# US 2021/0330907 A1 · Gas evacuating patient interface

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- Number: US 2021/0330907 A1
- Document ID: US20210330907A1
- Status: Published application
- Kind: A1
- Application number: 17/204,115
- Filed: 2021-03-17
- Published: 2021-10-28
- Earliest claimed: 2020-04-27
- Assignees: Koninklijke Philips N.V.
- Applicants: Koninklijke Philips N.V.
- Inventors: Richard Thomas HAIBACH; Richard Andrew SOFRANKO; Derrick Blake ANDREWS; Bernard F. HETE
- Web page: https://patentgrep.com/patent/US20210330907A1

## CPC

- A61M 16/009: {Removing used or expired gases or anaesthetic vapours (filtering, sterilising or disinfecting the exhaust air in drainage systems A61M1/784; bacterial filters in the expiratory path A61M16/1065)}
- A61M 16/0003: {Accessories therefor, e.g. sensors, vibrators, negative pressure}
- A61M 16/0009: {with sub-atmospheric pressure, e.g. during expiration}
- A61M 16/0616: {with face sealing means comprising a flap or membrane projecting inwards, such that sealing increases with increasing inhalation gas pressure}
- A61M 16/0622: {having an underlying cushion}
- A61M 16/0683: {Holding devices therefor}
- A61M 16/0816: {Joints or connectors}
- A61M 16/0093: {by adsorption, absorption or filtration}
- 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 patient interface for use in delivering a flow of a breathing gas to an airway of a patient includes an inner mask having an inner cushion with an inward curving inner sealing portion that is structured to sealingly engage the face of the patient, and an outer mask coupled to the inner mask. The outer mask has an outer cushion with an outward curving outer sealing portion that is structured to sealingly engage the face of the patient completely around, and outward from, the inner sealing portion of the inner mask. The inner mask is sized and configured to define a positive pressure cavity for receiving the flow of breathing gas and convey the flow to the airway of the patient. The outer mask is sized and configured to define a negative pressure cavity that encompasses the inner mask and capture any gases escaping the inner mask.

## Claims

### Claim 1

A patient interface for use in delivering a flow of a breathing gas to an airway of a patient, the patient interface comprising:
an inner mask having an inner cushion with an inward curving inner sealing portion that is structured to sealingly engage the face of the patient about the mouth and nares of the patient, and
an outer mask coupled to the inner mask, the outer mask having an outer cushion with an outward curving outer sealing portion that is structured to sealingly engage the face of the patient completely around, and outward from, the inner sealing portion of the inner mask,
wherein the inner mask is sized and configured to define a positive pressure cavity that is structured to receive the flow of breathing gas and convey the flow of breathing gas to the airway of the patient, wherein the outer mask is sized and configured to define a negative pressure cavity that encompasses the inner mask, and wherein the negative pressure cavity is structured to be placed under negative pressure by a vacuum source fluidly connected to the negative pressure cavity.

### Claim 2

A patient interface for use in delivering a flow of a breathing gas to an airway of a patient, the patient interface comprising:
(a) a coupling conduit structured to receive the flow of breathing gas from a delivery conduit;
(b) an inner mask comprising:
an inner faceplate having an inlet port defined therethrough, the inlet port having a first portion of the coupling conduit received therein such that the inner faceplate, and thus the inner mask is coupled to the coupling conduit, and
an inner cushion coupled to, and extending rearward generally from, a periphery of the inner faceplate, the inner cushion having an inner sealing portion that is structured to sealingly engage the face of the patient about the mouth and nares of the patient; and
(c) an outer mask comprising:
an outer faceplate having a primary port defined therethrough, the primary port having a second portion of the coupling conduit, further inward on the coupling portion than the first portion, received therein such that the outer faceplate, and thus the outer mask is coupled to the coupling conduit, and a vacuum port defined through the outer faceplate, and
an outer cushion coupled to, and extending rearward generally from, a periphery of the outer faceplate, the outer cushion having an outer sealing portion that is structured to sealingly engage the face of the patient completely around, and outward from, the inner sealing portion of the inner mask,
wherein the inner faceplate and the inner cushion define a positive pressure cavity that is structured to receive and convey the flow of breathing gas from the coupling conduit to the airway of the patient, wherein the outer faceplate and the outer cushion define a negative pressure cavity encompassing the inner mask, wherein the vacuum port is structured to be coupled to a vacuum source that is structured to create a negative pressure in the negative pressure cavity, and wherein the negative pressure cavity is sized and configured to receive gases expelled and/or leaked from the positive pressure cavity of the inner mask.

### Claim 3

A patient interface for use in delivering a flow of a breathing gas to an airway of a patient, the patient interface comprising:
(a) a coupling conduit structured to receive the flow of breathing gas from a delivery conduit;
(b) an inner mask comprising:
(1) an inner faceplate having:
a front side,
a rear side disposed opposite the front side, and
an inlet port defined through the inner faceplate, the inlet port having a first portion of the coupling conduit received therein such that the inner faceplate, and thus the inner mask is coupled to the coupling conduit; and
(2) an inner cushion extending rearward generally from a periphery of the inner faceplate, the inner cushion having:
an inward curving inner sealing portion that is structured to sealingly engage the face of the patient about the mouth and nares of the patient, and
an inner wall portion that is coupled to the inner faceplate and extends between the inner faceplate and the inner sealing portion; and
(c) an outer mask comprising:
(1) an outer faceplate having:
a front side,
a rear side disposed opposite the front side,
a primary port defined through the outer faceplate, the primary port having a second portion of the coupling conduit, further inward on the coupling portion than the first portion, received therein such that the outer faceplate, and thus the outer mask is coupled to the coupling conduit, and
a vacuum port defined through the outer faceplate; and
(2) an outer cushion extending rearward generally from a periphery of the outer faceplate, the outer cushion having:
an outward curving outer sealing portion that is structured to sealingly engage the face of the patient completely around, and outward from, the inner sealing portion of the inner mask, and
an outer wall portion that is coupled to the outer faceplate and extends between the outer faceplate and the outer sealing portion,
wherein the inner faceplate and the inner cushion define a positive pressure cavity that is structured to receive and convey the flow of breathing gas from the coupling conduit to the airway of the patient,
wherein the outer faceplate and the outer cushion define a negative pressure cavity encompassing the inner mask, wherein the vacuum port is structured to be coupled to a vacuum source that is structured to create a negative pressure in the negative pressure cavity, and wherein the negative pressure cavity is sized and configured to receive gases expelled and/or leaked from the positive pressure cavity of the inner mask.

### Claim 4 (depends on 3)

The patient interface of claim 3, wherein the inner mask is nested within the outer mask.

### Claim 5 (depends on 3)

The patient interface of claim 3, wherein the inner sealing portion defines a first opening that is structured to sealingly engage around the mouth of the patient and a second opening that is structured to sealingly engage around both nares of the patient.

### Claim 6 (depends on 3)

The patient interface of claim 3, wherein the inner faceplate further includes a number of exhaust ports formed therein that are each sized and configured to allow passage of gas outward from the positive pressure cavity through the inner faceplate.

### Claim 7 (depends on 3)

The patient interface of claim 3, wherein the coupling conduit comprises an elbow conduit.

### Claim 8 (depends on 3)

The patient interface of claim 3, wherein the inner faceplate and the outer faceplate are formed from one or more polycarbonate materials.

### Claim 9 (depends on 3)

The patient interface of claim 3, wherein the inner cushion and the outer cushion are formed from silicone.

### Claim 10 (depends on 3)

The patient interface of claim 3, wherein the outer faceplate includes a number of headgear engagement structures formed therein, each headgear engagement structure being sized and configured to cooperatively engage a strap of a headgear for securing the patient interface to the head of the patient.

### Claim 11 (depends on 10)

The patient interface of claim 10, wherein each headgear engagement structure is formed with a corresponding window defined through the outer faceplate, and wherein each window is structured to allow for the passage of ambient air though the outer faceplate and into the negative pressure cavity.

### Claim 12 (depends on 3)

The patient interface of claim 3, wherein the outer faceplate includes a number of bulged out regions wherein a spacing between the outer faceplate and the inner faceplate is greater than regions adjacent thereto.

### Claim 13 (depends on 3)

The patient interface of claim 3, wherein one or both of the inner mask and or the outer mask include one or more alignment features for aligning the inner mask and the outer mask with respect to each other.