The present invention relates to a tracheal coupling comprising a patient port 33, an outlet port 36, an inlet port 31 between the patient port and the outlet port, such that flow 34 from the inlet port can go to the patient port or direct to the outlet port, and a flow restriction e.g. 32 between the inlet port and the outlet port, or at the outlet port.

A speaking valve adapter is disclosed for assisting with speech or language expression during the respiratory recovery of a human. The speaking valve adapter including a speaking valve port, the port being orthogonal to a first interface port, the first interface port adapted to support tracheostomy or endotracheal tubing, a second interface port adapted to support at least one of a suction tubing and a bronchoscopy tubing, and a third interface port adapted to support a connection to a ventilator. The speaking valve adapter may be used by the patient for introduction of at least one of sounds and words while connected to the ventilator. A corresponding respiratory management system which implements the speaking valve adapter and configurable ventilator settings adapted for assisting with more effective speech or language expression during patient recovery or use is also disclosed.

A rotary occlusion valve for tracheotomy is described, used in the medical field, which allows the function of occluding the flow, both inspiratory and expiratory, of a particular patient, depending on his or her clinical condition or ventilatory limitations, thus permitting the execution of the two steps of respiration, inspiration and expiration. The valve consists in a device composed of a main body in the form of a cylinder inside which is a bearing, a safety grille, a tab, and an oxygen connection port. Said main body is joined to a rotary one-way valve containing a spherical ball, an orifice in its center, windows, pillars, and a tab. Finally, the one-way valve contains a membrane consisting of a grip port and a diaphragm.

A twist to lock heat and moisture exchanging device includes a housing having a first opening that is adapted to open to a tracheostoma and a second opening that opens to ambient. A foam filter is disposed in the housing and a closure member is mounted to the housing and adapted to close a passage between the first opening and the second opening. A locking mechanism is engageable to prevent movement of the closure member to close the passage and disengageable to allow movement of the closure member to close the passage. The twist to lock tracheostoma heat and moisture exchanger allows a user to protect from accidental closure during activities when it would be preferred like sleeping and exercising.

The invention relates to a speaking valve for laryngectomized or tracheotomized persons, comprising a cover part, a housing part, and a filter arranged in the housing part. The cover part comprises a closure part which is arranged on an inner face of the cover part and which faces the filter. The cover part consists of an elastic material, and the closure part closes the speaking valve distally to the filter by deforming at least one region of the cover part. The closure part has a circular shape and has a central part surface which rises starting from a lower end surface of an outer edge to a centrally arranged securing region.

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 medical appliance for the treatment of one or more sleep disorders such as obstructive sleep apnea in a patient, the appliance comprising: a biasing member for inserting behind and exerting a force upon the patient's soft palate or tongue, wherein the biasing member is inserted in a reduced or minimized form and then expanded or firms once in place to exert the force. The appliance may be nasally inserted or be placed through the mouth. In a particular configuration, both the soft palate and tongue are biased to prevent obstruction of the flow of air in the nasopharyngeal airway.

Disclosed is a breathing assistance system (10) comprising: a ventilator (12), a breathing lumen (14) arranged to communicate a flow of air between the ventilator and a tracheostomy tube (16) in the trachea of a patient, and a sensor (24) configured to generate a vibration signal representing vocal cord vibrations of the patient. The system is configured to facilitate the flow of exhaled air to the atmosphere via the upper airway of the patient in response to detection in the vibration signal of speech or attempted speech by the patient.

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.

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.