Surgery – Respiratory method or device – Means placed in body opening to facilitate insertion of...
Reexamination Certificate
1999-10-01
2002-06-18
Weiss, John G. (Department: 3761)
Surgery
Respiratory method or device
Means placed in body opening to facilitate insertion of...
C128S206280, C128S206290, C128S207140, C128S207160
Reexamination Certificate
active
06405725
ABSTRACT:
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates generally to the field of respiratory devices and methods. More specifically, the present invention discloses a method and apparatus for guiding insertion of an endotracheal tube while the patient continues to receive cardiopulmonary resuscitation.
2. Statement of the Problem
In emergency situations involving cardiopulmonary patients or other patients with compromised or arrested breathing, an oral airway is first inserted into the patient's mouth. A face mask is then placed over the patient's mouth and nose. The face mask is connected to an inflatable bag to maintain at least minimal oxygen flow to the lungs in the short term. This process is sometimes referred to as “bagging” the patient. It is suitable for initially stabilizing the patient. In order to breathe more effectively for the patient during cardiopulmonary resuscitation, and to prevent aspiration of stomach contents, an endotracheal tube (or ET tube) is placed into the trachea. Longer-term care usually requires attaching the patient to a ventilator (e.g., by means of the endotracheal tube). The transition from face mask to breathing through the endotracheal tube can be dangerous if insertion of the endotracheal tube takes too long, because the mask and oral airway must be removed and the flow of air/oxygen is interrupted while the endotracheal tube is inserted through the patient's mouth.
The typical conventional approach to making this transition involves discontinuing resuscitation and completely removing the mask and oral airway to expose the mouth. The physician inserts a rigid laryngoscope blade into the patient's mouth to ensure that the patient's airway is open, and then attempts to insert the endotracheal tube through the patient's mouth and into the trachea in the conventional manner. This may require a significant amount of time, particularly if the patient is less than completely cooperative and relaxed, or if the patient's airway has suffered trauma, or the tongue has fallen back to close the airway. The patient may not be breathing during this time, or may not be breathing sufficiently to maintain adequate blood oxygen levels. If the transition process takes more than a few seconds, the physician must temporarily abandon the effort and return to resuscitation by reinserting the oral airway and replacing the face mask. The transition process may have to be repeated several times before the endotracheal tube is successful installed. In addition, the speed with which the transition process must be completed increases the chances of a mistake being made or unnecessary injury to the patient during the intubation procedure.
Endotracheal tubes are also used in semi-emergency situations to ventilate patients with respiratory failure who may be conscious or semi-conscious. The conventional approach requires the patient to lie still while the physician inserts a rigid laryngoscope blade into the patient's mouth and trachea. Delivery of ventilation and/or oxygen is also interrupted during this period. The endotracheal tube is then inserted into place while the laryngoscope blade keeps the patient's airway open. Successful intubation depends on the patient being cooperative and completely relaxed, which unfortunately is often not the case. Even with a cooperative patient, intubation is very uncomfortable and can cause the patient to panic due to the difficulty in breathing during the procedure. This procedure can also result in a choking or gagging response that can cause the patient to regurgitate and aspirate contents from the stomach. One conventional response to these shortcomings has been to sedate the patient during intubation. Tranquilizers make the patient more cooperative and less likely to choke during intubation, but also tend to suppress the patient's breathing and blood pressure. These side effects may be unacceptable when dealing with a patient who already suffers from shallow or irregular breathing or depressed blood pressure. Therefore, a need exists for an improved device to guide insertion of an endotracheal tube and ensure that the patient's airway is open, and that also allows the patient to continue to receive air/oxygen during the insertion process.
A wide variety of devices that combine face masks with tubes for ventilation (e.g., endotracheal tubes) have been used in the past, including the following:
Inventor
Patent No.
Issue Date
Teves
5,348,000
Sep. 20, 1994
Don Michael
5,339,808
Aug. 23, 1994
Jeshuran
5,197,463
Mar. 20, 1993
Northway-Meyer
4,848,331
July 18, 1989
Kondur
4,580,556
Apr. 8, 1986
Donmichael
4,497,318
Feb. 5, 1985
Dryden
4,256,099
Mar. 17, 1981
Buttaravoli
3,809,079
May 7, 1974
Michael et al.
3,683,908
Aug. 15, 1972
Teves discloses a system for dispensing oxygen or anesthesia via an interchangeable face mask and nasal catheter.
Don Michael discloses a endotracheal-esophageal intubation device that includes a face mask (see,
FIG. 2
of the Don Michael patent).
Jeshuran shows an anesthesia mask
28
that is initially placed over the patient's mouth and nose as shown in
FIG. 7
of the Jeshuran patent. A fiber optic
40
is inserted through an endotracheal tube, and then through an opening in a two-piece core
84
,
86
, as shown in
FIG. 9
of the Jeshuran patent. The fiber optic
40
is advanced into the trachea. The head
96
is then unscrewed and the core segments
84
,
86
are disassembled to allow the endotracheal tube to be inserted through the mask, as shown in
FIG. 2
of the Jeshuran patent. The fiber optic
40
serves as a guide for insertion of the endotracheal tube
46
. The fiber optic
40
is then withdrawn and the endotracheal tube cuff
136
is inflated, as shown in
FIG. 8
of the Jeshuran patent. However, Jeshuran does not show a curved guide to direct insertion of the fiber optic probe. The physician is faced with the problem of navigating the fiber optic probe past the patient's tongue and along the airway.
Northway-Meyer discloses a device for pulmonary ventilation concurrent with fiber optic examination of the respiratory tract and tracheal intubation. In particular, Northway-Meyer discloses a face mask with a plurality of ports for ventilation and intubation of the patient, and curved guide for advancing an endotracheal tube.
Kondur discloses another example of an adapter
10
that allows insertion of an endotracheal tube
40
through the face mask
50
and nose of the patient. Here again, no curved guide is provided.
Donmichael discloses an esophageal obturator for blocking aspiration of stomach fluids while the face mask is being used for ventilating the lungs.
Dryden discloses a two-tube resuscitation system. One tube is used to supply air to the trachea, while the other tube is used for aspiration or administering medication.
Buttaravoli discloses a resuscitator having a face mask
11
with a curved tube
15
for supplying air to the patient's airway.
Michael et al. disclose an apparatus for sealing a patient's esophagus and providing artificial respiration. The apparatus includes a mouth shield
14
and a curved main tube
10
.
In addition, the prior art includes several references involving intubating pharyngeal airways that have a curved central tubular member, including the following:
Inventor
Patent No.
Issue Date
Augustine
5,203,320
Apr. 20, 1993
Parker
5,339,805
Aug. 23, 1994
Berman
4,054,135
Oct. 18, 1977
Berman
4,067,331
Jan. 10, 1978
Berman
4,068,658
Jan. 17, 1978
Berman
4,069,820
Jan. 24, 1978
Augustine discloses a tracheal intubation guide with a curved forward end.
Parker discloses a curved guide for intubation of a patient's trachea or suctioning of the hypopharnyx or esophagus.
The Berman patents show an intubating pharyngeal airway having a side access for passage of a tube. The side opening can be expanded or closed by means of either a hinge on the opposite side wall of the tube or by a cap.
3. Solution to the Problem
None of the prior art references uncovered in the s
Dorr, Carson , Sloan & Birney, P.C.
Evergreen Medical, Inc.
Weiss John G.
Weiss, Jr. Joseph F.
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