Abstract: In accordance with the present invention, there is provided a mask, such as a nasal pillows mask, for achieving positive pressure mechanical ventilation (inclusive of CPAP, ventilator support, critical care ventilation, emergency applications. The mask of the present invention includes a piloted exhalation valve that is used to achieve the target pressures/flows to the patient. The pilot for the valve may be pneumatic and driven from the gas supply tubing from the ventilator. The mask of the present invention further includes a heat and moisture exchange (HME) device which is directly integrated into the housing or cushion thereof (thus residing in extremely close proximity to the patient's nostrils), and is further uniquely configured to induce a flow pattern between it and the cushion which maximizes the transmission of heat and moisture to air which is inhaled by and exhaled from the patient through the mask.

Abstract: A heat exchange apparatus (26) for condensing water from a flow of respiratory gas is disclosed. The apparatus (26) comprises a first portion having an inlet (28) and a second portion having an outlet (30), the inlet (28) and outlet (30) being connectable to a breathing system (10) and the first and second portions being arranged in flow series, wherein the first portion comprises a condenser (64) and the second portion comprises a heater (64) downstream of the condenser for increasing the temperature of the respiratory gas flow prior to the outlet (30).

Abstract: A device 10 for providing a breathing gas stream, which contains a therapeutically active substance, for the mechanical respiration and/or mechanical breathing assistance of a patient, wherein the device 10 has at least one first line 21, through which a first gas stream 31 flows during the operation of the device, and wherein the device 10 has at least one second line 22, wherein the first line 21 and the second line 22 have a common section 13, and wherein the first line 21 and the second line 22 are connected to one another by a water vapor-permeable membrane 24 in the area of the common flow section 13, the present invention provides for a second gas stream 32 to flow through the second line 22 during the operation of the device.

Abstract: A covering sheet for covering a skin adhesive surface of a device for holding a tracheostoma device over a tracheostoma of a patient may include a central/medial element for covering the central/medial part of the skin adhesive surface of the device. The covering sheet may include first and second elements arranged laterally of the central/medial element. Lateral peripheral borders of the central/medial element may be positioned adjacent medial peripheral borders of the first and second elements. The peripheral borders may be defined by division lines.

Abstract: An adaptor includes a housing and a plurality of blades disposed inside the housing. The adaptor can be utilized with a breathing assist device such as a Continuous Positive Airway Pressure (CPAP) machine. Air flowing through an air flow path defined by the two ends of the housing is delivered for use. The blades within the housing are aligned in a direction parallel to the air flow path. The blades within the housing can be parallel, zigzag or chevron shape and are designed to facilitate condensation of water from the air flowing over the blades. The adaptor will reduce rain-out effect in the breathing device.

Abstract: A breathing protector for use in a stoma of a laryngectomized or tracheotomised person is provided. This breathing protector is provided with an inlet and an outlet, such that an air flow in use will pass from the surroundings of said person through said inlet to said outlet, into trachea of said person. The breathing protector further comprises a heat-moisture exchanger (3) and a bacteriological filter (4), such that said air flow will pass through said heat-moisture exchanger and said bacteriological filter when said air flow in use passes through said inlet to said outlet. Also, the breathing protector is provided with a closing member (6) that may be activated to close the communication between said at least one inlet and said at least one outlet.

Abstract: A ventilation tube (20, 120, 220) is disclosed. The ventilation tube (20, 120, 220) comprises an inner wall (22, 122, 222) that defines a fluid passageway for 5 ventilation gases, an outer wall (24,124,224) that surrounds the inner wall (22, 122, 222) and has a greater thickness than the inner wall (22, 122, 222), a helical separator member (26, 126, 226) interposed between the inner and outer walls (22, 122, 222, 24, 124, 224) so as to define an insulation chamber between the inner and outer walls (22, 122, 222, 24, 124, 224), and a heating element (28, 128, 228) disposed within the insulation chamber.

Abstract: A system and method for delaying the start of the continuous positive air pressure therein making it easier for a user to fall asleep. The system delivers pressurized gas to the airway of a patient. The system has a gas flow generator for providing a flow of gas and a mask for delivery of gas flow to an airway of a patient. The mask has an exhaust port being continuously open and having suitable flow resistance for maintaining a pressure in the cavity. The mask has a breathing port adaptable to open when no flow of pressurized air for allowing free breathing by the user. A hose extends between the gas flow generator and the mask for providing a flow of gas. The system has a mechanism for turning the flow of gas on at a time distinct from turning on the apparatus.

Abstract: The invention relates to a pressure responsive respiratory valve apparatus for enabling positive pressure from a source of pressure to be applied to a user's airway, and allowing ingress of a breathable gas from an inlet port into a user's airway during inhalation and egress of expired tidal volume of air from the user's respiratory system to an exhalation port during exhalation. The invention minimises rebreathing of expired gas and optimizes delivery of pressurised breathable gas by venting gas only during exhalation, as well as addressing important user considerations including minimizing noise, pressure swine, and size.

Abstract: A heat and moisture exchanger configured to be located between a respiratory system of a patient and an anesthesia circuit connected to an anesthesia apparatus, or a respiratory circuit connected to a respirator for maintaining a temperature and humidity of an aspired gas required to a patient under anesthesia or artificial respiration comprises a heat storage carrier material, and a moisture absorption and release material added to the heat storage carrier material. In the heat and moisture exchanger, at least one of density of the heat storage carrier material, number of cells of the heat storage carrier material, and an added amount of the moisture absorption and release material in the heat storage carrier material is set to decrease from the patient side to the side of the anesthesia apparatus or the respirator, along a flow direction of a respiratory gas in the heat storage carrier material.

Abstract: A heat and moisture exchange unit for use with a patient breathing circuit. The unit includes a housing, an MDI port assembly and a heat and moisturizing medium. The housing forms a patient-side port, a ventilator-side port, and a containment region between the patient-side port and the ventilator-side port. The MDI port assembly includes a frame projecting into the containment region and configured to receive a portion of a metered dose dispenser. The frame terminates at an outlet end, forming a flow passage. The heat and moisturizing medium is maintained within the containment region so as to define a medium face most proximate the outlet end of the MDI port assembly. The unit is characterized by the absence of a body between the outlet end and the medium face.

Abstract: A respiratory component coupled with a breathing circuit, the respiratory component including at least one groove disposed upon a surface of the respiratory component, wherein the respiratory component is not a heater wire.

Abstract: Apparatus(10,226,326) for condensing water from respiratory gases, comprising a heat exchange component (20,234,334) having an inlet(22,228,328), an outlet (24,228,230) and a condensation chamber, the inlet and outlet (22,24,228,230,328,330) being connectable to a breathing system, such that respiratory gases are conveyed through the condensation chamber, in use, and a base unit (30,232,332) adapted to aid removal of heat from the walls of the heat exchange component(20,234,334), wherein the heat exchange component (20,234,334) is releasably engageable with the base unit(30,232,332), such that the heat exchange component (20,234,334) is replaceable.

Abstract: A breathing system for hyperthermic assisted radiation therapy includes at least one heating element that modulates the temperature of air inhaled by a patient, at least one cooling element that modulates the humidity of the air inhaled by a patient, and a controller that maintains the desired humidity and temperature.

Abstract: A breathing protector may include an inlet and an outlet, wherein an air flow may be configured to pass from the inlet to the outlet into a trachea. A filter housing may include an inner housing part, an outer housing part, and a filter body. The inner housing party may include the outlet, a tracheal tube fitting and a support structure extending longitudinally and distally from the tracheal tube fitting. A base plate may be arranged in a proximal zone of the tracheal tube fitting and extend radially outwards from the tracheal tube fitting. The outer housing part may include the inlet and form a cage enclosing the support structure. The filter body may be arranged between the support structure and the outer housing part.

Abstract: A headgear (200) for a respiratory mask (202) of a ventilator or CPAP device is provided. The headgear includes a strap portion (204, 206) formed of a substantially inextensible material. The strap portion has formed on one end thereof a connecting structure configured to connect to a mask of the ventilator or CPAP device. One advantage is that the mask will not or at least will be less inclined to lift off the face as mask pressure is increased.

Abstract: A patient interface system for delivering a gas to a patient includes a patient interface device that includes at least one inhalation valve and at least one exhalation valve. The system also includes a venturi device that has at least one port for connection to a gas source. The venturi device has at least one primary air entrainment window and at least one secondary air entrainment window which is downstream of the at least one primary air entrainment window. The inhalation valve is disposed between: (1) the main body and (2) the primary and secondary air entrainment windows of the venturi device. At least one of the primary air entrainment window and secondary air entrainment window includes a means for closing the respective window, thereby changing a degree at which the respective window is open and changing a flow rate of the air flowing through the respective window.

Abstract: The invention relates to a pressure responsive respiratory valve apparatus for enabling positive pressure from a source of pressure to be applied to a user's airway, and allowing ingress of a breathable gas from an inlet port into a user's airway during inhalation and egress of expired tidal volume of air from the user's respiratory system to an exhalation port during exhalation. The invention minimises rebreathing of expired gas and optimizes delivery of pressurised breathable gas by venting gas only during exhalation, as well as addressing important user considerations including minimizing noise, pressure swine, and size.

Abstract: According to various embodiments, a tracheal tube may include an integral humidification system. The tracheal tube may be formed at least partially from a material that is permeable to water vapor but substantially impermeable to respiratory gases. The water vapor may be actively provided to the tracheal tube or may be passively transferred from a patient's surrounding airway space.

Abstract: A heat and moisture exchanger of the present invention includes a casing defining a retaining space therein, and an air conditioning unit retained in the retaining space. The casing has a breathing port and an air flow unit that are adapted to communicate fluidly the retaining space, and an air valve unit that has an air hole formed in the casing, and that is adjustable from a closed state to an opened state.

Abstract: A system and method for delaying the start of the continuous positive air pressure therein making it easier for a user to fall asleep. The system delivers pressurized gas to the airway of a patient. The system has a gas flow generator for providing a flow of gas and a mask for delivery of gas flow to an airway of a patient. The mask has an exhaust port being continuously open and having suitable flow resistance for maintaining a pressure in the cavity. The mask has a breathing port adaptable to open when there is no flow of pressurized air for allowing free breathing by the user. A hose extends between the gas flow generator and the mask for providing a flow of gas. The system has a mechanism for turning the flow of gas on at a time distinct from turning on the apparatus.

Abstract: Embodiments of the present invention provide a nares mask and support apparatus (e.g., for use with a positive airway pressure therapy system) that may generate the desired mask retaining force while reducing or even eliminating the need for supplemental facial contact elements such as face-contacting straps or bands. The apparatus may include a first biasing element that biases a nares interface in a direction generally orthogonal to and towards the user's face. A second biasing element may bias the nares interface in a direction generally parallel to the face and towards the user's forehead. The biasing forces applied by the first and second biasing elements may thus produce a resultant force that biases the nares interface in a direction generally aligned with an axis of the nares.

Abstract: Closed system breathable gas regeneration systems comprising temperature swing adsorption (“TSA”) using metabolic regeneration, such systems being useful for EVA in extraterrestrial environments having hostile atmospheres.

Abstract: A tracheal coupling for interfacing between a patient and a gases source, the connector comprising a patient port (33) for connecting to the trachea interface/insert, an outlet port (36), and inlet port (31) between patient port and outlet port for receiving a flow of gases from the gases flow source, the connector restricting expiratory flow in use to produce PEEP of at least 1 cm H2O when flow to the inlet port is 50 litres per minute. A system or method for supplying gases to a patient using the connector is also disclosed. Flow restriction is implemented using an orifice that can be adjustable, jetting or turbulence induced by a directed flow nozzle (30). PEEP can also be varied by flow control of gas source.

Abstract: A heat and moisture exchanger (HME) device for respiratory therapy, the device comprising a housing defining a passageway for the flow of respiratory gas, where the housing can include a ventilator side port, a patient side port, a first pathway defined within the housing, and a second pathway defined within the housing, a medium located within the first pathway and a valve configured to selectably impede fluid flow through one of the first pathway and second pathway during use. The HME can further include a knob configured to position the valve. The housing can include a first sealing wall and a second sealing wall, where the valve is configured to abut the first sealing wall in a first valve position and to abut the second sealing wall in a second valve position.

Abstract: A breathing apparatus simulator unit (BASU) comprises a mouthpiece/noseclip subassembly and a cartridge subassembly. The mouthpiece/noseclip subassembly includes the same mouthpiece/noseclip subassembly that is utilized in an actual self-contained self-rescuer (SCSR) device. The cartridge subassembly comprises a container containing a reactionary material. The reactionary material reacts with at least one product of a user's exhalation to generate heat and resistance, thereby providing sensations to simulate the use of an actual SCSR.

Abstract: In accordance with the present invention, there is provided a mask for achieving positive pressure mechanical ventilation (inclusive of CPAP, ventilator support, critical care ventilation, emergency applications), and a method for a operating a ventilation system including such mask. The mask of the present invention includes a piloted exhalation valve that is used to achieve the target pressures/flows to the patient. The pilot for the valve may be pneumatic and driven from the gas supply tubing from the ventilator. The pilot may also be a preset pressure derived in the mask, a separate pneumatic line from the ventilator, or an electro-mechanical control. The mask of the present invention may further include a heat and moisture exchanger (HME) which is integrated therein.

Abstract: In accordance with the present invention, there is provided a mask for achieving positive pressure mechanical ventilation (inclusive of CPAP, ventilator support, critical care ventilation, emergency applications), and a method for a operating a ventilation system including such mask. The mask of the present invention includes a piloted exhalation valve that is used to achieve the target pressures/flows to the patient. The pilot for the valve may be pneumatic and driven from the gas supply tubing from the ventilator. The pilot may also be a preset pressure derived in the mask, a separate pneumatic line from the ventilator, or an electro-mechanical control. The mask of the present invention may further include a heat and moisture exchanger (HME) which is integrated therein.

Abstract: An inline vaporizer disposed in a carrier gas line vaporizes a fluid and adds such vaporized fluid to a carrier gas that flows within the carrier gas line. The vaporizer includes a reservoir or wick that transfers a fluid to a vaporizing element that is adjacent to the reservoir or wick. The vaporizer releases a vapor into the carrier gas line so that the carrier gas flows past the vaporizer to form a vapor and carrier gas mixture.

Abstract: A continuous positive airway pressure (CPAP) system provides positive airway pressure therapy. It has been recognized that users generally prefer to breathe freely rather than to fight the pressurized air when possible. A continuous positive airway pressure (CPAP) system provides positive airway pressure therapy when required, but allows the user to breathe freely with the mask on when positive airway pressure is not required. The system has a valve that moves between two positions to open and close the unassisted breathing vent and the outlet from the flow generator.

Abstract: A gas delivery system that provides positive airway pressure therapy. A mask couples to a patient's face to deliver pressurized gas to an airway of the patient. The mask includes a flow generator system disposed on the mask and that pressurizes the gas, the flow generator including at least one motor. A controller controls the at least one motor.

Abstract: The apparatus is equipped with cover unit (1) fixed to a head portion of worker so as to cover at least the regions of nose and mouth of the worker, the cover unit capable of trapping the worker's breath. The cover unit has an exhaust opening and an air supply opening. Further, the apparatus is equipped with moisture recycle unit (2) fitted to the worker so as to simultaneously carry out the two processes consisting of the adsorption process of introducing moist air, effecting adsorption of the water contained in the air on an adsorbent and emitting dry air and the regeneration process of introducing dry air, effecting evaporation of the water adsorbed on the adsorbent into the dry air and emitting moist air. Still further, the apparatus is equipped with exhaust hose (3) connecting the exhaust opening of the cover unit to the moisture recycle unit and with air supply hose (4) connecting the moisture recycle unit to the air supply opening of the cover unit.

Abstract: A device (FV) for filtering breathing gas has a housing (G) with a gas inlet (GE), a gas outlet (GA) and a filter (F), which is arranged in a first housing section (G1) formed between the gas inlet (GE) and the gas outlet (GA). The housing (G) has a second housing section (G2) gas-tightly separated from the first housing section (G1) with at least one first wall (W1, W2, W3), which establishes a thermal contact with a wall (W1, W2, W3) of the first housing section (G1). The second housing section (G2) has an opening on an outer side of the housing (G).

Abstract: A filter assembly for use in sidestream gas sampling assembly. The filter assembly of the present invention includes a hydrophilic. The filter further includes a Hydrophobic member positioned downstream of the hydrophilic liner. The hydrophobic disk acts as a second line of defense against moisture reaching the sensing mechanism member that is constructed from a porous material and is situated such that gas entering the filter assembly passes through at least a portion the hydrophilic member. In a further embodiment, the filter includes a hydrophobic member positioned downstream of the hydrophilic member. The hydrophobic member acts as a second line of defense against moisture reaching the sensing mechanism in the gas sampling assembly.

Abstract: A method for humidifying gas in a ventilator circuit 100, 101, 102, 105, 106 comprises aerosolising a humidifying agent such as water or saline using an aerosol generator 2 and delivering the aerosolised humidifying agent to the inspiration line 101 of the ventilator circuit coupled to the respiratory system of a patient. The aerosol generator 2 comprises a vibratable member 40 having a plurality of apertures extending between a first surface and a second surface. A controller 3 controls the operation of aerosol generator 2, for example in response to the flow of air in the inspiration line 101 as detected by a sensor 11.

Abstract: In order to control the amount of evaporation of discharged agent droplets and so that a user can inhale agent droplets having a constant diameter regardless of use environment, an inhalation apparatus includes an airflow path communicating with a suction port through which the user inhales an agent, an agent discharging portion configured to discharge an agent supplied to the airflow path, and a humidifier located outside the airflow path and configured to humidify an airflow in the airflow path generated by an inhalation of the user.

Abstract: A heat moisture exchange device received on a speaking tube mounted on an end of a tracheotomy tube. The heat moisture exchange device has a housing in which the air moves in a turbulent manner and passes through a heat moisture exchange filter.

Abstract: The present inventions provide positive airway pressure therapy apparatus to humidify the pressurized air delivered to a user during various positive airway pressure therapies and corresponding methods. The positive airway pressure therapy apparatus may be configured to administer one or more positive airway pressure therapies, including: continuous positive airway pressure therapy (CPAP), bi-level positive airway pressure therapy (BPAP), auto positive airway pressure therapy (autoPAP), proportional positive airway pressure therapy (PPAP), and/or other positive airway pressure therapies.

Abstract: A device for detecting the relative humidity in a respiratory circuit is provided which includes a housing closed towards the outside by a transparent element, and towards the inside by a membrane permeable to the humidified gas passing through the equipment to which the device is applied and wherein the housing includes a humidity indicator element.

Abstract: A conduit for a breathing circuit includes a heater associated, at least in part, with a hydrophilic layer. The purpose of the heater is to evaporate any condensed liquid collecting in the conduit, which is first sucked up by the hydrophilic layer. The heated wick reduces the risk of collected water being passed to the patient and causing choking fits or discomfit. It is preferred that the heated wick lies freely in the conduit to settle at low points in the conduit where condensation may collect.

Abstract: In order to prevent tainting of a cougher's hand with germs, the product from a cough is carried in contact with a germicide inside a hollow article, and is vented out of the hollow article, in directions away from the user's face and hand holding the article. More specifically, the cough catcher has a hollow region for accepting the product from a cough therein. This hollow region has a filter element containing a germicide mounted therein, and a series of channels formed between the filter element and a bottom surface of the hollow region. The channels communicate with vent ports around a rim portion of the cough catcher. The vent ports are oriented away from both the mouth opening and the outside surface of the cough catcher for conveying the product from a cough away from both the face and the hand of a user.

Abstract: A method of conveying humid breathing gases from a patient through a breathable breathing tube. The breathing tube includes a heater associated, at least in part, with a portion of hydrophilic material. The purpose of the heater is to evaporate any condensed liquid collecting in the conduit, which is first sucked up by the hydrophilic material. The heated wick reduces the risk of collected water being passed to the patient and causing choking fits or discomfit. It is preferred that the heated wick lies freely in the conduit to settle at low points in the conduit where condensation may collect.

Abstract: An inline vaporizer disposed in a carrier gas line vaporizes a fluid and adds such vaporized fluid to a carrier gas that flows within the carrier gas line. The vaporizer includes a reservoir or wick that transfers a fluid to a vaporizing element that is adjacent to the reservoir or wick. The vaporizer releases a vapor into the carrier gas line so that the carrier gas flows past the vaporizer to form a vapor and carrier gas mixture.

Abstract: A heat and moisture exchanger for both conducting a stream of air produced by a ventilator to a moisturizing medium and internally bypassing the moisturizing medium if aerosolized medication is introduced into the stream includes a housing having a ventilator-side port coupled to an outlet of a ventilator and a source of aerosolized medication. The housing has a patient-side port for coupling to a patient to provide ventilation including either air or air carrying aerosolized medication. A first path conducts air from the ventilator-side port through the moisturizing medium and the patient-side port, and a second path conducts air carrying aerosolized medication from the ventilator-side port directly to the patient-side port. A two-way valve mechanism in the housing selectively couples the ventilator-side port into fluid communication with one or the other of the first and second paths.

Abstract: There is provided a moisture indicator for a heat and moisture exchange (HME) device that uses a pre-colorant and an activator applied to an inner surface of the HME device. The colorant undergoes a color change of Delta E (?E) of equal to or greater than 3 units upon exposure to moisture but not upon exposure to high humidity. The colorant is visually obvious to the unaided human eye under normal light conditions through the body of the device. The HME device with the visual indicator for moisture can indicate to the care-giver that it is time to change the HME device.

Abstract: A medical breathing assistance apparatus (20) for supplying pressurised gases to a patient is disclosed. The breathing assistance apparatus (20) comprises a heating chamber (29) and a pressure chamber (27) both adapted to contain water, and at least one pressure adjusting means (24,25,26). The pressure chamber (27) is connected to the heating chamber (29) and the pressure adjusting means (24,25,26) is located between the heating chamber (29) and a gases supplying means (23) supplying gas to both the pressure chamber (27) and heating chamber (29). The pressure adjusting means (24,25,26) is adapted to convert pressurised gases from the gases supply means (23) to two different pressures, one to each of the heating chamber (29) and the pressure chamber (27), so that water flows from said pressure chamber (27) to the heating chamber (29).

Abstract: A heater unit includes power failure management to detect disruptions in the electrical power supply, such as the AC supply, for the unit. The heater unit emits an audible alarm in response to detection of such a disruption, and may shut down the heater(s) and visuals display(s). The heater unit advantageously includes a power storage device, such as a super-capacitor, to temporarily power the electronic circuitry of the heater unit. Operating parameters, such as of a processor of the electronic circuitry, may be stored in a non-volatile memory response to the disruption, and recalled if the disruption terminates before the level of power has gotten too low to sustain reliable operation of the processor.

Abstract: A heat exchange module comprising a number of substantially parallel and spaced apart heat exchange elements is provided. One or more surfaces of the heat exchange elements may be coated with a dessicant. The module can be manufactured so that first and second surfaces of the module are curved. The module may be used as part of a face mask or other garment that positions the module within the respiratory air stream of a user. The module may be inserted in a mesh sleeve provided as part of the garment. The module may also be used as part of other forms of clothing that protect the face and in protective helmets, or as part of outdoor or survival equipment.

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

Abstract: A disposable active humidifier for the mechanical ventilation of a patient, which has the particularity that it comprises a cartridge which forms a humidification chamber which is delimited by an inlet and by an outlet and can be interposed in the ventilation circuit. The cartridge has an interspace which is externally delimited by a heat exchange surface and is internally delimited by a hydrophobic membrane which surrounds the humidification chamber. A humidification fluid, originating from a bottle or bag, can be introduced in the interspace.