Abstract: A bite block device for use with intrabuccal instruments having a generally U-shaped central body. A lower vestibular rim extends from an outer periphery of a bottom surface of the generally U-shaped central body. A lower lingual rim extends from an inner periphery of the bottom surface of the generally U-shaped central body. An upper vestibular rim extends from an outer periphery of an upper surface of the generally U-shaped central body. An upper lingual rim extends from an inner periphery of the upper surface of the generally U-shaped central body. The upper surface, the upper vestibular rim, and the upper lingual rim are anteriorly discontinuous for a common length to form an intrabuccal instrument channel therethrough.

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: An artificial airway including an airway tube having proximal and distal ends and a mask mounted at the distal end of the airway tube characterized in that the airway tube includes a curved portion adjacent to its distal end and a straight portion extending from the curved portion to the proximal end of the airway tube and the curved portion is more rigid than the straight portion.

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 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: An inflatable balloon cuff may be adapted to seal a patient's trachea when associated with an endotracheal tube. Configurations of these cuffs that include tapered regions with certain characteristics, such as cuff wall diameter and thickness, may provide improved sealing of the trachea.

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: An airway device (10) is provided for sealing a patient's pharynx (P), the device comprising an elongate flexible chamber (12) of resilient material with a leading end (14) and a trailing end (16) and being bounded by top (18) and bottom (19) elongate surfaces. The top surface has raised ridge (20) across it to seal at the base (B) of the tongue (T) and the bottom surface is shaped to seal at the back of the patient's throat. An opening (26) is defined in the top surface and serves to place the chamber in communication with the laryngeal inlet (L) of the patient. A gutter (28) extends from the leading edge along the length of the bottom surface and forms a funnel (27) at the trailing end. Instruments passed along the outside of the stem are received in the funnel and directed along the gutter to the oesophagus (O) of the patient.

Abstract: The disclosed Neonatal Laryngeal Mask Airway-0 and 1 (NLMA-0, NLMA-1) device includes an inflatable cuff, an airway tube, a connector, backplate with an aperture. The cuff is insertable through mouth of the patient to an inserted location within patient oropharynx. The cuff of the NLMA surrounds glottis opening and opening in the backplate of the NLMA. The airway tube is a communicating passage between connector and inflatable cuff. The connector is attached to the outer end of the airway tube and inflatable cuff attached to the inner portion of the airway tube. The V shape connector can be attached to the resuscitation bag at one end and to the tracheal catheter at the other. This tracheal catheter passes through connector, airway tube and through the opening in the backplate into the trachea, in order to administer surfactant into the lung.

Abstract: A tracheotomy tube set is provided with a tracheotomy tube including a cannula including a connecting member at a proximal end and a bellows member joining to the connecting member, a balloon cuff formed proximal to a distal end of the cannula, a first wing extending from one side of one end of the balloon cuff, a second wing extending from the other side of one end of the balloon cuff, a first wedge balloon formed between the first wing and an insertion section between the balloon cuff and the distal end of the cannula, an opposite second wedge balloon formed between the second wing and the insertion section, and a line having one end communicating with both the first and second wedge balloons; and a fixation device including a split flange, a hole through the flange, and two slots formed at both sides of the fixation device respectively.

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: Devices and methods for preventing tracheal aspiration as described where a cuff assembly having an inflatable member with an inflation tube fluidly coupled may be placed over a proximal end of an endotracheal tube or laryngeal mask and inserted into the patient trachea with the endotracheal tube or separately after the endotracheal tube has already been positioned. In either case, the inflatable member may be positioned distal (or inferior) to the vocal cords and proximal to the endotracheal balloon via a delivery instrument which automatically positions the balloon in proximity to the vocal cords.

Abstract: An airway device (10) is provided which includes a distal part (12) and a proximal part (20) in sealed communication. The distal part (12) has a distal opening (14) for attachment to a breathing apparatus, in sealed communication with a hollow stem (16). The proximal part comprises a hollow sealing chamber (20) with a proximal opening (22), said sealing chamber (20) having means for sealing within and against the mucosal walls of a body cavity with a corresponding proximal opening, for communicating with the lungs. The sealing means of the sealing chamber (20) includes: a longitudinal fold (32) that allows for adaptation to varying cross-sectional dimensions of said body cavity; and said sealing chamber (20) being made of an elastomeric substance and having walls (26,30) that are thicker and relatively less flexible, and walls (24,25) that are thinner and relatively more flexible, said thicker walls (26,30) forming a framework that supports said thinner walls (24,25).

Abstract: The present invention relates generally to medical devices, methods, and kits. More particularly, the present invention relates to improved endotracheal tubes or patient ventilation tubes which prevent the leakage of proximal secretions to the distal airways.

Abstract: One aspect of the invention is a method to vent gas from a body cavity during an endoscopic procedure. A body cavity is in fluid communication with an exhaust gas inlet of a vacuum break device. The vacuum break device has a chamber in fluid communication with both the inlet and an outlet. The chamber may comprise one or more openings in fluid communication with the atmosphere. A conduit in fluid communication with the exhaust gas outlet may be connected directly or indirectly to a suction source. The suction source may be activated.

Abstract: According to various embodiments, a tracheal tube may include a pressure monitoring lumen configured to sample the gases in the tracheal space. The pressure monitoring lumen may be in fluid communication with a pressure transducer that provides pressure measurements. An opening of the lumen may be covered with a porous membrane that allow gas to diffuse freely in and out of the lumen, but that prevents secretions from clogging the lumen.

Abstract: A method of manufacturing more than one inflatable cuff per blow molding operation is provided. The method includes using two or more molds arranged in series and/or in parallel to simultaneously form two or more cuffs. The two or more cuffs may then be used in the manufacture of two or more respective endotracheal tubes. Apparatuses and systems for simultaneously forming the two or more cuffs are also provided.

Abstract: A larynx mask (1) includes a cover plate (12) having a peripheral cull (13) adjoining thereon and is provided with a tube insertion connector (11) at the proximal end, while the tip (4) has a special design at the distal end. The cover plate 12 ends in the region of the tip on the cuff, or even before that, and the esophageal passage (18) runs as an open channel (20) over a constricted region (13?) of the cuff (13). Said channel preferably includes a widening (22) and is delimited on both sides by reinforcement means (21), which are preferably formed by reinforcing walls (21?) or additionally as reinforcing ribs (21?). Said design of the lead-through of the esophageal passage results in a considerable reinforcement of the proximal tip of the larynx mask and therefore counteracts possible kinking of the tip (4).

Abstract: A tracheal tube (40) or laryngeal mask has a sealing cuff (41, 2) with a surface covered by a brush-like material (44, 24) provided by closely-packed fibers (25) between 1 mm and 5 mm in length. The brush-like surface (44, 24) may be provided by coating the surface with an adhesive and using an electrostatic charge to draw fibers (25) to adhere to the adhesive.

Abstract: A single lumen endobronchial tube for selective mechanical ventilation of the lungs can include a medical tube having a single lumen with an opening at each of opposed distal and proximal ends of the tube, the opening at the proximal end of the tube being adapted for connection to an external mechanical ventilation device, and the opening at the distal end of the tube being adapted for delivery of a medical gas; a wall extending throughout the tube's entire length having an internal wall surface, an external wall surface and a thickness therebetween, a portion of the wall having an aperture and a shaft adapted to house a mechanism for sealing the aperture; a distal bronchial cuff positioned along the external wall surface and adapted to expand radially outward; and at least a first proximal tracheal cuff positioned along the external wall surface and adapted to expand radially outward.

Abstract: Various embodiments of a connector assembly are provided to removably couple a proximal end of a tracheal tube to components associated with a ventilator or an anesthesiology machine. The disclosed embodiments include a compression fitting, which creates an airtight seal between walls of the tracheal tube and components of the compression fitting, thus allowing air to flow to and from a patient.

Abstract: The volume of a hyperinflated lung compartment is reduced by sealing a distal end of the catheter in an airway feeding the lung compartment. Air passes out of the lung compartment through a passage in the catheter while the patient exhales. A one-way flow element associated with the catheter prevents air from re-entering the lung compartment as the patient inhales. Over time, the pressure of regions surrounding the lung compartment cause it to collapse as the volume of air diminishes. Residual volume reduction effectively results in functional lung volume expansion. Optionally, the lung compartment may be sealed in order to permanently prevent air from re-entering the lung compartment.

Abstract: According to various embodiments, methods and systems for determining pressure in an inflatable cuff of a tracheal tube may employ pressure transducers associated with a cuff inflation line or a pilot balloon assembly. The pressure transducers may be implemented to provide continuous or intermittent cuff pressure. Also provided are tracheal tubes with adapters or other devices that incorporate pressure transducers. The tracheal tubes may facilitate wireless cuff pressure monitoring.

Abstract: An airway stabilization system is provided which may be fitted to any airway device to maintain an airway in a patient and which prevents clinically significant movement of the airway device with respect to the patient's vocal cords in response to the application of significant forces in any direction to the device, be they longitudinal, torsional/rotational or bending. The system comprises an improved airway device and an improved securing device having interactive components that cooperate integrally with and engage one another to provide unparalleled strength and stability against movement. The securing device includes a unique stabilizer conjured to releasable engage or release a retention structure on the airway device with a simple twist to facilitate ease of application in all conditions. A connector is also provided for facilitating ease of connection and disconnection to a source of ventilatory air without constricting the airway device.

Abstract: According to various embodiments, a tracheal tube may include signal sources for providing information at various locations on the tube or in an inflated cuff. The signals from the signal sources may be triangulated to determine the location of the tube in relation to a reference point on the body. The location information may provide an indication as to whether or not the tracheal tube is properly placed within the trachea.

Abstract: Various embodiments of a tracheal tube having a flexible membrane disposed therein for separation of a ventilation lumen of the tracheal tube into multiple channels are provided. The flexible membrane is configured to divide a main ventilation lumen of the tracheal tube into an inspiration channel and an expiration channel. In some embodiments, a volume of the inspiration channel is substantially equal to a volume of the expiration channel.

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: An assembly structured to inflate a retaining or pressure cuff associated with an artificial airway tube such as an endotracheal and/or tracheotomy tube and concurrently monitor pressure therein including a casing having an interior pressure chamber. A pump assembly is movably connected to the casing and structured to force fluid flow to the retaining cuff through said pressure chamber. An indicator member is disposed within the casing, is visually accessible through casing window, and is variably positionable dependent on and indicative of existing pressure within the retaining cuff. The existing pressure within the pressure chamber is substantially equivalent to that within the retaining cuff thereby facilitating the variable position of the indicator member to indicate pressure within the cuff. A junction is disposed between the casing and an inflation lumen to the restraining cuff and is structured to allow disconnection between the casing and the lumen but prevent reconnection thereto.

Abstract: A tracheostomy tube with a tracheostomy cannula is provided at least in areas with helical reinforcement and with at least one phonation opening disposed in the tracheostomy cannula. The pitch of the helical reinforcement in the area of the at least one phonation opening is increased such that the at least one phonation opening is fitted between two turns of the helical reinforcement. An improved tracheostomy tube with high stability is provided.

Abstract: The invention relates to an artificial airway device (1) to facilitate lung ventilation of a patient, comprising an airway tube (2) and a mask (3) carried at one end of the airway tube, the mask (3) having a distal end (4) and a proximal end (5) and a peripheral formation (6) capable of forming a seal around the circumference of the laryngeal inlet, the peripheral formation (6) surrounding a hollow interior space or lumen (7) of the (mask (3) and the bore of the airway tube (2) opening into the lumen (7) of the mask, the airway tube including support means (44) such that the cross sectional area of the bore is substantially maintained upon application of pressure by the patient's teeth, whilst allowing local deformation of the tube at the point of tooth contact.

Abstract: Endotracheal and tracheostomy tubes have an inflatable cuff for sealing the trachea so that a patient may be ventilated through a respiratory lumen of the tube. As a result of sealing the trachea outside of the tube, liquids accumulate above the cuff. If these liquids are allowed to move into the lungs, they may cause ventilator acquired pneumonia (VAP). The liquids may be removed by suction applied to a suction lumen terminating in a port above the cuff, but suctioning can cause damage to the trachea if the tube is sucked up against the tracheal wall. A tracheal catheter having a unique method of attaching the balloon cuff is provided. The cuff is to attached so that an upper part (collar) of the cuff is used to cover the distal end of a suction lumen port. This allows the port to be located closer to the cuff and so provides more thorough liquid removal and reduces the possibility that the tube may suck itself onto the tracheal wall.

Abstract: Intubation is a potentially dangerous invasive procedure with many plausible errors, such as over-inflation of a cuff and insertion of an intubation tube in the wrong lumen, potentially resulting in a patient's internal bleeding, suffocation, or even death. An intubation aide according to example embodiments of the present invention allows intubation of a patient, while eliminating potential injury to the patient, increasing accuracy and reliability of the placement of the intubation tube, and drastically decreasing procedural time. Within moments of insertion of the device into a patient, the medical caregiver knows, with complete certainty, the location of the intubation device without applying traditional time-consuming tasks. Embodiments also provide patient safety, if intubated for a prolonged periods, by regulating an inflation pressure of the cuff. The intubation aide can also be used for training purposes and is ideal for intubation in hospital and field settings.

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

Abstract: An inflatable balloon cuff may be adapted to seal a patient's trachea when associated with an endotracheal tube. These cuffs may include features that facilitate detection or visualization of the cuff, for example with ultrasound devices, to ensure proper placement of the cuff and the tube. Such surface features may include particular types of materials or shaped or protruding features that may be detected in the environment of the trachea.

Abstract: A laryngeal mask for establishing an artificial airway in a patient includes a mask portion having a resilient conformable peripheral portion shaped such that the mask forms a seal with the larynx when the mask is positioned in the laryngopharynx, and an airway tube connected to or formed with the mask for passing gas to the larynx when the mask is properly inserted into the laryngopharynx. The mask portion includes at least one region of reduced wall thickness or enhanced flexibility, and at least one region of increased wall thickness (relative to the reduced wall thickness) or enhanced stiffness (relative to the region of enhanced flexibility), the at least one region of increased wall thickness or enhanced stiffness having a larger longitudinal extent than a longitudinal extent of the at least one region of reduced wall thickness or enhanced flexibility. The resilient conformable peripheral portion may be an inflatable cuff.

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

Abstract: The present invention, in an exemplary embodiment, provides a therapeutic medical appliance, delivery device and method of use. In particular, plug therapeutic medical appliances are provided that allow for the interventional treatment of pulmonary disorders such as defects characterized by pulmonary blebs and/or diffused destructive parenchymal disease. The plug therapeutic medical appliances themselves combine many of the excellent characteristics of both silicone and metal therapeutic medical appliances while eliminating the undesirable ones. In particular, these therapeutic medical appliances are preferably self-expanding in nature and allow the predetermined differential selection of relative hardness/softness of regions of the therapeutic medical appliance to provide additional patient comfort. An exemplary embodiment also provides a family of delivery devices that facilitate flexibility, durability and/or proper installation of one or more medical appliances in a single procedure.

Abstract: A coupling for connecting a ventilator tube to a tracheotomy tube has a latching mechanism which prevents the coupling from axially displacing a tapered tubular extension of the tracheotomy tube after they have been mated in a pneumatically discrete path. For use with known adult tracheotomy tubes which have inner and outer cannulas, the latching mechanism engages the coupling with the leading end of the outer cannula collar with the inner cannula collar sandwiched therebetween. For use with known one piece children's tracheotomy tubes, the latching mechanism is a clamshell contoured to concentrically grip the tapered tubular extension of the tracheotomy tube. Interlocking the coupling and the tracheotomy tube prevents them from inadvertently axially displacing from each other. Non-axial force disengages the coupling from the tracheotomy tube so that the coupling can be axially displaced without exertion of excessive axial force on the system and the patient.

Abstract: Various embodiments of a connector assembly are provided to removably couple a proximal end of a tracheal tube to components associated with a ventilator or an anesthesiology machine. The disclosed embodiments include a compression fitting, which creates an airtight seal between walls of the tracheal tube and components of the compression fitting, thus allowing air to flow to and from a patient.

Abstract: The volume of a hyperinflated lung compartment is reduced by sealing a distal end of the catheter in an airway feeding the lung compartment. Air passes out of the lung compartment through a passage in the catheter while the patient exhales. A one-way flow element associated with the catheter prevents air from re-entering the lung compartment as the patient inhales. Over time, the pressure of regions surrounding the lung compartment cause it to collapse as the volume of air diminishes. Residual volume reduction effectively results in functional lung volume expansion. Optionally, the lung compartment may be sealed in order to permanently prevent air from re-entering the lung compartment.

Abstract: Techniques for single lung ventilation (SLV) include a hollow main tube with outer diameter sized to fit inside a bronchus of a patient. The length of the main tube is sufficient for a distal end of the main tube to reach a first side bronchus from a proximal end configured to be located in a vicinity of a mouth of the patient. The hollow main tube has a ventilating orifice separated from the distal end at a location that corresponds to a different second side bronchus. A hollow tubular sleeve is moveably disposed inside and longitudinally aligned with the main tube. The sleeve is configured to be positioned in at least two positions: a first position that does not block the ventilating orifice; and, a second position that does block the ventilating orifice.

Abstract: A medical device and a system and for dilating a stenotic airway of a patient are described. The medical device comprises a proximal end, a distal end, and a shaft system having an inflation lumen and a ventilation lumen the proximal end. The shaft system has a proximal shaft section and a distal shaft section. An inflatable balloon is attached to the distal shaft section in a position that is proximal to the distal end. The ventilating tip is distal to the balloon on the distal shaft section and has one or more radially facing openings. A method for treating a stenotic airway includes inserting the medical device into a patient's airway, and dilating and ventilating the airway.

Abstract: A coupling for connecting a ventilator tube to an improved single cannula tracheotomy tube has a latching mechanism which prevents the coupling from inadvertently axially displacing from a tapered tubular extension of the tracheotomy tube after they have been mated in a pneumatically discrete path. Non-axial and non-rotational forces are used to engage and disengage the coupling from the tracheotomy tube. The coupling has a trailing end adapter which permits rotation of the coupling relative to the ventilator tube rather than to the tracheotomy tube.

Abstract: An airway device for human or animal use comprising an airway tube having a distal end and a proximal end, the distal end of which is surrounded by a laryngeal cuff, wherein the cuff is non-inflatable and is pre-formed in a shape such that a face region of the cuff is adapted to fit snugly over the laryngeal inlet of a patient, and wherein the external profile of the tube is substantially uniform between the distal end of the tube where it starts to meet the cuff and the proximal end of the tube, and wherein the face region of the cuff is formed from a material with a Shore hardness on the A scale of between 0 to 30.

Abstract: A system and method for endotracheal intubation of airways are disclosed. A malleable stylet having a distal end and a proximal end, a charged coupled device (CCD) at the distal end and a transmitter, at or near the proximal end or connected to the proximal end of the stylet with connectors, transmits video to a visualization device comprising a receiver means, a display means, and a display support adapted to be worn on an operator in a position so that the operator can view the display with one eye while simultaneously viewing the airway directly. The display support is typically worn on the head of a physician. A second display can be worn by a student or observer. In some instances, the transmitter means and receiver means are wireless.

Abstract: Medical devices and related methods are disclosed for delivering an implant into the body of a patient. The devices include a damping assembly having an internal chamber with a varying inner diameter, and a piston slideably disposed therein. The piston is operably connected with a catheter portion such that movement of the piston is associated with concurrent movement of the catheter for implant delivery. The varying inner diameter of the damping assembly results in a decrease in damping force during implant delivery, thus providing a substantially constant velocity of implant delivery.

Abstract: A method for positioning a cannula for permanent implant through the orifice or tracheostoma in a fully aligned manner with the help of an inserter. The inner end or suprastomal extension of the cannula, upon withdrawing the inserter is vertically positioned in the supra-ostial area of the trachea, allowing, once the permanent cannula has been permanently positioned, the introduction of a perforated cannula having a characteristic curvature therethrough. The perforated cannula is oriented, through the lower aperture of the permanent cannula -1-, towards the interior of the lungs in order to allow insufflation of air from the exterior, while the exhaled air is derived through the vertical extension towards the larynx through the orifices disposed in the curvature elbow thereof.

Abstract: The present invention concerns a device having a guide catheter for the introduction of a tracheal cannula into a tracheostoma.

Abstract: The present invention relates generally to medical devices, methods, and kits. More particularly, the present invention relates to improved endotracheal tubes or patient ventilation tubes which prevent the leakage of proximal secretions to the distal airways.