Abstract: An improved medical device for use with an elongated flexible instrument of the type adapted to at least partially extend into the lumen of a tubular body part and having a front end for leading said instrument through said lumen and a rear end opposite said front end. The device comprises (a) an elongated flexible sheath capable of being coaxially mounted on and axially slidable with respect to said instrument between said front and rear ends of said instrument and (b) an integrally-formed cuff assembly including a front inflatable cuff section adapted to be secured to the front end of said instrument, a rear inflatable cuff section adapted to be secured to the front end of said sheath and a middle expandable section integrally formed with said front and rear cuff sections for protecting that portion of said instrument between the position of said front and rear cuffs.

Abstract: An improved detector and monitor for use with the detector are disclosed for detecting and monitoring a physiological rhythmic signal. When detecting respiration the detector or the monitor is adapted to distinguish between airflow response to inhalation and airflow responsive to exhalation.