Neuro-Sono Mask™
Optimization and Cost Reduction
DOI:
https://doi.org/10.34024/rnc.2014.v22.8115Keywords:
Mask, Design, Continuous Positive Airway PressureAbstract
Context. Positive airway pressure (PAP) devices are considered the gold standard for treatment of obstructive sleep apnea syndrome (OSAS). Nevertheless, studies have shown poor patient compliance with this treatment modality. Objective. To develop a PAP mask designed to maximize patient comfort while decreasing manufacturing costs. Method. The design process was based on data on a series of aspects related to currently available PAP masks. Factors included the preferred mask types of PAP device users, the facial anthropometric characteristics of the target population, and materials and manufacturing processes. Results. We designed an anatomical nasal mask system for use with PAP devices, with the mask, clips, and headgear made from glycol-modified polyethylene terephthalate (PETG) and the bag made from liquid silicone rubber and polyethylene. Vacuum forming is the recommended manufacturing process. Conclusion. This study proposes a PAP mask design with a focus on ergonomics and low manufacturing costs.
Metrics
References
Association ASD. Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an Standards of Practice Committee of the American Sleep Disorders Association Task Force. Sleep 1999;22:667-89.
Potasz C, Carvalho LBC, Natale VB, Russo CRA, Ferreira VR, Varela MV, et al. Influência dos Distúrbios do Sono no comportamento da criança. Rev Neurocienc 2008;16;124-9.
Guilleminault C, Stoohs R, Clerk A, Cetel M, Maistros P. A cause of excessive daytime sleepiness. The upper airway resistance syndrome. Chest 1993;104:781-7. http://dx.doi.org/10.1378/chest.104.3.781
Bradley TD, Floras JS. Sleep apnea and heart failure: Part I: obstructive sleep apnea. Circulation. 2003;107:1671-8. http://dx.doi.org/10.1161/01.CIR.0000061757.12581.15
Collins R, Peto R, MacMahon S, Hebert P, Fiebach NH, Eberlein KA, et al. Blood pressure, stroke, and coronary heart disease. Part 2, Short-term reductionsin blood pressure: overview of randomised drug trials in their epidemiological context. Lancet 1990;335:827-38. http://dx.doi.org/10.1016/0140-6736(90)90944-Z
Carvalho LB, Prado LF, Silva L, Almeida MM, Silva TA, Lora MI, et al. Cognitive dysfunction in children with sleep-disordered breathing. J Child Neurol 2005; 20:400-4. http://dx.doi.org/10.1177/08830738050200050101
Findley LJ, Unverzagt ME, Suratt PM. Automobile accidents involving patients with obstructive sleep apnea. Am Rev Respir Dis 1988;138:337-40. http://dx.doi.org/10.1164/ajrccm/138.2.337
Strollo PJ, Jr., Atwood CW, Jr., Sanders MH. Medical therapy for obstructive sleep apnea-hypopnea syndrome. In: Kryger, M. H., Roth, T., Dement, W. C. Principles and Practice of Sleep Medicine. 4 ed. Philadelphia: Elsevier Saunders; 2005. p. 1053-65.
Grunstein R, Sullivan C. Continuous Positive Airway Pressure for Sleep Breathing Disorders. In: Kryger MH, Roth T, Dement W, editors. Principles and Practice of Sleep Medicine. 3nd ed. Philadelphia: W. B. Saunders Company; 2000. p.913-28.
Sullivan CE, Issa FG, Berthon-Jones M, Eves l. Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares. Lancet 1981;1:862-5. http://dx.doi.org/10.1016/S01406736(81)921401
Giles TL, Lasserson TJ; Smith B, White JJ, Cates CJ. Continuous Positive Airway Pressure for Obstructive Sleep Apnoea in Adults (Review). Cochrane Rev 2006; 19:CD001106.
Weaver TE, Chasens ER. Continuous Positive Airway Pressure Treatment for Sleep Apnea in Older Adults. Sleep Med Rev 2007;11:99-111. http://dx.doi.org/10.1016/j.smrv.2006.08.001
Weaver TE, Grunstein RR. Adherence to Continuous Positive Airway Pressure Therapy.The Challenge to Effective Treatment. Proc Am Thorac Soc 2008;5:173-8. http://dx.doi.org/10.1513/pats.200708-119MG
McArdle N, Douglas NJ. Effect of Continuous Positive Airway Pressure on Sleep Architecture in the Sleep Apnea- hypopnea Syndrome: a Randomized Controlled Trial. Am J Respir Crit Care Med 2001;164:1459-63. http://dx.doi.org/10.1164/ajrccm.164.8.2008146
Ballester E, Badia JR, Hernández L, Carrasco E, de Pablo J, Fornas C, et al. Evidence of the Effectiveness of Continuous Positive Airway Pressure in the Treatment of Sleep Apnea- Hypopnea Syndrome. Am J Respir Crit Care Med 1999;159:495-501. http://dx.doi.org/10.1164/ajrccm.159.2.9804061
Redline S, Adams N, Strauss ME, Roebuck T, Winters M, Rosenberg C. Improvement of Mild Sleep Disordered Breathing with CPAP Compared with Conservative Therapy. Am J Resp Critical Care Med 1998;157:858-65. http://dx.doi.org/10.1164/ajrccm.157.3.9709042
Engleman HM, Martin SE, Kingshott RN, Mackay TW, Deary IJ,Douglas NJ. Randomised placebo controlled trial of daytime function after continuous positive airway pressure (CPAP) therapy for the sleep apnoea/hypopnoea syndrome. Thorax 1998;53:341-5. http://dx.doi.org/10.1136/thx.53.5.341
Engleman HM, Martin SE, Deary IJ, Douglas NJ. Effect of Continuous Positive Airway Pressure Treatment on Daytime Function in Sleep Apnoea--Hypopnoea Syndrome. Lancet 1994;343:572-5. http://dx.doi.org/10.1016/S0140-6736(94)91522-9
Engleman HM, Martin SE, Deary IJ, Douglas NJ. Effect of CPAP Therapy on Daytime Function in Patients with Mild Sleep Apnoea-Hypopnoea Syndrome. Thorax 1997;52:114-9. http://dx.doi.org/10.1136/thx.52.2.114
