U.S. patent number 3,568,678 [Application Number 04/747,542] was granted by the patent office on 1971-03-09 for self-attaching nasal tube of acceptable appearance.
Invention is credited to Michel Combres, Henri Pourquier.
United States Patent |
3,568,678 |
Pourquier , et al. |
March 9, 1971 |
SELF-ATTACHING NASAL TUBE OF ACCEPTABLE APPEARANCE
Abstract
A nasal tube attaching device comprising a body portion having
an opening extending axially therethrough. The body is in the
configuration of a truncated cone having a tapered end and a
substantially triangular end having a configuration substantially
conforming to the natural configuration of a human nostril. The
tapered end of the body portion extends inwardly of the nostril and
the base portion includes a flat surface which is in substantially
the same plane as the nostril opening when the device is in
position within the nostril. The tapered end is adapted to receive
a medical tube which extends inwardly of the patient and which is
in communication with the opening extending through the body
portion. The area of the base of the body portion is less than that
of the area of the nostril opening, thereby providing breathing
area through the nostril opening when the device is in
position.
Inventors: |
Pourquier; Henri (Herault,
FR), Combres; Michel (Herault, FR) |
Family
ID: |
26235375 |
Appl.
No.: |
04/747,542 |
Filed: |
July 25, 1968 |
Foreign Application Priority Data
Current U.S.
Class: |
604/174;
128/207.18; 604/523 |
Current CPC
Class: |
A61M
31/00 (20130101); A61M 16/0666 (20130101); A61M
25/02 (20130101); A61J 15/0003 (20130101); A61M
2210/0618 (20130101); A61M 2210/0618 (20130101); A61M
2025/0226 (20130101); A61M 2230/005 (20130101) |
Current International
Class: |
A61J
15/00 (20060101); A61M 16/06 (20060101); A61M
25/02 (20060101); A61M 31/00 (20060101); A61m
025/00 () |
Field of
Search: |
;128/206,207,140 (N)/
;128/342,348,350 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Truluck; Dalton L.
Claims
We claim:
1. A nasal feeding device for nesting within the outer opening of a
human nostril comprising a body portion generally in the form of a
truncated cone having a tapered interior end and an anterior, lobal
triangular base contoured in the general shape of a human nostril,
said base having a substantially flat surface whereby when said
body portion is nested within said nostril, said surface is in
substantially the same plane as said nostril opening, said body
portion having a passageway extending axially therethrough, a
medical tube connected to said tapered end and in communication
with said passageway, retaining clip means attached to the base of
said body and extending outwardly of and gripping said nostril
walls when said device is nested within said nostril
2. The device of claim 1 and including an obturator mounted in said
axially extending opening adjacent said flat surface and adapted to
close said opening.
3. The device of claim 2 wherein said obturator includes normally
closed flexible sealing means which can be opened to permit the
introduction of a feeding tube.
4. The device of claim 2 wherein said obturator is a springlike
clip.
5. The device of claim 2 where said obturator is a flap valve.
6. The device of claim 1 wherein said body consists of a flexible,
nontoxic plastic.
7. The device of claim 1 wherein said retaining clip is configured
to follow the nasogenial sulcus.
8. The device of claim 1 wherein said tubular body is olive shaped
and said tube substantially surrounds said body, an extension
projecting outwardly from the other end of said olive, means
securely holding said tube to said tubular body.
9. The device of claim 8 wherein said extension has a one-way
antifriction surface about its surface and said means is formed
with a surface for engagement therewith.
10. The device of claim 9 wherein said extension has second means
for facilitating the attachment of a feeding apparatus.
11. The device of claim 10 wherein said second means consists of a
spiraled lobelike thread adapted to receive a corresponding
lobelike thread formed on said apparatus.
Description
The use of nasal tubes for feeding purposes, known as drip feeding,
is a well known art. A fine tube of plastic material from 2 to 4
millimeters in outer diameter is generally utilized. The tube is
introduced through the nasal cavities, past the esophagus and into
the stomach. Other tubes for duodenal or intestinal uses are also
passed through the nasal fossae. Tubes of this type are used for
resuscitation, the feeding of patients, and are also utilized when
there is a functional or organic obstruction to food intake.
Feeding can be intermittent or continuous.
Nasal tubes present the disadvantage of extending for a
considerable distance beyond the nostrils. Consequently, there are
drawbacks of various kinds; for example:
1. Tubes of this type are in the way and have an unpleasant
appearance. Normally, fixation is effected by turning the anterior
end of the tube behind the ear or by use of one or two threads
across the face. Sometimes an adhesive bandage is used at the
nostril, while the end of the tube is out in the air. Such an
unpleasant through is fairly well accepted in post-surgery cases
and for bedridden patients but this appearance becomes very
objectionable when the patient is ambulatory. Many patients refuse
nasal tubes for psychological reasons.
2. The outer end of the tube, in sleep or when the patient moves,
is subjected to involuntary traction causing displacement of the
tube and pain in the nasal or pharyngeal passage. This is
especially dangerous in agitated and/or unconscious patients or in
the case of children.
Therefore, a principal objective of the present invention is to
provide a device having a self-attaching means without a visible
external end and for reducing disturbance in the nasal respiration
system.
Another objective of this invention is to provide means to
comfortably and easily affix the outer end of a nasal tube to the
nose of the patient.
These and other objects of the invention will become more apparent
to those skilled in the art by reference to the following detailed
description when viewed in light of the accompanying drawings,
wherein:
FIG. 1 is an isometric projection of a tube support attached in the
nostril of a patient and directed through the nasal cavity toward
the stomach;
FIG. 2 is a schematic isometric projection of the support of FIG.
1;
FIG. 3 is a schematic plan view of the external surface of the
object of the present invention disclosing a modification of a
mounting means;
FIGS. 4 and 5 are diagrammatic sections of the object of the
invention respectively showing second and third modifications of a
mounting element for obturating the tube;
FIGS. 6, 7 and 8 are diagrammatic views of further modifications of
obturation of the tube means; and
FIG. 9 is a cross-sectional view in elevation of a further
embodiment of this invention.
Referring now to the drawings wherein like numerals refer to like
elements, the numeral 1 refers to a tube of conventional type that
reaches the stomach via the nasal and esophageal fossae. The tube
is terminated at its outer end by tip 2 which is enclosed by the
nostril opening. The end surface of tip 2 is normally in the plane
of the external orifice of the nostril and occupies only a part of
the nostril cavity to avoid any serious interference with normal
respiration.
It is to be observed that element 3 for fixation follows as closely
as possible the external ala of the nose and extends along the
nasogenial sulcus to avoid the esthetic drawbacks as much as
possible. The fixation element 3 is terminated by a pad 4.
According to FIG. 2, the body of tip 2 comprises an element of
nonoxidizable material generally presenting the form of a truncated
cone with an anterior triangular base and with a rounded edge
having major vertical axis. According to one characteristic of the
present invention, it has the dimensions and general configuration
of a nostril into which it must be readily mounted in a manner to
allow sufficient passage for free respiration. The slender tapering
posterior extremity of body 2 is joined to tube 1 by gluing or by
simultaneous molding of plastic material. The body 2 can,
therefore, be distinct from the said nasopharyngeal tube 1 or form
an integral part thereof. A tube is removably inserted in the
central passage of body 2 and fixed to it by suitable means a
preventing it from falling back inside the nasal cavity.
in order to adapt as perfectly as possible to the nostril, the
outer surface of tip 2 is rounded. The internal surface can be
relatively flat. The anterior face is preferably slightly convex
and supports the closure system. The upper edge can present a
rounded projection that corresponds to the cavity of the lobe of
the nose.
A system to attach the above is formed by a partial annulus that
includes a hook element 3 whose form, which is a crooked curve, is
such that it follows as closely as practical the lower part of the
juncture of the nostril and the external sulcus and the lower part
of the sulcus itself. This configuration is best seen in FIG. 1.
The hook 3 is terminated at its free end by a pad 4 to blunt any
disagreeable scratching of the flesh. The hook 3 is advantageously
constituted of a plastic material of nonoxidizable metal or of a
plastic-embedded metal that has a certain elasticity to permit the
exertion of gentle pressure on the external ala of the nose.
Dependent upon the nature the material selected for hook 3, the pad
4 is molded at the same time as the main body 2 or it can be
sealed.
As shown in FIG. 3, the hook 3 may also be mounted pivotally on
body 2 about a pin 5 and urged to a nose-engaging position by a
coil spring 6.
It is to be understood that the retaining hook can be integrally
molded with the body portion, if desired.
Because of the special asymmetrical form of main body 2, it should
be understood that it is necessary to impart direction to the
device when it is introduced. To facilitate this operation, a color
index is inscribed along the generatrix of tube 1 for use as
reference.
To prevent reflux of liquids toward the outside, an obturating
element 7 is provided in several modifications which are
illustrated by FIGS. 4, 5, 6, 7 and 8.
An obturator valve seven can be made as in FIG. 1 to pivot about a
pin 8 and to be held in closed position by spring 9, one end of
which can at the same time constitute the pin 8. The valve can also
be a plug as indicated by the numeral 7 b in FIG. 4. The plug
obturates by compression in the passageway. The tab or plug 7 b is
fixed to body 2 of the device or molded integrally if a flexible
plastic material is used for the manufacture of body 2.
FIG. 5 shows an external plug 7 a held against the orifice of tube
1 by a spring 10. The axis of spring 10 provides an axis about
which the plug can pivot. Thus the cannula can be readily
introduced into tube 1 which connects the nasopharyngeal tube and
the receptacle or syringes containing the feeding solutions.
There can likewise be provision for opening of tube 1 by a flapper
valve means. For this arrangement, a flexible plastic end of tube 1
forms a concentric valve as illustrated in FIGS. 6 and 7. The lips
of the valve will separate upon introduction of the cannula and
automatically close when it is withdrawn. The action here is much
like that of a sphincter.
According to FIG. 8, tube 1 terminates in a valve made of a
diametric slit 11 whose opening is caused by manual compression
exerted simultaneously at both ends of the slit.
Thus far, there has been described an apparatus which is
characterized by a combination having the outer tip of any
nasopharyngeal, gastric or duodenal tube weighted or provided with
an inflatable member to allow its fixation to the orifice of a
nostril of the patient and simultaneously ensuring a presentable
appearance together with greater ease of use through the absence of
useless external elements and through improved fixation means
therefor.
In FIG. 9 there is shown a detachable device for joining apparatus
of the type described to a tubular element to thereby allow its
ready affixation and without risk of accidental separation. This is
of real importance because an accidental separation can cause the
tube to drop into the natural cavities where it has been
installed.
The tube of this embodiment is designated by the numeral 1. The
tube support, instead of being constituted of a single element
forming an integral piece with tube 1 is either molded integrally
therewith or is subsequently and permanently joined thereto by
gluing or similar means. An assembly of elements such as 12 and 16
permit fixation of the tube holder to the tube 1 at the time of use
in a manner that the two elements (tube and tube holder) are
positively joined in a manner that is both uncomplicated and
secure.
According to FIG. 9, the body of tube 1 is terminated by the two
members 12 and 16. The tube 12, beyond and olive portion 13,
receives a cylindrical part part 14 which has projections in the
form of multiple, annular, sawtooth projections 15. These
projections are characterized in that in section they have the form
of right triangles, preferably, one leg of the right angle being
angularly disposed to the axis of the device and the hypotenuse
orientated in the direction away from the olive portion 13.
The female piece 16 presents a hemispherical hollow surface to the
cylindrical outer end of the olive 13. The pieces 13 and 16 (or one
of them) are made of semielastic material such as polyethylene. The
pieces are sufficiently rigid to permit an inter-engagement between
the respective sawteeth such that the tube 1 can be securely
grasped between the above-mentioned hemishperical portions.
It should be understood that since pieces 13 and 16 are thus
constituted, piece 16 can slide on the cylindrical part of piece 14
and if sufficient pressure is exerted on piece 16 (piece 14 being
held) piece 16 will move easily over sawtooth projections 15. The
elasticity of the different elements allows compression of the
projections at the favorable moment. This arrangement constitutes a
"ratchet" action to prevent any sliding backward (to the right) of
element 16.
The number of projections 15 is such that a position can always be
found for piece 16 in which it can compress tube 1 sufficiently to
insure tightness and positive engagement. The piece 16 is thus
rigidly joined to piece 12 and can readily support a clip 3 of a
type serving to fix the apparatus on the lobe of the nose.
It is to be noted that to facilitate this function of prehension of
the nose lobe, the piece 16 preferably presents in section an
external configuration that is oval or semioval in order readily to
bear on the inner surface of the outer wall of the nostril. The
bulk of the apparatus is such that it leaves free passage for
respiration as well as for nasal secretions. The member 3 is
constituted by an elastic element that is sufficiently malleable,
however, to permit its adaption to various nostril forms. The pad 4
which forms the free end of piece 13 can bear on the outer wall of
the nose, either directly, or being provided with an added single
or double adhesive surface.
Moreover, according to a characteristic of the present invention,
the outer end of body 12 presents a connecting element for quick,
tight joining, to receive either an obturator or any other device
that is to be connected to the tube, such as syringe, funnel,
tubes, etc. for many and varied uses.
A rapid connection means has been provided in the form of a female
conical element with spiraled lobes 17. The element for quick,
tight joining, to receive either an obturator or any other device
that is to be connected to the tube, such as syringe, funnel,
tubes, etc. for may and varied uses.
A rapid connection means has been provided in the form of a female
conical element with spiraled lobes 17. The element to be
connected, such as tube 18 presents a complementary configuration,
i.e., in the present case, a conical male element that likewise has
spiraled lobes 19. The conical spiraled threadings, which is the
object of the present invention, offers as advantages:
1. The allowance of rapid wedging action. One quarter turn is
normally sufficient because of the very long pitch of the
spiral.
2. An extremely easy cleaning of each of these elements since the
spiraled lobes allow the scraping helix to reach the bottom, which
is not practical with any other types of threading. This is
advantageous for a piece of medical equipment.
It can be understood that the placement of elements 12 and 16 on
the tube can be readily effected by means of a pincer like element,
for instance a hemostat, one branch of which is provided with a
slit truncated conical bowl for installation of the tube and olive
and the other branch presenting a slit cylindrical bowl to receive
piece 16 even thfugh clip 3 is presented. These two pieces can thus
easily be pushed together, the tube itself being held in place
during this operation by the presence of the pincers on the olive
13. This offers the advantage of using a tube cut to a desired
length secured to the tube holder after the tube has been cut to
the exact required length to reach the organ in question to thereby
eliminate the risk of accidental breaking apart of the two
elements.
In general manner, while there has been disclosed effective and
efficient embodiments of the invention, it should be well
understood that the invention is not limited to such embodiments,
as there might be changes made in the arrangement, disposition, and
form of the part without departing from the principle of the
present invention as comprehended within the scope of the
accompanying claims.
* * * * *