A respiratory conduit assembly for use in an assisted ventilation system having an inspiratory gas input and an exhaust outlet, said respiratory conduit assembly comprising:
- a unilimb respiratory conduit, and
- a proximal terminal, said unilimb respiratory conduit capable of being connected to and disconnected from said proximal terminal by a user at the site of use,
- said unilimb respiratory conduit having a distal end and a proximal end, said unilimb respiratory conduit including:
- an outer flexible tube,
- an inner flexible tube, said outer flexible tube and inner flexible tube each having a proximal end and a distal end;
- the outer diameter of said inner flexible tube being smaller than the inner diameter of said outer flexible tube, said inner flexible tube being at least partially disposed within said outer flexible tube, said distal end of said inner flexible tube being disposed within and in direct fluid communication with said outer flexible tube, and
- a proximal fitting located at said proximal end of said unilimb respiratory conduit, said proximal fitting comprising an inner pipe and an outer pipe maintained in fixed coaxial spaced relationship by spacing means, said outer pipe and inner pipe each having a proximal end and a distal end, wherein said distal end of said inner pipe is operably connected to said proximal end of said inner flexible tube and said distal end of said outer pipe is operably connected to said proximal end of said outer flexible tube;
- said proximal terminal having a unitary housing constructed of a rigid material, said housing including a first port, a second port, a third port, a fourth port, an outer terminal tube and an inner terminal tube;
- said inner terminal tube being at least partially disposed within said outer terminal tube, said outer and inner terminal tubes each having a first end and a second end, the external diameter of said second end of said inner terminal tube being smaller than the internal diameter of said second end of said outer terminal tube, said second end of said inner terminal tube being disposed within said second end of said outer terminal tube to form an inner terminal fluid path within the interior of said second end of said inner terminal tube and an outer fluid path in the region between the exterior of said inner terminal tube and the interior of said second end of said outer terminal tube;
- said second end of said outer terminal tube being connected to said first port, said second end of said inner terminal tube being connected to said second port, said first end of said inner terminal tube being connected to said third port and said first end of said outer terminal tube being connected to said fourth port, said third and fourth ports entering said housing at different locations;
- wherein, said unilimb respiratory conduit can be connected to said proximal terminal by operably connecting said first port of said proximal terminal to said outer pipe of said proximal fitting and operating connecting said second port of said proximal terminal of said inner pipe of said proximal fitting to form a first fluid path through said third port, said inner terminal tube, said second port, said inner pipe and said inner flexible tube and a second fluid path through said fourth port, said outer respiratory fluid path, said first port, the region between the exterior of said inner pipe and the interior of said outer pipe, and the region between the exterior of said inner flexible tube and the interior of said outer flexible tube,
- one of said third and fourth ports of said proximal terminal capable of being operably connected to the inspiratory gas input of the assisted ventilation system while the other one of said third and fourth ports of said proximal terminal is simultaneously operably connectable to the exhaust outlet of the assisted ventilation system, and said distal end of said unilimb respiratory conduit is capable of being operably connected to an airway device connected to a mammal to provide inspiratory gases to the mammal through one of said first and second fluid paths and exhaust expiratory gases from the mammal through the other of said first and second fluid paths.