JP2005510310A5

JP2005510310A5 -

Info

Publication number: JP2005510310A5
Application number: JP2003546982A
Authority: JP
Filing date: 2001-11-26
Publication date: 2006-01-05

Claims

A hollow tube having a distal end designed to be inserted into the trachea and an opposite proximal end;
An inflatable cuff secured between the distal and proximal ends of the tube to the outer surface of the hollow tube; and a temporary bend in the cuffed portion adjacent to the distal end of the tube That travels along the line in the tube from the proximal end of the tube to the proximal end of the tube cuffed portion and passes outside the outer surface of the tube adjacent to the distal end of the tube Pulling mechanism to do;
With
Thereby, when a pulling force is applied to the proximal end of the pulling mechanism, the tube is bent at the portion covered with the cuff.
Rapid endotracheal intubation device.

The apparatus of claim 1, wherein a portion of the wall of the tube covered by the cuff is removed to create a hinge site.

The apparatus of claim 2 wherein a coil spring is housed within the portion of the tube covered by the cuff.

The apparatus of claim 1 wherein a coil spring is disposed within said portion covered by a tube cuff and a peripheral portion of the tube wall surrounding said coil spring is removed.

The apparatus of claim 1 wherein the tube is made of a polymeric material and the portion of the tube covered with the cuff is a polymer of different chemical properties with greater flexibility than the rest of the tube.

The apparatus of claim 1, wherein the tube is made of a polymeric material and the portion of the tube covered by the cuff comprises a larger flexible polymer than the rest of the tube treated with heat, ultrasound or UV radiation.

The apparatus of claim 1 wherein the tensioning mechanism comprises at least one cable.

8. The apparatus of claim 7, comprising a plurality of cables for bending said desired portion in at least two directions along at least one axis.

The apparatus of claim 1, wherein the tensioning mechanism comprises a relatively rigid, longitudinally extending member.

The apparatus of claim 9, wherein the longitudinally extending member is disposed in a longitudinally extending channel formed in the outer wall of the tube.

8. The apparatus of claim 7, wherein the pulling mechanism comprises a trigger actuated by a finger attached to the proximal end of the tube, the trigger actuated by the finger moving proximally to at least one piece. A device as described above, wherein the cable can be tensioned and the tube is bent at a desired portion of the tube.

12. The apparatus of claim 11, comprising a clasp for temporarily maintaining the tension on at least one cable until the operator deliberately releases it.

8. The apparatus of claim 7, wherein at least one cable extends through an elongated space in the wall of the tube.

8. The apparatus of claim 7, wherein at least one cable extends through the interior space of the tube.

8. The apparatus of claim 7, wherein the at least one cable is made of a material selected from the group consisting of stainless steel wire, plastic filament and braided filament material.

A hollow tube forming a distal end and an opposite proximal end designed to be inserted into the trachea;
With an inflatable cuff;
Near the distal end of the tube, the flexible portion of the tube that is covered with the cuff and is more flexible than the surrounding portion of the tube;
A membrane secured to the tube and covering the flexible portion and separating the flexible portion from the trachea;
A pulling mechanism extending from the proximal end of the tube, extending between the flexible portion and the membrane, and fixed at a location near the distal end of the tube;
A rapid endotracheal intubation device, wherein the flexible portion is bent by applying a pulling force to the pulling mechanism from the proximal end of the tube.

17. The apparatus according to claim 16, further comprising a plurality of flexible portions wherein the tubes are spaced apart from each other and each covered with a separate membrane, wherein another pulling mechanism is connected to these separate flexible portions. A device as described above extending between another membrane.

18. The apparatus of claim 17, wherein the pulling mechanism comprises a plurality of cables for bending a tube at the other flexible portion.

The apparatus of claim 16, further comprising:
A wall of the tube having an inner surface and an outer surface, wherein the pulling mechanism has a passage extending from the proximal end of the tube to the proximal end of the flexible portion;
An exit point formed in the tube near the proximal end of the flexible portion through which the pulling mechanism exits the wall and extends between the flexible portion and the membrane; and at the distal end of the tube A fixing point that is near and to which the pulling mechanism is fixed;
Comprising the above device.

20. The apparatus of claim 19, wherein the membrane is coupled to the outer surface, further comprising an inner membrane coupled to the inner surface, a liquid tight seal between the inner membrane and the inner surface. The above device is formed.

17. The apparatus of claim 16, wherein the flexible portion has material from which it is removed.

24. The apparatus of claim 21, wherein the material is removed to create a hinge portion in a tube portion opposite the portion of the tube covered by the membrane.

23. The apparatus of claim 22, wherein the material is removed to form a cut into the interior space of the tube from the outer surface of the tube.

17. The apparatus of claim 16, wherein the flexible portion includes a coil spring housed therein.

17. The apparatus of claim 16, wherein the flexible portion comprises a coil spring disposed within the flexible portion of the tube, and the peripheral portion of the tube wall surrounding the coil spring is removed.

17. The apparatus of claim 16, wherein the flexible portion comprises a structure having a serpentine surface structure that makes the portion more flexible than other portions of the tube.

17. The device of claim 16, wherein the tube is made of a polymeric material and the membrane covered portion is a polymer of different chemical properties with greater flexibility than the surrounding portion of the tube.

17. The apparatus of claim 16, wherein the tube is made of a polymer material and the flexible portion comprises a polymer that is more flexible than the surrounding portion of the tube, treated with heat, ultrasound or UV radiation.

The apparatus of claim 16, wherein the pulling mechanism comprises at least one cable.

30. The apparatus of claim 29, wherein the pulling mechanism comprises a trigger actuated by a finger attached to the proximal end of the tube, wherein the trigger actuated by the finger is moved proximally to at least one piece. A device as described above, wherein the cable can be tensioned and the tube is bent at a desired portion of the tube.

31. The apparatus of claim 30, comprising a clasp for temporarily maintaining the tension on at least one cable until an operator intentionally releases it.

30. The apparatus of claim 29, wherein the at least one cable extends through an elongated space in the wall of the tube.

30. The apparatus of claim 29, wherein at least one cable extends through the interior space of the tube.

30. The apparatus of claim 29, wherein the at least one cable comprises a material selected from the group consisting of a stainless steel wire, a plastic filament and a braided filament material.

17. The apparatus of claim 16, further comprising a plurality of cables for bending the flexible portion in at least two directions along at least one axis.

The apparatus of claim 16, wherein the tensioning mechanism comprises a relatively rigid, longitudinally extending member.

38. The apparatus of claim 36, wherein the longitudinally extending member is disposed in a longitudinally extending channel formed within the outer wall of the tube.

A hollow tube forming a distal end and an opposite proximal end designed to be inserted into the body;
With an inflatable cuff;
A flexible portion of the tube that is more flexible than a surrounding portion of the tube, surrounded by the cuff at a location near the distal end of the tube;
A membrane secured to the tube and covering the flexible portion and separating the flexible portion from the body;
A pulling mechanism extending from the proximal end of the tube, extending between the flexible portion and the membrane, and fixed at a location near the distal end of the tube;
And inserting the flexible portion by applying a pulling force to the pulling mechanism from the proximal end of the tube.

A flexible structure comprising a wall having an outer surface and having a distal end and an opposite proximal end designed for insertion into the body;
A cut formed in said wall;
A membrane fixed to the outer surface of the structure and covering the cut;
A tensioning mechanism that creates a temporary bend in the structure at a break, extending from the proximal end of the structure and extending from the proximal end of the break into a region formed by the break and the membrane;
A connection point near the distal end of the cut, to which the proximal end of the pulling mechanism is fixed, such that when a tensile force is applied to the proximal end of the pulling mechanism, the flexible structure is bent at the cut; and An intracorporeal device having a lock mechanism for locking a pulling mechanism.

40. The apparatus of claim 39, further comprising an additional cut covered by an additional membrane, each having a pulling mechanism for bending the structure in at least two directions along at least one axis.

A hollow tube having a distal end designed to be inserted into the trachea and an opposite proximal end;
An inflatable cuff secured to the outer surface of the hollow tube between the distal and proximal ends of the tube;
An expandable chamber adapted to receive liquid under pressure to create a temporary bend in the outer surface covered by the cuff;
Having
A rapid endotracheal intubation device whereby the tube is bent at the desired site when liquid is introduced into the expandable chamber by pressurization.

A hollow tube consisting of a tubular body having an inner surface and an outer surface and having a distal end and an opposite proximal end designed to be inserted into the trachea;
A flexible portion of the tube that is more flexible than a peripheral portion of the hollow tube at a location near the distal end of the hollow tube, the flexible portion having a distal end and a proximal end; The flexible portion whose proximal end is closer to the proximal end of the hollow tube than the distal end;
An actuating mechanism extending from a proximal end of the tube to a distal end of the flexible portion to create a bend in the flexible portion, the actuating mechanism being actuated at the proximal end to bend the hollow tube at the flexible portion; And a rapid endotracheal intubation device comprising a lock mechanism that selectively locks the operating mechanism.

42. The rapid endotracheal intubation device of claim 41, wherein the flexible portion comprises an opening passing through the tubular body and is more flexible than the surrounding portion of the tube.

44. The rapid endotracheal intubation device of claim 43, wherein the opening is a cut and the bending of the hollow tube at the flexible portion is made by moving the cut toward a more closed state.

44. The rapid endotracheal intubation device of claim 43, wherein the opening is a slit and is made by moving the bend of the hollow tube at the flexible portion toward the slit more open.

44. The rapid endotracheal intubation device of claim 43, further comprising at least one other opening that is a slit or cut for making another bend in the hollow tube.

44. The rapid endotracheal intubation device of claim 43, further comprising a first membrane that forms a seal around the opening to substantially prevent passage of liquid through the opening.

43. The rapid endotracheal intubation device of claim 42, wherein the actuation mechanism comprises a pulling mechanism, the pulling mechanism having a trigger actuated by a finger attached to the proximal end of the hollow tube and actuating by the finger A device as described above, wherein the triggered can be moved proximally to tension the pulling mechanism and cause the hollow tube to bend at the flexible portion.

49. The apparatus of claim 48, wherein the locking mechanism comprises a clasp that maintains tension on the tensioning mechanism until deliberately released by an operator.

The rapid endotracheal intubation device of claim 42,
The actuating mechanism is a cable that extends from the proximal end of the hollow tube to a cable connection point where cables located near the distal end of the flexible part are coupled, which is tensioned to create a bend in the flexible part. Cable
The apparatus further comprises a shelf at a proximal end of the hollow tube and having a proximal surface and a distal surface and extending outwardly, the hole further having an edge and the cable A universal adapter arranged to receive the cable, and a stop coupled near the proximal end of the cable, which engages the proximal surface of the outwardly extending shelf to tension the cable. The apparatus of claim 1, further comprising a stop that maintains and maintains bending at the flexible portion until the stop is deliberately released by the operator from the outwardly extending shelf.

The rapid endotracheal intubation device of claim 42,
The locking mechanism includes a friction lock having a hole through which the hollow tube extends so that it can slide along the hollow tube;
The actuating mechanism extends from a cable connection point on the friction lock to a cable connection point to which a cable near the distal end of the flexible portion is connected, with the friction lock along the axis toward the proximal end of the hollow tube With cables that are provided to create a bend in the flexible part when moved,
A device as described above.

52. The rapid endotracheal intubation device of claim 51, wherein the hole is circular and has a slightly larger diameter than the hollow tube.

52. The rapid endotracheal intubation device of claim 51, wherein the cable connection point on the friction lock is on a proximal surface of the friction lock, and the cable passes through the hole from the proximal side of the friction lock to the cable connection point. A device as described above, wherein

51. The rapid endotracheal intubation device of claim 50, wherein the friction lock is substantially perpendicular to the longitudinal axis of the hollow tube when attempting to move the cable to bend or straighten the flexible portion. And the friction lock is tilted by cable tension to substantially maintain a certain degree of bending at the flexible portion.

A hollow tube forming a distal end and an opposite proximal end designed to be inserted into the trachea;
A flexible portion of the tube that is more flexible than a peripheral portion of the tube at a location near the distal end;
A plurality of membranes secured to the tube and covering the flexible portion and separating the flexible portion from the trachea;
A pulling mechanism extending from the proximal end of the tube, extending between the plurality of membranes, and secured at a location near the distal end of the tube;
A rapid endotracheal intubation device, wherein the flexible portion is bent by applying a pulling force to the pulling mechanism from the proximal end of the tube.