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Publication numberUS2039142 A
Publication typeGrant
Publication dateApr 28, 1936
Filing dateDec 21, 1934
Priority dateDec 21, 1934
Publication numberUS 2039142 A, US 2039142A, US-A-2039142, US2039142 A, US2039142A
InventorsBrehm William F
Original AssigneeBrehm William F
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Tracheotomy tube
US 2039142 A
Abstract  available in
Images(1)
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Claims  available in
Description  (OCR text may contain errors)

Apnf' 28, 1936, w. F. BREHM ,039,142

TRACHEOTOMY TUBE Filed Dec. 211 1984 INVENTOR Patented Apr. 28, 1936 UNITED STATES PATENT OFFICE 1 Claim.

The invention relates to surgical appliances, and consists in elaborations and refinements in the structure of tracheotomy tubes.

Persons suffering from goiter or other morbid throat or nasal conditions frequently reach a stage of abnormality in which natural respiration is no longer possible. Surgery affords the remedy.

The surgeon makes an incision in the wall of the patient's throat, below the lower jaw, and communication is established through such opening with the Wind pipe or trachea. And thus an abnormal but effective method of respiration is made possible.

Ordinarily, in cases of this kind an instrument known as a tracheotomy tube is projected through the incision and into the trachea, to facilitate the passage of air during breathing. In some cases the patient is able to exhale in normal Way through the mouth and nasal passages, and then the mouth of the tracheotomy tube may include a flutter Valve which, normally lying in closed position, swings open when the patient inhales. In other cases both inhalation and exhalation are conducted through the tube, and, accordingly, the mouth of the tube is unrestricted. In either form, however, the instrument secured in the patientfs throat presents an unpleasing appearance, and persons (particularly women) otherwise normal and healthy, who are forced to wear the tube, feel constrained to remain in seclusion.

More specifically my invention consists in the particularly effective organization of a tracheotomy tube in a necklace. The necklace. embodies a medallion element which in service is adapted to overlie the incision or opening in the patient's throat. In addition to providing a cover for the incisional scar, the medallion element receives and is secured to and constitutes a screen upon the outer end of the tube. The face of the medallion is ornamental, and may be decked with jewels, while the neck-encompassing band of the necklace may comprise a string of beads or an ornamental chain of gold or the like. The band of the necklace extends from opposite sides of the medallion, and, in addition to its value and utility as an ornament, the band cooperates with the medallion in secun'ng the tube in proper position in the throat of the wearer. In service, the device appears to be merely a piece of jewelry. The fact is not apparent, that it is additionally a screen upon an unsightly object.

In the accompanying drawing Fig. I shows an embodiment of the invention secured in position of service. Fig. II is a perspective view, showing the medallion element and tracheotomy tube assembly; the cover of the medallion element is removed, and appears with its inner face turned upward. Fig. III is a view, partly in side elevation and partly in section, on the plane III-III of Fig. II, showing the assembly with the cover in place upon the medallion element. Fig. IV is a view in elevation of the assembled medallion element, seen from below. Fig. V is a view corresponding to Fig. III, and illustrating a modification. And Figs. VI and VII are fragmentary Views, illustrating still another modification.

Referring to Fig. I of the drawing, my device comprises a medallion and a band 2 adapted to encompass the neck of the wearer, as shown. The band 2 may consist of a string of beads, an ornamental ribbon, or, as illustrated in this case, a chain of filigree metal links 2a, and, of course, the chain 2 is provided with a separable fastener for closing the band about the neck. The separable fastener is located at the back of the neck and does not appear in the drawing-suflice it to say that any one of the well-known necklace fasteners may be used. The medallion element comprises a metal base la and a cover Ib; the base la is hollow or recessed, and at its opposite ends or sides carries lugs 3, to which lugs the opposite reaches of the neck-encompassing band 2 are pivotally secured, cf. Figs. II and IV. The cover lb is of ornate design, and advantageously is a metal cover perforated in filigree design, roughly indicated by the reference numeral 4. Indeed, the cover may carry diamonds or other jewels, as indicated at 5 in Fig. I.

Means are provided for detachably securing the cover lb to the base la, and such means comprise two axially adjustable pins 6 carried by the cover; within the base la, two tangs or lugs 1 are rigidly secured; each lug includes a transverse orifice, and, when the cover is placed upon the base, the pins 6 are pressed inward, lodging their inner ends severally in the orifices of such lugs. The inner ends of the pins are provided with round knobs 2, whereby the pins engage the lugs with snap-fastener effect, whereby the pins are secured against accidental withdrawal.

As may be observed in Fig. IV, the assembled base and cover constitute a hollow medallion, and the back wall of the base includes a recessed hemispherical portion which (in this case) is extended in an integrally formed, curved, tubular portion Id. The tube ld is the tracheotomy tube and is adapted to extend through the wall of the throat and into the trachea of the wearer. The hemispherical portion lc nests in the depression of the incisional scar in the wearer's throat, affording a snug closure therefor, and overlying the surface of the throat bordering the scar. The rear wall lc of the medallion, here shown to be of spherical curvature, may be minutely shaped to fit snugly the scar of the individual wearer. In case the device is employed for complete respiration, I removably organize Within the tubular portion Id a tube 9; the outer end of the tube 9 `extends into the enclosure or chamber within the medallion, and continues in an angular extension 9a which, as shown in Figs. II and IV, is bell-shaped at its mouth. The side walls of the base la of the medallion and of thecover lb are reoessed, whereby the mouth of the tube 9 lies flush with the bottom edge of the medallion. The open, bell-shaped mouth l3a impofses'minimum restraint upon the inhalatio of air; the organization is such that the exhaled airwis ejected directly into the open atmosphere, where by the moiture of the breath is prevent'ed from oondensing upon the device in the usual way. And it is especially not'worthy thattheligree coveiji'einains in a clean, sanitary condition2 Advantageo'usl the hell-Shaped mouth 9a may be made two Sections, 9b and Sc, and section 9b may be hin'ged to section Sc, whereby it (section 9b) may be swung outward, as shown in Fig. VI, readily to permit the passage through of a tub'elcleansinlg' birush. As shown in Fig. VII, the section M9b carries a fiange 9d which normally insur'es a snugl engagement of the two Sections.

-F'rom time to time the cover lb may be lifted and the tube 9 withdrawn from the assembly, whereby the mucus, which normally collects in the tube and tends to block the air passage, may be removed.

In case inhalation only is to enter through the tracheotomy tube (exhalation being through the normal passageways), the inner tube 9 need not be employed; the tube I d may be made continuous with a mouth portion IO (Fig. V) within the medallion element. Over this mouth portion IO a cap is removably secured. The wall of the cap is provided with an inlet |2,`covered from within by the fiutter Valve 13. When in service the patient inhales, the valve swings open, admitting of free passage of air into the tube I d. When the patient exhales, the valve |3 closes, stonping the pas'sage in tube Id, and causing the breath to flow out through the mouth and nasal passages. The perforated, filigree cover lb' is in this case subje'cted only to the air drawn from the atmosphere'into the inlet |2, and not to the moist breath, and accordingly it is unnecessary to turn the end of the tracheotomy tube aside, as in the form shown in Fig's. II-IV.

I lraim as my inve'ntion:

In combination, a neoklace and a traoheotomy tube, said necklace including a member secured to and c'o'nstituting a screen upon the otherwise exposed 'end of said tracheotomy tube.

WILLIAM F. BREI-IM.

Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US2491647 *Nov 12, 1948Dec 20, 1949Theodore ColavitaTracheal appliance
US2786469 *Dec 18, 1953Mar 26, 1957William CohenTracheal tube assembly and tracheal plug
US2804076 *Oct 1, 1956Aug 27, 1957Rene GiraudonSurgical device for patients undergoing a laryngotomy
US3066674 *Jan 9, 1961Dec 4, 1962Capra Robert PSpeech facilitating attachment for throat tube
US3137299 *Jul 28, 1961Jun 16, 1964Tabor Carl JTracheotomy tube
US3245404 *Apr 22, 1963Apr 12, 1966Stephen RitzcovanConcealable cosmetic device
US3263684 *Feb 26, 1962Aug 2, 1966Robert L BoltonTracheotomy tube with one-way valve
US3265060 *Mar 2, 1964Aug 9, 1966Gus SchreiberExpiration regulators
US3827440 *Jan 18, 1973Aug 6, 1974Birch ACheck-valve for tracheotomy tubes
US3844290 *Jul 20, 1972Oct 29, 1974Birch ATracheotomy device
US4231364 *Apr 30, 1979Nov 4, 1980Speshyock Fred RRespiratory control
US4449527 *Oct 21, 1981May 22, 1984Hinton Deborah LEndotracheal tube holder
US4598705 *Jan 13, 1984Jul 8, 1986Lichtenberger GyoergyTrachea cannula
US4763645 *Aug 25, 1987Aug 16, 1988Kapp Michael JTracheal tube filter
US4802474 *Sep 4, 1987Feb 7, 1989Beevers Katherine KProtective cover for tracheotomy tube
US4809693 *Jul 20, 1987Mar 7, 1989Marco RangoniFor permitting speech
US4909248 *Jan 9, 1989Mar 20, 1990Smiths Industries Public Limited CompanyTracheal tube fittings and assemblies
US5010884 *Sep 10, 1990Apr 30, 1991Derdoes Arthur E VanExpandable metal tracheostomy band
US5048518 *Jan 4, 1990Sep 17, 1991Hood LaboratoriesStoma stent system
US5186168 *Jun 6, 1990Feb 16, 1993Spofford Bryan TTranstracheal catheter system and method
US5445145 *Oct 18, 1994Aug 29, 1995Redmon; Robert A.Apparatus to manually open and close a shutter-like device for tracheostomy patients to facilitate breathing
US5507809 *Nov 5, 1993Apr 16, 1996Hansa Medical Products, Inc.Multi-valved voice prosthesis
US5840091 *Jun 9, 1997Nov 24, 1998Steve CulpepperSmog and dust filter for a tracheostomy tube
US5950620 *Jun 29, 1998Sep 14, 1999Stricklin; Walter D.Resuscitation device for use with stomas
US6789542Feb 22, 2002Sep 14, 2004Bischoff Medical Devices, LlcDecorative valved tracheostomy device
US7021314 *Jul 19, 2004Apr 4, 2006Lane Charles JStoma stent with integrated speech flap valve
EP0112307A2 *Dec 12, 1983Jun 27, 1984Walter CavalliA tracheal intubation cannula with external valve
EP0691136A2May 11, 1993Jan 10, 1996JEPPESEN, FinnTracheotomy cannula
Classifications
U.S. Classification128/207.17, 63/38, 623/9, 128/207.16
International ClassificationA61M16/04
Cooperative ClassificationA61M16/0465, A61M16/0497, A61M2016/0427
European ClassificationA61M16/04M2, A61M16/04E