A respiratory apparatus includes an instrument introduction section that is used for introducing an instrument into an artificial airway of a patient. The instrument introduction section has a distal end and proximal end with an opening which allows for insertion of the instrument into the instrument introduction section. The instrument is movable through the passageway in the instrument introduction section between the proximal and distal ends. A valve is located in the instrument introduction section and has a closed position in which the instrument may be isolated from the artificial airway of the patient. The valve at least substantially blocks the passageway of the instrument introduction section when in the closed position. The valve also has an open position that allows for the instrument to be advanced through the instrument introduction section. A manifold is attached to the distal end of the instrument introduction section. The manifold is in communication with the artificial airway of the patient.