Blower
10940280 ยท 2021-03-09
Assignee
Inventors
- Barton John Kenyon (Sydney, AU)
- David Brent SEARS (Woodland Hills, CA, US)
- Aleksandr S. Nagorny (Canoga Park, CA, US)
- Michael Bruce Moir (Newbury Park, CA)
Cpc classification
F04D29/4206
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04D29/281
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04D17/16
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04D29/441
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04D29/665
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61M16/0605
HUMAN NECESSITIES
F04D29/4226
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61M16/0069
HUMAN NECESSITIES
F04D29/4233
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04D25/0693
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
International classification
F04D29/66
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04D17/16
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04D29/28
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04D25/06
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F04D29/42
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61M16/00
HUMAN NECESSITIES
Abstract
A blower includes a housing including an inlet and an outlet, a stationary component provided to the housing, an impeller positioned between the inlet of the housing and the stationary component, a shield portion including an outer edge substantially aligning with or extending beyond an outer edge of the impeller, and a motor adapted to drive the impeller. The housing and the stationary component cooperate to define a volute that directs air towards the outlet, and the housing includes a separating wall constructed and arranged to divide the volute into a high speed airpath region and a low speed airpath region. The outer edge of the shield portion and the separating wall define a gap between the high speed airpath region and the low speed airpath region.
Claims
1. A CPAP system for delivery of a flow of breathable gas at a continuously positive pressure to a patient for treatment of sleep disordered breathing, the CPAP system comprising: a PAP device including a blower structured to generate the flow of breathable gas at the continuously positive pressure, the blower comprising: a housing including an inlet and an outlet; a stationary component provided to the housing; an impeller positioned between the inlet of the housing and the stationary component; and a motor adapted to drive the impeller, wherein the housing and the stationary component cooperate to form a volute that directs the flow of breathable gas towards the outlet, wherein at least an outer wall portion of the housing forming the volute comprises a flexible elastomeric material, wherein the outer wall portion comprising the flexible elastomeric material provides an exterior portion or pressure side of the volute, and the outer wall portion is structured and arranged to at least partially inflate when pressurized in use, wherein the outlet of the housing of the blower is adapted to be in fluid communication with a patient interface, the patient interface including a sealing arrangement adapted to form a seal with a patient's nose and/or mouth.
2. The CPAP system according to claim 1, wherein the motor includes a stator assembly adapted to drive a rotor, and the impeller is coupled to an end portion of the rotor.
3. The CPAP system according to claim 2, wherein the rotor is supported by a pair of bearings, the pair of bearings supported by the stationary component.
4. The CPAP system according to claim 2, wherein the stator assembly is mounted in the stationary component.
5. The CPAP system according to claim 1, further comprising a printed circuit board assembly to control the motor mounted to the stationary component.
6. The CPAP system according to claim 1, wherein the blower is structured to provide pressurized gas in a range of 2-30 cmH.sub.2O.
7. The CPAP system according to claim 1, wherein the blower includes a height less than about 35 mm and a width less than about 75 mm.
8. The CPAP system according to claim 1, wherein the outer wall portion of the housing forming the volute comprises a silicone material.
9. The CPAP system according to claim 1, further comprising an outer housing structure communicated with the inlet and structured to act as a muffler for incoming gas.
10. The CPAP system according to claim 1, wherein the housing includes a first housing part providing the inlet and a second housing part providing the outlet.
11. The CPAP system according to claim 10, wherein the second housing part comprises the outer wall portion comprising the flexible elastomeric material.
12. The CPAP system according to claim 11, wherein the second housing part is structured and arranged to support the first housing part, the stationary component, the impeller, and the motor in a flexible, vibration-isolated manner.
13. The CPAP system according to claim 11, wherein the second housing part is structured and arranged to act as a muffler for gas exiting the outlet in use.
14. The CPAP system according to claim 1, wherein the housing includes a first housing part providing the inlet and a second housing part providing the outlet, wherein the second housing part comprises the flexible elastomeric material, and wherein the first housing part comprises a different material than the second housing part.
15. The CPAP system according to claim 14, wherein the first housing part comprises a relatively rigid material.
16. The CPAP system according to claim 15, wherein the first housing part comprises metal or plastic.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The accompanying drawings facilitate an understanding of the various examples of this technology. In such drawings:
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DETAILED DESCRIPTION OF ILLUSTRATED EXAMPLES
(51) The following description is provided in relation to several examples (some of which are illustrated, some of which may not) which may share common characteristics and features. It is to be understood that one or more features of any one example may be combinable with one or more features of the other examples. In addition, any single feature or combination of features in any of the examples may constitute additional examples.
(52) In this specification, the word comprising is to be understood in its open sense, that is, in the sense of including, and thus not limited to its closed sense, that is the sense of consisting only of. A corresponding meaning is to be attributed to the corresponding words comprise, comprised and comprises where they appear.
(53) Aspects of the technology will be described herein in its application to non-invasive ventilation (NIVV) treatment apparatus (e.g., positive airway pressure (PAP) devices), such as CPAP, but it is to be understood that aspects of the technology may have application to other fields of application where blowers are used, e.g., in both positive pressure and negative pressure applications.
(54) In this specification, the words air pump and blower may be used interchangeably. The term air may be taken to include breathable gases, for example air with supplemental oxygen. It is also acknowledged that the blowers described herein may be designed to pump fluids other than air.
(55) Also, each blower example below is described as including a single stage design. However, it should be appreciated that examples of the technology may be applied to multiple stage designs, e.g., two, three, four, or more stages.
(56) Further examples of blowers and aspects related to the present technology are disclosed in PCT Application No. PCT/AU2010/001106, filed Aug. 27, 2010, which is incorporated herein by reference in its entirety.
(57) 1. Blower
(58)
(59) As illustrated, the blower 10 includes a housing 20 (e.g., constructed of metal or plastic, e.g., polycarbonate) with first and second housing parts 22, 24, a stationary component 30 (also referred to as a motor-driver support, a stator component, or an intermediate housing part (e.g., constructed of metal or plastic)), a hub 82 that provides an arm 84 for magnet support and magnetic flux path, a motor 40 positioned within the stationary component 30 and adapted to drive a rotatable shaft or rotor 50, and an impeller 60 (e.g., constructed of plastic such as polycarbonate) provided on one side of the stationary component and coupled to an end portion of the rotor 50. The motor 40 includes stator assembly 44, magnet 42, and rotor 50 as discussed in more detail below.
(60) In an example, a dynamic balancing process may be applied to the rotating masses to minimize noise and vibration during operation. This may be accomplished, for example, by mass removal from two planes, e.g., one plane being at the impeller and another plane being at the hub provided to the rotor. Another way to accomplish this would be to add mass in either of those planes.
(61) 1.1 Housing
(62) In the illustrated example, the first housing part 22 provides both an inlet 26 and an outlet 28. The blower is operable to draw a supply of gas into the housing through the inlet and provide a pressurized flow of gas at the outlet. The blower is generally cylindrical with the inlet aligned with an axis of the blower and the outlet structured to direct gas exiting the blower in a generally tangential direction.
(63) 1.1.1 Outlet
(64) In the illustrated example, the outlet 28 is in the form of an outlet tube that extends outwardly from the first housing part 22. The shape, size, and/or orientation of the outlet tube may have alternative configurations to modify flow, pressure, etc.
(65) For example,
(66) In each example, the outlet tube diverges from an inlet end 29 of the tube (i.e., the end connected to the main body of the first housing part 22) to an outlet end 31 of the tube. That is, the inlet end 29 defines an internal diameter that is smaller or narrower (e.g., by one or more millimeters) than an internal diameter defined by the outlet end 31. This divergent arrangement decreases the air flow rate so as to provide increased pressure at the outlet end 31 of the tube. Preferably, the divergence of the outlet tube is gradual (i.e., the diameter to the tube does not increase significantly from the inlet end to the outlet end) so as to minimize air turbulence in the tube which may impede pressure and flow.
(67)
(68) For example, in
(69) In
(70) In
(71) As noted above, the outlet tube 28(3) of
(72) Also, the curved outlet tube 28(3) may enable the angle on the air flow exiting the blower to be substantially parallel to the curved surface on the top of the patient's head, when the blower is adapted to be mounted on the crown or in front of the crown of the patients head in use (e.g., see examples below).
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(74)
(75) As best shown in
(76) In an alternative arrangement, the outlet tube may be bent or curved in the opposite direction to that shown in
(77) The blower may be supported within the casing of the PAP device in any suitable manner, e.g., blower supported by a lower wall of the casing, blower suspended from an upper wall of the casing, blower suspension system as described in U.S. application Ser. No. 12/794,206, filed Jun. 4, 2010, which is incorporated herein by reference in its entirety, foam supports, etc.
(78) 1.1.2 Connection of Housing Parts
(79) As shown in
(80) Alternatively, the first and second housing parts may be connected by a mechanical interlock type arrangement, e.g., snap-fit or snap-lock arrangement. For example, as shown in
(81) 1.1.3 Separating Wall
(82) As best shown in
(83) At flows other than the ideal design flow, conventional volutes cause asymmetrical flow patterns in and around the impeller. These asymmetrical flow patterns cause pulsating pressure and acoustic noise, as the impeller rotates within the volute. In the example of the present technology, the separating or dividing wall allows asymmetrical flow patterns in the low speed airpath region, while encouraging the high speed airpath region to remain relatively symmetrical in and around the impeller, hence minimizing the pressure pulsations and/or acoustic noise.
(84) Also, the cylindrical configuration of the separating wall or baffle 23 which separates the volute radially provides a relatively small package or compact arrangement (e.g., compared to a volute that may separate the volute axially). This arrangement allows more available motor space.
(85) Also, the first housing part 22 provides a stepped configuration, which adjusts the volume of the volute 70 (i.e., the low speed airpath region 70(2)) around the perimeter of the blower. Specifically, the low speed airpath region includes an expanding volume as it extends towards the outlet, i.e., volute volume larger at the outlet and smaller away from the outlet.
(86) 1.2 Stationary Component
(87) As described in greater detail below, the stationary component mechanically supports the whole motor and driver assemblies as well as provides one or more additional functions such as (i) shielding to prevent blade pass tone, (ii) bearing tube for bearing retainment and alignment, (iii) assists in defining the volute, (iv) correct alignment and positioning of the stator assembly, (v) protects or separates the motor from the airpath, and/or (vi) central aperture for the shaft or rotor 50.
(88) As shown in
(89) The interior surface of the tube portion 32 is structured to retain and align the bearings 52, 54 that rotatably support the shaft 50. In the illustrated example, the tube portion 32 is structured such that upper and lower ends of the tube portion are adapted to support bearings of the same size. However, a tube portion structured to support mixed bearing sizes may be used. As illustrated, the upper end of the tube portion includes a flange 33 that provides a stop for the bearing 52 at the upper end. The flange 33 also defines a central aperture 35 for the shaft or rotor 50 to pass through for engagement with the impeller 60. A hub 82 for the magnet support 80 provides a stop for the bearing 54 at the lower end of the tube portion. Further examples of tube portions are disclosed in U.S. application Ser. No. 12/312,042, filed Apr. 23, 2009, and Ser. No. 12/155,528, filed Jun. 5, 2008, each of which is incorporated herein by reference in its entirety. For assembly, the ball bearings are inserted in the bearing housings 52, 54 and pushed in and over a projection within the bearing housings to lock the ball bearings within the bearing housings. A spring 53 is positioned between the two bearings 52, 54 to maintain the bearings in the correct alignment.
(90) The outer edge of the shield portion 34 substantially aligns with or extends radially beyond the outer edge of the impeller 60. The edge of the shield portion 34 cooperates with the separating wall 23 to define a narrow gap 72 between the high speed airpath region 70(1) and the low speed airpath region 70(2). However, in an alternative example, the outer edge of the shield portion 34 may not extend as far as the outer edge of the impeller 60. The shield portion 34 assists in preventing blade pass tonal noise when the impeller is rotating as it provides a barrier between spinning impeller blades and the fixed stator end portion 36.
(91) The end portion 36 cooperates with the first housing part 22 to define the volute 70. The inner edge of the end portion may include an angled surface 37. Alternatively, such surface 37 may include a curved profile. As illustrated, the free end of the end portion includes a tab 38 adapted to engage within a respective slot 39 provided in the first housing part 22 to align and retain the stationary component within the housing. Also, the downward section 36(1) of the end portion is adapted to engage the stator assembly of the motor 40 as described below. A seal may be provided between the tab 38 and the slot 39 to facilitate a seal for the volute. The seal also provides a spring force to keep the tab and slot engaged.
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(93) 1.3 Motor
(94) The motor 40 includes a magnet 42, a shaft 50 and a stator assembly 44 including windings that generate the electromagnetic field to cause spinning movement of the shaft 50 via the magnet 42. The magnet 42 is coupled to the shaft 50 by a magnet support 80 which includes a hub 82 engaged with the shaft 50 and an arm 84 to support the magnet 42. The arm 84 of the magnet support 80 extends radially outwards and then vertically upwards to surround the bearing tube portion 32 of the stationary component 30. The arm 84 of the magnet support 80 facilitates alignment of the magnet 42 with the stator assembly 44. The magnet support 80 is rotated to enable rotation of the shaft 50 and the impeller 60 attached the shaft due to the interaction of the magnet 42 and the stator assembly 44. This arrangement provides an internal rotor with a cup-like configuration. As shown in
(95) The stator assembly 44 includes a stator core or electromagnetic core 45 (e.g., including a plurality of laminations stacked on top of one another) on which stator coils or windings 46 are wound. First and second insulators 47(1), 47(2) (also referred to as slot insulators or slot liners) are provided on opposing sides of the stator core 45 to insulate the stator core 45 from the stator coils 46. Further details of such insulators are disclosed in U.S. application Ser. No. 12/310,437, filed Feb. 25, 2009, which is incorporated herein by reference in its entirety.
(96) As illustrated, the exterior surface of the stator assembly 44 (i.e., exterior surface of the stator core 45) may be supported and retained by the stationary component 30 (i.e., the downward section 36(1) of the end portion 36). The stationary component provides correct alignment and positioning of the stator assembly. Also, the downward section 36(1) engaging the stator core 45 is exposed to the flow of gas, which allows forced-convection cooling of the stator core as gas flows through the housing in use. In addition, this arrangement may assist in heating the gas or patient air.
(97) 1.3.1 Motor Control
(98) A printed circuit board assembly (PCBA) 90 is mounted to the lower surface of the housing 20. In an example, the PCBA is a pulse-width modulation (PWM) controller to control the motor. The PCBA 90 may contain one or more sensors or control chips 92(1), 92(2) to assist in controlling the spinning movement of the shaft and hence the load, e.g., impeller. For example, the PCBA may include a Hall sensor to sense the position of shaft or a thermal sensor. Alternatively, the blower may use a sensorless, brushless DC motor control.
(99) In an example, the PCBA is provided within the blower to commutate the motor, control the motor speed to be constant (even with varying flow load as the patient breathes), and/or provide over-temperature and over-speed safety cut-outs. The PCBA includes a motor commutation circuit. With the application of power and an input command, this circuit causes the rotor to turn. This circuitry may be integral or remote from the motor.
(100) The blower can be completely driven by hardware and not software reliant. The speeds may be set manually by the patient. In an example, the blower may be adapted to produce a maximum pressure of 15 cmH.sub.2O or preferably 12 cmH.sub.2O at 6000 feet (i.e., 6000 feet being standard cabin pressure for jet aircraft). However, other pressures such as 8 cmH.sub.2O or 10 cmH.sub.2O or less are also within the scope of the technology. The light and compact arrangement of the blower is adapted for travel and able to operate up to 6000 ft.
(101) The blower may be powered by batteries, or a switch mode power supply. Where batteries are used, there is a tendency for the voltage to reduce as the battery is discharged. If the blower is driven with fixed PWM, this would result in a reduction of speed and hence pressure as the battery discharges. Alternatively, speed control can be used to keep the pressure relatively constant as the battery discharges.
(102) 1.4 Impeller
(103) In the illustrated example, the impeller 60 includes a plurality of continuously curved or straight blades 62 sandwiched between a pair of disk-like shrouds 64, 66. The lower shroud 66 incorporates the hub or bushing that is adapted to receive the shaft 50. Also, the impeller includes a tapered configuration wherein the blades taper towards the outer edge. Further details of impellers are disclosed in WO 2007/048206 A1, which is incorporated herein by reference in its entirety.
(104) 1.5 Fluid Flow Path
(105) Air enters the blower 10 at the inlet 26 and passes into the impeller 60 where it is accelerated tangentially and directed radially outward. Air then flows into the high speed airpath region 70(1) of the volute 70, and then through the gap 72 into the low speed airpath region 70(2) of the volute 70. Air is directed along the volute towards the tangential outlet 28, which volute has an increasing volume.
(106) 1.6 Exemplary Applications
(107) The blower provides a relatively flat, compact, and lightweight arrangement. For example, the blower may weight less than 150 grams, e.g., 110 grams. In an example, the blower may be structured to provide pressurized air in the range of 2-30 cmH.sub.2O, such as 2-15 cmH.sub.2O, e.g., up to 12 cmH.sub.2O at 24000 rpm.
(108) The blower may be used for CPAP and/or ventilator applications. In an example, the blower may be incorporated into the patient interface, headgear, or carried by the patient, examples of which are disclosed in U.S. Provisional Application No. 61/272,188, filed Aug. 28, 2009, incorporated herein by reference in its entirety.
(109) For example,
(110)
(111) 1.6.1 Alternative CPAP Application
(112)
(113) As best shown in
(114) Chimney Provided to First Housing Part
(115) In an example, as best shown in
(116) The chimney 527 includes a base 527(1) that extends along the upper wall of the first housing part 522 and a tube portion 527(2) aligned with the inlet 526. Such chimney may help to dampen vibrations when the blower is mounted within the casing of the PAP device.
(117) Shield Provided to Second Housing Part
(118) In an example, as best shown in
(119) As shown in
(120) Stationary Component Overmolded with Stator Assembly
(121) In an example, the stationary component 530 (e.g., constructed of liquid crystal polymer (LCP)) may be integrated with a stator assembly 544 (e.g., including insulators constructed of liquid crystal polymer (LCP)), e.g., by overmolding, to form a one-piece overmolded stationary assembly 549. Such overmolded assembly may provide better shock and vibration performance, more compact (e.g., less axial height), better strength and tolerance of harsh environments, and/or lower cost.
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(123) Rotor Install to Overmolded Stationary Assembly
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(126) Also, a retaining ring 555 (e.g., snap ring constructed of beryllium copper (BeCu) or other suitable material) is provided to the shaft 550 to retain the shaft assembly 551 to the overmolded stationary assembly 549. As best shown in
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(128) Seal
(129) In an example, as shown in
(130) As shown in
(131) As best shown in
(132) The tab members 598 include support arms 598(1) to support the PCBA 590, e.g., see
(133) PCBA
(134) As shown in
(135) Seal and PCBA Installation
(136)
(137) As shown in
(138) The PCBA 590 is then installed to the seal 595. As shown in
(139) Also, the overmolded stationary assembly 549 includes a plurality of wires 546(1) (provided by windings 546 of the integrated stator assembly 544 described above) that are adapted to extend through corresponding holes provided in the PCBA 590.
(140) Then, as shown in
(141) Also, as shown in
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(143) Blower within Casing of PAP Device
(144)
(145) As illustrated, the blower 510 is supported within the casing 512. Insulators 513(1), 513(2) may be provided to respective ends of the blower to stably support the blower within the casing and absorb vibrations/noise from the blower in use.
(146) The blower 510 is operable to draw a supply of air into its inlet 526 through one or more intake openings provided in the casing and provide a pressurized flow of air at an its outlet 528. The blower outlet 528 is coupled to the outlet 514 of the casing 512 by a flexible tube member 516.
(147) As illustrated, the internal wall structure of the casing 512 is structured to support the satellite PCBA 585 and power cord assembly 587 associated with the PCBA 590 of the blower 510.
(148) 2. Blower with Silicone Bladder
(149)
(150) The blower 210 includes a housing 220 with first and second housing parts 222, 224, a stationary component 230, a motor positioned within the stationary component 230 and adapted to drive a rotatable shaft or rotor (not shown), a PCBA 290 for motor control, and an impeller 260 provided on one side of the stationary component 230 and adapted to be coupled to an end portion of the rotor. In addition, the blower includes an outer housing structure 205 communicated with the inlet 226 and structured to act as a muffler for incoming air.
(151) In the illustrated example, the first housing part 222 provides the inlet 226 and the second housing part 224 provides the outlet 228. The first housing part 222, second housing part 224, and stationary component 230 cooperate to define the volute 270 that directs air towards the outlet. Also, the first housing part 222 provides the separating wall 223 that separates the volute 270 into two regions, i.e., the high speed airpath region 270(1) and the low speed airpath region 270(2) as described above. The first and second housing parts 222, 224 may provide a joint 225 (e.g., tongue and groove arrangement or a welded connection) to facilitate alignment and connection.
(152) Moreover, the second housing part 224 (which provides an exterior portion, outer wall portion, or pressure side of the volute) is formed of an elastomer material, e.g., silicone or TPE. This arrangement allows the second housing part 224 to act as an air cushion in use, e.g., second housing part may at least partially inflate when pressurized in use. In use, the silicone second housing part 224 supports the first housing part 222, stationary component 230, motor, and impeller 260 in a flexible, vibration-isolated manner Thus, vibrations and/or other movement generated by these components in use are substantially isolated, e.g., from the outer housing structure 205. Moreover, the silicone second housing part 224 acts a muffler for air exiting the outlet 228 in use.
(153) In the illustrated example, the stationary component 230 includes first and second parts 231(1), 231(2) that are coupled to one another, e.g., by a joint. The first and second parts cooperate to define a hollow interior adapted to support and maintain the motor and rotor in an operative position. Also, the first and second parts of the stationary component are structured to retain bearings 252, 254 that rotatably support the rotor. For example, the first part 231(1) may include a recess for supporting one bearing 252 and the second part 231(2) may include a recess for supporting the other bearing 254. The first and second parts may be structured to support bearings of the same or mixed bearing sizes. In addition, the first part provides an opening along its axis that allows the end portion of the rotor to pass therethrough for engagement with the impeller 260.
(154) The outer housing structure 205 includes a base 206 that extends around the exterior of the second housing part 224, and a cover 207 that encloses the top of the blower including the inlet 226. The base 206 provides an inlet 208 with an inlet chamber 209(1) to reduce at least a portion of the noise produced by the blower and radiated from the air inlet. In addition, the cover 207 provides a small chamber 209(2) upstream from the inlet chamber to muffle noise entering the inlet 226.
(155) In an example, isolating foam or gels may also be used in one or more portions of the blower to muffle noise and vibration.
(156) In an example, the blower may be structured to provide pressurized air in the range of 12-14 cmH.sub.2O, about 25000 rpm, and flow rate of about 80-100 L/min.
(157) In an example, as shown in
(158) While the technology has been described in connection with several examples, it is to be understood that the technology is not to be limited to the disclosed examples, but on the contrary, is intended to cover various modifications and equivalent arrangements included within the spirit and scope of the technology. Also, the various examples described above may be implemented in conjunction with other examples, e.g., one or more aspects of one example may be combined with one or more aspects of another example to realize yet other examples. Further, each independent feature or component of any given assembly may constitute an additional example. In addition, while the technology has particular application to patients who suffer from OSA, it is to be appreciated that patients who suffer from other illnesses (e.g., congestive heart failure, diabetes, morbid obesity, stroke, bariatric surgery, etc.) can derive benefit from the above teachings. Moreover, the above teachings have applicability with patients and non-patients alike in non-medical applications.