Abstract: A tubular applicator is releasably connected at a first end to the collar of an adhesive peristomal baseplate to assist the user in positioning the baseplate around a tracheostoma on the user's neck, where the applicator defines an internal flowpath which is placed in fluid communication with the tracheostoma via the collar of the baseplate, and the flowpath opens outwardly via at least one outer aperture in the applicator, and where the at least one outer aperture has a total section area greater than a first section area of the flowpath at the first end of the applicator.

Abstract: A shower shield for use with a tracheostoma, having a chamber with a port for connection to a speaking valve or tracheostomy base plate, and a downwardly-facing aperture, and further provided with a resiliently-deformable wall region so that a user's finger pressure on the wall region said region can actuate the speaking valve or occlude a tracheostoma.

Abstract: A speaking valve for use with a tracheostomy and voice prosthesis having a valve element movable by finger pressure between a first position in which the valve allows air to pass through it and a second position in which the passage of air is substantially resisted or prevented. A biasing element such as foam or a spring is provided to bias the valve element towards the first position when no finger pressure is applied. The valve element is arranged such that expiration through the valve at a rate in excess of predetermined rate causes it to move into a third position in which air resistance through the valve is less than when the valve element is in its first position. This allows for air release if e.g. a user should cough.

Abstract: A speaking valve for use with a tracheostomy and voice prosthesis, that, in a first configuration, allows inspiration and expiration through the valve; and in a second configuration resists expiration. Increasing the pressure difference across the valve by increasing the rate of expiration to a predetermined threshold causes the valve to transition into the second configuration; and the second configuration the valve continues to resist expiration until a predetermined negative pressure difference across the valve causes it to transition back into the first configuration.