DE2341833A1 - Medical nose root tamponment appts - has two separately-inflatable bladders, with breathing tube passing through them - Google Patents

Medical nose root tamponment appts - has two separately-inflatable bladders, with breathing tube passing through them

Info

Publication number
DE2341833A1
DE2341833A1 DE19732341833 DE2341833A DE2341833A1 DE 2341833 A1 DE2341833 A1 DE 2341833A1 DE 19732341833 DE19732341833 DE 19732341833 DE 2341833 A DE2341833 A DE 2341833A DE 2341833 A1 DE2341833 A1 DE 2341833A1
Authority
DE
Germany
Prior art keywords
tamponment
bladder
bladders
breathing tube
separately
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
DE19732341833
Other languages
German (de)
Inventor
Helmut H Dr Med Dr Med Lindorf
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Lindorf helmut H drmeddrmeddent
Original Assignee
Lindorf helmut H drmeddrmeddent
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Lindorf helmut H drmeddrmeddent filed Critical Lindorf helmut H drmeddrmeddent
Priority to DE19732341833 priority Critical patent/DE2341833A1/en
Publication of DE2341833A1 publication Critical patent/DE2341833A1/en
Pending legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M25/1006—Balloons formed between concentric tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12027—Type of occlusion
    • A61B17/1204—Type of occlusion temporary occlusion
    • A61B17/12045—Type of occlusion temporary occlusion double occlusion, e.g. during anastomosis
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
    • A61B17/12104—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder in an air passage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
    • A61B17/12136—Balloons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
    • A61B2017/12127—Double occlusion, e.g. for creating blood-free anastomosis site
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/10—Balloon catheters
    • A61M2025/1043—Balloon catheters with special features or adapted for special applications
    • A61M2025/1052—Balloon catheters with special features or adapted for special applications for temporarily occluding a vessel for isolating a sector

Abstract

Medical tamponment instrument for nose root space uses inflatable bladders, connected together but separately inflatable, with a breathing tube passing through them.. Pref. one of the bladders is displaceable, and arrestable, on the tube duct of the other. The bladders are suited to the anatomical dimensions, by choice of shape and materials. The nose entry bladder has a conical shape. Secure tamponment and sealing is obtd. of the root space w.r.t. the oral cavity oesophagus and trachea, and blood is prevented from entering these.

Description

Ijr.med. Dr.med.dent. Helmut Lindorf, 5628 Heiligenhaus, Sauerbruchstraße 5.Ijr.med. Dr.med.dent. Helmut Lindorf, 5628 Heiligenhaus, Sauerbruchstrasse 5.

Medizinisches Instrument zum Tamponieren und Verschliessen dee Nasen- und Nasenrachenraumes. Medical instrument for packing and closing the nasal and nasopharynx .

Die Erfindung betrifft ein medizinisches Instrument zum Tamponieren und Verschließen des Nasen- und Nasenrachenraumes, welches den Übertritt von Blut in die Luftröhre verhindert und gleichzeitig die Weiteratmung durch die Nase ermöglicht.The invention relates to a medical instrument for packing and closing the nasal and nasopharynx, which prevents the passage of blood into the windpipe and at the same time prevents further breathing through the Nose allows.

Bereits bekannt ist ein Instrument zum Tamponieren, welches aus einer Gummiblase an einem Metallröhrchen mit Hahnverschluß besteht (Seiffert-Tamponkanüle; siehe G. Theissing: kurze HNO-ÖP-Lehre, Bd.I, Stuttgart 1971, Seite 75). Dieses Instrument wird mit der Blase voraus in die Nase eingeführt, und Luft oder Flüssigkeit in die Blase gedrückt. Dadurch wird der Nasenraum austamponiert, der dahinterliegende Nasenrachenraum jedoch nicht in ausreichendem Maß, 3odaß dieser gegen Mundhöhle, Speise- · und Luftröhre nicht sicher abgeschlossen wird. Ein weiterer Nachteil dieses Instrumentes ist der, daß bei seiner Anwendung die Nasenatmung unterbunden wird.Already known is an instrument for tamponization, which consists of a rubber bladder on a metal tube with Stopcock closure exists (Seiffert tampon cannula; see G. Theissing: short ENT-ÖP apprenticeship, volume I, Stuttgart 1971, Page 75). This instrument is inserted into the nose with the bladder first, and air or liquid into it Bubble pressed. As a result, the nasal cavity is tamponized, but the nasopharynx behind it is not sufficiently packed Measure so that it is not securely closed off from the oral cavity, esophagus and trachea. Another The disadvantage of this instrument is that nasal breathing is prevented when it is used.

Aufgabe des der Erfindung entsprechenden Instrumentes i3t es, diese Nachteile zu vermeiden. Nach dem Erfindungsgedanken werden zwei Gummiblasen verwendet, von denen die eine im Naseneingang, die andere im Ausgang zum Rachenraum zu liegen kommt. Durch diese Trennung können jede für sich der anatomischen Architektur des Nasen- bzw.Rachenraumes besser angepaßt werden. Zu jeder Blase führt eine Schlauchleitung. Eine dritte Schlauchleitung führt durch dieses System hindurch und dient dem Durchgang der Atemluft. Die beiden BlasenThe object of the instrument according to the invention is to avoid these disadvantages. According to the idea of the invention two rubber bladders are used, one in the nasal entrance and the other in the exit comes to lie to the pharynx. Through this separation, each of the anatomical architecture of the Nasal and pharynx are better adapted. For everyone Bladder leads a tubing line. A third hose line runs through this system and serves for the passage of breathing air. The two bubbles

509809/0587509809/0587

sind im richtigen Abstand miteinander verbunden, sodaß sie sich gegenseitig fixieren, d.h. die Blase im Naseneingang hindert die Blase im Rachenraum daran, abwärts zu gleiten und umgekehrt.are connected to each other at the right distance so that they fix each other, i.e. the bladder in the The nasal entrance prevents the bladder in the pharynx from sliding down and vice versa.

Im Folgenden wird an Hand der Abbildung ein Ausführungsbeispiel eines Instrumentes gemäß der Erfindung näher beschrieben. Das Bild zeigt schematisiert einen Längsschnitt durch den Nasen- Nasenrachenraum mit eingeführtem Instrument. Der Naseneingang ist mit 1, der Nasenraum mit 2 und der Nasenrachenraum mit 3 bezeichnet. Der Schlauch 4 dient dem Durchgang der Atemluft, die durch seitliche Öffnungen 5 ein- und austritt. Konzentrisch zu diesem Schlauch ist die Blase 6 aus dehnbarem Material angeordnet. Sie ist über den Schlauchkanal 7 und die Vorblase 8 mit dem Ventil 9 verbunden. Wiederum konzentrisch zu den Schlauchleitungen 4 und 7 ist die dehnbare Blase angeordnet, welche über die Schlauchleitung 11 mit dem Ventil 12 verbunden ist. Durch Eindrücken von Luft oder Flüssigkeit in die Blase 6 wird der Nasen-Rachenraum verschlossen (Chonal-Tamponade oder Nasen-Rachenraum-Tamponade). Die Größe des aufgegebenen Druckes kann in bekannter Weise an der Ausdehnung der Vorblase 8 abgeschätzt werden. In gleicher Weise wird mit der Blase 10 der Naseneingang verschlossen. Diese Blase ist von außen sichtbar und so eine Vorblase überflüssig. Da der Abstand zwischen den Blasen 6 und 10 durch das Schlauchstück 7 festgelegt ist, fixieren sich diese beiden Blasen gegenseitig, d.h. Blase 6 kann nicht in den Rachenraum hinuntergleiten bzw. Blase 10 kann nicht aus dem NaseneingangIn the following, an exemplary embodiment of an instrument according to the invention is described in more detail with reference to the figure. The picture shows a schematic longitudinal section through the nasopharynx with the instrument inserted. The nasal entrance is designated with 1, the nasal cavity with 2 and the nasopharynx with 3. The hose 4 is used to pass the breathing air, which enters and exits through openings 5 on the side. The bladder 6 made of expandable material is arranged concentrically to this tube. It is connected to the valve 9 via the hose channel 7 and the pre-bladder 8. The expandable bladder is again arranged concentrically to the hose lines 4 and 7 and is connected to the valve 12 via the hose line 11. The nasopharynx is closed by pressing air or liquid into the bladder 6 (chonal tamponade or nasopharynx tamponade). The magnitude of the applied pressure can be estimated in a known manner from the expansion of the pre-bubble 8. In the same way, the nasal entrance is closed with the bladder 10. This bubble is visible from the outside and so a pre-bubble is superfluous. Since the distance between the bladders 6 and 10 is determined by the tube 7, these two bladders fix each other, ie bladder 6 cannot slide down into the pharynx or bladder 10 cannot leave the nasal entrance

509809/0587509809/0587

heraustreten. Blutungen im Bereiche der Blasen 6 und 10 Werden direkt tamponiert, Blutungen im Räume 2 indirekt dadurch, daß der Blutabfluß aus diesem Räume, gesperrt ist.stepping out. Bleeding in the area of blisters 6 and 10 is tamponized directly, bleeding in room 2 indirectly in that the outflow of blood from this space is blocked.

Die Leitungen dieses Instrumentes werden zweckmäßigerweise aus flexiblem, die Blasen aus dehnbarem Material (Gummi, Kunststoff)■ hergestellt. Größe und Form der Blasen können ohne Schwierigkeiten den anatomischen Verhältnissen angepaßt werden.The lines of this instrument are expediently made of flexible material, the bladders of stretchable material (Rubber, plastic) ■ manufactured. The size and shape of the bubbles can easily match the anatomical To be adapted to the circumstances.

In weiterer Auswertung des Erfindungsgedankens kann der Abstand zwischen den Blasen 6 und 10 variabel ausgeführt sein. Z.B. kann die Blase 10 mit ihrer Schlauchleitung 11 auf den Leitungen 7 und 4 verschiebbar sein. Durch geeignete Formgebung der sich berührenden Schlauchflächen, z.B. durch Rillung, kann erreicht werden, daß beim Aufpumpen der Blase 10 sich die verschiebbaren Teile gegeneinander arretieren. Gewisse geringere Differenzen vom erforderlichen Abstand der Blasen 6 und 10 können auch dadurch ausgeglichen werden, daß die Blase 10 eine konische Form erhält.In a further evaluation of the concept of the invention, the distance between the bubbles 6 and 10 can be made variable be. For example, the bladder 10 with its hose line 11 can be displaceable on the lines 7 and 4. By suitably shaping the contacting hose surfaces, e.g. by grooving, it can be achieved that when inflating the bladder 10, the displaceable parts lock against each other. Certain minor differences the required distance between the bubbles 6 and 10 can also be compensated for in that the Bladder 10 is given a conical shape.

Die der Erfindung gestellte Aufgabe wird durch die Verwendung von zwei miteinander verbundenen, sonst aber selbständigen Blasen gelöst. Dadurch wird eine bessere Tamponade sowohl des Naseneingangsraumes wie auch des rückwärtigen Ausganges (Choanal-Tamponade) und des Nasen-Rachen-Raumes (Epipharynx-Tamponade) erreicht. Zusätzlich wird durch die besondere Ausbildung des Instrumentes bei seiner Anwendung die Nasenatmung nicht behindert.The object of the invention is achieved through the use of two interconnected, otherwise but independent bubbles resolved. This results in a better tamponade of both the nasal entrance space and the also of the rear exit (choanal tamponade) and the nasopharynx (epipharyngeal tamponade) achieved. In addition, the special design of the instrument makes nasal breathing easier when it is used not disabled.

509809/0587509809/0587

Claims (4)

1)j Medizinisches Instrument zum Tamponieren des, Kasen-Nasenrachenraumes mittels aufpumpbarer Blasen, gekennzeichnet durch zwei miteinander verbundene, im übrigen aber unabhängig voneinander aufpumpbare
Blasen, durch die hindurch ein Atmungsschlauch geführt ist.1 ) j Medical instrument for tamponizing the kasen-nasopharynx by means of inflatable bladders, characterized by two interconnected, but otherwise independently inflatable
Blisters with a breathing tube through them. 2) Instrument nach Anspruch 1, dadurch gekennzeichnet, daß eine der Blasen auf der uchlauchleitung zur anderen Blase verschiebbar und arretierbar ist.2) Instrument according to claim 1, characterized in that one of the bubbles on the uchlauchleitung to the other Bladder is slidable and lockable. 3) Instrument nach Anspruch 1 und/oder 2, dadurch gekennzeichnet, daß die aufgepumpten Blasen durch
Wahl der Formgebung und Elastizität des Materials weitgehend den anatomischen Abmessunren angepaßt
sind.3) Instrument according to claim 1 and / or 2, characterized in that the inflated bubbles through
Choice of shape and elasticity of the material largely adapted to the anatomical dimensions
are. 4) Instrument nach Anspruch 1, dadurch gekennzeichnet, daß die Naseneingangsblase konische Form hat.4) Instrument according to claim 1, characterized in that the nasal inlet bladder has a conical shape. 509809/0587509809/0587
DE19732341833 1973-08-18 1973-08-18 Medical nose root tamponment appts - has two separately-inflatable bladders, with breathing tube passing through them Pending DE2341833A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DE19732341833 DE2341833A1 (en) 1973-08-18 1973-08-18 Medical nose root tamponment appts - has two separately-inflatable bladders, with breathing tube passing through them

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
DE19732341833 DE2341833A1 (en) 1973-08-18 1973-08-18 Medical nose root tamponment appts - has two separately-inflatable bladders, with breathing tube passing through them

Publications (1)

Publication Number Publication Date
DE2341833A1 true DE2341833A1 (en) 1975-02-27

Family

ID=5890111

Family Applications (1)

Application Number Title Priority Date Filing Date
DE19732341833 Pending DE2341833A1 (en) 1973-08-18 1973-08-18 Medical nose root tamponment appts - has two separately-inflatable bladders, with breathing tube passing through them

Country Status (1)

Country Link
DE (1) DE2341833A1 (en)

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2380786A1 (en) * 1977-02-17 1978-09-15 Hanecka Lubomir BALL CATHETER
US4883465A (en) * 1988-05-24 1989-11-28 Brennan H George Nasal tampon and method for using
WO1989011308A1 (en) * 1988-05-24 1989-11-30 Brennan H George Methods for controlling nasal hemorrhaging
DE19638935C1 (en) * 1996-09-10 1998-03-26 Fred G Goebel Tracheal tube providing fluid seal
US6551272B2 (en) 1996-09-10 2003-04-22 Goebel Fred G. Stomach probe
EP1390093A1 (en) * 2001-05-01 2004-02-25 Velocimed, L.L.C. Emboli protection devices and related methods of use

Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2380786A1 (en) * 1977-02-17 1978-09-15 Hanecka Lubomir BALL CATHETER
US4883465A (en) * 1988-05-24 1989-11-28 Brennan H George Nasal tampon and method for using
WO1989011308A1 (en) * 1988-05-24 1989-11-30 Brennan H George Methods for controlling nasal hemorrhaging
US5011474A (en) * 1988-05-24 1991-04-30 Brennan H George Methods for controlling nasal hemorrhaging
DE19638935C1 (en) * 1996-09-10 1998-03-26 Fred G Goebel Tracheal tube providing fluid seal
DE19654910C2 (en) * 1996-09-10 2003-03-27 Fred Goebel Patentverwaltung G feeding tube
US6551272B2 (en) 1996-09-10 2003-04-22 Goebel Fred G. Stomach probe
US6745773B1 (en) 1996-09-10 2004-06-08 Dr. Fred Goebel Patentverwaltung Gmbh Tracheal tube
EP1390093A1 (en) * 2001-05-01 2004-02-25 Velocimed, L.L.C. Emboli protection devices and related methods of use
EP1390093B1 (en) * 2001-05-01 2006-11-22 St. Jude Medical, Cardiology Division, Inc. Emboli protection devices

Similar Documents

Publication Publication Date Title
EP0372093B1 (en) Device for diagnosing and treating nasal diseases
EP0149009A2 (en) Device for supplying respiratory gas to the closed respiratory circuit of a medical respiratory apparatus
DE4221345A1 (en) Deep breathing support device
DE1944548B2 (en) Collapsible ventilation mask and transport bag therefor
DE2446765A1 (en) INTERMEDIATE FOR AN INFLATOR DEVICE
DE2341833A1 (en) Medical nose root tamponment appts - has two separately-inflatable bladders, with breathing tube passing through them
DE2541300B2 (en) Arrangement for sucking in and blowing out treatment gases to a patient
DE2553307A1 (en) RESPIRATION CATHETER
DE2625570A1 (en) CATHETER
DE2035982B2 (en) Breathing diagnosis device to which the breathing gases are fed depending on the speed of the exhaled flow
DE1954942C3 (en) Artificial respiration device
EP0091428B1 (en) Pump element of an artificial breathing device
DE2332554A1 (en) Nasal and/or nasopharyngeal tampon - has preformed rubber or plastics balloons on or around breathing tube
DE1498724C3 (en) Device for collecting and analyzing air exhaled from the alveoli of the lungs
DE2712953A1 (en) Gas pipe blocking device - comprises inflatable balloon containing pressure control instruments and instruments on either side
DE688226C (en)
DE2245824C2 (en) Device for conveying objects by means of blown air
DE102015117954A1 (en) Method and device for dispensing a means for sealing an inflatable article
AT251756B (en) Catheter with an inflatable front end
DE1491650B1 (en) Breathing device
DE3433785A1 (en) Medical instrument for long-term ventilation
DE1284567B (en) Air tube catheter
DE2042472C3 (en) Pneumatic control arrangement for manually and automatically time-controlled alternating pressure ventilation of newborns, infants and small children
DE548621C (en) Breathing mask
DE363939C (en) pessary