Abstract: A gas conditioning unit for a surgical gas delivery device is disclosed, which includes a filter housing having an insufflation gas flow path for delivering insufflation gas to a body cavity and for facilitating pressure measurements from the body cavity, a pressurized gas flow path for delivering pressurized gas from a pump in the surgical gas delivery device to an internal nozzle in the filter housing that accelerates the pressurized gas and thereby generates a continuous pressure barrier that inhibits egress of insufflation gas from the body cavity, a vacuum return flow path for returning depressurized gas spent by the internal nozzle back to the pump under vacuum, an air entrainment flow path for drawing air into the body cavity to maintain a given pressure therein, and a smoke evacuation flow path for conveying smoke from the body cavity.

Abstract: Leakage components are described herein. The leakage component includes a first tubing housing and a plurality of leakage ports. The first tubular housing defines a first flow path between a first end portion and a second end portion. The plurality of leakage ports are formed in the first housing and in fluid communication with the first flow path. The fluid flow through the plurality of leakage ports is configured to entrain ambient air into the fluid flow exiting the plurality of leakage ports to decelerate the fluid flow.

Abstract: A system for supporting pulmonary gas exchange in patients and for coupling to a ventilating system or for use in the case of non-ventilated patients, which has a flexible hose introducible into the trachea of a patient, a pump unit, a reservoir unit and a controller such that via the flexible hose and by means of the pump unit it is possible to regulate aspiration, especially end-expiratory aspiration, and recirculation, especially end-inspiratory recirculation, of the aspirated gas. In order that the system can be operated independently of a ventilating system, the system has a sensor.

Abstract: An nCPAP device for assisting patient breathing includes a generator body forming an inlet, a chamber, and first and second flow circuits. The chamber directs pressurized gas from the inlet to the flow circuits. The flow circuits each include a nozzle, a channel, and at least one port. The nozzle emits a jet stream into the channel in a direction of a patient side thereof. The port fluidly connects the channel to ambient, and promotes entrainment of ambient air with the jet stream. In some embodiments, the channel forms a ramp feature directing exhaled air toward the jet stream in an angular fashion. The generator body requires reduced driving pressures to achieve target CPAP levels and reduces total imposed WOB as compared to conventional designs.

Abstract: A command and control assembly for inflating and deflating a hydrostatic balancing jacket includes a primary supply duct connected to an end of an air chamber of the jacket and provided, at the opposite end, with a hand piece having a mouthpiece device. A connection socket is provided on the hand piece, which is in fluid communication with a secondary supply duct connected to a compressed air tank, and a pneumatic actuation duct actuates a discharge valve of the jacket, which is in fluid communication with the secondary supply duct. Control systems of the delivery from the secondary duct, of the delivery to the pneumatic actuation duct, and of the delivery from the mouthpiece are arranged on the hand piece.

Abstract: A gas conditioning unit for a surgical gas delivery device is disclosed, which includes a filter housing having an insufflation gas flow path for delivering insufflation gas to a body cavity and for facilitating pressure measurements from the body cavity, a pressurized gas flow path for delivering pressurized gas from a pump in the surgical gas delivery device to an internal nozzle in the filter housing that accelerates the pressurized gas and thereby generates a continuous pressure barrier that inhibits egress of insufflation gas from the body cavity, a vacuum return flow path for returning depressurized gas spent by the internal nozzle back to the pump under vacuum, an air entrainment flow path for drawing air into the body cavity to maintain a given pressure therein, and a smoke evacuation flow path for conveying smoke from the body cavity.

Abstract: A respiratory therapy apparatus includes a rocker mechanism (101, 110, 111, 112) that provides an oscillating resistance to expiration. The apparatus also includes an air entrainment arrangement (200) at its air inlet (3) having a ring orifice (214) connected via a gas inlet (4) to a source (119) of oxygen at elevated pressure. The oxygen emerging around the ring orifice (214) entrains ambient air and supplies this as a continuous flow of respiratory gas to the patient interface (2) to provide a positive airway pressure.

Abstract: An air delivery system includes an air flow generator to provide a pressurized flow of air, a patient interface to provide a seal with the patient's face in use, an air delivery conduit to interconnect the air flow generator and the patient interface, and a controllable vent valve to control venting from the patient interface. The vent valve is controlled to maintain a substantially constant air flow in the air delivery conduit and the air flow generator.

Abstract: A respiratory air measuring device is provided through which a measuring air stream flows for measuring at least one component of the respiratory air of a patient. The respiratory air measuring device includes a sensor device and a flow generator disposed downstream for generating a measuring air stream. A flow nozzle is disposed in a channel portion to affect flow, wherein a generator air stream coming from the flow nozzle creates the measuring air stream. The respiratory air measuring device may be partially disassembled for effective cleaning.

Abstract: A non-invasive ventilation system may include at least one outer tube with a proximal lateral end of the outer tube adapted to extend to a side of a nose. The at least one outer tube may also include a throat section. At least one coupler may be located at a distal section of the outer tube for impinging at least one nostril and positioning the at least one outer tube relative to the at least one nostril. At least one jet nozzle may be positioned within the outer tube at the proximal lateral end and in fluid communication with a pressurized gas supply. At least one opening in the distal section may be adapted to be in fluid communication with the nostril. At least one aperture in the at least one outer tube may be in fluid communication with ambient air. The at least one aperture may be in proximity to the at least one jet nozzle.

Abstract: A reservoir cannula is described that has a static fluidic control structure, in that it does not employ a membrane or other moving parts. Furthermore, the reservoir is open to ambient air instead of being sealed. In use, the reservoir cannula enables storage of oxygen and oxygen-rich gas in a storage chamber as well as in and around the patient's nasal passages and nasopharynx, which enables high volume oxygen delivery to the patient early in the next inhalation. Consequently, patients using this delivery mode can carry a smaller and lighter portable oxygen container for ambulatory oxygen, because lower flow oxygen is required to meet their oxygenation needs. In addition, patients requiring a higher flow of oxygen can achieve oxygenation levels previously achieved only by high flow mask or high flow nasal oxygen systems.

Abstract: A method for reducing a loss of medication from a nebulizer includes the steps of entraining a liquid medication into a first flow of a pressurized gas into a nebulizer chamber and also entraining an additional amount of the liquid medication into a second flow of ambient air drawn into the nebulizer chamber through an opening when a patient inhales through the nebulizer chamber. When the patient exhales, a portion of the exhaled breath is directed into the outlet of the nebulizer chamber, thereby increasing a backpressure within the outlet and substantially stopping the second flow of ambient air into the nebulizer chamber, thereby decreasing the amount of medication lost to the ambient environment while the patient is not inhaling.

Abstract: A sensor including electrodes, a control module and a physical layer module. The electrodes are configured to (i) attach to a patient, and (ii) receive a first electromyographic signal from the patient. The control module is connected to the electrodes. The control module is configured to (i) detect the first electromyographic signal, and (ii) generate a first voltage signal. The physical layer module is configured to: receive a payload request from a console interface module or a nerve integrity monitoring device; and based on the payload request, (i) upconvert the first voltage signal to a first radio frequency signal, and (ii) wirelessly transmit the first radio frequency signal from the sensor to the console interface module or the nerve integrity monitoring device.

Abstract: A nerve integrity monitoring device includes a control module and a physical layer module. The control module is configured to generate a payload request. The payload request (i) requests a data payload from a sensor in a wireless nerve integrity monitoring network, and (ii) indicates whether a stimulation probe device is to generate a stimulation pulse. The physical layer module is configured to (i) wirelessly transmit the payload request to the sensor and the stimulation probe device, or (ii) transmit the payload request to a console interface module. The physical layer module is also configured to, in response to the payload request, (i) receive the data payload from the sensor, and (ii) receive stimulation pulse information from the stimulation probe device. The data payload includes data corresponding to an evoked response of a patient. The evoked response is generated based on the stimulation pulse.

Abstract: The present invention relates to a device and a system for positive pressure ventilation and continuous positive airway pressure (CPAP) treatment for neonatal resuscitation and initial respiratory support. The device and system are designed and tested for preterm and term neonatal use. The device is easy to use and allows rapid switch between PPV and CPAP without change of equipment and significantly reduces the imposed work of breathing for a breathing child treated with CPAP.

Abstract: A method and apparatus for automatically controlling partial pressure of oxygen in the breathing loop of a rebreather diving system. A diver may adjustably select a control parameter to maintain partial pressure of oxygen at a setpoint that varies with ambient pressure and is within a range between a maximum safe partial pressure of oxygen at depth and a minimum safe partial pressure of oxygen for the purpose of biasing the performance of the rebreather either towards minimizing gas venting from the rebreather breathing loop or minimizing decompression time. A method and apparatus for managing and monitoring the use of dive resources in comparison with a target dive time specified by the diver, calculating and indicating remaining dive time based on dive resource values and calculating and indicating dive resource values required to meet preselected dive resource end values and dive requirements.

Abstract: The invention relates in general to a respiratory therapy device, and more specifically to an apparatus and method for providing continuous positive airway pressure therapy that may be connected to a small-volume nebulizer in order to provide a combination therapy that requires only a single source of gas. The apparatus of the invention includes a valveless patient interface and a source of pressurized gas which may be split into two streams to provide both continuous positive airway pressure therapy as well as aerosol therapy to a patient.

Abstract: A gas flow reversing element is provided comprising a main piece defining at least one closable outlet opening, a branching piece extending from the main piece, a line connector connected to the distal end of the branching piece, a pressure connector connected to the main piece, the pressure connector being structured to be fluidly connected to a pressurized gas supply; and a nozzle being configured and arranged in the main piece in such a way that a gas flow flowing in the main piece from the pressure connector through the nozzle to the at least one outlet opening, with the at least one outlet opening being disposed in the second open position, a gas flow can also be generated in the branching piece in a direction toward the at least one outlet opening.

Abstract: A disposable breathing assistance device with manometer for monitoring the pressure within the device is capable of providing CPAP and in some embodiments includes a deflection face to prevent injected jets of supplementary respirable gas from directly striking the patient's mucosa. The breathing assistance device further optionally includes a safety pressure relief valve as an additional safety against overpressure within the device. A specialized supplementary respirable gas inlet provides improved pressure characteristics.

Abstract: A breathing circuit for sequential gas delivery of a first gas set (FGS) and a second gas set (SGS) employs an arrangement of conduits and active or passive valves to prevent mixing of the FGS and SGS including a valve triggered by depletion of FGS that makes the SGS available for inspiration after the FGS is depleted.

Abstract: An ejection liquid capable of being stably ejected based on a system using thermal energy even if the liquid contains at least one selected from the group consisting of proteins and peptides, and a method and an apparatus for ejecting the liquid containing at least one selected from the group consisting of proteins and peptides using this system are provided. The applicability of the liquid for use in an inkjet system using thermal energy is improved by adding at least one selected from the group consisting of amino acids and salts thereof and a surfactant to an aqueous solution containing at least one selected from the group consisting of proteins and peptides.

Abstract: A nasal continuous positive airway pressure device for lowering patient work-of-breathing is described. The device may include an inspiratory tubing in fluid communication with at least two nasal prongs; expiratory tubing; and a generator body coupled there between. The generator body may include at least two jets configured for receiving gas from the inspiratory tubing; and a flow enhancer configured for directing received gas. The flow enhancer may include a gas manager configured for channeling received gas towards a jet impingement point via at least two jet paths; a fluidic flip trigger configured for triggering a fluidic flip of channeled gas back towards the expiratory tubing by directing a first portion of exhaled patient breath towards the jet impingement point along a first pathway; and an isolated pathway manager configured for directing a second portion of the exhaled patient breath along a second pathway towards the expiratory tubing.

Abstract: A system and method of providing bi-level CPAP therapy is provided that incorporates an infrared carbon-dioxide sensor to determine whether a patient is inhaling or exhaling. Patient exhalation causes the infrared light to be absorbed, while patient inhalation reduces the presence of carbon-dioxide causes little or no absorption of carbon-dioxide. The level of carbon-dioxide in an associated patient breathing interface is monitored for thresholds that trigger higher CPAP pressure upon inhalation and lower CPAP pressure upon exhalation.

Abstract: The disclosure describes a novel approach for displaying information on a ventilator system. The disclosure describes a novel respiratory system including a removable primary display and system status display. Further, the disclosure describes a novel method for displaying ventilator information and a novel method for controlling a ventilator system.

Abstract: A respiratory treatment apparatus and method in which a leak is determined by using an averaging window. The window starts at the present time and extends back in time to a point determined according to a current one of progressively detected phase measures of a first respiratory cycle and a corresponding phase measure attributable to a preceding second respiratory cycle. In another aspect, a jamming index indicates whether the leak is rapidly changing. To the extent that jamming is high, the leak estimate used progressively changes from that using sliding breath-window averaging to a more robust and faster responding low-pass filter method, and adjustment of ventilatory support based on measures employing estimated respiratory flow is slowed down or stopped.

Abstract: The disclosure describes a novel approach for displaying information on a ventilation system. The disclosure describes a novel respiratory system including a removable primary display and system status display. Further, the disclosure describes a novel method for displaying ventilator information and a novel method for controlling a ventilation system.

Abstract: A system and a method for circuit compliance compensated pressure control in a patient respiratory ventilation system, having a pressure regulated feedback servo control loop, a pressure-regulated volume controller, and a patient volume observer. The patient volume observer is operative to estimate a patient volume, that is, the volume actually delivered to the patient by accounting for volume deviation or loss caused by patient circuit leakage and valve dynamics. Based on the difference between the estimated patient volume and a set tidal volume, the pressure-regulated volume controller is operative to generate and update a circuit compliance pressure compensation factor. The pressure regulated feedback servo control loop is operative to modulate the peak airway pressure based on the circuit compliance pressure compensation factor, so as to achieve the set tidal volume while maintaining a constant inspiratory time and a constant I:E ratio.

Abstract: The disclosure describes a novel approach for displaying information on a ventilator system. The disclosure describes a novel respiratory system including a removable primary display and system status display. Further, the disclosure describes a novel method for displaying ventilator information and a novel method for controlling a ventilator system.

Abstract: Disclosed is a tubular device for respiratory assistance. The device includes a main channel and at least one auxiliary channel connected to a source of breathable gas. The device includes structure for diverting a volume fraction of the breathable gas intended for the auxiliary channel, and structure for aspirating ambient air that is driven by the diverted fraction of breathable gas. The structure of the device is configured such that the aspirated ambient air is mixed with the diverted fraction of breathable gas and is conveyed into the main channel between the distal orifice of the auxiliary channel and the distal end of the main channel.

Abstract: A hand-held, automated qualitative fit tester (QLFT) for establishing gas mask fit integrity. The automated QLFT may be configured to utilize a pressure source in combination with a cartridge and a nebulizer to generate aerosols having size distributions and concentrations that are substantially the same as OSHA-approved manual units. The QLFT may further include a cartridge that contains the aerosol solution used to test mask integrity. The cartridge may be configured to recapture solution that collects on the interior walls of the nebulizer. The automated QLFT may also be equipped with a microprocessor for executing sequences that are in substantive compliance with 29 CFR 1910.134 and for writing to a data storage device. The automated aspects of the invention can reduce or negate the need for operating personnel to repeatedly and manually actuate a squeeze ball and record results manually, as is required with present OSHA-approved hand-held aerosol generators.

Abstract: A nitric oxide delivery system, which includes a gas bottle having nitrogen dioxide in air, converts nitrogen dioxide to nitric oxide and employs a surface-active material, such as silica gel, coated with an aqueous solution of antioxidant, such as ascorbic acid. A nitric oxide delivery system may be used to generate therapeutic gas including nitric oxide for use in delivering the therapeutic gas to a mammal.

Abstract: The multitask medical treatment respiratory apparatus may have a mask defining a chamber wherein the mask may have a first port, a second port and a venting valve. A reservoir bag having a first opening may be in communication with the first port or there may be a venturi device may be in communication with a second opening of the reservoir bag. One or more gas sources may be in communication with the venturi device. A medicant device may be mounted in the second port wherein the medicant device having a mouthpiece that may be inserted and retracted relative to the mask chamber and a patients mouth. The medicant device having a medicant chamber formed therein.

Abstract: A process for operating a respiration system (3) makes it possible, rapidly and with simple means, to operate the respiration system (3). The system and method use respiratory flow sensor-specific, patient- and/or treatment-related operating data and a respiratory flow sensor (1). A reading unit present in the respiration system (3) reads the contents of a transponder (2) connected to the respiratory flow sensor (1), so that the respiration system (3) is ready to operate only after the operating data have been read.

Abstract: A nitric oxide delivery system, which includes a gas bottle having nitrogen dioxide in air, converts nitrogen dioxide to nitric oxide and employs a surface-active material, such as silica gel, coated with an aqueous solution of antioxidant, such as ascorbic acid. A nitric oxide delivery system may be used to generate therapeutic gas including nitric oxide for use in delivering the therapeutic gas to a mammal.

Abstract: A system and a method for circuit compliance compensated pressure control in a patient respiratory ventilation system, having a pressure regulated feedback servo control loop, a pressure-regulated volume controller, and a patient volume observer. The patient volume observer is operative to estimate a patient volume, that is, the volume actually delivered to the patient by accounting for volume deviation or loss caused by patient circuit leakage and valve dynamics. Based on the difference between the estimated patient volume and a set tidal volume, the pressure-regulated volume controller is operative to generate and update a circuit compliance pressure compensation factor. The pressure regulated feedback servo control loop is operative to modulate the peak airway pressure based on the circuit compliance pressure compensation factor, so as to achieve the set tidal volume while maintaining a constant inspiratory time and a constant I:E ratio.

Abstract: A circuit compliance compensated volume control system in a patient respiratory ventilation system and method, including: a circuit compliance estimator, to provide a relationship between a circuit volume and a differential pressure between a circuit pressure and a positive end-expiratory pressure (PEEP) of the respiratory circuit, a circuit volume estimator, operative to provide an estimated circuit volume based on the relationship between the circuit volume and the differential pressure, a patient volume observer, operative to provide an estimated patient volume by subtracting the estimated circuit volume from a measured machine delivered net volume, and a volume delivery controller, operative to update the machine delivered net volume based on the estimated patient volume and a set tidal volume.

Abstract: A seal and a respiraoty mask having a seal adapted for confronting engagement with a surface of a user to form an interface therewith. The seal includes a first portion defined by a gel substance. In one embodiment, the seal includes a selectively formable substance adapted to be molded from a first pattern into a second pattern and to retain the second pattern responsive to being so molded. The seal and mask having the seal in this embodiment is tailored to patient by causing the formable portion of the seal to be placed in a malleable state, applying the seal to the patient while the formable portion is in the malleable state, and causing the formable portion to be placed in a fixed state to retain a shape generally conforming to the portion of the patient underlying the seal.

Abstract: The present invention is related a nasal positive airway pressure device. The nasal device utilizes an engagement means located about nasal cannulae to engage and secure the cannulae within the nares of a patient. The engagement means is a nasal scaling flap. The flap in its natural bias is tapered, the wide-open end of which is shaped to conform to the facial contours of a patient's nose around the outside of the nose. Thus in a closed form, the flap provides a cup-like device that is fitted around the patient's nose and prevent the nasal device from falling from the patients nose. In the open form, which allows for placement and fitting of the nasal device, the flap is intended to be in a bent back position to aid insertion of the nasal cannulae into the patient's nares.

Abstract: Described herein are nasal respiratory devices, in particular, nasal respiratory devices configured to achieve positive end-expiratory pressure (PEEP) in a subject wearing the device. PEEP devices may have a threshold pressure for opening during expiration. In some variations, these devices have a threshold pressure for closing during expiration.

Abstract: A dry powder inhaler (1) is to be made available, with which a particle size and particle size distribution preferred for inhalation are to be achieved and by means of which as high a line particle fraction as possible is to be realized. This is achieved by means of a dry powder inhaler (1 ) that is characterized in that provided in the inhaler (1) is a nozzle (10) through which the aerosol (9) flows before leaving the inhaler (1).

Abstract: A demand and dilution mask regulator comprising an oxygen feed circuit and a dilution circuit for supplying air. The oxygen feed circuit and the dilution circuit are connected to a mixing chamber (35). In the dilution circuit, the inhaled breathe-in air flow rate is measured through a capillary duct (43) connected to a Venturi construction (41). A method of regulating the flow rate of additional oxygen uses flow rate data measured through the capillary duct (43) for controlling the oxygen flow rate to be supplied to the mixing chamber (35).

Abstract: A multilumen tracheal tube or catheter is disclosed. The tube has a plurality of suction lumens, each having a suction port. A rotatable suction port collar is provided. The suction port collar has an inlet and an outlet. The collar overlaps each suction port and is capable of selectively occluding a number of the suction ports while enabling unimpeded passage between a remainder of the ports and the outlet.

Abstract: In a jet endoscope (1) for respiration and interventions in surgical applications, including connections for gas lines to which different respiratory gases with different pulsation frequencies can be connected, at least four connections are provided for at least two channels (11,12) arranged in a relatively offset manner in the axial direction of the jet endoscope (1) while opening at acute angles with respect to the axis (8) for the injection of gases with different pulsation frequencies, and at least two further channels (13,14) provided distally to the respiratory channels (11,12) for a separate gas analysis and a separate pressure measurement, respectively.

Abstract: A flow diverter valve is used in controlling the pressure and/or flow rate of a breathable gas supplied to the airways of a patient by a breathable gas flow generator supply apparatus during, for example, ventilatory assistance treatments such as non-invasive positive pressure ventilation and nasal Continuous Positive Airway Pressure (CPAP) treatment of Obstructive Sleep Apnea. The flow diverter valve includes a vane and a housing. The housing has an inlet port, an outlet port, and an exhaust port. The exhaust port opens to atmosphere, and the inlet port is in fluid communication with the flow generator. The outlet port is in fluid communication with a patient mask via a conduit. The vane is configured with respect to the housing such that a blower associated with the CPAP apparatus remains substantially unchoked, regardless of whether the vane is in the open or closed position.

Abstract: Apparatus is provided, including a first rotating member configured to be implanted in an airway of a subject and rotated in an inhalation direction by an inhaled flow of fluid in the airway. A mechanical energy accumulator is configured to accumulate energy from the rotation of the first rotating member. Other embodiments are also described.

Abstract: The pulmonary oxygen flow control system delivers oxygen from a source of pressure to a nasal cannula worn by the patient. Between the source and the nasal cannula is a pendant flow structure which includes an orifice followed by a gas dynamic valve. When the downstream pressure in the cannula is high, the gas dynamic valve diverts the oxygen flow through the orifice to a flexible reservoir. Upon inhalation, the pressure at the cannula falls so that the gas dynamic valve delivers the orifice flow to the cannula and also utilizes a Venturi effect to withdraw oxygen from the reservoir and deliver it to the cannula. The cannula has nasal tubes which have angular faces and which are positioned farther into the nares to deliver the oxygen more efficiently.

Abstract: A controlled enhanced-oxygen (hyperoxic) breathing system involving an oxygen source, a control valve system and a breathing interface, is disclosed. The control valve system may include a demand flow valve and a venturi valve arranged to introduce ambient air into an oxygen stream to provide a desired level of oxygen in the resultant hyperoxic air stream. Alternatively, the control valve system may include a nitrogen-removal unit, such as nitrogen scrubber, to increase the oxygen content above that of ambient air. The control valve system may further include a one-way flow valve and may further be joined to a plenum for storing hyperoxic air. The hyperoxic breathing system is typically connected to a breathing mask for use by an individual undergoing exercise or physical training activities.

Abstract: A continuous high-frequency oscillation breathing device delivers therapy during both inhalation and exhalation in order to assist in clearings secretions the lungs. A fixed shrouded-venturi patient interface circuit is combined with medicated aerosol to deliver continuous high-frequency oscillation therapy. Fixed open apertures in the patient interface circuit allow ingress and egress of flow, and are calibrated to allow exhalation and prevent stacking of successive breaths.

Abstract: A method and apparatus for operating a ventilator in a primary electronic mode or in a back-up pneumatic mode during primary electronic mode failure. A method and apparatus for operating a ventilator in an advanced mode, having a number of ventilatory modes, or in a basic mode, having a limited number of ventilatory modes is also disclosed.

Abstract: A pressure support system having enhanced noise reduction and a valve assembly for use in pressure support system. The pressure support system includes a pressure generator having an inlet and an outlet. A first conduit defining a tortuous path is coupled between a gas source and the inlet of the pressure generator. A second conduit coupled to the outlet of the pressure generator delivers the flow of gas from the pressure generator to a patient. A valve assembly communicates gas from the second conduit to the first conduit to control the pressure or a rate of the flow of gas in the second conduit. By communicating gas from the second conduit to the first conduit, the noise associated with exhausting gas from the second conduit is muffled by the tortuous path of the first conduit.