Endotracheal devices and methods of using endotracheal devices are provided. The devices include a first elongated conduit having an internal dimension, a second elongated conduit having an external dimension less than the internal dimension of the first conduit, and a manipulation rod operatively mounted to the second conduit, where the manipulation rod allows an operator to move the second conduit within the first conduit. The manipulation rod may be used translate and/or rotate the second conduit within the first conduit. The first and second elongated conduits may be provided with inflatable cuffs to minimize the passage of fluids. Though aspects of the invention may be uniquely adapted for insertion through the trachea and into a bronchus, aspects of the invention may be used for other bodily passages.

A cleaning device, system and method for use with an ETT or tracheostomy ventilation tube 60, a ventilator machine 900, a source(s) 602 of fluid (for example, pressurized or unpressurized) and a source(s) of suctioning 603 is disclosed. In some embodiments, the cleaning device is useful for cleaning an inner surface of the ventilation tube 60 and/or for preventing or hindering the accumulation of biofilm thereon. In some embodiments, it is possible to clean biofilm or any other material on the inner surface 201 by delivering fluid into an interior of the ventilation tube, wiping the tube interior with a width-expanded wiping element (e.g. an inflated balloon) by longitudinal motion of the wiping element, and suctioning material out of the ventilation tube.

Embodiments are directed to an endotracheal intubation system that provides for differential ventilation of lungs and lung lobes. Certain aspects are directed to an assembled device having three lumens: (1) a tracheal lumen that provides for ventilation of the upper lobes of the lung, (2) a first lobular lumen that provides for ventilation of a first lower lobe of the lung, and (3) a second lobular lumen that provides for ventilation of a second lower lobe of the lung.

Systems, methods, and devices are disclosed for accurately detecting a position of an endotracheal tube by sensing patient anatomy surrounding the endotracheal tube. Systems of the present disclosure include an endotracheal tube having at least one sensor supported by the endotracheal tube configured to detect surrounding patient anatomy. A signal processing unit can receive data from the sensor and can at least one of (i) identify the detected patient anatomy, for example, vocal cords, (ii) determine a distance between the detected patient anatomy and a known point on the endotracheal tube, and (iii) verify a positioning of the endotracheal tube within a tracheal or esophageal lumen of the patient. In some embodiments, the system can include at least one inflatable component that can extend along an outer surface of the endotracheal tube and support the at least one sensor.

An endobronchial tube including: a first lumen having an open distal end with a first inflatable cuff; a second lumen having an open distal end with a second inflatable cuff; a dedicated image sensor lumen spanning the length of said first lumen and including an image sensor and illumination source disposed adjacent to the distal end of said first lumen, and configured to provide an image of the Tracheal bifurcation of the Tracheal Carina, the openings of the Left Bronchial branch, and the opening Right Bronchial branch; and at least one dedicated cleaning lumen disposed parallel with said dedicated image sensor lumen along the length of said endobronchial tube and configured to form a cleaning nozzle at the distal end directed toward said image sensor lumen at its distal end.

A tracheal tube inserted through the trachea and bronchi of a subject, comprising: a tube body having a through hole on an outer circumferential surface thereof, a bronchial cuff provided on an outer circumferential surface of the tube body and pressing an inner circumferential surface of the bronchus; wherein the bronchial cuff is spaced apart in the axial direction of the tube body and forms a plurality of ventilation spaces; wherein the ventilation spaces are in communication with each other; wherein the through hole communicate with the ventilation space.

A tube for delivering fluid that has a tube extending between a first opening and a second opening, an expandable cuff formed on a distal end of the tube, a resistant member formed around a portion of the tube, and a sleeve formed around the resistant member. Wherein, the sleeve presents a substantially smooth outer surface.

An apparatus for monitoring EMG signals of a patient's laryngeal muscles includes an endotracheal tube having an exterior surface. Conductive electrodes are formed on the endotracheal tube. The conductive electrodes are configured to receive the EMG signals from the laryngeal muscles when the endotracheal tube is placed in a trachea of the patient. At least wireless sensor is formed on the endotracheal tube, and is configured to wirelessly transmit information to a processing apparatus.

An endobronchial tube comprising at least two lumens of different lengths for selectively associating with a patient about at least two locations relative to the Tracheal Carina. said tube comprising: a first lumen having an open distal end that associates proximally to the Carina within the Trachea, with a first inflatable cuff; a second lumen having an open distal end that extends distally, past the Carina and associates within one of the Left Bronchial branch and Right Bronchial branch with a second inflatable cuff; a dedicated image sensor lumen spanning the length of said first lumen, the dedicated image sensor lumen comprising an image sensor and illumination source disposed adjacent to the distal end of said first lumen, and configured to provide an image of the Tracheal bifurcation of the Tracheal Carina, the openings of the Left Bronchial branch, and the opening Right Bronchial branch; and at least one dedicated cleaning lumen disposed parallel with said dedicated image sensor lumen along the length of said endobronchial tube and wherein said cleaning lumen is configured to forms a cleaning nozzle at the distal end, wherein said cleaning nozzle is directed toward said image sensor lumen at its distal end.

A method and system for instilling a medium into portions of a luminal network is provided. The method includes generating a model of a luminal network based on images of the luminal network, determining a location of a treatment target in the luminal network, navigating a bronchoscope through the bronchial tree to a target, guiding a catheter through the bronchoscope, dispensing medium to the target from a distal end of the catheter, and removing a quantity of medium from the luminal network.