Patent classifications
A61M16/0438
Jet ventilation catheter, in particular for ventilating a patient
The present invention relates to a catheter for ventilating a patient, with a ventilation channel for alternately delivering and removing air and/or oxygen to and from the patient's airways, the catheter having a maximum external diameter of at most 6 mm, preferably 2 to 5 mm, and the ventilation channel having an open end, and a connector end for connection to a gas flow reversing element. According to the invention, the catheter is provided with means or elements for measuring the pressure outside the ventilation channel near the open end. The catheter preferably has a pressure measurement channel, with an open measurement end near the open end of the ventilation channel, and a measurement connector piece for connecting a pressure display device. Of particular advantage is a catheter with an expansion body (cuff) that is fluidically connected to a supply channel through which the expansion body can be increased or reduced in size by means of a fluid. The jet ventilation catheter according to the invention permits a novel ventilation principle that can be regarded as a bridge between classical jet ventilation and conventional controlled ventilation and that opens up possibilities for new and improved interventions in the airways.
AIRWAY DEVICE
An airway device for a subject which has an airway tube having a distal end and a proximal end, and a laryngeal mask disposed surrounding the distal end of the airway tube, wherein the inner part of the laryngeal mask has a hollow body filled with a biocompatible thermosensitive hydrogel, wherein the biocompatible thermosensitive hydrogel is gelified within a temperature range such that the biocompatible thermosensitive hydrogel, upon being gelified, allows the laryngeal mask to fit over the circumference of a laryngeal inlet of the subject.
METHODS OF INTUBATING A PATIENT
Intubation devices and methods of intubating a patient are provided. The intubation devices include a laryngeal mask airway (LMA) component having a mask portion and a tube portion and an endotracheal tube (ETT) component positioned in the laryngeal mask airway (LMA) component having a translatable and/or rotatable endotracheal tube. The endotracheal tube can be translated and/or rotated by a manipulation rod extending through the laryngeal mask airway (LMA) component and mounted to the endotracheal tube (ETT). The intubation devices may include inflatable cuffs adapted to manipulate the positioning or orientation of the endotracheal tube and/or to seal openings about the endotracheal tubes. Various ports, passages, and conduits are provided to enhance the use and manipulation of the intubation device.
Medical Tubes for Selective Mechanical Ventilation of the Lungs
A single lumen endobronchial tube for selective mechanical ventilation of the lungs can include a medical tube having a single lumen with an opening at each of opposed distal and proximal ends of the tube, the opening at the proximal end of the tube being adapted for connection to an external mechanical ventilation device, and the opening at the distal end of the tube being adapted for delivery of a medical gas; a wall extending throughout the tube's entire length having an internal wall surface, an external wall surface and a thickness therebetween, a portion of the wall having an aperture and a shaft adapted to house a mechanism for sealing the aperture; a distal bronchial cuff positioned along the external wall surface and adapted to expand radially outward; and at least a first proximal tracheal cuff positioned along the external wall surface and adapted to expand radially outward.
SYSTEM FOR REDUCING LOCAL DISCOMFORT
A device for targeted delivery of a substance to an airway may include a conduit and at least two applicators. The conduit may include a proximal end and a bifurcated distal portion having two distal ends. Each applicator may be coupled with one of the distal ends of the conduit and may be configured to direct the substance out of the applicator toward one of two sides of an airway. A method for targeted delivery of a substance to an airway may involve advancing a substance delivery device into the airway, contacting two sides of the airway with at least two applicators of the substance delivery device, such that each applicator contacts the airway near a glossopharyngeal nerve and/or a superior laryngeal nerve on each of the two sides of the airway, and delivering the substance through the applicators to contact the airway along the two sides.
Laryngeal mask
A laryngeal mask is provided with an outer tube and a connector, having a base end in which is formed a first connecting portion capable of being connected to an artificial respirator and a leading end in which is formed a ventilation opening, the outer tube and the connector having a communication passage formed therein that communicates between the first connecting portion and the ventilation opening, a ring-shaped cuff capable of tightly adhering to a tracheal opening of a patient trachea as a result of inflating in a state where the ring-shaped cuff is inserted to a predetermined insertion position, and hyoid bone-contacting portions and protruding laterally from the outer tube so as to contact from above a site in a pharyngeal portion of the patient corresponding to a hyoid bone of the patient in a state where the ring-shaped cuff is inserted to the insertion position.
DELIVERY DEVICES FOR NASOPHARYNGEAL MUCOSA TARGETS
A system for delivering a therapeutic agent to nasopharyngeal mucosa tissue has a shaft, a porous pad of compliant material coupled to the shaft near the distal end, and a drug reservoir. The porous pad is configured to expand from a contracted configuration to an expanded configuration. The expanded configuration is adapted to engage and conform to the mucosa tissue in a nasal cavity, and the contracted configuration has a size suitable for introduction into the nasal cavity. The drug reservoir holds a therapeutic agent and is at least partially covered by the porous pad. The drug reservoir is configured to release a fixed volume of the therapeutic agent into the porous pad within a period of less than about 120 minutes, and has a wall with a plurality of channels fluidly coupled with the porous pad.
Delivery devices for nasopharyngeal mucosa targets
A system for delivering a therapeutic agent to nasopharyngeal mucosa tissue has a shaft, a porous pad of compliant material coupled to the shaft near the distal end, and a drug reservoir. The porous pad is configured to expand from a contracted configuration to an expanded configuration. The expanded configuration is adapted to engage and conform to the mucosa tissue in a nasal cavity, and the contracted configuration has a size suitable for introduction into the nasal cavity. The drug reservoir holds a therapeutic agent and is at least partially covered by the porous pad. The drug reservoir is configured to release a fixed volume of the therapeutic agent into the porous pad within a period of less than about 120 minutes, and has a wall with a plurality of channels fluidly coupled with the porous pad.
System for reducing local discomfort
A device for targeted delivery of a substance to an airway may include a conduit and at least two applicators. The conduit may include a proximal end and a bifurcated distal portion having two distal ends. Each applicator may be coupled with one of the distal ends of the conduit and may be configured to direct the substance out of the applicator toward one of two sides of an airway. A method for targeted delivery of a substance to an airway may involve advancing a substance delivery device into the airway, contacting two sides of the airway with at least two applicators of the substance delivery device, such that each applicator contacts the airway near a glossopharyngeal nerve and/or a superior laryngeal nerve on each of the two sides of the airway, and delivering the substance through the applicators to contact the airway along the two sides.
ASSEMBLY, ESOPHAGUS CATHETER AND METHOD FOR CONTROLLING A TEMPERATURE OF AT LEAST A PART OF A PERSON, IN PARTICULAR THE BRAIN OF THE PERSON
The present invention relates to an assembly for controlling a temperature of at least a part of a person, comprising an esophagus catheter to be inserted into the esophagus of the person for controlling the temperature. The esophagus catheter extends along a longitudinal axis and comprises a proximal heat exchanger defining a first flow direction having a first axial component relative to the longitudinal axis, and a distal heat exchanger defining a second flow direction having a second axial component relative to the longitudinal axis. The esophagus catheter further comprises a plurality of coolant channels each in fluid communication with at least one of the proximal heat exchanger and the distal heat exchanger, and a coolant pump connected or connectable to at least one of the plurality of coolant channels. The assembly is configured to cause simultaneously a coolant flow through the proximal heat exchanger and the distal heat exchanger.