Endotracheal intubation device

• US 20100095969A1
• Filed: 10/15/2009
• Published: 04/22/2010
• Est. Priority Date: 10/17/2008
• Status: Active Grant

• Current Assignee: Blink Device LLC
• Original Assignee: AI Medical Devices, Inc.
• Inventors: Schwartz, Richard, Schwartz, John, Setty, Harsha
• Granted Patent: US 8,764,638 B2
• Time in Patent Office: Days
• US Class Current: 128/207.14
• CPC Class Codes: A61B 1/00048 Constructional features of the display
• CPC Class Codes: A61B 1/00052 positioned at proximal end of the endoscope body
• CPC Class Codes: A61B 1/00066 Proximal part of endoscope body, e.g. handles A61B1/0052 takes precedence
• CPC Class Codes: A61B 1/00124 electrical, e.g. electrical plug-and-socket connection
• CPC Class Codes: A61B 1/00137 End pieces at either end of the endoscope, e.g. caps, seals or forceps plugs
• CPC Class Codes: A61B 1/053 being detachable
• 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 16/0488 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 25/0136 Handles therefor
• CPC Class Codes: A61M 25/0147 with movable mechanical means, e.g. pull wires

Abstract

A detachable stylet assembly for endotracheal intubation of a patient is disclosed. The stylet comprises an elongated tube defining: a longitudinal axis, a proximal end for detachably mounting the stylet to a hand grip, and a distal end for entering the trachea of the patient. The tube comprises an articulation section adjacent the distal end adapted to curve into the trachea upon actuation. An actuator housing is mounted on and adjacent to the proximal end of the tube. An actuating assembly is constructed inside the actuator housing having connection means for engaging the hand grip. A control wire is mounted within the actuator housing and connected to the actuating assembly. The control wire extends through the tube to the distal end of the tube and is adapted to curve the articulation section upon actuation. The hand grip comprises a base handle and a trigger for manual actuation of the actuator assembly. The trigger comprises finger grooves for convenient gripping. The base handle comprises a hand stop to prevent slippage.

Claims

1. A detachable stylet assembly adapted for endotracheal intubation of a patient comprising:

(a) an elongated tube as a stylet for the intubation defining;

a longitudinal axis, a proximal end for detachably mounting the detachable stylet to a hand grip, and a distal end for entering the trachea of the patient;

wherein the tube comprises an articulation section adjacent the distal end adapted to curve into the trachea upon actuation;

(b) an actuator housing mounted on and adjacent to the proximal end of the tube comprising an actuating assembly having connection means for engaging the hand grip; and

(c) a control wire mounted within the actuator housing and connected to the actuating assembly, wherein the control wire extends through the tube to the distal end of the tube and is adapted to curve the articulation section upon actuation.

2. The assembly of claim 1 wherein the elongated tube comprises an LED mounted adjacent the distal end of the elongated tube and adapted to illuminate a pathway for the stylet to enter the trachea.

3. The assembly of claim 1 further comprising a tube stop mounted on the tube adjacent the actuator housing comprising an adjustment knob and adapted to allow for mounting of an endotracheal tube over and around the elongated tube.

4. The assembly of claim 1 further comprising the hand grip detachably mounted to the actuator housing adjacent the proximal end of the elongated tube.

5. The assembly of claim 1 wherein the actuator housing comprises an electrical connection mounted on the actuator housing and adapted to be coupled to a mating electrical connection port in the hand grip.

6. The assembly of claim 5 further comprises a removable soak cap mounted on the hand grip and adapted to be mounted on and cover the electrical connection port when the stylet is being disinfected in a liquid.

7. The assembly of claim 6 wherein the soak cap is colored a distinguishing color to be identifiable from the other components of the hand grip.

8. The assembly of claim 5 wherein the electrical connection port is coupled to a camera mounted adjacent the distal end of the elongated tube.

9. The assembly of claim 8 wherein the hand grip comprises:

(i) a grip housing;

(ii) a trigger as a pivotable lever extending from the housing towards the distal end of the elongated tube and away and nonparallel with respect to the longitudinal axis; and

(iii) a stationary handle as a base for squeezing the trigger towards the handle when engaged, the base extending towards the distal end and parallel with the elongated tube.

10. The assembly of claim 9 wherein the lever engages the actuating assembly through the connection means and is adapted to cause the control wire to curve when the trigger is squeezed.

11. The assembly of claim 10 wherein the connection means is a stem protruding outside the actuator housing and connecting to a hole defined on an actuator linkage mounted in the grip housing which is engaged with the trigger.

12. The assembly of claim 11 wherein the stem extends perpendicular with respect to the longitudinal axis out of the actuator housing.

13. The assembly of claim 10 wherein the hand grip comprises a display means pivotably mounted on the grip housing and electrically connected to the camera through the electrical connection.

14. The assembly of claim 13 wherein the display means is a LCD screen.

15. The assembly of claim 9 wherein the stationary handle further comprises a stop substantially curved perpendicular to the base to provide a physical stop to a user when gripping the hand grip.

16. The assembly of claim 15 wherein the trigger comprises finger grooves for convenient gripping.

17. A hand grip adapted for endotracheal intubation with a detachable stylet comprising:

(a) a grip housing defining a longitudinal axis extending from the grip housing;

(b) a base handle essentially parallel with the longitudinal axis of the grip housing;

(c) a lever as a trigger mounted in and extending from the grip housing, the lever extending away from the base handle and nonparallel with respect to the longitudinal axis;

wherein the grip housing is configured to allow for mounting of an actuator means for moving a control wire in an elongated tube as a stylet extending along the longitudinal axis; and

wherein the trigger is adapted to control movement of the control wire through a connection in the actuator means when the trigger is squeezed.

18. The assembly of claim 17 wherein the stationary handle further comprises a stop substantially curved perpendicular to the base to provide a physical stop to a user when gripping the hand grip.

19. The assembly of claim 18 wherein the trigger comprises finger grooves for convenient gripping.

20. The hand grip of claim 17 wherein the grip housing provides means for mounting a display monitor.

21. The hang grip of claim 20 wherein the means for mounting a display monitor is a pivotable mounting member adapted to allow for pivoting of the display monitor of 180 degrees about a plane defined by the grip housing.

22. The hand grip of claim 20 wherein the display monitor is mounted on a swivel adapted to allow for radial movement of the display about the swivel.

23. The hand grip of claim 20 further comprising an electrical connection port coupled to a mating electrical port on the actuator means adapted to provide electrical connection between the display monitor and a camera mounted adjacent a distal end of the elongated tube.

24. The hand grip of claim of claim 20 wherein the grip housing further comprises a video out port for optional external viewing.

25. The hand grip of claim 17 wherein the actuator means is a detachable stylet adapted to be detachably mounted within the handgrip.

26. An endoscope device comprising:

(a) an elongated tube as a stylet defining a longitudinal axis mounted on an actuator housing and having a curvable portion at a distal end of the elongated tube comprised of;

(i) a connecter member mounted in the housing; and

(ii) a control wire attached to a proximal end that extends through the elongated tube along the longitudinal axis to the distal end of the elongated tube;

(b) a hand grip comprising;

(i) a grip housing;

(ii) a base handle extending from the grip housing parallel with the longitudinal axis of the elongated tube;

(iii) a lever as a trigger extending from the grip housing and away and nonparallel with respect to the base handle;

(iv) an actuator linkage defining a connector end connected to the connector member and a lever end connected to the trigger, wherein the actuator linkage is mounted in the grip housing and is adapted to translate linearly parallel to the longitudinal axis when the trigger is squeezed towards the base handle; and

(v) a tension spring abutting against the actuator linkage for returning the actuator linkage to rest once the trigger is no longer being squeezed;

wherein the trigger is adapted to be squeezed causing the trigger to pivot towards the base handle; and

wherein the squeezing of the trigger translates the actuator linkage linearly away from the elongated tube which causes the connector member and the control wire to translate linearly away from the elongated tube and curve the curvable portion at the distal end of the elongated tube.

27. The device of claim 26 wherein the actuator housing is detachable from the hand grip.

28. The device of claim 26 further comprising a display monitor pivotably mounted on a pivot member mounted on the grip housing.

29. The device of claim 26 wherein the display monitor is electrically connected through the grip housing and the actuator housing to a camera mounted adjacent the distal end of the elongated tube.

30. The device of claim 29 wherein the actuator housing comprises an electrical connector coupled to the camera at the distal end of the elongated member and the grip housing comprising a mating electrical port within the grip housing and connected to the display monitor, wherein the mounting of the actuator housing to the hand grip connects the electrical connector of the actuator housing to the mating electrical port of the grip housing.

31. The device of claim 26 wherein the actuator linkage slides linearly along a pair of spaced apart guide posts mounted in the grip housing and positioned in parallel with the longitudinal axis.

32. The device of claim 26 wherein the actuator linkage slides linearly along a guide post mounted in the grip housing and positioned in parallel with the longitudinal axis.

33. The device of claim 26 wherein the connector member is a stem protruding outside the actuator housing and connecting to a hole defined on an actuator linkage mounted in the grip housing which is engaged with the trigger.

34. The assembly of claim 33 wherein the stem extends perpendicular with respect to the longitudinal axis out of the actuator housing.

35. The assembly of claim 26 wherein the stationary handle further comprises a stop substantially curved perpendicular to the base to provide a physical stop to a user when gripping the hand grip.

36. The assembly of claim 26 wherein the trigger comprises finger grooves for convenient gripping.

37. The assembly of claim 26 wherein the elongated tube further comprises a plunger connected to the connector member adapted to translate within a chamber along the longitudinal axis and wherein the control wire is attached to the plunger at the proximal end.

38. The assembly of claim 37 wherein the plunger translates linearly away from the elongated tube causing the control wire to translate linearly and curve the curvable portion at the distal end of the elongated tube when the trigger is squeezed.

39. A method of endotracheal intubation of a patient comprising the steps of:

(a) providing a detachable stylet assembly mounted to a hand grip adapted for endotracheal intubation of a patient comprising;

(i) an elongated tube as a stylet for the intubation defining;

a longitudinal axis, a proximal end for detachably mounting the detachable stylet to a hand grip, and a distal end for entering the trachea of the patient;

wherein the tube comprises an articulation section adjacent the distal end adapted to curve into the trachea upon actuation;

(ii) an actuator housing mounted on and adjacent to the proximal end of the tube comprising an actuating assembly having connection means for engaging the hand grip;

(iii) a control wire mounted within the actuator housing and connected to the actuating assembly, wherein the control wire extends through the tube to the distal end of the tube and is adapted to curve the articulation section upon actuation;

(b) inserting the stylet into the trachea of the patient; and

(c) curving the articulation section to position a tube into the trachea of the patient.

40. A method of endotracheal intubation of a patient comprising the steps of:

(a) providing a hand grip mounted to an actuator means comprising;

(i) a grip housing defining a longitudinal axis extending from the grip housing;

(ii) a base handle essentially parallel with the longitudinal axis of the grip housing;

(iii) a lever as a trigger mounted in and extending from the grip housing, the lever extending away from the base handle and nonparallel with respect to the longitudinal axis;

wherein the grip housing is configured to allow for mounting of an actuator means for moving a control wire in an elongated tube as a stylet extending along the longitudinal axis; and

wherein the trigger is adapted to control movement of the control wire through a connection in the actuator means when the trigger is squeezed;

(b) inserting the stylet into the trachea of the patient;

(c) curving the control wire with the trigger to position a tube into the trachea of the patient.

41. A method of endotracheal intubation of a patient comprising the steps of:

(a) providing an endoscope device comprising;

(1) an elongated tube as a stylet defining a longitudinal axis mounted on an actuator housing and having a curvable portion at a distal end of the elongated tube comprised of a connecter member mounted in the housing and a control wire attached to a proximal end that extends through the elongated tube along the longitudinal axis to the distal end of the elongated tube;

(2) a hand grip comprising;

(i) a grip housing;

(ii) a base handle extending from the grip housing parallel with the longitudinal axis of the elongated tube;

(iii) a lever as a trigger extending from the grip housing and away and nonparallel with respect to the base handle;

(iv) an actuator linkage defining a connector end connected to the connector member and a lever end connected to the trigger, wherein the actuator linkage is mounted in the grip housing and is adapted to translate linearly parallel to the longitudinal axis when the trigger is squeezed towards the base handle; and

(v) a tension spring abutting against the actuator linkage for returning the actuator linkage to rest once the trigger is no longer being squeezed;

wherein the trigger is adapted to be squeezed causing the trigger to pivot towards the base handle; and

wherein the squeezing of the trigger translates the actuator linkage linearly away from the elongated tube which causes the connector member and the control wire to translate linearly away from the elongated tube and curve the curvable portion at the distal end of the elongated tube;

(b) inserting the stylet into the trachea of the patient;

(c) curving the articulation section with the trigger to position a tube into the trachea of the patient.