Patient tube securement apparatus for securing a patient tube to a patient

Patent metadata

Field	Value
Publication number	US-11058837-B2
Application number	US-201515129500-A
Country	US
Kind code	B2
Filing date	Mar 30, 2015
Priority date	Mar 31, 2014
Publication date	Jul 13, 2021
Grant date	Jul 13, 2021

Abstract

A patient tube securement apparatus is disclosed that may be used for oral or nasal intubation of a patient.
The apparatus may comprise an endotracheal tube securement apparatus for securing an endotracheal tube to a patient, the apparatus comprising a dermal patch arranged to be positioned on the skin of the patient, and at least one tube holder on the dermal patch.
The apparatus may comprise a patient tube securement apparatus for securing a patient tube to a patient, the apparatus comprising a dermal patch arranged to be positioned on the skin of the patient, and at least one tube holder on the dermal patch.
Examples are provided in which the tube holder is adjustably mounted on the dermal patch such that the position of the tube holder on the dermal patch can be adjusted without removing the dermal patch from the skin of the patient.

First claim

What is claimed is:

1. An endotracheal tube securement apparatus for securing an endotracheal tube to a patient, the apparatus comprising:
a pair of dermal patches to be positioned on the skin of the patient, each dermal patch comprising a patient side facing the skin of the patient and an interface side opposite the patient side;
a pair of user interface patches, each user interface patch comprising a patient side and an interface side, the patient side of each user interface path configured to releasably attach to the interface side of one of the pair of dermal patches; and
a link member extending between the pair of user interface patches, the link member comprising a first end on the interface side of one of the pair of user interface patches and a second end on the interface side of the other one of the pair of user interface patches, the link member further comprising at least one tube holder, the at least one tube holder comprising a first end and a second end, wherein the link member is attached to the at least one tube holder at a position between the first end and the second end of the at least one tube holder, the at least one tube holder being arranged to engage an endotracheal tube so that the endotracheal tube is positioned adjacent the patient in an operational position;
wherein the apparatus comprises a nasal configuration in which the pair of user interface patches are positioned at a first location relative to the pair of dermal patches to enable the at least one tube holder to hold the patient tube in a nose of the patient,
wherein the apparatus comprises an oral configuration in which the pair of user interface patches are positioned at a second location relative to the pair of dermal patches to enable the at least one tube holder to hold the patient tube in a mouth of the patient.

2. The apparatus of claim 1 wherein each dermal patch comprises an adhesive.

3. The apparatus of claim 1 wherein the at least one tube holder comprises a plurality of tube holders, each tube holder being at a different position on the link member such that the position of the endotracheal tube can be selected by engaging the endotracheal tube with a particular one of the plurality of tube holders.

4. The apparatus of claim 1 wherein the position of the at least one tube holder is adjustable relative to the pair of dermal patches, without removing the pair of dermal patches from the skin of the patient.

5. The apparatus of claim 1 wherein the link member can be positioned and subsequently repositioned on the pair of dermal patches.

6. The apparatus of claim 1 further comprising at least one protrusion on one of the pair of dermal patches and the at least one tube holder, and at least one recess on the other of the pair of dermal patches and the at least one tube holder, the protrusion being received in the recess to retain the at least one tube holder on the pair of dermal patches.

7. The apparatus of claim 1 wherein the at least one tube holder is arranged to restrain the tube against movement.

8. The apparatus of claim 1 wherein the at least one tube holder comprises an arcuate retainer arranged to at least partially extend around the endotracheal tube.

9. The apparatus of claim 1 wherein the at least one tube holder comprises a resilient clip into which the tube is at least partially pressed to retain the endotracheal tube in the clip.

10. The apparatus of claim 1 wherein the at least one tube holder comprises an elongate restraint arranged to extend across the endotracheal tube to engage the endotracheal tube.

11. The apparatus of claim 1 wherein the at least one tube holder is adjustable so as to vary the retaining force applied to the endotracheal tube by the at least one tube holder.

12. A patient tube securement apparatus for securing a patient tube to a patient, the apparatus comprising:
a pair of dermal patches arranged to be positioned on the skin of the patient, each of the pair of dermal patches comprising a patient side facing the skin of the patient and an interface side opposite the patient side;
a pair of user interface patches, the pair of user interface patches being separate from one another, wherein each user interface patch comprises a patient side and an interface side, the patient side of each user interface patch configured to releasably attach to the interface side of one of the pair of dermal patches; and
at least one tube holder positioned between the pair of dermal patches, the at least one tube holder being arranged to engage the patient tube so that the patient tube is configured to be positioned into the nose or the mouth of the patient, the at least one tube holder being adjustably mounted such that the position of the at least one tube holder can be adjusted without removing the pair of dermal patches from the skin of the patient,
wherein the apparatus comprises a nasal configuration in which the pair of user interface patches are positioned at a first location relative to the pair of dermal patches to enable the at least one tube holder to hold the patient tube in the nose of the user,
wherein the apparatus comprises an oral configuration in which the pair of user interface patches are positioned at a second location relative to the pair of dermal patches to enable the at least one tube holder to hold the patient tube in the mouth of the user.

13. The apparatus of claim 12 being an endotracheal tube securement apparatus for securing an endotracheal tube to the face of the patient.

14. The apparatus of claim 12 being a patient feeding tube securement apparatus for securing a patient tube to the face of the patient.

15. An intubation securement apparatus comprising:
a dermal patch comprising a patient side and an interface side, the patient side of said dermal patch configured to be positioned on the skin of said patient, wherein the dermal patch comprises a first dimension from an upper edge of the dermal patch to a lower edge of the dermal patch,
a user interface patch comprising a patient side and an interface side, the patient side of said user interface patch configured to releasably attach to the interface side of said dermal patch, wherein the user interface patch comprises a second dimension from an upper edge of the user interface patch to a lower edge of the user interface patch, the second dimension being less than the first dimension,
a partially rigid structure configured to attach to the interface side of said user interface patch, said partially rigid structure branching across the face of said patient and comprising an attachment mechanism in a central portion of the partially rigid structure to attach to a tube,
wherein said tube is configured to be inserted into the nose or the mouth of the patient,
wherein the partially rigid structure is configured to be adjustable so that the intubation securement apparatus is changeable between a nasal configuration and an oral configuration without removing the dermal patch;
wherein in the nasal configuration, the user interface patch is positioned at a first location relative to the dermal patch to enable the partially rigid structure to hold the tube in the nose of the patient,
wherein in the oral configuration, the user interface patch is positioned at a second location relative to the dermal patch to enable the partially rigid structure to hold the tube in the mouth of the patient.

Assignees

• Fisher & Paykel Healthcare Ltd

Inventors

• Stam Simon Mordechai
• Lyons Edwin Joseph
• Al-Tiay Ibrahim

Classifications

• A61M25/02 Primary

  Holding devices, e.g. on the body · CPC title

• A61M16/0461

  Nasoendotracheal tubes · CPC title

• A61M2025/0266

  using pads, patches, tapes or the like · CPC title

• A61M2025/022

  specifically adapted for the mouth · CPC title

• A61M2025/024

  having a clip or clamp system · CPC title