[go: up one dir, main page]

WO2017006117A1 - Sonde oropharyngée - Google Patents

Sonde oropharyngée Download PDF

Info

Publication number
WO2017006117A1
WO2017006117A1 PCT/GB2016/052037 GB2016052037W WO2017006117A1 WO 2017006117 A1 WO2017006117 A1 WO 2017006117A1 GB 2016052037 W GB2016052037 W GB 2016052037W WO 2017006117 A1 WO2017006117 A1 WO 2017006117A1
Authority
WO
WIPO (PCT)
Prior art keywords
airway
oropharyngeal
airway device
airway tube
tube
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
Application number
PCT/GB2016/052037
Other languages
English (en)
Inventor
Peter Jeffrey Young
Daniel STOLADY
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Venner Medical Technologies SA
Original Assignee
Venner Medical Technologies SA
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Venner Medical Technologies SA filed Critical Venner Medical Technologies SA
Publication of WO2017006117A1 publication Critical patent/WO2017006117A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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
    • A61M16/04—Tracheal tubes
    • 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
    • A61M16/0475—Tracheal tubes having openings in the tube
    • 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
    • A61M16/0402—Special features for tracheal tubes not otherwise provided for
    • A61M16/0431—Special features for tracheal tubes not otherwise provided for with a cross-sectional shape other than circular
    • 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

Definitions

  • the invention relates to an oropharyngeal airway device.
  • the invention more particularly relates to an oropharyngeal airway device adapted to allow maintenance of the naso- pharyngeal airway.
  • Current oropharyngeal airways comprise a rigid or semi-rigid tube which can be inserted through the mouth to leave a proximal end at the lips of a patient and a distal end in the back of the mouth or pharynx proximate the epiglottis. This bypasses the structures of the upper airway to allow patients to breath through the oropharyngeal airway tube.
  • the Guedel airway is an oropharyngeal airway device which has an ideal shape for routine use in patients who require an adjunct to improve the patency of the upper airway and the Guedel has been tried and tested for many years and clinicians are familiar with it.
  • bite block and introducer devices for bronchoscopes and laryngoscopes such as the Ovassapian airway or Berman airway.
  • These devices have lateral and/or posterior deficiencies and channels within them.
  • these devices are not suitable for use as a routine oropharyngeal airway due to their shape and channels incorporated into the device to facilitate the passage of the scopes.
  • An oropharyngeal airway of the Guedel type has a disadvantage in that although it holds the oropharyngeal passage open, it does not hold the patient's naso-pharyngeal passage open and in some circumstances may obstruct the naso-pharyngeal passage.
  • the maintenance of the naso-pharyngeal passage at the distal end of the Guedel airway is particularly important to maintain the availability of oxygen at the pharynx if the patient is receiving oxygen supplementation through the nose, for example by nasal prongs of a nasal cannula at low flow rates or at higher flow rates for example using THRIVE oxygenation as described by Patel and Nouraei in the journal of the Association of Anaesthetists of Great Britain and Ireland, Anaesthesia (Anaesthesia, 2015 vol. 70(3) pp. 323-9).
  • an airway tube comprising a circumferential wall, wherein the circumferential wall comprises at least one aperture in the length of the longitudinal axis of the circumferential wall configured to allow fluid flow through the naso -pharyngeal airway when the device is inserted in a patient.
  • the at least one aperture prevents blockage of the naso-pharyngeal airway passage and therefore is advantageous as it to enables maintenance of the airway when a patient is receiving oxygen supplementation via the nasal prongs of a nasal cannula. Reoxygenation through nasal prongs can be beneficial when using both low and high flow oxygenation systems.
  • the circumferential wall of the airway tube extends from a proximal end located at the mouth of a patient when the airway tube is in the inserted configuration, which forms a proximal end opening, to a distal end located proximate the epiglottis of a patient when the airway tube is in the inserted configuration, which forms a distal end opening, wherein the at least one aperture is provided proximate the distal end of the circumferential wall.
  • the airway tube allows the passage of air or medical gas from outside of a patient to the lungs of a patient.
  • the at least one aperture in the airway tube allows fluid, for example air or medical gas, to pass from through the nasopharyngeal passage. Positioning the at least one aperture near the distal end of the airway tube facilitates transfer of gas through the naso-pharyngeal passage.
  • the shape of the at least one aperture is selected from a group comprising one or more of a circular, oval, elliptical, triangular, or rectangular. The shape of the at least one aperture can be selected to allow for the optimal flow of fluid. Different shaped apertures may be required for different situations, for example different sized patients.
  • the at least one aperture is at least one slit in the length of the longitudinal axis of the airway tube.
  • the lengthwise at least one slit along the longitudinal axis of the oropharyngeal airway device provides an aperture through the circumferential sidewall of the airway tube.
  • the at least one slit allows the passage of air or medical gas from outside of a patient to the lungs of a patient through the nasopharyngeal passage.
  • the provision of at least one slit in the airway tube provides a large surface area that can be used for fluid flow.
  • the tube can be formed from a suitably rigid material such that the presence of the at least one slit does not have an effect on the structural integrity of the airway tube.
  • the airway device comprises polyethylene or PVC. These materials provide the stability of the tube and allow for it to be positioned within the throat of a patient.
  • the airway device comprises a bite block.
  • the bite block prevents the patient from deforming or breaking the airway device accidentally using their teeth.
  • the airway device comprises a connector.
  • a connector may be used to connect the airway device to a supply of air or medical gas.
  • Figure la shows a side view of a prior art oropharyngeal airway tube
  • Figure lb shows a perspective view of a prior art oropharyngeal airway tube
  • Figure 2 shows a perspective view of an oropharyngeal airway tube in accordance with the invention comprising at least one aperture lengthwise along the longitudinal axis of the airway tube;
  • Figure 3a shows a perspective view of an oropharyngeal airway tube in accordance with the invention comprising at least one slit along the along the longitudinal axis of the airway tube from the distal end to about half the length of the airway tube; and
  • Figure 3b shows a perspective view of an oropharyngeal airway tube in accordance with the invention comprising at least one slit along the along the longitudinal axis of the airway tube from the distal end substantially the length of the airway tube.
  • Figure 1 shows a side view of a prior art oropharyngeal airway device having a proximal end 1 and a distal end 2.
  • Figure lb shows a perspective view of the same prior art oropharyngeal airway tube having a proximal end 1 and a distal end 2.
  • the airway tube is hollow and tubular which allows for the passage of air and/or medical gas through the airway tube.
  • the airway tube forms an enclosed conduit that has not apertures in the length of the longitudinal axis.
  • the proximal end may be in fluid communication with a supply of medical gas.
  • Figure 2 shows an oropharyngeal airway device according to the invention comprising an airway tube extending from a proximal end (10) to a distal end (20) when an inserted configuration within a patient, wherein at least one aperture (30) is provided along the length of the airway tube.
  • the airway tube is hollow and tubular which allows for the passage of air and/or medical gas through the airway tube.
  • the airway device according to the invention has at least one aperture through the circumferential wall to allow fluid flow thorough the nasopharyngeal passage.
  • the oropharyngeal airway device of the current invention is similar or identical in shape to a standard Guedel airway comprising at least one aperture (30), two or more apertures (30), or a slit (40) in the posterior wall of the airway tube to allow the continuity of the naso-pharyngeal airway when the oropharyngeal airway is in place in the patient.
  • This allows the passage of oxygen from the nose to the pharynx and permits oxygenation by conventional means such as spontaneous ventilation or assisted positive pressure ventilation and/or by apnoeic ventilation.
  • a preferred embodiment of the invention maintains the oropharyngeal airway shape similar to that of current Guedel airways which are very familiar to clinicians.
  • the airway tube may comprise any number of apertures. In preferred embodiments the airway tube may comprise between 1 to 100 apertures (30).
  • the apertures (30) may be of any shape. However, it is preferred that the shape may be selected from a group comprising one or more of circular, oval, elliptical, triangular, or rectangular.
  • the oropharyngeal airway has a single slit (40) in the length of the airway tube along the longitudinal axis of the airway tube from the distal end to the proximal end.
  • the slit runs to about half of the length of the longitudinal axis of the airway tube.
  • the slit runs along substantially the entire length of the longitudinal axis of the airway tube from the distal end to proximal end.
  • the slit (40) may run along any length of the airway tube.
  • the airway tube may have any one of 1 to 100 slits (40) that run along any length of the longitudinal axis fo the airway tube.

Landscapes

  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Emergency Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

La présente invention concerne un dispositif de type sonde oropharyngée (10, 20) comprenant une paroi circonférentielle, la paroi circonférentielle comprenant au moins une ouverture (30) dans la longueur de l'axe longitudinal de la paroi circonférentielle. Ladite au moins une ouverture est configurée pour permettre un écoulement de fluide à travers le passage naso-pharyngé lorsque le dispositif est inséré dans un patient. La présente invention concerne également un procédé de fabrication du dispositif de type sonde.
PCT/GB2016/052037 2015-07-06 2016-07-06 Sonde oropharyngée Ceased WO2017006117A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB1511764.1 2015-07-06
GBGB1511764.1A GB201511764D0 (en) 2015-07-06 2015-07-06 Thrive airway

Publications (1)

Publication Number Publication Date
WO2017006117A1 true WO2017006117A1 (fr) 2017-01-12

Family

ID=54013510

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2016/052037 Ceased WO2017006117A1 (fr) 2015-07-06 2016-07-06 Sonde oropharyngée

Country Status (2)

Country Link
GB (1) GB201511764D0 (fr)
WO (1) WO2017006117A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD849234S1 (en) 2018-02-12 2019-05-21 Wedge Therapeutics, Llc Oral airway device
USD849233S1 (en) 2018-02-12 2019-05-21 Wedge Therapeutics, Llc Oral airway device
USD885558S1 (en) 2018-11-27 2020-05-26 Wedge Therapeutics Llc Oral airway device
WO2020256547A1 (fr) 2019-06-21 2020-12-24 Stichting Katholieke Universiteit Dispositif de canule oropharyngée
US12214131B2 (en) 2018-11-27 2025-02-04 Wedge Therapeutics, Llc Lower jaw and tongue thrusting, endotracheal tube and flexible fiberoptic endoscope intubation oral airway device

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000018461A1 (fr) * 1998-09-30 2000-04-06 Alfery David D Voie aerienne orale perilaryngienne
US20080230054A1 (en) * 2004-03-23 2008-09-25 Stephen Nicholas Prineas Oropharyngeal Airway Device
CN101721768A (zh) * 2008-10-16 2010-06-09 赵克纯 一种解除口咽气道梗阻作用的通气道
CN201996947U (zh) * 2011-03-23 2011-10-05 重庆医科大学附属永川医院 侧孔型鼻咽通气道
US20120132212A1 (en) * 2009-03-27 2012-05-31 C. R. Bard, Inc. Endotracheal Tube with Multi-Mode Valve and Method of Using Same
US20140144432A1 (en) * 2010-10-14 2014-05-29 The Cleveland Clinic Foundation Oral suction device with ventilation capability

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000018461A1 (fr) * 1998-09-30 2000-04-06 Alfery David D Voie aerienne orale perilaryngienne
US20080230054A1 (en) * 2004-03-23 2008-09-25 Stephen Nicholas Prineas Oropharyngeal Airway Device
CN101721768A (zh) * 2008-10-16 2010-06-09 赵克纯 一种解除口咽气道梗阻作用的通气道
US20120132212A1 (en) * 2009-03-27 2012-05-31 C. R. Bard, Inc. Endotracheal Tube with Multi-Mode Valve and Method of Using Same
US20140144432A1 (en) * 2010-10-14 2014-05-29 The Cleveland Clinic Foundation Oral suction device with ventilation capability
CN201996947U (zh) * 2011-03-23 2011-10-05 重庆医科大学附属永川医院 侧孔型鼻咽通气道

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
PATEL; NOURAEI, ASSOCIATION OF ANAESTHETISTS OF GREAT BRITAIN AND IRELAND, ANAESTHESIA, vol. 70, no. 3, 2015, pages 323 - 9

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USD849234S1 (en) 2018-02-12 2019-05-21 Wedge Therapeutics, Llc Oral airway device
USD849233S1 (en) 2018-02-12 2019-05-21 Wedge Therapeutics, Llc Oral airway device
USD885558S1 (en) 2018-11-27 2020-05-26 Wedge Therapeutics Llc Oral airway device
US12214131B2 (en) 2018-11-27 2025-02-04 Wedge Therapeutics, Llc Lower jaw and tongue thrusting, endotracheal tube and flexible fiberoptic endoscope intubation oral airway device
WO2020256547A1 (fr) 2019-06-21 2020-12-24 Stichting Katholieke Universiteit Dispositif de canule oropharyngée
NL2023355B1 (en) 2019-06-21 2021-02-01 Stichting Katholieke Univ Oropharyngeal airway device

Also Published As

Publication number Publication date
GB201511764D0 (en) 2015-08-19

Similar Documents

Publication Publication Date Title
US10426941B2 (en) Nasal tube device and method
CN101616706B (zh) 保持手术气道的装置及其方法
WO2017006117A1 (fr) Sonde oropharyngée
EP2756795A1 (fr) Dispositif d'intubation
AU2023219950B2 (en) Breath Sampling Interface
US9283342B1 (en) Endotracheal tube insertion device
JP2015535440A (ja) 内視鏡処置時に使用する換気バイトブロック
US20150128946A1 (en) Laryngeal mask with piriform-fossa conduit
US10675425B2 (en) Reversible airway device and related method for ventilating a subject
US9119928B2 (en) Apparatus and method for maintaining a surgical airway
US20200282164A1 (en) Oropharyngeal airway device
CN105579090A (zh) 气管内插管及使用方法
US20160029923A1 (en) Nasopharyngeal or oropharyngeal cannula for main-stream capnography
ES2876020T3 (es) Aparato de fijación
US20180093059A1 (en) Improved sidestream or mainstream oropharyngeal or nasopharyngeal cannula
US20140014114A1 (en) Laryngeal mask airway
NL2023355B1 (en) Oropharyngeal airway device
WO2012018721A1 (fr) Système et procédé de positionnement de masque laryngé
CN204484995U (zh) 一种双腔式口咽通气导管
US10478577B2 (en) Tracheal applicator and corresponding use
CN208389131U (zh) 一种多功能口咽通气道
US20190247602A1 (en) Curve stabilizer for an endotracheal tube
US20170232215A1 (en) Oral airway
US11357942B1 (en) Insertion guide for endotracheal tube
US20160206840A1 (en) Airway device with multiple channels

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 16750464

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 16750464

Country of ref document: EP

Kind code of ref document: A1