Abstract: A patient interface assembly that includes a patient interface device, a headgear, and coupling member joining the interface device to a headgear. In one embodiment, a spring biases the interface device against the face during use. In a further embodiment, the patient interface device is a nasal cushion having a formable support mounted to the nasal cushion for providing support and adjustment of the nasal cushion to improve fit and comfort. The headgear assembly in one embodiment is a semi-rigid, minimal contact harness and includes an adjustment assembly that allows for a simultaneous adjustment of multiple straps. An adjustment assembly on the headgear provides a gross adjustment of the position of the interface relative to the patient and a biasing force to urge the patient interface device against the patient's face. In a further embodiment, a pair of rigid connecting members couple the patient interface device to the headgear.

Abstract: A pressure reducing valve for use in a system adapted to deliver a breathing gas to a patient. The pressure reducing valve is structured to communicate a flow of breathing gas to such a patient's airway during an inspiratory phase. The pressure reducing valve is structured to isolate the flow of breathing gas from the patient's airway and to “dump” the flow of breathing gas and a flow of exhalation gas to atmosphere during the expiratory phase. The flow of breathing gas is dumped to atmosphere through a first number of ports; whereas a flow of exhalation gas is dumped to atmosphere through a second number of ports. Because the flow of breathing gas remains isolated from the flow of exhalation gas, less effort is required by a patient during the expiratory phase.

Abstract: A patient interface device including a cushion assembly having a cushion-in-a-cushion arrangement and a system for supplying a flow of gas to a patient using such an interface device. The patient interface includes a mask shell having a patient side and an outer side opposite the patient side adapted for receiving a supply of gas. A seal cushion contacts a first area of a patient's face to form a seal therewith. A support cushion encircles the seal cushion and includes a first end portion that contacts a second area of a patient's face.

Abstract: A chest brace and method of using same that prevents the chest wall from buckling inwards during patient breathing by providing a distending force on the patient's thorax. The chest brace also restores the normal anterior-to-posterior chest dimensions by providing a distending force in this direction. The chest brace includes an anterior member adapted to overly a patient's chest. An adhesive mechanism secures the anterior member to a surface of such a patient. A support structure is coupled to the anterior member such that, in use, the support structure imparts a force on the anterior member in a manner so as to distend a thorax of such a patient.

Abstract: An apparatus for selectively positioning intraoral anatomic features of a human patient to enhance upper airway stability for use alone or in combination with positive airway pressure as therapeutic treatment for obstructive sleep apnea and other conditions, such as snoring, which are symptomatic of upper airway instability.

Abstract: An oral appliance is provided for the treatment of snoring and obstructive sleep apnea. The oral appliance includes an upper tray adaptable to conform to a user's maxillary dentition and a plurality of lower trays, each of the lower trays adaptable to conform to the user's mandibular dentition. At least some of the lower trays are structured to engage the upper tray, each of the lower trays are structured to impart a different fixed amount of mandibular advancement.

Abstract: A flexible connector that couples a delivery conduit to a patient interface device and a pressure support system that includes such a flexible connector. The flexible connector of the present invention prevents disruption of the seal between the patient interface and the patient's face. The flexible connector may have a bellows portion with a longitudinally directed portion, a narrowed neck portion, or a plurality of corrugations. The flexible connector may further have a swivel portion and/or an exhaust member, and/or a hinge member.

Abstract: A forehead pad that includes a base member having a first side adapted to be coupled to a forehead support member. The pad also includes a patient contacting member having a first side adapted to contact a surface of a patient. A neck portion couples a second side of the base member and a second side of the first patient contacting member. The neck portion includes at least one cutout to allow at least a portion of the first patient contacting member to move relative to the base member so that the patient contacting portion of the pad is self-aligning with the surface of the patient even if the base member is not parallel with the surface of the patient.

Abstract: A chest brace and method of using same that prevents the chest wall from buckling inwards during patient breathing by providing a distending force on the patient's thorax. The chest brace also restores the normal anterior-to-posterior chest dimensions by providing a distending force in this direction. The chest brace includes an anterior member adapted to overly a patient's chest. An adhesive mechanism secures the anterior member to a surface of such a patient. A support structure is coupled to the anterior member such that, in use, the support structure imparts a force on the anterior member in a manner so as to distend a thorax of such a patient.

Abstract: A patient interface device including a cushion assembly having a cushion-in-a-cushion arrangement and a system for supplying a flow of gas to a patient using such an interface device. The patient interface includes a mask shell having a patient side and an outer side opposite the patient side adapted for receiving a supply of gas. A seal cushion contacts a first area of a patient's face to form a seal therewith. A support cushion encircles the seal cushion and includes a first end portion that contacts a second area of a patient's face.

Abstract: A conduit coupling assembly for use in connection with a patient interface device. The conduit coupling assembly includes a coupling retention assembly for retaining the conduit coupling in a predetermined position with respect to the user's face, and an adjustment assembly that permits continuous adjustment of a position of the conduit coupling with respect to a user's face. The conduit coupling assembly is continuously adjustable and retainable in an adjusted position and orientation by the adjustment assembly.

Abstract: A cushion for use with a patient interface device includes a first end portion, which typically contacts the patient's face when the patient interface device is worn, a second end and/or opposite the first end, which is typically coupled to a portion of the patient interface device, a chamber, which is typically disposed between the first and second end portions, and an orifice. The chamber is structured to receive and store a dampening medium therein; and the orifice, which is in operative communication with the chamber, controls the passage of the dampening medium into and/or out of the chamber. A patient interface device including a mask shell and the cushion is also described.

Abstract: A humidifier for use with a pressure support system. The humidifier includes a body having an inlet, a fluid holding chamber, and an outlet. The inlet is positioned upstream and in fluid communication with the fluid holding chamber. The outlet is positioned downstream of and in fluid communication with the fluid holding chamber. A back-flow preventing valve is positioned upstream of the fluid chamber. The back-flow preventing valve is movable between an open position, in which the inlet is unblocked, and a closed position in which the inlet is blocked. In the closed position, the back-flow preventing valve prevents fluid, fluid vapor, or both from entering the pressure support via the inlet to the humidifier.

Abstract: A respiratory mask including a base plate adapted for connection to a gas source and a bladder secured to the base plate to form a generally fluid tight seal with the base plate, and defining at least one internal chamber with the base plate for receiving a fluidizing medium to fill the bladder and form a resilient cushion.

Abstract: A patient interface device of the invention includes a shell having a wall with a port extending therethrough, a conduit coupling in fluid communication with the port, and a mounting member rotatably. The mounting member is coupled to the conduit coupling, or both such that the mounting member is rotatable over a 360 degree range while the patient interface device is donned on a user and without locking in a fixed position relative to the shell or conduit while the patient interface device is donned on a user.

Abstract: A patient interface device including a cushion assembly having a cushion-in-a-cushion arrangement and a system for supplying a flow of gas to a patient using such an interface device. The patient interface includes a mask shell having a patient side and an outer side opposite the patient side adapted for receiving a supply of gas. A seal cushion contacts a first area of a patient's face to form a seal therewith. A support cushion encircles the seal cushion and includes a first end portion that contacts a second area of a patient's face.

Abstract: A patient interface having a forehead support adjustably. The forehead support assembly includes a support arm that is adjustably mounted to the mask shell, thereby allowing the adjustment of the distance between the forehead support bracket and the mask shell in order to adjust for patient's of different sizes. A forehead support bracket is pivotally connected to the support arm. The pivoting forehead support bracket is self-aligning to allow the forehead pad to remain parallel to the patient's forehead at all times, thus enhancing comfort and stability. The forehead support bracket is removable from the support arm, allowing the headgear (with support bracket attached) to be donned separately from the mask and support arm. The forehead support bracket in one embodiment has a forehead pad formed from the headgear itself.

Abstract: The present invention provides a connection device for connecting a headgear having straps, a mask and a system for supplying a flow of gas to a patient. The connection device incorporates a locking member or locking portion which is configured to lock the straps in a particular location.

Abstract: A patient interface gas delivery mask having a rolling diaphragm that connects a seal member forming a cushion which contacts the patient's face with a mask shell or that connects a conduit coupling member with the mask shell. The rolling diaphragm of the present invention allows the cushion to self align to the patient's face and allows relative movement between the seal member and the mask shell. This prevents torque acting of a conduit coupled to the mask shell from being translated to the seal member, which might otherwise dislodge the seal member creating unwanted gas leakage at the seal member-patient interface.

Abstract: A patient interface gas delivery mask having a forehead and chin support system including a forehead support, a chin support, and a system for supplying a flow of gas to a patient that incorporates such a mask, forehead support, and chin support. The forehead support includes a supporting arm which is adjustably mounted to the mask shell, thereby allowing the adjustment of the distance between the forehead support bracket and the mask shell in order to adjust for patient's of different sizes. A forehead support bracket is pivotally connected to the support arm. Likewise the chin support is also adjustably mounted to the mask shell.