An airway manifold includes a manifold body having an upper body portion and a lower body portion. The body portions are engaged such that the upper body portion is rotatable relative to the lower body portion, whereby a generally hollow interior space is defined. The lower body portion has a port open to the interior space, and the upper body portion includes a plurality of ports open to the interior space. A first upper body port is axially alignable with the lower body port to define a substantially linear passageway therebetween when the upper body portion is at a first rotatable position relative to the lower body portion. A second upper body port is axially alignable with the lower body port to define a substantially linear passageway therebetween when the upper body portion is at a second rotatable position.

The present invention is a dual lumen endobronchial tube provided with a flexible wall dividing a cylindrical main tube into two lumens, where the outside wall of the main tube is reinforced, preferably by metal wire but alternately by a sufficiently rigid polymer ribbing which will achieve a desired reduction necessary outside wall thickness. The achievement of a reduction in necessary wall thickness enables sufficient hydraulic cross sectional area so that each lumen is capable independently of providing adequate ventilation to a patient even while a ventilation lumen is partly occluded when the insertion end of a bronchoscope or tube is inserted into the adjacent lumen to examine or treat the other lung.

The present invention provides improved dual lumen endobronchial tube devices. The dual lumen endobronchial tube devices feature a universal design for left or right mainstem bronchus insertion. The dual lumen endobronchial tube devices also feature enhanced balloon cuff designs to minimize dislodgement while maintaining proper airway sealing. The present invention also includes water activated lubricious coating inside the shaft to reduce friction during insertion of a bronchoscope into the airway. The present invention also provides improved double clamps that prevent the accidental clamping of both tubes of a Y-adapter.

A device for delivering medication is presented. The device has a conduit with an upstream end and a downstream end. The downstream end of the conduit delivers the medication. The device has a housing with an open end and an end forming a flat substrate. The housing receives a vial containing a liquid and having a stopper. The device also has a valve for releasing the liquid from the vial into the conduit. The valve can be opened and closed by a user of the device. To release the liquid a piston is utilized to exert pressure on the stopper of the vial and the liquid is dispensed through a needle into the conduit.

The invention has as its object the provision of a medicine capable of reducing a volume of emphysema-suffering pulmonary alveoli or alveolar sacs by means of a respiratory region volume inhibitor containing a coating film formation as a main component and capable of forming a coating film in a respiratory region, characterized by being used in such a way that the coating film-forming component is administered to an emphysema-suffering pulmonary alveolar parenchyma in a human-respiratory region in an amount of 0.004 to 200 g/application, preferably 0.07 to 20 g/application and more preferably 0.5 to 5 g/application on each occasion.

A dual suction tube that includes a lower section, an upper section, and a transitional zone. The lower section includes at least one eyelet disposed at a distal end of the lower section. The upper section includes at least one port configured to be connected to a vacuum source. The transitional zone is between the lower section and the upper section, and has a first cross-sectional area at a proximal end of the transitional zone and a second cross-sectional area at a distal end of the transitional zone. The first cross-sectional area is greater than the second cross-sectional area.

Methods and systems for accessing and diagnosing diseased lung compartments are disclosed. Methods may comprise introducing a diagnostic catheter with an occluding member at its distal end into a lung segment; inflating the occluding member to isolate the lung compartment; and performing a diagnostic procedure with the catheter. The proximal end of the diagnostic catheter is configured to be attached to a console. Methods may also include allowing air to enter the lung compartment through the passage in the catheter while the patient is inhaling and blocking air from being expelled from the lung compartment through the catheter passage while the patient is exhaling by using a one-way flow element adapted to be disposed within or in-line with the passage of the catheter so that flow in a proximal-to-distal direction is allowed and flow in a distal-to-proximal direction is inhibited or prevented.

Methods and systems for targeting, accessing and diagnosing diseased lung compartments are disclosed. The method comprises introducing a diagnostic catheter with an occluding member at its distal end into a lung segment via an assisted ventilation device; inflating the occluding member to isolate the lung segment; and performing a diagnostic procedure with the catheter while the patient is ventilated. The proximal end of the diagnostic catheter is configured to be attached to a console. The method may also comprise introducing the diagnostic catheter into the lung segment; inflating the occluding member to isolate the lung segment; and monitoring blood oxygen saturation. The method may further comprise introducing the diagnostic catheter into the lung segment; determining tidal flow volume in the lung segment; determining total lung capacity of the patient; and determining a flow rank value based on the tidal flow volume of the lung segment and the total lung capacity.

Disclosed embodiments include apparatuses, systems, and methods for assessing collateral ventilation. An illustrative embodiment includes an occlusion device insertable into a bronchial passageway to selectively seal the bronchial passageway to occlude a lobe of a lung. A flow lumen sealably extends through the occlusion device to a distal end and has a proximal end receptive of a positive pressure flow. A check valve is coupleable with the flow lumen to permit the positive pressure flow to pass to the distal end of the flow lumen and prevent a backflow of pressure from the flow lumen. A flow meter is couplable with the flow lumen to measure the positive pressure flow through the flow lumen. The occlusion device is insertable into the passageway to the isolated lobe. Measurements of the flow meter of the positive pressure flow into the occluded lobe are monitorable to assess collateral ventilation from the occluded lobe.

Methods and systems for targeting, accessing and diagnosing diseased lung compartments are disclosed. The method comprises introducing a diagnostic catheter with an occluding member at its distal end into a lung segment via an assisted ventilation device; inflating the occluding member to isolate the lung segment; and performing a diagnostic procedure with the catheter while the patient is ventilated. The proximal end of the diagnostic catheter is configured to be attached to a console. The method may also comprise introducing the diagnostic catheter into the lung segment; inflating the occluding member to isolate the lung segment; and monitoring blood oxygen saturation. The method may further comprise introducing the diagnostic catheter into the lung segment; determining tidal flow volume in the lung segment; determining total lung capacity of the patient; and determining a flow rank value based on the tidal flow volume of the lung segment and the total lung capacity.