Tracheotomy tube with one-way valve

Claim 1

A SURGICAL APPLIANCE FOR A PATIENT COMPRISING IN COMBINATION: FIRST AND SECOND AXIALLY EXTENDING TUBULAR MEMBERS, EACH OF SAID MEMBERS HAVING A DISTAL END AND A PROXIMAL END, SAID FIRST MEMBER HAVING A FIRST AND A SECOND ANNULAR FLANGE INTEGRALLY FORMED THEREWITH ADJACENT SAID PROXIMAL END IN SPACED AXIAL RELATIONSHIP TO EACH OTHER, SAID FIRST AND SECOND FLANGE COACTING WITH A PORTION OF SAID FIRST MEMBER TO DEFINE A GROOVE SUBSTANTIALLY EQUAL IN WIDTH TO THE THICKNESS OF THE PATIENT''S TRACHEAL WALL AND ADAPTED TO RECEIVE AND CONTAIN LIVING TRACHEA TISSUE THEREIN, SAID FIRST FLANGE DEFINING AN ANNULAR SURFACE ADAPTED TO ENGAGE AN INTERNAL SURFACE OF THE PATIENT''S TRACHEA WITH MINIMAL CILIAL IRRITATION, SAID SECOND FLANGE DEFINING AN ANNULAR SURFACE ADAPTED TO ANGAGE AN EXTERNAL SURFACE OF THE PATIENT''S TRACHEA AND COACTING WITH SAID ANNULAR SURFACE OF SAID FIRST FLANGE TO LATERALLY CONTAIN THE PATIENT''S TRACHEA THEREBETWEEN, SAID FIRST MEMBER HAVING RADIALLY EXTENDING SECURING MEANS DISPOSED ADJACENT SAID DISTAL END THEREOF DEFINING A SURFACE ADAPTED TO ENGAGE AN EXTERNAL SURFACE OF THE PATIENT''S NECK, SAID SECOND MEMBER BEING TELESCOPICALLY INSERTED IN SAID FIRST MEMBER WITHOUT SAID PROXIMAL END THEREOF PENETRATING THE PLANE OF SAID PROXIMAL END OF SAID FIRST MEMBER; AND ONE-WAY INHALATION VALVE MEANS DETACHABLY SECURED TO SAID FIRST MEMBER WITH SUFFICIENT FORCE TO PREVENT THE UNINTENTIONAL REMOVAL THEREFROM AND COACTING THEREWITH TO SECURE SAID SECOND MEMBER IN A FIXED POSITION RELATIVE THERETO WHILE PERMITTING THE INGREE OF AIR TO AND PREVENTING THE EGREE OF AIR FROM SAID PATIENT.