Systems and Methods for Treating An Airway
20210113799 · 2021-04-22
Inventors
Cpc classification
A61M16/0463
HUMAN NECESSITIES
International classification
Abstract
Some embodiments described herein may include a system or a method in which an air delivery lumen of an endotracheal tube, a laryngeal mask, or other airway device is configured to optionally provide a suction effect.
Claims
1. A method of removing blood or bodily secretions located in a throat region, the method comprising: disconnecting a proximal connector port of an airway device from a gas supply source, a distal tube portion of the airway device being inserted through a patient's mouth and positioned in a patient's trachea or posterior pharynx; releasably connecting a first end of an adapter device to the proximal connector port of the airway device by inserting the proximal connector port into a tapered lumen of the first end of the adapter device; and releasably connecting a second end of the adapter device to a vacuum source so that at least the adapter device and the distal tube portion of the airway device define a suction path to remove blood or bodily secretions located in the throat region.
2. The method of claim 1, wherein the airway device is one of an endotracheal tube or a laryngeal mask, the method further comprising delivering from the gas supply source a gas having a higher concentration of oxygen as compared to air, the gas being delivered through the distal tube portion of the airway device before said disconnecting the proximal connector port of the airway device from the gas supply source.
3. The method of claim 1, wherein releasably coupling a first end of an adapter device to the proximal connector port comprises inserting and compressing the proximal connector port into a female fitting of the adapter device.
4. The method of claim 1, wherein the inserting and compressing the proximal connector port into a female fitting of the adapter device creates an interference fit.
5. The method of claim 1, wherein said releasably coupling the second end of the adapter device to the vacuum source comprises sealingly mating the second end of the adapter device to a distal end connector of a wall suction hose so that the at least the adapter device and the distal tube portion of the airway device define the suction path to remove blood or bodily secretions located in the throat region.
6. The method of claim 1, further comprising, after the at least the adapter device and the distal tube portion of the airway device define the suction path to remove blood or bodily secretions located in the throat region, removing excess bodily fluids at a periphery of the distal tube portion from a patient's posterior pharynx region.
7. The method of claim 1, further comprising, after the at least the adapter device and the distal tube portion of the airway device define the suction path to remove blood or bodily secretions located in the throat region, removing excess bodily fluids at the periphery of the distal tube portion from a patient's posterior and anterior pharynx regions as the distal tube portion is being withdrawn from the patient.
8. An endotracheal suction system comprising: an endotracheal tube comprising an elongate tubular body extending between a distal tube portion and a proximal end port and defining a longitudinal axis, the distal tube portion adapted for suctioning bodily fluids disposed in a patient's throat region; and an airway adapter device comprising a body including a first fitting at a first end and a second fitting at a second end, the first fitting including a female fitting that comprises a cylindrical exterior and a tapered lumen adapted for receiving and sealingly mating with the proximal end port of the endotracheal tube, and the second fitting including a male fitting that comprises a tapered exterior configured for insertion in a female type connector of a vacuum line.
9. The endotracheal suction system of claim 8, wherein the airway adapter device and the endotracheal tube are mateable together to define at least a portion of a suction flow path from the endotracheal tube to the vacuum line.
10. The endotracheal suction system of claim 9, wherein the tapered lumen is configured to receive the proximal end port of the endotracheal tube in a releasable friction fit engagement that provides a sealed air flow path between the airway adapter device and the endotracheal tube.
11. The endotracheal suction system of claim 10, wherein the tapered lumen has a tapered inner surface defined by an inner wall inclined at an angle relative to the longitudinal axis of the airway adapter device.
12. The endotracheal suction system of claim 11, wherein the angle of the tapered inner surface relative to the longitudinal axis ranging from about 0.5 degrees to about 5 degrees.
13. The endotracheal suction system of claim 11, wherein the angle of the inner wall is adapted for producing a frictional fit between the tapered inner surface of the airway adapter device and an outer diameter of the proximal end port of the endotracheal tube.
14. The endotracheal suction system of claim 8, wherein the male fitting of the airway adapter device includes one or more barbed elements extending outwardly from the exterior of the body for securing the airway adapter device to a distal connector region of a wall suction hose.
15. The endotracheal suction system of claim 14, wherein the one or more barbed elements are positioned along the exterior of the body, each barb having a different maximum outer diameter for allowing the airway adapter device to be compatible with a range of different female connector sizes.
16. The endotracheal suction system of claim 8, wherein the airway adapter device has a maximum inner diameter ranging from about 15.0 mm to about 15.5 mm.
17. The endotracheal suction system of claim 8, wherein the airway adapter device has an overall length of about 70 mm.
18. The endotracheal suction system of claim 8, further comprising a wall suction hose to connect with a wall vacuum source, the wall suction hose providing said female type connector.
19. A laryngeal suction system comprising: an laryngeal mask comprising an elongate tube extending between a distal elliptical mask and a proximal end port, the elliptical mask configured to deploy over a patient's glottis in a posterior pharynx region; and an airway adapter device comprising a body including a first fitting at a first end and a second fitting at a second end, the first fitting including a female fitting that comprises a cylindrical exterior, and a tapered lumen adapted for receiving and sealingly mating with the proximal end port, and the second fitting including a male fitting that comprises a tapered exterior and interior configured for insertion in a distal connector region of a wall suction hose, wherein the airway adapter device and the laryngeal mask are mateable together to define at least a portion of a suction flow path for suctioning of bodily fluids disposed in a patient's throat region.
20. An airway adapter device comprising an elongate body defining a lumen, the body including a first fitting defining a tapered luminal region adapted for receiving and releasably connecting to a male type connector, and a second fitting comprising a tapered exterior configured for inserting into and releasably connecting to a female type connector.
Description
DESCRIPTION OF DRAWINGS
[0013] The accompanying drawings are included to provide a further understanding of the disclosure and are incorporated in and constitute a part of this specification, illustrate embodiments of the disclosure, and together with the description, serve to explain the principles of the disclosure, wherein;
[0014]
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[0020]
[0021]
[0022]
[0023] Like reference symbols in the various drawings may indicate like elements. It should also be noted that the accompanying drawing figures referred to herein are not all drawn to scale and may be exaggerated to illustrate various aspects of the present disclosure, and in that regard, the drawing figures should not be construed as limiting.
DETAILED DESCRIPTION
[0024] Referring to
[0025] The airway adapter device 120 provided herein can create suction capabilities in airway devices used for various medical procedures that normally establish and maintain patency of a patient's airway for ensuring sufficient exchange of oxygen and carbon dioxide. Exemplary medical procedures in which the airway adapter device 120 provided herein can be applied include medical procedures requiring mechanical ventilation, emergency medicine and general anesthesia, such as surgical procedures including gynecologic, orthopedic, urologic surgeries and the like. In some implementations, airway adapter devices 120 provided herein can be applied to various airway devices such as infraglottic airway devices (e.g., an endotracheal tube used for endotracheal intubation) and extraglottic airway devices (e.g., a laryngeal mask airway). Infraglottic airway devices are devices that pass through the glottis (i.e., enter the trachea 102) while extraglottic airway devices are devices that remain in the pharynx above the glottis and therefore do not enter the glottis. These airway devices are typically used during a medical procedure to deliver a gas having a higher concentration of oxygen as compared to air, or to administer other gases (such as helium, nitric oxide, nitrous oxide, xenon), anesthetic agents (such as desflurane, isoflurane or sevoflurane), and/or medicaments (such as salbutamol, atropine, epinephrine, ipratropium, lidocaine).
[0026] In the particular embodiment depicted in
[0027] In various implementations, the airway adapter device 120 can be sized and shaped to provide a press-fit design for coupling each end of the airway adapter device 120 to an airway device and/or a connector of an ancillary device or system. For instance, the airway adapter device 120 can be configured to form a press-fit connection with the depicted endotracheal tube 110 at the first end 124 and a vacuum source (e.g., distal connector region 152 of the wall suction hose 150) at the second end 126. In the depicted embodiment, the female fitting (e.g., the first fitting 130) of the airway adapter device 120 may be coupled to the male universal fitting (e.g., the proximal end port 114) of the endotracheal tube 110 by inserting the universal fitting into the female fitting of the airway adapter device 120 and manually pressing the two devices together. For instance, in some embodiments, a healthcare worker can connect the airway adapter device 120 to the endotracheal tube 110 by physically generating an axial compression force that causes the proximal end port 114 of the endotracheal tube 110 to be pressed into a lumen of the female fitting. The coupling of the male fitting (e.g., the second fitting 140) of the airway adapter device 120 can also take place by inserting the male fitting into a vacuum source connector (e.g., the distal connector region 152 of the wall suction hose 150) and pressing together the airway adapter device 120 and wall suction hose 150 using manually generated axial compression. The system 100 can be disassembled by an application of a tensile force that pulls the airway adapter device 120 away from the proximal end port 114 and optionally disconnecting the airway adapter device 120 from the distal connector region 152 of the wall suction hose 150. As such, the system 100 provided herein can be adapted for quick assembly and disassembly and, in certain implementations, optional reassembly.
[0028] Referring to
[0029] In various implementations, the airway adapter device 120 provided herein can include distinct types of fittings on each end portion. For example, the depicted embodiment provided herein includes the first end portion 142 including the female fitting and the second end portion 144 including the male fitting. In other implementations, however, the airway adapter device 120 may include similar or identical fittings on each end. For instance, the first and second end portions 142, 144 of the airway adapter device 120 can both be formed into male fittings or, alternatively, the first and second end portions 142, 144 can both be formed into female fittings.
[0030] The airway adapter device 120 provided herein can define at least one lumen 134. In some embodiments, the lumen 134 can include luminal regions having a constant inner diameter, for example, the depicted mid-portion 146 of the airway adapter device 120 as shown in
[0031] Still referring to
[0032] To facilitate a press-fit engagement mechanism, in some embodiments, the female fitting (e.g., the first fitting 130) can have structural features that create a sealed connection when pressed together with a connector of an airway device (e.g., the proximal end port 114). Certain embodiments of the airway adapter device 120 provided herein include at least one female fitting having a tapered luminal surface adapted to receive a standard universal fitting for airway devices, e.g., a male fitting having an outer diameter of about 15 millimeters. For instance, the female fitting at the first end portion 142 of the airway adapter device 120 can be sized to include a tapered inner surface 136 configured for receiving and connecting to a male fitting (e.g., the proximal end port of an endotracheal tube, laryngeal mask or other airway device). As best seen in
[0033] In some implementations, the tapered inner surface 136 of the depicted female fitting (e.g., the first fitting 130 of the adapter device) is defined by an inner wall inclined at an angle “A1” relative to the longitudinal axis 125 of the airway adapter device 120. The angle A1 of the inner wall can be set to a suitable value for producing a frictional fit between the tapered inner surface 136 of the airway adapter 120 and an outer diameter of an airway device connector (e.g., the proximal end port 114 of the endotracheal tube). In some embodiments, the angle of the tapered inner surface 136 relative to the longitudinal axis 125 can range from about 0.5 degrees to about 60 degrees, and including all values and ranges therebetween. For instance, in certain embodiments, the angle of the tapered inner wall 136 with respect to the longitudinal axis 125 can be about 0.5 degrees, 1 degrees, 2 degrees, 3 degrees, 4 degrees, 5 degrees, 10 degrees, 15 degrees, 20 degrees, 30 degrees, 40 degrees, 60 degrees, or greater than 60 degrees.
[0034] Still referring to
[0035] Certain implementations of the airway adapter device 120 include the male fitting (e.g., the second fitting 140) having surface features adapted for enhancing mechanical coupling between the airway adapter device 120 and a vacuum source connector, e.g., the distal connector region 152 of the wall suction hose 150 of
[0036] The airway adapter devices 120 provided herein are scalable to a range of sizes. Certain embodiments of the airway adapter device 120 include dimensions (such as length, diameter, or width) adapted for providing a user, such as a healthcare worker, with an ergonomic gripping area. The overall length “L” of the airway adapter device 120 can be optionally sized for inclusion within product packaging that includes both the airway adapter device 120 and a compatible airway product (e.g., the endotracheal tube 110 or a laryngeal mask) or, alternatively, only the airway adapter device 120. In some implementations, the adapter device 120 can include an overall length that can range from about 30 mm to about 100 mm, including all values and ranges therebetween. For example, embodiments of the adapter device 120 may include an overall length L of about 30 mm, 35 mm, 40 mm, 45 mm, 50 mm, 55 mm, 60 mm, 65 mm, 70 mm, 75 mm, 80 mm, 90 mm, 100 mm, 110 mm, 120 mm, 130 mm, 140 mm, 150 mm, 160 mm, 170 mm, 180 mm, 190 mm, 200 mm, or greater than 200 mm. Some embodiments of the adapter device 120 include an outer diameter “OD” that can range between about 6 mm and about 20 mm (e.g., a minimum outer diameter of about 6 mm and a maximum outer diameter of about 20 mm). A suitable outer diameter OD can range from about 2 mm to about 30 mm, about 5 mm to about 25 mm, about 10 mm to about 20 mm, about 2 mm to about 25 mm, about 2 mm to about 20 mm, about 5 mm to about 30 mm, about 5 mm to about 20 mm, about 10 mm to about 30 mm, about 10 mm to about 25 mm, about 10 mm to about 20 mm, about 20 mm to about 25 mm, about 25 mm to about 30 mm, about 20 mm to about 30 mm, about 30 mm to about 40 mm, about 40 mm to about 50 mm, or about 50 mm to about 60 mm. The adapter device 120 provided herein can include an inner diameter “ID” that can range from about 2 mm to about 25 mm, including all values and ranges therebetween. For example, in some cases, the adapter device 120 can have a minimum inner diameter of about 6 mm and a maximum outer diameter of about 20 mm. A suitable inner diameter ID can range from about 3 mm to about 25 mm, about 5 mm to about 20 mm, about 7 mm to about 16 mm, about 3 mm to about 20 mm, about 3 mm to about 16 mm, about 5 mm to about 25 mm, about 5 mm to about 16 mm, about 7 mm to about 25 mm, about 7 mm to about 20 mm, about 16 mm to about 20 mm, or about 20 mm to about 25 mm, in some embodiments.
[0037] In some implementations, the female fitting can have a maximum inner diameter that ranges from about 15.0 mm to about 16.0 mm and a minimum inner diameter that ranges from about 14.5 to about 15.5. Some embodiments of the airway adapter device 120 can include a female fitting (e.g., the first fitting 130) having an inner diameter that tapers from about 15.5 mm to about 15.0 mm (i.e., the maximum diameter of the female fitting is about 15.5 mm and the minimum diameter is about 15.0 mm).
[0038] The airway adapter device 120 provided herein can be made of various materials, including polymer, metal and/or ceramic materials. In some embodiments, the airway adapter device 120 is composed of a polymeric material, such as a thermoplastic or a thermoset polymer. Suitable polymers for forming the airway adapter device 120 can include, but are not limited to, polycarbonate, polyethylene, polypropylene, polyvinylchloride, polyethylene terephthalate, polyether ether ketone, polyvinylchloride, nylon, polytetrafluoroethylene, polyurethane, silicone and combinations thereof.
[0039] Some embodiments of the airway adapter device 120 can include a single-piece body. In other embodiments, airway adapter devices 120 can be assembled from multiple components. Various processing methods can be used to fabricate the airway adapter devices provided herein. For example, the body 122 of the airway adapter device 120 may be fabricated using a thermoplastic processing technique such as, but not limited to, injection molding, extrusion, dip coating, spraying and the like. In certain implementations, multi-component bodies can be made by joining together two or more components by applying a joining technique, such as, but not limited to, adhesive bonding, heat bonding, laser bonding, press-fitting, and the like, as well as combinations thereof.
[0040] Referring to
[0041] In some embodiments, the system 200 can include a laryngeal mask suction system that can be assembled after an airway procedure and before the removal of the airway devices, such as the laryngeal mask 210. Prior to assembling the system 200, the laryngeal mask 210 can be optionally disconnected from a gas source (e.g., the anesthesia system 116) and connecting the laryngeal mask 210 to an adapter 120 that is releasably couplable to a vacuum source (e.g., wall suction port 154). For example, a proximal end port 214 of the laryngeal mask 210 may be disconnected from the gas source (e.g., the anesthesia system 116). The proximal end port 214 of the laryngeal mask 210 can subsequently be connected to one end (e.g., a first end 124) of the airway adapter device 120, which can optionally be fastened at the other end (e.g., the second end 126) to the vacuum source, such as a wall suction port 154. The exemplary system 200 may be provided in the form of a laryngeal mask system 200, which comprises in the depicted embodiment at least the laryngeal mask 210 and the airway adapter device 120 configured to mate with the vacuum source (e.g., a wall suction hose 150 in the depicted embodiment).
[0042] Referring to
[0043] Referring to
[0044] At the second end 426 of the airway adapter device 420, the male fitting (e.g., the second fitting 440) can be inserted into and mated to a connector, such as the distal connector region 152 of the wall suction hose 150 of
[0045] Still referring to
[0046] A number of embodiments of the invention have been described. Nevertheless, it will be understood that various modifications may be made without departing from the scope of the invention. Accordingly, other embodiments are within the scope of the following claims.