NASAL TUBE DEVICE AND METHOD

• US 20130338521A1
• Filed: 03/15/2013
• Published: 12/19/2013
• Est. Priority Date: 06/18/2012
• Status: Active Grant

• Current Assignee: Applied Medical Technology, Inc.
• Original Assignee: Applied Medical Technology, Inc.
• Inventors: Thompson, Matthew, Thompson, Dawn, Picha, George, Slaga, Allison
• Granted Patent: US 10,426,941 B2
• Time in Patent Office: Days
• US Class Current: 600/532
• CPC Class Codes: A61B 2505/05 Surgical care
• CPC Class Codes: A61B 5/02055 Simultaneously evaluating both cardiovascular condition and temperature
• CPC Class Codes: A61B 5/082 Evaluation by breath analysis, e.g. determination of the chemical composition of exhaled breath A61B5/083, A61B5/091 take precedence
• CPC Class Codes: A61B 5/0836 Measuring rate of CO2 production
• CPC Class Codes: A61B 5/6852 Catheters
• CPC Class Codes: A61M 16/0461 Nasoendotracheal tubes
• CPC Class Codes: A61M 16/0484 at the distal end
• 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 16/0666 Nasal cannulas or tubing devices for improving normal breathing through the nose A61F5/08; nose filters A62B23/06; outside holding devices A61M25/02
• CPC Class Codes: A61M 16/0683 Holding devices therefor
• CPC Class Codes: A61M 16/0816 Joints or connectors
• CPC Class Codes: A61M 16/085 Gas sampling
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2016/103 the CO2 concentration
• CPC Class Codes: A61M 2016/1035 the anaesthetic agent concentration
• CPC Class Codes: A61M 2202/0208 Oxygen
• CPC Class Codes: A61M 2210/0618 Nose
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)
• CPC Class Codes: A61M 2230/435 partial O2 pressure (P-O2)
• CPC Class Codes: A61M 2230/437 : the anaesthetic agent concentration
• CPC Class Codes: A61M 39/08 : Tubes; Storage means specially adapted therefor

Abstract

The present application discloses nasal tube devices, methods for placing and securing a nasal tube to a patient, as well as adapters and connectors for a nasal tube. In one exemplary embodiment, the nasal tube has a proximal portion, a distal portion, and one or more lumens. A securing device may be attached to the proximal portion of the nasal tube and may be configured to attach a flexible line of a retention system to the nasal tube. The securing device may also be configured to selectively compress the proximal portion of the nasal tube. In certain embodiments, one or more medical tubes are disposed in the lumen of the nasal tube and may be selectively secured in the lumen with the securing device. The nasal tube device may also have a retention flange for attaching a flexible line of a retention system to the nasal tube.

Claims

1. A nasal tube device, comprising:

a nasal tube having a proximal portion, a distal portion, and one or more lumens; and

a securing device attached to the proximal portion of the nasal tube, wherein the securing device is configured to attach a flexible line of a retention system to the nasal tube.

2. The nasal tube device of claim 1, wherein the securing device is configured to compress the proximal portion of the nasal tube.

3. The nasal tube device of claim 2, wherein the nasal tube comprises a retaining strap that prohibits removal of the securing device from the nasal tube.

4. The nasal tube device of claim 2, wherein the securing device is a clip that substantially surrounds the proximal portion of the nasal tube in a closed position.

5. The nasal tube device of claim 4, wherein the clip comprises a hinge and a locking mechanism.

6. The nasal tube device of claim 2, wherein the proximal portion of the nasal tube is separated such that compression of the proximal portion by the securing device is capable of securing one or more medical tubes disposed in the lumen of the nasal tube.

7. The nasal tube device of claim 2, wherein a diameter of the lumen is reduced when the securing device compresses the proximal portion of the nasal tube.

8. The nasal tube device of claim 1, wherein the securing device is disposed in a recessed portion of the nasal tube located between a retention flange and a proximal end of the nasal tube.

9. The nasal tube device of claim 1, wherein the securing device is configured to removably attach the flexible line to the proximal portion of the nasal tube.

10. The nasal tube device of claim 1, wherein the securing device comprises one or more tubes that substantially surround the proximal portion of the nasal tube.

11. The nasal tube device of claim 1, wherein the nasal tube comprises a retention flange.

12. The nasal tube device of claim 11, wherein the securing device is positioned between the retention flange and a proximal end of the nasal tube.

13. The nasal tube device of claim 11, wherein the retention flange comprises one or more openings for attaching the flexible line to the nasal tube device.

14. The nasal tube device of claim 11, wherein the retention flange comprises one or more tab portions extending from a central portion of the retention flange, and wherein the tab portion is configured to guide the flexible line of the retention system.

15. The nasal tube device of claim 1, wherein the distal portion of the nasal tube comprises one or more openings.

16. A nasal tube device, comprising:

a nasal tube having a proximal portion, a distal portion, a retention flange, and one or more lumens, wherein the retention flange comprises one or more openings for attaching a flexible line of a retention system to the nasal tube.

17. The nasal tube device of claim 16 further comprising a securing device attached to the proximal portion of the nasal tube, wherein the securing device is configured to compress the proximal portion of the nasal tube.

18. The nasal tube device of claim 17, wherein the flexible line extends from the retention flange, around a portion of a patient, and is attached to the proximal portion of the nasal tube with the securing device to secure the nasal tube device to the patient.

19. The nasal tube device of claim 16, wherein the flexible line extends from the retention flange and around a portion of a patient to secure the nasal tube device to the patient.

20. The nasal tube device of claim 16, wherein the flexible line extends from the retention flange and is removably attached to a portion of a patient to secure the nasal tube device to the patient.

21. A method of placing and securing a nasal tube to a patient, comprising the steps of:

utilizing a nasal tube device comprising a nasal tube attached to a retention system, wherein the retention system comprises a flexible line attached to the nasal tube;

pulling the flexible line around the vomer bone of a patient;

simultaneously inserting a distal end of the nasal tube into a first nostril of the patient as the flexible line is being pulled around the vomer bone;

positioning the distal end of the nasal tube in a pharyngeal space of the patient; and

securing the flexible line around the vomer bone by attaching the flexible line to a proximal portion of the nasal tube.

22. The method of claim 21, wherein a securing device is used to attach the flexible line to the proximal portion of the nasal tube.

23. The method of claim 22, wherein the securing device is configured to compress the proximal portion of the nasal tube.

24. The method of claim 23 further comprising inserting one or more medical tubes in a lumen of the nasal tube and using the securing device to secure the one or more medical tubes in the lumen of the nasal tube.

25. The method of claim 21, wherein the flexible line is attached to a retention flange of the nasal tube.

26. A nasal tube device, comprising:

a nasal tube having a proximal portion, a distal portion, and a delivery lumen extending from the proximal portion to an opening in the outer surface of the nasal tube, wherein the delivery lumen is configured to receive a connector attached to a flexible line of a retention system.

27. The nasal tube device of claim 26, wherein the delivery lumen comprises a first lumen and a second lumen, wherein the first lumen extends from a proximal end of the nasal tube to the second lumen and the second lumen extends from the first lumen to the opening in the outer surface of the nasal tube.

28. The nasal tube device of claim 26 further comprising a securing device attached to the proximal portion of the nasal tube that may be used to attach the flexible line to the proximal portion of the nasal tube.

29. The nasal tube device of claim 28, wherein the securing device is configured to compress the proximal portion of the nasal tube to secure one or more medical tubes in a main lumen of the nasal tube.

30. A method of placing and securing a nasal tube to a patient, comprising the steps of:

utilizing a nasal tube device comprising a nasal tube having a proximal portion, a distal portion, and a delivery lumen extending from the proximal portion to a delivery window, wherein the delivery lumen is configured to receive a connector attached to a flexible line of a retention system;

inserting a distal end of the nasal tube into a first nostril of a patient and positioning the distal end of the nasal tube in a pharyngeal space of the patient;

deploying the connector attached to the flexible line out the delivery window;

pulling the flexible line through the delivery lumen, around the vomer bone of the patient, and out the second nostril of the patient; and

securing the flexible line around the vomer bone by attaching the flexible line to the proximal portion of the nasal tube.

31. The method of claim 30, wherein the delivery window is an opening in the outer surface of the nasal tube.

32. The method of claim 30, wherein the delivery lumen is a passage attached to an outer surface of the nasal tube.

33. The method of claim 30, wherein a securing device is used to attach the flexible line to the proximal portion of the nasal tube.

34. The method of claim 33, wherein the securing device is configured to compress the proximal portion of the nasal tube, and further comprising inserting one or more medical tubes in a main lumen of the nasal tube and using the securing device to secure the one or more medical tubes in the main lumen of the nasal tube.

35. The method of claim 30, wherein the flexible line is attached to a retention flange of the nasal tube.

36. An adapter for a nasal tube, comprising:

a first end having a first port and a second port, wherein each of the first and second ports of the first end are configured for receipt in a lumen of a nasal tube; and

a second end having a first port in fluid communication with the first port of the first end and a second port in fluid communication with the second port of the first end, wherein each of the first and second ports of the second end are configured for removable connection to a medical tube.

37. The adapter of claim 36, wherein one or more outer walls of each of the first and second ports of the first end are shaped and configured to provide an interference fit with the lumens of the nasal tube.

38. The adapter of claim 36 further comprising a space dividing the first port and the second port of the first end that facilitates insertion of the adapter into the lumens of the nasal tube.

39. A nasal tube device, comprising:

a nasal tube having a proximal portion, a distal portion, and a lumen extending from the proximal portion to the distal portion of the nasal tube;

a securing device attached to the proximal portion of the nasal tube, wherein the securing device is configured to selectively compress the proximal portion of the nasal tube; and

one or more medical tubes disposed in the lumen of the nasal tube, wherein the one or more medical tubes are selectively secured in the lumen with the securing device.

40. The nasal tube device of claim 39, wherein the one or more medical tubes comprises one or more connectors for attaching the medical tubes to one or more external tubes.

41. The nasal tube device of claim 39, wherein the one or more medical tubes comprises an oxygen delivery tube and a carbon dioxide monitoring tube, and wherein the oxygen delivery tube and the carbon dioxide monitoring tube are positioned in the lumen such that they terminate at different body levels relative to one another.

42. The nasal tube device of claim 39, wherein the securing device is configured to attach a flexible line of a retention system to the nasal tube.

43. A nasal tube device, comprising:

a nasal tube having a proximal portion, a distal portion, and one or more lumens; and

one or more sensors disposed on an outer surface of the nasal tube.

44. The nasal tube device of claim 43, wherein one or more wires of the one or more sensors extend through the one or more lumens of the nasal tube.