U.S. patent number 3,924,636 [Application Number 05/485,968] was granted by the patent office on 1975-12-09 for endotracheal tube holder.
Invention is credited to Benjamin Alfred Addison.
United States Patent |
3,924,636 |
Addison |
December 9, 1975 |
Endotracheal tube holder
Abstract
An endotracheal tube holder for holding an endotracheal tube in
a patient's mouth during surgery. The tube holder comprises a
flexible, adhesive-backed strip adapted to be secured over the
mouth of the patient. The strip is provided with a central opening
through which the endotracheal tube can be inserted, and a holding
strap having releasable, self-adhering ends is mounted on the strip
adjacent the opening. When the endotracheal tube is properly
positioned, the holding strap is wrapped securely about the tube
and fastened to itself to hold the tube in place.
Inventors: |
Addison; Benjamin Alfred
(Brunswick, GA) |
Family
ID: |
23930105 |
Appl.
No.: |
05/485,968 |
Filed: |
July 5, 1974 |
Current U.S.
Class: |
128/206.25;
128/DIG.26; 128/207.14 |
Current CPC
Class: |
A61M
25/02 (20130101); A61M 16/0497 (20130101); A61M
16/0488 (20130101); A61M 2025/022 (20130101); Y10S
128/26 (20130101); A61M 2025/026 (20130101) |
Current International
Class: |
A61M
25/02 (20060101); A61M 16/04 (20060101); A61M
025/00 () |
Field of
Search: |
;128/133,136-137,147,206,208,283,347-351,DIG.6,DIG.16,DIG.26
;248/56,74PB,25A ;24/73SH,81HS,DIG.11,DIG.18 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Opitz; Rick
Claims
I claim:
1. An endotracheal tube holder for holding an endotracheal tube in
a patient's mouth during surgery comprising an adhesive-backed
strip adapted to be adhesively secured over the mouth of the
patient, the strip having an opening therethrough adapted to
receive an endotracheal tube, and holding means mounted on the
strip adjacent the opening for holding the endotracheal tube as it
extends through the opening, the holding means including a strap
having self-adhering ends and a strap support secured to the
adhesive-backed strip adjacent the opening, the strap support
having a portion extending from the strip generally parallel to the
axis of the opening, the strap extending generally perpendicularly
to said strap support portion and having a length sufficient to
permit the strap to be wrapped around the tube with the ends of the
strap means in overlapping adhering relationship whereby the strap
can be wrapped around the tube in a plane extending generally
perpendicularly to the axis of the opening and the tube can be held
in a position generally parallel with the axis of the opening.
2. The tube holder of claim 1 in which the self-adhering ends of
the strap include interengageable hook-and-loop fastening
means.
3. The tube holder of claim 1 in which the adhesive-backed strip
includes a release strip covering the adhesive, the release strip
being removable from the adhesive-backed strip when the tube holder
is to be secured to the patient's mouth.
4. The tube holder of claim 1 in which the adhesive-backed strip is
formed of flexible material to permit the strip to conform to the
contour of the patient's face.
Description
BACKGROUND AND SUMMARY
This invention relates to an endotracheal tube holder for use
during surgery. During most major surgical cases involving general
anesthesia, a tube is inserted through the patient's mouth into the
trachea to ensure an open airway. The tube is desirably held in a
fixed position, and a common practice is to use a considerable
amount of adhesive tape. Many physicians have their own favorite
technique for securing the tube. Other means for holding
endotracheal tubes are shown, for example, in U.S. Pat. Nos.
2,908,269, 3,602,227, and 3,713,448.
However, past techniques have not been entirely satisfactory. For
example, the lack of standardization in the taping techniques might
introduce inconsistencies in the method of securing the tube from
one operation to another; the procedure might be too
time-consuming; and the tape might not anchor the tube in a fixed
position.
The invention provides a standardized method and means for holding
an endotracheal tube which can be quickly applied and which
securely holds the tube in the desired position. The tube holder
includes an adhesive-backed plastery with a central opening. When
the tube is positioned properly, the tube holder is slipped over
the exterior end of the tube, the release strip on the adhesive is
pulled off, and the plastery is adhered over the mouth. A strap
having self-adhering ends which is mounted on the plastery is then
wrapped around the tube and adhered to itself to anchor the tube in
place. The tube can be removed if desired without removing the
plastery merely by detaching the ends of the strap and withdrawing
the tube. The tube holder can be removed from the the patient
merely by stripping the single adhesive strip from the patient's
face.
DESCRIPTION OF THE DRAWING
The invention will be explained in conjunction with an illustrative
embodiment shown in the accompanying drawing, in which
FIG. 1 is a fragmentary side view of an endotracheal tube holder
formed in accordance with the invention which is applied to a
patient and which is holding an endotracheal tube;
FIG. 2 is a front elevational view of the tube holder, which also
illustrates in phantom an endotracheal tube and the tube holding
strap in a tube-holding position; and
FIG. 3 is a top plan view of the tube holder taken along the line
3--3 of FIG. 2.
DESCRIPTION OF SPECIFIC EMBODIMENT
Referring now to the drawing, the numeral 10 designates generally
an endotracheal tube holder which includes an adhesive-backed strip
or plastery 11 and a tube-holding strap 12. The strip 11 is
relatively elongated and is adapted to fit lengthwise over the
mouth below the nose. A central opening 13 is provided through the
strip, and the adhesive backing extends from lines 14 and 15
laterally outwardly of the opening to the ends 16 and 17 of the
strip. Release strips 17 and 18 cover the adhesive areas before the
tube holder is used, and each release strip includes a free end
portion 17a and 18a, respectively, which extends over the central
non-adhesive-backed portion 19 of the strip to facilitate removal
of the release strips.
The tube-holding strap 12 is secured to the central portion of the
strip 11 immediately above the tube opening 13 by a support strap
20. The support strap is suitably secured to both the strip 11 and
the tube-holding strap 12, as by adhesive or the like, and the
support strap is seen to be generally L-shaped, having a portion
20a which is secured to the strip 11 and which extends generally
perpendicularly to the axis of the opening 13 and a portion 20b
which is attached to the tube-attaching strap 12 and which extends
generally parallel to the axis of the opening 13.
The tube-attaching strap 12 is relatively elongated and includes a
pair of end portions 22 and 23 which are adapted to be
self-adhering when they are wrapped around the endotracheal tube
and pressed together. In the particular embodiment illustrated, the
adhering means comprises hook-and-loop fastening means which are
sold under the name Velcro. The end portion 22 comprises a pad
having a plurality of felt-like hooks on the upper surface thereof
as viewed in FIG. 2, and the end portion 23 comprises a pad having
a plurality of loops on the lower surface thereof as viewed in FIG.
2 which are interengageable with the hooks on the end portion 22.
Since this type of fastening means is well-known, a detailed
description thereof is unnecessary. It will be understood that many
other self-adhering means can be used. For example, one or both
ends of the strap can be provided with a pressure-sensitive
adhesive.
Referring now to FIG. 1, an endotracheal tube 24 is shown inserted
through the mouth of a patient P into the patient's trachea. After
the tube is properly positioned, the tube holder is slipped over
the exterior end (not shown) of the endotracheal tube by passing
the end of the tube through the opening 13. The tube holder is then
slipped along the tube toward the patient's mouth, and the release
strips 17 and 18 are removed to expose the adhesive. The strip 11
is then secured over the mouth of the patient below the patient's
nose by pressing the adhesive against the cheeks. The strip 11 is
advantageously formed of flexible material, such as thin plastic or
the like so that the strip can readily conform to the contour of
the patient's face. The tube-holding strap 12 is then wrapped
around the tube and the end portions 22 and 23 are secured together
to anchor the tube in place. The tube is illustrated in phantom in
FIG. 2 at 24', and the adhered end portions of the strap are
indicated at 22' and 23'.
The portion 20b of the support strap 20 which is secured to the
tube-holding strap 12 extends outwardly from the mouth generally
parallel to the axis of the opening 13, and the tube-holding strap
can therefore be wrapped around the tube in a plane which extends
generally perpendicularly to the axis of the opening. Accordingly,
the tube 24 can be held in a position in which it extends generally
parallel to the axis of the opening.
The endotracheal tube can be withdrawn from the patient without
removing the tube holder merely by detaching the adhered ends of
the tube-holding strap 12 and withdrawing the tube. If the tube is
to be reinserted, the tube can be inserted through the opening 13
and re-secured by the tube-holding strap. When the tube holder is
to be removed from the patient, the adhesive-backed portions of the
strip can merely be peeled away from the face.
Although the tube holder anchors the tube securely, it is
relatively inexpensive, and it is disposable after a single
use.
While I have described the tube-holding means as being a strap
having self-adhering ends, the strap can also be equipped with
means for securing the strap directly to the tube rather than to
itself. For example, the strap can be provided with
pressure-sensitive adhesive so that the strap can be secured around
the tube.
The support strap 20 desirably assumes an L-shape in use so that
the tube will be held in a position in which it extends parallel
with the axis of the opening in the flexible strip. This support
strap can be either flexible or inflexible, and I have found it
advantageous to make the strap of flexible material to permit
packaging the tube holder in a flat package.
While in the foregoing specification a detailed description of a
specific embodiment was set forth for the purpose of illustration,
it is to be understood that many of the details herein given may be
varied considerably by those skilled in the art without departing
from the spirit and scope of the invention.
* * * * *