# US 11,305,087 B2 · Positive-air-pressure machine conduit > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 11,305,087 B2 - Document ID: US11305087B2 - Status: Granted - Kind: B2 - Application number: 17/243,681 - Filed: 2021-04-29 - Published: 2021-08-12 - Granted: 2022-04-19 - Earliest claimed: 2004-04-15 - Assignees: ResMed Pty Ltd - Applicants: ResMed Pty Ltd - Inventors: Philip Rodney Kwok; Donald Darkin - Web page: https://patentgrep.com/patent/US11305087B2 ## CPC - 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 16/0611: {with a gusset portion} - A61M 16/0683: {Holding devices therefor} - A61M 16/08: Bellows; Connecting tubes {(having means for taking samples G01N1/22); Water traps; Patient circuits} - A61M 16/0833: {T- or Y-type connectors, e.g. Y-piece} - A61M 2016/0661: {with customised shape} - A61M 2205/0238: the material being a coating or protective layer - 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 conduit for delivering a supply of gas under a positive pressure includes a conduit wall having a first conduit end and a second conduit end. The first conduit end is adapted to be attached to the supply of gas. The conduit wall is deformable between (a) an open condition in which the conduit wall defines a conduit passage along which the supply of gas can travel between the first conduit end to the second conduit end, and (b) a collapsed condition in which the conduit wall substantially collapses the conduit passage. ## Claims ### Claim 1 An assembly for delivering a supply of pressurized gas to a patient for treatment of sleep disordered breathing, the assembly comprising: an interface configured to engage the patient's face to direct the supply of pressurized gas to an airway of the patient; and headgear to support the interface in a desired position on the patient's face, the headgear including: a pair of flexible conduits and a central portion disposed between the pair of conduits, the central portion being adapted to be in fluid communication with an air supply tube arranged to deliver the supply of gas to the central portion, the central portion being configured to be positioned on top of and in contact with the patient's head when the assembly is worn; the pair of flexible conduits being configured to support the interface in a desired position on the patient's face and to deliver the supply of gas to the interface in use, each conduit having a top portion in fluid communication with the central portion and a bottom portion detachably connected to, and in fluid communication with, a lateral side of the interface, each conduit being arranged to, in use, extend along and engage a respective side of the patient's head between the patient's eye and ear; the central portion being integrally formed with the pair of conduits to join the top portions of the conduits, the central portion and pair of conduits forming a unitary construction of a same material; and a head securement structure extending between the pair of flexible conduits and configured to engage a rear portion of the patient's head when the assembly is worn; and an air connector attached to the central portion and adapted to be connected to the air supply tube to deliver the supply of gas to the central portion, the air connector being relatively rigid as compared to the pair of conduits and the central portion and adapted to be positioned on top of the patient's head when the assembly is worn, wherein the conduits, the central portion and the interface form a ring with a ring-shaped gas passageway, wherein each conduit has an adjustable section along only a portion of the conduit, a length of the conduit being adjustable along the adjustable section thereby allowing a circumferential length of the ring to be adjusted when the assembly is donned so as to accommodate different patient head sizes, each adjustable section being arranged to directly contact the patient when the assembly is worn, and wherein the headgear does not include additional conduit tubing and does not include an additional securement structure beyond the head securement structure. ### Claim 2 (depends on 1) The assembly according to claim 1, wherein each adjustable section is configured to facilitate the length of the headgear being extended and contracted. ### Claim 3 (depends on 2) The assembly according to claim 2, wherein each adjustable section comprises a flexible bellows. ### Claim 4 (depends on 1) The assembly according to claim 1, wherein the air connector enables movement of the air supply tube with respect to the central portion to reduce tube drag. ### Claim 5 (depends on 1) The assembly according to claim 1, wherein the air connector comprises a swiveling device. ### Claim 6 (depends on 1) The assembly according to claim 1, said central portion further comprising an aperture formed therein and adapted to be in fluid communication with the air supply tube, wherein an interior portion of the air connector extends into the aperture and an exterior portion of the air connector protrudes from the aperture, the interior portion of the air connector extending into the ring formed by the conduits, the central portion and the interface. ### Claim 7 (depends on 1) The assembly according to claim 1, wherein each adjustable section is respectively positioned along a portion of the corresponding conduit between the bottom portion of the conduit and the central portion of the headgear. ### Claim 8 (depends on 7) The assembly according to claim 7, wherein each adjustable section is respectively positioned along a portion of the corresponding conduit proximate and end of the conduit. ### Claim 9 (depends on 8) The assembly according to claim 8, wherein the end of the conduit is at the bottom portion. ### Claim 10 (depends on 1) The assembly according to claim 1, wherein each conduit comprises a conduit wall that is deformable between (a) an open condition in which the conduit wall defines a conduit passage along which the pressurized gas can travel from the top portion to the bottom portion, and (b) a collapsed condition in which the conduit wall collapses the conduit passage resulting, in use, in a decrease in volume flow rate through the conduit passage. ### Claim 11 (depends on 10) The assembly according to claim 10, wherein each conduit is configured to, in use, deform into the collapsed condition under the weight of the patient's head. ### Claim 12 (depends on 11) The assembly according to claim 11, wherein the adjustable section of each conduit is configured to deform into the collapsed condition under the weight of the patient's head. ### Claim 13 (depends on 1) The assembly according to claim 1, wherein the head securement structure is connected to the pair of flexible conduits at a fixed connection point along the length of each conduit. ### Claim 14 (depends on 13) The assembly according to claim 13, wherein the connection points are arranged to be positioned superior to the patient's ears when the assembly is worn. ### Claim 15 (depends on 13) The assembly according to claim 13, wherein the head securement structure connects directly to the pair of flexible conduits. ### Claim 16 (depends on 15) The assembly according to claim 15, wherein the head securement structure is a strap. ### Claim 17 (depends on 1) The assembly of claim 1, further comprising: an interface connector attached to the bottom portion of each conduit, each interface connector being removably connected to a respective lateral side of the interface; and a vent in the vicinity of the patient's nose to allow exhaled carbon dioxide to pass to atmosphere. ### Claim 18 (depends on 1) The assembly according to claim 1, further comprising: an interface connector attached to the bottom portion of each conduit, each interface connector being removably connected to a respective lateral side of the interface, said central portion further comprising an aperture formed therein and adapted to be in fluid communication with the air supply tube, an interior portion of the air connector extends into the aperture and an exterior portion of the air connector protrudes from the aperture, wherein each adjustable section is configured to facilitate the length of the headgear being extended and contracted, wherein each adjustable section comprises a flexible bellows, wherein each conduit comprises a conduit wall that is deformable between (a) an open condition in which the conduit wall defines a conduit passage along which the pressurized gas can travel from the top portion to the bottom portion, and (b) a collapsed condition in which the conduit wall collapses the conduit passage resulting, in use, in a decrease in volume flow rate through the conduit passage, and wherein each conduit is configured to, in use, deform into the collapsed condition under the weight of the patient's head, the adjustable section of each conduit being configured to deform into the collapsed condition under the weight of the patient's head. ### Claim 19 (depends on 1) A positive air pressure system for treatment of sleep disordered breathing, comprising: a flow generator to provide a supply of pressurized gas; the assembly of claim 1; and an air supply tube fluidly connecting the flow generator and the patient interface assembly. ### Claim 20 An assembly for delivering a supply of pressurized gas to a patient for treatment of sleep disordered breathing, the assembly comprising: an interface configured to engage the patient's face to direct the supply of pressurized gas to an airway of the patient; and headgear to support the interface in a desired position on the patient's face, the headgear including: a pair of flexible conduits and a central portion disposed between and joining the pair of conduits, the central portion being adapted to be in fluid communication with an air supply tube arranged to deliver the supply of gas to the central portion, the central portion being configured to be positioned on top of and in contact with the patient's head when the assembly is worn; the pair of flexible conduits being configured to support the interface in a desired position on the patient's face and to deliver the supply of gas to the interface in use, each conduit having a top portion in fluid communication with the central portion and a bottom portion detachably connected to, and in fluid communication with, a lateral side of the interface, each conduit being arranged to, in use, extend along a respective side of the patient's head between the patient's eye and ear, wherein the conduits, the central portion and the interface form a ring with a ring-shaped gas passageway, wherein each conduit has an adjustable section along only a portion of the conduit, a length of the conduit being adjustable along the adjustable section thereby allowing a circumferential length of the ring to be adjusted when the assembly is donned so as to accommodate different patient head sizes, wherein each adjustable section has opposing first and second ends in a direction along the length of the respective conduit, the first end of each adjustable section being relatively proximal the top portion of each respective conduit as compared to the second end of each corresponding adjustable section, the second end of each adjustable section being relatively proximal the bottom portion of each respective conduit as compared to the first end of each corresponding adjustable section, and wherein a width of each conduit at the first end of each respective adjustable section is larger than a width of the conduit at the second end of the adjustable section. ### Claim 21 (depends on 20) The assembly according to claim 20, wherein the width of each conduit along the adjustable section tapers towards the bottom portion of the conduit. ### Claim 22 (depends on 21) The assembly according to claim 21, wherein the width of each conduit along the adjustable section tapers towards the bottom portion along an entire length of the adjustable section. ### Claim 23 (depends on 22) The assembly according to claim 22, wherein each adjustable section is configured to facilitate the length of the headgear being extended and contracted. ### Claim 24 (depends on 23) The assembly according to claim 23, wherein each adjustable section comprises a flexible bellows. ### Claim 25 (depends on 20) The assembly according to claim 20, further comprising an air connector removably attached to the headgear at the central portion and adapted to be connected to the air supply tube to deliver the supply of gas to the central portion, the air connector being configured to be positioned on top of the patient's head when the assembly is worn, wherein the central portion is integrally formed with the pair of conduits to join the top portions of the conduits, the central portion and pair of conduits forming a unitary construction. ### Claim 26 (depends on 25) The assembly according to claim 25, said central portion further comprising an aperture formed therein and adapted to be in fluid communication with the air supply tube, wherein an interior portion of the air connector extends into the aperture and an exterior portion of the air connector protrudes from the aperture. ### Claim 27 An assembly for providing respiratory therapy to a patient, the assembly comprising: an interface configured to deliver a flow of pressurized breathable gas to an airway of the patient; a pair of flexible conduits configured to support the interface and to deliver the flow of pressurized breathable gas to the interface, wherein the pair of flexible conduits are joined at a central portion that is fluidly connected to a shared inlet through which the flow of pressurized breathable gas is received into the pair of flexible conduits, wherein the pair of flexible conduits have longitudinal lengths that extend from the central portion to interface connectors configured to be fluidly connected to opposing sides of the interface, wherein the central portion is spaced apart from the interface such that, during delivery of the flow of pressurized breathable gas to the interface, the central portion is retained in a mounting position on a top of the patient's head by the pair of flexible conduits extending along opposing sides of the patient's head between the patient's eye and ear on each respective side, wherein the pair of flexible conduits include length adjustable structures along only a portion of the pair of flexible conduits that provide adjustability of the longitudinal lengths of the pair of flexible conduits, wherein the length adjustable structures have elasticity that permits resilient extension and contraction of the pair of flexible conduits to snugly fit the patient's head while retaining the interface in the mounting position to deliver the flow of pressurized breathable gas to the airway of the patient; and a rear strap configured to extend between the pair of flexible conduits and around only a portion of a circumference of the patient's head that is posterior an apex of the patient's head, wherein the rear strap is configured to connect to the pair of flexible conduits at fixed locations along the length of the pair of flexible conduits that, during delivery of the flow of pressurized breathable gas to the interface, are between (i) the central portion at the top of the patient's head and (ii) an axial plane at a top of the patient's ears, wherein the central portion, at its fluid connection to the inlet, is wider than adjacent portions of the pair of flexible conduits that are adjacent and connected to the central portion, the adjacent portions of the pair of flexible conduits being configured to be retained on top of the patient's head in the mounting position, and wherein, during delivery of the flow of pressurized breathable gas to the interface, the central portion and the adjacent portions contact the top of the patient's head such that an area of contact for the central portion is wider along a sagittal plane than areas of contact for the adjacent portions, and wherein the assembly does not include additional securement straps beyond the pair of flexible conduits and the rear strap. ### Claim 28 (depends on 27) The assembly according to claim 27, wherein the length adjustable structures are positioned along the pair of flexible conduits between the central portion and the interface connectors. ### Claim 29 (depends on 28) The assembly of claim 28, wherein the length adjustable structures are positioned along the pair of flexible conduits proximate the interface connectors. ### Claim 30 (depends on 29) The assembly of claim 29, wherein the length adjustable structures positioned proximate the interface connectors extend, during delivery of the flow of pressurized breathable gas to the interface, along one or more portions of the patient's face. ### Claim 31 (depends on 30) The assembly of claim 30, wherein the one or more portions of the patient's face include the patient's cheeks. ### Claim 32 (depends on 30) The assembly of claim 30, wherein the one or more portions of the patient's face include a portion of the patient's face between the patient's eyes and ears. ### Claim 33 (depends on 28) The assembly of claim 28, wherein the length adjustable structures are positioned along the pair of flexible conduits proximate ends of the pair of flexible conduits. ### Claim 34 (depends on 27) The assembly of claim 27, wherein the elasticity of the length adjustable structures is configured to resiliently contract and extend the longitudinal lengths of the pair of flexible conduits to snugly fit the patient's head. ### Claim 35 (depends on 34) The assembly of claim 34, wherein the length adjustable structures are made of an elastic material. ### Claim 36 (depends on 27) The assembly of claim 27, wherein the length adjustable structures comprise bellows formations. ### Claim 37 (depends on 27) The assembly of claim 27, wherein the length adjustable structures comprise collapsible cuffs. ### Claim 38 (depends on 27) The assembly of claim 27, wherein the pair of flexible conduits maintain the interface in an operative position to deliver the flow of pressurized breathable gas to the patient's nose such that the interface is positioned below the patient's nostrils so as to direct the flow of pressurized breathable gas into the patient's nostrils. ### Claim 39 (depends on 27) The assembly of claim 27, wherein the pair of flexible conduits maintain the interface in an operative position to deliver the flow of pressurized breathable gas to the patient's nose without additional tubing or securement straps being mounted to or proximate the interface. ### Claim 40 (depends on 27) The assembly of claim 27, wherein: the interface includes two air inlets and at least one air outlet, the two air inlets are defined in opposing lateral sides of the interface, and the two air inlets of the interface are configured to be fluidly connected to the interface connectors of the pair of flexible conduits. ### Claim 41 (depends on 40) The assembly of claim 40, wherein: the pair of flexible conduits each include (i) an inlet end at which the pair of flexible conduits are fluidly connected to the shared inlet and (ii) an outlet end configured to be fluidly connected to the interface, the two air inlets of the interface are configured to be fluidly connected to the outlet ends of the pair of flexible conduits, and the fluid connection between the pair of flexible conduits and the shared inlet is T-shaped with the inlet ends of the pair of flexible conduits extending at the fluid connection in opposing directions along a first axis that is transverse to a second axis along which the shared inlet extends at the fluid connection. ### Claim 42 (depends on 27) The assembly of claim 27, wherein, during delivery of the flow of pressurized breathable gas to the interface, the shared inlet is positioned adjacent to an apex of the patient's head. ### Claim 43 (depends on 27) The assembly of claim 27, wherein, during delivery of the flow of pressurized breathable gas to the interface, at least a portion of the pair of flexible conduits directly contact the patient's face. ### Claim 44 (depends on 43) The assembly of claim 43, wherein the direct contact with the patient's face includes contact between at least the portion of the pair of flexible conduits and the patient's cheeks. ### Claim 45 (depends on 43) The assembly of claim 43, wherein the direct contact is provided without any intervening structures between at least the portion of the pair of flexible conduits and the patient's face. ### Claim 46 (depends on 43) The assembly of claim 43, wherein at least the portion of the pair of flexible conduits includes an additional layer that directly contacts the patient's face, wherein the additional layer includes one or more of: a fabric layer, a foam layer, a felt layer, and a layer with a gel material. ### Claim 47 (depends on 27) The assembly of claim 27, wherein the pair of flexible conduits are collapsible. ### Claim 48 (depends on 27) The assembly of claim 27, wherein a top surface of the central portion defines an aperture to which the shared inlet is fluidly connected. ### Claim 49 (depends on 48) The assembly of claim 48, wherein the shared inlet comprises a swivel inlet that is rotatable about at least an axis relative to the top surface of the central portion. ### Claim 50 (depends on 27) The assembly of claim 27, further comprising means for generating the flow of pressurized breathable gas. ### Claim 51 (depends on 50) The assembly of claim 50, further comprising means for conveying the flow of pressurized breathable gas to the shared inlet. ### Claim 52 (depends on 51) The assembly of claim 51, further comprising means for connecting the shared inlet to the means for conveying the flow of pressurized breathable gas. ### Claim 53 (depends on 27) The assembly of claim 27, wherein the length adjustable structures are made of an elastic material. ### Claim 54 (depends on 27) The assembly of claim 27, wherein the central portion is integrally formed with the pair of flexible conduits to form a unitary construction of a same material. ### Claim 55 (depends on 54) The assembly of claim 54, wherein the shared inlet is relatively rigid as compared to the pair of flexible conduits and the central portion.