The invention relates to a manifold ( 100 ) for a closed system ( 1 ) for endotracheal ventilation and aspiration of a patient, having a first section ( 115 ) and a second section ( 145 ), an opening ( 112 ) configured for allowing influx of a flushing medium to the first section ( 115 ), and a passage ( 118 ) configured for allowing advancement of the catheter from the first section ( 115 ) and into the second section ( 145 ). The invention is characterised by a valve body ( 132 ) arranged interiorly of the first section ( 115 ) and configured for optionally allowing blocking of the passage ( 118 ) in a first position and of the opening ( 112 ) in a second position.
1. A manifold ( 100 ) for a closed system ( 1 ) for endotracheal ventilation and aspiration of a patient, which manifold ( 100 ) has an interior manifold chamber ( 102 ) that defines a through-going axis through the manifold ( 100 ), and comprises:
a first manifold portion ( 110 ) defining a first section ( 115 ) of the manifold chamber ( 102 );
a second manifold portion ( 140 ) arranged in extension of said first manifold portion ( 110 ) and defining a second section ( 145 ) of the manifold chamber ( 102 );
a first opening ( 111 ) arranged in the first manifold section ( 110 ) and configured for allowing advancement of a catheter for aspiration of the patient into the first section ( 115 );
a second opening ( 141 ) arranged in the second manifold portion ( 140 ) opposite said first opening ( 111 ) and configured for allowing advancement of the catheter from the second section ( 145 ), preferably to an endotracheal tube;
a third opening ( 142 ) arranged in the second manifold portion ( 140 ) and configured for allowing ventilation of the patient;
a passage ( 118 ) arranged opposite said first opening ( 111 ) and configured for allowing advancement of the catheter from the first section ( 115 ) and into the second section ( 145 );
a turnable valve body ( 132 ) arranged interiorly of the first section ( 115 ) and configured for being movable between a first position in which the passage ( 118 ) is blocked and a second position;
wherein the first manifold portion ( 110 ) also defines a substantially cylindrical portion ( 125 ) that extends substantially perpendicular to the axis;
which cylindrical portion ( 125 ) has a cylinder axis ( 128 ) about which said valve body ( 132 ) is able to turn between the first and the second position;
a fourth opening ( 112 ) arranged in the cylindrical portion ( 125 ) and configured for allowing supply of fluid; characterised in that the valve body ( 132 ) is configured as a segment of a face of a cylinder configured for abutting on the cylindrical portion ( 125 ); and
a circular guide track ( 103 ″) for the valve body ( 132 ) interior to the first manifold portion ( 110 ).
2. A manifold according to claim 1 , wherein the valve body ( 132 ) further comprises an extreme end ( 132 ′); and
the guide track ( 103 ′) is configured for receiving the extreme end ( 132 ′).
3. A manifold according to claim 2 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
4. A manifold according to claim 2 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the segment ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
5. A manifold according to claim 2 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
6. A manifold according to claim 1 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
7. A manifold according to claim 1 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the segment ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
8. A manifold according to claim 7 , wherein the guide face ( 132 ″) forms a flow passage in combination with an interior face of the manifold ( 100 ).
9. A manifold according to claim 1 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
10. A manifold ( 100 ) according to claim 1 , wherein the interior manifold chamber ( 102 ) is configured as a cylindrical body interrupted by the cylindrical portion ( 125 ) that extends transversally to the axis.
11. A manifold ( 100 ) according to claim 1 , wherein the first manifold portion ( 110 ) is formed integrally with the second manifold portion ( 140 ); and
the passage ( 118 ) is defined by an area that is shared by the first section ( 115 ) and the second section ( 145 ).
12. A manifold ( 100 ) according to claim 1 , wherein the first manifold portion ( 110 ) and the second manifold portion ( 140 ) constitute separate portions of the manifold;
the first manifold portion ( 110 ) and the second manifold portion ( 140 ) comprise mutually complementary connecting means ( 110 ′, 141 ′); and
said complementary connecting means ( 110 ′, 140 ′) form a tight connection.
13. A manifold ( 100 ) according to claim 1 , wherein, at the first opening ( 111 ), the first manifold portion ( 110 ) further comprises a peripheral surface area ( 1280 ) configured for forming a direct abutment for a compressible shrouding ( 50 ) for the catheter ( 40 ); and
the manifold ( 100 ) further comprises a sleeve ( 108 ) configured for securing the shrouding in abutment on said surface ( 1280 ).
14. A manifold ( 100 ) according to claim 1 , wherein the first manifold portion ( 110 ) and the second manifold portion ( 140 ) further comprises means ( 150 , 152 ), whereby it is possible to directly connect, at the second opening ( 141 ), the third opening ( 142 ) and the fourth opening ( 112 ), an endotracheal tube, a tube for ventilating the patient and a tubing for the supply of fluid, respectively.
15. A manifold according to claim 1 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
16. A manifold according to claim 1 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the segment ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
17. A manifold according to claim 1 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
18. A manifold ( 100 ) for a closed system ( 1 ) for endotracheal ventilation and aspiration of a patient, which manifold ( 100 ) has an interior manifold chamber ( 102 ) that defines a through-going axis through the manifold ( 100 ), said manifold comprising:
a first manifold portion ( 110 ) defining a first section ( 115 ) of the manifold chamber ( 102 );
a second manifold portion ( 140 ) arranged in extension of said first manifold portion ( 110 ) and defining a second section ( 145 ) of the manifold chamber ( 102 );
a first opening ( 111 ) arranged in the first manifold section ( 110 ) and configured for allowing advancement of a catheter for aspiration of the patient into the first section ( 115 );
a second opening ( 141 ) arranged in the second manifold portion ( 140 ) opposite said first opening ( 111 ) and configured for allowing advancement of the catheter from the second section ( 145 ), preferably to an endotracheal tube;
a third opening ( 142 ) arranged in the second manifold portion ( 140 ) and configured for allowing ventilation of the patient;
a passage ( 118 ) arranged opposite said first opening ( 111 ) and configured for allowing advancement of the catheter from the first section ( 115 ) and into the second section ( 145 );
a turnable valve body ( 132 ) arranged interiorly of the first section ( 115 ) and configured for being movable between a first position in which the passage ( 118 ) is blocked and a second position;
wherein the first manifold portion ( 110 ) also defines a substantially cylindrical portion ( 125 ) that extends substantially perpendicular to the axis;
which cylindrical portion ( 125 ) has a cylinder axis ( 128 ) about which said valve body ( 132 ) is able to turn between the first and the second position; a fourth opening ( 112 ) arranged in the cylindrical portion ( 125 ) and configured for allowing supply of fluid; characterised in that the valve body ( 132 ) is configured as a segment of a face of a cylinder configured for abutting on the cylindrical portion ( 125 ); and a fifth opening ( 122 ) arranged in the cylindrical portion ( 125 );
wherein the valve body ( 132 ) is connected to the exterior of the manifold chamber ( 102 ) via the fifth opening ( 122 ).
19. A system ( 1 ) for endotracheal ventilation and aspiration of a patient comprising a catheter ( 40 ) that extends interiorly of a collapsible shrouding ( 50 ), said system further comprising a first end ( 52 ) connected to a vacuum source, and a second end ( 54 ) connected to a manifold ( 100 ) having an interior manifold chamber ( 102 ) that defines a through-going axis through the manifold ( 100 ), said manifold ( 100 ) comprising:
a first manifold portion ( 110 ) defining a first section ( 115 ) of the manifold chamber ( 102 );
a second manifold portion ( 140 ) arranged in extension of said first manifold portion ( 110 ) and defining a second section ( 145 ) of the manifold chamber ( 102 );
a first opening ( 111 ) arranged in the first manifold section ( 110 ) and configured for allowing advancement of a catheter for aspiration of the patient into the first section ( 115 );
a second opening ( 141 ) arranged in the second manifold portion ( 140 ) opposite said first opening ( 111 ) and configured for allowing advancement of the catheter from the second section ( 145 ), preferably to an endotracheal tube;
a third opening ( 142 ) arranged in the second manifold portion ( 140 ) and configured for allowing ventilation of the patient;
a passage ( 118 ) arranged opposite said first opening ( 111 ) and configured for allowing advancement of the catheter from the first section ( 115 ) and into the second section ( 145 );
a turnable valve body ( 132 ) arranged interiorly of the first section ( 115 ) and configured for being movable between a first position in which the passage ( 118 ) is blocked and a second position;
wherein the first manifold portion ( 110 ) also defines a substantially cylindrical portion ( 125 ) that extends substantially perpendicular to the axis;
which cylindrical portion ( 125 ) has a cylinder axis ( 128 ) about which said valve body ( 132 ) is able to turn between the first and the second position;
a fourth opening ( 112 ) arranged in the cylindrical portion ( 125 ) and configured for allowing supply of fluid; characterised in that the valve body ( 132 ) is configured as a segment of a face of a cylinder configured for abutting on the cylindrical portion ( 125 ); and
a circular guide track ( 103 ″) for the valve body ( 132 ) interior to the first manifold portion ( 110 ).
20. The system ( 1 ) according to claim 19 , wherein the valve body ( 132 ) further comprises an extreme end ( 132 ′); and
the guide track ( 103 ′) is configured for receiving the extreme end ( 132 ′).
21. The system ( 1 ) according to claim 19 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
22. The system ( 1 ) according to claim 21 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
23. The system ( 1 ) according to claim 21 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the segment ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
24. The system ( 1 ) according to claim 21 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
25. The system ( 1 ) according to claim 19 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the segment ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
26. The system ( 1 ) according to claim 25 , wherein the guide face ( 132 ″) forms a flow passage in combination with an interior face of the manifold ( 100 ).
27. The system ( 1 ) according to claim 19 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
28. The system ( 1 ) according to claim 19 , wherein the interior manifold chamber ( 102 ) is configured as a cylindrical body interrupted by the cylindrical portion ( 125 ) that extends transversally to the axis.
29. The system ( 1 ) according to claim 19 , wherein the first manifold portion ( 110 ) is formed integrally with the second manifold portion ( 140 ); and
the passage ( 118 ) is defined by an area that is shared by the first section ( 115 ) and the second section ( 145 ).
30. The system ( 1 ) according to claim 19 , wherein the first manifold portion ( 110 ) and the second manifold portion ( 140 ) constitute separate portions of the manifold;
the first manifold portion ( 110 ) and the second manifold portion ( 140 ) comprise mutually complementary connecting means ( 110 ′, 141 ′); and
said complementary connecting means ( 110 ′, 140 ′) form a tight connection.
31. The system ( 1 ) according to claim 19 , wherein, at the first opening ( 111 ), the first manifold portion ( 110 ) further comprises a peripheral surface area ( 1280 ) configured for forming a direct abutment for a compressible shrouding ( 50 ) for the catheter ( 40 ); and
the manifold ( 100 ) further comprises a sleeve ( 108 ) configured for securing the shrouding in abutment on said surface ( 1280 ).
32. The system ( 1 ) according to claim 19 , wherein the first manifold portion ( 110 ) and the second manifold portion ( 140 ) further comprises means ( 150 , 152 ), whereby it is possible to directly connect, at the second opening ( 141 ), the third opening ( 142 ) and the fourth opening ( 112 ), an endotracheal tube, a tube for ventilating the patient and a tubing for the supply of fluid, respectively.
33. The system ( 1 ) according to claim 19 further comprising a fifth opening ( 122 ) arranged in the cylindrical portion ( 125 );
wherein the valve body ( 132 ) is connected to the exterior of the manifold chamber ( 102 ) via the fifth opening ( 122 ).
34. The system ( 1 ) according to claim 19 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
35. The system ( 1 ) according to claim 19 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the segment ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
36. The system ( 1 ) according to claim 19 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
37. A manifold ( 100 ) for a closed system ( 1 ) for endotracheal ventilation and aspiration of a patient, which manifold ( 100 ) has an interior manifold chamber ( 102 ) that defines a through-going axis through the manifold ( 100 ), and comprises;
a first manifold portion ( 110 ) defining a first section ( 115 ) of the manifold chamber ( 102 );
a second manifold portion ( 140 ) arranged in extension of said first manifold portion ( 110 ) and defining a second section ( 145 ) of the manifold chamber ( 102 );
a first opening ( 111 ) arranged in the first manifold section ( 110 ) and configured for allowing advancement of a catheter for aspiration of the patient into the first section ( 115 );
a second opening ( 141 ) arranged in the second manifold portion ( 140 ) opposite said first opening ( 111 ) and configured for allowing advancement of the catheter from the second section ( 145 ), preferably to an endotracheal tube;
a third opening ( 142 ) arranged in the second manifold portion ( 140 ) and configured for allowing ventilation of the patient;
a passage ( 118 ) arranged opposite said first opening ( 111 ) and configured for allowing advancement of the catheter from the first section ( 115 ) and into the second section ( 145 );
a turnable valve body ( 132 ) arranged interiorly of the first section ( 115 ) and configured for being movable between a first position in which the passage ( 118 ) is blocked and a second position;
wherein the first manifold portion ( 110 ) also defines a substantially cylindrical portion ( 125 ) that extends substantially perpendicular to the axis;
which cylindrical portion ( 125 ) has a cylinder axis ( 128 ) about which said valve body ( 132 ) is able to turn between the first and the second position;
a fourth opening ( 112 ) arranged in the cylindrical portion ( 125 ) and configured for allowing supply of fluid; characterised in that the valve body ( 132 ) is configured as a segment of a face of a cylinder configured for abutting on the cylindrical portion ( 125 );
said valve body ( 132 ) being configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position to allow fluid supplied through said fourth opening ( 112 ) to flow through said passage ( 118 ) while performing suctioning of the patient by said catheter ( 40 ) advanced through said passage ( 118 ).
38. The manifold ( 100 ) according to claim 37 , further comprising a circular guide track ( 103 ″) for the valve body ( 132 ) interior to the first manifold portion ( 110 ).
39. The manifold ( 100 ) according to claim 38 , wherein the valve body ( 132 ) further comprises an extreme end ( 132 ′); and
the guide track ( 103 ′) is configured for receiving the extreme end ( 132 ′).
40. The manifold ( 100 ) according to claim 39 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
41. The manifold ( 100 ) according to claim 39 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the segment ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
42. The manifold ( 100 ) according to claim 39 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
43. The manifold ( 100 ) according to claim 38 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the segment ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
44. The manifold ( 100 ) according to claim 38 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
45. The manifold according to claim 37 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
46. The manifold ( 100 ) according to claim 37 , wherein the valve body ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
47. The manifold ( 100 ) according to claim 46 , wherein the guide face ( 132 ″) forms a flow passage in combination with an interior face of the manifold ( 100 ).
48. The manifold ( 100 ) according to claim 37 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
49. The manifold ( 100 ) according to claim 37 , wherein the interior manifold chamber ( 102 ) is configured as a cylindrical body interrupted by the cylindrical portion ( 125 ) that extends transversally to the axis.
50. The manifold ( 100 ) according to claim 37 , wherein the first manifold portion ( 110 ) is formed integrally with the second manifold portion ( 140 ); and
the passage ( 118 ) is defined by an area that is shared by the first section ( 115 ) and the second section ( 145 ).
51. The manifold ( 100 ) according to claim 37 , wherein the first manifold portion ( 110 ) and the second manifold portion ( 140 ) constitute separate portions of the manifold;
the first manifold portion ( 110 ) and the second manifold portion ( 140 ) comprise mutually complementary connecting means ( 110 ′, 141 ′); and
said complementary connecting means ( 110 ′, 140 ′) form a tight connection.
52. The manifold ( 100 ) according to claim 37 , wherein, at the first opening ( 111 ), the first manifold portion ( 110 ) further comprises a peripheral surface area ( 1280 ) configured for forming a direct abutment for a compressible shrouding ( 50 ) for the catheter ( 40 ); and
the manifold ( 100 ) further comprises a sleeve ( 108 ) configured for securing the shrouding in abutment on said surface ( 1280 ).
53. The manifold ( 100 ) according to claim 37 , wherein the first manifold portion ( 110 ) and the second manifold portion ( 140 ) further comprises means ( 150 , 152 ), whereby it is possible to directly connect, at the second opening ( 141 ), the third opening ( 142 ) and the fourth opening ( 112 ), an endotracheal tube, a tube for ventilating the patient and a tubing for the supply of fluid, respectively.
54. The manifold ( 100 ) according to claim 37 , further comprising a fifth opening ( 122 ) arranged in the cylindrical portion ( 125 );
wherein the valve body ( 132 ) is connected to the exterior of the manifold chamber ( 102 ) via the fifth opening ( 122 ).
55. The manifold ( 100 ) according to claim 38 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
56. A system ( 1 ) for endotracheal ventilation and aspiration of a patient comprising a catheter ( 40 ) that extends interiorly of a collapsible shrouding ( 50 ), said system further comprising a first end ( 52 ) connected to a vacuum source, and a second end ( 54 ) connected to a manifold ( 100 ) having an interior manifold chamber ( 102 ) that defines a through-going axis through the manifold ( 100 ), said manifold ( 100 ) comprising:
a first manifold portion ( 110 ) defining a first section ( 115 ) of the manifold chamber ( 102 );
a second manifold portion ( 140 ) arranged in extension of said first manifold portion ( 110 ) and defining a second section ( 145 ) of the manifold chamber ( 102 );
a first opening ( 111 ) arranged in the first manifold section ( 110 ) and configured for allowing advancement of a catheter for aspiration of the patient into the first section ( 115 );
a second opening ( 141 ) arranged in the second manifold portion ( 140 ) opposite said first opening ( 111 ) and configured for allowing advancement of the catheter from the second section ( 145 ), preferably to an endotracheal tube;
a third opening ( 142 ) arranged in the second manifold portion ( 140 ) and configured for allowing ventilation of the patient;
a passage ( 118 ) arranged opposite said first opening ( 111 ) and configured for allowing advancement of the catheter from the first section ( 115 ) and into the second section ( 145 );
a turnable valve body ( 132 ) arranged interiorly of the first section ( 115 ) and configured for being movable between a first position in which the passage ( 118 ) is blocked and a second position;
wherein the first manifold portion ( 110 ) also defines a substantially cylindrical portion ( 125 ) that extends substantially perpendicular to the axis;
which cylindrical portion ( 125 ) has a cylinder axis ( 128 ) about which said valve body ( 132 ) is able to turn between the first and the second position;
a fourth opening ( 112 ) arranged in the cylindrical portion ( 125 ) and configured for allowing supply of fluid; characterised in that the valve body ( 132 ) is configured as a segment of a face of a cylinder configured for abutting on the cylindrical portion ( 125 );
said valve body ( 132 ) being configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position to allow fluid supplied through said fourth opening ( 112 ) to flow through said passage ( 118 ) while performing suctioning of the patient by said catheter ( 40 ) advanced through said passage ( 118 ).
57. The system ( 1 ) according to claim 56 , further comprising a circular guide track ( 103 ″) for the valve body ( 132 ) interior to the first manifold portion ( 110 ).
58. The system ( 1 ) according to claim 57 , wherein the valve body ( 132 ) further comprises an extreme end ( 132 ′); and
the guide track ( 103 ′) is configured for receiving the extreme end ( 132 ′).
59. The system ( 1 ) according to claim 58 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
60. The system ( 1 ) according to claim 58 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the segment ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
61. The system ( 1 ) according to claim 58 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
62. The system ( 1 ) according to claim 57 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
63. The system ( 1 ) according to claim 57 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the segment ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
64. The system ( 1 ) according to claim 57 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
65. The system ( 1 ) according to claim 56 , wherein the valve body ( 132 ) is configured such that the fourth opening ( 112 ) is open in said first position of the valve body ( 132 ).
66. The system ( 1 ) according to claim 56 , wherein the valve body ( 132 ) further comprises a guide face ( 132 ″) configured for conveying the fluid supply from the fourth opening ( 112 ) in a direction through the passage ( 118 ).
67. The system ( 1 ) according to claim 66 , wherein the guide face ( 132 ″) forms a flow passage in combination with an interior face of the manifold ( 100 ).
68. The system ( 1 ) according to claim 56 , wherein the valve body ( 132 ) is configured such that the passage ( 118 ) and the fourth opening ( 112 ) are open in said second position; and
the fourth opening ( 112 ) is so arranged relative to the passage ( 118 ) that the supplied fluid flows through the passage ( 118 ).
69. The system ( 1 ) according to claim 56 , wherein the interior manifold chamber ( 102 ) is configured as a cylindrical body interrupted by the cylindrical portion ( 125 ) that extends transversally to the axis.
70. The system ( 1 ) according to claim 56 , wherein the first manifold portion ( 110 ) is formed integrally with the second manifold portion ( 140 ); and
the passage ( 118 ) is defined by an area that is shared by the first section ( 115 ) and the second section ( 145 ).
71. The system ( 1 ) according to claim 56 , wherein the first manifold portion ( 110 ) and the second manifold portion ( 140 ) constitute separate portions of the manifold;
the first manifold portion ( 110 ) and the second manifold portion ( 140 ) comprise mutually complementary connecting means ( 110 ′, 141 ′); and
said complementary connecting means ( 110 ′, 140 ′) form a tight connection.
72. The system ( 1 ) according to claim 56 , wherein, at the first opening ( 111 ), the first manifold portion ( 110 ) further comprises a peripheral surface area ( 1280 ) configured for forming a direct abutment for a compressible shrouding ( 50 ) for the catheter ( 40 ); and
the manifold ( 100 ) further comprises a sleeve ( 108 ) configured for securing the shrouding in abutment on said surface ( 1280 ).
73. The system ( 1 ) according to claim 56 , wherein the first manifold portion ( 110 ) and the second manifold portion ( 140 ) further comprises means ( 150 , 152 ), whereby it is possible to directly connect, at the second opening ( 141 ), the third opening ( 142 ) and the fourth opening ( 112 ), an endotracheal tube, a tube for ventilating the patient and a tubing for the supply of fluid, respectively.
74. The system ( 1 ) according to claim 56 , further comprising a fifth opening ( 122 ) arranged in the cylindrical portion ( 125 );
wherein the valve body ( 132 ) is connected to the exterior of the manifold chamber ( 102 ) via the fifth opening ( 122 ).