Abstract: An apparatus is disclosed for convectively and evaporatively cooling a patient. The apparatus comprises an upper sheet and a base sheet that are attached at a plurality of locations to form a convective device. The base sheet includes a plurality of apertures that direct an inflating medium from the convective device toward the patient. The base sheet also supports a fluid delivery apparatus that distributes and delivers a cooling fluid to the patient. The fluid is evaporated from the patient's skin by the inflating medium exhausted from the convective device. The fluid delivery apparatus may be constructed in a variety of configurations and may circulate a variety of fluids, which may be pressurized or unpressurized. In operation, an air blower, that may also include a compressor for selectively delivering room temperature or cooled air to the appatatus, is connected to the convective device. The blower delivers air, under pressure, to an inlet opening in the convective device.

Abstract: A treatment apparatus includes a heater, a structure supporting the heater against tissue, and a controller connected to the heater for maintaining a tissue temperature under the structure in a normothermic range of 36° C. to 38° C. The apparatus is useful for treating tissue, wounds, and the like.

Abstract: A warming system, mounted to the foot of a bed, warms a person's lower extremities by directing air into the space between the mattress and overlaying blankets. A blower directs air into an elongated distribution chamber having many tiny exit apertures. The chamber is mounted at the foot of the bed, so that air exiting the apertures warms the person's feet. For maximum thermal transfer, the chamber is placed under the sheet and any blankets, but above the mattress cover and fitted sheet. The chamber may be implemented by a length of open cell foam, a hollow manifold with many punctures or other tiny distribution apertures, collapsible pocket, etc. While the person is lying on the bed beneath the blankets, with feet proximate the foot of the bed, the blower directs temperature-regulated air into the chamber and through the exit apertures, thereby warming the person's feet. A temperature regulator ensures a normothermic air temperature (or alternatively, hyperthermic air temperature.

Abstract: A treatment device having an attachment portion the first plane, a treatment portion with a cover in a second plane that defines a treatment volume extending between the first and second plane, and a flexible transition portion that connects the attachment portion to the treatment portion. The transition portion attaches to the attachment portion by a first flexible connection and to the treatment portion by a second flexible connection, with a minimum inter-connecting distance being defined by a straight line between a first point on the first flexible connection and a second point, corresponding to the first point, on the second flexible connection. The transition portion's length exceeds the length of the straight line. A flexible, serrated standoff supports the wound cover. An absorptive foam ring that acts between the first plane on the cover has in it a medicament selected from the group including an antibiotic material, an antifungal material, and an antimicrobial material.

Abstract: A fluid warming cassette with a stiffening frame structure and an integral handle is provided to support a parenteral fluid container. The fluid container is desirably thin to minimize heat exchange inefficiencies. The frame structure permits the thin fluid container to be inserted into the narrow space between fixed position warming plates of a warming unit. The frame structure has a quadrilateral shape with sides and ends. The fluid container is attached, at its periphery to the sides and ends of the frame structure, within the quadrilateral shape. Part of the frame structure is formed into a handle to assist in both the insertion and removal of the cassette from a warming unit.

Abstract: A non-contact covering for covering skin. A peripheral sealing ring is covered by a barrier layer and this assembly is attached to the skin with an adhesive. The barrier layer and peripheral sealing ring together define a treatment volume over the skin. The barrier layer may include active and passive heaters and the sealing ring may dispense water to control the humidity of the treatment volume. One form of active heat is the transfer of a heated fluid to the covering.

Abstract: A condition is detected between an inlet port of an inflatable thermal device, such as an inflatable thermal blanket, and an end of an air hose through which a flow of pressurized, thermally treated air is provided to the device by way of the inlet port. The condition may be disconnection of the end of the air hose from the inlet port or the identification of a particular style of inflatable thermal device. A response to the condition may include provision of a perceptible indication that the condition has occurred. Other responses may include cessation of the flow of air or changing an air flow characteristic.

Abstract: A wound treatment apparatus is provided which includes a bandage that is transparent to, or transmissive of, energy in the infrared (IR) range of the electromagnetic spectrum, a heater that generates heat, and an attachment device for retaining the heater over or on the bandage. The bandage and heater together have a low profile so as to be convenient for a patient, and are flexible so as to conform to the shape of a wound and to contours of the skin near the wound. The bandage is provided with an adhesive pattern for maintaining moisture at the wound site. The heater may maintain a normothermic condition at the wound treatment area. A controller may be provided for cycling the temperature of the heater in order to maintain the normothermic condition.

Abstract: A wound treatment apparatus is provided which includes a thermally conductive bandage, a heater in contact with the bandage over a wound treatment area, and an adhesive attachment device for maintaining thermally conductive contact between the heater and the bandage. The bandage and heater together have a low profile so as to be convenient for the patient and are flexible so as to conform to the shape of the wound and to the contours of the skin surrounding the wound. The attachment device is fashioned so as to have less pull strength than an adhesive holding the bandage to the person's body so that the heater can be easily removed without disturbing the attachment of the bandage to the person's body. The bandage is provided with a polymeric film for maintaining moisture at the wound site as well as enhancing the utility of the attachment device.

Abstract: A laryngeal airway device for sealing against the laryngeal opening includes an air tube with proximal and distal ends and a sealing member attached to the distal end. The sealing member includes a coupler for coupling the device to an introducer. Complementing the laryngeal airway device is an introducer that includes a track for receiving the coupler of the laryngeal airway device and guiding the sealing member to a sealing position with respect to the laryngeal inlet. The introducer may include an epiglottic engager on a distal end to engage the epiglottis and retain it while the sealing member is being tracked to engagement with the laryngeal inlet.

Abstract: A covering to treat tissue by raising the temperature of the tissue toward a normothermic level includes a flexible material with upper and lower surfaces and an opening to face a tissue treatment area, an attachment portion near the lower surface, and a heater layer supported by the upper surface, over the opening, to maintain tissue at a temperature in a range from a pretreatment temperature to about 38° C.

Abstract: A non-contact controllable heater wound covering and method having a peripheral sealing ring covered by a layer to which is attached a heater and this assembly is attached to the skin with an adhesive so that the heater is held proximate the wound area in a non-contact position. The layer and peripheral sealing ring together define a treatment volume proximate the wound. The wound covering includes a programmable active heater control and the sealing ring may dispense water to control the humidity of the treatment volume. One form of active heat is an electrical resistive filament in variable geometric shapes providing versatility in application of heat to different types of wounds and wound area geometries. Another form of active heat is the transfer of a heated gas to the wound covering.

Abstract: A bandage for autolytic debridement includes a fluid-impermeable enclosure having a sidewall forming a margin defining an opening, and a skin-facing surface that surrounds the opening. An attachment means is disposed on the skin-facing to attach the enclosure to the skin, with the margin extending outside of and surrounding at least the bed of a wound. When the enclosure is attached to the skin it creates a closed, fluid-impermeable chamber over a wound, substantially without contacting the wound. The bandage includes a fluid absorbent material disposed in the fluid-impermeable enclosure at or near the continuous margin, and out of the opening. The fluid absorbent material is thus positioned to receive and retain exudated fluid that originates in the wound, thereby by promoting autolytic debridement. The closed, fluid-impermeable chamber maintains a near-100% humid atmosphere about the wound, thereby promoting healing of the wound.

Abstract: An apparatus applies heat to tissue from a level that does not contact the tissue in order to elevate the temperature of the tissue being treated toward normothermia. The, apparatus has a ring that surrounds, but does not contact the tissue to be treated. This ring has a layer out of contact with the tissue to be treated at which a heater is located. The apparatus may be attached to the skin of a person so that the ring and the layer form a treatment volume which does not contact the tissue to be treated. The heater, supported at the layer, is held near the tissue to be treated, out of contact with the tissue. The heater may be an active heater, or an inactive, reflective heater. If active, the apparatus may include a programmable active heater controller. One form of an active heater is an electrical resistant filament which may have various geometric shapes in order to provide versatility in application of heat to the tissue to be treated.

Abstract: A non-contact controllable heater covering for treating tissue has a peripheral sealing ring covered by a layer to which is attached a heater and this assembly is attached to the skin with an adhesive so that the heater is held proximate the tissue area in a non-contact position. The layer and peripheral sealing ring together define a treatment volume proximate the tissue. The covering includes a programmable active heater control and the sealing ring may dispense water to control the humidity of the treatment volume. One form of active heat is an electrical resistive filament in variable geometric shapes providing versatility in application of heat to different types of tissue geometries. Another form of active heat is the transfer of a heated gas to the covering.

Abstract: Cooling pads, mattresses, and limb-comforming sleeves reduce a person's temperature by evaporative and/or conducting cooling. An open cell foam pad defines an internal air flow passages proceeding according to serpentine or other desired routing. The pad is wetted, and a blower circulates air through the air flow passage and evaporatively cools the pad by removing warm water vapor. By contacting the cooled structure, the person is conductively cooled. The pad also employs evaporative cooling if water is permitted to seep from the foam pad onto the person's skin and subsequently evaporate. Another cooling device is a multi-layer evaporative cooling mattress. The mattress comprises an open cell foam structure having a person-receiving side and a base side. At the person-receiving side lies an absorbent layer with internal liquid delivery lines, and optionally having an outer film applied thereto.

Abstract: A substantially constant load impedance electrical heater has been provided. The heater is comprised of two sections, a first heater and a second heater. The first heater is continuously “on” to provide the bulk of the heat. A second heater is selectively engaged to provide slightly more heat to the medium, heating the medium to the desired temperature. The output temperature of the heated medium is maintained by controlling the duty cycle of the second heater. More drastic changes in temperature are accomplished by changing the power continuously dissipated by the first heater. The greatest heating control is obtained by defining the first and second heaters as subsets from a bank of selectable heater elements. A method of minimizing fluctuations in the loading of a high-wattage electrical device is also provided.

Abstract: Cooling devices are provided to reduce a person's temperature by evaporative, convective, and/or conductive cooling. One such device maximizes evaporative cooling by aiding the flow of air to the person and the removal of vapor-laden air from the person. An upper sheet and a base sheet are adhered to define numerous elongated, parallel, inflatable cooling chambers separated by flat connecting membranes. Ventilating cross-members interconnect the cooling chambers. Air enters the chambers through an inlet, exits the chambers toward the person through air permeable regions of the base sheet. Air heated by the person's body exits the device upward through evaporation openings in the connecting membranes.

Abstract: The present invention is a method and apparatus for conveniently and removably sealing inlet ports within an inflatable thermal blanket. In accordance with the present invention a generally planar sheet of material having a plurality of resilient side extensions extending from a central body is used to close an inlet port within an inflatable thermal blanket. In accordance with the preferred invention, the generally circular portion of the central body has a diameter which is slightly smaller than the diameter of the inlet port. Preferably, for extensions extend from the central body each extension being generally circular. Each extension is preferably formed from the same material used to form the central body, and is sufficiently resilient to be easily flexed and to return to an essentially coplanar sheet when released.

Abstract: An airway device for sealing against the laryngeal opening includes an air tube with proximal and distal ends and a sealing member attached to the distal end. The sealing member has a distal portion with a pair of opposing lateral flanges for engaging the cricoid cartilage to laterally align the sealing member with respect to the laryngeal inlet. The sealing member has a compressible anterior surface that contacts and seals against the laryngeal inlet. A tubular extension of the distal end of the air tube projects through and beyond the compressible anterior surface. The sealing member has a pronounced sigmoid shape having a lower section which, together with the tubular extension, creates a hook that provides an end point for accurate cephalad-caudad depth placement of the sealing member against the rim of the laryngeal inlet.