WO1989004189A1 - Tracheal tube for emergency mouth-to-mouth respiration - Google Patents
Tracheal tube for emergency mouth-to-mouth respiration Download PDFInfo
- Publication number
- WO1989004189A1 WO1989004189A1 PCT/DE1988/000673 DE8800673W WO8904189A1 WO 1989004189 A1 WO1989004189 A1 WO 1989004189A1 DE 8800673 W DE8800673 W DE 8800673W WO 8904189 A1 WO8904189 A1 WO 8904189A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- mouth
- respiration
- emergency ventilation
- ventilation tube
- gekennzeich
- 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.)
- Ceased
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
- A61M16/0048—Mouth-to-mouth respiration
-
- 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
- A61M16/049—Mouthpieces
- A61M16/0493—Mouthpieces with means for protecting the tube from damage caused by the patient's teeth, e.g. bite block
-
- 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
- A61M16/049—Mouthpieces
- A61M16/0495—Mouthpieces with tongue depressors
-
- 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
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/105—Filters
- A61M16/106—Filters in a path
-
- 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/75—General characteristics of the apparatus with filters
- A61M2205/7536—General characteristics of the apparatus with filters allowing gas passage, but preventing liquid passage, e.g. liquophobic, hydrophobic, water-repellent membranes
Definitions
- the invention relates to a tube that has been designed for emergency ventilation of the unconscious.
- Unconscious people for example as a result of accidents, can often only be saved by immediate mouth-to-mouth ventilation.
- the technology of this emergency ventilation is taught in the first aid courses, its application often fails on the one hand due to the so-called disgust threshold, which the willingness to help cannot overcome, and on the other hand due to the fear of getting through Infect bleeding from the mouth or contact with their saliva (AIDS, hepatitis, TB).
- AIDS hepatitis, TB
- the same risk of infection exists for the injured person through saliva or blood transferred with the donor's breathing air. Attempts are being made to counter this with various types of ventilation aids.
- cloths and masks are used which cover the mouth area of the unconscious and prevent direct mouth-to-mouth contact.
- a disadvantage of these aids is that they cannot be avoided that the unconscious person's tongue falls back during the ventilation process and closes the trachea. Moreover, the almost unhindered exchange of blood and saliva and the associated risk of infection are not eliminated.
- Known tubes may be able to provide emergency ventilation without risk of suffocation for the injured.
- Tubes with disposable valves are also known, but they only prevent the injured person's blood and spittle from getting into the donor's mouth on one side only. This does not eliminate the risk of infection for the donor.
- the invention is based on the object of overcoming the disgust threshold by avoiding direct mouth-to-mouth contact, holding back the tongue of the unconscious during the ventilation process and thus keeping the trachea free, to prevent breathing air from the Dispenser uselessly escapes and that during the ventilation period without impairing the permeability, blood and saliva are equally alike in both directions. rather be held back. Furthermore, it should be achieved that resuscitation ventilation bags can be continued without interruption without changing the tube.
- the tube being made of thermoplastic rubber-plastic with a curved attachment which is pushed into the mouth of the unconscious and holds back the tongue.
- the attachment is provided with an anatomically shaped cover plate which closes the mouth of the respirator and at the same time prevents the attachment from being injured too deeply into the mouth of the respirator.
- the tube is provided with a standard cone on the dispenser side, to which commercially available resuscitators can be adapted.
- a mouthpiece is placed on the standard cone for ventilation by the donor.
- a hydrophobic filter using ultrasound welding technology is firmly incorporated into the mouthpiece, which has blood and saliva on both sides for at least five minutes at a breath pressure. p of five millibars and a humidity of 100%.
- the tube consists of the curved attachment (drawings 2 and 4), which is pushed into the mouth of the unconscious, as well as the adaptable mouthpiece (drawing 5). It has an anatomically shaped cover plate for the closure of the tube on the mouth of the injured person (drawings 1, 2 and 4).
- the tube has a 15 mm standard cone on the dispenser side (drawings 2 and 4) for the connection of the mouthpiece or commercially available respiratory bags.
- the mouthpiece (drawing 5) is oval in shape on the dispenser side (drawing 3); it can be pushed onto the cone in any position.
- the curved attachment of the tube is rounded off in the distal area (drawing 2) in order to avoid injuries in the oral cavity of the respiratory receiver. 75 It is reinforced in the proximal area ((drawings 1 and 4) to prevent the tube from being bitten through by the respirator.
Landscapes
- Health & Medical Sciences (AREA)
- Pulmonology (AREA)
- Emergency Medicine (AREA)
- Hematology (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Otolaryngology (AREA)
- Respiratory Apparatuses And Protective Means (AREA)
- Medical Preparation Storing Or Oral Administration Devices (AREA)
Abstract
Description
Beschreibung description
Beatmungs-Tubus für die Notfall-BeatmungVentilation tube for emergency ventilation
Die Erfindung bezieht sich auf einen Tubus, der für die Not¬ fall-Beatmung von Bewußtlosen konzipiert worden ist. Bewußtlose, z.B. in Folge von Unfällen, sind häufig nur durch sofortige Mund-zu-Mund-Beatmung zu retten. Obgleich die Tech¬ nik dieser Notfall-Beatmung in den Erste-Hilfe-Kursen vermit¬ telt wird, scheitert ihre Anwendung häufig zum einen an der sog. Ekelschwelle, die Hilfswillige nicht zu überwinden ver¬ mögen, zum anderen an der Furcht, sich durch aus dem Mund blu- tende Verletzte oder Kontakt mit deren Speichel zu infizieren (Aids, Hepatitis, TB). Die gleiche Ansteckungsgefahr besteht für den Verletzten durch mit der Atemluft des Spenders über¬ tragenen Speichel oder Blut. Versucht wird, dem mit verschiedenartigen Beatmungshilfen zu begegnen. So werden Tücher und Masken verwendet, die die Mund¬ partie des Bewußtlosen abdecken und den unmittelbaren Mund-zu¬ Mund-Kontakt verhindern. Ein Nachteil dieser Hilfsmittel liegt darin, daß mit ihnen nicht vermieden werden kann, daß die Zun¬ ge des Bewußtlosen während des Beatmungsvorgangs zurückfällt und die Luftröhre verschließt. Überdies wird der nahezu un¬ gehinderte Austausch von Blut und Speichel und die damit ver¬ bundene Ansteckungsgefahr nicht beseitigt. Bekannte Tuben mögen in der Lage sein, die Notfall-Beatmung ohne Erstickungsgefahr für den Verletzten zu gewährleisten. Es sind auch Tuben mit Einweg-Ventilen (Lippen-Ventilen) be¬ kannt, die jedoch nur einseitig verhindern, daß Blut und Spei¬ chel des Verletzten in den Mund des Spenders gelangen können. Eine Ansteckungsgefahr für den Spender ist damit nicht besei¬ tigt. Der Erfindung liegt die Aufgabe zu Grunde, die Ekelschwelle durch Vermeidung unmittelbaren Mund-zu-Mund-Kontaktes zu über¬ winden, die Zunge des Bewußtlosen während des Beatmungsvor¬ gangs zurück- und damit die Luftröhre freizuhalten, zu verhin¬ dern, daß Atemluft des Spenders nutzlos entweicht und daß wäh- rend der Beatmungsdauer ohne Beeinträchtigung der Durchlässig¬ keit Blut und Speichel in beiden Richtungen gleichermaßen si- eher zurückgehalten werden. Ferner soll erreicht werden, daß mit Beatmungsbeuteln des Rettungswesens ohne Wechsel des Tubus die Notfall-Beatmung ohne Unterbrechung fortge- setzt werden kann.The invention relates to a tube that has been designed for emergency ventilation of the unconscious. Unconscious people, for example as a result of accidents, can often only be saved by immediate mouth-to-mouth ventilation. Although the technology of this emergency ventilation is taught in the first aid courses, its application often fails on the one hand due to the so-called disgust threshold, which the willingness to help cannot overcome, and on the other hand due to the fear of getting through Infect bleeding from the mouth or contact with their saliva (AIDS, hepatitis, TB). The same risk of infection exists for the injured person through saliva or blood transferred with the donor's breathing air. Attempts are being made to counter this with various types of ventilation aids. Thus, cloths and masks are used which cover the mouth area of the unconscious and prevent direct mouth-to-mouth contact. A disadvantage of these aids is that they cannot be avoided that the unconscious person's tongue falls back during the ventilation process and closes the trachea. Moreover, the almost unhindered exchange of blood and saliva and the associated risk of infection are not eliminated. Known tubes may be able to provide emergency ventilation without risk of suffocation for the injured. Tubes with disposable valves (lip valves) are also known, but they only prevent the injured person's blood and spittle from getting into the donor's mouth on one side only. This does not eliminate the risk of infection for the donor. The invention is based on the object of overcoming the disgust threshold by avoiding direct mouth-to-mouth contact, holding back the tongue of the unconscious during the ventilation process and thus keeping the trachea free, to prevent breathing air from the Dispenser uselessly escapes and that during the ventilation period without impairing the permeability, blood and saliva are equally alike in both directions. rather be held back. Furthermore, it should be achieved that resuscitation ventilation bags can be continued without interruption without changing the tube.
Dieses Ziel wird erfindungsgemäß dadruch erreicht, daß der Tubus aus thermoplastischem Kautschuk-Kunststoff gefertigt wird mit einem gebogenen Ansatz, der in den Mund des Be¬ wußtlosen geschoben wird und die Zunge zurückhält. Der An- satz ist mit einer anatomisch geformten Abdeckplatte ver¬ sehen, die den Mund des Atemempfängers verschließt und zu¬ gleich verhindert, daß der Ansatz durch zu tiefes Hinein¬ schieben in den Mund des zu Beatmenden diesen verletzt. Auf der Spenderseite ist der Tubus mit einem Normkonus versehen, auf den handelsübliche Beatmungsbeutel adaptiert werden können. Auf den Normkonus wird zunächst gesteckt ein Mundstück für die Beatmung durch den Spender. In das Mund¬ stück ist ein hydrophober Filter in Ultraschall-Schwei߬ technik fest eingearbeitet, der beidseitig Blut und Spei- chel für eine Dauer von mindestens fünf Minuten bei einem Atemdruck . p von fünf Millibar und einer Luftfeuchte von 100 % sicher zurückhält.This aim is achieved according to the invention by the tube being made of thermoplastic rubber-plastic with a curved attachment which is pushed into the mouth of the unconscious and holds back the tongue. The attachment is provided with an anatomically shaped cover plate which closes the mouth of the respirator and at the same time prevents the attachment from being injured too deeply into the mouth of the respirator. The tube is provided with a standard cone on the dispenser side, to which commercially available resuscitators can be adapted. A mouthpiece is placed on the standard cone for ventilation by the donor. A hydrophobic filter using ultrasound welding technology is firmly incorporated into the mouthpiece, which has blood and saliva on both sides for at least five minutes at a breath pressure. p of five millibars and a humidity of 100%.
Ein Ausführungsbeispiel mit seinen verschiedenen Teilen ist im Querschnitt (Zeichnungen 1,2 und 3) und Längsschnitt (Zeichnungen 4 und 5) dargestellt.An embodiment with its various parts is shown in cross section (drawings 1, 2 and 3) and longitudinal section (drawings 4 and 5).
Der Tubus besteht aus dem gebogenen Ansatz (Zeichnungen 2 und 4), der in den Mund des Bewußtlosen geschoben wird, so¬ wie aus dem adaptierbaren Mundstück (Zeichnung 5). Er ver¬ fügt über eine anatomisch geformte Abdeckplatte für den Abschluß des Tubus am Mund des Verletzten (Zeichnungen 1,2 und 4). Der Tubus weist auf der Spenderseite einen 15 mm Normkonus auf (Zeichnungen 2 und 4) für den Anschluß des Mundstücks oder handelsüblicher Beatmungsbeutel. Das Mund¬ stück (Zeichnung 5) ist auf der Spenderseite oval geformt (Zeichnung 3); es kann in jeder beliebigen Stellung auf den Konus geschoben werden. Der gebogene Ansatz des Tubus ist im distalen Bereich ab¬ gerundet (Zeichnung 2), um Verletzungen in der Mundhöhle des Atemempfängers zu vermeiden. 75 Er ist im proximalen Bereich verstärkt ((Zeichnungen 1 und 4), um ein Durchbeißen des Tubus durch den Atemempfänger zu verhindern.The tube consists of the curved attachment (drawings 2 and 4), which is pushed into the mouth of the unconscious, as well as the adaptable mouthpiece (drawing 5). It has an anatomically shaped cover plate for the closure of the tube on the mouth of the injured person (drawings 1, 2 and 4). The tube has a 15 mm standard cone on the dispenser side (drawings 2 and 4) for the connection of the mouthpiece or commercially available respiratory bags. The mouthpiece (drawing 5) is oval in shape on the dispenser side (drawing 3); it can be pushed onto the cone in any position. The curved attachment of the tube is rounded off in the distal area (drawing 2) in order to avoid injuries in the oral cavity of the respiratory receiver. 75 It is reinforced in the proximal area ((drawings 1 and 4) to prevent the tube from being bitten through by the respirator.
In der Zeichnung 5 ist der in das Mundstück eingearbeite¬ te hydrophobe Filter dargestellt. 5 shows the hydrophobic filter incorporated into the mouthpiece.
Claims
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| NO90901795A NO901795L (en) | 1987-11-03 | 1990-04-24 | BREATHERS FOR USE IN RESPIRATORY BREATHING. |
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DEG8714617.7U | 1987-11-03 | ||
| DE8714617U DE8714617U1 (en) | 1987-11-03 | 1987-11-03 | Ventilation tube for emergency ventilation |
| DE8800363 | 1988-06-15 | ||
| DEPCT/DE88/00363 | 1988-06-15 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO1989004189A1 true WO1989004189A1 (en) | 1989-05-18 |
Family
ID=25952172
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/DE1988/000673 Ceased WO1989004189A1 (en) | 1987-11-03 | 1988-10-31 | Tracheal tube for emergency mouth-to-mouth respiration |
Country Status (3)
| Country | Link |
|---|---|
| JP (1) | JPH05501962A (en) |
| AU (1) | AU2602388A (en) |
| WO (1) | WO1989004189A1 (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0442008A1 (en) * | 1987-11-03 | 1991-08-21 | Mahrt Und Hoerning Gmbh | Tube for emergency mouth-to-mouth respiration |
| FR2664167A1 (en) * | 1990-07-05 | 1992-01-10 | Serdjebi Abderrahmann | Device for carrying out mouth to mouth resuscitation without direct contact of the two mouths and without any risk of mutual transfer of germs |
| FR2829381A1 (en) * | 2001-09-11 | 2003-03-14 | Georges Boussignac | Instrument to prevent snoring in patient suffering from sleep apnea comprises curved tube with lateral holes and end collar |
| CN105079932A (en) * | 2015-08-05 | 2015-11-25 | 沈刚 | Multifunctional trachea cannula |
| CN110947063A (en) * | 2019-11-27 | 2020-04-03 | 吉林大学 | Anti-bite type ventilation catheter for cardiovascular internal medicine nursing |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3057347A (en) * | 1959-12-03 | 1962-10-09 | Prescription Drug Co Inc | Rescue breathing device |
| FR1600919A (en) * | 1968-11-20 | 1970-08-03 | ||
| US3538913A (en) * | 1968-01-09 | 1970-11-10 | Julius E Stolfi | Collapsible airway for resuscitation |
| US4510931A (en) * | 1983-10-26 | 1985-04-16 | W. L. Gore & Associates, Inc. | Barrier for use during cardiopulmonary resuscitation |
| GB2198958A (en) * | 1986-12-17 | 1988-06-29 | Medimatic Ltd | Mouth to mouth resuscitation apparatus |
-
1988
- 1988-10-31 WO PCT/DE1988/000673 patent/WO1989004189A1/en not_active Ceased
- 1988-10-31 JP JP63508586A patent/JPH05501962A/en active Pending
- 1988-10-31 AU AU26023/88A patent/AU2602388A/en not_active Abandoned
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3057347A (en) * | 1959-12-03 | 1962-10-09 | Prescription Drug Co Inc | Rescue breathing device |
| US3538913A (en) * | 1968-01-09 | 1970-11-10 | Julius E Stolfi | Collapsible airway for resuscitation |
| FR1600919A (en) * | 1968-11-20 | 1970-08-03 | ||
| US4510931A (en) * | 1983-10-26 | 1985-04-16 | W. L. Gore & Associates, Inc. | Barrier for use during cardiopulmonary resuscitation |
| GB2198958A (en) * | 1986-12-17 | 1988-06-29 | Medimatic Ltd | Mouth to mouth resuscitation apparatus |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0442008A1 (en) * | 1987-11-03 | 1991-08-21 | Mahrt Und Hoerning Gmbh | Tube for emergency mouth-to-mouth respiration |
| FR2664167A1 (en) * | 1990-07-05 | 1992-01-10 | Serdjebi Abderrahmann | Device for carrying out mouth to mouth resuscitation without direct contact of the two mouths and without any risk of mutual transfer of germs |
| FR2829381A1 (en) * | 2001-09-11 | 2003-03-14 | Georges Boussignac | Instrument to prevent snoring in patient suffering from sleep apnea comprises curved tube with lateral holes and end collar |
| WO2003022187A1 (en) * | 2001-09-11 | 2003-03-20 | Georges Boussignac | Device for suppressing snoring |
| CN105079932A (en) * | 2015-08-05 | 2015-11-25 | 沈刚 | Multifunctional trachea cannula |
| CN110947063A (en) * | 2019-11-27 | 2020-04-03 | 吉林大学 | Anti-bite type ventilation catheter for cardiovascular internal medicine nursing |
| CN110947063B (en) * | 2019-11-27 | 2020-11-17 | 吉林大学 | Anti-bite type ventilation catheter for cardiovascular internal medicine nursing |
Also Published As
| Publication number | Publication date |
|---|---|
| JPH05501962A (en) | 1993-04-15 |
| AU2602388A (en) | 1989-06-01 |
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