Mask with removable headgear connector
10864342 ยท 2020-12-15
Assignee
Inventors
Cpc classification
A62B18/084
HUMAN NECESSITIES
International classification
A61M16/00
HUMAN NECESSITIES
Abstract
A mask for delivering breathable gas to a patient at positive pressure to treat sleep disordered breathing, may comprise: a rigid mask frame having a bore and an interfacing structure, the interfacing structure being located on the rigid mask frame and along a peripheral edge of the bore, said mask frame having no built-in or integral headgear attachment points; a sealing cushion provided to the rigid mask frame and adapted to form a seal with the patient's face, the rigid mask frame and the sealing cushion together forming, at least partly, a breathing cavity; and a headgear connector adapted to engage the interfacing structure with a snap-fit, said headgear connector including a pair of lower headgear clip anchors adapted to be engaged with respective ones of a pair of lower headgear clips to attach a pair of lower side straps, said headgear connector including a fixed forehead support.
Claims
1. A mask system for delivering a supply of air generated by a flow generator at a positive pressure in a therapeutic range of 2-30 cm H.sub.2O to a patient's airways to treat sleep disordered breathing, the mask system comprising: a mask frame having a bore and a ring-shaped interfacing structure, the bore having a cylindrical shape structured to convey the supply of air to the patient's airways in use, the ring-shaped interfacing structure projecting from the bore in a radial direction, and the mask frame having no built-in or integral headgear attachment points; a cushion provided to the mask frame and adapted to seal with the patient's face in use; headgear including a pair of upper side straps configured to extend above the patient's ears in use, a pair of lower side straps configured to extend below the patient's ears in use, a rear portion configured to cup the occiput of the patient's head in use, and a pair of lower headgear clips adapted to receive respective ones of the pair of lower side straps; an elbow assembly adapted to be connected to an air delivery tube to deliver the supply of air to the patient's airways; and a headgear connector adapted to engage the ring-shaped interfacing structure with a snap-fit, the headgear connector having a circular opening with a closed shape, the headgear connector including a pair of lower headgear clip anchors adapted to engage with respective ones of the pair of lower headgear clips to attach respective ones of the pair of lower side straps, and the headgear connector including a pair of openings adapted to attach to respective ones of the pair of upper side straps, wherein the mask frame and the headgear connector are constructed to resist movement between the mask frame and the headgear connector when the mask frame and the headgear connector are attached, and wherein the mask frame is more rigid than the cushion.
2. The mask system according to claim 1, wherein the headgear connector includes a fixed forehead support.
3. The mask system according to claim 1, wherein the headgear connector does not include a forehead support.
4. The mask system according to claim 1, wherein the mask frame and the cushion are configured to deliver the supply of air to the patient's nose and mouth.
5. The mask system according to claim 1, wherein the cushion and the mask frame are permanently attached.
6. The mask system according to claim 1, wherein the mask system further comprises a vent for gas washout.
7. The mask system according to claim 1, wherein at least a portion of the headgear connector is shaped to conform to a portion of the mask frame.
8. The mask system according to claim 1, wherein the headgear connector is removably attachable to the mask frame.
9. The mask system according to claim 1, wherein the headgear connector and the mask frame are non-malleable.
10. The mask system according to claim 1, wherein: the mask frame and the cushion are configured to deliver the supply of air to the patient's nose and mouth, the cushion and the mask frame are permanently attached, the mask system further comprises a vent for gas washout, at least a portion of the headgear connector is shaped to conform to a portion of the mask frame, the headgear connector is removably attachable to the mask frame, and the headgear connector and the mask frame are non-malleable.
11. A respiratory therapy system comprising: the mask system according to claim 1; a flow generator configured to generate a supply of air at a positive pressure in a therapeutic range of 2-30 cm H.sub.2O; and an air delivery tube configured to be connected to the elbow assembly to deliver the supply of air from the flow generator to the mask system to provide the supply of air to the patient.
12. A mask system for delivering a supply of air generated by a flow generator at a positive pressure in a therapeutic range of 2-30 cm H.sub.2O to a patient's airways to treat sleep disordered breathing, the mask system comprising: a mask frame having a bore and a curved interfacing structure, the curved interfacing structure projecting radially from the bore, the mask frame having no built-in or integral headgear attachment points; a cushion provided to the mask frame and adapted to seal with the patient's face; an elbow assembly adapted to be connected to an air delivery tube to deliver the supply of air to the patient's airways; headgear including a pair of upper side straps configured to extend above the patient's ears in use, a pair of lower side straps configured to extend below the patient's ears in use, a rear portion configured to cup the occiput of the patient's head in use, and a pair of lower headgear clips adapted to receive respective ones of the pair of lower side straps; and a headgear connector having a headgear connector opening, the headgear connector opening being circular, the headgear connector being adapted to engage the curved interfacing structure of the mask frame to removably connect the headgear connector to the mask frame, the bore and the headgear connector opening being concentrically disposed about a common axis when the headgear connector and the mask frame are connected, wherein the headgear connector and the mask frame are non-malleable, wherein the headgear connector and the mask frame are detachably connected together by translating the mask frame and the headgear connector towards one another along the common axis until a snap-fit connection is established between the headgear connector opening of the headgear connector and the curved interfacing structure of the mask frame, wherein the headgear connector includes a pair of lower headgear clip receptacles adapted to be engaged with respective ones of the pair of lower headgear clips to attach respective ones of the pair of lower side straps, wherein the mask frame and the headgear connector are constructed to resist movement between the mask frame and the headgear connector when the mask frame and the headgear connector are attached, and wherein the headgear connector includes a pair of upper openings adapted to attach to respective ones of the pair of upper side straps.
13. The mask system according to claim 12, wherein the headgear connector includes a fixed forehead support.
14. The mask system according to claim 12, wherein the headgear connector does not include a forehead support.
15. The mask system according to claim 12, wherein the mask frame and the cushion are configured to deliver the supply of air to the patient's nose and mouth.
16. The mask system according to claim 12, wherein the cushion and the mask frame are permanently attached.
17. The mask system according to claim 12, wherein the mask system further comprises a vent for gas washout.
18. The mask system according to claim 12, wherein at least a portion of the headgear connector is shaped to conform to a portion of the mask frame.
19. The mask system according to claim 12, wherein the headgear connector is removably attachable to the mask frame.
20. The mask system according to claim 12, wherein: the mask frame and the cushion are configured to deliver the supply of air to the patient's nose and mouth, the cushion and the mask frame are permanently attached, the mask system further comprises a vent for gas washout, at least a portion of the headgear connector is shaped to conform to a portion of the mask frame, the headgear connector is removably attachable to the mask frame.
21. A respiratory therapy system comprising: the mask system according to claim 12; a flow generator configured to generate a supply of air at a positive pressure in a therapeutic range; and an air delivery tube connected to the elbow assembly to deliver the supply of air from the flow generator to the mask system to provide the supply of air to the patient.
22. A mask system for delivering a supply of air generated by a flow generator at a positive pressure in a therapeutic range of 2-30 cm H.sub.2O to a patient's airways to treat sleep disordered breathing, the mask system comprising: a mask frame having a bore and a curved interfacing structure, the curved interfacing structure projecting radially from the bore, the mask frame having no built-in or integral headgear attachment points; a cushion provided to the mask frame and adapted to seal with the patient's face; an elbow assembly adapted to be connected to an air delivery tube to deliver the supply of air to the patient's airways; a vent for gas washout; a headgear connector having a headgear connector opening, the headgear connector opening being circular, the headgear connector being adapted to engage the curved interfacing structure of the mask frame to removably connect the headgear connector to the mask frame, the bore and the headgear connector opening being concentrically disposed about a common axis when the headgear connector and the mask frame are connected; and headgear configured to be attached to the headgear connector to hold the cushion in a sealing position on the patient's face in use, wherein the headgear connector and the mask frame are non-malleable, wherein the headgear connector and the mask frame are detachably connected together by translating the mask frame and the headgear connector towards one another along the common axis until a snap-fit connection is established between the headgear connector opening of the headgear connector and the curved interfacing structure of the mask frame, and wherein the mask frame and the headgear connector are constructed to resist movement between the mask frame and the headgear connector when the mask frame and the headgear connector are attached.
23. The mask system according to claim 22, wherein the headgear connector includes a fixed forehead support.
24. The mask system according to claim 22, wherein the headgear connector does not include a forehead support.
25. The mask system according to claim 22, wherein: the headgear includes a pair of upper side straps configured to extend above the patients ears in use, a pair of lower side straps configured to extend below the patients ears in use, a rear portion configured to cup the occiput of the patients head in use, and a pair of lower headgear clips adapted to receive respective ones of the pair of lower side straps, the headgear connector includes a pair of lower headgear clip receptacles adapted to be engaged with respective ones of the pair of lower headgear clips to attach respective ones of the pair of lower side straps, the headgear connector includes a pair of upper openings adapted to attach to respective ones of the pair of upper side straps, the mask frame and the cushion are configured to deliver the supply of air to the patient's nose and mouth, the cushion and the mask frame are permanently attached, and the headgear connector is removably attachable to the mask frame.
26. A respiratory therapy system comprising: the mask system according to claim 22; a flow generator configured to generate a supply of air at a positive pressure in a therapeutic range; and an air delivery tube connected to the elbow assembly to deliver the supply of air from the flow generator to the mask system to provide the supply of air to the patient.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The accompanying drawings facilitate an understanding of the various embodiments of this invention. In such drawings:
(2)
(3)
(4)
(5)
(6)
DETAILED DESCRIPTION OF ILLUSTRATED EMBODIMENTS
(7) The following description is provided in relation to several embodiments which may share common characteristics and features. It is to be understood that one or more features of any one embodiment may be combinable with one or more features of the other embodiments. In addition, each single feature or combination of features in any of the embodiments may constitute an additional embodiment.
(8) While each embodiment below is described as including a full-face or nasal interface type, each embodiment may be adapted for use with other suitable interface types. That is, the interface type is merely exemplary, and each embodiment may be adapted to include other interface types, e.g., mouth masks, nasal prongs, etc.
(9) 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 of. A corresponding meaning is to be attributed to the corresponding words comprise, comprised and comprises where they appear.
1. First Embodiment of Common Frame and Interchangeable Headgear Connector
(10)
(11) The common frame 20 includes a main body 22, a lower bore or annular elbow connection seal 24 adapted to engage the elbow assembly 40, a vent assembly 26 for gas washout, and supplemental ports covered by respective port caps 28. Moreover, the common frame 20 is structured to be selectively and removably coupled to one of three headgear connectors 50(1), 50(2), 50(3) adapted for use with a respective headgear 60(1), 60(2), 60(3). The three headgear 60(1), 60(2), 60(3) may differ in at least one respect from one another such that one may be more suitable or preferable for use with one patient, while another may be more suitable or preferable for use with another patient.
(12) Specifically, the frame 20 includes a ledge or other interfacing structure along its peripheral edge that is adapted to removably connect to each of three different headgear connectors 50(1), 50(2), 50(3) (also referred to as headgear attachment clips). For example, the interfacing structure of the frame 20 may engage each headgear connector 50(1), 50(2), 50(3) with a friction fit, snap-fit, mechanical interlock, or other suitable attachment mechanism. The interfacing structure of the frame 20 does not need to be continuous, but is structured such that multiple headgear connectors can connect thereto.
(13) Each headgear connector 50(1), 50(2), 50(3) includes headgear attachment points 55 along its perimeter that differ in at least one respect from the other headgear connectors. That is, each headgear connector 50(1), 50(2), 50(3) includes different headgear attachment points 55 to allow different style headgear to be used therewith and hence with the frame 20. In the illustrated embodiment, each headgear attachment point 55 is in the form of an opening through which a strap of the headgear may pass and be removably connected. In use, a selected one of the headgear connectors 50(1), 50(2), 50(3) is attached to the frame 20, and headgear 60(1), 60(2), 60(3) having headgear straps associated with such headgear connector 50(1), 50(2), 50(3) is attached to the headgear connector 50(1), 50(2), 50(3) to maintain the mask system 10 in a desired position on the patient's face.
(14) In
(15) In
(16) In
(17) As shown in
(18) In an embodiment, each headgear connector 50(1), 50(2), 50(3) is constructed of a similar material as the frame 20, e.g., substantially rigid, non-malleable, plastic material (e.g., polycarbonate). However, the headgear connectors and frame may be constructed of other suitable materials.
(19) In an embodiment, the headgear connector may also constitute a cushion clip that is adapted to retain the cushion 30 to the frame 20. For example, the headgear connector may include structure similar to the clip disclosed in U.S. Pat. No. 6,412,487, which is incorporate herein by reference in its entirety. However, it should be appreciated that the cushion 30 may be secured to the frame 20 in other suitable manners.
(20)
(21) In
(22) In
(23) In
(24) In
(25) It should be appreciated that the illustrated headgear 60(1), 60(2), 60(3) are merely exemplary and other headgear arrangements are possible for use with the illustrated headgear connectors. Also, while the mask system is described as including three different headgear connectors for use with respective headgear, it should be appreciated that the mask system may include any suitable number of headgear connectors for use with associated headgear, e.g., at least two headgear connectors.
(26) The common or universal frame 20 is advantageous since it works with a plurality of different headgear via a respective headgear connector, thereby eliminating the need to specifically make the frame for a particular headgear, as is the standard. That is, the mask or frame/cushion/elbow sub-assembly is independent of the headgear, which allows independent selection of the frame/cushion/elbow sub-assembly and the headgear. Therefore, the frame/cushion/elbow sub-assembly may be selected based on the desired mask seal of the patient and the headgear may be selected based on the desired fit or support arrangement. This allows the patient to achieve both a good seal and a secure, comfortable fit, rather than compromising between one or the other, as is typically the case. This arrangement improves comfort, efficacy of treatment, and compliance. In addition, the attachment points provided by the headgear connector are associated with a specific headgear so that correct sealing vectors may be achieved.
(27) In an embodiment, the frame/cushion/elbow sub-assembly may be provided separately from the headgear connector 50(1), 50(2), 50(3) and associated headgear 60(1), 60(2), 60(3) (e.g., sold separately). This arrangement allows the patient to select headgear based on a preferred headgear style, and then be provided with an associated headgear connector for connection to the frame/cushion/elbow sub-assembly.
2. Second Embodiment of Common Frame and Interchangeable Headgear Connector
(28)
(29) The common frame 220 includes a main body 222 and a central bore or annular elbow connection seal 224 adapted to engage an elbow assembly. The common frame 220 has a front surface (unnumbered) associated therewith. Moreover, the common frame 220 is structured to be selectively and removably coupled to one of multiple headgear connectors 250(1), 250(2), 250(3), 250(4) adapted for use with a respective headgear and/or accessory. The central bore 224 has a longitudinal axis.
(30) Specifically, the central bore 224 of the frame 220 includes a flange or interfacing structure 225 along its peripheral edge that is adapted to removably connect to each of the multiple headgear connectors 250(1), 250(2), 250(3), 250(4) (also referred to as headgear attachment clips). The common frame 220 further has a circumferential, outer surface (unnumbered) that is spaced from the central bore 224 and that extends from the front surface to the interfacing structure 225. The circumferential, outer surface is parallel to the longitudinal axis of the central bore 224. In the illustrated embodiment, each headgear connector 250(1), 250(2), 250(3), 250(4) includes an opening 252, which is circular in
(31) Each headgear connector 250(1), 250(2), 250(3), 250(4) includes headgear and/or accessory attachment points along its perimeter that differ in at least one respect from the other headgear connectors. That is, each headgear connector 250(1), 250(2), 250(3), 250(4) includes different headgear and/or accessory attachment points to allow different style headgear and/or accessories to be used therewith and hence with the frame 220. In use, a selected one of the headgear connectors 250(1), 250(2), 250(3), 250(4) is attached to the frame 220, and headgear or accessories associated with such headgear connector 250(1), 250(2), 250(3), 250(4) is attached to the headgear connector 250(1), 250(2), 250(3), 250(4) to maintain the mask system in a desired position on the patient's face.
(32) While the mask system is described as including four different headgear connectors 250(1), 250(2), 250(3), 250(4) for use with respective headgear and/or accessories, it should be appreciated that the mask system may include any suitable number of headgear connectors for use with associated headgear and/or accessories, e.g., at least two headgear connectors.
(33) 2.1 Headgear Connector with Adjustable Forehead Support
(34) In
(35) In use, the headgear connector 250(1) is attached to the frame 220, the forehead support 272 is adjustably mounted to the upper support member 270 of the headgear connector 250(1) to provide a support and stability mechanism between the mask system and the patient's forehead, and headgear having headgear straps associated with such headgear connector 250(1) and forehead support 272 is attached to the headgear connector 250(1) and forehead support 272 to maintain the mask system in a desired position on the patient's face. As illustrated, the headgear connector 250(1) and forehead support 272 are structured for use with headgear including a pair of lower side straps attached to respective clips 276 and a pair of upper side straps attached to respective openings 273 on the forehead support 272.
(36) 2.2 Headgear Connector with Fixed Forehead Support
(37) In
(38) In use, the headgear connector 250(2) is attached to the frame 220 and headgear having headgear straps associated with such headgear connector 250(2) is attached to the headgear connector 250(2) to maintain the mask system in a desired position on the patient's face. As illustrated, the headgear connector 250(2) and its fixed forehead support 272 are structured for use with headgear including a pair of lower side straps attached to respective clips 276 and a pair of upper side straps attached to respective openings 273 on the fixed forehead support 272.
(39) 2.3 Symmetrical Headgear Connector
(40) In
(41) In use, the headgear connector 250(3) is attached to the frame 220 and headgear having headgear straps associated with such headgear connector 250(3) is attached to the headgear connector 250(3) to maintain the mask system in a desired position on the patient's face. As illustrated, the headgear connector 250(3) is structured for use with headgear including a pair of side straps attached to respective clips associated with the clip receptacles 274.
(42) The headgear connector 250(3) is substantially symmetrical about its horizontal and vertical axes such that it may be rotated between two positions with respect to the frame 220, i.e., rotated 180 about its center. In each position, the headgear clip receptacles 274 will be correctly oriented, i.e., extend laterally.
(43) 2.4 Headgear Connector with Chin Support/Mouth Seal/Mandibular Device
(44) In
(45) In use, the headgear connector 250(4) is attached to the frame 220, a forehead support is adjustably mounted to the upper support member 270 of the headgear connector 250(4) to provide a support and stability mechanism between the mask system and the patient's forehead, a chin support, mouth seal, and/or mandibular device, for example, is attached to the headgear connector 250(4) via the lower clip receptacle 278, and headgear having headgear straps associated with such headgear connector 250(4) and forehead support is attached to the headgear connector 250(4) and forehead support to maintain the mask system in a desired position on the patient's face. The headgear connector 250(4) and forehead support are structured for use with headgear including a pair of lower side straps attached to respective clips associated with the clip receptacles 274 and a pair of upper side straps attached to the forehead support.
(46) The lower clip receptacle 278 allows the attachment of devices structured to be positioned at the bottom of the mask system, e.g., below the nose and/or mouth. As noted above, such devices may include a chin support, mouth seal, and/or mandibular device. However, the lower clip receptacle 278 may be structured to support other suitable devices, e.g., chin restraint, chin strap, etc.
(47) 2.5 Alternatives
(48) In alternative embodiments, each headgear connector 250(1), 250(2), 250(3), 250(4) may provide openings in place of headgear clip receptacles through which straps of the headgear may pass and be removably connected, e.g., if headgear clips are not desired. Also, the forehead support provided to associated headgear connectors may provide headgear clip receptacles in place of openings for attaching headgear straps.
3. Third Embodiment of Common Frame and Interchangeable Headgear Connector
(49)
(50) The common frame 320 includes a main body 322 and a central bore or annular elbow connection seal 324 adapted to engage an elbow assembly. Moreover, the common frame 320 is structured to be selectively and removably coupled to one or more headgear connectors 350(1), 350(2), 350(3) (also referred to as attachment clips). The one or more headgear connectors 350(1), 350(2), 350(3) are selectively arranged on the frame 320 for use with a respective headgear.
(51) Specifically, the frame 320 includes multiple interfacing structures 380(1), 380(2), 380(3) that are adapted to removably connect to a respective one of the headgear connectors 350(1), 350(2), 350(3). The interfacing structures 380(1), 380(2), 380(3) are located in various positions around the frame 320 so that the headgear connectors 350(1), 350(2), 350(3) are attachable to the frame 320 in different positions with respect to one another for use with different headgear arrangements.
(52) In the illustrated embodiment, each interfacing structure 380(1), 380(2), 380(3) provides one or more protrusions having a profile, shape, or arrangement that differs in at least one respect from the other interfacing structures. For example, the first interfacing structure 380(1) at the upper side of the frame provides an elongated, oval-shaped protrusion, the second interfacing structure 380(2) at the lower side of the frame provides an hourglass-shaped or number eight-shaped protrusion, and the third interfacing structure 380(3) at the top of the frame provides spaced apart pegs or pins.
(53) Each headgear connector 350(1), 350(2), 350(3) includes one or more openings having a profile, shape, or arrangement that corresponds to a respective one of the interfacing structures 380(1), 380(2), 380(3). Thus, each headgear connector 350(1), 350(2), 350(3) may attach to the frame in only one orientation to prevent misassembly. That is, the profile, shape, or arrangement of the protrusion/opening provides a keyed arrangement to facilitate assembly of the headgear connector to the frame in the correct position and orientation.
(54) In
(55) In
(56) In
(57) It should be appreciated that the headgear connectors may have other suitable styles or arrangements. For example, rather than a forehead support, the headgear connector 350(3) may provide an upper headgear clip receptacle or an upper support member adapted to support a forehead support. Also, in an alternative embodiment, a vertical headgear strap may be structured to directly engage the pegs of the third interfacing structure 380(3).
(58) In use, headgear connectors are selected for use with a particular headgear. That is, each different style of headgear may be associated with headgear connectors having features (i.e., openings having a unique profile, shape, or arrangement) that prevent them from being assembled to the frame in the incorrect position. For example, the headgear connector 350(1) shown in
(59) Thus, the protrusion/opening arrangement (also referred to as poka-yoke design) ensures that only the correct positioning of the headgear connectors for a particular headgear can take place. This arrangement ensures that headgear is correctly assembled to the frame, which leads to correct sealing vectors and improved comfort.
(60) It should be appreciated that the protrusion/opening may have other suitable shapes, and the protrusions may be located in other suitable positions on the frame for attaching headgear connectors or other suitable accessories. In addition, the positioning of the protrusion/opening may be reversed, e.g., opening on frame and protrusion on headgear connector.
4. Fourth Embodiment of Common Frame and Interchangeable Headgear Connector
(61)
(62) The common frame 420 includes a main body 422 and a central bore or annular elbow connection seal 424 adapted to engage an elbow assembly. Moreover, the common frame 420 is structured to be selectively and removably coupled to one or more headgear connectors 450 (also referred to as attachment clips or sliders). The one or more headgear connectors 450 are selectively arranged on the frame 420 for use with a respective headgear.
(63) Specifically, the frame 420 includes a slider support structure 490 adapted to removably and slidably support one or more headgear connectors 450. Each headgear connectors 450 is slidable along the slider support structure 490 to one of multiple positions. This arrangement allows one or more headgear connectors 450 to be attached to the frame in different positions for use with different headgear arrangements.
(64) In the illustrated embodiment, the slider support structure 490 extends along side and top portions of the frame. However, other suitable arrangements are possible, e.g., slider support structure provided along bottom portion of the frame. As best shown in
(65) Each headgear connector 450 includes a T-shaped portion 402 adapted to be slidably engaged with the slider support structure 490 (e.g., see
(66) In use, one or more headgear connectors 450 are positioned on the frame 420 for use with a particular headgear. That is, one or more headgear connectors 450 are slid along the slider support structure 490 to a certain position, e.g., depending on the headgear arrangement. The slider support structure and/or headgear connector may include a locking arrangement to lock the headgear connector in position. For example, the headgear connector 450 may be rotatable with respect to the slider support structure 490 between unlocked and locked positions.
(67) Also, alignment indicators may be provided to the slider support structure and/or headgear connector to indicate the headgear connector's position. In an embodiment, the headgear may be provided with a particular setting of the headgear connectors' positioning.
(68)
(69) While the invention has been described in connection with what are presently considered to be the most practical and preferred embodiments, it is to be understood that the invention is not to be limited to the disclosed embodiments, but on the contrary, is intended to cover various modifications and equivalent arrangements included within the spirit and scope of the invention. Also, the various embodiments described above may be implemented in conjunction with other embodiments, e.g., aspects of one embodiment may be combined with aspects of another embodiment to realize yet other embodiments. Further, each independent feature or component of any given assembly may constitute an additional embodiment. In addition, while the invention 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, barriatric 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.