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FR2916144A1 - Sonde endotracheale du type a element coulissant - Google Patents

Sonde endotracheale du type a element coulissant Download PDF

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Publication number
FR2916144A1
FR2916144A1 FR0703441A FR0703441A FR2916144A1 FR 2916144 A1 FR2916144 A1 FR 2916144A1 FR 0703441 A FR0703441 A FR 0703441A FR 0703441 A FR0703441 A FR 0703441A FR 2916144 A1 FR2916144 A1 FR 2916144A1
Authority
FR
France
Prior art keywords
pusher
collar
end connected
endotracheal
user
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
FR0703441A
Other languages
English (en)
Inventor
Olivier Pascal Bruno Rollet
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to FR0703441A priority Critical patent/FR2916144A1/fr
Publication of FR2916144A1 publication Critical patent/FR2916144A1/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02—Holding devices, e.g. on the body
    • A61M25/04—Holding devices, e.g. on the body in the body, e.g. expansible
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0434—Cuffs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0488—Mouthpieces; Means for guiding, securing or introducing the tubes

Landscapes

  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Emergency Medicine (AREA)
  • Prostheses (AREA)

Abstract

Sonde endotrachéale du type à élément coulissant intégrant un dispositif pour lui éviter de s'enfoncer accidentellement après sa pause et sa fixation.L'invention concerne un dispositif intégré aux sondes d'intubation trachéales qui s'ouvre et se déploie dans l'espace laryngo-laryngé en face des cordes vocales.Il est constitué d'une collerette (1) fixée (5) et plaquée sur la sonde à l'état de repos. Elle est reliée à un tube (2) qui coulisse le long de la sonde d'intubation et elle se déploie en exerçant une poussée sur ce tube. Ce tube coulissant vient se bloquer quand le poussoir (3) vient en butée sur les rebords (4), laissant la collerette déployée dans la cavité laryngée.Cette sonde selon l'invention est particulièrement destinée à diminuer les risques de ventilation pulmonaire sélective quand l'utilisation médicale d'une sonde endotrachéale est nécessaire. La présence de ce dispositif coulissant sur la sonde d'intubation n'augmente pas la difficulté technique de l'intubation trachéale.

Description

-1- La présente invention concerne une sonde endotrachéale intégrant un
dispositif pour diminuer son risque de déplacement après intubation laryngée et auscultation des voies respiratoires. La sonde d'intubation, orotrachéale ou nasotrachéale, avec ballonnet ou sans ballonnet, est 5 traditionnellement fixée sur la face des patient(e)s par divers moyens qui peuvent se montrer parfois insuffisants pour prévenir un enfoncement ou un retrait accidentel de la dite sonde. Ces incidents surviennent la plupart du temps lors des changements de position des patient(e) s intubé(e) s (par exemple au cours des transports, de certaines chirurgies, ....), et peuvent entraîner des conséquences préjudiciables pour la perméabilité des voies respiratoires. 10 Le dispositif selon l'invention permet principalement de remédier aux risques d'intubation sélective par enfoncement accidentel de la sonde endotrachéale, mais ne dispense en aucun cas des actes de surveillances obligatoires. Ce dispositif à l'état déployé bloque la sonde endotrachéale de façon atraumatique, en lui évitant le franchissement des cordes vocales. Ce dispositif intègre la sonde endotrachéale, sa première caractéristique étant d'être 15 actionné hors de la cavité buccale en faisant coulisser son mécanisme d'ouverture sur une partie de la sonde. Il peut être détaillé en quatre parties, toutes reliées les unes aux autres : le pied de fixation d'une collerette, la collerette à ouverture parapluie , un tube coulissant et un poussoir circulaire. Ce poussoir, situé hors de la cavité buccale, fait coulisser le tube de quelques millimètres autour de la sonde et permet ainsi le déploiement de façon atraumatique 20 de la collerette devant les cordes vocales. Le poussoir peut alors être bloqué dans une butée, ce qui permet de laisser la collerette en position déployée. Selon des modes particuliers de réalisation : - la collerette peut varier en forme et en structure pour gagner en efficacité. La matière de la collerette doit être la plus souple et la moins traumatique possible en cas de contact 25 prolongé avec les muqueuses de la cavité orotrachéale. le tube peut coulisser en avant ou en arrière selon la configuration de la collerette (découpage, présence de stries, ...). - Le poussoir doit pouvoir se bloquer et se débloquer facilement en cas de repositionnement de la sonde ou pour toute autre manoeuvre. 30 - La sonde endotrachéale peut comporter différentes sortes de rebords de mise en butée. Les dessins annexés illustrent l'invention : La figure 1 représente le dispositif au repos. La figure 2 représente le dispositif déployé. En référence à ces dessins, le dispositif comporte une collerette souple et striée (1) 35 épousant la forme de la sonde à l'état de repos, fixée à son extrémité inférieure (pied de -2- fixation) (5) et déployée quand le dispositif est armé. Le tube (2), relié à son extrémité distale à la collerette et à son extrémité proximale au poussoir circulaire, coulisse jusqu'au pied de fixation de la collerette et permet ainsi son déploiement. Ce tube doit coulisser facilement autour de la sonde endotrachéale, sans trop augmenter le diamètre externe de la sonde.
Le poussoir circulaire (3) permet à l'utilisateur de faire coulisser le tube jusqu'aux rebords de butée (4) et permettre ainsi l'armement du dispositif. La sonde peut comporter un ballonnet (6) et son système de gonflage avec valve anti-retour (7), ou ne pas en présenter. Le pied de la collerette doit de situer à une distance proche des cordes vocales. A titre d'exemple non limitatif, la collerette déployée aura une dimension de 5 cms environ 10 de diamètre, suffisante en tout cas pour interdire son franchissement des cordes vocales. Selon une variante non illustrée, le mécanisme de déploiement de la collerette peut être actionné en faisant coulisser la chemise non pas en avant mais en arrière.

Claims (2)

REVENDICATIONS
1) Sonde endotrachéale intégrant un dispositif à déploiement d'une collerette (1) en face des cordes vocales caractérisé en ce qu'il comporte une chemise coulissante (2) entre la collerette et un poussoir circulaire (3) actionné hors de la cavité buccale par l'utilisateur après intubation endotrachéale.
2) Sonde endotrachéale selon la revendication 1 caractérisée par la présence de rebords (4) contre lesquels la chemise coulissante vient en butée en position de déploiement de la collerette (1).
FR0703441A 2007-05-14 2007-05-14 Sonde endotracheale du type a element coulissant Withdrawn FR2916144A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR0703441A FR2916144A1 (fr) 2007-05-14 2007-05-14 Sonde endotracheale du type a element coulissant

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR0703441A FR2916144A1 (fr) 2007-05-14 2007-05-14 Sonde endotracheale du type a element coulissant

Publications (1)

Publication Number Publication Date
FR2916144A1 true FR2916144A1 (fr) 2008-11-21

Family

ID=38515370

Family Applications (1)

Application Number Title Priority Date Filing Date
FR0703441A Withdrawn FR2916144A1 (fr) 2007-05-14 2007-05-14 Sonde endotracheale du type a element coulissant

Country Status (1)

Country Link
FR (1) FR2916144A1 (fr)

Cited By (46)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010078145A1 (fr) * 2008-12-22 2010-07-08 Acclarent, Inc. Sonde pour sinus frontal
US8080000B2 (en) 2004-04-21 2011-12-20 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8088101B2 (en) 2004-04-21 2012-01-03 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
US8100933B2 (en) 2002-09-30 2012-01-24 Acclarent, Inc. Method for treating obstructed paranasal frontal sinuses
US8114113B2 (en) 2005-09-23 2012-02-14 Acclarent, Inc. Multi-conduit balloon catheter
US8114062B2 (en) 2004-04-21 2012-02-14 Acclarent, Inc. Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders
US8118757B2 (en) 2007-04-30 2012-02-21 Acclarent, Inc. Methods and devices for ostium measurement
US8142422B2 (en) 2004-04-21 2012-03-27 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat
US8146400B2 (en) 2004-04-21 2012-04-03 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US8172828B2 (en) 2004-04-21 2012-05-08 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
US8182432B2 (en) 2008-03-10 2012-05-22 Acclarent, Inc. Corewire design and construction for medical devices
US8190389B2 (en) 2006-05-17 2012-05-29 Acclarent, Inc. Adapter for attaching electromagnetic image guidance components to a medical device
US8388642B2 (en) 2005-01-18 2013-03-05 Acclarent, Inc. Implantable devices and methods for treating sinusitis and other disorders
US8414473B2 (en) 2004-04-21 2013-04-09 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8435290B2 (en) 2009-03-31 2013-05-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US8439687B1 (en) 2006-12-29 2013-05-14 Acclarent, Inc. Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices
US8485199B2 (en) 2007-05-08 2013-07-16 Acclarent, Inc. Methods and devices for protecting nasal turbinate during surgery
US8702626B1 (en) 2004-04-21 2014-04-22 Acclarent, Inc. Guidewires for performing image guided procedures
US8715169B2 (en) 2004-04-21 2014-05-06 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US8740929B2 (en) 2001-02-06 2014-06-03 Acclarent, Inc. Spacing device for releasing active substances in the paranasal sinus
US8747389B2 (en) 2004-04-21 2014-06-10 Acclarent, Inc. Systems for treating disorders of the ear, nose and throat
US8864787B2 (en) 2004-04-21 2014-10-21 Acclarent, Inc. Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis
US8894614B2 (en) 2004-04-21 2014-11-25 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
US8932276B1 (en) 2004-04-21 2015-01-13 Acclarent, Inc. Shapeable guide catheters and related methods
US8951225B2 (en) 2005-06-10 2015-02-10 Acclarent, Inc. Catheters with non-removable guide members useable for treatment of sinusitis
US8979888B2 (en) 2008-07-30 2015-03-17 Acclarent, Inc. Paranasal ostium finder devices and methods
US9039680B2 (en) 2004-08-04 2015-05-26 Acclarent, Inc. Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders
US9072626B2 (en) 2009-03-31 2015-07-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US9089258B2 (en) 2004-04-21 2015-07-28 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9101384B2 (en) 2004-04-21 2015-08-11 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, Nose and/or throat
US9107574B2 (en) 2004-04-21 2015-08-18 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9155492B2 (en) 2010-09-24 2015-10-13 Acclarent, Inc. Sinus illumination lightwire device
US9265407B2 (en) 2004-04-21 2016-02-23 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9351750B2 (en) 2004-04-21 2016-05-31 Acclarent, Inc. Devices and methods for treating maxillary sinus disease
US9399121B2 (en) 2004-04-21 2016-07-26 Acclarent, Inc. Systems and methods for transnasal dilation of passageways in the ear, nose or throat
US9433437B2 (en) 2013-03-15 2016-09-06 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
US9468362B2 (en) 2004-04-21 2016-10-18 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9629684B2 (en) 2013-03-15 2017-04-25 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
US9820688B2 (en) 2006-09-15 2017-11-21 Acclarent, Inc. Sinus illumination lightwire device
US10188413B1 (en) 2004-04-21 2019-01-29 Acclarent, Inc. Deflectable guide catheters and related methods
US10206821B2 (en) 2007-12-20 2019-02-19 Acclarent, Inc. Eustachian tube dilation balloon with ventilation path
US10349971B2 (en) 2011-06-29 2019-07-16 CARDINAL HEALTH SWITZERLAND 515 GmbH System and method for dilating and adjusting flexibility in a guiding device
US10524814B2 (en) 2009-03-20 2020-01-07 Acclarent, Inc. Guide system with suction
US20210154424A1 (en) * 2017-05-03 2021-05-27 Lancashire Teaching Hospitals NHS Foundation Trust Improved tracheostomy device
US11065061B2 (en) 2004-04-21 2021-07-20 Acclarent, Inc. Systems and methods for performing image guided procedures within the ear, nose, throat and paranasal sinuses
US11529502B2 (en) 2004-04-21 2022-12-20 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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US4341210A (en) * 1978-09-15 1982-07-27 Elam James O Cuffed endotracheal tube and method
EP0425361A1 (fr) * 1989-10-23 1991-05-02 Ovi Catheter pour la ventilation artificielle intra-pulmonaire d'un patient
WO1992000774A1 (fr) * 1990-07-09 1992-01-23 Brigham & Women's Hospital Catheter pour ventilation par jet a haute pression
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US8740929B2 (en) 2001-02-06 2014-06-03 Acclarent, Inc. Spacing device for releasing active substances in the paranasal sinus
US8317816B2 (en) 2002-09-30 2012-11-27 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
US9457175B2 (en) 2002-09-30 2016-10-04 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
US8764786B2 (en) 2002-09-30 2014-07-01 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
US8100933B2 (en) 2002-09-30 2012-01-24 Acclarent, Inc. Method for treating obstructed paranasal frontal sinuses
US9265407B2 (en) 2004-04-21 2016-02-23 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US10856727B2 (en) 2004-04-21 2020-12-08 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US11957318B2 (en) 2004-04-21 2024-04-16 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8123722B2 (en) 2004-04-21 2012-02-28 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
US8142422B2 (en) 2004-04-21 2012-03-27 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat
US8146400B2 (en) 2004-04-21 2012-04-03 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US8172828B2 (en) 2004-04-21 2012-05-08 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
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US11202644B2 (en) 2004-04-21 2021-12-21 Acclarent, Inc. Shapeable guide catheters and related methods
US11065061B2 (en) 2004-04-21 2021-07-20 Acclarent, Inc. Systems and methods for performing image guided procedures within the ear, nose, throat and paranasal sinuses
US11019989B2 (en) 2004-04-21 2021-06-01 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
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US8894614B2 (en) 2004-04-21 2014-11-25 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
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