Trachea tube method and device

[0001] 1. Field of the Invention

[0002] The present invention relates generally to tracheotomy tubes and, more specifically, to a method and apparatus for a trachea tube having an interiorly positioned retaining member and a flange forming an exteriorly positioned retaining member. Said trachea tube having means that permits the tube to be held firmly in proper position upon a person on whom the device is installed. The tube maintains the stoma open. The tube, when inserted and capped into the trachea allows gas flow through the normal anatomical passage ways, allows person to speak and allows person to swallow food easier. The tube allows easy access for suctioning the patient.

[0003] 2. Description of the Prior Art

[0004] There are other trachea tubes designed for the same means. Typical of these is U.S. Pat. No. 507,813 issued to Hartstein on 31, Oct. 1893.

[0005] Another patent was issued to Brehm on Apr. 28, 1936 as U.S. Pat. No. 2,039,142. Yet another U.S. Pat. No. 2,765,792 was issued to Nichols on Oct. 9, 1956 and still yet another was issued on Mar. 26, 1957 to Cohen as U.S. Pat. No. 2,786,469.

[0006] Another patent was issued to Giraudon on Aug. 27, 1957 as U.S. Pat. No. 2,804,076. Yet another U.S. Pat. No. 3,088,466 was issued to Nichols on May 7, 1963. Another was issued to Tabor on Jun. 16, 1964 as U.S. Pat. No. 3,137,299 and still yet another was issued on Aug. 8, 1967 to Stebleton U.S. Pat. No. 3,334,631.

[0007] Another patent was issued to Birch, et al. on Aug. 6, 1974 as U.S. Pat. No. 3,827,440. Yet another U.S. Pat. No. 3,973,569 was issued to Sheridan on Aug. 10, 1976. Another was issued to La Rosa on Jul. 5, 1977 as U.S. Pat. No. 4,033,353 and still yet another was issued on Nov. 16, 1999 to Turner as U.S. Pat. No. 5,983,895. Another was issued to Nash on Aug. 3, 2000 as U.K. Patent No. GB 2,341,102.

[0008] A cannula comprising two tubes fitting one within the other, the outer one being capable of an outward movement independently of the inner tube, and means, located at the outer ends of the tubes for holding the latter in position, substantially as described.

[0009] In combination, a necklace and a tracheotomy tube, said necklace including a member secured to and constituting a screen upon the otherwise exposed end of said tracheotomy tube.

[0010] A tracheal device comprising an outer tube adapted to be inserted into the trachea of a user, and an inner tube freely insertable into said outer tube through one end thereof, at least one of said tubes being made of a resilient material, said outer tube having a reduced internal diameter at its opposite end of such dimension as to frictionally receive and grip said inner tube as the corresponding end thereof by reason of the resilience of said one tube whereby to releasably hold said tubes in mated relation.

[0011] A translucent tracheal tube assembly which includes an outer cannula, an inner cannula and flange.

[0012] A surgical device intended for patients having undergone the operation of laryngotomy.

[0013] A tracheal device comprising an outer tube adapted to be inserted into the trachea of a user and having an entrance for reception of an inner tube therein and an inner tube insertable into said outer tube through said entrance end thereof to be mated therewith, said inner tube having a corresponding entrance end and a radial enlargement adjacent thereto adapted to frictionally engage the inside surface of said outer tube when said tubes are in mated relation to thereby releasably hold said tubes in said mated relation.

[0014] A tracheotomy tube comprising an annular wall defining a duct, said tube being formed of a synthetic resin and being integrally provided at one end with an annular resilient flange having a sufficient degree of flexure so as to be easily insertible through the artificial passage surgically formed in the patients neck, said flange being connected endwise to the duct by an annularly reduced resilient constriction which is thinner than the wall-thickness of the duct and is thereby readily and easily deformed to permit insertion and when so inserted, will spring back so that the flange will be in seated engagement against the internal surface of the patient's tracheal wall, said annular wall being of sufficient length to extend through and project beyond the exterior of the patient's neck, and valve means operatively mounted across said projecting end.

[0015] A tracheal device comprising a flexible outer tube having predetermined curvature and adapted to be inserted into the trachea of the user through an incision in the throat, and flexible inner tube having an external diameter slightly smaller than the internal diameter of the outer tube and being freely insertable into the outer tube.

[0016] A removable check-valve for installation on the external portion of a tracheotomy tube including a housing containing a free-floating, flat type disc for opening and closing the tracheotomy tube during the breathing cycle regardless of the body position of the user. An auxiliary port may be provided on the housing for supplying supplemental oxygen continuously to the user direct loss of oxygen to the atmosphere.

[0017] Tracheostomy tubes are provided with means that permits them to be held firmly in proper position upon a person on whom the device is installed. Such means comprises a fixed flange member, a slideable flange member and a plurality of slideable and separately removeable ring members positioned between the fixed and slideable flange members.

[0018] A tracheostomy tube, shaped to conform to the trachea, and including an inner and an outer cannula. The extremities of the cannulae inserted in the trachea are in frictional contact to prevent significant gas flow through the annular space between the cannulae. The opposite extremity of the outer cannula is shaped for connection to a respirator with the corresponding end of the inner cannula attached to an adaptive member through a nutating connection. The adaptive member is shaped at its inner end for connection to the outer cannula and at its outer end to a respirator. The outer cannula may include an inflatable cuff for sealing the cannulae within the trachea and a flexible neck flange for limiting the motion of the tracheostomy tube.

[0019] A tracheostomy tube assembly comprises an outer tracheostomy tube and an inner cannula of a flexible material preformed to the shape of the outer tube and smooth on its inside and outside. The outer tube is straight at its patient end and has a short straight machine end with a coupling. The patient and machine ends are separated by a curved intermediate region divided along its length into two sub-regions. The first sub-region closer the machine end has a small radius of curvature; the other sub-region closer to the patient end has a radius of curvature at least three times that of the first sub-region. This shape enables the patient end of the assembly to be aligned with the patient's trachea.

[0020] An introducer for a medical tube, the introducer having a patient end nose a part of which is arranged to protrude from a patient end of tube, and the nose having a passage therethrough for receiving a guide wire, wherein the passage opens at the patient end of the nose through an aperture that lies on a plane extending at right angles to the passage and inclined away from the normal to the axis of the nose.

[0021] While these trachea tube devices may be suitable for the purposes for which they were designed, they would not be as suitable for the purposes of the present invention, as hereinafter described. The present invention, a trachea tube having an interiorly positioned retaining member and a flange forming an exteriorly positioned retaining member. Said trachea tube having means that permits said tube to be held firmly in proper position upon a person on whom the device is installed. The tube maintains the stoma open. The tube, when inserted into the trachea and capped allows gas flow through the normal anatomical passage ways, allows a person to speak easier, cough up secretions easier and to swallow food and drink easier. The tube allows easy access for suctioning the patient.

[0022] The present invention discloses a method and apparatus for a trachea tube having an interiorly positioned retaining member and a flange forming an exteriorly positioned retaining member. The trachea tube has means that permits the tube to be held firmly in the proper position upon a person on whom the device is installed. The tube maintains the stoma open. The tube, when inserted and capped into the trachea, allows air flow through the normal anatomical passageway and allows the person to speak, cough and swallow food easier. The tube allows easy access for suctioning the patient.

[0023] A primary object of the present invention is to provide a trachea tube having an inflatable interiorly positioned retaining member.

[0024] Another object of the present invention is to provide a trachea tube having a flange forming an exteriorly positioned retaining member.

[0025] Yet another object of the present invention is to provide a trachea tube having means that permits said tube to be held firmly in proper position upon a person on whom the device is installed.

[0026] Still yet another object of the present invention is to provide a trachea tube that when inserted into the trachea and capped maintains contact with the trachea to allow significant gas flow through the normal anatomical passage ways.

[0027] Additional objects of the present invention will appear as the description proceeds.

[0028] The present invention overcomes the shortcomings of the prior art by providing a trachea tube having an interiorly positioned retaining member and a flange forming an exteriorly positioned retaining member. Said trachea tube having means that permits said tube to be held firmly in proper position upon a person on whom the device is installed. The tube maintains the stoma open. The tube, when inserted into the trachea and capped allows gas flow through the normal anatomical passage ways, allows a person to speak easier, cough up secretions easier and to swallow food and drink easier.

[0029] The foregoing and other objects and advantages will appear from the description to follow. In the description reference is made to the accompanying drawings, which forms a part hereof, and in which is shown by way of illustration specific embodiments in which the invention may be practiced. These embodiments will be described in sufficient detail to enable those skilled in the art to practice the invention, and it is to be understood that other embodiments may be utilized and that structural changes may be made without departing from the scope of the invention. In the accompanying drawings, like reference characters designate the same or similar parts throughout the several views.

[0030] The following detailed description is, therefore, not to be taken in a limiting sense, and the scope of the present invention is best defined by the appended claims.

[0040] With regard to reference numerals used, the following numbering is used throughout the drawings.

• [0041] 10 present invention
• [0042] 12 trachea tube
• [0043] 14 interior retaining member
• [0044] 16 outer flange
• [0045] 18 cap
• [0046] 20 trachea
• [0047] 22 arrows
• [0048] 24 opening to trachea
• [0049] 26 pilot balloon
• [0050] 28 annular space
• [0051] 30 conduit
• [0052] 32 air injection point
• [0053] 34 tether

[0054] The following discussion describes in detail one embodiment of the invention. This discussion should not be construed, however, as limiting the invention to those particular embodiments since practitioners skilled in the art will recognize numerous other embodiments as well. For a definition of the complete scope of the invention, the reader is directed to the appended claims.

[0055] Turning to FIG. 1, shown therein is an illustrative view of the present invention 10 as used. Shown is the present invention 10 comprising a trachea tube having an interiorly positioned retaining member and a flange forming an exteriorly positioned retaining member. The trachea tube has means for selectively sealing the tube. The tracheotomy tube of the present invention is provided with an inflatable element that permits the tube to be held firmly in the proper position upon inflation. The tube, when inserted into the trachea, is in frictional contact with the trachea to prevent significant air flow through the annular space between the tube and the trachea. Shown are steps 1 to 5 for using the present invention 10.

[0056] Turning to FIG. 2, shown therein is an illustrative view of the present invention 10 as used. Shown is the present invention 10 comprising a trachea tube 12 having an interiorly positioned retaining member 14 in the form of a soft plastic inflatable balloon cuff and a flange 16 forming an exteriorly positioned retaining member forming an annular space therein between. The trachea tube 12 has means 18 such as a cap for selectively sealing the tube. The tracheotomy tube 12 of the present invention 10 is provided with an inflatable element 14 that permits the tube to be held firmly in the proper position upon inflation. The tube 12, when inserted into the trachea 20 is in frictional contact with the trachea to prevent significant air flow through the annular space 28 between the tube and the trachea opening. Also shown are arrows 22 showing the air flow and a pilot balloon 26.

[0057] Turning to FIG. 3, shown therein is a perspective view of the present invention 10. Shown is the present invention 10 comprising a trachea tube 12 having an interiorly positioned retaining member 14 and a flange 16 forming an exteriorly positioned retaining member. The trachea tube 12 has means 18 on tether 34 for selectively sealing the tube. The tracheotomy tube 12 of the present invention 10 is provided with an inflatable element 14 that permits the tube to be held firmly in the proper position upon inflation. The tube 12, when inserted into the trachea, is in frictional contact with the trachea to prevent significant gas flow through the annular space 28 of the tube. Air is injected at 32 through a pilot hole using a syringe or the like (not shown) into the pilot balloon 26 which has an air conduit 30 which extends from the pilot balloon to the balloon cuff 14.

[0058] Turning to FIG. 4, shown therein is a sectional view of the present invention 10 prior to insertion. This is step 1 of the method of the present invention 10. Shown is the present invention 10 comprising a trachea tube 12 having an interiorly positioned retaining member 14 and a flange 16 forming an exteriorly positioned retaining member. The trachea tube 12 has means 18 for selectively sealing the tube. The tracheotomy tube 12 of the present invention 10 is provided with an inflatable element 14 that permits the tube to be held firmly in the proper position upon inflation. The tube 12, when inserted through the trachea opening 24 into the trachea 20, is in frictional contact with the trachea to prevent significant gas flow through the annular space 28 between the tube and the trachea opening 24. The present invention 10 allows for an open stoma, enhances speaking, allows clearance of secretion easier, suction, if needed, improves swallowing and allows the patient to be monitored. About three cc's (cubic centimeters) of air is injected at 32 into the pilot balloon 26 and through conduit 30.

[0059] Turning to FIG. 5, shown therein is a sectional view of the present invention 10 being inserted into the trachea 20. This is step 2 of the method of the present invention 10. Shown is the present invention 10 comprising a trachea tube 12 having an interiorly positioned retaining member 14 and a flange 16 forming an exteriorly positioned retaining member. The trachea tube 12 has means 18 for selectively sealing the tube. The tracheotomy tube 12 of the present invention 10 is provided with an inflatable element 14 that permits the tube 12 to be held firmly in the proper position upon inflation. The tube 12, when inserted into the trachea 20 is in frictional contact with the trachea to prevent significant gas flow through the annular space 28 of the tube. The present invention 10 allows for an open stoma, enhances speaking, allows clearance of secretion easier, suction if needed, improves swallowing and allows patient to be monitored. Arrows 22 show air movement. Three cc of air is injected at 32 into the pilot balloon 26 and through conduit 30.

[0060] Turning to FIG. 6, shown therein is a sectional view of the present invention 10 being inserted into the trachea 20. This is step 3 of the method of the present invention 10. Shown is the present invention 10 comprising a trachea tube 12 having an interiorly positioned retaining member 14 and a flange 16 forming an exteriorly positioned retaining member. The trachea tube 12 having means 18 for selectively sealing the tube. The tracheotomy tube 12 of the present invention 10 is provided with an inflatable element 14 that permits the tube to be held firmly in the proper position upon inflation. The tube 12, when inserted into the trachea 20 is in frictional contact with the trachea to prevent significant gas flow through the annular space 28 of the tube. The present invention 10 allows for an open stoma, enhances speaking, allows clearance of secretion easier, suction if needed, improves swallowing and allows patient to be monitored. Arrows 22 show air movement. Three cc of air is injected at 32 into the pilot balloon 26 and through conduit 30.

[0061] Turning to FIG. 7, shown therein is a sectional view of the present invention 10 inserted into the trachea 20. This is step 4 of the method of the present invention 10. Shown is the present invention 10 comprising a trachea tube 12 has an interiorly positioned retaining member 14 and a flange 16 forming an exteriorly positioned retaining member. The trachea tube 12 having means 18 for selectively sealing the tube. The tracheotomy tube 12 of the present invention 10 is provided with an inflatable element 14 that permits the tube to be held firmly in the proper position upon inflation. The tube 12, when inserted into the trachea 20 is in frictional contact with the trachea to prevent significant gas flow through the annular space 28 of the tube. The present invention 10 allows for an open stoma, enhances speaking, allows clearance of secretion easier, suction if needed, improves swallowing and allows patient to be monitored. Arrows 22 show air movement. Three cc of air is injected at 32 into the pilot balloon 26 and through conduit 30.

[0062] Turning to FIG. 8, shown therein is a sectional view of the present invention 10 inserted into the trachea 20 with cap 18 inserted. This is step 5 of the method of the present invention 10. Shown is the present invention 10 comprising a trachea tube 12 having an interiorly positioned retaining member 14 and a flange 16 forming an exteriorly positioned retaining member. The trachea tube 12 has means 18 for selectively sealing the tube. The tracheotomy tube 12 of the present invention 10 is provided with an inflatable element 14 that permits the tube to be held firmly in the proper position upon inflation. The tube 12, when inserted into the trachea 20 is in frictional contact with the trachea to prevent significant gas flow through the annular space 28 of the tube. The present invention 10 allows for an open stoma, enhances speaking, allows clearance of secretion easier, suction if needed, improves swallowing and allows patient to be monitored. Arrows 22 show air flow. Three cc of air is injected at 32 into the pilot balloon 26 and through conduit 30.