Le domaine technique de l'invention est médical et concerne plusThe technical field of the invention is medical and concerns more
spécifiquement le contrôle des voies aériennes. specifically the control of the airways.
Ce contrôle est réalisé classiquement par plusieurs dispositifs: l'intubation trachéale qui permet un bon contrôle des voies aériennes, mais nécessite de traverser les cordes vocales puis une partie de la trachée laquelle est douloureuse et nécessite un très bon relâchement. This control is carried out conventionally by several devices: the tracheal intubation which allows a good control of the airways, but requires to cross the vocal cords then a part of the trachea which is painful and requires a very good relaxation.
- le masque laryngé : son insertion exige une anesthésie générale plus légère, mais ses inconvénients sont les échecs de la technique lors de la pose, les fuites et son déplacement secondaire. - the laryngeal mask: its insertion requires a lighter general anesthesia, but its disadvantages are the failures of the technique during the installation, the leaks and its secondary displacement.
Le dispositif selon l'invention permet de remédier aux inconvénients des deux techniques sans pour autant les remplacer complètement. Il s'agit en effet d'une intubation limitée à une partie du larynx (1) évitant la traversée de la trachée douloureuse. Sa pose nécessite une anesthésie générale moins profonde que pour l'intubation endo-trachéale. Comparativement au masque laryngé, ce dispositif est plus étanche avec beaucoup moins de fuites et moins de risque d'inhalation. The device according to the invention overcomes the disadvantages of the two techniques without completely replacing them. It is indeed an intubation limited to part of the larynx (1) avoiding the crossing of the painful trachea. Its pose requires a general anesthesia less deep than for endotracheal intubation. Compared to the laryngeal mask, this device is more watertight with much less leakage and less risk of inhalation.
C'est un tube (6) ressemblant à une sonde d'intubation avec un orifice proximal et un orifice distal mais présentant deux ballonnets, un premier (4) de vingt millilitres d'air situé à environ un centimètre de l'extrémité distale (2) et un deuxième (5) de cent millilitres d'air situé derrière le premier (4) à environ un centimètre. It is a tube (6) resembling an intubation tube with a proximal orifice and a distal orifice but having two balloons, a first (4) of twenty milliliters of air located about one centimeter from the distal end ( 2) and a second (5) of one hundred milliliters of air located behind the first (4) at about one centimeter.
Patient sous anesthésie générale ou comateux, laryngoscopie et anesthésie locale de la glotte par Xylocaïne à 5% (7 à 10 instillations) puis mise en place de l'extrémité distale (2) du dispositif au niveau du larynx (1) juste après ou entre les cordes vocales (3). Gonfler le premier ballonnet (4) de vingt millilitres d'air et retirer le laryngoscope en exerçant une légère pression avec la main sur le dispositif en direction caudale pour le garder en place. Patient under general or comatose anesthesia, laryngoscopy and local anesthesia of the glottis by Xylocaine 5% (7 to 10 instillations) and then placement of the distal end (2) of the device at the level of the larynx (1) just after or between the vocal cords (3). Inflate the first balloon (4) with twenty milliliters of air and remove the laryngoscope by exerting light pressure with the hand on the device in the caudal direction to keep it in place.
Gonfler le deuxième ballonnet (5) de cent millilitres d'air permettant ainsi d'une part de fixer le dispositif au niveau de l'oropharynx et d'autre part de compléter l'étanchéité du premier ballonnet (4) autour de la glotte en le poussant en direction du larynx (1). Inflate the second balloon (5) with one hundred milliliters of air, thus allowing the device to be fixed at the level of the oropharynx and to complete the sealing of the first balloon (4) around the glottis. pushing it towards the larynx (1).
Le dispositif peut permettre d'assurer l'assistance ventilatoire en anesthésie générale notamment pour les actes de durée courte à moyenne. Il pourrait être utile dans les intubations difficiles ou souvent seulement une partie de la glotte est visible. Le dispositif pourrait assurer l'assistance ventilatoire durant la réalisation de la trachéotomie percutanée sans gêner celle-ci. The device can make it possible to provide ventilatory assistance in general anesthesia, especially for acts of short to medium duration. It could be useful in difficult intubations or often only a part of the glottis is visible. The device could provide ventilatory support during the realization of the percutaneous tracheotomy without hindering it.
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| FR0502345AFR2882935A1 (en) | 2005-03-09 | 2005-03-09 | LARYNGEE PROBE AND GLOTTIC MASK WITH TWO BALLONNETS |
| PCT/FR2006/000458WO2006095075A1 (en) | 2005-03-09 | 2006-03-01 | Intubation catheter which is equipped with a laryngeal mask comprising two cuffs |
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| FR0502345AFR2882935A1 (en) | 2005-03-09 | 2005-03-09 | LARYNGEE PROBE AND GLOTTIC MASK WITH TWO BALLONNETS |
| Publication Number | Publication Date |
|---|---|
| FR2882935A1true FR2882935A1 (en) | 2006-09-15 |
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| FR0502345AWithdrawnFR2882935A1 (en) | 2005-03-09 | 2005-03-09 | LARYNGEE PROBE AND GLOTTIC MASK WITH TWO BALLONNETS |
| Country | Link |
|---|---|
| FR (1) | FR2882935A1 (en) |
| WO (1) | WO2006095075A1 (en) |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20140316207A1 (en)* | 2011-05-09 | 2014-10-23 | Mor Research Applications Ltd. | Platform for Laryngeal Microsurgery |
| US20230181852A1 (en)* | 2020-05-18 | 2023-06-15 | Pedro Luis BRAVO GARCÍA | Endotracheal device for mechanical ventilation of a patient |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4091816A (en)* | 1977-01-28 | 1978-05-30 | Elam James O | Double cuffed endotracheal tube |
| US4688568A (en)* | 1985-02-20 | 1987-08-25 | Michael Frass | Respiratory tube or airway |
| US4976261A (en)* | 1989-04-03 | 1990-12-11 | Advanced Pulmonary Technologies, Inc. | Endotracheal tube with inflatable cuffs |
| EP0665029A2 (en)* | 1994-01-27 | 1995-08-02 | Sheridan Catheter Corp. | Esophageal-tracheal double lumen airway |
| WO1998023317A1 (en)* | 1996-11-28 | 1998-06-04 | Ideamed N.V. | Artificial respiration device |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB9504657D0 (en)* | 1995-03-08 | 1995-04-26 | Neil Michael J O | An improved artificial airway device |
| US5853004A (en)* | 1997-06-02 | 1998-12-29 | Goodman; Evan J. | Pharyngeal bulb airway |
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4091816A (en)* | 1977-01-28 | 1978-05-30 | Elam James O | Double cuffed endotracheal tube |
| US4688568A (en)* | 1985-02-20 | 1987-08-25 | Michael Frass | Respiratory tube or airway |
| US4976261A (en)* | 1989-04-03 | 1990-12-11 | Advanced Pulmonary Technologies, Inc. | Endotracheal tube with inflatable cuffs |
| EP0665029A2 (en)* | 1994-01-27 | 1995-08-02 | Sheridan Catheter Corp. | Esophageal-tracheal double lumen airway |
| WO1998023317A1 (en)* | 1996-11-28 | 1998-06-04 | Ideamed N.V. | Artificial respiration device |
| Publication number | Publication date |
|---|---|
| WO2006095075A1 (en) | 2006-09-14 |
| Publication | Publication Date | Title |
|---|---|---|
| Asai et al. | Difficulty in advancing a tracheal tube over a fibreoptic bronchoscope: incidence, causes and solutions | |
| Serocki et al. | Management of the predicted difficult airway: a comparison of conventional blade laryngoscopy with video-assisted blade laryngoscopy and the GlideScope | |
| Kapoor et al. | Comparison of supraglottic devices i-gel® and LMA Fastrach® as conduit for endotracheal intubation | |
| WO2008022075A3 (en) | Laryngeal mask with esophageal blocker and bite block | |
| Lenfant et al. | Comparison of two techniques for retrograde tracheal intubation in human fresh cadavers | |
| Arya et al. | Difficult retrograde endotracheal intubation: The utility of a pharyngeal loop | |
| Rajan et al. | Ease of intubation and hemodynamic responses to nasotracheal intubation using C-MAC videolaryngoscope with D blade: A comparison with use of traditional Macintosh laryngoscope | |
| Foley et al. | Bridges to establish an emergency airway and alternate intubating techniques | |
| Shah et al. | C Mac D blade: Clinical tips and tricks | |
| FR2882935A1 (en) | LARYNGEE PROBE AND GLOTTIC MASK WITH TWO BALLONNETS | |
| US20060225741A1 (en) | Method and apparatus for aiding in the proper insertion and positioning of an endotracheal tube | |
| Shah et al. | A comparison of conventional endotracheal tube with silicone wire-reinforced tracheal tube for intubation through intubating laryngeal mask airway | |
| Bhandari et al. | To assess the efficacy of i-gel for ventilation, blind tracheal intubation and nasogastric tube insertion | |
| Kim et al. | Comparison of the paediatric blade of the Pentax-AWS and Ovassapian airway in fibreoptic tracheal intubation in patients with limited mouth opening and cervical spine immobilization by a semi-rigid neck collar: a randomized controlled trial | |
| Greenland et al. | The Williams Airway Intubator, the Ovassapian Airway and the Berman Airway as upper airway conduits for fibreoptic bronchoscopy in patients with difficult airways | |
| Weng et al. | Placement of the Univent tube without fiberoptic bronchoscope assistance | |
| Carden et al. | Special new low resistance to flow tube and endotracheal tube adapter for use during fiberoptic bronchoscopy | |
| Chilkoti et al. | Preliminary experience with LMA CTrach™ for assessment of glottic structures during thyroidectomy | |
| Wolf et al. | Capnography during fiberoptic bronchoscopy to verify tracheal intubation | |
| Pavani et al. | Tracheal intubation through laryngeal mask airway CTrach™ with polyvinyl chloride tube: Comparison between two orientations of the tracheal tube | |
| Joffe et al. | Validation of the unassisted, gum-elastic bougie-guided, laryngeal mask airway-ProSeal™ placement technique in anaesthetized patients | |
| Sharawy et al. | Intubation through air-Q and LMA-Excel using Shikani optical stylet in normal versus simulated difficult airway | |
| CN204336878U (en) | The directed Pharyngoscope of a kind of seal wire | |
| Bhalotra et al. | Use of an Airway Exchange Catheter for Removal of an I-Gel Airway | |
| Takenaka et al. | Malposition of the epiglottis associated with fiberoptic intubation |
| Date | Code | Title | Description |
|---|---|---|---|
| ST | Notification of lapse | Effective date:20101130 |