DE3707952A1 - Breathing mask for long-term operation - Google Patents

Breathing mask for long-term operation

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Publication number
DE3707952A1
DE3707952A1 DE19873707952 DE3707952A DE3707952A1 DE 3707952 A1 DE3707952 A1 DE 3707952A1 DE 19873707952 DE19873707952 DE 19873707952 DE 3707952 A DE3707952 A DE 3707952A DE 3707952 A1 DE3707952 A1 DE 3707952A1
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Germany
Prior art keywords
mask
bead
ventilation
respiratory mask
air
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Application number
DE19873707952
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German (de)
Inventor
Ernst Dipl Ing Hoermann
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Individual
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Individual
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Publication date
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Priority to DE19873707952 priority Critical patent/DE3707952A1/en
Publication of DE3707952A1 publication Critical patent/DE3707952A1/en
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0434—Cuffs
    • A61M16/045—Cuffs with cuffs partially or completely inflated by the respiratory gas
    • A61M16/0452—Cuffs with cuffs partially or completely inflated by the respiratory gas following the inspiration and expiration pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0488—Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/049—Mouthpieces
    • A61M16/0493—Mouthpieces with means for protecting the tube from damage caused by the patient's teeth, e.g. bite block
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A61M16/0605—Means for improving the adaptation of the mask to the patient
    • A61M16/0616—Means for improving the adaptation of the mask to the patient with face sealing means comprising a flap or membrane projecting inwards, such that sealing increases with increasing inhalation gas pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/06—Respiratory or anaesthetic masks
    • A61M16/0605—Means for improving the adaptation of the mask to the patient
    • A61M16/0633—Means for improving the adaptation of the mask to the patient with forehead support
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/105—Filters
    • A61M16/106—Filters in a path

Abstract

The invention relates to a breathing mask for long-term positive pressure respiration of patients with pulmonary insufficiency. The breathing mask surrounds mouth and nose. In long-term respiration (about 8 hours a day) sealing of the breathing mask against the face presents problems: the mask must only rest against the face very lightly in order to avoid painful pressure sores; on the other hand, however, it may only have low losses due to leakage. This sealing problem is solved by an inflatable annular bead which is formed such that the particularly sensitive areas of the face, that is bridge of the nose and eyes, are left free. Sealing and tolerability of the breathing mask can be improved by controlling the internal pressure in the sealing bead, so that the air pressure in the bead is slightly higher on inspiration than the air pressure in the mask, while it is lower on expiration, by a special cross-sectional shape of the bead with sealing lips and by application of an intermediate layer of a skin-compatible material.

Description

Die Erfindung bezieht sich auf eine dicht schließende Gesichtsmaske, die zur Langzeit-Überdruck-Beatmung von Personen mit Lungeninsuffizienz eingesetzt wird.The invention relates to a tight-fitting Facial mask used for long-term positive pressure ventilation People with lung insufficiency is used.

Die Beatmungsmaske (1) umschließt Mund und Nase. Die Atemluft wird der Maske von einem Drucklufterzeu­ ger (2) ("Beatmungsgerät") durch Schlauchleitungen und ein Dreiweg-Umschaltventil (3) ("Beatmungsventil") zugeführt. Dadurch wird im Innenraum der Maske ein Überdruck aufgebaut, der ausreichend hoch ist, um, ohne Zutun des Benutzers, dessen Lunge mit Atemluft zu füllen.The respiratory mask ( 1 ) encloses the mouth and nose. The breathing air is supplied to the mask from a compressed air generator ( 2 ) ("respirator") through hose lines and a three-way switch valve ( 3 ) ("respirator valve"). As a result, an excess pressure is built up in the interior of the mask, which is sufficiently high to fill the lungs with breathing air without the user having to do anything.

Beim Ausatmen wird die verbrauchte Luft durch das Beatmungsventil ausgeblasen (Fig. 1, Fig. 2).When exhaling, the used air is blown out through the ventilation valve ( Fig. 1, Fig. 2).

Bei der Langzeitbeatmung wird die Maske täglich mehr als 8 Std. getragen.With long-term ventilation, the mask increases daily worn as 8 hours.

Bei diesem Betrieb ist die Abdichtung des Beatmungs­ maske zum Gesicht problematisch:In this operation, the ventilation is sealed problematic face mask:

  • - einerseits darf die Maske nur sehr leicht anliegen, um Druckstellen und Beschädigungen der Epidermis zu vermeiden.- on the one hand, the mask may only fit very lightly, around pressure points and damage to the epidermis avoid.
  • - andererseits darf sie aber auch nur geringe Leckver­ luste aufweisen.- On the other hand, it may only have a small leakage have cracks.

Vergleichbare Beatmungsmasken sind bis heute nur zur Kurzzeit-Beatmung bekannt, z. B. zur Notbeatmung von Unfallopfern.To date, comparable ventilation masks are only for Short-term ventilation is known, e.g. B. for emergency ventilation of Accident victims.

Die Abdichtung dieser Beatmungsmasken zum Gesicht erfolgt z. T. durch einen aufblasbaren, geschlossenen Ringwulst, wobei die Luftmenge im Wulst während der Beatmung konstant bleibt (z. B. "Taschenmaske" der Fa. Lärdal Medical D 8031 Gräfelfing, Teilekatalog, Ausg. Jan. 86).These ventilation masks are sealed off from the face e.g. T. by an inflatable, closed ring bead, the amount of air in the bead during ventilation remains constant (eg "pocket mask" from Lärdal Medical D 8031 Graefelfing, parts catalog, edition Jan. 86).

Zum Teil erfolgt die Abdichtung auch durch Dichtlippen, die sich unter dem Innendruck ans Gesicht anlegen (z. B. "Silikonmaske" der Fa. Lärdal Medical, w. o.).In some cases, sealing is also carried out using sealing lips, that press against the face under the internal pressure (For example "Lärdal Medical" silicone mask, see above).

Diese Beatmungsmasken sind zur Langzeit-Beatmung nicht geeignet:These ventilation masks are for long-term ventilation not suitable:

  • - entweder verläuft das Dichtungselement quer über den Nasenrücken und führt dort wegen der lokal erhöhten Druckbelastung, insbesondere bei Patienten mit einem "hohen" Nasenrücken, zu Hautreizungen mit schmerzhaften Druckstellen;- either the sealing element runs transversely over the bridge of the nose and leads there because of the locally increased pressure load, especially at Patients with a "high" bridge of the nose, too Skin irritation with painful pressure points;
  • - oder die Beatmungsmaske ist im Nasen-Augen- Bereich so bereit, daß der Augapfel belastet und/oder das Gesichtsfeld eingeschränkt wird.- or the respiratory mask is in the nose and eye - Area so ready that the eyeball is stressed and / or the visual field is restricted.

Zudem bestehen bei diesem Beatmungsmasken die Dicht­ elemente aus Luft- und Wasserundurchlässigem Material und liegen direkt an der Gesichtshaut an.In addition, there are seals on this ventilation mask elements made of air and water impermeable material and lie directly on the skin of the face.

Dadurch kann in diesem Bereich die Hautfeuchtigkeit nicht verdunsten. Da nasse Haut wesentlich empfindlicher gegenüber Dauerbeanspruchungen ist, wird die Gefahr von Beschädigungen der Epidermis noch vergrößert.As a result, the skin moisture cannot in this area evaporate. Because wet skin is much more sensitive against permanent stresses, the risk of Damage to the epidermis increased.

Die Erfindung hat sich die Aufgabe gestellt, eine Beatmungs­ maske zu schaffen, die ausreichende Dichtigkeit aufweist und auch bei fortgesetztem Dauerbetrieb zu keinen körperlichen Beeinträchtigungen des Benutzers führt.The invention has set itself the task of ventilation to create a mask that has sufficient tightness and no physical activity even with continued continuous operation Leads to impairments of the user.

Das beschriebene Abdichtungsproblem wird erfindungsgemäß durch ein aufblasbaren Ringwulst (4) aus luftdichtem, elastischem Material mit einer Formgebung nach Anspruch 1 gelöst. Dabei werden der Nasenrücken und die Augäpfel frei gehalten (Fig. 3, Fig. 4, Fig. 5).The sealing problem described is solved according to the invention by an inflatable annular bead ( 4 ) made of airtight, elastic material with a shape according to claim 1. The bridge of the nose and the eyeballs are kept free ( Fig. 3, Fig. 4, Fig. 5).

An der Nase liegt die Dichtung nur in der oberen Hälfte der Nasenseitenwände an, darunter auf der Wange neben den Nasenflügeln.The seal on the nose is only in the upper half of the nose sidewalls, including on the cheek next to the Nostrils.

Eine konkave Wölbung des Dichtungswulstes, mit einem Krümmungsradius unter 1 cm, wie sie sonst entsteht, wenn der Dichtungswulst über den Nasenrücken verläuft und dort zu hohen lokalen Drücken führt, wird auf diese Art vermieden.A concave curvature of the sealing bead, with a Radius of curvature less than 1 cm, as is otherwise the case when the sealing bead runs over the bridge of the nose and there leads to high local pressures avoided this kind.

Zudem wird ein ausreichendes Gesichtsfeld für den Benutzer gewährleistet.In addition, a sufficient field of vision for the User guaranteed.

Durch die Anforderung einer Dichtlippe (8) entsprechend Anspruch 2 kann der zusätzliche Dichtungseffekt einer sich unter dem Innendruck selbst anlegenden Dichtlippe zur Verbesserung der Abdichtung dienen (Fig. 6).By requesting a sealing lip ( 8 ) according to claim 2, the additional sealing effect of a self-applying sealing lip under the internal pressure can serve to improve the seal ( FIG. 6).

Das Querschnittsprofil des Ringwulstes kann entsprechend Anspruch 3 geformt werden (Fig. 7).The cross-sectional profile of the annular bead can be shaped according to claim 3 ( Fig. 7).

Wird jetzt der Ringwulst mit Luft gefüllt, dann wird der Ringwulst immer mehr einen kreisförmigen Querschnitt annehmen. Dabei wird die Dichtlippe immer weiter vom Masken­ körper weg in Richtung der Gesichtsoberfläche gedreht. Die Kante der Dichtkippe bewegt sich dabei um den Be­ trag "H" (Fig. 8).If the ring bead is now filled with air, the ring bead will increasingly take on a circular cross section. The sealing lip is turned further and further away from the mask body in the direction of the face surface. The edge of the sealing tip moves around the loading "H" ( Fig. 8).

Dieser Effekt begünstigt eine gute Anpassung der Beatmungsmaske auch an stark unterschiedliche Gesichts­ formen.This effect favors a good adaptation of the Ventilation mask also on very different faces to form.

Durch die Steuerung des Innendruckes im Ringwulst ent­ sprechend Anspruch 4 kann die Druckbelastung, die der Ringwulst auf das Gesicht ausübt, auf das notwendige Mindestmaß verringert werden. Zusätzlich ergibt sich beim Ausatmen eine starke Reduzierung des Anpreßdruckes, was einen Erholungsvorgang in den betroffenen Haut­ partien begünstigen kann, z. B. durch eine bessere Durchblutung während der Entlastungsphase. By controlling the internal pressure in the toroid speaking claim 4, the pressure load that the Ring bead on the face, on the necessary Minimum be reduced. In addition there is when exhaling a strong reduction of the contact pressure, what a recovery process in the affected skin can favor lots, e.g. B. by a better one Blood flow during the relief phase.  

Die Steuerung des Innendruckes im Ringwulst kann durch eine Anordnung entsprechend Anspruch 5 erfolgen (Fig. 10). Diese Anordnung hat den Vorteil, daß der Betrag des Druck­ unterschiedes zwischen dem Druck im Wulst und dem Druck in der Maske in einem gewissen Ausmaß verstellbar ist. Nachteilig wirkt sich dabei aber aus, daß durch die zu­ sätzliche Drosselstelle (10) in der Zuluftleitung dem Be­ atmungsgerät eine höhere Leistung abgefordert wird.The control of the internal pressure in the ring bead can be done by an arrangement according to claim 5 ( Fig. 10). This arrangement has the advantage that the amount of pressure difference between the pressure in the bead and the pressure in the mask is adjustable to a certain extent. A disadvantage is that the additional throttle point ( 10 ) in the supply air line requires a higher performance from the breathing apparatus.

Bei einer Anordnung entsprechend Anspruch 6 wird das Beatmungsgerät nicht zusätzlich beansprucht (Fig. 11). Dies ist besonders bei Batteriebetrieb wichtig. Dafür ist eine Einstellmöglichkeit nicht vorhanden.In an arrangement according to claim 6, the ventilator is not additionally claimed ( Fig. 11). This is particularly important for battery operation. There is no setting option for this.

Durch eine hautfreundliche Zwischenlage (11) entsprechend Anspruch 7 wird die Bildung eines Feuchtigkeitsfilmes zwischen Gesichtshaut und Atemmaske vermieden (Fig. 5 und Fig. 12).By a skin-friendly liner (11) according to claim 7, the formation of a moisture film between facial skin and breathing mask is avoided (FIG. 5 and FIG. 12).

Aufgabe der Zwischenlage ist es, die ausgeschiedene Hautfeuchtigkeit aufzusaugen und durch Kapillarwirkung zum Außen- oder Innenraum der Maske zu transportierten, wo sie verdunsten kann.The job of the liner is to remove the one Absorb skin moisture and by capillary action to be transported to the outside or inside of the mask, where it can evaporate.

Dadurch wird die Haut in der belasteten Zone trocken gehalten, wodurch sich ihre Widerstandsfähigkeit erhöht. Zudem ist eine derartige Zwischenlage preisgünstig herstellbar und leicht zu befestigen, z. B. durch Knöpfe. Sie kann also haufig ausgewechselt werden, was besonders bei Dauerbetrieb aus hygienischen Gründen empfehlenswert ist.This will dry the skin in the affected area held, which increases their resilience. In addition, such an intermediate layer is inexpensive producible and easy to attach, e.g. B. by Buttons. So it can be replaced frequently, which is especially hygienic for continuous operation Reasons is recommended.

Bei einer Ausbildung des Dichtungselementes ent­ sprechend Anspruch 8 kann der Ringwulst und ggf. seine Drucksteuerung wegfallen, was die Beatmungsmaske vereinfacht (Fig. 9).In a design of the sealing element accordingly claim 8, the ring bead and possibly its pressure control can be omitted, which simplifies the respiratory mask ( Fig. 9).

Die Befestigung der Membran (13) kann durch einen Drahtspannring (17) erfolgen. Dies setzt voraus, daß am Außenrand der Maske eine Nut vorgesehen ist, in die der Drahtspannring eingelegt wird, und daß zusätzlich die Außenkontur der Maske in jedem Bereich konvex ist, damit der Drahtspann­ ring an jedem Punkt anliegt.The membrane ( 13 ) can be fastened by means of a wire tension ring ( 17 ). This requires that a groove is provided on the outer edge of the mask, into which the wire tension ring is inserted, and that in addition the outer contour of the mask is convex in each area, so that the wire tension ring rests at every point.

Durch Anbringung des Beatmungsventils (3) direkt an der Beatmungsmaske entsprechend Anspruch 9 (Fig. 12) werden 2 Vorteile erzielt:By attaching the ventilation valve ( 3 ) directly to the ventilation mask according to claim 9 ( Fig. 12), two advantages are achieved:

  • 1. Durch den Fortfall eines Verbindungsstückes zwi­ schen Beatmungsventil und Beatmungsmaske, das länger als 2 cm ist, wird das Totvolumen in der Maske verringert. (Unter "Totvolumen" ist das Volu­ men der verbrauchten Luft zu verstehen, die nach dem Ausatmen noch in der Maske verbleibt.) Dadurch wird die Beatmungsqualität der Maske verbessert. 1. By the elimination of a connecting piece between ventilation valve and respiratory mask, the is longer than 2 cm, the dead volume in the mask decreased. (Under "dead volume" is the volume to understand the amount of used air that remains in the mask after exhaling.) This improves the ventilation quality of the mask improved.  
  • 2. Bei einer Ausführung der Beatmungsmaske ent­ sprechend Anspruch 7 kann der Strömungswider­ stand des Beatmungsventils für die Drucker­ höhung im Ringwulst herangezogen werden, ohne daß eine zusätzliche Schlauchleitung erforder­ lich ist.2. When executing the respiratory mask speaking claim 7, the flow resistance the ventilation valve for the printer be raised in the ring bead without that an additional hose line is required is.

Durch eine Fixierung der Atemmaske am Gebiß des Benutzers mit Hilfe eines Formstückes (15) entsprechend Anspruch 10 (Fig. 13) wird ein Verrutschen der Beatmungsmaske, z. B. durch Kopfbewegungen, verhindert und ein stets gleich­ bleibender Sitz der Maske gewährleistet. Dadurch verbessert sich die Abdichtung der Beatmungsmaske.By fixing the breathing mask on the user's teeth with the help of a fitting ( 15 ) according to claim 10 ( Fig. 13), slipping of the respiratory mask, z. B. prevented by head movements and ensures a constant fit of the mask. This improves the sealing of the ventilation mask.

Claims (10)

1. Beatmungsmaske (1) für Überdruck-Beatmung, die Mund und Nase umschließt, wobei beim Einatmen die Luft von einem Drucklufterzeuger (2) (im folgenden "Beatmungsgerät" genannt) durch Schlauch­ leitungen und ein Dreiweg-Umschaltventil (3) (im folgenden "Beatmungsventil" genannt) der Beatmungsmaske zugeführt wird, so daß im Innenraum der Beatmungsmaske ein Überdruck entsteht, der ausreichend hoch ist, um, ohne Zutun des Benutzers, dessen Lunge mit Atemluft zu füllen, während beim Ausatmen die verbrauchte Luft über das Atemventil ausgeblasen wird, dadurch gekennzeichnet, daß
  • - die Gesamtbreite der Beatmungsmaske (Maß "B" in Fig. 1) in der Höhe der Verbindungslinie zwischen den Pupillen des Benutzers - ordnungsgemäßen Sitz der Maske vor­ ausgesetzt - nicht mehr als 5 cm beträgt;
  • - die Abdichtung der Beatmungsmaske zum Gesicht des Benutzers durch einen luftgefüllten Ringwulst (4) aus elastischem, luftdichtem Material erfolgt, wobei Maske und Wulst so geformt sind, daß der Ringwulst an der Nase im Bereich der Stirnfortsätze des Überkieferknochens (5) - das entspricht etwa der oberen Hälfte der Nasenseitenwände - anliegt, und daß sich die Mittellinien (6) des linken und rechten Stranges der Berührungsfläche auf der Stirn ober­ halb der Nasenwurzel vereinigen. Unter Berührungsfläche ist hier die bandförmige Fläche (7) zu verstehen, auf der der Dichtungswulst das Gesicht berührt.
1. Ventilation mask ( 1 ) for positive pressure ventilation, which encloses the mouth and nose, wherein when inhaling the air from a compressed air generator ( 2 ) (hereinafter referred to as "ventilator") through hose lines and a three-way switch valve ( 3 ) (hereinafter "Ventilation valve" called) is supplied to the respiratory mask, so that there is an excess pressure in the interior of the respiratory mask, which is sufficiently high to fill the lungs with breathing air without the user's intervention, while the exhaled air is blown out through the breathing valve during exhalation , characterized in that
  • - The total width of the respiratory mask (dimension "B" in Fig. 1) at the height of the connecting line between the user's pupils - proper fit of the mask exposed before - is not more than 5 cm;
  • - The ventilation mask is sealed to the face of the user by an air-filled ring bead ( 4 ) made of elastic, airtight material, the mask and bead being shaped so that the ring bead on the nose in the area of the frontal processes of the jawbone ( 5 ) - this corresponds approximately the upper half of the side walls of the nose - abuts, and that the center lines ( 6 ) of the left and right strands of the contact surface on the forehead unite above the root of the nose. The contact surface here is to be understood as the band-shaped surface ( 7 ) on which the sealing bead touches the face.
2. Beatmungsmaske nach Anspruch 1, dadurch gekennzeichnet, daß an der dem Gesicht zu­ gewandeten Seite des luftgefüllten Ringwulstes eine elastische Dichtlippe (8) angeformt ist, die zur Innenseite der Beatmungsmaske weist.2. Respiratory mask according to claim 1, characterized in that an elastic sealing lip ( 8 ) is formed on the side facing the face of the air-filled annular bead, which lip faces the inside of the respiratory mask. 3. Beatmungsmaske nach Anspruch 2, dadurch gekennzeichnet, daß das Querschnittsprofil des luftgefüllten Ring­ wulstes so ausgebildet wird, daß diejenige Seiten­ wand (9) des Hohlkörpers, die nach innen weist und in die Oberseite der Dichtlippe übergeht, etwa die Form eines "S" hat.3. Respiratory mask according to claim 2, characterized in that the cross-sectional profile of the air-filled ring bead is formed so that the side wall ( 9 ) of the hollow body, which faces inwards and merges into the top of the sealing lip, approximately the shape of an "S" Has. 4. Beatmungsmaske nach Anspruch 1, 2 oder 3, wobei der Innendruck im Ringwulst so gesteuert wird, daß beim Einatmen der Luftdruck im Wulst etwas höher ist als der Luftdruck im Innenraum der Beatmungsmaske, beim Ausatmen der Druck im Wulst aber verringert wird. 4. Respiratory mask according to claim 1, 2 or 3, the internal pressure in the ring bead being controlled that when breathing in the air pressure in the bead something is higher than the air pressure in the interior of the Breathing mask, but when exhaling the pressure in the bead is reduced.   5. Beatmungsmaske nach Anspruch 4, dadurch gekennzeichnet, daß für die Erzeugung des Überdruckes im Ringwulst der Strömungswiderstand einer verstellbaren oder nicht verstellbaren Drossel­ einrichtung (10) - vorzugsweise eines Durchgangsventils -, die in der Zuluftleitung zwischen Atemgerät und Atem­ ventil angebracht ist, wobei der Ringwulst pneumatisch mit dem Teil der Zuluftleitung verbunden wird, der - in Strömungsrichtung gesehen - vor der Drossel­ einrichtung liegt.5. Respiratory mask according to claim 4, characterized in that for the generation of the excess pressure in the annular bead, the flow resistance of an adjustable or non-adjustable throttle device ( 10 ) - preferably a two-way valve - which is attached in the supply air line between the breathing apparatus and the breathing valve, the Ring bead is pneumatically connected to the part of the supply air line, which - seen in the flow direction - is in front of the throttle device. 6. Beatmungsmaske nach Anspruch 4, dadurch gekennzeichnet, daß für die Erzeugung des Überdruckes im Ringwulst der Strömungswiderstand einer Leitungsarmatur in der Zuluftleitung, die für den Beatmungsbetrieb ohnehin erforderlich ist, z. B. eines Luftfilters oder des Beatmungsventils, genutzt wird, wobei der Ringwulst pneumatisch mit dem Teil der Zuluftleitung verbunden wird, der - in Strömungsrichtung gesehen - vor dieser Leitungs­ armatur liegt.6. Respiratory mask according to claim 4, characterized in that for the generation of the Overpressure in the annular bead is the flow resistance a line fitting in the supply air line, which for ventilation is required anyway, e.g. B. an air filter or the ventilation valve is, the ring bead pneumatically with the part of the supply air duct that is connected - seen in the direction of flow - in front of this line armature lies. 7. Beatmungsmaske nach einem der Ansprüche, dadurch gekennzeichnet, daß zwischen Dichtungswulst und Gesicht eine Zwischenlage (11) aus hautfreundli­ chem, weichem und saugfähigem Material, vorzugsweise Textil, Leder oder Zellstoff, angebracht ist.7. Respiratory mask according to one of the claims, characterized in that an intermediate layer ( 11 ) made of skin-friendly, soft, absorbent material, preferably textile, leather or cellulose, is attached between the sealing bead and the face. 8. Beatmungsmaske nach dem Oberbegriff von Anspruch 1, dadurch gekennzeichnet, daß diese aus einem steifen Maskenkörper (12) besteht, an dem eine biegeschlaffe Membran (13) luftdicht befestigt ist, die einen Aus­ schnitt für Mund und Nase aufweist und aus luftun­ durchlässigem, saugfähigem, hautfreundlichem Material, vorzugsweise dünnem Leder, besteht. Die Membran legt sich unter dem Innendruck der Beatmungsmaske an das Gesicht an. Um ein faltenfreies Anliegen zu gewährleisten, kann die Membran vorgeformt sein. Der Anpreßdruck an das Gesicht, und damit die Ab­ dichtfunktion der Membran, kann durch ein Zwischen­ polster (14) aus elastischem, zusammendrückbarem Material, das im Innenraum der Maske zwischen Masken­ körper und Membran angebracht ist, vergrößert werden.8. Respiratory mask according to the preamble of claim 1, characterized in that it consists of a rigid mask body ( 12 ) on which a slack membrane ( 13 ) is attached airtight, which has a cut out for the mouth and nose and from breathable, absorbent, skin-friendly material, preferably thin leather. The membrane attaches to the face under the internal pressure of the ventilation mask. The membrane can be preformed to ensure a wrinkle-free fit. The contact pressure on the face, and thus the sealing function of the membrane, can be increased by an intermediate cushion ( 14 ) made of elastic, compressible material that is attached between the mask body and membrane in the interior of the mask. 9. Beatmungsmaske nach einem der Ansprüche, dadurch gekennzeichnet, daß das Beatmungsventil so an der Beatmungsmaske angebracht ist, bzw. ein unlösbarer Bestandteil der Beatmungsmaske ist, daß eine Verbindungsleitung zwischen dem Innenraum des Beatmungsventils und dem Innenraum der Beatmungsleitung entweder nicht vorhanden ist, oder, falls diese Verbindungsleitung existiert, sie eine Länge von nicht mehr als 2 cm aufweist. 9. Respiratory mask according to one of the claims, characterized in that the breathing valve is attached to the respiratory mask, or an integral part of the respiratory mask is that a connecting line between the Interior of the breathing valve and the interior ventilator line either not available or, if this connection line exists, it has a length of no more than 2 cm.   10. Beatmungsmaske nach einem der Ansprüche, dadurch gekennzeichnet, daß die Fixierung der Beatmungs­ maske auf dem Gesicht des Benutzers durch ein Form­ stück (15) erfolgt, das vor, hinter und/oder zwischen die Zähne des Benutzers eingelegt ist, so daß es vom Gebiß des Benutzers formschlüssig gehalten wird, und das mit der Maske fest oder lösbar ver­ bunden ist. Die Verbindung der Beatmungsmaske mit dem Formstück kann durch ein oder mehrere Verbindungsteile (16) erfolgen, die im Bereich der Lippen abgeflacht ausgeführt sein können. Die durch den Innendruck der Beatmungsmaske entstehenden Kräfte können zusätzlich durch ein oder mehrere Kopfbänder aufgenommen werden.10. Ventilation mask according to one of the claims, characterized in that the ventilation mask is fixed on the face of the user by means of a molded piece ( 15 ) which is inserted in front of, behind and / or between the teeth of the user, so that it is from Teeth of the user is held in a form-fitting manner, and is firmly or releasably connected to the mask. The ventilation mask can be connected to the shaped piece by one or more connecting parts ( 16 ), which can be flattened in the area of the lips. The forces generated by the internal pressure of the respiratory mask can also be absorbed by one or more headbands.
DE19873707952 1987-03-12 1987-03-12 Breathing mask for long-term operation Withdrawn DE3707952A1 (en)

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US5243971A (en) * 1990-05-21 1993-09-14 The University Of Sydney Nasal mask for CPAP having ballooning/moulding seal with wearer's nose and facial contours
WO1995033418A1 (en) * 1994-06-03 1995-12-14 Thornton W Keith Combination of face mask and dental device
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US5829441A (en) * 1997-06-24 1998-11-03 Nellcor Puritan Bennett Customizable dental device for snoring and sleep apnea treatment
US5921239A (en) * 1997-01-07 1999-07-13 Sunrise Medical Hhg Inc. Face mask for patient breathing
US5954048A (en) 1994-06-03 1999-09-21 Thornton; W. Keith Device and method for improving breathing
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DE19944242A1 (en) * 1999-09-15 2001-03-22 Dentallabor Negurescu Gmbh Medical breathing mask with nose and mouth pieces joins these via orifice and flexible connector tube to breathing apparatus.
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EP1099452A3 (en) * 1999-11-12 2003-01-22 MAP Medizintechnik für Arzt und Patient GmbH & Co. KG Respiratory mask and method for making the same
US6516805B1 (en) 1993-09-29 2003-02-11 W. Keith Thornton Apparatus for prevention of snoring and improved breathing during sleep
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WO2006050559A1 (en) * 2004-11-10 2006-05-18 Resmed Limited Method and apparatus for adjusting respiratory mask sealing force
US7156093B2 (en) 2003-09-18 2007-01-02 E. D. Bullard Company Inflatable respirator hood
US7174895B2 (en) 2002-05-01 2007-02-13 W. Keith Thornton Device and method for improving a user's breathing
US7255106B2 (en) 2001-06-01 2007-08-14 Pari Gmbh Spezialisten Fur Effektive Inhalation Inhalation mask
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US7909035B2 (en) 2005-07-11 2011-03-22 Airway Technologies, Llc Multi-chamber mask and method of forming the same
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WO1991012051A1 (en) * 1990-02-16 1991-08-22 Hök Instrument Ab Acoustic respiration detector
EP0462701A1 (en) * 1990-05-21 1991-12-27 The University Of Sydney Nasal mask
US5243971A (en) * 1990-05-21 1993-09-14 The University Of Sydney Nasal mask for CPAP having ballooning/moulding seal with wearer's nose and facial contours
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US5560354A (en) * 1993-06-18 1996-10-01 Rescare Limited Facial masks for assisted respiration or CPAP
US6516805B1 (en) 1993-09-29 2003-02-11 W. Keith Thornton Apparatus for prevention of snoring and improved breathing during sleep
US6155262A (en) 1994-03-25 2000-12-05 Thornton; W. Keith Method and apparatus for adjusting a dental device
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US5954048A (en) 1994-06-03 1999-09-21 Thornton; W. Keith Device and method for improving breathing
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US6374824B1 (en) 1994-06-03 2002-04-23 W. Keith Thornton Device for improving breathing
US5537994A (en) * 1994-06-03 1996-07-23 Thornton; W. Keith Combination face mask and dental device for improved breathing during sleep
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AU692564B2 (en) * 1994-06-03 1998-06-11 W. Keith Thornton Combination of face mask and dental device
WO1995033418A1 (en) * 1994-06-03 1995-12-14 Thornton W Keith Combination of face mask and dental device
EP0692274A3 (en) * 1994-07-15 1996-03-13 Weinmann G Geraete Med Individual mask
US6039044A (en) * 1994-12-09 2000-03-21 University Of Sydney Gas delivery mask
FR2731624A1 (en) * 1995-03-16 1996-09-20 Assist Publ Hopitaux De Paris FACE VENTILATION MASK, PART AND METHOD FOR THE PRODUCTION THEREOF
WO1996028207A1 (en) * 1995-03-16 1996-09-19 Assistance Publique - Hopitaux De Paris Facial respirator mask, part and method for the manufacture thereof
DE19515739A1 (en) * 1995-05-03 1996-11-07 Holger Krohn Method and device for generating health-friendly breathing air in nasal positive pressure respirators
US5857460A (en) * 1996-03-14 1999-01-12 Beth Israel Deaconess Medical Center, Inc. Gas-sensing mask
WO1997033641A1 (en) * 1996-03-14 1997-09-18 Beth Israel Deaconess Medical Center, Inc. A gas-sensing mask
US5921239A (en) * 1997-01-07 1999-07-13 Sunrise Medical Hhg Inc. Face mask for patient breathing
DE19817332C2 (en) * 1997-04-29 2002-11-14 Georg Haushalter oxygen mask
US5829441A (en) * 1997-06-24 1998-11-03 Nellcor Puritan Bennett Customizable dental device for snoring and sleep apnea treatment
DE19757703C1 (en) * 1997-12-23 1999-10-14 Map Gmbh Breathing mask with hose and enriched-air outlet
DE19757703C5 (en) * 1997-12-23 2009-09-17 Map Medizin-Technologie Gmbh breathing device
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US6305376B1 (en) 1999-09-09 2001-10-23 W. Keith Thornton Device and method for improving breathing
DE19944242A1 (en) * 1999-09-15 2001-03-22 Dentallabor Negurescu Gmbh Medical breathing mask with nose and mouth pieces joins these via orifice and flexible connector tube to breathing apparatus.
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US9770568B2 (en) 2008-03-04 2017-09-26 Resmed Limited Mask system with snap-fit shroud
US11529488B2 (en) 2008-03-04 2022-12-20 ResMed Pty Ltd Mask system with snap-fit shroud
US8607796B2 (en) 2009-02-27 2013-12-17 Airway Technologies, Llc Apparatus and method for coupling an oral appliance to a gas delivery device
US10596027B2 (en) 2011-04-05 2020-03-24 Airway Technologies, Llc Apparatus for improved breathing
US10736770B2 (en) 2011-04-05 2020-08-11 Airway Technologies, Llc Apparatus for improved breathing
US10596026B2 (en) 2011-04-05 2020-03-24 Airway Technologies, Llc Apparatus for improved breathing
US11052210B2 (en) 2015-03-25 2021-07-06 ResMed Pty Ltd Patient interface with blowout prevention for seal-forming portion
US11724054B2 (en) 2015-03-25 2023-08-15 ResMed Pty Ltd Patient interface with blowout prevention for seal-forming portion
WO2021111315A1 (en) * 2019-12-03 2021-06-10 The Secretary, Department Of Biotechnology A non-invasive ventilation device for patients with chronic obstructive pulmonary disease
US11969552B2 (en) 2022-06-28 2024-04-30 ResMed Pty Ltd Mask system with radially positioned vent holes

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