Abstract: The present application discloses a bridle device and a method of placing a bridle on a person using the bridle device. In one exemplary embodiment, the bridle device comprises a retrieval portion and a delivery portion. The delivery portion has a retrieval member and a retrieval magnet attached to the retrieval member. The delivery portion has a delivery member and a delivery magnet that is movable relative to a distal portion of the delivery member. In certain embodiments, the delivery portion has a delivery tube and a delivery magnet attached to a flexible elongated member received in the delivery tube. The delivery magnet is movable relative to a distal portion of the delivery tube and both poles of the delivery magnet are exposed outside of the delivery tube.

Abstract: According to certain example embodiments of this invention, there is provided an apparatus for treatment of a patient with both sleep-disordered breathing and diabetes. A PAP device may be configured to provide a supply of pressurized breathable gas. At least one glycemia sensor also may be provided. A controller may be operable to receive a signal from the at least one glycemia detector and may be further operable to analyze the signal for an indication of a glycemia abnormality (e.g., hypoglycemia, hyperglycemia, diabetic coma, etc.). Optionally, when the signal indicates that the patient is experiencing a diabetic event, an alert may be generated and/or a drug delivery unit may administer an appropriate treatment to the patient.

Abstract: A patient interface system for delivery of a supply of air at positive pressure to the entrance of a patient's airways for treatment of sleep disordered breathing includes an air delivery tube connected to a flexible portion of a plenum; a vent structure having sufficient rigidity to support its own weight under gravity and/or not to block or fold under tube movement or tube drag; and a patient interface structure. The patient interface structure includes a seal forming structure arranged on a top portion of the plenum; and a seal positioning and stabilizing structure connected to a flexible portion of the plenum. The seal-forming structure is substantially decoupled from a tube drag force.

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: A nasal cannula diffuses a gas stream to distribute the volume of the gas stream as it is delivered into a user's nostril. The nasal cannula can direct flow of gas, such as oxygen, away from the more sensitive nasal tissues. The nasal cannula can diffuse the gas flow out of a plurality of orifices formed in the nostril prongs of the nasal cannula device, rather than sending the entire volume of gas out of a single orifice, as is the case with conventional nasal cannula devices.

Abstract: This invention relates to medical breathing tubes comprising a tubular body, the body defining a lumen extending between open terminal ends of the body and an internal form enclosed within the lumen and supportive of the tubular body. The internal form may be of a coated encapsulated internal form, the coating securing the internal form to the tubular body. The internal form may also or separately provide for a series of alternative crests and troughs (e.g. corrugations) of the tubular body. Patient interfaces (such as masks or nasal cannula) can be connected to such tubing. A system for securing patient interfaces in an operational position may also be utilised.

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.

Abstract: A supplemental gas delivery device is described for a mask assembly having at least one supplemental gas port, the at least one supplemental gas port including an aperture in communication with an interior of the mask assembly. The mask assembly may include an aperture communicating with an interior of the mask assembly, and a cannula for communicating with the supplemental gas port. The cannula is positioned to deliver supplemental gas adjacent to the patient's nares and/or mouth, to increase an efficacy of treatment for the patient by more directly applying the flow of supplemental gas to the patient's nares. An optional bridging portion may be included to provide a connection between supplemental gas port and the cannula.

Abstract: A nasal retention system for securing a nasal tube extending through a nose of a patient. The retention system comprises a clip member formed of a soft elastomeric material and including first and second pivotally connected clip portions. Each of the clip portions have a generally hemispherical shape such that a generally spherical shape is defined when the clip portions are pivoted together. The first clip portion includes an elongated nasal tube channel extending into the first clip portion, and extending between diametrically opposite sides of a perimeter of the first clip portion. The elongated channel receives a nasal tube therethrough when mating surfaces of the two clip portions are in mating engagement with each other.

Abstract: According to one embodiment, a device is disclosed. The device includes a nasal cannula having prongs to supply air and covers inserted over the prongs to prevent discomfort during use of the nasal cannula.

Abstract: An nCPAP device for assisting patient breathing includes a generator body forming an inlet, a chamber, and first and second flow circuits. The chamber directs pressurized gas from the inlet to the flow circuits. The flow circuits each include a nozzle, a channel, and at least one port. The nozzle emits a jet stream into the channel in a direction of a patient side thereof. The port fluidly connects the channel to ambient, and promotes entrainment of ambient air with the jet stream. In some embodiments, the channel forms a ramp feature directing exhaled air toward the jet stream in an angular fashion. The generator body requires reduced driving pressures to achieve target CPAP levels and reduces total imposed WOB as compared to conventional designs.

Abstract: A patient interface device that includes a support member sized and configured to span at least a portion of a patient's face while remaining below the patient's eyes responsive to the patient interface device being donned by such a patient and a sealing assembly operatively coupled to the support member such that the support member is moveable relative to the support member. The support member defines a gas carrying conduit adapted to carry a flow of gas to the sealing assembly. The support member is a single-piece unitary member and includes a conduit coupling portion adapted to be coupled to a patient circuit.

Abstract: A nasal delivery device for and a method of delivering a substance to a nasal cavity of a subject, the delivery device comprising: a delivery unit for delivering a flow entraining a substance to one nostril of a subject, the delivery unit including a nosepiece for fitting to a nostril of the subject; and a flow resistor unit for fitting to the other nostril of the subject, the flow resistor unit including a progressive resistor for progressively providing an increasing flow resistance to the delivered flow.

Abstract: The invention provides a soft covering for the plastic tubing on the cannula loop thereby . reducing friction and irritation to the patient's ears and cheeks. The pads are soft, neoprene cylinders which fit loosely around the plastic tubing of the cannula loop. The cannula loop can continue to move within the neoprene padded cylinders, while the cylinders themselves remain stationary at the contact points along the bony prominences of the cheek and behind the ears of the patient. Friction and chafing are reduced because the soft touch cylinder pads protect the skin contact points while allowing the cannula loop to move as the patient moves.

Abstract: A system for reducing airway obstructions of a patient may include a ventilator, a control unit, a gas delivery circuit with a proximal end in fluid communication with the ventilator and a distal end in fluid communication with a nasal interface, and a nasal interface. The nasal interface may include at least one jet nozzle, and at least one spontaneous respiration sensor in communication with the control unit for detecting a respiration effort pattern and a need for supporting airway patency. The system may be open to ambient. The control unit may determine more than one gas output velocities. The more than one gas output velocities may be synchronized with different parts of a spontaneous breath effort cycle, and a gas output velocity may be determined by a need for supporting airway patency.

Abstract: A nasal delivery device for and method of delivering substance to a nasal cavity of a subject, the delivery device comprising: a container-receiving unit comprising a container chamber for receiving a substance-containing container which contains substance to be delivered to the nasal cavity of the subject, the container chamber including an inlet and an outlet; a nosepiece unit including a nosepiece for fitting to a nasal cavity of the subject and being in fluid communication with the outlet of the container chamber; a mouthpiece unit including a mouthpiece in fluid communication with the inlet of the container chamber and through which the subject in use exhales, such as to entrain substance from the container and deliver the same through the nosepiece; and moisture-mitigation means for mitigating an effect of moisture in an exhaled breath on the entrainment of substance from the container.

Abstract: A nasal cannula cover is provided and includes a cover body having a cover front, a cover rear, a cover length and cover width, wherein the cover length and cover width are sized to cover at least a portion of a nasal cannula having a cannula oxygen output port, wherein the cover body further includes, at least one oxygen output port opening for receiving the cannula oxygen output port, and a body connection device having a first attaching portion and a second attaching portion, wherein when the cover body is associated with the nasal cannula,the first attaching portion and second attaching portion are configured to securely and removably engage with each other, and the cannula oxygen output port of the nasal cannula is protruding from the at least one oxygen output port opening

Abstract: This invention relates to a headgear comprising a semi-rigid frame engageable with the head of a user and a releasable connection system for releasable connection with a user interface, wherein the frame extends generally about a rear region of a user's head, generally about an upper region of a user's head, and generally about an ear or both ears of a user.

Abstract: A nasal ventilation interface including a pair of tubes configured to deliver a ventilation gas. The tubes are attachable at a first end to a ventilation gas supply hose and engageable at a second end with a person's nostril. A coupler is configured to align the pair of tubes with the person's nostrils, wherein each tube has an absence of pneumatic interconnection with the other tube.

Abstract: An nCPAP device for assisting patient breathing includes a generator body forming an inlet, a chamber, and first and second flow circuits. The chamber directs pressurized gas from the inlet to the flow circuits. The flow circuits each include a first and second jets, a flow director and an exhaust conduit. The jets emit a jetstream into the flow director in a direction of a patient side thereof. In some embodiments, the flow director forms a first tapered wall section directing inhaled air toward the patient and a second tapered wall section directing exhaled air toward the exhaust conduit. The generator body requires reduced driving pressures to achieve target CPAP levels and reduces total imposed WOB as compared to conventional designs.

Abstract: Mask ports 180 for attaching supplemental oxygen tubes 510 or measurement devices to a respiratory mask are downwardly directed and recessed into the base 110 of the mask frame 100. The ports may comprise a pair of downwardly extending tubular spigots 185 each housed in a respective recess 190 in the base 110, with a shallow bridging recess 290 therebetween for receiving a bridging piece 300 of a closure cap 280.

Abstract: Naso-pharyngeal devices for treating sleep apnea can perform two functions simultaneously: keeping an open airway through an inner lumen of the device; and support for the tissue in the airway, because keeping the tissue from completely collapsing creates the possibility of some air movement around the device in the critical areas associated with obstructive sleep apnea.

Abstract: The present invention provides an intubation device including a nasal endotracheal tube having a proximal, relative to a person inserting the nasal endotracheal tube, end and a distal end; and an introducer including an elongated member having a proximal open end and a distal blunt end, the introducer proximal open end including a hollow mouth having sidewalls for receiving and holding the distal end of the endotracheal tube. The dilator/introducer is simply a tube, solid or hollow having a hollow proximal end that will hold a distal end of a nasal endotracheal tube in place. It will act as a dilator, and once the distal end of the endotracheal tube is past the nasopharynx and is visualized in the oropharynx, the “dilator” is removed and typically discarded. A method of use of the intubation device is also disclosed.

Abstract: An endoscopic bite block, with teeth position defining regions which guide the subject's teeth to grip the bite block in their natural position, with the teeth of the upper jaw positioned further out than the lower jaw teeth. These teeth position defining regions are also preferably curved to match the curved shape of the jaw. The upper and lower parts of the front plate of the bite block may also be positioned at different distances out, so that upper and lower lip regions both contact the front plate snuggly. The bite block may be used with separate oral/nasal cannulae, or may incorporate breath sampling or gas supply cannulae. A flexible flapped curtain at the outer end of the bite block may be provided to largely enclose the inner volume of the bite block to enable more accurate capnographic sampling under conditions of wide-open mouth breathing.

Abstract: A delivery device (20, 22) for and a method of delivering a substance to the nasal airway (1) of a subject, in particular the posterior region of the nasal airway, the delivery device comprising: a closure unit for causing the closure of the oropharyngeal velum of the subject; and a delivery unit for delivering a gas flow entraining a substance to one of the nostrils of the subject at such a driving pressure as to flow around the posterior margin of the nasal septum and out of the other nostril of the subject, wherein the delivery unit comprises a nosepiece (30, 40, 58, 82, 102, 132) which includes an outlet through which the gas flow is in use delivered to the one nostril and a sealing member for sealing the one nostril to the outlet such as in use to prevent the escape of the gas flow through the one nostril.

Abstract: A delivery device (20, 22) for and a method of delivering a substance to the nasal airway (1) of a subject, in particular the posterior region of the nasal airway, the delivery device comprising: a closure unit for causing the closure of the oropharyngeal velum of the subject; and a delivery unit for delivering a gas flow entraining a substance to one of the nostrils of the subject at such a driving pressure as to flow around the posterior margin of the nasal septum and out of the other nostril of the subject, wherein the delivery unit comprises a nosepiece (30, 40, 58, 82, 102, 132) which includes an outlet through which the gas flow is in use delivered to the one nostril and a sealing member for sealing the one nostril to the outlet such as in use to prevent the escape of the gas flow through the one nostril.

Abstract: An embodiment of the disclosure provides a universal sealing apparatus for one or more cannulas. The apparatus includes a first portion, a second portion, and a third portion. The first and second portions are configured to removably adhere directly or indirectly to a nose. The third portion is coupled to the first and second portions. The third portion removably couples to one or more cannulas and places a force upon a base of flared portions of the one or more cannulas when the first and second portions are adhered to the nose. The force maintains a fluid seal of the one or more cannulas within one or more respective nostrils of the nose.

Abstract: This invention discloses a novel nasal insert which reduces the effect of upper airway resistance syndrome. The insert comprises a short, hollow, flexible tube with the central portion of one side being removed. The insert is inserted into each nostril to allow increased airflow and reduce the work of breathing. The efficiency of the insert may be increased by its impregnation with aroma-therapy essential oils.

Abstract: A nasal cannula adapter. The nasal cannula adapter includes a chamber having cannula clips, and a connector having an opening and a connector lumen in communication with the chamber and the opening. Systems for administering a gas to a patient comprise the nasal cannula adapter, a nasal cannula, and an airway device. Methods for administering a gas to a patient comprise administering a gas through a nasal cannula operably connected to the nasal cannula adapter operably connected to an airway device inserted into the airway of the patient.

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 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: A continuous positive airway pressure system features a housing forming an airway chamber, and an air pressure inlet and an air pressure outlet. The housing further defines internally a pair of tapered air jets, and a pair of tapered air receivers. The air receivers are located downstream of the air supply jets and disposed coaxially with respective ones of the air supply jets. Each receiver has a taper in an opposite direction to the direction of the taper of the air supply jets. A pair of nasal prongs is located downstream of the air receiving jets.

Abstract: An odor preventing nasal insert and method of insertion into a nasal cavity to prevent odors from reaching the olfactory region by directing them to bypass the olfactory region, thereby decreasing impulse eating and flattening the eating experience. The nasal insert comprises a body having an inner surface which defines an air passageway surrounded by an outer surface of soft, flexible material. The nasal insert body can have a first portion and a second portion where the outer surface of said nasal insert body is configured to form a seal between the nasal insert body and the nasal cavity. The nasal insert body further includes any number sealing members extending from the outer surface of the nasal insert body, where the sealing members are adapted to the nasal cavity and can prevent air flow between the nasal insert body and the nasal cavity.

Abstract: Methods and devices for treating excess mucus accumulation in mammals by administering gaseous inhaled nitric oxide or nitric oxide releasing compounds as a mucolytic agent or expectorant are provided. Delivery of gaseous nitric oxide can be made nasally or orally and is preferably substantially coincident with inhalation of the mammal or based on a synchronous parameter of the mammal's respiratory cycle. Varying therapeutic profiles may be used for the delivery of gaseous nitric oxide depending on the severity of the excess mucus accumulation. Parameters for the therapeutic profiles may include flow rate of nitric oxide containing gas, duration of administration of nitric oxide containing gas, number of breaths for which nitric oxide containing gas is to be administered, and concentrations of therapeutic NO delivered to the airways.

Abstract: A respiratory auxiliary device includes a first conduit provided with a pair of nasal prongs and having two opposite end portions, two second conduits connected fluidly and respectively to the end portions, and a pressure-measuring pipe adapted for connection with a pressure-measuring device. One of the second conduits is adapted for discharging air exhaled by a patient. The other one of the second conduits is adapted to be connected to an air supply device. The pressure-measuring pipe is disposed within said one of the second conduits, and has one end extending into the first conduit in proximity to the nasal prongs.

Abstract: A divided cannula comprising a cannula body which is divided by a partitioning wall into first and second flow chambers. The first flow chamber has first and second spaced apart nare passages while the second flow chamber has first and second spaced apart nare passages. The cannula body supports spaced apart first and second nares and each of the first and the second nares defines a common nare passage. The first nare passage of the first internal flow chamber and the first nare passage of the second internal flow chamber both communicate with the common nare passage of the first nare and the second nare passage of the first internal flow chamber and the second nare passage of the second internal flow chamber both communicate with the common nare passage of the second nare. A pressure sensing line and a gas supply line interconnected to the divided cannula with a gas supply system.

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: A nasal cannula assembly is disclosed having a face mount part, in use resting against a user's face, which includes at least one nasal prong capable of being fitted into a person's nares. The cannula assembly also includes a manifold part, in fluid communication with the face mount part, having a single horizontal side gases entry. In particular, this cannula assembly is for supplying heated, humidified gases to a patient suffering from COPD. A tie or lanyard is disclosed for use with a breathing assistance apparatus such as a nasal cannula, face or nasal mask or tracheostomy connector. The tie or lanyard transfers the weight of the conduits supplying gases to the breathing assistance apparatus from the breathing assistance apparatus and distributes it onto the neck of the patient.

Abstract: An air supply tube for a nasal breathing apparatus is made of a silicone material, and includes a tubular wall surrounding an axis and defining an axial hole. The tubular wall is corrugated, and includes a plurality of annularly-shaped concave and convex wall portions alternately arranged along the length of the air supply tube. The convex wall portions are farther from the axis than the concave wall portions. The concave wall portions have a first radial thickness which is larger than a second radial thickness of the convex wall portion.

Abstract: Headgear for use with a respiratory mask is described. The headgear includes a continuous and substantially curved elongate member extending in use below a user's nose and at least two headgear straps capable of attachment to the ends of the elongate member. A mask attachment on the elongate member is disposed to sit below or on one of said user's nose, mouth, upper lip and an inlet to the mask. The attachment is capable of receiving the mask.

Abstract: The present invention relates to a nasal tube holder having a conformable body with a nose section and a forehead section. At least one nasal tube inserted into a patient's nose is held to the conformable body, and the conformable body is held to a patient's forehead. Also disclosed is a method for securing at least one nasal tube to a patient's nose and forehead.

Abstract: The multi-function nasal cannula includes an elongate nasalgastric tube having at least one end configured to be connected to a source of therapeutic gas or fluid. A section of the tube includes a single nasal prong or barrel extending outwardly therefrom. A securing flap or extension is disposed adjacent to, but spaced from, the nasal prong. The securing flap is resilient and extends at an acute angle towards the nasal prong. The securing flap secures the nasal cannula against the side of the user's nostril when the nasal prong is inserted into the nasal opening. The resilience and flexibility of the securing flap insures a comfortable but secure fit, while minimizing any irritation or discomfort on the user. Alternatively, the multi-function nasal cannula may have double-barrels or prongs with corresponding securing flaps.

Abstract: An improved inflatable, tapered tip nasopharyngeal airway allows for comfortable self insertion and provides a clear airway for patient breathing in those with obstructive sleep apnea (OSA).

Abstract: A harness for securing a nasal cannula to a user for the purpose of delivering oxygen. The harness comprises an upper and lower strap located at the top and rear of a user's head, respectively. The upper and lower straps are orthogonally connected at their midpoint by a vertical connecting strap, and contain on either end, an adapted means to secure and support a nasal cannula by looping around the plastic tubing and then attaching onto itself. Two distinct connection points above and below each ear maintain the suspended position of the cannula without deforming its cross section. By providing a three-strap methodology for supporting the nasal cannula and maintaining positive control of the plastic tubing by keeping it suspended above the ears, the present invention avoids commonly associated drawbacks related to existing devices.

Abstract: A harness for securely positioning a nasal cannula on the face of a person for orally administering oxygen and other gases is described. A flexible chin strap adapted for placement around the chin of the person may be attached to adjustable, flexible straps effective for draping around the ears of the person, which are in turn attached to a central, cannula attachment portion disposed between the cannula and the face of the person. The gas delivery tubes of the cannula are also disposed behind the ears, essentially following the path of the flexible straps of the harness. Once placed on a person, the harness holds the nasal cannula such that the nasal prongs may disposed facing toward the mouth opening in the vicinity of the lower lip thereof, and may deliver gases to a mouth-breathing individual. Another embodiment of the harness may be utilized to position a nasal cannula for nasal administration of gas.

Abstract: A low flow heated/humidified respiratory gas delivery system, especially useful for low flow rates as preferred in the treatment of neonate and other such patients, wherein the respiratory gas is heated and humidified as desired for delivery to the patient and the temperature is monitored at the point of delivery to the patient.

Abstract: Headgear for use with a respiratory mask is described. The headgear comprises a continuous and substantially curved elongate member extending in use below a user's nose and at least two headgear straps capable of attachment to the ends of the elongate member. A mask attachment on the elongate member is disposed to sit below or on one of said user's nose, mouth, upper lip and an inlet to the mask. The attachment is capable of receiving the mask.

Abstract: A forehead-contacting device for a breathing mask includes a support element made from an elastomer material. The support element forms a support face which in an application position is adapted to seat on a forehead area of a user. The support element includes a jacket that defines a hollow chamber adapted to be filled with a viscous medium.

Abstract: The adjustable mouth shield device provides an adjustably fitted mouth shield with adjustable headband for secure fit. The adjustable headband is fastened to the padded earpiece. The straight first extension from the earpiece is angled downwardly and forwardly to terminate in a swivel joint providing almost 360 degrees of swivel. The second extension is arced both downwardly and forwardly. The u-shaped mouthpiece is fitted to the adjustable spring mount for horizontal pivot of the mouthpiece. The mouthpiece may, by virtue of the swivel joint and the spring mount, be moved completely away from a user's mouth and, in turn, pivoted and swiveled to be directly in front of the user's mouth. The inward curves at the distal end of the mouthpiece aid in sliding on the disposable pads that shield a user from objects, foods and other materials.

Abstract: A strapless nasal interface device is disclosed. The device is used in conjunction with CPAP, BIPAP, ventilators, or any other suitable device. The device includes a body with a passageway to a ventilating tube, exhalation holes, and a passageway to nostril interface tubes. The nostril interface tubes include a nasal interface element which is an expandable, compressible material such that the user can compress the element, insert it into the end of the nostril and allow it to expand to hold the tube in place. Alternatively, the nasal interface elements are held against the outer edge of the nostrils. Optionally, a skirt is included at the outer side of the nostril to aid in sealing against air leaks. Optionally, flaps are included to assist in holding the device in place, such as side flaps, a front flap, or both. The front flap may be adherable to the exterior of the nose and optionally includes resilient strips to open the nasal passageway.

Abstract: A nasal assembly for delivering breathable gas to a patient includes a frame having an integrally formed first connector portion. A nozzle assembly includes a gusset or base portion and a pair of nozzles. At least one inlet conduit is structured to deliver breathable gas into the frame and nozzle assembly for breathing by the patient. A pair of second connector portions are removably and rotatably connected to respective first connector portions of the frame and are in communication with respective inlet conduits, e.g., directly or via angle connectors. A headgear assembly is removably connected to the pair of second connector portions and/or the angle connectors so as to maintain the frame and the nozzle assembly in a desired adjusted position on the patient's face.