Smart ETT ventilation attachment and method of use

• US 10,413,688 B2
• Filed: 09/29/2016
• Issued: 09/17/2019
• Est. Priority Date: 05/09/2016
• Status: Active Grant

• Current Assignee: Art Healthcare Ltd.
• Original Assignee: Art Healthcare Ltd.
• Inventors: Elia, Liron, Iddan, Gavriel J.
• Primary Examiner(s): Stuart, Colin W
• Application Number:
  US15/279,525
• Publication Number:
  US 20170319804A1
• Time in Patent Office: 1,083 Days
• Field of Search: 12820714- 18
• CPC Class Codes: A61M 16/0003 Accessories therefor, e.g. sensors, vibrators, negative pressure
• CPC Class Codes: A61M 16/04 Tracheal tubes catheters in general A61M25/00
• CPC Class Codes: A61M 16/0402 Special features for tracheal tubes not otherwise provided for
• CPC Class Codes: A61M 16/0431 with a cross-sectional shape other than circular
• CPC Class Codes: A61M 16/0463 combined with suction tubes, catheters or the like; Outside connections
• CPC Class Codes: A61M 16/0475 having openings in the tube
• CPC Class Codes: A61M 16/0477 with incorporated means for delivering or removing fluids
• CPC Class Codes: A61M 16/0479 above the cuff, e.g. giving access to the upper trachea
• CPC Class Codes: A61M 16/0484 at the distal end
• CPC Class Codes: A61M 16/161 with means for measuring the humidity
• CPC Class Codes: A61M 16/201 Controlled valves
• CPC Class Codes: A61M 2016/0413 with detectors of CO2 in exhaled gases
• CPC Class Codes: A61M 2205/07 having air pumping means
• CPC Class Codes: A61M 2205/15 Detection of leaks
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)
• CPC Class Codes: A61M 2230/65 Impedance, e.g. conductivity, capacity

Abstract

An add-on device and method for an Endo-Tracheal Tube (ETT), the add-on device including a lengthy body having a major arc-shaped cross section sized and shaped to tightly fit over an ETT, at least one longitudinal cavity passing along the lengthy body, including a distal suction cavity ending with a suction inlet at a distal end of the lengthy body; and a distal suction outlet channel extending from a proximal end of the lengthy body, the channel is a continuous extension of the distal suction cavity and configured to provide suction to the distal suction cavity. The add-on device senses moisture at a distal end of the add-on device, and in case of detection of excessive wetness, provides suction to the distal end of the device through a cavity passing along the device, the suction is provided via a suction outlet channel extending from a proximal end of the device.

Claims

1. An add-on device for an Endo-Tracheal Tube (ETT), the add-on device comprising:

a lengthy body having a curvature, a major arc-shaped cross section and a longitudinal slit, the lengthy body sized and shaped for facilitating installation over an ETT while the ETT is located within a trachea of a ventilated patient,

wherein the major arc-shaped cross section extends along a length of the lengthy body, from a distal end of the lengthy body to a proximal end of the lengthy body;

a plurality of discrete longitudinal cavities each having an arc-shaped cross section passing along the lengthy body, comprising a suction cavity;

a suction outlet channel extending from the proximal end of the lengthy body, the suction outlet channel is a continuous extension of the suction cavity and configured to provide suction to the suction cavity;

at least one impedance sensor for detection of liquid, disposed at the distal end of the lengthy body;

at least one sensor data channel from the at least one impedance sensor to the proximal end of the lengthy body, passing within a core of thickness of the major arc-shaped cross section, and spaced apart from the plurality of discrete longitudinal cavities; and

a controller that receives data from the at least one impedance sensor and automatically activates suction of the suction outlet channel to create suction in the suction cavity when excessive wetness exceeding a pre-determined threshold is detected by the at least one impedance sensor.

2. The add-on device of claim 1, further comprising:

a mouth suction tube including a suction opening for removal of secretion and/or mucus from the mouth, adapted to extend from an external surface of the lengthy body at a location corresponding to a patient'"'"'s mouth, wherein at least one longitudinal cavity of the plurality of discrete longitudinal cavities further comprising a mouth suction cavity continuous to the mouth suction tube; and

a mouth suction outlet channel extending from the proximal end of the lengthy body, the mouth suction outlet channel is a continuous extension of the mouth suction cavity and configured to provide suction to the mouth suction cavity.

3. The add-on device of claim 2, the add-on device comprising a moisture sensor that senses dryness at a distal end of the mouth suction tube and at least one sensor data channel going through a core of thickness of the major arc-shaped cross section, and spaced apart from the plurality of discrete longitudinal cavities, towards the proximal end of the lengthy body.

4. The add-on device of claim 2, wherein the mouth suction tube is connected to the lengthy body by an axis perpendicular to the lengthy body at a connection point, the mouth suction tube tiltable about the axis to adjust the position of the mouth suction tube.

5. The add-on device of claim 2, further comprising:

at least one impedance sensor for detection of liquid, disposed at the mouth suction tube, when in use corresponding to the patient'"'"'s mouth;

and at least one sensor data channel going through a core of thickness of the major arc-shaped cross section, and spaced apart from the plurality of discrete longitudinal cavities, towards the proximal end of the lengthy body.

6. The add-on device of claim 1, the add-on device comprising:

a liquid outlet at an external surface of the lengthy body at a location corresponding to a patient'"'"'s mouth, when in use;

a longitudinal cavity comprising a liquid channel cavity continuous to the liquid outlet; and

a liquid channel extending from the proximal end of the lengthy body, the liquid channel is a continuous extension of the liquid channel cavity and configured to provide liquid to the liquid outlet.

7. The add-on device of claim 6, wherein the liquid outlet is connected to the lengthy body by an axis perpendicular to the lengthy body at a connection point, the liquid outlet tiltable about the axis to adjust the position of the liquid outlet.

8. The add-on device of claim 1, comprising at the distal end of the lengthy body a recess formed in an internal wall of the lengthy body, configured to prevent clogging of a suction inlet.

9. The add-on device of claim 1, comprising an inlet at the distal end of the lengthy body and a CO₂ sampling pipe continuous to the inlet going through a longitudinal cavity towards the proximal end of the lengthy body.

10. The add-on device of claim 1, comprising an outlet bundle of outlet channels including the suction outlet channel, the outlet bundle extending from the proximal end of the lengthy body.

11. The add-on device of claim 1, wherein the plurality of discrete longitudinal cavities pass in a thickness of the lengthy body.

12. The add-on device of claim 1, wherein an outer surface across the length of the lengthy body is smooth.

13. The add-on device of claim 1, wherein the plurality of discrete longitudinal cavities are located within the major arc-shaped cross section, and passes along the length of the lengthy body.

14. The add-on device of claim 1, further comprising a liquid absorbing material disposed along two opposing sides of the longitudinal slit, wherein the liquid absorbing material is in an unexpanded state before the add-on device is installed over the ETT, keeping the longitudinal slit open for facilitating installation over the ETT while the ETT is located within the trachea of the ventilated patient, and wherein the liquid absorbing material absorbs fluids and expands to fill the longitudinal slit for gripping the add-on device to the ETT when the add-on device is installed over the ETT while the ETT is located within the trachea.

15. The add-on device of claim 1, wherein the controller automatically activates the suction as long as a predetermined condition is fulfilled.

16. The add-on device of claim 1, wherein the at least one impedance sensor is disposed within the core of thickness of a rim.

17. The add-on device of claim 1, wherein the at least one impedance sensor comprises a plurality of impedance sensors which are arranged alternating with the plurality of discrete longitudinal cavities along the core of thickness of the major arc-shaped cross section.

18. The add-on device of claim 1, further comprising a recess formed in the core of thickness of the major arc-shaped cross section, the recess in communication with the suction cavity.

19. The add-on device of claim 1, wherein the at least one impedance sensor is disposed at a rim of the distal end of the lengthy body.

20. The add-on device of claim 1, wherein the suction cavity ends with a suction inlet at the distal end of the lengthy body.

21. The add-on device of claim 1, wherein a plurality of sensor data channels and a plurality of suction cavities are arranged along a circumference of the core of thickness of the major arc-shaped cross section for coverage of the circumference for detection of liquid and suction of the liquid.

22. The add-on device of claim 1, wherein the distal end of the lengthy body is tapered, and the at least one impedance sensor is disposed on a tapered portion of the distal end.

23. The add-on device of claim 1, wherein the at least one impedance sensor is forward facing along a long axis of the add-on device, and disposed within the core of thickness of a rim.

24. An add-on device for an Endo-Tracheal Tube (ETT), the add-on device comprising:

a liquid outlet at a location corresponding to a patient'"'"'s mouth, when in use;

a moisture sensor that senses dryness at a location corresponding to a patient'"'"'s mouth, when in use;

at least one longitudinal cavity passing within a lengthy body of the add-on device, wherein a major arc-shaped cross section extends along a length of the lengthy body, from a distal end of the lengthy body to a proximal end of the lengthy body, and comprising;

a liquid channel cavity continuous to the liquid outlet; and

a moisture sensor data channel, the liquid channel cavity and moisture sensor data channel going through the at least one longitudinal cavity towards a proximal end of the add-on device,

wherein the liquid channel cavity is adapted to guide liquid from the a liquid source to the liquid outlet according to data transmitted through the moisture sensor data channel; and

a controller that activates according to a data indicative of dryness sensed by the moisture sensor, a liquid source for providing liquid to the liquid outlet via the liquid channel cavity.

25. A system comprising:

an add-on device for an Endo-Tracheal Tube (ETT), the add-on device comprising;

a plurality of discrete longitudinal cavities each having an arc-shaped cross section passing within a lengthy body of the add-on device, wherein a major arc-shaped cross section extends along a length of the lengthy body, from a distal end of the lengthy body to a proximal end of the lengthy body, the lengthy body having a curvature and a longitudinal slit, the lengthy body comprising a suction cavity, the lengthy body sized and shaped for facilitating installation over the ETT while the ETT is located within a trachea of a ventilated patient;

a suction outlet channel extending from a proximal end of the add-on device, the suction outlet channel is a continuous extension of the suction cavity and configured to provide suction to the suction cavity;

at least one impedance sensor for detection of liquid, disposed at the distal end of the lengthy body;

at least one sensor data channel from the at least one impedance sensor to the proximal end of the lengthy body, passing within a core of thickness of the major arc-shaped cross section, and spaced apart from the plurality of discrete longitudinal cavities; and

a controller that receives data from the at least one impedance sensor and automatically activates suction of the suction outlet channel to create suction in the suction cavity when excessive wetness exceeding a pre-determined threshold is detected by the at least one impedance sensor

a hub for operating the add-on device, the hub comprises the controller.

26. The system of claim 25, wherein the controller is configured to:

detect excessive wetness based on moisture sensor data; and

when excessive wetness is detected, activate suction through the suction outlet channel.

27. The system of claim 25, wherein the add-on device comprises:

a mouth suction tube adapted to extend from an external surface of the add-on device at a location corresponding to a patient'"'"'s mouth, wherein at least one longitudinal cavity of the plurality of discrete longitudinal cavities further comprising a mouth suction cavity continuous to the mouth suction tube; and

a mouth suction outlet channel extending from the proximal end of the add-on device, the mouth suction outlet channel is a continuous extension of the mouth suction cavity and configured to provide suction to the mouth suction cavity,

wherein the controller is configured to;

switch a selection valve to select between the suction outlet channel and the mouth suction outlet channel; and

switch a pinch valve to control suction supply to the selected suction outlet channel.

28. The system of claim 25, wherein the add-on device comprises:

a liquid outlet at an external surface of the add-on device at a location corresponding to a patient'"'"'s mouth, when in use;

a longitudinal cavity comprising a liquid channel cavity continuous to the liquid outlet; and

a liquid channel extending from the proximal end of the add-on device, the liquid channel is a continuous extension of the liquid channel cavity and configured to provide liquid to the liquid outlet,

wherein the controller is configured to activate a liquid source to provide liquid via the liquid channel.

29. The system of claim 28, wherein the hub comprises an air compressor, wherein the controller is configured to activate the air compressor to push liquid forcefully through the liquid channel.

30. The system of claim 25, wherein the add-on device comprises an inlet at a distal end of the add-on device and a CO₂ sampling pipe continuous to the inlet going through a longitudinal cavity towards the proximal end of the add-on device, and wherein the hub comprises a CO₂ level sensor configured to receive a sample of air via the CO₂ sampling pipe and to measure CO₂ level in the sample.

31. The system of claim 30, wherein the controller is configured to detect air leakage based on the measured CO₂ level.

32. The system of claim 25, wherein the controller is configured to control inflation of an inflatable section of the ETT based on sensor data.

33. A method for controlling an add-on device for an Endo-Tracheal Tube (ETT), the method comprising:

installing the add-on device over the ETT while the ETT is located within a trachea of a ventilated patient, by placing a lengthy body having a curvature, a major arc-shaped cross section and a longitudinal slit, the lengthy body sized and shaped for facilitating installation over the ETT while the ETT is located within the trachea of the ventilated patient, wherein the major arc-shaped cross section extends along a length of the lengthy body, from a distal end of the lengthy body to a proximal end of the lengthy body;

when the add-on device is installed on the ETT, sensing moisture at a distal end of the add-on device by at least one impedance sensor for detection of liquid disposed at the distal end of the lengthy body,

wherein at least one sensor data channel from the at least one impedance sensor to the proximal end of the lengthy body, passes within a core of thickness of the major arc-shaped cross section, and spaced apart from a plurality of discrete longitudinal cavities; and

in case of detection of excessive wetness, provide suction through a cavity of the plurality of discrete longitudinal cavities each having an arc-shaped cross section passing along the add-on device, the suction is provided via a suction outlet channel extending from a proximal end of the add-on device.