Tracheostomy visualization

摘要

Systems, devices, and methods are disclosed for the cleaning of an endotracheal tube while a patient is being supported by a ventilator connected to the endotracheal tube for the purpose of increasing the available space for airflow or to prevent the build up of materials that may constrict airflow or be a potential nidus for infection. In one embodiment, a mechanically-actuated endotracheal tube cleaning device is configured to removably receive a visualization member to provide cleaning of the endotracheal tube under direct visualization.

主权项

1. A method for facilitating the conversion from an endotracheal tube to a tracheostomy tube, the method comprising:
coupling an outlet port of a multi-port connector to a proximal end of an indwelling endotracheal tube, wherein the multi-port connector comprises a first inlet port, a second inlet port and an outlet port; coupling the second inlet port of the multi-port connector to an external ventilator, said external ventilator configured to deliver air to the endotracheal tube through the outlet port of the multi-port connector; inserting a cleaning device comprising a visualization lumen having a viewing window at a sealed distal end into the first inlet port of the multi-port connector, wherein the cleaning device comprises a cleaning member configured to remove biofilm from an interior surface of the endotracheal tube; inserting a visualization device within the visualization lumen; suctioning at least one of the endotracheal tube or a portion of a tracheobronchial tree of a patient; withdrawing the endotracheal tube to a position such that the distal end of the endotracheal tube is adjacent to a larynx within a trachea of the patient; performing a percutaneous tracheostomy while visualizing the trachea beyond the distal tip of the endotracheal tube using the visualization device; inserting a tracheostomy tube within the trachea; confirming the proper positioning of the tracheostomy tube; and removing the endotracheal tube from the patient.