All Passy Muir Tracheostomy & Ventilator Swallowing and Speaking Valves (PMV®) offer patients numerous clinical benefits. In addition to voice and speech production, Passy Muir Valves improve swallow, secretion management, and the sense of smell and taste. The Valves may reduce aspiration and assist with infection control, ventilator weaning, and decannulation. Many PMV users have reported that the Passy Muir Valve has resulted in a significant positive impact on their quality of life. Passy Muir Valves may be utilized on pediatric and adult patients and attach easily to a standard tracheostomy tube hub. All Passy Muir Valves are proudly made in the USA.

The Passy Muir Valve is a prescription device and requires an order from a medical doctor. To learn how to order, click here.

Not sure which Passy Muir Valve to order? To help you determine which Valve fits your plan of care, click here.

PMV® 2001

The PMV 2001 Tracheostomy & Ventilator Swallowing and Speaking Valve (15mm I.D., 23mm O.D.) attaches to a standard 15mm tracheostomy tube hub. The PMV 2001 is low profile, lightweight, and purple in color for easy identification. Supplemental low-flow oxygen may be delivered through the Valve by attaching the PMA® 2000 Oxygen Adapter. The PMV 2001 can be connected to a ventilator with the PMV® AD22 Adapter or other 22mm flexible silicone adapter. The PMV 2001 is packaged with one Secure-It® that connects the Valve to a tracheostomy tie to help prevent loss. Latex free. Made in the USA.

PMV® 007

The PMV 007 Tracheostomy & Ventilator Swallowing and Speaking Valve (15mm I.D., 22mm O.D.) is designed to be inserted into standard disposable tubing in a ventilator circuit. The PMV 007 may be attached to a standard 15mm tracheostomy tube hub or connected to an in-line suction system through the use of a PMV-AD1522 or other 15mm x 22mm step-down adapter. The PMV 007 is aqua in color, and can be used on or off the ventilator. Not compatible with Secure-It or PMA 2000 Oxygen Adapter. Latex free. Made in the USA.

PMV® 2000

The PMV 2000 (15mm I.D., 23mm O.D.) attaches to a standard 15mm tracheostomy tube hub. This Tracheostomy & Ventilator Swallowing and Speaking Valve is lightweight, low profile, and manufactured from clear materials to be less noticeable. Supplemental low-flow oxygen may be delivered through the Valve by attaching the PMA 2000 Oxygen Adapter. The PMV 2000 can be connected to a ventilator with the PMV®AD22 or other 22mm flexible silicone adapter. The PMV 2000 is packaged with one Secure-It that connects the Valve to a tracheostomy tie to help prevent loss. Latex free. Made in the USA.

PMV® 005

The PMV 005 Tracheostomy & Ventilator Swallowing and Speaking Valve (15mm I.D., 23mm O.D.) is the original Passy Muir Valve. The PMV 005 may be attached to a standard 15mm tracheostomy tube hub or connected to a ventilator through the use of a PMV AD22 or other 22mm flexible silicone adapter. Not compatible with Secure-It or PMA 2000 Oxygen Adapter. Latex free. Made in the USA.

PMV® 2020

The PMV 2020 Tracheostomy & Ventilator Swallowing and Speaking Valve (15mm I.D., 23mm O.D.) is designed to attach to a metal Jackson Improved tracheostomy tube (sizes 4 or 5 equivalent) through the use of a PMA® 2020-S Adapter. The PMV 2020 is packaged with one PMA 2020-S Adapter and one Secure-It that connects the Valve to a tracheostomy tie to help prevent loss. The PMV 2020 cannot be used in-line with a mechanical ventilator. Latex free. Made in the USA.

What is a Passy Muir Valve?

Invented by a patient named David Muir, the Passy Muir Valve is a simple medical device used by tracheostomy and ventilator patients. When placed on the hub of a tracheostomy tube or in-line with the ventilator circuit, the Passy Muir Valve redirects airflow through the vocal folds, mouth, and nose, enabling voice and improved communication. Years of evidence-based research has shown that the Passy Muir Valve offers patients numerous clinical benefits beyond communication, including improved swallow, and secretion management.

No-Leak Design

The patented no-leak design of the Passy Muir Valve means that the Valve is always in a closed position until the patient inhales. The Valve opens easily with less than normal inspiratory pressures and closes automatically at the end of the inspiratory cycle without air leak and without patient expiratory effort.

Closed System

Unlike open position speaking valves, the bias-closed position Passy Muir Valve allows the patient to create positive airway pressure and restores the patient to a more normal closed respiratory system. The closed system also creates a protective column of air in the tracheostomy tube which resists secretions from moving up the tube and occluding the Valve. Instead, secretions may be coughed up around the tube and expectorated or suctioned from the mouth.

All Passy Muir Valves have a bias-closed position no-leak design that restores a closed respiratory system.

No-leak design maintains a column of air in the tracheostomy tube and redirects airflow and secretions up the trachea

All other speaking valves have an open position design that causes air leakage during exhalation.

Educational Animations

 

Swallow Studies

Videofluoroscopy with and without the PMV

Sample thin liquid swallows from Videofuoroscopy demonstrating the effect of PMV use. On the left is the patient’s swallow without a Valve, and the right is following Valve placement.

FEES study by Liza Blumenfeld, MS, CCC-SLP

Sample from a FEES Study conducted by Liza Blumenfeld, MS, CCC-SLP showing a patient’s baseline study and then day four change, following dysphagia treatment while using the PMV.

Benefits of the Passy Muir Valve

Restores Positive Airway Pressure

The bias-closed position, no-leak Passy Muir Valve design restores a more normal closed respiratory system, which allows the patient to create positive airway pressure without the need for manual occlusion of the tracheostomy tube. This promotes louder voice, improved swallow, stronger cough, and may increase oxygenation.

Superior Voice/Speech Production

Tracheostomized and ventilator-dependent patients can produce clearer voices with more normal phrasing, better vocal quality, and increased volume because all exhaled airflow is redirected up past the vocal folds.

Improves Swallow & May Reduce Aspiration

The bias-closed position, no-leak design of the Passy Muir Valve can improve the safety and efficiency of swallowing and may reduce aspiration. The bias-closed position Valve restores the patient to a more normal closed system which facilitates increased pharyngeal and laryngeal sensation and restores positive subglottic air pressure.

Restores Subglottic Pressure

Only the bias-closed position, no-leak design of the Passy Muir Valve reestablishes a closed respiratory system and restores subglottic pressure, which improves swallowing and may reduce aspiration.

In-Line Ventilator Use

Adult, pediatric, and neonatal patients on the ventilator may utilize the Passy Muir Valve during mechanical ventilation. All Passy Muir Valves are interchangeable (except the PMV 2020) and can be used both on or off acute-care and portable ventilators.

Expedites Weaning

Passy Muir Valves are used as an augmentative tool for weaning patients from the ventilator as it reestablishes physiologic PEEP, which in turn may improve oxygenation. As the patient becomes accustomed to exhaling through the upper airway, patient confidence is improved and respiratory muscle retraining is facilitated.

Reduces Decannulation Time

Passy Muir Valves may be used as an interim step in the decannulation process by allowing the patient to begin to adjust to a more normal breathing pattern through the upper airway on exhalation. This allows the patient to gain confidence and the physician to assess for airway patency and can significantly shorten the decannulation process.

May Improve Oxygenation

The bias-closed position, no-leak design of the Passy Muir Valves restores a more normal closed respiratory system. As a result, Positive End Expiratory Pressure (PEEP) is reestablished which may facilitate improved oxygenation.

Improves Olfaction

Passy Muir Valves improve the sense of smell by re-establishing airflow through the oral and nasal cavities during exhalation. This improved sense of smell may lead to an increase in sense of taste, appetite, and caloric intake, which are all important in the recovery process.

Facilitates Secretion Management

The bias-closed position, no-leak design of the Passy Muir Valve facilitates secretion management as it re-establishes a closed system that enables the patient to produce a stronger, more effective cough and improves swallowing due to restored positive subglottic pressure. It also facilitates evaporation of secretions due to the redirection of air through the upper airway during exhalation. As a result, suctioning needs may be reduced.

Facilitates Infection Control

The Passy Muir Valve eliminates the need for finger occlusion of the tracheostomy tube, which may help prevent infection and offers protection from particulates entering the trachea. The Passy Muir Valve redirects secretions through the upper airway, allowing oral expectoration and reducing contamination of the patient’s immediate environment.

Interchangeability Between Tracheostomy and Ventilator Use

All Passy Muir Valves, except the PMV 2020, can be used both on and off the ventilator with both pediatric and adult patients. This includes patients with a tracheostomy only, patients who are weaning from the ventilator, and patients who are ventilator-dependent. The Passy Muir Valves can be placed in-line with the ventilator using disposable tubing (with PMV 007 only) or with the PMV-AD22 Flexible Silicone Adapter (with PMV 005, PMV 007, PMV 2000 and PMV 2001).