919 results about "Endotracheal tube" patented technology

A separable double lumen endotracheal tube is disclosed having a first lumen and a second lumen and which are removably affixed together to allow the first lumen to be separated from the second lumen of the double lumen endotracheal tube and, if desired, to be subsequently affixed together again. Either lumen of the double lumen endotracheal tube can function alone for positive pressure ventilation, but normally the bronchial lumen will be removed from a patient and the tracheal lumen left in place to function alone to provide positive pressure ventilation as required by a patient. The double lumen endotracheal tube will, however, function to allow the bronchial lumen to remain in a patient subsequent to removal of the tracheal lumen as a matter of choice during a medical procedure.

A two-piece video laryngoscope includes a disposable handle / blade unit having a handgrip portion with a cavity at the proximal end, a curved distal end portion extending from the handgrip portion terminating in a terminal face containing a LED and a lens and digital image sensor connected with a first connector in the cavity, and a tube receptacle channel extending distally along the dorsal surface of and a vacuum / oxygen passageway extending through the curved distal end portion; and a power / video module releasably engaged in the cavity having a flat panel display pivotally mounted at the proximal end thereof and containing a rechargeable battery and electrical and video circuitry connected with a second connector. An endotracheal tube is received and releasably retained in the tube receptacle channel in a preloaded condition. When assembled, the connectors are engaged to complete the electrical and video circuits and allow viewing of insertion and intubation.

Medical component systems are described in which individual hand-held components are enhanced by adjacent restraint and by combinations of function, including: suction devices with a port for regulating suction with single-finger-operable valve for repeatable incremental user control of suction-vacuum variation by aperture shapes like triangles and slots and tactile feedback means like plane changes for amplifying tactile feedback to a user to enhance distinguishing of control increments; clips and tubing restraints for attachment between devices; endotracheal tubes with feedback features so a user knows where the distal end is; wound kits and splash shields for use in combination with various irrigation sources; combination cough shields with medical components; endotracheal tube adapters with less dead space and improved flanges and monitoring ports; and improved long syringes and medical lights.

This invention relates to an apparatus which is used in conjunction with an endotracheal tube to provide visual information during intubation. The visual information is used by a medical practitioner in order to successfully insert and position the endotracheal tube into the trachea of a patient who is being intubated.

A closed suction system module is provided. In one embodiment, the closed suction system module comprises a coupling member configured to couple to a suction port of a multi-port manifold or endotracheal tube adapter (e.g., dual-port or tri-port adapter). In one embodiment, the closed suction system module comprises a suction catheter configured to clean the interior surfaces of body-inserted tubes or artificial airways (alone or in addition to suctioning natural airways or portions of the respiratory tract or other body lumens). The suction catheter may comprise a cleaning portion at a distal portion of the suction catheter (e.g., near the distal end or tip of the suction catheter). In some embodiments, the cleaning portion comprises at least one expandable cleaning member (e.g., balloon, sleeve, wiper).

A multiple function laryngoscope to be used for the safe intubation of a patient's trachea during a respiratory emergency or as an elective procedure. A two section instrument. Proximally, a reusable handle that houses a rechargeable battery, electronic circuits that feed a distal digital image to variable position LCD screen or viewing port, switches and low battery indicator light. Distally, the handle electrically couples with a disposable curved scabbard. The scabbard features a dorsal endotracheal tube channel with a wavy opening which allows preloading and gentle extraction of different size endotracheal tubes once the patient's trachea has been intubated. The scabbard's distal end strategically houses a distal sweeper that engages the epiglottis and exposes the glottis, an opening for the exit of a preloaded endotracheal tube, a LED light, a suction / oxygenation port, and a lens coupled with a digital imaging system (CMOS) to digitize and transport a distant wide field of view. Safe LCD view of one or serial rapid intubations are possible by rapidly replacing for a clean disposable scabbard in case of multiple emergencies.

A method and apparatus is described for supporting the respiration of a patient. The spontaneous respiration of a patient can be detected by sensors and during inhalation an additional amount of oxygen can be administered to the lungs via a jet gas current. If required, during exhalation a countercurrent can be administered to avoid collapse of the respiration paths. This therapy can be realized by an apparatus including a transtracheal catheter, an oxygen pump connected to an oxygen source, spontaneous respiration sensor(s) connected to a control unit for activating the oxygen pump and, if needed, a tracheal prosthesis. The tracheal prosthesis may include a connection for the catheter and the breath sensor(s). The tracheal prosthesis, if used, and the catheter can be dimensioned so the patient can freely breathe, cough, swallow and speak without restriction, and the system can be wearable to promote mobility.

An image-type intubation-aiding device comprises a small-size image sensor and a light source module both placed into an endotracheal tube to help doctors with quick intubation. Light from light emission devices in the light source module passes through a transparent housing and is reflected by a target and then focused. The optical signal is converted into a digital or analog electric signal by the image sensor for displaying on a display device after processing. Doctors can thus be helped to quickly find the position of trachea, keep an appropriate distance from a patient for reducing the possibility of infection, and lower the medical treatment cost. Disposable products are available to avoid the problem of infection. The intubation-aiding device can be used as an electronic surgical image examination instrument for penetration into a body. Moreover, a light source with tunable wavelengths can be used to increase the spot ratio of nidus.

The present invention relates to an illuminated airway product that will allow visualization of the airway of a patient during intubation. The illuminated airway product includes a light source such as an LED disposed at its distal end. The LED shines axially, radially, or in both directions from the airway intubation device. The airway product includes an on-board voltage source. Hence, no additional or external voltage sources or components are necessary to light the device. The airway device may further include one or more lumens or tubes for delivering air, suctioning debris or fluids, delivering medicine, radio-opaqueness, etc. An inflatable cuff may be associated with the endotracheal tube such that collateral flow of air is prevented. An inflation lumen or tube is fluidly coupled to the inflatable cuff. The shape of the endotracheal tube may be adjusted either by use of a stylet or suction trocar made out of a malleable material such as aluminum or by inclusion of a malleable wire within the tube. Kits including a LED lighted endotracheal tube are also provided.

A method and apparatus for delivering a medicine to a patient via the patient's respiratory system with control and efficiency. A nebulization catheter is positioned in the patient's respiratory system so that a distal end of the nebulization catheter is in the respiratory system and a proximal end is outside the body. In a first aspect, the nebulization catheter may be used in conjunction with an endotracheal tube and preferably is removable from the endotracheal tube. The nebulization catheter conveys medicine in liquid form to the distal end at which location the medicine is nebulized by a pressurized gas or other nebulizing mechanism. The nebulized medicine is conveyed to the patient's lungs by the patient's respiration which may be assisted by a ventilator. By producing the aerosol of the liquid medicine at a location inside the patient's respiratory system, the nebulizing catheter provides for increased efficiency and control of the dosage of medicine being delivered. In further aspects of the nebulizing catheter apparatus and method, alternative tip constructions, flow pulsation patterns, centering devices, sensing devices, and aspiration features afford greater efficiency and control of aerosolized medicine dosage delivery.

By interposing an adapter between the endotracheal or tracheal tube inserted to a patient and the ventilation and suction systems that are connected to the endotracheal tube, a catheter could be inserted via an input port built into the adapter so as to enable a medical personnel to provide localized treatments in the lungs of a patient without having to disconnect either one of the systems connected to the endotracheal tube. The adapter is configured to have a securing mechanism that allows the medical personnel to secure the medication catheter in place. A one way valve fitted to the apertured arm that forms the input port of the adapter prevents any back flow of fluid from the input port. The catheter is manufactured with calibration markings, most likely equally spaced, and a radiopaque line along its length to enhance the maneuvering and the positioning thereof in the patient so that the distal tip of the catheter could be accurately positioned to the desired location of the patient's tracheal / bronchial tree. As a result, the localized treatment such as the injection of a medicament is accurately provided to the appropriate location where the need is the greatest.

One aspect of the invention provides an airway management device including: an endotracheal tube having a proximal end and a distal end and a sheath adjacent to the endotracheal tube. The sheath includes a proximal end and a distal end. The distal end of the endotracheal tube extends beyond the distal end of the sheath. Another aspect of the invention provides a surgical kit including an airway management device and instructions for use. The airway management device includes: an endotracheal tube having a proximal end and a distal end and a sheath adjacent to the endotracheal tube. The sheath includes a proximal and a distal end. The distal end of the endotracheal tube extends beyond the distal end of the sheath.

A low cost camera and radio frequency transmitter are coupled to an endotracheal tube to obtain an image in real time of tissue at the distal end of the endotracheal tube. The image recorded by the camera is transmitted to a low cost radio frequency receiver nearby and conveyed to a video monitor to display the image. The use of a wireless transmission system avoids the presence of wires and cords that otherwise might become entangled and cause the endotracheal tube to be inadvertently repositioned or pulled out of the patient.

A method of operating a ventilator assembly having inhalation and exhalation passages communicating with one another, and a respiration assembly that can perform repetitive respiratory cycles. The method includes (a) connecting the conduit with an open end of an endotracheal tube positioned within the trachea so that the open end leads into the airway below the vocal cords, (b) repetitively cycling the respiration assembly so that during the inhalation phase, gas in the inhalation passage flows through the endotracheal tube and into the airway, and during the exhalation phase, an exhalation valve is maintained relatively closed and the exhaled gases flow pass the vocal cords and out of the mouth thereby facilitating the patient's ability to speak, and (c) monitoring ring the pressure within at least one of the passages during both phases for determining the pressure within the patient for use in operating the ventilator assembly.

The current invention provides an endotracheal tube fabricated with an array of electrodes disposed on an inflatable cuff on the tube. The array of electrodes includes multiple sense electrodes and a current electrode. The array of electrodes on the inflatable cuff is applied using a positive displacement dispensing system, such as a MicroPen®. A ground electrode is disposed on the tube approximately midway between the inflatable cuff and the midpoint of the endotracheal tube. The endotracheal tube is partially inserted into a mammalian subject's airway such that when the inflatable cuff is inflated, thereby fixing the tube in position, the array of electrodes is brought into close contact with the tracheal mucosa in relative proximity to the aorta. The endotracheal tube is useful in the measurement of cardiac parameters such as cardiac output.

A method and apparatus for delivering a medicine to a patient via the patient's respiratory system with control and efficiency. A nebulization catheter is positioned in the patient's respiratory system so that a distal end of the nebulization catheter is in the respiratory system and a proximal end is outside the body. In a first aspect, the nebulization catheter may be used in conjunction with an endotracheal tube and preferably is removable from the endotracheal tube. The nebulization catheter conveys medicine in liquid form to the distal end at which location the medicine is nebulized by a pressurized gas or other nebulizing mechanism. The nebulized medicine is conveyed to the patient's lungs by the patient's respiration which may be assisted by a ventilator. By producing the aerosol of the liquid medicine at a location inside the patient's respiratory system, the nebulizing catheter provides for increased efficiency and control of the dosage of medicine being delivered. In further aspects of the nebulizing catheter apparatus and method, alternative tip constructions, flow pulsation patterns, centering devices, sensing devices, and aspiration features afford greater efficiency and control of aerosolized medicine dosage delivery.

A syringe having an internal pressure gauge comprises a syringe barrel; a piston within the barrel; a spring coupled to the piston at a first position of the spring, the spring having a second portion that is movable in response to fluid pressure within a syringe cavity; and a pressure gauge having an indicator correlated to a plurality of positions of the second portion of the spring to indicate a pressure of a fluid. The spring can be a bellows. The first portion of the spring can be coupled to the piston to form a sliding seal with an inner wall of the syringe, and the second portion of the spring can move longitudinally within the syringe without sealing contact. The syringe can indicate fluid pressures within a range of at least about 5 to 35 cm H2O, for example. The fluid chamber can be in fluid communication with a cuff of an inflatable medical device, such as an endotracheal tube, such that the measured pressure comprises the fluid pressure within the cuff. Methods of measuring pressure using a syringe are also disclosed.

An image-type intubation-aiding device comprises a small-size image sensor and a light source module both placed into an endotracheal tube to help doctors with quick intubation. Light from light emission devices in the light source module passes through a transparent housing and is reflected by a target and then focused. The optical signal is converted into a digital or analog electric signal by the image sensor for displaying on a display device after processing. Doctors can thus be helped to quickly find the position of trachea, keep an appropriate distance from a patient for reducing the possibility of infection, and lower the medical treatment cost. Disposable products are available to avoid the problem of infection. The intubation-aiding device can be used as an electronic surgical image examination instrument for penetration into a body. Moreover, a light source with tunable wavelengths can be used to increase the spot ratio of nidus.

A method of administering an aerosolized anti-infective, such as a glycopeptide, to the respiratory system of a patient. A ratio of an amount of the glycopeptide, such as vancomycin, delivered to the pulmonary system of the patient in a 24 hour period to a minimum inhibitory amount for the target organ for the same period is about 2 or more. A system to introduce aerosolized medicament to a patient may include a humidifier coupled to an inspiratory limb of a ventilator circuit wye, where the humidifier supplies heated and humidified air to the patient, and an endotracheal tube having a proximal end coupled to a distal end of the ventilator circuit wye. The system may also include a nebulizer coupled to the endotracheal tube, where the nebulizer generates the aerosolized medicament.

The present invention relates to an illuminated airway product that will allow visualization of the airway of a patient during intubation. The illuminated airway product includes a light source such as an LED disposed at its distal end. The LED shines axially, radially, or in both directions from the airway intubation device. The airway product includes an on-board voltage source. Hence, no additional or external voltage sources or components are necessary to light the device. The airway device may further include one or more lumens or tubes for delivering air, suctioning debris or fluids, delivering medicine, radio-opaqueness, etc. An inflatable cuff may be associated with the endotracheal tube such that collateral flow of air is prevented. An inflation lumen or tube is fluidly coupled to the inflatable cuff. The shape of the endotracheal tube may be adjusted either by use of a stylet or suction trocar made out of a malleable material such as aluminum or by inclusion of a malleable wire within the tube. Kits including a LED lighted endotracheal tube are also provided.

The present invention relates to a guided endotracheal intubation endoscope. A guide catheter is used to position an endoscope and a tube for intubation of a patient. The endoscope can include a steering device for steering the endoscope in at least two directions, as well as suction, irrigation and retraction devices for maintaining a clear field of view.

A two piece endotracheal intubation device is provided having a multidirectional eyepiece, a suction port and a fiber optic assembly that enables a practitioner to apply suction to a patient's airway while at the same time visualizing the airway from any position relative to the patient for insertion of the endotracheal tube.

An endotracheal tube pressure monitoring system for an endotracheal tube having at least pressure sensor in communication with a major lumen of the endotracheal tube, and a pressure monitoring subsystem in operative communication with the pressure sensor. The system may also have at least one fluid pressure line in fluid communication with the major lumen and in operative communication with the pressure monitoring subsystem to monitor the pressure of fluid within each respective fluid pressure line, and a purging subsystem in fluid communication with the fluid pressure line. Each fluid pressure line that is in fluid communication with the purging subsystem being selectively purged by the purging subsystem when pressure monitoring subsystem determines the respective pressure line has become obstructed. Purging the fluid pressure line maintains the patency of the pressure line so that accurate pressure measurements within the endotracheal tube can be obtained for calculation of parameters in lung mechanics. It is emphasized that this abstract is provided to comply with the rules requiring an abstract which will allow a searcher or other reader to quickly ascertain the subject matter of the technical disclosure. It is submitted with the understanding that it will not be used to interpret or limit the scope or meaning of the claims. 37 C.F.R. §1.72(b).

A endotracheal tube for patient ventilation is modified to permit measurement of pressure at the patient trachea by providing a chamber in the end of the ET tube to be located in the patient, airway. This chamber has a highly pliant external wall with a degree of redundancy and is connected to a pressure measuring device exterior of the patient by a lumen in the wall of the ET tube. In addition, apparatus for controlling airway pressure during exhalation comprises valve means connected via a first inlet to an exhalation tube from a patient airway, connected to a source of negative pressure through an outlet and having a second inlet with a variable flow control means for controlling the flow of gas therethrough. Gas pressure is controlled within the valve by varying the pressure gradient between the upstream and downstream sides of the second inlet so that it equals the pressure gradient between the patient airway and the downstream side of the second inlet.

An HME Filter is provided having with an integral housing having minimal components which eliminating components at the circuit “Y” connector. A closed circuit gas flow is maintained whether an internal filter material is or is not engaged, and with or without a nebulizer aerosolizing medications. The HME SHUTTLE continues to maintain the same closed circuit gas flow during the HME filter materials insertion into the HME SHUTTLE, throughout the course of the HME filter's use in the closed gas flow circuit and during the HME filter materials removal from the HME SHUTTLE. The placement for optimal patient care is to be located between the connection of inhalation and exhalation sides of mechanical ventilator circuit and endotracheal tube of an intubated patient. The HME SHUTTLE also accommodates the docking port for the use of an external nebulizer.

An endotracheal tube assembly (10) is disclosed which suctions away bacteria multiplying mucus before such mucus can accumulate on the inside walls of the endotracheal tube (14). In the preferred embodiment, one or more suctioning tubes (20, 21) are formed into the walls of an endotracheal tube so that they extend along length of the endotracheal tube. A plurality of mucus slurping holes (34) are then formed at or near the distal end of the endotracheal tube and connected to the suctioning tubes. In operation, suctioning through the mucus slurping holes is preferably performed intermittently during patient expiration. By timing this intermittent suctioning with patient expiration, the suctioning flow will be in the same direction as patient breathing. While the mucus slurper of the present invention has been found to be effective at keeping the inner walls of the endotracheal tube free of mucus deposits, it can nonetheless be combined with other cleaning and disinfectant techniques for greater assurance of cleanliness.

An improved endotracheal tube having a suction sleeve circumferentially thereabout with a plurality of suction holes or ports therein. The suction sleeve is spaced a distance above an inflatable balloon or cuff so that the vocal cords of a patient may rest between the sleeve and the cuff, and the suction sleeve, sealed at its top and bottom to the endotracheal tube, has a plurality of circumferentially and longitudinally-spaced suction holes therethrough for suctioning the pools of secretion that form in the hypopharynx and lower oropharynx of an intubated patient. Tubing is also provided for connecting a suction chamber between the suction sleeve and the main lumen of the endotracheal tube to a well-known low intermittent suction (“LIS”) device.

An endotracheal tube cleaning apparatus 10 which can be periodically inserted into the inside of an endotracheal tube 30 to shave away mucus deposits. In a preferred embodiment, this cleaning apparatus 10 comprises a flexible central tube 12 with an inflatable balloon 40 at its distal end. Affixed to the inflatable balloon are one or more shaving rings 70, each having a squared leading edge 72 to shave away mucus accumulations 60. In operation, the uninflated cleaning apparatus 10 of the present invention is inserted into the endotracheal tube until its distal end is properly aligned with or slightly beyond the distal end of the endotracheal tube. After proper alignment, the balloon 40 is inflated by a suitable inflation device, such as a syringe 14, until the balloon's shaving rings are pressed against the inside surface of the endotracheal tube. The cleaning apparatus is then pulled out of the endotracheal tube and, in the process, the balloon's shaving rings shave off the mucus deposits from the inside of the endotracheal tube.

The self-cleaning and sterilizing endotracheal and tracheostomy tube may include a combination of an endotracheal tube or a tracheostomy tube and a suction catheter that decreases the tendency of mucus and bacteria to adhere to the inner surfaces of the thereof. The endotracheal tube and the catheter may have a hydrophobic surface exhibiting the lotus effect, which may be formed either by femtosecond laser etching or by a coating of ploy (ethylene oxide). Alternatively, the endotracheal tube and the catheter may have a lumen coated with a photocatalyst. The endotracheal tube may also have a light source and a fiberoptic bundle mounted thereon, the optical fibers extending into the lumen to illuminate the photocatalyst.