DE102012005535B4 - Apparatus for supporting a respiratory assistance device - Google Patents

Abstract

A device for supporting a respiratory assistance device (35; 38), in particular an atraumatic nose tube (36), on a patient (1) with a carrier device (2; 102; 202; 302) for carrying this respiratory assistance device (35; 38), a detachable forehead rest device (4) for supporting this respiratory assistance device (35; 38) on the forehead (6) of the patient (1) and with a fixing device (3; 303) for fixing the carrier device (2; 102; 202; 302) to the head (5 ) of the patient (1), characterized in that the fixing device (3; 303) comprises at least one application element (9A; 9B) which acts adhesively with respect to a skin surface (8) of the patient (1), wherein the forehead rest means (4) at least one hook-and-loop fastener element (17, 18, 19) in order to be detachably fastened to a surface (16; 116) of the support device (2; 102; 202; 302) and between the support device (2; 102; 20 2, 302) and the at least one adhesively acting application element (9A; 9B) of the fixing device (3; 303) an adhesive layer (131) or an adhesive layer element is arranged.

Description

The invention relates to a device for holding a respiratory assistance device, in particular an atraumatic nose tube, on a patient with a support device for supporting this respiratory assistance device or a detachable forehead support device for supporting this respiratory assistance device on the forehead of the patient and with a fixing device for fixing the support device to the head of the patient patients.

A generic holding device is for example from the published patent application DE 10 2009 016 150 A1 in which an atraumatic nasal tube is described for noninvasive respiratory support. For holding the atraumatic nose tube to a patient, in particular to a small child, a holding device is provided, which comprises a forehead support device, by means of which the atraumatic nose tube can be supported on the forehead of the patient. In order to be able to fix the forehead rest device slipping or captive on the head of the patient, the holding device moreover comprises a fixing device in the form of a medical cap or cap, which the patient wears. Alternatively, a band may be provided with a hook and loop fastener, which is braced around the head of the patient. At the fixing device, a carrier device is still arranged, on which the forehead support device is angeklettet. Thus, the forehead support device with little effort relatively fast with the medical cap, cap or the band are firmly but releasably brought into connection. In addition, a connection between the atraumatic nose tube and the forehead support device by means of a so-called applicator is positively and / or positively. In this case, a connection by means of magnetic force has proved to be particularly useful since a magnetic connection can be produced quickly on the one hand and can be released again just as quickly. On the other hand, this constructive relatively easy enough adjustment options can be provided.

Basically, it's from the disclosure DE 10 2009 016 150 A1 known holding device overall well proven. However, a variety of corresponding cap or cap sizes are always required for different head sizes. It may happen that available caps or caps are not kept in the required size suitable. In such a case, the atraumatic nasal tube can not be optimally supported on the head of the patient and against the nasal openings, thereby greatly increasing the risk of lesions from mechanical contact, particularly between poorly placed nasal prongs of the atraumatic nasal tube and a nasal opening area of the patient. Especially in newborns, this is particularly disadvantageous and therefore mandatory to prevent.

The translation of the European patent specification DE 600 21 276 T2 discloses a mask for pressurized gas supply to the nasal passage of an infant, which consists of various functional parts, such as a membrane structure, a support structure and a compressed gas distributor. The attachment of the mask on the head via a kind of harness.

The English-language Wikipedia article on the term "Silastic" dated 15.03.2012 describes the properties of Silastic as a silicone elastomer. There, this silicone elastomer is also certified adhesive properties.

The patent DE 10 2004 030 069 B3 discloses a breathing mask having a mask body having on its rim a seal which abuts the face of the wearer and in which at least part of the faces of the seal in contact with the weight of the wearer have an adhesive surface. This breathing mask is fixed exclusively by a harness.

The publication DE 103 29 818 A1 discloses a nasal mask device for use with CPAP, wherein a fixation element of a silicone adhesive for a forehead application as well as for cheek elements and a nose region is described.

The patent publication US 2010/0000534 A1 discloses a patient interface for respiratory assistance, in which various embodiments describe adhesion elements for attachment to the nasal wings, the cheeks and the forehead. As adhesive material is described among other silicone gel.

The Utility Model DE 20 2008 008 244 U1 discloses a fixation for respiratory masks. This fixation is composed of different bands that span the face.

The PCT publication WO 2009/026627 A1 discloses a mask device in which a combination of textiles and polymers is described as material. In this case, an alternate polymer structure is described.

The patent US Pat. No. 6,730,069 B2 discloses a cloth-like, flexible, mechanical Fastening means with a flexible layer and at least one fastening part surface.

The publication WO 2005/060366 A2 discloses a battery powered ventilator with an electronic nasal mask.

The Wikipedia article "Velcro" from 12.03.2012 describes embodiments of a hook and loop fastener.

It is an object of the invention to develop generic devices such that the risk of lesions is reduced by mechanical contact, the comfort is increased and better solubility, or a better application to a patient and improved stability can be ensured.

The object of the invention is a device for supporting a respiratory support device, in particular an atraumatic nose tube, on a patient with a support device for supporting this respiratory support device, a detachable forehead support device for supporting the respiratory support device on the forehead of the patient and with a fixing device for fixing the support device the head of the patient, in which the fixing device according to the invention comprises at least one adhesive against an adhesive surface of the patient application element with an adhesive silicone, wherein the Stirnauflageeinrichtung has at least one hook and loop fastener to be releasably secured to a surface of the support means and between the support means and the at least one adhesively acting application element of the fixing device is an adhesive layer or an adhesive layer element is orders.

By means of the application element comprising an adhesive-effect adhesive silicone, it is surprisingly possible to firmly but detachably apply the fixation device to a limited skin area of the skin surface of the patient and nevertheless to achieve a reliable positioning of the respiratory support device. This is not self-evident, especially with regard to extremely sensitive skin in newborn children, because the skin of newborn children is extremely sensitive to mechanical contact, especially when the head is in contact with an article or chemical substance over an extended period of time. However, this application element, which has an adhesive effect on the basis of the adhesive silicone, surprisingly presents no problems in this respect and, as a result, is extremely different from other adhesives. The use of other adhesives is unlikely due to the above problems, to avoid additional unwanted skin reactions especially in infants and premature babies.

Advantageously, can be dispensed with the variety of otherwise required caps or caps in different sizes, since only a single fixing device in a standard size for all head sizes is required due to the present invention.

As a result, the reliability increases significantly in terms of optimal positioning on the one hand. On the other hand, a significant cost saving is achieved with the device according to the invention, since neither caps or caps produced in different sizes still logistical must be kept, as usual.

The adhesively acting application element can be provided in different ways. For example, the fixing device can be equipped with an adhesive silicone layer, by means of which the device can be simply glued or applied to the main surface of the patient.

Surprisingly, the adhesion capabilities inherent in the adhesive silicone are sufficient to ultimately support the entire respiratory support device only on a relatively small area of skin, so that the respiratory assistance device still holds securely against the forehead when the patient is moving his head.

In addition, an adhesive silicone is also easier to remove from the main surface, but in the sense of the invention surprisingly ensures a sufficiently good and reliable adhesive force in order to be able to reliably hold the respiratory assistance device to a patient's head by means of the device.

It is understood that in the present case various adhesive silicones can advantageously be used in the context of the invention as long as they have at least very good skin tolerance properties.

Preferably, the adhesive silicone used here has a penetration value of more than 150 mm / 10 and less than 250 mm / 10, ideally of 200 mm / 10 according to DIN ISO 2137, whereby it is sufficiently resistant.

The density of the adhesive silicone preferably used herein ideally has a value of 0.98 g / cm ³ according to ISO 2811, so that it has a good quality for the present purposes.

Further preferred and advantageous properties which are ideally inherent in the adhesive silicone used here are, for example, its physiological safety and biocompatibility, so that it can be safely used in the medical field.

Preferably, the adhesive silicone used herein corresponds in its cytotoxicity and sensitization to ISO 10993-1 and USP Class VI.

Moreover, it is advantageous if the present adhesive silicone is sterilizable, for example in steam at a temperature of about 134 ° C.

For example, in the present case, the adhesive silicone of Siltec GmbH & Co. KG of the type Silsoft ^® 103-200-001 or colored design of the type Silsoft ^® 103-200 colored can be used advantageously.

Alternatively, a pressure-sensitive silicone particular type Silpuran ^® 2130 A / B of Wacker Chemie AG is. Here, the two components A and B are used in a mixing ratio of 1: 1. The density of this adhesive silicone ideally has a value of 0.98 g / cm ³ according to DIN EN ISO 2811. The pot life at 23 ° C is between 70-80 min. And the viscosity according to DIN EN ISO 3219 is 1000 mPas. In this case, this adhesive silicone has a similar penetration value as the above-explained adhesive silicone type Silsoft ^® .

Advantageously, a single standard silicone pad size will suffice for all newborn children of different sizes. However, it is also possible to use differently sized silicone pads, especially if this appears medically advantageous.

In addition, an extremely favorable pressure relief of the entire head of the patient can be particularly well ensured, in particular by means of the advantageous silicone pads, whereby the risk of undesirable deformation of the head can be almost eliminated.

In this respect, it is advantageous if the application element has at least one adhesion silicone layer.

In order to be able to achieve a better pressure distribution at the head of the patient, it is advantageous if the at least one application element comprises one or more adhesively-acting silicone pad parts which are arranged at a distance from one another and comprise a bonding silicone.

In this respect, the application element can be designed in several parts and comprise at least two, preferably three, spaced-apart silicone pad parts.

In particular, as a result of this, the device overall can grow well with regard to head growth if partial regions applied to the main surface are arranged at a distance from one another. This is particularly advantageous in terms of longer breathing support.

It is particularly advantageous if the application element is designed as a front application element.

In particular, by means of the cheek-application element, a lateral displacement of the respiratory assistance device during the application can additionally effectively prevent it.

In addition, by means of such cheek application elements also extremely safe investment of the respiratory support device, in particular a relevant respiratory mask, are achieved on the skin surface, so that the risk of Leckatemluftvolumenstroms can be effectively prevented.

In particular, if the support means comprises a velor material, growth can be easily realized within certain limits, since the velor material can be easily selected such that it inherently inherent a certain Grunddehnbarkeit.

If the velor material has a velor surface on both sides, the support device can be made exceptionally skin-protecting.

In addition, a velor material is advantageously a particularly skin-friendly, soft and light, yet sufficiently strong material.

If the velor material is arranged at least on a side of the fixing device facing away from the patient, it can also communicate particularly simply with the forehead support device.

In order to be able to produce a particularly intimate connection between the carrier device and the fixing device, it is advantageous if the velor material is adhesively bonded to the silicone pad part with an additional adhesive layer.

The adhesive layer element may, for example, be a double-sided adhesive strip material while the adhesive layer has been applied viscously to the velor material or the silicone pad part.

Cumulatively or alternatively, the velor material can be sewn to the silicone pad part, so that the connection between the carrier device and the fixing device can be further improved.

Thus, in this regard, a favorable embodiment provides that the carrier device is sewn to the at least one adhesive-acting application element.

Or the velor material is additionally or alternatively partially in a silicone pad part side provided pocket holding device arranged to secure it to the silicone pad.

For this purpose, for example, the silicone pad part is equipped with a pocket element into which the velor material of the carrier device is inserted in such a way that the carrier device is firmly but detachably fastened to the adhesive application element.

The bag holding device or the bag element can be equipped with a single opening side. However, it is also possible that a plurality of opening sides are provided, so that the velor material can be inserted through the bag holder device or the bag element.

A material element forming the pocket holding device or the pocket element is in this case arranged substantially parallel to the silicone pad part.

In this respect, the material element lies substantially flat on the silicone pad part and the material element is attached to the silicone pad part with at least two, preferably three, of its edges in such a way that two or one opening side results.

In this respect, the pocket holding device or the pocket element is bounded on the one hand by the material element and on the other hand by the silicone pad part.

In this context, it is therefore also possible for the carrier device to be arranged on the at least one adhesively acting application element by means of a pocket holding device.

Advantageously, a hook-and-loop part can also be mounted in the pocket holding device in a further advantageous embodiment variant, to which the carrier device can then be attached. For this purpose, the pocket holding device has a pocket opening which lies in an opening plane which runs essentially parallel to the application side.

Furthermore, a velor surface is readily suitable as a very good attachment surface for particular male elements of a hook and loop fastener. In this respect, the present device can be further simplified constructively with such a velor material.

On the other hand, a favorable tripod support structure can be provided on the present device by means of the three spaced Velcro elements.

In addition, three attachment areas provide relatively good flexibility in positioning the forehead rest means.

In order to reduce the risk that areas of the forehead support device unfavorably protrude beyond the velor material of the support device and may cause critical skin irritation on the head of the patient due to their harder material structure, it is furthermore advantageous if the device comprises at least one pocket-like insertion unit into which the Forehead support device can be at least partially inserted in order to be held cumulatively or alternatively to the support means can.

It is advantageous in this case if the at least one pocket-type insertion unit is arranged, preferably sewn, on the carrier device.

Such pocket-like plug-in units can be sewn on a velor material particularly easy.

Preferably, the pocket-like plug-in units are also made of a velor material. However, they may also be advantageously made from a variety of other materials.

It is understood that the number of pocket-like insertion units provided is preferably adapted to the number of existing support leg elements of the forehead support device, but this need not necessarily be the case.

Rather, a combination of Velcro elements for Ankletten to the support means and of pocket-like plug-in units for at least partially inserting Abstützbeinelementen without Velcro function is advantageously possible to allow despite a certain protective function through the pocket-like plug-in units still an individual placement, for example by means of a single hook and loop fastener element.

By means of the pocket-like plug-in units, an exact pre-positioning of the forehead support device on the carrier device can be achieved structurally in an extraordinarily simple manner. Thus, the risk of skin injury can be advantageously reduced and ideally excluded completely.

With regard to another advantageous embodiment variant, a magnetic fastening device may alternatively be provided for fastening the forehead support device, as well as with regard to the magnetic connection between the respiratory assistance device and the forehead support device.

In particular, in this context, it is advantageous if a magnetically acting fastening device interacts between the end support device and the carrier device.

Corresponding magnetic or magnetizable fastening elements can be arranged in a particularly simple manner, particularly when the magnetically acting fastening device comprises magnetic or magnetizable fastening elements, which can be inserted plug-in into pocket-like plug-in units in order to interact with corresponding magnetic or magnetizable fastening counter-elements of the forehead support device.

It is understood that the corresponding pocket-like plug-in units are arranged here on the carrier device, as already described above.

At this point, it should be mentioned that the forehead support device is hereby equipped with the corresponding magnetic or magnetizable fastening counter-elements in order to be able to establish an alternative magnetic connection between the forehead support device and the carrier device.

In this respect, the forehead support means on the one hand respiratory support device side at least one magnetic or magnetizable holding element, as already known from the prior art, and on the other hand new carrier side additionally at least one magnetic or magnetizable attachment counter element.

Alternatively, the magnetic or magnetizable fastening elements can also be arranged between the carrier device and the fixing device in order to be able to interact with the corresponding magnetic or magnetizable fastening counter-elements of the forehead rest device.

With regard to a further alternative, it is also advantageous if the magnetic or magnetizable fastening elements of the magnetically acting fastening device are arranged in the silicone pad part of the application element. In this case, magnetic or magnetizable fastening elements relating to this can be inserted particularly advantageously into the present device so that it can also be exceptionally flat.

With regard to a further advantageous embodiment, it is provided that the fixing device comprises a hook-and-loop fastener element in order to be releasably fastened to a velor surface of the carrier device. As a result, in particular the adhesive application element or a silicone pad part in this regard can be arranged in an extremely variable manner on the carrier device.

It should be mentioned again at this point that the carrier device also acts in particular as a coupling part. Thus, this coupling part realizes a mechanical coupling between the respiratory support device or the forehead support device and the forehead of the patient. The coupling part advantageously has adhesive properties on the side facing the patient's forehead (front side) with the fixing device. The mechanical connection of its side facing the forehead support device (back) with the forehead support device can be realized in different ways. Thus, the back can be designed as a Velcro side or as a Velcro side Velcro, and the corresponding opposite side of the forehead support device then exists as a velcro or Velcro side just this Velcro connection. In a further embodiment, the rear side of the coupling part can also be provided with adhesive properties, so that it can also be connected to the forehead rest device by adhesive action. It is also possible to connect the rear side of the coupling part in a different way with the forehead support device, as already described above. These include positive connections or, for example, a connection via push buttons.

A structurally very simple solution consists in the fact that an adhesive-effective application element of the coupling part or the fixing device can be advantageously realized that on the front of the patient facing side of the support device or directly on the forehead of the patient side facing the forehead support device preferably applies three adhesive silicone points and the so prepared carrier device or the prepared forehead support device in the desired position on the forehead of the patient depressed.

Any adhering silicone which is physiologically harmless and which does not cause any irritation to the extremely sensitive skin of the patient may be used as the adhesive agent. Particularly suitable in this regard is a silicone adhesive gel, in particular as already described at the outset. This has not only its good adhesive properties but also the required softness, so that geometric inequalities of the forehead can be compensated advantageous. It is also sterilizable and can also be colored on customer request, as also described above.

For the purpose of good adaptation to a non-planar face geometry, it is particularly advantageous if the adhesive application element is designed to be flexible. In this case, it has proved to be particularly favorable to carry out the adhesively effective application element in several parts, wherein in the case of a three-part design, these three sections form the corners of a triangle on the forehead.

Further advantages, objects and features of the present invention will be elucidated with reference to the appended drawing and the following description, in which, for example, two different embodiments of the device according to the invention for holding a respiratory assistance device comprising a carrier device and comprising a fixation device with at least one application element adhesively acting with respect to a skin surface of a patient Suspension silicone is shown and described. In the drawing show:

1 schematically a partial perspective view of a first holding device for holding a breathing support device with a support means of a velor element for supporting a forehead support device of the respiratory support device and with a fixing device which comprises an adhesive silicone pad part comprehensive frontal application element for applying the holding device to a skin surface of a patient;

2 schematically a plan view of the velor element and the front-side application element of the 1 ;

3 schematically a view of the applied by means of Silkonpadteils to a forehead of a newborn child carrier device in the 1 and 2 shown holding device;

4 schematically a partial perspective view of another holding device for holding a breathing support device with a support means of a velor element for supporting a forehead support device of the respiratory support device and with a fixing device which comprises a three adhesive silicone pad parts comprehensive frontal application element for applying the holding device to a skin surface of a patient;

5 schematically a plan view of the velor element of the holding device of the 4 ;

6 schematically a view of an applied by means of the three adhesive-acting silicone pad parts to a forehead of a newborn child carrier device in the 4 and 5 shown holding device;

7 schematically a front view of the forehead support device of the two in the 1 to 6 shown holding devices with a magnetic holding element;

8th schematically a rear view of the forehead support device of the 7 ;

9 schematically both a front and a rear view of an additional cheek application element to supplement the fixation of the 1 to 8th ;

10 schematically a side view of a supported on a child's head breathing assistance device with breathing tubes during a machine-assisted breathing;

11 schematically a side view of a supported on a child's head alternative breathing assistance device with a breathing mask during mechanical ventilation;

12 schematically a cross-sectional view of a glued to a silicone pad part velor element of another holding device;

13 schematically a cross-sectional view of a sewn on another silicone pad part velor element of another holding device; and

14 schematically a cross-sectional view of an arrangement of a silicone pad part and a velor element, wherein the velor element is fastened by means of a pocket-holding device on the silicone pad part.

The in the 1 to 3 shown first holding device for supporting a breathing assistance device (see 10 and 11 ) on a patient 1 is characterized primarily by a carrier device 2 and a fixing device 3 out (see 1 to 3 ). The patient shown here is a newborn child.

The carrier device 2 used in the context of the invention for supporting a forehead support device 4 (please refer 7 and 8th ). The fixing device 3 used in the context of the invention for fixing the carrier device 2 on the head 5 Of the patients 2 and the forehead support device 4 in the present case serves for actually supporting the respiratory assistance device on the forehead 6 of the patient 1 ,

The forehead support device shown here 4 (please refer 7 and 8th ) is basically already known from the prior art and comprises a longitudinally configured magnetic holding element 7 , which with a corresponding arranged on the respiratory support means magnetizable holding counter-element (see 10 or 11 ) can correspond in such a way that the respiratory assistance device fixed but detachable on the forehead support device 4 can be arranged.

The fixing device 3 according to the invention comprises one opposite a skin surface 8th of the patient 1 Adhesive acting application element 9A which advantageously has a single silicone pad part with regard to the first holding device 10 made of an adhesive silicone. In the present case, the Silux ^® 103-200-001 adhesive silicone from Siltec GmbH & Co. KG is used.

An alternative application element 9B may advantageously also from several, preferably three silicone pad parts 11 . 12 and 13 composed on the basis of this adhesive silicone, as an alternative with respect to another holding device shown (see 4 . 5 . 6 such as 7 and 8th ) the case is.

Due to the adhesive silicone, the application elements 9A respectively. 9B or the silicone pad parts 10 respectively. 11 . 12 and 13 and thus the holding devices particularly light on the forehead 6 of the patient 1 be fixed.

In addition, this adhesive silicone prevents slippage of the applied silicone pad parts 10 respectively. 11 . 12 and 13 and it is extremely skin-friendly.

The carrier device 2 Constructively simple consists of a flat velor element 14 from a velor material 15 , which on both sides has a velor material surface (not explicitly numbered here).

The respective silicone pad part 10 . 11 . 12 and 13 is by means of an adhesive (not shown here) in addition to the flat velor element 14 glued so that the carrier device 2 and the fixing device 3 are very interconnected.

The use of a velor material 15 This is particularly advantageous because this immediately a klettfähige surface 16 provides on which Velcro elements 17 . 18 and 19 the forehead support device 4 can easily be climbed.

Here are the three Velcro elements 17 . 18 and 19 each by Abstützbeinelemente 20 . 21 . 22 from the magnetic holding element 7 arranged spaced so that the forehead support device 4 has a sufficient height to the respiratory support device a sufficient distance from the forehead 6 of the patient 1 to be able to space.

Advantageously, the holding devices shown here by way of example can comprise application elements which comprise the adhesion silicone according to the invention and thus have an adhesive effect 9A respectively. 9B very flexible, but also very reliable, especially on the forehead 6 be applied and held.

Especially the individual positioning of the silicone pad parts 10 to 13 is extremely advantageous, as a result, the respective holding device almost arbitrarily on the head 5 can be positioned.

In addition, pressure points on the head 5 of the patient 1 by means of the silicone pad parts 10 to 13 advantageously avoided, which is particularly important in newborn children and therefore enormously beneficial.

In order to completely rule out the risk of unintentional lateral displacement of the holding devices, in addition to the end-side application elements described above 9A and 9B additionally on the right and / or left in the 9 cheek applicator shown 9C be used.

The respective cheek application element 9C can be used as a fixation ribbon 23 be configured, which right and left in the area of the cheeks of the patient 1 is arranged.

The respective cheek application element 9C or Fixierbändchen 23 is made in this embodiment of a suede material, so that it is particularly kind to the skin.

In addition, it is on its front with another silicone pad part 24 equipped, over which there is in the area of the cheek on the head 5 can be applied.

Furthermore, a Velcro flap part 25 present, by means of which the respective cheek application element 9C or Fixierbändchen 23 can be attached to the appropriate respiratory support device.

Here is the respective cheek application element 9C or Fixierbändchen 23 at a first of its ends 26 circular and plate-shaped, whereby the further silicone pad part 24 sufficiently large area can come into contact with the velor material.

In this respect, it is wider there than in the area of the Velcro flap part 25 in which one is the first end 26 opposite second end 27 narrower.

In the in the 10 exemplified first example of application is a respiratory assistance device 35 with ventilation tubes 36 equipped.

The for supporting this respiratory support device 35 used holding device is characterized by the carrier device described above 2 for supporting the releasable forehead rest means 4 and by a fixing device 3 made, which both a front-side application element 9B as well as two cheek application elements 9C (shown here only the left). All application elements 9B and 9C are characterized by silicone pad parts 11 . 12 . 13 respectively. 24 out, which directly on the skin surface 8th of the patient 1 can be applied.

While the forehead support device 4 with their Velcro elements 17 . 18 and 19 (please refer 8th ) on the velor material 15 (please refer 5 respectively. 6 ) of the flat velor element 14 the carrier device 2 is clogged and the respiratory support device 35 by means of its magnetically acting holding counter-element 35A to the magnetic holding element 7 (please refer 7 ), are the fixing tapes 23 the cheek application elements 9C with their narrower second ends 27 loop-like in each case around a handrail element 36A in the area of respiratory tubes 36 placed and by means of the respective Velcro flap part 25 attached. Advantageously, by means of this Velcro flap part 25 constructive a very practical length adjustment on the respective Fixierbändchen 23 be made. The fixing ribbons 23 are here each with the silicone pad 24 just before the left ear 37 or right ear (hidden here) of the patient 1 applied and they run from there with in the direction of their longitudinal extensions to the ventilation tubes 36 , in their areas they on the respective support rod element 36A are fixed.

That in the 11 shown second application example is characterized by the same holding device. However, the respiratory assistance device used there includes 38 a breathing mask 39 , In this respect, a re-description of the holding device and its components is dispensed with in order to avoid repetition.

When in the 12 shown arrangement variant 130 is a flat velor element 114 by means of an adhesive layer 131 on a silicone pad part 110 glued from an adhesive silicone, as is already the case with respect to the two embodiments described above. The adhesive layer 131 is advantageous because the adhesion of the adhesive silicone to a velor material 115 are less pronounced than against a skin surface 8th (please refer 3 and 6 ). The silicone pad part 110 comes with its application page 132 to the skin surface 8th applied. To the flat velor element 114 in function of a carrier device 102 can then, for example, in the 7 and 8th shown forehead support device 4 to the velcro surface 116 be clogged. Alternatively, the carrier device 102 also with other attachment methods with the forehead support device 4 be brought into operative contact.

The in the 13 shown arrangement 240 shows another silicone pad part 210 from an adhesive silicone with an application page 232 on which a flat velor element 214 by means of a circumferential seam 241 is sewn on, leaving the flat velor element 214 in function of a carrier device 202 for supporting the forehead support device 4 firmly with the silicone pad part 210 connected is. Again, between the silicone pad part 210 and the flat velor element 214 additionally an adhesive layer 131 (please refer 12 ) be provided.

The order 345 according to the 14 shows a quite different constructive approach to a carrier device 302 safe to use on a silicone pad part 310 having fixing device 303 to fix. Again, there is the silicone pad part 310 from an adhesive silicone to it with its application side 332 to the skin surface 8th to be able to apply. On this silicone pad part 310 is a bag holder device 346 with a pocket element 347 for picking up a Velcro part 348 arranged.

The bag holder device 346 has a bottom part 349 on, which with the help of a circumferential seam 341 on the silicone pad part 310 is sewn on. Inside the bag element 347 is now the Velcro part 348 passing through a pocket opening 350 through with a velor element 314 interacts such that the velor element 314 firm but detachable on the Velcro part 348 is attached. The Velcro part 348 is here, for example, by a lateral access (not shown here) in the bag element 347 brought in. For example, the access opening of the lateral access lies in a plane which runs essentially parallel to the paper plane.

In this embodiment is on the velor element 314 a magnetic fastener 351 a fastening device 352 for a correspondingly with a magnetizable fastening counter-element (not shown here) equipped end support device (not shown here) glued. The magnetic fastener 351 has a mounting surface 353 on, to which the corresponding Stirnauflageeinrichtung can be attached. In this respect, this forehead support device can magnetically on the carrier device 302 be attached.

The pocket opening 350 opens the bag element 347 such that they are in an opening plane 353 which is substantially parallel to the application side 332 runs. The opening plane 353 is, for example, arranged approximately at right angles to the access opening plane. In that respect, there is no danger that the Velcro part 348 at a tensile load from the direction of the pocket opening 350 accidentally slips out of the access opening. Thus, this can be in the pocket element 347 Velcro part 348 through the pocket opening 350 through advantageous with the velor element 314 interact. Here is the pocket opening 350 chosen in diameter such that the Velcro part 348 can not be pulled out under tensile load. For this in turn has the Velcro part 348 a certain inherent rigidity and a diameter which is considerably larger than the diameter of the pocket opening 350 , The side access, not shown here, however, the shape that the Velcro part 348 to pass through.

It is understood that the magnetic fastener 351 in another embodiment also directly within such a pocket holder device 346 can be arranged. This would be the pocket element 347 then preferably closed or closed, so that the magnetic fastener 351 accidentally can not be lost.

It goes without saying that the exemplary embodiments explained above are only first embodiments of the device according to the invention for holding a respiratory assistance device. In this respect, the embodiment of the invention is not limited to these embodiments.

All disclosed in the application documents features are claimed as essential to the invention, provided they are new individually or in combination over the prior art.

LIST OF REFERENCE NUMBERS

1

patient

2

support means

3

fixing

4

Forehead rest means

5

head

6

forehead

7

magnetic holding element

8th

skin surface

9A

application element

9B

alternative application element

9C

Cheeks application element

10

single silicone pad part of the application element 9A

11

first silicone pad part of the alternative application element 9B

12

second silicone pad part of the alternative application element 9B

13

third silicone pad part of the alternative application element 9B

14

flat suede element

15

velor

16

velcro surface

17

first Velcro element

18

second Velcro element

19

third Velcro element

20

first support leg element

21

second support leg element

22

third support leg element

23

Fixierbändchen

24

another silicone pad part

25

Velcro tab portion

26

first end

27

second end

35

first respiratory support device

35A

Holding counter-member

36

ventilation tubes

36A

Holding bar element

37

ear

38

second respiratory support device

39

oxygen mask

102

support means

110

Silikonpadteil

114

flat suede element

115

velor

116

velcro surface

130

arrangements version

131

adhesive layer

132

application page

210

another silicone pad part

214

flat suede element

232

application page

240

arrangement

241

circumferential seam

302

support means

303

fixing

310

Silikonpadteil

314

Velourelement

332

application page

341

seam

345

arrangement

346

Bag holding device

347

pocket member

348

Velcro part

349

the bottom part

350

pocket opening

351

magnetic fastener

352

fastening device

353

mounting surface

354

opening plane

Claims (9)

Apparatus for supporting a respiratory assistance device ( 35 ; 38 ), in particular an atraumatic nasal tube ( 36 ), on a patient ( 1 ) with a carrier device ( 2 ; 102 ; 202 ; 302 ) for wearing this respiratory support device ( 35 ; 38 ), a releasable forehead support device ( 4 ) for supporting this respiratory assistance device ( 35 ; 38 ) on the forehead ( 6 ) of the patient ( 1 ) and with a fixing device ( 3 ; 303 ) for fixing the carrier device ( 2 ; 102 ; 202 ; 302 ) on the head ( 5 ) of the patient ( 1 ), characterized in that the fixing device ( 3 ; 303 ) at least one opposite a skin surface ( 8th ) of the patient ( 1 ) adhesive application element ( 9A ; 9B ) with an adhesive silicone, wherein the forehead support device ( 4 ) at least one hook-and-loop fastener element ( 17 . 18 . 19 ) to a surface ( 16 ; 116 ) of the carrier device ( 2 ; 102 ; 202 ; 302 ) and between the support means ( 2 ; 102 ; 202 ; 302 ) and the at least one adhesively acting application element ( 9A ; 9B ) of the fixing device ( 3 ; 303 ) an adhesive layer ( 131 ) or an adhesive layer element is arranged. Device according to claim 1, characterized in that the at least one application element ( 9A ; 9B ; 9C ) one or more spaced-apart adhesive silicone pad parts ( 10 . 11 . 12 . 13 ; 110 ; 210 ; 310 ) from an adhesive silicone. Device according to claim 1 or 2, characterized in that the application element ( 9A ; 9B ) as end application elements ( 9A ; 9B ) is configured. Device according to one of claims 1 to 3, characterized in that the carrier device ( 2 ; 102 ; 202 ; 302 ) a velor material ( 15 ; 115 ), which has a velor surface on both sides, and which at least on one of the patient ( 1 ) facing away from the fixing device ( 3 ; 303 ) is arranged. Device according to one of claims 1 to 4, characterized in that the carrier device ( 2 ; 102 ; 202 ; 302 ) on the at least one adhesively acting application element ( 9A ; 9B ; 9C ) is sewn on. Device according to one of claims 1 to 4, characterized in that the carrier device ( 2 ; 102 ; 202 ; 302 ) by means of a pocket holding device ( 346 ) on the at least one adhesively acting application element ( 9A ; 9B ; 9C ) is arranged. Device according to one of claims 1 to 6, characterized in that the carrier device ( 2 ; 102 ; 202 ; 302 ) a magnetic or magnetizable fastening element ( 351 ). Device according to one of claims 1 to 7, characterized in that the forehead support device ( 4 ) at least one magnetic or magnetizable holding element ( 7 ) which is connected to a corresponding one of the respiratory assistance device ( 35 ; 38 ) arranged magnetic or magnetizable counter holding element ( 35A ) such that the respiratory assistance device ( 35 ; 38 ) fixed but detachable on the forehead support device ( 4 ) can be arranged. Device according to one of claims 1 to 8, characterized in that the fixing device ( 3 ; 303 ) comprises a hook-and-loop fastener element for fastening on a velor surface of the support device ( 2 ; 102 ; 202 ; 302 ) to be releasably secured.

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