outside this range if desired for an alternative.
The cut 41 may be formed during the molding process. In some constructions, the prongs may be molded by injection molding, casting, or vacuum forming. The mold used to produce the desired nasal prong shape has built-in cut-out features.
In an alternative configuration, the cut sections 5041 are created by cutting across the rear portion 5043 of each of the prongs after forming these prongs 5033, 5034 in an initial molding operation, for example, by machining or removing material by hand after the face mounting portion 5032 has been molded in an initial molding operation.
In some constructions, the inverted S-shaped surface 5080 can define a cutout section, as shown in fig. 58. The bottom edge of surface 5080 is shown as line 5800 in fig. 57. As can be seen, for each nasal prong, the line 5800 is perpendicular to the line passing through the center of the nasal prong and is aligned with the rear edge of the nasal prong. This is best shown in fig. 57. Surface 5080 may be shaped as an inverted S as shown in fig. 58. The surface 5080 extends inwardly a distance to form a preferred "scoop" shape of the gas outlet slit. The inverted S-shapes are aligned substantially vertically. The inverted S-shaped surface creates a cutout of the most preferred size and shape. After formation, the edge or perimeter of the cutout section 5041 may conform to the surface of the inverted S-shaped surface, as shown in fig. 58. Such a surface gives an optimal incision shape providing the following advantages.
In some constructions, the rear wall 5043 of the prongs 5033, 5034 can further include stiffening features (not shown) extending upward along the length of the rear wall of the prongs. The stiffening feature helps to maintain the rear wall 5043 of the nasal prongs in an upright position. The stiffening feature may be formed as a ridge extending along at least a portion of the way along the back face 5043 of the nasal prongs 5033, 5034. This ridge may be on the inside or outside of the back wall 5043, as the back wall typically does not contact the user's upper lips or nostrils when in use, so the stiffening features will not interfere with the user's face and cause discomfort to them. Alternative forms of reinforcement features that may be provided are described in more detail below.
Due to the curvature and shape of the prongs 5033, 5034, the air flow will tend to flow along the front wall of the prongs 5033, 5034 instead of the rear wall 5043, the air flow flowing along the outside of the curve instead of the inside.
Advantages of the nasal interface 5020 comprising the nasal cannula 5030.
In at least some constructions of the incision sections, the incision sections within each nasal prong provide a number of advantages. The main advantages are as follows:
1) Each of the prongs may be more easily deformed or altered in shape because of their lower structural rigidity (lacking a piece of their support structure, so they may be more easily deformed), and thus more comfortable in the patient's nasal passages,
2) The gas does not exit the nasal prongs as a jet through a small orifice. The slit provides a larger area of exit orifice at the exit of the nasal prongs such that the velocity of the gas or air velocity decreases at the point where the gas exits the nasal prongs. That is, the size of the exit aperture (defined by the edge or perimeter of the cutout section) is greater than the size or cross-sectional area of the entrance aperture defined by the base of the nasal prongs that connect to the face mounting portion 5032. The air velocity of the gas decreases with increasing area. That is, each prong is shaped such that the velocity of the gas exiting the prong is reduced compared to the velocity of the gas at or near the gas entry point into the prong. This allows a proportionally greater amount of gas to be delivered to the patient without causing discomfort (as compared to a cannula nasal prongs that do not include an incision). With the incision cannula, the air jet effect is reduced. The injection of the gas stream is reduced based on the energy or mass conservation continuity equation, which indicates that increasing the cross-sectional area is equivalent to a decrease in gas stream velocity. The jet of gas delivered into the nasal passages of the user can irritate or potentially damage tissue within the nasal passages. The reduced velocity of the gas flow delivered by the nasal prongs reduces irritation within the user's nares, thus reducing the jetting effect. It can also be seen from the continuity equation that the larger the orifice through which the gas flows, the greater the amount of diffusion.
3) The flow of gas is directed in a generally rearward direction (relative to the user's head) relative to the user's nasal passages.
These advantages are discussed in more detail below.
The nasal cannula arrangement 5030 shown in fig. 55 and 56 is adapted to deliver a high flow of gas, a high humidity gas flow, to the nasal cavity of a patient. In some constructions, the incision extends between half and two-thirds of the distance from the top of the nasal prongs to provide the largest incision. Further, the shape of the cut-out (optional inverted S-shaped surface as described above) helps to ensure maximum diffusion and reduction of air jet effects.
In prior art cannulas, cannula prongs typically have outlet holes that are substantially the same size as their inlet holes (e.g., where the base of the prong connects with the manifold). In the above-described cannula, the size and shape of the slit helps to reduce the air velocity at the nasal prong exit point and helps to direct the gas in a generally rearward direction. This has been found to help to increase user comfort and compliance with the treatment regimen to a surprising degree. In addition, the reduced flow rate of breathing gas from the slit 5041 of the nasal prongs 5033, 5034 helps to ensure that the user will breathe as normally as possible.
The reduced air velocity due to the cuts in the nasal prongs 5033, 5034 allows for a higher flow rate to be used than is typically the case in the prior art. In therapy, high flow rates are preferred to meet patient requirements. The use of a high flow rate ensures that the entire inhalation volume contains breathing gas, where possible. However, as higher flow rates can increase patient discomfort and potentially dangerous side effects, a compromise between patient comfort/safety and flow rate is often required. A lower than optimal flow rate is possible to ensure that the patient is comfortable enough to follow the treatment regimen. The use of these lower flow rates means that at least a portion, and typically most, of the user's breath is made up of ambient air, which may be detrimental to the treatment provided by the medical gas. It is advantageous to use a relatively high flow rate and have a nasal prong that allows delivery of humidified medical gas at a high flow rate. This helps to ensure that the most effective and effective treatment is provided to the patient. Surprisingly, it has been found that by using a nasal prong as described above, i.e. a nasal prong comprising an incision section, a flow rate of just above, but not limited to, between 0L/min and 80L/min can be delivered to the user, and initial user feedback indicates that discomfort is reduced and that compliance with the regimen is more favored. The nasal prongs may be resized-for example for neonatal applications-where the flow rate or flow range is significantly lower. It is contemplated that in some cases a flow rate of up to 120L/min may be used. However, it is expected that the preferred range is about 20-90L/min for adults, 5-30L/min for pediatric patients, and just above 0L/min to 8L/min for neonatal patients. When used with neonatal patients (as little as 400 gm), the incision design is effective at low flow rates, otherwise a flow rate of 1-8L/min would result in very high flow rates due to the small size of the cannula and patient.
The cutout sections 5041 in the prongs 5033, 5034 make the prongs 5033, 5034 more deformable than prior art prongs that do not include cutouts. Surprisingly, it has been found that the addition of the incision does not significantly negatively impact the gas delivery efficiency and the advantages outlined above, allowing the prongs 5033, 5034 to bend and flex to a greater extent than prior art cannula prongs to fit comfortably into the patient's nasal passages. A range of cannula sizes are typically used to ensure a fit range for all users. However, within each "stand" or range, greater bending or flexibility helps to improve user comfort. The cut 5041 allows the prongs 5033, 5034 to be more flexible than a fully "tubular" or circular prong. Typically, in use, the nasal prongs rest on the nasal mucosa. In other nasal cannula arrangements, the nasal prongs exert a force on the nasal mucosa, and such pressure can irritate the user, making the donning of the nasal prongs uncomfortable. This may even lead to fragile nasal tissue damage. The gas outlet slit 5041 in the nasal prongs allows the nasal prongs 5033, 5034 to have a greater degree of flexibility in the nasal passages as the nasal prongs push against nasal mucosal tissue. The flexing of the nasal prongs reduces the pressure exerted on the nasal mucosa, making it more comfortable and potentially safer for the user to wear.
The cut-out section 5041 within the cannula is also advantageous because it allows for faster manufacture of the cannula. The cut-out section 5041 allows a robot or human operator to easily lift the cannula off of the forming tool. The cut-out section 5041 halves the cycle time.
In some constructions, the prongs may include stiffening features 5100 extending along the inner surface of the anterior wall of the prongs that assist in restoring the prongs to their original shape after bending and buckling. This is shown in fig. 56. This feature may strengthen the nasal prongs against compressive forces or tensile forces or both acting on the nasal prongs. This feature effectively forms a reinforced spine along the inside surface of the anterior wall 5042 of the nasal prong, extending upwardly from the base of the nasal prong and following the contours of the nasal prong. The stiffening features 5100 serve to allow lateral and rotational movement of the prongs and to allow the prongs to elastically deform in compressive and tensile directions and apply a restoring force to ensure that the prongs return to their original shape. In one form, the stiffening feature 5100 is an upwardly extending stiffening rib (bead) extending from the base of the nasal prongs to the top of the nasal prongs. In one form, the ribs are positioned along an inner surface of the front wall 5042. The stiffener extends upwardly from the base of the nasal prongs to the top of the nasal prongs. The ribs may extend the entire length of the nasal prongs and follow the contours of the nasal prongs. Alternatively, the stiffener may extend only part of the height of the nasal prongs. Alternatively, the reinforcing ribs may be located on the outer surface of the front wall. In another alternative, the ribs may be located along the rear wall, on an inner or outer surface of the rear wall. The stiffener is preferably over-molded onto the nasal prongs. The stiffening features (in this form the stiffening ribs) may be formed of a more rigid material than the nasal prongs. The reinforcing bars are applied to the nasal prongs by a co-injection process. The co-injection process includes injection molding the prongs with one material, transferring the prongs and/or manifold and face mount portion to another tool where the stiffener material is injection molded onto the prongs. The ribs support the nasal prongs just like the spine.
In another form, the stiffening feature 5100 can be a rib extending upwardly from the base of the prong along the height of the prong and along the contour of the prong. The ribs are preferably located on the inside surface of the front wall 5042, but may be located on the outside surface of the front wall 5042. Alternatively, the ribs may be located on the rear wall 5043. The ribs may be located on the inner or outer surface of the back wall 5043. The prongs preferably include a plurality of ribs formed along the inner surface of the front wall. The ribs preferably extend the entire distance of the nasal prongs, but may alternatively extend only part of the distance. The ribs may be the same size as each other. The ribs may be equally spaced along the nasal prongs. These ribs form a skeleton structure that supports the prongs and reduces deformation of the prongs. The ribs may be formed by a co-injection molding process as described for the ribs. The ribs may be made of a more rigid material than the material used to make the nasal prongs.
The prongs may also include a series of ribs (not shown) extending generally horizontally across the prongs. These ribs may be used in combination with stiffening features (e.g., ribs) to stiffen the nasal prongs in both compressive and tensile directions while allowing lateral and rotational movement. Reinforcing features (with or without ribs) may be present on the anterior wall 5042 of the nasal prongs. This is advantageous because it provides the greatest reinforcement and also because the material for the nasal prongs reacts best when compressed. The stiffening feature may be integrally formed with the nasal prongs during formation. Alternatively, the stiffening feature may be attached to the nasal prongs after formation-such as by gluing or ultrasonic welding. This feature may be made of the same material as the nasal prongs. Alternatively, the feature or ribs may be made of a rigid material, such as another polymeric material.
The stiffening feature may alternatively be created by making the front wall 5042 thicker than the rear wall 5043 when viewed from above. The increased thickness of the anterior wall 5042 effectively provides lateral and rotational movement of the nasal prongs while providing improved strength characteristics under compressive and tensile loads. The thicker front wall 5042 ensures that the prongs 33, 34 do not collapse or tear when subjected to compressive or tensile forces.
A potential problem with prior art types of "tubular" or "circular" nasal prongs is the possibility of creating a seal in the nasal passages of the patient. While seals are required in some situations if a nasal pillow of the type described in WO 2008/014543, for example, is used, in other situations seals within the patient's respiratory system can cause an overpressure to be created within the patient's nostrils. Such overpressure can lead to barotrauma, resulting in serious injury and possible patient death. Overpressure can also interfere with the patient's natural or spontaneous breathing. The additional flexibility and larger orifice size provided by the slit 5041 to the prongs 5033, 5034 helps to minimize the risk of the cannula forming a seal in the patient's nostrils. It should be noted, however, that sealing is sometimes desirable, and although a nasal cannula arrangement has been described that is not intended to be sealed, the prongs 5033, 5034 or the face mount portion 5032, or both, may be adapted to seal against the nostrils of the user.
The flexibility of the side straps 5031 allows for easy securement of the nasal cannula arrangement 5030 to the user's face, as the straps can be easily bent and flexed to fit around the user's face. The flexibility of the open tubular recess 38 enables the open tubular recess 5038 to mate around the manifold portion 5035 and create a secure friction fit or snap fit. The face mount portion 5032 is molded as a single piece of flexible plastic, silicone or rubber material for reliability and ease of use.
As shown in fig. 50-58, nasal cannula arrangements and particularly nasal prongs are primarily used to deliver gases with high humidity and high flow rates that are beneficial to patients.
Alternative configurations of patient interfaces may alternatively be provided.
An alternative construction of a patient interface consists essentially of a head fixation mechanism, substantially similar to that described above, and a nasal cannula arrangement. The head fixation mechanism is used to attach the patient interface to the patient's face and to maintain the position of the patient interface in the correct position when in use. The head fixation mechanism as described in connection with fig. 50 and 51 (a) and 51 (b) may also be used with alternative configurations of nasal cannulae. Alternatively, a separate head fixation mechanism need not be used with the nasal interface. This alternative form of head fixation will be described later. A humidification or respiratory therapy system for use with an alternative nasal cannula arrangement may include an auxiliary supply conduit 5062 similar to that described above that allows for gas or fluid communication between the outlet end of the main delivery conduit 5003 and the main portion of the nasal cannula arrangement. However, in this alternative, the auxiliary supply conduit 5062 and the main delivery conduit 5003 may be considered as a single "delivery conduit" in this context.
An alternative configuration of nasal cannula will now be described in more detail. An alternative configuration of nasal cannula includes three main parts: a pair of carrier tubes, a manifold section and a pair of prongs, each carrier tube attaching one of the pair of prongs, the carrier tubes being connected to the manifold section, the manifold section being connected to a delivery conduit as outlined above such that a flow of gas is delivered to the manifold section. A carrier tube is used instead of the auxiliary catheter. The manifold section is formed as a Y-piece connector or a T-piece connector. The carrier tube is preferably connected to the branches of the Y-shaped or T-shaped manifold section by friction fit. Alternatively, the carrier tube may be connected to the Y-piece or T-piece by threading or gluing. Even another alternative is that the carrier tube is integrally formed with the Y-piece or tee. The Y-connector directs the flow of gas from the auxiliary supply conduit to each carrier tube. Preferably, the Y-piece or tee is made of a rigid polymeric material that is sufficiently rigid to make it non-deformable under common operating loads.
The carrier tube may be attached to the head fixation device or the carrier tube itself may be adapted to function as the head fixation mechanism. The carrier tube is wrapped behind the ear. The carrier tube allows head fixation flexibility. The carrier tube is light enough to be wrapped around the patient's ear and is comfortable for the patient to use. The use of a carrier tube makes the entire nasal cannula lightweight. This may help to improve the comfort of the patient when using the nasal cannula. The carrier tube also allows individuals of various sizes to use nasal cannula arrangements, so long as the carrier tube is long enough to rest on their ears. The carrier tube is connected to and in fluid connection with the manifold. The carrier tube supplies breathing gas to the manifold. The manifold has at least one nasal prong extending therefrom that delivers breathing gas from the manifold to the nasal passages of the patient.
In an alternative form, a nasal prong is attached to each carrier tube at the patient end. The nasal prongs may be removable from the carrier tube. Preferably, the nasal prongs are attached to the carrier tube by a friction fit. Alternatively, the prongs are threaded into the carrier tube. Another alternative is that the nasal prongs are glued or attached to the carrier tube by an industrial adhesive. As a further alternative, the nasal prongs may be integrally formed with the carrier tube.
In this alternative form, the prongs are substantially identical to the prongs 5033, 5034 described above. Each prong may include a cutout on the rear side (the portion closest to the user' S face in use), in one form, the rear of each prong is cut out such that the edges of the cutout conform to the surface of the inverted S-shaped surface.
Nasal cannula may be used for high flow, high pressure therapy. Because the cannula has a side inlet manifold, the gas flow enters the manifold substantially horizontally. The flow of gas flows from the manifold into the prongs, out the top of the prongs and into the user's nostrils. The inflow of gas enters the manifold in a substantially horizontal direction substantially perpendicular to the nasal prongs. As the gas flows into the nasal prongs and up, the gas inflow is turned through approximately ninety degrees such that the gas flow is substantially aligned with the axis of extension of the nasal prongs relative to the manifold. In prior art nasal cannulas, the bulk of the gas is typically redirected or diverted at the entrance to the nasal prongs, which are a small area at the base of the nasal prongs. The diversion of the gas flow within the inlet of the nasal prongs causes a reduction in the gas flow rate. Since the pressure of the gas flow is proportional to the velocity of the gas flow, a decrease in the flow rate causes a pressure drop at the entrance of the nasal prongs. In prior art cannulas, approximately 65% of the gas flow is diverted within the entrance of the nasal prongs. The pressure drop is proportional to the fourth power of the nasal prong radius. Pressure and velocity drop is undesirable because it reduces the effectiveness of the therapy delivered to the patient. The pressure and velocity decrease may also be dangerous to the patient because the patient may not be provided with sufficient breathing gas. In CPAP-type therapy, the patient's airway needs to be continuously pressurized to enable the patient to breathe normally. The reduction in gas flow pressure due to the pressure drop across the inlet of the nasal prongs may cause the patient's airway to collapse due to the lack of pressure supplied to the patient. The decrease in pressure also causes the blower speed and power to increase to compensate for the pressure drop. This can be dangerous because the blower may be operating at high speeds. Pressure and speed drops may also be detrimental to patients receiving ventilator therapy because these patients will not receive adequate respiratory pressure and the ventilator may begin to operate outside of normal operating levels in an attempt to compensate for the pressure and speed drops. The prior art cannula may experience a pressure drop of about 25cm h2 o.
The prongs and manifold are shaped and adapted to divert at least a portion of the gas flow within the manifold, rather than within the prongs.
Although the present disclosure has been described with respect to certain embodiments, other embodiments as would be apparent to one of ordinary skill in the art are within the scope of the present disclosure. Accordingly, various changes and modifications may be made without departing from the spirit and scope of the disclosure. For example, the various components may be repositioned as desired. Features from any of the described embodiments may be combined with one another and/or a device may include one, more, or all of the features of the above-described embodiments. Furthermore, not all of these features, aspects, and advantages are necessary to practice the present disclosure. Accordingly, it is intended that the scope of the disclosure be limited only by the claims appended hereto.

Claims (14)

1. A connector for connecting a first respiratory component to a second respiratory component, the connector being coupled to or formed with the first respiratory component, the connector comprising: a body defining a bore for receiving a docking connector component associated with a second respiratory component, the bore having a terminal end providing access to the bore for the docking connector component and including one or more retention features located in the bore to assist in retaining the docking connector component in engagement with the connector, wherein the first respiratory component has a pressure drop in the first respiratory component of between 80Pa and 490Pa in use, and wherein the one or more retention features are configured to provide a retention force of between 10N and 100N in an axial direction of the connector.
2. The connector of claim 1, wherein the first respiratory component is a filter and the second respiratory component is an inspiratory conduit.
3. The connector of claim 2, wherein the filter comprises a hydrophobic filter material.
4. The connector of claim 1, wherein the one or more retention features are configured to provide a retention force between 10N and 75N.
5. The connector of claim 4, wherein the one or more retention features are configured to provide a retention force between 10N and 50N.
6. The connector of claim 1, wherein the connector comprises, the one or more retention features are configured to provide 11N, or 12N, or 13N, or 14N, or 15N, or 16N, or 17N, or 18N, or 19N, or 20N, or 21N, or 22N, or 23N, or 24N, or 25N, or 26N, or 27N, or 28N, or 29N, or 30N, or 31N, or 32N, or 33N, or 34N, or 35N, or 36N, or 37N, or 38N, or 39N, or 40N, or 41N, or 42N, or 43N, or 44N, or 45N, or 46N, or 47N, or 48N, or 49N, or 51N, or 52N, or 53N, or 54N or 55N, or 56N, or 57N, or 58N, or 59N, or 60N, or 61N, or 62N, or 63N, or 64N, or 65N, or 66N, or 67N, or 68N, or 69N, or 70N, or 71N, or 72N, or 73N, or 74N, or 76N, or 77N, or 78N, or 79N, or 80N, or 81N, or 82N, or 83N, or 84N, or 85N, or 86N, or 87N, or 88N, or 89N, or 90N, or 91N, or 92N, or 93N, or 94N, or 95N, or 96N, or 97N, or 98N, or 99N, or 100N, or to provide a retention force of any value between any two of these values.
7. The connector of claim 1, wherein the one or more retention features comprise diametrically opposed retention protrusions extending from an inner wall of the body into the bore.
8. The connector of claim 7, wherein the radially opposed retention tabs have a distance between radially inward surfaces thereof, and wherein the distance between the radially inward surfaces is between 21mm and 23mm.
9. The connector of claim 8, wherein the distance between the radially inward surfaces is between 21.5mm and 22.5mm, or 21mm, or 21.1mm, or 21.2mm, or 21.3mm, or 21.4mm, or 21.6mm, or 21.7mm, or 21.8mm, or 21.9mm, or 22mm, or 22.1mm, or 22.2mm, or 22.3mm, or 22.4mm, or 22.6mm, or 22.7mm, or 22.8mm, or 22.9mm, or 23mm.
10. The connector of claim 7, wherein each of the diametrically opposed retention tabs has a retention face, wherein the retention face is at an angle between 90 degrees and 125 degrees relative to the longitudinal axis of the bore.
11. The connector of claim 10, wherein the angle of the retention surface relative to the longitudinal axis of the bore is between 95 degrees and 120 degrees, or 90 degrees, or 91 degrees, or 92 degrees, or 93 degrees, or 94 degrees, or 96 degrees, or 97 degrees, or 98 degrees, or 99 degrees, or 101 degrees, or 102 degrees, or 103 degrees, or 104 degrees, or 106 degrees, or 107 degrees, or 108 degrees, or 109 degrees, or 110 degrees, or 111 degrees, or 112 degrees, or 113 degrees, or 114 degrees, or 116 degrees, or 117 degrees, or 118 degrees, or 119 degrees, or 121 degrees, or 122 degrees, or 123 degrees, or 124 degrees, or 125 degrees.
12. The connector of claim 11, wherein the angle of the retention surface relative to the longitudinal axis of the bore is between 100 degrees and 115 degrees.
13. The connector of claim 12, wherein the angle of the retention surface relative to the longitudinal axis of the bore is between 105 degrees and 115 degrees.
14. The connector of claim 7, wherein the diametrically opposed retention tabs comprise a first pair of adjacent retention tabs on one side of the aperture and a second pair of adjacent retention tabs on an opposite side of the aperture.
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CN202321153839.XU Active CN220608817U (en) 2021-03-10 2022-03-10 Connector for use in respiratory system
CN202321153842.1U Active CN220588708U (en) 2021-03-10 2022-03-10 Connector for use in respiratory system

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CN202321155660.8U Active CN220588709U (en) 2021-03-10 2022-03-10 Connector, connection assembly, connector part and filter
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CN220608817U (en) 2024-03-19
CN220588706U (en) 2024-03-15
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CN220588707U (en) 2024-03-15
CN220588708U (en) 2024-03-15

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