To solve the problem of making available a speech valve for persons who have undergone a laryngectomy or tracheotomy, which speech valve in particular has a long useful life, a speech valve is proposed having a housing with a proximal opening and at least one filter at least partially received in the housing, and with a piston-like valve element, wherein the filter at least partially surrounds the valve element, wherein the valve element is movable on a valve seat, arranged on the proximal opening, in order to produce a closure position and can be returned with a spring action to an open position of the speech valve, and wherein the valve element has a lower end which faces towards the proximal opening and which is assigned to the valve seat in the open position and, with the valve seat, forms a gap through which an air stream can be guided.

A representative method includes: providing a tracheostomy valve assembly having a housing and a diaphragm, the housing defining an interior airflow path, the housing having an exterior surface, a distal opening extending from the exterior surface to the interior flow path and a proximal opening, the distal opening and the proximal opening communicating with the interior airflow path, the diaphragm being disposed within the housing along the interior airflow path, the diaphragm being biased to a closed position to prevent air from passing the diaphragm along the interior airflow path, the diaphragm being configured to selectively move to an open position to enable air to be drawn into the distal opening, passed the diaphragm, and out of the proximal opening in an inhaling direction in response to a proximal side of the diaphragm being exposed to a predetermined negative air pressure applied at the diaphragm as a suction force; and urging the diaphragm away from the closed position with an actuation surface, movably coupled to the housing, to adjust airflow restriction through the tracheostomy valve assembly.

In some embodiments, a tracheotomy tube monitoring device of a monitoring system includes a tube mounting portion configured to mount to a tracheotomy tube, sensing means for monitoring respiration of a patient in which the tracheotomy tube is inserted, and alert means for alerting relevant persons when data collected by the sensing means indicate that there is a problem.

A tracheostoma valve to be applied to a tracheostomized person's neck comprises an air passage to be connected with the tracheostoma for connecting the trachea with the surroundings. A valve member is provided in the air passage, wherein the valve member is normally open and allows for inhalation and exhalation through the air passage. The valve further comprises a manually activated member for establishing an uninterrupted seal to block patient exhalation, thereby to direct it to the patient's pharynx, esophagus, sinuses, and mouth for speech following surgical removal of the larynx.

A tracheostoma device for cooperation with a tracheostoma device holder superimposed on a tracheostoma of a person includes a tubular body and a container. The tubular body is at the proximal end of the tracheostoma device. The tubular body includes at least one inlet upon exhalation through the tracheostoma device, and is adapted for cooperation with the tracheostoma device holder. The container being at the distal end of the tracheostoma device, includes at least one outlet upon exhalation through the tracheostoma device and is adapted for housing a heat and moisture exchanging foam. The tubular body and the container have a hardness of 100 Shore A or less.

Provided is a tracheostomy tube having a freely openable/closable fenestration without substantially narrowing an inner cavity of the tracheostomy tube. It has been found that each of two tracheostomy tubes having the configurations (A) and (B) has the fenestration that is freely openable/closable with use of a shutter without substantially narrowing the inner cavity of the tracheostomy tube.

The embodied invention is a new inspiration/expiration ventilator flow design, with a constant inspiration flow and intermittent-concurrent expiratory flow based on lung pressure setpoints. This mode is possible by using a new dual lumen tube inserted into a patient Trachea. Additionally, the control provides support for patient initiated breathing which is initiated by a lung pressure drop. This control provides continuous and gentle recruitment of lung alveoli.

An adapter for use in conjunction with a tracheostomy tube and/or its attachments is disclosed. It is adapted to complement conventional tracheostomy tubes and monitor and measure an assortment of breathing parameters, through one or more sensors, such as thermistors, microphones and the like. In order to evaluate whether there is a problem in the patient's airway (e.g., an obstruction), the data from the sensors is compared. By incorporating an alarm system as part of, or in conjunction with, the present invention, healthcare providers can be better able to quickly react to potential problems in the patient's airway.

Systems slow breathing with positive pressure therapy. In embodiments, a current interim breathing rate target is set, and periodically magnitude of a variable pressure waveform scaled to the current interim breathing rate target is increased if breathing rate is greater than the interim rate target to lengthen breath duration. The magnitude of the pressure increase may be a function of the difference between the interim rate target and the breathing rate. The interim rate target may be reduced in response to slowing breathing rate. The waveform cycles, inhalation to exhalation, when airflow decreases to a cycle threshold. Different interim rate targets have different cycle threshold functions that allow easier cycling as the interim rate targets decrease. Similarly, the waveform triggers, exhalation to inhalation, when airflow increases to a trigger threshold. Different interim rate targets have different trigger threshold functions that allow easier triggering as the interim rate targets decrease.

An adjustable tracheostoma valve is disclosed. The adjustable tracheostoma valve includes a passageway for connecting the trachea with the surroundings. A valve disk is provided in the passageway. The disk is moveable to allow for inhalation and exhalation through the passageway and is configured to close in response to pressure to direct air to the patient's pharynx, esophagus, sinuses, and mouth for speech following surgical removal of the larynx.