Nasal gas delivery system and method for use thereof

• US 20060174889A1
• Filed: 03/29/2006
• Published: 08/10/2006
• Est. Priority Date: 10/30/1998
• Status: Active Grant

• Current Assignee: Linda Noble
• Original Assignee: Linda Noble
• Inventors: Noble, James P.
• Granted Patent: US 7,178,524 B2
• Time in Patent Office: Days
• US Class Current: 128/206.110
• CPC Class Codes: A61M 16/0066 Blowers or centrifugal pumps
• CPC Class Codes: A61M 16/0078 Breathing bags
• CPC Class Codes: A61M 16/009 Removing used or expired gases or anaesthetic vapours filtering, sterilising or disinfecting the exhaust air in drainage systems A61M1/784; bacterial filters in the expiratory path A61M16/1065
• CPC Class Codes: A61M 16/0093 by adsorption, absorption or filtration
• CPC Class Codes: A61M 16/01 specially adapted for anaesthetising A61M16/104, A61M16/18 take precedence
• 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 16/085 Gas sampling
• CPC Class Codes: A61M 16/101 using an oxygen concentrator
• CPC Class Codes: A61M 16/1015 using a gas flush valve, e.g. oxygen flush valve
• CPC Class Codes: A61M 16/1055 bacterial
• CPC Class Codes: A61M 16/22 Carbon dioxide-absorbing devices ; Other means for removing carbon dioxidecartridges with absorbing substances for respiratory apparatus A62B19/00
• CPC Class Codes: A61M 2016/1025 the O2 concentration
• CPC Class Codes: A61M 2016/103 the CO2 concentration
• CPC Class Codes: A61M 2210/0618 Nose
• CPC Class Codes: A61M 2230/005 Parameter used as control input for the apparatus
• CPC Class Codes: A61M 2230/432 partial CO2 pressure (P-CO2)
• CPC Class Codes: A61M 2230/435 partial O2 pressure (P-O2)

Abstract

A gas administering method for administering gas to an airway of a patient having a nasal vestibule and for use with a gas administering apparatus comprises a primary gas source that is operable to provide gas and a nasal vestibular portion arranged so as to receive the gas from the primary gas source. Further, the nasal vestibular portion is capable of releasing the primary gas into the nasal vestibule. The method comprises inserting the nasal vestibular portion into the nasal vestibule, forming a seal between the nasal vestibular portion and an inner surface of the nasal vestibule, administering an amount of a gas from the primary gas source at a constant flow rate into the nasal vestibule via the nasal vestibular portion, and administering an anesthetic to the patient. The anesthetic induces depression of a portion of the nervous system of the patient. Furthermore, the seal promotes airway pressure buildup that is sufficient to prevent obstruction of the airway during depression of at least a portion of the nervous system and prevents escape of the gas from between the nasal vestibule and the nasal vestibular portion.

Claims

1. A gas delivery device comprising:

a nasal vestibular device comprising a nasal vestibular portion shaped and arranged to be inserted into and retained within a nasal vestibule of the patient without extending past the nasal vestibule towards the trachea of the patient, said nasal vestibular portion having a gas delivery port operable to deliver gas into the nasal vestibule, said nasal vestibular portion having a rigidity sufficient to cause said nasal vestibular portion to stay fixed in and to seal the nasal vestibule when gas is supplied to the nasal vestibule in an amount that causes pressure buildup that is sufficient to prevent obstruction of an airway in the patient during depression of at least a portion of the nervous system of the patient; and

a gas supply tube having a first end and a second end, said first end being connected to said nasal vestibular device to deliver gas to said nasal vestibular portion for effusion of the gas into the nasal vestibule via said gas delivery port;

said second end having a connector to be connected to a gas supply circuit;

wherein said nasal vestibular device, said gas supply tube, and said connector are molded of the same material as an integral unit so as to have a one-piece construction.

2. The gas delivery device of claim 1, wherein said nasal vestibular portion comprises a trimmable portion having raised marks for providing a measuring system to aid in incrementally trimming said trimmable portion.

3. The gas delivery device of claim 1, wherein said nasal vestibular portion has a protruding portion having a diameter larger than a diameter of said gas supply tube so as to be retained within the nasal vestibule, said raised marks being located on said protruding portion.

4. The gas delivery device of claim 1, wherein said nasal vestibular portion has a protruding portion having a diameter larger than a diameter of said gas supply tube so as to be retained within the nasal vestibule.

5. The gas delivery device of claim 4, wherein said protruding portion comprises a rounded protruding portion.

6. The gas delivery device of claim 4, wherein said protruding portion comprises a bell-shaped protruding portion.

7. The gas delivery device of claim 1, wherein said connector of said second end of said gas supply tube is a 15 mm male connector.

8. The gas delivery device of claim 1, wherein said connector of said second end of said gas supply tube is a 22 mm female connector.

9. The gas delivery device of claim 1, wherein said gas supply tube is tapered such that said first end has a smaller diameter than said second end.

10. The gas delivery device of claim 1, wherein said gas supply tube has a corrugated flexible portion.

11. The gas delivery device of claim 1, wherein said nasal vestibular device is non-vented.

12. The gas delivery device of claim 1, further comprising a vented connector connected to said nasal vestibular device.

13. A monitoring system for monitoring a patient'"'"'s breathing, said monitoring system comprising:

a gas delivery device including;

a nasal vestibular device comprising a nasal vestibular portion shaped and arranged to be inserted into and retained within a nasal vestibule of the patient without extending past the nasal vestibule towards the trachea of the patient, said nasal vestibular portion having a gas delivery port operable to deliver gas into the nasal vestibule, said nasal vestibular portion having a rigidity sufficient to cause said nasal vestibular portion to stay fixed in and to seal the nasal vestibule when gas is supplied to the nasal vestibule in an amount that causes pressure buildup that is sufficient to prevent obstruction of an airway in the patient during depression of at least a portion of the nervous system of the patient; and

a gas supply tube having a first end and a second end, said first end being connected to said nasal vestibular device to deliver gas to said nasal vestibular portion for effusion of the gas into the nasal vestibule via said gas delivery port;

said second end having a connector to be connected to a gas supply circuit;

wherein said nasal vestibular device, said gas supply tube, and said connector are molded of the same material as an integral unit so as to have a one-piece construction; and

a circuit stethoscope including a stethoscope plug and a circuit connector having a first port, a second port and a third port, said first port to be connected to an anesthesia machine, said second port being connected to said second end of said gas supply tube, and said third port being connected to said stethoscope plug.

14. The monitoring system of claim 13, wherein said circuit stethoscope further includes a microphone, an amplifier, and a wireless transmitter all connected to said circuit connector via said stethoscope plug.

15. The monitoring system of claim 13, wherein said nasal vestibular portion has a protruding portion having a diameter larger than a diameter of said gas supply tube so as to be retained within the nasal vestibule.

16. The monitoring system of claim 13, wherein said connector of said second end of said gas supply tube is a 15 mm male connector.

17. The monitoring system of claim 13, wherein said connector of said second end of said gas supply tube is a 22 mm female connector.

18. The monitoring system of claim 13, wherein said gas supply tube is tapered such that said first end has a smaller diameter than said second end.

19. The monitoring system of claim 13, wherein said nasal vestibular device is non-vented.

20. The monitoring system of claim 13, further comprising a vented connector connected to said nasal vestibular device.