Endotracheal tube holding device and associated tube holding method

• US 5,638,814 A
• Filed: 08/18/1995
• Issued: 06/17/1997
• Est. Priority Date: 10/25/1994
• Status: Expired due to Fees

• Current Assignee: Susan F. Johnston
• Original Assignee: Timothy N. Byrd
• Inventors: Byrd, Timothy N.
• Primary Examiner(s): Lewis, Aaron J.
• Application Number:
  US08/516,817
• Time in Patent Office: 669 Days
• Field of Search: 128/207.17, 128/DIG. 24, 128/DIG. 15
• US Class Current: 128/207.17
• 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 16/0497 Tube stabilizer
• CPC Class Codes: A61M 2025/0226 specifically adapted for the nose
• CPC Class Codes: A61M 2025/026 where the straps are releasably secured, e.g. by hook and loop-type fastening devices
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body
• CPC Class Codes: Y10S 128/15 Hook and loop type fastener
• CPC Class Codes: Y10S 128/26 Cannula supporters

Abstract

An endotracheal tube holding device for securing the position of an endotracheal tube. The tube holding device (10) includes first and second tube engaging apparatus (14, 16), each of which includes a foundation strap (24) having an outer bonding surface (30) proximate its distal end portion (26). Each of the tube engaging apparatus (14, 16) also includes a tube engaging strap (36) for releasably engaging and securing the position of the endotracheal tube (12). The tube engaging straps (36) each define a proximal end (38) secured to the operatively associated foundation strap (24) and an inner surface (42) coated with an adhesive for releasably engaging the outer bonding surface (30) of the operatively associated foundation strap (24). Also provided is a securing strap (18) having a first end portion for releasably engaging the proximal end portion of the foundation strap (24) of the first tube engaging apparatus (14) and a second end portion for releasably engaging the proximal end portion of the foundation strap (24) of the second tube engaging apparatus (16).

Claims

1. An endotracheal tube holding device for securing the position of an endotracheal tube, said tube holding device comprising:

a first tube engaging apparatus adapted for releasably engaging an endotracheal tube, said first tube engaging apparatus including a first foundation strap portion having a first distal end portion, said first tube engaging apparatus having a first tube engaging strap for releasably engaging and securing the position of the endotracheal tube, said first tube engaging strap defining a proximal end secured to said first foundation strap portion, and at least one of the first foundation strap portion and the first tube engaging strap including an adhesive-coated surface portion for releasably engaging the endotracheal tube; and

a second tube engaging apparatus adapted for releasably securing the position of an endotracheal tube, said second tube engaging apparatus including a second foundation strap portion having a distal end portion, said second tube engaging apparatus having a second tube engaging strap for securing the position of the endotracheal tube, said second tube engaging strap defining a proximal end secured to said second foundation strap portion, and at least one of the second foundation strap portion and the second tube engaging strap including an adhesive-coated surface portion for releasably securing the position of the endotracheal tube.

2. An endotracheal tube holding device for securing the position of an endotracheal tube, said tube holding device comprising:

a first tube engaging apparatus adapted for releasably engaging an endotracheal tube, said first tube engaging apparatus including a first foundation strap having a distal end portion and a proximal end portion, said first tube engaging apparatus having a first tube engaging strap for releasably engaging and securing the position of the endotracheal tube, said first tube engaging strap defining a proximal end secured to said first foundation strap, and at least one of the first foundation strap and the first tube engaging strap including an adhesive-coated surface portion for releasably engaging the endotracheal tube;

a second tube engaging apparatus adapted for releasably engaging an endotracheal tube, said second tube engaging apparatus including a second foundation strap having a distal end portion and a proximal end portion, said second tube engaging apparatus having a second tube engaging strap for releasably engaging and securing the position of the endotracheal tube, said first tube engaging strap defining a proximal end secured to said second foundation strap, and at least one of the second foundation strap and the second tube engaging strap including an adhesive-coated surface portion for releasably engaging the endotracheal tube; and

a securing mechanism for releasably securing said first and second tube engaging apparatus to a patient.

3. The endotracheal tube holding device of claim 2 wherein said securing mechanism includes a first adhesive member secured to said proximal end portion of said first foundation strap for releasably engaging the patient, and a second adhesive member secured to said proximal end portion of said second foundation strap for releasably engaging the patient.

4. The endotracheal tube holding device of claim 3 wherein said first adhesive member defines a tab portion for releasably engaging said proximal end portion of said first foundation strap, and wherein said second adhesive member defines a further tab portion for releasably engaging said proximal end portion of said second foundation strap.

5. The endotracheal tube holding device of claim 4 wherein said tab portion of said first adhesive member defines an opening for receiving said proximal end portion of said first foundation strap therethrough, and said further tab portion of said second adhesive member defines an further opening for receiving said proximal end portion of said second foundation strap therethrough, and wherein said first foundation strap is provided with a first adhesive surface portion for releasably engaging said first foundation strap along a first bonding surface selectively spaced from said first adhesive surface portion whereby said first foundation strap is releasably secured to said tab portion of said first adhesive member, and said second foundation strap is provided with a second adhesive surface portion for releasably engaging said second foundation strap along a second bonding surface provided on said second foundation strap selectively spaced from said second adhesive surface portion whereby said second foundation strap is releasably secured to said further tab portion of said second adhesive member.

6. The endotracheal tube holding device of claim 5 wherein said first and second adhesive members each define a pair of adhesive coated panels such that each said first and second adhesive member defines a butterfly configuration.

7. The endotracheal tube holding device of claim 2 wherein said first tube engaging strap defines a distal end portion, and said first tube engaging apparatus is provided with a first hook and loop fastener for releasably securing said distal end portion of said first tube engaging strap to said distal end portion of said first foundation strap, and wherein said second tube engaging strap defines a distal end portion, and said second tube engaging apparatus is provided with a second hook and loop fastener for releasably securing said distal end portion of said second tube engaging strap to said distal end portion of said second foundation strap.

8. The endotracheal tube holding device of claim 7 wherein said first hook and loop fastener includes a loop component disposed at said distal end portion of said first foundation strap and a hook component disposed at said distal end portion of said first tube engaging strap, and wherein said second hook and loop fastener includes a loop component disposed at said distal end portion of said second foundation strap and a hook component disposed at said distal end portion of said second tube engaging strap.

9. The endotracheal tube holder of claim 2 wherein said first tube engaging apparatus includes a further tube engaging strap disposed between said first foundation strap and said first tube engaging strap, said further tube engaging strap defining a proximal end secured to said first foundation strap and defining an outer adhesive-coated surface for engaging the endotracheal tube, and wherein said second tube engaging apparatus includes a further tube engaging strap disposed between said second foundation strap and said second tube engaging strap, said further tube engaging strap of said second tube engaging apparatus defining a proximal end secured to said second foundation strap and defining an outer adhesive-coated surface for securing the position of the endotracheal tube.

10. The endotracheal tube holder of claim 9 wherein said further tube engaging strap of said first tube engaging apparatus defines an inner adhesive-coated surface for engaging said first foundation strap, and said further tube engaging strap of said second tube engaging apparatus defines an inner adhesive-coated surface for engaging said second foundation strap.

11. The endotracheal tube holding device of claim 2 wherein said first tube engaging strap has an outer surface defining said adhesive-coated surface portion, and wherein said second tube engaging strap has an outer surface defining said adhesive-coated surface portion of said second tube engaging strap.

12. An endotracheal tube holding device for securing the position of an endotracheal tube, said tube holding device comprising:

a first tube engaging apparatus adapted for releasably engaging an endotracheal robe, said first tube engaging apparatus including a first foundation strap having a distal end portion and an outer bonding surface proximate said distal end portion, said first tube engaging apparatus having a first tube engaging strap for releasably engaging and securing the position of the endotracheal tube, said first tube engaging strap defining a proximal end secured to said first foundation strap and an inner surface, at least a portion of which is coated with an adhesive for releasably engaging said outer bonding surface;

a second tube engaging apparatus adapted for releasably engaging an endotracheal tube, said second tube engaging apparatus including a second foundation strap having a distal end portion and a further outer bonding surface proximate said distal end portion of said second foundation strap, said second tube engaging apparatus having a second tube engaging strap for releasably engaging and securing the position of the endotracheal tube, said second tube engaging strap defining a proximal end secured to said second foundation strap and an inner surface, at least a portion of which is coated with an adhesive for releasably engaging said further outer bonding surface with the endotracheal tube therebetween;

A securing mechanism for releasably securing said first and said tube engaging apparatus to a patient, said securing mechanism including a first adhesive member secured to said proximal end portion of said first foundation strap for releasably engaging the patient, and a second adhesive member secured to said proximal end portion of said second foundation strap for releasably engaging the patient, said first adhesive member defining a tab portion for releasably engaging said proximal end portion of said first foundation strap, and said second adhesive member defining a further tab portion for releasably engaging said proximal end portion of said second foundation strap.

13. The endotracheal tube holding device of claim 12 wherein said tab portion of said first adhesive member defines an opening for receiving said proximal end portion of said first foundation strap therethrough, and said further tab portion of said second adhesive member defines an further opening for receiving said proximal end portion of said second foundation strap therethrough, and wherein said first foundation strap is provided with a first adhesive surface portion for releasably engaging said first foundation strap along a first bonding surface selectively spaced from said first adhesive surface portion whereby said first foundation strap is releasably secured to said tab portion of said first adhesive member, and said second foundation strap is provided with a second adhesive surface portion for releasably engaging said second foundation strap along a second bonding surface provided on said second foundation strap selectively spaced from said second adhesive surface portion whereby said second foundation strap is releasably secured to said further tab portion of said second adhesive member.

14. An endotracheal tube holding device for securing the position of an endotracheal tube, said tube holding device comprising:

a first tube engaging apparatus adapted for releasably engaging an endotracheal tube, said first tube engaging apparatus including a first foundation strap having a distal end portion and a proximal end portion, said first tube engaging apparatus having a first tube engaging strap for releasably engaging and securing the position of the endotracheal tube, said first tube engaging strap defining a proximal end secured to said first foundation strap and an adhesive-coated surface portion for releasably engaging the endotracheal tube, said distal end portion of said first foundation strap carrying a first hook and loop fastener component, said first tube engaging strap defining a distal end portion carrying a second hook and loop fastener component for releasably engaging said first hook and loop fastener component thereby releasably securing said distal end portion of said first tube engaging strap to said distal end portion of said first foundation strap; and

a second tube engaging apparatus adapted for releasably engaging an endotracheal tube, said second tube engaging apparatus including a second foundation strap having a distal end portion and a proximal end portion, said second tube engaging apparatus having a second tube engaging strap for releasably engaging and securing the position of the endotracheal tube, said first tube engaging strap defining a proximal end secured to said first foundation strap and an adhesive-coated surface portion for releasably engaging the endotracheal tube, said distal end portion of said second foundation strap carrying a further first hook and loop fastener component, said second tube engaging strap defining a distal end portion carrying a further second hook and loop fastener component for releasably engaging said further first hook and loop fastener component thereby releasably securing said distal end portion of said second tube engaging strap to said distal end portion of said second foundation strap.

15. An endotracheal tube holding device for securing the position of an endotracheal tube, said tube holding device comprising:

a first tube engaging apparatus adapted for releasably engaging an endotracheal tube, said first tube engaging apparatus including a first foundation strap having a distal end portion and an outer bonding surface proximate said distal end portion, said first tube engaging apparatus having a first tube engaging strap for releasably engaging and securing the position of the endotracheal tube, said first tube engaging strap defining a proximal end secured to said first foundation strap and an inner surface, at least a portion of which is coated with an adhesive for releasably engaging the endotracheal tube, said first tube engaging apparatus including a further tube engaging strap disposed between said first foundation strap and said first tube engaging strap, said further tube engaging strap of said first tube engaging apparatus defining a proximal end secured to said first foundation strap and defining an outer adhesive-coated surface for engaging the endotracheal tube; and

a second tube engaging apparatus adapted for releasably engaging an endotracheal tube, said second tube engaging apparatus including a second foundation strap having a distal end portion and a further outer bonding surface proximate said distal end portion of said second foundation strap, said second tube engaging apparatus having a second tube engaging strap for releasably securing the position of the endotracheal tube, said second tube engaging strap defining a proximal end secured to said second foundation strap and an inner surface, at least a portion of which is coated with an adhesive for releasably securing the position of said endotracheal tube, said second tube engaging apparatus including a further tube engaging strap disposed between said second foundation strap and said second tube engaging strap, said further tube engaging strap of said second tube engaging apparatus defining a proximal end secured to said second foundation strap and defining an outer adhesive-coated surface for securing the position of the endotracheal tube.

16. An endotracheal tube holding device for securing the position of an endotracheal tube, said tube holding device comprising:

a first tube engaging apparatus adapted for releasably engaging an endotracheal tube, said first tube engaging apparatus including a first foundation strap having a distal end portion and a proximal end portion, said first tube engaging apparatus having a first tube engaging strap for releasably engaging and securing the position of the endotracheal tube, said first tube engaging strap defining a proximal end secured to said distal end portion of said first foundation strap and an outer adhesive-coated surface portion for releasably engaging the endotracheal tube; and

a second tube engaging apparatus adapted for releasably engaging an endotracheal tube, said second tube engaging apparatus including a second foundation strap having a distal end portion and a proximal end portion, said second tube engaging apparatus having a second tube engaging strap for releasably engaging and securing the position of the endotracheal tube, said first tube engaging strap defining a proximal end secured to said distal end portion of said first foundation strap and an outer adhesive-coated surface portion for releasably engaging the endotracheal tube.

17. A method for securing the position of an endotracheal tube proximate the point at which the tube enters the body of a patient, said method comprising the steps of:

placing a first foundation strap proximate an endotracheal tube proximate the point at which the endotracheal tube enters the body of the patient;

placing a second foundation strap proximate the endotracheal tube proximate the point at which the tube enters the body of the patient;

utilizing a first tube engaging strap having a proximal end secured to said first foundation strap and having an adhesive-coated surface portion for engaging the endotracheal tube, adhesively bonding the first tube engaging strap to the endotracheal tube; and

utilizing a second tube engaging strap having a proximal end secured to said second foundation strap and having an adhesive-coated surface portion for engaging the endotracheal tube, adhesively bonding the second tube engaging strap to the endotracheal tube.

18. The method for securing the position of an endotracheal tube of claim 17 wherein said step of placing a second foundation strap proximate the endotracheal tube includes placing the second foundation strap in a selectively spaced position along the endotracheal tube from the first foundation strap.

19. The method for securing the position of an endotracheal tube of claim 17 wherein said step of placing a second foundation strap proximate the endotracheal tube includes placing the second foundation strap diagonally across the first foundation strap.

20. The method for securing the position of an endotracheal tube of claim 17 wherein said method comprises the further steps of:

securing a first adhesive member to a proximal end portion of the first foundation strap, the first adhesive member defining an adhesive-coated surface portion;

adhesively bonding the adhesive-coated surface portion of the first adhesive member to the patient;

securing a second adhesive member to a proximal end portion of the second foundation strap, the second adhesive member defining an adhesive-coated surface portion; and

adhesively bonding the adhesive-coated surface portion of the second adhesive member to the patient.