Visualization device and holder for use with a tracheal tube
The present disclosure describes systems and methods that utilize a tracheal tube with an integral visualization device, such as a camera. The tracheal tube system may include a camera apparatus or other visualization device that is associated with a lumen formed in the wall of the tube. In addition, the camera apparatus may be positioned within a holder associated with a distal end of the tracheal tube that functions to hold and position the optical components of the camera relative to the tube and provides an acceptable profile for comfortable intubation. Further, the camera apparatus and its associated holder may include additional components, such as integral light sources and flushing or cleaning devices to remove any buildup from the camera or optical components.
1. A tracheal tube, comprising:
a ventilation lumen having a distal end and a proximal end and configured to transfer a fluid to a patient's lungs;
a second lumen running along and integrally formed within an exterior wall of the ventilation lumen; and
a visualization device disposed on a distal tip of the second lumen and comprising:
a housing coupled to the distal tip having an exterior portion and an inserted portion, wherein the exterior portion terminates in a flange at the distal tip, and wherein the inserted portion is positioned at least in part within the distal tip of the second lumen and comprises a first channel, a second channel, and a third channel, wherein the first channel terminates in a passageway having a diameter that is smaller than a diameter of the first channel, wherein the second channel and the third channel are disposed within the first channel, and wherein the second and third channels terminate proximal to the exterior portion; and
a camera coupled to the housing and disposed within the second channel, the third channel, or a combination thereof such that the camera is positioned at least in part within the second lumen.
2. The tracheal tube of claim 1 , wherein the tracheal tube is configured to be coupled to at least one of a ventilator, a bag for ventilation, inspiration valving, expiration valving, or an air supply.
3. The tracheal tube of claim 1 , wherein the second lumen extends the length of the ventilation lumen and forms a passageway to an exterior of the tracheal tube at a location proximal to an inflatable cuff.
4. The tracheal tube of claim 1 , comprising a cuff inflation lumen that forms a passageway to an exterior of the tracheal tube at a location in fluid communication with an interior of an inflatable cuff.
5. The tracheal tube of claim 1 , wherein the second lumen has an inner diameter of about 3 millimeters or less.
6. The tracheal tube of claim 1 , wherein the camera comprises one or more fiber optic cables.
7. The tracheal tube of claim 6 , wherein the one or more fiber optic cables are about 1 mm or less in diameter.
8. The tracheal tube of claim 1 , wherein the second lumen is configured to deliver air or fluid to a surface of the camera.
9. The tracheal tube of claim 1 , wherein the camera is recessed within the housing.
10. The tracheal tube of claim 9 , wherein the housing comprises one or more surfaces configured to direct air or fluid onto a surface of the camera.
11. The tracheal tube of claim 1 , wherein the housing comprises a moveable member configured to move relative to the camera.
12. The tracheal tube of claim 11 , wherein the moveable member comprises a covering having an extending portion that extends through a proximal end of the second lumen, wherein manipulating the extending portion causes the covering to move relative to the camera.
13. The tracheal tube of claim 11 , wherein the moveable member comprises a wiper configured to at least in part cover the camera in a deployed state, wherein the deployed state is triggered by applying a mechanical force within the second lumen.
14. The tracheal tube of claim 1 , wherein the distal tip of the ventilation lumen is slanted and wherein an exterior portion of the housing conforms to the slant.
15. The tracheal tube of claim 1 , wherein the second lumen comprises an evacuation lumen.
16. The tracheal tube of claim 1 , wherein the housing comprises an abutment surface positioned at the distal end of the second and third lumens, and wherein the abutment surface at least in part defines a field of view of the camera.
17. A tracheal tube, comprising:
a ventilation lumen having a distal end and a proximal end and configured to transfer a fluid to a patient's lungs;
a second lumen running along and integrally formed within an exterior wall of the ventilation lumen such that the second lumen is fluidically isolated from the ventilation lumen; and
a visualization device affixed to the tracheal tube at a distal end of the second lumen and comprising:
a housing having an exterior portion and an inserted portion, wherein the inserted portion is positioned at least in part within the second lumen and comprises a first channel, a second channel, and a third channel, wherein the first channel terminates in a passageway having a diameter that is smaller than a diameter of the first channel, wherein the second channel and the third channel are disposed within the first channel, and wherein the second and the third channels terminate proximal to the exterior portion; and
a camera coupled to the housing and disposed within the second channel, the third channel, or a combination thereof, such that the camera is positioned at least in part within the second lumen, and wherein the housing holds the camera in a fixed position relative to the tracheal tube and wherein the fixed position defines a field of view for the camera that is generally oriented towards a carina when the tracheal tube is inserted into a patient.
18. The tracheal tube of claim 17 , wherein the distal end of the ventilation lumen is slanted and wherein an exterior portion of the housing conforms to the slant.
19. The tracheal tube of claim 17 , wherein the housing is coupled to the distal end of the second lumen.
20. The tracheal tube of claim 17 , wherein the exterior portion comprises a flange extending away from the distal end of the second lumen.