US20020162557A1 - Endotracheal intubation device (II) - Google Patents

Endotracheal intubation device (II) Download PDF

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US20020162557A1
US20020162557A1 US10/099,381 US9938102A US2002162557A1 US 20020162557 A1 US20020162557 A1 US 20020162557A1 US 9938102 A US9938102 A US 9938102A US 2002162557 A1 US2002162557 A1 US 2002162557A1
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endotracheal
suction
intubation device
endotracheal tube
light source
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US10/099,381
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James Simon
Robert Simon
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    • 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
    • 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
    • A61B1/06—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 with illuminating arrangements
    • A61B1/0661—Endoscope light sources
    • A61B1/0676—Endoscope light sources at distal tip of an endoscope
    • 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
    • A61B1/06—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 with illuminating arrangements
    • A61B1/07—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 with illuminating arrangements using light-conductive means, e.g. optical fibres
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/306—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using optical fibres
    • 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

Definitions

  • This invention relates to medical instruments generally and more particularly to an endotracheal intubation device having a light source for illumination during intubation and a means for attaching the device to a suction source.
  • Endotracheal intubation is a medical procedure that is used to establish a secure direct path for air under emergency resuscitation conditions or during induction of general anesthesia.
  • a clear airway is often critical for resuscitation efforts.
  • An endotracheal tube may be used by medical personnel to establish an airway during resuscitation. This is necessary because the airway can become obstructed, either by a foreign body or by fluid, blood, or tissues such as the patient's tongue. Additionally, a patient in a major arrest state is unable to move air and as a result death rapidly ensues in the absence of introduced oxygen through the airway.
  • the present invention is designed to overcome the aforementioned visualization difficulties during intubation.
  • the present invention is an endotracheal intubation device containing a light source and having simultaneous suctioning ability, enabling a practitioner to apply suction to a patient's airway while at the same time visualizing the airway for insertion of the endotracheal tube.
  • the light source is designed to shine proximal of the distal end of the endotracheal tube.
  • the invention includes an endotracheal tube with a light source that is either fiberoptic or chemiluminescent in nature.
  • One variation includes a suction trocar inside the endotracheal tube in which the trocar is encased in a light-emitting sleeve.
  • the light source for the sleeve may be either fiberoptic or chemiluminescent in nature and the trocar may be made of a malleable material.
  • a malleable material is aluminum.
  • Another embodiment includes an endotracheal tube with a light source built in.
  • the light source may be fiberoptic or chemiluminescent in nature and may shine either axially or radially from the proximal end toward the distal end of the endotracheal tube.
  • the lighted endotracheal tube may include a connection to a suction source and a malleable wire for adjustment of the shape of the tube under emergency conditions such as cardiopulmonary resuscitation.
  • the invention is an endotracheal intubation device that will allow rapid intubation of a patient by allowing an intubator to visualize the patient's airway while at the same time suctioning out debris that could compromise visualization.
  • the inventive endotracheal intubation device contains both a suction source and a light source.
  • the light source is placed so that it shines proximal to the distal end of the endotracheal tube.
  • the light source may be either fiberoptic or chemiluminescent in nature. It may be disposed to shine either axially or radially from the proximal end of the endotracheal tube towards its distal end.
  • the endotracheal intubation device may include a suction trocar encased in a lighted sleeve within an endotracheal tube, enabling an intubator to simultaneously visualize a patient's airway and suction out debris through the suction trocar.
  • the light source for the lighted sleeve may be either fiberoptic or chemiluminescent in nature.
  • the endotracheal intubation device typically contains a suction trocar made out of a malleable material and encased in a lighted sleeve within an endotracheal tube, enabling an intubator to simultaneously visualize a patient's airway and suction out debris through the suction trocar.
  • a suction trocar made out of a malleable material and encased in a lighted sleeve within an endotracheal tube, enabling an intubator to simultaneously visualize a patient's airway and suction out debris through the suction trocar.
  • an intubator may change the shape of the endotracheal tube.
  • An example of a malleable material that may be used for construction of the trocar is aluminum.
  • the endotracheal intubation device may have the light source built into the endotracheal tube and disposed to shine light proximal to the distal end of an endotracheal tube.
  • the light source of this invention may be either fiberoptic or chemiluminescent in nature and the light may be disposed to shine either axially or radially from the proximal end of the endotracheal tube towards its distal end.
  • the invention may further include means for connection of the endotracheal tube to a suction source.
  • the inventive endotracheal intubation device preferably includes a ring of light-emitting material at the proximal end of an endotracheal tube as a light source.
  • the light source may be either fiberoptic or chemiluminescent in nature.
  • the invention may further include connection of the endotracheal tube to a suction source and may also further include a malleable wire within the endotracheal tube for adjusting the shape of the tube.
  • FIG. 1 is a perspective view of an endotracheal intubation device in accordance with the present invention having a suction trocar and a lighted sleeve for the suction trocar.
  • FIG. 2 is a perspective view of an endotracheal intubation device in accordance with the present invention having a light source built into the endotracheal tube and a separate connection to a suction source.
  • FIG. 3 is a perspective view of an endotracheal intubation device in accordance with the present invention having a chamber for inclusion of a chemiluminescent liquid, gel, or solid.
  • FIG. 1 an endotracheal intubation device 100 in accordance with the present invention.
  • the invention includes an endotracheal tube 105 having a proximal end 130 and a distal end 135 .
  • the endotracheal tube includes an air injection tube 115 and an inflatable cuff 110 .
  • the invention further includes a suction trocar 125 which fits within a lighted sleeve 120 .
  • the suction trocar may be connected to a suction source (not shown).
  • a preferred light source for the trocar sleeve is fiberoptic.
  • Another preferred light source for the trocar sleeve is chemiluminescent.
  • the suction trocar 125 may be made of a malleable material.
  • a preferred malleable material for the suction trocar is aluminum, although polymeric materials such as polyethylene or polypropylene may also be used.
  • FIG. 2 is shown another variation of an endotracheal intubation device 150 in accordance with the present invention.
  • the invention includes an endotracheal tube 155 having a proximal end 200 and a distal end 205 .
  • the endotracheal tube includes an air injection tube 165 and an inflatable cuff 160 .
  • the invention further includes a light source 170 built into the endotracheal tube and a means for connecting the tube to a suction source 185 .
  • Flexible tubing 190 may be used to connect the endotracheal tube to a suction motor (not shown).
  • the light source is disposed to shine axially or radially from the proximal end 200 to the distal end 205 of the endotracheal tube.
  • a preferred shape for the light source is a ring of light emitting material.
  • a preferred light source is fiberoptic.
  • a fiberoptic power cord 175 may be used to connect the tube to a fiberoptic power source (not shown).
  • Another preferred light source is chemiluminescent.
  • the invention may further include a malleable wire 180 for adjusting the shape of the endotracheal tube.
  • the light emanating from the chemiluminescent light source may be carried from that source by optical fibers or fiberoptics implanted in the wall of the endotracheal tube and extending towards the distal end of the tube.
  • the termination of the optical fibers may be adapted to shine light distally of the endotracheal tube.
  • FIG. 3 shows another variation 300 of the invention.
  • This variation includes a chamber 302 for inclusion of a chemiluminescent liquid, gel, or solid.
  • a preferred variation is the inclusion of an induced or catalyzed chemiluminescent material such as that sold in Cyalurone “Lightsticks.”
  • An example of a chemiluminescent reaction is:

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Pathology (AREA)
  • Optics & Photonics (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Anesthesiology (AREA)
  • Emergency Medicine (AREA)
  • Hematology (AREA)
  • Physiology (AREA)
  • Otolaryngology (AREA)
  • Endoscopes (AREA)
  • Radiation-Therapy Devices (AREA)

Abstract

The present invention relates to an endotracheal intubation device that will allow visualization of the airway of a patient during intubation simultaneous with suctioning ability to remove debris in the airway. The endotracheal intubation device includes a light source disposed to shine proximal to the distal end of an endotracheal tube and means for connection to a suction source. The light source may be built into the endotracheal tube or may consist of a lighted sleeve encasing a suction trocar. The light source may be disposed to shine axially or radially from the proximal end to the distal end of an endotracheal tube and may be fiberoptic or chemiluminescent in nature. The shape of the endotracheal tube may be adjusted either by use of a malleable suction trocar made out of a malleable material such as aluminum or by inclusion of a malleable wire within the tube.

Description

    PRIORITY
  • This is a continuation-in-part under 35 USC 120 of PCT application PCT/US01/01856, filed Jan. 19, 2001, the entirety of which is incorporated by reference.[0001]
    • BACKGROUND OF THE INVENTION
  • This invention relates to medical instruments generally and more particularly to an endotracheal intubation device having a light source for illumination during intubation and a means for attaching the device to a suction source. [0002]
    • DESCRIPTION OF RELATED ART
  • Endotracheal intubation is a medical procedure that is used to establish a secure direct path for air under emergency resuscitation conditions or during induction of general anesthesia. [0003]
  • A clear airway is often critical for resuscitation efforts. An endotracheal tube may be used by medical personnel to establish an airway during resuscitation. This is necessary because the airway can become obstructed, either by a foreign body or by fluid, blood, or tissues such as the patient's tongue. Additionally, a patient in a major arrest state is unable to move air and as a result death rapidly ensues in the absence of introduced oxygen through the airway. [0004]
  • During intubation, an endotracheal tube must be passed through the vocal cords. Often, lighting is inadequate and foreign bodies, fluids, blood, loose dentures, or a flaccid tongue may compromise visualization of the vocal cords. [0005]
  • Often during an intubation procedure, a practitioner holds a lighted endotracheal blade in one hand, to elevate the palate and improve visualization, and a suction tube in the other hand, to remove loose debris that may be blocking visualization. However, in order to introduce the endotracheal tube, the suction must be put aside, thereby compromising visualization. [0006]
  • The present invention is designed to overcome the aforementioned visualization difficulties during intubation. The present invention is an endotracheal intubation device containing a light source and having simultaneous suctioning ability, enabling a practitioner to apply suction to a patient's airway while at the same time visualizing the airway for insertion of the endotracheal tube. The light source is designed to shine proximal of the distal end of the endotracheal tube. The invention includes an endotracheal tube with a light source that is either fiberoptic or chemiluminescent in nature. One variation includes a suction trocar inside the endotracheal tube in which the trocar is encased in a light-emitting sleeve. The light source for the sleeve may be either fiberoptic or chemiluminescent in nature and the trocar may be made of a malleable material. One example of such a malleable material is aluminum. Another embodiment includes an endotracheal tube with a light source built in. The light source may be fiberoptic or chemiluminescent in nature and may shine either axially or radially from the proximal end toward the distal end of the endotracheal tube. The lighted endotracheal tube may include a connection to a suction source and a malleable wire for adjustment of the shape of the tube under emergency conditions such as cardiopulmonary resuscitation. [0007]
    • BRIEF SUMMARY OF THE INVENTION
  • The invention is an endotracheal intubation device that will allow rapid intubation of a patient by allowing an intubator to visualize the patient's airway while at the same time suctioning out debris that could compromise visualization. [0008]
  • Generally, the inventive endotracheal intubation device contains both a suction source and a light source. The light source is placed so that it shines proximal to the distal end of the endotracheal tube. The light source may be either fiberoptic or chemiluminescent in nature. It may be disposed to shine either axially or radially from the proximal end of the endotracheal tube towards its distal end. [0009]
  • The endotracheal intubation device may include a suction trocar encased in a lighted sleeve within an endotracheal tube, enabling an intubator to simultaneously visualize a patient's airway and suction out debris through the suction trocar. The light source for the lighted sleeve may be either fiberoptic or chemiluminescent in nature. [0010]
  • The endotracheal intubation device typically contains a suction trocar made out of a malleable material and encased in a lighted sleeve within an endotracheal tube, enabling an intubator to simultaneously visualize a patient's airway and suction out debris through the suction trocar. By bending the malleable trocar, an intubator may change the shape of the endotracheal tube. An example of a malleable material that may be used for construction of the trocar is aluminum. [0011]
  • The endotracheal intubation device may have the light source built into the endotracheal tube and disposed to shine light proximal to the distal end of an endotracheal tube. The light source of this invention may be either fiberoptic or chemiluminescent in nature and the light may be disposed to shine either axially or radially from the proximal end of the endotracheal tube towards its distal end. The invention may further include means for connection of the endotracheal tube to a suction source. [0012]
  • Finally, the inventive endotracheal intubation device preferably includes a ring of light-emitting material at the proximal end of an endotracheal tube as a light source. The light source may be either fiberoptic or chemiluminescent in nature. The invention may further include connection of the endotracheal tube to a suction source and may also further include a malleable wire within the endotracheal tube for adjusting the shape of the tube.[0013]
    • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIG. 1 is a perspective view of an endotracheal intubation device in accordance with the present invention having a suction trocar and a lighted sleeve for the suction trocar. [0014]
  • FIG. 2 is a perspective view of an endotracheal intubation device in accordance with the present invention having a light source built into the endotracheal tube and a separate connection to a suction source. [0015]
  • FIG. 3 is a perspective view of an endotracheal intubation device in accordance with the present invention having a chamber for inclusion of a chemiluminescent liquid, gel, or solid.[0016]
    • DETAILED DESCRIPTION OF THE INVENTION
  • Referring to the drawings by numerals of reference, there is shown in FIG. 1 an [0017] endotracheal intubation device 100 in accordance with the present invention. The invention includes an endotracheal tube 105 having a proximal end 130 and a distal end 135. The endotracheal tube includes an air injection tube 115 and an inflatable cuff 110. The invention further includes a suction trocar 125 which fits within a lighted sleeve 120. The suction trocar may be connected to a suction source (not shown). A preferred light source for the trocar sleeve is fiberoptic. Another preferred light source for the trocar sleeve is chemiluminescent. The suction trocar 125 may be made of a malleable material. A preferred malleable material for the suction trocar is aluminum, although polymeric materials such as polyethylene or polypropylene may also be used.
  • In FIG. 2 is shown another variation of an [0018] endotracheal intubation device 150 in accordance with the present invention. The invention includes an endotracheal tube 155 having a proximal end 200 and a distal end 205. The endotracheal tube includes an air injection tube 165 and an inflatable cuff 160. The invention further includes a light source 170 built into the endotracheal tube and a means for connecting the tube to a suction source 185. Flexible tubing 190 may be used to connect the endotracheal tube to a suction motor (not shown). The light source is disposed to shine axially or radially from the proximal end 200 to the distal end 205 of the endotracheal tube. A preferred shape for the light source is a ring of light emitting material. A preferred light source is fiberoptic. A fiberoptic power cord 175 may be used to connect the tube to a fiberoptic power source (not shown). Another preferred light source is chemiluminescent. The invention may further include a malleable wire 180 for adjusting the shape of the endotracheal tube.
  • The light emanating from the chemiluminescent light source may be carried from that source by optical fibers or fiberoptics implanted in the wall of the endotracheal tube and extending towards the distal end of the tube. The termination of the optical fibers may be adapted to shine light distally of the endotracheal tube. [0019]
  • FIG. 3 shows another [0020] variation 300 of the invention. This variation includes a chamber 302 for inclusion of a chemiluminescent liquid, gel, or solid. A preferred variation is the inclusion of an induced or catalyzed chemiluminescent material such as that sold in Cyalurone “Lightsticks.” An example of a chemiluminescent reaction is:
    Figure US20020162557A1-20021107-C00001
  • Modifications of the device described above that are apparent to one of nary skill in the art are intended to be within the scope of the claims that follow. [0021]

Claims (12)

We claim as our invention:
1. An endotracheal intubation device comprising:
a. an endotracheal tube having an endotracheal tube wall with a distal end; and
b. a chemiluminescent light source disposed to shine light at least distally of the distal end of the endotracheal tube.
2. The endotracheal intubation device of claim 1 further comprising a suction tube.
3. The endotracheal intubation device of claim 2 further comprising a suction source.
4. The endotracheal intubation device of claim 1 further comprising a suction trocar.
5. The endotracheal intubation device of claim 4 further wherein said suction trocar comprises a malleable material.
6. The endotracheal intubation device of claim 1 wherein said chemiluminescent material comprises a gel, liquid, or solid.
7. An endotracheal intubation device comprising:
a. an endotracheal tube having an endotracheal tube wall with a distal end;
b. a chemiluminescent light source; and
c. optical fibers implanted in the endotracheal tube wall adapted and positioned to shine light distally of the distal end of the endotracheal tube.
8. The endotracheal intubation device of claim 7 further comprising a suction tube.
9. The endotracheal intubation device of claim 8 further comprising a suction source.
10. The endotracheal intubation device of claim 7 further comprising a suction trocar.
11. The endotracheal intubation device of claim 10 further wherein said suction trocar comprises a malleable material.
12. The endotracheal intubation device of claim 7 wherein said chemiluminescent material comprises a gel, liquid, or solid.
US10/099,381 1999-08-04 2002-03-12 Endotracheal intubation device (II) Abandoned US20020162557A1 (en)

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US8157919B2 (en) 2009-02-06 2012-04-17 Endoclear, Llc Methods for removing debris from medical tubes
US8381345B2 (en) 2009-02-06 2013-02-26 Endoclear, Llc Devices for cleaning endotracheal tubes
US9445714B2 (en) 2010-03-29 2016-09-20 Endoclear Llc Endotracheal tube coupling adapters
US10004863B2 (en) 2012-12-04 2018-06-26 Endoclear Llc Closed suction cleaning devices, systems and methods
US10016575B2 (en) 2014-06-03 2018-07-10 Endoclear Llc Cleaning devices, systems and methods
US10149602B2 (en) 2011-07-11 2018-12-11 Ambu A/S Endobronchial tube with integrated image sensor and a cleaning nozzle arrangement
US10245402B2 (en) 2011-07-11 2019-04-02 Ambu A/S Endobronchial tube with integrated image sensor
US10478054B2 (en) 2016-02-12 2019-11-19 Ambu A/S Endotracheal tube with visualization capabilities and a laryngeal mask
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US6751818B2 (en) 2001-02-16 2004-06-22 Craig Troop Airway management apparatus and method
US6792943B2 (en) 2001-09-05 2004-09-21 Minnesota High-Tech Resources, Llc Intubating ventilatory face mask
AU2003225691A1 (en) * 2002-03-06 2003-09-22 James S. Simon Chemiluminescently illuminated medical appliances
ES2197004B1 (en) * 2002-04-11 2005-03-01 Francisco Hernandez Altemir, S.L. ENDOTRACHEAL TUBE.
CA2626787A1 (en) * 2005-09-30 2007-04-12 Angiodynamics, Inc. Implantable medical device
CA2690827C (en) 2007-07-02 2016-03-15 Frederic Supiez Endotracheal intubation device, tester and packaging
US8978657B2 (en) 2010-07-29 2015-03-17 Covidien Lp Dual-lumen tracheal tube with shaped lumen divider
US8998798B2 (en) 2010-12-29 2015-04-07 Covidien Lp Multi-lumen tracheal tube with visualization device
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US6189533B1 (en) 2001-02-20
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CA2435184A1 (en) 2002-07-25

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