JP4930950B2 - マルチルーメン気管カテーテル - Google Patents
マルチルーメン気管カテーテル Download PDFInfo
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- JP4930950B2 JP4930950B2 JP2008526000A JP2008526000A JP4930950B2 JP 4930950 B2 JP4930950 B2 JP 4930950B2 JP 2008526000 A JP2008526000 A JP 2008526000A JP 2008526000 A JP2008526000 A JP 2008526000A JP 4930950 B2 JP4930950 B2 JP 4930950B2
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- Prior art keywords
- tracheal tube
- suction
- collar
- suction port
- lumen
- 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.)
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- 210000003437 trachea Anatomy 0.000 claims description 17
- 238000009423 ventilation Methods 0.000 claims description 15
- 239000012530 fluid Substances 0.000 claims description 13
- 238000005192 partition Methods 0.000 claims description 8
- 238000004891 communication Methods 0.000 claims description 5
- 230000002262 irrigation Effects 0.000 claims description 4
- 238000003973 irrigation Methods 0.000 claims description 4
- 230000000903 blocking effect Effects 0.000 claims description 2
- 238000007789 sealing Methods 0.000 claims description 2
- 239000007788 liquid Substances 0.000 claims 1
- 230000028327 secretion Effects 0.000 description 15
- 210000004072 lung Anatomy 0.000 description 11
- 238000002627 tracheal intubation Methods 0.000 description 7
- 238000005399 mechanical ventilation Methods 0.000 description 5
- 210000000621 bronchi Anatomy 0.000 description 4
- 208000015181 infectious disease Diseases 0.000 description 4
- 210000004877 mucosa Anatomy 0.000 description 4
- 238000013461 design Methods 0.000 description 3
- 210000002409 epiglottis Anatomy 0.000 description 3
- 239000007789 gas Substances 0.000 description 3
- 230000002458 infectious effect Effects 0.000 description 3
- 206010035664 Pneumonia Diseases 0.000 description 2
- 238000004140 cleaning Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 230000001154 acute effect Effects 0.000 description 1
- 239000003994 anesthetic gas Substances 0.000 description 1
- 206010006451 bronchitis Diseases 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 210000002249 digestive system Anatomy 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 239000013618 particulate matter Substances 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
- 208000023504 respiratory system disease Diseases 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
Images
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
- A61M16/0463—Tracheal tubes combined with suction tubes, catheters or the like; Outside connections
-
- 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
- A61M16/0402—Special features for tracheal tubes not otherwise provided for
- A61M16/0404—Special features for tracheal tubes not otherwise provided for with means for selective or partial lung respiration
- A61M16/0406—Special features for tracheal tubes not otherwise provided for with means for selective or partial lung respiration implanted flow modifiers
-
- 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
- A61M16/0475—Tracheal tubes having openings in the tube
- A61M16/0477—Tracheal tubes having openings in the tube with incorporated means for delivering or removing fluids
- A61M16/0479—Tracheal tubes having openings in the tube with incorporated means for delivering or removing fluids above the cuff, e.g. giving access to the upper trachea
-
- 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
- A61M16/0486—Multi-lumen 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
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/74—Suction control
- A61M1/741—Suction control with means for varying suction manually
- A61M1/7413—Suction control with means for varying suction manually by changing the cross-section of the line
-
- 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
-
- 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
- Y10S128/912—Connections and closures for tubes delivering fluids to or from the body
Landscapes
- Health & Medical Sciences (AREA)
- Pulmonology (AREA)
- Emergency Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- External Artificial Organs (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Description
Claims (18)
- 気管チューブであって、
チューブ及び吸引ポートカラーを備え、
前記チューブは、第1の壁、及び前記第1の壁と同心の第2の壁を有し、
前記第1の壁は、その第1の面に隣接する換気ルーメンを取り囲んで画定し、
前記第1の壁の第2の面は、複数の隔壁で、前記第2の壁の第1の面に取り付けられ、
前記第1の壁の前記第2の面、前記第2の壁の前記第1の面、及び隣接する隔壁の表面によって、複数の吸引ルーメンが画定され、
前記各吸引ルーメンは、前記第2の壁の一部を貫通して形成された吸引ポートを有し、
前記吸引ポートカラーは、入口及び出口を有し、
前記カラーは、前記チューブを取り囲んで前記吸引ポートを覆い、
前記カラーは、前記入口と少なくとも1つの前記吸引ポートとの間での流体連通を可能にしながら他の吸引ポートを塞ぐように、選択的に位置させることができ、
前記出口は、吸引源に接続するように構成された
ことを特徴とする気管チューブ。 - 請求項1に記載の気管チューブであって、
前記カラーは、前記チューブの周りに回転することができることを特徴とする気管チューブ。 - 請求項1に記載の気管チューブであって、
膨張ルーメン及びイリゲーション・ルーメンのいずれかを含むことを特徴とする気管チューブ。 - 請求項1に記載の気管チューブであって、
前記吸引ルーメンは、前記第1の壁の前記第2の面の周りに周方向に配列されることを特徴とする気管チューブ。 - 請求項1に記載の気管チューブであって、
前記チューブに結合され、前記各吸引ポート上に配置されたガイドを含み、
前記ガイドは、前記各吸引ポートと整列される開口部を有し、
前記吸引ポートカラーは、前記ガイドに回転可能に取り付けられることを特徴とする気管チューブ。 - 請求項1に記載の気管チューブであって、
前記カラーは、内径、外径、及び前記外径の接線面に対して実質的に垂直に取り付けられたチューブ状の導管を有する円筒状リングを含み、
前記入口は、前記導管の一方の端部に前記内径と一致して設けられ、
前記出口は、前記導管の他方の端部に設けられたことを特徴とする気管チューブ。 - 請求項1に記載の気管チューブであって、
前記入口は、どの時点でも、1つの吸引ポートのみと整列可能であることを特徴とする気管チューブ。 - 請求項1に記載の気管チューブであって、
各吸引ポートは、複数の吸引ルーメンへの接続を提供することを特徴とする気管チューブ。 - 請求項1に記載の気管チューブであって、
前記カラーは、当該カラーと前記チューブとの間での流体密封を提供し、選択された吸引ポートのみを介しての流体連通を可能にすることを特徴とする気管チューブ。 - 請求項1に記載の気管チューブであって、
前記チューブの遠位端を取り囲んで密封する、患者の気管を密閉するように構成された可膨張性カフを備え、
前記各吸引ルーメンは、前記可膨張性カフの近位に位置する前記吸引ポートを有し、かつ前記可膨張性カフの遠位に位置する入口ポートを有することを特徴とする気管チューブ。 - 気管チューブであって、
換気ルーメンと、
前記換気ルーメンの外周の周りに周方向に配列され、かつ同軸方向に配向され、各々が吸引ポートを有する複数の吸引ルーメンと、
出口を有する吸引ポートカラーとを備え、
前記カラーは、各吸引ポートを覆い、
前記カラーの一部は、前記複数のポートを選択的に塞ぎながら、残りのポートと前記出口との間の妨げられない連通を可能にすることを特徴とする気管チューブ。 - 請求項11に記載の気管チューブであって、
前記各吸引ルーメンは、入口及び出口を有し、
前記出口は、前記吸引ポートの少なくとも1つに対応することを特徴とする気管チューブ。 - 請求項11に記載の気管チューブであって、
前記チューブは、その内側に前記吸引ルーメンが設けられたカニューレを含み、
前記各吸引ルーメンは、隔壁によって互いに隔てられていることを特徴とする気管チューブ。 - 請求項11に記載の気管チューブであって、
前記吸引ポートの少なくとも1つは、前記吸引ポートが2つ以上の吸引ルーメンと連通するように、前記隔壁の1つと交差することを特徴とする気管チューブ。 - 請求項13に記載の気管チューブであって、
前記カラーの内面は、前記カニューレの外面に、液体密封が可能なように回転可能に取り付けられ、
前記カラーの内部には導管が形成され、
前記導管は、前記カラーの内面に形成された入口、出口、及び、前記入口と出口との間に形成された流体流路を有することを特徴とする気管チューブ。 - 請求項13に記載の気管チューブであって、
前記カニューレの外面に取り付けられたガイドを含み、
前記ガイドは、前記吸引ポートと整列される開口部を有し、
前記カラーの内面は、前記ガイドの外面に回転可能に取り付けられ、
前記カラーが前記ガイドの周りを回転することにより、前記ポートのいくつかを選択的に塞ぐことを特徴とすると気管チューブ。 - 請求項13に記載の気管チューブであって、
前記カニューレの遠位端を取り囲んで密封する、かつ、患者の気管を密閉するように構成された可膨張性カフを備え、
各吸引ルーメンは、前記可膨張性カフの近位に位置する前記吸引ポートを有し、かつ前記可膨張性カフの遠位に位置する入口ポートを有することを特徴とする気管チューブ。 - 請求項13に記載の気管チューブであって、
前記カラーは、全ての吸引ポートを選択的にかつ同時に塞ぐことを特徴とする気管チューブ。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/198,994 US7581541B2 (en) | 2005-08-08 | 2005-08-08 | Multilumen tracheal catheter |
US11/198,994 | 2005-08-08 | ||
PCT/US2006/022825 WO2007018729A1 (en) | 2005-08-08 | 2006-06-09 | Multilumen tracheal catheter |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2009504241A JP2009504241A (ja) | 2009-02-05 |
JP4930950B2 true JP4930950B2 (ja) | 2012-05-16 |
Family
ID=36950911
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2008526000A Active JP4930950B2 (ja) | 2005-08-08 | 2006-06-09 | マルチルーメン気管カテーテル |
Country Status (6)
Country | Link |
---|---|
US (1) | US7581541B2 (ja) |
EP (1) | EP1922102B1 (ja) |
JP (1) | JP4930950B2 (ja) |
CA (1) | CA2617442C (ja) |
MX (1) | MX2008001810A (ja) |
WO (1) | WO2007018729A1 (ja) |
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US7478636B2 (en) | 2005-08-08 | 2009-01-20 | Kimberly-Clark Worldwide, Inc. | Multilumen tracheal catheter to prevent cross contamination |
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US8991396B2 (en) * | 2006-11-09 | 2015-03-31 | The Board Of Trustees Of The University Of Illinois | Endotracheal tube with two ports |
US7913693B2 (en) * | 2006-11-10 | 2011-03-29 | Nellcor Puritan Bennett Llc | Method and apparatus for preventing occlusion of a tracheal tube suction lumen |
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- 2006-06-09 JP JP2008526000A patent/JP4930950B2/ja active Active
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US7581541B2 (en) | 2009-09-01 |
CA2617442A1 (en) | 2007-02-15 |
CA2617442C (en) | 2013-12-31 |
MX2008001810A (es) | 2008-04-09 |
JP2009504241A (ja) | 2009-02-05 |
EP1922102A1 (en) | 2008-05-21 |
US20070028925A1 (en) | 2007-02-08 |
WO2007018729A1 (en) | 2007-02-15 |
EP1922102B1 (en) | 2012-01-18 |
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