Abstract: A bite block 20 for use during transoral medical procedures has a main lumen 42 and a side mount 110 for receiving a separately inserted airway 160. The airway 110 may be a commercially available nasopharangeal airway which is inserted in mount 110 and extends into the oral cavity so as to effectively function as oral pharangeal airway.

Abstract: Methods and devices for maintaining nasal passages open after nasal surgery are provided. The post-operative device includes a first tubular member with a first proximal end and a first distal end, and a second tubular member with a second proximal end and a second distal end, where the first proximal end is connected to the second proximal end with a bridging member. The method includes inserting the post-operative device into the nasal passages and before, during or after inserting the device into the nasal passages, adjusting the medical device to accommodate the nasal passages by manipulating a flexible member of the medical device.

Abstract: An inflatable balloon cuff may be adapted to seal a patient's trachea when associated with an endotracheal tube. These cuffs may include indicia that facilitate attachment of the cuff relative to the tube to reduce manufacturing variability for such characteristics as rotational and length alignment. Such indicia may include protrusions that are formed in the wall of the cuff collars or may include visual indicators, e.g., colorimetric or shape-wise indicators. Cuffs with improved attachment relative to the tube may have increased sealing performance.

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: Methods, systems and devices are described for new modes of ventilation in which specific lung areas are ventilated with an indwelling trans-tracheobronchial catheter for the purpose of improving ventilation and reducing hyperinflation in that specific lung area, and for redirecting inspired air to other healthier lung areas. Trans-tracheobronchial Segmental Ventilation (TTSV) is performed on either a naturally breathing or a mechanical ventilated, patient by placing a uniquely configured indwelling catheter into a bronchus of a poorly ventilated specific lung area and providing direct ventilation to that area. Typically the catheter's distal tip is anchored without occluding the bronchus. TTSV is optionally performed by insufflation only of the area, or by the application of vacuum to the area, can include elevating or reducing the pressure in the targeted area to facilitate stagnant gas removal, or can include blocking the area to divert inspired gas to better functioning areas.

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 cannula has an upper end that fits between conforming tapered sections of the connector body inner surface and the insert. The insert may include features to mitigate stress on and around any secondary lumens in the cannula wall. Because the wall is thinner at the site of a secondary lumen, the connector body insert may include a recess into which the cannula wall may expand. The recess may be aligned with the secondary lumen.

Abstract: A molded tracheostomy tube may provide enhanced comfort for a patient. A unitary molded coating over areas of the tracheostomy tube that come into contact with the patient's skin may prevent irritation. Further, the overmolding manufacturing process may allow the tracheostomy tube assembly to incorporate features that allow for greater ease of movement for a patient, such as features that allow flexing at the connection point of the tracheostomy tube to other medical devices.

Abstract: Some embodiments include oral airway assemblies that can include a body having an opening extending from a first end of the body to a second end of the body with the body having upper and lower portions in one cross section. A flange can be included that extends from the first end of the body and outwardly from the opening. An upper member extending from the upper portion of the second end of the body and outwardly from the opening away from the lower portion can be provided. The assemblies can include a lower member slidably engaged with the body, with at least a portion of the lower member extending outwardly from the lower portion of the second end of the body and away from the upper portion when engaged with the body. In accordance with other embodiments a member can be provided to slidably engage with the body, and include a tab at one end, with the tab being pivotably coupled to the member.

Abstract: An adapter assembly including a manifold and a valve assembly. The valve assembly includes a seat and a valve body having a circular base and a wall. The wall extends from a trailing side of the base to form a dome-like shape terminating at an end at which a slit is formed, with the wall defining opposing sealing edges at the slit. The seat has an upper circumferential surface and a lower circumferential surface. The upper surface engages a leading side of the base, whereas the lower surface engages a trailing side. At least one of the upper and lower surfaces forms a segment of increased height. Upon final assembly, the valve body is disposed across a passageway of the manifold, with the slit providing a selectively openable path. A force imparted by the segment of increased height flexes the base and biases the sealing edges into engagement.

Abstract: The present application relates to endotracheal tubes and to systems and methods for detecting airway edema and evaluating breathing with an endotracheal tube

Abstract: A breathing circuit for a tracheostomized patient provides respiratory care and pulmonary function testing. The breathing circuit includes a flow control adapter that directs an inspiratory flow of air and an expiratory flow of air. The flow control adapter includes a subject port for coupling to a tracheostomy tube, an inspiratory port for coupling to an incentive spirometer, and an expiratory port. The flow control adapter further includes an adapter body and a one-way valve. The adapter body is configured to define an inspiratory fluid flow path between the inspiratory port and the subject port and to define an expiratory fluid flow path between the subject port and the expiratory port. The one-way valve substantially prevents air that flows generally along the inspiratory fluid flow path from flowing through the expiratory port during inspiration and allows air flowing generally along the expiratory fluid flow path to flow through the expiratory port during expiration.

Abstract: A respiratory tract bore opening keeping device includes generally a main body that has two sides each connected to a resilient plate. The resilient plates each have a distal end that is remote from the main body and includes a protruding section having an increased thickness formed thereon. The main body has an outer side on which an upper lip positioning section and a lower lip positioning section are formed. The main body has an inner side on which an upper tooth positioning section and a lower tooth positioning section are formed in such a way that the lower tooth positioning section is in front of the upper tooth positioning section. The keeping device is depositeable in the mouth of a person with lips and teeth respectively positioned on the lip and teeth positioning sections to change the configuration of the tongue and the location of the lower jaw.

Abstract: An oral airway includes a curved body having a front wall which includes a concave portion of the body, and a rear wall which includes a convex portion of the body. The front wall is configured to translate relative to the rear wall, while remaining engaged with the rear wall. In addition, the rear wall is formed of a first material, and at least a portion of the front wall is formed of a second material, the second material being relatively flexible as compared to the first material.

Abstract: A fenestrated tracheostomy tube has a shaft (1) made of a silicone or other soft material. The fenestrated region (10) located in the trachea (20) has two rows of several openings (11) along the centre line of the tube. The openings (12) are formed in a separate plate (12) of a stiffer material bonded or moulded in an aperture (13) in the shaft (1) of the tube to give the shaft extra stiffness in this region.

Abstract: An airway management device is provided that may adjust the inflation level of a cuff associated with an endotracheal tube. The cuff inflation may be adjusted in response to an increase in carbon dioxide levels above the cuff, which may indicate a poor seal of the cuff against the tracheal walls, as well in response to a measured intracuff pressure. By using information about the seal quality of the cuff together with information about the cuff pressure, the inflation of the cuff can be adjusted to minimize cuff inflation pressure while maintaining a high quality tracheal seal.

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 cannula has an upper end that fits between conforming tapered sections of the connector body inner surface and the insert. The insert may include features to mitigate stress on and around any secondary lumens in the cannula wall. Because the wall is thinner at the site of a secondary lumen, the connector body insert may include a recess into which the cannula wall may expand. The recess may be aligned with the secondary lumen.

Abstract: Various embodiments of tracheostomy tube assemblies including a cannula, a cap, and a flange are provided. The cannula includes a distal end and a proximal end, the distal end being adapted to be inserted into a patient's trachea. The annular cap includes an annular body having a first surface adapted to be received into the proximal end of the cannula to retain a portion of the cap in the annular body. The flange member includes a second surface that engages the proximal end of the cannula such that the proximal end of the cannula is retained between the second surface of the flange member and the first surface of the annular cap. The flange member also includes a third surface adapted to engage an inner surface of the annular body of the annular cap to retain the flange member between the annular cap and the proximal end of the cannula.

Abstract: A device for dilating an opening through the tracheal wall of a patient includes a loading dilator. A balloon catheter is received in the lumen of the dilator such that the balloon extends distal to the loading dilator distal end. The balloon is configured to radially dilate a portion of the tracheal wall upon inflation. The balloon includes retention structure along its outer surface such that upon inflation, the retention structure inhibits dislodgement of the balloon when the balloon is positioned across the tracheal wall. The retention structure may comprise a pair of spaced elements radially projecting from the outer surface of the balloon, and spaced along the outer surface such that each of the elements is disposed at an opposite side of the tracheal wall when the balloon is positioned along the tracheal wall opening.

Abstract: A flexible expandable inter vivos tube includes at least one arched segmented portion, a corresponding movable element and at least one positioning mechanism. The at least one arched segmented portion and corresponding movable element forming a flexible closed longitudinally expandable tube. The at least one arched segment includes an H-shaped connector having at least one cavity that allows variable slidable movement of a free end portion of the corresponding movable element. A flexible membrane is contained in the at least one cavity so that the hydraulic or air pressure within an inner rib of the H-shaped connector expands the movable element and, thus, the circumference of the flexible inter vivos tube are increased. The flexible membrane attached to the free end portion limits the travel of the movable element within a corresponding one of the at least one cavity.

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: The present invention provides intra-oral interfaces, systems and methods for preventing sleep apnea, the interfaces comprises a conduit adapted to receive continuous positive airway pressure (CPAP) from a CPAP source, and for delivering positive air pressure to a mouth of a patient, a mouthpiece through which the conduit extends, the mouthpiece having a portion configured to reside between the teeth and inner part of the lips and cheeks in the mouth of the patient; and an active seal associated with the mouthpiece, the active seal having at least a portion thereof adapted to reside in a buccal vestibulum of the patient, the active seal being configured to bulge and contract as the patient breathes.

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: An introducer for a surgical airway catheter has a proximal handle; a curved, rod-shaped main section; an opening-enlarging region; and a rod-shaped distal tip, sized to receive the catheter tube. After making an initial opening in a patient's trachea, the operator inserts the distal tip into the initial opening up to the cutting region. The operator uses the opening-enlarging region to sufficiently widen the opening by moving the introducer from side to side or simply by inserting the introducer into the opening to enable the widened opening to receive the tube and cuff of the catheter. The operator rotates the introducer and catheter into the trachea through the widened opening and then removes the introducer leaving the catheter in place. The introducer and catheter can be pre-configured in a surgical kit having a retractable scalpel configurable onto the introducer's handle and used to excise the initial tracheal opening.

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

Abstract: A supraglottic tube is provided, which despite certain softness has high compressive strength in the proximal distal direction and an adjustable radius of curvature. The supraglottic tube includes at least three lumens. A guiding lumen is located between a respiration lumen and a esophageal lumen. The lumens are separated from each other by separating walls. A guiding means, which includes a pressure element and a tractive element, is located in the guiding lumen. A tractive force can be applied to the tractive element by way of a feed connector and an adjustment unit, in which the pressure element is supported, whereby the radius of curvature of the supraglottic tube can be adjusted.

Abstract: Various embodiments of tracheostomy tube assemblies including a first subassembly and a flange subassembly are provided. The first subassembly includes a connector and a first spherical bearing element coupled to a first end of the connector. The first spherical bearing element includes at least two protrusions radially offset about a circumference of the first spherical bearing element. The flange subassembly includes an outer spherical bearing element having recesses for receiving the at least two protrusions and being adapted to encapsulate the first spherical bearing element.

Abstract: The present disclosure describes systems and methods having a dual-lumen tube with an assembly end. The assembly end may be molded and coupled to an extruded portion of the tube to form a complete dual-lumen tube. The assembly end may form the distal portion of the dual-lumen tube, which may simplify the manufacturing process by eliminating cutting and shaping steps involved in forming the distal ends of the ventilation lumens. The assembly end may be molded or otherwise formed so that the distal portion is not cut to length. In addition, the assembly end may include addition functionality, such as a camera apparatus or one or more sensors.

Abstract: A bite block and methods of use thereof are disclosed. The bite block may be configured to encompass a tube such as an endotracheal tube, and to protect the mouth of an intubated patient from clenching damage.

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 backscattered intensity measurements.

Abstract: The cheek path airway fits a path between a user's lips and through the user's cheek pouch and rear-jaw gap, avoiding the user's bite. It provides supplemental air to a user's rear-mouth cavity independently of a user's nasal airways while a user's lips remain closed. The airway can be used in combination with mandibular jaw-control and tongue-control devices whereby the combination mitigates breathing restrictions in a user's nasal and throat airways. The cheek path airway can be combined with and stabilized by a cheek pocket anchor, formed of a resilient filament, that fits within a user's cheek pouch.

Abstract: According to various embodiments, a tracheal tube may employ optical sensing techniques for determining an orientation of the inserted tube in a subject. The orientation 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: An oropharyngeal device positionable within an airway of a patient may include a hollow body having a proximal end positionable adjacent the patient's mouth and an opposite distal end positionable adjacent and spaced from the patient's epiglottis. The body includes a center channel extending from the proximal end to the distal end of the body. The oropharyngeal device may include a supply passage for delivering oxygen to the patient. The supply passage may include at least one of a discharge port fluidly connecting the supply passage to an exterior region of the oropharyngeal device and a discharge port fluidly connecting the supply passage to the center channel. The discharge ports may be positioned along a wall of the body between the distal and proximal ends. The oropharyngeal device may include a sensing passage for sampling a patient's respiratory composition positioned adjacent the distal end of the body.

Abstract: The present invention is directed to a novel device and method for providing a disposable endotracheal intubation device for use with an auxiliary passageway serving as a guide for the placement of an orogastric or other enterally directed device in a patient. The present invention pertains to a medical catheter device, removably attachable to an endotracheal tube, for guiding the path of an enteral tube into the esophagus of a patient. The catheter device preferably employs an adjustable clamp to fix the position of the catheter relative to the endotracheal tube. The present invention also pertains to a combination medical intubation device comprising an endotracheal tube and a catheter proximate the endotracheal tube to guide the path of an enteral tube. The present invention also pertains to a method of intubating a patient using this combination medical intubation device.

Abstract: An orotracheal intubation device (1) for intermittent low-pressure ventilation of a patient provided with an inflatable cuff (3) including two lines of holes (2,5) communicating with the inflatable cuff and a one-way round valve (4) preventing air flow during inspiration and allowing air flow during expiration.

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: 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: A pressure regulating syringe comprises a barrel assembly terminating with a tubular tip positionable in fluid communication with a fluid chamber, a plunger that is manually and axially displaceable within a barrel of the barrel assembly, a pressure sensor mounted onto the plunger adjacent to its distal end, for generating one or more electrical signals representative of a change in pressure within the fluid chamber, circuitry housed within the plunger for processing the generated signals, and a display mounted on the plunger for displaying an output indicative of the processed signals. The output is changeable upon axial displacement of the plunger when the tubular tip is positioned in fluid communication with the fluid chamber, which is for example a cuff surrounding a medical tube. Fluid is delivered by manually manipulating a fluid delivery element in response to the displayed output until a desired fluid delivery operation is performed.

Abstract: A retention system for use with a bridle installed in a nose of a patient includes a member coupled to a medical device that is suspended from a nose of a patient and a connector for coupling to a bridle that is installed in a nose of a patient. The medical device extends into the mouth of a patient or is suspended adjacent the face of a patient.

Abstract: A multi-lumen breathing tube device providing for separate and bidirectional gas flow for expired and inspired gas during ventilation of a lung. Embodiments of the multi-lumen breathing tube include an improved laryngeal mask airway device and an improved endotracheal tube. The invention is compatible with a circle breathing circuit system used with many mechanical ventilators including those used in conjunction with anesthesia machines.

Abstract: A pulmonary secretion clearing ventilation catheter and related airway management system is disclosed. The ventilation catheter has a double lumen portion which each lumen of the double lumen portion operably secured to an airway management system so that inspiratory fluid (air/oxygen mixtures, with or without added water vapor) is delivered to the distal end of the ventilation catheter through one of the two lumens and expired inspiratory fluid, pulmonary secretions, and pulmonary fluids are removed from the patent through the other lumen. The expiratory fluid pathway preferably includes a secretion collection system for removing the pulmonary secretions and the like from the pathway, thereby improving operation and safety of the system. An improved inflatable cuff is also disclosed that permits a slight air leakage in the pneumatic seal between the patient's lungs and the environment, thereby facilitating removal of pulmonary secretions from the patient's lungs.

Abstract: A guide adapted for facilitating insertion of a medical device into the trachea of a patient is disclosed. The guide includes an integral curved-shaped member having at least a first leg at one end of the guide. The curved-shaped member essentially includes an outside curved side defining a concave groove. A first angle is defined on the first leg configured and dimensioned to allow for at least the first leg to pass through the mouth and into the trachea of the patient. Insertion of the guide into the trachea allows for elevation of the tongue and surrounding soft tissue of the patient thereby forming an air space that allows for passage of a medical device.

Abstract: A flexible expandable inter vivos tube includes at least one arched segmented portion, a corresponding movable element and at least one positioning mechanism. The at least one arched segmented portion and corresponding movable element forming a flexible closed longitudinally expandable tube. The at least one arched segment includes an H-shaped connector having at least one cavity that allows variable slidable movement of a free end portion of the corresponding movable element. A flexible membrane is contained in the at least one cavity so that the hydraulic or air pressure within an inner rib of the H-shaped connector expands the movable element and, thus, the circumference and diameter of the flexible inter vivos tube are increased. A free end of the arched segment may include a retaining pin that engages a serrated free end of the corresponding movable element.

Abstract: A probe for medical use comprising a tube (1) and a cuff (3) located around the tube (1) in a region of its external wall, the cuff (3) being inflatable through a conduit (5) arranged at the wall of the tube (1), linking the interior of the tube (1) to the interior of the cuff (3), the inflation and deflation of the cuff (3) being determined by the rhythms of the inspiration and expiration of air, respectively.

Abstract: There is disclosed an endotracheal tube which has a minimal cross-sectional profile for easy viewing of anatomical features during intubation. After the tube is placed into the trachea, the tube is adapted to increase the diameter. In this manner the tube diameter may be expanded to allow for decreased Work of Breathing (WOB) for patient, while not having so large a diameter as to cause tracheal discomfort.

Abstract: Embodiments of the present invention generally relate to endotracheal tubes having a plurality of colored markings such as colored rings therearound. The colored markings are positioned at predetermined intervals and facilitate quick and accurate determination of intubation depth. The color-coded endotracheal tubes may be accompanied by a key or legend that correlates each colored marking to a specific intubation depth.

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: There is disclosed an endotracheal tube which has a minimal cross-sectional profile for easy viewing of anatomical features during intubation. After the tube is placed into the trachea, the tube is adapted to increase the diameter. In this manner the tube diameter may be expanded to allow for decreased Work of Breathing (WOB) for patient, while not having so large a diameter as to cause tracheal discomfort.

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 time of flight techniques.

Abstract: Small tracheostomy appliances for use in treating Sleep Apnea Syndrome. The appliances are inserted in a tracheotomy incision, low on a patient's neck to equalize intra-tracheal pressure with ambient pressure under certain conditions to prevent undesirable increases in blood CO2 that could otherwise cause arousals from sleep.

Abstract: The present disclosure describes systems that may extend the proximal length of a tracheal tube. A tracheal tube extension system may be provided that includes secure attachment features used to securely couple a tracheal tube to a tracheal tube extension. The tracheal tube extension may be attached to the proximal end of the tracheal tube and includes an upper end connector. The upper end connector may be used to couple the tracheal tube extension to a variety of medical devices such as a ventilator, a manual respirator, a nebulizer, a vaporizer, suctioning equipment, and so forth. The use of the tracheal tube extension enables an increase in working space in the area in front of the tracheal tube, thus allowing for the convenient and rapid access to the various connectors that may be coupled to the patient.