U.S. patent number 3,682,171 [Application Number 05/129,726] was granted by the patent office on 1972-08-08 for nasal cannula.
This patent grant is currently assigned to Baxter Laboratories, Inc.. Invention is credited to Carmelo P. Dali, Walter T. Szempruch.
United States Patent |
3,682,171 |
Dali , et al. |
August 8, 1972 |
NASAL CANNULA
Abstract
Nasal cannula device molded of a soft, flexible material
includes a tubular member which supports a pair of integral cannula
extensions. Openings at each end of the tubular member provide
alternative connection points for an oxygen supply tube. An
arch-like nose bridge engageable band member integrally attached to
the tubular member outwardly of the cannula extensions has a layer
of adhesive on its under surface for anchoring the cannula to the
patient's nose.
Inventors: |
Dali; Carmelo P. (Niles,
IL), Szempruch; Walter T. (Chicago, IL) |
Assignee: |
Baxter Laboratories, Inc.
(Morton Grave, IL)
|
Family
ID: |
22441310 |
Appl.
No.: |
05/129,726 |
Filed: |
March 31, 1971 |
Current U.S.
Class: |
128/207.18 |
Current CPC
Class: |
A61M
16/0672 (20140204); A61M 16/0688 (20140204) |
Current International
Class: |
A61M
16/06 (20060101); A61m 015/08 () |
Field of
Search: |
;128/206,348,14N,14R,145R,142-142.7,198-200 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
|
|
|
|
|
|
|
1,124,404 |
|
Jul 1956 |
|
FR |
|
398,989 |
|
Jul 1924 |
|
DD |
|
244,733 |
|
Feb 1926 |
|
IT |
|
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Mitchell; J. B.
Claims
That which is claimed is:
1. A nasal oxygen cannula formed of soft flexible material and
comprising an elongated cannula member, a pair of nasal cannula
extension portions integral with and extending generally radially
outwardly from a central region of said cannula member, said pair
of nasal cannula being in flow communication with said elongated
cannula member, an arch-like portion adapted to extend across the
bridge of the nose of a user integrally joined at its ends to
regions of said cannula member which are spaced away from said
central region and toward the respective ends of said cannula
member, said arch-like portion extending from said cannula member
in generally the same direction as said nasal cannula extension
portions and having a width along a midline of the arch in a
direction which is transverse to the length of the arch which is
greater than the diameter of one of the cannula extension portions
and less than the spacing along said midline between the cannula
member and the remotest point of said arch-like portion, means on
said arch-like portion for attaching same to the nose of a user,
and at least one opening in said cannula member for connecting said
cannula to a source of oxygen.
2. The nasal oxygen cannula of claim 1 wherein said arch-like
portion has a width considerably greater than its thickness and a
generally smooth undersurface.
3. The nasal oxygen cannula of claim 2 wherein said means for
attaching includes a portion of said undersurface covered by a
layer of adhesive.
4. The nasal oxygen cannula of claim 3 wherein said adhesive is of
the pressure sensitive type and is protected before use by a layer
of easily removed, lightly adherable material.
5. The nasal oxygen cannula of claim 1 wherein said cannula member
has openings at each of its ends adapted to receive either a length
of oxygen supply tubing or a sealing plug.
6. The nasal oxygen cannula of claim 1 wherein the ends of the
cannula extensions which are remote from the cannula member have a
greater internal diameter than the remainder of the cannula
extensions.
7. The nasal oxygen cannula of claim 1 wherein the cannula
extensions have their axes generally parallel to the transverse
midline of the arch-like portion.
8. The nasal oxygen cannula of claim 1 wherein said cannula member
is curved.
9. The nasal oxygen cannula of claim 1 wherein the width along the
midline of said arch-like portion is approximately one half of the
distance between the cannula member and the remotest point on the
midline of said arch-like portion.
10. The nasal oxygen cannula of claim 9 wherein the width along the
midline of said arch-like portion is less than one-half of the
distance between the central region of the cannula member and the
remotest point on the midline of said arch-like portion.
11. The nasal oxygen cannula of claim 9 wherein said arch-like
portion has a width considerably greater than its thickness, is
smooth on its undersurface, and is covered over a portion of said
undersurface by a layer of pressure sensitive adhesive.
12. The nasal oxygen cannula of claim 11 wherein said cannula is
injection molded of a soft vinyl plastic.
Description
BACKGROUND OF THE INVENTION
This invention relates to a nasal cannula device for delivering
oxygen to a patient over a relatively long period of time.
There are many devices for carrying oxygen into the nostrils of a
patient which are shown in the prior art. Although each of these
prior art devices performs the function of delivering oxygen to a
patient, it does so with some degree of discomfort to the patient.
Most of the prior art devices rely on the use of elastic bands
encircling the wearer's head to provide the support necessary for
maintaining the cannula extensions in position within the wearer's
nostrils. Others utilize the oxygen supply tubing as a support,
sometimes by having a length of tubing extending from each end of
the cannula with the two lengths of tubing being adjustably
fastened to each other at a point behind the wearer's head. More
often, the latter type of device is anchored by looping the lengths
of tubing over the wearer's ears and fastening them together under
his chin. When such prior art devices are worn for an extended
period of time, they generally chafe and irritate the wearer's skin
as he moves his head. They also are uncomfortable and often
interfere with the wearer's sleep since they press into his flesh
as he moves his head on his pillow. U.S. Pat. Nos. 2,735,432,
2,831,487, 2,868,199, 2,931,358 and 3,513,844 are illustrative of
the aforementioned types of devices.
In U.S. Pat. No. 3,046,989, a flat ductile metal member is shown
which has an adhesive coating on one side and includes a pair of
integral tabs which are adapted to encircle a non-integral single
nasal tube. The metal member is adhered to a patient's nose and
deformed into conforming shape after a nasal tube has been placed
into the patient's nostril. The tabs are then bent around the nasal
tube to anchor it. Being made of flat metal, the member would be
rather difficult to conform to the shape of the wearer's nose so as
to achieve good contact with most of the adhesive. In addition, the
metal, being a good conductor, would probably feel uncomfortably
cold to the wearer when it was initially fastened to him.
SUMMARY
It is an object of this invention to provide a nasal cannula device
which is effective for its purpose and more comfortable to the
patient than previously known devices while yet being relatively
simple and economical to manufacture.
It is a further object of this invention to provide a nasal cannula
which may be attached to a source of oxygen located on either side
of a patient's bed without having the supply tube pass over the
patient's body.
It is another object of the invention to provide a nasal cannula
which is shaped so that a single size can be worn comfortably by
the vast majority of potential users.
These and other objects are obtained by the present invention
wherein a nasal cannula is formed, preferably by injection molding,
from a soft plastic material such as vinyl or plastisol or from
silicone rubber. Since the cannula is adapted to be adhesively
fastened to the wearer's nose, it is within his field of view.
Thus, the cannula, like the frames of a new pair of glasses, can be
slightly distracting when first worn. However, the patient quickly
becomes used to it and forgets he is wearing it. To minimize the
initial distraction, the cannula can be molded of a generally clear
material which is frosted to reduce glare.
The cannula device basically comprises as open ended curved cannula
member which has a pair of spaced integral cannula extensions
extending generally radially upwardly from its central region. The
cannula extensions are formed generally parallel to the transverse
midline of an arched nose bridge engageable band which is
integrally connected to the cannula tube near its ends. The cannula
extensions are preferably slightly flared at their outer ends. The
flaring causes a slight reduction in the velocity of the oxygen as
it enters the wearer's nostrils and therefore minimizes the
possibility of damage to the mucosa. It has been found that by
making the cannula so that the arched band has a width along its
transverse midline where it engages the bridge of the nose of about
22 millimeters, the cannula can be comfortably and effectively worn
by the vast majority of potential users, even though the sizes and
shapes of the noses of the persons in this group vary widely.
Preferably, the cannula device is attached to the bridge of the
wearer's nose so that the center of the cannula member either
touches or is very close to the web separating the wearer's
nostrils. For most of these users, the cannula member will be
supported by the nose contacting band so as to be spaced slightly
from the wearer's lip rather than resting upon it. For small
children, a scaled down version of the device may be used. The
adhesive used to attach the device to the patient should be
hypo-allergenic and may be either coated onto the underside of the
arched band portion or applied to it in the form of a double-faced
pressure sensitive tape. In either of these forms, the adhesive
surface which is to be attached to the patient should be protected
with an easily removed protective covering such as plastic coated
paper which has little affinity for the adhesive. Rather than
manufacture the cannula with the adhesive on it, it would also be
possible to apply a piece of double faced tape to either the
cannula or the patient at the time the cannula is fitted to the
patient. Although the cannula member preferably is open at each end
so that the oxygen supply tubing can be attached from either end,
depending on the location of the patient relative to the oxygen
supply, it would of course be possible to mold the cannula with one
closed end to avoid the necessity of placing a plug in the end
which is not connected to the oxygen supply.
The foregoing and other objects, features and advantages of the
invention will be apparent from the following more particular
description of a preferred embodiment thereof, as illustrated in
the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view showing the cannula of the present
invention in exploded relationship with a sealing plug and oxygen
supply tube;
FIG. 2 is a side view of the cannula with the oxygen supply tubing
removed showing its position relative to a diagrammatic
representation of the nasal passages of a human patient;
FIG. 3 is a front view of the cannula with a portion thereof shown
in section; and
FIG. 4 is a cross-sectional view taken on the line 4--4 of FIG.
3.
DESCRIPTION OF THE PREFERRED EMBODIMENT
In FIG. 1, a nasal oxygen cannula indicated generally at 10, which
is preferably injection molded of a soft flexible plastic or
rubber-like material, comprises an elongated cannula member 12
which has an opening or passageway 14 extending throughout its
length. A pair of hollow cannula extension members 18, 20 extend
radially outwardly from the central region 22 of the cannula member
12. Preferably, the internal diameter of the cannula extensions 18,
20 is greater at the free ends thereof, as shown in FIG. 3, in
order to lower the velocity of and slightly diffuse the oxygen
delivered by the extensions, so that the oxygen will impinge only
lightly upon the mucosa in the nostrils of a patient wearing the
cannula. The elongated opening or passageway 14 may be attached to
an oxygen supply tube 26 at one of its ends and may be closed off
by a plug member 28 at its other end. The end which is to be
attached to the oxygen supply tubing 26 is determined by the
location of the source of oxygen relative to the location of the
patient. Generally, it is desirable that the tubing 26 be connected
to the end of the cannula member which is on the same side of the
patient as the oxygen supply so as to eliminate the need for the
tubing to cross the patient's body, as is often necessary with
cannula devices wherein the tubing is non-removably affixed to one
end of the cannula.
Attached to the cannula member 12 at opposite end regions 32, 34
thereof is a thin (approximately 2mm thick) arch-like band portion
indicated generally at 38 which includes a pair of leg portions 40,
42 which are connected to each other by a generally U-shaped
portion 44 which is formed so as to closely approximate the shape
of the human nose along the bridge thereof. The legs 40, 42 and the
U-shaped portion 44 are relatively flat and much wider than they
are thick and have a smooth undersurface where they are to contact
the wearer. The legs twist somewhat from their junctures 32, 34
with the cannula member 12 to the region in which they join the
U-shaped portion 44 in a manner which approximates the contours of
a wearer's face and nose. To anchor the U-shaped portion 44 to a
wearer's nose, a layer of adhesive 48 is provided. The adhesive 48
is normally protected by a lightly adhering plastic or paper layer
50 which may be readily removed when the cannula is to be used. In
use, the cannula extensions 18, 20 are placed into the nostrils N
of a patient P as shown in FIG. 2 so that the cannula member 12
touches or comes close to the lower portion of the patient's nose.
The U-shaped portion 44 is then pressed against the nose so as to
cause the adhesive 48 to adhere firmly. In this position, the
cannula extensions 18, 20 cannot be unintentionally displaced from
the nostrils N. However, the flexible nature of the cannula member
12 and legs 40, 42 permits the extensions 18, 20 to be
intentionally pulled out of the nostrils N and the cannula member
12 left to rest comfortably on the tip of the nose without
unfastening the adhesive 48 from the nose. Thus, the patient can
blow his nose or permit it to be examined without rendering the
adhesive ineffective. In order to permit the device to accommodate
to a large range of nose shapes and sizes, the U-shaped portion 44
should have a width as measured on the line a-b in FIG. 3 which is
great enough to provide a sufficient surface to achieve a good
adhesive bond to the nose and small enough that it will not extend
upwardly past the bridge of the nose on a small-nosed patient. It
is also preferable that the U-shaped portion not cover the tip of
the nose. It has been found that a dimension a-b of a size greater
than the diameter of the cannula extension 18 and less than the
distance a-c from the cannula member 12 to the uppermost part of
the U-shaped portion 44 will provide satisfactory results although
it is preferable that the dimension a-b be about one half of or
slightly less than one half of the distance a-c. Line a-b-c defines
a midline of U-shaped, or arch-like, portion 44 in a direction
transverse to the length of portion 44.
* * * * *