Abstract: Disclosed are methods for intubating a patient, comprising deploying a tracheal tube, a sleeve and a cuff into a human trachea such that after deployment, the tracheal tube passes through the sleeve within the trachea, the cuff contacts the outer surface of the tracheal tube and the inner surface of the sleeve and spaces the sleeve from the tube, and the outer surface of the sleeve contacts the trachea, so as to provide a seal, in the interstitial area between the wall of the trachea and the tube, between a proximal portion of the human trachea above the cuff and a distal portion of the human trachea below the cuff. Other embodiments are also disclosed.

Abstract: An airway device (10) for animal or human use, said device (10) comprising an airway tube (11) having a distal end (13) and a proximal end (12), wherein the distal end (13) of the airway tube (11) is surrounded by a non-inflatable laryngeal cuff (14), and wherein the face of the laryngeal cuff (14) is shaped to form an anatomical fit over the laryngeal inlet of an animal or human patient, wherein the face of the laryngeal cuff (14) is a generally elongate substantially elliptical shape, wherein the ratio A/B of the length of the major axis A of the ellipse to the length of the minor axis B of the ellipse is greater than 2+10%.

Abstract: Various embodiments of a tracheal tube having a flexible membrane disposed therein for separation of a ventilation lumen of the tracheal tube into multiple channels are provided. The flexible membrane is configured to divide a main ventilation lumen of the tracheal tube into an inspiration channel and an expiration channel. In some embodiments, a volume of the inspiration channel is substantially equal to a volume of the expiration channel.

Abstract: A device for maintaining an airway in a patient. This device includes a mask having a resilient conformable peripheral portion that is shaped such that the mask forms a seal with the larynx when the mask is positioned in the laryngo pharynx to thereby prevent ingress of extraneous fluids into the larynx. The peripheral portion of the mask define at least one cavity for providing fluid communication to the esophagus when the mask is inserted into the laryngo pharynx. An airway tube is connected to or formed with the mask for passing gas to the larynx when the mask is properly inserted into the laryngo pharynx. The airway tube preferably is curved as it leaves the mask.

Abstract: Ventilator associated pneumonia (VAP) may be prevented in a patient, or its occurrence reduced in a population of patients, by disposing in a patient airway an anti-VAP device or an anti-VAP material. By reducing the problem of bacterial-containing secretions that otherwise build up in the airway of the intubated patient, VAP can be prevented from occurring in intubated patients, such as patients intubated with an endotracheal tube (ETT) or a nasogastric tube.

Abstract: A device for facilitating fluid delivery to the trachea of a patient which comprises, a tubular housing adapted to be sealably mounted on an elongate element of an endoscope for examining the trachea of the patient and configured to mount an adapter for an endotracheal tube for intubating the patient over and around the elongate element, the housing having at least one inlet into a cavity inside the housing for supplying at least a first fluid and an outlet for delivering the first fluid between the elongate element and an inside wall of the endotracheal tube mounted on the adapter.

Abstract: A system for the control of a ventilator or an anesthesia delivery machine for an intubated patient, wherein the intubated patient has an endotracheal tube inserted into the airway passage, the endotracheal tube having a controllably inflatable annular cuff thereon, wherein the cuff is monitored and controlled by a pressure control unit, the system including: a patient-disturbed signal arrangement for providing a feedback to the ventilator or anesthesia delivery machine through the pressure control unit to delay pressure changes directed to the cuff by the ancillary devices.

Abstract: An endotracheal tube monitoring and control system for the safe and effective use of that endotracheal or trachea (ETT or TT) cuff within the larynx of a human patient comprising: a control unit for the monitoring and control of the ETT or TT tube cuff in communication therewith; a pressure sensor in communication with the control unit and with an empowered air pump and associated a dump valve; and a patient position sensor to indicate patient inclination, wherein the pressure in the cuff is pre-set and maintained at a selected value by a system operator, and wherein the system provides feedback of pressure within the cuff and acts to supplement or dump pressure from that cuff, as necessary, including a mouth care alert, head of bed angle alarms, safety override of microprocessor control should cuff pressure reach dangerous levels, and self-test protocols to ensure proper operation of pneumatic control components.

Abstract: An improved endotracheal tube providing a built in suction channel for the removal of excessive secretions from the lumen of said tube and the tracheobronchial system is disclosed. Control valves for regulating the suction feature are also disclosed. In at least one embodiment, the endotracheal tube includes an additional suction channel, an above-the-cuff suction channel adapted to remove secretions above the cuff outside the endotracheal tube and within the trachea. Additionally, in at least one embodiment, the endotracheal tube is configured for use with an endoscope for videolaryngoscopy, and the like. Furthermore, in at least one embodiment, an improved technology for the administration of medications within the tracheobronchial system is disclosed.

Abstract: An assembly structured to inflate a retaining or pressure cuff of the type associated with an artificial airway tube such as an endotracheal tube and/or tracheostomy tube and concurrently monitor pressure therein including a casing having a pressure chamber on its interior. A pump assembly is movably connected to the casing and structured to force fluid flow to the retaining cuff, for inflation, through said pressure chamber. An indicator member is disposed within the casing and is visually accessible through casing window, wherein the indicator member is variably positionable dependent on and indicative of existing pressure within the retaining cuff. The existing pressure within the pressure chamber is substantially equivalent to that within the retaining cuff thereby facilitating the variable position of the indicator member to be indicative of pressure within the retaining cuff.

Abstract: An assembly structured to inflate a retaining or pressure cuff of a medical device including of the type associated with an artificial airway tube such as an endotracheal tube and/or tracheostomy tube and concurrently monitor pressure therein including a casing having a pressure chamber on its interior. A pump assembly is movably connected to the casing and structured to force fluid flow to the retaining cuff, for inflation, through said pressure chamber. An indicator member is disposed within the casing and is visually accessible through the casing window, wherein the indicator member is variably positionable dependent on and indicative of existing pressure within the retaining cuff. The existing pressure within the pressure chamber is substantially equivalent to that within the retaining cuff thereby facilitating the variable position of the indicator member to be indicative of pressure within the retaining cuff.

Abstract: The invention concerns a respiratory tube (2) enclosed, at least over the major part of its length, in an inflatable flexible protective sheath (6) for isolating, from said flexible tube, the mucous membranes of the patient's airways. Further, the protective sheath (6) enables a patient to be ventilated with a breathing mixture.

Abstract: The disclosed laryngeal mask airway device includes a mask portion and an airway tube. The mask portion includes an inflatable cuff, which defines a central opening when the cuff is inflated. The airway tube defines an internal passage extending from a proximal end of the tube to a distal end of the tube. The airway tube further defines two or more tabs disposed near the distal end of the tube. The mask portion is coupled to the airway tube near the distal end of the airway tube, and the tabs extend from the airway tube into the central opening defined by the cuff when the cuff is inflated.

Abstract: Methods and devices are disclosed for manipulating the airway, such as to treat obstructive sleep apnea. An implant is positioned within the body with respect to the airway. The spatial orientation of the airway is manipulated, directly or indirectly, to affect the configuration of the airway. In general, the implant is manipulated to displace the trachea in an inferior direction, resist superior displacement of the trachea and/or to alter the tracheal wall tension. The implant restrains the trachea in the manipulated configuration.

Abstract: A single lumen endobronchial tube for selective mechanical ventilation of the lungs can include a medical tube having a single lumen with an opening at each of opposed distal and proximal ends of the tube, the opening at the proximal end of the tube being adapted for connection to an external mechanical ventilation device, and the opening at the distal end of the tube being adapted for delivery of a medical gas; a wall extending throughout the tube's entire length having an internal wall surface, an external wall surface and a thickness therebetween, a portion of the wall having an aperture and a shaft adapted to house a mechanism for sealing the aperture; a distal bronchial cuff positioned along the external wall surface and adapted to expand radially outward; and at least a first proximal tracheal cuff positioned along the external wall surface and adapted to expand radially outward.

Abstract: An improved Guedel Oral Airway for providing an air passage to a patients trachea. The oral airway includes a tubular member which is generally elliptical in cross section and having a straight section and a curved section with the tubular member having a curved lower wall member extending from the center of the bottom wall portion of the tubular member outwardly and away from the tubular member. The cross-section of the lower wall member is generally an inverted V-shape in cross-section with the side edges thereof being positioned outwardly of the end wall portions of the tubular member.

Abstract: A voice prosthesis dilator and sizer device is provided including an elongated member having a first end with a tip and a flange and a second end with a stop portion. The elongated member includes an intermediate portion with a measuring area disposed adjacent to the flange and including measuring indicia thereon and having a dilation area adjacent to the second end. The elongated member also includes a recessed region adjacent to the flange to receive the flange in a folded position upon insertion into the non-dilated fistula. The dilation area has a larger diameter than the measuring area.

Abstract: An apparatus for maintaining a surgical airway and method for the same includes an elongated body insertable orally into a patient. The elongated body defines leading and trailing ends. An opening is defined through the leading and trailing ends, such that surgical equipment may be insertable through the opening of the elongated body. A securing member is connected to the trailing end. The securing member holds the elongated body in a position such that an airway remains open to treat the patient, while supporting oxygen flow to the patient.

Abstract: Endotracheal and tracheostomy tubes have an inflatable cuff for sealing the trachea so that a patient may be ventilated through a respiratory lumen of the tube. As a result of sealing the trachea outside of the tube, liquids accumulate above the cuff. If these liquids are allowed to move into the lungs, they may cause ventilator acquired pneumonia (VAP). The liquids may be removed by suction applied to a suction lumen terminating in a port above the cuff, but suctioning can cause damage to the trachea if the tube is sucked up against the tracheal wall. A tracheal catheter having a unique method of attaching the balloon cuff is provided. The cuff is to attached so that an upper part (collar) of the cuff is used to cover the distal end of a suction lumen port. This allows the port to be located closer to the cuff and so provides more thorough liquid removal and reduces the possibility that the tube may suck itself onto the tracheal wall.

Abstract: This is a device for use in clinical, surgical intro- and post-operative patient core temperature monitoring, which utilizes an artificial airway to integrate a temperature probe, removing the need for an external cord for connecting to an external display unit, or the traditional way of an esophageal tube that necessitates more medical procedures. Consequently, for patients under general anesthesia with ET Tube or LMA, accurate monitoring of core temperature becomes feasible. As a result, the overall cost for surgical operation, including that of anesthesia, is reduced and the with reduced risk of complication associated with extra oral procedural for inserting an esophageal tube to measure temperature.

Abstract: There is provided a medical tube lumen plug, comprising: a plug, comprising: a body configured to be mechanically coupled to a lumen of a medical tube; and a protrusion configured to extend external to the medical tube, wherein the protrusion is configured to prevent occlusion of an aperture, wherein the aperture is configured to provide a pathway between the lumen and a region external to the medical tube.

Abstract: An inflatable balloon cuff associated with a tracheal tube may be adapted to filter microbial secretions and reduce their passage into the lungs. A cuff as provided may include a cross-linked polymeric structure that may serve to exclude certain secretions on the basis of size. The polymeric structure may be incorporated onto all or part of the surface of the inflatable balloon cuff.

Abstract: A multiple cuff system is disclosed which has more than one cuff some of which may be perforated or permeable in any degree or made of porous materials to let in situ delivery of different drugs, and especially local anesthetics to the target tissues that are the tissues in touch or within the vicinity of the inflated cuff. The local anesthetics suitable to be delivered via the cuff are also introduced. The preferred method for application of the multiple cuffed ETT during surgical operations, can overcome the emergence reactions commonly encountered during lighter levels of anesthesia.

Abstract: A laryngeal mask airway includes a flexible tubular portion, an inflatable sealing cuff, an inflation tube, and a belt. The flexible tubular portion has a first opening part and a second opening part. The inflatable sealing cuff is disposed surrounding the first opening part. The inflation tube has one end connected to the inflatable sealing cuff and the other end for directing gas into the inflatable sealing cuff. The belt is secured on the first opening part. Moreover, an operating piece controls the laryngeal mask airway, and a gas supply kit includes the laryngeal mask airway.

Abstract: The present invention relates generally to the field of laryngeal mask airway devices. The invention provides for dual passageways in a laryngeal mask which permits a physician to effectively isolate the trachea from the esophagus. In one embodiment, the physician separately inserts an instrumentality (e.g., an endotracheal tube) into a patient's esophagus in order to isolate the stomach from the lungs, respectively. In another embodiment, the physician inserts an instrumentality (e.g., an endotracheal tube) into the trachea and inserts another instrumentality (e.g., a drainage tube) in the second passageway within the laryngeal mask in order to remove particles or fluids contained in the laryngeal mask that may cause problems if allowed to flow through the patient's trachea to the lungs.

Abstract: A method of intubating a subject is disclosed. The method comprises inserting an endotracheal tube into the tracheal airway of the subject; inflating a cuff associated with the endotracheal tube within the airway below the vocal cords; measuring a level of at least one measure being indicative of leakage of secretion past the cuff to the lungs; comparing the level of the measure with an optimal level of the measure; and adjusting inflation of the cuff based on the comparison so as to generally minimize leakage of secretion from above the cuff to the lungs, while minimizing pressure associated damages to the airway. The measure(s) can be carbon dioxide concentration, a proxy measure from which such concentration can be inferred, or the level of one or more additives delivered to a subject during intubation.

Abstract: A supraglottic airway of the type used to facilitate lung ventilation and the insertion of endo-tracheal tubes or related medical instruments through a patient's laryngeal opening where the shield is designed to have an internal increase in pressure during assisted inhalation such as positive-pressure ventilation.

Abstract: A tracheostomy tube for use with a neck plate having an aperture. The tracheostomy tube comprises an elongate outer cannula having a lumen and configured to extend through the aperture; an elongate inner cannula having a lumen and an inflatable cuff, and configured to extend through the lumen of the outer cannula such that the cuff extends beyond a distal end of the outer cannula; and an interlocking mechanism configured to releasably secure a proximal end of the inner cannula to a proximal end of the outer cannula.

Abstract: The present invention is directed to a novel device and method for providing a disposable endotracheal intubation device for use with an auxiliary passageway serving as a guide for the placement of an orogastic or other enterally directed device in a patient. The present invention pertains to a combination intubation device comprising an endotracheal tube and a catheter proximate the endotracheal tube to guide the path of an enteral tube. In a preferred embodiment, the endotracheal tube is capable of defining an arcuate path in a first geometric plane between its proximal end and its distal end to facilitate introduction of the tube into the trachea of a patient. In a preferred embodiment, the catheter employs a fenestration to facilitate removal of the intubation device from the patient without removal of any enteral device previously directed therethrough into the patient.

Abstract: An improved endotracheal tube is provided which is adapted to optimally and safely accommodate the nasopharyngeal airway during nasopharyngeal intubation. The endotracheal tube includes a body having a nasopharyngeal section adapted to sealably enclose and contain a spirally-wound coil longitudinally therealong. The nasopharyngeal section integrally transposes into a rigid section which extends longitudinally from the nasopharyngeal section and terminates at a lower end of endotracheal tube. The nasopharyngeal section with incorporated spirally-wound coil allows for multiple positioning of nasopharyngeal section about a face of a patient, thereby minimizing pressure sores, abrasions, and ulcerations, and further allows for quick, easy, and efficient surgical access to the nasopharyngeal airway without requiring removal of the endotracheal tube.

Abstract: The present invention provides a method and apparatus for treating obstructive sleep apnea by using negative oral pressure to a patient. The present apparatus includes a vacuum unit for controlling and maintaining negative pressure of an oral cavity of the patient, a tube with one end thereof connecting to the vacuum unit to suck out air in the oral cavity to generate the negative pressure therein, and a mouthpiece connecting to the other end of the tube and fitting into and sealing the patient's mouth to prevent the oral cavity from air leakage. By using negative pressure in the oral cavity, the patient's soft palate is pulled toward the oral cavity and the patient's tongue is pulled toward an upper palate so as to maintain the patient's nasal air passageway open.

Abstract: A method for identifying an occlusion in a breathing tube of a ventilator system is disclosed herein. The method includes obtaining data related to a respiratory signal, transferring the data to a processor, and implementing the processor to evaluate the data in a manner adapted to automatically identify the presence of an occlusion in the breathing tube. A corresponding ventilator system is also disclosed.

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: There is provided a medical tube lumen plug, including: a plug, including: a body configured to be mechanically coupled to a lumen of a medical tube; and a protrusion configured to extend external to the medical tube, wherein the protrusion is configured to prevent occlusion of an aperture, wherein the aperture is configured to provide a pathway between the lumen and a region external to the medical tube.

Abstract: The bronchus blocker according to the invention comprises an insertion rod and a blocking means. The blocking means is provided near one end of the insertion rod in order to be inserted by means thereof into a bronchus. The bronchus blocker furthermore comprises a support, for supporting the bronchus blocker on a bronchial branching, such as the carina. By supporting the bronchus blocker on a bronchial branching using its support, the inflated balloon only has to seal the bronchus and does not also have to keep the bronchus blocker in its position at the same time. As a result, the risk of the bronchus blocker slipping out of its position is much smaller than with the prior art.

Abstract: Disclosed are systems, kits and methods for facilitating intubation of a patient. In some embodiments, a system includes an ETT tube that longitudinally traverses the interior of a sleeve. Preferably, the sleeve is outwardly biased, includes a fibrous skeleton, and is covered by an elastic, substantially-liquid-impermeable coating. Some embodiments relate to an apparatus technique for preventing downward movement of liquid by a connecting membrane Some embodiments relate to kits which, when assembled, provide any ETT system disclosed herein. Some embodiments relates to method of assembling, method of deploying, and methods of removing the ETT system or a portion thereof.

Abstract: The disclosed laryngeal mask airway device includes a rigid airway tube, a mask portion, and a viewing system. The mask portion is inflatable and can be inserted, when deflated, through a patient's mouth to a location near the patient's glottic opening. The mask portion also includes an epiglottis elevator bar and a distal end of the bar defines an aperture. The viewing system has a proximal end located outside the patient. The viewing system also has a distal end positioned so that light rays can pass from a portion of the patient's anatomy, through the aperture in the elevator bar, and into the distal end of the viewing system.

Abstract: An integrated device and improved method for tracheostomy which includes the placement of an everted film sheath into a patent's trachea, through which the tracheal tube is inserted.

Abstract: Described herein is an apparatus that includes an endotracheal tube or airway device having a proximal end and a distal end and an occlusion cuff. The occlusion cuff includes a sensor for helping determine proper endotracheal or airway device placement.

Abstract: An inflatable balloon cuff may be adapted to seal a patient's trachea when associated with an endotracheal tube. These cuffs may include features that facilitate detection or visualization of the cuff, for example with ultrasound devices, to ensure proper placement of the cuff and the tube. Such surface features may include particular types of materials or shaped or protruding features that may be detected in the environment of the trachea.

Abstract: A device for maintaining an airway in a patient comprises mask having a peripheral portion that forms a seal with the larynx when the mask is positioned in the laryngo pharynx to thereby prevent ingress of extraneous fluids into the larynx airway tube connected to or formed with the mask for passing gas to the larynx when the mask is properly inserted into the laryngo pharynx. The peripheral portion of the mask includes a soft, flexible portion that contacts tissues surrounding the laryngeal opening when the device is inserted into a patient, the soft, flexible portion being arranged whereby application of pressurised gas to the airway tube urges the soft, flexible portion into contact with the tissues surrounding the laryngeal opening or the pharyngeal wall.

Abstract: A supraglottic airway device comprising a tube and a face plate assembly slidably installed on the tube, whereby upon insertion of the tube within the airway of a patient the face plate assembly is slid distally along the tube so as to substantially seal about the mouth of the patient. The supraglottic airway device further comprises an introduction tip assembly mounted on the tube substantially opposite the face plate assembly so as to guide the device into the patient airway and an expandable foam cuff located along the tube between the face plate assembly and the tip assembly so as to seat the device within the airway. The face plate assembly may further comprise tabs for substantially sealing within the nose of the patient.

Abstract: According to various embodiments, a tracheal tube may include a pressure monitoring lumen configured to provide information related to the pressure in the tracheal space. By measuring pressure in the lumen, a tracheal pressure may be estimated. 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 distal shoulder of an inflatable cuff.

Abstract: An airway device for human or animal use comprising an airway tube having a distal end and a proximal end, the distal end of which is surrounded by a laryngeal cuff, wherein the cuff is non-inflatable and is pre-formed in a shape such that a face region of the cuff is adapted to fit snugly over the laryngeal inlet of a patient, and wherein the external profile of the tube is substantially uniform between the distal end of the tube where it starts to meet the cuff and the proximal end of the tube, and wherein the face region of the cuff is formed from a material with a Shore hardness on the A scale of between 0 to 30.

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: A method of manufacturing more than one inflatable cuff per blow molding operation is provided. The method includes using two or more molds arranged in series and/or in parallel to simultaneously form two or more cuffs. The two or more cuffs may then be used in the manufacture of two or more respective endotracheal tubes. Apparatuses and systems for simultaneously forming the two or more cuffs are also provided.

Abstract: There is disclosed an endotracheal tube which has a minimal cross-sectional profile for easy viewing of anatomical features during intubation. After the tube is placed into the trachea, the tube is adapted to increase the diameter. In this manner the tube diameter may be expanded to allow for decreased Work of Breathing (WOB) for patient, while not having so large a diameter as to cause tracheal discomfort.

Abstract: There is disclosed an endotracheal tube which has a minimal cross-sectional profile for easy viewing of anatomical features during intubation. After the tube is placed into the trachea, the tube is adapted to increase the diameter. In this manner the tube diameter may be expanded to allow for decreased Work of Breathing (WOB) for patient, while not having so large a diameter as to cause tracheal discomfort.

Abstract: There is disclosed an endotracheal tube which has a minimal cross-sectional profile for easy viewing of anatomical features during intubation. After the tube is placed into the trachea, the tube is adapted to increase the diameter. In this manner the tube diameter may be expanded to allow for decreased Work of Breathing (WOB) for patient, while not having so large a diameter as to cause tracheal discomfort.

Abstract: Tracheal ventilation device, particularly a tracheal tube, which seals the trachea in a substantially air-tight manner. The device includes a cuff that blocks the trachea below the glottis and is traversed by a ventilation cannula. The cuff is larger in its filled, freely displaceable, unrestricted state than in its filled state positioned in the trachea. The cuff is of a flexible soft film material and lies against the trachea by means of its folds. The device is adapted to the morphology of a child's larynx and is available in finely graded sizes.