US3464411A - Respirator holder device - Google Patents

Respirator holder device Download PDF

Info

Publication number
US3464411A
US3464411A US625079A US3464411DA US3464411A US 3464411 A US3464411 A US 3464411A US 625079 A US625079 A US 625079A US 3464411D A US3464411D A US 3464411DA US 3464411 A US3464411 A US 3464411A
Authority
US
United States
Prior art keywords
patient
mouthpiece
head
face
legs
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
US625079A
Inventor
Angel V Martinez
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
ANGEL V MARTINEZ
Original Assignee
ANGEL V MARTINEZ
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by ANGEL V MARTINEZ filed Critical ANGEL V MARTINEZ
Application granted granted Critical
Publication of US3464411A publication Critical patent/US3464411A/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/06Respiratory or anaesthetic masks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/06Respiratory or anaesthetic masks
    • A61M16/0683Holding devices therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2209/00Ancillary equipment
    • A61M2209/08Supports for equipment
    • A61M2209/082Mounting brackets, arm supports for equipment

Definitions

  • a device for positioning the mouthpiece of a respirator relative to the mouth of a patient lying in face-up position includes a base to support the head of the patient and a rigid frame extending over the face of the patient when in such face-up position.
  • a suspension member is adjustably positioned over the face of the patient to support a resiliently suspended mouthpiece and associated tubing at the position of the patients mouth.
  • the resilient suspension means permits movement of the mouthpiece as the head of the patient is turned.
  • Part of the rigid frame can be swung to a remote position to facilitate access to the patients head without removal of the head from the device.
  • This invention relates to respiratory devices, and in par. ticular to supporting devices for respirator mouthpieces and associated inhalator tubes.
  • respirators In order to aid the patients breathing, mechanical respirators are often used. These respirators automatically deliver oxygen to the patient through plastic mouthpieces or nozzles, or through tubes placed in the trachea. The mouthpieces are connected to a source of oxygen by breath or inhalator tubes.
  • Respirators have been constructed so that the inhalator tubing is suspended in a manner such that a major proportion of the weight of the tubing and associated nozzle rests on the patients mouth. Such an arrangement is particularly unsatisfactory with infants.
  • most tubing is rigidly fixed to its carrying frame and cannot be moved wtih ease. The post-operative patient who is restless and thrashes around may lose the nozzle attached to the end of the tubing from his mouth, unless it is taped in place. Taping is, of course, an uncomfortable ex edient.
  • FIG. 1 is a perspective view of the apparatus of the invention
  • FIG. 2 is a side view in elevation of the apparatus of the invention
  • FIG. 3 is a front view in elevation, with parts shown in phantom, of the apparatus of the invention
  • FIG. 4 is a view in cross section, taken along line 44 of FIG. 3 and shown on an enlarged scale, of the support block and the two halves of the vertical support frame;
  • FIG. 5 is a plan view, with parts broken away, of an alternative embodiment of portions of the apparatus.
  • the apparatus consists of a U-shaped base member having a generally horizontal support means 11 for supporting the head of the patient.
  • the support means 11 consists of a plurality of tapes 12 laced through slots 13 in the side of the base member 10.
  • the interwoven tapes States Patent 0 Patented Sept. 2, 1969 12 provide a comfortable support surface for the head of the patient.
  • a rigid frame 14 which extends upwardly in a generally vertical direction over the support means 11, above the head of a patient when the head is positioned face-up on the support surface (see FIG. 2).
  • the frame 14 is composed of two legs 15 and 16 which arch at their ends and join together at the top of the arch formed by the two legs. The legs 15 and 16 are snapped together with a complementarily shaped projection and recess, asseen in FIG. 4.
  • the legs 15 and 16 are pivotably mounted to the base member 10, one to each side, by means of a nut 17 and bolt 18. Each of the legs 15, 16 is slidable in a horizontal direction at their base, along a slot 19 cut in the base member 10.
  • the two legs 15 and 16 of the frame 14 are held together at the top by a bracket 20 having a slot 21 therein through which the legs 15 and 16 extend.
  • the bracket 20 is fixed at any position by a thumb screw 22.
  • a stem 23 Depending vertically downward from the bracket 20 is a stem 23 and mounted on the lower end of the stem 23 is a resilient spring 24. The other end of the spring 24 is attached to a clamp 25 which is clamped around an inhalator tube 26 near the junction of the tube and a mouthpiece 27.. Leading from the mouthpiece 27 is an exhalation tube 28. In the particular embodiment of the respirator apparatus shown, a valve is located in the mouthpiece which shuts off oxygen coming from the inhalator tube, and opens the exhalation tube when the patient exhales.
  • the stem 23 is adjustably mounted in the bracket 20 and can be moved up or down.
  • a set screw 29 is used to fix its position.
  • the bracket 20 is moved to one side, the legs 15 and 16 are detached from each other at their junction, and one of the legs 15 or 16 is swung down, as illustrated in FIG. 2, to expose the patients head.
  • a support brace 30 for the inhalator tube 26 and exhalator tube 28.
  • the brace is slidably mounted on the bracket 20 and is held in position by a set screw 31 which extends through a slot in the support brace 30 and screws into the support block 20
  • a clamp 32 is attached to maintain the inhalator tube 26 and exhalator tube 28 in the desired positions.
  • FIG. 5 illustrates another embodiment of a portion of the apparatus of this invention.
  • a Y- shaped support brace 33 is used to clamp two inhalator tubes 34 and 35 which feed into a nozzle 36.
  • the apparatus is the same as has been previously described.
  • An apparatus for positioning the mouthpiece and breath tubing of a respirator device relative to the mouth of a patient comprising, in combination, a base member having a generally horizontal support surface for the head of the patient, a rigid frame extending upwardly from said base member and over said support surface above the face of such patient when the head is positioned face-up upon said support surface, a suspension member secured to said rigid frame above the face of said patient and extending downwardly toward the face of such patient,
  • said resilient means is a vertically suspended coil spring having a relatively low spring constant with its upper end secured to said suspension member and its lower end having means adapted to be operatively secured to said mouthpiece of said respirator.
  • the apparatus of claim 1 which further includes a means for manually adjusting the vertical position of said suspension member relative to the upper portion of said rigid frame.
  • said base member comprises a rigid, generally U-shaped structure adapted to receive the head of a patient between spaced apart side members with a resilient support surface secured between such side members.
  • said rigid frame comprises a generally U-shaped member with downwardly extending legs secured to opposed edges of said base member and having an arcuate shaped portion between said legs extending over said support surface above the face of said patient.
  • said generally U-shaped member is comprised of a pair of separate rigid members each having a lower leg portion and an upper arcuate end which, when joined together, form said rigid frame and with the leg portion of at least one of said rigid members pivotally secured to said base member whereby said pivoted member may be swung away from its joined position to facilitate access to the head of said patient.
  • the apparatus of claim 5 which further includes a slide block secured to said suspension member and having a slide channel therethrough to receive said U- shaped member whereby said slide block may be moved to various positions along the arcuate shaped portion of said U-shaped member and means for securing said slide block in any position along said U-shaped member.

Landscapes

  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Respiratory Apparatuses And Protective Means (AREA)
  • Percussion Or Vibration Massage (AREA)

Description

p 2, 1969 A. v. MARTINEZ 3,464,411
RESFIRATOR HOLDER DEVICE Filed March 22, 1967 INVENTOR.
ANGEL YMARTINEZ.
3,464,411 RESPIRATOR HOLDER DEVICE Angel V. Martinez, 1387 East Blvd.,
Cleveland, Ohio 44106 Filed Mar. 22, 1967, Ser. No. 625,079 Int. Cl. A62b 9/04 US. Cl. 128-1458 '8. Claims ABSTRACT OF THE DISCLOSURE A device for positioning the mouthpiece of a respirator relative to the mouth of a patient lying in face-up position. The device includes a base to support the head of the patient and a rigid frame extending over the face of the patient when in such face-up position. A suspension member is adjustably positioned over the face of the patient to support a resiliently suspended mouthpiece and associated tubing at the position of the patients mouth. The resilient suspension means permits movement of the mouthpiece as the head of the patient is turned. Part of the rigid frame can be swung to a remote position to facilitate access to the patients head without removal of the head from the device.
Background of the invention This invention relates to respiratory devices, and in par. ticular to supporting devices for respirator mouthpieces and associated inhalator tubes.
Infants and post-operative patients who have had an abdominal or chest surgery sometimes have considerable difficulty breathing. In order to aid the patients breathing, mechanical respirators are often used. These respirators automatically deliver oxygen to the patient through plastic mouthpieces or nozzles, or through tubes placed in the trachea. The mouthpieces are connected to a source of oxygen by breath or inhalator tubes.
Respirators have been constructed so that the inhalator tubing is suspended in a manner such that a major proportion of the weight of the tubing and associated nozzle rests on the patients mouth. Such an arrangement is particularly unsatisfactory with infants. In addition most tubing is rigidly fixed to its carrying frame and cannot be moved wtih ease. The post-operative patient who is restless and thrashes around may lose the nozzle attached to the end of the tubing from his mouth, unless it is taped in place. Taping is, of course, an uncomfortable ex edient.
This invention is intended to eliminate the discomfort and possible malfunction associated with respirators, as described above. The invention will be more fully understood by reference to the following description of a preferred embodiment, reference being made to te drawings in which:
FIG. 1 is a perspective view of the apparatus of the invention;
FIG. 2 is a side view in elevation of the apparatus of the invention;
FIG. 3 is a front view in elevation, with parts shown in phantom, of the apparatus of the invention;
FIG. 4 is a view in cross section, taken along line 44 of FIG. 3 and shown on an enlarged scale, of the support block and the two halves of the vertical support frame; and
FIG. 5 is a plan view, with parts broken away, of an alternative embodiment of portions of the apparatus.
The apparatus consists of a U-shaped base member having a generally horizontal support means 11 for supporting the head of the patient. The support means 11 consists of a plurality of tapes 12 laced through slots 13 in the side of the base member 10. The interwoven tapes States Patent 0 Patented Sept. 2, 1969 12 provide a comfortable support surface for the head of the patient.
Attached to the U-shaped base member 10 is a rigid frame 14 which extends upwardly in a generally vertical direction over the support means 11, above the head of a patient when the head is positioned face-up on the support surface (see FIG. 2). The frame 14 is composed of two legs 15 and 16 which arch at their ends and join together at the top of the arch formed by the two legs. The legs 15 and 16 are snapped together with a complementarily shaped projection and recess, asseen in FIG. 4.
The legs 15 and 16 are pivotably mounted to the base member 10, one to each side, by means of a nut 17 and bolt 18. Each of the legs 15, 16 is slidable in a horizontal direction at their base, along a slot 19 cut in the base member 10. The two legs 15 and 16 of the frame 14 are held together at the top by a bracket 20 having a slot 21 therein through which the legs 15 and 16 extend. The bracket 20 is fixed at any position by a thumb screw 22.
Depending vertically downward from the bracket 20 is a stem 23 and mounted on the lower end of the stem 23 is a resilient spring 24. The other end of the spring 24 is attached to a clamp 25 which is clamped around an inhalator tube 26 near the junction of the tube and a mouthpiece 27.. Leading from the mouthpiece 27 is an exhalation tube 28. In the particular embodiment of the respirator apparatus shown, a valve is located in the mouthpiece which shuts off oxygen coming from the inhalator tube, and opens the exhalation tube when the patient exhales.
The stem 23 is adjustably mounted in the bracket 20 and can be moved up or down. A set screw 29 is used to fix its position.
By suspending the tube 26 from the loose spring 24, the majority of the weight of the mouthpiece 27 and tubes 26 and 28 is taken off the patient. Because of the resilience of the spring 24, the patient can turn his head from side to side without dislodging the mouthpiece 27.
When it is necessary to have access to the patients head, it may be done without removing the inhalator tube 26 or associated apparatus. The bracket 20 is moved to one side, the legs 15 and 16 are detached from each other at their junction, and one of the legs 15 or 16 is swung down, as illustrated in FIG. 2, to expose the patients head.
Mounted on the bracket 20 and extending horizontally rearward therefrom is a support brace 30 for the inhalator tube 26 and exhalator tube 28. The brace is slidably mounted on the bracket 20 and is held in position by a set screw 31 which extends through a slot in the support brace 30 and screws into the support block 20 At the opposite end a clamp 32 is attached to maintain the inhalator tube 26 and exhalator tube 28 in the desired positions.
FIG. 5 illustrates another embodiment of a portion of the apparatus of this invention. In this embodiment, a Y- shaped support brace 33 is used to clamp two inhalator tubes 34 and 35 which feed into a nozzle 36. In all other respects the apparatus is the same as has been previously described.
I claim:
1. An apparatus for positioning the mouthpiece and breath tubing of a respirator device relative to the mouth of a patient, comprising, in combination, a base member having a generally horizontal support surface for the head of the patient, a rigid frame extending upwardly from said base member and over said support surface above the face of such patient when the head is positioned face-up upon said support surface, a suspension member secured to said rigid frame above the face of said patient and extending downwardly toward the face of such patient,
and resilient means for supporting and suspending a respirator mouthpiece from said suspension member at the position of the mouth of said patient when in said face-up position whereby, when said mouthpiece is held in the mouth of such patient when in said face-up position, said resilient means substantially supports the weight of such mouthpiece and breath tubes and whereby, when the mouth of the patient is moved away from said face-up position, said mouthpiece will remain in the mouth of such patient as said resilient means adjusts its length to accommodate such changes in position.
2. The apparatus of claim 1 wherein said resilient means is a vertically suspended coil spring having a relatively low spring constant with its upper end secured to said suspension member and its lower end having means adapted to be operatively secured to said mouthpiece of said respirator.
3-. The apparatus of claim 1 which further includes a means for manually adjusting the vertical position of said suspension member relative to the upper portion of said rigid frame.
4. The apparatus of claim 1 wherein said base member comprises a rigid, generally U-shaped structure adapted to receive the head of a patient between spaced apart side members with a resilient support surface secured between such side members.
5. The apparatus of claim 1 wherein said rigid frame comprises a generally U-shaped member with downwardly extending legs secured to opposed edges of said base member and having an arcuate shaped portion between said legs extending over said support surface above the face of said patient.
6. The apparatus of claim 5 wherein said generally U-shaped member is comprised of a pair of separate rigid members each having a lower leg portion and an upper arcuate end which, when joined together, form said rigid frame and with the leg portion of at least one of said rigid members pivotally secured to said base member whereby said pivoted member may be swung away from its joined position to facilitate access to the head of said patient.
7. The apparatus of claim 5 which further includes a slide block secured to said suspension member and having a slide channel therethrough to receive said U- shaped member whereby said slide block may be moved to various positions along the arcuate shaped portion of said U-shaped member and means for securing said slide block in any position along said U-shaped member.
8. The apparatus of claim 1 which further includes a clamp secured to the lower end of said resilient means and adapted to engage and hold said mouthpiece and its breath tubing.
References Cited UNITED STATES PATENTS 690,663 1/1902 Pratt 128-l47 XR 2,151,458 3/1939 Allen 12876 XR 2,857,911 10/1958 Bennett 128---147 2,963,247 12/ 1960 Collier et a1 248--8l RICHARD A. GAUDET, Primary Examiner RONALD L. FRINKS, Assistant Examiner US. Cl. X.R.
US625079A 1967-03-22 1967-03-22 Respirator holder device Expired - Lifetime US3464411A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US62507967A 1967-03-22 1967-03-22

Publications (1)

Publication Number Publication Date
US3464411A true US3464411A (en) 1969-09-02

Family

ID=24504491

Family Applications (1)

Application Number Title Priority Date Filing Date
US625079A Expired - Lifetime US3464411A (en) 1967-03-22 1967-03-22 Respirator holder device

Country Status (1)

Country Link
US (1) US3464411A (en)

Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4321917A (en) * 1979-05-17 1982-03-30 Campbell William H Surgical drape support and oxygen supply device
US4699131A (en) * 1985-03-14 1987-10-13 Crook John A Ophthalmic surgical drape support
US4727872A (en) * 1986-10-20 1988-03-01 Pablo Hawk Endotracheal intubation system
US5279486A (en) * 1993-03-31 1994-01-18 Harmon Elbert C Medical support device
US5488944A (en) * 1994-08-05 1996-02-06 Kennedy; Thomas M. Surgical drape support
US20050173599A1 (en) * 2004-02-10 2005-08-11 Noelke John G. Comfort enhancer for a breathing apparatus
US20060000477A1 (en) * 2003-06-30 2006-01-05 Simon Frank Medical device for overcoming airway obstruction
US20080236588A1 (en) * 2007-03-26 2008-10-02 Braebon Medical Corporation Support device for respiratory interface
WO2014025754A1 (en) * 2012-08-06 2014-02-13 Prometheus Medical Innovations Llc Head stabilizer for medical device(s) including an endotracheal tube
WO2014020473A3 (en) * 2012-08-03 2014-05-22 Koninklijke Philips N.V. Headgearless patient interface assembly
US9441759B1 (en) * 2013-07-15 2016-09-13 Robert Steven Bley Positionable mechanism for dust collection port and lathe accesories
US9877785B1 (en) * 2014-08-25 2018-01-30 Richard Breazeale Surgical drape support
CN108904948A (en) * 2018-08-14 2018-11-30 林芬 A kind of fixation device hanging trachea cannula
US10912910B1 (en) 2016-08-04 2021-02-09 Tennessee Dental Anesthesia Supplies, LLC Combination anesthesia circuit holder and patient protection device and method of use

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US690663A (en) * 1901-08-16 1902-01-07 Harry Pratt Appliance for swimmers.
US2151458A (en) * 1938-02-16 1939-03-21 Charles H Allen Traction fixation appliance for facial bones
US2357911A (en) * 1943-06-24 1944-09-12 Edward E Schaefer Cord lock device for venetian blinds
US2963247A (en) * 1960-01-11 1960-12-06 George L Collier Support for anaesthesia applier

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US690663A (en) * 1901-08-16 1902-01-07 Harry Pratt Appliance for swimmers.
US2151458A (en) * 1938-02-16 1939-03-21 Charles H Allen Traction fixation appliance for facial bones
US2357911A (en) * 1943-06-24 1944-09-12 Edward E Schaefer Cord lock device for venetian blinds
US2963247A (en) * 1960-01-11 1960-12-06 George L Collier Support for anaesthesia applier

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4321917A (en) * 1979-05-17 1982-03-30 Campbell William H Surgical drape support and oxygen supply device
US4699131A (en) * 1985-03-14 1987-10-13 Crook John A Ophthalmic surgical drape support
US4727872A (en) * 1986-10-20 1988-03-01 Pablo Hawk Endotracheal intubation system
US5279486A (en) * 1993-03-31 1994-01-18 Harmon Elbert C Medical support device
US5488944A (en) * 1994-08-05 1996-02-06 Kennedy; Thomas M. Surgical drape support
US20060000477A1 (en) * 2003-06-30 2006-01-05 Simon Frank Medical device for overcoming airway obstruction
US20050173599A1 (en) * 2004-02-10 2005-08-11 Noelke John G. Comfort enhancer for a breathing apparatus
US7040581B2 (en) 2004-02-10 2006-05-09 Sonotech, Llc Comfort enhancer for a breathing apparatus
US20080236588A1 (en) * 2007-03-26 2008-10-02 Braebon Medical Corporation Support device for respiratory interface
US7931021B2 (en) * 2007-03-26 2011-04-26 Braebon Medical Corporation Support device for respiratory interface
WO2014020473A3 (en) * 2012-08-03 2014-05-22 Koninklijke Philips N.V. Headgearless patient interface assembly
WO2014025754A1 (en) * 2012-08-06 2014-02-13 Prometheus Medical Innovations Llc Head stabilizer for medical device(s) including an endotracheal tube
US9441759B1 (en) * 2013-07-15 2016-09-13 Robert Steven Bley Positionable mechanism for dust collection port and lathe accesories
US9877785B1 (en) * 2014-08-25 2018-01-30 Richard Breazeale Surgical drape support
US10912910B1 (en) 2016-08-04 2021-02-09 Tennessee Dental Anesthesia Supplies, LLC Combination anesthesia circuit holder and patient protection device and method of use
CN108904948A (en) * 2018-08-14 2018-11-30 林芬 A kind of fixation device hanging trachea cannula
CN108904948B (en) * 2018-08-14 2024-03-19 林芬 Fixing device for hanging tracheal cannula

Similar Documents

Publication Publication Date Title
US3464411A (en) Respirator holder device
US8584280B2 (en) Pediatric craniofacial surgical table
US4282869A (en) Apparatus for oxygen treatment
US4406283A (en) Oxygen cannulae for continuous administration of oxygen, and its associated mounting structure and method for mounting same onto the head of a patient
US5233978A (en) Nasal oxygen mask
US4641647A (en) Device for securing respiratory appliance during respiratory therapy
US3802431A (en) Nasal cannula
US2868199A (en) Cannula
US3859993A (en) Operating table accessory
US5269296A (en) Nasal continuous positive airway pressure apparatus and method
US3306287A (en) Infant supporting apparatus
US5533506A (en) Nasal tube assembly
US4739757A (en) Oxygen tube retaining headband
US5193532A (en) Device for generating by means of ejector action a continuous positive airway pressure (cpap) during spontaneous breathing
US3625207A (en) Respiratory mask and ducting
US7900630B2 (en) Gas delivery mask with flexible bellows
US4744358A (en) Endotracheal tube holder
US8453649B2 (en) Apparatus for positioning a nasal cannula
US4191180A (en) Endotracheal support and stabilization device
JP2005501669A (en) Respiratory support equipment
US2658506A (en) Head traction device
US2998818A (en) Face piece
US4377161A (en) Surgical breathing apparatus
US2949152A (en) Chair brace
US20050173599A1 (en) Comfort enhancer for a breathing apparatus