# US 10,478,577 B2 · Tracheal applicator and corresponding use

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- Number: US 10,478,577 B2
- Document ID: US10478577B2
- Status: Granted
- Kind: B2
- Application number: 16/071,968
- Filed: 2017-10-06
- Published: 2019-08-22
- Granted: 2019-11-19
- Earliest claimed: 2016-11-04
- Assignees: Tni Medical AG
- Applicants: Tni Medical AG
- Inventors: Dieter Klaus; Ewald Anger; Peter Urban; Christian Breuter
- Web page: https://patentgrep.com/patent/US10478577B2

## CPC

- A61M 16/0465: {Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters}
- A61M 16/04: Tracheal tubes (catheters in general A61M25/00)
- A61M 16/0488: {Mouthpieces; Means for guiding, securing or introducing the tubes (guiding or introducing with laryngoscopes A61B1/267; holding devices on the body A61M25/02)}
- A61M 16/0816: {Joints or connectors}
- A61M 16/1095: {in the connecting tubes}
- A61M 16/127: {by Venturi effect, i.e. entrainment mixers}
- A61M 16/0875: {Connecting tubes}
- A61M 2202/0208: Oxygen
- A61M 2205/3368: Temperature
- A61M 2206/10: Flow characteristics
- A61M: DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY (introducing media into or onto the bodies of animals A61D7/00; means for inserting tampons A61F13/26; devices for administering food or medicines orally A61J; containers for collecting, storing or administering blood or medical fluids A61J1/05); DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY (surgery A61B; chemical aspects of surgical articles A61L); DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR {(Electrotherapy, e.g. producing anaesthesia by the use of alternating or intermittent currents A61N1/36021)}

## Abstract

The invention at hand relates to a tracheal applicator for enabling administering high flow therapy to tracheotomy patients, as is known from transnasal insufflation by means of TNI devices and has proven successful. This is attained by an optimized physical simulation of the conditions as available when performing transnasal high flow therapy at the nostril with an inserted prong. The flow of inspiration and expiration flowing through the tracheal applicator is conducted nearly free of turbulences and vortexes owing to further constructive measures while simultaneously preserving an open ventilation system.

## Claims

### Claim 1

A tracheal applicator:
wherein said applicator comprises a curved tube-shaped adapter having a circular diameter which at one end comprises a conical constriction, which protrudes into the interior of the adapter, for a plug-in connection with a tracheal cannula and at the other end is provided with a trumpet-shaped opening, three radially extending crosspieces protruding into the interior of the adapter in the trumpet-shaped opening in order to serve as a three-point reception for centrally holding and securing a connecting piece of the tracheal applicator and to simultaneously form three ventilation openings,
wherein the connecting piece comprises a rotationally symmetric tube constricted in a nozzle-like manner for channeling a FiO2 flow coming from a high flow therapy device, a part of the connecting piece protruding into the adapter comprising a bottleneck-shaped tapering at one end of the connecting piece and being provided with a seal at the tapered end and comprising several radially distributed and radially extending outlet openings in direct contact with said seal, and the other end of the connecting piece being conically tapered in order to be coupled to a connecting tube of the high flow therapy device by pressing.

### Claim 2 (depends on 1)

The tracheal applicator according to claim 1, wherein the edge of the trumpet-shaped opening is formed elliptical.

### Claim 3 (depends on 2)

The tracheal applicator according to claim 2, wherein within the adapter, no outlet opening is provided which extends parallel to the longer symmetric axis of the elliptical shape of the trumpet-shaped opening and points in the direction of the apex of the elliptical shape closest to the conical constriction of the adapter.

### Claim 4 (depends on 1)

The tracheal applicator according to claim 1, wherein the outlet openings have roundings at their edges.

### Claim 5 (depends on 1)

The tracheal applicator according to claim 1, wherein the seal is formed conical in the direction of the adapter and comprises a tapered contour in the direction of a tube connection, said contour protruding into the interior of the connecting piece and serving as a flow conducting body.

### Claim 6 (depends on 1)

The tracheal applicator according to claim 1, wherein the outer surfaces of the crosspieces are formed tapering towards the interior of the adapter.

### Claim 7 (depends on 1)

The tracheal applicator according to claim 1, wherein the trumpet-shaped opening has an inner bulge.

### Claim 8 (depends on 1)

The tracheal applicator according to claim 1, wherein the connecting piece comprises a cylindrical contact surface which serves for being connected to the three-point reception of the adapter.

### Claim 9 (depends on 8)

The tracheal applicator according to claim 8, wherein the adapter and the connecting piece are connected at the contact points between the three-point reception and the cylindrical contact surface by clamping, by adhesion or by welding or in that the tracheal applicator is produced in one piece.

### Claim 10 (depends on 1)

A tracheal ventilatory support system comprising:
a high flow therapy device comprising a connecting tube,
a tracheal cannula, and
a tracheal applicator according to claim 1, which connects the high flow therapy device and the tracheal cannula.