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GB2264869A - Apparatus for identifying tracheal intubation or tracheal tube blockage - Google Patents

Apparatus for identifying tracheal intubation or tracheal tube blockage Download PDF

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Publication number
GB2264869A
GB2264869A GB9204486A GB9204486A GB2264869A GB 2264869 A GB2264869 A GB 2264869A GB 9204486 A GB9204486 A GB 9204486A GB 9204486 A GB9204486 A GB 9204486A GB 2264869 A GB2264869 A GB 2264869A
Authority
GB
United Kingdom
Prior art keywords
identifying
endotracheal tube
signalling device
air
flow
Prior art date
Legal status (The legal status 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 status listed.)
Withdrawn
Application number
GB9204486A
Other versions
GB9204486D0 (en
Inventor
Richard Charles Carter
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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 Individual filed Critical Individual
Priority to GB9204486A priority Critical patent/GB2264869A/en
Publication of GB9204486D0 publication Critical patent/GB9204486D0/en
Publication of GB2264869A publication Critical patent/GB2264869A/en
Withdrawn legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0402Special features for tracheal tubes not otherwise provided for
    • A61M16/0411Special features for tracheal tubes not otherwise provided for with means for differentiating between oesophageal and tracheal intubation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0402Special features for tracheal tubes not otherwise provided for
    • A61M16/042Special features for tracheal tubes not otherwise provided for with separate conduits for in-and expiration gas, e.g. for limited dead volume

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

Abstract

An endotracheal tube 1 is connected to an air flow signalling device 2, preferably a sound-emitting horn 4 containing a reed, so that on correct insertion of the tube into the trachea flow of air from the lungs causes the signalling device to emit a signal. The apparatus can be connected to a ventilator via a catheter mount 6 to identify a blockage in an endotracheal tube, a pressure control valve 8 being inserted between the connector 3' and the device 2 to prevent air flow therethrough during normal lung inflation. <IMAGE>

Description

Apparatus and method for identifying tracheal intubation, and for identifying a blockage in an endotracheal tube The present invention relates to apparatus and a method for identifying tracheal intubation, and apparatus and a method for identifying a blockage in an inserted endotracheal tube.
It is known that tracheal intubation may be identified by clinical observation, capnography and fibreoptic bronchoscopy. Although such methods may be satisfactory there are disadvantages as clinical observations are not always reliable; capnography requires the production of carbon dioxide and fibreoptic bronchoscopy requires expertise and expensive electrical equipment. Failure to oxygenate via the trachea may result in hypoxia and lead to irreversible brain damage and death.
An object of the invention is to provide an apparatus and method which avoid the above disadvantages without reducing substantial exposure.
The invention provides apparatus for identifying tracheal intubation as claimed in claim 1, and a method as claimed in claim 10.
The invention also provides apparatus for identifying a blockage in an inserted endotracheal tube as claimed in claim 6 and a method as claimed in claim 11.
Two embodiments of the invention will now be described with reference to the accompanying drawing, wherein: Figure 1 is a diagrammatic longitudinal sectional view of apparatus for indentifying tracheal intubation, Figure 2 is a diagrammatic sectional view of the signalling device of Figure 1 on an enlarged scale, and Figure 3 is a vertical longitudinal sectional view of apparatus for identifying a blockage in an inserted endotracheal tube.
In Figure 1 apparatus for identifying tracheal intubation comprises an endotracheal tube 1 and an air-flow signalling device 2 connected thereto by means of an endotracheal tube connector 3. As can be seen from Figure 2 the signalling device 2 is sound emitting and is in the form of a horn 4 having a reed 5.
As the endotracheal tube 1 is inserted down the patient' 5 throat into the trachea, pressure on the patient' 5 chest produces a flow of air back through the tube 1 and into the horn 4 to cause the reed 5 to vibrate and emit a sound. If the tube 1 is wrongly inserted, i. e. into the oesophagus, there will be no air flow through the horn 4 when the patients s chest is compressed. Thus, correct tracheal intubation is detected easily and with minimal cost.
The apparatus according to the invention may also be used during lung ventilation to detect blockage in the endotracheal tube as shown in Figure 3. The endotracheal connector 3' shown here is connected to a catheter mount 6 comprising a flexible tube 7 and two end connecting members 7', 7''. The catheter mount 6 is connected to a ventilator (not shown). A pressure-control valve 8 is inserted between the connector 3' and the signalling device 2 to prevent air-flow through the signalling device 2 during normal inflation of the lungs by the ventilator.
If the endotracheal tube 1 becomes blocked, e.g. by kinking, the pressure in the flexible tube 7 rises above the operating pressure of the pressure control valve 8 so as to open the valve 8 and operate the signalling device 2.

Claims (1)

  1. Claims:-
    1. Apparatus for identifying tracheal intubation comprising an endotracheal tube and an air-flow signalling device connected thereto, so that on correct insertion of the tube into the trachea flow of air from the lungs causes the signalling device to emit a signal.
    2. Apparatus as claimed in claim 1, wherein the signalling device emits a sound on passage of air therethrough.
    3. Apparatus as claimed in claim 2, wherein the signalling device comprises an air-flow actuated reed.
    4. Apparatus as claimed in claim 2 or 3, wherein the signalling device is horn-shaped to magnify the sound emitted thereby.
    5. Apparatus as claimed in any one of the preceding claims, wherein the endotracheal tube is connected to the sound-emitting device by means of an endotracheal tube connector.
    6. Apparatus for identifying a blockage in an inserted endotracheal tube comprising apparatus as claimed in any one of claims 1 to 4, wherein the endotracheal tube is connected to the sound-emitting device by means of a connector attachable via a catheter mount to a ventilator, whereby, in use, blockage of the endotracheal tube results in operation of the signalling device.
    7. Apparatus as claimed in claim 6, wherein a pressure-control valve is provided to prevent air-flow through the signalling device during ventilation of a patient' s lungs.
    8. Apparatus for identifying tracheal intubation substantially as herein described with reference to Figures 1 and 2 of the accompanying drawings.
    9. Apparatus for identifying a blockage in an inserted endotracheal tube substantially as herein described with reference to Figures 2 and 3 of the accompanying drawings.
    10. A method of identifying tracheal intubation using the apparatus as claimed in any one of claims 1 to 5, or claim 8.
    11. A method of identifying a blockage in an inserted endotracheal tube using the apparatus as claimed in claims 6, 7 or 8.
    1. Apparatus for identifying tracheal intubation comprising an endotracheal tube and an air-flow signalling device connected thereto, so that on correct insertion of the tube into the trachea flow of air from the lungs causes the signalling device to emit an audible signal
GB9204486A 1992-03-02 1992-03-02 Apparatus for identifying tracheal intubation or tracheal tube blockage Withdrawn GB2264869A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
GB9204486A GB2264869A (en) 1992-03-02 1992-03-02 Apparatus for identifying tracheal intubation or tracheal tube blockage

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GB9204486A GB2264869A (en) 1992-03-02 1992-03-02 Apparatus for identifying tracheal intubation or tracheal tube blockage

Publications (2)

Publication Number Publication Date
GB9204486D0 GB9204486D0 (en) 1992-04-15
GB2264869A true GB2264869A (en) 1993-09-15

Family

ID=10711347

Family Applications (1)

Application Number Title Priority Date Filing Date
GB9204486A Withdrawn GB2264869A (en) 1992-03-02 1992-03-02 Apparatus for identifying tracheal intubation or tracheal tube blockage

Country Status (1)

Country Link
GB (1) GB2264869A (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2341101A (en) * 1998-09-02 2000-03-08 Smiths Industries Plc A breathing indicator device
CN104043174A (en) * 2014-07-07 2014-09-17 赵泽宇 Lengthened fracturing resistant and pressing resistant type trachea cannula with expansion end

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4879999A (en) * 1986-03-26 1989-11-14 Board Of Regents, The University Of Texas System Device for the determination of proper endotracheal tube placement

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4879999A (en) * 1986-03-26 1989-11-14 Board Of Regents, The University Of Texas System Device for the determination of proper endotracheal tube placement
US4879999B1 (en) * 1986-03-26 1996-02-06 Nellcor Inc Device for the determination of proper endotracheal tube placement

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2341101A (en) * 1998-09-02 2000-03-08 Smiths Industries Plc A breathing indicator device
US6378522B1 (en) 1998-09-02 2002-04-30 Smiths Industries Public Limited Respiration assemblies and indicators
GB2341101B (en) * 1998-09-02 2003-01-22 Smiths Industries Plc Respiration assemblies and indicators
CN104043174A (en) * 2014-07-07 2014-09-17 赵泽宇 Lengthened fracturing resistant and pressing resistant type trachea cannula with expansion end

Also Published As

Publication number Publication date
GB9204486D0 (en) 1992-04-15

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Legal Events

Date Code Title Description
WAP Application withdrawn, taken to be withdrawn or refused ** after publication under section 16(1)