Abstract: A cushion for a patient interface that delivers breathable gas to a patient includes a base wall structured to be connected to a frame, an underlying support cushion extending away from the base wall towards the patient's face in use, and a membrane provided to substantially cover at least a portion of the underlying cushion. The membrane is adapted to form a continuous seal on the patient's face. The underlying cushion has a spring-like connection with the base wall. The underlying cushion and/or base wall define a spring constant that varies along a length of the seal.

Abstract: An oral airway for insertion into the mouth and pharynx of a patient is disclosed and adapted to connect to an anesthesia breathing connector, a suction tube, or a nasal cannula, interchangeably as needed, without necessitating the removal of the oral airway from the patient. A tubular member has a connector at a proximal end and includes a first portion that is adapted for fixing with the anesthesia breathing connector. A second portion of the connector is adapted for receiving the suction tube. At least one protuberance between the first and second portions receives and retains a portion of the nasal cannula, or alternately, at least one aperture is included in the second portion for receiving a portion of the nasal cannula. A mouth guard extends outwardly from the connector. Alternately, a suction tube guide within the tubular member may be slidably positionable between a retracted and extended position.

Abstract: A cuffed silicone tracheostomy tube has two tapered recesses 17 and 18 on its outer surface in which opposite ends 7 and 8 of a resilient cuff 6 are bonded using an adhesive or solvent. Two shallow ribs 22 and 23 extend around the tube on the inner edge of each recess 17 and 18, projecting outwardly to prevent the adhesive or solvent spreading onto the inflatable portion 10 of the cuff 6. The cuff 6 has several shallow ribs 9 extending around the cuff and spaced along its inflatable portion 10 to promote even inflation.

Abstract: A localized pleurodesis evacuation device may be utilized to prevent a pneumothorax by evacuating the air that leaks into the pleural space. The device may also be utilized to create a localized pleurodesis around an access port so that the lung may be safely accessed.

Abstract: Embodiments of the present invention provide a device, system and method for providing artificial airway interfaces for use in the treatment of respiratory conditions and in assisted respirations. In an embodiment of the invention, an artificial airway interface for a non-sealing respiratory gas delivery system that directs a jet of gas into the artificial airway is provided. In another embodiment, an artificial airway interface for a non-sealing respiratory gas delivery system that allows for conductance of pressurized respiratory gasses and at least one of a sensor and port for collecting at least one of data and respiratory gas samples is provided. The artificial airway interface can further include an outflow variable restrictor.

Abstract: A percutaneous emergent cricothyroidotomy airway device for creating a surgical airway in a patient. The device includes a housing and a palm grip movably disposed in the housing between an expanded position and a compressed position. A first prong extends from the housing and second prong extends from the palm grip, wherein when the palm grip is in the expanded position, the first and second prongs are spaced apart and when the palm grip is moved to the compressed position the second prong is adjacent the first prong. A blade actuator is movably disposed in the housing. The blade actuator has opposed ends and a blade for puncturing a cricothyroid membrane of a patient is disposed on one end of the blade actuator. To create an airway an airway device of the present invention is provided. The palm grip is compressed to move the second prong adjacent the first prong. The blade actuator is actuated to advance the blade from between the prongs.

Abstract: A respiratory access assembly inctudes a distal pJate having one port and cuff and an axially aligned proximal plate including a first port and first cuff and a second port and second cuff. The distal plate is configured to move relative to the proximal plate. The respiratory access assembly includes an actuator, which has a plurality of predetermined positions. When the actuator is positioned in a movement-enabling position, it permits movement of the plates while simultaneously blocking the first port of the proximal plate. When the actuator is positioned in a first or second locked (open) position, it locks the plates together and aligns the port of the distal plate with the respective first or second port of the proximal plate and un-blocks the first port of the proximal plale so that an object, such as a suction catheter, may be positioned through the aligned ports.

Abstract: An airway device for human or animal use comprising an airway tube having a distal end and a proximal end, the distal end of which is surrounded by a laryngeal cuff, adapted to fit anatomically over the laryngeal structure of a patient, wherein the device optionally further comprises a buccal cavity stabiliser located on or around the airway tube between the laryngeal cuff and the proximal end of the tube, said buccal cavity stabiliser being adapted to nest with the anterior aspect of the patient's tongue, the size, shape and configuration of the buccal stabiliser being adapted to prevent rotational or side-to-side movement of the airway device in use.

Abstract: There is suggested a tracheostomy tube comprising a sealing means, said sealing means sealingly enclosing the tracheostomy tube transversally to its longitudinal extension, the sealing means being configured as a sealing bell whose rear end portion encloses the tracheostomy tube and whose front end portion comprises a sealing lip to be brought into contact with a neck area of a patient. The sealing bell forms a reception space in which an absorbent insert can be accommodated. Furthermore, the invention relates to a sealing means and to the use of an absorbent insert together with the tracheostomy tube and the sealing means.

Abstract: A respiratory access assembly includes a distal plate having one port and cuff and an axially aligned proximal plate including a first port and first cuff and a second port and second cuff. The distal plate is configured to move relative to the proximal plate. The respiratory access assembly includes an actuator, which has a plurality of predetermined positions. The actuator can lock the plates together such that the distal port is aligned with either port of the proximal plate or so that the distal port is not aligned with either port of the proximal plate. A method of using a respiratory access assembly is provided.

Abstract: An intra-oral device for positioning an endotracheal tube in the mouth of a patient includes a block disposable between the patients upper and lower teeth. The block has a top surface including an arcuate channel for receiving upper teeth. The block also has a bottom surface including an arcuate channel for receiving lower teeth. The block has an outwardly facing, when disposed, front surface and also a back surface and an aperture extending through the block from the front to the back surfaces for receiving the endotracheal tube. A slot having parallel spaced walls extends from the bottom surface to the aperture and from the front surface to the back surface. A cincher is disposed to cinch the spaced walls of the slot. An endotracheal tube inserted through the aperture can be positioned and cinched in the device.

Abstract: A method of assessing a lung compartment of a patient may involve: advancing a diagnostic catheter into a lung airway leading to a first sub-compartment of the lung compartment; inflating an occluding member disposed on the diagnostic catheter to form a seal with a wall of the airway and thus isolate the first sub-compartment; introducing a diagnostic gas into the first sub-compartment; and recording a perfusion value of the diagnostic gas within the first sub-compartment.

Abstract: Apparatus (10) is provided, including a housing (26) configured to be implanted in a trachea (20) of a patient and a propeller (22), coupled to the housing. The propeller is configured to generate a positive pressure in the trachea while the propeller is in the trachea. Other embodiments are also described.

Abstract: An inflatable grooved balloon cuff may be adapted to seal a patient's trachea when associated with an endotracheal tube. Configurations of these cuffs that include grooved regions may provide improved sealing of the trachea by complementing naturally grooved tracheal tissue.

Abstract: Apparatus and methods are provided for use during endotracheal intubation of a subject, including an output unit, and at least one sensor configured to sense motion of the subject, and generate a signal responsively thereto. A control unit is configured to detect an aspect of the intubation by analyzing a component of the signal having a frequency of less than 20 Hz, and drive the output unit to generate an output indicative of the aspect of the intubation. Other applications are also described.

Abstract: A tracheotomy tube apparatus that can be contained in a generally flat or collapsed condition for easy transport in a purse or wallet provides a planar sheet member having upper and lower surfaces, the sheet member being flexible so that it can be formed into a tracheal tube shape. The sheet member includes a flange that has a connector for attaching it to the neck area of a patient. The flange can be fitted with a string or cable that can be used to encircle the patients neck and tie the flange to the patients neck. The kit can include a generally flat package that contains the planar sheet member and a small disposable cutting instrument or scalpel. During use, the planar sheet member provides a section that is curled or rolled into the shape of a cone or tube that can be placed into a surgically formed opening in the patients trachea. The flange holds the formed tracheal tube in the selected position.

Abstract: A tracheal tube comprising a nematic polymer or nematic elastomer, wherein an outer diameter of the tracheal tube changes in size in response to exposure of the tracheal tube to light or heat.

Abstract: To provide a tracheostomy tube which can be easily attached to and detached from an incision site and in which sputum or the like does not readily longer, a tracheostomy tube A includes a lumen body 10 having an airway securing lumen 10b, a connector section 11 formed at the base end portion of the lumen body 10, and a cuff 13 which is formed on the outer circumference of the tip end portion of the lumen body 10 and which can be expanded and contracted. A circumferential wall 10a of the lumen body 10 defines a cuff-expanding lumen 15 which puts the surface portion of the connector section 11 in communication with the inside of the cuff 13. it also defines a suction lumen 14 allowing the surface portion of the connector section 11 to communicate with the surface portion of the lumen body 10. A coating layer exhibiting surface lubricity in moisture is formed on the surface of the tracheostomy tube A and the inner surface of the lumen body 10 in which the airway securing lumen 10b is formed.

Abstract: A medical device tube having extended retention tabs with notches therein for improved coupling of an inner cannula connector to an outer cannula connector. The medical device tube comprises an outer cannula connector having retention tabs on an outer cannula connector flange attached to the proximal end of an outer cannula. The retention tabs maintain the snap ears of the inner cannula connector when the inner cannula connector is rotated whereby the notches substantially hold the snap ears. The snap ears may further be positioned in notches in the outer cannula flange when the snap ears lock onto the outer cannula connector flange.

Abstract: The invention relates to an infant tracheal device used with a source of air that provides transmission of continuous positive pressure into the lungs of an infant breathing spontaneously using a single tube inspiratory line. The invention serves as an interface with an open trachea. A one-way air valve placed within the tube will not allow pressure to return through the inspiratory line. The internal pressure within the line is measured with a monitor line which is connected to the source and the tracheal device as the pressure enters the infant lungs via a cuffless tracheal tube. A minimal amount of pressure will now be necessary to keep the lungs open. Voluntary exhalation occurs as the pressure of the exhaled air exiting the lungs goes around both the cuffless tracheal tube and out through the nose and mouth of the infant. A pressure release port located on the tracheal device facilitates monitoring and emergency pressure release as necessary. A dispenser port allows use of medication.

Abstract: A tracheal tube includes a proximal extension between a flange member and a connector. The extension may allow for easier access to the connector. The extension is reinforced to limit bending and kinking. Reinforcement may be accomplished by a helical element that is embedded in the extension, such as between an inner cannula and an outer cover. The outer cover may be molded with a connector after placement of the reinforcing member.

Abstract: A flexible connector couples the inlet end of a tracheotomy tube inner cannula to an outlet port of an in-line catheter. The catheter exit end of the connector is adapted to be serially coupled in pneumatic communication with the inlet end of the tracheotomy tube inner cannula and also to guide the downstream tip of the catheter into the inlet end of the inner cannula in response to pushing of the catheter upstream of the catheter outlet port. Thus, the in-line catheter can be inserted into the tracheotomy tube inner cannula with little likelihood of having to compress or “flip” the connector or disconnect the connector from the tracheotomy tube and the patient from the ventilator circuit.

Abstract: A method, system and apparatus for assessing the coupling between lung perfusion and ventilation in a patient who is mechanically ventilated or who is breathing spontaneously through a conventional artificial airway is provided.

Abstract: The invention relates to apparatus (19) for use in establishing an artificial airway in a patient, the apparatus comprising a tube (19a) for introduction into the patient's trachea for passage of gases to and from the patient's lungs, an inflatable seal (20) disposed upon the tube (19a) to provide, on inflation, a seal between the tube and the trachea of the patient, the seal (20) thereby defining a lung-side portion (19c) of the apparatus and a mouth-side portion (19d) of the apparatus, the apparatus further having the ability to facilitate removal of fluid from at or adjacent the said mouth-side portion (19d) of the apparatus (19).

Abstract: A tracheal tube assembly includes a connector body, a cannula extending from the connector body, and an insert that provides rigidity to the connector body and retains the cannula in the connector body. The insert has a proximal surface having a first outside diameter substantially the same size as a second outside diameter of the connector body. The cannula has a tapered upper end that fits between conforming tapered sections of the connector body inner surface and the insert. The insert may include features to prevent rotation of the cannula as well as rotation of the insert in the connector body. Features of the insert and connector body may also interface to mechanically retain the insert in the connector body. A fastening component may be provided to aid in the fastening of the insert and cannula to the connector body. Different sizes of cannula may be accommodated by different inserts, while using the same or different connector bodies.

Abstract: The present invention provides in some embodiments, an endotracheal tube with subglottic secretion suction and a detachable suction line. The endotracheal tube is an elongate tube having an outer wall defining an elongate central lumen and an elongate suction lumen. An inflatable cuff is attached near a distal end of the elongate tube. The shoulder of the inflatable cuff is inverted in order to increase the diameter of the cuff from its distal end to its proximal end. The endotracheal tube also includes a connector to couple the suction lumen to a source of suction to remove subglottic secretions from the area above the cuff.

Abstract: Disclosed is a respiration-assisting tube whereby tissue damages in vivo can be prevented and, as a result, inflammatory reactions and infections can be avoided. The respiration-assisting tube is developed based on the finding that adhesion of cells to a respiration-assisting tube can be inhibited by coating the respiration-assisting tube with a polymer containing 2-methacryloyloxyethyl phosphorylcholine (MPC). Also, the respiration-assisting tube is developed based on the finding that, by coating a respiration-assisting tube with a polymer containing MPC, mucosa peeling and tissue damages, which occur after using the respiration-assisting tube, can be prevented and, as a result, inflammatory reactions can be avoided.

Abstract: A method of operating a ventilator assembly having inhalation and exhalation passages communicating with one another, and a respiration assembly that can perform repetitive respiratory cycles. The method includes (a) repetitively cycling the respiration assembly so that during the inhalation phase, gas in the inhalation passage flows to the patient, and during the exhalation phase, an exhalation valve is maintained relatively closed and the exhaled gases flow pass the vocal cords and out of the mouth thereby facilitating the patient's ability to speak, (c) monitoring the pressure within at least one of the passages during the exhalation phase, and (d) determining whether a circuit disconnect or an occlusion exists based on the pressure monitoring.

Abstract: A device for irrigating a body cavity is disclosed. The device comprises a first pump and a second pump being operatively linked via a manually-operated actuator member. The actuator member has at least a mode in which the actuator member activates the first pump to eject an initial volume of fluid out of the device, and a mode in which the actuator member activates the second pump to eject fluid out of the device and simultaneously activates the first pump to withdraw fluid into the device.

Abstract: An airway tube securing device (ASTD) having a tubular constrictor attached to an oral piece and a fastener for fastening the ASTD to the face of a patient provides for the correct placing and fixation of an airway tube within the patient's airways. A rotatable clamp provides for constricting the airway tube thereby securing it to the oral piece. An optional mouthpiece attached to the proximal face of the oral piece provides for the protection of the tube from the jaws of a patient. One or two apertures in the oral piece provide for further insertion of tubing, auxiliary intubation tools and or probes.

Abstract: An ultrasound observable endotracheal tube, according to a specific embodiment of the present invention, has a flexible body surrounding an airway lumen and includes an ultrasound-reflecting element making the tube visible within the body using ultrasound. In another specific embodiment, an endotracheal tube includes a heating member used for warming inhaled respiratory gases. Another specific embodiment of an endotracheal tube includes a sensor for measuring pressure exerted between an inflation cuff and a patient's tracheal tissues for preventing injury from over/under cuff inflation. Yet another specific embodiment of an endotracheal tube includes a sensor for measuring a CO2 concentration in exhaled respiratory gases, and an alternative embodiment includes a sensor for measuring an O2 concentration in respiratory gases.

Abstract: An inner type tracheostomy tube has an outer tube and an inner cannula. The outer tube has an airway tube, an inflatable cuff, an inflating tube, a neck mount and a holding mount. The neck mount is mounted around the airway tube. The holding mount is formed on the neck mount around the airway tube and has a holding ring and two holding arms. The holding ring is formed on the neck mount. The holding arms are formed on the holding ring and protrude from the holding ring and each has a holding recess. The inner cannula is connected to the outer tube and has an inner tube, a disk segment and two locking tabs. The disk segment is formed on the inner tube. The locking tabs are formed on the disk segment, are respectively connected to the holding arms and each has a locking portion and a pressing button.

Abstract: Methods and devices for performing emergency and non-emergency tracheotomies are disclosed. In one embodiment, a device for performing an emergency tracheostomy includes a dilator having a generally curved outer surface which is arranged for insertion into a trachea of a patient. The dilator includes an open linear passageway therein. Situated within the internal passageway is an anchor that includes a distal tip portion protruding outside the dilator. The anchor is normally biased to a retracted position and is arranged to move from the retracted position to an extended position in response to a distal force. A driver is provided for applying the distal force to the anchor to drive the distal tip portion through an opening in the patient's neck and trachea. A method for using the device is also disclosed.

Abstract: The preferred embodiments provide, e.g., a high quality flexible tracheostomy tube assembly including an outer tracheostomy cannula and a disposable, flexible inner cannula. In preferred embodiments, the product provides a single patient use, sterile device.

Abstract: Disclosed is a capnometry apparatus for receiving respiratory gas from a respiratory cannula positioned on a patient. An integrated host controller alerts a user if the capnometry apparatus is connected or not connected to the respiratory cannula based in part on a signal output from a capnometer located in the capnometry apparatus. The host controller also includes the functionality to shut off the capnometer pump with or without a time delay when the capnometer signal output indicates the capnometer pump is not connected to the cannula. An ambient-air pressure sensor located in the capnometry apparatus alerts the host controller if the capnometry apparatus has been moved to a new location with a substantially different altitude than the first location, in which case the host controller will issue an alert to a user prompting a calibration of the capnometry apparatus.

Abstract: Fluid flow regulators and fluid conservers are disclosed. An exemplary fluid conserver may be operated in one of an intermittent mode of operation and a continuous mode of operation. Further, the exemplary conserver provides at least two pulses of fluid in response to a first trigger, such as the inhalation of a patient.

Abstract: A nasal ventilation interface including a pair of tubes configured to deliver a ventilation gas. The tubes are attachable at a first end to a ventilation gas supply hose and engageable at a second end with a person's nostril. A coupler is configured to align the pair of tubes with the person's nostrils, wherein each tube has an absence of pneumatic interconnection with the other tube.

Abstract: Lung conditions are treated by implanting a flow restrictor in a passageway upstream from a diseased lung segment. The restrictor will create an orifice at the implantation site which inhibits air exchange with the segment to induce controlled atelectasis and/or hypoxia. Controlled atelectasis can induce collapse of the diseased segment with a reduced risk of pneumothorax. Hypoxia can promote gas exchange with non-isolated, healthy regions of the lung even in the absence of lung collapse.

Abstract: An anesthesia system is disclosed herein, The anesthesia system may include a pneumatic circuit comprising an inspiratory limb, an expiratory limb, and an endotracheal tube. The endotracheal tube may be configured to form a pneumatic coupling between a patient, the inspiratory limb and the expiratory limb. The anesthesia system may also include an anesthesia machine connected to the pneumatic circuit. The anesthesia machine may include a controller configured to identify the presence of a leak in the pneumatic coupling.

Abstract: An endotracheal tube cleaning device may comprise an elongated member, a cleaning member at a first end of the elongated member, and a collection member. The cleaning member may include a shaving region about a periphery thereof. The elongated member may extend through the collection member, and the elongated member and cleaning member may be slidable relative to the collection member.

Abstract: A ventilator which includes: at least one pair of reciprocating opposed gas moving means, the internal volume of which is arranged to be reduced and enlarged by a balanced drive, said gas moving means being arranged to move gas at a predetermined pressure and/or volume to a delivery tube; control means for regulating the speed and the distance of movement of the drive; wherein the masses of all moving parts are balanced so as to minimise the vibration of the ventilator in use.

Abstract: A tracheostomy tube has an inserting portion and a connecting portion. The inserting portion has an air way tube, an inflatable cuff and an inflating tube. The connecting portion is connected to the air way tube and has a resilient connector and a connecting sleeve. The resilient connector has a connecting ring connected to the air way tube. The connecting sleeve is mounted around the resilient connector and has a tubular body, a pressing flange formed on the tubular body and at least one slit defined longitudinally in the tubular body and extends through the pressing flange. Movement and vibrations of a patient circuit connected to the tracheostomy tube are not translated into a patient trachea thereby greatly improving patient comfort, safety and quality of life.

Abstract: Systems and methods that utilize tracheal tubes having one or more adjustable flanges are described. The adjustable flanges may be disposed on the tracheal tube at various angles. Further, the adjustable flanges may be repositioned on the tracheal tube, thus allowing a clinician or patient to reconfigure the tracheal tube in situ so as to more comformably fit the tracheal tube to a variety of patient anatomies. Flange extensions are also provided that may extend the overall flange length, and may also be repositioned at various angles. The use of techniques such as adjustable flanges and adjustable flange extensions allow a better fit to a particular patient's anatomy and provide increased patient comfort.

Abstract: An oropharyngeal airway configured for placement within a mouth of a patient to create a passageway between a mouth of a patient and the posterior pharyngeal wall that includes a passageway body, a flange assembly and a reactive material. The flange assembly is positioned at the end of the body and includes spaced apart upper and lower flange portions, which define a passageway therebetween which is in communication with the opening of the passageway body. The reactive material cooperates with the flange assembly and the passageway defined by the spaced apart flange portions. The reactive material provides qualitative visual indication as to whether the patient is effectively ventilating. A nasopharyngeal airway is likewise disclosed, as is a flange assembly which can be coupled to existing airways.

Abstract: An oral device for improving airway patency comprises a tongue constraint and a negative pressure source. The tongue constraint engages the patient's tongue to maintain a clear region below the palate in an oral cavity. By applying a negative pressure in the clear region, an airway behind the soft palate or tongue of the patient can be maintained. The tongue constraint is usually connected to an anchor. The anchor may be held between the patient's teeth or may engage the inferior surface of the palate. Another oral device for improving airway patency comprises a lateral tongue structure and a negative pressure source.

Abstract: An oral device for improving airway patency comprises a tongue constraint and a negative pressure source. The tongue constraint engages the patient's tongue to maintain a clear region below the palate in an oral cavity. By applying a negative pressure in the clear region, an airway behind the soft palate or tongue of the patient can be maintained. The tongue constraint is usually connected to an anchor. The anchor may be held between the patient's teeth or may engage the inferior surface of the palate. Another oral device for improving airway patency comprises a lateral tongue structure and a negative pressure source.

Abstract: The present method, system and device relate to a ventilatory assistance system comprising a ventilatory assistance device, which comprises a tube on which a tubular nozzle is integrally mounted, and a respiratory gas supply duct able to connect said tubular nozzle to a source of respiratory gas. The present ventilatory assistance system further comprises obstacle forming means counteracting against assembling a connecting member of an external medical device to said tubular nozzle, when the latter is connected to said source of respiratory gas by means of said supply duct.

Abstract: A microdosing device with a dosing chamber for the at least temporary reception of a liquid quantity, and with which is associated at least one discharge opening is provided. A vibrating unit in operative connection with at least one boundary surface of the dosing chamber is provided in order to vibrate the same for a discharge process, and with a delivery function unit connected to the vibrating unit for activating the latter during a delivery time period. A drying function unit is additionally provided and can be activated in time-separated manner with respect to the delivery function unit in order to free the dosing chamber from liquid residues.

Abstract: An airway device is provided that may track the flow of respiratory gases through the device with sensing elements at a plurality of locations along the gas flow path of the device. Such a device may be useful for assessing a variety of clinical states, for adjusting patient ventilator settings, or for determining whether or not an airway device has been properly inserted into a patient airway.

Abstract: Various embodiments of a tracheal tube having a shaped divider disposed therein for separation of a tracheal tube into multiple ventilation lumens are provided. In some embodiments, the divider divides a tracheal ventilation lumen from a bronchial ventilation lumen. In some embodiments, the shaped divider provides an irregular inner diameter that allows a relatively bulky device to be inserted into one or both lumens.