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Publication numberUS3754554 A
Publication typeGrant
Publication dateAug 28, 1973
Filing dateFeb 22, 1972
Priority dateFeb 22, 1972
Publication numberUS 3754554 A, US 3754554A, US-A-3754554, US3754554 A, US3754554A
InventorsFelbarg H
Original AssigneeFelbarg H
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Endotracheal tube means
US 3754554 A
Abstract
An endotracheal tube having a protrusion with small orifice at its forward end. An introducer or guide rod extends through the orifice to guide the tube between the vocal cords. The rod has a stop to limit its protrusion from the tube. A handle is provided on the rod to operate it.
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Description  (OCR text may contain errors)

United States Patent [191 Felbarg Aug. 28, 1973 [54] ENDOTRACHEAL TUBE MEANS 2,541,402 2/1951 Caine 128/351 3,511,243 5/1970 Toy 128/351 x [76] 12 Kmgsley 3,175,557 3/1965 Hammond 128/351 Huntmgton, NY. 11 3,196,876 7/1965 M1116: 128/343 [22] Filed: Feb. 22, 1972 [21] Appi. No.: 227,734

[52] US. Cl. 128/351, 128/341 7 [51] Int. Cl A61m 25/00 [58] Field of Search 128/10, 11, 341,

[56] References Cited UNITED STATES PATENTS 2,458,305 1/1949 Sandemi, 128/348 Primary Examiner-Dalton L. Truluck Attorney-James P. Malone 2 Claims, 8 Drawing Figures ENDOTRACIIEAL TUBE MEANS This invention relates to endotracheal tube means and more particularly to a novel version for cases in which the regular tubes are difficult to insert between the vocal cords.

Endotracheal tubes are generally introduced through the nose or mouth beyond the vocal cords and into the larynx and trachea. For this purpose a laryngoscope is used.

Quite often this is readily accomplished by using an ordinary endotracheal tube. In some cases, because of the patient having a small mouth, protrudent teeth,

large tongue, etc., the operation may not be so easy and become difficult or impossible.

One of the difficulties in inserting the tube is that the tube is of such caliber that blocks up all the available visual field or lumen of the laryngoscope instrument and the leading end of the tube cannot be seen nor the opening between the vocal cords. The operation ends up being ablind or almost blind intubation of the trachea. Tubes that are transparent, made up of clear plastic, do not solve the problem.

The present invention provides means to be able to see the narrow opening between the vocal cords without interference from the endotracheal tube, comprising a introducer made up of a teflon rod or other suitable material..Teflon is desirable because it has adequate stiffnessand yet will bend easily should it encounter resistance to advance, does not stick to rubber or plastic requiring little lubrication for removal. It can also be bent to a desirable curvature according to the needs of the particular case.

The introducer is inserted'inside the endotracheal tube and it is adjusted to extend forwardly beyond the distal end of the endotracheal tube several inches so that it can be seen easily in the laryngoscope field.

Even if only part of the opening between the cords are seen it is readily easier to insert the introducer rather than the much more larger endotracheal tube.

The introducer serves as a guide and the endotracheal tube will follow easily once the introducer is advanced between the vocal cords.

Accordingly, a principal object of the invention is to provide new and improved guide means for inserting an endotracheal tube.

Another object of the invention is to provide new and improved guide means for inserting an endoctracheal tube having a teflon introducer extending through the tube and protruding from the distal portion of the tube.

Another object of the invention is to provide new and improved guide means for use in an endotracheal tube comprising an introducer, said introducer being adapted to be inserted through said tube and protrude from the distal end of said tube to permit visual guiding of said tube when said tube is inserted between the vocal cords and advanced into the trachea.

These and other objects of the invention will be apparent from the following specification and drawings of which:

FIG.- I is a side view of an endotracheal tube.

FIG. IA is an end view of FIG. 1.

FIG. 2 is a side view of the guide means.

FIG. 3 is a side view of the endotracheal tube with the guide means inserted.

FIGS. 4 7 are diagrams illustrating the operation of the invention.

Referring to thefigures, FIG. I there is shown an en dotracheal tube 1 which comprises a tubular member of rubber, plastic or latex with a continuous spiral of nylon embedded-in the wall. I

Referring to the distal end of tube 1, it has a large opening I" obtusely cut in bevel which provides for the.

which could be blue colored. for easy detection in the laryngoscope field over the generally pink background of the-pharynx. The teflon rod 4 is mounted in a rubber sleeve 5, which at the upper end the introducer is ended in a handle 6.

The sleeve 5, on rod 4, increases the caliber of the teflon rod and by bearing against the orifice 3 limits the amount of protrusion of rod 4 beyond the tip of the endotracheal tube.

Handle 6, is at the end of the same rubber sleeve 5, for easy gripping and quick removal of the introducer from inside the endotracheal tube. This is illustrated in FIG. 3 which shows the complete assembly.

The teflon rod 4, passes through the hole 3, in the protrusion 2 and the handle 6 is shown before the fit ting la at the upper or proximal end of the tube 1. The introducer goes through orifice 3 somewhat tightly and a small amount of a wetting agent such as diluted zephiran chloride secures enough lubrication for removal.

In practice, referring to FIG. 4, the assembly. as shown in FIG. 3 is inserted through the laryngoscope'8. First the opening between the vocal cords 10 is located, and due to its small size the end 4' of the introducer can be seen in the same visual field. This greatly facilitates the introduction of the assembly between the cords under direct vision.

The operator, whose eye is 5 in the diagram, holds the laryngoscope 8 with his left hand. The tube 1 assembly can be seen just about to enter between the vocal cords 10. As can be seen, the opening is very small and the natural tendency for the tube if not visually guided will be to fall into the esophogus 9 which is a larger cavity where the larynx 7 is located. The rest of the drawing shows the trachea l2 and the lungs 13, -13. This invention is not intended for blind intubation. If the vocal cords cannot be seen a regular tube would be better for blind attempts.

As the tube 1 assembly is advanced, FIG. 5, into the trachea, the introducer 4, works as a guide. Once the tube is properly located, the introducer is withdrawn completely from the tube 1, as shown in FIG. 6, and the supply tube 14 for the anesthetic may be connected to the fitting la, FIG. 7.

If this introducer is used with any of the presently available endotracheal tubes the vocal cords will prevent the advance of the endotracheal tube 1 as none of them have a distal end adapted to thread and hold an introducer through and beyond the distal end.

It can be seen that tube 1 and introducer 4 form a unit and they adapt to each other especially at the distal end.

Once the introducer is beyond the vocal cords, by advancingfthe assembly, tube 1 will gain its way in by riding over the cords by virtue of a very smooth transition of the two components. The conelike shape of the dis- 3 tal end of the tube allows for continuity of the two components.

I claim:

1. A modified endotracheal tube having a tip; said tube having two orifices in its tip, said tip having a large beveled orifice for the gas passage duringventilation and a small orifice located next to and forwardly of said large orifice at the tip of a cone-like shaped protrusion, an introducer plastic rod removably received within said tube bore so that said rod distal end may extend several inches'from the end of said endot'rach'eal tube, said small orific'e being designed to thread and support s'aid introducer snuggly, said small orifice having such dimensions as to allow easy threading yet support said introducer.

2. Apparatus as in claim 1 having a rubber sleeve mounted on the plastic rod, said sleeve extending dis tally up to the cone like shaped distal end of the endotracheal tube working as a stop to limit the protrusion of the introducer beyond the endotracheal tube and also causing the endotracheal tube to follow the introducer when said introducer is pushed forward into the trachea beyond the vocal cords, said sleeve extending proximally up to the end of the plastic rod working as a handle, said handle being made with the purpose of providing an easy grip for the removal of said introducer.

s s a:

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
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Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US3957055 *Sep 23, 1974May 18, 1976Linder Gerald SCatheter guide
US4175564 *Mar 13, 1978Nov 27, 1979Kwak In SNasal gastric tube insertion guide and method
US4273126 *Feb 7, 1978Jun 16, 1981Ruth Lea HesseAttachment device for tracheal aspirator
US4677978 *Sep 27, 1984Jul 7, 1987University Of FloridaEmergency cricothyrotomy system and cricothyrotomy kit
US4685457 *Aug 29, 1986Aug 11, 1987Donenfeld Roger FEndotracheal tube and method of intubation
US4694826 *Nov 13, 1984Sep 22, 1987Carmel Medical DevicesEndotracheal tube guide
US4819619 *Jan 16, 1987Apr 11, 1989Augustine Scott DDevice for inserting a nasal tube
US4892095 *Mar 17, 1987Jan 9, 1990Nakhgevany Karim BEndotracheal tube
US4919126 *May 8, 1987Apr 24, 1990Baildon David EFlexible oral airways and methods
US4949716 *Nov 28, 1989Aug 21, 1990Medical Devices, Inc.Nasal intubation adjunct
US5038766 *Nov 8, 1989Aug 13, 1991Parker Jeffrey DBlind orolaryngeal and oroesophageal guiding and aiming device
US5058577 *May 9, 1989Oct 22, 1991Gary SixFlexible tip stylet for use with an endotracheal intubation device
US5174283 *May 7, 1992Dec 29, 1992Parker Jeffrey DBlind orolaryngeal and oroesophageal guiding and aiming device
US5259377 *Mar 30, 1992Nov 9, 1993Stephen M. DaughertyEndotracheal tube stylet
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US5605149 *Mar 17, 1995Feb 25, 1997Board Of Regents, The University Of Texas SystemMethod and apparatus for directing air flow within an intubated patient
US5743254 *Mar 31, 1997Apr 28, 1998Parker Medical Limited PartnershipOrotracheal intubation guide
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US6155252 *Jun 15, 1998Dec 5, 2000Board Of Regents, The University Of Texas SystemMethod and apparatus for directing air flow within an intubated patient
US6463927 *Mar 11, 1998Oct 15, 2002Smiths Group PlcMedical tube assemblies
US6637435 *Dec 4, 2000Oct 28, 2003Cook IncorporatedPercutaneous dilational device
US6672305Feb 26, 2001Jan 6, 2004Parker Medical Limited PartnershipShallow throat orotracheal intubation guide
US7107991Sep 28, 2001Sep 19, 2006The United States Of America As Represented By The Department Of Health & Human ServicesEndotracheal tube using leak hole to lower dead space
US8505531May 15, 2007Aug 13, 2013Truphatek International Ltd.Hand operated articulated intubation stylet
US8568436Aug 29, 2003Oct 29, 2013Cook Medical Technologies LlcPercutaneous dilational device
US8746239 *Jul 18, 2007Jun 10, 2014Douglas K. YoshidaExtendable lighted intubation stylet
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WO1997045153A1 *May 27, 1997Dec 4, 1997Univ McgillLaryngeal cap
Classifications
U.S. Classification128/200.26, 128/207.14, 606/108
International ClassificationA61M16/04
Cooperative ClassificationA61M25/09, A61M16/0488
European ClassificationA61M16/04M