US5588424A
Expired / Lapsed
US
⏱️ 0.0 years remaining
Bronchial blocker endotracheal apparatus
Assignee: Cleveland Clinic Foundation
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Filing: 1995-06-28
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Granted: 1996-12-31
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Expires: 2015-06-28
Abstract
Abstract An endotracheal tube (12) ventilates air from the lungs of a patient when inserted into the trachea. A second flexible tube (14) is closely joined to the endotracheal tube (12) in a side-by-side relation. The second flexible tube (14) slidably receives a catheter or endobronchial blocker (16) which has an inflatable cuff (32). The cuff (32) is maneuvered into the right or left bronchus of the patient by sliding and rotating the catheter or bronchial blocker (16) into a position to occlude the selected bronchus. A tracheal cuff (18) is disposed around the endotracheal tube (12) and the second flexible tube (14). When inflated, the tracheal cuff (18) engages the walls of the trachea to reduce passage of air and to secure the position of the endotracheal tube (12).
Inventors
- 👤 Steven R. Insler
- 👤 Erik J. Kraenzler
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-23 06:48
CPC Classifications
A; A61; A61M; A61M16/00; A61M16/04; A61M16/0402; A61M16/0404; A61M16/0434; A61M16/0454; A61M16/0459; A61M16/0475; A61M16/0477; A61M16/0484; A61M16/0486; A61M25/00; A61M25/10; A61M25/1011
Claims Analysis
Total Claims: 23
Claim 1
Independent Claim
220 words
An endotracheal apparatus for insertion through the mouth and into the trachea of a patient for ventilating one lung and blocking the other lung comprising: a first elongated flexible tube having an external wall portion, a proximal end and a distal end, the distal end being positioned in the trachea when in use and adapted for ventilating air; a second elongated flexible tube, separate from the first tube, having a proximal end and a distal end, an external wall portion of the second elongated flexible tube being closely joined in a side-by-side relation to said external wall portion of the first elongated flexible tube, the second elongated flexible tube for receiving an endobrochial blocker; a first inflatable and deflatable cuff extending about the first and second elongated flexible tubes toward the distal ends of the first and second tubes, the first inflatable and deflatable cuff being positioned and operable when inflated to engage the trachea; an endobronchial blocker comprising an elongated catheter having a proximal end and a distal end, being slidably receivable in the second elongated flexible tube, the elongated catheter having an inflatable and deflatable cuff disposed about the distal end of the elongated catheter; and, an air passage defined in a wall of the first elongated flexible tube and terminating within the first inflatable and deflatable cuff.
Claim 2
Dependent Claim
220 words
An endotracheal apparatus for insertion through the mouth and into the trachea of a patient for ventilating one lung and blocking the other lung comprising: a first elongated flexible tube having an external wall portion, a proximal end and a distal end, the distal end being positioned in the trachea when in use and adapted for ventilating air; a second elongated flexible tube, separate from the first tube, having a proximal end and a distal end, an external wall portion of the second elongated flexible tube being closely joined in a side-by-side relation to said external wall portion of the first elongated flexible tube, the second elongated flexible tube for receiving an endobrochial blocker; a first inflatable and deflatable cuff extending about the first and second elongated flexible tubes toward the distal ends of the first and second tubes, the first inflatable and deflatable cuff being positioned and operable when inflated to engage the trachea; an endobronchial blocker comprising an elongated catheter having a proximal end and a distal end, being slidably receivable in the second elongated flexible tube, the elongated catheter having an inflatable and deflatable cuff disposed about the distal end of the elongated catheter; and, an air passage defined in a wall of the first elongated flexible tube and terminating within the first inflatable and deflatable cuff.
Claim 3
Dependent Claim
27 words
The endotracheal apparatus as set forth in claim 1 wherein the distal ends of the first and second elongated tubes are angled relative to an axial direction.
Claim 4
Dependent Claim
44 words
The endotracheal apparatus as set forth in claim 1 wherein the first elongated tube includes an opening located between the distal end of the first elongated tube and the first inflatable and deflatable cuff, the opening allowing air to enter the first elongated tube.
Claim 5
Dependent Claim
28 words
The endotracheal apparatus as set forth in claim 1 wherein the second elongated tube has a diameter which is smaller than a diameter of the first elongated tube.
Claim 6
Dependent Claim
20 words
The endotracheal apparatus as set forth in claim 1 wherein the first and second elongated tubes are joined in contact.
Claim 7
Dependent Claim
34 words
The endotracheal apparatus as set forth in claim 1 further including a valve in fluid communication with the air passage for supplying air to and removing air from the first inflatable and deflatable cuff.
Claim 8
Dependent Claim
40 words
The endotracheal apparatus as set forth in claim 1 wherein the distal end of the elongated catheter is capable of extending beyond the distal end of the second elongated flexible tube and is directable by rotation into a selected bronchus.
Claim 9
Dependent Claim
26 words
The endotracheal apparatus as set forth in claim 1 further including a means to inflate and deflate the inflatable and deflatable cuff of the elongated catheter.
Claim 10
Dependent Claim
22 words
The endotracheal apparatus as set forth in claim 1 wherein the first and second elongated flexible tubes comprise a polyvinyl chloride material.
Claim 11
Dependent Claim
169 words
An endotracheal apparatus for insertion through the mouth and into the trachea of a patient for ventilating at least one lung comprising: a first flexible tube having a sufficient length to extend from the mouth to a position near the carina of the trachea, the first flexible tube being adapted to communicate air; a second flexible tube separate from the first flexible tube and having a length substantially equal to he length of the first flexible tube, the second flexible tube having a portion of an outer surface wall closely joined in a side-by-side relation with a portion of an outer surface wall of the first flexible tube, the second flexible tube being adapted to slidably receive an elongated instrument; and, an elongated instrument having a bronchial blocking cuff sealed to a distal end of the elongated instrument, the elongated instrument being slidably received into the second flexible tube such that the distal end extends beyond a distal end of the second flexible tube and into the selected bronchus.
Claim 12
Dependent Claim
169 words
An endotracheal apparatus for insertion through the mouth and into the trachea of a patient for ventilating at least one lung comprising: a first flexible tube having a sufficient length to extend from the mouth to a position near the carina of the trachea, the first flexible tube being adapted to communicate air; a second flexible tube separate from the first flexible tube and having a length substantially equal to he length of the first flexible tube, the second flexible tube having a portion of an outer surface wall closely joined in a side-by-side relation with a portion of an outer surface wall of the first flexible tube, the second flexible tube being adapted to slidably receive an elongated instrument; and, an elongated instrument having a bronchial blocking cuff sealed to a distal end of the elongated instrument, the elongated instrument being slidably received into the second flexible tube such that the distal end extends beyond a distal end of the second flexible tube and into the selected bronchus.
Claim 13
Dependent Claim
84 words
The endotracheal apparatus as set forth in claim 10 further including an inflatable and deflatable cuff sealed around both the first and second flexible tubes at a position to engage the trachea when the first and second flexible tubes are at the position near the carina and the inflatable and deflatable cuff is inflated; and, an air passage associated with one of the first and second flexible tubes, the air passage being adapted to communicate air to and from the inflatable and deflatable cuff.
Claim 14
Dependent Claim
21 words
The endotracheal apparatus as set forth in claim 11 further including a means to inflate and deflate the bronchial blocking cuff.
Claim 15
Dependent Claim
23 words
The endotracheal apparatus as set forth in claim 10 wherein the first and second flexible tubes are comprised of a polyvinyl chloride material.
Claim 16
Dependent Claim
28 words
The endotracheal apparatus as set forth in claim 10 wherein the first flexible tube has a diameter which is larger than a diameter of the second flexible tube.
Claim 17
Dependent Claim
34 words
The endotracheal apparatus as set forth in claim 10 further including a cuff inflator including a valve in fluid communication to the air passage to selectively inflate and deflate the inflatable and deflatable cuff.
Claim 18
Independent Claim
160 words
A method of using an endotracheal apparatus for ventilating one lung and blocking the other lung of a patient comprising the steps of: providing separate first and second flexible tubes closely joined in a side-by-side relation along their external walls, each of the first and second flexible tubes having a length sufficient to extend from the patient's mouth and into the patient's trachea, the second flexible tube being configured to receive an elongated catheter having a bronchial blocking cuff; inserting the first and second flexible tubes through the mouth and into the trachea with a distal end of the first and second flexible tubes being at a position near the carina; providing an elongated catheter having a bronchial blocking cuff disposed toward a distal end of the catheter; inserting the distal end of the elongated catheter into the second flexible tube and maneuvering the bronchial blocking cuff into a bronchus; and, inflating the bronchial blocking cuff to occlude the bronchus.
Claim 19
Independent Claim
160 words
A method of using an endotracheal apparatus for ventilating one lung and blocking the other lung of a patient comprising the steps of: providing separate first and second flexible tubes closely joined in a side-by-side relation along their external walls, each of the first and second flexible tubes having a length sufficient to extend from the patient's mouth and into the patient's trachea, the second flexible tube being configured to receive an elongated catheter having a bronchial blocking cuff; inserting the first and second flexible tubes through the mouth and into the trachea with a distal end of the first and second flexible tubes being at a position near the carina; providing an elongated catheter having a bronchial blocking cuff disposed toward a distal end of the catheter; inserting the distal end of the elongated catheter into the second flexible tube and maneuvering the bronchial blocking cuff into a bronchus; and, inflating the bronchial blocking cuff to occlude the bronchus.
Claim 20
Dependent Claim
29 words
The method of using an endotracheal apparatus as set forth in claim 16 further including securing the position of the first and second flexible tubes relative to the trachea.
Claim 21
Dependent Claim
30 words
The method of using an endotracheal apparatus as set forth in claim 16 further including while inserted in the second flexible tube, rotating the elongated catheter into a selected bronchus.
Claim 22
Dependent Claim
24 words
The endotracheal apparatus as set forth in claim 1 wherein the endobronchial blocker is rotatable in and removable from the second elongated flexible tube.
Claim 23
Dependent Claim
22 words
The endotracheal apparatus as set forth in claim 11 wherein the catheter is rotatable in and removable from the second flexible tube.
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USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 1999-12-31 | 2000-07-01 | 2000-12-31 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2003-12-31 | 2004-07-01 | 2004-12-31 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2007-12-31 | 2008-07-01 | 2008-12-31 | $7700.00 | Window Closed / Lapsed |