Abstract: According to various embodiments, methods and systems for determining pressure in the lungs may employ tracheal pressure measurements. The tracheal pressure measurements may be obtained through a pressure monitoring lumen associated with a tracheal tube. Such systems may include a purging or flushing mechanism to keep the pressure monitoring lumen free of any obstructions. The flushing mechanism may utilize fluids delivered through the pressure monitoring lumen at a predetermined point in the breathing cycle and/or at a predetermined pressure relative to the respiratory gases. The resulting pressure measurements may be used to determine a more accurate estimate of lung pressure, which in turn may be used to control a ventilator and provide breathing assistance to a patient.

Abstract: According to various embodiments, a tracheal tube may include a cuff assembly that relies on mechanical pressure rather than inflation pressure to form a seal against a patient's trachea. Such cuff assemblies may include cone or umbrella-shaped structures that may form seals at substantially lower pressures than traditional inflation cuffs. One or more of such cuff assemblies may be used instead of or in addition to an inflation cuff to provide an improved seal.

Abstract: According to various embodiments, a tracheal tube may include signal sources for providing information at various locations on the tube or in an inflated cuff The signals from the signal sources may be triangulated to determine the location of the tube in relation to a reference point on the body. The location information may provide an indication as to whether or not the tracheal tube is properly placed within the trachea.

Abstract: According to various embodiments, a tracheal tube may include a pressure monitoring lumen configured to sample the gases in the tracheal space. The pressure monitoring lumen may be in fluid communication with a pressure transducer that provides pressure measurements. An opening of the lumen may be covered with a porous membrane that allow gas to diffuse freely in and out of the lumen, but that prevents secretions from clogging the lumen.

Abstract: According to various embodiments, methods and systems for determining pressure in the lungs may employ intracuff pressure measurements. The intracuff pressure measurements may calibrated or adjusted based on a set of calibration coefficients or a set of calibration curves, which may reflect patient parameters and cuff/tube geometry factors. The resulting calibration may be used to determine a more accurate estimate of lung pressure, which in turn may be used to control a ventilator and provide breathing assistance to a patient. Also provided are tracheal tubes with couplers or other memory devices for storing calibration information. Such tubes may allow calibration at the level of an individual tracheal tube to account for changes in tube geometry and individual patient factors.

Abstract: According to various embodiments, a tracheal tube may employ optical sensing techniques for determining a distance between the inserted tube and an anatomical structure, such as a carina. The distance information may provide an indication as to whether or not the tracheal tube is properly placed within the trachea. The optical techniques may include time of flight techniques.

Abstract: According to various embodiments, a tracheal tube may employ optical sensing techniques for determining a distance between the inserted tube and an anatomical structure such as a carina. The distance information may provide an indication as to whether or not the tracheal tube is properly placed within the trachea. The optical techniques may include interferometry.

Abstract: According to various embodiments, a tracheal tube may employ optical sensing techniques for determining a distance between the inserted tube and an anatomical structure, such as a carina. The distance information may provide an indication as to whether or not the tracheal tube is properly placed within the trachea. The optical techniques may include backscattered intensity measurements.

Abstract: An inflatable balloon cuff may be adapted to seal a patient's trachea when associated with an endotracheal tube. These cuffs may include indicia that facilitate attachment of the cuff relative to the tube to reduce manufacturing variability for such characteristics as rotational and length alignment. Such indicia may include protrusions that are formed in the wall of the cuff collars or may include visual indicators, e.g., colorimetric or shape-wise indicators. Cuffs with improved attachment relative to the tube may have increased sealing performance.

Abstract: An inflatable balloon cuff may be adapted to seal a patient's trachea when associated with an endotracheal tube. These cuffs may include indicia that facilitate attachment of the cuff relative to the tube to reduce manufacturing variability for such characteristics as rotational and length alignment. Such indicia may include protrusions that are formed in the wall of the cuff collars or may include visual indicators, e.g., calorimetric or shape-wise, indicators. Cuffs with improved attachment relative to the tube may have increased sealing performance.