Abstract: A covering sheet for covering a skin adhesive surface of a device for holding a tracheostoma device over a tracheostoma of a patient may include a central/medial element for covering the central/medial part of the skin adhesive surface of the device. The covering sheet may include first and second elements arranged laterally of the central/medial element. Lateral peripheral borders of the central/medial element may be positioned adjacent medial peripheral borders of the first and second elements. The peripheral borders may be defined by division lines.

Abstract: One embodiment of an oral airway comprised of two articulating parts which displace the tongue anteriorly and stent open the oropharynx. This device reversibly locks in a conformation which allows it to be used as a conduit for a fiberoptic scope or other airway device. An adjunct to airway management which can be used when mask ventilation or endotracheal intubation is indicated and can be removed easily after intubation without manipulation of the endotracheal tube. Other embodiments are described as shown.

Abstract: An elongate strip of adhesive tape having an adhesive side and a non-adhesive side; (b) a first peel-away tab on and covering more than half the length of the adhesive tape; and (c) a second peel-away tabs on and covering less than half the length of the adhesive side of the adhesive tape so that when the first peel-away tab is peeled off the tape and the adhesive side of the central portion of the adhesive tape is wrapped around a tracheal tube or the like with the remaining portion of the adhesive side of the adhesive tape applied to the cheek or upper lip of the patient and then peeling the second peel-away tab from the adhesive tape and applying the thus exposed adhesive side of the adhesive tape to the other cheek or upper lip of the patient thereby securing the tube or airway to the patient.

Abstract: A tracheostomy tube has an inner skeletal frame (40) of a relatively stiff plastics material having a longitudinal spine (45) and several annular ribs (42) extending around the frame. A thin, flexible plastics sheath (41) is bonded to the outside of the frame (40). The construction enables a maximum internal diameter with a minimum external diameter.

Abstract: Various embodiments of a tracheal tube having a suction lumen are provided. For example, the suction lumen may be associated with two spaced apart pressure transducers, whereby a pressure drop between the transducers indicates that the suction lumen is free of blockages and a characteristic lack of pressure drop and/or particular pressure curve is indicative of a blockage. In addition, embodiments may include a tracheal tube with sensors configured to sense a buildup of secretions. The sensors may be located proximate to an opening in the suction lumen. In other embodiments, a blockage-clearing system for a suction lumen may be provided that blows air into the suction lumen to clear blockages. In particular, in certain embodiments, the blockage-clearing system may operate to create its own pressurized air source by utilizing the pressure change created in the suction line by a blockage.

Abstract: The invention relates to a laryngeal mask airway device (1) for insertion into patient to provide an airway passage to the patient's glottic opening, the device (1) including an airway tube (2), a mask (3) attached to the airway tube (2), the mask (3) including a body (4) having a distal end (5) and a proximal end (6), a peripheral inflatable cuff (7), and an outlet (8), the mask (3) being attached to the airway tube (2) for gaseous communication between the tube (2) and the outlet (8), the device (1) further including a structure to prevent occlusion of the outlet (8) by the patient's anatomy, the structure including a support (11), and a conduit (28a) to allow gas to flow out of the outlet (8), past the support.

Abstract: A tracheal tube system includes a tracheal tube assembly having a cannula configured to be positioned in a patient airway, and a connector coupled to the proximal end of the cannula. The tracheal tube assembly further includes a flange member secured about the cannula. The flange member includes an interior face configured to be disposed onto a patient neck when in use and a first plurality of protrusions disposed on top of the interior face, wherein the cannula and the connector form a contiguous passageway for exchanging fluid with the patient airway in operation.

Abstract: Devices and methods for allowing for improved assisted ventilation of a patient. The methods and devices provide a number of benefits over conventional approaches for assisted ventilation. For example, the methods and devices described herein permit blind insertion of a device that can allow ventilation regardless of whether the device is positioned within a trachea or an esophagus.

Abstract: Improved methods and devices are described for sensing the respiration pattern of a patient and controlling ventilator functions, particularly for use in an open ventilation system. A ventilation and breath sensing apparatus may include a ventilation gas delivery circuit and a ventilation tube coupled to the ventilation gas delivery circuit. A plurality of pressure sensing elements may be separated by a distance and may produce independent signals. The signals may be used to detect pressure differentials between the plurality of pressure sensing elements. Sensing ports may be located in an airway, and connected to transducers that are valved to optimize sensitivity and overpressure protection. Airway pressure and flow can both be obtained and used to optimize ventilator synchronization and therapy.

Abstract: A novel and non-obvious apparatus, system, and method for managing respiratory secretions and fluids in sections of artificial airways. In an embodiment of the invention, a respiratory secretion retention (RSR) device configured to fluidly connect to an artificial airway can be provided. The respiratory secretion retention (RSR) device can include a housing that defines a passageway for the flow of respiratory gases, a chamber defined by the housing with a portion of the chamber configured to retain exhaled respiratory particulate and liquid, a patient side port coupled with the housing, which is in fluid communication with an artificial airway and at least one access port coupled with the housing were the at least one access port includes a control valve. In an aspect of this embodiment, the housing further can include an instillation port.

Abstract: A laryngeal mask airway device for insertion into a patient to provide an airway passage to the patient's glottic opening. The device includes an airway tube, a mask attached to the airway tube, a peripheral inflatable cuff, and an outlet for gas. The mask is attached to the airway tube for gaseous communication between the tube and an outlet. The device further includes an oesophageal drain that includes a conduit that extends from an inlet at the distal end of the mask to an outlet disposed outside the patient when the device is in place. The conduit includes a mask section and airway tube section, wherein the mask section is formed integrally in the material of the body of the mask.

Abstract: According to a preferred embodiment of the present invention there is provided a bite block assembly adapted for capnography and oxygen delivery to a subject, the bite block assembly (50) including a first capnography passageway adapted for passage therethrough of exhaled breath from the subject to a capnograph and a second oxygen delivery passageway, separate from the first passageway, adapted for passage therethrough of oxygen from an oxygen source to the mouth of the subject.

Abstract: An air-operated speech aid that includes a cover cup, a tube, a sound guide tube, a gasket, and an internal tube. The cover cup of the speech aid is provided with a breathing hole, and a side of the breathing hole is clasped into a soft air gate. One end of the sound guide tube is encased in a sleeve or a mask type cover member.

Abstract: A tracheal tube assembly includes a cannula connector that includes a cannula connector cap coupled to a flange assembly. The flange assembly is in turn coupled to a cannula. The flange assembly includes a portion that extends through slots formed at or near a proximal end of the cannula connector cap. The flange assembly may be overmolded.

Abstract: A manually operable pump for the effective removal of fluids to include blood, blood clots, fluid, and air from a body cavity of a subject is provided. The manually operable pump is adapted to be connect to a range of fluid conduits and is equipped with one-way valves that effectively permit flow of fluid through the pump in only one direction. The sensitivity of the one-way valves is such that when properly positioned, fluid can flow through the valves and out of the pump without manual compression of the pump and with the aid of gravity power alone.

Abstract: The invention relates to a device for selective ventilation of one or both lungs of a patient, comprising an endotracheal tube to be arranged in the trachea of the patient and having a proximal and a distal end, an endobronchial tube connected thereto and having a proximal and a distal end, the distal end of which extends beyond the distal end of the endotracheal tube, and means for positioning by feel the distal end of the endobronchial tube in at least a longitudinal direction of the trachea. The positioning means are herein adapted to also position the distal end of the endobronchial tube in a 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.

Abstract: The self-cleaning and sterilizing medical tube may include a combination of an endotracheal tube or a tracheostomy tube and a suction catheter that decreases the tendency of mucus and bacteria to adhere to the inner surfaces of the thereof. The medical tube may have a hydrophobic surface exhibiting the lotus effect, which may be formed either by femtosecond laser etching or by a coating of poly (ethylene oxide). Alternatively, the medical tube may be formed with a photocatalyst incorporated therein or have a lumen coated with a photocatalyst. The medical tube may also have a light source and a fiberoptic bundle mounted thereon, the optical fibers extending into the lumen to illuminate the photocatalyst.

Abstract: An extendable lighted intubation stylet enables a clinician or emergency medical personnel to introduce a breathing tube into a person's trachea. The extendable lighted intubation stylet includes a handle, a switch, a sheath, an extension member, and a light source. The extension member can be extended or retracted relative to the sheath thereby increasing or decreasing the length of the extendable lighted intubation stylet. The light source provides for superior visualization of the airway compared to a standard laryngoscope bulb. In its extended configuration, the extendable intubation stylet is immediately available in the case of an unanticipated difficult airway and can be used as a bougie. The extendable stylet is lightweight and convenient because it can be folded and placed in a pocket or in a space critical location such as a field kit or portable airway bag.

Abstract: There is provided herein methods, apparatus and systems for evaluating carbon dioxide (CO2) concentration in a subject's breath, for example in subjects ventilated with High Frequency Ventilation (HFV), the method includes inserting to a trachea of a subject an endotrachial tube (ETT), sampling breath from an area in the trachea located in proximity to a distal end of the endotrachial tube (ETT) and evaluating one or more CO2 related parameters of the sampled breath.

Abstract: Various embodiments of flange members and tracheostomy tube assemblies including such flange members are provided. An embodiment of a flange member includes a base portion adapted to receive a proximal end of a cannula, a first flange disposed on a first side of the base portion, and a second flange member disposed on a second side of the base portion opposite the first side. The first flange and the second flange are adapted to rest against a patient's neck to maintain the flange member outside of a patient's airway. The flange member also includes a biocompatible pad reversibly integrated with at least one of the base portion, the first flange, and the second flange.

Abstract: An oral device is disclosed. The oral device comprises a mouthpiece member, a tube member and an attachment member. The mouthpiece member comprises a resilient material, and is adapted to fit within the contours of the teeth of a wearer. The tube member is affixed, at a first end, to the mouthpiece member, and extends outward from the mouthpiece member towards the soft palate of the mouth of the wearer. The attachment member is attached to the mouthpiece member at at least one location. Finally, the tube member defines an opening, which prevents the collapse of the soft palate of the wearer by allowing for the free transfer of air between the wearer and the environment.

Abstract: A branching unit for delivering a respiratory gas of a subject is disclosed herein. The branching unit includes a first limb for delivering an expiratory gas during an expiratory phase and a second limb for delivering an inspiratory gas during an inspiratory phase. The branching unit also includes a third limb connecting with the first limb and the second limb for delivering both said expiratory gas and said inspiratory gas and at least one port for a medical appliance.

Abstract: An airway stabilization system is provided for maintaining an airway device in a patient's trachea and for preventing clinically significant movement thereof with respect to the patient's vocal cords in response to the application of multidirectional forces to the airway device. The system includes a retention collar secured to the airway device to define a retention structure, a restraining device adapted to releaseably engage the retention structure and to cooperate therewith to prevent clinically significant movement of the airway device, and means for securing the restraining device to a patient's head.

Abstract: The invention concerns a collar with a tracheotomy cannula or tube, wherein the collar embraces a respiratory tube in sealing relationship. The collar comprises separate inner and outer films, the outer film being elastically stretchable. The collar of the device allows no or only small tight folds formed which do not affect sealing integrity between the collar and the trachea wall even at low pressures. The outer film is expandable to a diameter larger than the diameter of a trachea, and in particular is at least 1.5 times the outside diameter of the tube, and the inner film comprises a material of lower elastic stretching. The inner film is produced oversized and without an external restriction at an internal pressure of at most 20 hPa assumes a diameter which is larger than the diameter of a trachea.

Abstract: A pulmonary secretion clearing airway structure and related airway management system is disclosed that 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 patient 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. The airway structure can be a ventilation catheter or a supraglottic airway system such as laryngeal mask and the like.

Abstract: A larynx tube (10) for ventilation has a tube shaft (12), which has a ventilation lumen (18), having an oesophageal cuff (28) which is arranged on the tube shaft (12) for blocking the esophagus (14) and having a drainage channel (46) which has a drainage opening (48?) which is arranged distally in respect of the oesophageal cuff (28). The drainage channel (46) is formed by a drainage pipe (44) which is arranged in a longitudinal groove (42) of the tube shaft (12) which is provided on an outer side (40) of the tube shaft (12). The drainage pipe (44) is adhesively bonded and/or welded to the tube shaft (12). The tube shaft (12) has a proximal and a distal longitudinal shaft portion (56, 58) which are adhesively bonded and/or welded to each other. The distal longitudinal shaft portion (58) is constructed as an injection-molded component.

Abstract: A respiratory therapy facemask configured to be positioned against a patient's face and adjacent the patient's mouth, includes a face plate configured for attachment to the patient and defining an opening, the face plate including a laterally extending track defining a slot. A tube rest assembly is configured for being slidably engaged in the slot and for securely accommodating an endotracheal tube. The tube rest assembly is configured for directly engaging the track for lateral movement in the opening.

Abstract: Tracheal tubes having an integrated calorimetric CO2 indicator are provided. In certain embodiment, the integrated CO2 indicator is selectively sealed from the remainder of the tracheal tube by a removable sterilization barrier. Also provided are CO2 indicators that exhibit long lasting, breath-to-breath dynamic color change and are storage stable. The devices and compositions of the invention find use in a variety of applications, e.g. in emergent intubation of a subject. Also provided are methods of making the devices and compositions, as well as kits that include the devices and/or compositions of the invention.

Abstract: A device for maintaining an airway in a patient. This device includes a mask having a resilient conformable peripheral portion that is shaped such that the mask forms a seal with the larynx when the mask is positioned in the laryngo pharynx to thereby prevent ingress of extraneous fluids into the larynx. The peripheral portion of the mask define at least one cavity for providing fluid communication to the esophagus when the mask is inserted into the laryngo pharynx. An airway tube is connected to or formed with the mask for passing gas to the larynx when the mask is properly inserted into the laryngo pharynx. The airway tube preferably is curved as it leaves the mask.

Abstract: Methods, apparatus, and kits for enhancing breathing in patients suffering from chronic pulmonary obstructive disease are described. The methods and apparatus rely on increasing flow resistance to expiration in a manner which mimics “pursed lip” breathing which has been found to benefit patients suffering from this disease. In a first example, a device is implanted in a trachea or bronchial passage to increase flow resistance, preferably selectively increase resistance to expiration relative to inspiration. In a second embodiment, a mouthpiece is provided, again to increase resistance to expiration, preferably with a lesser increase in flow resistance to inspiration. In a third embodiment, the patient's trachea or bronchial passage is modified by the application of energy in order to partially close the lumen therethrough.

Abstract: A tracheal tube apparatus includes a cannula having first and second ends. An inflatable cuff is formed on the cannula between the first and second ends. A conduit extends from the cuff for introducing an inflating fluid into the cuff when it is desired to inflate the cuff and removing inflating fluid from the cuff when it is desired to deflate the cuff. A gauge for indicating the inflation pressure of the cuff is coupled in the conduit.

Abstract: A flexible articulating style for an endotracheal tube is provided with a ratchet mechanism whereby to selectively set and maintain a desired curvature of the style, and hence the tube, so that the intubationist may hold the stylet-curved tube with a pencil-like grip at its mid-section for optimal control during intubation.

Abstract: Provided herein is a respiratory apparatus comprising a means for conducting breathable gasses directly to the trachea of a patient, via a tracheotomy or via a tube through the mouth to the trachea, and a means suitable for supplying the breathable gasses, under pressure, thereto and means for exhausting gases therefrom, characterised in that the pressuring means is so located as to impart pressure to said gasses immediately adjacent the site of the tracheotomy or the patient's mouth, thereby substantially reducing the length of the air supply hose to an endotracheal tube, so that problems associated with high pressures and large volumes of dead space can be alleviated.

Abstract: A valve, usable in connection with a tracheostomy tube, permits phonation by selectively blocking passage of air therethrough. The valve includes a main body portion with first and second internal passages. A first aperture extends radially through a peripheral wall, connecting the first internal passage to an environment external to the main body. A second aperture extends radially through the peripheral wall, connecting the second internal passage to the environment. A trach body portion defines a third internal passage and is connected to the main body portion. A flapper valve is sandwiched between the main body portion and the trach body portion. First and second adjustment rings permit adjustment of opening defined by the first and second apertures, thereby permitting control over the air passing through the first and second apertures.

Abstract: A respiratory probe including two channels in parallel, equipped with unidirectional valves connected head-to-tail.

Abstract: An inexpensive, endo-tracheal intubation device is disclosed. Methods of making and using the inexpensive, endo-tracheal intubation device are also disclosed.

Abstract: An intubating attachment apparatus for use with endotracheal intubation devices comprising an elongated, generally cylindrical support module configured to accommodate a fiber optic intubation scope and at least one of an endotracheal tube or an endotracheal tube exchanger. The invention obviates the need for an attending medical professional to utilize more than one hand when advancing an endotracheal tube and/or endotracheal tube exchanger along with the fiber optic bundle of a bronchoscope into a patient.

Abstract: Disclosed is a curvature-adjustable endotracheal tube. The curvature-adjustable endotracheal tube includes: a hollow cylindrical tube body configured to maintain a patient's airway; and a curvature-adjusting wire configured to allow an operator to freely adjust the curvature of the tube body to correspond to the curvature of the patient's airway into which the tube body is inserted. Both ends of the curvature-adjusting wire are respectively fixed to a distal portion and a proximal portion of the tube body such that the distal portion is pulled and bent when the proximal portion is bent by the operator.

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

Abstract: 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: Tracheostomy devices and methods of use are provided herein. An exemplary device may include a substrate having an opening that is disposed centrally on the substrate, the opening being configured to receive a connector of a tracheostomy tube, the substrate comprising a plurality of mounting holes disposed on opposing ends of the substrate, the substrate having a slit that extends below the opening which allows the substrate to be removed from the connector when the connector is connected to an airway hose.

Abstract: In some embodiments, an airway assembly may be used in a procedure that requires tracheal intubation. The airway assembly may include a first conduit, a sleeve, and a stent. The first conduit and the sleeve may be relatively flexible, facilitating insertion of the airway assembly in a body lumen (e.g., an air passage way). The first conduit may function to deliver gases (e.g., air) to the body lumen and consequently the patient. The first conduit may be positioned in the sleeve during use. The sleeve may be removably coupled to the first conduit. In certain embodiments, a sleeve may function to inhibit a stent from expanding until desired. In some embodiments, an elongated member may be positionable in the first conduit. The elongated member may be configurable to substantially retain a new shape upon deformation. The stent may be coupled towards the distal end of the first conduit. The stent may function to inhibit the body lumen from collapsing.

Abstract: An endotracheal tube holder for restraining an endotracheal tube in a patient's mouth includes a base that is strapped to the patient's head. The base includes a tube-securing block and clip-securing blocks. A separate, U-shaped clip is engagable in ratchet fashion to the base between the tube-securing block and the clip restraining blocks to secure the endotracheal tube to the tube-securing block.

Abstract: A laryngeal mask 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 as used during general anesthesia, intensive care, or critical patient care is described that includes an inflatable positioning and a respiratory tube. The inflatable positioning shield is formed to fit within a patient's oropharynx, and has an inflatable, hollow peripheral portion, a pliable base in fluid communication with the peripheral portion, a shield recess formed after inflation of the peripheral portion, and a rear portion formed between the posterior base and the peripheral portion after inflation of the peripheral portion, wherein the posterior base has a recessed front portion.

Abstract: An enhanced airway for creating an airway in a patient including a rigid connector with an insertion portion inserted into a flexible tube, and a padding member surrounding the flexible tube and the inserted portion of the rigid connector. The rigid connector includes a circuit end that may be directly coupled to an anesthesia circuit, reducing risk of fire caused by diffusing oxygen. The circuit end may also be covered by an oxygen mask or left open and uncoupled. The flexible tube enables a comfortable and less-injury prone creation of an airway in the patient's oral cavity. The rigid connector prevents a patient from biting down and collapsing the flexible tube and, if also inserted in the patient's airway, an endotracheal tube or a laryngeal mask airway. The padding member cushions the rigid connector, preventing damage and injury to a patient's teeth upon biting the rigid connector.

Abstract: A nasal cannula for supplying a respiratory gas to a patient and a method of treating a patient with sleep disorder. The nasal cannula comprises a pair of spaced apart supply lines which each have a head at one end thereof with a discharge opening located therein. The opposite end of each supply line is connectable to a high flow respiratory gas source. Each head is sized to be snugly received and retained within one of the nasal cavities of the patient while forming a sufficient leakage passage, between a portion of inwardly facing nasal cavity skin of a patient and a portion of an exterior surface of the head, to facilitate exhausting of any excess respiratory gas supplied to the patient through the leakage passage and also facilitate inhalation of any room air required in excess of the respiratory gas to be supplied to the patient.

Abstract: Spontaneous respiration is detected by sensors. An additional amount of oxygen is administered to the lungs via a jet gas current at the end of an inhalation procedure. Breathing volume, absorption of oxygen during inhalation, and clearance of carbon dioxide during exhalation are improved. If required, the exhalation procedure of the patient can be arrested or slowed by a countercurrent to avoid a collapse of the respiration paths. An apparatus including an oxygen pump can be connected to an oxygen source and includes a tracheal prosthesis that can be connected via a catheter. The respiration detections sensors are connected to a control unit for activating the oxygen pump. The tracheal prosthesis includes a tubular support body with a connection for the catheter, and the sensors are associated with the support body. The tracheal prosthesis and jet catheter are dimensioned so the patient can freely breathe and speak without restriction.

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 designed to have an internal increase in pressure during assisted inhalation such as positive-pressure ventilation.

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: A patient interface for communicating fluids to and/or from a patient's nasal cavity and/or oral cavity is disclosed. In addition, a patient interface for fluid and physiological function monitoring proximate to the patient's nasal cavity and/or oral cavity is disclosed. An apnea monitor and a method for monitoring apnea are also disclosed.