U.S. patent application number 15/042163 was filed with the patent office on 2016-10-06 for endobronchial tube with integrated image sensor and a cleaning nozzle arrangement.
The applicant listed for this patent is ETView Ltd.. Invention is credited to Elias DAHER, William EDELMAN.
Application Number | 20160287825 15/042163 |
Document ID | / |
Family ID | 46262117 |
Filed Date | 2016-10-06 |
United States Patent
Application |
20160287825 |
Kind Code |
A1 |
DAHER; Elias ; et
al. |
October 6, 2016 |
ENDOBRONCHIAL TUBE WITH INTEGRATED IMAGE SENSOR AND A CLEANING
NOZZLE ARRANGEMENT
Abstract
An endobronchial tube which contains an integrated camera and
light source and a cleaning nozzle arrangement disposed within
dedicated peripheral lumen within the tube's wall.
Inventors: |
DAHER; Elias; (Bielefeld,
DE) ; EDELMAN; William; (Sharon, MA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
ETView Ltd. |
Misgav |
|
IL |
|
|
Family ID: |
46262117 |
Appl. No.: |
15/042163 |
Filed: |
February 12, 2016 |
Related U.S. Patent Documents
|
|
|
|
|
|
Application
Number |
Filing Date |
Patent Number |
|
|
13737944 |
Jan 10, 2013 |
|
|
|
15042163 |
|
|
|
|
PCT/IB2012/052077 |
Apr 26, 2012 |
|
|
|
13737944 |
|
|
|
|
61506210 |
Jul 11, 2011 |
|
|
|
Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61M 16/0463 20130101;
A61B 1/00091 20130101; A61B 1/07 20130101; A61M 16/104 20130101;
A61B 1/0676 20130101; A61M 16/0057 20130101; A61M 16/0488 20130101;
A61M 16/0833 20140204; A61B 1/00082 20130101; A61B 1/00124
20130101; A61B 1/015 20130101; A61B 1/051 20130101; A61B 1/0684
20130101; A61M 16/0486 20140204; A61M 16/0461 20130101; A61B 1/012
20130101; A61B 1/00018 20130101; A61B 1/00094 20130101; A61M
16/0434 20130101; A61B 1/2676 20130101; A61M 15/00 20130101; A61M
16/0404 20140204; A61M 16/0459 20140204; A61B 1/05 20130101; A61B
1/126 20130101; A61M 16/04 20130101; A61B 1/12 20130101; A61B 1/313
20130101; A61M 16/044 20130101; A61M 16/0465 20130101 |
International
Class: |
A61M 16/04 20060101
A61M016/04; A61B 1/06 20060101 A61B001/06; A61B 1/015 20060101
A61B001/015; A61B 1/05 20060101 A61B001/05; A61B 1/12 20060101
A61B001/12; A61B 1/00 20060101 A61B001/00; A61B 1/267 20060101
A61B001/267; A61B 1/07 20060101 A61B001/07 |
Claims
1. An endobronchial tube having proximal and distal ends
comprising: a. a midline partition dividing said endobronchial tube
into a tracheal ventilation tube and a bronchial ventilation tube,
each of said tracheal ventilation tube and said bronchial
ventilation tube having proximal and distal ends; wherein said
tracheal ventilation tube and said bronchial ventilation tube are
configured to have different lengths, wherein said bronchial
ventilation tube extends beyond said tracheal ventilation tube such
that said bronchial ventilation tube distal end is located distally
to said tracheal ventilation tube distal end; b. an external wall
defining an external surface of said endobronchial tube; said
external wall comprising a plurality of channels formed within said
external wall, each channel having a proximal end adjacent to said
endobronchial tube proximal end, said plurality of channels
comprising an image sensor channel having a distal end adjacent to
said tracheal ventilation tube distal end; a cleaning channel
having a distal end adjacent to said tracheal ventilation tube
distal end, a tracheal cuff channel having a distal end adjacent to
said tracheal ventilation tube distal end; and a bronchial cuff
channel having a distal end adjacent to said bronchial ventilation
tube distal end; wherein the diameter of said image sensor channel
is smaller at said proximal end and larger at said distal end of
said image sensor channel; c. a flaring at the distal end of said
tracheal ventilation tube forming a cover over the distal end of
said image sensor channel; d. an image sensor arrangement
comprising an image sensor and light source housed interior and
adjacent to the distal end of said image sensor channel; wherein
said light source is selected from the group consisting of at least
one LED, optical fiber, waveguide, light guide, and any combination
thereof; wherein said image sensor is selected from the group
consisting of a CCD and CMOS image sensor; e. a cleaning nozzle
arrangement in fluid communication with the distal end of said
cleaning channel and proximal to said image sensor arrangement;
wherein said nozzle arrangement comprises a primary nozzle aimed
such that fluid exits the nozzle towards the distal end of said
image sensor and a plurality of secondary nozzles aimed such that
fluid exits the nozzle towards the area immediately distal to said
image sensor arrangement; f. image sensor conducting wires and an
image sensor connector, said image sensor conducting wires having a
proximal end connected to said image sensor connector and a distal
end connected to said image sensor and said light source such that
said image sensor connector is electrically connected to said image
sensor and said light source and is in image transfer data
communication with said image sensor; g. an image sensor conducting
wire notch, wherein the proximal end of said image sensor channel
includes said image sensor conducting wire notch through which said
image sensor conducting wires exit said image sensor channel; h. an
inflatable tracheal cuff attached to said external wall of said
endobronchial tube and positioned proximal to the distal end of
said tracheal ventilation channel and in fluid communication with
said tracheal cuff channel; i. an inflatable bronchial cuff
attached to said external wall of said endobronchial tube and
positioned proximal to the distal end of said bronchial ventilation
channel and in fluid communication with said bronchial cuff
channel; wherein said endobronchial tube has a gauge from 26 Fr to
44 Fr; wherein said tracheal cuff and said bronchial cuff are
individually inflatable; wherein said external wall of said
endobronchial tube has a medial curvature adjustable from 100
degrees to 160 degrees; and wherein said external wall of said
endobronchial tube has a left or right bronchial insertion
compatible distal curvature; said distal curvature adjustable from
25 degrees to 70 degrees.
2. The endobronchial tube of claim 1; wherein, upon insertion of
said endobronchial tube into a patient with said bronchial
ventilation tube disposed in the left bronchi of the patient, said
image sensor and said light source allow the visualization of said
bronchial cuff disposed within the left bronchi, the patency of the
left bronchi, the patency of the right bronchi, the tracheal
carina, and the bronchial bifurcation, in a single field of
view;
3. The endobronchial tube of claim 1; wherein, upon insertion of
said endobronchial tube into a patient with said bronchial
ventilation tube disposed in the right bronchi of the patient, said
image sensor and said light source allow the visualization of said
bronchial cuff disposed within the right bronchi, the patency of
the left bronchi, the patency of the right bronchi, the tracheal
carina, and the bronchial bifurcation, in a single field of
view.
4. The endobronchial tube of claim 1; wherein said flaring forms a
cap over the distal end of said image sensor channel.
5. The endobronchial tube of claim 1; wherein a portion of said
cleaning channel is enclosed to form a cleaning tube protruding
from said external wall; wherein a cleaning tube connector is
connected to the proximal end of said cleaning tube and is in fluid
communication with said cleaning tube.
6. The endobronchial tube of claim 5; wherein a portion of said
tracheal cuff channel is enclosed to form a tracheal cuff tube
protruding from said external wall, wherein a tracheal cuff
connector is connected to the proximal end of said tracheal cuff
tube and is in fluid communication with said tracheal cuff
tube.
7. The endobronchial tube of claim 6; wherein a portion of said and
bronchial cuff channel is enclosed to form a bronchial cuff tube
protruding from said external wall; wherein a bronchial cuff
connector is connected to the proximal end of said bronchial cuff
tube and is in fluid communication with said bronchial cuff
tube.
8. The endobronchial tube of claim 7; wherein said plurality of
channels are fully enclosed channels.
9. The endobronchial tube of claim 1; wherein said image sensor
connector comprises a USB connector.
10. An endobronchial tube having proximal and distal ends
comprising: a. a midline partition dividing said endobronchial tube
into a tracheal ventilation tube and a bronchial ventilation tube,
each having proximal and distal ends; wherein said tracheal
ventilation tube and said bronchial ventilation tube are configured
to have different lengths, wherein said bronchial ventilation tube
extends beyond said tracheal ventilation tube such that said
bronchial ventilation tube distal end is located distally to said
tracheal ventilation tube distal end; b. an external wall defining
an external surface of said endobronchial tube; said external wall
comprising a plurality of channels formed within said external
wall, each channel having a proximal end adjacent to said
endobronchial tube proximal end, said plurality of channels
comprising an image sensor channel having a distal end adjacent to
said tracheal ventilation tube distal end; a cleaning channel
having a distal end adjacent to said tracheal ventilation tube
distal end, a tracheal cuff channel having a distal end adjacent to
said tracheal ventilation tube distal end; and a bronchial cuff
channel having a distal end adjacent to said bronchial ventilation
tube distal end; wherein the diameter of said image sensor channel
is smaller at said proximal end and larger at said distal end of
said image sensor channel; c. a flaring at the distal end of said
tracheal ventilation tube forming a cover over the distal end of
said image sensor channel; d. an image sensor arrangement
comprising an image sensor and light source housed interior and
adjacent to the distal end of said image sensor channel; wherein
said light source comprises two LEDs; wherein said image sensor
comprises a CMOS image sensor; e. a cleaning nozzle arrangement in
fluid communication with the distal end of said cleaning channel
and proximal to said image sensor arrangement; wherein said nozzle
arrangement comprises a primary nozzle aimed such that fluid exits
the nozzle towards the distal end of said image sensor and three
secondary nozzles aimed such that fluid exits said secondary
nozzles towards the area immediately distal to said image sensor
arrangement; wherein said primary nozzle has a larger nozzle
opening diameter than do said secondary nozzles; wherein said
primary nozzle has an opening of between 0.7 mm to 0.9 mm, and
wherein each of said secondary nozzles has an opening of between
0.5 mm to 0.7 mm; wherein said primary nozzle is adjacent to said
image sensor while said secondary nozzles are positioned linearly
distally therefrom equidistant from one another; f. image sensor
conducting wires and an image sensor connector, said image sensor
conducting wires having a proximal end connected to said image
sensor connector and a distal end connected to said image sensor
and said light source such that said image sensor connector is
electrically connected to said image sensor and said light source
and is in image transfer data communication with said image sensor;
wherein said image sensor connector comprises a USB connector; g.
an image sensor conducting wire notch, wherein the proximal end of
said image sensor channel includes said image sensor conducting
wire notch through which said image sensor conducting wires exit
said image sensor channel; h. an inflatable tracheal cuff attached
to said external wall of said endobronchial tube and positioned
proximal to the distal end of said tracheal ventilation channel and
in fluid communication with said tracheal cuff channel; i. an
inflatable bronchial cuff attached to said external wall of said
endobronchial tube and positioned proximal to the distal end of
said bronchial ventilation channel and in fluid communication with
said bronchial cuff channel; wherein said endobronchial tube has a
gauge from 35 Fr to 41 Fr; wherein said tracheal cuff and said
bronchial cuff are individually inflatable; wherein said external
wall of said endobronchial tube has a medial curvature adjustable
from 100 degrees to 160 degrees; and wherein said external wall of
said endobronchial tube has a left or right bronchial insertion
compatible distal curvature; said distal curvature adjustable from
25 degrees to 70 degrees.
11. The endobronchial tube of claim 10; wherein, upon insertion of
said endobronchial tube into a patient with said bronchial
ventilation tube disposed in the left bronchi of the patient, said
image sensor and said light source allow the visualization of said
bronchial cuff disposed within the left bronchi, the patency of the
left bronchi, the patency of the right bronchi, the tracheal
carina, and the bronchial bifurcation, in a single field of
view;
12. The endobronchial tube of claim 10; wherein, upon insertion of
said endobronchial tube into a patient with said bronchial
ventilation tube disposed in the right bronchi of the patient, said
image sensor and said light source allow the visualization of said
bronchial cuff disposed within the right bronchi, the patency of
the left bronchi, the patency of the right bronchi, the tracheal
carina, and the bronchial bifurcation, in a single field of
view.
13. The endobronchial tube of claim 10; wherein said flaring forms
a cap over the distal end of said image sensor channel.
14. The endobronchial tube of claim 10; wherein a portion of said
cleaning channel is enclosed to form a cleaning tube protruding
from said external wall; wherein a cleaning tube connector is
connected to the proximal end of said cleaning tube and is in fluid
communication with said cleaning tube.
15. The endobronchial tube of claim 14; wherein a portion of said
tracheal cuff channel is enclosed to form a tracheal cuff tube
protruding from said external wall, wherein a tracheal cuff
connector is connected to the proximal end of said tracheal cuff
tube and is in fluid communication with said tracheal cuff
tube.
16. The endobronchial tube of claim 15; wherein a portion of said
and bronchial cuff channel is enclosed to form a bronchial cuff
tube protruding from said external wall; wherein a bronchial cuff
connector is connected to the proximal end of said bronchial cuff
tube and is in fluid communication with said bronchial cuff
tube.
17. The endobronchial tube of claim 16; wherein said plurality of
channels are fully enclosed channels.
18. An endobronchial tube having proximal and distal ends
comprising: a. a midline partition dividing said endobronchial tube
into a tracheal ventilation tube and a bronchial ventilation tube,
each having proximal and distal ends; wherein said tracheal
ventilation tube and said bronchial ventilation tube are configured
to have different lengths, wherein said bronchial ventilation tube
extends beyond said tracheal ventilation tube such that said
bronchial ventilation tube distal end is located distally to said
tracheal ventilation tube distal end; b. an external wall defining
an external surface of said endobronchial tube; said external wall
comprising a plurality of channels formed within said external
wall, each channel having a proximal end adjacent to said
endobronchial tube proximal end, said plurality of channels
comprising an image sensor channel having a distal end adjacent to
said tracheal ventilation tube distal end; a cleaning channel
having a distal end adjacent to said tracheal ventilation tube
distal end, a tracheal cuff channel having a distal end adjacent to
said tracheal ventilation tube distal end; and a bronchial cuff
channel having a distal end adjacent to said bronchial ventilation
tube distal end; wherein the diameter of said image sensor channel
is smaller at said proximal end and larger at said distal end of
said image sensor channel; c. a flaring at the distal end of said
tracheal ventilation tube forming a cover over the distal end of
said image sensor channel; d. an image sensor arrangement
comprising an image sensor and light source housed interior and
adjacent to the distal end of said image sensor channel; wherein
said light source is selected from the group consisting of at least
one LED, optical fiber, waveguide, light guide, and any combination
thereof; wherein said image sensor is selected from the group
consisting of a CCD and CMOS image sensor; e. a cleaning nozzle
arrangement in fluid communication with the distal end of said
cleaning channel and proximal to said image sensor arrangement;
wherein said nozzle arrangement comprises a primary nozzle aimed
such that fluid exits the nozzle towards the distal end of said
image sensor and a plurality of secondary nozzles aimed such that
fluid exits the nozzle towards the area immediately distal to said
image sensor arrangement; wherein the arrangement of said primary
and secondary nozzles is selected from the group consisting of: i.
said primary and secondary nozzles are arranged distally to one
another in a linear sequential manner; ii. said secondary nozzles
are circumferentially aligned distal to said primary nozzle wherein
said primary nozzle is disposed nearest to said image sensor
arrangement, while said secondary cleaning nozzles are arranged
distally thereto; iii. said primary nozzle is disposed directly
adjacent to said image sensor arrangement; wherein said secondary
nozzles are disposed distally to said primary nozzle; iv. said
secondary nozzles are spaced equally 0.5 mm apart distal to said
primary nozzle; and i. said secondary nozzles are spaced unequally
apart distal to said primary nozzle; f. image sensor conducting
wires and an image sensor connector, said image sensor conducting
wires having a proximal end connected to said image sensor
connector and a distal end connected to said image sensor and said
light source such that said image sensor connector is electrically
connected to said image sensor and said light source and is in
image transfer data communication with said image sensor; g. an
image sensor conducting wire notch, wherein the proximal end of
said image sensor channel includes said image sensor conducting
wire notch through which said image sensor conducting wires exit
said image sensor channel; h. an inflatable tracheal cuff attached
to said external wall of said endobronchial tube and positioned
proximal to the distal end of said tracheal ventilation channel and
in fluid communication with said tracheal cuff channel; i. an
inflatable bronchial cuff attached to said external wall of said
endobronchial tube and positioned proximal to the distal end of
said bronchial ventilation channel and in fluid communication with
said bronchial cuff channel; wherein said endobronchial tube has a
gauge from 26 Fr to 44 Fr; wherein said tracheal cuff and said
bronchial cuff are individually inflatable; wherein said external
wall of said endobronchial tube has a medial curvature adjustable
from 100 degrees to 160 degrees; and wherein said external wall of
said endobronchial tube has a left or right bronchial insertion
compatible distal curvature; said distal curvature adjustable from
25 degrees to 70 degrees.
19. The endobronchial tube of claim 18; wherein, upon insertion of
said endobronchial tube into a patient with said bronchial
ventilation tube disposed in the left bronchi of the patient, said
image sensor and said light source allow the visualization of said
bronchial cuff disposed within the left bronchi, the patency of the
left bronchi, the patency of the right bronchi, the tracheal
carina, and the bronchial bifurcation, in a single field of
view;
20. The endobronchial tube of claim 18; wherein, upon insertion of
said endobronchial tube into a patient with said bronchial
ventilation tube disposed in the right bronchi of the patient, said
image sensor and said light source allow the visualization of said
bronchial cuff disposed within the right bronchi, the patency of
the left bronchi, the patency of the right bronchi, the tracheal
carina, and the bronchial bifurcation, in a single field of
view.
21. The endobronchial tube of claim 18; wherein said flaring forms
a cap over the distal end of said image sensor channel.
22. The endobronchial tube of claim 18; wherein a portion of said
cleaning channel is enclosed to form a cleaning tube protruding
from said external wall; wherein a cleaning tube connector is
connected to the proximal end of said cleaning tube and is in fluid
communication with said cleaning tube.
23. The endobronchial tube of claim 22; wherein a portion of said
tracheal cuff channel is enclosed to form a tracheal cuff tube
protruding from said external wall, wherein a tracheal cuff
connector is connected to the proximal end of said tracheal cuff
tube and is in fluid communication with said tracheal cuff
tube.
24. The endobronchial tube of claim 23; wherein a portion of said
and bronchial cuff channel is enclosed to form a bronchial cuff
tube protruding from said external wall; wherein a bronchial cuff
connector is connected to the proximal end of said bronchial cuff
tube and is in fluid communication with said bronchial cuff
tube.
25. The endobronchial tube of claim 24; wherein said plurality of
channels are fully enclosed channels.
26. The endobronchial tube of claim 18; wherein said image sensor
connector comprises a USB connector.
Description
CROSS-REFERENCE TO RELATED APPLICATIONS
[0001] This application is a Continuation of U.S. Ser. No.
13/737,944 which is a US Continuation In Part Application of PCT
Application No. PCT/IB2012/052077 filed on 26 Apr. 2012, which
claims the benefit of U.S. Provisional Application Ser. No.
61/506,210 filed on 11 Jul. 2011, all of which are hereby
incorporated by reference in their entirety.
FIELD OF THE INVENTION
[0002] The present invention relates to upper airway tubes and in
particular, to an endobronchial tube with an integrated image
sensor and light source having a cleaning nozzle arrangement.
BACKGROUND OF THE INVENTION
[0003] Respiratory tubes for example endobronchial tubes,
endotracheal tubes, tracheostomy tubes are used to ventilate at
least a portion of the respiratory system or lungs of a subject.
Such respiratory tubes may be inserted in a number of ways via a
non-invasive approach through an orifice or cavity such as the oral
or nasal cavity. Alternatively such tubes may be introduced to a
body via a minimally invasive external incision creating a port for
tube insertion for example through the trachea in a tracheotomy
procedure.
[0004] Such respiratory tubes may be provided as double lumen
tubes, or single lumen tubes for selectively ventilating a portion
of the respiratory system. For example endobronchial tubes,
whether, double lumen tubes or a single lumen tube may be utilized
for one-lung ventilation procedures or for selective lung
ventilation of the left or right bronchi, during one-lung
ventilation procedures.
SUMMARY OF THE INVENTION
[0005] In order to perform one-lung ventilation procedures without
complications, the position of the respiratory tube placed within
either the left or right bronchi and the trachea must be closely
monitored or at least confirmed prior to initiating a procedure.
Various technologies are available to confirm the tube's placement,
for example capnograph, auscultation, bronchoscope and x-ray.
[0006] However these procedures take time, technique and skill to
perform and therefore it is not feasible to continuously monitor
the tube's placement. In particularly when the subject is moved
during a procedure the tube's location may change leading to
potentially dangerous displacement of the tube possibly suffocating
the subject or inappropriate ventilation of the patient, for
example not ventilating the correct portion of the respiratory
system.
[0007] Verification by means of a bronchoscope is currently the
gold standard, but none of the mentioned confirmation techniques
provide continuous monitoring of the carina or provide for correct
tube positioning. Furthermore, drawbacks with respect to the design
and sensitivity of the bronchoscope, render its cleaning process
elaborate and often inefficient and costly process, that may lead
to cross infection between subjects.
[0008] There is an unmet need for, and it would be highly useful to
have an endobronchial tube capable of continuously and seamlessly
inspect the location and implantation of the endobronchial tube
relative to the Tracheal Carina. Furthermore it would be
advantageous to have an endobronchial tube that is capable of
maintaining a clear field of view of the Tracheal Carina.
[0009] The present invention overcomes the deficiencies of the
background by providing an endobronchial tube having an integrated
image sensor with a corresponding light source and integrated means
for maintaining the field of view provided by the image sensor, for
example in the form of a cleaning nozzle and/or lumen.
[0010] A preferred embodiment of the present invention provides for
a respiratory tube, preferably in the form of a double lumen
endobronchial tube, designed for oral or nasal insertion via the
trachea and into a lung to inspect and/or visualize the Carina, to
maintain airway patency and/or deliver anesthetic, inhalation agent
or other medical gases, and secure ventilation.
[0011] Most preferably the endobronchial tube of the present
invention may be made of medical grade materials for example
including but not limited to plastic, rubber, polymers or silicone
or the like materials as is known in the art.
[0012] Most preferably the endobronchial tube of the present
invention provides for continuous monitoring of the Tracheal Carina
(herein "TC"), allowing a user, physician, nurse, or caregiver to
verify the correct placement of the endobronchial tube while
maintaining a clear field of view of the TC.
[0013] Most preferably the endobronchial tube includes an
integrated image sensor, optionally and preferably in the form of
CCD or CMOS camera provided for visualizing the carina to confirm
the correct placement of the tube within the trachea and bronchi,
assuring correct ventilation during procedures for example
including but not limited to one lung ventilation procedures, or
the like.
[0014] Most preferably the integrated camera and light source
provide continuous verification of the correct placement of the
endobronchial tube. The continuous placement verification allows a
caregiver the opportunity to detect any dangerous situation, for
example cuff dislodgement, providing sufficient time to react to
the situation as is necessary. Moreover blood and secretion
accumulation or any other unexpected incidents during surgery,
which might cause risk to the patient, may be observed.
[0015] A preferred embodiment of the present invention provides for
an endobronchial tube with an integrated image sensor, for example
including but not limited to CCD or CMOS camera, with a
corresponding light source, for example including but not limited
to a Light Emitting Diode (`LED`) while optimizing the lumen
patency for both adequate airflow performance through the tube.
Most preferably the image sensor and corresponding light source are
provided in a dedicated lumen along the length of the endobronchial
tube. Most preferably the image sensor is further provided with at
least one or more adjacent and integrated cleaning nozzle to ensure
an open field of view, for example of the TC, distal to the image
sensor. Most preferably the integrated cleaning nozzle may be
configured to be wholly embedded within the tube's wall in the form
of a dedicated cleaning lumen running the length of the tube. Most
preferably the length of the dedicated image sensor lumen is
provided paralleled with the length of the tracheal lumen, therein
both tracheal lumen and image sensor lumen are of essentially the
same length. Optionally the length of the dedicated image sensor
lumen may be provided according to the length of the bronchial
lumen.
[0016] Optionally the endobronchial tube may be provided with two
dedicated image sensor lumen. Optionally a first dedicated image
sensor lumen is provided according to the length of the tracheal
lumen and a second dedicated image sensor lumen is provided
according to the length of the bronchial lumen.
[0017] A preferred embodiment of the present invention provides for
an endobronchial tube having an integrated image sensor, light
source and cleaning nozzle capable of providing a continuously and
unobstructed view and illumination of the carina, left bronchi,
right bronchi, bronchial cuff and bronchial bifurcations, within a
single field of view.
[0018] Optionally and preferably the tube of the present invention
utilizes at least one or more bronchial cuff. Optionally at least
two or more bronchial cuffs may be utilized to provide adequate
sealing of the bronchi.
[0019] Optionally the bronchial cuff may be provided in varying
shapes so as to better fit the bronchi for example include but is
not limited to spherical, elliptical, helical, hourglass,
trapezoidal, or the like.
[0020] Optionally different bronchial cuff configured and shaped
according to anatomy and placement location, for example anatomy
based on configuration of a cuff for left bronchi placement and for
right bronchi placement.
[0021] Within the context of this application the term
endobronchial tube may be used interchangeably with any one of
Tracheobronchial tube, double lumen tube, double lumen
endobronchial tube, double lumen endotracheal tube, to collectively
refer to a tube and/or catheter utilized for selectively
ventilating a subject via both lungs, one of the lungs or a portion
of one or both of the lungs.
[0022] An endobronchial tube comprising an external wall and an
internal septum defining at least two ventilation lumen of
different lengths for selectively associating with a patient about
at least two locations relative to the Tracheal Carina, the tube
comprising:
[0023] a first ventilation lumen having an open distal end that
associates proximally to the Carina within the Trachea, with a
first inflatable cuff ; and
[0024] a second ventilation lumen having an open distal end that
extends distally, past the Carina and associates within one of the
Left Bronchial branch or Right Bronchial branch with a second
inflatable cuff;
[0025] the tube further comprising at least two peripheral lumen of
different lengths, that are disposed within the tube's external
wall and running parallel with the at least the first ventilation
lumen;
[0026] the first peripheral lumen comprises an image sensor and
light source disposed proximal to the distal end of the first
ventilation lumen, and configured to provide an image of the
Tracheal bifurcation of the Tracheal Carina, the openings of the
Left Bronchial branch, and the opening Right Bronchial branch;
[0027] the second peripheral lumen defining a dedicated cleaning
lumen, having a distal end disposed distally to the distal end of
the first peripheral lumen about the image sensor and light source,
the second peripheral lumen having a distal end having a plurality
of variably sized openings, wherein each opening forms a cleaning
nozzle distal to the image sensor, the second peripheral lumen
configured to conduct a flowing fluid to maintain a clear field of
view distal to the image sensor.
[0028] Optionally and preferably the distal end of the second
peripheral lumen comprises four openings defining four cleaning
nozzles about the image sensor. The four openings are preferably
arranged distally to one another in a linear sequential manner. The
first opening having an opening of about 0.8 mm defining the first
cleaning nozzle directly adjacent to the image sensor. The
remaining three openings may be configured to have a nozzle opening
of about 0.6 mm.
[0029] Optionally the cleaning nozzles may be variably spaced
relative to one another and/or may be uniformly spaced relative to
one another about the distal end of the second peripheral
lumen.
[0030] Optionally, the tube may further comprise additional
peripheral lumen running along the second ventilation lumen
providing for a second image sensor and light source providing an
image of the Right bronchi or Left bronchi, and dedicated cleaning
lumen.
[0031] Optionally the first and second peripheral lumen may run
parallel with the second ventilation lumen rather than the first
ventilation lumen.
[0032] Optionally the image sensor may be a CCD image sensor or
CMOS image sensor.
[0033] Optionally, the first peripheral lumen further comprises a
light source disposed proximal to the distal end and adjacent to
the image sensor.
[0034] Optionally the light source may be selected from the group
consisting of a LED, optical fiber, waveguide, light guide, and any
combination thereof.
[0035] Optionally the first peripheral lumen comprising an image
sensor and light source may be disposed within a dedicated channel
embedded within a wall of the first lumen.
[0036] Most preferably the image sensor may be associated with an
auxiliary device for example including but not limited to a display
and power supply at the proximal end of the tube most preferably
about the first lumen, through a single dedicated connector for
example including but not limited to a USB connector.
[0037] Optionally the endotracheal tube may be adapted for
non-invasive insertion through the oral cavity or nasal cavity.
[0038] Optionally the endotracheal tube may be adapted for
insertion through an external port or incision.
[0039] Optionally the endotracheal tube may be adapted for
insertion through a surgical procedure or other invasive
procedure.
[0040] Unless otherwise defined, all technical and scientific terms
used herein have the same meaning as commonly understood by one of
ordinary skill in the art to which this invention belongs. The
materials, methods, and examples provided herein are illustrative
only and not intended to be limiting.
BRIEF DESCRIPTION OF THE DRAWINGS
[0041] The invention is herein described, by way of example only,
with reference to the accompanying drawings. With specific
reference now to the drawings in detail, it is stressed that the
particulars shown are by way of example and for purposes of
illustrative discussion of the preferred embodiments of the present
invention only, and are presented in order to provide what is
believed to be the most useful and readily understood description
of the principles and conceptual aspects of the invention. In this
regard, no attempt is made to show structural details of the
invention in more detail than is necessary for a fundamental
understanding of the invention, the description taken with the
drawings making apparent to those skilled in the art how the
several forms of the invention may be embodied in practice.
[0042] In the drawings:
[0043] FIGS. 1A-B show schematic illustrations of an exemplary
endobronchial tube according to an optional embodiment of the
present invention; FIG. 1A shows the endobronchial tube within the
right bronchi; FIG. 1B shows the endobronchial tube within the left
bronchi;
[0044] FIG. 2 shows a schematic sectional view of the Tracheal
Carina as seen from the endobronchial tube according to an optional
embodiment of the present invention;
[0045] FIG. 3 shows a perspective view of an exemplary
endobronchial tube according to an optional embodiment of the
present invention;
[0046] FIG. 4A shows a perspective view of an exemplary
endobronchial tube according to an optional embodiment of the
present invention;
[0047] FIG. 4B shows a close up view of notch exit point for the
image sensor connector according to the present invention;
[0048] FIG. 5 shows a perspective view of exemplary endobronchial
tube according to an optional embodiment of the present
invention;
[0049] FIG. 6 shows a perspective view of exemplary endobronchial
tube according to an optional embodiment of the present invention,
depicting the curvature of the tube;
[0050] FIGS. 7A-F shows varying close up views of the distal end of
the endobronchial tube according to optional embodiments of the
present invention;
[0051] FIGS. 7G-H show a preferred embodiment of the cleaning
nozzle arrangement according to the present invention;
[0052] FIG. 7I shows an optional embodiment according to the
present invention;
[0053] FIGS. 8A-B show cross-sectional views about different
portions of the endobronchial tube according to optional
embodiments of the present invention; and
[0054] FIG. 9 shows a close up view of the image sensor with
integrated light source within a dedicated lumen disposed within
the wall of the endobronchial tube according to an optional
embodiment of the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0055] The principles and operation of the present invention may be
better understood with reference to the drawings and the
accompanying description. The following reference labels listed
below are used throughout the drawings to refer to objects having
similar function, meaning, role, or objective.
[0056] 10 Stylet;
[0057] 12 Y-connector;
[0058] 14 Air Balance Cap;
[0059] 20 Endobronchial Tube connector assembly;
[0060] 22 Endobronchial Tube connector proximal end;
[0061] 24 Tracheal lumen connector portion;
[0062] 26 Bronchial lumen connector portion;
[0063] 28 Endobronchial Tube connector distal end;
[0064] 50 endobronchial tube system;
[0065] 100 endobronchial tube;
[0066] 100w tube external wall;
[0067] 101 sectional view;
[0068] 102 tube proximal end;
[0069] 104 tube distal end;
[0070] 104a distal curvature;
[0071] 106 tube medial portion;
[0072] 106a medial curvature;
[0073] 108 midline partition;
[0074] 110 tracheal lumen;
[0075] 111 tracheal lumen connector;
[0076] 112 tracheal cuff;
[0077] 112n tracheal cuff notch;
[0078] 114 tracheal lumen distal end;
[0079] 116 tracheal lumen proximal end;
[0080] 118 tracheal cuff connector;
[0081] 120 bronchial lumen;
[0082] 122 bronchial cuff;
[0083] 124 bronchial lumen distal end;
[0084] 126 bronchial lumen proximal end;
[0085] 128 bronchial cuff connector;
[0086] 130 injection tube connector;
[0087] 150 image sensor arrangement;
[0088] 150c image sensor;
[0089] 150d image sensor lumen distal end;
[0090] 150I illumination source;
[0091] 150L image sensor lumen;
[0092] 152 image sensor notch;
[0093] 154 image sensor conductor;
[0094] 156 image sensor single cleaning nozzle;
[0095] 158 image sensor connector;
[0096] 160 cleaning lumen;
[0097] 160d cleaning lumen distal end;
[0098] 162 cleaning nozzle arrangement;
[0099] 164 four cleaning nozzle arrangement;
[0100] 166 primary cleaning nozzle;
[0101] 168 secondary cleaning nozzles;
[0102] TR Trachea;
[0103] TC Tracheal Carina;
[0104] BR Right Bronchi;
[0105] BL Left Bronchi.
[0106] FIG. 1A shows a schematic illustration of an exemplary
endobronchial tube 100 according to an optional embodiment of the
present invention placed within the right bronchi (BR). FIG. 1B
shows a schematic illustration of an endobronchial tube 100 within
the left bronchi (LB).
[0107] Endobronchial tube 100 is a dual lumen tube comprising an
external wall 100w, a first tracheal ventilation lumen 110 and a
second bronchial ventilation lumen 120. Most preferably wall 100w
is a common to both tracheal lumen 110 and bronchial lumen 120
wherein wall 100w most preferably defines the external surface of
tube 100. Most preferably an internal septum and/or midline
partition 108 defines the individual lumen into tracheal lumen 110
and bronchial lumen 120, FIG. 8A-B. Tracheal lumen 110, most
preferably, has a distal end 114 ending within the trachea while
the bronchial lumen 120 has a distal end 124 endings within the
bronchi, left or right. Therein tracheal lumen 110 and bronchial
lumen 120 are configured to have different lengths, wherein the
bronchial lumen 120 extends past and/or distally to tracheal lumen
110.
[0108] Most preferably each ventilation lumen comprising an
inflatable cuff respectfully, tracheal cuff 112 and bronchial cuff
122. Optionally and preferably cuffs 112 and 122 are individually
controllable. Tube 100 is places such that the tracheal lumen 110
is placed within the Trachea by way of cuff 112 proximally, above,
the tracheal carina (`TC`). Most preferably the tracheal carina may
be continually visualized with an image sensor 150c and light
source 150I, FIG. 9.
[0109] Most preferably wall 100w of tube 100 comprises a plurality
of dedicated peripheral lumen dispersed about the periphery of wall
100w, FIG. 8A-B. Most preferably tube 100 comprises at least two or
more dedicated peripheral lumen; a first dedicated peripheral lumen
provided as a dedicated image sensor lumen 150L provided for
imaging the TC; and a second dedicated peripheral lumen provided in
the form of a dedicated cleaning lumen 160 for clearing and/or
cleaning the view of image sensor disposed in lumen 150L.
[0110] Most preferably tube 100 according to the present invention
is characterized in that it comprises a cleaning nozzle arrangement
162 about distal end 160d, FIGS. 7G-H. Most preferably cleaning
nozzle arrangement 162 comprises a plurality of cleaning nozzles
arranged about the distal end 160d and distally to image sensor
arrangement 150 so as to ensure that a tube 100 is provided with a
clear and unobstructed view of the TC, for example as shown in FIG.
2. Most preferably cleaning nozzle arrangement are optionally and
preferably directed and/or aimed to clear the field of view
immediately distal to image sensor arrangement 150 about the distal
end 114 of tracheal ventilation lumen 110.
[0111] Optionally and most preferably cleaning nozzle arrangement
162 may comprise at least two or more cleaning nozzles about distal
end 160d. Most preferably a cleaning nozzle arrangement 162
comprising a plurality of cleaning nozzles about distal end 160d
provides sufficient flushing and/or cleaning power and/or force
and/or pressure so as to provide image sensor arrangement 150 with
an unobstructed view by evacuating biological debris for example
mucus or the like biological builds up in and about distal end 114,
150d and 160d.
[0112] Most preferably cleaning nozzle arrangement 162 comprises a
four cleaning nozzle arrangement 164 about image sensor arrangement
150. Four cleaning nozzle arrangement 164 includes a first primary
cleaning nozzle 166 and at least three secondary cleaning nozzles
collectively referred to as 168, as shown in FIGS. 7G-H.
[0113] Most preferably arrangement 164 may be arranged distally to
one another in a linear sequential manner for example as shown in
FIG. 7G-H. Most preferably primary cleaning nozzle 166 may be
configured to have a nozzle opening of about 0.8 mm, and is most
preferably disposed immediately and/or directly adjacent to the
image sensor arrangement 150. Most preferably secondary cleaning
nozzles 168 may be configured to have a nozzle opening of about 0.6
mm, and a disposed distally to primary cleaning nozzle 166.
[0114] Optionally secondary cleaning nozzles 168 may optionally be
spaced apart equally, for example about 0.5 mm. Optionally
secondary cleaning nozzles 168 may be spaced unequally distal to
primary cleaning nozzle 164.
[0115] Optionally cleaning nozzle arrangement 162 about distal end
160d may be configured in optional geometric arrangements, wherein
primary cleaning nozzle 166 is disposed nearest to image sensor
arrangement 150 providing a first flushing and/or cleaning
activity, while a plurality of secondary cleaning nozzle 168 are
arranged distally thereto to provide a secondary flushing and/or
cleaning activity, FIG. 7I.
[0116] Optionally cleaning nozzles 166, 168 may be provided with an
opening having a diameter from about 0.1 mm to about 2 mm.
Optionally primary cleaning nozzle 166 has a larger nozzle opening
diameter than do secondary cleaning nozzles 168.
[0117] Most preferably image sensor 150c and light source 150I are
disposed within a first dedicated peripheral lumen 150L that is
most preferably disposed within wall 110w. Optionally and most
preferably image sensor lumen 150L comprising image sensor 150c and
light source 150I may be integrated within tracheal lumen 110 about
distal end 114, such that the distal end 150d is adjacent to distal
end 114. Optionally and most preferably the image sensor apparatus
150 remains within its dedicated peripheral lumen 150L. Optionally
and most preferably image sensor arrangement 150, FIG. 9,
comprising an image sensor 150c and a light source 150I may be
integrated within a dedicated channel or peripheral lumen 150L
within a wall of the tracheal lumen 110. Most preferably image
sensor 150 provides a cross sectional view 101, for example as
shown in FIG. 2.
[0118] Most preferably image sensor arrangement 150 are provided in
the form of at least one or more light emitting diode (`LED`) 150I
and image sensor 150c for example including but not limited to a
CCD or CMOS, (FIG. 9) providing a view 101 showing the status of
the bronchi, FIG. 2.
[0119] FIG. 2 shows a schematic sectional view of the Tracheal
Carina as seen from endobronchial tube 100, provided by image
sensor and light source 150, allowing the visualization of
bronchial cuff 122 disposed within the left bronchi BL, the patency
of the left bronchi, the patency of the right bronchi, the tracheal
carina, bronchial bifurcation, in a single field of view 101.
Optionally a similar view may be provided with image sensor 150
when tube 100 is disposed with the right Bronchi BR as shown in
FIG. 1A.
[0120] FIG. 3 shows endobronchial double lumen tube system 50
comprising endobronchial tube 100 and optional various auxiliary
devices that may be used in conjunction with and/or facilitate the
use of tube 100.
[0121] Optionally auxiliary devices may for example include but are
not limited to stylet 10, Y-connector 12, air balance caps 14, and
an endobronchial tube connector assembly 20, or the like adjunct
device utilized facilitating the use of tube 100 as is known in the
art.
[0122] Stylet 10 most preferably is utilized to facilitate
placement of tube 100, as is known and accepted in the art.
[0123] Y-connector 12 most preferably provides for simultaneously
connecting both lumens of double lumen tube 100 to a single
ventilation source.
[0124] Endobronchial Tube connector assembly 20 provides for
individually connecting to tracheal lumen 110 and bronchial lumen
120. Connector assembly 20 comprises a proximal end 22, distal end
28, and respective tracheal lumen connector portion 24 and
Bronchial connector portion 26.
[0125] Most preferably proximal end 22 provides for connecting
and/or otherwise associating the tube 100 at proximal end 102 at
about the individual lumen tracheal lumen 110 and bronchial lumen
120 to auxiliary devices for example including but not limited to
ventilation sources.
[0126] Most preferably distal end 24 provides for coupling and/or
otherwise associating with tube 100.
[0127] FIG. 3 further provides a perspective view of a preferred
double lumen endobronchial tube 100 comprising tracheal lumen 110
having a tracheal lumen distal end 114 and bronchial lumen 120
having a bronchial lumen distal end 124.
[0128] Tube 100 further comprises tracheal cuff 112, shown in its
expanded state, provided for securely placing and/or anchoring tube
100 within the trachea while ventilating the lungs through tracheal
lumen 110.
[0129] Tube 100 further comprises bronchial cuff 122, shown in its
expanded and/or inflated state, provided for securely placing
and/or anchoring tube 100 within the bronchi, left or right. Most
preferably cuff 122 provides for selectively controlling the
ventilation to the bronchial arch wherein it is placed (left or
right). For example ventilation to either the left or right bronchi
may be completely blocked so as to allow a procedure on the
respective lung (for example right) while allowing the ventilation
of the other lung (for example left) via tracheal lumen 110.
[0130] Most preferably tracheal cuff 112 may be inflated and/or
deflated via cuff tracheal connector 118.
[0131] Most preferably bronchial cuff 122 may be inflated and/or
deflated via cuff bronchial connector 128.
[0132] Most preferably injection tube connector 130 provides an
access point to a dedicated lumen about each of the tracheal tube
110 and bronchial tube 120, preferably for delivering drugs,
suctioning liquids about tracheal distal 114 and/or bronchial lumen
distal end 124.
[0133] FIG. 4A provide a further perspective view of endobronchial
tube 100, showing image sensor connector 158. Most preferably image
sensor connector 158 is provided in the form of a USB connector
that provides both for image and power supply to image sensor 150
disposed in a dedicated lumen near distal end 114. Optionally and
preferably image sensor and illumination 150 may be rendered
function when connected to a display and power source (not shown)
via connector 158.
[0134] FIG. 4B provides a close up view showing the image sensor
notch 152 disposed about the proximal end of image sensor lumen
150L providing an exit point for image sensor conducting wires 154,
most preferably provided for both image transfer and power supply
to image sensor and illumination source 150.
[0135] FIG. 5 provides a further perspective view of tube 100
provided from a face on view showing the separation of tracheal
lumen 110 and bronchial lumen 120 at distal end 104 of tube
100.
[0136] FIG. 6 provides a further schematic illustrative depiction
of tube 100 showing a perspective view of tube 100 with the
bronchial cuff 122 and tracheal cuff 112 removed. FIG. 6A shows the
curvature provided at both the medial section 106 and distal end
104 therein defining a medial curvature 106a and a distal curvature
104a. Curvatures 104a and 106a are provided to so that tube 100
fits within the upper airway tract's anatomy.
[0137] Most preferably medial curvature 106a is provided for the
ease of accessing and introducing tube 100 within the trachea
through the oral cavity and pharynx. Most preferably, curvature
106a, is provided with an angle from about 100 degrees to about 160
degrees.
[0138] Most preferably distal curvature 104a is provides for ease
of accessing and introducing distal end 104 into one of the
bronchi, left or right. Optionally and preferably distal curvature
104a may be specific for individual left or right endobronchial
tubes. Optionally distal curvature may be configured to be from
about 25 degrees to about 70 degrees. Optionally and preferably
about 35 degrees as shown.
[0139] Optionally the length of tube 100 may be provided with a
length from about 200 mm to about 550 mm. Optionally and preferably
the length of tube 100 may be selected in accordance with a user's
anatomy.
[0140] Optionally endobronchial tube 100 may be provided with
different sizes, length, diameters as known and accepted in the
art. Optionally tube 100 may be provided with a gauge from about 26
Fr to about 44 Fr, or from about For example the external diameter
of tube 100 may be provided in varying gauges and/or sizes for
example including but not limited to 28 Fr, 32 Fr, 35 Fr, 37 Fr, 39
Fr and 41 Fr, within the context of this application the units `Fr`
refer to the gauge of the tube 100 in the units French as is a
common term of the art. Alternatively the gauge and or size of tube
100 may be provided in the SI units of millimeters `mm`. The tube
100 according to the present invention may be provided with an
external diameter of about 9.3 mm, 10.7 mm, 11.7 mm, 13 mm and 13.7
mm.
[0141] Optionally and preferably the length and diameter (also
referred to as gauge) of tube 100 may be correlated with one
another.
[0142] FIG. 7A shows a close up view of distal end 104 of tube 100
shown in FIG. 6 providing a close up view. FIG. 7A further shows a
close up view of curvature 104a showing the flaring 114f of distal
end 104 from wall 100w of tracheal lumen into the side portion of
bronchial lumen 120, most preferably forming and distal end flaring
114f. Most preferably flaring 114f at distal end 104a further
provides for placing and/or approximating the distal ends 150d,
160d of the peripheral dedicated lumen 150L, 160 near the distal
end 114 of ventilation lumen 110, for example as shown in FIG.
7C.
[0143] Most preferably flaring 114f forms a cover and/or cap over
the distal end of the dedicated peripheral lumen 150d and 160d
adjacent to distal end 114 of ventilation lumen 110.
[0144] Most preferably distal end flaring 114f facilitates
placement of a cleaning nozzle arrangement 162 about the distal end
160d of cleaning lumen 160, for example as shown in FIGS. 7C and
7G. Optionally flaring 114f may facilitate the cleaning function
provided by arrangement 162.
[0145] FIGS. 7A-E show various close up view of distal end 104
specific to curvature 104a showing the flaring 114f and tapering of
distal end 104 from the tracheal lumen 110 into the side portion of
bronchial lumen 120.
[0146] FIGS. 7D-E provide additional close up views of the distal
end 150d and cleaning lumen 160 showing revealing an optional
primary cleaning nozzle 166 in the form of a single cleaning nozzle
156, most preferably provided for cleaning image sensor 150c.
[0147] Optionally cleaning nozzle 156 may be provided with an
opening having a diameter from about 0.1 mm to about 2 mm, more
preferably from about 0.4 mm to about 0.9 mm, optionally about 0.6
mm or 0.8 mm.
[0148] Image sensor 150 is most preferably provided in a dedicated
lumen 150L that spans the length of tube 100. Most preferably lumen
150 is disposed between tracheal lumen 110 and bronchial lumen
120.
[0149] Most preferably distal end of lumen 150L provides for
visualizing the carina and the bronchial cuff 122, for example as
shown in FIG. 2.
[0150] Most preferably the diameter of image sensor lumen 150L is
variable along the length of tube 100. Most preferably image sensor
lumen 150 is smallest at the proximal end 102 and largest at the
distal end 104. Optionally and preferably at proximal end 102
sensor lumen 150L is configured to have an elliptical
cross-section. Optionally and preferably at distal end of sensor
lumen 150L is configured to have a circular cross-section.
[0151] Most preferably alongside image sensor lumen 150L is a
dedicated cleaning lumen 160 that has a distal end defining a
cleaning nozzle 156, as shown, providing for cleaning image sensor
150 about its distal end. Optionally and preferably cleaning nozzle
156 is provided with a curvature and/or angle so as to direct
cleaning solution, fluid, gas or the like flowing fluid toward
and/or away from integrated image sensor 150 and more preferably
image sensor 150c. For example cleaning lumen 160 may be utilized
to clear mucus or the like biological obstruction from in front of
integrated image sensor 150 by flushing with a flowing fluid, for
example a liquid or gas, from the proximal end of lumen 160 through
to its distal end 160d and forming at least one or more cleaning
nozzle 156, 166, 168 or a cleaning nozzle arrangement 162, 164.
Optionally cleaning lumen 160 may be used to clear the viewing
field of integrated image sensor 150 by applying suctioning therein
suctioning in front of the field of view to keep it clean.
[0152] FIG. 7F shows a close up view of cleaning nozzle 156 that is
directed toward image sensor 150 about the distal end of lumen
150L. Optionally and preferably cleaning nozzle 156 is configured
such that it provides for maintaining an open field of view of the
Tracheal Carina for integrated images sensor 150.
[0153] While FIG. 7E-F show an optional cleaning nozzle arrangement
having a single cleaning nozzle 156, about the tubes distal portion
104, FIGS. 7G-H show a preferred embodiment of the present
invention for a ventilation tube 100 having a four cleaning nozzle
arrangement 164 comprising a plurality of cleaning nozzles,
including a primary cleaning nozzle 166 and three secondary
cleaning nozzle 168. FIG. 7G shows an illustrative diagram of the
preferred embodiment showing cleaning nozzle arrangement 162 about
the distal end 114. Most preferably nozzle arrangement 162
comprises a primary nozzle 166 and a plurality of secondary nozzles
168, as previously described. As shown a preferred embodiment
comprises three secondary nozzles 168 disposed distally to primary
nozzle 166 and image sensor 150. Most preferably the cleaning
nozzles comprising nozzle arrangement 162 are directed so as to
clean and/or clear and/or suction any biological debris for example
mucus that forms distally to image sensor 150.
[0154] Optionally cleaning nozzles 166, 168 may be provided with an
opening having a diameter from about 0.1 mm to about 2 mm.
Optionally primary cleaning nozzle 166 has a larger nozzle opening
diameter than do secondary cleaning nozzles 168.
[0155] FIG. 7H provides a close up view of four cleaning nozzle
arrangement 164 about distal end 114, as previously described and
according to a preferred embodiment of the present invention,
wherein the nozzle arrangement is characterized by a distally
linear arrangement wherein primary nozzle 166 is adjacent to image
sensor 150 while secondary nozzles 168 are positioned distally
therefrom, optionally and preferably at equidistant from one
another.
[0156] FIG. 7I shows an optional cleaning nozzle arrangement 162
where a plurality of secondary cleaning nozzles 168 are arranged
about image sensor 150 in a circumferential arrangement, for
example as shown.
[0157] Optionally and preferably the distal end 160d of cleaning
lumen 160 may be curved such that the distal end 160d and nozzle
arrangements 162, 164 are most preferably directed toward the
distal end 150d of image sensor lumen 150L therein providing for
forming a cleaning nozzle arrangement 162 that is optionally and
preferably directed toward image sensor 150.
[0158] Optionally tube 100 may be provided with at least two or
more peripheral cleaning lumen 160 for example as shown in FIG.
8A-B. Optionally a first cleaning lumen may be provided for
flushing biological obstruction while a second cleaning lumen may
be provided for suctioning biological obstructions away from the
distal end 114. Optionally a plurality of cleaning lumen 160 may be
disposed on opposite sides of integrated image sensor 150.
[0159] Optionally a plurality of cleaning lumen 160 may be
configured to cooperate with one another, for example a first lumen
would flush biological obstructions toward a second cleaning lumen
where the obstruction is carried away by suctioning.
[0160] Optionally at least two or more cleaning lumen 160 may be
utilized concertedly to either suction or flush obstructions distal
to integrated image sensors 150, therein most preferably ensuring
an open viewing field. Optionally a plurality of cleaning lumen may
be provided with different diameters and or sizes.
[0161] FIG. 8A shows a cross sectional view of tube 100 about its
proximal end 102 having tracheal lumen 110 and a bronchial lumen
120 defined on either side of a midline partition 108. Most
preferably tube 100 comprises a plurality of peripheral lumen
disposed internally and/or within the walls of tube 100. Most
preferably a plurality of peripheral lumen may be disposed about
the circumference of tube 100, within wall 100w, and span
essentially the length of tube 100, about the tracheal lumen 110
and/or bronchial lumen 120. Optionally and preferably the
peripheral lumen may for example include but is not limited to a
suctioning lumen, cuff inflating lumen, electronic lumen, image
sensor lumen, cleaning lumen, injection tube lumen, or the
like.
[0162] Most preferably tube 100 includes a dedicated lumen 150L
provided for image sensor and integrated illumination source 150.
Most preferably lumen 150L provides for housing the image sensor
150 at its distal end (FIG. 7E-F) and housing image sensor conducts
for example in the form of a wire 154, disposed along the length of
lumen 150L, and a image sensor notch 152 disposed near the proximal
end of lumen 150L allowing image sensor conductor 154 and connector
158 to be disposed external to tube 100.
[0163] Optionally and preferably lumen 150L is disposed about the
anterior portion of tube 100 about the middle of the cross-section
of tube 100. Most preferably lumen 150L is disposed anterior to
partition 108. Optionally lumen 150L may be disposed about the
posterior portion of tube 108 therein posterior to partition
108.
[0164] Most preferably on both sides of lumen 150L are dedicated
lumen running along the length of tube 100 and most preferably
running parallel with lumen 150L. Optionally and preferably at
least one or more of lumen are provided as a dedicated cleaning
lumen 160. Optionally both lumen flanking lumen 150L may be
dedicated cleaning lumen 160.
[0165] Most preferably tube wall further comprises lumen 112L and
122L respectively corresponding to tracheal lumen 110 and bronchial
lumen 120. Optionally and preferably lumen 112L and 122L are
provided for inflating and/or deflating cuffs 112 and 122
respectively.
[0166] FIG. 8B shows the same image as in FIG. 8A however showing
the cross-section near tracheal lumen distal end 114 of tube 100.
Most preferably at tracheal lumen distal end 114 image sensor lumen
150L is provided with a lumen having a larger radius than that
provided at the proximal end 102 as shown in FIG. 8A. Most
preferably tube 100 is expanded about distal end 104 and lumen 150L
to accommodate integrated image sensor 150. Optionally image sensor
lumen 150 about the external surface of tube 110 is widened and/or
expanded 1.5 mm to 5 mm from distal end 114 of tracheal lumen
110.
[0167] Optionally the image sensor dedicated lumen 150L is provided
with an notch 150n disposed 22.5 mm from the proximal end 102 of
tube 100 and a exit notch having a diameter of about 1.5 mm.
[0168] FIG. 9 shows a close up bottom-up view of the integrated
image sensor 150 within dedicated electronics lumen 150L disposed
within the wall of the endobronchial tube 100, showing image sensor
150c optionally and preferably provided in the form of a CCD or
CMOS or the like, and illumination source 150I most preferably
provided in the form of at least one and more preferably at least
two or more LED, as shown.
[0169] While the invention has been illustrated primarily with
reference to a left bronchi endobronchial tube, it will be
appreciated that the present invention is not limited to a left
bronchi endobronchial tube where the inventive and novel aspects
equally covers a right bronchi endobronchial tube.
[0170] While the invention has been described with respect to a
limited number of embodiments, it will be appreciated that many
variations, modifications and other applications of the invention
may be made.
* * * * *