CA1046886A - Endotracheal tube securing device and methode - Google Patents
Endotracheal tube securing device and methodeInfo
- Publication number
- CA1046886A CA1046886A CA232,556A CA232556A CA1046886A CA 1046886 A CA1046886 A CA 1046886A CA 232556 A CA232556 A CA 232556A CA 1046886 A CA1046886 A CA 1046886A
- Authority
- CA
- Canada
- Prior art keywords
- securing
- patient
- end portions
- tube
- strip
- 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.)
- Expired
Links
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
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
-
- 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
- A61M16/0497—Tube stabilizer
-
- 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
- A61M2025/0213—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
- A61M2025/022—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body specifically adapted for the mouth
-
- 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
- A61M2025/0253—Holding devices, e.g. on the body where the catheter is attached by straps, bands or the like secured by adhesives
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S128/00—Surgery
- Y10S128/26—Cannula supporters
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10S24/00—Buckles, buttons, clasps
- Y10S24/11—Adhesive
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T24/00—Buckles, buttons, clasps, etc.
- Y10T24/13—Article holder attachable to apparel or body
- Y10T24/1312—Napkin
- Y10T24/1318—Neck enclosing
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Pulmonology (AREA)
- Hematology (AREA)
- Animal Behavior & Ethology (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Otolaryngology (AREA)
- Emergency Medicine (AREA)
- Biophysics (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Lining Or Joining Of Plastics Or The Like (AREA)
- Adhesives Or Adhesive Processes (AREA)
Abstract
ABSTRACT OF THE DISCLOSURE
A disposable device for securing an in-service endotracheal tube or the like to a patient and method are dis-closed. The securing device comprises a length of flexible tape having a non-adhesive central portion with bifurcated ends which are adhesively coated on one side. Peelable strips of film overly the adhesive coating for protection until the device is used. In one embodiment the securing device is stored in a convenient dispenser wherein a plurality of in-dividual securing devices, formed end-to-end lengthwise of an elongated strip of tape, are detachably wound onto a reel.
The securing device is applied by looping the central portion under the neck of an intubated patient, drawing the bifurcated ends across the patients cheeks and successively wrapping the free ends around the tube to secure it against movement.
A disposable device for securing an in-service endotracheal tube or the like to a patient and method are dis-closed. The securing device comprises a length of flexible tape having a non-adhesive central portion with bifurcated ends which are adhesively coated on one side. Peelable strips of film overly the adhesive coating for protection until the device is used. In one embodiment the securing device is stored in a convenient dispenser wherein a plurality of in-dividual securing devices, formed end-to-end lengthwise of an elongated strip of tape, are detachably wound onto a reel.
The securing device is applied by looping the central portion under the neck of an intubated patient, drawing the bifurcated ends across the patients cheeks and successively wrapping the free ends around the tube to secure it against movement.
Description
SPECIFICATION
` BACKGROUND OF THE INVENTION
The present invention relates to surgical intubation and more particularly to a medical device for retentively ; affixing an endotracheal tube to an intubated patient to pre-vent dislodgment of the tube when positioned during use. The present invention also relates to an improved method for main-taining an endotracheal tube in a fixed position.
Many surgical procedures, as well as emergency ,~ 10 medical treatment of acute and chronic respiratory ineffici--ency, often require endotracheal or nasotracheal intubation to ~; enable artificial ventilation of a patient's lungs. Intuba-;, tion involves the insertion of an inflatable balloon attached to one end of a tube into the trachea via the mouth or nose.
. Prior methods of affixing an endotracheal tube to prevent its j movement from a desired position include taping the tube to the patient's cheeks with conventional adhesive tape. This , method is oftentimes unsuccessful, especially in acute situa-¦ tions, inasmuch as the patient's face is likely to be covered with saliva or vomitus which prevents the tape from properly adhering to the skin. One suggested method of overcoming this problem is to apply adhesive sprays to the patient's face to improve the adhesion of the tape. However, this procedure has not been altogether successful.
Others have recognized the need for a securing device that will retain an endotracheal tube even in the presence of facial saliva or the like as above-noted. One such device is disclosed in U.S. Patent No. 3,713,448 which shows a disposable endotracheal tube holder having a pair of tubular ear loops adapted to encircle the ears of the patient.
` BACKGROUND OF THE INVENTION
The present invention relates to surgical intubation and more particularly to a medical device for retentively ; affixing an endotracheal tube to an intubated patient to pre-vent dislodgment of the tube when positioned during use. The present invention also relates to an improved method for main-taining an endotracheal tube in a fixed position.
Many surgical procedures, as well as emergency ,~ 10 medical treatment of acute and chronic respiratory ineffici--ency, often require endotracheal or nasotracheal intubation to ~; enable artificial ventilation of a patient's lungs. Intuba-;, tion involves the insertion of an inflatable balloon attached to one end of a tube into the trachea via the mouth or nose.
. Prior methods of affixing an endotracheal tube to prevent its j movement from a desired position include taping the tube to the patient's cheeks with conventional adhesive tape. This , method is oftentimes unsuccessful, especially in acute situa-¦ tions, inasmuch as the patient's face is likely to be covered with saliva or vomitus which prevents the tape from properly adhering to the skin. One suggested method of overcoming this problem is to apply adhesive sprays to the patient's face to improve the adhesion of the tape. However, this procedure has not been altogether successful.
Others have recognized the need for a securing device that will retain an endotracheal tube even in the presence of facial saliva or the like as above-noted. One such device is disclosed in U.S. Patent No. 3,713,448 which shows a disposable endotracheal tube holder having a pair of tubular ear loops adapted to encircle the ears of the patient.
- 2 -' . - . '.' ' . ' .
Each loop is provided with a clamp for adjustably securing the ear loops to the ends of a length of adhelsive tape wrapped about an external portion of the endotracheal tube. One dis-advantage of the above device is that several components must be combined to effect retention of the tube. In emergency situations the added complexity makes it difficult to affix the tube in a short period of time. Moreover, the ear loops are relatively bulky and costly. Thus, it will become apparent that there still exists a need in the art for a disposable medical device for securing an endotracheal tube quickly and effectively.
SUMMARY OF THE INVENTION
The endotrachael tube securing device of the present invention is an economical, unitary, disposable member which can be rapidly and reliably employed to retain an in-service endotracheal tube in a desired position. The securing device comprises a length of flexible tape having a non-adhesive central portion adapted to be looped about a patient's neck and bifurcated ends coated on one side with an adhesive for retentively securing the tube by successively wrapping the bifurcated ends around the tube. In one embodiment, a plural-ity of securing devices are pre-formed end-to-end along the length of a long strip of tape which is then wound on a reel for convenient dispensing and compact storage. The strip of tape is transversely and longitudinally perfo~ted to facili-tate detachment of an individual securing device and bifurca-tion of the ends thereof.
~' .
~ 1046886 OBJECTS OF THE IN~JENTION
It is therefore an object of the present invention to improve the reliability of endotrach~21 tube securing devices in the presence of fluids, e.g., saliva, covering the face of an intubated patient.
f Another object of the invention is to provide a i .
compact, unitary device for securing an in-service endotra-cheal tube to a patient.
;, A further object is to provide a low cost yet effective disposable endotracheal tube securing device which includes an elongated flexible tape member having portions adjacent opposite ends covered with adhesive, the end portions ,~
being readily severa~le longitudinally.
Still another object of the invention is to provide a simple yet improved method of securing an endotrachPal tube to an intubated patient.
Other objects, advantages and novel features of the ;~ invention will be apparent from a reading of the following detailed description when considered in conjunction with the accompanying drawings.
BRIEF DESCRIPTION OF THE DR~WINGS
. .
Figure 1 is a perspective view of one embodiment of the endotracheal tube securing device of the present invention.
Figure 2 is a perspective view showing one embodi-ment of a dispensing arrangement for providing the endotra-~, cheal tube securing device.
Figures 3-5 are perspective views illustrating a method of applying the present endotr,~cheal tube securing device to an intubated patient.
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' 1046~6 ~ DETAILED DESCRIPTION OF A PREFERRED EMBODIMENT
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Referring now in detail to the drawings, wherein like numerals indicate like elements throughout the several views, Figure 1 illustrates a single disposable endotracheal tube securing device 10 embodying novel features in accordance ; with the present invention. The securing device 10 comprises an elongated strip 12 of flexible tape-like material having a ~ central portion 14 and two longitudinally bifurcated end por-`x tions 16, 18. One side of each of the end portions 16, 18 is provided with an adhesive coating 20. Peelable strips of film 22, which may be plastic-coated paper or any other suitable ~-~ release material, overly the the adhesive coating 20 of the :
end portions 16, 18 to protect the adhesive characteristics of the coating until the securing device is ready to be utilized.
~,., ~ Preferably, the strip 12 is made of a material simi-lar to that used for the manufacture of conventional adhesive tape, for example, a fabric, plastic or paper ribbon. As will be subsequently described in detail herein, the securing de-vice 10 is adapted to be drawn under the neck of a patient such that the central portion 14 of strip 12 contacts the patient's neck and cheeks. Accordingly, the contacting sur-face of central portion 14 should not include any exposed ad-hesive in order to prevent undesirable adhesion of the central ~l portion 14 to the patient's hair and skin. Preferably, cen-i tral portion 14 does not include any adhesive. However, it ~ may be desirable under certain circumstances to provide a ¦ strip totally covered with adhesive. In that instance, a ¦ protective layer covering the central portion would be pro-t vided.
- 30- The width of the strip 12 is not critical. However, ' _ 5 _ .. . . . .. .. . . . ..
- : :: . . .... . .
' !
: `~
''''' 1046886 1 inch wide adhesive tape has been found to achieve satis-factory results.
A preferred form of dispensing the endotracheal tube ~ securing device of the present invention is illustrated in ;; Figure 2. A long length of tape 24 is pre-formed with aplurality of substantially identical securing devices 10, the ~ end boundaries of which are defined by the series of perfora-!j~` tions 30 which can be circular, or any other configuration.
The tape 24 is wound upon itself onto a reel 28 which may be ~,, 10 fabricated of metal, plastic, paper, or other suitable .~, .
material. Obviously, other reel configurations than that shown in Figure 2 are possible.
Each of the separate securing devices 10' of the tape 24 is arranged in end-to-end relation lengthwise of the ~- tape 24 which, when needed, can be readily detached from the reel 28 by tearing or cutting at the perforations 30. The side of each end portion 32 facing the reel 28 is coated with an adhesive 34 while both sides of central portion 14 are preferably uncoated for reasons hereinabove described. The :
secured end portion 32 is detached from the next adjacent member to release one securing device 10'. The end portions 32 are then readily bifurcated by tearing or cutting along each of the longitudinal series of perforations 38, readying the securing device 10' for immediate use by the doctor, nurse, etc.
It should also be apparent that the protective strips of film 22 in Figure 1 are unnecessary in the securing device dispensing arrangement of Figure 2. If desired, the securing device may be fabricated and packaged s)eparately according to a patient's neck size to accommodate patients of different physical sizes, for example, children and adults.
- : - 6 -.' , ' ' ~.
: 1046886 ; The method by which an in-service endotracheal tube is secured to a patient according to the invention may be more clearly understood by reference to Figures 3-5. In Figure 3 an endotracheal tube has been inserted into the trachea of a patient and a portion 40 of the tube is shown protruding from one side of the patient's mouth. A securing device 10 of igure 1 with strips of film 22 removed is looped about the back of the patient's neck and drawn upwardly with the end portions 16, 18 aprroximately even with each other as shown in ~`~! 10 the drawing. The end portions 16, 18 include bifurcated . ,j movable legs or members 42, 44 and 46, 48, respectively.
Now referring to Figure 4, the end portion 16, ad-~ jacent the side of the patient's mouth from which the tube !'i ~ portion 40 protrudes, is drawn against the patient's cheek so ~ that the two free members 42, 44 straddle the tube portion 40.
., .
;~! Each member 42, 44 is then successively looped one-half turn around the tube portion 40 in close proximity to the patient's ~- mouth and adhesively affixed to the central portion of the securing device 10 as shown. Affixing the members 42, 44 to ~¦ 20 the central portion of the securing device 10 rather than to ~1 , the patient's skin advantageously avoids the loss of adhesive-ness due to the presence of moisture on the patient's face and eliminates the need to spray or coat the facial skin with an adhesive substance.
Thereafter, as shown in Figure 5, the two free members 46, 48 of end portion 18 are drawn respectively above l and below the patient's mouth. The members 46, 48 are then ,~i adhesively secured to the tube portion 40 by successively ., wrapping them several turns around the tube. In this manner, the patient's mouth is left unobstructed should it become ~ ` 1046886 necessary, for example, to suction fluids or vomitus from the patient's mouth and throat. When the patient's condition no ` longer requires intubation, the securing device may be con-veniently and easily detached from the patient by merely severing the central portion of the device.
~' The above-described method is only one technique of \~
`l using the securing device of the present invention to adhe-sively affix an endotracheal tube to an intubated patient without attaching the adhesive members of the device to the patient's skin. Many modifications of the present securing device and variations of the present method are possible in d,~ light of the above teachings and within the purview of the ` appended claims without departing from the spirit and in-~ tended scope of the invention.
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Each loop is provided with a clamp for adjustably securing the ear loops to the ends of a length of adhelsive tape wrapped about an external portion of the endotracheal tube. One dis-advantage of the above device is that several components must be combined to effect retention of the tube. In emergency situations the added complexity makes it difficult to affix the tube in a short period of time. Moreover, the ear loops are relatively bulky and costly. Thus, it will become apparent that there still exists a need in the art for a disposable medical device for securing an endotracheal tube quickly and effectively.
SUMMARY OF THE INVENTION
The endotrachael tube securing device of the present invention is an economical, unitary, disposable member which can be rapidly and reliably employed to retain an in-service endotracheal tube in a desired position. The securing device comprises a length of flexible tape having a non-adhesive central portion adapted to be looped about a patient's neck and bifurcated ends coated on one side with an adhesive for retentively securing the tube by successively wrapping the bifurcated ends around the tube. In one embodiment, a plural-ity of securing devices are pre-formed end-to-end along the length of a long strip of tape which is then wound on a reel for convenient dispensing and compact storage. The strip of tape is transversely and longitudinally perfo~ted to facili-tate detachment of an individual securing device and bifurca-tion of the ends thereof.
~' .
~ 1046886 OBJECTS OF THE IN~JENTION
It is therefore an object of the present invention to improve the reliability of endotrach~21 tube securing devices in the presence of fluids, e.g., saliva, covering the face of an intubated patient.
f Another object of the invention is to provide a i .
compact, unitary device for securing an in-service endotra-cheal tube to a patient.
;, A further object is to provide a low cost yet effective disposable endotracheal tube securing device which includes an elongated flexible tape member having portions adjacent opposite ends covered with adhesive, the end portions ,~
being readily severa~le longitudinally.
Still another object of the invention is to provide a simple yet improved method of securing an endotrachPal tube to an intubated patient.
Other objects, advantages and novel features of the ;~ invention will be apparent from a reading of the following detailed description when considered in conjunction with the accompanying drawings.
BRIEF DESCRIPTION OF THE DR~WINGS
. .
Figure 1 is a perspective view of one embodiment of the endotracheal tube securing device of the present invention.
Figure 2 is a perspective view showing one embodi-ment of a dispensing arrangement for providing the endotra-~, cheal tube securing device.
Figures 3-5 are perspective views illustrating a method of applying the present endotr,~cheal tube securing device to an intubated patient.
. .
; : - 4 -, . . . . .. .. . , . ~ . ~ . . .
-: . .' . ~ ' : . .
.
. ' ' ' ' , . ':
` - ~
' 1046~6 ~ DETAILED DESCRIPTION OF A PREFERRED EMBODIMENT
.~
. ~
Referring now in detail to the drawings, wherein like numerals indicate like elements throughout the several views, Figure 1 illustrates a single disposable endotracheal tube securing device 10 embodying novel features in accordance ; with the present invention. The securing device 10 comprises an elongated strip 12 of flexible tape-like material having a ~ central portion 14 and two longitudinally bifurcated end por-`x tions 16, 18. One side of each of the end portions 16, 18 is provided with an adhesive coating 20. Peelable strips of film 22, which may be plastic-coated paper or any other suitable ~-~ release material, overly the the adhesive coating 20 of the :
end portions 16, 18 to protect the adhesive characteristics of the coating until the securing device is ready to be utilized.
~,., ~ Preferably, the strip 12 is made of a material simi-lar to that used for the manufacture of conventional adhesive tape, for example, a fabric, plastic or paper ribbon. As will be subsequently described in detail herein, the securing de-vice 10 is adapted to be drawn under the neck of a patient such that the central portion 14 of strip 12 contacts the patient's neck and cheeks. Accordingly, the contacting sur-face of central portion 14 should not include any exposed ad-hesive in order to prevent undesirable adhesion of the central ~l portion 14 to the patient's hair and skin. Preferably, cen-i tral portion 14 does not include any adhesive. However, it ~ may be desirable under certain circumstances to provide a ¦ strip totally covered with adhesive. In that instance, a ¦ protective layer covering the central portion would be pro-t vided.
- 30- The width of the strip 12 is not critical. However, ' _ 5 _ .. . . . .. .. . . . ..
- : :: . . .... . .
' !
: `~
''''' 1046886 1 inch wide adhesive tape has been found to achieve satis-factory results.
A preferred form of dispensing the endotracheal tube ~ securing device of the present invention is illustrated in ;; Figure 2. A long length of tape 24 is pre-formed with aplurality of substantially identical securing devices 10, the ~ end boundaries of which are defined by the series of perfora-!j~` tions 30 which can be circular, or any other configuration.
The tape 24 is wound upon itself onto a reel 28 which may be ~,, 10 fabricated of metal, plastic, paper, or other suitable .~, .
material. Obviously, other reel configurations than that shown in Figure 2 are possible.
Each of the separate securing devices 10' of the tape 24 is arranged in end-to-end relation lengthwise of the ~- tape 24 which, when needed, can be readily detached from the reel 28 by tearing or cutting at the perforations 30. The side of each end portion 32 facing the reel 28 is coated with an adhesive 34 while both sides of central portion 14 are preferably uncoated for reasons hereinabove described. The :
secured end portion 32 is detached from the next adjacent member to release one securing device 10'. The end portions 32 are then readily bifurcated by tearing or cutting along each of the longitudinal series of perforations 38, readying the securing device 10' for immediate use by the doctor, nurse, etc.
It should also be apparent that the protective strips of film 22 in Figure 1 are unnecessary in the securing device dispensing arrangement of Figure 2. If desired, the securing device may be fabricated and packaged s)eparately according to a patient's neck size to accommodate patients of different physical sizes, for example, children and adults.
- : - 6 -.' , ' ' ~.
: 1046886 ; The method by which an in-service endotracheal tube is secured to a patient according to the invention may be more clearly understood by reference to Figures 3-5. In Figure 3 an endotracheal tube has been inserted into the trachea of a patient and a portion 40 of the tube is shown protruding from one side of the patient's mouth. A securing device 10 of igure 1 with strips of film 22 removed is looped about the back of the patient's neck and drawn upwardly with the end portions 16, 18 aprroximately even with each other as shown in ~`~! 10 the drawing. The end portions 16, 18 include bifurcated . ,j movable legs or members 42, 44 and 46, 48, respectively.
Now referring to Figure 4, the end portion 16, ad-~ jacent the side of the patient's mouth from which the tube !'i ~ portion 40 protrudes, is drawn against the patient's cheek so ~ that the two free members 42, 44 straddle the tube portion 40.
., .
;~! Each member 42, 44 is then successively looped one-half turn around the tube portion 40 in close proximity to the patient's ~- mouth and adhesively affixed to the central portion of the securing device 10 as shown. Affixing the members 42, 44 to ~¦ 20 the central portion of the securing device 10 rather than to ~1 , the patient's skin advantageously avoids the loss of adhesive-ness due to the presence of moisture on the patient's face and eliminates the need to spray or coat the facial skin with an adhesive substance.
Thereafter, as shown in Figure 5, the two free members 46, 48 of end portion 18 are drawn respectively above l and below the patient's mouth. The members 46, 48 are then ,~i adhesively secured to the tube portion 40 by successively ., wrapping them several turns around the tube. In this manner, the patient's mouth is left unobstructed should it become ~ ` 1046886 necessary, for example, to suction fluids or vomitus from the patient's mouth and throat. When the patient's condition no ` longer requires intubation, the securing device may be con-veniently and easily detached from the patient by merely severing the central portion of the device.
~' The above-described method is only one technique of \~
`l using the securing device of the present invention to adhe-sively affix an endotracheal tube to an intubated patient without attaching the adhesive members of the device to the patient's skin. Many modifications of the present securing device and variations of the present method are possible in d,~ light of the above teachings and within the purview of the ` appended claims without departing from the spirit and in-~ tended scope of the invention.
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Claims (5)
PROPERTY OR PRIVILEGE IS CLAIMED ARE AS FOLLOWS:
1. A disposable device for securing an in-service endotracheal tube to an intubated patient comprising an elongated strip of flexible tape of a predetermined width, the width of said strip being substantially greater than the thick-ness thereof, said strip having a non-adhesive central portion of sufficient length to be non-adheringly positioned about the patient's neck, end portions extending oppositely from the central portion, at least one of said end portions including means for facilitating bifurcation of said at least one end portion, said means being located substantially intermediate the width of said strip, each of said end portions having an adhesive coating on one side thereof for adhesively securing said end portions to said tube whereby when the central por-tion is positioned about the intubated patient's neck, the end portions can be drawn around and secured to the endotracheal tube to thereby prevent dislodgment of said tube.
2. A device according to claim 1 wherein each of said end portions includes means for facilitating bifurcation, said means comprising a plurality of longitudinally spaced perforations disposed intermediate the width of the end por-tions of said strip.
3. A device according to claim 1 including a peel-able film overlying the adhesive coating of each of said end portions for protecting the adhesiveness of said coating until said device is used.
4. The securing device according to claim 1 ar-ranged in end-to-end relation with another such device to form an elongated length of tape adapted to be wound lengthwise upon itself on a sipporting for dispensing purposes.
5. The securing device according to claim 4 including a series of perforations disposed transversely across the width of said tape at the end boundaries of each of said securing devices for ready separation from a next adjacent device.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US493920A US3927676A (en) | 1974-08-01 | 1974-08-01 | Endotracheal tube securing device and method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA1046886A true CA1046886A (en) | 1979-01-23 |
Family
ID=23962262
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA232,556A Expired CA1046886A (en) | 1974-08-01 | 1975-07-30 | Endotracheal tube securing device and methode |
Country Status (3)
| Country | Link |
|---|---|
| US (1) | US3927676A (en) |
| CA (1) | CA1046886A (en) |
| GB (1) | GB1483160A (en) |
Families Citing this family (54)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4316459A (en) * | 1979-08-09 | 1982-02-23 | Walski Donald J | Endotracheal tube not requiring adhesive tape |
| US4344428A (en) * | 1980-02-20 | 1982-08-17 | Stanley Sherman | Oral endotracheal tube protector, and methods of constructing and utilizing same |
| US4378012A (en) * | 1981-05-04 | 1983-03-29 | Doland Brown | Endo-tracheal tube holder |
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| US9032958B2 (en) * | 2011-11-02 | 2015-05-19 | Gregory E. Doll | Support for tracheostomy or endotracheal tubes |
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| ITUA20163909A1 (en) * | 2016-05-30 | 2017-11-30 | Maria Grazia Laico | FIXING DEVICE FOR AN ENDOTRACHEAL TUBE AND / OR LARINGEA MASK |
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| US10258755B2 (en) * | 2017-06-11 | 2019-04-16 | Jeffrey Lee Dexter | Transitional airway |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US1065654A (en) * | 1912-01-31 | 1913-06-24 | Bauer & Black | Surgical bandage. |
| US2159947A (en) * | 1936-11-28 | 1939-05-23 | Gansel Imre | Fixer for permanent catheters |
| US2173972A (en) * | 1937-04-01 | 1939-09-26 | Ralph H Wilbur | Tie band |
| US2646040A (en) * | 1949-12-15 | 1953-07-21 | Austin N Stanton | Bandage |
| US2865069A (en) * | 1956-05-04 | 1958-12-23 | Charles B Gamble | Neck band holder for table napkins and the like |
| US3031359A (en) * | 1957-02-04 | 1962-04-24 | Blank Lawrence | Pressure-sensitive adhesive tape handle construction |
| US3161199A (en) * | 1962-10-31 | 1964-12-15 | Varvel R Robertson | Stomach tube holder |
| US3713448A (en) * | 1971-02-16 | 1973-01-30 | J Arrott | Endotracheal tube holder |
-
1974
- 1974-08-01 US US493920A patent/US3927676A/en not_active Expired - Lifetime
-
1975
- 1975-07-30 CA CA232,556A patent/CA1046886A/en not_active Expired
- 1975-08-01 GB GB32224/75A patent/GB1483160A/en not_active Expired
Also Published As
| Publication number | Publication date |
|---|---|
| GB1483160A (en) | 1977-08-17 |
| US3927676A (en) | 1975-12-23 |
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