Abstract: A re-breathing apparatus including a novel dual chamber reservoir connected to a ventilator circuit by means of a diverting adapter. The dual chamber reservoir utilizes two gas chambers which can be operated in reciprocating fashion. To accomplish re-breathing, expired gas is drawn into one chamber, while gas is ejected from the other chamber. The expired gas is then ejected into the breathing circuit as the patient inspires, while a charge of fresh gas is drawn into the other chamber. The diverting adaptor minimizes mixing of gases being drawn into and ejected from the two chambers. An advantage of the inventive method is that the total volume of gases in the system can be kept constant throughout re-breathing. The preferred embodiment of the inventive reservoir is a one-piece, blow-molded plastic, bellows-like structure which can be manufactured simply and inexpensively for one-time (disposable) use. Actuation of the system may be performed under microprocessor control.

Abstract: An improved resuscitator including a pump, a base member for positioning over the sternum area of the patient's chest, coupling structure for allowing gas to pass from a passageway of the base member to the patient's lungs, and seal structure for forming a gas-tight seal between an opening of the pump and a first end of the passageway of the base member when a bellows-like structure of the pump is moved from a first position to a second position. The improvement includes sternum structure attached to the base member for placement on the patient's chest over the patient's sternum and for applying pressure to the patient's sternum during resuscitation (i.e., when the bellows-like structure of the pump is moved from the first position to the second position).

Abstract: A method is provided for effecting improved airway ventilation of a patient during sleep which involves delivering a burst or pulse of pressurized air through the patient's nose and into the patient's airway upon the termination of each breath exhalation. The apparatus of the invention includes an expandable-contractible chamber for collecting and then delivering a bolus of air through a nasal device providing sealed entry of the patient's airway, and means responsive to the exhaled breath of the patient that triggers delivery of the bolus of air, all of the foregoing preferably being contained in a compact housing that is positionable near the head of the patient.

Abstract: A support arm for use in a respiratory circuit is provided. The support arm includes a plurality of arm segments that are movably connected with one another such that the arm segments are adjustable with respect to another. At least one inflatable bladder is provided. The bladder is operably disposed at a point of connection between at least two of the arm segments. The arm segments are locked into position with respect to one another upon inflation of the bladder. The arm segments are released and positionable with respect to one another upon deflation of the bladder. Also, a respiratory support member is attached to one of the arm segments. The respiratory support member is configured for engaging the respiratory circuit to support the respiratory circuit.

Abstract: A portable bag valve mask resuscitator including an air intake adapter for attachment of an air filter cartridge for filtering air administered during manual resuscitation procedures and a method for converting bag mask resuscitators.

Abstract: The gas mixture is fed in a circulating stream at a volume flow rate of 3-120 l/min, the mixture being cleaned and its temperature and qualitative and quantitative composition regulated. The gas mixture contains oxygen and at least one of the following gases in quantities of up to 95%: helium, argon, neon, krypton, xenon, radon, nitrogen, nitrous oxide, sulfur hexafluoride, or a mixture of these gases. Pharmaceutical preparations can also be introduced into the breathing mixture, and the level of inhaled carbon dioxide can be adjusted with the aid of the exhaled carbon dioxide. The apparatus has a circulation loop comprising connecting pipes, a respirator bag, flow booster, temperature regulator, and at least one absorption unit for absorbing the carbon dioxide, moisture, and harmful trace contamination exhaled by the patient.

Abstract: A mask with multi-ports is set forth allowing many functions to take place while the mask is affixed to the patient's face covering both the nose and mouth. For example, the mask allows for patient ventilation while at the same time there is provided a port for instrument access and a port for fluid suction. The multi-port mask may have attached thereto a reservoir bag.

Abstract: A mask to facilitate ventilation of a patient. The mask has a face piece, an oropharyngeal airway, and an ambu bag. The oropharyngeal airway is incrementally movable to move the patient's tongue to clear the patient's oropharynx and to assist in sealing the face mask to the patient's face. A method of use is disclosed.

Abstract: A disposable oxygenating device (2) comprising a body (4,40) and a collapsible bag (16) coupled thereto, the body including first coupling means (6) being couplable to a source of oxygen, second coupling means (10) being couplable to an endotracheal tube, laryngeal mask or the like, a connector (14) to which the bag (16) is connected, an oxygen duct (7) in fluid communication with the first coupling means having an outlet orifice (22) which in use delivers oxygen from the source of oxygen to inflate the bag with oxygen, and an outlet (20,44), the arrangement being such that, in use, during an inspiration cycle, oxygen from the bag passes through the second coupling means (10) and, during an expiration cycle, expiration products pass through the body (2,40) and are expelled through the outlet (20,44).

Abstract: The inhalation therapy assembly and method of use described herein increases the efficiency of metered dose inhalers by allowing delivery of the doses to a collapsible reservoir which can be manually pumped, ensuring that medicants contained therein are properly and completely delivered to the patient. Terminal and proximal valves of the one-way diaphragm type allow flow of the aerosol medicants while preventing improper expulsion. An exhalation valve is adjustable to ensure the patient expires suitably to permit proper medicant absorption.

Abstract: In a method of and a device for providing a predetermined constant medicament dose for an inhalational administration at a low inhalation flow rate, a closed container 11 is provided which is reducible in terms of volume and comprises a mouthpiece 12 for receiving a predetermined volume of a quantity of medicated aerosol, which is preferably inhalable in one breath, wherein the container 11 is compressed under air-flow control in a direction towards the mouthpiece 12 for preparation of the filling operation, subsequently a means for powder aerosol production is connected to the mouthpiece 12, and finally the container is filled at a high flow rate by air-flow controlled expansion of the container for the introduction of air through the powder aerosol generator.

Abstract: A combination of a bellows structure (12), volume restrictor, and pressure restrictor for use on a hand-operated resuscitator is provided to enable delivery of ventilation within specific volume and pressure limitations specified by the operator. The bellows structure (12) consistently provides predictable and uniform generation of gas flow for ventilation without regard to one or two-handed technique, hand placement, or hand size. The volume restrictor, primarily comprising of an inflow obturator (20), outflow obturator (22), and placement cam (34), enables the physician to specify a specific tidal volume to be delivered, which constitutes a volume-controlled cycling capability of the invention. The pressure restrictor, primarily comprising of an outer housing (40), stopper housings (41), and a stopper (50), enables the physician to specify a specific maximum airway pressure to be exposed to the patient, which constitutes a pressure-controlled cycling capability of the invention.

Abstract: A resuscitation system for the administration of cardiopulmonary resuscitation of asthma patients, and for teaching the cardiopulmonary resuscitation of asthma patients. The invention includes a deflatable bag and a gas flow channel connected with said bag, for connection with an indwelling endotracheal tube so that gas can flow from the bag into the patient and from said patient through said flow channel, an exhalation port in flow connection with said flow channel and an indicator mounted adjacent said system for detecting expiration flow and/or pressure within at least one of said flow channel and exhalation port to detect inadequacy in the expiratory component of ventilation during CPR and to train healthcare workers in the emergency ventilation of severe asthmatic patients in the field and emergency room.

Abstract: The invention relates to a respiration bag (1) which has at least one fold (2, 11) extending annularly over the bag (1). The respiration bag (1) can be bent in along this fold (2, 11). In this way, at least one depression results which leads to a reduced volume of the respiration bag (1). A flip over of the respiration bag from the bent-in position is prevented by sealing lips (10, 12) or additional mechanical holders which are applied from the outside to the at least one fold (2, 11). The respiration bag (1) remains stable in the bent-in position with reduced volume up to an inner pressure of 45 to 50 millibar. In this way, a respiration bag (1) for respiration volumes of different sizes is available in dependence upon, for example, whether respiration is to take place with ambient air or oxygen-enriched air or is dependent upon whether an adult or a child is to be respirated.

Abstract: A manual ventilation bag has a first opening and a second opening, a first soft bag connected to the first opening and a second soft bag connected to the second opening. The manual ventilation bag is advantageously used in combination with a breathing apparatus.

Abstract: A gas container has a gas inlet, a gas outlet, a variable-volume chamber connected to the gas inlet and the gas outlet and a constant force applicator acting on the variable-volume chamber so that constant gas pressure prevails in the variable-volume chamber, regardless of variations in the chamber's volume. The constant force applicator is formed by a spring and a force transfer mechanism that interact with each other through a center of rotation (14) and an application point. The force transfer mechanism varies the distance between the center of rotation and the application point according to the variation in the volume of the variable-volume chamber.

Abstract: A resuscitator is provided with an integral carbon dioxide detector for indicating the presence of carbon dioxide in a patient. The carbon dioxide detector is a conventional pH sensitive chromogenic compound that is positioned in the breathing circuit to permit a rapid indication.

Abstract: A slip-proof ball-like pump adapted to a breathing apparatus has multiple securing devices formed on the outer periphery of the ball-like pump. The multiple securing devices enable the user to hold the ball-like pump firmly without worrying that a slip will happen during the holding to the ball.

Abstract: A portable apparatus for ventilation support to persons with respiratory distress is provided with a compressed air pump. The pump may be connected to the mouth or the nose via a tube for generation of pressure pulses with an individually adaptable air volume. The pump comprises a rigid container having two symmetrical halves and with a flexible membrane which is located as a laterally reciprocating diaphragm between the two container halves. These are provided with check valves permitting ambient air to be fed into the pump and from the pump into the tube while the membrane wall is moved, for generation of a pressure pulse. The pump is provided with a flexible pull device for reciprocating operation of the membrane in the container. The pull device extends via pulley wheels to a driving device located substantially in the same plane as the container and beside it.

Abstract: A pulmonarily sized bag formed of a non-latex material, including a bag body formed of panels of resin film material welded to one another along a weld line defining a seam of the bag body bounding an interior volume of the bag. The seam includes an interior seam portion in the interior volume, and an exterior seam portion at an exterior surface of the bag. One of the interior seam portion and exterior seam portion comprises free edges of the seam, and the other one of such seam portions is devoid of free edges. The bag is formable by various techniques, including radio frequency welding, impulse heating, solvent bonding, etc., and is usefully employed in a breathing circuit to obviate the necessity of using latex breathing bags.

Abstract: An anaesthetic machine has a gas flow system with a variable-volume gas container for breathing gas, a fresh gas system for supplying the fresh gas system with a flow of fresh gas and a control unit. The control unit controls the variable-volume gas container during a first phase of inspiration so that a flow of breathing gas is released and mixes with a flow of fresh gas from the fresh gas system. The control unit starts a second phase of inspiration if the flow of breathing gas from the variable-volume gas container ceases before inspiration has been completed. The control unit controls the anaesthetic machine during said second phase so that inspiration is maintained with a flow of fresh gas from the fresh gas system in order to achieve a system in which all breathing modes can be accommodated and gas consumption is minimized.

Abstract: A multilumen valve assembly for use in providing resuscitation and assisted ventilation is disclosed. The assembly has a first source conduit, a second source conduit, an exhaust conduit, a one-way valve, and an exhaust valve. In an embodiment, the one-way valve only permits flow from the first source conduit to the second source conduit, and not vice versa. The exhaust valve is operatively connected to the first source conduit and one-way valve. In one embodiment, the exhaust valve is closed when the one-way valve is open, and the exhaust valve is open when the one-way valve is closed. In another embodiment, the exhaust valve remains open unless the pressure in the first source conduit is substantially higher than the pressure in the exhaust conduit, creating a second pressure differential therebetween to inflate a bladder or expand a diaphragm during assisted and/or controlled ventilation.

Abstract: A balanced breathing loop for a rebreather is disclosed which includes a system of components that interact to provide substantial safety and alarm awareness benefits over existing methodology in recirculating breathing apparatus loops. The device relies on a specific arrangement of components to create both automatic alternate delivery of gas to replace metabolized oxygen in case of single component failures and breathing characteristic changes that warn the user that a component failure has occurred. The breathing characteristic changes allow the user to identify which specific component has failed, thus allowing for immediate corrective action.

Abstract: An apparatus for delivering a highly concentrated mixture of aerosolized liquid and pressurized gas to a patient including a collapsible membrane defining a chamber, the membrane further defining a first opening and a second opening in communication with the chamber. A mask defining an enclosure having a first passageway in communication with the first opening. A nebulizer having a body defining a reservoir for holding the liquid therein, the body including an inlet orifice and an outlet orifice which communicates with the second opening. A pressurized gas source which contains a pressurized gas with the pressurized gas source being in communication with the inlet orifice for providing the pressurized gas to the nebulizer. When the pressurized gas from the pressurized gas source enters the nebulizer, the pressurized gas mixes to form a mixture with the liquid inside the reservoir of the nebulizer.

Abstract: A medical port for an emergency safety resuscitator having a collapsible bag with an outlet. An adapter has a first end available for attachment to, and communication with, the outlet of the collapsible bag. A second end of the adapter attaches to a first aperture of a tube having three apertures. The second aperture of the tube is releasably covered by a self-sealing membrane. And the third aperture of the tube is available for connection either to a mask or an endotracheal tube.

Abstract: An anesthetic apparatus has a control unit and a breathing circuit with a connector for fresh gas, a bellows system and an outlet valve. The anesthetic apparatus operates at least as an open system, the connector then constituting an inspiratory part of the breathing circuit and the bellows system and outlet valve constituting an expiratory part of the breathing circuit. In order to reduce the adverse impact of compressible volume in the expiratory section on the functioning of the anesthetic apparatus, the control unit regulates the bellows system during inspiration so that a counter pressure, largely corresponding to the pressure of fresh gas at the connector, is maintained in the expiratory section of the breathing circuit.

Abstract: A laryngeal mask airway has a curved tubular guide for insertion through the patient's mouth and oropharynx. After insertion of the guide, the beveled distal opening of the guide abuts the laryngeal inlet, while the guide's proximal opening remains outside the patient's mouth. A laryngeal mask surrounds the distal opening of the guide to substantially seal the laryngeal inlet about the distal opening of the guide. A ventilation port adjacent to the proximal opening of the guide supplies air/oxygen through the guide into the patient's lungs. An endotracheal tube can then be advanced along the length of guide and through the patient's larynx without interrupting ventilation.

Abstract: A portable bag valve mask resuscitator including an air intake adapter for attachment of an air filter cartridge for filtering air administered during manual resuscitation procedures and a method for converting bag mask resuscitators.

Abstract: An improved manual pump is disclosed. The manual pump comprises a pair of side plates (10), a flexible cylindrical wall (15), a pump chamber (21), an axial shaft (11), a coil spring (12) and a pair of handle bars (16) secured to the side plates (10). When the handle bars (16) are grabbed and clutched with a hand, the side walls (10) are turned in opposite directions, twisting the pump chamber (21) to discharge fluid. The coil spring (12) assists to restore the original shape of the pump chamber (21) to charge fluid.

Abstract: A variable volume ratio compound counterlung is disclosed for use with a semi-closed circuit breathing apparatus. The compound counterlung generally comprises a flexible bag member disposed within an outer counterlung member. The flexible bag member and the outer counterlung member are in communication with an exhaled gas area of a breathing loop. The flexible bag member having first and second ends which are attached to said outer counterlung. A pair of depth sensors operatively associated with the flexible bag member are provided to vary the volume of said flexible bag member with changes in depth. The flexible bag member is driven by the outer counterlung to discharge gas stored within the flexible bag member depending on the diver's respiratory minute volume. The collapsing of said outer counterlung member also returns gas stored within the outer counterlung back into the breathing loop.

Abstract: A resuscitator having a collapsible bag with an inlet for attachment to a source of oxygen. The collapsible bag has a major outlet and a minor outlet. The major outlet is connected to a first arm of a three-armed connector. The minor outlet is attached to a flexible tube which, in turn, may either be connected to an adapter that is connected to the second arm of the three-armed connector or to a nebulizer or aerosolizer that is attached to the second arm of the three-armed connector. The third arm of the three-armed connector is connected to a housing containing a one-way valve to permit the flow of oxygen away from the collapsible bag and to preclude the flow of liquids and gases toward the collapsible bag. Preferably, the housing also contains, between the one-way valve and the second end of the housing, an exhaust aperture; and the exhaust aperture is preferably covered by a filter.

Abstract: A bellows arrangement for a ventilator/anesthesia system has a rigid container in which a bellows is arranged. The first end of the bellows is fastened to one end of the container, and the other end is displaceable relative to the first end. The container is connected to a propellant source of the ventilator/anesthesia system, and the bellows is in gaseous communication with a respiratory circuit of the ventilator/anesthesia system at the first end. In order to insure that the bellows always moves smoothly in a simple and inexpensive fashion, the second end of the bellows is provided with a guidance fixture which is connected to the container in every position of the second end so that, in an expansion or compression of the bellows, the second end is always displaced along the center axis while remaining substantially of the bellows parallel to the first end.

Abstract: A gas concentrator adaptable for use within a breathing apparatus, particularly for use within a resuscitator, Trach T, patient tee, or a high oxygen concentration mask. The gas concentrator distributes gas into the resuscitating device through a substantially elongated member that has a number of perforations at one end and a stopper at an opposite end. In addition, the gas concentrator has one or more air check valves that are in fluid communication with the reservoir of the resuscitating device and the atmosphere. A front manifold is used to couple the reservoir to a patient breather apparatus which regulates the flow of oxygen or gas to the patient.

Abstract: A method and arrangement in connection with a ventilator, in which fresh gas is supplied to a patient and part of the patient's breathing gas is supplied to the patient with a bellows means. To provide a basic solution suitable for a variety of uses fresh gas is supplied to the patient by means of a gas mixer. The fresh gas flow from the gas mixer is occasionally led to drive the bellows means.

Abstract: A detector for determining the volume and volumetric changes of respiratory gases in a closed circuit anaesthesia circuit having a bellows ventilator. The device includes a first sensor positioned with respect to the bellows for detecting and indicating when the bellows assumes a given expanded position in a bellows housing indicative of the given volume of respiratory gas in the circuit. A second sensor detects and indicates when the bellows assumes an expanded position indicative of the greater amount of expansion than that corresponding to the given expanded position. During respiratory cycles of the patient, indications from the first sensor in the absence of indications from the second sensor indicates that the volume of gas in the closed circuit anaesthesia circuit is not changing, but is remaining at that corresponding to the given expanded position of the bellows.