Abstract: The invention claims a new type of handheld medical device is meant to help the medical community by enabling them to treat patients remotely. This solves the problem of patient suffering or death due to lack of access to a medical professional or long wait times by enabling a patient-centred response to diseases, such as COVID-19. The device is hand-held, with incorporated germicidal UVC lights, an internal application tip and the delivery mechanism focuses on the mucous membrane. The top chamber connects to a removable container which can be used with the prescribed treatment/therapy, vaccine, or viral testing fluid/reagent, as needed. The versatility, non-invasive nature and germicidal properties constitute distinct improvements over other similar medical devices. This device also promotes the development of non-invasive inoculation and drug delivery systems via the mucous membrane.

Abstract: A cricothyrotomy device comprises an incision member and an insertion member that are joined together but separable. The incision member further comprises a scalpel, a scalpel cap, a spring assembly, and an incision holder. The insertion member comprises a cannula, a cannula cap, and an insertion handle.

Abstract: A tissue cutting device is disclosed and described. The device includes a handpiece and an outer cannula in which a reciprocating inner cannula is disposed. A delivery sleeve may be selectively provided that is configured to be disposed about the outer cannula for delivery of a variety of devices.

Abstract: A method and apparatus is provided for automatic emergency airway detection. The apparatus includes a frame with a carriage guide configured to be secured around a neck of a subject. A carriage including a sensor is configured to move along the carriage guide. The sensor is configured to measure a value of a parameter indicating a topography of the neck of the subject. A processor includes a memory with instructions to receive first data from the sensor of the value of the parameter as the carriage is moved along the carriage guide and to determine, with the first data, second data indicating a position along the carriage guide corresponding to the cricothyroid region of the neck. The processor subsequently transmits a first signal indicating the second data. A method of using the apparatus is also provided.

Abstract: A puncture cricothyrotomy set includes a tracheal tube and a puncture cannula arranged therein, which has a rotary actuating device with a handle. By moving the handle about its rotational axis, the puncture cannula can be moved from its puncture position into the tracheal tube far enough that the tip section is arranged completely within the tracheal tube.

Abstract: A cuff assembly for a tracheostomy tube includes an outer bladder and an inner cuff. The inner cuff is positioned adjacent to the tracheostomy tube, and the outer bladder is positioned adjacent to the inner cuff. The outer bladder is made with a less elastic material and operates at a higher relative pressure. The inner cuff is made with a more elastic or hyper-elastic material and operates at a lower relative pressure. A secondary airflow opening is formed on a lateral wall of the tracheostomy tube between the cuff assembly and a main distal opening of the tracheostomy tube.

Abstract: A device to inject a composition into an egg includes a guide member, a first locking member and a second locking member. The guide member includes an outer casing secured to the injection needle and an inner casing which can move in translation inside the outer casing. The inner casing connected to the trocar and comprising a cup configured to bear on the upper part of the egg. The first locking member configured to block the movement of the trocar. The second locking member configured to block the movement of the injection needle inserted into the trocar.

Abstract: An injector, injection systems and methods for injecting a substance into an egg, where the injector includes a shaft, a sheath extending from the shaft in a longitudinal direction; a trocar positioned at least partly inside the sheath; and a needle at least partly inside the trocar. The injector can further include a locking mechanism configured to lock the trocar with the shaft in the longitudinal direction in a first position of the trocar relative to the sheath, the locking mechanism being further configured to unlock the trocar from the shaft in the longitudinal direction in a second position of the trocar relative to the sheath. The needle is fully inside the trocar in the first longitudinal position and at least partly extends from the trocar in the second longitudinal position.

Abstract: The present invention provides an improved percutaneous dilation tracheostomy device. The device is configured to include all of the required components to perform a percutaneous tracheotomy. The device includes a retractable needle and an extendable j-wire rather than having separate components as in typical percutaneous tracheostomy devices. The device includes a dilator section to expand the diameter of a patient's stoma. The device is further configured to allow an operator to perform a bubble test to alert the user that the tube is in the trachea. In addition, the device is generally more compact than typical emergency tracheostomy devices.

Abstract: A device for performing a tracheotomy on a patient without the assistance of a medical professional. The device may include one or more mechanical arms that cause a blade to create an incision, cause a dilating tool to dilate the incision, and cause a tracheotomy tube to be inserted into the incision. The device may further include a scanner and/or a hollow needle connected to an air pressure sensor that may be used to detect whether the device is aligned with the patient's airway.

Abstract: A set for peripheral nerve blocking, including a rigid cannula, an outer catheter sleeve which can be slid over the cannula, where the distal tip of the cannula protrudes over the distal end of the catheter sleeve, an inner catheter which can be inserted through the catheter sleeve after removal of the cannula from the catheter sleeve and which has an outlet opening at the distal end, and a first connector piece at the proximal end of the catheter sleeve, where the inner catheter has a second connector piece complementary to the first connector piece, and the inner catheter can be fixed in an axial position by connecting the first connector piece and the second connector piece in the catheter sleeve, in which axial position the distal end of the inner catheter protrudes from the distal end of the catheter sleeve with a pre-defined length which has the outlet opening.

Abstract: An amputation system includes a cutting element having a cutting blade traversing a V-shape. The V-shape has a vertex and an angle in a range of 90-120°. A rod, rigidly coupled to the cutting element, has its longitudinal axis aligned with the vertex so it bisects the angle of the V-shape. A barrel having a bore receives at least a portion of the rod therein wherein the rod's outboard end resides in the bore. An energetic energy source, positioned in the bore adjacent to the rod's outboard end, generates a pressure force that is incident on the rod's outboard end. The pressure force is one that peaks within 0.5 milliseconds to propel the rod from the bore at a velocity in a range of 300 to 1000 feet per second.

Abstract: A device (100) for medical procedure localization that provides a template that indexes the site of interest along a first axis or plane that is defined by anatomical landmarks of a patient. An embodiment is disclosed in which a first axis is an axillary line from the patient's axilla (armpit) toward the iliac crest (pelvis) and the site of interest is a distance away from the axilla along said first axis. The site of interest is the 3rd, 4th or 5th intercostal space, into which a needle/catheter and/or chest tube may be placed for decompression.

Abstract: A needle array guide for a skin graft expansion apparatus includes: a lower side having openings; and guide channels respectively leading to the openings and converging closer toward one another as the guide channels approach the openings, the guide channels configured to receive a plurality of hollow needles, arranged in a needle array and having respective tips to be attachable to minced skin particles obtained from a skin graft, to thereby guide movement of the plurality of hollow needles when the plurality of hollow needles are being protruded from the openings toward the minced skin particles and when the plurality of hollow needles are being retracted toward the openings. The needle array guide may be included as part of a skin graft expansion apparatus that further comprises the needle array. The skin graft expansion apparatus may be included as part of a skin grafting system.

Abstract: A system and method for relief of negative lung pressure during acute laryngospasm or upper airway obstruction, providing a non-toxic gas cartridge capable of supplying between 0.5-5 liters of gas during a procedure, a valve adapted to commence and stop gas release, and a trans-cricothyroid cartilage inflation needle for acutely relieving the negative pressure in the chest. The needle may also be used to insert a guidewire to assist in endotracheal tube insertion.

Abstract: A cricothyrotomy apparatus includes a frame, a protuberance, and a blade member. The frame includes a blade guide. The protuberance extends in a first direction from the frame, and is located at a distance from the blade guide that corresponds to the distance between a sternal notch of an adult human and an anterior cricothyroid membrane of the adult human. The protuberance is sized and configured to be at least partly received by a sternal notch of an adult human. The blade member is slideably disposed in the blade guide.

Abstract: A device to assist performing medical procedures that references anatomical landmarks through adjustable components to identify and stabilize a procedure site and provide guidance in performing the procedure. In one embodiment, an airway creation assist device (ACAD) can be dimensionally adjusted for different patient sizes and properly aligned using anatomical landmarks. The ACAD provides an adjustable template that enables accurate identification of the airway creation site, including but not limited to the cricothyroid membrane. The ACAD uses an insertion guide to guide the obturator and airway tube safely and consistently into the trachea, with a mechanical stop to prevent damaging the posterior trachea wall. The ACAD improves efficacy of the procedure, and makes perforating an incorrect airway creation procedure difficult. In another embodiment, a chest decompression assist device (DAD) Is disclosed for decompression treatment of air and/or fluid in the chest.

Abstract: A device (100) for medical procedure localization and/or insertion that can be dimensionally adjusted for different patient sizes and properly aligned and stabilized using anatomical landmarks. The device (100) for medical procedure localization and/or insertion provides an adjustable template that indexes the site of interest at the intersection of a first axis or plane and a second axis or plane. An embodiment is disclosed in which a first axis is the axillary line through the patient's axilla (armpit) and iliac crest (pelvis), and a second axis is the patient's ideal horizontal nipple line. The intersection of the first and second axes is the 4th or 5th intercostal space, into which a needle and/or chest tube may be placed for decompression.

Abstract: A single stage instrument is used to insert a chest drainage tube into the inter-pleural space to facilitate drainage. The instrument is scissor-like with cylinder-like channels to slidably enclose the distal section of the tube therein when closed. The tip of the instrument is curved to enter the skin incision and the offset pleural incision whereafter the instrument is rotated 180 degrees to align the curved tip with the pleural space. The curved tip facilitates sliding the chest drainage tube through the instrument to effect sufficient insertion length. Once the instrument is in place, the tube is slid along the instrument to ensure that all drainage holes in the chest drainage tube are within the pleural cavity. Thereafter, the instrument is withdrawn leaving the chest drainage tube in place. After withdrawal of the instrument, it is opened laterally for lateral disengagement with the chest drainage tube.

Abstract: A coring tool and a dilator for defining an aperture in a tissue is presented. The system is preferably configured for generating an aperture within a ventricular wall for a method of implantation of ventricular assist devices (VAD's). The insertion tool/system includes a conduit device including a detachable dilator-coring tool and cuff which secures within a defined aperture in the tissue.

Abstract: A device for providing an auxiliary aft passage to a trachea comprises a cannula member, a trocar member and a cap member. The cannula member has longitudinal walls defining a channel, proximal and distal openings at opposed ends of the channel, and a side opening near a distal end of the longitudinal walls. The trocar member includes a proximal flanged end and an elongated member extending from the flanged end, the elongated member being insertable within the channel and having a pointed end projecting through the distal opening when the elongated member is inserted in the channel. The cap member has an inner cavity and is adapted to sealingly engage the cannula member, when the device is not in use, such that the longitudinal walls of the cannula member are contained within the inner cavity and the sharp tip of the trocar member is protectively housed within the cap member.

Abstract: A medical device system is provided. The medical device system includes a positioning apparatus having a body section and an upper section, the upper section slidably coupled to the body section such that the upper section slidably moves relative to the body section. The medical device also includes a flexible guide rod extending through the positioning apparatus and configured to be inserted into a passage of a respiratory system of a subject. The flexible guide rod includes a visible light emitter configured to emit visible light within the passage of the respiratory system and is visible outside the subject.

Abstract: A method for positioning a medical device in a respiratory system is provided. The method includes providing a medical device system including a positioning apparatus having a body section and an upper section, the upper section slidably coupled to the body section, a flexible guide rod, a visible light source, and a medical device for treating the patient slidably receivable on the flexible guide rod. The method also includes inserting the flexible guide rod into a treatment portion of a respiratory system, emitting visible light from the visible light source, visually observing, outside the patient's body, the emitted visible light, and slidably moving the medical device distally along the flexible guide rod toward the distal end of the flexible guide rod to a selected position relative to the distal end of the flexible guide rod and within said treatment portion of the respiratory system of the patient's body.

Abstract: The invention provides a stoma-creating apparatus for creating a stoma in a subject. The apparatus comprises first and second members, and one or more dilation means provided on the first and/or second member. In use, upon respective movement of the first and second members, the stoma-creating apparatus is arranged to move between a first closed configuration in which the one or more dilation means is substantially closed, and a second open configuration in which the one or more dilation means is substantially dilated, thereby creating a stoma in the subject. The invention is particularly concerned with creating stomas which hold a tracheostomy tube in position on the trachea of a patient undergoing a tracheostomy, or for securing a valve or other medical device in position adjacent a patient's pneumothorax.

Abstract: A tubular insertion aid for catheter manipulation is disclosed. The insertion aid is particularly suited for urinary catheters, such as hydrophilic urinary catheters for intermittent use. The insertion aid comprises a forward opening, a rearward opening and a slit opening extending along a part of the sidewall of the tubular insertion aid, so that a first portion of the tubular insertion aid in the axial direction forms a solid circumference around the tubular insertion aid, and a second portion in the axial direction is provided with the slit opening extending in an axial direction of the tubular insertion aid.

Abstract: A method of applying makeup to a surface, such as the skin, the nails, hair, or the lips, is disclosed. The method includes manually depositing, using a non-magnetic cosmetic applicator, at least a first cosmetic composition in the fluid state on the surface, the first composition containing magnetic particles that are movable under the effect of a magnetic field; and manually exposing at least part of the first composition to a magnetic device producing a magnetic field, the magnetic device located above the first composition so as to orientate and/or displace at least a fraction of the magnetic particles so as to form at least one pattern according to magnetic field lines of the magnetic field without making contact with the first composition.

Abstract: A dilator device for performing a percutaneous tracheotomy which is inserted into a trachea opening and then actuated to enlarge the opening by single handed actuation.

Abstract: A dilator assembly for percutaneous dilatational tracheostomy includes a dilator element having a wall and a proximal end part extending into a distal tip part via an intermediate part. The wall has a substantially U-shaped cross section defining a dilator opening. The assembly extends towards the distal tip part. The dilator assembly is part of a tracheostomy device. The device has a first branch for arranging inside the trachea, and a second branch co-operative with the first branch. The first branch has a first end and a receiving member while the opposing second end has a first coupling part. The second branch has a first end with a guide for a neck penetration member and an opposing second end with a second coupling part for coupling with the first coupling part of the first branch. The first and second branches are detachably coupled together at their respective second ends.

Abstract: The invention relates to a tracheostoma spacer with a tubular support framework. The support framework can be expand from an initial state to a supporting state of increased diameter and has a fixing element at the ends. The tracheostoma spacer is intended for use as a spacer in a tracheostoma (an opening in the trachea). The invention further relates to a device for inserting a tracheostoma spacer into a tracheostoma with a cutting instrument in the form of a trocar, the tracheostoma spacer being able to be positioned on the shaft of said trocar. A cover sleeve is also provided which can be moved on the shaft over a tracheostoma spacer positioned there.

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

Abstract: The preferred embodiments provide, e.g., a high quality flexible tracheostomy tube assembly including an outer tracheostomy cannula and a disposable, flexible inner cannula. In preferred embodiments, the product provides a single patient use, sterile device.

Abstract: A tracheal dilator system and method of manufacture are provided, suitable for dilating a passageway into a patient airway. In one embodiment, a medical system having a tracheal dilator is provided. The tracheal dilator includes a first plurality of openings and a guide lumen configured to provide a pathway for the insertion of a guide wire during use of the tracheal dilator. The tracheal dilator further includes a first flow lumen configured to fluidly couple the first plurality of openings to a medical device, wherein the medical device is configured to provide a suctioning force through the first plurality of openings during use of the tracheal dilator.

Abstract: An integrated device and improved method for tracheostomy which includes the placement of an everted film sheath into a patent's trachea, through which the tracheal tube is inserted.

Abstract: A device for providing access through a body wall of a patient to a target site includes a hollow tube having a first large diameter segment and a second small diameter segment. A first distally tapered portion joins the first segment and the second segment, and a second distally tapered portion is distal of the second segment. A first lumen extends through the tube, and a second lumen extends from a proximal portion of the tube to the second segment. A needle received in the first lumen is deployable for piercing the body wall. A port is provided along the second segment in communication with the second lumen, and a balloon is disposed along the second segment at the port. The balloon is inflatable to a diameter at least as large as the first segment diameter for dilating an opening in the body wall.

Abstract: A device (11) for facilitating tracheotomy. The device comprises a first branch (92), which is adapted to be introduced down the trachea of a patient, such that the end thereof is located below the larynx, and a second branch (114), adapted to be arranged on the outside of the neck with the end thereof located adjacent to the site intended for the tracheostoma. The end of the second branch comprises a guiding tube for a needle, and the end of the first branch comprises a protection plate. When the needle is moved towards the skin through the guiding tube and penetrates the skin and tracheal wall in order to provide said tracheostoma, the needle is directed towards the protection plate, and may engage it after passage through the tracheal wall. In such a manner the other side of the tracheal wall is protected. Furthermore, the tracheostoma will automatically be located at the best position.

Abstract: A dilator (10) for creating tracheostomies in one pass. Dilator (10) includes a generally linear shaft (12) extending from a proximal end (14) and beginning at a distance therefrom, gradually and continuously through a curved distal portion (16) of continuously decreasing diameter (from about 38 french) to a distal tip portion (18) of small diameter of about 12 french at distal end (20). The outer surface of the insertable portion is treated or hydrophilically coated to minimize friction, and the gradual taper gradually widens the tracheal entrance opening (44) between tracheal rings (46,48) with minimal trauma. The wall thickness gradually decreases from the linear shaft (12) to the soft distal tip portion (18). The continuing curve of the distal portion (16) enables the increasingly longer inserted portion of the dilator to remain situated in the trachea (50) during insertion and for the distal tip portion to clear the posterior tracheal wall.

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: The present invention relates to a medical device for performing surgery in the body using a percutaneous dilatational procedure, one embodiment of which is a percutaneous dilatational tracheostomy (PDT) device having a dilator with a non-uniform surface profile that is optimized to the relevant anatomy in order to reduce, uniformly distribute, and ensure uniform, or constant temporal derivative of, dilatational force throughout dilation. This serves to reduce trauma to the patient, specifically producing a reduction of anterior tracheal wall compression, posterior wall laceration/perforation, and tracheal ring fracture that may subsequently lead to subglottic suprastomal stenosis.

Abstract: An apparatus and method for providing a passage into the body for use in, among other things, medical procedures, including tracheostomies and cricothyroidectomies is described herein. In one embodiment, an apparatus for providing a passage into the body includes a first slider unit and a second slider unit operably connected to a slider track for retractable deployment of a scalpel and a tissue spreader attached respectively thereto, and for the auto-retraction of the scalpel due to movement of the second slider unit.

Abstract: A flexible pneumostoma management device maintains the patency of a pneumostoma while controlling the flow of material through the pneumostoma. The pneumostoma management device includes a pneumostoma vent having a tube which enters the pneumostoma to allow gases to escape the lung, a flange and a filter/valve to control flow of materials through the tube. The flange is a thin flexible patch comprises of multiple thin layers of materials and which conforms and attaches to the chest of the patient. The flange includes a filter, a protective outer layer and an inner hydrocolloid layer. The flange secures the tube in position in the pneumostoma. An indicator responsive to gases exiting the pneumostoma is integrated into the device and provides and external indicia of the patency and efficacy of the pneumostoma.

Abstract: A hole stabilizer used together with a perforator for providing and maintaining an opening through a patient's skin surface provides short or long-term external access to the patient's trachea or bloodstream. A hole stabilizer constitutes a passageway for fluid having a part formed as a tube having a first end positioned at an outer available position during use and a second end positioned at an inner non-available position during use and comprising fixing elements at two separated positions placed with the distance M between them in a use position. Further, the hole stabilizer comprises an inner layer constituting a tube and an outer layer constituting the fixing elements, which fixing elements are brought to expand diametrically when the outer layer is reduced in length relative to the inner layer. Methods of creating and maintaining a passageway from outside an air-filled cavity to the air-filled cavity are disclosed.

Abstract: There is provided a method for performing a tracheotomy. In this method a tracheostomy dilator has a body and a tip which are detachably attached. The tip has a proximal inner portion which is within the body while the tip is attached to the body. The dilator is inserted into the trachea and used to dilate an opening. After the trachea has been dilated, the body may be detached and removed from the tip, the tip remaining partially in the trachea. A dilator loading catheter installed within a tracheostomy tube may be mated with the tip and the tip, loading catheter and tracheostomy tube moved into the trachea. After the tracheostomy tube is installed, the tip and loading catheter may be withdrawn through the tracheostomy tube and the tracheostomy tube placed in service.

Abstract: A cricothyrotomy syringe has a hollow body, a needle connector at an end of the body, an aperture at an opposite end of the body, a plunger in the aperture, the plunger having a seal that forms a liquid tight seal with an inner surface of the body and the plunger moveable within the body between an extended position and a compressed position and a ventilator adaptor extending from a side of the body, where an interior of the ventilator adaptor is in fluid communication with an interior of the body when the plunger is in the extended position.

Abstract: A device for inserting a tracheal tube into a tracheostomy has as insertion aid with a shaft (6, 6?, 14) which can be inserted through the tracheal tube, and a conical tip (2, 13) which is or can be joined to the tracheal tube. In order to provide a device for inserting a tracheal tube which considerably reduces the risk of injury when inserting the tracheal tube, which makes the insertion process easier, the inserted tube being highly comfortable even with a long-term use, keeping low the danger of injuries or sore points in the trachea, the insertion aid according to the invention has a conical tip (2, 13) which can have a small base diameter in a first state and a large base diameter in a second state.

Abstract: A percutaneous emergent cricothyroidotomy airway device for creating a surgical airway in a patient. The device includes a housing and a palm grip movably disposed in the housing between an expanded position and a compressed position. A first prong extends from the housing and second prong extends from the palm grip, wherein when the palm grip is in the expanded position, the first and second prongs are spaced apart and when the palm grip is moved to the compressed position the second prong is adjacent the first prong. A blade actuator is movably disposed in the housing. The blade actuator has opposed ends and a blade for puncturing a cricothyroid membrane of a patient is disposed on one end of the blade actuator. To create an airway an airway device of the present invention is provided. The palm grip is compressed to move the second prong adjacent the first prong. The blade actuator is actuated to advance the blade from between the prongs.

Abstract: A dilator assembly for percutaneous dilatational tracheostomy includes a dilator element having a wall and a proximal end part extending into a distal tip part via an intermediate part. The wall has a substantially U-shaped cross section defining a dilator opening. The assembly extends towards the distal tip part. The dilator assembly is part of a tracheostomy device. The device has a first branch for arranging inside the trachea, and a second branch co-operative with the first branch. The first branch has a first end and a receiving member while the opposing second end has a first coupling part. The second branch has a first end with a guide for a neck penetration member and an opposing second end with a second coupling part for coupling with the first coupling part of the first branch. The first and second branches are detachably coupled together at their respective second ends.

Abstract: A tracheotomy tube apparatus that can be contained in a generally flat or collapsed condition for easy transport in a purse or wallet provides a planar sheet member having upper and lower surfaces, the sheet member being flexible so that it can be formed into a tracheal tube shape. The sheet member includes a flange that has a connector for attaching it to the neck area of a patient. The flange can be fitted with a string or cable that can be used to encircle the patients neck and tie the flange to the patients neck. The kit can include a generally flat package that contains the planar sheet member and a small disposable cutting instrument or scalpel. During use, the planar sheet member provides a section that is curled or rolled into the shape of a cone or tube that can be placed into a surgically formed opening in the patients trachea. The flange holds the formed tracheal tube in the selected position.

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 facilitating tracheotomy includes a first branch (14), which is adapted to be introduced down the trachea of a patient, such that the end thereof is located below the larynx, and a second branch (12), adapted to be arranged on the outside of the neck with the end thereof located adjacent to the site intended for the tracheostoma. The end of the second branch has a guiding tube for a needle, and the end of the first branch has a protection plate. When the needle is moved towards the skin through the guiding tube and penetrates the skin and tracheal wall in order to provide the tracheostoma, the needle is directed towards the protection plate, and may engage it after passage through the tracheal wall. In such a manner the other side of the tracheal wall is protected. Furthermore, the tracheostoma will automatically be located at the best position.

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.