Endotracheal cuff and technique for using the same
An inflatable balloon cuff may be adapted to seal a patient's trachea when associated with an endotracheal tube. Configurations of these cuffs that include tapered regions with certain characteristics, such as cuff wall diameter and thickness, may provide improved sealing of the trachea.
1. An inflatable balloon cuff comprising:
a tapered section, wherein the tapered section comprises:
a sealing portion, wherein the sealing portion is adapted to form a wrinkle-free sealing band against a patient's tracheal wall when inflated, wherein the wrinkle-free sealing band is configured to prevent leakage of fluid past the wrinkle-free sealing band when inflated; and
a wrinkled portion, wherein a largest diameter of the wrinkled portion is larger than a tracheal diameter such that the wrinkled portion is adapted to form a wrinkled band against a patient's tracheal wall when inflated and wherein the wrinkled band is longer than the wrinkle-free band.
2. The inflatable balloon cuff of claim 1 , wherein the tapered section comprises a substantially constant taper rate along the length of the tapered section.
3. The inflatable balloon cuff of claim 1 , wherein the balloon cuff is configured to be inflated to intra cuff inflation pressures of 10-30 cm H 2 O.
4. The inflatable balloon cuff of claim 1 , wherein the wrinkle-free sealing band is between 1-3 millimeters in length.
5. The inflatable balloon cuff of claim 1 , wherein the wrinkle-free sealing band is between 3-6 millimeters in length.
6. The inflatable balloon cuff of claim 1 , wherein the balloon cuff comprises one or more of polyethylene teraphthalate (PETP), low-density polyethylene (LDPE), polyvinyl chloride (PVC), silicone, neoprene, polyisoprene, polypropylene, or polyurethane (PU).
7. The inflatable balloon cuff of claim 1 , wherein narrowest portion of the tapered section has a balloon wall diameter that is less than 0.60 inches when the balloon cuff is fully inflated.
8. The inflatable balloon cuff of claim 1 , wherein the tapered section comprises balloon wall diameters between 1.75 inches and 0.15 inches when the balloon cuff is fully inflated.
9. The inflatable balloon cuff of claim 1 , wherein the tapered section comprises balloon wall thicknesses between 0.5 mils and 3 mils.
10. A balloon cuff comprising:
a tapered section, wherein at least a portion of the tapered section is adapted to form a wrinkle-free sealing band against a patient's tracheal wall when the balloon cuff is inflated to an intracuff pressure of 10-30 cm H 2 O;
and wherein at least a portion of the tapered section is adapted to form a wrinkled band against the tracheal wall, wherein the wrinkled band is longer than the wrinkle-free sealing band when the balloon cuff is inflated within a patient's trachea.
11. The balloon cuff of claim 10 , wherein the wrinkled portion is disposed on the cuff proximally of the wrinkle-free sealing band.
12. The balloon cuff of claim 10 , wherein the wrinkle-free sealing band is formed when the balloon cuff is inflated to an intracuff pressure of 20-25 cm H 2 O.
13. The balloon cuff of claim 10 , wherein the wrinkle-free sealing band is between 1-3 millimeters in length.
14. The balloon cuff of claim 10 , wherein the balloon cuff is coupled to a tracheal tube.
15. A tracheal tube comprising:
a conduit; and
a balloon cuff coupled to the conduit, wherein the balloon cuff comprises:
a tapered section along the balloon cuff, wherein the tapered section comprises:
a sealing portion, wherein the sealing portion is adapted to form a wrinkle-free sealing band against a patient's tracheal wall when inflated, wherein the wrinkle-free sealing band is configured to prevent leakage of fluid past the wrinkle-free sealing band when inflated; and
a wrinkled portion, wherein a largest diameter of the wrinkled portion is larger than a tracheal diameter such that the wrinkled portion is adapted to form a wrinkled band against a patient's tracheal wall when inflated and wherein the wrinkled band is longer than the wrinkle-free band.
16. The tracheal tube of claim 15 , wherein the wrinkled portion is disposed on the cuff proximally of the wrinkle-free sealing band.
17. The tracheal tube of claim 15 , wherein the wrinkle-free sealing band is formed when the balloon cuff is inflated to an intracuff pressure of 20-25 cm H 2 O.
18. The tracheal tube of claim 15 , wherein the tracheal tube is an endotracheal tube.
19. The tracheal tube of claim 15 , wherein the tracheal tube is a tracheostomy tube.
20. The tracheal tube of claim 15 , wherein the balloon cuff comprises one or more of polyethylene teraphthalate (PETP), low-density polyethylene (LDPE), polyvinyl chloride (PVC), silicone, neoprene, polyisoprene, polypropylene, or polyurethane (PU).