System for assisting a patient in speaking, comprising at least one ventilation apparatus and a patient interface, the ventilation apparatus comprising at least one controllable respiratory gas source and being designed to identify two or more respiratory phases, at least inspiration and expiration, of the patient, and the patient interface having at least one speaking tube and a respiratory tube and being configured to conduct speaking gas to the patient via the speaking tube and to conduct respiratory gas to and/or from the patient via the respiratory tube. The system is configured to provide speaking gas to the patient at least temporarily in a speaking mode in order to enable speaking.

A tracheostoma device holder (10) for holding a tracheostoma device to a tracheostoma of a person is provided. The tracheostoma device holder (10) comprises a head portion (50) for engaging with a tracheostoma device and a fixation portion (20) for fixating the tracheostoma device holder (10) to the tracheostoma of the person. At least a portion of the fixation portion (20) is provided with a deformable material (60).

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.

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.

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.

An apparatus, system, and method for controlling tracheostomy weaning. The apparatus includes a lumen defining a flow path for air. The flow path is configured to communicate fluidically with an airway of a patient. A control valve coupled to the lumen is configured to automatically and selectively occlude the lumen to control a flowrate of the air passing through the lumen in real time based on respiratory data obtained from the patient.

A voice prosthesis is provided for insertion into a fistula opening in a tracheoesophageal wall. The voice prosthesis includes a tubular elastomeric body having a central passage therein and having a valve seat on one end thereof. A pair of flanges each extending radially outwardly from opposite ends of the tubular elastomeric body. An umbrella shaped valve is disposed in at least a portion of the tubular elastomeric body, the umbrella shaped valve engaging the valve seat in a normal state and the umbrella shaped valve flexing upward in an open actuated state. The umbrella shaped valve can further be supported by a flexible web. The floating umbrella shaped valve engages the valve seat in a normal state and is movable to an open position in an actuated state wherein the flexible web flexes to allow movement of the valve.

The disclosure relates to a hood (100) for humidifying air entering into a tracheostomy valve (190) comprising: a container (102) having a front wall (104) and a rear wall (108), the rear wall (108) being configured to face an inlet (192) of the tracheostomy valve (190); the container (102) comprising a material (110) enclosed by the front wall (104) and the rear wall (108); and a channel (112), extending through the front wall (104), extending pass the material (110) and extending through the rear wall (108), allowing exterior air (120) to flow through the container (102) to the tracheostomy valve (190) during inhalation.

Apparatus (20) for fitting to the machine end of a tracheostomy tube (10) includes both an HME and a speaking valve (30). The HME includes two exchange elements (28, 29) at opposite ends of a housing (23) extending laterally of a coupling (25) for fitting on the tube. The speaking valve has a cylindrical sleeve (31) extending across the housing midway along its length and in line with the tube. The sleeve is rotatable about its axis and has two openings (36) on opposite sides that can be aligned with the exchange elements of the HME to allow gas to flow from the tube through the exchange elements, bypassing the speaking valve. When the patient wishes to speak, he twists and rotates the speaking valve to block flow to the exchange elements and instead to allow air to be inhaled via the valve.

A speaking valve for use with a tracheostomy and voice prosthesis having a valve element movable by finger pressure between a first position in which the valve allows air to pass through it and a second position in which the passage of air is substantially resisted or prevented. A biasing element such as foam or a spring is provided to bias the valve element towards the first position when no finger pressure is applied. The valve element is arranged such that expiration through the valve at a rate in excess of predetermined rate causes it to move into a third position in which air resistance through the valve is less than when the valve element is in its first position. This allows for air release if e.g. a user should cough.