Method for locating the illuminated tip of an endotracheal tube

• US 4,567,882 A
• Filed: 12/10/1984
• Issued: 02/04/1986
• Est. Priority Date: 12/06/1982
• Status: Expired due to Term

• Current Assignee: Richard M. Heller
• Original Assignee: Vanderbilt University
• Inventors: Heller, Richard M.
• Primary Examiner(s): Coven, Edward M.
• Assistant Examiner(s): Hindenberg, Max F.
• Application Number:
  US06/680,242
• Time in Patent Office: 421 Days
• Field of Search: 128/4-8, 128/11, 128/23, 128/200.26, 128/653, 128/654, 128/656, 128/658, 128/664, 362/32, 362/804, 604/20, 604/21
• US Class Current: 600/249
• CPC Class Codes: A61B 1/0625 for multiple fixed illumination angles
• CPC Class Codes: A61B 1/07 using light-conductive means, e.g. optical fibres
• CPC Class Codes: A61B 1/2676 Bronchoscopes
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61M 25/01 Introducing, guiding, advancing, emplacing or holding catheters A61M25/10 takes precedence

Abstract

An improvement in catheters and other medical tubes and in the method of use thereof, which facilitates the precise positioning of the tips of such tubes within body passages. The improved method and device are particularly useful in the care and treatment of premature infants. The medical tube has a fiberoptic light conductor extending lengthwise through the wall thereof, the conductor ending in a light emitting and redirecting terminus adjacent the tube'"'"'s free or distal end. The opposite end of the conductor is operatively connected to an external source of high-intensity light in the visible range. Light emitted laterally from the tip of such an indwelling tube may be visually and externally observed through the body wall of the patient for accurately and quickly determining the anatomical location of that tip. In a preferred embodiment, the tube is formed of transparent, flexible, thermoplastic material and the light-emitting terminus of the conductor is beveled and is completely embedded within the wall of the tube, so that light emitted from the terminus must pass through the tube'"'"'s transparent wall.

Claims

1. A method for locating the tip of an endotracheal tube inserted into a patient'"'"'s trachea to provide an airway thereto, comprising the steps of introducing an endotracheal tube through a patient'"'"'s mouth or nose, said tube having an air passage extending longitudinally therethrough to an opening at the distal tip thereof and also having means for emitting and laterally projecting a beam of high-intensity visible light from a point immediately adjacent said opening, advancing said tube so that the tip thereof enters the patient'"'"'s trachea, and locating the position of the tip of said tube as it is advanced by externally and visually observing the light emitted from said tip and projected laterally through the body wall of said patient.

2. The method of claim 1 in which there is the further step of adjusting the position of said tube by shifting the same longitudinally while externally observing changes in the position of the point of light projected through said body wall of said patient.

3. The method of claim 1 which includes projecting said light from the distal end of said tube within the wavelength range of about 4000 to 7700 angstroms.

4. The method of claim 1 which includes projecting said light laterally from the tip of said tube through a transparent portion of the wall thereof.

5. The method of claim 1 which includes projecting said light laterally from only a single point immediately adjacent said opening of said tube.