JP6742033B2 - 気管用アプリケータおよびその使用 - Google Patents
気管用アプリケータおよびその使用 Download PDFInfo
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- JP6742033B2 JP6742033B2 JP2018535854A JP2018535854A JP6742033B2 JP 6742033 B2 JP6742033 B2 JP 6742033B2 JP 2018535854 A JP2018535854 A JP 2018535854A JP 2018535854 A JP2018535854 A JP 2018535854A JP 6742033 B2 JP6742033 B2 JP 6742033B2
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- tracheal
- adapter
- applicator
- connection
- tracheal applicator
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- 238000009423 ventilation Methods 0.000 claims description 35
- 238000002560 therapeutic procedure Methods 0.000 claims description 15
- 210000003437 trachea Anatomy 0.000 claims description 7
- 238000003466 welding Methods 0.000 claims description 2
- 239000003570 air Substances 0.000 description 22
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 13
- 239000001301 oxygen Substances 0.000 description 13
- 229910052760 oxygen Inorganic materials 0.000 description 13
- 239000000203 mixture Substances 0.000 description 12
- 210000003097 mucus Anatomy 0.000 description 9
- 230000028327 secretion Effects 0.000 description 9
- 230000029058 respiratory gaseous exchange Effects 0.000 description 6
- 239000007789 gas Substances 0.000 description 5
- 230000000241 respiratory effect Effects 0.000 description 5
- 230000008901 benefit Effects 0.000 description 4
- 230000003434 inspiratory effect Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 230000001154 acute effect Effects 0.000 description 3
- 230000008878 coupling Effects 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000005859 coupling reaction Methods 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 210000004072 lung Anatomy 0.000 description 3
- 201000004193 respiratory failure Diseases 0.000 description 3
- 230000003519 ventilatory effect Effects 0.000 description 3
- 208000004756 Respiratory Insufficiency Diseases 0.000 description 2
- 239000012080 ambient air Substances 0.000 description 2
- 230000029142 excretion Effects 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 210000002345 respiratory system Anatomy 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 238000010146 3D printing Methods 0.000 description 1
- 206010009126 Chronic respiratory failure Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000004026 adhesive bonding Methods 0.000 description 1
- 229920002118 antimicrobial polymer Polymers 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 230000000420 mucociliary effect Effects 0.000 description 1
- 210000003300 oropharynx Anatomy 0.000 description 1
- 238000002640 oxygen therapy Methods 0.000 description 1
- 230000000704 physical effect Effects 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 210000003019 respiratory muscle Anatomy 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 238000011301 standard therapy Methods 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 210000001260 vocal cord 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
- A61M16/0465—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
-
- 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
- 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
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0816—Joints or connectors
-
- 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
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/12—Preparation of respiratory gases or vapours by mixing different gases
- A61M16/122—Preparation of respiratory gases or vapours by mixing different gases with dilution
- A61M16/125—Diluting primary gas with ambient air
- A61M16/127—Diluting primary gas with ambient air by Venturi effect, i.e. entrainment mixers
-
- 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
- A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
- A61M16/0875—Connecting 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1075—Preparation of respiratory gases or vapours by influencing the temperature
- A61M16/1095—Preparation of respiratory gases or vapours by influencing the temperature in the connecting 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
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/02—Gases
- A61M2202/0208—Oxygen
-
- 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3368—Temperature
-
- 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
- A61M2206/00—Characteristics of a physical parameter; associated device therefor
- A61M2206/10—Flow characteristics
Landscapes
- Health & Medical Sciences (AREA)
- Pulmonology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
- Emergency Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Otolaryngology (AREA)
- Surgical Instruments (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Description
2 プロング
3 鼻孔
4 接続チューブ
5 TNI装置/高流量療法装置
6 気管用アプリケータ
7 気管カニューレ
8 アダプタ
9 接続片
10 端部
11 円錐状絞り部
12 端部
13 回転対称チューブ
14 トランペット形状開口部
15 横材
16 円筒状接触面
17 チューブ接続部
18 中心線
19 ホルダ
20 シール
21 外形
22 出口開口部
23 ボトルネック形状テーパ部
24 丸みのついた縁部
25 換気開口部
26 温度センサへのアクセス
27 流れ矢印
28 内部隆起部
29 3点受け部
Claims (11)
- 気管用アプリケータ(6)であって、
該気管用アプリケータ(6)は、円形の直径を有し、一端部において、気管カニューレ(7)との差し込み接続のために内部に突出する円錐状絞り部(11)を含む一方、他端部(12)において、トランペット形状開口部(14)が設けられた湾曲する管状のアダプタ(8)と、接続片(9)とを備え、
前記トランペット形状開口部(14)における前記アダプタ(8)の内部には、前記気管用アプリケータ(6)の前記接続片(9)を中心に保持して固定するための3点受け部(29)として機能するとともに3つの換気開口部(25)を形成するように放射状に延びる3つの横材(15)が突設され、
前記接続片(9)は、高流量療法装置(5)から流入するFiO2流を流すためにノズル状に絞られた筒中心線を中心とした回転対称の形状をなす回転対称チューブ(13)を含み、前記アダプタ(8)の内方に突出する前記接続片(9)の一部は、テーパ状端部にシール(20)を有するボトルネック形状テーパ部(23)を含み、且つ、前記シールに直接繋がるとともに放射状に配置されて径方向に延びる複数の出口開口部(22)を含み、前記接続片(9)の他端部は、押し込むことにより高流量療法装置(5)の接続チューブ(4)に連結するために円錐形のテーパ状をなすように設計されていることを特徴とする、気管用アプリケータ(6)。 - 前記トランペット形状開口部(14)の縁部は楕円状に形成される、請求項1に記載の気管用アプリケータ(6)。
- 前記出口開口部(22)は、湾曲する管状の前記アダプタ(8)の内部に配置されている前記接続片(9)における突出する部分の前記円錐状絞り部(11)側に配置されていることを特徴とする、請求項2に記載の気管用アプリケータ(6)。
- 前記アダプタ(8)の前記トランペット形状開口部(14)には、3つの前記換気開口部(25)が前記回転対称チューブ(13)の筒中心線周りに等間隔に配置されていることを特徴とする、請求項2又は3に記載の気管用アプリケータ(6)。
- 前記出口開口部(22)はその縁部に丸み(24)を有する、請求項1〜4のいずれか1項に記載の気管用アプリケータ(6)。
- 前記シール(20)は、前記アダプタ(8)の方向に円錐状に形成され、チューブ接続部(17)の方向にテーパ状外形(21)を含み、前記テーパ状外形(21)は、前記接続片(9)の内部に突出するとともに、流れ案内体として機能する、請求項1〜5のいずれか1項に記載の気管用アプリケータ(6)。
- 前記横材(15)の外表面は、前記アダプタ(8)の内部に向かってテーパ状に形成される、請求項1〜6のいずれか1項に記載の気管用アプリケータ(6)。
- 前記トランペット形状開口部(14)は内部隆起部(28)を有する、請求項1〜7のいずれか1項に記載の気管用アプリケータ(6)。
- 前記接続片(9)は、前記アダプタ(8)の前記3点受け部(29)に連結されるように機能する円筒状接触面(16)を含む、請求項1〜8のいずれか1項に記載の気管用アプリケータ(6)。
- 前記アダプタ(8)と前記接続片(9)とは、挟持、接着、もしくは溶接によって、前記3点受け部(29)と前記円筒状接触面(16)との間の接触点で接続されるか、または前記気管用アプリケータは一体的に形成される、請求項9に記載の気管用アプリケータ(6)。
- 接続チューブ(4)を含む高流量療法装置(5)と気管カニューレ(7)を含む気管孔とを包含し、前記高流量療法装置と前記気管孔とを接続する、請求項1〜10のいずれか1項に記載の気管用アプリケータ(6)の使用によって特徴づけられる、気管用換気補助システム。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE102016013168 | 2016-11-04 | ||
DE102016013168.3 | 2016-11-04 | ||
PCT/EP2017/075533 WO2018082864A1 (de) | 2016-11-04 | 2017-10-06 | Tracheal-applikator und zugehörige verwendung |
Publications (2)
Publication Number | Publication Date |
---|---|
JP2019531767A JP2019531767A (ja) | 2019-11-07 |
JP6742033B2 true JP6742033B2 (ja) | 2020-08-19 |
Family
ID=60182532
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2018535854A Active JP6742033B2 (ja) | 2016-11-04 | 2017-10-06 | 気管用アプリケータおよびその使用 |
Country Status (6)
Country | Link |
---|---|
US (1) | US10478577B2 (ja) |
EP (1) | EP3365053B1 (ja) |
JP (1) | JP6742033B2 (ja) |
CN (1) | CN108472466B (ja) |
DE (1) | DE102017003534B4 (ja) |
WO (1) | WO2018082864A1 (ja) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11491319B2 (en) * | 2018-02-13 | 2022-11-08 | Michael A. Merchant | Multi-line opposed inlet infusion coupling |
GB202216125D0 (en) * | 2022-10-31 | 2022-12-14 | Univ Oxford Innovation Ltd | Medical ventilator |
Family Cites Families (18)
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US2845928A (en) * | 1953-01-28 | 1958-08-05 | Misto2 Gen Equipment Co | Bronchopulmonary therapeutic apparatus |
US3977432A (en) * | 1975-01-13 | 1976-08-31 | American Hospital Supply Corporation | Breathing mask and variable concentration oxygen diluting device therefor |
US5697361A (en) * | 1992-09-28 | 1997-12-16 | Smith; William C. | Induction pump method for increased breathable air flow of cooled and reduced humidity air |
US5582161A (en) * | 1994-12-08 | 1996-12-10 | Sherwood Medical Company | Sheathed catheter adapter and method of use |
DE29603624U1 (de) * | 1996-02-28 | 1996-05-09 | Fresenius Ag | Sondenanordnung für die enterale Ernähung und/oder zum Absaugen von Sekretansammlungen im Magen |
US5690097A (en) * | 1996-05-31 | 1997-11-25 | Board Of Regents, The University Of Texas System | Combination anesthetic mask and oxygen transport system |
US7493902B2 (en) | 2003-05-30 | 2009-02-24 | Fisher & Paykel Healthcare Limited | Breathing assistance apparatus |
US7171962B1 (en) * | 2005-01-14 | 2007-02-06 | Gloria Turner Bloem | Soft oral airway for intravenous anesthesia and method of use |
WO2008060295A2 (en) | 2005-12-14 | 2008-05-22 | Mergenet Medical Inc. | High flow therapy device |
DE102006019402A1 (de) | 2006-04-24 | 2007-10-25 | Seleon Gmbh | Verfahren zur Steuerung eines TNI-Geräts sowie TNI-Gerät |
CA2700878C (en) * | 2007-09-26 | 2018-07-24 | Breathe Technologies, Inc. | Methods and devices for providing inspiratory and expiratory flow relief during ventilation therapy |
US8220458B2 (en) * | 2007-11-29 | 2012-07-17 | Mergenet Medical, Inc. | Artificial airway interfaces and methods thereof |
CA2734296C (en) * | 2008-08-22 | 2018-12-18 | Breathe Technologies, Inc. | Methods and devices for providing mechanical ventilation with an open airway interface |
CN102481425A (zh) * | 2009-04-02 | 2012-05-30 | 呼吸科技公司 | 使用外管内的气体传输管嘴进行无创开放式通气的方法、系统和装置 |
DE102009054388B4 (de) * | 2009-11-24 | 2012-05-24 | ITM Isotopen Technologien München AG | Applikator zum Auftragen einer radioaktiven Schicht auf ein biologisches Gewebe |
DE212011100071U1 (de) * | 2010-03-29 | 2013-01-02 | Fisher & Paykel Healthcare Ltd. | Trachealkupplungen und zugehörige Systeme |
US9155862B2 (en) * | 2012-09-28 | 2015-10-13 | Covidien Lp | Symmetrical tip acute catheter |
US10307552B2 (en) * | 2013-09-06 | 2019-06-04 | Breathe Technologies, Inc. | Jet pump adaptor for ventilation system |
-
2017
- 2017-05-04 DE DE102017003534.2A patent/DE102017003534B4/de active Active
- 2017-10-06 CN CN201780005139.7A patent/CN108472466B/zh active Active
- 2017-10-06 JP JP2018535854A patent/JP6742033B2/ja active Active
- 2017-10-06 EP EP17790691.4A patent/EP3365053B1/de active Active
- 2017-10-06 WO PCT/EP2017/075533 patent/WO2018082864A1/de active Application Filing
- 2017-10-06 US US16/071,968 patent/US10478577B2/en active Active
Also Published As
Publication number | Publication date |
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DE102017003534A1 (de) | 2018-05-09 |
EP3365053B1 (de) | 2019-06-19 |
US10478577B2 (en) | 2019-11-19 |
CN108472466B (zh) | 2020-11-17 |
WO2018082864A1 (de) | 2018-05-11 |
DE102017003534B4 (de) | 2021-06-24 |
CN108472466A (zh) | 2018-08-31 |
JP2019531767A (ja) | 2019-11-07 |
EP3365053A1 (de) | 2018-08-29 |
US20190255273A1 (en) | 2019-08-22 |
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R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |