Abstract: A machine and its associated process for upset forging the ends of deformed reinforcement bars are disclosed. The machine includes 2 split clamping dies and an upsetting die, and they are housed in separate casings so that the clamping action is independent from the upsetting die. The clamping dies and the upsetting die form a continuous cavity for accommodating the forging of long bars. The upsetting die has a upsetting cavity with radial closed cross-section, and the whole forging process is performed inside this closed cavity to ensure it's a true closed-die forging process, which results in precise upset diameter with improved roundness of the rebar.

Abstract: A pharyngeal tube for establishing an airway within a patient may comprise an elongated hollow tube including a proximal end and a distal end. A mouthpiece may be provided at the proximal end of the tube, and one or more lateral openings may be provided at or near the distal end of the hollow tube. The one or more lateral openings may be formed in a lateral wall of the hollow tube, and a distal tip of the hollow tube is sealed so that air cannot escape the tube from its distal tip. The mouthpiece may form an airtight seal at the patients mouth. The mouthpiece may include an inner flange configured to be positioned between the patients teeth and lips, and an outer flange configured to be positioned on the outside of the patients lips. Some variations of the hollow tube may further include an inner septum that divides the tube into first and second lumens that are connected at the distal end of the tube.

Abstract: An airway catheter (“AEC”) includes a catheter lube having proximal and distal tube end faces in fluid communication with a tube lumen. The distal lube end face and a portion of the tube wall collectively form a distal tube end region. A plurality of side holes extend laterally through the tube wall. An inflatable cuff is secured to the outer tube wall surface with an inner cuff volume in fluid communication with the tube lumen via the side holes. A resistor plug has proximal and distal plug end faces in fluid communication with a plug lumen and is defined laterally by a plug wall. The resistor plug is maintained within at least a portion of the tube lumen in the distal tube end region with an outer plug wall surface being at least partially in compressive contact with the inner tube wall surface.

Abstract: An airway catheter (“AC”) includes a catheter tube having proximal and distal tube end faces in fluid communication with a tube lumen. The distal tube end face and a portion of the tube wall collectively form a distal tube end region. A plurality of side holes extend laterally through the tube wall. An inflatable cuff is secured to the outer tube wall surface with an inner cuff volume in fluid communication with the tube lumen via the side holes. A resistor plug has proximal and distal plug end faces in fluid communication with a plug lumen and is defined laterally by a plug wall. The resistor plug is maintained within at least a portion of the tube lumen in the distal tube end region with an outer plug wall surface being at least partially in compressive contact with the inner tube wall surface.

Abstract: An apparatus for removing air from a fluid comprises a vertically oriented chamber having top and bottom chamber portions separated by a chamber sidewall at least partially defining a chamber interior having a chamber centerline. A fluid inlet provided through the chamber sidewall selectively permits ingress of fluid to the chamber interior. Fluid entering the chamber interior through the fluid inlet is directed laterally between the chamber sidewall and the chamber centerline. A fluid outlet located proximate the bottom chamber portion selectively permits egress of fluid from the chamber interior. An air release structure located proximate the top chamber portion selectively releases accumulated air from the chamber interior. Fluid entering the chamber interior through the fluid inlet achieves a vortex motion during travel downward to the fluid outlet. The vortex motion prompts release of air from the fluid, the air collecting adjacent the air release structure for selective release.

Abstract: An airway catheter (“AEC”) includes a catheter tube having proximal and distal tube end faces in fluid communication with a tube lumen. The distal tube end face and a portion of the tube wall collectively form a distal tube end region. A plurality of side holes extend laterally through the tube wall. An inflatable cuff is secured to the outer tube wall surface with an inner cuff volume in fluid communication with the tube lumen via the side holes. A resistor plug has proximal and distal plug end faces in fluid communication with a plug lumen and is defined laterally by a plug wall. The resistor plug is maintained within at least a portion of the tube lumen in the distal tube end region with an outer plug wall surface being at least partially in compressive contact with the inner tube wall surface.

Abstract: Methods and devices are provided that are effective to remove an obstruction in a human airway related to snoring and/or OSA. In one embodiment, the device includes mouthpiece having a hollow body configured to be disposed in a user's mouth. The body includes superior and inferior outer surfaces as well as anterior and posterior surfaces, a channel configured to receive a user's teeth formed in at least one of the superior and inferior surfaces, an inner cavity formed between the superior, inferior, anterior, and posterior surfaces, and at least one aperture formed in the posterior surface that extends into the inner cavity. In one exemplary embodiment the at least one aperture is oriented to extend away from the user's teeth and toward a user's tongue when the mouthpiece is in use.

Abstract: A method and apparatus (10) for determining cardiac output by directing airflow or gas flow (fluid) to a fluid containment structure (12) coupled to an inspiratory limb (16) of a ventilator circuit instead of the patient and enabling the patient to directly inhale fluid from the fluid containment structure and preventing the patient from inhaling through an expiratory limb (18) of the ventilator-circuit. The method and apparatus also prevents exhalation by the patient into the fluid containment structure. The method and apparatus also comprises an aid helps the patient become consistent in their breathing patterns. When the fluid containment structure fills with a volume of fluid, the aid provides an indication that the patient should inhale; when the fluid containment structure empties of fluid, the aid provides a signal that the patient should exhale. Thus, the aid provides feedback to the patient to help the patient control their ventilation pattern.

Abstract: Methods and devices are provided that are effective to remove an obstruction in a human airway related to snoring and/or OSA. In one embodiment, the device includes mouthpiece having a hollow body configured to be disposed in a user's mouth. The body includes superior and inferior outer surfaces as well as anterior and posterior surfaces, a channel configured to receive a user's teeth formed in at least one of the superior and inferior surfaces, an inner cavity formed between the superior, inferior, anterior, and posterior surfaces, and at least one aperture formed in the posterior surface that extends into the inner cavity. In one exemplary embodiment the at least one aperture is oriented to extend away from the user's teeth and toward a user's tongue when the mouthpiece is in use.

Abstract: A system for treating respiratory disease, obstructive sleep apnea (OSA) and snoring and for improving breathing efficiency is described. In one embodiment, the system includes a valve system having a first valve adapted to be positioned over a person's mouth and a second valve adapted to be positioned over a person's nose. The valves are selected such that in one application the valve system allows the person to inhale through the nose only and exhale through the mouth only while in another application the valve system allows the person to exhale through the nose only and inhale through the mouth only.

Abstract: A negative pressure ventilation system comprising a dynamically movable, multi-component artificial rib cage configured to fit snugly around the patient's own chest wall and abdomen is disclosed. The shape, dimensions and the dynamic movement of the artificial rib cage are designed to mimic those of the patient's own chest wall. The artificial rib cage includes an artificial spine to which are connected artificial ribs for forming an artificial chest wall including a sternum component. An abdominal component for placement on the patient's abdomen is connected to the chest wall component through a translating element which allows the abdominal component to move towards and away from the chest wall component. The chest wall and abdominal components cooperatively interact to allow the ventilator to move both the chest wall and abdomen during inspiration and expiration, mimicking the patient's own natural breathing pattern.

Abstract: Methods for changing the body temperature of a patient by having them breathe a mist created by nebulizer. The temperature of the mist is adjusted using a heat exchanger. The methods may be used to either cool or warm patients for a variety of clinical reasons. In addition, the invention includes a device (Thermomist) that can be used for generating a mist that can be administered to patients.

Abstract: A system for providing nerve mapping in human patients, which includes a processor coupled to a pulse generator and to a multi-position switch. The system further includes a conductive needle having a first end adapted for insertion into tissue and a second end coupled to a negative terminal of the pulse generator. A plurality of electrodes are disposed on the skin of the patient in a ring arrangement for defining a bounded area. Each electrode is selectively coupled to a positive terminal of the pulse generator, via the multi-position switch. In this arrangement, at least one pulse can be applied to the first end of the conductive needle while the conductive needle is positioned in the bounded area to form a communication relationship between the first end of the conductive needle and at least one of the plurality of electrodes for exciting a nerve located in the bounded area.

Abstract: Methods and devices are provided that are effective to remove an obstruction in a human airway related to snoring and/or OSA. In one embodiment, the device includes a mouthpiece that is adapted to form a sealed cavity within a human mouth, and a hollow elongate member having a first end that is coupled to the mouthpiece and that is in communication with the sealed cavity, and a second end that is adapted to be coupled to a negative pressure generator. In use, a negative pressure generator can be attached to the hollow elongate member to create a negative pressure in a human mouth in response to an obstructed airway, thereby removing the obstruction. In particular, this device is effective to pull a patient's tongue and/or soft tissues of the upper airway up and away from the posterior pharyngeal wall to reopen the airway.

Abstract: Methods and devices are provided that are effective to remove an obstruction in a human airway and/or maintain an open airway. The methods and devices are particularly useful for patients suffering from snoring and/or OSA, and/or preventing upper airway obstructions in patients undergoing anesthesia. In one embodiment, the device includes a mouthpiece that is adapted to form a substantially sealed cavity within a human mouth, and a hollow elongate member having a first end that is coupled to the mouthpiece and that is in communication with the substantially sealed cavity, and a second end that is adapted to be coupled to a negative pressure generator. In use, a negative pressure generator can be attached to the hollow elongate member to create a negative pressure in a human mouth in response to an obstructed airway, thereby removing the obstruction. In particular, this device is effective to counteract the collapse of a patient's soft tissues of the upper airway to reopen the airway.

Abstract: The present invention is directed to a method and device for generating a mist. Mist is created by a sudden drop in the pressure of a gas/liquid mixture. This results in the rapid expansion of the volume of the gas component and the consequent breaking of the liquid into tiny droplets. The method and device allow for the precise control of both the size of the liquid droplets and the density of the mist produced. The mists may be used in a wide variety of applications, including medical procedures in which the body temperature of a patient is rapidly changed and any industrial procedure where a mist is needed.

Abstract: The present invention is directed to methods for changing the body temperature of a patient by having them breathe a mist created by nebulizer. The temperature of the mist is adjusted using a heat exchanger. The methods may be used to either cool or warm patients for a variety of clinical reasons. In addition, the invention includes a device (Thermomist) that can be used for generating a mist that can be administered to patients.