Abstract: The present invention concerns a method for treating a respiratory distress in a infant in need of such treatment, the method comprising intratracheal administration of a pulmonary surfactant by a thin tube. The invention also concerns a kit for performing said method.

Abstract: A patient interface system includes a nasal seal of flexible material to communicate with at least one airway of the patient, and a primary headgear from which the nasal seal is suspended, said primary headgear having at least one aperture though which at least a portion of the nasal seal is inserted with the primary headgear wrapping about at least one portion of the nasal seal in a sling-like fashion.

Abstract: Improved passive resistance nasal devices for treating a patient (and particularly, but not exclusively, a sleeping patient) that inhibit exhalation more than inhalation. For example, described herein are passive-resistance nasal devices having a variable sized opening leak path that change the size of the leak path opening depending on the pressure extended across the nasal device. Also described herein are passive nasal devices including a deployable insertion guide member. Also described herein are passive nasal devices including an extension member to hold the airflow resistor portion of the nasal device slightly apart from the subject's nose, even as the nasal device itself may be secured against the nose or nostril openings. Methods of operating these nasal devices and methods of treating patients using these devices are also described.

Abstract: An inhalation device which entrains air to modify a source gas, such as pure oxygen, down to different selected levels of lower gas concentrations, with a high total gas flow being achieved for inhalation. The inhalation device allows eating and suctioning without interference while maintaining a constant uninterrupted gas supply at high volumes. The inhalation device is adapted for disposal adjacent to the nose and mouth of a person, and includes a nose hood connected to a chamber. The chamber has a central portion defining a longitudinal axis orientated perpendicular to the nose hood and also defining an opening aligned with and facing the nose in a configuration such that gas is inhalable from the central portion to the nose without the gas directly impacting the breathing orifices of a patient wearing the device.

Abstract: The present invention is a protective cover for a nasal cannula. The device completely encloses the two prongs of the nasal cannula when properly installed. This protective cover will keep the nasal cannula from contacting potentially unclean surfaces when the nasal cannula is not in use.

Abstract: Various embodiments of the invention may provide a breathing and/or anesthetic unit that is portable, compact, inexpensive, and convenient, and which may expedite medical procedures by allowing a health care provider to quickly sedate a patient. Such a unit may be ideal for minor medical procedures needing mild or moderate analgesia/sedation (e.g., <30 minutes) in various fields. Such a unit may include (i) a handheld gas supply container including a therapeutic amount of anesthetic gas; (ii) a mask; (iii) a single-use, uninterruptable flow coupler to couple the mask to the supply container; and (iv) a handheld, self-contained, recovery gas container, including a negative pressure, coupled to the mask.

Abstract: A patient interface device (8) includes a cushion assembly (16) including a nasal cushion member (20), and a frame assembly (14) having frame member (48) having a first arm (54A) and a second arm (54B). The cushion assembly is rotatably coupled to the first and second arm such that the cushion assembly rotates with respect to the frame assembly about an axis extending through the first arm and the second arm. In addition, the frame assembly includes a drive mechanism (50) received and held by the frame member, the drive mechanism being operatively coupled to the cushion assembly such that actuation of the drive mechanism changes a tilt angle of the cushion assembly relative to the frame assembly.

Abstract: Described herein are nasal devices, including nasal devices formed in layers having four or fewer layers. In some variations, the nasal devices include a single integrated layer from which the flap of the airflow resistor is formed as well as the base of the holdfast region. The nasal devices may include a single aligner or rim body on the side of the device facing the subject. The aligner may protect the airflow resistor, and may help center or position the nasal device. In some variations, these nasal devices may include a noise-reduction feature. Also described herein are systems, devices and methods for determining if a passive nasal respiratory device having an airflow resistor configured to inhibit exhalation more than inhalation has been worn by a subject, and thereby confirming compliance.

Abstract: A patient interface assembly that includes a first conduit, a second conduit, and a patient interface coupled to the first conduit and the second conduit. The first and second conduits each include a first end that is disposed proximate to a top of a head of a user, and a second end that is disposed proximate to an airway of such a user when the patient interface assembly is being worn by the user. The first and second conduits also each include a central portion that extends along the sides of a face between the user's eye and an ear a head strap is coupled between the first and second conduit, and a patient interface is coupled to the second ends of the first and second conduits.

Abstract: A nasal dilator manufacturing process reduces waste by cutting nested strips of flexible resilient members interconnected by waste webs from a sheet of resilient-layer material. The nested strips are incorporated into a fabrication matrix with other layers (e.g. base or cover layers), then individual nasal dilators are formed by cutting through the matrix around a peripheral outline of a dilator, said cutting severing the nested strips that are part of the fabrication matrix near the waste webs between the flexible resilient members.

Abstract: A mask system includes a mask component including one or more openings for gas washout and a vent component provided to the mask component. The vent component includes one or more tracks or grooves along its outer surface adapted to guide gas washout. The vent component is adapted to cover the one or more openings in the mask component so that gas washout escapes along the one or more tracks or grooves between an outer surface of the mask component and the vent component.

Abstract: A nasal cannula assembly is disclosed having a face mount part, in use resting against a user's face, which includes at least one nasal prong capable of being fitted into a person's nares. The cannula assembly also includes a manifold part, in fluid communication with the face mount part, having a single horizontal side gases entry. In particular, this cannula assembly is for supplying heated, humidified gases to a patient suffering from COPD. A tie or lanyard is disclosed for use with a breathing assistance apparatus such as a nasal cannula, face or nasal mask or tracheotomy connector. The tie or lanyard transfers the weight of the conduits supplying gases to the breathing assistance apparatus from the breathing assistance apparatus and distributes it onto the neck of the patient.

Abstract: A medical device may include a patient interface for use in a breathing assistance system, an electronic device coupled to the patient interface, and one or more electrical conductors at least partially integrated with the patient interface. The patient interface may include a connection end configured for receiving gas communicated by a gas delivery apparatus, and a patient end configured for insertion into or more breathing passageways of a patient. The one or more electrical conductors at least partially integrated with the patient interface may be capable of facilitating communication of electrical signals between the electronic device and the gas delivery apparatus when the patient interface is communicatively coupled to the gas delivery apparatus.

Abstract: A mask for achieving positive pressure mechanical ventilation (inclusive of CPAP, ventilator support, critical care ventilation, emergency applications), and a method for a operating a ventilation system including such mask. The mask includes a piloted exhalation valve that is used to achieve the target pressures/flows to the patient. The pilot for the valve may be pneumatic and driven from the gas supply tubing from the ventilator. The pilot may also be a preset pressure derived in the mask, a separate pneumatic line from the ventilator, or an electro-mechanical control. The mask of the present invention may further include a heat and moisture exchanger (HME) which is integrated therein.

Abstract: In accordance with the present disclosure, there is provided a mask for achieving positive pressure mechanical ventilation (inclusive of CPAP, ventilator support, critical care ventilation, emergency applications), and a method for a operating a ventilation system including such mask. The mask of the present disclosure includes a piloted exhalation valve that is used to achieve the target pressures/flows to the patient. The pilot for the valve may be pneumatic and driven from the gas supply tubing from the ventilator. The pilot may also be a preset pressure derived in the mask, a separate pneumatic line from the ventilator, or an electro-mechanical control. The mask of the present disclosure may further include a heat and moisture exchanger (HME) which is integrated therein.

Abstract: A nasal cannula which comprises a face piece comprising first and second nares which each communicate with a respective nostril of a patient. A septum divides the face piece into first and second flow paths such that the first flow path communicates with the first nare and the second flow path communicates with the second nare. A leading end of the first nare is configured to form a fluid barrier within a first nostril and facilitate only supplying an insufflation gas, via the first flow path, to the patient and prevent exhausting any of exhaust gas, of the patient, through the first nostril of the patient. A leading end of the second nare is configured to facilitate collecting some of the exhaust gas, from the patient, via the second flow path as well as exhausting a remainder of the exhaust gas out through a second nostril of the patient.

Abstract: A patient interface device is described for delivering a gas to a patient, the patient interface comprising a fastening means for fastening the patient interface to the user, the fastening means consisting of an element adapted for engaging the user's nose during use, wherein the fastening means is adapted for being fixed to said nose by exerting a pressure on said nose substantially in the width direction of said nose; and associated method.

Abstract: Various embodiments of a patient interface device, such as a mask, nasal pillow, or nasal cannula, that includes an adhesive layer provided on a surface thereof that is structured to temporarily bond to the skin of a user of the patient interface device. The adhesive layer may include a bonding agent, such as a polymer gel, having a residual extraction force of between about 50 grams and about 200 grams.

Abstract: A nasal continuous positive airway pressure device for lowering patient work-of-breathing is described. The device may include an inspiratory tubing in fluid communication with at least two nasal prongs; expiratory tubing; and a generator body coupled there between. The generator body may include at least two jets configured for receiving gas from the inspiratory tubing; and a flow enhancer configured for directing received gas. The flow enhancer may include a gas manager configured for channeling received gas towards a jet impingement point via at least two jet paths; a fluidic flip trigger configured for triggering a fluidic flip of channeled gas back towards the expiratory tubing by directing a first portion of exhaled patient breath towards the jet impingement point along a first pathway; and an isolated pathway manager configured for directing a second portion of the exhaled patient breath along a second pathway towards the expiratory tubing.

Abstract: A cannula support assembly capable of supporting a nasal cannula that delivers oxygen or other gas or gas mixtures to a user is disclosed. The assembly has a plurality of retention clips into which cannula tubes are inserted and retained in a manner so as not to interfere or cause discomfort to a user. The front support assembly housing has a left and a right depression that lowers housing elements well below the line-of-sight of the user so that his or her vision is not impaired when using the assembly. The depressions also allow for the user to wear eyeglasses in conjunction with using the assembly.

Abstract: In one embodiment, a nasal cannula is shaped to fit within a user's nares, includes at least one prong allowing high flow delivery of humidified gases and creates positive airway pressure in the patient's airway. The prongs have angled ends, such that in use, gases flowing through the prongs are directed to the user's nasal passages. The nasal cannula body is partially swivelling and preferably has a ball joint connector. In another embodiment the nasal cannula may have at least one flared end prong that preferably seals within a patient's nare.

Abstract: Systems, methods, and apparatus for securing nasal tubes are disclosed. An exemplary system includes a bridle, a magnetic portion connected to the bridle, a delivery probe, a retrieval probe, and a clamp. The delivery probe includes an elongated member having proximal and distal ends, the distal end configured to deliver the magnetic portion, and a bridle lock configured to release the bridle upon actuation of an actuator. The retrieval probe includes an elongated member having proximal and distal ends, the distal end including a magnetic portion configured to magnetically couple with the other magnetic portion, and a magnetic coupling indicator configured to provide an indication in response to a magnetic coupling. The clamp includes a channel portion with an inside diameter larger than an outside diameter of a nasal tube. The clamp is configured to secure the nasal tube following placement of the bridle by the delivery and retrieval probes.

Abstract: According to a preferred embodiment of the present invention there is provided a bite block assembly adapted for capnography and oxygen delivery to a subject, the bite block assembly (50) including a first capnography passageway adapted for passage therethrough of exhaled breath from the subject to a capnograph and a second oxygen delivery passageway, separate from the first passageway, adapted for passage therethrough of oxygen from an oxygen source to the mouth of the subject.

Abstract: A connector includes a main conduit and a gas conduit. The main conduit includes an inlet portion and an outlet portion that form a passage for supply of a first gas in a forward direction. The inlet portion is adapted to receive a supply of the first gas and deliver the first gas to the outlet portion. The gas conduit has a first end and a second end that form a second passage for supply of a second gas. The first end of the gas conduit is adapted to connect to a second gas supply, and the second end is adjacent the outlet portion of the main conduit and delivers the second gas into the main conduit such that the second gas is directed to flow in a forward direction.

Abstract: The present invention generally relates to, amongst other things, systems, devices, materials, and methods that can improve the accuracy and/or precision of nitric oxide therapy by, for example, reducing the dilution of inhaled nitric oxide (NO). As described herein, NO dilution can occur because of various factors. To reduce the dilution of an intended NO dose, various exemplary nasal cannulas, pneumatic configurations, methods of manufacturing, and methods of use, etc. are disclosed.

Abstract: A nasal assembly for delivering breathable gas to a patient includes a frame having an integrally formed first connector portion. A nozzle assembly includes a gusset or base portion and a pair of nozzles. At least one inlet conduit is structured to deliver breathable gas into the frame and nozzle assembly for breathing by the patient. A pair of second connector portions are removably and rotatably connected to respective first connector portions of the frame and are in communication with respective inlet conduits, e.g., directly or via angle connectors. A headgear assembly is removably connected to the pair of second connector portions and/or the angle connectors so as to maintain the frame and the nozzle assembly in a desired adjusted position on the patient's face.

Abstract: The invention relates to an applicator for a nasal cannula, comprising a body (11) enclosing a hollow space (22). The applicator further comprises tube connections (20, 21) for supplying a respirable gas into the hollow space (22). The applicator further comprises prongs (18, 19) for administering the respirable gas into the nostrils of a person. A valve (15, 16, 17, 38, 42) is located in a wall of the body (11) so that respirable gas can flow from the outside through the valve into the hollow space (22), but not in the reverse direction. The invention further relates to an applicator having a top of sealing cones (23, 24), wherein the sealing cones (23, 24) may be provided with rim-shaped sealing lips on their side facing away from the body (11), which produce a tight seal with the inner wall of the respective nostril.

Abstract: A protective storage capsule is disclosed for a nasal cannula. The protective storage capsule may be used in conjunction with a nasal cannula assembly. The protective storage capsule includes a housing adapted to receive the nasal cannula and a cap to cover and protect the nasal cannula from dirt and debris when not being worn by a patient. The protective storage capsule slides along one or more of the support tubes of the nasal cannula assembly. The surfaces of the protective storage capsule may be treated with an antimicrobial film or be infused with antimicrobial nanoparticles.

Abstract: Various embodiments of a patient interface device, such as a mask (10, 46), nasal pillow (42), or nasal cannula (54, 76, 76?, 78, 82, 90 96), that includes an adhesive layer (40) provided on a surface thereof that is structured to temporarily bond to the skin of a user of the patient interface device. The adhesive layer may include a bonding agent, such as a polymer gel, having a residual extraction force of between about 50 grams and about 200 grams.

Abstract: The cannula support includes a helical cord flexible along its length to permit selective axial displacement of adjacent coils for insertion of a cannula tube therein and a breathable material that permits prolonged skin contact substantially without irritation. Furthermore, the cannula support includes an exterior surface having a coefficient of friction substantially preventing sliding movement along the length of the cannula tube when mounted thereon.

Abstract: A reservoir cannula is described that has a static fluidic control structure, in that it does not employ a membrane or other moving parts. Furthermore, the reservoir is open to ambient air instead of being sealed. In use, the reservoir cannula enables storage of oxygen and oxygen-rich gas in a storage chamber as well as in and around the patient's nasal passages and nasopharynx, which enables high volume oxygen delivery to the patient early in the next inhalation. Consequently, patients using this delivery mode can carry a smaller and lighter portable oxygen container for ambulatory oxygen, because lower flow oxygen is required to meet their oxygenation needs. In addition, patients requiring a higher flow of oxygen can achieve oxygenation levels previously achieved only by high flow mask or high flow nasal oxygen systems.

Abstract: Described herein are passive nasal respiratory devices, in particular, passive nasal respiratory devices configured to achieve positive end-expiratory pressure (PEEP) in a subject wearing the device. PEEP devices may have a threshold pressure for opening during expiration. These devices may include a flap valve that opens on inhalation nested with a spring valve that opens when exhalation pressure exceeds a predetermined threshold. The device may be configured to be comfortably worn by a sleeping subject.

Abstract: Devices for providing respiratory therapy to a patient are disclosed. One device includes first and second elongated lumens and a nosepiece. The elongated lumens each have a constant internal diameter. The nosepiece portion has a third lumen and a fourth lumen. The third and fourth lumens have constant internal diameters equal to those of the first and second lumens. The third and fourth lumens have inlet ends adapted to be connected to the outlet ends of the first and second lumens without constricting the internal diameter of the first and second lumens. The third and fourth lumens are configured to receive first and second flows of breathing gas from the first and second lumens and deliver the flows of breathing gas to outlets end of the third and fourth lumens. The second flow of breathing gas is maintained separate from the first flow of breathing gas within the nosepiece portion.

Abstract: An apparatus for securing a nasal cannula comprising a pair of oxygen tube holders connected via a strap, the nasal cannula securing device being positionable behind the head of a patient and slightly below the patient's ears so as to secure the nasal cannula in place.

Abstract: A nasal assembly includes a patient interface including a hollow body that defines an air chamber and a pair of nozzles supported by the hollow body. Each nozzle includes a conical tip structured to sealingly communicate with a respective nasal passage of a patient's nose in use. Headgear is provided to the patient interface so as to maintain the patient interface in a desired position on the patient's face in use. The hollow body is bendable to adjust a position of the nozzles in use.

Abstract: A patient interface device includes a support member, a sealing assembly attached to the support member, and a pair of contacting members. The contacting members are coupled to the support member on each side of the sealing assembly. The contacting members are each configured and arranged to contact the user over a limited contacting region, which corresponds to a junction of the orbicularis oris facial muscle, the zygomaticus facial muscle, and the risorius facial muscle.

Abstract: A supplemental gas delivery device is described for a mask assembly having at least one supplemental gas port, the at least one supplemental gas port including an aperture in communication with an interior of the mask assembly. The mask assembly may include an aperture communicating with an interior of the mask assembly, and a cannula for communicating with the supplemental gas port. The cannula is positioned to deliver supplemental gas adjacent to the patient's nares and/or mouth, to increase an efficacy of treatment for the patient by more directly applying the flow of supplemental gas to the patient's nares. An optional bridging portion may be included to provide a connection between supplemental gas port and the cannula.

Abstract: A patient interface for communicating fluids to and/or from a patient's nasal cavity and/or oral cavity is disclosed. In addition, a patient interface for fluid and physiological function monitoring proximate to the patient's nasal cavity and/or oral cavity is disclosed. An apnea monitor and a method for monitoring apnea are also disclosed.

Abstract: This invention relates to medical treatment and monitoring of a living body, and more particularly to a multipurpose apparatus and method for measuring a living body's respiratory airflow, analyzing the composition of a gas exhaled by a living body and/or insufflating a treating gas into the living body.

Abstract: An embodiment of the present invention is a nasal cannula for delivering continuous positive airway pressure (“CPAP”) to a patient's nares during operative procedures or in critical care areas. A malleable metal or plastic is encased in the bridge of the cannula to allow it to be shaped to the patient's face. As a result of contouring the cannula to the face, air leaks are minimized allowing a seal to be provided when an op site is applied to cover the upper lip, nasal cannula and nose. The cannula's nasal inserts can end in nontapered or slightly tapered non-sealing beads, which may be slightly angled out to accommodate various facial anatomies. When approximately several liters per minute of oxygen are flowed through the cannula, CPAP is obtained.

Abstract: Embodiments disclosed herein relate to respiratory interfaces for use in treating various respiratory issues including, but not limited to, sleep disorder breathing (e.g. snoring, sleep apnea), and in other forms of assisted and unassisted respiration. Embodiments disclosed herein further relate to nasal prongs, flanges and valves for use with respiratory interfaces. Embodiments disclosed herein further relate to evaluating patient compliance with a respiratory interface and harvesting energy for the respiratory.

Abstract: A respiratory probe including two channels in parallel, equipped with unidirectional valves connected head-to-tail.

Abstract: A patient interface includes a body portion configured to communicate with at least one fluid path, and at least one nostril interface extending from the body portion. The nostril interface includes an insertion portion configured to be inserted into a nostril of a patient and to be in communication with the at least one fluid path. In an embodiment, the insertion portion includes a plurality of laterally directed openings configured to communicate fluid between the fluid path and the nostril. The patient interface also includes a seal portion that is constructed and arranged to provide a seal between the patient interface and the nostril.

Abstract: A patient interface in accordance with one embodiment of the present invention is configured to be at least partially carried by a patient and to receive gas exhaled by the patient. The patient interface includes first and second cannula tubes each having a first end and a second end, the first ends are configured to be inserted into the nostrils of a patient, the first and second cannula tubes are configured to direct exhaled gas from the patient from the first ends to said second ends. The patient interface also includes first and second sensors positioned near the second ends, and the first and second sensors are configured to provide first and second signals based upon the gas, wherein the first and second signals are indicative of a physiological parameter of the patient. The patient interface also includes a communications link configured to provide the signal to a physiological monitor.

Abstract: Described here are hand-held, low flow devices for dispensing a therapeutic gas. The devices may be configured to include a gas control assembly for delivering a defined volume of gas at a controlled pressure and flow rate. A nosepiece may be included in the device that is formed of a porous material capable of filtering the dispensed gas, and also diffusing the flow of gas as it travels through the nosepiece and into the nasal cavity. The nosepiece may be configured so that there is substantially no restriction of flow therethrough. Methods for treating various medical conditions and delivering therapeutic gases to the nasal mucosa using hand-held, low flow gas dispenser devices are also described.

Abstract: The ventilation interface for sleep apnea therapy interfaces a ventilation device to the patient's airways. The ventilation interface includes a pair of nasal inserts made from flexible, resilient silicone which are oval shaped in cross-section and slightly tapered from a base proximal the ventilation supply to the distal tip end. A bead flange is disposed about the exterior of each insert at the distal end of the insert. A bleed port for release of exhaled air is defined through a conical vent projecting normally to the path of the incoming air flow, and continues through a nipple extending to the exterior of the air conduit. In one embodiment, a pair of nasal inserts are integral with a nasal cannula body, with bleed ports axially aligned with each insert. In another embodiment, each insert is independently connected to a separate, thin-walled, flexible supply line.

Abstract: An open system provides breath-synchronized, flow-targeted ventilation to augment respiration by a self-breathing patient. A sensor detects a physical property of a patient's respiratory cycle. A processor monitors the sensor and controls a gas source to deliver oxygen-containing gas through a tube extending into the patient's airway with the flow rate varying over each respiratory cycle in a predetermined non-constant waveform synchronized with the respiratory cycle to augment the patient's spontaneous respiration. Gas is delivered at a flow rate sufficient to significantly mitigate the airway pressure the patient must generate during spontaneous breathing and thereby reduce the patient's work of breathing.

Abstract: An oxygen delivery apparatus for delivery of oxygen to an infant from a source includes a mouthpiece having a body portion and lip-engaging flange portions which surround the body portion and a nipple which extends to one side of the central body portion for acceptance by the mouth of an infant. The body portion of the mouthpiece includes a pair of internal passageways each having an inlet and an outlet and wherein the inlets of the passageways are adapted to accept oxygen delivered thereto from a source and wherein the outlets of the passageways are disposed at locations along the surface of the mouthpiece so that when the nipple is accepted by the mouth of an infant, the outlets of the passageways are disposed adjacent, but not within, the nostrils of the infant.

Abstract: The present application discloses a bridle device and a method of placing a bridle on a person using the bridle device. In one exemplary embodiment, the bridle device comprises a retrieval portion and a delivery portion. The delivery portion has a retrieval member and a retrieval magnet attached to the retrieval member. The delivery portion has a delivery member and a delivery magnet that is movable relative to a distal portion of the delivery member. In certain embodiments, the delivery portion has a delivery tube and a delivery magnet attached to a flexible elongated member received in the delivery tube. The delivery magnet is movable relative to a distal portion of the delivery tube and both poles of the delivery magnet are exposed outside of the delivery tube.

Abstract: According to certain example embodiments of this invention, there is provided an apparatus for treatment of a patient with both sleep-disordered breathing and diabetes. A PAP device may be configured to provide a supply of pressurized breathable gas. At least one glycemia sensor also may be provided. A controller may be operable to receive a signal from the at least one glycemia detector and may be further operable to analyze the signal for an indication of a glycemia abnormality (e.g., hypoglycemia, hyperglycemia, diabetic coma, etc.). Optionally, when the signal indicates that the patient is experiencing a diabetic event, an alert may be generated and/or a drug delivery unit may administer an appropriate treatment to the patient.