FR2882935A1 - LARYNGEE PROBE AND GLOTTIC MASK WITH TWO BALLONNETS - Google Patents

LARYNGEE PROBE AND GLOTTIC MASK WITH TWO BALLONNETS Download PDF

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Publication number
FR2882935A1
FR2882935A1 FR0502345A FR0502345A FR2882935A1 FR 2882935 A1 FR2882935 A1 FR 2882935A1 FR 0502345 A FR0502345 A FR 0502345A FR 0502345 A FR0502345 A FR 0502345A FR 2882935 A1 FR2882935 A1 FR 2882935A1
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FR
France
Prior art keywords
air
mask
balloon
probe
glottic
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.)
Withdrawn
Application number
FR0502345A
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French (fr)
Inventor
Farid Arezki
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Individual
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Individual
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Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to FR0502345A priority Critical patent/FR2882935A1/en
Priority to PCT/FR2006/000458 priority patent/WO2006095075A1/en
Publication of FR2882935A1 publication Critical patent/FR2882935A1/en
Withdrawn legal-status Critical Current

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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. mouth-to-mouth respiration; 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0402—Special features for tracheal tubes not otherwise provided for
    • A61M16/0409—Special features for tracheal tubes not otherwise provided for with mean for closing the oesophagus
    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes
    • A61M16/0434—Cuffs
    • A61M16/0454—Redundant cuffs
    • A61M16/0459—Redundant cuffs one cuff behind another

Abstract

Le dispositif est un tube (6) à deux ballonnets utilisable en médecine pour assurer le contrôle des voies aériennes permettant ainsi une assistance ventilatoire. Il peut être nommé « sonde laryngé » ou « masque glottique ». Le dispositif permet de remédier notamment aux inconvénients du masque laryngé liés aux fuites et à son déplacement.C'est un tube (6) ressemblant à une sonde d'intubation avec un orifice proximal et un orifice distal mais présentant deux ballonnets, un premier de vingt millilitres d'air (4) situé à environ un centimètre de l'extrémité distale (2) et un deuxième (5) de cent millilitres d'air situé derrière le premier à environ un centimètre.L'extrémité distale (2) est placée sous laryngoscopie juste après les cordes vocales (3) d'où la dénomination de sonde laryngée (1). Le premier ballonnet se situe alors juste avant les cordes vocales (4) puis gonflé de vingt millilitres d'air.Le deuxième ballonnet (5) est ensuite gonflé d'environ cent millilitres d'air de façon à se loger et se fixer au niveau de l'oropharynx. Il va permettre aussi de maintenir le premier ballonnet (4) en pression sur la glotte pour assurer son étanchéité d'où la dénomination de masque glottique du dispositif.The device is a tube (6) with two balloons used in medicine to ensure the control of the airways thus allowing ventilatory support. It can be called "laryngeal probe" or "glottic mask". The device makes it possible to remedy, in particular, the disadvantages of the laryngeal mask related to the leaks and its displacement. It is a tube (6) resembling an intubation probe with a proximal orifice and a distal orifice but having two balloons, a first one of twenty milliliters of air (4) located about one centimeter from the distal end (2) and a second (5) from one hundred milliliters of air located behind the first to about one centimeter.The distal end (2) is placed under laryngoscopy just after the vocal cords (3) hence the name of laryngeal probe (1). The first balloon is then just before the vocal cords (4) and then inflated with twenty milliliters of air.The second balloon (5) is then inflated by about one hundred milliliters of air so as to lodge and settle at the level of the oropharynx. It will also make it possible to maintain the first balloon (4) under pressure on the glottis to ensure its sealing, hence the name of the glottic mask of the device.

Description

Le domaine technique de l'invention est médical et concerne plusThe technical field of the invention is medical and concerns more

spécifiquement le contrôle des voies aériennes.  specifically the control of the airways.

Ce contrôle est réalisé classiquement par plusieurs dispositifs: l'intubation trachéale qui permet un bon contrôle des voies aériennes, mais nécessite de traverser les cordes vocales puis une partie de la trachée laquelle est douloureuse et nécessite un très bon relâchement.  This control is carried out conventionally by several devices: the tracheal intubation which allows a good control of the airways, but requires to cross the vocal cords then a part of the trachea which is painful and requires a very good relaxation.

- le masque laryngé : son insertion exige une anesthésie générale plus légère, mais ses inconvénients sont les échecs de la technique lors de la pose, les fuites et son déplacement secondaire.  - the laryngeal mask: its insertion requires a lighter general anesthesia, but its disadvantages are the failures of the technique during the installation, the leaks and its secondary displacement.

Le dispositif selon l'invention permet de remédier aux inconvénients des deux techniques sans pour autant les remplacer complètement. Il s'agit en effet d'une intubation limitée à une partie du larynx (1) évitant la traversée de la trachée douloureuse. Sa pose nécessite une anesthésie générale moins profonde que pour l'intubation endo-trachéale. Comparativement au masque laryngé, ce dispositif est plus étanche avec beaucoup moins de fuites et moins de risque d'inhalation.  The device according to the invention overcomes the disadvantages of the two techniques without completely replacing them. It is indeed an intubation limited to part of the larynx (1) avoiding the crossing of the painful trachea. Its pose requires a general anesthesia less deep than for endotracheal intubation. Compared to the laryngeal mask, this device is more watertight with much less leakage and less risk of inhalation.

C'est un tube (6) ressemblant à une sonde d'intubation avec un orifice proximal et un orifice distal mais présentant deux ballonnets, un premier (4) de vingt millilitres d'air situé à environ un centimètre de l'extrémité distale (2) et un deuxième (5) de cent millilitres d'air situé derrière le premier (4) à environ un centimètre.  It is a tube (6) resembling an intubation tube with a proximal orifice and a distal orifice but having two balloons, a first (4) of twenty milliliters of air located about one centimeter from the distal end ( 2) and a second (5) of one hundred milliliters of air located behind the first (4) at about one centimeter.

Patient sous anesthésie générale ou comateux, laryngoscopie et anesthésie locale de la glotte par Xylocaïne à 5% (7 à 10 instillations) puis mise en place de l'extrémité distale (2) du dispositif au niveau du larynx (1) juste après ou entre les cordes vocales (3). Gonfler le premier ballonnet (4) de vingt millilitres d'air et retirer le laryngoscope en exerçant une légère pression avec la main sur le dispositif en direction caudale pour le garder en place.  Patient under general or comatose anesthesia, laryngoscopy and local anesthesia of the glottis by Xylocaine 5% (7 to 10 instillations) and then placement of the distal end (2) of the device at the level of the larynx (1) just after or between the vocal cords (3). Inflate the first balloon (4) with twenty milliliters of air and remove the laryngoscope by exerting light pressure with the hand on the device in the caudal direction to keep it in place.

Gonfler le deuxième ballonnet (5) de cent millilitres d'air permettant ainsi d'une part de fixer le dispositif au niveau de l'oropharynx et d'autre part de compléter l'étanchéité du premier ballonnet (4) autour de la glotte en le poussant en direction du larynx (1).  Inflate the second balloon (5) with one hundred milliliters of air, thus allowing the device to be fixed at the level of the oropharynx and to complete the sealing of the first balloon (4) around the glottis. pushing it towards the larynx (1).

Le dispositif peut permettre d'assurer l'assistance ventilatoire en anesthésie générale notamment pour les actes de durée courte à moyenne. Il pourrait être utile dans les intubations difficiles ou souvent seulement une partie de la glotte est visible. Le dispositif pourrait assurer l'assistance ventilatoire durant la réalisation de la trachéotomie percutanée sans gêner celle-ci.  The device can make it possible to provide ventilatory assistance in general anesthesia, especially for acts of short to medium duration. It could be useful in difficult intubations or often only a part of the glottis is visible. The device could provide ventilatory support during the realization of the percutaneous tracheotomy without hindering it.

Claims (1)

2 REVENDICATIONS2 CLAIMS 1) Dispositif pour assurer le contrôle des voies aériennes permettant une assistance ventilatoire en réalisant une intubation limitée à une partie du larynx (1) évitant la traversée de la trachée, caractérisé en ce qu'il comprend un tube (6) formant une sonde d'intubation présentant un orifice proximal et un orifice distal et comportant deux ballonnets, un premier de vingt millilitres d'air (4) situé à environ un centimètre de l'extrémité distale (2) et un deuxième (5) de cent millilitres d'air situé derrière le premier à environ un centimètre; l'extrémité distale (2) est maintenue juste après les cordes vocales (3) grâce aux deux ballonnets (4,5), le deuxième ballonnet (5) une fois gonflé venant fixer d'une part le dispositif au niveau de l'oropharynx et d'autre part maintenir une pression sur le premier ballonnet (4) gonflé lequel exercera une pression sur la glotte pour assurer son étanchéité et former ainsi le masque glottique du dispositif  1) Device for ensuring the control of the airways allowing ventilatory assistance by performing intubation limited to a part of the larynx (1) avoiding the crossing of the trachea, characterized in that it comprises a tube (6) forming a probe of intubation having a proximal orifice and a distal orifice and having two balloons, a first of twenty milliliters of air (4) located about one centimeter from the distal end (2) and a second (5) of one hundred milliliters of air located behind the first at about a centimeter; the distal end (2) is maintained just after the vocal cords (3) thanks to the two balloons (4, 5), the second balloon (5) once inflated fixing the device on the one hand on the level of the oropharynx and secondly maintain a pressure on the inflated first balloon (4) which will exert pressure on the glottis to seal it and thus form the glottic mask of the device
FR0502345A 2005-03-09 2005-03-09 LARYNGEE PROBE AND GLOTTIC MASK WITH TWO BALLONNETS Withdrawn FR2882935A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
FR0502345A FR2882935A1 (en) 2005-03-09 2005-03-09 LARYNGEE PROBE AND GLOTTIC MASK WITH TWO BALLONNETS
PCT/FR2006/000458 WO2006095075A1 (en) 2005-03-09 2006-03-01 Intubation catheter which is equipped with a laryngeal mask comprising two cuffs

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR0502345A FR2882935A1 (en) 2005-03-09 2005-03-09 LARYNGEE PROBE AND GLOTTIC MASK WITH TWO BALLONNETS

Publications (1)

Publication Number Publication Date
FR2882935A1 true FR2882935A1 (en) 2006-09-15

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FR0502345A Withdrawn FR2882935A1 (en) 2005-03-09 2005-03-09 LARYNGEE PROBE AND GLOTTIC MASK WITH TWO BALLONNETS

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FR (1) FR2882935A1 (en)
WO (1) WO2006095075A1 (en)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20140316207A1 (en) * 2011-05-09 2014-10-23 Mor Research Applications Ltd. Platform for Laryngeal Microsurgery

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4091816A (en) * 1977-01-28 1978-05-30 Elam James O Double cuffed endotracheal tube
US4688568A (en) * 1985-02-20 1987-08-25 Michael Frass Respiratory tube or airway
US4976261A (en) * 1989-04-03 1990-12-11 Advanced Pulmonary Technologies, Inc. Endotracheal tube with inflatable cuffs
EP0665029A2 (en) * 1994-01-27 1995-08-02 Sheridan Catheter Corp. Esophageal-tracheal double lumen airway
WO1998023317A1 (en) * 1996-11-28 1998-06-04 Ideamed N.V. Artificial respiration device

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB9504657D0 (en) * 1995-03-08 1995-04-26 Neil Michael J O An improved artificial airway device
US5853004A (en) * 1997-06-02 1998-12-29 Goodman; Evan J. Pharyngeal bulb airway

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4091816A (en) * 1977-01-28 1978-05-30 Elam James O Double cuffed endotracheal tube
US4688568A (en) * 1985-02-20 1987-08-25 Michael Frass Respiratory tube or airway
US4976261A (en) * 1989-04-03 1990-12-11 Advanced Pulmonary Technologies, Inc. Endotracheal tube with inflatable cuffs
EP0665029A2 (en) * 1994-01-27 1995-08-02 Sheridan Catheter Corp. Esophageal-tracheal double lumen airway
WO1998023317A1 (en) * 1996-11-28 1998-06-04 Ideamed N.V. Artificial respiration device

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Effective date: 20101130