WO2022234478A1 - Dispositif polyvalent pour thérapie respiratoire - Google Patents

Dispositif polyvalent pour thérapie respiratoire Download PDF

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Publication number
WO2022234478A1
WO2022234478A1 PCT/IB2022/054118 IB2022054118W WO2022234478A1 WO 2022234478 A1 WO2022234478 A1 WO 2022234478A1 IB 2022054118 W IB2022054118 W IB 2022054118W WO 2022234478 A1 WO2022234478 A1 WO 2022234478A1
Authority
WO
WIPO (PCT)
Prior art keywords
coupling
mechanical ventilation
central body
port
hollow central
Prior art date
Application number
PCT/IB2022/054118
Other languages
English (en)
Inventor
David Alexander LEMOS MARTINEZ
Original Assignee
Lemos Martinez David Alexander
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 Lemos Martinez David Alexander filed Critical Lemos Martinez David Alexander
Publication of WO2022234478A1 publication Critical patent/WO2022234478A1/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
    • A61M16/0463—Tracheal tubes combined with suction tubes, catheters or the like; Outside connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0816—Joints or connectors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M15/00—Inhalators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0465—Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
    • A61M16/0468—Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters with valves at the proximal end limiting exhalation, e.g. during speaking or coughing
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/08—Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0816—Joints or connectors
    • A61M16/0841—Joints or connectors for sampling
    • A61M16/085—Gas sampling
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/10—Preparation of respiratory gases or vapours
    • A61M16/1045—Devices for humidifying or heating the inspired gas by using recovered moisture or heat from the expired gas

Definitions

  • NMV non-invasive mechanical ventilation
  • ETT invasive mechanical ventilation through endotracheal tube
  • CQT invasive mechanical ventilation through tracheostomy tube
  • US10532171 B2 discloses a speech valve adapter for assisting speech or language expression during respiratory recovery of a person.
  • the speech valve adapter includes a speech valve port, the port being orthogonal to a first interface port, the first interface port adapted to support tracheotomy or endotracheal tube, a second interface port adapted to support at least one of a suction tube and a bronchoscopy tube, and a third interface port adapted to support a connection to a ventilator.
  • the patient may use the speech valve adapter for inputting at least one of the sounds and words while connected to the ventilator.
  • Application US6612304B1 discloses an adapter with multiple ports of access to the respiratory system of an intubated patient via a closed ventilation system.
  • a manifold is configured to be coupled to the patient's artificial airway and to a conventional ventilation system.
  • a mobile adapter is provided in the proximal port of the manifold and includes at least two access ports defined on a mobile member. The mobile member is movable to various positions to align any of the access ports with the proximal port of the manifold.
  • Any type of device may be coupled to the access ports, including devices for ventilating the patient's lungs with gas or gases, aspirating secretions from the lungs, oxygenating the lungs, visually inspecting selected parts of the respiratory system, taking sputum and gas samples, detecting parameters such as flow rates, pressure and temperature, flushing the respiratory tract with flushing solution, or administering medications, gases and/or flushing.
  • US6718969B1 discloses an inhaler system that allows the patient to perform respiratory exercises, treatment with medicinal gases and nebulization therapy.
  • the system of D3 comprises a medication dosing port with a main body having a round hollow cylindrical interior part and a plurality of openings, a round hollow cylindrical interior part with a radially displaced round cylindrical hollow medication passage, a T-shaped adapter having an open path stepped gas connector for release of a medicinal gas, an end cap having a one-way valve for unidirectional gas flow therethrough and a plurality of openings, a medication dose delivery container having an outgoing medication delivery tube, a mouthpiece, and an oxygen source for coupling with the stepped gas connector of the T -shaped adapter.
  • US4506665A relates to a mask adapter and a valve coupler for replacing a conventional anesthetic mask accessory, further comprising a quick disconnect coupler comprising an adapter connecting the anesthetic mask and a valve accessory connecting to the terminal accessory of the anesthetic gas supply hoses.
  • the coupler upon disconnection activates a shut-off valve on the valve attachment to prevent gas flow.
  • the adapter and valve kit is constructed to fit a conventional endotracheal tube in a complementary manner such as the mask modified to allow replacement of the endotracheal tube by the mask.
  • the inventor of this application has identified in the technical field the need for a multi purpose device for respiratory therapy that can be used in all the situations of the hospitalization of a patient with cardio-respiratory alteration, so that it is not necessary to use different intervention devices when making the transition between the different types of mechanical ventilation.
  • Figure 3 shows a bottom view of a preferred embodiment of the device of the present invention.
  • Figure 4 shows a top view of a preferred embodiment of the device of the present invention, wherein a phonator valve is in connection with the device through the coupling for a heat and moisture exchange filter or a phonator valve.
  • the phonator valve is being held by the hand of a therapist.
  • Figure 5 shows a left side view of a preferred embodiment of the device of the present invention.
  • Figure 6 shows a right side view of a preferred embodiment of the device of the present invention.
  • Figure 7 shows afront view of the phonator valve of a pref erred embodiment of the device of the present invention.
  • Figure 8 shows a rear view of the phonator valve of a preferred embodiment of the device of the present invention.
  • the multi-purpose device for respiratory physiotherapy comprises: a hollow central body 16; a coupling for a mechanical ventilation circuit 2, arranged on a first side face of the hollow central body 16; a coupling for aheat and humidity exchange ⁇ liter or aphonator valve 1 , arranged on the outside of the coupling for mechanical ventilation circuit 2; an artificial airway coupling 5, arranged on a second side face of the hollow central body 16, adjacent to the first side face; a universal side port 6 with a removable cap 7, arranged on a third side of the hollow central body 16, adjacent to the second side face; a suction port 11 with plug 10 with a removable cap 17, arranged on a fourth side of the hollow central body 16, adjacent to the third side face; an upper universal port 8 with a removable cap 9 and a therapy inhalation port 14, arranged on the upper face of the hollow central body 16; a secretion aspiration port 4, arranged in the lower face of the hollow central body 16; and gripping elements 3 disposed on the second side face of the hollow central
  • the device further comprises a mechanical ventilation circuit in connection with the coupling for the mechanical ventilation circuit 2 through a corrugated tube.
  • the gripping elements 3 are hook-shaped, extend outwards and are arranged in the corners of the second side face of the hollow central body 16.
  • the device also comprises a mask in connection with the artificial airway coupling 5 and attached to the gripping elements 3 and to a harness, to provide support in non-invasive mechanical ventilation.
  • the device may comprise an endotracheal tube or a tracheostomy cannula in connection with the artificial airway coupling 5.
  • the device according to the present invention is connected to a mechanical ventilation circuit through the coupling for a mechanical ventilation circuit 2 by means of a corrugated tube or directly.
  • the device is connected to the mask through the artificial airway coupling 5 and attached to the gripping elements 3 through a harness, to achieve a better attachment to the patient's head.
  • the device of the present invention can be used from the beginning of the invasive mechanical ventilation support, connecting it to the endotracheal tube through the coupling for artificial airway 5, facilitating bronchial hygiene without the need for disconnection of the mechanical ventilator that is in connection with the coupling for a mechanical ventilation circuit 2.
  • the upper universal port 8 can be used as a saline solution installation port, which together with the secretion suction port 4 (through which direct secretion suction can be made), allow the internal washing of the device to be carried out in case the patient coughs, mobilizing secretions that remain in the reservoir.
  • the suction port 1 1 with plug 10 By means of the suction port 1 1 with plug 10, the device of the invention prevents lung collapse by depressurization, open airway manipulation and the risk of infections.
  • the plug may comprise an orifice 12 for the passage of a suction tube of different caliber or of a fibrobronchoscope if it is necessary to observe the inside of the trachea, the lungs, or to take cultures of tracheal secretion.
  • the coupling for a mechanical ventilation circuit 2 is arranged on a first side face of the hollow central body 16 and the coupling for an artificial airway 5 is arranged on a second side face of the hollow central body 16, adjacent to the first side face, it is ensured that there is an L-shaped arrangement between the artificial airway and the mechanical ventilation circuit, which allows that when a heat and humidity exchange filter (camel nose) is integrated in the connection with the mechanical ventilation circuit, it can be prevented from being dirtied with secretions that obstruct the airway that promote an early change of the input, reducing costs.
  • a heat and humidity exchange filter camel nose
  • Example 3 Invasive mechanical ventilation via tracheostomy cannula (CTQT)
  • the device can be easily adapted and continue to fulfill the aforementioned functions, being configured as described in Example 2. in this embodiment, a tracheostomy tube is connected to the artificial airway 5 of the device.
  • CTQT artificial airway type tracheostomy cannula
  • Both the phonator valve 13 and the heat and humidity exchange filter are connected at one end to the coupling 1 and at the other end to a corrugated tube that is finally connected to the mechanical ventilation circuit.
  • the phonator valve 13 can be connected at one end to the coupling 1 of the device, at the other end to a corrugated tube, which is connected to one end of the heat and moisture exchange filter while the filter is connected at its other end to the mechanical ventilation circuit.
  • the phonator valve can be manually adjusted to the device (as illustrated In figure 4 where the therapist’s hand 15 can be seen), allows the connection to the mechanical ventilator and facilitates the patient’s communication with the environment, their rehabilitation, and respiratory muscle training.
  • Said valve is designed in such away that it adapts to the distal end of the device and comprises holes that allow the flow of the mechanical ventilator to the patient during inspiration and an internal membrane that seals the air outlet during expiration directing it to the upper airway, allowing the passage of air through the vocal cords generating vibration thereof and the subsequent phonation of the patients despite being connected to the ventilatory support.

Landscapes

  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Emergency Medicine (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Percussion Or Vibration Massage (AREA)
  • Prostheses (AREA)

Abstract

La présente demande concerne un dispositif de thérapie respiratoire polyvalent qui peut être utilisé dans toutes les situations pendant l'hospitalisation d'un patient souffrant d'un trouble cardio-respiratoire, de sorte qu'il n'est pas nécessaire d'utiliser différents dispositifs d'intervention lors d'une transition entre différents types de ventilation artificielle. Le dispositif comprend un corps central creux (16) ; un couplage pour un circuit de ventilation artificielle (2) ; un couplage pour un filtre d'échange de chaleur et d'humidité ou une vanne de parole (1) disposée dans le couplage pour le circuit de ventilation artificielle ; un couplage de voies respiratoires artificielles (5) ; un orifice latéral universel (6) pourvu d'un capuchon amovible (7) ; un orifice d'aspiration (11) muni d'un capuchon amovible (17) ; un orifice universel supérieur (8) doté d'un capuchon amovible (9) ; un orifice de thérapie par inhalation (14) ; un orifice d'aspiration de sécrétion (4) ; et des éléments de préhension (3).
PCT/IB2022/054118 2021-05-04 2022-05-04 Dispositif polyvalent pour thérapie respiratoire WO2022234478A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CONC2021/0005882 2021-05-04
CONC2021/0005882A CO2021005882A1 (es) 2021-05-04 2021-05-04 Dispositivo multiuso para fisioterapia respiratoria

Publications (1)

Publication Number Publication Date
WO2022234478A1 true WO2022234478A1 (fr) 2022-11-10

Family

ID=75945172

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IB2022/054118 WO2022234478A1 (fr) 2021-05-04 2022-05-04 Dispositif polyvalent pour thérapie respiratoire

Country Status (2)

Country Link
CO (1) CO2021005882A1 (fr)
WO (1) WO2022234478A1 (fr)

Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2939794A1 (de) * 1979-10-01 1981-04-16 Volker O. Prof. Dr.Med. 8012 Ottobrunn Lang Sputum-schutzvorrichtung fuer die bronchialtoilette, vorzugsweise kuenstlich beatmeter patienten
US4506665A (en) 1981-06-01 1985-03-26 Andrews E Trent Anesthetic supply valve and adapter for masks
US5735271A (en) * 1994-05-18 1998-04-07 Ballard Medical Products Multiple access adaptors for monitoring, sampling, medicating, aspirating, and ventilating the respiratory tract of a patient
US6105576A (en) * 1998-10-14 2000-08-22 Enternet Medical, Inc. Apparatus for treating respiratory gases including liquid trap
US6612304B1 (en) 2000-10-05 2003-09-02 Kimberly-Clark Worldwide, Inc. Respiratory care multiple access port assembly and adapter
US6718969B1 (en) 2002-05-28 2004-04-13 Darren Rubin Medication dosage inhaler system
EP1430923A2 (fr) * 2002-12-21 2004-06-23 Intersurgical Limited Dispositif de fermeture
US20080264412A1 (en) * 2007-04-24 2008-10-30 Adam Meyer Aerosol delivery system
WO2012045694A1 (fr) 2010-10-05 2012-04-12 Motor Development International S.A. Moteur à air comprimé à chambre active incluse et autodétendeur
US8777933B2 (en) * 2008-10-10 2014-07-15 Mergenet Medical, Inc. Respiratory secretion retention device, system and method
US20150314093A1 (en) * 2014-04-30 2015-11-05 Vitaltec Corporation Switchable adapter for a suction tube
WO2020208556A1 (fr) * 2019-04-08 2020-10-15 Fundación Valle Del Lili Valvule de maniement de voie aérienne artificielle avec une adaptation à des dispositifs respiratoires - valvule de berna

Patent Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2939794A1 (de) * 1979-10-01 1981-04-16 Volker O. Prof. Dr.Med. 8012 Ottobrunn Lang Sputum-schutzvorrichtung fuer die bronchialtoilette, vorzugsweise kuenstlich beatmeter patienten
US4506665A (en) 1981-06-01 1985-03-26 Andrews E Trent Anesthetic supply valve and adapter for masks
US5735271A (en) * 1994-05-18 1998-04-07 Ballard Medical Products Multiple access adaptors for monitoring, sampling, medicating, aspirating, and ventilating the respiratory tract of a patient
US6105576A (en) * 1998-10-14 2000-08-22 Enternet Medical, Inc. Apparatus for treating respiratory gases including liquid trap
US6612304B1 (en) 2000-10-05 2003-09-02 Kimberly-Clark Worldwide, Inc. Respiratory care multiple access port assembly and adapter
US6718969B1 (en) 2002-05-28 2004-04-13 Darren Rubin Medication dosage inhaler system
EP1430923A2 (fr) * 2002-12-21 2004-06-23 Intersurgical Limited Dispositif de fermeture
US20080264412A1 (en) * 2007-04-24 2008-10-30 Adam Meyer Aerosol delivery system
US8777933B2 (en) * 2008-10-10 2014-07-15 Mergenet Medical, Inc. Respiratory secretion retention device, system and method
WO2012045694A1 (fr) 2010-10-05 2012-04-12 Motor Development International S.A. Moteur à air comprimé à chambre active incluse et autodétendeur
US20150314093A1 (en) * 2014-04-30 2015-11-05 Vitaltec Corporation Switchable adapter for a suction tube
WO2020208556A1 (fr) * 2019-04-08 2020-10-15 Fundación Valle Del Lili Valvule de maniement de voie aérienne artificielle avec une adaptation à des dispositifs respiratoires - valvule de berna

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Publication number Publication date
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