Abstract: According to various embodiments, a tracheal tube may employ optical sensing techniques for determining a distance between the inserted tube and an anatomical structure such as a carina. The distance information may provide an indication as to whether or not the tracheal tube is properly placed within the trachea. The optical techniques may include interferometry.

Abstract: According to various embodiments, a tracheal tube may include a detector array configured to detect a field generated by an external source. The detector array may generate a signal indicative of a distance between the source and a distal end of the tracheal tube. Based on a known distance between the source and a carina, a distance between the distal end of the tracheal tube and the carina may be computed. The distance information may provide an indication as to whether the tracheal tube is properly placed within the trachea.

Abstract: One aspect of the invention provides an airway management device including: an endotracheal tube having a proximal end and a distal end and a sheath adjacent to the endotracheal tube. The sheath includes a proximal end and a distal end. The distal end of the endotracheal tube extends beyond the distal end of the sheath. Another aspect of the invention provides a surgical kit including an airway management device and instructions for use. The airway management device includes: an endotracheal tube having a proximal end and a distal end and a sheath adjacent to the endotracheal tube. The sheath includes a proximal and a distal end. The distal end of the endotracheal tube extends beyond the distal end of the sheath.

Abstract: Medical component systems are described in which individual hand-held components are enhanced by adjacent restraint and by combinations of function, including: suction devices with a port for regulating suction with single-finger-operable valve for repeatable incremental user control of suction-vacuum variation by aperture shapes like triangles and slots and tactile feedback means like plane changes for amplifying tactile feedback to a user to enhance distinguishing of control increments; clips and tubing restraints for attachment between devices; endotracheal tubes with feedback features so a user knows where the distal end is; wound kits and splash shields for use in combination with various irrigation sources; combination cough shields with medical components; endotracheal tube adapters with less dead space and improved flanges and monitoring ports; and improved long syringes and medical lights.

Abstract: A soft bite block device for preventing contact between upper and lower teeth of an anesthetized patient. The device includes an elongate roll of cotton gauze encircled by permeable tape so as to maintain the rolled gauze as a monolithic structure. The device is disposable, absorbent and aseptic or sterile. The device is contained within an aseptic or sterile package for the protection of the patient.

Abstract: Disclosed is a flow control device for a bronchial passageway. The device can includes a valve member that regulates fluid flow through the flow control device, a frame coupled to the valve member, and a membrane attached to the frame. At least a portion of the flow control device forms a seal with the interior wall of the bronchial passageway when the flow control device is implanted in the bronchial passageway. The membrane forms a fluid pathway from the seal into the valve member to direct fluid flowing through the bronchial passageway into the valve member.

Abstract: An oral appliance is provided for installation within the oral cavity of a user. The oral appliance is configured to be connected to a negative pressure supply to create a negative pressure environment within the oral cavity of a user. The device includes apertures adjacent the user's teeth.

Abstract: According to the invention, the device for respiratory assistance (1) is tubular, forms a main channel (5), comprises at least one auxiliary channel (8) connected to a source (25) of breathable gas, has means of diversion (36) for diverting a volume fraction of the breathable gas intended for the auxiliary channel (8), and means of aspiration (38) which aspirate ambient air and are driven by the diverted fraction of breathable gas, in such a way that the aspirated ambient air, mixed with the diverted fraction of breathable gas, is conveyed into the main channel (5) between the distal orifice (18) of the auxiliary channel (8) and the distal end (7) of the main channel (5).

Abstract: The present invention relates to a catheter for ventilating a patient, with a ventilation channel for alternately delivering and removing air and/or oxygen to and from the patient's airways, the catheter having a maximum external diameter of at most 6 mm, mm, and the ventilation channel having an open end, and a connector end for connection to a gas flow reversing element. According to the invention, the catheter is provided with means or elements for measuring the pressure outside the ventilation channel near the open end. The catheter preferably has a pressure measurement channel, with an open measurement end near the open end of the ventilation channel, and a measurement connector piece for connecting a pressure display device. Of particular advantage is a catheter with an expansion body (cuff) that is fluidically connected to a supply channel through which the expansion body can be increased or reduced in size by means of a fluid.

Abstract: The present invention provides an endotracheal intubation assist instrument for inserting the bronchofiberscope from the oral or nasal cavity to the trachea easily and then inserting the endotracheal tube into the trachea easily. The side hole 20 is installed near the front edge of the guide tube 10. The guide tube 10 advances naturally from the oral cavity, and the front edge of the guide tube 10 reaches the entrance of the esophagus. The view field is obtained by putting the front edge of the bronchofiberscope 200 onto the base 21. The glottis can be found by the view field of the bronchofiberscope 200 while pulling back the guide tube 10 slowly. The path for the bronchofiberscope 200 from the oral cavity to the esophagus can be secured by the guide tube 10 without influence of the obstacles such as a tongue and an epiglottis, and the operatability can be enhanced. Only the guide tube 10 is removed and the bronchofiberscope 200 remains as the guide line for the endotracheal tube insertion.

Abstract: A system to alleviate a symptom of chronic obstructive pulmonary disease in a lung of a patient by providing a ventilation bypass pathway which allows air to exit the lung via the bronchus or trachea. The system includes a conduit connected by an airway connection device to an artificial opening through a wall of a region of a trachea and a bronchus external to the lung. The other end of the conduit is connected by a lung connection device to an artificial opening through a visceral membrane of the lung. An access fitting is connected to the conduit between the first end of the conduit and the second end of the conduit and allows intermittent access to the lumen from outside the patient.

Abstract: A laryngeal mask includes an airway conduit, and a mask connected to the airway conduit, the mask that includes an inflatable portion. An inflation lumen is coupled to the inflatable portion of the mask as well as an inflation valve. The inflation valve includes an exterior housing that has an exit aperture and a stem that is movable between an open position and a closed position. A vent clip is removably coupled to the inflation valve and includes a body portion, an exterior housing interface portion extending from the body portion and a finger extending from the body portion. The exterior housing interface portion includes a gripping surface which is formed to contact at least an approximately 90 degree portion of the inflation valve exterior housing and the finger maintains the inflation valve in an open position.

Abstract: A supraglottic airway of the type used to facilitate lung ventilation and the insertion of endo-tracheal tubes or related medical instruments through a patient's laryngeal opening where the shield is constructed of a generally single-use blow-molded structure.

Abstract: This invention is directed to substrates, materials and devices coated with a gel, foam, film, particle or composition comprising a polymei solvent and effector compounds attached thereto, processes of producing the same, and methods of use thereof, of in, inter-alia, biological applications, including preventing infection and the treatment of various diseases.

Abstract: Airway devices and tube securing devices are disclosed. Methods of making and using airway devices and tube securing devices are also disclosed.

Abstract: A method for constructing a supraglottic airway of the type used to facilitate lung ventilation and the insertion of endo-tracheal tubes or related medical instruments through a patient's laryngeal opening where the shield is constructed of a generally single-use generally blow-molded structure.

Abstract: An improved high efficiency suction control valve providing unobstructed fluid flow in its activated suction applied mode for removal of viscous secretions at a low level of applied input suction through the catheter. The valve provides positive sealing between a hand-operated plunger and the valve passageway walls against which the plunger engages by slightly over sizing the plunger walls such that the plunger walls expand against a further suction passageway. Similar sealing is provided between the plunger and passageway above the suction passageway.

Abstract: There is provided a medicament dispenser for use with a medicament carrier having a plurality of pockets for containing medicament wherein said pockets are spaced along the length of and defined between two peelable sheets secured to each other, said dispenser having an internal mechanism for accessing said medicament contained within said medicament carrier. The internal mechanism comprises a carrier drive means; indexing means and clutch means, in communication therebetween. The clutch means comprises a gearing surface defining plural gear engagement positions; and plural gear teeth for engaging said plural gear engagement positions. The plural gear teeth are arranged such that at any one time only a single gear tooth engages a single gear engagement position.

Abstract: A suction catheter assembly, particularly adapted for neonatal use includes a distal manifold body including a rotatable connector for connection to an endotracheal tube, a ventilating port member and an ancillary catheter receiving port member. The manifold body is rotatably joined to a catheter tube seal housing. The seal housing includes an irrigation port member. A catheter tube wiper seal and a filter member are disposed in the seal housing which is joined to a suction control valve assembly by an elongated flexible sheath defining an enclosed space through which the catheter tube extends between the valve assembly and the manifold. A resilient closure member actuator and slide lock member are engageable with a closure member of the valve assembly.

Abstract: Systems, devices, and methods are disclosed for the cleaning of an endotracheal tube while a patient is being supported by a ventilator connected to the endotracheal tube for the purpose of increasing the available space for airflow or to prevent the build up of materials that may constrict airflow or be a potential nidus for infection. In one embodiment, a method for cleaning endotracheal tubes comprises inserting a cleaning device within an endotracheal tube while a cleaning member is in a compressed position, radially expanding the cleaning member to an expanded position within the endotracheal tube, and withdrawing the cleaning device from the endotracheal tube with the cleaning member in the expanded position.

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

Abstract: A flexible support for holding endotracheal and nasotracheal tubes in place on the face of a patient includes a pair of oppositely disposed adhesively mountable flanges for releasable mounting to the face of the patient, wherein the flanges are interconnected by a single narrow adhesive-backed elongate bridge-piece spanning between the opposite flanges, and wherein the bridge-piece is shaped so as to be mountable on either the filtrum or mandible of a patient, and wherein a pair of adhesive-backed wings are pivotally mounted by a flexible hinge to the bridge-piece for releasable adhesive mounting of the wings to a portion of the tracheal tube once intubated.

Abstract: Systems, devices, and methods are disclosed for the cleaning of an endotracheal tube while a patient is being supported by a ventilator connected to the endotracheal tube. According to some embodiments, a mechanically-actuated non-inflatable cleaning device for scraping debris (e.g., biofilm) from an interior wall of an endotracheal tube is provided. In one embodiment, the cleaning device comprises an elongated member having a proximal end and a distal end and a mechanically-expandable scaffold positioned along the distal end of the elongated member. In one embodiment, the mechanically-expandable scaffold comprises one or more removal members configured to engage an interior surface of an endotracheal tube when the scaffold is in a radially-expanded position and to remove debris from the interior surface of the endotracheal tube when the device is withdrawn from the endotracheal tube.

Abstract: Method for manufacturing a cuff on a plastic tube comprising an inner tube and an outer sheath covering said inner tube. The outer sheath comprises at least a portion to be molded for producing a cuff. The method comprises a covering step including an injection operation in which air is intermittently or continuously injected between the inner tube and sheath.

Abstract: An endoscopic bite block system for increasing the speed and efficiency of an endoscopic procedure. The endoscopic bite block system includes a base member including a central opening and at least one tube attachment, a channel member latitudinally extending from an outer edge of the central opening and a strap member removably attached to the base member, wherein the strap member removably attaches the base member to the mouth of the patient.

Abstract: “An endotracheal intubation device includes an inflatable cuff connected to an inflation tube, visualization means, where the visualization means include means to enlighten and an image guide, where the means to enlighten, the image guide, and the inflation tube are associated to a first three ways connector adapted to connect the endotracheal intubation device to a control panel; a packaging is also provided containing the endotracheal intubation device wherein the first three ways connector is placed across the packaging so as to allow checking the endotracheal intubation device without impairing its sterility with an endotracheal intubation device tester; an intubation method is further provided using the packaging, the control panel and the endotracheal intubation device tester.

Abstract: A cleaning apparatus including an elongate tubular member utilized by extending into an endotracheal tube. A cleaning assembly provided at a distal end of the elongate tubular member radially expands to engage the interior wall of the endotracheal tube, for cleaning thereof by an outer periphery, achieving an effective cleaning engagement. A fluid impervious bladder portion provides an effective seal preventing fluid seepage during cleaning withdrawal. Further, a ventilator coupling connects to the endotracheal tube, a first inlet port couples to a ventilator assembly to supply air to a patient, and a second inlet port receives the elongate tubular member there through into the endotracheal tube. Also, a bypass coupling assembly connects between the channel of the elongate tubular member and the ventilator assembly directing air into the channel of the elongate tubular member and out the distal end upon occlusion of airflow.

Abstract: A combination artificial airway device and esophageal obturator (10) includes a esophageal cuff (16) and supraglottic cuff (14) that are inflated in a sequence to provide quick isolation of the esophagus relative to the tracheal air passage. The supraglottic cuff is asymmetrical in shape with a wedge like or cone like shape that is ergonomically shaped for providing less trauma to the pharyngeal tissues. A pressure indicator (25) surrounds a pilot balloon (28) for continuous monitoring of the internal pressure within the cuffs (14 & 16).

Abstract: A securement system secures an endotracheal tube or other medical article in position upon a patient and arrests movement of the endotracheal tube. The securement system includes a retainer having a posterior facing surface, and a channel to secure the endotracheal tube. The securement system can include a member configured for placement in the patient's oral cavity and in fluid communication with an anterior side of the retainer, and a mouth securement member configured to substantially prevent movement of the retainer. Advantageously, the securement system can maintain an endotracheal tube in position upon a patient and allow a liquid to be infused into the patient's oral cavity.

Abstract: A system to alleviate a symptom of chronic obstructive pulmonary disease in a lung of a patient by providing a ventilation bypass pathway which allows air to exit the lung via the bronchus or trachea. The system includes a conduit connected by an airway connection device to an artificial opening through a wall of a region of a trachea or bronchus external to the lung. The other end of the conduit is connected by a lung connection device to an opening through a visceral membrane of the lung. A flow-control device such as a filter or valve is connected to the conduit to allow exhalation via the conduit but control flow from the airway to the lung. The conduit creates a direct fluid communication between the lung of the patient and the airway of the patient which permits air to exit the lung and enter the airway via the conduit.

Abstract: A helper device for placement into a mouth cavity to facilitate the artificial pulmonary ventilation for an unconscious edentulous patient comprises a U shaped plate, which comprises upper, lower and side coupling surfaces for intra-mouth fixation, as well as a configured central orifice for housing an oropharynx cannula. Such device allows medical personnel to control and perform ventilation operations while the patient is wearing a facemask.

Abstract: Described herein is a method and apparatus that may be used in various applications, such as medical treatment of humans and animals. In one embodiment, the subject matter discloses a method for evacuation of secretions in the tracheal tube of a patient during endotracheal intubation by incorporating the use of a novel closed suction tracheal device containing a dedicated primary liquid reservoir, and a volume liquid chamber for supplying the liquid for lavage.

Abstract: A self-centering tube for providing an air passageway through an opening in a tracheal wall of a patient includes a shaft having a proximal end and a distal end, and a curve along a length of the shaft. At least the distal end and the curve are sized for passage through the opening into an interior space of the trachea of the patient. The proximal end of the shaft has a greater rigidity than the distal end. The tube includes an inflatable cuff at the distal end. Upon inflation, the cuff forms a seal between the shaft and an interior wall of the trachea, thereby permitting at least the low rigidity distal end of the shaft to self-center within the trachea.

Abstract: A fixing plaster (10) for fixing tubes, hoses or catheters, in particular a tube-fixing plaster (10) for fixing endotracheal tubes in particularly user-friendly form.

Abstract: A respiratory manifold is provided which has a base port that is coupled to a central body. The central body has at least one laterally-positioned arm having a port. The base port includes a bridge to guide an object moved through one port into the body of the manifold and through the base port to a tracheal tube without folding, twisting, bunching or buckling of any portion of the object within the manifold.

Abstract: A laryngeal mask including a dome and an airway tube extending from a proximal passage through the dome. The dome has a periphery about its base including at least one receptacle. An inflatable cuff of flexible material has a first longitudinal edge and a second longitudinal edge. The longitudinal edges are joined to form a tube forming the cuff. The cuff substantially encircles the periphery of the dome. The mask has at least one buttress adjacent to the periphery at a distal portion of the dome. The tube is fused adjacent the buttress of the dome, and the fusing is below a posterior surface of the dome wherein, upon deflation of the cuff, the buttress upturns the cuff to facilitate insertion of the laryngeal mask into a patient.

Abstract: A cannula having at least three separate flow passages and comprising separate nasal and mouth main bodies. The nasal body has first and second nares and first and second main flow chambers respectively communicating with first and second ports, and the first and second flow chambers are separated from one another by a septum. The mouth main body is adjacent the nasal main body and has at least one mouthpiece and at least a third main flow chamber therein communicating with a third port. The cannula has at least first, second and third flow paths which can be connected with a desired supply, monitoring or detection device. The invention also relates to the method of manufacturing the cannula.

Abstract: A device for assisting a caregiver in delivering cardiac resuscitation to a patient, the device comprising a user interface configured to deliver prompts to a caregiver to assist the caregiver in delivering cardiac resuscitation to a patient; at least one sensor configured to detect the caregiver's progress in delivering the cardiac resuscitation, wherein the sensor is configured to provide a signal containing information indicative of ventilation; a memory in which a plurality of different prompts are stored, including at least one ventilation progress prompt to guide the rescuer's performance of ventilation; a processor configured to process the output of the sensor to determine a parameter descriptive of ventilation progress and to determine whether the ventilation progress prompt should be selected for delivery. Possible parameters descriptive of ventilation progress include ventilation rate, delivered tidal volume, and flow rate.

Abstract: A respiratory access assembly includes a movable manifold and a closed suction catheter assembly with a shuttle movable by actuator between the manifold and the closed suction catheter assembly. The assembly includes a flap positioned adjacent the shuttle and the closed suction catheter assembly which is moveable between an open position which permits passage of a suction catheter therethrough and a closed position, which prevents a passage of a suction catheter. The respiratory access assembly permits operable communication with the artificial airway to permit suctioning when in an un-locked position, and prevents the entrance of a suction catheter when in the locked position. A method for using a respiratory access assembly.

Abstract: A respiratory access assembly includes a distal plate having a port, which is adapted to be positioned in operable communication with an artificial airway of a patient. The assembly includes a distal plate having a port and a proximal plate which has a first port and a second port. The distal plate is positioned against the proximal plate in a stacked configuration, and each plate is configured to move relative to the other. The assembly has an actuator which is positioned adjacent to at least one plate. The actuator cooperates with both plates to substantially prevent movement of the plates when the port of the distal plate is positioned in an alignment with at least one port of the proximal plate and an object, such as a suction catheter, is positioned through the aligned ports of the plates. The actuator cooperates with at least one plate to permit movement of at least one plate when (a) no object is positioned through aligned ports, and (b) when no ports are aligned.

Abstract: There is provided a tracheal catheter designed so that a suction catheter may be used to suction out any secretions that accumulate in the zone above the balloon. There is further provided a tracheal catheter having a ventilation lumen with a flexible wall to provide a flexible lumen which takes up negligible volume when the catheter is not inserted. The suction catheter may be inserted into the flexible lumen, bending the flexible lumen wall that normally lies substantially flat against the ventilating lumen. As the suction catheter is inserted into the lumen, the lumen opens to accept it. When the catheter is removed, the wall of the flexible lumen moves back into position against the ventilating lumen wall, again taking up negligible volume. There is also provided a method of suctioning the subglottic space of an intubated patient. This involves providing a tube as described above, inserting a catheter into the flexible lumen from the proximal end, and providing suction to the proximal end of the catheter.

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. 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 locked (open) position, it locks the plates together and aligns the port of the distal plate with the first port of the proximal plate and un-blocks the first port of the proximal plate so that an object, such as a suction catheter, may be positioned through the aligned ports.

Abstract: The invention relates to a device for selective ventilation, comprising an endotracheal tube, an endobronchial tube connected thereto both tubes having a proximal and a distal end, the distal end of the endobronchiol extends beyond the distal end of the endotracheal tube, and means for positioning by feel the distal end of the endobronchial tube in longitudinal and peripheral direction of the trachea. The positioning means can be arranged close to the distal end of the endobronchial tube and can extend so far outside the periphery thereof during use that they come to lie on the carina of the patient. The positioning means can also be asymmetrical relative to the periphery of the endotracheal and/or endobronchial tube and can be adapted for co-action with the trachea wall. The positioning means can comprise a balloon or a resiliently deformable member.

Abstract: An endotracheal tube according to the present invention is used by being installed into a patient so as to use it together with a device having an insertion section which is inserted into the body. A portion overlapping with the device inserted into the patient is formed as a flat shape; and furthermore, an outer face portion formed along a longitudinal direction of a cross-section, of the portion formed in the flat shape contacts the device.

Abstract: A medical device has a cuff adapted to be positioned in the trachea of a subject with a patient tube, and a first tube having a distal end coupled to the cuff and a proximal end communicable with the surroundings. More effective and simpler sample taking and/or dosing of medicament is achieved by a second tube that is coupled with a distal end to the cuff and communicable with the surroundings via a proximal end, together with a pumping device that is connected to the proximal end of the first tube and to the proximal end of the second tube in order to circulate a fluid through the cuff. The cuff has a membrane that is permeable to a specific substance, the membrane being disposed to allow transfer of the specific substance between the interior and the exterior of the cuff.

Abstract: A surface coating for a medical device is provided that may prevent or slow the formation of medical biofilms on the surface of the device. Covalent attachment of certain analogues of N-acyl L-homoserine lactones onto a medical device may provide the advantage of slowing biofilm formation in a manner that is targeted to the surface of the medical device and not the patient. Such a device may allow healthcare providers to prevent bacterial buildups on the surfaces of the device, which may lead to biofilm formation.

Abstract: A method of forming a cannula from a cannula mandrel assembly comprising a pair of mouthpiece/nasal mandrels and a mating facepiece mandrel. The facepiece mandrel has a pair of conical holes, in an intermediate section thereof, for receiving a leading end of one mouthpiece/nasal mandrel. The conical holes allow the facepiece mandrel to slide along the mouthpiece/nasal mandrels until the conical holes abut with respective mating tapering conical sections and prevent further sliding movement along the mouthpiece/nasal mandrels. Following assembly, the assembly is heated, at least one coating of a polymeric material is applied thereto and heat from the assembly at least partially cures the polymeric material on the assembly. Following curing, the facepiece mandrel and formed cannula are slide along the mouthpiece/nasal mandrels until the facepiece mandrel and formed cannula are removed therefrom. Lastly, the facepiece mandrel is removed from the formed cannula.

Abstract: A closed system suction catheter has a catheter enclosed within a flexible envelope secured between a patient end fitting and a machine end fitting. The patient end fitting has a cleaning chamber with a valve at its patient side and is normally closed so that the cleaning chamber is isolated from the patient. The valve has an outer rigid housing enclosing a one-piece elastomeric moulding of tubular shape. The elastomeric moulding has two pads projecting externally through openings in the outer housing. The elastomeric moulding also has a web extending internally across its diameter with a diametrically-extending slit aligned with the pads. A collar mounted on the housing is slidable along the housing to engage the pads so as to apply pressure across the web and open the slit, thereby allowing the catheter to be advanced to the patient.

Abstract: A collateral ventilation bypass trap system directly linked with a patient's lung or lungs may be utilized to increase the expiratory flow from the diseased lung or lungs, thereby treating one aspect of chronic obstructive pulmonary disease. The system includes a trap, a filter/one-way valve, an air carrying conduit and a retention device for securing system elements in position. The system also includes a flow restriction device for controlling the flow of air through the air carrying conduit.

Abstract: The present invention provides for a dental appliance, mouthguard and/or divers mouthpiece using an anti-microbial composition that combines the use of an elastomeric polymer composition with micronized or submicron sized particles of metal or organo/inorgano metal complexes. In addition, the use of an anti-microbial composition for use with a diver's air delivery hose to prevent breathing of contaminated air is also described.