DE202009007342U1 - Tracheostoma placeholder - Google Patents

Abstract

Tracheostomaplatzhalter (1) for sealing a temporary tracheal opening and forming a ventilation and secure access to the trachea, consisting of a tube (12) on the patient side of a universal cone (8) is formed, characterized in that the tube (12) is a cylindrical , smooth surface, free of discontinuous profilings, comprising that on the tube comprising an up and displaceable clamp (7) with flange (6) is provided and an umbrella flange (2), the material fit with the tube (12) at the pipe end in a rounding (3) is formed, a seal between trachea wall (13) and sealing diameter (14) causes.

Description

• – Entwöhnung von Luftröhrenkanülen und Beatmungskanülen nach Langzeitbeatmung oder nach einer Kehlkopf- oder Luftröhrenchirurgie,
• – Gewährleistung eines sicheren Zugangs zur Luftröhre bei Gefahr einer Atemwegsverlegung oder -blutung nach chirurgischen Eingriffen an Pharynx/Larynx, Tumoren,
• – Sekretabsaugmöglichkeit aus tieferen Atemwegen bei schweren pulmonalen oder neurologischen Erkrankungen,
• – bei wiederkehrenden Atemwegsverlegungen im Bereich des Schlundes oder des Kehlkopfes, wie im Falle von obstruktiver Schlafapnoe, gestörter Glottismotorik oder bei bestrahlungsbedingter Verschwellung.

The invention relates to a tracheostoma plate holder for sealing a temporary tracheal opening and forming a secure access to the trachea, which is preferably used in the following application areas:

• Weaning of tracheal cannulae and respiratory cannulas after long-term ventilation or after laryngeal or tracheal surgery,
• - ensuring safe access to the trachea in case of risk of airway obstruction or bleeding following surgical procedures on the pharynx / larynx, tumors,
• - secretion suction from the deeper respiratory tract in severe pulmonary or neurological diseases,
• - In the case of recurrent airway obstruction in the area of the pharynx or the larynx, as in the case of obstructive sleep apnea, impaired glottic motor activity or radiation-induced Verschwellung.

As well the solution according to the invention can be used in special applications, as with inhalation obstacles, z. B. in double-sided vocal cord paralysis and for individual ventilation with HME.

It Various Tracheostomaplatzhalter are known. For example, a so-called "Barton-Mayo Tracheostoma Button", from a one-piece part consisting of a valve seat, a Tracheostomy and one in the stoma impressable button-like, concentric conclusion, consists.

This Platzhalter has the disadvantage that it is the respective anatomical Special features adaptable only by a special new production would be, has no particularly good sealing effect and especially in the patient by a relatively sharp-edged plant on the neck skin leads to swelling and pain.

In other known spacers (eg. U.S. Patent 4,269,184 ) attempts to improve the trachealseitige system of the spacer, characterized in that on the tracheostomy at the same diametrically opposite two lobe-like systems are provided. These lobes are also no safe attachment to the trachea and are very easily prone to dislocation.

all known Tracheostomaplatzhaltern for sealing a temporary Tracheal opening and formation of a secure access to the Trachea is common that the wearing properties when Patients are perceived as unpleasant.

Furthermore, for other applications, namely for the valve sealing of the trachea stump after a total laryngeal distance, tracheostoma occlusions DE-U-85 14 859 and U.S. Patent 5,683,458 known.

A Feeding possibility, for example, a breathing cannula or a breathing tube is in these solutions, however not possible.

Finally is off DE 196 36 050 C2 a tracheostomy site holder is known which attempts to remedy the above-mentioned problems of tracheostoma site owners.

This consists of a tubular tracheostoma ashes, the one-sided in a one-piece molded and in one first dimension arched Trachealschenkel leaking, with the tracheal limb in one to the first Dimension perpendicular dimension amittig to Tracheostomaschenkelachse is connected so that he has different lengths overhang areas having the tracheostoma at the, the tracheal limb abseitigen end is providable with a closure means, wherein the overhang areas, with several thinned out Tracheal leg sections to provide according to the teaching there are assigned, and the Tracheostomaschenkel interrupted locking means These are the inclusion and fixation of a shield in a variably customizable Distance to the contact surface of the tracheal limb to the trachea to ensure.

The latter is by the provided, attachable at a fixed distance Locking means only conditionally possible. In addition, will Also, this construction by the patient in wearing comfort felt to be unfit and leads due to the manner provided there the edged Rastmittelausbildung even to inflammations in the Tracheostoma.

Furthermore are such ribs of so-called T-tubes for a similar purpose known for decades, so that the essence of the above cited invention in the different long trained and thinned overhang areas should exist.

Furthermore, the invention describes DE 10 2005 020 725.1-44 a tracheostoma plate holder for sealing a transient trachea opening and providing safe access to the trachea.

The object of this invention to provide such a placeholder, which ensures a safe and largely self-sealing seat in the trachea opening and an additional Trache ostomaabdichtung offers, is achieved in that the tracheostomy has a substantially cylindrical surface, free of discontinuous profilings, comprising on an extensible and movable and tracheostomy tapered tapered elastic sealing cone is provided whose light, the system at the Tracheostomaschenkel effecting inner diameter in the order of 5% lower than the outer diameter of the tracheostomy mesh, which effectively acts in contact with the sealing cone, that the tracheal limbs are given a deviating geometry in a relaxed state, at least in their outer boundary, and that the tracheostoma holder is at the end opposite the tracheal limb provided with a securing means.

present The invention is therefore based on the object, a Tracheostomaplatzhalter for sealing a temporary tracheal opening and Creation of a secure access to the trachea to solve the disadvantages of the prior art, a safe and largely self-sealing seat in the trachea opening as well Ensures an additional tracheostoma seal while allowing ventilation via HME.

The The object is solved by the features of claim 1.

advantageous Further training are by the subordinate claims detected.

The Invention will be described below with reference to an embodiment and schematic drawings explained in more detail become.

It demonstrate:

1 : An embodiment of a tracheostoma tray holder with the components essential to the invention in a perspective view

2 : a top view of a tracheostoma table holder.

In the 1 is a tracheostoma plate holder ( 1 ) shown schematically according to the present invention in a sectional view.

It consists of a tube ( 12 ), a universal cone ( 8th ) and a cohesively attached umbrella flange ( 2 ). Both parts preferably form a unit.

In contrast to the known state of the art, the tube ( 12 ) a cylindrical, smooth surface, free of discontinuous profiling, grooves, etc. on. On this pipe ( 12 ) is a flange ( 6 ) with a clamp comprising the pipe diameter ( 7 ) mounted on and displaceable.

Furthermore, it is provided in the present invention that the patient-side end of Tracheostomaplatzhalters ( 1 ) with a universal cone ( 8th ) is provided for receiving HME, among other additional devices.

In the context of the invention, it is particularly advantageous to use the umbrella flange ( 2 ) in such a way that a rounding off ( 3 ) a slight, non-injurious Umkrempeln the umbrella flange ( 2 ) when pulling out the Tracheostomaplatzhalters ( 1 ) from the tracheostoma ( 5 ) and the trachea ( 9 ) is possible.

When inserting the Tracheostomaplatzhalters ( 1 ) into the trachestoma ( 5 ) until the umbrella flange unfolds ( 2 ) is an uncontrolled slipping by Vorklemmung the terminal ( 7 ) on the pipe ( 12 ) reached.

After placement and deployment of the umbrella flange ( 2 ) in the trachea ( 9 ) is by pushing the flange ( 6 ) to the skin ( 11 ) of the patient a spread of the umbrella flange ( 2 ) in the sealing diameter ( 14 ) reached.

This results in a particularly desired sealing effect between trachea wall ( 13 ) and sealing diameter ( 14 ) one. Due to the umbrella construction, this seal is elastic and flexible.

Due to the spread shape of the umbrella flange ( 2 ) is a certain biasing force on the trachea wall ( 13 ), resulting in a secure position and seal in the trachea ( 9 ) causes.

Depending on requirements, the flange ( 6 ) in the tether slots ( 10 ) are secured with a tether.

With the new Trachestomaplatzhalter ( 1 ) is thus a device for multi-valued applications, which takes into account the anatomical features of the patient and ensures a safe and comfortable fit with simultaneous ventilation. The elastic, flexible design of the umbrella flange ( 2 ) leads to a gentle tracheostoma seal and thus prevents inflammation in the stoma and in the trachea.

All in the description, the embodiment and the following Drawings recognizable features can be both individually as well as in any combination essential to the invention essential to the invention be.

1

Tracheostoma placeholder

2

Regenschirmflansch

3

rounding off

4

Tracheostomawand

5

tracheostomy

6

flange

7

clamp

8th

Universal cone

9

windpipe

10

Tether slot

11

skin

12

pipe

13

Tracheal wall

14

Sealing diameter

QUOTES INCLUDE IN THE DESCRIPTION

This list The documents listed by the applicant have been automated generated and is solely for better information recorded by the reader. The list is not part of the German Patent or utility model application. The DPMA takes over no liability for any errors or omissions.

Cited patent literature

• - US 4269184 [0005]
• - DE 8514859 [0007]
• US 5683458 [0007]
• - DE 19636050 C2 [0009]
• - DE 1020050207251-44 [0013]

Claims (11)

Tracheostoma tray holder ( 1 ) for sealing a temporary tracheal opening and forming a ventilation and safe access to the trachea, consisting of a tube ( 12 ), on the patient side a universal cone ( 8th ) is formed, characterized in that the tube ( 12 ) has a cylindrical, smooth surface, free from discontinuous profilings, comprising, on the tube, a clampable and displaceable ( 7 ) with flange ( 6 ) and an umbrella flange ( 2 ), the material fit with the pipe ( 12 ) at the end of the pipe in a rounding off ( 3 ) is formed, a seal between trachea wall ( 13 ) and sealing diameter ( 14 ) causes. Tracheostomaplatzhalter according to claim 1, characterized in that the seal diameter ( 14 ) such that the tracheostoma ( 5 ) is sealed. Tracheostomaplatzhalter according to claim 1, characterized in that the umbrella flange ( 2 ) with a rounding off ( 3 ) is trained. Tracheostomaplatzhalter according to claim 1, characterized in that the tube ( 12 ) with a sliding clamp ( 7 ) and flange ( 6 ) is provided. Tracheostomaplatzhalter according to claim 1, characterized in that the umbrella flange ( 2 ) after adaptation of the flange ( 6 ) to the skin ( 11 ) in the seal diameter ( 14 ) an elastic seal with the trachea wall ( 13 ) causes. Tracheostomaplatzhalter according to claim 1, characterized in that the Tracheostomaplatzhalter ( 1 ) with a universal cone ( 8th ) is equipped. Tracheostomaplatzhalter according to any one of the preceding claims, characterized in that the tube ( 12 ) is made of a polyurethane material. Tracheostomaplatzhalter according to claim 1, characterized in that clamp ( 7 ) and flange ( 6 ) are cohesively connected to each other. Tracheostomaplatzhalter according to claim 1, characterized in that when pulling the Tracheostomaplatzhalters ( 1 ) from the tracheostoma ( 5 ) and the trachea ( 9 ) the umbrella flange ( 2 ) around the pipe ( 12 ) card. Tracheostomaplatzhalter according to claim 1, characterized in that the clamp ( 7 ) has only one grid position for clamping. Tracheostomaplatzhalter according to claim 1, characterized in that by the rounding ( 3 ) no injury to the tracheal wall occurs.