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: A tracheostomy tube has an inner skeletal frame (40) of a relatively stiff plastics material having a longitudinal spine (45) and several annular ribs (42) extending around the frame. A thin, flexible plastics sheath (41) is bonded to the outside of the frame (40). The construction enables a maximum internal diameter with a minimum external diameter.

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.

Abstract: An extendable Intubation stylet including a handle member and a trigger mechanism moveable relative to the handle member between a retracted position and an extended position. A hollow semi-rigid stylet member extends from the handle member from a proximal end to a distal end. A flexible stylet member has a proximal end and a distal end and extends through the semi-rigid stylet member with the proximal end of the flexible stylet member connected with the trigger mechanism and configured such that when the trigger mechanism is in the retracted position, the flexible stylet member distal end is proximate the semi-rigid stylet member distal end and when the trigger mechanism is in the extended position, the flexible stylet member distal end is extended from the semi-rigid stylet member distal end.

Abstract: A laryngeal mask airway device for insertion into a patient to provide an airway passage to the patient's glottic opening. The device includes an airway tube, a mask attached to the airway tube, a peripheral inflatable cuff, and an outlet for gas. The mask is attached to the airway tube for gaseous communication between the tube and an outlet. The device further includes an oesophageal drain that includes a conduit that extends from an inlet at the distal end of the mask to an outlet disposed outside the patient when the device is in place. The conduit includes a mask section and airway tube section, wherein the mask section is formed integrally in the material of the body of the mask.

Abstract: An air-operated speech aid that includes a cover cup, a tube, a sound guide tube, a gasket, and an internal tube. The cover cup of the speech aid is provided with a breathing hole, and a side of the breathing hole is clasped into a soft air gate. One end of the sound guide tube is encased in a sleeve or a mask type cover member.

Abstract: According to a preferred embodiment of the present invention there is provided a bite block assembly adapted for capnography and oxygen delivery to a subject, the bite block assembly (50) including a first capnography passageway adapted for passage therethrough of exhaled breath from the subject to a capnograph and a second oxygen delivery passageway, separate from the first passageway, adapted for passage therethrough of oxygen from an oxygen source to the mouth of the subject.

Abstract: The self-cleaning and sterilizing medical tube may include a combination of an endotracheal tube or a tracheostomy tube and a suction catheter that decreases the tendency of mucus and bacteria to adhere to the inner surfaces of the thereof. The medical tube may have a hydrophobic surface exhibiting the lotus effect, which may be formed either by femtosecond laser etching or by a coating of poly (ethylene oxide). Alternatively, the medical tube may be formed with a photocatalyst incorporated therein or have a lumen coated with a photocatalyst. The medical tube may also have a light source and a fiberoptic bundle mounted thereon, the optical fibers extending into the lumen to illuminate the photocatalyst.

Abstract: Tracheal assembly devices include: (a) a mouthpiece sized and configured to allow an endotracheal tube to extend outwardly therefrom; and (b) a cutting blade in communication with an outwardly facing portion of the mouthpiece. The mouthpiece can include at least one outwardly projecting substantially rigid short tube defining an open channel. The short tube can be configured to allow the endotracheal tube to slidably move therethrough. The cutting blade may be held in a handle releasably attached to the short tube.

Abstract: An extendable lighted intubation stylet enables a clinician or emergency medical personnel to introduce a breathing tube into a person's trachea. The extendable lighted intubation stylet includes a handle, a switch, a sheath, an extension member, and a light source. The extension member can be extended or retracted relative to the sheath thereby increasing or decreasing the length of the extendable lighted intubation stylet. The light source provides for superior visualization of the airway compared to a standard laryngoscope bulb. In its extended configuration, the extendable intubation stylet is immediately available in the case of an unanticipated difficult airway and can be used as a bougie. The extendable stylet is lightweight and convenient because it can be folded and placed in a pocket or in a space critical location such as a field kit or portable airway bag.

Abstract: There is provided herein methods, apparatus and systems for evaluating carbon dioxide (CO2) concentration in a subject's breath, for example in subjects ventilated with High Frequency Ventilation (HFV), the method includes inserting to a trachea of a subject an endotrachial tube (ETT), sampling breath from an area in the trachea located in proximity to a distal end of the endotrachial tube (ETT) and evaluating one or more CO2 related parameters of the sampled breath.

Abstract: A face mask that may be used for bag-mask ventilation, during the induction of general anesthesia for example, and allows for two-handed or ambidextrous use. The face mask includes a dome connected to a deformable rim, which forms an enclosed air space when the rim is pressed against a patient's face. The dome has a connection port and a contoured outer surface adjacent the connection port. The contoured outer surface includes contour features such as a pair of crossed composite recesses which may each receive a different one of a user's thumbs. The connection port is aligned with the patient's mouth when the mask is in use and an adapter may be included that attaches to the connection port and provides a ventilation port as well as an intubation port that is aligned with the mouth.

Abstract: An intubation device having a main body portion defining a first longitudinal axis, a distal tip portion coupled to the main body portion and defining a second longitudinal axis, and a deflection system having a single drive member extending within at least the distal tip portion and coupled thereto. The deflection system is operable to exert a tensile force upon the distal tip portion to articulate the distal tip portion relative to the main body portion between a resting position and a positive incline position and a negative incline position.

Abstract: A device for supporting a tracheal tube during tracheal intubation. The device is applied to the blade of a laryngoscope, or similar instrument. It includes one or more planar elements, each element having a profile adapted to the curvature of the blade a the location in which it is placed. On command, each element protrudes out from the blade through a longitudinal groove, in order to create one or more fixed transversal walls. Once the walls are created, the tracheal tube is then inserted into the laryngoscope and its far end is moved across the walls, and towards the trachea of the patient. The device also includes a set of mechanical gears that are controlled by a sliding button such that moving the button from a back position to a front position moves each of the planar elements from the position within the blade to the protruding position.

Abstract: A closed automated suction device (CASD) is described. The device is designed to overcome the need for manual suction and to facilitate strict asepsis in patients who are endotracheally intubated or tracheostomied. The device includes an outer tube with an inner tube concentrically nested within to define a cavity therebetween. The inner tube comprises a passage extended therethrough for providing ventilation, and the cavity between the inner and outer tubes is configured for communication with a vacuum source to provide aspiration.

Abstract: A flexible articulating style for an endotracheal tube is provided with a ratchet mechanism whereby to selectively set and maintain a desired curvature of the style, and hence the tube, so that the intubationist may hold the stylet-curved tube with a pencil-like grip at its mid-section for optimal control during intubation.

Abstract: One aspect of the present disclosure relates to a reversible airway device that includes a tubular guide, a laryngeal mask, an endotracheal tube, and a sealing mechanism. The tubular guide can have a distal end portion, a proximal end portion, and a first passageway extending between the distal and proximal end portions. The laryngeal mask can be attached to the distal end portion of the tubular guide. The laryngeal mask can include an opening in fluid communication with the first passageway. The endotracheal tube can be slidably disposed within the first passageway and have a second passageway that is concentric with the first passageway. The sealing mechanism can be disposed within the first passageway and be configured to occlude the flow of a gas through the first passageway.

Abstract: This invention relates to medical treatment and monitoring of a living body, and more particularly to a multipurpose apparatus and method for measuring a living body's respiratory airflow, analyzing the composition of a gas exhaled by a living body and/or insufflating a treating gas into the living body.

Abstract: An inexpensive, endo-tracheal intubation device is disclosed. Methods of making and using the inexpensive, endo-tracheal intubation device are also disclosed.

Abstract: A shared bite block is disclosed which can be employed to simultaneously establish a viable airway for a patient, while providing surgical access to the esophagus of the patient. Structurally, the device includes a hollow, tubular shaped body portion that is formed as a sidewall with open ends. The sidewall surrounds an interior space and a partition extends across the interior space to divide the space and establish a hole and a guideway. A pair of extensions is each attached to the proximal end of the body portion and a flange is formed at the distal end of the body portion. In use, the patient bites down on the body portion between the extensions and the flange. An airway tube can then be inserted into the guideway of the body portion. Unobstructed surgical access into the esophagus is established through the hole of the body portion of the device.

Abstract: A laryngeal mask is provided with an outer tube and a connector, having a base end in which is formed a first connecting portion capable of being connected to an artificial respirator and a leading end in which is formed a ventilation opening, the outer tube and the connector having a communication passage formed therein that communicates between the first connecting portion and the ventilation opening, a ring-shaped cuff capable of tightly adhering to a tracheal opening of a patient trachea as a result of inflating in a state where the ring-shaped cuff is inserted to a predetermined insertion position, and hyoid bone-contacting portions and protruding laterally from the outer tube so as to contact from above a site in a pharyngeal portion of the patient corresponding to a hyoid bone of the patient in a state where the ring-shaped cuff is inserted to the insertion position.

Abstract: The present invention discloses a medical oral airway instrument. A bite portion of the oral airway instrument is provided with a soft pad piece made by soft plastic, soft rubber or soft silicon of medical use. The soft pad piece can be a soft washer or two cushions, allowing a patient to feel more uncomfortable and protecting the patient's teeth from injury, when the patient bites at the soft pad piece of the oral airway instrument.

Abstract: An emergency ventilation apparatus, system, and method for providing ventilation to patients in emergency situations, the system comprising an angled laryngoscope handle and a ventilation-aid securement device. The handle is configured to hold a laryngoscope blade between approximately twenty and forty degrees relative to a lower portion of the handle for more effective intubation of patients. The securement device fits atop a portion of a ventilating mask and is adjustably secured to the patient fitted with the mask by an adjustable strap or similar device. The securement device fits flexibly over the mask providing a seal between the mask and the patient's face. A version of the securement device includes a thumbscrew for engaging with the mask to secure it. Another version of the securement device is further capable of securing an endotracheal tube to a patient using a thumbscrew to advance a retaining arm for engaging the tube.

Abstract: An open system provides breath-synchronized, flow-targeted ventilation to augment respiration by a self-breathing patient. A sensor detects a physical property of a patient's respiratory cycle. A processor monitors the sensor and controls a gas source to deliver oxygen-containing gas through a tube extending into the patient's airway with the flow rate varying over each respiratory cycle in a predetermined non-constant waveform synchronized with the respiratory cycle to augment the patient's spontaneous respiration. Gas is delivered at a flow rate sufficient to significantly mitigate the airway pressure the patient must generate during spontaneous breathing and thereby reduce the patient's work of breathing.

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 inner cannula includes a compressible proximal end region that is compressed while secured inside the outer cannula connector.

Abstract: According to certain example embodiments of this invention, there is provided an apparatus for treatment of a patient with both sleep-disordered breathing and diabetes. A PAP device may be configured to provide a supply of pressurized breathable gas. At least one glycemia sensor also may be provided. A controller may be operable to receive a signal from the at least one glycemia detector and may be further operable to analyze the signal for an indication of a glycemia abnormality (e.g., hypoglycemia, hyperglycemia, diabetic coma, etc.). Optionally, when the signal indicates that the patient is experiencing a diabetic event, an alert may be generated and/or a drug delivery unit may administer an appropriate treatment to the patient.

Abstract: An oropharyngeal device for assisting oral ventilation of a patient is disclosed. The device comprises a pharyngeal section configured to engage the tongue of the patient and a bite block connected to the pharyngeal section. The bite block includes a proximate maxillary surface configured to engage at least a portion of the maxilla of the patient. The bite block further includes a maxillary flange adjacent the proximate maxillary surface that is configured to engage the upper lip of the patent. The bite block further includes a mandibular surface opposite the proximate maxillary surface. At least a portion of the mandibular surface opposite the maxillary flange is configured to engage at least a portion of the mandible of the patient.

Abstract: A patient interface system for delivery of a supply of air at positive pressure to the entrance of a patient's airways for treatment of sleep disordered breathing includes an air delivery tube connected to a flexible portion of a plenum; a vent structure having sufficient rigidity to support its own weight under gravity and/or not to block or fold under tube movement or tube drag; and a patient interface structure. The patient interface structure includes a seal forming structure arranged on a top portion of the plenum; and a seal positioning and stabilizing structure connected to a flexible portion of the plenum. The seal-forming structure is substantially decoupled from a tube drag force.

Abstract: The present invention provides an intubation device including a nasal endotracheal tube having a proximal, relative to a person inserting the nasal endotracheal tube, end and a distal end; and an introducer including an elongated member having a proximal open end and a distal blunt end, the introducer proximal open end including a hollow mouth having sidewalls for receiving and holding the distal end of the endotracheal tube. The dilator/introducer is simply a tube, solid or hollow having a hollow proximal end that will hold a distal end of a nasal endotracheal tube in place. It will act as a dilator, and once the distal end of the endotracheal tube is past the nasopharynx and is visualized in the oropharynx, the “dilator” is removed and typically discarded. A method of use of the intubation device is also disclosed.

Abstract: A nasal cannula for supplying a respiratory gas to a patient and a method of treating a patient with sleep disorder. The nasal cannula comprises a pair of spaced apart supply lines which each have a head at one end thereof with a discharge opening located therein. The opposite end of each supply line is connectable to a high flow respiratory gas source. Each head is sized to be snugly received and retained within one of the nasal cavities of the patient while forming a sufficient leakage passage, between a portion of inwardly facing nasal cavity skin of a patient and a portion of an exterior surface of the head, to facilitate exhausting of any excess respiratory gas supplied to the patient through the leakage passage and also facilitate inhalation of any room air required in excess of the respiratory gas to be supplied to the patient.

Abstract: Spontaneous respiration is detected by sensors. An additional amount of oxygen is administered to the lungs via a jet gas current at the end of an inhalation procedure. Breathing volume, absorption of oxygen during inhalation, and clearance of carbon dioxide during exhalation are improved. If required, the exhalation procedure of the patient can be arrested or slowed by a countercurrent to avoid a collapse of the respiration paths. An apparatus including an oxygen pump can be connected to an oxygen source and includes a tracheal prosthesis that can be connected via a catheter. The respiration detections sensors are connected to a control unit for activating the oxygen pump. The tracheal prosthesis includes a tubular support body with a connection for the catheter, and the sensors are associated with the support body. The tracheal prosthesis and jet catheter are dimensioned so the patient can freely breathe and speak without restriction.

Abstract: A tracheal tube assembly includes an outer cannula having a distal end and a proximal end, the distal end being adapted to be inserted into an airway of a patient. The assembly also includes an inner cannula adapted to be inserted into the outer cannula, a flange member disposed about the proximal end of the outer cannula, and a connector coupled to the proximal end of the outer cannula. The inner cannula and the connector form a contiguous passageway for exchanging fluid with the airway of the patient in operation. The assembly further includes an inner cannula status indication system that receives information regarding whether or not the inner cannula is an operable position with respect to the outer cannula, and, via the status indicator, provides a visual indication of whether or not the inner cannula is an operable position with respect to the outer cannula.

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 patient interface for communicating fluids to and/or from a patient's nasal cavity and/or oral cavity is disclosed. In addition, a patient interface for fluid and physiological function monitoring proximate to the patient's nasal cavity and/or oral cavity is disclosed. An apnea monitor and a method for monitoring apnea are also disclosed.

Abstract: A device for preventing aspirated substance from going inside lungs of a patient and enabling speaking. The device comprises an outer tube, an inner tube, an inner tube opening in the inner tube to allow air to travel from the inner tube to the outer tube, an outer tube opening in the outer tube to allow air to escape out of the device, a valve disposed on the outer tube opening, which allows the air to escape out of the device to the trachea of the patient while exhaling, such that the valve closes by gravity and prevents any material to go inside the device from the outer tube opening and a inflatable cuff disposed around the inner end of the outer tube.

Abstract: A laryngeal implant for treating glottic insufficiency includes a displacement member positionable in a larynx such that at least a portion of the displacement member is disposed between thyroid cartilage and a vocal fold of the larynx. The displacement member is at least one of selectively adjustable in volume and selectively adjustable in compressibility when the displacement member is positioned in the larynx to selectively position the vocal fold in a medial displacement position.

Abstract: There is provided a balloon cuffed tracheostomy tube with a balloon designed so as to enhance the tube's anchorability without sealing the tracheal stoma. The tracheostomy tube device includes a conventional curved hollow tube. The distal end of the tube is adapted for insertion through a tracheal stoma and into the tracheal lumen of a patient's throat. The device further includes an inflatable balloon enveloping a portion of the tube. The balloon has a distal portion substantially centered about and attached to the distal end portion of the tube. The balloon also has a proximal portion attached to the bend region of the tube and positioned substantially off-center relative to the proximal portion of the tube and about the bend region below the proximal plane of the device.

Abstract: A device particularly suitable as a support to the procedure of tracheal intubation, preferably embedded in a blade of a laryngoscope or similar instruments, and having two sets of flexible magnetic elements. The first set of magnetic elements being free to move forward or backward, under control of an operator, along the longitudinal direction of an operative channel belonging to the same device. The second set of magnetic elements is inserted in an endotracheal tube. The sets are aligned such that they have opposite polarity, whereby they can be used to guide and route the endotracheal tube.

Abstract: A locking device is disclosed for use with a resilient flexible endostomal tracheostoma button. Commonly used trachostoma buttons include a retaining lip situated at one end of a cylindrical portion that is insertable into the stoma of the patient and serves to retain the button in position in the stoma. The locking device invention is a hollow cylindrical tube that is removably inserted into the tracheostoma button after insertion of the tracheostoma button into the patient's stoma. One end of the locking device includes an insertion stop radial protrusion for proper positioning of the locking device within the button. The locking device internally supports the walls and retaining lip of the tracheostoma button and substantially increases the retaining force of the lip, thereby reducing awkward ejection of the tracheostoma tube, such as during patient coughing.

Abstract: An intubation guide for guiding, positioning and/or insertion of e.g. an endotracheal tube in a patients trachea, and where the intubation guide comprises a relatively flexible guide extending from the distal end of a relatively stiff positioning handle having a curved section between its distal and proximal end, wherein the guide element forms a scoop shaped guide in extension of the positioning handle, and in that the positioning handle comprises an intubation channel extending along the positioning handle, and having a first end near the proximal end of the positioning handle, and the other end at the distal end near the guide scoop.

Abstract: An airway device is provided for opening a patient's airway. 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. 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. An airway assist device may be used with the airway device for properly positioning the patient's tongue is also disclosed. The airway assist device is inserted into the patient's vallecula to manipulate the patient's tongue.

Abstract: According to various embodiments, a tracheal tube may include a pressure monitoring lumen configured to sample the gases in the tracheal space. The pressure monitoring lumen may be in fluid communication with a pressure transducer that provides pressure measurements. An opening of the lumen may be covered with a porous membrane that allow gas to diffuse freely in and out of the lumen, but that prevents secretions from clogging the lumen.

Abstract: A nasal delivery device for and a method of delivering a substance to a nasal cavity of a subject, the delivery device comprising: a delivery unit for delivering a flow entraining a substance to one nostril of a subject, the delivery unit including a nosepiece for fitting to a nostril of the subject; and a flow resistor unit for fitting to the other nostril of the subject, the flow resistor unit including a progressive resistor for progressively providing an increasing flow resistance to the delivered flow.

Abstract: A larynx mask (1) includes a cover plate (12) having a peripheral cull (13) adjoining thereon and is provided with a tube insertion connector (11) at the proximal end, while the tip (4) has a special design at the distal end. The cover plate 12 ends in the region of the tip on the cuff, or even before that, and the esophageal passage (18) runs as an open channel (20) over a constricted region (13?) of the cuff (13). Said channel preferably includes a widening (22) and is delimited on both sides by reinforcement means (21), which are preferably formed by reinforcing walls (21?) or additionally as reinforcing ribs (21?). Said design of the lead-through of the esophageal passage results in a considerable reinforcement of the proximal tip of the larynx mask and therefore counteracts possible kinking of the tip (4).

Abstract: A method of manufacturing more than one inflatable cuff per blow molding operation is provided. The method includes using two or more molds arranged in series and/or in parallel to simultaneously form two or more cuffs. The two or more cuffs may then be used in the manufacture of two or more respective endotracheal tubes. Apparatuses and systems for simultaneously forming the two or more cuffs are also provided.