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27 results about "Bronchoscopy" patented technology

<ul><li>Normal results show healthy lungs with normal cells and fluid.</li><li>Abnormal results may show bacterial, viral, parasitic or other infection, inflammation from different disorders, damage from allergic reactions, narrowing of the airways etc.</li></ul>

Expansion supporting device for bronchoscopy

The invention provides an expansion supporting device for bronchoscopy. The expansion supporting device comprises a supporting base. The end effector is used for clamping the bronchoscope; one end of the multi-degree-of-freedom mechanical arm is connected to the supporting base, the other end of the multi-degree-of-freedom mechanical arm is connected with the end effector, the multi-degree-of-freedom mechanical arm comprises at least one rigidity adjusting joint, the rigidity adjusting joint comprises a rigidity adjusting mechanism, and the rigidity adjusting mechanism is configured to be switched between a low-damping state and a high-rigidity locking state. According to the extension supporting device for bronchoscopy provided by the invention, a doctor can switch between a low-damping flexible following state and a high-rigidity stable locking state through the rigidity adjusting mechanism only by executing a simple triggering action on the operation part, so that the surgical operation efficiency is greatly improved, and the operation difficulty is reduced. And the operation physical output of doctors is obviously reduced.
Owner:HANGZHOU CHILDRENS HOSPITAL

Bronchoscopy sampling device

ActiveCN116115275BBronchoscopesLaryngoscopesEyepieceBronchoscopy
The application provides a bronchoscope sampling device, which comprises an operating part and two groups of mounting shells, the operating part is arranged in the two groups of mounting shells, one end of the operating part is provided with an eyepiece part, the other end is provided with an endoscope connecting pipe, one end of the endoscope connecting pipe is provided with an endoscope objective lens, a sampling pipe is arranged in the endoscope connecting pipe, a pull wire is arranged in the sampling pipe, a pulling assembly is arranged in the mounting shell and connected with the pull wire, two groups of branch wires at one end of the pull wire are wound on two groups of first wire wheels, one end of the first wire wheel is provided with a transmission rod connected through a reversing assembly, one end of the transmission rod is provided with a slidingly connected connecting sleeve, the connecting sleeve is elastically connected with the sampling pipe, one end of the connecting sleeve is provided with a spiral cutting knife, the spiral cutting knife is arranged in a shielding cylinder at one end of the sampling pipe, and a cutting assembly is arranged in the shielding cylinder. After the sampling device samples the lesion position, the sample is not easy to fall off in the process of being taken out of the patient's body, and the sampling efficiency is improved.
Owner:THE SECOND AFFILIATED HOSPITAL ARMY MEDICAL UNIV

Multifunctional oropharyngeal airway tube

ActiveCN309786964SOropharyngeal airwayCatheter
1. The name of the design product: multifunctional oropharyngeal airway catheter. 2. The use of the design product: used for painless gastrointestinal endoscopy, painless bronchoscopy, and other painless endoscopy, as well as airway management tools during painless egg extraction, surface or short surgery, and other sedative anesthesia. 3. The design points of the design product: in shape. 4. The picture or photo that best indicates the design points: perspective drawing.
Owner:YANTAI YUHUANGDING HOSPITAL

A bronchoscope structure

This utility model relates to the field of bronchoscopy technology, specifically a bronchoscopy structure that improves practicality. It includes a tracheal section with several vent holes for oxygen delivery on its sidewalls, which are inserted into the trachea. The tracheal section has a through-tube inside. A handle is fixedly attached to the end of the tracheal section outside the body. A cavity is located inside the handle, and the cavity and the tracheal section's tubes are interconnected. An extension tube is connected through the sidewall of the handle, with one end penetrating the cavity of the handle. An oxygen delivery tube is inserted into the extension tube, passing through the tracheal section's tubes and extending to the end of the tracheal section away from the handle. The oxygen delivery tube passes through the tubes and exposes vent holes at different locations to deliver oxygen.
Owner:SHENZHEN CHILDRENS HOSPITAL

Devices and systems for lung treatment

ActiveUS12508117B2BronchoscopesBronchiCatheterBronchoscopy
Devices, systems, and methods for measuring the diameter of an airway in a human or animal subject are disclosed. The device comprises a flexible catheter body having a proximal end and a distal end. Flexible sizing elements are disposed along and extend approximately orthogonally from the catheter body. The sizing elements have different heights from one another and are configured to fit through the working channel of a bronchoscope. Devices, systems, and methods for redirecting airflow through a lung airway are also disclosed. The method comprises introducing into the airway a catheter comprising a distal end, a proximal end and an elongated portion therebetween, wherein the distal end comprises an airway closing mechanism, and wherein the proximal end comprises an actuator to actuate the airway closing mechanism; and actuating the airway closing mechanism to at least partially close the airway.
Owner:PULMONX CORP

Child restraint device for bronchoscopy and examining table

The utility model relates to a child restraint device for bronchoscopy and an examining table. The child restraining device is installed on a bed board of the bronchoscopy bed and comprises fixing rods symmetrically arranged on the edges of the two sides of the bed board, two sliding supports are independently arranged on each fixing rod in a sliding mode, and fastening rotary knobs used for fixing the positions of the sliding supports are arranged on the sliding supports. A chest and abdomen restraint strap or a leg restraint strap is arranged between the corresponding sliding supports on the two sides in a penetrating mode. The child restraint device further comprises a head restraint assembly arranged on the bed board, and the head restraint assembly comprises a set of head limiting plates and a driving assembly used for driving the head limiting plates to be close to each other or away from each other. Compared with the prior art, the child restraint device has the advantages that through cooperation of the chest and abdomen restraint strap, the leg restraint strap and the head restraint assembly, turning over and twisting of a child patient can be effectively limited during bronchoscopy, and clinical examinations such as bronchoscopy and the like are facilitated.
Owner:SHANGHAI CHILDRENS HOSPITAL

Fixing device for bronchoscope alveolar lavage of children

The utility model provides a fixing device for children bronchoscope alveolar lavage, which relates to the field of medical instruments and comprises a body stabilizing mechanism, a limb stabilizing mechanism and a leg stabilizing mechanism. The body stabilizing mechanism comprises a body stabilizing belt, a hook-and-loop fastener loop surface, a hook-and-loop fastener hook surface, a first fixing belt, a second fixing belt, a shoulder belt, a third fixing belt, a connecting block and a hook buckle, and the limb stabilizing mechanism comprises a limb sleeve, a fixing strip, a first hollow groove, a fourth fastening belt, a second connecting belt and a fifth fastening belt. And the leg stabilizing mechanism comprises a leg stabilizing belt, a second hollow groove and a sixth fastening belt. The body, the four limbs and the two legs of a patient can be effectively stabilized conveniently, the constraint effect of the device is guaranteed, the lying or sitting patient can be conveniently constrained and fixed, and the body stabilizing belt, the shoulder belts, the four limb sleeves and the leg stabilizing belts can be tightened, so that the body stabilizing belt, the shoulder belts, the four limb sleeves and the leg stabilizing belts can be tightened, and the body stabilizing belt, the shoulder belts and the leg stabilizing belts can be tightened. And the device can effectively fix children with different body types.
Owner:175TH HOSPITAL OF PEOPLES LIBERATION ARMY

Devices, methods, and systems to treat chronic bronchitis

Systems and methods involve abrading a patient lung airway wall to reduce mucus production therein. Exemplary techniques include rotationally and / or linearly oscillating an abrasive material against the airway wall so as to damage mucus producing tissues, for example by removing goblet cells, while destroying less than the entire airway wall. The abrasive material may be present on the surface of an expandable balloon body or another expandable device, which can be delivered to the patient treatment site via a bronchoscope. In some cases, the abrasion techniques can cause cell damage or death at a controlled or predetermined tissue depth.
Owner:FREE FLOW MEDICAL INC

A local drug delivery device for bronchoscopy

The application relates to a local administration device for a bronchoscope, which comprises a main pipe, a syringe butt joint and a conical end head, a baffle is arranged in the middle of the inner part of the main pipe, the inner cavity of the main pipe is divided into two passages by the baffle, a syringe butt joint is arranged at the upper end of the main pipe, two injection ports corresponding to the two passages are arranged on the syringe butt joint, the conical end head is arranged at the lower end of the main pipe, a silica gel injection head is arranged at the lower end of the conical end head, a plurality of closable injection holes are arranged on the lower end of the silica gel injection head, a wire pulling structure moving up and down is arranged at the middle part of the baffle, and a push block structure connected with the lower end of the wire pulling structure is arranged in the lower end of the silica gel injection head. The application has the characteristics of accurate control of the injection amount of medicine, simple structure, convenient manufacturing, improved treatment effect and the like.
Owner:AFFILIATED PEOPLES HOSPITAL OF NINGBO UNIV

Hemostatic plug for use under bronchoscopy that preserves distal access

This invention relates to the field of bronchial hemostasis devices, specifically to a hemostatic plug for use under bronchoscopy that preserves a distal operating channel. The hemostatic plug includes a central channel and absorbent material fitted over the central channel. A one-way valve is located at the distal end of the central channel, allowing one-way passage of the device. The absorbent material expands rapidly upon contact with blood or saline solution, achieving physical occlusion of the bleeding bronchus. The hemostatic plug also features an expansion and fixation structure that expands radially synchronously with the expansion of the absorbent material, enhancing the anchoring effect with the bronchial wall. In some embodiments, this structure can also form a secondary sealing barrier. The hemostatic plug integrates a retrieval control structure; during removal, axial traction preferentially drives the radial contraction of the expansion and fixation structure, safely separating it from the bronchial wall and avoiding removal injury. This invention solves the problem that traditional balloon devices cannot simultaneously achieve effective hemostasis and continuous distal operation, achieving multiple functions such as rapid occlusion, stable operation, reliable fixation, and safe removal.
Owner:CHENGDU MILITARY GENERAL HOSPITAL OF PLA

A bronchoscope transfer case

The utility model relates to bronchoscopy transfer technical field, especially a bronchoscopy transfer case, including bracket body, four universal wheels and tray, the lower portion of tray is provided with two layers of clean drawer layers that distribute up and down, two layers of clean drawer layers are used for storing fixed clean bronchus and bronchoscopy accessory, the side of two layers of clean drawer layers is provided with single -layer storage drawer layer, storage drawer layer is used for depositing gloves tool, two layers of soaking drawer layers are used for soaking pipe body and dirty tool, the flushing drawer layer is used for washing the pipe of bronchus. The utility model provides the professional adaptation transfer case for bedside bronchoscopy, operating room bronchoscopy, reduces the bronchoscopy breakage or pathogen pollution probability caused by the collision or medical plastic bag breakage in the previous transfer process, and simultaneously, the transfer case has the primary disinfection flushing soaking function, can start primary disinfection in the operation end and transfer process, greatly shortens the waiting time of next patient.
Owner:THE FIFTH PEOPLES HOSPITAL OF SHANGHAI

Dynamic deformation tracking for navigational bronchoscopy

Systems and methods for tracking movement of a catheter within airways of a lung. A deformable model of the lung represents airways of the lung as airway segments joined at bifurcations. Deformation of the lung model uses modification of the angles and / or positions of the airway segments with respect to each other. An initial model may be generated, for example, based on segmentation of a CT image. A baseline deformable registration of the initial model to a lung shape of the patient at the beginning of the procedure may be established from position measurements of the catheter along plurality of different pathways. Optionally, the baseline registration is dynamic according to respiratory phase. Relative to the baseline registration, real-time changes in lung shape may be modeled by using further measurements obtained using the catheter as it navigates to a target, preferably using position sensors distributed along the catheter body.
Owner:MAGNISITY LTD

Devices, methods, and systems to treat chronic bronchitis

ActiveUS12622724B2Excision instrumentsTelescopesGoblet cellAirway wall
Systems and methods involve abrading a patient lung airway wall to reduce mucus production therein. Exemplary techniques include rotationally and / or linearly oscillating an abrasive material against the airway wall so as to damage mucus producing tissues, for example by removing goblet cells, while destroying less than the entire airway wall. The abrasive material may be present on the surface of an expandable balloon body or another expandable device, which can be delivered to the patient treatment site via a bronchoscope. In some cases, the abrasion techniques can cause cell damage or death at a controlled or predetermined tissue depth.
Owner:FREE FLOW MEDICAL INC

Devices, methods, and systems to treat chronic bronchitis

Systems and methods involve abrading a patient lung airway wall to reduce mucus production therein. Exemplary techniques include rotationally and / or linearly oscillating an abrasive material against the airway wall so as to damage mucus producing tissues, for example by removing goblet cells, while destroying less than the entire airway wall. The abrasive material may be present on the surface of an expandable balloon body or another expandable device, which can be delivered to the patient treatment site via a bronchoscope. In some cases, the abrasion techniques can cause cell damage or death at a controlled or predetermined tissue depth.
Owner:FREE FLOW MEDICAL INC

Suitcase for bronchofiberscope outgoing inspection

The utility model provides a suitcase for bronchofiberscope outgoing inspection, and relates to the technical field of suitcases. The suitcase comprises: an outer case body, the top of which is provided with an opening, and the opening is hinged to a case cover; the inner box body is arranged in the outer box body and can ascend and descend relative to the outer box body; wherein the inner box body is sequentially provided with a first storage part, a second storage part and a third storage part from high to low in the height direction of the inner box body, the first storage part is located at the top of the inner box body, the second storage part and the third storage part both adopt a drawer type pulling design, and the pulling directions of the first storage part and the second storage part are opposite; and the straps are arranged on the outer box body. When the suitcase is used for bronchofiberscope outgoing inspection, through lifting of the case cover and the inner case body and reasonable arrangement of the storage part, inspection articles can be carried in order in a classified mode, medical staff can rapidly and accurately position and take the articles after arriving at an inspection place, rummaging time is shortened, efficiency is improved, operation delay is avoided, and it is guaranteed that inspection work is efficiently carried out.
Owner:THE FIRST PEOPLES HOSPITAL OF FOSHAN

Nasal glottis breather pipe

ActiveCN223615232UTracheal tubesNoseGlottis
The utility model provides a nasal glottis breather pipe which comprises a catheter and a connector inserted in the top end of the catheter, the lower end of the catheter is a diagonal plane, and a side hole is formed in the side wall close to the lower end of the catheter; two side lugs are symmetrically arranged on the periphery of a connecting port in the connector, a fixing hole is formed in each side lug, and a binding band arranged on the head in a sleeving mode is tied in the two fixing holes. The nasal glottis breather pipe can enter the glottis and a trachea with the tail end located below the glottis by 1-3 cm through the nose and the pharynx, effective ventilation can be conducted, a channel can be provided for a bronchoscope and a sputum suction tube to clean secretions of the lower respiratory tract, therefore, the respiratory function is improved through a non-invasive means, and the medical cost is effectively reduced.
Owner:TIANJIN MEDICAL UNIVERSITY GENERAL HOSPITAL

A simple oxygen inhalation and atomization mask under bronchoscope

This utility model relates to the field of respiratory masks, specifically a simple oxygen nebulizer mask for bronchoscopy. It includes a mask body connected to an oxygen tubing, a breathing port and a bronchoscope inlet, a connecting strap connecting the mask body to a breathing cap, an airtight plug connected to the breathing cap, the airtight plug being detachably connected to the breathing port, a connecting strip connecting the breathing cap to an inlet cap, a sealing plug connected to the inlet cap, and a detachably connected sealing plug to the bronchoscope inlet. The mask body has a sliding groove, a slider slidably connected to the side wall of the groove, a spring connected to the slider, and a sealing strip connected to the slider, which is slidably connected to the mask body. This utility model can prevent oxygen leakage from the bronchoscope inlet, ensuring the patient can continuously inhale a sufficient concentration of oxygen, maintain normal blood oxygen saturation, reduce risks during the examination, and provide basic support for the smooth conduct of the examination.
Owner:王晴

Tampon used under bronchoscope and retaining far-end operation channel

ActiveCN121512614AVaccination/ovulation diagnosticsOcculdersBronchial wallBronchoscopy
The invention relates to the field of bronchus hemostasis instruments, in particular to a hemostasis plug used under a bronchoscope and reserving a far-end operation channel, the hemostasis plug comprises a central channel and a water absorption material sleeved on the central channel, and a one-way valve for one-way passing of the instruments is arranged at the far end of the central channel. The water absorbing material can rapidly expand when meeting blood or normal saline, so that the bleeding bronchus is physically blocked. The tampon is also provided with an expansion fixing structure which can synchronously expand radially when the water absorbing material expands, the anchoring effect of the tampon and the bronchial wall is enhanced, and in some embodiments, the structure can also form a secondary sealing barrier. The tampon is integrated with a recovery control structure, and the expansion fixing structure can be preferentially driven to radially contract through axial traction during taking out, so that the expansion fixing structure is safely separated from the tube wall, and taking-out damage is avoided. The problem that a traditional balloon device cannot achieve effective hemostasis and continuous far-end operation at the same time is solved, and the multiple functions of rapid blocking, stable operation, reliable fixing and safe taking-out are achieved.
Owner:CHENGDU MILITARY GENERAL HOSPITAL OF PLA

Fixing device for bronchoscopy

The utility model relates to the field of medical instruments, and discloses a fixing device for bronchoscopy, which comprises a base, the top end of the base is fixedly connected with a pipe sleeve, the inner wall of the pipe sleeve is slidably connected with a lifting rod, and the outer wall of the lifting rod is rotatably connected with a connecting rod. An inserting block is elastically connected to the inner wall of the right end of the connecting rod through a movable spring, a fixing clamp is fixedly connected to the right end of the connecting rod, a movable clamp is slidably connected to the inner wall of the fixing clamp, an adjusting mechanism is arranged on the inner wall of the connecting rod, a limiting assembly is arranged on the inner wall of the fixing clamp, and the adjusting mechanism comprises a long rod. According to the device, the angle and the height of the device can be adjusted through separation and superposition of the insertion block and the notch of the lifting rod and separation and superposition of the arc-shaped rod and the notch of the pipe sleeve, the long rod is extruded to move through the insertion block, the angle and the height of the device can be adjusted at the same time, and the working time is further saved.
Owner:NANTONG UNICORN MEDICAL ELECTRONICS CO LTD

Head fixing device for bronchoscope alveolar lavage of children

The invention provides a head fixing device for children bronchoscope alveolar lavage, which comprises a backrest base, a neck pillow block is integrally formed on the upper surface of the backrest base, a rotating groove is formed in one side of the backrest base, and a fixing rod is arranged on the inner wall of the rotating groove. One end of the fixing rod penetrates through the head rotating plate and is rotationally connected with the head rotating plate through a bearing; the take-up roller is driven by the servo motor to tighten the fixing belt, the fixing belt moves in the movable through hole to tighten the two head clamping plates, three-point type stable fixing of the head temple and the forehead of a child patient is achieved, shaking of the head in an operation is effectively prevented, and by means of elastic potential energy of the spring and accurate control of the servo motor, the safety of the child patient is improved. The distance between the head clamping plates and the tightness degree of the fixing belt can be flexibly adjusted, so that the fixing requirements of children of different age groups and different head circumferences can be quickly met, children patients of different body types can be fixed without replacing accessories, and the universality is high.
Owner:THE FIRST AFFILIATED HOSPITAL OF ANHUI MEDICAL UNIV

Handling respiration during navigational bronchoscopy

Methods of respiration compensation including detecting a position of a catheter proximate a target within a patient, performing a local registration to update a displayed relative position and orientation of the catheter and the target in a three-dimensional model, detecting movement of a plurality of sensors, determining a respiration waveform from the detected movement of the plurality of sensors, and indicating on a user-interface a period during which advancement of a biopsy or therapy tool from the catheter is most likely to intersect the target, wherein the period corresponds to a portion of the respiration waveform during which the movement of the plurality of sensors is within a desired range.
Owner:COVIDIEN LP

Trachea lens fixing device

ActiveCN223695851UBronchoscopesLaryngoscopesHead fixationBronchoscopy
The utility model provides a trachea lens fixing device, and relates to the technical field of head fixing.The trachea lens fixing device comprises a supporting plate, a supporting rod is fixedly installed at the top of the supporting plate, two fixing pieces are arranged on the outer surface of the supporting rod, the fixing pieces comprise supporting pieces arranged on the supporting rod, and hand-screwing screws are connected to the supporting pieces; one end of the hand screw is connected with a connecting frame through a bearing, the outer surface of the connecting frame is fixedly connected with a supporting ring, and an elastic protection ring is arranged on the side, away from the hand screw, of the supporting ring. According to the bronchoscope head fixing device, the connecting frame and the supporting ring drive the elastic protection ring to make contact with the area around the ears of the head of a patient by rotating the hand-screwed screw, so that the head of the patient is fixed, natural movement of the head in the examination process is reduced, and the accuracy and safety of bronchoscope examination are greatly improved.
Owner:THE 907TH HOSPITAL OF THE CHINESE PEOPLES LIBERATION ARMY JOINT LOGISTICS SUPPORT FORCE

Composition for treating community-acquired pneumonia of children and preparation method thereof

The invention belongs to the field of traditional Chinese medicines, and particularly relates to a pharmaceutical composition for treating community-acquired pneumonia (CAP) of children and a preparation method. The composition is prepared from the following components in parts by weight: 100 to 300 parts of roasted herba ephedrae, 333 to 999 parts of raw gypsum rubrum, 166 to 400 parts of perillaseed, 166 to 400 parts of semen lepidii, 166 to 400 parts of radix scutellariae, 166 to 400 parts of herba artemisiae annuae, 166 to 400 parts of cortex lycii radicis, 66 to 200 parts of rhizoma coptidis, 166 to 400 parts of cortex moutan radicis, 166 to 400 parts of radix paeoniae rubra, 166 to 400 parts of rhizoma acori graminei, 166 to 400 parts of radix ophiopogonis and 100 to 300 parts of fried semen brassicae. The invention further provides a preparation method of the composition and application of the composition in preparation of drugs for treating CAP. The formula has the effects of opening lung and removing phlegm, clearing away heat and toxic materials, cooling blood and activating blood, and nourishing yin and generating body fluid; the traditional Chinese medicine composition can shorten the fever time of CAP child patients with phlegm-heat lung-closing syndrome and toxic-heat lung-closing syndrome, relieve the cough degree of the child patients, accelerate the absorption of inflammatory exudates, and reduce the hormone consumption and bronchoscope lavage probability of the child patients.
Owner:BEIJING CHINESE MEDICINE HOSPITAL AFFILIATED CAPITAL MEDICAL UNIV

Carbon dioxide monitoring artificial nose with sputum suction and bronchofiberscope examination functions

PendingCN121927177ABronchoscopesLaryngoscopesPhysical therapyBronchoscopy
The invention relates to the technical field of artificial noses, and discloses a carbon dioxide monitoring artificial nose with sputum suction and bronchofiberscope examination functions, which comprises a main pipeline, a branch pipe connected to the side wall of the main pipeline, an artificial nose assembly connected to the branch pipe, a first rotary joint connected to the lower end of the main pipeline, and a second sealing cover clamped to the upper end of the main pipeline, a sputum suction hole is formed in the upper end face of the second-layer sealing cover, a first-layer sealing cover is clamped to the upper end of the second-layer sealing cover, and a Luer connector is arranged at the upper end of the first-layer sealing cover. According to the device, the design of the double-layer sealing cover capable of being uncovered is adopted, and the structure allows medical staff to selectively open different sealing layers according to operation requirements under the condition that a breathing circuit of a patient is not disconnected. And when sputum suction or bronchofiberscope examination is carried out, an operation channel can be established without separating equipment, so that the leakproofness of a breathing loop is maintained to the maximum extent.
Owner:SHAOXING PEOPLES HOSPITAL +1

Double-response cascade cross-linked hydrogel for targeting lung cancer and preparation method of double-response cascade cross-linked hydrogel

The invention relates to the technical field of biomedical materials, and provides dual-response cascade cross-linked hydrogel for targeting lung cancer. The hydrogel comprises a phase A and a phase B, wherein the phase A comprises hyaluronic acid-phenylboronic acid and four-arm polyethylene glycol-sulfydryl; and the phase B comprises polyethylene glycol diacrylate, a photoinitiator LAP and functionalized up-conversion nanoparticles loaded with Tasqueinimod, a PD-L1 antibody and an MMP-2 sensitive peptide. The hydrogel forms gel preliminarily through acid response to prevent diffusion, cross-linking shaping is enhanced by means of light triggering, unification of injectability and high mechanical strength is achieved, meanwhile, through a sequential control release strategy, a PD-L1 antibody is rapidly released to activate immune response, Tasqueinimod is slowly released to block immunosuppression, and drug antagonism is avoided. The hydrogel is high in intervention precision and high in positioning performance in a precise injection mode that a bronchoscope ultrasonically guides a bronchus wall penetrating needle to suck a biopsy channel, and efficient targeted therapy of the lung cancer is expected to be achieved.
Owner:张冀松 +1

Tracheal introducer sheath and simplified tracheal introducer sheath

PendingUS20260077146A1Tracheal tubesMedical devicesSequelaHospitalized patients
According to the CDC, the same month (March, 2020) they declared COVD-19 a pandemic, nearly 25% of confirmed COVID-19 hospitalized patients required intubation, or ventilator use. More recently, in the US, during the summer of 2021, child intubations more than quadrupled, when the Delta variant predominated.As Omicron and additional COVID-19 variants continue to arise globally, there will be an increasing number of sudden spikes in critical illness and respiratory failure. Preparedness with efficacious airway tools that optimize success rate of intubations is critical.Without the proper tools, intubation procedures take excessive time, and can fail entirely, causing diminished central nervous system oxygenation and potentially permanent neurologic sequelae. Airway adjuncts such as the Tracheal Introducer Sheath (TIS) and Simplified Tracheal Introducer Sheath (STIS) hold immense potential to improve chances of successful intubations.The TIS is a STIS with an added articulating mechanism, but otherwise is a similar device. For the purposes of further explanation, the TIS refers to both TIS and STIS unless otherwise specified.TIS is an adjunct medical device for control and guidance of any form of tracheal introducer device through the glottic opening of a patient's airway. This facilitates endotracheal intubation by passage of the endotracheal tube.An airway introducer is placed within and controlled by the TIS, a mechanically specialized sheath, open at both ends, and covering the distal end of the introducer (where control is most relevant). The TIS acts as a relatively stiff channel, or tunnel, for the introducer to be directed through for smooth travel along courses of varied angles. The proceduralist is able to apply curvature in real-time to the TIS-introducer assemblage based on patient anatomy and other clinical factors. Without the TIS as a channel, an introducer alone can be bent at its tip, but it is limited in its ability to move along that axis as it is being proximally controlled, outside of the patient.The mechanistic basis for the sheath's guidance capability is based on composition, including, but not limited to, a hollowed shaft of polytetrafluoroethylene (PTFE), with a specific ID / OD (internal diameter / outer diameter) ratio, such that there is sufficient stiffness for the sheath to act as a guide within which the introducer can travel, whilst maintaining appropriate elasticity for malleable control.The TIS confers additional introducer controllability by minimizing introducer wobble, as introducers can consist of relatively long shaft-like devices, often nearly 60 cm.Introducer guidance by a TIS, but not the simplified version (STIS) includes a distal articulating tip mechanism, angled as needed while in the tracheal space of a patient, and controlled outside of the patient by moving the proximal sheath through a pull sheath mechanism. To recap, the Simplified Tracheal Introducer Sheath (STIS) lacks this articulating mechanism, but otherwise is a similar device.Rotatory control in the case of both the TIS and STIS is achieved by rotating the introducer which sits outside the proximal end of the sheath.A major additional benefit of utilizing a sheath with an introducer is selection of an introducer for placement into a sheath on a case-by-case basis. For example, a smaller, softer tipped introducer could be utilized with a TIS in cases where airway friability or injury is of particular concern; i.e. a mass with high vascularity and bleeding potential. In another example an introducer with a central canal for oxygenation can be utilized with a TIS when the decision is made to oxygenate through the introducer prior to placement of the endotracheal tube.Finally, the TIS, with its integration of an articulating mechanism utilizing a pull sheath is without costly electrical components and thus serves as a cost-effective alternative to fiberoptic intubation with a bronchoscope (often utilized among top academic hospitals), which is often cost prohibitive for many rural and community hospitals to stock. As such, the TIS may improve access of lower socioeconomic classes to important technologies in the management of respiratory failure.
Owner:TAICHER CHRISTOPHER