Endotracheal tube insertion device

• US 10,335,023 B2
• Filed: 03/20/2018
• Issued: 07/02/2019
• Est. Priority Date: 01/07/2016
• Status: Active Grant

• Current Assignee: Gardner IP Holdings, LLC
• Original Assignee: Gardner IP Holdings, LLC
• Inventors: Gardner, Glenn P.
• Primary Examiner(s): Bates, David W
• Application Number:
  US15/926,197
• Publication Number:
  US 20180242833A1
• Time in Patent Office: 469 Days
• Field of Search: 604276
• CPC Class Codes: A61B 1/00009 of image signals during a use of endoscope
• CPC Class Codes: A61B 1/00016 using wireless means
• CPC Class Codes: A61B 1/00078 with stiffening means
• CPC Class Codes: A61B 1/00124 electrical, e.g. electrical plug-and-socket connection
• CPC Class Codes: A61B 1/00126 optical, e.g. for light supply cables
• CPC Class Codes: A61B 1/00154 using guiding arrangements for insertion
• CPC Class Codes: A61B 1/0052 Constructional details of control elements, e.g. handles
• CPC Class Codes: A61B 1/0055 Constructional details of insertion parts, e.g. vertebral elements
• CPC Class Codes: A61B 1/01 Guiding arrangements therefore
• CPC Class Codes: A61B 1/051 Details of CCD assembly
• CPC Class Codes: A61B 1/0684 using light emitting diodes [LED]
• CPC Class Codes: A61B 1/267 for the respiratory tract, e.g. laryngoscopes, bronchoscopes
• CPC Class Codes: A61M 16/0418 with integrated means for changing the degree of curvature, e.g. for easy intubation
• CPC Class Codes: A61M 16/0434 Cuffs
• CPC Class Codes: A61M 16/0445 Special cuff forms, e.g. undulated
• CPC Class Codes: A61M 16/0463 combined with suction tubes, catheters or the like; Outside connections
• CPC Class Codes: A61M 16/0486 Multi-lumen tracheal tubes
• CPC Class Codes: A61M 16/0488 Mouthpieces; Means for guiding, securing or introducing the tubes guiding or introducing with laryngoscopes A61B1/267; holding devices on the body A61M25/02
• CPC Class Codes: A61M 16/0495 with tongue depressors

Abstract

An intubation assembly rod is configured to have an endotracheal tube carried thereon and includes an elongated body having a distal end and a proximal end. The distal end of the intubation assembly rod body is tapered, rounded, or spherical, and defines a leading end of the intubation assembly rod. The intubation assembly rod includes a longitudinally extending channel configured such that an elongated member of a device to which the intubation assembly rod may be attached may be inserted into the channel.

Claims

1. An intubation assembly rod in combination with an endotracheal tube insertion device having an elongated insertion member, the intubation assembly rod movably attached to the endotracheal tube insertion device and configured for insertion into an endotracheal tube, such that the endotracheal tube is carried thereon, the intubation assembly rod comprising an elongated body having a distal end, a proximal end, and defining a first axis, wherein the distal end of the intubation assembly rod body is one of tapered, rounded, and spherical and defines a leading end of the intubation assembly rod, and wherein the intubation assembly rod includes a longitudinally extending channel defining a second axis parallel to the first axis and further defining a guide sleeve that extends radially outwardly from the intubation assembly rod body, the guide sleeve positioned intermediate the distal and the proximal ends of the intubation assembly rod body, the channel configured such that an elongated member of a flexible optical assembly may be inserted into the channel;

wherein the flexible optical assembly member has an elongated body having a substantially cylindrical shape and a plurality of longitudinally extending conduits formed therein, the longitudinally extending conduits configured to have one or more of a first video imaging device and first light source disposed therein.

2. The intubation assembly rod according to claim 1, wherein the longitudinally extending channel is a substantially cylindrical channel formed through the distal end of the body.

3. The intubation assembly rod according to claim 1, wherein the distal end of the intubation assembly rod body is tapered, and wherein the tapered distal end of the intubation assembly rod body defines an open end of the longitudinally extending channel.

4. The intubation assembly rod according to claim 1, wherein a distal end of the intubation assembly rod is curved.

5. The intubation assembly rod according to claim 1, wherein a distal end surface of the guide sleeve is disposed at an angle relative to an axis of the intubation assembly rod.

6. The intubation assembly rod according to claim 5, wherein a proximal end surface of the guide sleeve is disposed at the angle relative to an axis of the intubation assembly rod.

7. The intubation assembly rod according to claim 4, wherein the distal end of the intubation assembly rod is curved in two directions, each of the two directions defining axes different from an axis of the proximal end of the intubation assembly rod.

8. The intubation assembly rod according to claim 7, wherein a distal end of the channel is closed.

9. The intubation assembly rod according to claim 1, wherein a distal end of the channel is closed.

10. An intubation assembly rod configured to have an endotracheal tube carried thereon comprising:

an elongated body having a distal end including a distal-most tip and a proximal end; and

a longitudinally extending conduit formed within the intubation assembly rod body;

wherein the proximal end has a substantially cylindrical shape, wherein the distal-most tip of the distal end has an enlarged portion, and wherein at least a portion of the enlarged portion of the distal-most tip is configured to extend transversely outward of an outside surface of the an endotracheal tube carried by the intubation assembly rod; and

wherein the intubation assembly rod is configured to be removed from the endotracheal tube after the endotracheal tube is introduced into a patient.

11. The intubation assembly rod according to claim 10, further including a radially extending flange defining a stop formed at the proximal end of the body, wherein the stop is configured to retain the intubation assembly rod in a desired position within an endotracheal tube mounted on the intubation assembly rod.

12. The intubation assembly rod according to claim 11, wherein the longitudinally extending conduit is configured as one of a suction tube, as a conduit for providing oxygen to a patient, and a guidewire receiving conduit.

13. The intubation assembly rod according to claim 10, wherein the longitudinally extending conduit is a first longitudinally extending conduit, the intubation assembly rod further including a second longitudinally extending conduit, wherein each of the first and the second longitudinally extending conduits are configured as one of a suction tube, as a conduit for providing oxygen to a patient, and a guidewire receiving conduit.

14. The intubation assembly rod according to claim 10, wherein the body of the intubation assembly rod is configured to be adjustable in length so as to accommodate endotracheal tubes having a plurality of lengths.

15. An intubation assembly rod configured to have an endotracheal tube carried thereon comprising:

an elongated body having a distal end and a proximal end; and

a stop attached at the proximal end of the body, wherein the stop is configured to retain the intubation assembly rod in a desired position within an endotracheal tube mounted on the intubation assembly rod; and

an oxygen source cap having;

a body having a circumferentially extending wall defining a generally cylindrical outside surface, a first end, and an open second end defining a collar;

an end wall formed at the first end; and

a generally cylindrical fluid inlet extending radially outward of the wall, in fluid communication with the open second end, and configured for connection to source of oxygen;

wherein the intubation assembly rod is mounted within the body and extending one of to and through the end wall;

wherein when the oxygen source cap is one of movably and fixedly mounted to the intubation assembly rod; and

wherein the oxygen source cap is further configured to be urged into contact with an endotracheal tube connector such that oxygen from the source of oxygen may then flow through the oxygen source cap into the endotracheal tube.

16. The intubation assembly rod according to claim 15, wherein the intubation assembly rod includes an annular stop having a plurality of air flow holes formed therethrough, the annular stop one of movably and fixedly mounted to the intubation assembly rod between the second end of the body and the endotracheal tube connector.

17. The intubation assembly rod according to claim 15, further including a wall portion adjacent the collar configured as a bellows to allow the body to expand and contract longitudinally.

18. The intubation assembly rod according to claim 15, wherein the intubation assembly rod includes an annular stop positioned between the second end of the body and the endotracheal tube connector and has a plurality of air flow holes formed therethrough, and wherein the intubation assembly rod extends one of to and through the annular stop.

19. The intubation assembly rod according to claim 15, wherein the end wall includes a centrally formed aperture through which the intubation assembly rod extends.

20. The intubation assembly rod according to claim 15, wherein the intubation assembly rod has an elongated body having a proximal end and a distal end, and wherein the proximal end includes an end portion that extends at an angle from an axis thereof.

21. The intubation assembly rod according to claim 15, wherein the intubation assembly rod has a longitudinally extending conduit formed therethrough.

25. The intubation assembly rod according to claim 15, wherein the intubation assembly rod has an elongated body having a distal end and a proximal end, wherein the proximal end has a substantially cylindrical shape, wherein the distal end has an enlarged portion, and wherein at least a portion of the enlarged portion of the distal end extends transversely outward of an outside surface of the endotracheal tube carried by the intubation assembly rod.

26. The endotracheal tube insertion device according to claim 25, wherein the intubation assembly rod further includes a positioning plug extending radially outward from the body, and wherein the positioning plug is configured to extend through a Murphy eye formed in the endotracheal tube to hold the endotracheal tube in place relative to the intubation assembly rod during insertion of the endotracheal tube into an airway.

22. An intubation assembly rod configured to have an endotracheal tube carried thereon comprising:

an elongated body having a distal end and a proximal end; and

a stop attached at the proximal end of the body, wherein the stop is configured to retain the intubation assembly rod in a desired position within an endotracheal tube mounted on the intubation assembly rod, wherein the stop includes an aperture formed therethrough, the aperture configured as a plurality of connected aperture portions comprising a first aperture portion and a second aperture portion, wherein a diameter of the first aperture portion is larger than a diameter of the second aperture portion, wherein the stop is configured to move longitudinally along the intubation assembly rod when the intubation assembly rod is positioned in the first aperture portion, wherein the stop is configured for lateral movement of the intubation assembly rod between the first aperture portion and the second aperture portion, and wherein the stop is configured for attachment to the intubation assembly rod when the intubation assembly rod is positioned in the second aperture portion.

23. The intubation assembly rod according to claim 22, wherein the stop is movably mounted to the body.

24. The intubation assembly rod according to claim 22, wherein the body of the intubation assembly rod is configured to be adjustable in length so as to accommodate endotracheal tubes having a plurality of lengths.

27. An intubation assembly rod configured to have an endotracheal tube carried thereon comprising:

an elongated body having a distal end and a proximal end; and

a positioning plug extending radially outward from the elongated body, wherein the positioning plug is configured to extend through a Murphy eye formed in the endotracheal tube to hold the endotracheal tube in place relative to the intubation assembly rod during insertion of an endotracheal tube into an airway;

wherein the intubation assembly rod is configured to be removed from the endotracheal tube after the endotracheal tube is introduced into the airway.

28. The intubation assembly rod according to claim 27, wherein the proximal end of the elongated body has a substantially cylindrical shape, wherein the distal end of the elongated body has an enlarged portion, and wherein at least a portion of the enlarged portion of the distal end extends transversely outward of an outside surface of the endotracheal tube carried by the intubation assembly rod.

29. The intubation assembly rod according to claim 27, wherein the distal end of the elongated body includes an articulating joint configured for articulating movement of the distal end of the elongated body relative to a portion of the elongated body proximal to the distal end such that movement of the endotracheal tube retained thereon may be controlled.

30. An intubation assembly rod configured to have an endotracheal tube carried thereon comprising:

an elongated body having a distal end and a proximal end;

a longitudinally extending conduit formed within the intubation assembly rod body; and

a positioning plug extending radially outward from the elongated body, wherein the positioning plug is configured to extend through a Murphy eye formed in the endotracheal tube to hold the endotracheal tube in place relative to the intubation assembly rod during insertion of an endotracheal tube into an airway;

wherein the intubation assembly rod is configured to be removed from the endotracheal tube after the endotracheal tube is introduced into the airway.

31. The intubation assembly rod according to claim 30, wherein the proximal end of the elongated body has a substantially cylindrical shape, wherein the distal end of the elongated body has an enlarged portion, and wherein at least a portion of the enlarged portion of the distal end extends transversely outward of an outside surface of the endotracheal tube carried by the intubation assembly rod.

32. The intubation assembly rod according to claim 30, wherein the distal end of the elongated body includes an articulating joint configured for articulating movement of the distal end of the elongated body relative to a portion of the elongated body proximal to the distal end such that movement of the endotracheal tube retained thereon may be controlled.