Abstract: An inner cannula (200) for a tracheostomy tube (100) has an extruded shaft (20) with a smooth bore. A helical reinforcement element (23) is moulded onto the outside of the shaft the axial strength of which is increased by multiple groups of short bridging elements (24) extending between two adjacent turns of the reinforcement element. The bridging elements (24) are spaced around and along the shaft (20).

Abstract: An embryo transfer catheter or other medical device has a shaft extruded with two layers. The outer layer is relatively thick and contains gas bubbles sufficient to increase the visibility of the catheter under ultrasound observation but with a density that allows material within the catheter to be viewed by the eye. The inner layer is relatively thin and is free of bubbles so that it provides a smooth bore to the catheter.

Abstract: An inner cannula (2) for a tracheostomy tube (1) has a resilient catch (23) at its machine end. The catch has a two angular teeth (27) and (28) projecting outwardly towards its free end. One tooth (27) is shaped and positioned to engage in a groove (40) on the inside of a hub (16) at the machine end of the tube when the inner cannula is fully inserted. The other tooth (28) is smaller and is spaced rearwardly along the catch. The hub (16) also has a shallow rounded bead (44) projecting inwardly and spaced a short distance to the rear of the groove (40). When the inner cannula (2) is pulled out of the tube (1) the smaller tooth (28) engages the bead (44) on the hub (16) causing the catch (23) to deflect inwardly. In this way, the larger tooth (27) is displaced slightly out of the groove (40) making it easier for it to ramp out of the groove and allow the cannula to be withdrawn with little additional pulling force.

Abstract: An embryo transfer syringe has a roller coupled with the rear end of its plunger. The roller is displaceable along an elongate housing extending from the rear of the barrel of the syringe. The roller can be manually engaged through a slot along the housing to rotate it and roll it along the housing thereby smoothly and controllably displacing the plunger.

Abstract: A tracheostomy tube assembly includes an outer tube (1) and an inner cannula (2) removably inserted in the outer tube. The connector (15) on the machine end of the outer tube is rotatable through about a quarter turn and has a screw thread (30) on its inner surface. The hub (33) on the machine end of the inner cannula (2) is also formed with a screw thread (35) arranged to engage with the screw thread (30) in the connector. The inner cannula (2) is pulled into the outer tube (1), or is pushed outwardly of the tube, by rotating the connector.

Abstract: A tracheostomy tube assembly comprises an outer tracheostomy tube (1) and an inner cannula (20) fitted in the tube. The machine end of the inner cannula has a collapsible region (22) formed by a plurality of curved or bent struts (26) extending parallel with one another between a machine end collar (28) and a patient end collar (27). The struts (26) carry outwardly-projecting catches (23) arranged to engage a rib (24) extending around the inside of a hub (16) at the machine end of the tube and thereby resist removal of the cannula from the tube. The inner cannula (20) is removed by twisting the machine end collar (28) so that the struts (26) collapse inwardly and thereby disengage the catches (23) from the rib (24).

Abstract: An embryo replacement catheter has a flexible extruded shaft of a transparent polyurethane with a bore extending along its length. Gas bubbles of a diameter in the range 5? to 10? are incorporated into the thickness of the wall of the shaft by adding gas during extrusion. The bubbles are selected to increase the visibility of the catheter under ultrasound imaging whilst still enabling material flowing along the catheter to be seen.

Abstract: An embryo transfer syringe has a roller (30) coupled with the rear end of its plunger (15). The roller (30) is displaceable along an elongate housing (20) extending from the rear of the barrel (10) of the syringe. The roller (30) can be manually engaged through a slot (23) along the housing (20) to rotate it and roll it along the housing thereby smoothly and controllably displacing the plunger (15).

Abstract: A speaking valve assembly (2, 200) for fitting to the machine end (13) of a tracheostomy tube (1) has a one-way valve (23, 236) that allows inhalation but prevents exhalation. The assembly further includes a pressure relief arrangement that remains closed during normal respiration and vocalisation but opens when pressure in the assembly rises above a normal level. In one arrangement the pressure relief arrangement takes the form of a ball valve (30) with a ball (32) that is lifted away from an opening (31) by excess pressure but falls back to block the opening when pressure reduces. An alternative pressure arrangement has a slidable collar (226) that normally covers vent apertures (223) in a housing (220) of the assembly. When pressure in the assembly rises above a normal level the collar (226) is pushed out to expose the vent apertures (223) and allow air to escape.

Abstract: An introducer for a tracheostomy tube is formed of several articulated sections (24) that can be changed from a relatively flexible state to a more rigid state by tightening a tension member extending along the introducer using an actuator at its machine end. In its flexible state the introducer can be inserted into and removed from the tube. The introducer is put in its more rigid state for use in inserting the tube into a tracheostomy. Alternatively or additionally the introducer could have several gripping rings on its outside towards its patient end and two elongate members that can be slid relative to one another to enlarge the patient end so that the gripping rings engage and grip the inside of the tube, thereby enabling the introducer to pull the tube through the tracheostomy from its patient end.

Abstract: An embryo replacement catheter has a flexible extruded shaft of a transparent polyurethane with a bore extending along its length. Gas bubbles of a diameter in the range 5? to 10? are incorporated into the thickness of the wall of the shaft by adding gas during extrusion. The bubbles are selected to increase the visibility of the catheter under ultrasound imaging whilst still enabling material flowing along the catheter to be seen.

Abstract: A tracheostomy tube has an inflatable sealing cuff (11) towards its patient end (6) and a fluid-permeable cuff (31) mounted on the shaft (1) above the inflatable cuff. The fluid-permeable cuff (31) contains hydrogel granules (32) that absorb moisture in the trachea (T) and help reduces the amount of secretions leaking past the sealing cuff (11). When the tube is to be withdrawn from the trachea (T) the lower, inflatable cuff (11) is deflated allowing the upper, fluid-permeable cuff (31) to be flattened against the outside of the lower cuff.

Abstract: A tracheal tube has a high-volume/low-pressure sealing cuff (10, 201, 310, 510, 610, 710, 810) with an outer surface provided with surface formations (211, 311, 511, 611, 711, 811) adapted to reduce the flow of secretions past the cuff. The formations could be in the form of an array of dimples (211) or a pattern of linear ridges or channels (611 or 711). Alternatively, the surface formations, could be a pattern of intersecting linear projections (311, 312, 313) or grooves (511). Instead the surface formations could be provided by a rough texture (811) on the outer wall surface.

Abstract: A transfer device includes an elongate tube defining a lumen configured to support an organism and an obstruction positioned along the elongate tube. The obstruction is configured to prevent the organism from moving proximally past the obstruction, such that the obstruction defines a distal end region of the elongate tube in which the organism can move along the lumen of the elongate tube.

Abstract: An inner cannula (20) for a tracheostomy tube assembly includes a thin, inner sheath (22) supported externally by a structural frame (23) having a longitudinal portion (25) and a plurality of ribs (26) extending circumferentially and spaced along the cannula. The inner cannula (20) is inserted within and is removable from an outer tracheostomy tube (1). The inner cannula (20) is made by coating a plastic layer on a core to form the sheath and then placing the sheath on a curved core. The structural frame (23) is then moulded about the sheath (22) in a mould 80.

Abstract: A device and system for monitoring a load or applied force includes a body having first and second ends, a plate, a force-providing member connected to the plate, a first biasing member, and a first sensor. In embodiments the first biasing member is disposed between a portion of the body at or about the first end and a portion of the plate, and is configured to substantially retain the plate in an initial position during normal operation of the device; the first sensor is configured to sense a displacement (e.g., displacement position) with respect to the plate; and the body includes a portion configured to connect to or apply a force to another component. A controller may selectively instruct and/or operate a component, such as a motor, in response to an output generated or provided by the sensor. If an excessive force is sensed, the device may mitigate resulting damage.

Abstract: An embryo replacement catheter has a flexible extruded shaft of a transparent polyurethane with a bore extending along its length. Gas bubbles of a diameter in the range 5.0 mu. to 10.0 mu. are incorporated into the thickness of the wall of the shaft by adding gas during extrusion. The bubbles are selected to increase the visibility of the catheter under ultrasound imaging whilst still enabling material flowing along the catheter to be seen. The inventive catheter is not confined to embryo replacement catheters.

Abstract: An embryo replacement catheter has a flexible extruded shaft of a transparent polyurethane with a bore extending along its length. Gas bubbles of a diameter in the range 5 .mu. to 10 .mu. are incorporated into the thickness of the wall of the shaft by adding gas during extrusion. The bubbles are selected to increase the visibility of the catheter under ultrasound imaging while still enabling material flowing along the catheter to be seen. The inventive catheter is not confined to embryo replacement catheters.

Abstract: A needle assembly has a needle having an echogenic feature proximate to its distal sharp tip mounted to an echogenic cannula, with the echogenic tip of the needle extending beyond the distal end of the cannula. The echogenic tip provides guidance for the movement of the needle assembly under ultrasound observation so that the needle assembly may be more readily maneuvered inside a body. Once correctly positioned, the needle is removed and further confirmation may be made under ultrasound observation that the cannula has been correctly positioned inside the body. The echogenic feature of the needle may be at least one spiral groove that is tilted at an angle relative to the tip of the needle to effect a substantially 180° reflection of the ultrasound. An alternative echogenic feature to improve reflected echogeneity has crisscrossing grooves each having a predetermined pitch density formed at a neutral position on the needle.

Abstract: A tracheostomy tube assembly includes an outer tube (1) and an inner cannula (20, 120, 220 51, 61) inserted into and removable from the tube. The inner cannula has a constant internal diameter along its length and has at its patient end (22, 122, 222) a seal member (23, 123, 223) extending around the cannula. The seal member may be a separate ring 23 of resilient material attached to the outside of the shaft of the cannula or it may be formed of the material of the shaft (121, 221) itself. Alternatively, the seal member (50, 60) may be of a kind that expands when exposed to an elevated temperature or humidity, and may include a shape memory effect material.