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US5803078A Expired / Lapsed US ⏱️ 0.0 years remaining

Methods and apparatus for intrapulmonary therapy and drug administration

Assignee: Individual
•
Filing: 1995-05-26
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Granted: 1998-09-08
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Expires: 2015-05-26
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Abstract

Abstract An endotracheal catheter assembly and method for deep intrapulmonary, aerosol delivery of liquid drugs and other liquid therapeutic agents. The invention can deliver a bolus dose of liquid drugs into the lungs of a patient which is at least bioequivalent in terms of physiological effect to a similar drug dose delivered intravenously. The catheter assembly includes a first, gas-bearing tube and a second, liquid bearing tube, preferably concentrically nested within the gas-bearing tube. The tubes are inserted in an airway of the patient, preferably by threading the tubes into a lumen of an endotracheal tube, to position a terminal nozzle formed by distal tips of the tubes near a carina of the patient. At the nozzle, the lumen of the first tube has a comparative cross-sectional area relative to that of the second tube's lumen of between about 0.4:1.0 and 4.0:1.0. In operation, high velocity gas is forced from the first tube and impacts liquid expelled from the second tube at a high velocity gas/liquid interface, deforming the liquid into an aerosol and propelling it deep within the lungs of the patient.

Inventors

  • 👤 Mark E. Brauner

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 08:00
CPC Classifications
A; A61; A61M; A61M16/00; A61M16/04; A61M16/0463; A61M16/0434; A61M16/0443; A61M16/0475; A61M16/0477; A61M16/0484; A61M16/0486; A61M16/08; A61M16/0816; A61M16/0833; A61M11/00; A61M11/06; A61M16/10; A61M16/14; A61M16/0003; A61M2016/0015; A61M2016/0018; A61M2016/0021; A61M2016/0027; A61M16/0402; A61M16/0411; A61M2016/0413; Y; Y10; Y10S; Y10S128/00; Y10S128/911; Y10S128/912

Claims Analysis

Total Claims: 18
Claim 1
Independent Claim 247 words
An endotracheal catheter assembly for intrapulmonary transfer of liquid drugs and other liquid therapeutic agents in a mammalian patient, comprising: a first tube having a first outer wall, a first inner wall, a first lumen, at least one first proximal section and at least one first distal tip, said first tube having a length suitable for endotracheal insertion of said first tube in an airway of the patient to position said first distal tip near a carina of said patient; a second tube of approximately the same length as said first tube, said second tube having a second outer wall, a second inner wall, a second lumen, at least one second proximal section, and at least one second distal tip, said first and second distal tips arranged to form at least one nozzle, said nozzle defining a high velocity gas/liquid interface formed between the first and second distal tips characterized by the first lumen having a comparative cross-sectional area relative to a cross-sectional area of said second lumen, at a position of said nozzle, of between approximately 0.4:1.0 and 4.0:1.0; gas receiving means connected to said first tube at or near said first proximal section is gaseous connection with said first lumen to allow transfer of gas to and from said first lumen; and liquid receiving means connected to said second tube at or near said second proximal section in liquid connection with said first lumen, to allow transfer of liquid to and from said first lumen.
Claim 2
Dependent Claim 247 words
An endotracheal catheter assembly for intrapulmonary transfer of liquid drugs and other liquid therapeutic agents in a mammalian patient, comprising: a first tube having a first outer wall, a first inner wall, a first lumen, at least one first proximal section and at least one first distal tip, said first tube having a length suitable for endotracheal insertion of said first tube in an airway of the patient to position said first distal tip near a carina of said patient; a second tube of approximately the same length as said first tube, said second tube having a second outer wall, a second inner wall, a second lumen, at least one second proximal section, and at least one second distal tip, said first and second distal tips arranged to form at least one nozzle, said nozzle defining a high velocity gas/liquid interface formed between the first and second distal tips characterized by the first lumen having a comparative cross-sectional area relative to a cross-sectional area of said second lumen, at a position of said nozzle, of between approximately 0.4:1.0 and 4.0:1.0; gas receiving means connected to said first tube at or near said first proximal section is gaseous connection with said first lumen to allow transfer of gas to and from said first lumen; and liquid receiving means connected to said second tube at or near said second proximal section in liquid connection with said first lumen, to allow transfer of liquid to and from said first lumen.
Claim 3
Dependent Claim 36 words
A catheter assembly according to claim 1, wherein said cross-sectional area of said first lumen relative to said cross-sectional area of said second lumen at said position of said nozzle is between approximately 1.0:0.6 and 2.0:1.0.
Claim 4
Dependent Claim 36 words
A catheter assembly according to claim 1, wherein said cross-sectional area of said first lumen relative to said cross-sectional area of said second lumen at said position of said nozzle is between approximately 0.9:1.0 and 1.0:1.0.
Claim 5
Dependent Claim 39 words
A catheter assembly according to claim 1, wherein said first tube has an inner diameter of between approximately 0.018 cm and 0.480 cm, and said second tube has an inner diameter of between approximately 0.016 cm and 0.184 cm.
Claim 6
Dependent Claim 39 words
A catheter assembly according to claim 1, wherein said first tube has an inner diameter of between approximately 0.027 cm and 0.240 cm, and said second tube has an inner diameter of between approximately 0.024 cm and 0.090 cm.
Claim 7
Dependent Claim 39 words
A catheter assembly according to claim 1, wherein said first tube has an inner diameter of between approximately 0.114 cm and 0.122 cm, and said second tube has an inner diameter of between approximately 0.040 cm and 0.048 cm.
Claim 8
Dependent Claim 69 words
A catheter assembly according to claim 1, wherein said second tube is nested within said first lumen between said first proximal section and first distal tip, so that gas passes unobstructed between said first inner wall and said second outer wall and a circumferential high velocity gas/liquid interface is created at said nozzle when high velocity gas exits said first distal tip and liquid exits said second distal tip.
Claim 9
Dependent Claim 83 words
A catheter assembly according to claim 1, wherein said first tube and said second tube form part of a single, bi-lumenal catheter, the first tube and second tube being separated by a longitudinal septum of said cathether separating said first and second lumens and joined to said first and second inner walls, so that a high velocity gas/liquid interface is created adjacent said septum at said nozzle when high velocity gas exits said first distal tip and liquid exits said second distal tip.
Claim 10
Dependent Claim 45 words
A catheter assembly according to claim 1, further comprising coupling means for coupling said catheter assembly to a standard, ventillatory endotracheal tube, said coupling means adapted to permit sealable insertion of said first tube of said catheter assembly within a lumen of said endotracheal tube.
Claim 11
Dependent Claim 69 words
A catheter assembly according to claim 9, wherein said coupling means includes a standard ventilator connector for connecting an endotracheal tube to a ventilator, said ventilator connector modified to include a sealable catheter port for sealably receiving said first tube of said catheter assembly through said port and into said lumen of said endotracheal tube when a proximal end of said endotracheal tube is connected to said ventilator connector.
Claim 12
Dependent Claim 50 words
A catheter assembly according to claim 9, further comprising means for selectably, lockably repositioning said first tube of said catheter assembly longitudinally within said lumen of said endotracheal tube to permit selectable, lockable repositioning of said nozzle of said catheter assembly relative to a distal tip of said endotracheal tube.
Claim 13
Dependent Claim 43 words
A catheter assembly according to claim 11, wherein said means for selectably, lockably repositioning said first tube and second tube of said catheter assembly longitudinally within said lumen of said endotracheal includes an adjustable, compressible sleeve adjustably compressible against said first outer wall.
Claim 14
Dependent Claim 47 words
A catheter assembly according to claim 1, further comprising a standard, ventillatory endotracheal tube, and coupling means for coupling said catheter assembly to said endotracheal tube, said coupling means adapted to permit sealable insertion of said first and second tubes within a lumen of said endotracheal tube.
Claim 15
Dependent Claim 65 words
A catheter assembly according to claim 1, further comprising an axial orientation marker visible on said assembly when said assembly is endotracheally inserted, wherein said first and second distal tips each bifurcate to form two nozzles, so that each of said nozzles can be orientated to each point in a direction of one lung of normal physiology when said nozzles are positioned near said carina.
Claim 16
Dependent Claim 63 words
A catheter assembly according to claim 1, wherein said nozzle has two, bilateral hemi-nozzles, and wherein said catheter assembly has an axial orientation marker visible on said assembly when said nozzle is endotracheally inserted, whereby the hemi-nozzles can be orientated by a caregiver to each point in a direction of one lung of normal physiology when said nozzle is positioned near said carina.
Claim 17
Dependent Claim 39 words
A catheter assembly according to claim 1, wherein said catheter assembly has a longitudinal orientation marker visible when said first tube is partially endotracheally inserted, so that said nozzle can be longitudinally positioned by a caregiver near said carina.
Claim 18
Dependent Claim 69 words
A catheter assembly according to claim 1, wherein said second tube is removably nested within said first lumen, so that the high velocity gas/liquid interface formed between the first and second distal tips at the nozzle is circumferential relative to the second distal tip, and said second tube can be removed from said first tube to enlarge said first lumen and to adapt said first tube for multi-purpose use.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2001-09-07 2002-03-09 2002-09-08 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2005-09-07 2006-03-09 2006-09-08 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2009-09-07 2010-03-09 2010-09-08 $7700.00 Window Closed / Lapsed

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