公开(公告)号：US20110290245A1

公开(公告)日：2011-12-01

申请号：US12788409

申请日：2010-05-27

申请人： Brian J. Cuevas ,  Michael Sleva ,  Joseph A. Cesa

发明人： Brian J. Cuevas ,  Michael Sleva ,  Joseph A. Cesa

IPC分类号： A61M16/04 ,  A61M29/02

CPC分类号： A61M29/02 ,  A61M16/0443 ,  A61M16/0445 ,  A61M16/0459 ,  A61M16/0472 ,  A61M2025/0046 ,  A61M2025/1084 ,  A61M2025/1088

摘要： There is provided a device for performing a balloon dilation tracheostomy. The balloon has internal braces or “stays” extending from the center to the inside surface of the balloon, though other arrangements are possible. The braces control the ultimate expansion and final shape of the balloon when it is fully inflated, inhibiting the ability of parts of the balloon to herniate. The balloon should also expand more uniformly, allowing the practitioner to more confidently expand the tracheal stoma site and ensuring a successful dilation and tube placement.

摘要翻译： 提供了一种用于进行气球扩张气管切开术的装置。 气球具有从气球的中心延伸到内表面的内部支撑或“撑杆”，尽管其他的布置是可能的。 当充分充气时，支架控制气球的极限膨胀和最终形状，从而抑制气球部件的疝气的能力。 气球也应该更均匀地扩张，从而使医师更自信地扩大气管造口部位，并确保成功的扩张和放置管子。

公开(公告)号：US20090320852A1

公开(公告)日：2009-12-31

申请号：US12147952

申请日：2008-06-27

申请人： Brian J. Cuevas ,  Joe Cesa ,  Michael Sleva ,  Sam Chan

发明人： Brian J. Cuevas ,  Joe Cesa ,  Michael Sleva ,  Sam Chan

IPC分类号： A61M16/00

CPC分类号： A61M16/04 ,  A61M16/0434 ,  A61M16/0488 ,  A61M16/0497

摘要： There is provided a novel tracheostomy tube flange. The flange is made of a flexible material and has a large open area for viewing of the underlying skin. The flange has holes for suturing the flange to the skin and slots for attachment of a strap to surround the neck and keep the flange and tube in place. The flange may swivel on the tube to allow for greater flexibility in attaching it to the skin. A stoma pad may be used with the flange to help keep the skin under the flange healthy.

摘要翻译： 提供了一种新型气管切开管法兰。 凸缘由柔性材料制成，并具有大的开放区域，用于观察下面的皮肤。 法兰具有用于将凸缘缝合到皮肤的孔和用于附接带以围绕颈部并且将法兰和管保持在适当位置的槽。 凸缘可以在管上旋转以允许在将其附接到皮肤上具有更大的灵活性。 造口垫可与法兰一起使用，以帮助将皮肤保持在法兰下方。

公开(公告)号：US09119926B2

公开(公告)日：2015-09-01

申请号：US12533531

申请日：2009-07-31

申请人： Brian J. Cuevas ,  Joseph A. Cesa ,  Scott M. Teixeira ,  Michael Sleva ,  Adrienne A. Hershey ,  Stephen A. Baratian

发明人： Brian J. Cuevas ,  Joseph A. Cesa ,  Scott M. Teixeira ,  Michael Sleva ,  Adrienne A. Hershey ,  Stephen A. Baratian

IPC分类号： A61M16/04 ,  A61M1/00 ,  A62B9/02 ,  A62B9/06

CPC分类号： A61M16/04 ,  A61M1/0062 ,  A61M1/0064 ,  A61M1/0084 ,  A61M16/0434 ,  A61M16/0443 ,  A61M16/0463 ,  A61M16/0465 ,  A61M16/0479 ,  A61M16/0486 ,  A61M16/201 ,  A61M16/208

摘要： A subglottic suctioning system with a tracheal tube having a ventilation lumen, a cuff inflation lumen, and a suction lumen are disclosed which may help reduce the incidence of ventilator associated (or acquired) pneumonia. The suction lumen communicates with the space in the trachea above the cuff where secretions accumulate. The suction lumen has a valve on the proximal end for connection to a source of vacuum. The valve is adapted to interrupt the supply of vacuum to the suction lumen to allow for the introduction of a rinsing fluid in its place and to automatically re-establish the connection to the source of vacuum upon completion of rinsing. The rinsing fluid aids in maintaining an open suction lumen and may include medicaments and mucolytic agents to enhance or promote healing or to alter the properties of the mucus to make removal easier. The user may easily and repeatedly alternate suction and rinsing fluid through the suction lumen, i.e., the user may “pulse” the line to loosen, break up and remove secretions and deposits that may partially or completely block or clog the suction lumen.

摘要翻译： 公开了具有气管管的声门下抽吸系统，其具有通气腔，袖带充气腔和抽吸腔，这可有助于减少呼吸机相关（或获得性）肺炎的发生。 吸入腔与分泌物积聚的袖带上方的气管中的空间连通。 吸入腔在近端具有用于连接到真空源的阀。 该阀适于中断向吸入腔供应真空以允许在其位置引入冲洗液体，并且在完成冲洗时自动重建与真空源的连接。 冲洗流体有助于维持开放的抽吸腔，并且可以包括药物和粘液溶解剂，以增强或促进愈合或改变粘液的性质以使得更易于除去。 用户可以容易地和重复地通过吸入腔交替吸入和冲洗流体，即使用者可以“脉冲”该线路以松开，分解和去除可部分地或完全阻塞或阻塞吸入腔的分泌物和沉积物。

公开(公告)号：US20110023884A1

公开(公告)日：2011-02-03

申请号：US12533531

申请日：2009-07-31

申请人： Brian J. Cuevas ,  Joseph A. Cesa ,  Scott M. Teixeira ,  Michael Sleva ,  Adrienne A. Hershey ,  Stephen A. Baratian

发明人： Brian J. Cuevas ,  Joseph A. Cesa ,  Scott M. Teixeira ,  Michael Sleva ,  Adrienne A. Hershey ,  Stephen A. Baratian

IPC分类号： A61M16/04 ,  A61M1/00

CPC分类号： A61M16/04 ,  A61M1/0062 ,  A61M1/0064 ,  A61M1/0084 ,  A61M16/0434 ,  A61M16/0443 ,  A61M16/0463 ,  A61M16/0465 ,  A61M16/0479 ,  A61M16/0486 ,  A61M16/201 ,  A61M16/208

摘要： A subglottic suctioning system with a tracheal tube having a ventilation lumen, a cuff inflation lumen, and a suction lumen are disclosed which may help reduce the incidence of ventilator associated (or acquired) pneumonia. The suction lumen communicates with the space in the trachea above the cuff where secretions accumulate. The suction lumen has a valve on the proximal end for connection to a source of vacuum. The valve is adapted to interrupt the supply of vacuum to the suction lumen to allow for the introduction of a rinsing fluid in its place and to automatically re-establish the connection to the source of vacuum upon completion of rinsing. The rinsing fluid aids in maintaining an open suction lumen and may include medicaments and mucolytic agents to enhance or promote healing or to alter the properties of the mucus to make removal easier. The user may easily and repeatedly alternate suction and rinsing fluid through the suction lumen, i.e., the user may “pulse” the line to loosen, break up and remove secretions and deposits that may partially or completely block or clog the suction lumen.

摘要翻译： 公开了具有气管管的声门下抽吸系统，其具有通气腔，袖带充气腔和抽吸腔，这可有助于减少呼吸机相关（或获得性）肺炎的发生。 吸入腔与分泌物积聚的袖带上方的气管中的空间连通。 吸入腔在近端具有用于连接到真空源的阀。 该阀适于中断向吸入腔供应真空以允许在其位置引入冲洗液体，并且在完成冲洗时自动重建与真空源的连接。 冲洗流体有助于维持开放的抽吸腔，并且可以包括药物和粘液溶解剂，以增强或促进愈合或改变粘液的性质以使得更易于除去。 用户可以容易地和重复地通过吸入腔交替吸入和冲洗流体，即使用者可以“脉冲”该线路以松开，分解和去除可能部分地或完全阻塞或堵塞抽吸腔的分泌物和沉积物。

公开(公告)号：US20090320854A1

公开(公告)日：2009-12-31

申请号：US12147817

申请日：2008-06-27

申请人： Brian J. Cuevas ,  Michael Sleva ,  Joe Cesa ,  Marjory Greenhalgh

发明人： Brian J. Cuevas ,  Michael Sleva ,  Joe Cesa ,  Marjory Greenhalgh

IPC分类号： A61M16/00

CPC分类号： A61M16/0472 ,  A61M16/0434 ,  A61M16/0488 ,  A61M29/00 ,  A61M2210/065

摘要： There is provided a device for performing a tracheotomy. The tracheostomy dilator has a body and a tip which are detachably attached. The dilator has a cannula sized to accommodate a guiding catheter. The tip has a proximal inner portion which is within the body while the tip is attached to the body. After the trachea has been dilated, the body may be detached from the tip and removed and a tracheostomy tube may be inserted over the inner portion of the tip. The tip then may serve to guide a tracheostomy tube into the trachea. After the tracheostomy tube is installed, the tip and other components may be withdrawn through the tracheostomy tube and the tracheostomy tube placed in service.

摘要翻译： 提供了用于执行气管切开术的装置。 气管造口术扩张器具有可拆卸地附接的主体和尖端。 扩张器具有尺寸适于容纳导向导管的套管。 尖端具有近端内部部分，其在尖端附接到身体的同时在身体内。 在气管已经膨胀之后，身体可以从尖端分离并移除，并且气管切开管可以插入在尖端的内部部分上。 然后，尖端可以用于将气管造口管引导到气管中。 气管切开管安装完毕后，可以通过气管造口管和气管造口管将尖端和其他部件取出。

公开(公告)号：US20090320833A1

公开(公告)日：2009-12-31

申请号：US12147873

申请日：2008-06-27

申请人： Brian J. Cuevas ,  Michael Sleva ,  Joe Cesa ,  Marjory Greenhalgh

发明人： Brian J. Cuevas ,  Michael Sleva ,  Joe Cesa ,  Marjory Greenhalgh

IPC分类号： A61M16/04

CPC分类号： A61M16/0472 ,  A61M16/0434 ,  A61M16/0488 ,  A61M16/0497 ,  A61M2210/065

摘要： There is provided a method for performing a tracheotomy. In this method a tracheostomy dilator has a body and a tip which are detachably attached. The tip has a proximal inner portion which is within the body while the tip is attached to the body. The dilator is inserted into the trachea and used to dilate an opening. After the trachea has been dilated, the body may be detached and removed from the tip, the tip remaining partially in the trachea. A dilator loading catheter installed within a tracheostomy tube may be mated with the tip and the tip, loading catheter and tracheostomy tube moved into the trachea. After the tracheostomy tube is installed, the tip and loading catheter may be withdrawn through the tracheostomy tube and the tracheostomy tube placed in service.

摘要翻译： 提供了一种执行气管切开术的方法。 在该方法中，气管造口术扩张器具有可拆卸地附接的主体和尖端。 尖端具有近端内部部分，其在尖端附接到身体的同时在身体内。 将扩张器插入气管并用于扩张开口。 气管扩张后，身体可以脱离并从尖端移除，尖端部分保留在气管中。 安装在气管切开管内的扩张器加载导管可以与尖端和尖端配合，将导管和气管造口管移入气管中。 安装气管造口管后，可以通过气管造口管和气管造口管放置顶端和装载导管。

公开(公告)号：USD605759S1

公开(公告)日：2009-12-08

申请号：US29320492

申请日：2008-06-27

申请人： Brian J. Cuevas ,  Michael Sleva ,  Joe Cesa ,  Marjory Greenhalgh

设计人： Brian J. Cuevas ,  Michael Sleva ,  Joe Cesa ,  Marjory Greenhalgh

公开(公告)号：US08607795B2

公开(公告)日：2013-12-17

申请号：US12206517

申请日：2008-09-08

申请人： Brian J. Cuevas ,  Michael Sleva ,  James F. Schumacher ,  Michael A. Kenowski ,  Sam C. Chan ,  Ryan C. Frank

发明人： Brian J. Cuevas ,  Michael Sleva ,  James F. Schumacher ,  Michael A. Kenowski ,  Sam C. Chan ,  Ryan C. Frank

IPC分类号： A62B9/06 ,  A61M16/00

CPC分类号： A61M16/0465 ,  A61M16/0434 ,  A61M16/0445 ,  A61M16/0479 ,  A61M16/0488

摘要： There is provided a balloon cuffed tracheostomy tube with a balloon designed so as to enhance the tube's anchorability without sealing the tracheal stoma. The tracheostomy tube device includes a conventional curved hollow tube. The distal end of the tube is adapted for insertion through a tracheal stoma and into the tracheal lumen of a patient's throat. The device further includes an inflatable balloon enveloping a portion of the tube. The balloon has a distal portion substantially centered about and attached to the distal end portion of the tube. The balloon also has a proximal portion attached to the bend region of the tube and positioned substantially off-center relative to the proximal portion of the tube and about the bend region below the proximal plane of the device. Upon inflation, this configuration provides for expansion of the balloon around the distal end portion of the tube and the proximal end portion of the tube below the proximal plane of the device to seal the trachea below the tracheal stoma and to avoid sealing the trachea above the tracheal stoma. This configuration of the balloon should allow secretions to exit the stoma so that they do not accumulate and become a possible source of ventilator acquired pneumonia.

摘要翻译： 提供了一种气囊带气管气管造口管，其气囊被设计成在不密封气管造口的情况下增强管的可固定性。 气管切开管装置包括传统的弯曲中空管。 管的远端适于插入穿过气管造口并进入患者喉部的气管腔。 该装置还包括包封管的一部分的可充气气囊。 气球具有基本上位于管的远端部分周围并附接到管的远端部分的远侧部分。 球囊还具有附接到管的弯曲区域的近端部分，并且相对于管的近端部分并且围绕设备的近侧平面下方的弯曲区域基本上偏心定位。 在膨胀时，这种构造提供气囊围绕管的远端部分的扩张和管的近端部分在器械的近侧平面下方的密封，以将气管密封在气管造口下方，并且避免将气管密封在气管 气管造口 气囊的这种配置应该允许分泌物离开造口，使得它们不会积聚并成为呼吸机获得性肺炎的可能来源。

公开(公告)号：US08307824B2

公开(公告)日：2012-11-13

申请号：US12147873

申请日：2008-06-27

申请人： Brian J. Cuevas ,  Michael Sleva ,  Joe Cesa ,  Marjory Greenhalgh

发明人： Brian J. Cuevas ,  Michael Sleva ,  Joe Cesa ,  Marjory Greenhalgh

IPC分类号： A61M16/00

CPC分类号： A61M16/0472 ,  A61M16/0434 ,  A61M16/0488 ,  A61M16/0497 ,  A61M2210/065

摘要： There is provided a method for performing a tracheotomy. In this method a tracheostomy dilator has a body and a tip which are detachably attached. The tip has a proximal inner portion which is within the body while the tip is attached to the body. The dilator is inserted into the trachea and used to dilate an opening. After the trachea has been dilated, the body may be detached and removed from the tip, the tip remaining partially in the trachea. A dilator loading catheter installed within a tracheostomy tube may be mated with the tip and the tip, loading catheter and tracheostomy tube moved into the trachea. After the tracheostomy tube is installed, the tip and loading catheter may be withdrawn through the tracheostomy tube and the tracheostomy tube placed in service.

摘要翻译： 提供了一种执行气管切开术的方法。 在该方法中，气管造口术扩张器具有可拆卸地附接的主体和尖端。 尖端具有近端内部部分，其在尖端附接到身体的同时在身体内。 将扩张器插入气管并用于扩张开口。 气管扩张后，身体可以脱离并从尖端移除，尖端部分保留在气管中。 安装在气管切开管内的扩张器加载导管可以与尖端和尖端配合，将导管和气管造口管移入气管中。 安装气管造口管后，可以通过气管造口管和气管造口管放置顶端和装载导管。

公开(公告)号：US20090163942A1

公开(公告)日：2009-06-25

申请号：US12004245

申请日：2007-12-20

申请人： Brian J. Cuevas ,  Michael Sleva ,  Joe Cesa ,  Sam Chan ,  Nathan Griffith

发明人： Brian J. Cuevas ,  Michael Sleva ,  Joe Cesa ,  Sam Chan ,  Nathan Griffith

IPC分类号： A61B17/32 ,  A61M29/00

CPC分类号： A61M16/0472 ,  A61B17/3415 ,  A61M25/0612 ,  A61M29/00

摘要： There is provided a device for performing an initial piercing and dilating of a patient's trachea. The device has a needle within and extending beyond a sheath. After the needle is used to pierce the trachea, it may be removed and a guide wire (J-wire) inserted. A introducer dilator surrounds the sheath and is slidable over the sheath. The introducer dilator has a first position away from the distal end of the sheath and a second position in which the distal end of the sheath is substantially covered by the introducer dilator. The introducer dilator is then used to expand the initial piercing.

摘要翻译： 提供了用于执行患者气管的初始穿刺和扩张的装置。 该装置具有在护套内并延伸超过护套的针。 用针刺穿气管后，可以将其取出，并插入导丝（J线）。 引导器扩张器围绕护套并可在护套上滑动。 引导器扩张器具有远离鞘的远端的第一位置和第二位置，其中护套的远端基本上被导引器扩张器覆盖。 然后使用导引器扩张器来扩展初始穿刺。