Abstract: A method involves using a camera tube in connection with a laryngeal mask. The camera tube cooperates with an intubation stylet. The camera tube is an elongate member having a length extending between opposite distal and proximal ends. The distal end of the camera tube has a camera. The camera tube has an exterior surface and an intubation stylet guide support surface extending radially outward from the exterior surface along a portion of the length adjacent to the distal end. The intubation stylet guide support surface is configured to cooperate with an intubation stylet. The user may manipulate the proximal end of the camera tube to change the orientation of the intubation stylet with in the laryngeal mask while using the camera to visualize the patient's laryngeal opening. Once the intubation stylet is aligned with the patient's laryngeal opening, the intubation stylet may be advanced therethrough.

Abstract: An airway management device comprising a body having a proximal end for receiving an oxygen supply tube and an distal end for insertion into a trachea of a patient; said body including a linear portion adjacent to the proximal end and a curved portion adjacent to the distal end; said body including an external shell and having a first bore through said shell for receiving the oxygen supply tube; wherein flexural strength for said airway management device is provided by said shell.

Abstract: A laryngeal mask apparatus to ventilate a patient and also suck in fluids and secretions in the patient's hypopharyngeal region. The laryngeal mask apparatus has a mask, a flexible breathing tube in communication with the mask and a suction tube which has a plurality of suctioning ports that face the back of the patient's throat when the mask is inserted into the patient's throat. When suction is created within the suction tube, fluids and secretions in the patient's hypopharyngeal region are sucked into the plurality of suction ports. The laryngeal mask apparatus also has a flexible air capillary tube positioned within the interior of the suction tube to provide an air flow that decreases the direct suction forces on the mucosa of the patient's throat that are caused by the suction of the plurality of suction ports.

Abstract: A bi-directionally articulable endotracheal tube includes an articulator with a lever, pivoted on a bite block that, via two attached diametrical wires threaded through the tube wall, controls an articulee with two asymmetric notches sequestrated by three nested, specialized cuffs. A connector having an oval cross-section can effectively house and stopper a video stylet whose flexible tip is nimbly responsive to the articulator. The endotracheal tube can be partially styletted for routine intubation in a direct or video laryngoscopy, or video styletted as a ubiquitous alternative to intubative fiber optic bronchoscope and in combination with a video laryngoscope for dual imaging intubation.

Abstract: Disclosed is an apparatus and method to facilitate insertion of the endotracheal tube into the patient's trachea.

Abstract: A bougie for insertion in a patient, the bougie including: (i) a main shaft having proximal and distal ends and a bore extending axially therein; (ii) a movable tip having proximal and distal ends, the proximal end of the movable tip being connected to the distal end of the main shaft; (iii) a control member having proximal and distal ends, the control member being mounted for sliding movement in the bore of the main shaft; and (iv) the distal end of the control member being coupled to the distal end of the movable tip, the arrangement being such that an operator can slide the control member relative to the main shaft so as to cause displacement of the tip relative to the axial direction of the main shaft.

Abstract: A method for intubation of a patient comprising: providing an LMA and an endotracheal tube, wherein the endotracheal tube comprises a visualization device and wherein the endotracheal tube is adapted for passing through the LMA; positioning the LMA in the patient; and guiding the endotracheal tube with the aid of the visualization device through the LMA for positioning in the trachea of the patient. The method preferably further comprises removing the LMA from the patient following the positioning of the endotracheal tube while leaving the endotracheal tube in position.

Abstract: A novel nasogastric tube, that when properly inserted within a person, blocks the esophagus of the person to prevent gastric contents from being aspirated. The tube can be left in place during direct langroscopy and the device can include a preferably inflatable balloon for obstructing the person's esophagus. This balloon can be preferably provided on a slidable tube that allows for head movement/flexion without movement of the balloon placement. The tube can be a dual or single lumen device. With a duel lumen device, a first lumen can be connected to a suction tubing to suction gastric contents from the distal end of the tube, while the other lumen can open up above the cuff to allow for easier ventilation with a bag valve mask/BVM.

Abstract: A video laryngoscope and elongate laryngoscope insertion section for a video laryngoscope, comprising a viewing port through which an imaging device within the insertion section can obtain images of a larynx, the insertion section extending between a distal end for insertion into a subject and an opposite proximal end, and having an inferior surface and an opposed superior surface, wherein the insertion section comprises a proximal region where the insertion section extends through a subject's teeth in use, a distal region extending to the distal end and an intermediate region therebetween, wherein the inferior surface of the insertion section comprises or consists of a curved region which extends from the proximal region through the intermediate region to the distal region, wherein the curved region of the inferior surface is continuously longitudinally curved along the length of the longitudinally curved region and wherein the longitudinal curvature of the curved region of the inferior surface varies in the

Abstract: A valve (2) comprising: (a) membrane (50) and (b) a frame (10) in communication with the membrane so that the frame expands the membrane, the frame including: (i) a rod (4), (ii) a plurality of struts (12) connected to the rod at a distal end and extending generally radially outward as the struts extend away from the distal end and towards a proximal end; (iii) a plurality of anchors (30) that are in direct communication with the struts between the distal end and the proximal end, each of the plurality of anchors extending through an exit location (52) in the membrane.

Abstract: An insertion guide facilitates insertion of an endotracheal tube (ETT) into the trachea of a patient instead of the esophagus of the patient. The ETT includes an elongated, somewhat flexible, generally hollow tube and the insertion guide includes an elongated, solid and relatively rigid shaft that is configured to be positioned within the hollow tube of the ETT. The shaft is provided with a radiused portion and/or an angled portion adjacent a distal end of the insertion guide that protrudes outwardly beyond a distal end of the ETT. The radiused portion and/or the angled portion of the shaft facilitate insertion of the distal end of the ETT past the epiglottis and into the trachea of the patient instead of into the esophagus of the patient.

Abstract: A retainer includes a first arcuate wall and a second arcuate wall that together define a channel designed to receive a medical article. The retainer has an open configuration wherein a first end of the first arcuate wall is spaced away from a first end of the second arcuate wall, and a closed configuration wherein the first end of the first arcuate wall is adjacent the first end of the second arcuate wall. A second end of the first arcuate wall opposite the first end of the arcuate wall may be spaced away from the base in the open configuration and pressed against the base in the closed configuration. The retainer also may include a first support and a second support fixed to the base, and a first and second flexible coupling connecting the first and second supports to the first and second arcuate walls.

Abstract: Medical devices and methods of using medical devices are described herein. More particularly, the disclosure relates to introducers suitable for providing access to a body vessel and methods of using introducers. An example introducer comprises a sheath and a dilator moveably disposed within the sheath. The distal end of the dilator has a closed configuration and an open configuration and movement between the open and closed configurations can be accomplished by applying a proximally-directed force on the sheath such that the sheath moves in a proximal direction relative to the dilator.

Abstract: An oropharyngeal airway for use during diagnostic and surgical procedures, comprising a body with a proximal and a distal end. The distal end is sized for insertion through a protective bite block disposed in a patient's mouth. Both sides of the distal end are tapered to a curved distal edge. A flange is transversely opposed at the proximal end, preventing the proximal end from moving through the protective bite block and into the patient's mouth. An elliptically-arched channel in the shape of a lingual contour extends from the proximal end to the distal end. The channel includes a pair of tapered upstanding walls that guide the passage of a surgical instrument through the space between them. The oropharyngeal airway can be constructed of recyclable or biodegradable materials and is compatible with protective bite blocks of all sizes.

Abstract: A catheter mount is configured to be attached to a respiratory apparatus. The catheter mount includes a plurality of ports in fluid communication with each other. The plurality of ports include an interface poll configured to connect to an interface tube, a conduit port configured to connect to a conduit tube, and at least one suction port configured to allow insertion of a suction catheter. The at least one suction port can be positioned to allow the suction catheter, when inserted, access to both the interface port and conduit port.

Abstract: A stabilization clip for use in securing an orogastric feeding tube to an endotracheal tube, including a base having a first end and a second end, wherein the base includes an orogastric feeding tube holder and an endotracheal tube holder such that the endotracheal tube holder is located adjacent to the orogastric feeding tube holder, a hinge operatively connected to a first end of the base, a flexible arm having a first end and a second end such that the first end of the flexible arm is operatively connected to the hinge, a locking mechanism located on the second end of the base, and an extension located on the second end of the flexible arm, wherein when the extension is located within the locking mechanism, the clip secures the orogastric feeding tube to the endotracheal tube.

Abstract: A saliva injector appliance that includes an elongate member having a scoop with channels at its distal end. Clamps or the like hold the appliance against and to a saliva ejector such that the end of the injector is spaced a small distance rearward from the end of the scoop, and the scoop and the channels direct fluid into the injector and push tissue out of the way during a dental procedure. The elongate member has a rigid or semi-rigid construction and holds the saliva ejector at the desired position and angle as directed by a practitioner grasping the rear handle portion of the elongate member.

Abstract: The invention relates to a urine flow control system (50) including a catheter device (10, 100) for insertion into a urethra, the catheter device (10, 100) having: a proximal end portion (14) and an opposite distal end portion (16, 102), a conduit (C) between said proximal end portion (14) and said distal end portion (16) having a urine inlet opening (2) at said proximal end portion (14) and a urine outlet opening (4, P) at said distal end portion (16, 102), and a magnetically actuatable valve located at said distal end portion (16, 102) for controlled discharge of urine from said catheter device (10, 100) through said outlet opening (4, P), and a magnetic actuator device with an actuator magnet (201), separate from said catheter device (10, 100), for operating said valve, characterized in said magnetic actuator device (200) comprising a housing (205) for receiving urine discharged from said catheter device (10, 100), said housing (205) having a first open end (202) configured for receiving said distal end po

Abstract: A laryngeal mask airway (LMA) device is provided, which includes an inflatable annular cuff, a backplate attached to the cuff, and an airway tube. The cuff, when disposed in free space, is characterized by a pressure-volume curve that represents the pressure in the cuff when inflated to different volumes of the cuff that include a low-pressure volume corresponding to a low pressure of 10 cm H2O. The pressure-volume curve includes (a) a local maximum pressure at a medium volume of the cuff between 1.25 and 2.4 times the low-pressure volume, wherein the local maximum pressure is between 15 and 120 cm H2O, and (b) respective high-volume medium pressures corresponding to all high volumes of the cuff that are between 2.5 and 3 times the low-pressure volume. Each of the high-volume medium pressures is between 15 cm H2O and 99% of the local maximum pressure. Other embodiments are also described.

Abstract: A retractor used in inner-oral surgery is provided that includes a maxilla portion configured to maintain a patient's mount in an open state. The retractor also includes a blade that maintains the position of the tongue so that surgical tools are not obstructed. The maxilla portion of one embodiment only extends a portion of the length of the blade.

Abstract: A medical device and medical method. The medical device includes a flexible elongate body defining a proximal end and a distal end. The elongate body defines a first lumen spanning from the proximal end to a location proximal to the distal end. A shaping member insertable within the first lumen is included, the shaping member is configured to retain a manipulated shape when the flexible elongate body is manipulated from a first configuration to a second configuration. A tip is coupled to the distal end.

Abstract: An airway device is provided for opening a patient's airway. In an embodiment, the airway device provides dual tubes which allow the patient to breathe on his/her own, to be ventilated, or to be intubated. The airway device includes a camera which provides constant visualization of the patient's tissues during insertion of the airway device and during the entire medical procedure. In some embodiments, the airway device includes an endotracheal tube. A transmission lumen monitors heart and breath sounds. Information from the camera and the transmission lumen is relayed to a microprocessor to allow for monitoring which may be remote.

Abstract: A tracheal tube assembly includes an outer cannula configured to be positioned in a patient airway and an inner cannula configured to be disposed inside the outer cannula. The tracheal tube assembly further includes a flange member secured about the outer cannula, and an outer cannula connector coupled to a proximal end of the outer cannula. The outer cannula connector includes a compressible portion may be compressed while inserting or removing the inner cannula.

Abstract: The present invention provide a pre-shaped port, at least partially introduced into a body cavity, comprising a body characterized by a distal end and a proximal end; said body comprising at least one throughgoing channel enabling introduction of at least one surgical tool; said distal end comprises at least one extension; wherein said extension is adapted to provide mechanical support to a distally located organ within said body cavity.

Abstract: An oral airway includes a tubular body having a first end and a second end, and defining a first portion of an air flow channel, and a leg extending outwardly from the first end of the body, the leg defining a second portion of the air flow channel.

Abstract: An expandable implant for treating bone preferably in a minimally invasive manner includes a preferably cylindrical core element extending along a longitudinal axis and preferably a plurality of nestable, expandable sleeves extending along a longitudinal axis for placement radially about the core element. The plurality of nestable sleeves are sequentially insertable over the core element in such a manner that a first nestable sleeve is inserted over the core element and each subsequently inserted nestable sleeve is received between the core element and the previously inserted nestable sleeve such that the insertion of each additional sleeve causes each previously inserted sleeve to outwardly expand.

Abstract: An introducer for providing access to the interior of the heart generally includes a valve, a shaft, and a piercing element. The valve has a substantially closed state in the absence of an instrument inside the valve and an open state in the presence of the instrument inside the valve. The shaft has first and second ends. The piercing element is located at the first end of the shaft. The shaft is removably positioned inside the valve in an assembled condition. The valve is dimensioned to receive the instrument therein upon removal of the shaft from the valve.

Abstract: A method of opening an airway of a patient by a medical professional in a medical procedure using an airway device is provided. The airway device includes a ventilating tube and an intubating tube, and a camera lumen attached to one of the tubes. A camera is inserted into the camera lumen, and the camera provides visual information to the medical professional about the tissues of the patient during the medical procedure. The airway device is inserted into the throat of the patient and positioned proximally of the vocal folds under visual monitoring by use of the camera. The camera provides constant visualization of the patient's tissues during insertion of the airway device and during the entire medical procedure.

Abstract: An apparatus for endotracheal intubation. The apparatus allows medical personnel to grip and stabilize a bougie inside the apparatus and maintain a curve position during intubation processes. The apparatus can be used for a solid bougie and/or a hollow bougie. The apparatus may further have a connector for connecting the apparatus to an external suction device or oxygen delivery device.

Abstract: A valved nasal cannula adapted to provide a positive pressure in the airway using the breathing of the intended user as a source of positive pressure without the need for an external source of energy and/or compressed air. The cannula is designed so as to be relatively easily insertable and retractable into and from the nasal vestibule portion of the nose of the intended user without requiring manual dexterity.

Abstract: Systems and methods for respiratory therapy are disclosed. The system may include a nebulizer, an adaptor, and a nasal cannula. The nebulizer is operable to generate an aerosolized medicament and pass the aerosolized medicament through a nebulizer outlet port. The adaptor has a nebulizer coupling port configured to be coupled to the nebulizer outlet port. The nasal cannula is configured to provide a flow of breathing gas from a breathing gas source to the patient. The nasal cannula comprises at least one nasal prong and an attachment device positioned adjacent the at least one nasal prong. The attachment device is configured to secure the adaptor outlet port adjacent an outlet of the nasal prong. The method includes securing a nasal cannula to the patient, attaching an adaptor to the nasal cannula, generating an aerosolized medicament, transferring the aerosolized medicament into the adaptor, and providing a flow of breathing gas to the patient.

Abstract: A respiratory assembly is provided. The assembly includes at least one post having a nasal engaging portion on about a first end thereof for delivering treatment gases to the nasal cavity of a patient. A pair of tubes capable of receiving gas from a hose or fluid source are selectively engaged with the pair of posts for delivering treatment gases from the inlet through the receptacle and into the nasal cavity of the patient. A splitter may be positioned between the hose or fluid source and the pair of tubes. Ball and socket joints may provide enhanced flexibility of the assembly while in use.

Abstract: A retractor used in inner-oral surgery is provided that includes a maxilla portion configured to maintain a patient's mount in an open state. The retractor also includes a blade that maintains the position of the tongue so that surgical tools are not obstructed. The maxilla portion of one embodiment only extends a portion of the length of the blade.

Abstract: An integrated medical bite block is engaged by a user's teeth and installed into the user's mouth. The bite block includes a through passageway, an upper grove, and a lower grove. The through passageway is penetrating through the bite block. One end of the through passageway comprises an inlet opening, the other end comprises an oral opening. The oral opening is connected with the user's mouth. An upper surface of the bite block provides the upper grove configured for receiving one or more upper teeth (maxillary teeth) of the user, and a lower surface of the bite block provides a lower grove configured for receiving one or more lower teeth (mandibular teeth) of the user. One distance between the lower grove and the oral opening is greater than the other distance between the upper grove and the oral opening, thereby the invention serves to extend forward the mandible and reposition a malposition between the mandible and the maxilla of the user.

Abstract: A cleaning device for cleaning a catheter lumen of a tissue removal catheter has a flushing chamber with distal and proximal seals and an inlet port. The proximal seal is a duckbill seal that includes a pair of opposing duckbill members that slidingly accept the distal end portion of a catheter body to form a seal about the catheter body proximal to a proximal opening in of the catheter lumen. Fluid is directed in the inlet port, into the flushing chamber, into proximal opening in the catheter body, and through the catheter lumen to discharge tissue contained in the catheter lumen. In some embodiments, the cleaning device is preloaded on the catheter body. The cleaning device can have an internal stop that engages with an external stop on the catheter body when the cleaning device is positioned in an operative position.

Abstract: A nasopharyngeal cannula comprising a body formed by a tubular portion that is curved so as to be inserted into a patient's nostril and a collar for resting on the base of the patient's nostril is described. The cannula also comprises a main channel forming a fluid passage between the collar and the tubular portion of the body and two auxiliary channels formed in the body and extending from the collar into the main channel. Each auxiliary channel opens into the collar at an inlet/outlet port oriented radially in relation to the axis of the main channel such as to be oriented laterally on each side of the patient's nostril when the cannula is in place on the patient.

Abstract: Supraglottic airway devices such as the laryngeal mask airway (LMA) device are used in anesthesia practice to maintain an open airway in patients undergoing anesthesia. LMA devices are also used as a conduit for the insertion of endotracheal tubes (ETT) through the laryngeal opening into the patient's trachea (endotracheal intubation). In scenarios where the conventional method of tracheal intubation is challenging or not possible, modified LMA devices have played a pivotal role for several decades. However, present embodiments of LMA devices suffer from significant shortcomings that the device in this patent aims to address. Currently available modified LMA devices have many limitations when used as a conduit for the insertion of ETT. The apparatus shown the present description aims to address those major limitations and to significantly improve the success rate of tracheal intubation.

Abstract: Medical apparatus are disclosed for optoacoustic monitoring of an indwelling unit of the apparatus, where the indwelling unit includes one or more optical components capable of directing pulsed light into an overlying tissue. The apparatus also include one or more acoustic components in contact with an exterior surface of the tissue to detect induced pressure waves producing an acoustic output analyzed with an optoacoustic unit to monitor and confirm proper placement of the indwelling unit. Methods for using the apparatus are also disclosed.

Abstract: A medical catheter control valve includes a valve body defining a fluid channel and a single open-end hole extended across the fluid channel, and a click-on mechanism consisting of a plunger unit with a through hole and a spring member and mounted in the single open-end hole. When click the plunger unit, the plunger unit is shifted to keep the through hole in alignment with the fluid channel for allowing a fluid to pass through the fluid channel. When push back the plunger unit, the through hole is deviated from the fluid channel and the fluid channel is blocked. Thus, the medical catheter control valve can be conveniently controlled with one single hand.

Abstract: The invention relates to an optical device, sheath and endotracheal intubation system relating to an articulated and reusable optical device, as well as a rigid sheath in which said device is introduced to form the endotracheal intubation system.

Abstract: A laryngoscope insertion section comprising a tube guide including at least an inferior tube guiding member and a superior tube guiding member, wherein the thickness of the insertion section in a first region is less than the external diameter of the largest diameter endotracheal tube in an operating range of endotracheal tube sizes plus the thickness of the inferior tube guiding member plus the thickness of the superior tube guiding member. Typically, the insertion section comprises an elongate member and the tube guide is lateral of the elongate member. Typically, an endotracheal tube is retained within the tube guide in flexural tension.

Abstract: An oropharyngeal device is disclosed for insertion into the oral cavity and the oropharynx of an individual. The oropharyngeal device comprises a tubular member extending between a proximal end and a distal end. The tubular member includes a channel extending between the primary aperture and the secondary aperture. A flange is coupled to the proximal end of the tubular member. The tubular member defines a gradual narrowing of the tubular member between the proximal end and the distal end for avoiding gagging reflex of the individual upon insertion of the distal end of the tubular member through the oral cavity and positioned adjacent to the epiglottis. The tubular member defines an arcuate shape for depressing the tongue and maintaining airway patency between the oral cavity and the epiglottis.

Abstract: A bi-lateral endobronchial suctioning device includes actuating and articulating components that allow a provider to accurately suction both right and left bronchi as well as the trachea in a controlled and safe manner. A control mechanism is used to manipulate the actuating components in tubes forming a suction catheter to flex the tip of the bi-lateral endobronchial suctioning device to the left and to the right when the device is inserted through an endotracheal tube or other similar device, to enable directional control of a catheter for suctioning the lungs or trachea. The device further includes a bronchoalveolar lavage (BAL) port allowing sterile saline or other liquids or fluids to travel down the catheter lumen to assist with breaking up thick secretions which collect in the airways.

Abstract: An endobronchial tube which contains an integrated camera and light source and a cleaning nozzle arrangement disposed within dedicated peripheral lumen within the tube's wall.

Abstract: A fenestrated tracheostomy tube has a shaft (1) made of a silicone or other soft material. The fenestrated region (10) located in the trachea (20) has two rows of several openings (11) along the center line of the tube. The openings (12) are formed in a separate plate (12) of a stiffer material bonded or moulded in an aperture (13) in the shaft (1) of the tube to give the shaft extra stiffness in this region.

Abstract: A suction device has an upper section with an upper end formed as a handle and a lower end shaped as a torus. A lateral component is integrally formed with the suction device and extends from adjacent to the upper end and adjacent to the lower end. The lateral component has a passageway there through. The suction device and the lateral component are fabricated of a generally rigid plastic material. An intubation guide stylet is slidably positioned in the passageway of the lateral component. The top of the intubation guide stylet is positionable above the lateral component and the bottom is positionable below the lateral component.

Abstract: A system for aiding in the proper placement of an endotracheal tube in the trachea of a patent includes an endotracheal tube having a proximal region and a distal region. At least one electrode is included on the distal region to provide an electrical stimulation signal to patient tissue. The system includes a control unit coupled to the electrode and configured to differentiate proper placement of the endotracheal tube in the patient's trachea from improper placement of the endotracheal tube in the patient's esophagus based on a sensed response to the electrical stimulation provided by the electrode.

Abstract: A device for display of medical vision images and video may include a portable display screen and housing. The device may also include a mounting mechanism located on the back of the housing. The mounting mechanism may be configured to removably engage a complementary mounting mechanism on a structure for removably mounting the portable display screen and housing to the structure. The device may also include means for communicatively coupling the portable display screen to one or more optoelectronic vision and illumination modules for control and processing of information.

Abstract: A steerable guidewire. The steerable guidewire is fabricated includes an outer tube, an inner tube, a hub, and a distal articulating region. The steerable guidewire hub can be removed to permit advancement of catheters over its proximal end followed by re-attachment of the hub to permit deflection of the distal end of the steerable guidewire.

Abstract: A mandibular subluxation device (MSD) is provided. The device includes an upper MSD component and a lower MSD component. The upper MSD component includes and upper tooth guide connected to an upper plate having a pair of depending legs. The upper MSD component further includes an upper force receiving plate. The MSD also includes a lower MSD component. The lower MSD component includes a lower tooth guide connected to a lower plate. The lower MSD component further includes a lower force receiving plate. The upper and lower MSD components are connected in a way that allows relative longitudinal movement between the two components between a neutral position and a plurality of extended positions. A ratchet mechanism inhibits movement of the lower plate from any extended position toward the neutral position. The ratchet mechanism may be manually disengaged to allow the lower MSD component to return to the neutral position.