EP0762906B1
Expired / Lapsed
EP
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Apparatus for producing a translaryngeal tracheostomy
Assignee: Mallinckrodt Inc
•
Filing: 1995-05-22
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Granted: 2002-08-28
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Expires: 2015-05-22
Abstract
Abstract A translaryngeal tracheostomy device having a trocar (11) inserted into an inter-annular space of the trachea, a traction wire (20) inserted into the trocar to move the end of the trochar outside of the oral cavity, a tracheostomy tube (30) with a substantially conical end (40, 55) into which the traction wire is inserted, a fiber optic device (6), and an expansion device (60) fixed to the end of the traction wire to insert the tracheostomy tube in the trachea. A traction guide tool (70) is also disclosed.
Inventors
- 👤 Antonio Fantoni
Bibliographic Details
Application Number
—
Jurisdiction
EP
Data Source
google_patents
Last Synchronized
2026-10-28 10:53
CPC Classifications
A; A61; A61M; A61M16/00; A61M16/04; A61M16/0465; A61M16/0472
Claims Analysis
Total Claims: 13
Claim 1
Independent Claim
173 words
Apparatus for producing a translaryngeal tracheostomy,
comprising: a trocar (11) that can be
inserted in an interannular space of the trachea, from the
outside inward; a traction wire (20) which can be inserted in said
trocar to move the end of the wire so as to extend outside the oral cavity; a tracheostomy
tube (30) which is provided with a substantially conical end (40) into
which said end of said traction wire which is outside the oral cavity can be inserted; characterized by an
enlargement means (61) for preventing disengagement of the traction wire (20) from said tracheostomy tube (30) which means (61) can be fixed to said end of said
traction wire
(20) aimed to be moved outside the oral cavity after said end
has been inserted in said tracheoscomy tube (30) whereby
said tracheoscomy (30) can be pulled into the trachea
and to make it exit from said interannular space from the inside outward by means of
traction applied to said traction wire (20) from the end opposite said tube (30).
Claim 2
Dependent Claim
56 words
Apparatus according to claim 1, characterized in that it
comprises a rigid cannula (1) which is provided with an inflatable
sleeve (2) for inserting a bronchoscope (6),
said rigid cannula (1) being arrangeable so as to indicate said
interannular space with its free end by transillumination with
the beam of light projected by said bronchoscope (6).
Claim 3
Dependent Claim
39 words
Apparatus according to claim 1 characterized in that said tracheostomy tube (30) further comprises a
tubular element (31), which has an inflatable sleeve (32) at one end and
has a penetration element (35) at the other substantially conical
end.
Claim 4
Dependent Claim
53 words
Apparatus according to claim 3 characterized in that said inflatable sleeve (32) is connected to
an air supply tube (32a) which can be accommodated inside said
tubular element (31) and can be extracted, when the penetration end
of said tubular element (35) exits from the trachea, to connect it
to a pumping element.
Claim 5
Dependent Claim
53 words
Apparatus according to claim 3, characterized in that said penetration element (35) further
comprises a fixed cone (40) which is placed at the end of said
tubular element, (35) a flexible cone (41) being associated on said
fixed cone (40), and ending with a penetration tip that is
constituted by a metal insert.
Claim 6
Dependent Claim
31 words
Apparatus according to claim 3, characterized in that said penetration element (35) is
constituted by a single rigid cone (40) which is arranged at the
end of said tubular element (31).
Claim 7
Dependent Claim
37 words
Apparatus according to claim 3, characterized in that said penetration element (35) is
constituted by multiple cones (55) which have progressively larger
dimensions and are arranged sequentially with respect to said
traction wire (20) that links them.
Claim 8
Dependent Claim
47 words
Apparatus according to claim 1, characterized in that said enlargement means (61) are
constituted by a first retainer (60) which is fixed directly to the
end of said traction wire and can be inserted in said trocar,
a cup-like element (61) being applicable to said first retainer.
Claim 9
Dependent Claim
30 words
Apparatus according to claim 8, characterized in that it further comprises an elastic ring (62)
which can be interposed between said first retainer (60) and said
cup like element (61).
Claim 10
Dependent Claim
37 words
Apparatus according to claim 1, characterized in that said enlargement means (61) is constituted by folding wire (20) into
the shape of a letter U after its insertion into the tracheostomy tube (30) to prevent its extraction.
Claim 11
Dependent Claim
24 words
Apparatus according to claim 1, characterized in that said enlargement means (61) is
constituted by a knot which is produced on said traction wire.
Claim 12
Dependent Claim
96 words
Apparatus according to claim 1, characterized in that it further comprises a tool (70) for pulling
said traction wire (20), said tool (70) comprising a base body (71) which is
provided with a plate (72) that can be rested at the outer surface
of the trachea, said plate (72) forming a passage hole (73) for said
penetration element (35), a guiding bar (75) extending from said plate (72) and
ending with an abutment cross-member (76), a slider (80) being slidingly
arranged on said guiding bar (75) and having means for fixing to
said traction wire (20).
Claim 13
Dependent Claim
45 words
Apparatus according to claim 12, characterized in that said slider is further provided with
grip hollows (81) for the fingers of the operator, said
crossmember (76) being suitable to provide rest to the palm of the hand
when applying traction to said traction wire (20).
References Cited (Backward Citations)
No citation records indexed.
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