Tracheal ventilation device
View Patent ↗Tracheal ventilation device, particularly a tracheal tube, which seals the trachea in a substantially air-tight manner. The device includes a cuff that blocks the trachea below the glottis and is traversed by a ventilation cannula. The cuff is larger in its filled, freely displaceable, unrestricted state than in its filled state positioned in the trachea. The cuff is of a flexible soft film material and lies against the trachea by means of its folds. The device is adapted to the morphology of a child's larynx and is available in finely graded sizes.
1. A tracheal ventilation device for sealing a trachea in order to ventilate a pediatric patient, the device comprising:
a ventilation cannula defining a hollow tube shaft defining a tip at one free end thereof; and
a cuff balloon that blocks the trachea below the glottis and is traversed by the ventilation cannula, said cuff balloon being made of a flexible soft film material, said cuff balloon in a fully inflated state in which said cuff balloon is freely deployed without restriction having a fully inflated diameter (D_CUFF) being larger than when said cuff balloon is in a filled state placed in the trachea, and said cuff balloon lying with folds against the trachea, MD_MP being the spacing of mounting points of said cuff balloon on the tube shaft;
wherein for tracheal tubes with shaft inner diameters (ID) between 3.0 mm and 3.5 mm the fully inflated diameter D_CUFF of said cuff balloon has a range of values that lies between straight lines D_CUFF=0.75×MD_MP+5.00 mm and D_CUFF=0.75×MD_MP+3.25 mm and the distance between the tip of the tube and a distal mounting point of the cuff balloon on the tube shaft (SP_MD) has a range of values that lies between straight lines SP_MD=2.36×ID−0.11 mm and SP_MD=2.36×ID−1.86 mm;
wherein for tracheal tubes with shaft inner diameters (ID) between 4.0 mm to 5.5 mm the fully inflated diameter D_CUFF of said cuff balloon is within a range of values between the straight lines D_CUFF=0.75×MD_MP+5.20 mm and D_CUFF=0.75×MD_MP+2.50 mm and SP_MD lies within a range of values between the straight lines SP_MD=2.36×ID+0.34 mm and SP_MD=2.36×ID−2.16 mm; and
wherein for tracheal tubes with an inner diameter (ID) of 6.0 mm to 7.0 mm D_CUFF has a range of values that lies between the straight lines D_CUFF=0.75×MD_MP+5.50 mm and D_CUFF=0.75×MD_MP+2.50 mm and SP_MD has a range of values between the straight lines SP_MD+2.35×ID+0.64 mm and SP_MD=2.35×ID−2.46 mm.
2. The tracheal ventilation device in accordance with claim 1 where a wall thickness (D) of the film is 0.015 to 0.005 mm.
3. The tracheal ventilation device in accordance with claim 1 , wherein a wall thickness (D) of the film is no more than 0.01 mm.
4. The tracheal ventilation device in accordance with claim 1 , wherein the wall thickness (d) of the film in a region of the folds is thinner than in a fold-free region facing a cannula ( 2 ).
5. The tracheal ventilation device in accordance with claim 4 , wherein said cannula ( 2 ) is present with graduated inner diameters (ID) of 3 to 7 mm.
6. The tracheal ventilation device as specified in claim 5 , characterized in that the graduation of the inner diameter (ID) is 0.5 mm.
7. The tracheal ventilation device in accordance with claim 6 , wherein outer diameters (OD) of said cannula ( 2 ), adapted to the inner diameters (ID) thereof, are from 4.1 to 9.3 mm.
8. The tracheal ventilation device in accordance with claim 1 , wherein the film of said cuff balloon is made of polyurethane.
9. The tracheal ventilation device in accordance with claim 1 , wherein applied to said cannula is a marking (GM) indicating distance from an upper edge of said cuff balloon ( 3 ) to a vocal fold.