US20140100428A1 - Disposable, Self-Contained Laryngoscope and Method of Using Same - Google Patents

Abstract

A laryngoscope has a handle, a rigid cylindrical tube, and an optical subassembly. The handle has a distal end and a proximate end. The tube is hollow and also has a distal end having a distal opening and a proximate end having a proximate opening. The optical subassembly includes a light source located within the handle, a power source located within the handle and in communication with the light source and a light carrier extending between the handle and the tube and in communication with the light source and providing light inside and along the entire length of the tube.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS AND INCORPORATION BY REFERENCE STATEMENT
• This application is a continuation of U.S. Ser. No. 12/847,915, filed on Jun. 30, 2010, the entire disclosure of which is hereby expressly incorporated herein by reference.
REFERENCE TO MICROFICHE APPENDIX
• This application is not referenced in any microfiche appendix.
BACKGROUND OF THE INVENTION
• The present invention relates to a laryngoscope, more specifically, toward a disposable laryngoscope having a rigid cylindrical body for clearing, visualizing, and accessing, the intubation pathway.
• A laryngoscope is used to assist with the placement of a tube into a patient's trachea to aid with the oxygenation of the patient. The prior art laryngoscope uses either a straight or curved blade that allows for the visualization of the patient's vocal cords which are used for locating the patient's larynx and subsequently the trachea. This reduces the risk of intubating the patient's esophagus which would cause air to be blown into the stomach, causing stomach distension and vomiting not to mention depriving the patient of oxygen, and possibly death.
• The presence of blood, saliva, vomit secretions can interfere with the proper placement of the laryngoscope. Further, in emergency situations, the proper placement of the laryngoscope must be done in a quick and safe manner. However, despite good technique by the health care provider utilizing the laryngoscope described in the prior art, there is still a need for an improved laryngoscope that can be used in difficult or emergency situations in and out of a medical facility.
SUMMARY OF THE INVENTION
• The present invention satisfies the needs discussed above. The present invention is generally directed toward a laryngoscope, more specifically, toward a disposable laryngoscope having a rigid cylindrical body for clearing and visualizing the intubation pathway to assist with the intubation of a patient in an emergency situation or a patient known for having difficult intubation capability.
• One aspect of the present invention includes a laryngoscope having a handle, a cylindrical tube and an optical subassembly. The handle has distal and proximate ends and a cavity for the seating of the optical subassembly. Further, the handle can be configured in a bent or straight configuration. A bougie and a suction catheter can be included to create an emergency airway kit to be used by emergency medical services inside as well as outside of a medical facility, i.e. a hospital.
• The cylindrical tube is hollow and also has distal and proximate ends. The proximate end of the handle is in communication with the proximate end of the tube. The optical subassembly is located within the handle and extends into the tube.
• The tube also has openings located at its proximate and distal ends. These openings allow the healthcare provider to visualize the proper placement of the laryngoscope within the patient's mouth and throat. To aid with the insertion of the cylindrical tube, the distal opening is oriented at an angle relative to the vertical cross sectional plane of the tube.
• The tube can be made from a metal, a transparent material or translucent material or a combination of the three. The transparent or translucent material will aid in the illumination of the tube along its entire length which will also aid in the proper placement thereof. This is important in those emergency situations where they be excessive bleeding and/or vomiting which may quickly come up the laryngoscope thereby not obstructing the light source. Further, a suction catheter can be used to assist with the removal of the excessive blood and/or vomit from the patient's airway.
• One aspect of the optical subassembly includes a light source located within the handle, a power source such as one or more batteries located also within a handle and in communication with the light source. A light carrier such as a fiber optic cable is in communication with the light source and extends from the handle into the tube wherein it produces light so that the healthcare provider can see the tube and into the patient's mouth and throat to aid in the proper placement thereof. In difficult intubation patients or those in an emergency situation, the health care provider passes a bougie through the laryngoscope between the vocal cords and into the trachea. The laryngoscope is removed, and the endotracheal tube (which allows ventilation of the patient) is guided over the bougie into the trachea to gain safe and quick control of the patient's airway.
• Another aspect of the present invention includes the tube as described above with the addition of a strip of protective material located along the tube proximate to its proximate end. The inclusion of this material is to protect the patient's teeth during use. The material can be made from a rubber or other flexible type of material.
• Another aspect of the present invention includes the tube as described above further having side ports that can be used for suction and/or jet intubation.
• Another aspect of the present invention includes the laryngoscope tube as described above but is configured to be connectably attached through existing laryngoscope handles. This connection can be swivel and/or hinged and can be removable.
• Another aspect of the present invention includes a method of using the laryngoscope tube as described above to secure the airway of a patient. In a difficult or emergency situation where the visualization of a patient's larynx is impaired, the medical provided holds the inventive laryngoscope by the handle and inserts the cylindrical tube into the patient's throat, looking through the cylindrical tube until the larynx is visualized. At that point, a bougie is inserted through the cylindrical tube between the patient's vocal cords and into the patient's trachea. The inventive laryngoscope is removed along the bougie, leaving the bougie in place. The bougie can then guide an endotracheal tube into the patient's trachea. Once in place, the bougie is then removed and the endotracheal tube can be used to ventilate the patient.
• Upon reading the included description, various alternative embodiments will become obvious to those skilled in the art. These embodiments are to be considered within the scope and spirit of the subject invention, which is only limited by the claims which follow and their equivalents.
BRIEF DESCRIPTION OF THE DRAWINGS
• FIG. 1 is a side view of an embodiment of the present invention.
• FIG. 2 is a side view of an additional embodiment of the present invention.
• FIG. 3 is a side view of an additional embodiment of the present invention.
• FIG. 4 is a front cross-sectional view of an embodiment of the cylindrical tube of the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
• The present invention is generally directed toward a laryngoscope, more specifically, toward a laryngoscope having a rigid cylindrical body for clearing, visualizing, and accessing the intubation pathway.
• As shown inFIG. 1 theembodiment10 of the inventive laryngoscope is illustrated.Embodiment10 comprises ahandle12, acylindrical tube14 and anoptical subassembly16 contained within and extending between ahandle12 andcylindrical tube14.
• Handle12 has adistal end22 and aproximate end24.Handle12 can have a bent configuration as illustrated inFIG. 1 or a straight configuration as illustrated inFIG. 2.
• Cylindrical tube14 has adistal end18 having a distal end opening32 and aproximate end20 having a proximate end opening.Distal end opening32 is oriented at an angle relative to the vertical cross sectional plane ofcylindrical tube14. This angling of distal end opening32 aids in the insertion ofcylindrical tube14 into the patient's mouth and throat.Cylindrical tube14 is hollow to allow the user to view inside the patient's mouth and throat.
• Proximate end20 ofcylindrical tube14 is secured to theproximate end24 ofhandle12. The connection ofcylindrical tube14 andhandle12 can be of a unitary construction or of separate construction.
• Optical subassembly16 includes thelight source26 located withinhandle12, apower source28 located withinhandle12 and in communication withlight source26.Power source28 can include known power sources including batteries. Alight carrier30 is in communication withlight source26 and is located withinhandle12 and extends intocylindrical tube14.Light carrier30 can include fiber optic cables, light emitting diodes (LEDs) or other similar devices.Light carrier30 terminates withincylindrical tube14.Light33 emanates from theend31 oflight carrier30.Light33 illuminates the interior of thecylindrical tube14 thereby aiding the user ofembodiment10 in placing the embodiment properly within the patient's mouth and throat.
• Cylindrical tube14 is rigid and can be made from a suitable metal, a transparent material, a translucent material or combination thereof. The use of transparent and/or translucent material can aid with the illumination of the entirecylindrical tube14 along its length. This is useful in situations where blood or other items can hinder the ability to view the interior of the patient's mouth and/or throat. The laryngoscope may be of different lengths and widths.
• The laryngoscope may be disposable (or single use), allowing its inclusion with a bougie and suction catheter into an emergency airway kit to be used by emergency medical services inside as well as outside of a medical (hospital) facility.
• Once the inventive laryngoscope is placed properly within the patient's throat, various devices including a suction tube or a bougie (not shown) can be inserted throughcylindrical tube14 into the patient's trachea. When a bougie is inserted, thecylindrical tube14 can then be removed by sliding such along the bougie, leaving the bougie in place. The bougie then acts a guide for the proper placement of additional devices such as an endotracheal tube to aid the patient.
• Anotherembodiment60 of the present invention is illustrated inFIG. 3. This embodiment includes acylindrical tube62.Cylindrical tube62 includes the same features as the cylindrical tube of the previous embodiment.Embodiment60 also includes ahandle64 and anoptical subassembly66 that is located withinhandle64.Handle64 is hindgely connected tocylindrical tube62 by ahinge68.Hinge68 is merely illustrative and is not limiting. Those schooled in the art would recognize other forms of moveable connections can be utilized with the present invention. Additionallytube62 can include connection means not shown that can be configured to adapt to prior art laryngoscope handles.
• An additional feature of the present invention is illustrated inFIGS. 2 and 4. This feature includes a strip ofprotective material40 located along theouter side38 oftube14 near itsproximate end20. This protective material is utilized to protect the teeth and soft tissue located within the patient's mouth during use. Theprotective material40 can be made from rubber or other suitable flexible material.
• Another feature of the inventive laryngoscope can include acylindrical tube14 having one or more side ports not shown to allow for suction and/or jet ventilation.
• Another embodiment of the present invention comprises a method of using the laryngoscope tube as described above to secure the airway of a patient. This embodiment includes holding the inventive laryngoscope by the handle, inserting the cylindrical tube into the patient's throat, looking through the cylindrical tube until the larynx is visualized. At that point, a bougie is inserted through the cylindrical tube between the patient's vocal cords and into the patient's trachea. The inventive laryngoscope is removed along the bougie, leaving the bougie in place. The bougie can then guide an endotracheal tube into the patient's trachea. Once in place, the bougie is then removed and the endotracheal tube can be used to ventilate the patient.
• While the invention has been described with a certain degree of particularity, it is manifest that many changes may be made in the details of construction and the arrangement of components without departing from the spirit and scope of this disclosure. It is understood that the invention is not limited to the embodiments set forth herein for purposes of exemplification, but is to be limited only by the scope of the attached claims, including the full range of equivalency to which each element thereof is entitled.

Claims (12)

What is claimed is:

1. A laryngoscope comprising:

a handle;

a tube constructed of a translucent material and having a proximal end coupled with the handle, a distal end including a distal opening, and an interior extending from the proximal end to the distal end; and

an optical subassembly providing light into the interior of the tube so that a first portion of the light exits the interior of the tube via the distal opening and a second portion of the light propagates into the translucent material to illuminate the tube.

2. The laryngoscope ofclaim 1, wherein the optical subassembly further comprises:

a light source located within the handle;

a power source located within the handle and in communication with the light source; and

a light carrier extending between the handle and the tube and in communication with the light source, the light carrier for providing light into the interior of the tube.

3. The laryngoscope ofclaim 1, wherein the translucent material is a transparent material.

4. The laryngoscope ofclaim 1, further comprising a strip of protective material located on the tube adjacent to the proximate end of the tube.

5. The laryngoscope ofclaim 1, wherein the tube further comprises a proximal opening, the proximal opening and the distal opening cooperating with one another to define a line of sight through the tube.

6. An emergency airway kit for clearing a patient's airway, comprising:

a bougie, a suction catheter, and a laryngoscope configured to work together, the laryngoscope comprising:

a handle;

a tube constructed of a translucent material and having a proximal end connectable with the handle, a distal end including a distal opening, and an interior extending from the proximal end to the distal end; and

an optical subassembly having a light source and a power source for providing light into the interior of the tube such that a first portion of the light exits the tube via the distal opening and a second portion of the light propagates into the translucent material to illuminate the tube.

7. The laryngoscope ofclaim 6, wherein the translucent material is a transparent material.

8. The laryngoscope ofclaim 6, further comprising a strip of protective material located on the tube adjacent to the proximate end of the tube.

9. The laryngoscope ofclaim 6, wherein the tube further comprises a proximal opening, the proximal opening and the distal opening cooperating with one another to define a line of sight through the tube.

10. A method, comprising:

inserting a cylindrical tube of a laryngoscope into a patient's throat via the patient's mouth, the cylindrical tube being constructed of a translucent material and having a proximal end coupled with a handle and including a proximal opening, a distal end including a distal opening, and an interior extending from the proximal end to the distal end;

activating an optical subassembly having at least one light source to provide light into the interior of the tube such that a first portion of the light exits the tube via the distal opening and a second portion of the light propagates into the translucent material to illuminate the tube; and

removing the cylindrical tube from the patient's throat via the patient's mouth.

11. The method ofclaim 10, further comprising:

inserting a bougie between vocal cords of the patient via the tube; and

inserting an endotracheal tube into a trachea of the patient over the bougie.

12. The method ofclaim 10, further comprising disposing of the laryngoscope after a single use.

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