Surgery – Respiratory method or device – Means for mixing treating agent with respiratory gas
Patent
1990-09-21
1992-06-02
Burr, Edgar S.
Surgery
Respiratory method or device
Means for mixing treating agent with respiratory gas
12820718, 12820717, 128DIG26, 12820024, A61M 1500
Patent
active
051178184
DESCRIPTION:
BRIEF SUMMARY
The present invention relates to devices for holding tubes especially for gastric feeding tubes once they have been inserted into the nasal passages of patients. Such tubes must be secured to prevent them from falling out or being inadvertently pulled out by a patient. Often such tubes remain in use for quite long periods of time and the means for securing such tubes can therefore cause discomfort to the patient and sometimes, complicating medical conditions.
The most common method of securing nasal tubes for gastric feeding purposes to patients is via the use of adhesive tape. The tape is either placed on top of the nose or placed on the upper lip of the patient where it can cause perspiration and as a result capable of collecting germs. The tubes fastened in this way often become loose and can easily be detached. Moreover such tape, when used over long periods of time causes discomfort to the patient and considerable pain when it is removed. Moreover the tape is continually touched by patients when being worn. The area to which the tape is adhered over a period of weeks often becomes very irritated and sore. Vomitting in such patients is not infrequent necessitating a change of tube and of adhesive tape. If this is not done the tape tends to smell unpleasantly. It should of course be appreciated that gastric feeding tubes are stronger and heavier than oxygen supply tubes and as such any means for holding .gastric tubes must be physically stronger than that which might be used for oxygen supply tubes.
There have been other means developed for supplying a patient with gases or fluids through the nose. U.S. Pat. No. 4465067 by Koch et al discloses a holder which is similar to a pair of spectacles. The holder consists of two temple portions designed to rest on the patient's ears which join a front portion substantially at right angles similar to a pair of spectacles. Such a holder would rest on the nose and has a downward extending member which engages the patient's nostril.
The disadvantages of such a holder are clearly apparent. The right angle formed by the front and temple portions justs out from the face providing ample opportunity for the holder to be knocked from the face and possibly injuring the patient. The obstrusive nature of the downward extending member would also be subject to being knocked. In addition the front portion which rests on the nose is likely to cause pressure sores in patients and irritate an area which is not generally padded with subcutaneous fat.
The objectives of the present invention are to provide a comfortable and safe means of securing nasal tubes and particularly gastric feeding tubes to patients. It is the inventors objective to do this by minimizing risk of pressure sores developing, providing a more hygenic means by which tubes can be secured and which facilitates frequent cleaning without patient discomfort. Additionally, it is the inventor's objective to provide a means by which nasal tubes can be secured to patients with highly sensitive skin such as infants and old people.
The nasal tube holder of the present invention comprises a head attachment means associated with a bridging means wherein, when in use, said bridging means traverses the face and is composed of flexible material to conform to facial contours of the patient, said bridging means carrying adjacent to the patient's nose a first nasal connector means.
Preferably the invention includes second nasal tube connector means carried on the bridging means or head attachment means and where two are present, these are located on either side of the first nasal tube connector means. It is a further preferred embodiment that the second nasal tube connector means are movable along the bridging means or the head attachment means so that they can be selectively movable to prevent pressure sores.
It is a further preferred embodiment that said head attachment means comprises loop members designed to encircle a patient's ears. Additionally the head attachment means may comprise a retainer means alone or associated with
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Burr Edgar S.
Raciti Eric
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