AT525617A1 - Endotracheal tube with high-resolution retrograde video camera - Google Patents

Endotracheal tube with high-resolution retrograde video camera Download PDF

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Publication number
AT525617A1
AT525617A1 ATA167/2021A AT1672021A AT525617A1 AT 525617 A1 AT525617 A1 AT 525617A1 AT 1672021 A AT1672021 A AT 1672021A AT 525617 A1 AT525617 A1 AT 525617A1
Authority
AT
Austria
Prior art keywords
retrograde
video camera
resolution
endotracheal
spiral tube
Prior art date
Application number
ATA167/2021A
Other languages
German (de)
Inventor
Punkenhofer Dr Thorsten
Original Assignee
Punkenhofer Dr Thorsten
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 Punkenhofer Dr Thorsten filed Critical Punkenhofer Dr Thorsten
Priority to ATA167/2021A priority Critical patent/AT525617A1/en
Publication of AT525617A1 publication Critical patent/AT525617A1/en

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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
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/267—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the respiratory tract, e.g. laryngoscopes, bronchoscopes
    • 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
    • A61M16/0465—Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/005—Flexible endoscopes
    • 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
    • A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure

Abstract

Die Erfindung betrifft einen Endotrachealspiraltubus, gekennzeichnet durch eine hochauflösende retrograde Videokamera (a) im Winkel von 16 Grad in der Wand des Endotrachealspiraltubus proximal des Cuffs (c). Durch den Winkel der hochauflösenden Videokamera (a) von 16 Grad lässt sich der Endotrachealspiraltubus perfekt in die Trachea einführen ohne die Wand der Trachea zu verletzten. Die hochauflösende retrograde Kamera (a) bietet durch diesen Winkel eine ausgezeichnete Sicht auf die Tracheotomie-Punktionsstelle. Der beschriebene Winkel der retrograden hochauflösenden Videokamera (a) erlaubt ein müheloses Extubieren des Endotrachealspiraltubus mit integrierter retrograder hochauflösender Videokamera (a) ohne die Wand der Trachea zu beschädigen. Die hochauflösende retrograde Videokamera (a) wird mittels eines im Endotrachealspiraltubus integrierten Kabels (b) an einen externen Monitor angeschlossen, um so das Bild der Kamera (a) auf den Monitor zu übertragen. Somit wird es möglich (Bougie)-Tracheotomien unter steter Sicht mittels des neuartigen Endotrachealspiraltubus mit integrierter retrograder Videokamera (a) durchzuführen. Der bisherige Einsatz eines Bronchoskops erübrigt sich damit. Ein sicherer Atemweg ist durch diesen Endotrachealspiraltubus garantiert, da die Gefahr einer artifiziellen Extubation oder einer gefürchteten Cuffpunktion ausgeschlossen werden kann. Figur 2 zeigt den Querschnitt des menschlichen Kopfes mit bereits eingeführtem Endotrachealspiraltubus mit hochauflösender retrograder Videokamera (a) und daran angeschlossenem externen Monitor.The invention relates to an endotracheal spiral tube, characterized by a high-resolution retrograde video camera (a) at an angle of 16 degrees in the wall of the endotracheal spiral tube proximal to the cuff (c). Due to the angle of the high-resolution video camera (a) of 16 degrees, the endotracheal spiral tube can be inserted perfectly into the trachea without damaging the tracheal wall. The high-resolution retrograde camera (a) offers an excellent view of the tracheotomy puncture site through this angle. The described angle of the retrograde high-resolution video camera (a) allows easy extubation of the endotracheal spiral tube with integrated retrograde high-resolution video camera (a) without damaging the tracheal wall. The high-resolution retrograde video camera (a) is connected to an external monitor using a cable (b) integrated in the endotracheal spiral tube in order to transmit the image from the camera (a) to the monitor. This makes it possible to perform (bougie) tracheotomies under constant vision using the new endotracheal spiral tube with an integrated retrograde video camera (a). The previous use of a bronchoscope is no longer necessary. This endotracheal spiral tube guarantees a safe airway, since the risk of artificial extubation or the feared cuff puncture can be ruled out. FIG. 2 shows the cross-section of the human head with the endotracheal spiral tube already inserted, with a high-resolution retrograde video camera (a) and an external monitor connected to it.

Description

Die Erfindung betrifft den Safertüube, einen Endotrachealspiraltubus zur Baugietracheötomie mit integrierter retiroograder Videokamera, Er unterstücCzt mittels der retragraden Videokamera die Punk£1ion der Traches und das Vorschlieben der Bougis/Trachealkanüle The invention relates to the safer tube, an endotracheal spiral tube for Baugie tracheotomy with an integrated retrograde video camera. It supports the puncturing of the traches and the closing of the bougis/tracheostomy tube by means of the retrograde video camera

unter Sicht durch den HNO-Arzt gemäß Anspruch 1. under the vision of the ENT doctor according to claim 1.

Aus dem Stand der Technik ist bekannt, dass die Visualisierung der korrekten Punktien der Trachea mittels Bronchoskep über dem Liegenden Beatmungst£uDus {(Endotrachealtubus} durch den Änästhesisarzt durchgeführt wird, Dafür notwendig sind ein dem Standard entsprechendes Broncheoskop und ein It is known from the prior art that the visualization of the correct punctures in the trachea is carried out by the anesthetist using a bronchoskep over the lying ventilation tube {(endotracheal tube}. This requires a standard broncheoscope and a

haändelsüblicher Beatmungstubus (Endotrachealtubus:. commercially available ventilation tube (endotracheal tube:.

Der herkömmliche Beatmungstubus {Endotrachealtubus)} besteht aus einem Standardanschluss für einen Beatmungsschlauch, dem Tubus selbst, einem Tuf£f£, The conventional breathing tube {endotracheal tube)} consists of a standard connection for a breathing tube, the tube itself, a tuf£f£,

sowie einer Cuffschlauch zur Inflation des Cuf£fs und as well as a cuff hose for inflation of the cuff and

dem Inflationsventil am Ende des Cuffschlauchs. the inflation valve at the end of the cuff tube.

Der Nachteil bei bisher bekannten handelsüblichen Endotrachealtuben ist, dass sis entweder keine Videonfunktion aufweisen oder die Videokamera stets The disadvantage of commercially available endotracheal tubes known to date is that they either do not have a video function or always have a video camera

Sach distal blickt, Sach distal looks,

Figur 2 zeigt den Eafertube in perfekter Lage nach der Intubation und gibt die Trachesoctomie-Steile nahe der retrograden Videokamera an. Die Abbildung zeigt auch den Safertube, der an den externen Monitor Figure 2 shows the eafertube in perfect position after intubation and indicates the trachesectomy site near the retrograde video camera. The illustration also shows the Safertube that connects to the external monitor

- N du 4 ; angeschL0OsSsan 151. - N you 4 ; attached 0OsSsan 151.

Der Nachteil der mangelnden Visualisierung bei der Punktion der Traches wird durch den Safertube,; einem Endoträachealspiraltuabus mit integrierter retrograder The disadvantage of the lack of visualization when puncturing the traches is overcome by the Safertube,; an endotracheal spiral tube with an integrated retrograde

Videokamera beseitigt. Video camera removed.

Dieser neuartige Endotrachealspiraliltubus mit integrierter hochauflösender retragrader Videokamera weist einen Starndardanschluss für Beatmungssyslieme This innovative endotracheal spiral tube with an integrated high-resolution retrograde video camera has a standard connection for ventilation systems

mit einer Gesamtlänge von 33 om auf£,. with a total length of 33 om to £,.

Distal weist der Safertube eine weiche aboerundele Spitze auf, Einen Zentimeter entfernt von der distalen Tubusspitze erstreckt sich ein zwei Aentimeter langer Niederdruck-Cuff, Der Cuffschlauch zur Inflation des Cuffs ist in der Wand des Tubus integriert und rag£t am proximalen Ende des Tubus mit einer Länge von 16 om aus der Tubuswand., Am Ende des Cuffschlauches befindet sich ein standardisiertes Inflationsventil, Proximal des Cuffs ist eine 1,5 cm Distally, the Safertube has a soft, rounded tip. A low-pressure cuff, two centimeters long, extends one centimeter from the distal tube tip. The cuff hose for inflating the cuff is integrated into the wall of the tube and protrudes from the proximal end of the tube a length of 16 cm from the tube wall., There is a standardized inflation valve at the end of the cuff tube, proximal to the cuff is 1.5 cm

lange hochauflösende retrograde Videokamera mit einen one long high definition retrograde video camera

Wird. Becomes.

Der Safertube erlaubt eine genaue Visualisierung der korrekten Punktion durch die neuartig platzierte hochaufläsende retrograde Videokamera und Übertragung an einen externen Monitor. Somit wird es möglich (Raugie} Trachesotomien unter steter Sicht mittels des Safertube durchzuführen, Der Einsatz eines Bronchoskops, wie es bisher notwendig war, erübrigt The Safertube allows precise visualization of the correct puncture through the newly placed high-resolution retrograde video camera and transmission to an external monitor. This makes it possible to perform (Raugie} trachesotomies under constant vision using the Safertube. The use of a bronchoscope, as was previously necessary, is no longer necessary

sich dadurch, themselves thereby

Der signifikante Vorteil besteht daher im Verzicht das Bronchoskops, was sich wiederum auf die Kosteneffizienz, den Zeitgewinn und die Einfachheit der Anwendung Dositiv auswirkt, Es wird durch diesen neuen Endotrachealtubus mit retrograder Videckamera ein sicherer Atemweg gewährleistet, weil mit dem Safertube mit seiner integrierten hochauflösenden yetrograden Videokamera die Gefahr einer artefiziellen Extubatftiornr oder gefürchteten The significant advantage is therefore the omission of the bronchoscope, which in turn has a positive effect on the cost-efficiency, the time saving and the simplicity of use. This new endotracheal tube with retrograde Videc camera ensures a safer airway, because with the Safertube with its integrated high-resolution yetrograde Videocamera the danger of an artificial extubateftiornr or feared

Ou£ffgpunktion ausgeschlossen werden kann, opening can be ruled out,

Safertube um ein Einmalprodukt. Safertube is a single-use product.

Claims (1)

Der Safertube ist ein Endatrachealspiraltubus, dadurch gekennzeichnet, dass eine hochauflösende retrograde Videokamera die körrekte Punktion bei der The Safertube is an endatracheal spiral tube, characterized in that a high-resolution retrograde video camera makes the correct puncture in the Yracheotomies an einem externen Manitor visualisiert, Yracheotomies visualized on an external manitor, Die hochaufläsende retrograde Videokamera i5t in einem Winkel von 16 Grad in die Tubuswand integriert, Durch diesen speziellen Winkel der hochaufläüsenden ratrograden Videokamera des Safertubes ist eine mühelose Intubation gewährleistet, eine perfekte Sicht auf die Punkticonsstelle gesichert und ein Extubieren des Safertube möglich, ohne dabei die The high-resolution retrograde video camera i5t is integrated into the tube wall at an angle of 16 degrees. This special angle of the high-resolution retrograde video camera of the Safertube ensures effortless intubation, a perfect view of the point icon site is ensured and the Safertube can be extubated without the Schleimhauf der Trachea zu verletzen, to injure the mucous membrane of the trachea, Der Safertube bietet mit seiner hochauflöseriden ratrograden Videokamera einen sicheren ÄAtemweg, da mit diesem speziellen Endotracheaispiraltubus der bekannten Gefahr einer artefiziellen Extubation The Safertube offers a safer airway with its high-resolution straight video camera, since with this special endotracheal spiral tube there is the known risk of artificial extubation entgegengewirkt wird und eine stets gefürchtete counteracted and an ever feared one OCuffpunktion ausgeschlossen werden kann. OCuffpuncture can be ruled out. Der signifikante Vorteil besteht darin, dass durch den Safartube mit seiner hochauflösenden retrograden (oralwärts blickenden} Videokamera, ({(Bougie} Tracheotomien unter steter Sicht durchgeführt werden The significant advantage is that the Safartube with its high-resolution retrograde (orally facing} video camera, ({(Bougie} tracheotomies can be performed under constant visibility können. can. positiven Zeitgewinn! positive gain in time!
ATA167/2021A 2021-10-15 2021-10-15 Endotracheal tube with high-resolution retrograde video camera AT525617A1 (en)

Priority Applications (1)

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ATA167/2021A AT525617A1 (en) 2021-10-15 2021-10-15 Endotracheal tube with high-resolution retrograde video camera

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090101153A1 (en) * 2007-10-18 2009-04-23 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Method of facilitated airway intubation
WO2011041690A1 (en) * 2009-10-02 2011-04-07 Medtronic-Xomed, Inc. Endotracheal tube apparatus
US20130053636A1 (en) * 2011-08-31 2013-02-28 Nellcor Puritan Bennett Llc Tracheal tube with visualization device and integrated flushing system

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20090101153A1 (en) * 2007-10-18 2009-04-23 Searete Llc, A Limited Liability Corporation Of The State Of Delaware Method of facilitated airway intubation
WO2011041690A1 (en) * 2009-10-02 2011-04-07 Medtronic-Xomed, Inc. Endotracheal tube apparatus
US20130053636A1 (en) * 2011-08-31 2013-02-28 Nellcor Puritan Bennett Llc Tracheal tube with visualization device and integrated flushing system

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
McGrath et. al. „Assessment of scoring systems to describe the position of tracheostomy tubes within the airway – the lunar study" British Journal of Anaesthesia, Vol. 118, Issue 1, {Seiten 132 - 138}, Jänner 2017 [online], [abgerufen am 14.07.2022]. Abgerufen im Internet < URL: https://www.sciencedirect.com/science/article/pii/ S0007091217301241? > < doi: 10.1093/bja/aew336 > *

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