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Publication numberUS3924636 A
Publication typeGrant
Publication dateDec 9, 1975
Filing dateJul 5, 1974
Priority dateJul 5, 1974
Publication numberUS 3924636 A, US 3924636A, US-A-3924636, US3924636 A, US3924636A
InventorsBenjamin Alfred Addison
Original AssigneeBenjamin Alfred Addison
Export CitationBiBTeX, EndNote, RefMan
External Links: USPTO, USPTO Assignment, Espacenet
Endotracheal tube holder
US 3924636 A
Images(1)
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Description  (OCR text may contain errors)

United States Patent 1191 1111 3,924,636

Addison Dec. 9, 1975 [54] ENDOTRACHEAL TUBE HOLDER 3,487,837 l/1970 Peterson 128/349 R 3,683,911 8/1972 McCormick [76] g g g i 5 3,834,380 9/1974 Boyd 128/133 run w1c a. 31520 Primary ExaminerRichard A. Gaudet [22] Filed: July 5, 1974 Assistant ExaminerRick Opitz [21] Appl. No.: 485,968

[57] ABSTRACT [52] U S Cl 128/351, 128 D16 26 An endotracheal tube holder for holding an endotra- [51] A61M 25/00 cheal tube in a patients mouth during surgery. The [58] Fieid 136437 tube holder comprises a flexible, adhesive-backed strip adapted to be secured over the mouth of the patient. The strip is provided with a centralopening through which the endotracheal tube can be inserted, and a holding strap having releasable, self-adhering ends is mounted on the strip adjacent the opening.

128/147, 206, 208, 283, 347351, DIG. 6, DIG. 16, DIG. 26; 248/56, 74 PB, 205 A; 24/73 SH, 81 HS, DIG. ll, DIG. 18

[56] References Cited When the endotracheal tube is properly positioned, UNITED STATES PATENTS the holding strap is wrapped securely about the tube 2,908,269 10/1959 Cheng 128/12 and fastened to itself to hold the tube in place.

3,046,989 7/1962 Hill 128/206 3,138,158 6/1964 Gordon et a1 128/348 4 Claims, 3 Drawlllg Figures /'l 20W 1 l '1- 23 \LIIHIHI 1 11 l l llllll llllllllllll 12 f v/. l7 I US. Patent Dec. 9, 1975 ENDOTRACHEAL TUBE HOLDER BACKGROUND AND SUMMARY This invention relates to an endotracheal tube holder for use during Surgery. During most major surgical cases involving general anesthesia, a tube is inserted through the patients mouth into the trachea to ensure an open airway. The tube is desirably held in a fixed position, and a common practice is to use a considerable amount of adhesive tape. Many physicians have their own favorite technique for securing the tube. Other means for holding endotracheal tubes are shown, for example, in US. Pat. Nos. 2,908,269, 3,602,227, and 3,713,448.

However, past techniques have not been entirely satisfactory. For example, the lack of standardization in the taping techniques might introduce inconsistencies in the method of securing the tube from one operation to another; the procedure might be too time-consuming; and the tape might not anchor the tube in a fixed position.

The invention provides a standardized method and means for holding an endotracheal tube which can be quickly applied and which securely holds the tube in the desired position. The tube holder includes an adhesive-backed plastery with a central opening. When the tube is positioned properly, the tube holder is slipped over the exterior end of the tube, the release strip on the adhesive is pulled off, and the plastery is adhered over the mouth. A strap having self-adhering ends which is mounted on the plastery is then wrapped around the tube and adhered to itself to anchor the tube in place. The tube can be removed if desired without removing the plastery merely by detaching the ends of the strap and withdrawing the tube. The tube holder can be removed from the the patient merely by stripping the single adhesive strip from the patients face.

DESCRIPTION OF THE DRAWING The invention will be explained in conjunction with an illustrative embodiment shown in the accompanying drawing, in which FIG. 1 is a fragmentary side view of an endotracheal tube holder formed in accordance with the invention which is applied to a patient and which is holding an endotracheal tube;

FIG. 2 is a front elevational view of the tube holder, which also illustrates in phantom an endotracheal tube and the tube holding strap in a tube-holding position; and

FIG. 3 is a top plan view of the tube holder taken along the line 33 of FIG. 2.

DESCRIPTION OF SPECIFIC EMBODIMENT Referring now to the drawing, the numeral designates generally an endotracheal tube holder which includes an adhesive-backed strip or plastery 11 and a tube-holding strap 12. The strip 11 is relatively elongated and is adapted to fit lengthwise over the mouth below the nose. A central opening 13 is provided through the strip, and the adhesive backing extends from lines 14 and 15 laterally outwardly of the opening to the ends 16 and 17 of the strip. Release strips 17 and 18 cover the adhesive areas before the tube holder is used, and each release strip includes a free end portion 17a and 18a, respectively, which extends over the central non-adhesive-backed portion 19 of the strip to facilitate removal of the release strips.

The tube-holding strap 12 is secured to the central portion of the strip 11 immediately above the tube opening 13 by a support strap 20. The support strap is suitably secured to both the strip 11 and the tube-holding strap 12, as by adhesive or the like, and the support strap is seen to be generally L-shaped, having a portion 20a which is secured to the strip 11 and which extends generally perpendicularly to the axis of the opening 13 and a portion 20b which is attached to the tube-attaching strap 12 and which extends generally parallel to the axis of the opening 13.

The tube-attaching strap 12 is relatively elongated and includes a pair of end portions 22 and 23 which are adapted to be self-adhering when they are wrapped around the endotracheal tube and pressed together. In the particular embodiment illustrated, the adhering means comprises hook-and-loop fastening means which are sold under the name Velcro. The end portion 22 comprises a pad having a plurality of felt-like hooks on the upper surface thereof as viewed in FIG. 2, and the end portion 23 comprises a pad having a plurality of loops on the lower surface thereof as viewed in FIG. 2

which are interengageable with the hooks on the end portion 22. Since this type of fastening means is wellknown, a detailed description thereof is unnecessary. It will be understood that many other self-adhering means can be used. For example, one or both ends of the strap can be provided with a pressure-sensitive adhesive.

Referring now to FIG. 1, an endotracheal tube 24 is shown inserted through the mouth of a patient P into the patients trachea. After the tube is properly positioned, the tube holder is slipped over the exterior end (not shown) of the endotracheal tube by passing the end of the tube through the opening 13. The tube holder is then slipped along the tube toward the patients mouth, and the release strips 17 and 18 are removed to expose the adhesive. The strip 11 is then secured over the mouth of the patient below the patients nose by pressing the adhesive against the cheeks. The strip 11 is advantageously formed of flexible material, such as thin plastic or the like so that the strip can readily conform to the contour of the patients face. The tube-holding strap 12 is then wrapped around the tube and the end portions 22 and 23 are secured together to anchor the tube in place. The tube is illustrated in phantom in FIG. 2 at 24', and the adhered end portions of the strap are indicated at 22' and 23.

The portion 20b of the support strap 20 which is secured to the tube-holding strap 12 extends outwardly from the mouth generally parallel to the axis of the opening 13, and the tube-holding strap can therefore be wrapped around the tube in a plane which extends generally perpendicularly to the axis of the opening. Accordingly, the tube 24 can be held in a position in which it extends generally parallel to the axis of the opening.

The endotracheal tube can be withdrawn from the patient without removing the tube holder merely by detaching the adhered ends of the tube-holding strap 12 and withdrawing the tube. If the tube is to be reinserted, the tube can be inserted through the opening 13 and re-secured by the tube-holding strap. When the tube holder is to be removed from the patient, the adhesive-backed portions of the strip can merely be peeled away from the face. i

Although the tube holder anchors the tube securely, it is relatively inexpensive, and it is disposable after a single use.

While I have described the tube-holding means as being a strap having self-adhering ends, the strap can also be equipped with means for securing the strap directly to the tube rather than to itself' For example, the strap can be provided with pressure-sensitive adhesive so that the strap can be secured around the tube.

The support strap desirably assumes an L-shape in use so that the tube will be held in a position in which it extends parallel with the axis of the opening in the flexible strip. This support strap can be either flexible or inflexible, and I have found it advantageous to make the strap of flexible material to permit packaging the tube holder in a flat package.

While in the foregoing specification a detailed description of a specific embodiment was set forth for the purpose of illustration, it is to be understood that many of the details herein given may be varied considerably by those skilled in the art without departing from the spirit and scope of the invention.

I claim:

1. An endotracheal tube holder for holding an endotracheal tube in a patients mouth during surgery comprising an adhesive-backed strip adapted to be adhesively secured over the mouth of the patient, the strip having an opening therethrough adapted to receive an endotracheal tube, and holding means mounted on the strip adjacent the opening for holding the endotracheal tube as it extends through the opening, the holding means including a strap having self-adhering ends and a strap support secured to the adhesive-backed strip adjacent the opening, the strap support having a portion extending from the strip generally parallel to the axis of the opening, the strap extending generally perpendicularly to said strap support portion and having a length sufficient to permit the strap to be wrapped around the tube with the ends of the strap means in overlapping adhering relationship whereby the strap can be wrapped around the tube in a plane extending generally perpendicularly to the axis of the opening and the tube can be held in a position generally parallel with the axis of the opening.

2. The tube holder of claim 1 in which the self-adhering ends of the strap include interengageable hook-andloop fastening means.

3. The tube holder of claim 1 in which the adhesivebacked strip includes a release strip covering the adhesive, the release strip being removable from the adhesive-backed strip when the tube holder is to be secured to the patients mouth.

4. The tube holder of claim 1 in which the adhesivebacked strip is formed of flexible material to permit the strip to conform to the contour of the patients face.

Patent Citations
Cited PatentFiling datePublication dateApplicantTitle
US2908269 *Mar 24, 1958Oct 13, 1959Sierra Eng CoEndotracheal tube holder and bite block
US3046989 *Sep 29, 1960Jul 31, 1962Edward J HillMeans for holding nasal tubes in position
US3138158 *Nov 2, 1962Jun 23, 1964Donald W GordonMeans for anchorage of surgical fluid injection and drainage tubes
US3487837 *Feb 6, 1967Jan 6, 1970Roy A PetersenDevice for holding catheters in position
US3683911 *Aug 13, 1970Aug 15, 1972Pelam IncProtective seal for catheter
US3834380 *Nov 15, 1972Sep 10, 1974W BoydHolder for intravenous injection cannula and tubing
Referenced by
Citing PatentFiling datePublication dateApplicantTitle
US3972321 *Feb 20, 1975Aug 3, 1976Proctor John SUpper lip mounted retaining means for medical-surgical tubes
US4142527 *Feb 7, 1977Mar 6, 1979Garcia Nelson CEndotracheal tube holder
US4223671 *Mar 26, 1979Sep 23, 1980Rudolph MutoEndotracheal tube stabilizer
US4249529 *Oct 17, 1979Feb 10, 1981Ciment Lawrence MSnap-action holder for endotracheal tube with one-way quick tightening head bands
US4326515 *Apr 14, 1980Apr 27, 1982Shaffer Mark AEndotracheal tube retainer
US4329984 *Jan 13, 1981May 18, 1982David KervinEndotracheal-tube stabilizer
US4331143 *Jul 11, 1980May 25, 1982Foster Billy REndotracheal tube holder
US4548200 *Apr 18, 1983Oct 22, 1985Baka Manufacturing Company, Inc.Endotracheal tube holder
US4592351 *Dec 5, 1983Jun 3, 1986Smith Norma WCannula holder
US4955945 *Mar 22, 1989Sep 11, 1990Weick Heinz HermannDispenser for the vaporization of active substances to be inhaled
US5016425 *May 18, 1990May 21, 1991Weick Heinz HermannDispenser for the vaporization of active substances to be inhaled
US5076269 *Aug 28, 1989Dec 31, 1991Austin Gregory AApparatus for retention of an endotracheal tube
US5386821 *Jun 8, 1993Feb 7, 1995Poterack; Karl A.For use with an endotracheally intubated patient
US5471980 *May 31, 1994Dec 5, 1995Varner; Scott H.Tracheostomy tube and oral endotracheal tube holder
US5520651 *Oct 3, 1994May 28, 1996Conmed CorporationSelf releasing suction and irrigation apparatus and method of attachment
US5743885 *Jan 6, 1995Apr 28, 1998Nikomed ApslBandage for fixating an oral, endo-tracheal anaesthesia tube relative to the mouth of a person and an assembly for fixating an oral, endo-tracheal anaesthesia tube relative to the mouth of a person
US5829430 *Jan 21, 1997Nov 3, 1998Islava; Steven T.Endotracheal tube holder
US5868132 *May 16, 1997Feb 9, 1999Winthrop; NeilEndotracheal tube holder
US6105577 *Oct 28, 1998Aug 22, 2000Varner; Scott H.Advanced tracheostomy tube and oral endotracheal tube holder
US6701928 *Mar 30, 2001Mar 9, 2004Wake Forest UniversityInhaler dispensing system adapters for laryngectomized subjects and associated methods
US7284729Apr 8, 2004Oct 23, 2007Dale Medical Products, Inc.Transducer holder
US7284730Nov 24, 2004Oct 23, 2007Dale Medical Products, Inc.Transducer holder
US7878201 *Sep 29, 2006Feb 1, 2011Mongeon Douglas RSupraglottic airway device and method of use
EP0037198A1 *Mar 13, 1981Oct 7, 1981Kingsdown Medical Consultants LimitedCatheter retainer
EP0408389A1 *Jul 13, 1990Jan 16, 1991E.R. SQUIBB & SONS, INC.Device usable as a catheter holder
EP0574961A1 *Jul 13, 1990Dec 22, 1993E.R. SQUIBB & SONS, INC.Catheter holder
EP1477197A1 *May 5, 2004Nov 17, 2004Atos Medical AbDevice for holding a tracheal cannula
EP1681076A1 *Jan 10, 2006Jul 19, 2006Lang, LeonhardFixation means for fixating a preferably tubular medical accessory introducible into a body cavity
WO1991005579A1 *Oct 18, 1990May 2, 1991Pharma Systems Ps AbArrangement for protecting the breathing passages of laryngectomees
Classifications
U.S. Classification128/206.25, 128/DIG.260, 128/207.14
International ClassificationA61M25/02, A61M16/04
Cooperative ClassificationA61M16/0488, A61M2025/022, A61M2025/026, Y10S128/26, A61M25/02, A61M16/0497
European ClassificationA61M16/04M2, A61M25/02, A61M16/04M
Legal Events
DateCodeEventDescription
Aug 27, 1984AS06Security interest
Owner name: ARNOLD, JAMES F
Owner name: CENTURY NATIONAL BANK OF AUSTIN, P.O. BOX 15467 AU
Effective date: 19840716
Aug 27, 1984ASAssignment
Owner name: CENTURY NATIONAL BANK OF AUSTIN, P.O. BOX 15467 AU
Free format text: SECURITY INTEREST;ASSIGNOR:ARNOLD, JAMES F;REEL/FRAME:004301/0108
Effective date: 19840716