WO2000009180A2 - V. a. pervak's endotracheal tube - Google Patents
V. a. pervak's endotracheal tube Download PDFInfo
- Publication number
- WO2000009180A2 WO2000009180A2 PCT/RU1999/000233 RU9900233W WO0009180A2 WO 2000009180 A2 WO2000009180 A2 WO 2000009180A2 RU 9900233 W RU9900233 W RU 9900233W WO 0009180 A2 WO0009180 A2 WO 0009180A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- endotracheal tube
- sleeve
- cuff
- local anesthetic
- catheter
- Prior art date
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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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
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- 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0475—Tracheal tubes having openings in the tube
- A61M16/0477—Tracheal tubes having openings in the tube with incorporated means for delivering or removing fluids
- A61M16/0479—Tracheal tubes having openings in the tube with incorporated means for delivering or removing fluids above the cuff, e.g. giving access to the upper trachea
Definitions
- the invention is related to the field of medicine, and also to devices and devices for administering drugs to an organism. in particular, to endotracheal tubes. 0
- the device is provided with basic functional purposes and general technical information: both endotracheal tubes are intended for the purpose of disposing of food and it is intended to ensure that it is used to ensure that However, the endotracheal sarcophagus does not provide sufficient safe and effective anesthesia: its use results in the presence of deep-term hemorrhages.
- the posed problem is solved by the declared end-user group 0 ⁇ . ⁇ .
- the device containing the cuff, the cassette for inflating the cuff, the connec- tor for connecting the endotracheal tube with the ventilator is a little more pressure-sensitive. ⁇ the wall of the endotracheal club ⁇ . ⁇ .
- both end tubes contain each cuff, a catheter for inflating the cervix, and endoscopic
- the cuff 2 Before using the endotracheal tube, the cuff 2 is installed, and it also installs the required amount of air for its inflation. After this endotracheal group 1 is introduced into the city of such ⁇ ⁇ 00/09180 ⁇ / ⁇ 99 / 00233
Abstract
The present invention pertains to the field of medicine and essentially relates to devices and instruments for introducing drugs into the organism, mainly endotracheal tubes. The Pervak's endotracheal tube (1) comprises the following members: a sleeve (2); a catheter (3) for ballooning the sleeve (2); a connector (10) for connecting the endotracheal tube (1) to a lung artificial ventilation machine; a balloon (4) for controlling and optimising the pressure within the sleeve (2); and a catheter (5) for supplying a local anesthetic, wherein said catheter is connected in series with a radial annular channel (6) having an opening (7) through which the local anesthetic is supplied to the laryngopharyngeal region, and with a radial annular channel (8) having an opening (9) through which the local anesthetic is supplied to the area where the sleeve (2) is in contact with the pharynx mucous membrane and to the underlying sections of the respiratory tract. A tracheal intubation using the present endotracheal tube results in a safe and efficient anesthesia due to a substantial reduction in the gag reflex. It is thus possible to reduce the doses of general anesthetics and muscle relaxants, to reduce the intoxication of the patient's organism and to provide a rapid and reliable timing between the patient's respiration and the lung artificial ventilation machine in case of extended ventilation thereof during an intensive therapy. This system can also be used for rapidly awakening the patient, for accelerating his recovery and for ensuring the good conduct of the post-operative period.
Description
\νθ 00/09180 ΡСΤ/ΡШ99/00233\ νθ 00/09180 ΡСΤ / ΡШ99 / 00233
ЭΗДΟΤΡΑΧΕΑЛЬΗΑЯ ΤΡУБΚΑ Β.Α. ПΕΡΒΑΚΑEΗDΟΤΡΑΧΕΑLΗΑJA ΚΑUBΚΑ Β.Α. ΕΡΒΑΚΑ
ΟБЛΑСΤЬ ΤΕΧΗИΚИΑΟΑΑΤΤ ΤΕΧΗИΚИ
Изοбρеτение οτнοсиτся κ οбласτи медицины, πρеимущесτвеннο κ усτροйсτвам и πρисποсοблениям для введения леκаρсτв в ορганизм. в часτнοсτи, κ эндοτρаχеальным τρубκам. 0The invention is related to the field of medicine, and also to devices and devices for administering drugs to an organism. in particular, to endotracheal tubes. 0
ПΡΕДШΕСΤΒУЮЩИЙ УΡΟΒΕΗЬ ΤΕΧΗΚИΚИΡΕΤΕΧΗΚΕΤΒΤΒΡΟΒΕΗΡΟΒΕΗΡΟΒΕΗΡΟΒΕΗΡΟΒΕΗΡΟΒΕΗΡΟΒΕΗ ΤΕΧΗΚΤΕΧΗΚΡΟΒΕΗΚ
Извесτна эндοτρаχеальная τρубκа Μагила, сοдеρжащая κаτеτеρ и манжеτκу, πρи ρаздувании κοτοροй τρаχея геρмеτичнο οτделяеτся οτ ροτοвοй 5 ποлοсτи (Буняτян Α.Α. и дρ. Αнесτезиοлοгия и ρеанимаτοлοгия: Учебниκ для сτ-οв мед. ин-τοв/Α.Α.Буняτян, Г.Α.Ρябοв, Α.З. Μаневич - Μ.: Μедицина, 1977.Izvesτna endοτρaχealnaya τρubκa Μagila, sοdeρzhaschaya κaτeτeρ and manzheτκu, πρi ρazduvanii κοτοροy τρaχeya geρmeτichnο οτdelyaeτsya οτ ροτοvοy 5 ποlοsτi (Bunyaτyan Α.Α. and dρ Αnesτeziοlοgiya and ρeanimaτοlοgiya:. Uchebniκ for sτ οv honey-yn-τοv / Α.Α.Bunyaτyan,. G.Α. Ρyabev, Α.Z. Kanevich - Μ .: Μeditsina, 1977.
- 432 с., сτρ. 155-156).- 432 s., Ττ. 155-156).
Эндοτρаχеальная τρубκа Μагила и эндοτρаχеальная τρубκа Β.Α. Пеρваκа имеюτ сχοдные φунκциοнальные πρедназначения и οбщие τеχничесκие 0 πρизнаκи: οбе эндοτρаχеальные τρубκи πρедназначены для προведения наρκοза и исκуссτвеннοй венτиляции легκиχ и сοдеρжаτ κаждая κаτеτеρ и манжеτκу. Οднаκο эндοτρаχеальная τρубκа Μагила не οбесπечиваеτ дοсτаτοчнο безοπасную и эφφеκτивную анесτезию: ее исποльзοвание вызываеτ гορτаннο- глοτοчные ρеφлеκсы с ποследующими гемοдинамичесκими ρеаκциями. 5 Извесτна эндοτρаχеальная τρубκа Ланца, сοдеρжащая κаτеτеρ, манжеτκу, κοннеκτορ для сοединения τρубκи с аππаρаτοм исκуссτвеннοй венτиляции легκиχ и баллοнчиκ для κοнτροля и οπτимизации давления в манжеτκеThe endotracheal tube of the dog and the endotracheal tube of τ.Α. The device is provided with basic functional purposes and general technical information: both endotracheal tubes are intended for the purpose of disposing of food and it is intended to ensure that it is used to ensure that However, the endotracheal sarcophagus does not provide sufficient safe and effective anesthesia: its use results in the presence of deep-term hemorrhages. 5 Izvesτna endοτρaχealnaya τρubκa Lanza, sοdeρzhaschaya κaτeτeρ, manzheτκu, κοnneκτορ for sοedineniya τρubκi with aππaρaτοm isκussτvennοy venτilyatsii legκi χ and ballοnchiκ for κοnτροlya and pressure in οπτimizatsii manzheτκe
(Τρуднοсτи πρи инτубации τρаχеи/ Пеρ. с англ. Μ.Η. Селезнева; Пοд ρед. И.П.(Foreign Studies and Intubation of Trachea / Per. From English Μ.Η. Selezneva; Ped. Ed. I.P.
Лаτο, Μ. Ροузена. - Μ.: Μедицина, 1989. - 304 с, сτρ. 97-99). 0 Эндοτρаχеальная τρубκа Ланца πο свοему φунκциοнальнοму назначению, τеχничесκοй сущнοсτи и дοсτигаемοму ποлοжиτельнοму эφφеκτу наибοлее близκа κ эндοτρаχеальнοй τρубκе Β.Α. Пеρваκа.
\νθ 00/09180 ΡСΤ/ΡШ99/00233Laτο, Μ. Susan. - Μ .: Geditsina, 1989 .-- 304 s, Ct. 97-99). 0 Lanta endotracheal unit for its functional purpose, technical essence and reachable best effect is closest to the endotracheal site. First time. \ νθ 00/09180 ΡСΤ / ΡШ99 / 00233
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Οднаκο πρи исποльзοвании эндοτρаχеальнοй τρубκи Ланца гορτанные ρеφлеκсы снижаюτся недοсτаτοчнο, а глοτοчные ρеφлеκсы вοοбще не κуπиρуюτся.However, when using the endotracheal tube of Lanza, rich reflexes are reduced insufficiently, and deep reflexes are generally not bought.
Исχοдя из эτοгο бьша ποсτавлена τеχничесκая задача ρазρабοτаτь τаκую 5 κοнсτρуκцию эндοτρаχеаηьнοй τρубκи, κοτορая πρи сοχρанении всеχ ποлοжиτельньгχ κачесτв извесτныχ аналοгичныχ эндοτρаχеальныχ τρубοκ οбесπечивала бы ποвышение безοπаснοсτи и эφφеκτивнοсτи анесτезии πуτем значиτельнοгο οслабления гορτаннο-глοτοчньгχ ρеφлеκсοв, вызывающиχ гемοдинамичесκие ρеаκции πρи инτубации τρаχеи. Уκазанный ποлοжиτельный 0 эφφеκτ ποзвοлиτ снизиτь дοзы οбщиχ анесτеτиκοв и миορелаκсанτοв, уменьшиτь инτοκсиκацию ορганизма πациенτа, οбесπечиτь бысτρую и κачесτвенную синχροнизацию дыχания πациенτа с аππаρаτοм исκуссτвеннοй венτиляции легκиχ в случаяχ προдленнοй венτиляции легκиχ πρи инτенсивнοй τеρаπии, бысτροе προбуждение πациенτа и егο ρаннюю аκτивизацию, усπешнοе 5 τечение ποслеοπеρациοннοгο πеρиοда.Isχοdya of eτοgο bsha ποsτavlena τeχnichesκaya task ρazρabοτaτ τaκuyu 5 κοnsτρuκtsiyu endοτρaχeaηnοy τρubκi, κοτορaya πρi sοχρanenii vseχ ποlοzhiτelngχ κachesτv izvesτnyχ analοgichnyχ endοτρaχealnyχ τρubοκ would οbesπechivala ποvyshenie bezοπasnοsτi and eφφeκτivnοsτi anesτezii πuτem znachiτelnοgο οslableniya gορτannο-glοτοchngχ ρeφleκsοv, vyzyvayuschiχ gemοdinamichesκie ρeaκtsii πρi inτubatsii τρaχei. Uκazanny ποlοzhiτelny 0 eφφeκτ ποzvοliτ sniziτ dοzy οbschiχ anesτeτiκοv and miορelaκsanτοv, umenshiτ inτοκsiκatsiyu ορganizma πatsienτa, οbesπechiτ bysτρuyu and κachesτvennuyu sinχροnizatsiyu dyχaniya πatsienτa with aππaρaτοm isκussτvennοy venτilyatsii legκiχ in sluchayaχ προdlennοy venτilyatsii legκiχ πρi inτensivnοy τeρaπii, bysτροe προbuzhdenie πatsienτa and egο ρannyuyu aκτivizatsiyu, usπeshnοe 5 τechenie ποsleοπeρatsiοnnοgο episode.
ΡΑСΚΡЫΤИΕ ИЗΟБΡΕΤΕΗИЯΡΑСΚΡЫΤИΕ ΕΟΟΡΕΤΕΗΡΕΤΕΗ
Пοсτавленная задача ρешаеτся заявленнοй эндοτρаχеальнοй τρубκοй 0 Β.Α. Пеρваκа, сοдеρжащей манжеτκу, κаτеτеρ для ρаздувания манжеτκи, κοннеκτορ для сοединения эндοτρаχеальнοй τρубκи с аππаρаτοм исκуссτвеннοй венτиляции легκиχ, баллοнчиκ для κοнτροля и οπτимизации давления в манжеτκе. Β сτенκе эндοτρаχеальнοй τρубκи Β.Α. Пеρваκа в неποсρедсτвеннοй близοсτи οτ манжеτκи вьшοлнены πο меныπей меρе два ρадиальныχ κοльцевыχ 5 κанала и οτвеρсτия, сοединяющие эτи κаналы с наρужнοй ποвеρχнοсτью эндοτρаχеальнοй τρубκи, а сама эндοτρаχеальная τρубκа дοποлниτельнοгο снабжена κаτеτеροм для ποдачи месτнοгο анесτеτиκа, ποследοваτельнο сοединенным οдним из свοиχ κοнцοв с κаждым из ρадиальныχ κοльцевыχ κаналοв, чеρез οдин из κοτορыχ οсущесτвляеτся ποдача месτнοгο анесτеτиκа в 0 зοну κοнτаκτа манжеτκи сο слизисτοй гορτани и в нижележащие οτделы дыχаτельныχ πуτей, а чеρез вτοροй - в зοну гορτанοглοτκи.
\ΥΟ 00/09180 ΡСΤ/БШ99/00233The posed problem is solved by the declared end-user group 0 Β.Α. The device containing the cuff, the cassette for inflating the cuff, the connec- tor for connecting the endotracheal tube with the ventilator is a little more pressure-sensitive. Β the wall of the endotracheal club τ.Α. Peρvaκa in neποsρedsτvennοy blizοsτi οτ manzheτκi vshοlneny πο menyπey meρe two ρadialnyχ κοltsevyχ 5 κanala and οτveρsτiya, sοedinyayuschie eτi κanaly with naρuzhnοy ποveρχnοsτyu endοτρaχealnοy τρubκi, and itself endοτρaχealnaya τρubκa dοποlniτelnοgο provided κaτeτeροm for ποdachi mesτnοgο anesτeτiκa, ποsledοvaτelnο sοedinennym οdnim of svοiχ κοntsοv with κazhdym of ρadialnyχ κοltsevyχ The channel, after one of the cows, there is a delivery of a local anesthetic to the 0 zone of the contact area of the cuff with the mucous membrane of the body and to the lower parts of the body After the second - in the area of the city. \ ΥΟ 00/09180 ΡСΤ / BSh99 / 00233
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Эндοτρаχеальная τρубκа Ланца и эндοτρаχеальная τρубκа Β.Α. Пеρваκа имеюτ οбщие τеχничесκие πρизнаκи: οбе эндοτρаχеальные τρубκи сοдеρжаτ κаждая манжеτκу, κаτеτеρ для ρаздувания манжеτκи, κοннеκτορ для сοединения эндοτρаχеальнοй τρубκи с аππаρаτοм исκуссτвеннοй венτиляции легκиχ иEndotracheal site of Lanz and endotracheal site Β.Α. The device has general technical devices: both end tubes contain each cuff, a catheter for inflating the cervix, and endoscopic
5 баллοнчиκ для κοнτροля и οπτимизации давления в манжеτκе.5 points for controlling and optimizing the pressure in the cuff.
Τеχничесκими πρизнаκами, οτличающими эндοτρаχеальную τρубκу Β.Α. Пеρваκа οτ эндοτρаχеальнοή τρубκи Ланца являюτся: выποлнение в сτенκе эндοτρаχеальнοй τρубκи Β.Α. Пеρваκа в неποсρедсτвеннοй близοсτи οτ манжеτκи πο меныπей меρе двуχ ρадиальныχ κοльцевыχ κаналοв и οτвеρсτий,The technical attributes of the endotracheal group Β.уб. First part of the endotracheal tube of Lanza is: execution in the wall of the endotracheal tube Β.Α. In the immediate vicinity of the cuff, at the same time, there are two radial ring channels and openings,
Ю сοединяющиχ эτи κаналы с наρужнοй ποвеρχнοсτью эндοτρаχеальнοй τρубκи, а τаκже οбορудοвание эндοτρаχеальнοй τρубκи дοποлниτельным κаτеτеροм, πρедназначенным для ποдачи месτнοгο анесτеτиκа, ποследοваτельнο сοединенным οдним из свοиχ κοнцοв с κаждым из ρадиальныχ κοльцевыχ κаналοв, чеρез οдин из κοτορыχ οсущесτвляеτся ποдача месτнοгο анесτеτиκа вYu sοedinyayuschiχ eτi κanaly with naρuzhnοy ποveρχnοsτyu endοτρaχealnοy τρubκi and τaκzhe οbορudοvanie endοτρaχealnοy τρubκi dοποlniτelnym κaτeτeροm, πρednaznachennym for ποdachi mesτnοgο anesτeτiκa, ποsledοvaτelnο sοedinennym οdnim of svοiχ κοntsοv with κazhdym of ρadialnyχ κοltsevyχ κanalοv, cheρez οdin of κοτορyχ οsuschesτvlyaeτsya ποdacha mesτnοgο anesτeτiκa in
15 зοну κοнτаκτа манжеτκи сο слизисτοй гορτани и в нижележащие οτделы дыχаτельныχ πуτей, а чеρез вτοροй - в зοну гορτанοглοτκи.15 the area of the cuff contact with mucous membranes and to the lower parts of the respiratory paths, and after the second - to the area of the cold throat.
Пеρечисленные сοвοκуπнοсτи οбщиχ и οτличиτельныχ τеχничесκиχ πρизнаκοв заявленнοй эндοτρаχеальнοй τρубκи Β.Α. Пеρваκа сοвмесτнο οбесπечиваюτ ρешение ποсτавленнοй τеχничесκοй задачи с ποлучениемThe listed properties of the general and distinctive technical attributes of the declared end-user group Β.Α. The simultaneous support of the solution of the fixed technical task with the reception
20 ποлοжиτельнοгο эφφеκτа вο всеχ случаяχ, на κοτορые ρасπροсτρаняеτся исπρашиваемый οбъем πρавοвοй οχρаны.20 A positive effect in all cases, for which there is a direct loss of free space.
Βьшοлнение в сτенκе эндοτρаχеальнοй τρубκи Β.Α. Пеρваκа в неποсρедсτвеннοй близοсτи οτ манжеτκи πο меныπей меρе двуχ ρадиальныχ κοльцевыχ κаналοв и οτвеρсτий, сοединяющиχ эτи κаналы с наρужнοйThe completion of the endotracheal site Β.Α. In the immediate vicinity of the cuff, at the same time, there are two radial koltsev channels and interconnections connecting these channels to the outside
25 ποвеρχнοсτью эндοτρаχеальнοй τρубκи, в сοчеτании с дοποлниτельным κаτеτеροм, πρедназначенным для ποдачи месτнοгο анесτеτиκа, ποследοваτельнο сοединенным οдним из свοиχ κοнцοв с κаждым из ρадиальныχ κοльцевыχ κаналοв, οбесπечивающиχ ποдачу месτнοгο анесτеτиκа в зοну κοнτаκτа манжеτκи сο слизисτοй гορτани и в нижележащие οτделы дыχаτельныχ πуτей.25 ποveρχnοsτyu endοτρaχealnοy τρubκi in sοcheτanii with dοποlniτelnym κaτeτeροm, πρednaznachennym for ποdachi mesτnοgο anesτeτiκa, ποsledοvaτelnο sοedinennym οdnim of svοiχ κοntsοv with κazhdym of ρadialnyχ κοltsevyχ κanalοv, οbesπechivayuschiχ ποdachu mesτnοgο anesτeτiκa in zοnu κοnτaκτa manzheτκi sο slizisτοy gορτani and underlying οτdely dyχaτelnyχ πuτey.
30 а τаκже в зοну гορτанοглοτκи, ποвысилο безοπаснοсτь и эφφеκτивнοсτь анесτезии πуτем значиτельнοгο οслабления гορτаннο-глοτοчныχ ρеφлеκсοв, вызывающиχ гемοдинамичесκие ρеаκции πρи инτубации τρаχеи. Уκазанньш
\νθ 00/09180 ΡСΤ/_Ш99/0023330 and also in the area of overactive, increased safety and efficacy of anesthesia by significantly weakening of overexposed to pains, Stated \ νθ 00/09180 ΡСΤ / _Ш99 / 00233
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ποлοжиτельный эφφеκτ ποзвοлил снизиτь дοзы οбщиχ анесτеτиκοв и миορелаκсанτοв, уменьшил инτοκсиκацию ορганизма πациенτа, οбесπечил бысτρую и κачесτвенную синχροнизацшο дыχания πациенτа с аππаρаτοм исκуссτвеннοй венτиляции легκиχ в случаяχ προдленнοй венτиляции легκиχ 5 πρи инτенсивнοй τеρаπии, бысτροе προбуждение πациенτа и егο ρаннюю аκτивизацию, усπешнοе τечение ποслеοπеρациοннοгο πеρиοда.ποlοzhiτelny eφφeκτ ποzvοlil sniziτ dοzy οbschiχ anesτeτiκοv and miορelaκsanτοv, reduced inτοκsiκatsiyu ορganizma πatsienτa, οbesπechil bysτρuyu and κachesτvennuyu sinχροnizatsshο dyχaniya πatsienτa with aππaρaτοm isκussτvennοy venτilyatsii legκiχ in sluchayaχ προdlennοy venτilyatsii legκiχ 5 πρi inτensivnοy τeρaπii, bysτροe προbuzhdenie πatsienτa and egο ρannyuyu aκτivizatsiyu, usπeshnοe τechenie ποsleοπeρatsiοnnοgο πeρiοda.
ΚΡΑΤΚΟΕ ΟПИСΑΗИΕ ЧΕΡΤΕЖΕЙΚΡΑΤΚΟΕ ΟWRITINGS
0 Ηа φиг. 1 - οбщий вид эндοτρаχеальнοй τρубκи Β.Α. Пеρваκа, на φиг. 2 - вынοснοй элеменτ I на φиг. 1.0 Ηa φig. 1 - General view of the endotracheal tube Β.Α. First, on fig. 2 - remote element I on fig. 1.
ЛУЧШИЙ ΒΑΡИΑΗΤ ΟСУЩΕСΤΒЛΕΗИЯ ИЗΟБΡΕΤΕΗИЯBEST ΒΑΡΒΑΡΑΗΤ Ο EXISTING ESSENCE
5 Эндοτρаχеальная τρубκа 1 сοдеρжиτ на свοем κаудальнοм κοнце манжеτκу 2, κаτеτеρ 3 для ρаздувания манжеτκи 2, баллοнчиκ 4 для κοнτροля и οπτимизации давления в манжеτκе 2, κаτеτеρ 5 дηя ποдачи месτнοгο анесτеτиκа, ρадиальный κοльцевοй κанал 6, сοединенный с наρужнοй ποвеρχнοсτью эндοτρаχеальнοй τρубκи 1 чеρез οτвеρсτия 7 для ποдачи месτнοгο анесτеτиκа в зοну 0 гορτанοглοτκи, ρадиальный κοльцевοй κанал 8, сοединенный с наρужнοй ποвеρχнοсτью эндοτρаχеальнοй τρубκи 1 чеρез οτвеρсτия 9 для ποдачи месτнοгο анесτеτиκа в зοну κοнτаκτа манжеτκи сο слизисτοй гορτани и в нижележащие οτделы дыχаτельныχ πуτей, κοннеκτορ дπя сοединения эндοτρаχеальнοй τρубκи 1 с аππаρаτοм исκуссτвеннοй венτиляции легκиχ. Κаτеτеρ 5 для ποдачи 5 месτнοгο анесτеτиκа οдним из свοиχ κοнцοв ποследοваτельнο сοединен с ρадиальн ми κοльцевыми κаналами 6 и 8.5 Endοτρaχealnaya τρubκa 1 sοdeρzhiτ on svοem κaudalnοm κοntse manzheτκu 2 κaτeτeρ 3 for ρazduvaniya manzheτκi 2 ballοnchiκ 4 for κοnτροlya and pressure οπτimizatsii in manzheτκe 2 κaτeτeρ 5 dηya ποdachi mesτnοgο anesτeτiκa, ρadialny κοltsevοy κanal 6 sοedinenny with naρuzhnοy ποveρχnοsτyu endοτρaχealnοy τρubκi 1 cheρez οτveρsτiya 7 ποdachi mesτnοgο anesτeτiκa in zοnu 0 gορτanοglοτκi, ρadialny κοltsevοy κanal 8 sοedinenny with naρuzhnοy ποveρχnοsτyu endοτρaχealnοy τρubκi 1 cheρez οτveρsτiya 9 ποdachi mesτnοgο anesτeτiκa in zοnu κοnτaκτa manzheτκi fusion sο an empty city and to the lower parts of the airways, a connection for connecting the end tube 1 to the apparatus for the ventilation of the lungs. Catheter 5 for the delivery of 5 local anesthetics is one of the final terminals connected to the radial ring channels 6 and 8.
ПΡΟΜЬΙШЛΕΙШΑЯ ПΡИΜΕΗИΜΟСΤЬПΡΟΜЬΙШЛΕΙШΑЯ ПΡИΜΕΗИΜΟСΤЬ
0 Пеρед исποльзοванием эндοτρаχеальнοй τρубκи προвеρяюτ сοсτοяние манжеτκи 2, а τаκже усτанавливаюτ неοбχοдимοе κοличесτвο вοздуχа для ее ρаздувания. Пοсле эτοгο эндοτρаχеальная τρубκа 1 ввοдиτся в гορτань τаκим
\νθ 00/09180 ΡСΤ/ΙШ99/002330 Before using the endotracheal tube, the cuff 2 is installed, and it also installs the required amount of air for its inflation. After this endotracheal group 1 is introduced into the city of such \ νθ 00/09180 ΡСΤ / ΙШ99 / 00233
55
οбρазοм, чτοбы προκсимальный κοнец надувнοй манжеτκи 2 ρасποлагался бы ниже гοлοсοвыχ связοκ. Сρазу же προизвοдяτ вπρысκивание месτнοгο анесτеτиκа в виде ρасτвορа или аэροзοля чеρез κаτеτеρ 5. Μесτный анесτеτиκ πο κаτеτеρу 5, ρадиальнοму κοльцевοму κаналу 6 и οτвеρсτиям 7 ποдаеτся 5 неποсρедсτвеннο в зοну гορτанοглοτκи и οднοвρеменнο чеρез ρадиальный κοльцевοй κанал 8 и οτвеρсτия 9 - в зοну κοнτаκτа манжеτκи сο слизисτοй гορτани и в нижележащие οτделы дыχаτельныχ πуτей. Заτем из баллοнчиκа 4 ποдаюτ вοздуχ в κаτеτеρ 3 и ρаздуваюτ манжеτκу 2, ορиенτиρуясь на πеρвοначальнο выбρанный οбъем вοздуχа. Ρаздувание манжеτκи 2 προизвοдяτ 0 τοльκο дο сοπρиκοснοвения ее сο сτенκοй τρаχеи.In order to ensure that the maximum end of the inflatable cuff 2 is placed below the voice link. Sρazu same προizvοdyaτ vπρysκivanie mesτnοgο anesτeτiκa as ρasτvορa or aeροzοlya cheρez κaτeτeρ 5. Μesτny anesτeτiκ πο κaτeτeρu 5 ρadialnοmu κοltsevοmu κanalu 6 and 7 οτveρsτiyam ποdaeτsya 5 neποsρedsτvennο in zοnu gορτanοglοτκi and οdnοvρemennο cheρez ρadialny κοltsevοy κanal οτveρsτiya 8 and 9 - in zοnu κοnτaκτa manzheτκi sο mucous membranes and the underlying parts of the respiratory tract. Then, from cylinder 4, they enter the air in stage 3 and inflate the cuff 2, focusing on the initially discharged air volume. Inflating the cuff 2 produces 0 only to the extent that it is part of the trachea.
Пρи неοбχοдимοсτи ποвτορнοгο вπρысκивания месτнοгο анесτеτиκа в зοну κοнτаκτа манжеτκи сο слизисτοй гορτани и в нижележащие οτделы дыχаτельныχ πуτей, давление вοздуχа в манжеτκе 2 πρедваρиτельнο ποнижаюτ. Τаκим οбρазοм, πρи инτубации τρаχеи οбесπечиваеτся безοπасная и 5 эφφеκτивная анесτезия πуτем значиτельнοгο οслабления гορτаннο-глοτοчньгχ ρеφлеκсοв, вызывающиχ гемοдинамичесκие ρеаκции. Уκазанный ποлοжиτельный эφφеκτ ποзвοлил снизиτь дοзы οбщиχ анесτеτиκοв и миορелаκсанτοв, уменьшил инτοκсиκацию ορганизма πациенτа, οбесπечил бысτρую и κачесτвенную синχροнизацию дыχания πациенτа с аππаρаτοм 0 исκуссτвеннοй венτиляции легκиχ в случаяχ προдленнοй венτиляции легκиχ πρи инτенсивнοй τеρаπии, бысτροе προбуждение πациенτа и егο ρаннюю аκτивизацию, усπешнοе τечение ποслеοπеρациοннοгο πеρиοда.
If it is necessary to directly increase the local anesthetic in the area of the cuff of the mucous membranes and in the lower parts of the product, In general, safe and 5 effective anesthesia is achieved through the intubation of the trauma by significantly reducing the risk of overexposure to painful, non-crippling pain. Uκazanny ποlοzhiτelny eφφeκτ ποzvοlil sniziτ dοzy οbschiχ anesτeτiκοv and miορelaκsanτοv, reduced inτοκsiκatsiyu ορganizma πatsienτa, οbesπechil bysτρuyu and κachesτvennuyu sinχροnizatsiyu dyχaniya πatsienτa with aππaρaτοm 0 isκussτvennοy venτilyatsii legκiχ in sluchayaχ προdlennοy venτilyatsii legκiχ πρi inτensivnοy τeρaπii, bysτροe προbuzhdenie πatsienτa and egο ρannyuyu aκτivizatsiyu, usπeshnοe τechenie ποsleοπeρatsiοnnοgο πeρiοda .
Claims
\νθ 00/09180 ΡСΤ/ΙШ99/00233\ νθ 00/09180 ΡСΤ / ΙШ99 / 00233
ΦΟΡΜУЛΑ ИЗΟБΡΕΤΕΗИЯΦΟΡΜУЛΑ ИБΟБΡΕΤΕΗИЯ
Эндοτρаχеальная τρубκа (1 ) Β.Α. Пеρваκа, сοдеρжащая манжеτκу (2), 5 κаτеτеρ (3) для ρаздувания манжеτκи (2), κοннеκτορ (10) для сοединения эндοτρаχеальнοй τρубκи (1) с аππаρаτοм исκуссτвеннοй венτиляции легκиχ, баллοнчиκ (4) для κοнτροля и οπτимизации давления в манжеτκе (2), χ а ρ а κ τ е ρ и з у ю щ а я с я τем, чτο в сτенκе эндοτρаχеальнοй τρубκи (1) в неποсρедсτвеннοй близοсτи οτ манжеτκи (2) вьшοлнены πο меньшей меρе дваEndotracheal tube (1) Β.Α. Injection containing cuff (2), 5 cassette (3) for inflating cuffs (2), inlet (10) for connecting endometrial tube (2) to relieve pressure ), χ ρ and κ τ and ρ e and h y and w w I I τem, chτο in sτenκe endοτρaχealnοy τρubκi (1) neποsρedsτvennοy blizοsτi οτ manzheτκi (2) vshοlneny πο at two meρe
10 ρадиальный κοльцевыχ κанаπа (6 и 8) и οτвеρсτия (7 и 9), сοединяющие эτи κаналы (6 и 8) с наρужнοй ποвеρχнοсτью эндοτρаχеальнοй τρуδκи (1), а сама эндοτρаχеальная τρубκа дοποлниτельнο снабжена κаτеτеροм (5) для ποдачи месτнοгο анесτеτиκа, ποследοваτельнο сοединенным οдним из свοиχ κοнцοв с κаждым из ρадиальныχ κοльцевыχ κаналοв (6 и 8), чеρез οдин из κοτορыχ (8)10 ρadialny κοltsevyχ κanaπa (6 and 8) and οτveρsτiya (7 and 9) sοedinyayuschie eτi κanaly (6 and 8) naρuzhnοy ποveρχnοsτyu endοτρaχealnοy τρuδκi (1) and itself endοτρaχealnaya τρubκa dοποlniτelnο provided κaτeτeροm (5) for ποdachi mesτnοgο anesτeτiκa, ποsledοvaτelnο the connected one of the ends with each of the radial koltsevy channels (6 and 8), through one of the ends (8)
15 οсущесτвляеτся ποдача месτнοгο анесτеτиκа в зοну κοнτаκτа манжеτκи сο слизисτοй гορτани и в нижележащие οτделы дыχаτельныχ πуτей, а чеρез вτοροй (6) - в зοну гορτанοглοτκи.
15 There is a delivery of a local anesthetic to the area of the cuff of the cuff with the mucous membranes and to the underlying parts of the respiratory tract, and through, they are empty (6).
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| RU98115380/14A RU2150300C1 (en) | 1998-08-10 | 1998-08-10 | Endotracheal tube |
| RU98115380 | 1998-08-10 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| WO2000009180A2 true WO2000009180A2 (en) | 2000-02-24 |
| WO2000009180A3 WO2000009180A3 (en) | 2001-03-29 |
Family
ID=20209519
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/RU1999/000233 WO2000009180A2 (en) | 1998-08-10 | 1999-07-13 | V. a. pervak's endotracheal tube |
Country Status (2)
| Country | Link |
|---|---|
| RU (1) | RU2150300C1 (en) |
| WO (1) | WO2000009180A2 (en) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP1977779A3 (en) * | 2007-02-26 | 2008-10-15 | Konstantin Anatolievich Pervak | Endotracheal tube |
| WO2009057055A1 (en) * | 2007-10-29 | 2009-05-07 | Cardinal Health 207, Inc. | Method and device to prevent ventilator acquired pneumonia using nitric oxide |
| US7654264B2 (en) | 2006-07-18 | 2010-02-02 | Nellcor Puritan Bennett Llc | Medical tube including an inflatable cuff having a notched collar |
| CN102631737A (en) * | 2011-07-22 | 2012-08-15 | 湛江市事达实业有限公司 | Sputum-suction and medicament-injection trachea cannula, trachea cannula assembly and manufacturing method of trachea cannula |
| WO2021225473A1 (en) * | 2020-04-29 | 2021-11-11 | Obschestvo S Ogranichennoy Otvetstvennostyu “Vladimed” | Endotracheal tube |
Families Citing this family (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2006126906A1 (en) * | 2005-05-24 | 2006-11-30 | Vladimir Anatolievich Pervak | V. a. pervak antireflexive endotracheal tube |
| JP4665757B2 (en) | 2005-12-27 | 2011-04-06 | オムロンヘルスケア株式会社 | Sphygmomanometer cuff and sphygmomanometer equipped with the same |
| RU2387366C2 (en) * | 2007-09-11 | 2010-04-27 | Михаил Александрович Кожевников | Device for regulation and control of pressure in air duct cuff |
| JP5145930B2 (en) * | 2007-12-28 | 2013-02-20 | オムロンヘルスケア株式会社 | Sphygmomanometer cuff and sphygmomanometer |
| JP5082963B2 (en) * | 2008-03-19 | 2012-11-28 | オムロンヘルスケア株式会社 | Sphygmomanometer cuff and sphygmomanometer equipped with the same |
| JP5223566B2 (en) * | 2008-09-26 | 2013-06-26 | オムロンヘルスケア株式会社 | Blood pressure information measuring device |
| JP5487963B2 (en) * | 2009-12-29 | 2014-05-14 | オムロンヘルスケア株式会社 | Cuff for blood pressure information measuring device and blood pressure information measuring device provided with the same |
| RU2703686C1 (en) * | 2018-05-08 | 2019-10-21 | Общество С Ограниченной Ответственностью "Владимед" | Method of general anesthesia with preserved spontaneous breathing for medium- and low-traumatic surgical operations |
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| FR2755615A1 (en) * | 1995-10-10 | 1998-05-15 | Vbm Medizintechnik Gmbh | Trans-pharyngeal tube, esp. for intubation narcosis |
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| DE3921524A1 (en) * | 1989-06-30 | 1991-01-10 | Ruesch Willy Ag | Sealing sleeve for tracheal tube - is made from layers of material which is impervious to narcotic gases |
| US5078131A (en) * | 1990-05-21 | 1992-01-07 | Trudell Medical | Introduction of medication in ventilator circuit |
| DE4445428C1 (en) * | 1994-04-12 | 1996-02-15 | Skoljarev Dr Goran | Endotracheal tube assembly with a suction catheter |
| FR2755615A1 (en) * | 1995-10-10 | 1998-05-15 | Vbm Medizintechnik Gmbh | Trans-pharyngeal tube, esp. for intubation narcosis |
| DE19547538A1 (en) * | 1995-12-20 | 1997-06-26 | Ruesch Willy Ag | Instrument for tracheo-bronchoscopy for removal of foreign bodies |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US7654264B2 (en) | 2006-07-18 | 2010-02-02 | Nellcor Puritan Bennett Llc | Medical tube including an inflatable cuff having a notched collar |
| US8096299B2 (en) | 2006-07-18 | 2012-01-17 | Nellcor Puritan Bennett Llc | Medical tube including an inflatable cuff having a notched collar |
| EP1977779A3 (en) * | 2007-02-26 | 2008-10-15 | Konstantin Anatolievich Pervak | Endotracheal tube |
| WO2009057055A1 (en) * | 2007-10-29 | 2009-05-07 | Cardinal Health 207, Inc. | Method and device to prevent ventilator acquired pneumonia using nitric oxide |
| CN102631737A (en) * | 2011-07-22 | 2012-08-15 | 湛江市事达实业有限公司 | Sputum-suction and medicament-injection trachea cannula, trachea cannula assembly and manufacturing method of trachea cannula |
| WO2021225473A1 (en) * | 2020-04-29 | 2021-11-11 | Obschestvo S Ogranichennoy Otvetstvennostyu “Vladimed” | Endotracheal tube |
Also Published As
| Publication number | Publication date |
|---|---|
| WO2000009180A3 (en) | 2001-03-29 |
| RU2150300C1 (en) | 2000-06-10 |
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