# US 10,117,599 B2 · Subject interface appliance and method for delivering a breathable substance to a subject while obtaining gas samples from the airway of the subject

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- Number: US 10,117,599 B2
- Document ID: US10117599B2
- Status: Granted
- Kind: B2
- Application number: 13/518,913
- Filed: 2010-12-10
- Published: 2013-05-23
- Granted: 2018-11-06
- Earliest claimed: 2009-12-28
- Assignees: Koninklijke Philips N.V.
- Applicants: Joseph Allen Orr; Soeren Hoehne; Lara Brewer
- Inventors: Joseph Allen Orr; Soeren Hoehne; Lara Brewer
- Web page: https://patentgrep.com/patent/US10117599B2

## CPC

- A61B 5/097: Devices for facilitating collection of breath or for directing breath into or through measuring devices
- A61M 16/06: Respiratory or anaesthetic masks
- A61M 16/0616: {with face sealing means comprising a flap or membrane projecting inwards, such that sealing increases with increasing inhalation gas pressure}
- A61M 16/0666: {Nasal cannulas or tubing (devices for improving normal breathing through the nose A61F5/08; nose filters A62B23/06; outside holding devices A61M25/02)}
- A61M 16/085: {Gas sampling}
- A61M 16/0683: {Holding devices therefor}
- A61M 2205/0216: Materials providing elastic properties, e.g. for facilitating deformation and avoid breaking
- A61M 2210/0618: Nose
- A61M 2210/0625: Mouth
- A61M 2230/43: Composition of exhalation
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

A subject interface appliance (10) configured to deliver a breathable substance to a subject. The subject interface appliance includes a primary interface (12) configured to deliver a breathable substance to the subject, and a secondary interface (14) configured to obtain gas samples from the airway of the subject. The secondary interface is resiliently held at a default position with respect to the primary interface. The default position is located such that installation of the primary and secondary interfaces on the subject results in the application of a bias force to the secondary interface that holds the secondary interface in place.

## Claims

### Claim 1

A subject interface appliance configured to deliver a breathable substance to the airway of a subject, the subject interface appliance comprising:
a primary interface including a mask barrier that encloses one or more external orifices of the airway of a subject including a first external orifice, wherein the mask barrier is shaped to form a delivery opening through which a breathable substance can be communicated to the one or more external orifices of the subject that are enclosed by the mask barrier;
a secondary interface, the secondary interface comprising:
a hollow prong having a first end and a second end, the hollow prong being configured to be inserted into the first external orifice of the airway of the subject such that the first end of the hollow prong is positioned inside of the first external orifice and the second end of the hollow prong is positioned outside of the first external orifice, and
a main conduit connected to the hollow prong at or near the second end to receive gas that has entered the first end of the hollow prong within the airway of the subject, the main conduit being configured to guide the received gas toward a sensor configured to generate an output signal conveying information related to one or more parameters of the received gas received by the secondary interface through the hollow prong; and
a resilient member extending from the primary interface to the secondary interface, the resilient member being configured to suspend and hold the secondary interface spatially apart from the mask barrier within the delivery opening of the primary interface at a default position near a plane defined by a seal portion with respect to the primary interface such that displacement of the secondary interface from the default position, in response to installation of the primary interface to enclose the one or more external orifices of the airway of the subject, results in the application of a bias force by the resilient member on the secondary interface toward the default position, wherein the interface appliance is configured such that responsive to the primary interface being installed on a face of the subject, the resilient member resiliently biases the hollow prong in place on the face of the subject with the first end of the hollow prong inside of the first external orifice of the airway of the subject,
wherein the resilient member is configured to adjust the bias force such that the default position of the secondary interface is customizable to the subject.

### Claim 2 (depends on 1)

The subject interface appliance of claim 1, wherein the primary interface further comprises the seal portion formed around a peripheral edge of the mask barrier around the delivery opening, the seal portion being configured to engage the face of the subject in a substantially sealed engagement between the primary interface and the face of the subject.

### Claim 3 (depends on 2)

The subject interface appliance of claim 2, wherein the resilient member extends between the secondary interface and opposing sides of the primary interface at or near the seal portion of the primary interface.

### Claim 4 (depends on 1)

The subject interface appliance of claim 1, wherein the primary interface further comprises a source connector configured to removably couple the primary interface with a source of the breathable substance such that the breathable substance is delivered to at least the first external orifice of the airway of the subject through the source connector and the delivery opening.

### Claim 5 (depends on 1)

The subject interface appliance of claim 1, wherein the resilient member is elongated and defines opposite ends, the resilient member opposite ends being connected with the mask barrier adjacent opposite sides of the mask barrier.

### Claim 6

A method of obtaining a sample of gas from the airway of a subject, the method comprising:
engaging a first external orifice of the airway of a subject, wherein the first external orifice of the airway is engaged by a secondary interface of a subject interface appliance, the secondary interface comprising:
a hollow prong having a first end and a second end, the hollow prong being inserted into the first external orifice of the airway of the subject such that the first end of the hollowing prong is positioned inside of the first external orifice to engage the first external orifice of the airway of the subject, and the second end of the hollow prong is positioned outside of the first external orifice, and
a main conduit connected to the hollow prong at or near the second end to receive gas that has entered the first end of the hollow prong within the airway of the subject, the main conduit being configured to guide the received gas toward a sensor configured to generate an output signal conveying information related to one or more parameters of the received gas received by the secondary interface through the hollow prong;
enclosing one or more external orifices of the airway of the subject, including the first external orifice of the airway, wherein the one or more external orifices of the airway of the subject are enclosed by a primary interface of the subject interface appliance, the primary interface including a mask barrier that encloses the one or more external orifices of the airway, wherein the mask barrier is shaped to form a delivery opening through which a breathable substance can be communicated to the one or more external orifices of the subject that are enclosed by the mask barrier;
applying a resilient bias force to the secondary interface that maintains the engagement between the secondary interface and the first external orifice of the airway of the subject, wherein the resilient bias force is applied to the secondary interface by a resilient member extending from the primary interface to the secondary interface, the resilient member being configured to suspend and hold the secondary interface spatially apart from the mask barrier within the delivery opening of the primary interface at a default position near a plane defined by a seal portion with respect to the primary interface such that displacement of the secondary interface from the default position, in response to installation of the primary interface to enclose the one or more external orifices of the airway of the subject, results in the application of the resilient bias force by the resilient member on the secondary interface toward the default position, wherein the interface appliance is configured such that responsive to the primary interface being installed on a face of the subject, the resilient member resiliently biases the hollow prong to hold the hollow prong in place on the face of the subject with the first end of the hollow prong inside of the first external orifice of the airway of the subject; and
adjusting the resilient bias force applied by the resilient member to customize the engaging between the secondary interface and the first external orifice of the airway of the subject.

### Claim 7 (depends on 6)

The method of claim 6, further comprising forming a seal between the face of the subject and the primary interface around an edge of the mask barrier.

### Claim 8 (depends on 7)

The method of claim 7, wherein the resilient member includes an elongated portion connected at opposite ends to opposite sides of the primary interface at or near the seal between the primary interface and the face of the subject.

### Claim 9 (depends on 6)

The method of claim 6, further comprising delivering the breathable substance to the first orifice of the airway of the subject through the delivery opening.

### Claim 10 (depends on 1)

The subject interface appliance of claim 1, wherein the secondary interface is supported only by the resilient member and the resilient member is supported by the mask barrier.