Abstract: Systems, devices, and methods for coupling a tracheostomy tube to a source of humidified breathing gas are disclosed. An adaptor includes a housing, a tracheostomy tube connection device, and a baffle. The housing has an interior surface, an exterior surface, and a breathing gas port. The tracheostomy tube connection device is positioned within the housing and includes an input port for receiving a flow of humidified breathing gas from the breathing gas port and an output port for coupling with the tracheostomy tube. The tracheostomy tube connection device has an internal surface defining a breathing gas passage and an external surface spaced from the interior surface of the housing to create a condensation passage. The baffle may be positioned between the breathing gas port and the input port to cause controlled condensation from the flow of humidified breathing gas by disrupting the flow of humidified breathing gas.

Abstract: Nebulizer systems, apparatus, and methods are disclosed. The apparatus includes a body, a breathing gas inlet and outlet, and a barrier. The body is sized to be positioned within an adaptor of the nebulizer system. The breathing gas inlet and the breathing gas outlet are at opposite ends of the body. The barrier is coupled to the body. A plurality of holes are formed in the barrier. The plurality of holes open in a direction orthogonal to the breathing gas inlet. The system employs the apparatus in conjunction with a nebulizer and an adaptor. The method includes generating an aerosolized medicament, providing the aerosolized medicament to the adaptor, passing the aerosolized medicament through the barrier of the apparatus, providing a breathing gas to the apparatus, and flowing the aerosolized medicament and the breathing gas through the breathing gas outlet of the apparatus.

Abstract: Apparatus and methods for delivering humidified breathing gas to a patient are provided. The apparatus includes a humidification system configured to deliver humidified breathing gas to a patient. The humidification system includes a vapor transfer unit and a base unit. The vapor transfer unit includes a liquid passage, a breathing gas passage, and a vapor transfer device positioned to transfer vapor to the breathing gas passage from the liquid passage. The base unit includes a base unit that releasably engages the vapor transfer unit to enable reuse of the base unit and selective disposal of the vapor transfer unit. The liquid passage is not coupled to the base unit for liquid flow therebetween when the vapor transfer unit is received by the base unit.

Abstract: A humidification canister for humidifying a breathing gas, the humidification canister includes a fluid supply configured to supply a fluid and a first gas flow path in fluid communication with the fluid supply. A first gas flow path is configured to humidify the breathing gas with the fluid. A second gas flow path at least partially surrounds the first gas flow path. A method of insulating a breathing gas in a humidification canister using a gas is also disclosed.

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: A humidification canister for humidifying a breathing gas, the humidification canister includes a fluid supply configured to supply a fluid and a first gas flow path in fluid communication with the fluid supply. A first gas flow path is configured to humidify the breathing gas with the fluid. A second gas flow path at least partially surrounds the first gas flow path. A method of insulating a breathing gas in a humidification canister using a gas is also disclosed.

Abstract: Nebulizer assemblies and systems are disclosed. A nebulizer assembly includes a reservoir and a nebulizer for producing an aerosolized gas. An aerosolized gas outlet passes the aerosolized gas. A breathing gas mixing chamber is coupled to an outlet port of the nebulizer to entrain nebulized medication into a breathing gas. A system and method of heating medication in a reservoir and adding medication to a gas flow is also provided.

Abstract: A delivery tube assembly for delivering a breathing gas to a patient, the delivery tube includes a first lumen having an upstream portion and a downstream portion. The lumen is configured to deliver the breathing gas from the upstream portion to the downstream portion. A second lumen is configured to flow an insulating gas around the first lumen. A method of insulating a breathing gas with an insulating gas and discharging the insulating gas to atmosphere is also disclosed.

Abstract: An apparatus for providing breathing gas to a patient that includes a base unit to provide a first flow of gas and a second flow of gas and a humidification canister to be coupled to the base unit is described. The humidification canister includes a first gas flow path to receive and humidify the first flow of gas. A delivery tube assembly includes a first lumen configured for fluid communication with the first gas flow path to receive the humidified first flow of gas and a second lumen to receive the second flow of gas. A method of heating and humidifying the first flow of gas and insulating the first flow of gas with the second flow of gas is also described.

Abstract: A base unit for use in a breathing gas heating and humidification apparatus includes a gas source configured to generate an initial gas flow, the gas source having a gas source outlet and a flow divider in fluid communication with the gas source outlet. The flow divider is configured to divide the initial gas flow into a first flow of gas and a second flow of gas. The flow divider includes a first compartment including a first gas flow path for the first flow of gas and a second compartment including a second gas flow path for the second flow of gas. A heater is disposed in the second compartment. A method for use in generating breathing gas and insulating gas from a gas source is also disclosed.

Abstract: A nasal cannula for administering respiratory therapy is disclosed. The nasal cannula comprises first and second supply tubes, a cannula body, first and second nasal prongs, and first and second flow paths. Each supply tube has an inlet to receive a flow from a flow source and an outlet. The cannula body has first and second ends. The first end is coupled to the first outlet and the second end is coupled to the second outlet. The first and second nasal prongs extend from the cannula body. The first flow path extends from the first supply tube through the cannula body to the first nasal prong. The second flow path extends from the second supply tube through the cannula body to the second nasal prong. Systems and methods for using the above-described nasal cannula are also disclosed.

Abstract: A system for delivering a humidified gas to a patient is disclosed. The system includes a supply tube having a first supply tube end and a second supply tube end. The supply tube has a first inner diameter. The system also includes an apparatus for delivering heated and humidified gas to the first end of the supply tube and a single lumen having a first lumen end and a second lumen end. The single lumen has a second inner diameter, smaller than the first diameter. The first lumen end is in fluid flow communication with the second supply tube end. The system also includes a nasal cannula in fluid flow communication with the second lumen end. A method of delivering heated and humidified gas to a patient is also disclosed.

Abstract: Nebulizer systems, apparatus, and methods are disclosed. The apparatus includes a body, a breathing gas inlet and outlet, and a barrier. The body is sized to be positioned within an adaptor of the nebulizer system. The breathing gas inlet and the breathing gas outlet are at opposite ends of the body. The barrier is coupled to the body. A plurality of holes are formed in the barrier. The plurality of holes open in a direction orthogonal to the breathing gas inlet. The system employs the apparatus in conjunction with a nebulizer and an adaptor. The method includes generating an aerosolized medicament, providing the aerosolized medicament to the adaptor, passing the aerosolized medicament through the barrier of the apparatus, providing a breathing gas to the apparatus, and flowing the aerosolized medicament and the breathing gas through the breathing gas outlet of the apparatus.

Abstract: Nebulizer assemblies and systems are disclosed. A nebulizer assembly includes a reservoir and a nebulizer for producing an aerosolized gas. An aerosolized gas outlet passes the aerosolized gas. A breathing gas mixing chamber is coupled to an outlet port of the nebulizer to entrain nebulized medication into a breathing gas. A system and method of heating medication in a reservoir and adding medication to a gas flow is also provided.

Abstract: An apparatus for delivering water vapor to a gas is formed from a plurality of hollow fiber membranes each defining a passage for the flow of gas from an upstream end of the passage and enclosed by an enclosure. The hollow fiber membranes have a combined surface area in the range of about 90 square centimeters to about 110 square centimeters. The enclosure contains an air inlet positioned to direct air to the upstream end of each of the passages of the hollow fiber membranes and an air outlet positioned to direct air from the downstream end of each of the passages of the hollow fiber membranes. The enclosure preferably has a water inlet positioned to direct water toward the outer surfaces of the hollow fiber membranes and a water outlet positioned to direct water from the enclosure.

Abstract: A breathing gas delivery system is provided. The system includes a nasal cannula having a lumen and a nasal prong configured to deliver a gas from the lumen and into at least one nare of a patient through the nasal prong. At least one of the lumen and the nasal prong includes an amount of an antimicrobial agent effective to kill or inhibit growth of microorganisms on one or more surfaces of the nasal cannula. A method of delivering a breathing gas to a patient using the nasal cannula is also provided.

Abstract: Apparatus and methods for delivering humidified breathing gas to a patient are provided. The apparatus includes a humidification system configured to deliver humidified breathing gas to a patient. The humidification system includes a vapor transfer unit and a base unit. The vapor transfer unit includes a liquid passage, a breathing gas passage, and a vapor transfer device positioned to transfer vapor to the breathing gas passage from the liquid passage. The base unit includes a base unit that releasably engages the vapor transfer unit to enable reuse of the base unit and selective disposal of the vapor transfer unit. The liquid passage is not coupled to the base unit for liquid flow therebetween when the vapor transfer unit is received by the base unit.

Abstract: A humidification canister for humidifying a breathing gas, the humidification canister includes a fluid supply configured to supply a fluid and a first gas flow path in fluid communication with the fluid supply. A first gas flow path is configured to humidify the breathing gas with the fluid. A second gas flow path at least partially surrounds the first gas flow path. A method of insulating a breathing gas in a humidification canister using a gas is also disclosed.