# US 10,500,365 B2 · Respiratory interface with elbow > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 10,500,365 B2 - Document ID: US10500365B2 - Status: Granted - Kind: B2 - Application number: 15/185,481 - Filed: 2016-06-17 - Published: 2016-10-06 - Granted: 2019-12-10 - Earliest claimed: 2002-12-06 - Assignees: Fisher & Paykel Healthcare Limited - Applicants: Fisher & Paykel Healthcare Limited - Inventors: Adam Alexander Tebbutt; Blair Albert Neal; Lewis George Gradon; Alastair Edwin McAuley; Mark Joseph Haycock - Web page: https://patentgrep.com/patent/US10500365B2 ## CPC - A61M 16/0816: {Joints or connectors} - A61M 16/049: {Mouthpieces} - A61M 16/0493: {with means for protecting the tube from damage caused by the patient's teeth, e.g. bite block} - A61M 16/0495: {with tongue depressors} - A61M 16/06: Respiratory or anaesthetic masks - A61M 16/0611: {with a gusset portion} - A61M 16/0616: {with face sealing means comprising a flap or membrane projecting inwards, such that sealing increases with increasing inhalation gas pressure} - A61M 16/0875: {Connecting tubes} - A61M 16/08: Bellows; Connecting tubes {(having means for taking samples G01N1/22); Water traps; Patient circuits} - A61M 16/0825: {with ball-sockets} - A61M 2205/42: Reducing noise - 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 respiratory interface, such as a mouthpiece having a vestibular shield overlapping a user's teeth and gums, gases passageway extending through the vestibular shield allowing for the passage of the gases through mouthpiece and an extra oral seal associated with the gases passageway, wherein the passageway in use causes gases to be diffused when exiting from the gases passageway. Mouthpiece may have an adjustment mechanism to alter distance between the vestibular shield and the extra-oral seal. The interface may include an elbow having a vent. ## Claims ### Claim 1 An apparatus for delivery of pressurized gas to a user for treatment of sleep disorders, comprising: an interface configured to contact and form a seal with the user's face such that the interface can deliver a flow of the pressurized gas to the user's airways; a connecting tube configured to deliver the flow of the pressurized gas to the interface; a substantially L-shaped elbow that couples the connecting tube to the interface, wherein the elbow is configured such that it can be disconnected from the interface, a first swivel joint that permits relative rotation between the elbow and the interface about a first swivel axis, and a second swivel joint that permits relative rotation between the elbow and the connecting tube about a second swivel axis; and a vent arrangement defined by an annular portion of the elbow and configured to expel expired gases from the interface, the annular portion of the elbow comprising: a first diameter and a second diameter defined by a tapered surface and spaced from one another in a longitudinal direction of the annular portion with the first diameter being downstream from the second diameter relative to the flow of the pressurized gas from the connecting tube towards the interface, wherein the first diameter is greater than the second diameter; a length extending between the first diameter and the second diameter; and a plurality of elongate vent paths defined by the tapered surface and positioned along the length extending between the first and second diameters; wherein the plurality of elongate vents are upstream from at least one of the first swivel joint and the second swivel joint and the tapered surface is directly physically connected at one end with and adjacent to one of the first swivel joint and the second swivel joint; wherein the plurality of elongate vent paths are disposed around both a first half and a second half of the tapered surface. ### Claim 2 (depends on 1) The apparatus of claim 1, wherein each of the plurality of elongate vent paths is tapered along the length extending between the first diameter and the second diameter. ### Claim 3 (depends on 2) The apparatus of claim 2, wherein each of the plurality of elongate vent paths is narrowest at a location nearest the second diameter. ### Claim 4 (depends on 3) The apparatus of claim 3, wherein the plurality of elongate vent paths is configured to direct the expired gases in a direction along the connecting tube away from the interface. ### Claim 5 (depends on 1) The apparatus of claim 1, wherein the vent arrangement is a diffuser configured to provide low noise diffusion of the expired gases. ### Claim 6 (depends on 1) The apparatus of claim 1, wherein each of the plurality of elongate vent paths comprises a first width relatively closer to the first diameter and a second width relatively closer to the second diameter. ### Claim 7 (depends on 6) The apparatus of claim 6, wherein the first width is greater than the second width. ### Claim 8 (depends on 7) The apparatus of claim 7, wherein the plurality of elongate vent paths is configured to direct the expired gases in a direction along the connecting tube away from the interface. ### Claim 9 (depends on 1) The apparatus of claim 1, wherein an end of the elbow to which the connecting tube is coupled faces the user's chest in use such that the connecting tube can be laid across the chest of the user in use. ### Claim 10 (depends on 1) The apparatus of claim 1, wherein the first swivel joint couples the L-shaped elbow at the interface. ### Claim 11 (depends on 1) The apparatus of claim 1, wherein an orientation of an axis of the tapered surface relative to an axis of the first swivel axis is fixed. ### Claim 12 (depends on 1) The apparatus of claim 1, wherein the tapered surface is aligned along a central longitudinal axis, a first lateral plane is perpendicular with the central longitudinal axis, and a second lateral plane is perpendicular with the first lateral plane and aligned at the central longitudinal axis, the second lateral plane bisecting a circular portion of the tapered surface into a first semi-circular portion, the first semi-circular portion being the first half, and a second semicircular portion, the second semi-circular portion being the second half; wherein the first and second semi-circular portions cooperate to define the circular portion and the plurality of elongate vent paths are disposed on both the first semi-circular portion and the second semi-circular portion. ### Claim 13 An apparatus for delivery of pressurized gas to a user for treatment of sleep disorders, comprising: an interface configured to create a seal with a face of the user and deliver a flow of the pressurized gas to the user's airways, the interface having a passage that permits the flow of pressurized gas to enter the interface by moving in a first direction through the passage; a connecting tube coupled to the interface and configured to deliver the flow of the pressurized gas to the passage; a substantially L-shaped elbow that couples the connecting tube to the interface and delivers the flow of the pressurized gas to the passage, wherein the elbow is configured such that it can be disconnected from the interface, a first swivel joint that permits relative rotation between the elbow and the interface about a first swivel axis, and a second swivel joint that permits relative rotation between the elbow and the connecting tube about a second swivel axis; and a vent arrangement defined by an annular portion of the elbow, wherein the vent arrangement is configured to expel expired gases from the interface in a second direction, the annular portion of the elbow having a tapered surface in the second direction from a first diameter to a second diameter, the first diameter and the second diameter defined by the tapered surface and spaced from one another in a longitudinal direction of the annular portion with the first diameter being downstream from the second diameter relative to the flow of the pressurized gas from the connecting tube towards the interface, wherein the first diameter is greater than the second diameter, and wherein the tapered surface defines a plurality of elongate vent paths extending in the second direction between the first and second diameters, a length extending between the first diameter and the second diameter; and the plurality of elongate vent paths positioned along the length extending between the first and second diameters; wherein the first diameter is at one of the first swivel joint and the second swivel joint and the second diameter is offset from the one of the first swivel joint and the second swivel joint; wherein the first diameter is a first end of the tapered surface and the second diameter is a second end of the tapered surface, the tapered surface having sufficient rigidity to maintain an orientation of the first end relative to the second end; wherein the plurality of elongate vents are upstream from at least one of the first swivel joint and the second swivel joint and the tapered surface is directly physically connected at one end with and adjacent to one of the first swivel joint and the second swivel joint; wherein the plurality of elongate vent paths are disposed around both a first half and a second half of the tapered surface. ### Claim 14 (depends on 13) The apparatus of claim 13, wherein each of the plurality of elongate vent paths tapers in the second direction. ### Claim 15 (depends on 14) The apparatus of claim 14, wherein each of the plurality of elongate vent paths is narrowest at a location nearest the second diameter. ### Claim 16 (depends on 15) The apparatus of claim 15, wherein the plurality of elongate vent paths is configured to direct the expired gases in a direction along the connecting tube away from the user. ### Claim 17 (depends on 13) The apparatus of claim 13, wherein the vent arrangement is a diffuser configured to provide low noise diffusion of the expired gases. ### Claim 18 (depends on 13) The apparatus of claim 13, wherein each of the plurality of elongate vent paths comprises a first width relatively closer to the first diameter and a second width relatively closer to the second diameter. ### Claim 19 (depends on 18) The apparatus of claim 18, wherein the first width is greater than the second width. ### Claim 20 (depends on 13) The apparatus of claim 13, wherein an end of the elbow to which the connecting tube is coupled faces the user's chest in use such that the connecting tube can be laid across the chest of the user in use. ### Claim 21 (depends on 13) The apparatus of claim 13, wherein the first swivel joint couples the L-shaped elbow at the interface. ### Claim 22 (depends on 13) The apparatus of claim 13, wherein the plurality of elongate vents are disposed in the second direction from at least one of the first swivel joint and the second swivel joint. ### Claim 23 (depends on 13) The apparatus of claim 13, wherein a lateral plane passes through one of the first swivel axis and the second swivel axis and divides the tapered surface into a first half and a second half, and the plurality of elongate vent paths are disposed on both the first half and the second half. ### Claim 24 (depends on 13) The apparatus of claim 13, wherein the first diameter is located in a first plane and the first plane is fixed relative to the first diameter during use of the elbow and the second diameter is located in a second plane and the second plane is fixed relative to the second diameter during use of the elbow; and wherein the first plane is substantially parallel to the second plane during use of the elbow and an orientation of the first and second planes relative to the first swivel axis is fixed during use of the elbow.