fig1 illustrates a frontal view of a custom hard shell mask according to the teachings of the present invention . as shown in fig1 the mask 10 is provided for fitting over a patient &# 39 ; s respiratory orifice . the particular mask 10 shown in fig1 is illustrative only , and any other mask shapes may be used without departing from the intended scope of the present invention . for example , the mask 10 may fit over the patient &# 39 ; s nose and mouth together , or mouth or nose alone . as shown in fig1 mask 10 contains a custom formed hard shell 20 that has a soft gasket interface layer 30 that is in contact with the patient &# 39 ; s facial epidermal tissue . the mask 10 contains an adjustable point of attachment 50 that can be attached anywhere upon the mask 10 such that the custom mask 10 may be custom fitted the patient . a preferred location for such points of attachment 50 would be area 40 located on the exterior of the shell 20 , vertically transecting the shell 20 , extending from short of the bottom to short of the top of shell 20 . the hard shell 20 is comprised of materials that are of a hard , rigid , durable nature capable of maintaining the mask &# 39 ; s 10 structural integrity while in use and for an extended period of time . thus , the material will allow the custom mask 10 to be used over the period of many months . attached to the hard shell &# 39 ; s 20 point of attachment 50 may be a strap 60 or strap - like member . the strap 60 extends from the mask 10 to the patient &# 39 ; s cranium along the tragal line to a point 70 where it separates from one member 60 into two members 90 , 100 . the separation occurs prior to the tragal line reaching the ear &# 39 ; s canal . at the point of separation the two resulting members 90 , 100 diverge in angulated directions . the member 90 proceeding up the scalp to the upper cranium encompasses the cranium &# 39 ; s circumference and reattaches to the opposite side from which it was separated . in turn the member proceeding towards the lower cranium 100 where the spine enters the cranium encompasses that portion of the cranium &# 39 ; s circumference and reattaches opposite the side from which it was separated 70 . the angle at the points of separation is determinative upon , and can be altered in accordance with , the size of the patient &# 39 ; s cranium . accordingly , the lengths of the straps 90 , 100 can also be altered according to the size of the patient &# 39 ; s cranium . furthermore , the strap 60 may be comprised of either nylon , elastic or combination thereof . the cranial straps 90 , 100 may be comprised of a nylon - like material having a mechanism whereby the cranial straps 90 , 100 may be adjusted to custom fit the patient &# 39 ; s cranium . the hard shell &# 39 ; s 20 point of attachment 50 , coupled with the ability to be located at a variation of positions upon the hard shell 20 , allows the strap 60 to diverge into two members 90 , 100 that in turn permit the custom mask 10 to maintain a custom tailored fixed position upon the patient &# 39 ; s face . the custom hard shell mask 10 receives pressurized air delivered via an air passage 80 attached to a hose - like member 110 . the pressure of the air delivered by apparatus depends upon the severity of the breathing disorder being treated . the more severe the disorder , the greater the pressure must be . various apparatuses for delivering air at constant or varying pressures may be used . accordingly , gas mediums are supplied to the custom hard shell mask 10 by ways of opening ( s ) 80 in the shell 20 . the opening ( s ) 80 are located on the shell 20 in accordance with the needs , skeletal and anatomical structures of the patient . attached to the opening ( s ) 80 are tubes 110 , or hose - like members , capable of containing and conveying pressurized mediums within . the tubes 110 then circumnavigate the patient &# 39 ; s cranium and converge at a point where they form , via an appropriate means of attachment 120 , a singular tube 130 , or hose - like member , conveying the pressurized medium therein from an apparatus to the mask 10 . in summary , a custom hard shell mask 10 is provided wherein it is connected to an apparatus capable of supplying pressurized ventilation . fig2 illustrates a side profile view of a custom hard shell mask 10 according to the teachings of the present invention . as shown in fig2 the mask 10 is provided for fitting over a patient &# 39 ; s respiratory orifice and surrounding areas . the particular mask 10 shown in fig2 is illustrative only , and any other mask shapes may be used without departing from the intended scope of the present invention . as shown in fig2 mask 10 contains a custom formed hard shell 20 that has a soft gasket interface layer 30 that is to contact the patient &# 39 ; s epidermis . the soft gasket interface layer 30 extends and is attached , by an appropriate means , whereby it will remain attached to the shell 20 for the duration of its use . the soft gasket interface layer 30 should be of a material possessing the qualities of : limited epidermal abrasiveness ; pliable , in conforming to the unique anatomical and skeletal attributes of the patients face ; dense enough to form a vacuum - like seal , when placed upon the face coupled with the use of retention straps 60 , 90 , 100 , and durable enough to maintain the aforementioned physical attributes for an extended period of time . the mask 10 encompassing a custom hard shell 20 and soft gasket interface layer 30 is held in place by a strap 60 that diverges into two straps 90 , 100 . the strap 60 is attached to the shell 20 . the point of attachment 50 is located on a vertical plane 40 that permits the appropriate positioning for the strap 60 on the shell &# 39 ; s 20 point of attachment 50 , dependent upon the anatomical attributes of the patient . therein , the point of attachment 50 is demonstrative only . accordingly , dependant upon the patient &# 39 ; s anatomical and skeletal attributes , there may be multiple points of attachment , whereby the same custom fitting effect is achieved . the point of attachment 50 may encompass a loop or other means by which the straps may pass freely through , or alternatively , may be affixed , attached , or adhered permanently or for the duration of the custom mask &# 39 ; s 10 use . the delivery of pressurized air is accomplished by a hose 130 or like delivery means that is further separated into two like mediums 110 that in turn are attached to the shell at point 80 most conducive to the delivery of the pressurized air to the patient . fig2 further depicts the attachment of the hoses 110 to the strap 60 , whereby they follow or are attached to the strap 90 and proceed toward the posterior cranial lobe . upon reaching a desired location at said lobe , the hoses 110 converge into a singular hose 130 that then leads to the respiratory apparatus . fig3 illustrates a frontal view of a custom hard shell mask according to the teachings of the present invention . as shown in fig3 the mask 30 is provided for fitting over a patient &# 39 ; s respiratory orifice and surrounding area . the particular mask 10 shown in fig3 is illustrative only , and any other mask shapes , strap or hose combination , as disclosed herein , and may be used without departing from the intended scope of the present invention . fig3 illustrates one manner by which the present disclosure may be worn by a patient . the custom mask 10 , comprising a custom molded hard shell 20 and a soft gasket interface 30 , is held upon the patients face via a retention strap 60 that &# 34 ; runs along or close to &# 34 ; the tragal line , diverging 70 prior to reaching the ear &# 39 ; s canal into two straps 90 , 100 . the respective strap 90 , 100 circumnavigate the cranium and reattach on the opposite side from which they began 70 . as disclosed in the description of fig1 these straps 60 , 90 , 100 may be comprised of , but need not be limited to , that which was disclosed . the delivery of air is via a respiratory device capable of delivering pressurized air to the patient &# 39 ; s mask 10 . this delivery is accomplished by the attachment of a hose 130 to the apparatus and the hose 130 diverging into two hoses 110 that in turn are attached to the mask &# 39 ; s 10 hard shell 20 in a location that is correct for the patient &# 39 ; s needs . fig4 illustrates a profile view of a custom fitted and molded mask according to the teachings of the present invention . as shown in fig4 the mask 10 is provided for fitting over a patient &# 39 ; s respiratory orifice and surrounding area . the particular mask 10 shown in fig4 is illustrative only , and any other mask shapes may be used without departing from the intended scope of the present invention . fig4 depicts a nasal mask 10 , comprised of a custom hard shell 20 coupled with a soft gasket interface layer 30 , covering a patient &# 39 ; s nose and some of the surrounding tissue . the custom hard shelled mask 10 is held in place by a strap 60 that diverges into two straps 90 , 100 before reaching the ear . the strap 60 is demonstratively attached to the mask 10 at area 40 by means of a point of attachment 50 . the area of attachment 40 is upon the vertical axis of the shell 20 . the point of attachment 50 may consist of any variation of a loop or other means that would allow for the strap &# 39 ; s 60 free movement , or not , therethrough , while maintaining the mask &# 39 ; s 10 custom fitted fixed position upon the patient &# 39 ; s face . alternatively , the point ( s ) of attachment 50 may affix a strap 60 , comprised of an elastic - like material , to single or multiple points 50 on the mask 10 . air delivery to the custom formed hard shell 20 mask 10 may , in one embodiment , be accomplished through a hose - like member 130 being attached to an apparatus capable of pressurized air delivery . wherein , said hose 130 attaches to strap 90 and therein continues -- down the left or right side of the cranium -- in conjunction with strap 90 to the strap &# 39 ; s 90 point of convergence with the other cranial strap 100 . at the point of said convergence , hose 130 is then affixed to the strap 60 and then proceeds towards the oral orifice on the tragal line . upon gaining close proximity to the oral or nasal orifice the hose 130 diverges into separate hoses 110 that in turn are attached to the mask 10 at the ventilatory openings 80 . alternatively , the hose 130 could proceed and attach directly to the ventilatory opening ( s ) 80 . the point of ventilatory passage 80 is located such that the air &# 39 ; s delivery will be optimized in accordance with the patient &# 39 ; s needs . the particular mask 10 shown in fig5 is illustrative only , and any other mask shapes , hose 130 , 120 , 110 and strap 60 , 70 , 90 , 110 combinations , may be used without departing from the intended scope of the present invention . fig5 illustrates a profile view of a custom formed hard shelled mask 10 whereby the mask 10 is attached 80 , 110 , 120 , 130 to an apparatus 140 capable of delivering pressurized air . accordingly , the mask 10 is provided for custom fitting ( custom hard shell 20 , soft gasket interface 30 ), and attachment to ( strap 60 , 70 , 90 , 110 and point of attachment ( s ) 40 , 50 ), a patient &# 39 ; s respiratory orifice . a respiratory apparatus is attached to a hose - like structure 130 that in turn may diverge 120 into two separate hoses 110 and is attached to the mask &# 39 ; s 10 shell 20 at a point conducive to said air &# 39 ; s delivery 80 . on the shell 20 there is a vertical area 40 that transcets the vertical axis of the shell &# 39 ; s 20 exterior , upon which a means for strap attachment 50 is located . fig6 depicts manners 50 through which straps 60 or other retentions means may pass or be attached to a mask 10 . drawing ( a ) depicts a circular means 51 by which the strap 60 may be retained . drawing ( b ) depicts a peg 52 upon which an elastic strap 61 is permanently attached and becomes non - elastic at the point of angulated divergence . drawing ( c ) discloses a peg - like means 53 upon which a strap 60 with a means for attachment may be placed , and pass freely thereupon . drawing ( d ) discloses a snap - like manner 54 upon which a strap 60 with a like means for attachment 65 may be placed upon an elastic strap . fig7 illustrates a flow chart according to the teachings of the present invention . the flow chart as provided is illustrative only , and means may be substituted without departing from the intended scope of the present invention . the chart depicts a method whereby a facial impression is taken of a patient &# 39 ; s respiratory orifice and skeletal support means . the impression must be of a nature and quality whereby an accurate model of said orifices and surrounding area is created therefrom . then the resulting model is further manipulated in expanding upon the areas surrounding the respiratory orifices . next , the model is then covered by a medium that fully envelopes the model . in turn the medium forms a custom shell that encompass the area of the impression . the medium may be applied , conformed , molded or fabricated in any means whereby the resulting shell will be a rigid hard surface . the custom hard shell is then altered , or cut , to permit the passage of air from within the shell to the area outside the shell . the alterations are located in a position that allows for attachment of delivery hoses of pressurized air . then , the shell is adjusted for attachment and retention upon the patient &# 39 ; s face . accordingly , a soft gasket interface is then placed upon the shell &# 39 ; s &# 34 ; edge &# 34 ; that is in contact with a patient &# 39 ; s face . finally , the completed custom hard shell encompasses a mask that is then adjusted by a professional while on the patient &# 39 ; s face via single or multiple attachment points . although the present invention has been described in detail , it should be understood that various modifications , substitutions , or alterations can be made without departing from the intended scope as defined by the appended claims .
the present invention relates to improved methods and apparatus for the delivery of respiratory therapy in the treatment of respiratory disorders and abnormalities , such as apnea and other sleep disorders . a qualified professional takes a moulage of a patient &# 39 ; s facial skeletal structure and therefrom casts a custom hard shell of the imprinted facial features . upon the shell hardening , the shell is then lined and further manipulated and a soft gasket interface attached to the mask where the mask interfaces with the patient &# 39 ; s face . the contact medium , coupled with the custom hard shell , allows for a vacuum - like seal . a section is then cut and an area sufficient to allow the attachment of the respiratory devices for the supply of air is created . the apparatus is further held in place by means of a strap - like device having one or more contact points upon the present invention . the present disclosure overcomes the prior devices , enhancing seal , comfort effectiveness and patient compliance .