WO1991014472A1 - Facial tube holder - Google Patents

Facial tube holder Download PDF

Info

Publication number
WO1991014472A1
WO1991014472A1 PCT/GB1991/000514 GB9100514W WO9114472A1 WO 1991014472 A1 WO1991014472 A1 WO 1991014472A1 GB 9100514 W GB9100514 W GB 9100514W WO 9114472 A1 WO9114472 A1 WO 9114472A1
Authority
WO
WIPO (PCT)
Prior art keywords
tube
tube holder
facial
holder
patient
Prior art date
Application number
PCT/GB1991/000514
Other languages
French (fr)
Inventor
Kadiyali Madhava Srivatsa
Original Assignee
Medifix Limited
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
Priority claimed from GB909007009A external-priority patent/GB9007009D0/en
Application filed by Medifix Limited filed Critical Medifix Limited
Publication of WO1991014472A1 publication Critical patent/WO1991014472A1/en

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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02—Holding devices, e.g. on the body
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02—Holding devices, e.g. on the body
    • A61M2025/0213—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
    • A61M2025/022—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body specifically adapted for the mouth
    • 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
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02—Holding devices, e.g. on the body
    • A61M2025/0213—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body
    • A61M2025/0226—Holding devices, e.g. on the body where the catheter is attached by means specifically adapted to a part of the human body specifically adapted for the nose

Definitions

  • This invention relates to a facial tube holder.
  • Endotracheal tube holders have been devised that are held over the patient's mouth by a head strap. These are complicated to use and it is undesirable for the holder to cover the mouth.
  • a holder is known that holds nasogastric tubes which extend through the patient's nose, comprising a flat nose piece which is moulded to and then adhered to the outside of the patient's nose. This holder takes a long time to attach, and will cause skin irritation in times of prolonged use. The stress to the patient whilst applying these devices and the tubes is very high. It is also desirable to have a reliable and quick method of fixing facial tubes in an emergency.
  • a facial tube holder attachable to a patient's head and including a formation with which a tube can be engaged by movement of the tube transverse to itself, and an element which is displaceable lengthwise of the tube into engagement with said formation to grip the tube against displacement relative to the holder.
  • the tube holder has extensions for attaching to a head strap or to tape which will hold the tube holder in position.
  • the tube holder is made from a flexible transparent plastics material, so as to be comfortable to the patient and give clear visibility of the patient's face.
  • tube holders Preferably various sizes of tube holders are available to accommodate different tube diameters and head sizes.
  • Prior art facial tube holders commonly require the tube to be threaded through the holder before it can be fitted to the face, but this is complicated and time consuming.
  • the tube holder in accordance with this invention can be fitted to the patient by a nurse and the subsequent intubation can be carried out quickly by a doctor by locating the locking element around the tube, engaging the tube with the tube holder and locking the tube in position by sliding the locking element into engagement with the tube holder.
  • FIGURE 1 is a plan view of an embodiment of facial tube holder in accordance with this invention.
  • FIGURE 2 is a side view of the tube holder of Figure 1;
  • FIGURE 3 is a longitudinal section through a locking element used with the tube holder of Figure 1;
  • FIGURE 4 is a plan view of the locking element of Figure 2 in position around a projecting collar of the tube holder of Figure 1;
  • FIGURE 5 is a perspective view of another embodiment of facial tube holder in accordance with this invention.
  • FIGURE 6 is a side view of a patient wearing the tube holder of Figure 1 over the lower lip;
  • FIGURE 7 is a front view of the patient of Figure 6;
  • FIGUR 8 is a side view of a patient wearing the tube holder of Figure 1 over the upper lip;
  • FIGURE 9 is a front view of the patient of Figure 8;
  • FIGURE 10 is a side view of a patient wearing the tube holder of Figure 5 on the nose; and
  • FIGURE 11 is a front view of the patient of Figure 10.
  • a facial tube holder 10 for holding orotracheal or orogastric tubes, comprising a flat flexible elongate sheet of transparent plastics 15 having an enlarged end 16 in which an aperture 11 is positioned adjacent one of its edges.
  • the other end 17 is less enlarged than the first, and each of the ends 16,17 has an elongate slot 12 parallel to the ends.
  • a C-shaped collar 13 projects perpendicular to the flat elongate sheet 15 and forms an annular wall around the aperture 11.
  • the collar wall is enlarged to form a vertical rib running lengthwise along the collar from its base to its upper edge.
  • An annular groove 30 extends around the outer periphery of the collar 13 parallel to its upper edge.
  • Figure 2 is a longitudinal section through a C-shaped locking clip 40, the inside of which tapers from its lower edge 21 to its upper edge 20.
  • the inside diameter of the clip at the lower edge 21 is slightly greater than the outside diameter of the C-shaped collar 13.
  • An annular rib 22 extends around the inside of the clip parallel to the upper edge 20, and is displaced from it by the same distance as the groove 30 is displaced from the upper edge of the C-shaped collar 13.
  • Figure 4 shows how the C-shaped locking clip 40 fits over the C-shaped collar 13 of the holder of Figures 1 and 2.
  • the vertical rib 14 of the C-shaped collar lies within the gap 41 in the C-shaped clip 40.
  • the tube holder also includes straps (not shown) attached to the holder through the slots 12 and having a fastener (e.g. of the hook-pile or velcro type) for attaching their free ends togther at the back of the head.
  • a fastener e.g. of the hook-pile or velcro type
  • the tube holder 10 can be fitted over the lower lip LL of the patient, as shown in Figures 6 and 7 , or over the upper lip UL as shown in Figures 8 and 9, and held in place by the head strap 82 fastened at the back of the head H.
  • the enlarged end of the tube holder is shaped so that when it is fitted to the patient's head H, the aperture 11 is directly over the corner of the patient's open mouth M.
  • the holder 10 does not obstruct the patient's mouth whether it is fitted on the upper or lower lip UL,LL.
  • the tube 81 is snap-engaged with the collar 13 by displacing the tube sideways of itself and through the gap 31 of the collar 13.
  • the locking clip 40 is engaged onto the tube 81 in a similar manner, the tube passing sideways through the gap 41, and is then slid lengthwise along the tube over the collar 13 of the holder. Because of the tapering inside surface of the locking clip 40, this clip engages the collar 13 with a wedging action so that the latter grips the tube 81 tightly, and holds it firmly in place.
  • the internal rib 22 of the clip 40 engages within the groove 30 in the collar to prevent the clip 40 from becoming dislodged from the collar 13.
  • the tube 81 can be removed by sliding the clip 40 lengthwise away from the collar 13, then removing the tube 81 through the gap 31 in the collar.
  • Figure 5 shows a facial tube holder 50 for holding nasotracheal or nasogastric tubes comprising a triangular shaped sheet of transparent flexible plastics having two extended points 51,53 in which slots 12 are formed parallel to the ends.
  • the third point 52 is extended a greater distance than the points 51,53, and has a similar slot 12 formed in it.
  • the raised portion is wedge shaped, with its apex ending at the third point 52.
  • the holder 50 In use the holder 50 is placed over the patient's nose N as shown in Figures 10 and 11, with the wedge shaped raised portion 54 covering the nose N, and the points 51,53 lying on the cheeks.
  • the point 52 ends at the forehead and is joined to a strap which is passed over the head H, and joined to another strap passed around the head from points 51 to 53.
  • the nasal tube entering the patient's nose is held firmly in place by engaging it with the C-shaped collar 13 situated adjacent the patient's left nostril, then applying the locking clip 40 of Figure 3 to the tube 58, and sliding it lengthwise along the tube 58 to engage the collar 13 and cause the latter to firmly grip the tube 58.
  • the embodiments described above are comfortable to the patient and firmly hold the tube entering the mouth or nose for substantial periods of time without the fear of the tube becoming dislodged or the holder causing irritation to the patient.

Abstract

A facial tube holder for holding tubes in position over a patient's mouth or adjacent his nostril, which is attachable to the patient's head and includes a collar (13) with which the tube (e.g. 58) can be engaged by movement of the tube transverse to itself. A clip (40) fits onto the tube and is displaceable along the tube and engages with the collar (13) to hold the tube in position.

Description

FACIAL TUBE HOLDER
This invention relates to a facial tube holder.
It is often necessary for a doctor to insert a tube through the mouth or nose of a patient, for attachment to a ventilator, stomach pump or other appliance. These tubes are commonly held in position with adhesive tape or pads adhered to the patient's skin. However perspiration may loosen the adhesive and allow the tube to become dislodged or badly positioned, possibly endangering the patient's life. Reintubation may be difficult and traumatic to the patient.
Endotracheal tube holders have been devised that are held over the patient's mouth by a head strap. These are complicated to use and it is undesirable for the holder to cover the mouth. A holder is known that holds nasogastric tubes which extend through the patient's nose, comprising a flat nose piece which is moulded to and then adhered to the outside of the patient's nose. This holder takes a long time to attach, and will cause skin irritation in times of prolonged use. The stress to the patient whilst applying these devices and the tubes is very high. It is also desirable to have a reliable and quick method of fixing facial tubes in an emergency.
We have now devised a holder for holding facial tubes securely in position, that can be administered easily and rapidly in an emergency.
In accordance with this invention, there is provided a facial tube holder attachable to a patient's head and including a formation with which a tube can be engaged by movement of the tube transverse to itself, and an element which is displaceable lengthwise of the tube into engagement with said formation to grip the tube against displacement relative to the holder.
Preferably the tube holder has extensions for attaching to a head strap or to tape which will hold the tube holder in position.
Preferably the tube holder is made from a flexible transparent plastics material, so as to be comfortable to the patient and give clear visibility of the patient's face.
Preferably various sizes of tube holders are available to accommodate different tube diameters and head sizes.
Prior art facial tube holders commonly require the tube to be threaded through the holder before it can be fitted to the face, but this is complicated and time consuming. The tube holder in accordance with this invention can be fitted to the patient by a nurse and the subsequent intubation can be carried out quickly by a doctor by locating the locking element around the tube, engaging the tube with the tube holder and locking the tube in position by sliding the locking element into engagement with the tube holder.
Embodiments of this invention will now be described by way of examples only, and with reference to the accompanying drawings, in which:
FIGURE 1 is a plan view of an embodiment of facial tube holder in accordance with this invention;
FIGURE 2 is a side view of the tube holder of Figure 1;
FIGURE 3 is a longitudinal section through a locking element used with the tube holder of Figure 1;
FIGURE 4 is a plan view of the locking element of Figure 2 in position around a projecting collar of the tube holder of Figure 1;
FIGURE 5 is a perspective view of another embodiment of facial tube holder in accordance with this invention;
FIGURE 6 is a side view of a patient wearing the tube holder of Figure 1 over the lower lip;
FIGURE 7 is a front view of the patient of Figure 6;
FIGUR 8 is a side view of a patient wearing the tube holder of Figure 1 over the upper lip;
FIGURE 9 is a front view of the patient of Figure 8; FIGURE 10 is a side view of a patient wearing the tube holder of Figure 5 on the nose; and
FIGURE 11 is a front view of the patient of Figure 10.
Referring to Figures 1 and 2 of the drawings, there is shown a facial tube holder 10, for holding orotracheal or orogastric tubes, comprising a flat flexible elongate sheet of transparent plastics 15 having an enlarged end 16 in which an aperture 11 is positioned adjacent one of its edges. The other end 17 is less enlarged than the first, and each of the ends 16,17 has an elongate slot 12 parallel to the ends. A C-shaped collar 13 projects perpendicular to the flat elongate sheet 15 and forms an annular wall around the aperture 11. On the opposite side of the C-shaped collar 13 from its opening 31, the collar wall is enlarged to form a vertical rib running lengthwise along the collar from its base to its upper edge. An annular groove 30 extends around the outer periphery of the collar 13 parallel to its upper edge.
Figure 2 is a longitudinal section through a C-shaped locking clip 40, the inside of which tapers from its lower edge 21 to its upper edge 20. The inside diameter of the clip at the lower edge 21 is slightly greater than the outside diameter of the C-shaped collar 13. An annular rib 22 extends around the inside of the clip parallel to the upper edge 20, and is displaced from it by the same distance as the groove 30 is displaced from the upper edge of the C-shaped collar 13.
Figure 4 shows how the C-shaped locking clip 40 fits over the C-shaped collar 13 of the holder of Figures 1 and 2. The vertical rib 14 of the C-shaped collar lies within the gap 41 in the C-shaped clip 40.
The tube holder also includes straps (not shown) attached to the holder through the slots 12 and having a fastener (e.g. of the hook-pile or velcro type) for attaching their free ends togther at the back of the head. In use, the tube holder 10 can be fitted over the lower lip LL of the patient, as shown in Figures 6 and 7 , or over the upper lip UL as shown in Figures 8 and 9, and held in place by the head strap 82 fastened at the back of the head H. The enlarged end of the tube holder is shaped so that when it is fitted to the patient's head H, the aperture 11 is directly over the corner of the patient's open mouth M. The holder 10 does not obstruct the patient's mouth whether it is fitted on the upper or lower lip UL,LL. After a doctor has inserted the oral tube 81 through the patient's mouth M, the tube 81 is snap-engaged with the collar 13 by displacing the tube sideways of itself and through the gap 31 of the collar 13. The locking clip 40 is engaged onto the tube 81 in a similar manner, the tube passing sideways through the gap 41, and is then slid lengthwise along the tube over the collar 13 of the holder. Because of the tapering inside surface of the locking clip 40, this clip engages the collar 13 with a wedging action so that the latter grips the tube 81 tightly, and holds it firmly in place. The internal rib 22 of the clip 40 engages within the groove 30 in the collar to prevent the clip 40 from becoming dislodged from the collar 13.
The tube 81 can be removed by sliding the clip 40 lengthwise away from the collar 13, then removing the tube 81 through the gap 31 in the collar.
Figure 5 shows a facial tube holder 50 for holding nasotracheal or nasogastric tubes comprising a triangular shaped sheet of transparent flexible plastics having two extended points 51,53 in which slots 12 are formed parallel to the ends.
The third point 52 is extended a greater distance than the points 51,53, and has a similar slot 12 formed in it. A raised portion 54, set midway between points 51 and 53, extends laterally up the centre of the holder towards the third point
52. The raised portion is wedge shaped, with its apex ending at the third point 52. A C-shaped collar 13, similar to the collar of the holder of Figure 1, is joined to the raised portion
54 at a point offset from the mid point of the edge joining points 51 and 53 of the holder 50. The axis of the collar 13 lies parallel to the slope of the raised portion 54 towards the point 52.
In use the holder 50 is placed over the patient's nose N as shown in Figures 10 and 11, with the wedge shaped raised portion 54 covering the nose N, and the points 51,53 lying on the cheeks. The point 52 ends at the forehead and is joined to a strap which is passed over the head H, and joined to another strap passed around the head from points 51 to 53. The nasal tube entering the patient's nose is held firmly in place by engaging it with the C-shaped collar 13 situated adjacent the patient's left nostril, then applying the locking clip 40 of Figure 3 to the tube 58, and sliding it lengthwise along the tube 58 to engage the collar 13 and cause the latter to firmly grip the tube 58.
The embodiments described above are comfortable to the patient and firmly hold the tube entering the mouth or nose for substantial periods of time without the fear of the tube becoming dislodged or the holder causing irritation to the patient.

Claims

1) A facial tube holder attachable to a patient's head and including a formation with which a tube can be engaged by movement of the tube transverse to itself, and an element which is displaceable lengthways of the tube into engagement with said formation to grip the tube against displacement relative to the holder.
2) A facial tube holder as claimed in claim 1 comprising extensions for attaching to a head strap or tape which will hold the tube holder in position.
3) A facial tube holder as claimed in claim 1 or 2, formed from a flexible transparent plastics material.
4) A facial tube holder as claimed in any preceding claim which is arranged for holding oral tubes in position over the patient's mouth.
5) A facial tube holder as claimed in any one of claims 1 to 3 which is arranged for holding nasal tubes in position adjacent one of the patient's nostrils.
6) A facial tube holder as claimed in any preceding claim in which said tube engaging formation comprises a collar having a longitudinal opening.
7) A facial tube holder as claimed in claim 6 in which the collar wall comprises an enlarged portion which forms a longitudinal rib.
8) A facial tube holder as claimed in any preceding claim in which the displaceable element comprises a C shaped clip.
9) A facial tube holder as claimed in claim 8 in which the C shaped clip tapers from its lower edge to its upper edge.
10) A facial tube holder as claimed in claim 8 or 9 in which an annular rib extends around the inside of the clip parallel to its upper edge for snap-engagement with an annular groove which extends around the outer periphery of the collar.
PCT/GB1991/000514 1990-03-29 1991-04-02 Facial tube holder WO1991014472A1 (en)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
GB909007009A GB9007009D0 (en) 1990-03-29 1990-03-29 Endotracheal tube fixator/holder
GB9007009.5 1990-03-29
GB9009836A GB2242833A (en) 1990-03-29 1990-05-02 Facial tube holder
GB9009836.9 1990-05-02

Publications (1)

Publication Number Publication Date
WO1991014472A1 true WO1991014472A1 (en) 1991-10-03

Family

ID=26296860

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB1991/000514 WO1991014472A1 (en) 1990-03-29 1991-04-02 Facial tube holder

Country Status (2)

Country Link
AU (1) AU7557091A (en)
WO (1) WO1991014472A1 (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1994028962A1 (en) * 1993-06-11 1994-12-22 Medicotest A/S A device for fixing a nasal tube in a person's one nostril
US5551421A (en) * 1992-04-01 1996-09-03 Noureldin; Abdel H. Device for securement of an endotracheal tube in a patient's mouth
EP0862923A1 (en) * 1997-03-05 1998-09-09 R.A.O. Modelage-Maquettes Intubation device for artificial patient ventilation

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4114626A (en) * 1975-01-30 1978-09-19 Beran Anthony V Intubation set
GB2039744A (en) * 1979-01-08 1980-08-20 Technalytics Inc Nasogastric tube stabilizer
US4331143A (en) * 1980-07-11 1982-05-25 Foster Billy R Endotracheal tube holder

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4114626A (en) * 1975-01-30 1978-09-19 Beran Anthony V Intubation set
GB2039744A (en) * 1979-01-08 1980-08-20 Technalytics Inc Nasogastric tube stabilizer
US4331143A (en) * 1980-07-11 1982-05-25 Foster Billy R Endotracheal tube holder

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5551421A (en) * 1992-04-01 1996-09-03 Noureldin; Abdel H. Device for securement of an endotracheal tube in a patient's mouth
WO1994028962A1 (en) * 1993-06-11 1994-12-22 Medicotest A/S A device for fixing a nasal tube in a person's one nostril
EP0862923A1 (en) * 1997-03-05 1998-09-09 R.A.O. Modelage-Maquettes Intubation device for artificial patient ventilation
FR2760368A1 (en) * 1997-03-05 1998-09-11 R A O Modelage Maquettes INTUBATION DEVICE FOR ARTIFICIAL BREATHING OF A PATIENT

Also Published As

Publication number Publication date
AU7557091A (en) 1991-10-21

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