Algorithms for detecting endotracheal intubation and/or misplacement of endotracheal tubes in child patients during anesthesia for use with anesthesia machines, mechanical ventilators, and/or respiratory function monitors. An algorithm uses end-tidal carbon dioxide (EtCO.sub.2), and tidal volume (TV) or peak inspiratory pressure (PIP) to detect exact intubation time. Another algorithm uses respiratory parameters to identify and/or confirm the type of airway device used during mechanical ventilation, and to detect if and when an issue has arisen with use of a specific airway device to provide real-time decision support to attending medical care professionals.

The present invention relates to a tracheal protective ventilation device specially adapted for use with neonates, a stylet that aids in insertion and spatial verification of the tracheal protective ventilation device, and methods for using the same. The ventilation provided by the devices of the present invention is atraumatic to the trachea and the glottis compared to ventilation devices currently available in the art, and has the additional feature of allowing the administration of nutritional matter to the gut without interrupting airflow.

A capnography system includes a CO.sub.2 sensing system having a CO.sub.2 sensor configured to measure a CO.sub.2 concentration in exhaled breath of a subject, a processor configured to derive one or more breath related parameters based on the measured CO.sub.2 concentration, and a communication unit. The capnography system includes a tubing system configured to allow flow of respiratory gasses therethrough. The tubing system includes a connector configured to connect the tubing system to the CO.sub.2 sensing system and a communication component configured to provide an indication of a type of the tubing system to the communication unit. The communication unit is configured to transfer data to the processor based on the indication obtained from the communication component, and the processor is configured to change or suggest a change of an operation mode of the CO.sub.2 sensing system based on the data.

A device for measuring a concentration of a component in a target sample includes a flow chamber with a first channel that receives a reference sample having a known concentration of the component. The flow chamber also includes a second channel that receives the target sample having an unknown concentration of the component. A pump operates to pump the reference sample and the target sample at a same volume flow rate through the first and second channels, respectively. A thermal mass flow meter measures a thermal conductivity of the reference sample, a thermal conductivity of the target sample, or both.

In some implementations, a low dead space airway adapter for sampling fluid flowing through a ventilation assembly includes an outer wall configured to couple to an endotracheal (ET) tube adapter and an internal projection positioned at least partially within an internal cavity defined by the outer wall and configured to extend within an internal cavity of the ET tube adapter when the airway adapter is in use. The internal projection can include a fluid passageway configured for fluid communication with at least a portion of the internal cavity of the ET tube adapter and a free end comprising an opening in fluid communication with the fluid passageway. At least a portion of the free end can be chamfered around the opening and configured to contact an inner surface of the ET tube adapter when the outer wall is coupled to the ET tube adapter.

The present invention provides an improved percutaneous dilation tracheostomy device. The device is configured to include all of the required components to perform a percutaneous tracheotomy. The device includes a retractable needle and an extendable j-wire rather than having separate components as in typical percutaneous tracheostomy devices. The device includes a dilator section to expand the diameter of a patient's stoma. The device is further configured to allow an operator to perform a bubble test to alert the user that the tube is in the trachea. In addition, the device is generally more compact than typical emergency tracheostomy devices.

A liquid ventilation system includes a reservoir holding a perfluorochemical (“PFC”) fluid, and a suction pump connected to the reservoir to reduce pressure within the reservoir. A sensor is configured to measure an intra-lung pressure. An appliance is configured to be disposed within a patient. The appliance carries an injector to supply the PFC fluid through the appliance. An extraction valve is disposed on an extraction line between the appliance and the reservoir. The extraction valve is arrangeable between a first position enabling fluid communication from the appliance to the reservoir and a second position disabling fluid communication from the appliance to the reservoir.

This invention relates to a breath indicator that is receivable by a part of a breathing assistance apparatus that supplies gas to a patient. The indicator comprises an elongate body having a gas sampling end and an attachment end. The attachment end is adapted to attach to a part of a breathing assistance apparatus and for locating the gas sampling end. The gas sampling end is to be located in a region where gas from the patient is to be exhaled. The gas sampling end being in communication with a sensor comprising a detector material changeable between a first visual indicator state relating to an inhalation phase of the patient, and a second visual indicator state relating to an exhalation phase of the patient. The detector material is capable of changing between the visual indicator states at a sufficient rate to substantially correspond with the inhalation and exhalation phases of the patient.

An apparatus including a tubular channel having a pathway extending between a proximal end and a distal end of the tubular channel. The proximal end is configured to connect directly or indirectly to an end tidal CO.sub.2 monitor. The distal end has an opening. The apparatus further includes a detection member including a chamber disposed in fluid communication with the pathway of the tubular channel such that gas entering the tubular channel via the opening on the distal end passes into the chamber. A detection element is disposed within the chamber and includes a component that is sensitive to one or more systemic biomarkers such that, upon exposure to a predetermined concentration level of the one or more systemic biomarkers contained in the gas, a state of the detection element experiences a permanent alteration and the detection member indicates that the predetermined concentration level of the one or more systemic biomarkers is present in the gas.

Various methods and systems for delivery of an ETT for intubation are provided. In one example, an ETT delivery system includes a rail system for guiding insertion of an ETT and at least partially defining the motion of the ETT. The ETT delivery system further may include a video laryngoscope blade coupled to the rail system and a delivery mechanism. In some examples, the ETT delivery system further includes a positioner configured to adjust the motion of the ETT. As a further example, the ETT delivery system may include a swing arm and a guide rail to at least partially define the motion of the swing arm. Further, a drive-down mechanism may effect motion of the swing arm. As another embodiment, a rail system, a disposable blade and a positioner may be provided. Further, a delivery mechanism may be operatively linked with the integrated rail system.