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US953922A - Tracheal cannula or tube. - Google Patents

Tracheal cannula or tube. Download PDF

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Publication number
US953922A
US953922A US1907379466A US953922A US 953922 A US953922 A US 953922A US 1907379466 A US1907379466 A US 1907379466A US 953922 A US953922 A US 953922A
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Prior art keywords
tube
spring
cannula
handle
operating
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Expired - Lifetime
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John B Rogers
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JOHN B ROGERS
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John B Rogers
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/0497Tube stabilizer

Description

J. B. ROGERS.

TRAUHEAL GANNULA OR TUBE.

APPLICATION FILED JUNE 17, 1907 o a J m ,w T2 Wm M 1m. h W Q m a m w & M7. e a g JOHN B. ROGERS, OF YORK, MAINE.

TRACI'IEAL CANNULA OR TUBE.

Specification of Letters Patent.

Patented Apr. 5, 1910.

Application filed June 1'7, 1907. Serial No. 379,466.

T all whom it may concern:

Be it known that I, JOHN B. Roonns, a citizen of the United States, residing at York, county of York, and State of Maine, have invented certain new and useful Improvements in Tracheal Gannulas or Tubes, of which the following is a specification.

My invention relates to that part of surgical practice, known as tracheotomy, which signifies an opening made from without into the trachea, more commonly known as the wind-pipe. By this procedure the lives of many persons have been saved, in extreme cases of diphtheria, membranous croup, and like diseases in which sulfocative symptoms persist, and are urgent or frequently recur, as the result of the pressure of foreign matter in the air passage which cannot be speedily and readily removed through the mouth. When the imminence of suffocation is such as to demand haste in opening the trachea, it is obvious to those learned in the profession that the instrument which experience has shown to be indispensable is a suitable cannula or tube inserted therein for the purpose of giving the patient relief, and is also extremely desirable in after treatment to prevent premature closure of the new respiratory orifice. The tube which is most generally used, is a double curved one, approximately a quadrant of a circle. This construction, however, is open to objection on account of the inner tube being difficult to clean, very annoying to the patient while being removed or inserted into the outer tube, due to the extreme rigidity of the same. A further annoyance, owing to the smooth inner surface of the tubes which permits the foreign matter to work back and forth during respiration, causing a disagreeable, rattling sound. This foreign matter often accumulates at the lower extremity of the cannula or tube, and before it can be removed or thrown off, the patient expires. It is to obviate these conditions that the embodiment of my invention lies.

The object of my invention is to provide a cannula or tube in which is inserted a flexible member or helical spring, whose function is to retain foreign matter thereon, and prevent the same from dropping back into the trachea. This is for the purpose of removing the said foreign matter from the cannula or tube which would stop or retard respiration. The spring member also increases the efficiency of the cannula or tube, by reason of the fact that the air can circulate more freely around the spring and through the air passage and is less liable to retard respiration in contradistinction from the old method of using a secondary tube.

A further object of my invention is to provide an inner flexible member or spring which is adjustable relative to the length of the cannula or tube, and in extreme cases when large amounts of foreign matter collect below 'the tube, the said spring can be lowered into the trachea, and by rotating the said spring, the said foreign matter will follow .the convolutions of the spring in an upward direction until such a period in the operation is reached that the spring can be removed, carrying with it the above mentioned matter.

In the accompanying drawings, which represent one embodiment of my invention: Figure 1 illustrates my tracheal cannula or tube, located in the trachea of the patient. Fig. 2 shows a vertical section through the cannula or tube, with the spring member in full. Fig. 3 is a plan of the same. Fig. 4 is a fragmentary View illustrating the clamping device. Fig. 5 is a section on line 5, Fig. 3.

Referring to the drawings, and in detail, 1 represents an operating table,2 a patient having been placed in position, and an operation having taken place.

4 is the trachea or wind-pipe in which there is an orifice 3. Located in the trachea 4, is a cannula or tube 6, provided with a respiratory air passage A, the operation of which will be described hereinafter. Located in the cannula or tube 6 is a helical spring 7 which extends upwardly and is secured to an operating handle 8. Y The upper extremity of the cannula ortube 6 is formed into a flange 9. Integral with theflange 9 are outwardly extending projections 10 and 11. These projections, 10 and 11, cooperate with loops 12 and 13, which are integral with the shield 14. Punched in the shield 14 are holes 15 and 16, which permit the cord 17 to be tied to the said shield. By this construction, the cannula or tube 6 is securely fastened to the patients neck. The loops 12 and 13 are punched to a raised position, as illustrated in Fig. 5, with sufficient room to allow the projections 12, and 18 a free movement, thereby permitting the cannula or tube 6 to adjust itself to the trachea 4:, and still be securely retained to the shield lt.

The operating handle 8 is provided with a knurled gripping knob 25. This is for the purpose of rotating or removing the spring 7 in or from the cannula or tube 6. Cut in the operating handle 8, are longitudinal slots 26, adapted to make it radially flexible. Concentrlc with the operating handle 8 is a clamping collar 27. The close wound portion 28 of the spring 7 is placed in the operating handle 8, and the clamping collar 27 is manually forced against the tapered portion 29 of the operating handle 8. This operation causes the slotted portion to be forced inwardly against the spring 7, thereby securely clamping them together. This construction is for the purpose of adjusting the spring 7 to any reasonable desired length relative to the cannula or tube 6, as the circumstances may dictate.

Having thus described my invention in detail, we will now consider the operation thereof.

The patient 2 is properly placed in position on a suitable operating table 1. The patient being in position, the operator causes the skin to be made somewhat taut, and with a suitable instrument an incision is made therein. As the dissection deepens, the underlying tissues are separated, thereby exposing the trachea or wind-pipe 4:. At this stage of the operation, providing every precaution has been taken, an incision is made in the trachea or Wind-pipe 4, in which is inserted the tracheal cannula or tube 6, which in turn is securely fastened to the patients neck by means of the cord 17. The shield 1a being held rigidly in position by the cord 17, and the cannula or tube 6 retained in position by means of the loop 0011- nections, permits the cannula or tube 6 to adjust itself to the trachea without discomfort to the patient. The embodiment of my invention lies in the fact that the inner member 7 is constructed of a flexible material of a spring construction whereby it will adjust itself to the curved contour of the outer cannula or tube 6, without previous calculation as to manufacture. The tendency of the spring 7, located in the cannula or tube 6, is to assume aposition in a straight line, thereby causing suflicient friction to retain it in position and also to eliminate rattling or noises between the said members 6 and 7. The operating handle 8, to which the spring 7 is secured, limits the downward movement of the said spring 7 while being inserted into the cannula or tube 6. The construction of the spring 7 permits the foreign matter to lodge between its convolutions, thereby preventing the said foreign matter from dropping back into the trachea or Windpipe 4:.

It is obvious that after foreign matter has accumulated between the convolutions of the spring 7, suflicient to retard respiration, the spring 7 can be removed, cleaned and returned to the cannula or tube 6 with ease, rapidity and no discomfort to the patient. Should the accumulation of foreign matter in the trachea be sutlicient in volume to clog the lower extremity of the cannula or tube 6, instant relief can be obtained by lengthening the spring 7, and turning it in the direction which would cause the foreign matter to follow the convolutions of the spring upwardly to a position inside the cannula or tube 6, at which time the spring 7 can be removed carrying with it the above mentioned foreign matter. To adjust the spring 7, move the collar 27 upwardly until it is loose on the operating handle 8. Locate the spring 7 to any desired position, then force the collar 27 downwardly onto the tapered slotted portion of the said operating handle 8. By this operation, the spring 7 is rigidly secured to the operating handle 8.

In accordance with the provisions of the patent statutes, I have described the principle of operation of my invention, together with the apparatus which I now consider to be the best embodiment thereof; but I desire to have it understood that the apparatus shown is only illustrative, and that the invention can be carried out by other means.

IVhat I claim as new, and desire to secure by Letters Patent of the United States, is:

1. In a tracheal cannula or tube, the combination of a tube, a helical spring inserted therein, a handle for the purpose of looking and operating said spring, and means for securely adjusting said handle relative to said spring for the purpose herein described.

2. In a tracheal cannula or tube, the combination of a tube, a helical spring inserted therein, an operating and adjusting handle, said handle having longitudinal slots therein, adapted to provide a certain flexibility, and means for forcing the slotted member against the spring, for the purpose herein described.

3. In a tracheal cannula or tube, the combination of a tube, a helical spring, an operating and adjusting handle, said handle being tapered and having longitudinal slots cut therein, a clamping collar cooperating with said taper, thereby locking the handle to said spring for the purpose herein described.

4:. In a tracheal cannula or tube, the combination of a tube, a flange provided with outwardly extended projections integral therewith, a shield loosely connected thereto, a helical spring inserted in said tube, an operating and adjusting handle provided wit-h a taper and slots, and a clamping collar for locking said handle to said spring.

5. In a tracheal cannula or tube, the comsigned my name this 25th day of May, 1907, bination of a tube, a helical spring inserted in the presence of two witnesses. therein, a handle located on said spring, a

shoulder on said handle, cooperating with JOHN ROGERS 5 said tube, for the purpose of limiting the Witnesses:

downward movement of said spring. C. H. VVENTWORTH,

In testimony whereof I have hereunto WM. A. H. GOODWIN.

US953922A 1907-06-17 1907-06-17 Tracheal cannula or tube. Expired - Lifetime US953922A (en)

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Cited By (33)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2543780A (en) * 1946-12-09 1951-03-06 Herbert E Hipps Bone graft apparatus
US2923299A (en) * 1957-10-17 1960-02-02 Robert C Blackwood Tracheostomy tube device
US3738365A (en) * 1969-07-22 1973-06-12 R Schulte Spring reinforced extensible catheter
US4235229A (en) * 1979-06-06 1980-11-25 Sherwood Medical Industries Inc. Adjustable tracheostomy tube assembly
WO1986003127A1 (en) * 1984-11-21 1986-06-05 T P International Corporation Transtracheal catheter system and method
US5090408A (en) * 1985-10-18 1992-02-25 Bryan T. Spofford Transtracheal catheter system and method
US5361754A (en) * 1993-01-25 1994-11-08 Mallinckrodt Medical, Inc. Apparatus and method for connecting a tracheostomy tube to a neckplate
US20040024356A1 (en) * 2002-07-31 2004-02-05 Don Tanaka Long term oxygen therapy system
EP1393760A1 (en) 2002-08-28 2004-03-03 Cordis Corporation Fluid trap system
US20040225254A1 (en) * 2003-05-07 2004-11-11 Don Tanaka Localized pleurodesis chemical delivery
US20040231674A1 (en) * 2003-05-20 2004-11-25 Don Tanaka Intra/extra-thoracic collateral ventilation bypass system
US20040237966A1 (en) * 2003-05-29 2004-12-02 Don Tanaka Methods and devices to assist pulmonary decompression
EP1484034A2 (en) 2003-06-03 2004-12-08 Cordis Corporation Lung reduction system
US20040244803A1 (en) * 2003-06-05 2004-12-09 Don Tanaka Intra-thoracic collateral ventilation bypass system
US20050025816A1 (en) * 2003-07-15 2005-02-03 Don Tanaka Methods and devices to accelerate wound healing in thoracic anastomosis applications
US20050161040A1 (en) * 2003-07-03 2005-07-28 Don Tanaka Collateral ventilation bypass trap system
EP1658867A1 (en) 2004-11-19 2006-05-24 Nitinol Development Corporation Localized pleurodesis evacuation device
US20060118126A1 (en) * 2004-11-19 2006-06-08 Don Tanaka Methods and devices for controlling collateral ventilation
US20060118125A1 (en) * 2004-11-19 2006-06-08 Don Tanaka Pulmonary drug delivery
US20060124126A1 (en) * 2004-12-10 2006-06-15 Don Tanaka Collateral ventilation device with chest tube/evacuation features
EP1757322A1 (en) 2005-08-23 2007-02-28 Nitinol Development Corporation Collateral ventilation bypass system with retention features
US20070163598A1 (en) * 2006-01-17 2007-07-19 Asia Chang Variable resistance pulmonary ventilation bypass valve
US20080281295A1 (en) * 2007-05-11 2008-11-13 Portaero, Inc. Visceral pleura ring connector
US20080283065A1 (en) * 2007-05-15 2008-11-20 Portaero, Inc. Methods and devices to maintain patency of a lumen in parenchymal tissue of the lung
US20080287878A1 (en) * 2007-05-15 2008-11-20 Portaero, Inc. Pulmonary visceral pleura anastomosis reinforcement
US20080295829A1 (en) * 2007-05-30 2008-12-04 Portaero, Inc. Bridge element for lung implant
US20090205644A1 (en) * 2008-02-19 2009-08-20 Portaero, Inc. Pneumostoma management system for treatment of chronic obstructive pulmonary disease
US20090205641A1 (en) * 2008-02-19 2009-08-20 Portaero, Inc. Pneumostoma management device and method for treatment of chronic obstructive pulmonary disease
US20100170507A1 (en) * 2009-01-08 2010-07-08 Portaero, Inc. Pneumostoma management device with integrated patency sensor and method
US20100204707A1 (en) * 2009-02-11 2010-08-12 Portaero, Inc. Surgical instruments for creating a pneumostoma and treating chronic obstructive pulmonary disease
US20100286544A1 (en) * 2008-02-19 2010-11-11 Portaero, Inc. Methods and devices for assessment of pneumostoma function
US8062315B2 (en) * 2007-05-17 2011-11-22 Portaero, Inc. Variable parietal/visceral pleural coupling
US8163034B2 (en) 2007-05-11 2012-04-24 Portaero, Inc. Methods and devices to create a chemically and/or mechanically localized pleurodesis

Cited By (96)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2543780A (en) * 1946-12-09 1951-03-06 Herbert E Hipps Bone graft apparatus
US2923299A (en) * 1957-10-17 1960-02-02 Robert C Blackwood Tracheostomy tube device
US3738365A (en) * 1969-07-22 1973-06-12 R Schulte Spring reinforced extensible catheter
US4235229A (en) * 1979-06-06 1980-11-25 Sherwood Medical Industries Inc. Adjustable tracheostomy tube assembly
WO1980002645A1 (en) * 1979-06-06 1980-12-11 Sherwood Medical Ind Inc Adjustable tracheostomy tube assembly
WO1986003127A1 (en) * 1984-11-21 1986-06-05 T P International Corporation Transtracheal catheter system and method
US5090408A (en) * 1985-10-18 1992-02-25 Bryan T. Spofford Transtracheal catheter system and method
US5361754A (en) * 1993-01-25 1994-11-08 Mallinckrodt Medical, Inc. Apparatus and method for connecting a tracheostomy tube to a neckplate
US5778877A (en) * 1993-01-25 1998-07-14 Mallinckrodt Medical, Inc. Apparatus and method for connecting a tracheostomy tube to a neckplate
US20040024356A1 (en) * 2002-07-31 2004-02-05 Don Tanaka Long term oxygen therapy system
EP1393760A1 (en) 2002-08-28 2004-03-03 Cordis Corporation Fluid trap system
US8029492B2 (en) 2003-05-07 2011-10-04 Portaero, Inc. Method for treating chronic obstructive pulmonary disease
US20040225254A1 (en) * 2003-05-07 2004-11-11 Don Tanaka Localized pleurodesis chemical delivery
US7828789B2 (en) 2003-05-07 2010-11-09 Portaero, Inc. Device and method for creating a localized pleurodesis and treating a lung through the localized pleurodesis
US7811274B2 (en) 2003-05-07 2010-10-12 Portaero, Inc. Method for treating chronic obstructive pulmonary disease
US20080188824A1 (en) * 2003-05-07 2008-08-07 Portaero, Inc. Implantable device and method for creating a localized pleurodesis and treating a lung through the localized pleurodesis
US20080188809A1 (en) * 2003-05-07 2008-08-07 Portaero, Inc. Device and method for creating a localized pleurodesis and treating a lung through the localized pleurodesis
US7789083B2 (en) 2003-05-20 2010-09-07 Portaero, Inc. Intra/extra thoracic system for ameliorating a symptom of chronic obstructive pulmonary disease
EP1481650A2 (en) 2003-05-20 2004-12-01 Cordis Corporation Intra/extra-thoracic collateral ventilation bypass system
US20040231674A1 (en) * 2003-05-20 2004-11-25 Don Tanaka Intra/extra-thoracic collateral ventilation bypass system
US7426929B2 (en) 2003-05-20 2008-09-23 Portaero, Inc. Intra/extra-thoracic collateral ventilation bypass system and method
US20040237966A1 (en) * 2003-05-29 2004-12-02 Don Tanaka Methods and devices to assist pulmonary decompression
US7533667B2 (en) 2003-05-29 2009-05-19 Portaero, Inc. Methods and devices to assist pulmonary decompression
US7896008B2 (en) 2003-06-03 2011-03-01 Portaero, Inc. Lung reduction system
US20040244802A1 (en) * 2003-06-03 2004-12-09 Don Tanaka Lung reduction system
EP1484034A2 (en) 2003-06-03 2004-12-08 Cordis Corporation Lung reduction system
US20070270776A1 (en) * 2003-06-03 2007-11-22 Respira, Inc. Lung reduction system
US7252086B2 (en) 2003-06-03 2007-08-07 Cordis Corporation Lung reduction system
US7377278B2 (en) 2003-06-05 2008-05-27 Portaero, Inc. Intra-thoracic collateral ventilation bypass system and method
US7753052B2 (en) 2003-06-05 2010-07-13 Portaero, Inc. Intra-thoracic collateral ventilation bypass system
US20040244803A1 (en) * 2003-06-05 2004-12-09 Don Tanaka Intra-thoracic collateral ventilation bypass system
US7195017B2 (en) 2003-07-03 2007-03-27 Cordis Corporation Collateral ventilation bypass trap system
US20050161040A1 (en) * 2003-07-03 2005-07-28 Don Tanaka Collateral ventilation bypass trap system
US7682332B2 (en) 2003-07-15 2010-03-23 Portaero, Inc. Methods to accelerate wound healing in thoracic anastomosis applications
US20100129420A1 (en) * 2003-07-15 2010-05-27 Portaero, Inc. Methods and devices to accelerate wound healing in thoracic anastomosis applications
US20050025816A1 (en) * 2003-07-15 2005-02-03 Don Tanaka Methods and devices to accelerate wound healing in thoracic anastomosis applications
US8323230B2 (en) 2003-07-15 2012-12-04 Portaero, Inc. Methods and devices to accelerate wound healing in thoracic anastomosis applications
US8220460B2 (en) 2004-11-19 2012-07-17 Portaero, Inc. Evacuation device and method for creating a localized pleurodesis
US20060118126A1 (en) * 2004-11-19 2006-06-08 Don Tanaka Methods and devices for controlling collateral ventilation
US20060107961A1 (en) * 2004-11-19 2006-05-25 Don Tanaka Localized pleurodesis evacuation device
US7398782B2 (en) 2004-11-19 2008-07-15 Portaero, Inc. Method for pulmonary drug delivery
EP1658867A1 (en) 2004-11-19 2006-05-24 Nitinol Development Corporation Localized pleurodesis evacuation device
US20060118125A1 (en) * 2004-11-19 2006-06-08 Don Tanaka Pulmonary drug delivery
US7824366B2 (en) 2004-12-10 2010-11-02 Portaero, Inc. Collateral ventilation device with chest tube/evacuation features and method
US20060124126A1 (en) * 2004-12-10 2006-06-15 Don Tanaka Collateral ventilation device with chest tube/evacuation features
US8104474B2 (en) 2005-08-23 2012-01-31 Portaero, Inc. Collateral ventilation bypass system with retention features
EP1757322A1 (en) 2005-08-23 2007-02-28 Nitinol Development Corporation Collateral ventilation bypass system with retention features
US20070051372A1 (en) * 2005-08-23 2007-03-08 Don Tanaka Collateral ventilation bypass system with retention features
US7686013B2 (en) 2006-01-17 2010-03-30 Portaero, Inc. Variable resistance pulmonary ventilation bypass valve
US7726305B2 (en) 2006-01-17 2010-06-01 Portaero, Inc. Variable resistance pulmonary ventilation bypass valve
US7406963B2 (en) 2006-01-17 2008-08-05 Portaero, Inc. Variable resistance pulmonary ventilation bypass valve and method
US20070163598A1 (en) * 2006-01-17 2007-07-19 Asia Chang Variable resistance pulmonary ventilation bypass valve
US7931641B2 (en) 2007-05-11 2011-04-26 Portaero, Inc. Visceral pleura ring connector
US20080281295A1 (en) * 2007-05-11 2008-11-13 Portaero, Inc. Visceral pleura ring connector
US8163034B2 (en) 2007-05-11 2012-04-24 Portaero, Inc. Methods and devices to create a chemically and/or mechanically localized pleurodesis
US20080287878A1 (en) * 2007-05-15 2008-11-20 Portaero, Inc. Pulmonary visceral pleura anastomosis reinforcement
US20100147295A1 (en) * 2007-05-15 2010-06-17 Portaero, Inc. Devices and methods to create and maintain the patency of an opening relative to parenchymal tissue of the lung
US20080283065A1 (en) * 2007-05-15 2008-11-20 Portaero, Inc. Methods and devices to maintain patency of a lumen in parenchymal tissue of the lung
US20100147294A1 (en) * 2007-05-15 2010-06-17 Portaero, Inc. Devices and methods to maintain the patency of an opening relative to parenchymal tissue of the lung
US8062315B2 (en) * 2007-05-17 2011-11-22 Portaero, Inc. Variable parietal/visceral pleural coupling
US20080295829A1 (en) * 2007-05-30 2008-12-04 Portaero, Inc. Bridge element for lung implant
US20090209924A1 (en) * 2008-02-19 2009-08-20 Portaero, Inc. Enhanced pneumostoma management device and methods for treatment of chronic obstructive pulmonary disease
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US20090205644A1 (en) * 2008-02-19 2009-08-20 Portaero, Inc. Pneumostoma management system for treatment of chronic obstructive pulmonary disease
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US20090205643A1 (en) * 2008-02-19 2009-08-20 Portaero, Inc. Accelerated two-phase surgical procedure for creating a pneumostoma to treat chronic obstructive pulmonary disease
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