An HME Filter is provided having with an integral housing having minimal components which eliminating components at the circuit "Y" connector. A closed circuit gas flow is maintained whether an internal filter material is or is not engaged, and with or without a nebulizer aerosolizing medications. The HME SHUTTLE continues to maintain the same closed circuit gas flow during the HME filter materials insertion into the HME SHUTTLE, throughout the course of the HME filter's use in the closed gas flow circuit and during the HME filter materials removal from the HME SHUTTLE. The placement for optimal patient care is to be located between the connection of inhalation and exhalation sides of mechanical ventilator circuit and endotracheal tube of an intubated patient. The HME SHUTTLE also accommodates the docking port for the use of an external nebulizer.