WO2016114643A1 - Endotracheal tube fastener for paediatric patients - Google Patents

Endotracheal tube fastener for paediatric patients Download PDF

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Publication number
WO2016114643A1
WO2016114643A1 PCT/MX2015/000012 MX2015000012W WO2016114643A1 WO 2016114643 A1 WO2016114643 A1 WO 2016114643A1 MX 2015000012 W MX2015000012 W MX 2015000012W WO 2016114643 A1 WO2016114643 A1 WO 2016114643A1
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WO
WIPO (PCT)
Prior art keywords
slider
endotracheal tube
arch
clamp
pediatric patients
Prior art date
Application number
PCT/MX2015/000012
Other languages
Spanish (es)
French (fr)
Inventor
Ramsés GALAZ MENDEZ
Rafael MARTÍNEZ VASQUEZ
Alicia DE HOYOS REYES
Adriana TORRES FLORES
Original Assignee
SILLER GONZALEZ, Andrea
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.)
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Application filed by SILLER GONZALEZ, Andrea filed Critical SILLER GONZALEZ, Andrea
Publication of WO2016114643A1 publication Critical patent/WO2016114643A1/en

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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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C5/00—Filling or capping teeth
    • A61C5/90—Oral protectors for use during treatment, e.g. lip or mouth protectors
    • 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
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02—Holding devices, e.g. on the body

Definitions

  • the present invention relates to an endotracheal tube bra for pediatric patients who require respiratory intubation during their hospital stay, specifically the invention provides a bra with a shape tailored to patients that prevents damage to the skin and the aggregation of saliva and fluids in the facial area, the present bra has been improved for the care of pediatric patients in order to avoid the classic problems of the current methods that cause infections.
  • this invention is configured in such a way that a part of the fixing tube is spiral and has elasticity as it is formed of a synthetic resin or a metallic material, which is in contact with the patient's face.
  • the invention also comprises a protuberance for fixation and an adhesive material on an inner surface of the fixing portion of the tube, which has elastic property, so that even when the trachea insertion tube receives an external lateral inclination, the tube of Tracheal insertion does not fold and folds gently, so that interruption of artificial respiration generated by tube folding can be prevented.
  • American application ⁇ with number ÜS2014261462 describes a device for holding an endotracheal tube, which has a sliding rail configured to fit the lip on a patient's face;
  • the rail has a portion that is in contact with the patient's face and an exposed face, and a pair of opposite ends; the tube holder is coupled and slidable along the rail; it also has a positioning mechanism that is released or blocked to allow selective lateral repositioning of the tube support and an endotracheal tube maintained by it along the rail and to retain the tube support in a selected position along of the rail without removing the patient device.
  • US2014238406 provides a front plate assembly and a front plate frame that is mounted on a patient's face, and a bite block that holds an endotracheal tube, which is extends into a patient's trachea to assist breathing; The tube is easily mounted on the bite block and can be moved laterally to reduce discomfort on the patient's lips.
  • application number US2012168571 provides an endotracheal tube support that allows the adjustment of the position of an endotracheal tube during use;
  • the tube holder comprises an elongated body and a elongated opening, also comprises a tube grip mechanism and a fixing mechanism to securely secure the tube grip mechanism to the body.
  • the fixing mechanism comprises a rod configured to pass through the elongated opening, a proximal body connected to a proximal end of a rod and a widened distal body attached to a distant end! of the stem, which has a size that prevents the enlarged distal body from passing through the elongated opening to fix the locking mechanism to the body part of the device.
  • FIGURE 1 Lateral perspective view of the endotracheal tube holder for pediatric patients comprising the arch and the two-part slider.
  • FIGURE 2 Lateral perspective view of the endotracheal tube holder for pediatric patients comprising the arch and the slide with the protrusion indicated to rest the endotracheal tube.
  • FIGURE 3 Front view of the tube holder, comprised of the facial support arch and the two-piece slider, showing the hydrophobic sponge with the delineated hypoallergenic adhesive on the rounded part of the facial support arch.
  • FIGURE 4 Front view of the fastener object of the present invention, comprised of the facial support bow and the slider, showing the hydrophobic sponge with the hypoallergenic adhesive eyeliner on the rounded part of the facial support arch
  • FIGURE 5 Side view of the bra, comprised of the facial support bow and the two-piece slider, showing the slider clamp and the protrusion for the grip of the slider by the doctor.
  • FIGURE 6 Lateral view of the fastener, comprised of the facial support bow and the slider, showing the protrusion of the slider for the rest of the endotrachial tube and the protrusion for the grip of the slider by the doctor.
  • FIGURE 7 Perspective view of the slider when it is composed of the clamp, showing the place where it fits in the slider body.
  • FIGURE 8 Side view of the slider where its elements are appreciated.
  • FIGURE 9 Perspective view of the bra comprised by the facial support arch, the slider and the clamp.
  • FIGURE 10 Perspective view of the bra comprised by the facial support bow and the slider.
  • FIGURE 11 Side view of a patient using the endotracheal tube clamping device in the zygomatic region of the face.
  • FIGURE 12 Isometric view of a patient with the endotracheal tube holder, where you can see the space that is formed between the patient's mouth so that the tube is not strangled.
  • the endotracheal tube holder for pediatric patients is comprised of a patient fastener element (1) in front called the facial restraint arch (1), and a sliding element over the front arch called flexible polyurethane material with concave geometry that can be adjusted to the patient's face measurements;
  • the slider comprises two sections, which together form a clamp (3), which supports the endotracheal tube (3);
  • the facial restraint arch (1) has the function of adhering the fastener to the patient in the zygomatic region so that in each of the distal parts of the arch (1) it has a rounded widening (4), preferably forming two circular surfaces, one at each end of the arch, said circular surfaces having a larger area, are able to distribute the adhesion and thus provide a better fixation of the arch on the zygomatic region of the patient.
  • An adhesion medium (5) is located on the inner surface of each of the rounded extensions (4), said medium is a hydrophobic or non-hydrophobic padded sponge, which contains a non-irritating hypoallergenic adhesive (6) to avoid damaging the skin of the patient and thus avoid the accumulation of saliva or other fluids in the area, detailed in figure 3 and in figure 4, the adhesive (6) is covered with a protective paper of easy detachment; on the periphery of the facial support arch (1) and prior to each of the rounded widenings (4) there are two stops (7) protruding from the arc, said stops delimit the area through which the slider can move over the arc and prevent said slider from leaving the face holding maple (1), the space between both stops allows the slider to be gently pushed by the personal doctor to the position considered as the ideal to fix the tube correctly.
  • the facial support arch (1) has a size such that it provides sufficient space between the patient's face and the slider where the tube will rest because in this way it is ensured that the tube does not bend and that the patient does not have the others parts of the device near his face, thus avoiding strangulations of the tube that could occur with changes in the patient's position.
  • the facial restraint arch (1) can change dimensions to fit the anthropometric measurements of patients from premature to adolescent.
  • the slider (2) has the function of holding the endotracheal tube in a proper position, ensuring that it does not move once placed, avoiding axial movements of the tube that could damage the patient or extubate it, but at the same time allowing medical personnel to easily remove the tube if required, the preferred placement of the invention can be seen in Figures 11 and 12.
  • the slider can be formed in one piece. contain in its upper part a projection without edges of 5 ° to 45 ° of the horizontal (8) (in the same plane of the fastener) with a length sufficient to increase the contact area where the endotracheal tube can rest and medical personnel can adhere it with tape.
  • the slider is comprised of two parts, where a clamp (3) with a concave groove can be embedded in the upper part of the slider (9) by means of a mechanical anchoring mechanism or by means of adhesion and which in the slit that it possesses can contain a sponge of silicone (10) that allows the endotracheal tube to be held without being ⁇ strangled but fixed by the thickness of the sponge.
  • the groove of the clamp is 5 ° to 45 ° from the horizontal (in the same plane of the device) with a length sufficient for a correct grip of the endotracheal tube.
  • the slider has a "C" shape (11) that fits over the facial support arch and allows it to move along the rail delimited by the stops.
  • the slider has an oval and rounded protrusion in its anterior part (with respect to the patient) (12), shown in Figure 5 and Figure 6, which allows the correct grip of the piece by medical personnel to remove it and for the endotracheal tube to leave without strangling from the patient's mouth.

Abstract

The invention relates to an endotracheal tube fastener for paediatric patients that require respiratory intubation during a hospital stay. More specifically, the invention relates to a fastener having a form that can be adapted to the patient's measurements, which prevents injury to the skin and the build-up of saliva and fluids in the facial area. The fastener of the invention has been improved for use in the care of paediatric patients so as to prevent the classic problems associated with current methods that can cause infections.

Description

SUJETADOR DE TUBO ENDOTRAQUEAL PARA PACIENTES PEDIÁTRICOS  ENDOTRAQUEAL TUBE HOLDER FOR PEDIATRIC PATIENTS
DESCRIPCIÓN OBJETO DE LA INVENCIÓN DESCRIPTION OBJECT OF THE INVENTION
La presente invención se refiere a un sujetador de tubo endotraqueal para pacientes pediátricos que requieran de una intubación respiratoria durante su estancia hospitalaria, concretamente la invención provee · un sujetador con una forma hecha a la medida de los pacientes que evite daños' en la piel y la agregación de saliva y de fluidos en el área facial, el presente sujetador ha sido mejorado para el cuidado de pacientes pediátricos con el fin de evitar los clásicos problemas de los métodos actuales causantes de infecciones.  The present invention relates to an endotracheal tube bra for pediatric patients who require respiratory intubation during their hospital stay, specifically the invention provides a bra with a shape tailored to patients that prevents damage to the skin and the aggregation of saliva and fluids in the facial area, the present bra has been improved for the care of pediatric patients in order to avoid the classic problems of the current methods that cause infections.
ANTECEDENTES BACKGROUND
En los últimos años se han desarrollado distintos dispositivos con el fin de evitar los problemas ocasionados el procedimiento de intubación, uno de ellos se detalla en la solicitud internacional con número 0201 168372 , la cual se refiere a un aparato para la fijación de un tubo de inserción tráquea, el cual fija un tubo de inserción que se inserta en la tráquea para asegurar una vía respiratoria de un paciente y mantener la respiración de un paciente que está baje respiración, artificial y anestesia general dentro de una unidad de cuidados intensivos con el fin de proteger la vida del paciente. Aunque la inserción de un tubo de tráquea se realiza por lo general usando una tira de fijación, a veces, este método de fijación es inconveniente, ya que la tira se separa fácilmente debido a la humedad de la saliva o la sangre, o porque el tubo se mueve o se separa debido al movimiento por lo que se convierte en un peligro para el paciente; con el fin de resolver este problema esta invención está configurada de tal manera que una parte del tubo de fijación está en espiral y cuenta con elasticidad al estar formado de una resina sintética o un material metálico, la cual está en contacto con la cara del paciente, la invención también comprende una protuberancia para fijación y un material adhesivo sobre una superficie interior de la porción de fijación del tubo, la cual tiene propiedad elástica, de modo que incluso cuando el tubo de inserción tráquea recibe una inclinación lateral externa, el tubo de inserción tráquea no se pliega y se dobla suavemente, por lo que se puede prevenir la interrupción de la respiración artificial generada por el plegamiento del tubo. In recent years different devices have been developed in order to avoid the problems caused by the intubation procedure, one of them is detailed in the international application with number 0201 168372, which refers to an apparatus for fixing a tube of tracheal insertion, which fixes an insertion tube that is inserted into the trachea to secure a patient's airway and maintain a patient's breathing that breathing, artificial respiration and general anesthesia are inside an intensive care unit in order to protect the patient's life. Although the insertion of a trachea tube is usually done using a fixation strip, sometimes, this method of fixation is inconvenient, since the strip separates easily due to the humidity of the saliva or blood, or because the tube moves or separates due to movement so it becomes a danger to the patient; In order to solve this problem, this invention is configured in such a way that a part of the fixing tube is spiral and has elasticity as it is formed of a synthetic resin or a metallic material, which is in contact with the patient's face. , the invention also comprises a protuberance for fixation and an adhesive material on an inner surface of the fixing portion of the tube, which has elastic property, so that even when the trachea insertion tube receives an external lateral inclination, the tube of Tracheal insertion does not fold and folds gently, so that interruption of artificial respiration generated by tube folding can be prevented.
La solicitud ■ americana con número ÜS2014261462 describe un dispositivo para sujetar un tubo endotraqueal , el cual cuenta con un riel de deslizamiento configurado para adaptarse al labio en la cara de un paciente; el riel tiene una porción que está en contacto con la cara del paciente y una cara expuesta, y un par de extremos opuestos; el soporte del tubo está acoplado y es deslizable a lo largo del riel; también posee un mecanismo de pos icionamiento que se libera o bloquea para permitir el repos icionamiento selectivo lateral del soporte del tubo y un tubo endotraqueal mantenido por el mismo a lo largo del riel y para retener el soporte del tubo en una posición seleccionada a lo largo del riel sin retirar el dispositivo del paciente. American application ■ with number ÜS2014261462 describes a device for holding an endotracheal tube, which has a sliding rail configured to fit the lip on a patient's face; The rail has a portion that is in contact with the patient's face and an exposed face, and a pair of opposite ends; the tube holder is coupled and slidable along the rail; it also has a positioning mechanism that is released or blocked to allow selective lateral repositioning of the tube support and an endotracheal tube maintained by it along the rail and to retain the tube support in a selected position along of the rail without removing the patient device.
Otra solicitud de patente también de origen americano es la número US2014238406 , que provee un conjunto de placa frontal y un bastidor de placa frontal que se monta en la cara de un paciente, y un bloque de mordida que sujeta un tubo endotraqueal, el cual se extiende en la tráquea de un paciente para asistir su respiración; el tubo se monta fácilmente en el bloque de mordida y puede ser desplazado lateralmente para reducir las molestias en los labios del paciente . Another patent application also of American origin is the number US2014238406, which provides a front plate assembly and a front plate frame that is mounted on a patient's face, and a bite block that holds an endotracheal tube, which is extends into a patient's trachea to assist breathing; The tube is easily mounted on the bite block and can be moved laterally to reduce discomfort on the patient's lips.
Asimismo la solicitud número US2012168571 proporciona un soporte del tubo endotraqueal que permite el ajuste de la posición de un tubo endotraqueal durante el uso; el soporte del tubo comprende un cuerpo alargado y una abertura alargada, comprende también un mecanismo.de agarre del tubo y un mecanismo de fijación para asegurar de forma ajustable el mecanismo de agarre del tubo al cuerpo. El mecanismo de fijación comprende una varilla configurada para pasar a través de la abertura alargada, un cuerpo proximal conectado a un extremo proximal de un vástago y un cuerpo distal ensanchado unido a un extremo dista! del vástago, que tiene un tamaño que impide que el cuerpo distal ensanchado pase a través de la abertura alargada para fijar el mecanismo de fijación a la parte de cuerpo del dispositivo. Also, application number US2012168571 provides an endotracheal tube support that allows the adjustment of the position of an endotracheal tube during use; the tube holder comprises an elongated body and a elongated opening, also comprises a tube grip mechanism and a fixing mechanism to securely secure the tube grip mechanism to the body. The fixing mechanism comprises a rod configured to pass through the elongated opening, a proximal body connected to a proximal end of a rod and a widened distal body attached to a distant end! of the stem, which has a size that prevents the enlarged distal body from passing through the elongated opening to fix the locking mechanism to the body part of the device.
A pesar de que existen las tecnologías antes mencionadas, ninguna de ellas detalla un dispositivo para fijar un soporte para tubo endotraqueal capaz de ser utilizado en pacientes pediátricos que necesitan ser intubados, por lo que la novedad de la presente invención radica en proveer dicho dispositivo capaz de ser adaptado para su uso en este tipo de pacientes. Although the aforementioned technologies exist, none of them details a device to fix an endotracheal tube support capable of being used in pediatric patients who need to be intubated, so the novelty of the present invention lies in providing said capable device. if adapted for use in this type of patients.
BREVE DESCRI PCIÓN DE LAS FIGURASBRIEF DESCRIPTION OF THE FIGURES
FIGURA 1. Vista en perspectiva latera del sujetador de tubo endotraqueal para pacientes pediátricos que comprende el arco de sujeción y el deslizador de dos partes. FIGURA 2. Vista perspectiva lateral del sujetador de tubo endotraqueal para pacientes pediátricos que comprende el arco de sujeción y el deslizador con la protuberancia indicada para reposar el tubo endotraqueal. FIGURE 1. Lateral perspective view of the endotracheal tube holder for pediatric patients comprising the arch and the two-part slider. FIGURE 2. Lateral perspective view of the endotracheal tube holder for pediatric patients comprising the arch and the slide with the protrusion indicated to rest the endotracheal tube.
FIGURA 3. Vista frontal del sujetador de tubo, comprendido por el arco de sujeción facial y el deslizador de dos piezas, mostrando la esponja hidrofóbica con el delineado de adhesivo hipoalergénico en la parte redondeada del arco de sujeción facial.  FIGURE 3. Front view of the tube holder, comprised of the facial support arch and the two-piece slider, showing the hydrophobic sponge with the delineated hypoallergenic adhesive on the rounded part of the facial support arch.
FIGURA 4. Vista frontal del sujetador objeto de la presente invención, comprendido por el arco de sujeción facial y el deslizador, mostrando la esponja hidrofóbica con el delineador de adhesivo hipoalergénico en la parte redondeada del arco de sujeción facial  FIGURE 4. Front view of the fastener object of the present invention, comprised of the facial support bow and the slider, showing the hydrophobic sponge with the hypoallergenic adhesive eyeliner on the rounded part of the facial support arch
FIGURA 5. Vista lateral del sujetador, comprendido por el arco de sujeción facial y el deslizador de dos piezas, mostrando la abrazadera del deslizador y la protuberancia para el agarre del deslizador por el médico.  FIGURE 5. Side view of the bra, comprised of the facial support bow and the two-piece slider, showing the slider clamp and the protrusion for the grip of the slider by the doctor.
FIGURA 6. Vista lateral del sujetador, comprendido por el arco de sujeción facial y el deslizador, mostrando la saliente del deslizador para el descanso del tubo endotraqual y la protuberancia para el agarre del deslizador por el médico. FIGURA 7. Vista en perspectiva del deslizador cuando se compone de la abrazadera, mostrando el lugar donde embona en el cuerpo del deslizador. FIGURE 6. Lateral view of the fastener, comprised of the facial support bow and the slider, showing the protrusion of the slider for the rest of the endotrachial tube and the protrusion for the grip of the slider by the doctor. FIGURE 7. Perspective view of the slider when it is composed of the clamp, showing the place where it fits in the slider body.
FIGURA 8. Vista lateral del deslizador donde se aprecian sus elementos.  FIGURE 8. Side view of the slider where its elements are appreciated.
FIGURA 9. Vista en perspectiva del sujetador comprendido por el arco de sujeción facial, el deslizador y la abrazadera .  FIGURE 9. Perspective view of the bra comprised by the facial support arch, the slider and the clamp.
FIGURA 10. Vista en perspectiva del sujetador comprendido por el arco de sujeción facial y el deslizador.  FIGURE 10. Perspective view of the bra comprised by the facial support bow and the slider.
FIGURA 11. Vista lateral de un paciente utilizando el dispositivo sujetador de tubo endotraqueal en la región cigomática de la cara. FIGURE 11. Side view of a patient using the endotracheal tube clamping device in the zygomatic region of the face.
FIGURA 12. Vista isométrica de un paciente con el sujetador de tubo endotraqueal, en donde se puede apreciar el espacio que se forma entre la boca del paciente para que el tubo no sea estrangulado.  FIGURE 12. Isometric view of a patient with the endotracheal tube holder, where you can see the space that is formed between the patient's mouth so that the tube is not strangled.
DESCRI PCIÓN DETALLADA DE LA INVENCIÓN DETAILED DESCRIPTION OF THE INVENTION
El sujetador de tubo endotraqueal para pacientes pediátricos, como se muestra en la figura 1 y en la figura 2, se comprende de un elemento sujetador al paciente (1) en delante llamada arco de sujeción facial (1), y un elemento que se desliza sobre el arco de sujeción en delante llamado material flexible poiimérico de geometría cóncava que puede ajustarse a las medidas de la cara del paciente; el deslizador comprende dos secciones, que en su conjunto conforman una abrazadera (3), la cual soporta el tubo endotraqueal (3); el arco de sujeción facial (1) tiene la función de adherir el sujetador al paciente en la región cigomática por lo que en cada una de las partes distales del arco (1) posee un ensanchamiento redondeado ( 4 ) , formando preferentemente dos superficies circulares, una en cada extremo del arco de sujeción, dichas superficies circulares al tener una mayor área, son capaces de distribuir la adhesión y así proveer una mejor fijación del arco sobre la región cigomática del paciente. En la superficie interna de cada uno de los ensanchamientos redondeados (4) se ubica un medio de adhesión (5) , dicho medio es una esponja acolchonada hidrofóbica o no hidrofóbica, que contenga un adhesivo hipoalergénico no irritante (6) para evitar dañar la piel del paciente y evitar así la acumulación de saliva u otros fluidos en el área, detallados en la figura 3 y en la figura 4, el adhesivo (6) está cubierto con un papel protector de fácil desprendimiento; sobre la periferia del arco de sujeción facial (1) y previo a cada uno de los ensanchamientos redondeados (4) se ubican dos topes (7) que sobresalen del arco, dichos topes delimitan el ¿rea por el que ei deslizador puede moverse sobre ei arco y evitan que dicho deslizador se salga del arce de sujeción facial (1) , el espacio existente entre ambos topes permite que el deslizador sea empujado suavemente por ei personal médico a la posición considerada como la ideal para fijar el tubo correctamente. El arco de sujeción facial (1) posee un tamaño tal que proporciona el espacio suficiente entre la cara del paciente y el deslizador donde se descansará el tubo pues de esta manera se asegura que el tubo no se doble y que el paciente no tenga las demás partes del dispositivo cerca de su cara, evitando asi estrangulaciones del tubo que se podrían dar con los cambios de posición del paciente. El arco de sujeción facial (1) puede cambiar de dimensiones para acoplarse a las medidas antropométricas de los pacientes desde prematuros hasta adolecentes. The endotracheal tube holder for pediatric patients, as shown in Figure 1 and Figure 2, is comprised of a patient fastener element (1) in front called the facial restraint arch (1), and a sliding element over the front arch called flexible polyurethane material with concave geometry that can be adjusted to the patient's face measurements; The slider comprises two sections, which together form a clamp (3), which supports the endotracheal tube (3); the facial restraint arch (1) has the function of adhering the fastener to the patient in the zygomatic region so that in each of the distal parts of the arch (1) it has a rounded widening (4), preferably forming two circular surfaces, one at each end of the arch, said circular surfaces having a larger area, are able to distribute the adhesion and thus provide a better fixation of the arch on the zygomatic region of the patient. An adhesion medium (5) is located on the inner surface of each of the rounded extensions (4), said medium is a hydrophobic or non-hydrophobic padded sponge, which contains a non-irritating hypoallergenic adhesive (6) to avoid damaging the skin of the patient and thus avoid the accumulation of saliva or other fluids in the area, detailed in figure 3 and in figure 4, the adhesive (6) is covered with a protective paper of easy detachment; on the periphery of the facial support arch (1) and prior to each of the rounded widenings (4) there are two stops (7) protruding from the arc, said stops delimit the area through which the slider can move over the arc and prevent said slider from leaving the face holding maple (1), the space between both stops allows the slider to be gently pushed by the personal doctor to the position considered as the ideal to fix the tube correctly. The facial support arch (1) has a size such that it provides sufficient space between the patient's face and the slider where the tube will rest because in this way it is ensured that the tube does not bend and that the patient does not have the others parts of the device near his face, thus avoiding strangulations of the tube that could occur with changes in the patient's position. The facial restraint arch (1) can change dimensions to fit the anthropometric measurements of patients from premature to adolescent.
Como se muestra en la figura ■ 9 y en la figura 10, el deslizador (2) tiene la función de sujetar en posición adecuada al tubo endotraqueal asegurando que este no se mueva una vez colocado, evitando movimientos axiales del tubo que puedan dañar al paciente o extubarlo, pero a la vez permitiendo que el personal médico pueda retirar el tubo fácilmente en caso de requerirlo, la colocación preferente de la invención se aprecia en las figuras 11 y 12. El deslizador puede conformarse de una sola pieza que contenga en su parte superior una saliente sin filos de 5° a 45° de la horizontal (8) (en el mismo plano del sujetador) con una longitud suficiente para aumentar el área de contacto donde el tubo endotraqueal puede descansar y el personal médico pueda adherirlo con cinta. El deslizador se comprende de dos partes, donde una abrazadera (3) con una hendidura cóncava puede embonarse en la parte superior del deslizador (9) mediante un mecanismo de anclaje mecánico o mediante adhesión y que en la hendidura que posee puede contener una esponja de silicón (10) que permita, que el tubo endotraqueal se sostenga sin ser ■ estrangulado pero fijo por el grosor de la esponja. La ranura de la abrazadera se encuentra de 5° a 45° de la horizontal (en el mismo plano del dispositivo) con una longitud suficiente para un agarre correcto del tubo endotraqueal. As shown in Figure ■ 9 and Figure 10, the slider (2) has the function of holding the endotracheal tube in a proper position, ensuring that it does not move once placed, avoiding axial movements of the tube that could damage the patient or extubate it, but at the same time allowing medical personnel to easily remove the tube if required, the preferred placement of the invention can be seen in Figures 11 and 12. The slider can be formed in one piece. contain in its upper part a projection without edges of 5 ° to 45 ° of the horizontal (8) (in the same plane of the fastener) with a length sufficient to increase the contact area where the endotracheal tube can rest and medical personnel can adhere it with tape. The slider is comprised of two parts, where a clamp (3) with a concave groove can be embedded in the upper part of the slider (9) by means of a mechanical anchoring mechanism or by means of adhesion and which in the slit that it possesses can contain a sponge of silicone (10) that allows the endotracheal tube to be held without being ■ strangled but fixed by the thickness of the sponge. The groove of the clamp is 5 ° to 45 ° from the horizontal (in the same plane of the device) with a length sufficient for a correct grip of the endotracheal tube.
Como se aprecia en la figura 7 y en la figura 8, el deslizador tiene una forma en "C" (11) que embona sobre el arco de sujeción facial y permite que éste se mueva por el riel delimitado por los topes.  As can be seen in Figure 7 and Figure 8, the slider has a "C" shape (11) that fits over the facial support arch and allows it to move along the rail delimited by the stops.
El deslizador posee una protuberancia ovalada y redondeada en su parte anterior (con respecto al paciente) (12), mostrada en la figura 5 y en la figura 6, que permite el agarre correcto de la pieza por parte del personal médico para desli zar la misma y que el tubo endotraqueal salga sin estrangularse de la boca del paciente . The slider has an oval and rounded protrusion in its anterior part (with respect to the patient) (12), shown in Figure 5 and Figure 6, which allows the correct grip of the piece by medical personnel to remove it and for the endotracheal tube to leave without strangling from the patient's mouth.

Claims

REIVINDICACIONES Habiendo descrito suficiente mi invención, considero como una novedad y por lo tanto reclamo come de mi exclusiva propiedad, lo contenido en las siguientes cláusulas: CLAIMS Having described my invention sufficiently, I consider it as a novelty and therefore claim as my exclusive property, the content of the following clauses:
1. Un sujetador de tubo endotraqueal para pacientes pediátricos caracterizado porque comprende un arco de sujeción facial (1), y un deslizador (2) que está montado sobre el arco de sujeción facial (1); el arco de sujeción facial (1) comprende una geometría cóncava y el deslizador (2) comprende dos secciones: una abrazadera y una sección superior que embona con dicha abrazadera (3), dicha abrazadera soporta un tubo endotraqueal (3); en cada una de las partes distales del arco de sujeción facial (1) se ubica un ensanchamiento redondeado ( 4 ) , formando preferentemente una superficie circular en cada extremo de dicho arco; en la superficie interna de cada uno de ios ensanchamientos redondeados (4) se ubica un medio de adhesión ( 5 ) ; sobre la periferia del arco de sujeción facial (1) y previo a cada uno de los ensanchamientos redondeados (4) se ubican dos topes (7) que sobresalen del arco, uno en cada extremo del mismo, dichos topes delimitan el área por el que el deslizador puede moverse sobre el arco (1); el arco de sujeción facial (1) posee un tamaño tal que provee el espacio suficiente entre la cara del paciente y el deslizador donde se descansará el tubo; la abrazadera (3) posee una- hendidura cóncava, que embona con la sección superior, dicha hendidura se encuentra de 5° a 45° de la horizontal en el mismo plano del sujetador; el deslizador posee una protuberancia ovalada y redondeada en su parte anterior (12) . 1. An endotracheal tube holder for pediatric patients characterized in that it comprises a facial support arch (1), and a slider (2) that is mounted on the facial support arch (1); the facial support arch (1) comprises a concave geometry and the slider (2) comprises two sections: a clamp and an upper section that embeds with said clamp (3), said clamp supports an endotracheal tube (3); a rounded widening (4) is located in each of the distal parts of the facial support arch (1), preferably forming a circular surface at each end of said arch; on the inner surface of each of the rounded widenings (4) an adhesion means (5) is located; on the periphery of the facial support arch (1) and prior to each of the rounded widenings (4) there are two stops (7) protruding from the arch, one at each end thereof, said stops delimit the area by which the slider can move over the arc (1); the facial arch (1) has a size such that it provides sufficient space between the patient's face and the slider where the tube will rest; the clamp (3) has a concave groove, which fits with the upper section, said groove is 5 ° to 45 ° from the horizontal in the same plane of the fastener; The slider has an oval and rounded protrusion in its anterior part (12).
El sujetador de tubo endotraqueal para pacientes pediátricos, de conformidad con la reivindicación 1, caracterizado porque el medio de adhesión (5) es una esponja acolchonada hidrofóbica o no hidrofóbica, que contiene un adhesivo hipoalergénico, el cual está cubierto con un papel protector.  The endotracheal tube holder for pediatric patients, according to claim 1, characterized in that the adhesion means (5) is a hydrophobic or non-hydrophobic padded sponge, which contains a hypoallergenic adhesive, which is covered with a protective paper.
El sujetador de tubo endotraqueal para pacientes pediátricos, de conformidad con la reivindicación 1, caracterizado porque el deslizador se conforma por una sola pieza que comprende en su parte superior una saliente con bordes redondeados que soportarán un tubo endotraqueal, dicha saliente está de 5° a 45° de la horizontal (8) en el mismo plano del sujetador.  The endotracheal tube holder for pediatric patients, according to claim 1, characterized in that the slider is formed by a single piece comprising in its upper part a projection with rounded edges that will support an endotracheal tube, said projection is from 5 ° to 45 ° from the horizontal (8) in the same bra plane.
El sujetador de tubo endotraqueal para pacientes pediátricos, de conformidad con la reivindicación 1, caracterizado porque la parte superior del deslizador Ί3 The endotracheal tube holder for pediatric patients, according to claim 1, characterized in that the upper part of the slider Ί3
(9) embona con la abrazadera mediante un mecanismo de anclaje mecánico.  (9) Pack with the clamp using a mechanical anchoring mechanism.
Ei sujetador de tubo endotraqueal para pacientes pediátricos, de conformidad con la reivindicación 1, caracterizado porque la parte superior del deslizador (9) está embonada con la abrazadera mediante adhesión por medio de su hendidura, la cual contiene una esponja de silicón (10) .  The endotracheal tube holder for pediatric patients, according to claim 1, characterized in that the upper part of the slider (9) is embossed with the clamp by adhesion by means of its slit, which contains a silicone sponge (10).
El sujetador de tubo endotraqueal para pacientes pediátricos, de conformidad con la reivindicación 1, caracterizado porque el deslizador tiene una forma en "C" (11) que embona sobre el arco de sujeción facial y permite que éste se mueva por el riel delimitado por los topes .  The endotracheal tube holder for pediatric patients, according to claim 1, characterized in that the slider has a "C" shape (11) that fits over the facial support arch and allows it to move along the rail delimited by the stops
PCT/MX2015/000012 2015-01-15 2015-01-27 Endotracheal tube fastener for paediatric patients WO2016114643A1 (en)

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MX2015000696A MX2015000696A (en) 2015-01-15 2015-01-15 Endotracheal tube fastener for paediatric patients.

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10888680B2 (en) 2015-03-18 2021-01-12 Teleflex Medical Incorporated Endotracheal tube holder device
US11938271B2 (en) 2018-03-16 2024-03-26 Teleflex Medical Incorporated Endotracheal tube holder device

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012064732A1 (en) * 2010-11-08 2012-05-18 Dale Medical Products, Inc. Endotracheal tube holder
WO2014144656A1 (en) * 2013-03-15 2014-09-18 Hollister Corporation Endotracheal tube holding device with bite block

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012064732A1 (en) * 2010-11-08 2012-05-18 Dale Medical Products, Inc. Endotracheal tube holder
WO2014144656A1 (en) * 2013-03-15 2014-09-18 Hollister Corporation Endotracheal tube holding device with bite block

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10888680B2 (en) 2015-03-18 2021-01-12 Teleflex Medical Incorporated Endotracheal tube holder device
US11938271B2 (en) 2018-03-16 2024-03-26 Teleflex Medical Incorporated Endotracheal tube holder device

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