WO2008069927A2 - Dispositif de fixation d'un tube endotrachéal - Google Patents

Dispositif de fixation d'un tube endotrachéal Download PDF

Info

Publication number
WO2008069927A2
WO2008069927A2 PCT/US2007/024426 US2007024426W WO2008069927A2 WO 2008069927 A2 WO2008069927 A2 WO 2008069927A2 US 2007024426 W US2007024426 W US 2007024426W WO 2008069927 A2 WO2008069927 A2 WO 2008069927A2
Authority
WO
WIPO (PCT)
Prior art keywords
tube
endotracheal tube
endotracheal
sleeve
rings
Prior art date
Application number
PCT/US2007/024426
Other languages
English (en)
Other versions
WO2008069927A3 (fr
WO2008069927A9 (fr
Inventor
Mario Castillo-Sang
Original Assignee
The University Of Toledo
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by The University Of Toledo filed Critical The University Of Toledo
Publication of WO2008069927A2 publication Critical patent/WO2008069927A2/fr
Publication of WO2008069927A3 publication Critical patent/WO2008069927A3/fr
Publication of WO2008069927A9 publication Critical patent/WO2008069927A9/fr

Links

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
    • A61M16/0488—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
    • A61M16/04—Tracheal tubes
    • A61M16/0488—Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/0497—Tube stabilizer

Definitions

  • This invention relates to endotracheal tubes and more specifically, to a means of attaching and securing endotracheal tubes.
  • the attaching means include external circumferential rings along the proximal portion of the endotracheal tube, and a ridged sleeve that are designed to mechanically secure twill tape or any other holding device which may than be secured around the neck of the patient.
  • Endotracheal tubes are inserted, or intubated, into a patient's trachea to provide a clear passage for air flow to the lungs, an endotracheal tube is particularly useful if the trachea has been crushed or damaged. Endotracheal tubes are also used during anesthesia to maintain an open air passage to the lungs.
  • many endotracheal tubes include an inflatable cuff which surrounds and is fixed near the distal end of the endotracheal tube. After the tube is inserted into the trachea, the cuff is inflated to prevent air from escaping around the outside of the tube and to prevent displacement of the tube.
  • the present invention is a modified endotracheal tube device, and a ridged sleeve that are designed to safely stay in position after intubation.
  • the object of this invention is to provide an endotracheal tube which after intubation into the trachea can be easy secured in place without cumbersome accessories and without blocking the patient's mouth.
  • the a ridged sleeve is an accessory that uses the same principles as the modified endotracheal tube as it will wrap around the portion of the endotracheal tube that remains outside of the mouth.
  • a further object is to provide a lightweight anchoring method to existing endotracheal tubes without major modifications or excessive expense.
  • the present invention accomplishes these objectives by utilizing a plurality of external circumferential rings that are secured on the proximal portion of the endotracheal tube, as well as on the sleeve accessory.
  • the rings are spaced apart equally, and provide for a mechanical means or stops for securing a cord or twill tape to the proximal end of the tube. The tape may then be secured to the patient to hold the tube in place.
  • Fig. 1 shows the endotracheal tube including circumferential rings and twill tape for locating the tube.
  • Fig. 2 show the alternate design endotracheal tube with a sinusoidal sleeve configuration.
  • the endotracheal tube of the present invention is shown in detail in Fig. 1.
  • the endotracheal tube assembly of the present invention may include an oral endotracheal tube 2 of flexible, bendable polyvinyl chloride plastic which is curved to conform generally to the shape of the oral cavity and trachea.
  • the tube may be a nasal endotracheal tube shaped to conform to the nasal cavity and trachea, or a tracheostomy tube shaped to conform to the trachea and project out of the tracheostomy incision.
  • the general shape of all three of the tubes and the lower portion of each tube is conventional.
  • a fourth form would be the accessory ridged sleeve that would wrap around the proximal portion of a standard endotracheal tube to help secure it.
  • the tube 2 has a proximal end 5 and a distal end 6.
  • endotracheal tubes are made in different sizes with inside diameters or lumens graduated in 0.5 millimeter increments from 2 millimeters to 5.5 millimeters for pediatric use and 6 millimeters to 11 millimeters for adults.
  • a standard adapter to which gas supply equipment may be connected is press fitted into the proximal or upper end of the tube.
  • the projecting portion of the adapter is somewhat larger in diameter than the tube.
  • a plurality of circumferential rings 4 are spaced evenly apart on the proximal end of the tube and on the accessory ridged sleeve.
  • the outer peripheral edges 6 and inner edges of the rings 4 preferably have a rounded or radiused shape to provide a smooth contour.
  • the smooth contour has been found to be beneficial to avoid injury to a patient during use and to reduce the possibility of the collection of unwanted secretions on the tube.
  • the accessory ridged sleeve will have the same configuration on the outside and it will be attached to the endotracheal tube outside the mouth by an adhesive.
  • the adhesive can be a sticker peels wherein the backing can be removed when it is desired to secure the sleeve to the endotracheal tube.
  • the adhesive is of a design to securely hold the sleeve in the desired position on the endotracheal tube.
  • the number of circumferential rings may be between 2 and 7 with 5 rings being the preferred number.
  • the rings have a peak height of between 0.5 to 4 millimeters; in practice it has been found that rings with a height of 2 millimeters are preferred.
  • the rings are between 2 and 10 millimeters wide with ideal width of approximately 6 millimeters.
  • the rings are spaced at a distance of approximately 5 to 15 millimeters apart on the tube; in practice it has been found that 8 millimeters apart is an effective spacing distance.
  • the rings are disposed to be in the area where the endotracheal tube exits the patient whether that is an oral, nasal, or tracheostomy cavity.
  • the circumferential rings 4 provide a mechanical means for securing twill tape, medical tape or elastic cord 3.
  • the tape, cord, or any other securing device are positioned on the tube 2 between the circumferential rings 4.
  • the rings act to locate the tape, cord, or any other securing device so that the tube 2 can be securely positioned on the patient by the tape or cord.
  • the tape or cord 3 is then secured to the patient to hold the endotracheal tube in place and prevent extubation.
  • Fig. 2 shows the endotracheal tube of the present invention with an alternate design incorporating a sinusoidal wave design instead of the previously described rings.
  • the sinusoidal rings 6 may be formed as an integral part of the endotracheal tube 2 or may be part of a sleeve 7 that fits over the tube 2 as shown in Fig. 2.
  • the sleeve 7 can use an adhesive to secure the sleeve to the endotracheal tube as previously discussed with the embodiment shown in Fig. 1.
  • a plurality of sinusoidal ridges and grooves are used to provide a mechanical means for securing twill tape or cord as described in Fig. 1.
  • the number of sinusoidal ridges in the design shown in Fig. 2 can range between 2 and 7 with 5 being the preferred number.
  • the ridges have a peak height of between 0.5 to 4 millimeters; in practice it has been found that a height of 2 millimeters is preferred.
  • the ridges are between 2 and 10 millimeters wide with an ideal width of approximately 6 millimeters.

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)
  • Otolaryngology (AREA)
  • Emergency Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

Tube endotrachéal avec anneaux périphériques externes, qui procurent des moyens pour fixer le tube au patient de manière à prévenir l'extubation accidentelle, ainsi qu'une gaine accessoire rigide ayant des nervures, qui peut être positionnée sur le tube. La gaine peut adhérer à la parie externe du tube endothrachéal et la gaine aura la même configuration externe que le tube endotrachéal modifié. La gaine peut utiliser un adhésif pour aider à fixer la gaine au tube.
PCT/US2007/024426 2006-11-27 2007-11-26 Dispositif de fixation d'un tube endotrachéal WO2008069927A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US86100906P 2006-11-27 2006-11-27
US60/861,009 2006-11-27

Publications (3)

Publication Number Publication Date
WO2008069927A2 true WO2008069927A2 (fr) 2008-06-12
WO2008069927A3 WO2008069927A3 (fr) 2008-07-31
WO2008069927A9 WO2008069927A9 (fr) 2008-09-18

Family

ID=39492795

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2007/024426 WO2008069927A2 (fr) 2006-11-27 2007-11-26 Dispositif de fixation d'un tube endotrachéal

Country Status (1)

Country Link
WO (1) WO2008069927A2 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106693137A (zh) * 2017-01-19 2017-05-24 区智凤 牙垫型管路固定器

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4527559A (en) * 1982-10-18 1985-07-09 Roxburg Dwight W Endotracheal tube anchoring mechanism
US20050133038A1 (en) * 2003-12-18 2005-06-23 Rutter Michael J. Adjustable collar and retainer for endotracheal tube
US20060174893A1 (en) * 2005-02-07 2006-08-10 Arthur Kanowitz Complete airway stabilization system and method

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4527559A (en) * 1982-10-18 1985-07-09 Roxburg Dwight W Endotracheal tube anchoring mechanism
US20050133038A1 (en) * 2003-12-18 2005-06-23 Rutter Michael J. Adjustable collar and retainer for endotracheal tube
US20060174893A1 (en) * 2005-02-07 2006-08-10 Arthur Kanowitz Complete airway stabilization system and method

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106693137A (zh) * 2017-01-19 2017-05-24 区智凤 牙垫型管路固定器

Also Published As

Publication number Publication date
WO2008069927A3 (fr) 2008-07-31
WO2008069927A9 (fr) 2008-09-18

Similar Documents

Publication Publication Date Title
US5443064A (en) Tracheostomy tube with adjustable neck plate
US6533761B2 (en) Catheter securing device and bite block
US5623921A (en) Laryngeal mask airway and method for its use
US20200215285A1 (en) Tracheal tube and suction device
RU2314836C2 (ru) Эндотрахеальная трубка, обеспечивающая точное определение давления на слизистую оболочку трахеи
AU2013329474B2 (en) Reversible airway device and related method for ventilating a subject
US5697365A (en) Endotracheal tube construction and method for intubating a patient
US4896667A (en) Endotracheal tube bite block
US20110073115A1 (en) Tracheal cuff for providing seal with reduced pressure on the tracheal walls
US8833373B2 (en) Nasally inserted airway opening device for obstructive sleep apnea treatment
US20050109344A1 (en) Retainer for laryngeal mask
US9126005B1 (en) Anesthesia breathing circuit tube support
WO2006055860A2 (fr) Appareil d'intubation endotracheale assurant une stabilite amelioree chez un patient intube
WO2008116045A2 (fr) Tube endotrachéal avec marqueur radiopaque d'extrémité distale
WO2015054530A1 (fr) Tube trachéal et dispositif d'aspiration
CN110496285A (zh) 一种软头可调鼻咽通气管
US20110265797A1 (en) Extendable tracheal tube
US9119927B1 (en) Apparatus and method for intubating humans and non-human animals
US10071212B1 (en) Endotracheal tube apparatus and method
KR20120099414A (ko) 기관절개 튜브로부터 부속품을 제거하는 시스템, 및 기관절개 튜브 및 이와 맞물린 부속품
WO2008069927A2 (fr) Dispositif de fixation d'un tube endotrachéal
CN213191929U (zh) 气管插管装置
CN209809243U (zh) 一种新型气管导管
CN210813252U (zh) 一种改良的口咽通气管
CN211096813U (zh) 可扩张性气管插管

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 07870909

Country of ref document: EP

Kind code of ref document: A2

NENP Non-entry into the national phase in:

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 07870909

Country of ref document: EP

Kind code of ref document: A2