FR2916144A1 - Endotracheal catheter for use during surgery, has tube including distal end connected to collar and another end connected to circular pusher, where pusher is actuated outside buccal cavity by user after endotracheal intubation - Google Patents

Endotracheal catheter for use during surgery, has tube including distal end connected to collar and another end connected to circular pusher, where pusher is actuated outside buccal cavity by user after endotracheal intubation Download PDF

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Publication number
FR2916144A1
FR2916144A1 FR0703441A FR0703441A FR2916144A1 FR 2916144 A1 FR2916144 A1 FR 2916144A1 FR 0703441 A FR0703441 A FR 0703441A FR 0703441 A FR0703441 A FR 0703441A FR 2916144 A1 FR2916144 A1 FR 2916144A1
Authority
FR
France
Prior art keywords
pusher
collar
end connected
endotracheal
user
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
FR0703441A
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French (fr)
Inventor
Olivier Pascal Bruno Rollet
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to FR0703441A priority Critical patent/FR2916144A1/en
Publication of FR2916144A1 publication Critical patent/FR2916144A1/en
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02—Holding devices, e.g. on the body
    • A61M25/04—Holding devices, e.g. on the body in the body, e.g. expansible
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0434—Cuffs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0488—Mouthpieces; Means for guiding, securing or introducing the tubes

Abstract

The catheter has a flexible and grooved collar (1) fixed to a deployed and lower end (5) when the probe is reinforced, where the catheter integrates a device for deploying the collar. A tube (2) has a distal end connected to the collar and another end connected to a circular pusher (3). The pusher is actuated outside the buccal cavity by a user after endotracheal intubation. The tube is stopped in a deployment position of the collar against stopping edges (4).

Description

-1- La présente invention concerne une sonde endotrachéale intégrant unThe present invention relates to an endotracheal tube incorporating a

dispositif pour diminuer son risque de déplacement après intubation laryngée et auscultation des voies respiratoires. La sonde d'intubation, orotrachéale ou nasotrachéale, avec ballonnet ou sans ballonnet, est 5 traditionnellement fixée sur la face des patient(e)s par divers moyens qui peuvent se montrer parfois insuffisants pour prévenir un enfoncement ou un retrait accidentel de la dite sonde. Ces incidents surviennent la plupart du temps lors des changements de position des patient(e) s intubé(e) s (par exemple au cours des transports, de certaines chirurgies, ....), et peuvent entraîner des conséquences préjudiciables pour la perméabilité des voies respiratoires. 10 Le dispositif selon l'invention permet principalement de remédier aux risques d'intubation sélective par enfoncement accidentel de la sonde endotrachéale, mais ne dispense en aucun cas des actes de surveillances obligatoires. Ce dispositif à l'état déployé bloque la sonde endotrachéale de façon atraumatique, en lui évitant le franchissement des cordes vocales. Ce dispositif intègre la sonde endotrachéale, sa première caractéristique étant d'être 15 actionné hors de la cavité buccale en faisant coulisser son mécanisme d'ouverture sur une partie de la sonde. Il peut être détaillé en quatre parties, toutes reliées les unes aux autres : le pied de fixation d'une collerette, la collerette à ouverture parapluie , un tube coulissant et un poussoir circulaire. Ce poussoir, situé hors de la cavité buccale, fait coulisser le tube de quelques millimètres autour de la sonde et permet ainsi le déploiement de façon atraumatique 20 de la collerette devant les cordes vocales. Le poussoir peut alors être bloqué dans une butée, ce qui permet de laisser la collerette en position déployée. Selon des modes particuliers de réalisation : - la collerette peut varier en forme et en structure pour gagner en efficacité. La matière de la collerette doit être la plus souple et la moins traumatique possible en cas de contact 25 prolongé avec les muqueuses de la cavité orotrachéale. le tube peut coulisser en avant ou en arrière selon la configuration de la collerette (découpage, présence de stries, ...). - Le poussoir doit pouvoir se bloquer et se débloquer facilement en cas de repositionnement de la sonde ou pour toute autre manoeuvre. 30 - La sonde endotrachéale peut comporter différentes sortes de rebords de mise en butée. Les dessins annexés illustrent l'invention : La figure 1 représente le dispositif au repos. La figure 2 représente le dispositif déployé. En référence à ces dessins, le dispositif comporte une collerette souple et striée (1) 35 épousant la forme de la sonde à l'état de repos, fixée à son extrémité inférieure (pied de -2- fixation) (5) et déployée quand le dispositif est armé. Le tube (2), relié à son extrémité distale à la collerette et à son extrémité proximale au poussoir circulaire, coulisse jusqu'au pied de fixation de la collerette et permet ainsi son déploiement. Ce tube doit coulisser facilement autour de la sonde endotrachéale, sans trop augmenter le diamètre externe de la sonde.  device to reduce the risk of displacement after laryngeal intubation and auscultation of the airways. The intubation tube, orotracheal or nasotracheal, with balloon or without balloon, is traditionally affixed to the face of the patient (s) by various means which may sometimes be insufficient to prevent an indentation or accidental withdrawal of said probe . These incidents occur most of the time during changes in position of intubated patients (for example during transport, some surgeries, ....), and can lead to adverse consequences for patency respiratory tract. The device according to the invention mainly makes it possible to remedy the risks of selective intubation by accidental insertion of the endotracheal tube, but in no case dispenses with obligatory monitoring acts. This device in the deployed state blocks the endotracheal tube atraumatically, avoiding the crossing of the vocal cords. This device incorporates the endotracheal tube, its first characteristic being to be actuated out of the oral cavity by sliding its opening mechanism on a part of the probe. It can be detailed in four parts, all connected to each other: the foot of attachment of a collar, the collar with umbrella opening, a sliding tube and a circular pusher. This pusher, located outside the oral cavity, slides the tube a few millimeters around the probe and thus allows atraumatic deployment 20 of the collar in front of the vocal cords. The pusher can then be locked in a stop, which allows to leave the collar in the deployed position. According to particular embodiments: - the collar can vary in shape and structure to gain efficiency. The material of the collar should be the most flexible and the least traumatic possible in case of prolonged contact with the mucous membranes of the orotracheal cavity. the tube can slide forward or backward depending on the configuration of the collar (cutting, presence of streaks, ...). - The pusher must be able to lock and unlock easily when repositioning the probe or for any other maneuver. The endotracheal tube may have different kinds of abutment flanges. The accompanying drawings illustrate the invention: FIG. 1 represents the device at rest. Figure 2 shows the deployed device. With reference to these drawings, the device comprises a flexible fluted collar (1) conforming to the shape of the probe in the rest state, fixed at its lower end (fixing foot) (5) and deployed when the device is armed. The tube (2), connected at its distal end to the collar and at its proximal end to the circular pusher, slides to the fixing foot of the collar and thus allows its deployment. This tube should slide easily around the endotracheal tube, without increasing the outer diameter of the probe.

Le poussoir circulaire (3) permet à l'utilisateur de faire coulisser le tube jusqu'aux rebords de butée (4) et permettre ainsi l'armement du dispositif. La sonde peut comporter un ballonnet (6) et son système de gonflage avec valve anti-retour (7), ou ne pas en présenter. Le pied de la collerette doit de situer à une distance proche des cordes vocales. A titre d'exemple non limitatif, la collerette déployée aura une dimension de 5 cms environ 10 de diamètre, suffisante en tout cas pour interdire son franchissement des cordes vocales. Selon une variante non illustrée, le mécanisme de déploiement de la collerette peut être actionné en faisant coulisser la chemise non pas en avant mais en arrière.  The circular pusher (3) allows the user to slide the tube to the stop edges (4) and thus allow the device to be armed. The probe may comprise a balloon (6) and its inflation system with non-return valve (7), or not present. The foot of the collar should be at a close distance from the vocal cords. By way of non-limiting example, the deployed flange will have a dimension of 5 cms approximately 10 in diameter, sufficient in any case to prohibit its crossing of the vocal cords. According to a variant not shown, the mechanism of deployment of the collar can be actuated by sliding the sleeve not forward but back.

Claims (2)

REVENDICATIONS 1) Sonde endotrachéale intégrant un dispositif à déploiement d'une collerette (1) en face des cordes vocales caractérisé en ce qu'il comporte une chemise coulissante (2) entre la collerette et un poussoir circulaire (3) actionné hors de la cavité buccale par l'utilisateur après intubation endotrachéale.  1) endotracheal tube incorporating a device for deploying a collar (1) in front of the vocal cords, characterized in that it comprises a sliding liner (2) between the collar and a circular pusher (3) actuated outside the oral cavity by the user after endotracheal intubation. 2) Sonde endotrachéale selon la revendication 1 caractérisée par la présence de rebords (4) contre lesquels la chemise coulissante vient en butée en position de déploiement de la collerette (1).  2) endotracheal tube according to claim 1 characterized by the presence of flanges (4) against which the sliding sleeve abuts in the deployed position of the flange (1).
FR0703441A 2007-05-14 2007-05-14 Endotracheal catheter for use during surgery, has tube including distal end connected to collar and another end connected to circular pusher, where pusher is actuated outside buccal cavity by user after endotracheal intubation Withdrawn FR2916144A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR0703441A FR2916144A1 (en) 2007-05-14 2007-05-14 Endotracheal catheter for use during surgery, has tube including distal end connected to collar and another end connected to circular pusher, where pusher is actuated outside buccal cavity by user after endotracheal intubation

Applications Claiming Priority (1)

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FR0703441A FR2916144A1 (en) 2007-05-14 2007-05-14 Endotracheal catheter for use during surgery, has tube including distal end connected to collar and another end connected to circular pusher, where pusher is actuated outside buccal cavity by user after endotracheal intubation

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FR2916144A1 true FR2916144A1 (en) 2008-11-21

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FR0703441A Withdrawn FR2916144A1 (en) 2007-05-14 2007-05-14 Endotracheal catheter for use during surgery, has tube including distal end connected to collar and another end connected to circular pusher, where pusher is actuated outside buccal cavity by user after endotracheal intubation

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WO2010078145A1 (en) * 2008-12-22 2010-07-08 Acclarent, Inc. Frontal sinus spacer
US8080000B2 (en) 2004-04-21 2011-12-20 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8088101B2 (en) 2004-04-21 2012-01-03 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
US8100933B2 (en) 2002-09-30 2012-01-24 Acclarent, Inc. Method for treating obstructed paranasal frontal sinuses
US8114062B2 (en) 2004-04-21 2012-02-14 Acclarent, Inc. Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders
US8114113B2 (en) 2005-09-23 2012-02-14 Acclarent, Inc. Multi-conduit balloon catheter
US8118757B2 (en) 2007-04-30 2012-02-21 Acclarent, Inc. Methods and devices for ostium measurement
US8142422B2 (en) 2004-04-21 2012-03-27 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat
US8146400B2 (en) 2004-04-21 2012-04-03 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US8172828B2 (en) 2004-04-21 2012-05-08 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
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US8388642B2 (en) 2005-01-18 2013-03-05 Acclarent, Inc. Implantable devices and methods for treating sinusitis and other disorders
US8414473B2 (en) 2004-04-21 2013-04-09 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8435290B2 (en) 2009-03-31 2013-05-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US8439687B1 (en) 2006-12-29 2013-05-14 Acclarent, Inc. Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices
US8485199B2 (en) 2007-05-08 2013-07-16 Acclarent, Inc. Methods and devices for protecting nasal turbinate during surgery
US8702626B1 (en) 2004-04-21 2014-04-22 Acclarent, Inc. Guidewires for performing image guided procedures
US8715169B2 (en) 2004-04-21 2014-05-06 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US8740929B2 (en) 2001-02-06 2014-06-03 Acclarent, Inc. Spacing device for releasing active substances in the paranasal sinus
US8747389B2 (en) 2004-04-21 2014-06-10 Acclarent, Inc. Systems for treating disorders of the ear, nose and throat
US8864787B2 (en) 2004-04-21 2014-10-21 Acclarent, Inc. Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis
US8894614B2 (en) 2004-04-21 2014-11-25 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
US8932276B1 (en) 2004-04-21 2015-01-13 Acclarent, Inc. Shapeable guide catheters and related methods
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US8979888B2 (en) 2008-07-30 2015-03-17 Acclarent, Inc. Paranasal ostium finder devices and methods
US9039680B2 (en) 2004-08-04 2015-05-26 Acclarent, Inc. Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders
US9072626B2 (en) 2009-03-31 2015-07-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US9089258B2 (en) 2004-04-21 2015-07-28 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9101384B2 (en) 2004-04-21 2015-08-11 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, Nose and/or throat
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US9155492B2 (en) 2010-09-24 2015-10-13 Acclarent, Inc. Sinus illumination lightwire device
US9265407B2 (en) 2004-04-21 2016-02-23 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9351750B2 (en) 2004-04-21 2016-05-31 Acclarent, Inc. Devices and methods for treating maxillary sinus disease
US9399121B2 (en) 2004-04-21 2016-07-26 Acclarent, Inc. Systems and methods for transnasal dilation of passageways in the ear, nose or throat
US9433437B2 (en) 2013-03-15 2016-09-06 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
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US10349971B2 (en) 2011-06-29 2019-07-16 CARDINAL HEALTH SWITZERLAND 515 GmbH System and method for dilating and adjusting flexibility in a guiding device
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US8764726B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US8764729B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Frontal sinus spacer
US8777926B2 (en) 2004-04-21 2014-07-15 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasel or paranasal structures
US8828041B2 (en) 2004-04-21 2014-09-09 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
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US8864787B2 (en) 2004-04-21 2014-10-21 Acclarent, Inc. Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis
US8870893B2 (en) 2004-04-21 2014-10-28 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat
US8894614B2 (en) 2004-04-21 2014-11-25 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
US8905922B2 (en) 2004-04-21 2014-12-09 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat
US9610428B2 (en) 2004-04-21 2017-04-04 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
US8945088B2 (en) 2004-04-21 2015-02-03 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
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