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Endotracheal tube for mechanical ventilation

a technology for mechanical ventilation and endotracheal tubes, which is applied in the field of improved endotracheal tubes or patient ventilation tubes, can solve the problems of increased duration of ventilation and icu stay, increased risk of multidrug resistant bacteria, and high attributable mortality

Active Publication Date: 2014-01-02
VRIJE UNIV BRUSSEL
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The present invention provides improved ventilation devices and methods for ventilating patients. Specifically, it provides ventilation tubes that prevent the leakage of proximal secretions to the distal airways. Unlike conventional double-cuffed systems, the present invention achieves this by using a continuous positive pressure in the region between the primary and secondary cuffs. This positive pressure acts as a barrier to reduce further leakage of secretions and allows them to move uward and be easily aspirated. The invention also includes a pressurization lumen for continuously measuring and adapting pressure in the inter-cuff chamber. Overall, the invention improves ventilation by preventing leakage of secretions and promoting airflow.

Problems solved by technology

The occurrence of VAP leads to increased duration of ventilation and ICU stay and is associated with a high attributable mortality.
VAP also leads to more and specific antibiotic use, increasing the risk of development of multidrug resistant bacteria.
In spite of the use of these new types of endotracheal or tracheostomy tubes, the leakage of the proximal secretions to the distal airways still occurs.

Method used

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  • Endotracheal tube for mechanical ventilation
  • Endotracheal tube for mechanical ventilation
  • Endotracheal tube for mechanical ventilation

Examples

Experimental program
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examples

[0120]a) Comparative test

[0121]The present example describes experiments wherein the ability to prevent proximal fluid leakage of a ventilation tube according to the present invention is compared to 3 commercialized single-cuffed ventilation tubes.

[0122]An artificial trachea with jagged inside walls and an internal diameter of 23 mm was used to mimick the in vivo situation. The jagged walls of the artificial trachea closely resemble the real trachea surface and therefore provide more realistic experimental conditions than the glass tubes with smooth inside walls often used in testing such devices. A ventilation tube according to the present invention was compared to 3 commercialized single-cuffed ventilation tubes n° 8: the polyvinyl cuff (classical) Portex®, the polyvinyl cuff (pear-formed) TaperGuard Evac® Mallinckrodt and the polyurethane Microcuff® Kimberly-Clark. The ventilation tubes were positioned in the artificial trachea and 3.4 ml of a methylene blue solution was administ...

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Abstract

The present invention relates generally to medical devices, methods, and kits. More particularly, the present invention relates to improved endotracheal tubes or patient ventilation tubes which prevent the leakage of proximal secretions to the distal airways.

Description

FIELD OF THE INVENTION[0001]The present invention relates generally to medical devices, methods, and kits. More particularly, the present invention relates to improved endotracheal tubes or patient ventilation tubes which prevent the leakage of proximal secretions to the distal airways.BACKGROUND OF THE INVENTION[0002]Mechanical ventilation by placement of endotracheal and other ventilation tubes can be a necessity for patients for a variety of reasons. For example, patients receiving anesthetics may require ventilation to temporarily take over their natural breathing mechanism. Here mechanical ventilation is used only for a relatively short period of time. Patients suffering from respiratory failure, in contrast, may be intubated and ventilated for days, weeks, or even longer while in intensive care. Ventilation tubes which enter the trachea through a patient's mouth or nose are generally referred to as endotracheal tubes. Ventilation tubes which are inserted through an incision in...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61M16/04
CPCA61M16/0434A61M16/04A61M16/044A61M16/0459A61M16/0479A61M16/0486A61M16/0475
Inventor SUIJS, EMIEL
Owner VRIJE UNIV BRUSSEL
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