A tracheotomy is a surgical procedure that includes making an incision on the anterior aspect of the neck and opening a direct airway through the incision into the trachea (windpipe). The resulting stoma (hole), or tracheostomy, can serve as an airway or as a site for a tracheal tube to be inserted. A tracheal tube is a catheter that can be inserted into the trachea for the purpose of establishing and maintaining an airway and to ensure the adequate exchange of oxygen and carbon dioxide. For example, a tracheal tube can include a curved metal or plastic tube that is inserted into the stoma to maintain a patent lumen. As such, the tracheal tube can allow a person to breathe without the use of the nose or mouth. Some currently available tracheal devices include a tracheal tube with a proximal end that protrudes out of the stoma for coupling to a restraining element, such as a neck strap, to hold the tracheal tube in place. Such currently available tracheal devices are generally a one-size-fits-all and can be uncomfortable and interfere with at least head movement. Other shortcomings can include cumbersome and large accessories for providing additional features such as air filtering, as well as insufficient or non-ideal air flow. As such, there is a need for improved tracheal tubes and related accessories.
A first aspect of the present disclosure is related to a medical device for providing an air passageway through a neck of a patient. The medical device may include: a neckband configured to extend around the neck of the patient, the neckband including a connector positioned along a length of the neckband for positioning along an anterior part of the neck of the patient, the connector including a connector through hole; a cannula having an elongated tube extending from a connecting head, the elongated tube being configured to extend into a trachea of the patient and including an inner passageway, the connecting head having a through hole that is continuous with the inner passageway of the elongated tube thereby allowing air to pass through the cannula into the trachea, the connecting head having an outer diameter that is sized to have a friction fit with the connector through hole.
The neckband can be adjustable in length and can include at least one angled section along a length of the neckband. The at least one angled section may be configured to allow a second section of the neckband to extend between the C2 and C3 vertebrae of the patient when the connector is positioned along the anterior part of the neck. Further, the at least one angled section may be configured to extend over a trapezius muscle of the patient when the connector is positioned along the anterior part of the neck.
The connector may include a front surface that is approximately continuous with an outer surface of the neckband. The outer surface may oppose an inner surface of the neckband, and the inner surface may be configured for positioning against the neck during use of the medical device. In some embodiments, the connector may include an extruded perimeter along a front surface of the connector. The front surface and the extruded perimeter may form an open container. In such an embodiment, a faceplate may releasably couple to an open end of the open container. The faceplate may include a filtered passageway that prevents air particulates from entering the cannula.
In some embodiments, the connecting head may have a substantially circular shaped outer diameter that forms a friction fit with a substantially circular shaped inner diameter of the connector. In another embodiment, the connecting head may have a substantially triangular shaped outer diameter that forms a friction fit with a substantially triangular shaped inner diameter of the connector. In yet another embodiment, the connecting head may have a substantially oval shaped outer diameter that forms a friction fit with a substantially oval shaped inner diameter of the connector.
The through hole may include about a twenty-degree taper extending distally such that an inner diameter of the through hole is largest at a proximal end of the through hole. In some embodiments, at least one vent may be positioned along an outer wall of the connecting head. The at least one vent may allow airflow to pass through the outer wall and into the through hole.
In further embodiments, the medical device may include a stoma guard positioned about the elongated tube and distal to the connecting head. In another embodiment, the medical device may include a stoma guard integrally formed as part of the cannula about the elongated tube and distal to the connecting head. The medical device can also include a cuff and a pilot balloon. The cuff may be positioned about an end of the elongated tube opposing connecting head. The cuff may be configured to be inflated and deflated by the pilot balloon. In an even further embodiment, the medical device can include a filter coupled to the connecting head. The filter may be configured to prevent air particulates from entering the inner passageway of the elongate tube.
A second aspect of the disclosure is related to a medical device for providing an air passageway through a neck of a patient. The medical device may include: an elongated tube having an inner passageway and configured to extend into a trachea of the patient; a connecting head coupled to a proximal end of the elongated tube, the connecting head having a through hole that is continuous with the inner passageway of the elongated tube, the connecting head having a flat shape with a front surface opposed to a back surface, the back surface having an adhesive configured for securing the back surface of the connecting head to an anterior part of the neck. The front surface of the connecting head may include a coupling feature that releasably connects to a filter configured to prevent air particulates from entering the inner passageway of the elongate tube.
The accompanying drawings, which are incorporated in and constitute a part of this specification, show certain aspects of the subject matter disclosed herein and, together with the description, help explain some of the principles associated with the disclosed implementations. In the drawings,
It is noted that the drawings of the subject matter are not necessarily to scale. The drawings are intended to depict only typical aspects of the subject matter, and therefore, should not be considered as limiting the scope of the disclosed subject matter. In the drawings, like numbering represents like elements between the drawings.
The present disclosure describes various embodiments of a tracheotomy device or trach device that includes one or more various improvements over currently available trach devices. For example, some of the embodiments disclosed herein are configured for specific age and/or sized patients, such as a trach device configured for a baby (e.g., up to age 3), a child (e.g., age 3-10 years old), a young adult or teenager (e.g., 10-18 years old), and an adult (e.g., older than 18 years). Some embodiments of the trach device include lower profile connecting ends that protrude from the stoma, thereby improving comfort and reducing or eliminating interference with head movement. Some embodiments of the trach device include improved air flow, improved air filtering, and/or improved restraints for holding the trach device in place. Furthermore, one or more parts the trach devices described herein can be used with one or more parts of currently available trach devices thus allowing adaptability to some currently used trach devices.
Turning to
The outer diameter of connecting head 126 can also be sized and shaped to fit with standard respiratory connectors, e.g., a ventilator (not shown), where trach device 100 is used as a single cannula trach device. Alternatively, where trach device 100 is used as a double cannula trach device, connecting head 126 and elongated tube 122 may be sized and shaped to accommodate a conventional inner cannula. Through hole 132 can include about a twenty-degree taper A1 extending distally such that an inner diameter of through hole 132 is largest at a proximal end of through hole 132.
In some variations one or more of the following features can optionally be included in any feasible combination. For example, neckband 108 can be adjustable in length. In some embodiments, neckband 108 may include plastic fastener straps, similar to those found on snapback hats. In other embodiments, neckband 108 can include a tie, Velcro, or clasp for adjusting a length. Neckband 108 can also include at least one angled section 136 along a length of neckband 108, and at least one angled section 136 can be configured to allow a rear section 138 of neckband 108 to extend between the C2 and C3 vertebrae of the patient when connector 112 is positioned along the anterior part of the patient's neck. In some implementations, the at least one angled section 136 can be configured to extend over a trapezius muscle of the patient when connector 112 is positioned along the anterior part of the neck.
In some embodiments, connector 112 can include a front surface 140 that is approximately continuous with an outer surface 142 of neckband 108, and outer surface 142 can oppose an inner surface 144 of neckband 108. Inner surface 144 of neckband 108 can be configured for positioning against the neck of the patient during use of trach device 100.
Trach device 200 according to this embodiment, can be assembled by positioning cannula 220 within a stoma of a patient such that elongated tube 222 extends into a trachea of the patient and stoma guard 234 abuts the neck of the patient at about the stoma. Once cannula 220 is positioned, neckband 208 may be positioned around the neck of the patient such that connecting head 226 extends through connecting hole 214 and extends in a proximal direction relative to neckband 208 away from the patient's neck. Connecting head 226 may form a friction fit with connector 212 within through hole 214. Connecting head 226 can extend proximally through connecting hole 214 enough to allow connecting head 226 to be connected to standard respiratory connectors, if needed.
Trach device 400 according to this embodiment, can be assembled by first positioning cannula 420 within a stoma of a patient such that elongated tube 422 extends into a trachea of the patient and stoma guard 434 abuts the neck of the patient at about the stoma. Once cannula 420 is positioned, neckband 408 may be positioned around the neck of the patient such that connecting head 426 extends through connecting hole 414 and extends in a proximal direction away from the patient's neck. Connecting head 426 may form a friction fit with connector 412 within connecting hole 414. Connecting head 426 can extend proximally through connecting hole 414 enough to allow connecting head 426 to be connected to a ventilator, if needed.
Neckband 508 can be releasably coupled to connector 512 on opposing sides of connector 512. This allows removal of neckband 508 from connector 512, and therefore, from the patient while maintaining the position of cannula 520 within the neck of the patient. Neckband 508 can be releasably coupled to connector 512 via, for example, clasps, snap-fit connections, ties, magnets, fasteners, or friction fit.
Trach device 500 can include a faceplate 560 that releasably couples to an open end of extruded perimeter 516 of connector 512, or open container 558. Faceplate 560 can include a filtered passageway 562 that prevents air particulates from entering cannula 520. In addition, cannula 520 may be sized and shaped such that cannula 520 may be used together with a conventional inner cannula (not specifically shown here).
In another aspect of the disclosure, trach device 600 (
Furthermore, cannula 620 of trach device 600 can include an outer cannula that can be sized and shaped to fit with a conventional inner cannula (not individually shown). For example, cannula 620 can connect and/or extend from connecting head 626 (i.e., the stoma guard in this embodiment), which can have various shapes and sizes. Additionally, an inner cannula can fit at least partly inside of cannula 620 to thereby be held in place, such as by either friction of some mechanical fit.
Any of the trach devices disclosed herein can be specifically sized and shaped to suit a particular age and/or size of the patient. For example,
In addition, other features can be incorporated into any of the trach devices disclosed herein. For example,
In the descriptions above and in the claims, phrases such as “at least one of” or “one or more of” may occur followed by a conjunctive list of elements or features. The term “and/or” may also occur in a list of two or more elements or features. Unless otherwise implicitly or explicitly contradicted by the context in which it is used, such a phrase is intended to mean any of the listed elements or features individually or any of the recited elements or features in combination with any of the other recited elements or features. For example, the phrases “at least one of A and B;” “one or more of A and B;” and “A and/or B” are each intended to mean “A alone, B alone, or A and B together.” A similar interpretation is also intended for lists including three or more items. For example, the phrases “at least one of A, B, and C;” “one or more of A, B, and C;” and “A, B, and/or C” are each intended to mean “A alone, B alone, C alone, A and B together, A and C together, B and C together, or A and B and C together.” Use of the term “based on,” above and in the claims is intended to mean, “based at least in part on,” such that an unrecited feature or element is also permissible.
The implementations set forth in the foregoing description do not represent all implementations consistent with the subject matter described herein. Instead, they are merely some examples consistent with aspects related to the described subject matter. Although a few variations have been described in detail herein, other modifications or additions are possible. In particular, further features and/or variations can be provided in addition to those set forth herein. For example, the implementations described above can be directed to various combinations and sub-combinations of the disclosed features and/or combinations and sub-combinations of one or more features further to those disclosed herein. In addition, the logic flows depicted in the accompanying figures and/or described herein do not necessarily require the particular order shown, or sequential order, to achieve desirable results. The scope of the following claims may include other implementations or embodiments.
The current application claims priority to U.S. Provisional Application No. 62/549,663 filed on Aug. 24, 2017, the contents of which are hereby fully incorporated by reference.
Filing Document | Filing Date | Country | Kind |
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PCT/US18/47719 | 8/23/2018 | WO | 00 |
Number | Date | Country | |
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62549663 | Aug 2017 | US |