Abstract: A device (11) for supporting and retaining medical appliances (10), such as tracheal cannulas and stoma stents, in the neck of a patient comprising supporting means (12) for supporting and retaining the medical appliance (10) and fastening means (13) for fastening the device on the body (36) of a patient. The fastening means (13) is provided at a distance from the supporting means and comprises means for attaching the device to the chest (36) of the patient. A method for supporting and retaining medical appliances (10), such as tracheal cannulas and stoma stents, in the neck of a patient, by fastening the appliance (10) on the body (36) of a patient outside the neck.

Abstract: Apparatuses useful in and methods for positioning of an endotracheal tube within an airway by allowing manual articulation of the endotracheal tube while a patient is being intubated. The apparatuses and methods are of particular use in intubating patients with unique anatomical conditions that make standard stylets inadequate for intubation. In one embodiment, an apparatus may comprise a stylet having a first end and a second end, with the second end of the stylet being insertable within a lumen of the endotracheal tube. First and second articulatable portions of the stylet may be independently articulated into respective primary and secondary arcuations to bend the endotracheal tube in conformance therewith as desired during the intubation procedure.

Abstract: The cheek pouch anchor, formed of a resilient filament, fits within a user's cheek pouch. The anchor dynamically spans a user's inter-occlusal space and lip opening as a user's jaws open and close. The anchor can be formed of inter-connected, conversely-adjustable loops to enable user adjustment of its span. It can stabilize a work piece, such as an airway, in a user's mouth. The cheek path airway fits a path between a user's lips and through the user's cheek pouch and rear-jaw gap, avoiding the user's bite. It provides supplemental air to a user's rear-mouth cavity independently of a user's nasal airways while a user's lips remain closed. It can be used in combination with mandibular jaw-control and tongue-control devices whereby the combination mitigates breathing restrictions in a user's nasal and throat airways. It can be manufactured in-line and folded by a user to fit the user's cheek pathway.

Abstract: Systems, devices, and methods for generating energized water molecules and administering same to a human or other biological subject. The system includes a humidifying apparatus, and excitation apparatus, and a control system. The system may further include a fluid management system to assist in the delivery of energized water molecules.

Abstract: One embodiment provides a nasal guide. The nasal guide includes a pair of supports adapted to be positioned adjacent nostrils of a nose of a patient. The nasal guide includes a bridge connecting the pair of supports. The bridge is usable to adjust positioning of the pair of supports. Each of the pair of supports forms one or more lumens configured to receive one or more medical instruments. The one or more lumens are shaped for insertion into a nasal cavity of the nose.

Abstract: Devices, systems and methods for improved intubation which have particular application for awake or sedated intubation are described. An intubation scope having a handle, a flexible probe, and an articulatable tip where the handle has a control lever coupled to a rotary control wheel, which is in turn connected to control wires which when moved by the rotary control wheel cause articulation of the tip of the intubation scope. Systems utilizing the intubation scope may also include endotracheal tubes adapted to fit over the tip of the intubation scope.

Abstract: A tracheal intubation system including a laryngoscope is disclosed. An endotracheal tube exchange system is also disclosed. In some examples, the system includes a laryngoscope, a stylet, and an endotracheal tube. In some examples the stylet is an articulating stylet. An endotracheal tube with one or more depth-assessment bands is also disclosed. An articulating stylet with one or more depth-assessment bands and an orientation mark is also disclosed. A method of positioning an endotracheal tube in a patient is also disclosed. A method of positioning a stylet for placement of an endotracheal tube is also disclosed. A method of performing an endotracheal tube exchange procedure is also disclosed.

Abstract: An endotracheal intubation apparatus provides for controlled articulation of tip and central portions of a stylet having an endotracheal tube specifically configured for use therewith mounted thereon. The endotracheal intubation apparatus includes a stylet with tip and central portions that each have a curvature that is selectively and independently adjustable through one or more controls at a handle of the stylet. Through adjustment of the curvature of the tip and central portions of the stylet, a curvature of overlying portions of an endotracheal tube mounted on the stylet can be selectively and independently adjusted. Advantageously, such selectively and independently adjustment of the curvature of the tip and central portions of the stylet allows a contour of the endotracheal tube to be selectively adjusted for accommodating a particular airway anatomy of a patient without requiring removal of the endotracheal intubation apparatus.

Abstract: A medical device tube having opposing support ears for improved coupling of an inner cannula to an outer cannula. The medical device tube comprises an outer cannula having opposing support ears on an outer cannula connector flange attached to a proximal end of the outer cannula. The opposing support ears maintain locking ears of the inner cannula in substantially one position. The opposing support ears substantially prevent the locking ears in contact with the outer cannula connector flange from slipping therefrom by, e.g., rotation, axial displacement, torsional shear, etc.

Abstract: A dilator assembly for percutaneous dilatational tracheostomy includes a dilator element having a wall and a proximal end part extending into a distal tip part via an intermediate part. The wall has a substantially U-shaped cross section defining a dilator opening. The assembly extends towards the distal tip part. The dilator assembly is part of a tracheostomy device. The device has a first branch for arranging inside the trachea, and a second branch co-operative with the first branch. The first branch has a first end and a receiving member while the opposing second end has a first coupling part. The second branch has a first end with a guide for a neck penetration member and an opposing second end with a second coupling part for coupling with the first coupling part of the first branch. The first and second branches are detachably coupled together at their respective second ends.

Abstract: The invention relates to a tracheostoma spacer with a tubular support framework. The support framework can be expand from an initial state to a supporting state of increased diameter and has a fixing element at the ends. The tracheostoma spacer is intended for use as a spacer in a tracheostoma (an opening in the trachea). The invention further relates to a device for inserting a tracheostoma spacer into a tracheostoma with a cutting instrument in the form of a trocar, the tracheostoma spacer being able to be positioned on the shaft of said trocar. A cover sleeve is also provided which can be moved on the shaft over a tracheostoma spacer positioned there.

Abstract: A new medical tube guiding device, the device including a first patient engaging portion configured to engage a zone of an upper jaw of the patient and a second patient engaging portion configured to engage a zone of a lower jaw of the patient. The first and second patient engaging zones are biased apart to provide a working gap between them. The invention also provides for a guide means for a medical tube that is supportable on one or both of the patient engaging portions and locatable relative to the patient engaging portions to guide the medical tube through the working gap into a mouth of the patient.

Abstract: A bite block 20 for use during transoral medical procedures has a main lumen 42 and a side mount 110 for receiving a separately inserted airway 160. The airway 110 may be a commercially available nasopharangeal airway which is inserted in mount 110 and extends into the oral cavity so as to effectively function as oral pharangeal airway.

Abstract: An intubation system of the present disclosure intubates based on an airway pattern indicating a trachea opening. The airway pattern is determined from analysis of airway data detected by a trachea identifying device disposed on a moveable guide stylet of the intubation system. A navigation element is generated based on the airway pattern. In one embodiment, the airway pattern is a gas exchange pattern indicating a trachea opening. In another embodiment, the trachea opening transition pattern is a topographic pattern indicating a trachea opening. The guide stylet is capable of moving in a plurality of degrees of freedom in the airway following the guidance from the navigation element.

Abstract: Methods, systems and devices are described for new modes of ventilation in which specific lung areas are ventilated with an indwelling trans-tracheobronchial catheter for the purpose of improving ventilation and reducing hyperinflation in that specific lung area, and for redirecting inspired air to other healthier lung areas. Trans-tracheobronchial Segmental Ventilation (TTSV) is performed on either a naturally breathing or a mechanical ventilated, patient by placing a uniquely configured indwelling catheter into a bronchus of a poorly ventilated specific lung area and providing direct ventilation to that area. Typically the catheter's distal tip is anchored without occluding the bronchus. TTSV is optionally performed by insufflation only of the area, or by the application of vacuum to the area, can include elevating or reducing the pressure in the targeted area to facilitate stagnant gas removal, or can include blocking the area to divert inspired gas to better functioning areas.

Abstract: This disclosure describes systems, methods, and apparatus for intubation where indicators of a bougie's axial orientation and insertion depth into the trachea are not visible. In particular, a bougie having one or more tactile indicators of axial orientation and/or depth of insertion are disclosed. The tactile indicators can include finger grooves and/or a ridge to name two examples.

Abstract: An oral airway includes a first component having a first guiding surface and a second component having a second guiding surface. The first component and the second component are adapted to be removably coupled together such that the first guiding surface and the second guiding surface collectively define and encompass an interior passage through the oral airway that is dimensioned to direct, for example, a fiber-optic scope or an endotracheal tube extending through the interior passage for tracheal intubation. The first and second components are configured to be decoupled and independently removed from a patient's mouth without disrupting an endotracheal tube that has been extended through the conduit for tracheal intubation. The first and second components may be maintained in coupled disposition by an interlocking mechanical structure. The first and second components also may be maintained in coupled disposition by magnetism.

Abstract: An intubation device is provided. An intubation device comprises a movable guide configured to guide an insertion of an endotracheal tube into a trachea of a patient, the guide having a guide extension and a guide tip; an external trachea identifier source external to the trachea and disposed on the patient during an intubation, wherein the trachea identifier source generates and transmits a signal; at least one trachea condition sensor disposed on the guide tip to detect the signal generated by the trachea identifier source; and a guide control device operatively coupled to the guide, the guide control device configured to move the guide into the trachea in response to the detected signal.

Abstract: An oral airway adjunct includes a passageway extending from the proximal end to the distal end, wherein the passageway is sized to pass through a breathing tube. The oral airway adjunct also includes a flange located at the proximal region and a curved region extending away from the proximal region towards the distal region. The curved region is defined by a varying radius.

Abstract: Some embodiments include oral airway assemblies that can include a body having an opening extending from a first end of the body to a second end of the body with the body having upper and lower portions in one cross section. A flange can be included that extends from the first end of the body and outwardly from the opening. An upper member extending from the upper portion of the second end of the body and outwardly from the opening away from the lower portion can be provided. The assemblies can include a lower member slidably engaged with the body, with at least a portion of the lower member extending outwardly from the lower portion of the second end of the body and away from the upper portion when engaged with the body. In accordance with other embodiments a member can be provided to slidably engage with the body, and include a tab at one end, with the tab being pivotably coupled to the member.

Abstract: A method of using a catheter system which includes inserting a first distal end portion of an outer catheter into a first body lumen, coupling a first key joint component on an inner catheter with a second key joint component on a proximal end portion of the outer catheter to fix a rotational orientation of the inner catheter relative to a rotational orientation of the outer catheter about a longitudinal axis of the first body lumen, wherein the second key joint component runs along a partial length of the outer catheter, and wherein a distal end portion of the inner catheter includes a pre-formed bend that extends at a non-zero angle relative to the longitudinal axis of the first body lumen, and advancing the distal end portion of the inner catheter through a lumen of the outer catheter, away from the distal end portion of the outer catheter, and into a second body lumen, the second body lumen branching from the first body lumen.

Abstract: An anti-fouling sleeve for an endotracheal tube, a method of placement, and the tools for placement. The anti-fouling sleeve occupies the entire length of endotracheal tube, and can be installed permanently or made removable and disposable. The sleeve may be instrumented with sensors and/or a UV light source to reduce and potentially eliminate biofilm formation. Once placed inside the endotracheal tube the sleeve expands to conform to the inner diameter of the tube. After use, any accumulated biofilm on the inner portion of the sleeve is removed leaving the inner portion of the endotracheal tube essentially sterile.

Abstract: A laryngo-tracheal anesthetic device is provided, said device comprising a malleable conduit with a first end and a second end, wherein the second end is designed to enter a patient, a device for pressurizing anesthetic, wherein the device is adapted to receive a cartridge of anesthetic, a substrate actuated by a finger of a user for releasing anesthetic from the reservoir into the malleable tube; and a nozzle at the second end of the malleable tube.

Abstract: A tracheostoma prosthesis includes a tubular outer cannula with a proximal part and a distal part, a tubular inner cannula, wherein the inner cannula can be guided into the opening at the proximal part of the outer cannula and can he locked by locking or retaining means, and the outer edge of the proximal part of the outer cannula has two recesses lying opposite to each other, wherein the recesses are in the shape of an arc of a circle and are designed to receive a thumb and index finger of a hand for gripping the proximal end of the inner cannula at surfaces of the proximal end of the inner cannula exposed by the recesses, and the inner cannula has a bead-like edge at its proximal end.

Abstract: A tracheal tube assembly includes a connector body, a cannula extending from the connector body, and an insert that provides rigidity to the connector body and retains the cannula in the connector body. The cannula has an upper end that fits between conforming tapered sections of the connector body inner surface and the insert. The insert may include features to mitigate stress on and around any secondary lumens in the cannula wall. Because the wall is thinner at the site of a secondary lumen, the connector body insert may include a recess into which the cannula wall may expand. The recess may be aligned with the secondary lumen.

Abstract: A device for dilating an opening through the tracheal wall of a patient includes a loading dilator. A balloon catheter is received in the lumen of the dilator such that the balloon extends distal to the loading dilator distal end. The balloon is configured to radially dilate a portion of the tracheal wall upon inflation. The balloon includes retention structure along its outer surface such that upon inflation, the retention structure inhibits dislodgement of the balloon when the balloon is positioned across the tracheal wall. The retention structure may comprise a pair of spaced elements radially projecting from the outer surface of the balloon, and spaced along the outer surface such that each of the elements is disposed at an opposite side of the tracheal wall when the balloon is positioned along the tracheal wall opening.

Abstract: An intubation system of the present disclosure intubates based on an airway pattern indicating a trachea opening. The airway pattern is determined from analysis of airway data detected by a trachea identifying device disposed on a moveable guide stylet of the intubation system. A navigation element is generated based on the airway pattern. In one embodiment, the airway pattern is a gas exchange pattern indicating a trachea opening. In another embodiment, the trachea opening transition pattern is a topographic pattern indicating a trachea opening. The guide stylet is capable of moving in a plurality of degrees of freedom in the airway following the guidance from the navigation element.

Abstract: The present invention provides intra-oral interfaces, systems and methods for preventing sleep apnea, the interfaces comprises a conduit adapted to receive continuous positive airway pressure (CPAP) from a CPAP source, and for delivering positive air pressure to a mouth of a patient, a mouthpiece through which the conduit extends, the mouthpiece having a portion configured to reside between the teeth and inner part of the lips and cheeks in the mouth of the patient; and an active seal associated with the mouthpiece, the active seal having at least a portion thereof adapted to reside in a buccal vestibulum of the patient, the active seal being configured to bulge and contract as the patient breathes.

Abstract: An introducer for a surgical airway catheter has a proximal handle; a curved, rod-shaped main section; an opening-enlarging region; and a rod-shaped distal tip, sized to receive the catheter tube. After making an initial opening in a patient's trachea, the operator inserts the distal tip into the initial opening up to the cutting region. The operator uses the opening-enlarging region to sufficiently widen the opening by moving the introducer from side to side or simply by inserting the introducer into the opening to enable the widened opening to receive the tube and cuff of the catheter. The operator rotates the introducer and catheter into the trachea through the widened opening and then removes the introducer leaving the catheter in place. The introducer and catheter can be pre-configured in a surgical kit having a retractable scalpel configurable onto the introducer's handle and used to excise the initial tracheal opening.

Abstract: A supraglottic tube is provided, which despite certain softness has high compressive strength in the proximal distal direction and an adjustable radius of curvature. The supraglottic tube includes at least three lumens. A guiding lumen is located between a respiration lumen and a esophageal lumen. The lumens are separated from each other by separating walls. A guiding means, which includes a pressure element and a tractive element, is located in the guiding lumen. A tractive force can be applied to the tractive element by way of a feed connector and an adjustment unit, in which the pressure element is supported, whereby the radius of curvature of the supraglottic tube can be adjusted.

Abstract: According to various embodiments, a tracheal tube may employ optical sensing techniques for determining a distance between the inserted tube and an anatomical structure, such as a carina. The distance information may provide an indication as to whether or not the tracheal tube is properly placed within the trachea. The optical techniques may include backscattered intensity measurements.

Abstract: An intubation device is provided. An intubation device comprises a movable guide configured to guide an insertion of an endotracheal tube into a trachea of a patient, the guide having a guide extension and a guide tip; an external trachea identifier source external to the trachea and disposed on the patient during an intubation, wherein the trachea identifier source generates and transmits a signal; at least one trachea condition sensor disposed on the guide tip to detect the signal generated by the trachea identifier source; and a guide control device operatively coupled to the guide, the guide control device configured to move the guide into the trachea in response to the detected signal.

Abstract: According to various embodiments, a tracheal tube may employ optical sensing techniques for determining an orientation of the inserted tube in a subject. The orientation information may provide an indication as to whether or not the tracheal tube is properly placed within the trachea. The optical techniques may include interferometry.

Abstract: The present invention is directed to a novel device and method for providing a disposable endotracheal intubation device for use with an auxiliary passageway serving as a guide for the placement of an orogastric or other enterally directed device in a patient. The present invention pertains to a medical catheter device, removably attachable to an endotracheal tube, for guiding the path of an enteral tube into the esophagus of a patient. The catheter device preferably employs an adjustable clamp to fix the position of the catheter relative to the endotracheal tube. The present invention also pertains to a combination medical intubation device comprising an endotracheal tube and a catheter proximate the endotracheal tube to guide the path of an enteral tube. The present invention also pertains to a method of intubating a patient using this combination medical intubation device.

Abstract: An airway device for use with deep sedation has a pair of conduits, one to supply oxygenated gas and the other to extract exhaled gas. The conduits are encompassed in a permeable sleeve with a stylet to facilitate positioning of the device in the airway.

Abstract: A probe for medical use comprising a tube (1) and a cuff (3) located around the tube (1) in a region of its external wall, the cuff (3) being inflatable through a conduit (5) arranged at the wall of the tube (1), linking the interior of the tube (1) to the interior of the cuff (3), the inflation and deflation of the cuff (3) being determined by the rhythms of the inspiration and expiration of air, respectively.

Abstract: In one embodiment, an introducer has a round handle; a first curved, flattened (i.e., oval) section connected to the handle; a first straight, unflattened (i.e., circular) section connected to the first curved section; a second curved, flattened section connected to the first straight section; and a last straight, unflattened section connected to the second curved section. The curved, flattened sections allow the introducer to unbend in the anterior-posterior direction to enable a user to introduce a tube or other airway catheter into a surgical airway. The major axis of the oval sections is equal to the diameter of the circular sections, substantially preventing side-to-side bending of the introducer. A rounded distal end provides tactile feedback resulting from palpation of the patient's anterior tracheal rings to confirm proper insertion of the introducer, while tenting of the skin indicates improper insertion.

Abstract: A tracheal tube assembly includes an outer cannula configured to be positioned in a tracheal passageway and a first 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 a connector coupled to a proximal end of the outer cannula or of the first inner cannula. The outer cannula includes a length suitable for only minimally protruding outside of the tracheal passageway, if at all, to improve phonation.

Abstract: A detachable stylet assembly for endotracheal intubation of a patient is disclosed. The stylet comprises an elongated tube defining: a longitudinal axis, a proximal end for detachably mounting the stylet to a hand grip, and a distal end for entering the trachea of the patient. The tube comprises an articulation section adjacent the distal end adapted to curve into the trachea upon actuation. An actuator housing is mounted on and adjacent to the proximal end of the tube. An actuating assembly is constructed inside the actuator housing having connection means for engaging the hand grip. A control wire is mounted within the actuator housing and connected to the actuating assembly. The control wire extends through the tube to the distal end of the tube and is adapted to curve the articulation section upon actuation. The hand grip comprises a base handle and a trigger for manual actuation of the actuator assembly. The trigger comprises finger grooves for convenient gripping.

Abstract: A nasally inserted airway opening device with inflatable cuff is provided to treat obstructive sleep apnea. The airway opening device includes a hollow flexible tube extending between a proximal end and a distal end, and an inflatable cuff attached to the tube at or near the distal end. The inflatable cuff may be inflated and deflated via the tube. The inflatable cuff defines an interior through hole extending along the length thereof. When deflated, the inflatable cuff may be packed closely to the tube and may be inserted or removed through a nostril of a user. When inserted through the user's nostril and positioned in the user's oropharynx or naso-oropharynx and inflated, the inflatable cuff prevents soft tissue in the user's naso-oropharynx from collapsing toward the posterior pharyngeal wall while simultaneously allowing airflow through the through hole. A method for utilizing the airway opening device to prevent/treat sleep apnea is also provided.

Abstract: An endoscope (1) having a distal end being arranged to be inserted into a body cavity of a patient to be examined and a proximal end which is arranged to be held by a user of the endoscope. The endoscope further comprises a handle (2) arranged at the proximal end of the endoscope, an insertion portion (3) arranged at the distal end of the handle, a bending portion (4) arranged at the distal end of the insertion portion, and two control wires (40, 41) arranged between the handle and the bending portion, said control wires being used to control the bending of the bending portion via control inputs made at the handle.

Abstract: Bite blocks providing an instrument lumen 62 for use during transoral medical procedures may be made from a material having a Shore D hardness less than 60 for improved patient comfort. An air way lumen 64 may be provide in side by side arrangement to the instrument lumen 62 for maintaining the patient's airway. The air way 70 may have a concave guiding channel 72 for helping to guide the instruments down the esophagus.

Abstract: A guide adapted for facilitating insertion of a medical device into the trachea of a patient is disclosed. The guide includes an integral curved-shaped member having at least a first leg at one end of the guide. The curved-shaped member essentially includes an outside curved side defining a concave groove. A first angle is defined on the first leg configured and dimensioned to allow for at least the first leg to pass through the mouth and into the trachea of the patient. Insertion of the guide into the trachea allows for elevation of the tongue and surrounding soft tissue of the patient thereby forming an air space that allows for passage of a medical device.

Abstract: Intubation devices and method of intubation are provided for a medical provider to firmly hold an intubation stylet with the middle, the ring, and the little finger of one hand, point the tips of the intubation stylet and an endotracheal tube towards the opening of the trachea, and then advance the endotracheal tube over the stylet into the trachea with the index finger and the thumb of the same hand without an assistant to hold the stylet, while the user can use another hand to hold a laryngoscope to perform laryngoscopy to visualize the vocal cords during endotracheal intubation. The intubation device comprises a handle, a stylet holder, and an arm which is connected to both the stylet holder and the handle. The intubation device further includes a tube support, and a tube holder to further support the endotracheal tube.

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: Process and device for directly medicinally treating interior tissue during or after intubation of a patient by passing medicinal radiant energy transversely through the intubation device to irradiate the internal patient tissue for promoting healing or for an antimicrobial effect. The invention is useful in conjunction with endoscopies and catherizations, such as urinary catherization, gastric and pulmonary endoscopies, and the like procedures. The process and device can also provide liquid flow and/or vision.

Abstract: One embodiment of an oral airway comprised of two articulating parts which displace the tongue anteriorly and stent open the oropharynx. This device reversibly locks in a conformation which allows it to be used as a conduit for a fiberoptic scope or other airway device. An adjunct to airway management which can be used when mask ventilation or endotracheal intubation is indicated and can be removed easily after intubation without manipulation of the endotracheal tube. Other embodiments are described as shown.

Abstract: Various embodiments of mouthpieces for use during endoscopic procedures are disclosed herein. According to various embodiments, a mouthpiece may include a shield, a primary instrument channel, a bite block, an oxygen administration channel and a tongue depressor. The shield, bite block, oxygen administration channel and tongue depressor may be integrally formed.

Abstract: The invention relates to a blade for intubation devices, the blade comprising an elongated tongue with a proximal end and a distal end, a guiding part extending perpendicularly from an upper surface of the tongue and from the proximal end in direction of the distal end, whereas the tongue is made of metal or a combination of metal and plastics and the guiding part is made of plastics or a combination of plastics and metal.

Abstract: The invention relates to a laryngeal mask airway device (1) for insertion into patient to provide an airway passage to the patient's glottic opening, the device (1) including an airway tube (2), a mask (3) attached to the airway tube (2), the mask (3) including a body (4) having a distal end (5) and a proximal end (6), a peripheral inflatable cuff (7), and an outlet (8), the mask (3) being attached to the airway tube (2) for gaseous communication between the tube (2) and the outlet (8), the device (1) further including a structure to prevent occlusion of the outlet (8) by the patient's anatomy, the structure including a support (11), and a conduit (28a) to allow gas to flow out of the outlet (8), past the support.