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 oesophagus (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-moulded component.

Abstract: A therapeutic device for improving the respiration of a patient, with a curved or bent pipe section and a mouthpiece inserted in a first end of the mouthpiece and adapted to provide an easy-to-handle medicinal device by means of which diseases of the airway can be treated, or the pulmonary volume, as well as the pulmonary inhalation performance, of a patient can be improved. This is achieved in that a holding peg connected to the pipe section can be pushed into a second end of the pipe section, and a passage channel disposed in the holding peg which penetrates into the inside of the pipe section, completely or in part, and the holding peg has a flexible hose is attached to it which runs inside the pipe section, the free end of which can move freely in the area of the mouthpiece between inner walls of the pipe section.

Abstract: An endotracheal tube holder is provided. The endotracheal tube holder includes an adjustable securing clamp, an adjusting unit, a bite block, and a securing strap. The adjustable securing clamp includes a first clamping unit having a first clamping portion, and a second clamping unit having a second clamping portion. The first clamping portion and the second clamping portion are oppositely and correspondingly aligned for holding an endotracheal tube. The adjusting unit includes an elastic member, coupled between the first clamping unit and the second clamping unit. The bite block is configured at one side of the first clamping portion and includes an endotracheal tube accommodation portion. The endotracheal tube accommodation portion covers over the endotracheal tube for providing a protection to the endotracheal tube. The securing strap includes two ends respectively coupled to two lateral sides of the first clamping unit.

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

Abstract: A laryngeal-mask airway device including provision for drainage of the oesophagus including an inflatable main-cuff and a backplate having a laryngeal-side and a pharyngeal-side. The backplate also has an external tube joint adjacent to the proximal region of the main-cuff. The backplate is hermetically bonded to the periphery of the main-cuff establishing separation between a laryngeal-chamber region and a pharyngeal region. A distally open evacuation tube includes a distal portion which longitudinally traverses the interior of the distal region of the main-cuff in sealed relation therewith for operative engagement and communication with the inlet of the oesophagus. The evacuation tube traverses the laryngeal-chamber region generally adjacent to the laryngeal-side of the backplate and passages through a proximally located tube-joint to the pharyngeal region.

Abstract: An inflated endotracheal tube cuff maintained at a desired inflation using a constant air source. The constant air flow source is connected to a pressure regulator that is connected to the endotracheal tube cuff via the endotracheal tube cuff lumen. The regulator includes a bleed valve used to control the air pressure to the cuff so that a constant desired air pressure is maintained. The regulator may also include a manometer for visually displaying the pressure in the regulator, and thereby the cuff.

Abstract: An over-tube of the present invention is an over-tube which guides a device having an insertion section to be inserted into a body of a patient, when inserting the insertion section into or retracting the insertion section from the body of the patient, wherein: a gas-supplying passage is defined between an inner face of the over-tube and the device to be inserted into the over-tube; the gas-supplying passage communicates with a gas-supplying port which is provided on a proximal end side of the over-tube, and a communicating port which is formed on an over-tube insertion section and supplies a gas into a trachea of the patient; and a first sealing member which secures an air passage for communicating the gas-supplying passage and the trachea of the patient via the communicating rod by sealing between a body wall of the patient and the communicating port, is provided on a periphery of an over-tube insertion section.

Abstract: A kink resistant silicon endotracheal tube includes an inflatable cuff for positioning the endotracheal tube in a patient's trachea. The cuff is folded over onto itself to provide a cavity for accumulating bacteria and secretions that are then removed by suction. The cuff in the lower part of the endotracheal tube is also folded over onto itself for centering the endotracheal tube in the center of an airway. A suction catheter is also positioned in a portion of the tube under tension as opposed to a portion under compression to reduce the likelihood of kinking. A kink resistant endotracheal tube also includes a thickened and/or reinforced area of the curved portion of the endotracheal tube in an area under compression.

Abstract: An airway device (10) comprising an airway tube (14) and a laryngeal mask (12). The mask has an inflatable cuff (36) which has a tip (38) for insertion, in use, into a patient's oesophagus. The mask further includes a guide member (42) projecting from the tip of the cuff. The guide member carries an inflatable balloon (60) for blocking the patient's oesophagus during use. The guide member helps to position the mask correctly and reduces the risk of pulmonary aspiration of gastric contents during use.

Abstract: An artificial airway including: an airway tube including at least one airway conduit; an inflatable cuff mounted on a distal end of the tube; a support member extending into the cuff, the cuff having inner side walls, anterior walls and a posterior wall, the inner side walls being joined to the support member to define a recess which communicates with the airway conduit, the anterior walls and posterior wall, sealingly engaging, in use, about the glottic opening and posterior pharyngeal wall respectively of a patient.

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

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

Abstract: A confirmation device. The device includes a housing having a central passageway and a secondary passageway extending from the central passageway. The device also has a negative pressure member in communication with the secondary passageway and an indicator mechanism in fluid communication with the secondary passageway for visually indicating the presence of one or more components within the secondary passageway. The negative pressure member is operable to draw fluid across the indicator mechanism.

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

Abstract: The invention relates to a laryngeal mask airway device (1) for insertion into a patient to provide an airway passage to the patient's glottic opening, the device (1) comprising an airway tube (2), a mask (3) attached to the airway tube (2), the mask (3) comprising a body (4) having a distal end (5) and a proximal end (6), a peripheral inflatable cuff (7), and defining an outlet (8) for gas, the mask (3) being connected to the airway tube (2) for gaseous communication between the tube (2) and the mask, the distal end of the mask being ventrally displaced, relative to the proximal end.

Abstract: A cuff-equipped tube formed by providing a cuff to the outer periphery of a flexible tube, the cuff being expanded by introducing an operation fluid thereinto or being contracted by discharging the operation fluid therefrom. The cuff is provided with a cuff affixing portion expanded outward by the introduction of the operation fluid thereinto, and also with one mounting portion and the other mounting portion that are mounted to the outer peripheral surface of the tube. The connecting portions of the cuff affixing portion and the one mounting portion is affixed in a constricted shape to the outer peripheral surface of the tube, and the connecting portions of the cuff affixing portion and the other mounting portion is affixed in a constricted shape to the outer peripheral surface of the tube.

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) comprising an airway tube (2), a mask (3) attached to the airway tube (2), the mask (3) comprising 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 comprising means to prevent occlusion of the outlet (8) by the patient's anatomy, the means comprising a support (11), and a conduit (28a) to allow gas to flow out of the outlet (8), past the support.

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

Abstract: An endotracheal tube for intubation within a patient's trachea. The endotracheal tube includes an elongated tube having a main lumen, an auxiliary lumen, a proximal end, and a distal end. An inflatable cuff is arranged on the elongated tube between the proximal and distal ends. A multi-mode valve is arranged on the elongated tube. A method for tracheal intubation of a patient is also disclosed.

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

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

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

Abstract: An inflatable balloon cuff with a water-swellable coating may be adapted to seal a patient's trachea when associated with an endotracheal tube. The water-swellable coating may enhance a cuffs mechanical pressure seal. The water-swellable coating may be loosely adhered or not adhered to the cuff in order to allow the coating to flow into and seal any leak paths that may form when the cuff is inflated in a patient's trachea.

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

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

Abstract: A bougie device for guiding insertion of an endotracheal tube into an airway of a person, comprises an elongate body of shape memory and self-lubricating material, for example Teflon™. Accordingly no lubrication is required for insertion into the airway for ease of cleaning and sterilizing for reuse. Also, the amount of curvature of the overall rod as well as an angle of the tip of the rod can be adjusted due to the shape memory characteristics of the body to accommodate a particular patent's airway. The body can also be suitably sized to have vibration transmission characteristics such that a contact with one end of the bougie device with tracheal rings of the patient can be felt by a user.

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: A respiratory cuff pressure regulator system is provided for use with a breathing tube equipped with an inflatable cuff, a tubule extending from the cuff and having a distal end communicating with an inside of the cuff, a proximal end having an inlet for inflating the cuff. The system includes a sealed housing enclosing an inflatable member and in fluid communication with the tubule, the sealed housing having an air inlet bore in fluid communication with the tubule inlet and with the interior of the inflatable member. A valve in the inlet bore is normally closed and opens for inflation of the inflatable member and ultimately the respiratory cuff. An equalizing biasing member in the sealed housing exerts a bias against the inflatable member. A pressure relief valve is provided in fluid communication with the tubule and is preset to open upon pressure in the tubule exceeding a predetermined amount.

Abstract: The invention relates to 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 oesophaegeal 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: A method for regulating gas flows into and out of a patient includes repetitively forcing respiratory gases out of the lungs. Respiratory gases are prevented from entering back into the lungs during a time between when respiratory gases are forced out of the lungs. Periodically, an oxygen-containing gas is supplied to the lungs.

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

Abstract: A medical device tube having opposing support ears for improved coupling of an inner cannula to an outer cannula. The medical device tube comprises an outer cannula having opposing support ears on an outer cannula connector flange attached to a proximal end of the outer cannula. The opposing support ears maintain locking ears of the inner cannula in substantially one position. The opposing support ears substantially prevent the locking ears in contact with the outer cannula connector flange from slipping therefrom by, e.g., rotation, axial displacement, torsional shear, etc.

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

Abstract: An obturator for a bronchial tube or tubule of a human or animal lung includes a blocking element (92) and a securing element (90). The blocking element serves to seal the tube or tubule against the passage of fluid past the obturator when the obturator is disposed in a bronchial tube or tubule. The securing element serves to retain the blocking element in position. The blocking element comprises a substantially cylindrical plug of biocompatible, resiliently deformable closed-cell foamed plastics material, such as PVC. The securing element includes a stent having barbs (98) to engage and retain the blocking element. The stent also has anchors (100) to retain the stent in a bronchial tube or tubule. A method of treatment of emphysema or other lung conditions or diseases in human or animal patients comprises placing an obturator in a bronchial tube or tubule of the patient so as to seal the tube or tubule against the passage of fluid past the obturator.

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

Abstract: The invention provides an artificial airway device to facilitate lung ventilation of a patient, comprising at least one airway tube (2) and a mask (3) carried at one end of the at least one airway tube, the mask having a peripheral formation (7) capable of conforming to, and of readily fitting within, the actual and potential space behind the larynx of the patient so as to form a seal around the circumference of the laryngeal inlet, the peripheral formation surrounding a hollow interior space or lumen of the mask and the at least one airway tube opening into the lumen of the mask, wherein the mask is arranged to provide a space within the pharynx of the patient for the drainage of gastric matter leaving the oesophagus, which space approximates to the pharyngeal space that occurs within the pharynx without the mask being present in the pharynx, the effect of which is to re-establish the normal flow of matter exiting the oesphagus in the event of regurgitation or vomiting when the mask is present in the pharynx

Abstract: The disclosed laryngeal mask airway device includes an inflatable cuff and an airway tube. The inflatable cuff defines a central opening at least when inflated. The cuff is insertable through a mouth of a patient to an inserted location within the patient. The cuff surrounds a glottic opening of the patient when the cuff is inflated and at the inserted location. The airway tube extends from a proximal end to a distal end. The airway tube defines an internal passage, an anterior portion, a posterior portion, a left portion, and a right portion. An airway passage extends from the proximal end of the tube through the internal passage to the glottic opening when the cuff is inflated and at the inserted location. The anterior portion is characterized by a thinner wall thickness than the left and right portions. The posterior portion is characterized by a thinner wall thickness than the left and right portions.

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

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 medical device may include a tubular body configured to communicate gas and an inflatable cuff coupled to the tubular body at least by a collar. The tubular body may include an opening. The collar may include a notch positioned relative to the opening in the tubular body such that a passageway extends through at least a portion of the notch and at least a portion of the opening.

Abstract: Various embodiments of a tracheal tube having a tubular body with an open distal end and a tube wall with a variable thickness are provided. The tube wall may include a thickened section comprising a void. The tracheal tube may also include an offset ventilation lumen disposed in the tubular body and adapted to facilitate airflow to and from a patient. Embodiments of the tracheal tube may also include a suction lumen disposed in the thickened section of the tube wall and terminating in a port opening into the void for removal of secretions from the patient's trachea.

Abstract: Various embodiments of a tracheal tube having a multifunctional lumen disposed in a tracheal tube wall are provided. Provided tracheal tubes include a ventilation lumen, through which bidirectional airflow may be established to and from a patient during operation, as well as a multifunctional lumen adapted to receive a variety of interchangeable medical devices. Embodiments of the provided tracheal tubes may provide for insertion or removal of a medical device from the multifunctional lumen without extubation of the tracheal tube from a patient.

Abstract: Methods, systems and devices are described for temporarily or permanently evacuating stagnating air from a diseased lung area, typically for the purpose of treating COPD. Evacuation is accomplished by displacing the stagnant CO2-rich air with a readily diffusible gas using a transluminal indwelling catheter specially configured to remain anchored in the targeted area for long term treatment without supervision. Appropriate elevated positive gas pressure in the targeted area is then regulated via the catheter and a pneumatic control unit to force under positive pressure effusion of the diffusible gas out of the area into neighboring areas while inhibiting infusion of other gases thus effecting a gradual gas volume decrease and deflation of the targeted area.

Abstract: A method of minimally invasively reducing a volume of a hyper-inflated target section of diseased lung comprising the steps of introducing a bronchoscope into a patient's airway to a position adjacent the target section and equilibrating air within the target section with atmospheric air to at least partially deflate the target lung section; injecting an inflammation-causing substance into the target section to precipitate adhesion of the walls within the target lung section, preventing substantial re-inflation of the target section by occluding an airway upstream of the target section for a period of time, and removing the airway occlusion after the target section has substantially permanently been reduced in volume. The injected substance can be autologous blood or a constituent thereof.

Abstract: A pivotable endotracheal tube assembly includes an insertion tube defining a first ventilating lumen and adapted for insertion in the trachea of a patient, a connection tube defining a second ventilating lumen, and a pivotable fitting adapted to interconnect the tubes to thereby communicate the first and second ventilating lumens and provide free pivotal movement of one relative to the other. The pivotable fitting may include a a distal portion coupled to the insertion tube and having a female component, and may further include a proximal portion coupled to the connection tube and having a male component coaxially telescoped at least partially within the female component. A radial flange on the male component configured to be axially slidable within a corresponding groove in the female component may provide continuous and relative pivotable movement of the components.

Abstract: Disclosed are methods for intubating a patient, comprising deploying a tracheal tube, a sleeve and a cuff into a human trachea such that after deployment, the tracheal tube passes through the sleeve within the trachea, the cuff contacts the outer surface of the tracheal tube and the inner surface of the sleeve and spaces the sleeve from the tube, and the outer surface of the sleeve contacts the trachea, so as to provide a seal, in the interstitial area between the wall of the trachea and the tube, between a proximal portion of the human trachea above the cuff and a distal portion of the human trachea below the cuff. Other embodiments are also disclosed.

Abstract: An airway device (10) for animal or human use, said device (10) comprising an airway tube (11) having a distal end (13) and a proximal end (12), wherein the distal end (13) of the airway tube (11) is surrounded by a non-inflatable laryngeal cuff (14), and wherein the face of the laryngeal cuff (14) is shaped to form an anatomical fit over the laryngeal inlet of an animal or human patient, wherein the face of the laryngeal cuff (14) is a generally elongate substantially elliptical shape, wherein the ratio A/B of the length of the major axis A of the ellipse to the length of the minor axis B of the ellipse is greater than 2+10%.

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 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.