U.S. patent number 3,844,290 [Application Number 05/273,361] was granted by the patent office on 1974-10-29 for tracheotomy device.
Invention is credited to Arthur I. Birch, Darrell E. Brown.
United States Patent |
3,844,290 |
Birch , et al. |
October 29, 1974 |
TRACHEOTOMY DEVICE
Abstract
A removable housing, fitting on a tracheotomy tube, includes an
upright, flat type valve for freely and easily opening and closing
the tracheotomy tube during breathing and physical exertions by the
patient.
Inventors: |
Birch; Arthur I. (Littleton,
CO), Brown; Darrell E. (Littleton, CO) |
Family
ID: |
23043586 |
Appl.
No.: |
05/273,361 |
Filed: |
July 20, 1972 |
Current U.S.
Class: |
128/207.16 |
Current CPC
Class: |
A61M
16/0468 (20130101) |
Current International
Class: |
A61M
16/04 (20060101); A61m 025/00 () |
Field of
Search: |
;128/351,145A,147 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Laudenslager; Lucie H.
Attorney, Agent or Firm: Law; Richard D.
Claims
We claim:
1. A tracheotomy tube valve assembly for use with a tracheotomy
tube inserted in the throat of an individual, the assembly
comprising
a an enclosed, hollow housing means having an inlet means and an
outlet means, the housing means includes means to mount said
housing means to the exterior end of said tracheotomy tube whereby
the outlet means is connected to said tube for passage of air,
b closure means having a flat, rigid, closure member positioned
unattached within said housing means, said closure member being
arranged to move about one edge from an open position where the
closure member is completely spaced from the inlet means to a
closed position where said closure member lies against said inlet
means and prevents reverse air flow out of said inlet means during
exhalation by said individual, and
c means for passing air around said closure member so that air will
freely pass during inhalation from the inlet means to the outlet
means when the closure member is in the open position.
2. A tracheotomy tube closure assembly according to claim 1 wherein
said closure member pivots about its bottom edge.
3. A tracheotomy tube closure assembly according to claim 1 wherein
said closure member is thin and lightweight.
4. A tracheotomy tube closure assembly according to claim 1 wherein
said means for passing air around said closure member includes a
plurality of cut-outs along its edge.
5. A tracheotomy tube closure assembly according to claim 5 being
further characterized by stop means in said housing means limiting
movement of said closure member toward the tracheotomy tube
maintaining the same open.
6. A tracheotomy tube closure assembly according to claim 6 wherein
said housing means and said closure member are formed of
plastic.
7. A tracheotomy tube valve assembly comprising a generally
rectangular housing having front and rear walls, side and top walls
and a partial bottom wall; a sloping inner wall extending from said
bottom wall toward said rear wall and connected to said top wall
forming first and second chambers; said first chamber having an
opening in said front wall and an opening in said sloping wall;
said second chamber having an open bottom and a slot in said rear
wall communicating with said open bottom; a flat closure member
pivotally mounted generally upright in said first chamber and
pivotal from its bottom edge and arranged to close said opening in
said front wall; said closure member having air passage means
therearound in said first chamber when out of contact with said
front wall; and stop means in said first chamber arranged to
prevent said closure means from closing said opening in said
sloping wall.
8. A tracheotomy tube valve assembly according to claim 7 wherein
said housing is generally rectangular in cross-section and said
closure member is generally rectangular and of a size to maintain
its position in all attitudes of said housing.
9. A tracheotomy tube valve assembly according to claim 7 wherein
the bottom edge of said closure member is rounded forming a pivot
point therefore.
10. A tracheotomy tube valve assembly according to claim 7 wherein
said second chamber is wedge shaped seating securely on a
tracheotomy tube.
Description
For certain pathological complications, a surgical remedy opens up
the throat of the patient above the bronchi providing a by-pass to
an obstruction for breathing. In many cases such an obstruction
does not otherwise prevent or hinder speaking except for loss of
air over the vocal chords. A metal or a plastic tube may be
installed in the opening to maintain the incision open and
unhindered. The operation provides an auxilliary air passage for
the patient's breathing but not speaking. The use of the
tracheotomy tube does not permit talking (unless closed) and does
not permit the exerting of a force against the patient's diaphragm
for various physical exertions. With an open tube, a patient may
use a finger to close it so as to expel air over the vocal chords
permitting talking, or to exert pressure on the diaphragm and
thereby permit the use of patient's muscles throughout his
body.
One disadvantage of a tracheotomy tube is the inability of the
patient to expel secretions in a normal manner from the lungs by
coughing, unless the tube is closed by a person's finger. Also,
breathing through the tube tends to expel moisture which wets the
patient's clothes, particularly neck wear.
The tracheotomy tubes used heretofore have been unsatisfactory in
many instances, and the known devices for valving the tubes have,
likewise, been found unsatisfactory for many purposes. Particularly
it is important to maintain the tube and the closure means clean,
and in some instances sterilized. The complicated valving devices
of the art were a hindrance to cleanliness and to positive action
under the light pressure of a patient's breathing.
According to the present invention there is provided a light
weight, easily cleaned tracheotomy tube closure device. The closure
device operates on minimum air pressure for fast and easy action
providing positive opening and positive closing of the tube. The
device is small and easily hidden under neck garments. The device
may be made of any material which is inert to human tissue and
which can be easily cleaned or sterilized.
It is, therefore, among the objects and advantages of the present
invention to provide a positive acting tracheotomy tube closure
device easily operated by a person's normal breathing.
Another object of the invention is to provide a tracheotomy tube
closure device having a generally upright flat valve, with a
gravity hinge at its bottom for positive action under very light
breathing of a patient.
Yet another object of the invention is to provide a tracheotomy
tube closure device which is easily attached or detached from a
tracheotomy tube. The means by which the closure device is attached
is dependent upon the type of tube being used.
A still further object of the invention is to provide a simple
tracheotomy tube closure device with a minimum of operating parts
and with a valve closure having minimum movement.
These and other objects and advantages of the invention may be
readily ascertained by referring to the following description and
appended illustrations, in which:
FIG. 1 is a cut-away, side elevational view of a tracheotomy tube
closure according to the invention illustrating its use;
FIG. 2 is a perspective view of a tracheotomy tube closure,
according to the invention;
FIG. 3 is a front elevational view of the device of FIG. 2;
FIG. 4 is a side elevational view of the device of FIG. 2;
FIG. 5 is a rear elevational view of the device of FIG. 2;
FIG. 6 is a side elevational view of the device of FIG. 3, in
section, taken along section lines 6--6 of FIG. 3;
FIG. 7 is a cross sectional view of the device of FIG. 3 taken
along the section lines 6--6 but showing the closure valve in full
open position; and
FIG. 8 is a cross sectional view of the device of FIG. 4 taken
along section line 8--8; and
FIG. 9 is a cross-sectional view of a modified attachment means of
a closure device, according to the invention, on a tracheotomy
tube.
In the device illustrated in FIGS. 1 and 2, a tracheotomy tube
closure, shown in general by numeral 10, is arranged to seat over a
tracheotomy tube 12 which passes through the patient's throat wall
14 and inserted surgically. The tube 12 communicates with the
trachea or upper throat and the exterior thereof. The tube 12
permits breathing by the patient without the use of a person's
mouth 18, since the tube is a by-pass around the mouth and the
upper throat.
The tracheotomy tube closure 10 includes a general outer housing
having a front section 20 with a bore 21 passing therethrough, a
closed top 22 and a short bottom section 23. Sides 25 and 26
support a rear wall 27 having a slot 28 therein. A sloped inner
wall or partition 30 having an opening therethrough 31 depends from
the top wall 22 and the lower wall 23. The inner wall is therefore
biased between the front wall 20 and the rear wall 27. A wedge
shaped space remains between the rear wall 27 and the sloped wall
30 with an open bottom 33, into which the slot 28 opens. The open
bottom 33 and the slot 28 provide means for mounting the unit on a
tracheotomy tube.
Depending internally from the upper wall 22 is a short valve stop
35 positioned centrally, on a lateral basis, and adjacent the
diagonal wall 30. Mounted between the forward wall 20 and the
diagonal wall 30 is a valve closure member or valve 40, shown in
FIG. 8, with the two upper corners cut away leaving diagonal edges
41 and 42. Side notches 43 and 44 are arranged to provide for the
passage of air around the valve. A bottom notch 46, also, permits
passage of some air around the bottom of the valve. The bottom
edges 47 and 48 are rounded so as to seat on the lower wall 23, and
to easily pivot in the space between the stop 35 and the front wall
20. As shown in FIGS. 6 and 7, the valve closure member 40 pivots
from a position adjacent the wall 20 closing the opening 21 to a
position against the stop 35 where the opening 21 is wide open. The
stop prevents the valve from seating against and closing the
opening 31 in the sloped wall 30.
As illustrated in FIG. 6, the tracheotomy tube with a flanged
outlet is arranged to seat in the slot 28 with the flanged end
adjacent the wall 30 of the closure device and the divergent walls
pressing down on the flange of the tube 12 causing the housing to
seat tighter on the tracheotomy tube.
When the valve is in use, as shown in FIG. 1, the housing for the
closure member is generally upright with the valve closure member
40, also, in a generally upright position. In this generally
upright position, the closure member is delicately balanced and
very little pressure inwardly or outwardly from the tube 12 will
cause easy fast movement of the closure member.
To provide a rust-proof, easily cleanable unit, the housing and
valve closure member should be made of one of the light weight
plastics, such as methacrylates, polyethylenes, polypropylenes,
various vinyl polymers and copolymers, and many such similar
plastics. With a light weight plastic valve closure 40 in the
balanced position, movement of the closure is accomplished by very
light air pressure from the breathing of the patient. Any exertion
by the patient or any back pressure exerted by the patient
attempting to talk causes a very small amount of air to move
against the member 40 pushing it against the wall 20, closing the
opening 21, and permitting the patient to either expel air over the
vocal chords for talking or with a closed mount to exert pressure
against the diaphrahm for physical exertion. For breathing in, on
the other hand, very slight suction on the tube 12 moves the
closure member 40 back against the stop, and air freely passes
through the opening 21 around the closure member and into the tube
12 through the opening 31. During breathing out the slight air
pressure against the closure member pushes it against the opening
and the patient may breathe out through the mouth or nose as may be
desired. Thus no breathing of moist air outwardly through the
device is accomplished, and the patient's clothing around the neck
and throat remains dry.
The quick closing action of the device causes the tracheotomy tube
to become pressurized almost instantly whenever breath is exhaled.
This instanteous pressurization prevents secretions from entering
the tracheotomy tube and valve, thereby maintaining the device
clean and free from moisture and secretions.
Different types of tracheotomy tubes have different external end
configurations, and the closure device is easily adapted to fit the
various types. For example, the device of FIGS. 3 - 8 show a
modification for a flanged tube. As illustrated in FIG. 9, a
closure device includes a front wall 52 having an aperture 53
(similar to wall 20), an upright valve member 54, a stop 55 and a
rear wall 56. A depending, tapered tube 57 communicates with the
interior of the valve housing. The tube 57 is arranged to be
inserted in the end of a tracheotomy tube 50, which is mounted
through the throat of the patient. The taper makes the tube 57 seat
securely in the tracheotomy tube and be held there for normal
activities of the patient.
The device of FIG. 9 is used in the same manner as that of the
other modifications. The device is held in an upright position by
the tracheotomy tube, so that the valve member is balanced for
quick and easy movement on light air pressure.
The unit may be made in several sizes depending upon the size of
the tracheotomy tube and the size of the user. For an adult,
however, a housing about one inch wide and three-quarters of an
inch thick at the top provides an excellent size permitting free
breathing for an adult patient even under moderate exertion. A half
inch diameter opening through the front wall will permit sufficient
air to pass through the unit to satisfy the requirements of the
patient. Also, the wedging arrangement securely holds the unit on
the tracheotomy tube, but it may be easily removed for
cleaning.
For tracheotomy tubes of differing design which may not have an
outer flange, a tapered bayonet type attachment may be used as in
FIG. 9. The function of the valve is universally adaptable to all
tracheotomy tubes, only the method of attachment varies.
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