# US 12,109,361 B1 · System and method for video assisted percutaneous needle cricothyrotomy and tracheostomy > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,109,361 B1 - Document ID: US12109361B1 - Status: Granted - Kind: B1 - Application number: 18/085,488 - Filed: 2022-12-20 - Granted: 2024-10-08 - Earliest claimed: 2019-02-11 - Applicants: Ali Osman - Inventors: Ali Osman - Web page: https://patentgrep.com/patent/US12109361B1 ## CPC - A61B 1/267: for the respiratory tract, e.g. laryngoscopes or bronchoscopes - 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)} - A61B 1/00045: {Display arrangement} - A61B 1/00114: {Electrical cables in or with an endoscope} - A61B 1/01: Guiding arrangements therefore - A61B 1/05: characterised by the image sensor, e.g. camera, being in the distal end portion - A61B 1/07: using light-conductive means, e.g. optical fibres - A61B 17/3415: {for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters (A61B17/3417 takes precedence; body piercing catheter guide needles A61M25/06)} - A61B 17/3417: {Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating (syringe needles A61M5/32; dilators A61M29/00)} - A61B 17/3421: {Cannulas} - A61B 17/3423: {Access ports, e.g. toroid shape introducers for instruments or hands (access sites for liquids A61M39/0247)} - A61M 29/02: Dilators made of swellable material {(balloon catheters for angioplasty A61M25/104)} - A61B 2017/00557: {inflatable (A61B2017/22051 takes precedence)} - A61B 2017/3454: {Details of tips} - A61M 16/022: {Control means therefor} - A61M 16/0497: {Tube stabilizer} - A61M 29/00: Dilators with or without means for introducing media, e.g. remedies - A61M 2202/0208: Oxygen - A61M 2205/3306: Optical measuring means - A61M 2205/505: Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches - A61M 2205/8206: battery-operated - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) - 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 A system and method for video assisted percutaneous needle cricothyrotomy and tracheostomy to assist physicians in quickly intubating patients suffering from respiratory distress when oral or nasal intubation is not possible or contraindicated. The system and method includes a display monitor, a percutaneous needle assembly including a connection hub having a syringe port for removably attaching a syringe, a needle port for attaching a hollow needle, and a stylet port in communication with the needle port for receiving a fiber optic stylet that extends through the hollow needle. The fiber optic stylet includes one or more illuminators, and a camera for capturing and transmitting anatomical images for display on the display monitor to visually assist physicians in locating a patient's trachea lumen. The fiber optic stylet is positioned within the trachea lumen, and used as a guide wire to insert a dilator and cannula for ventilating the patient. ## Claims ### Claim 1 A method of performing a cricothyroidotomy or a tracheostomy with a video-assisted system, including the steps of: providing a video-assisted system, comprising, a display monitor for displaying still or video images, a percutaneous needle assembly, comprising, a syringe port, a needle port, a stylet port in communication with the needle port, a hollow needle that includes a single lumen releasably attached to the needle port, the hollow needle including a beveled tip, a syringe including a cavity for holding a liquid or gas therein, a syringe tip in fluid communication with the cavity, and a plunger associated with the cavity and configured to extract or retract the liquid or gas through the syringe tip; a fiber optic stylet having a proximal end and a distal end that includes an image-capturing device and at least one illuminator; a communication module operatively coupled to the proximal end of the fiber optic stylet; and a communication transmitter for transmitting communication signals between the communication module, the image-capturing device, the at least one illuminator, and the display monitor; locating an insertion site; inserting the needle at the insertion site and positioning the needle at a desired anatomical region; advancing the fiber optic stylet further into the anatomical region; removing the needle from the first anatomical region leaving the fiber optic stylet in the anatomical region; advancing a dilator and an air cannula over the fiber optic stylet and into the anatomical region; and removing the dilator and fiber optic stylet leaving the air cannula in the anatomical region. ### Claim 2 (depends on 1) The method of claim 1, wherein the insertion site includes a person's cricothyroid or tracheal ring. ### Claim 3 (depends on 1) The method of claim 1, wherein the syringe tip is removably attached to the syringe port. ### Claim 4 (depends on 1) The method of claim 1, wherein the anatomical region includes a person's tracheal lumen. ### Claim 5 (depends on 1) The method of claim 1, wherein the anatomical region is visible on the display monitor. ### Claim 6 (depends on 1) The method of claim 1, wherein the anatomical region is a person's tracheal lumen bifurcation into the person's bronchus. ### Claim 7 (depends on 1) The method of claim 1, wherein an artificial manual breathing unit is attachable to the air cannula. ### Claim 8 (depends on 1) The method of claim 1, wherein a ventilator is attachable to the air cannula. ### Claim 9 (depends on 1) The method of claim 1, wherein the display monitor is transportable. ### Claim 10 (depends on 1) The method of claim 1, wherein the image-capturing device comprises a camera. ### Claim 11 (depends on 10) The method of claim 10, wherein the camera includes a charge-coupled device or a complementary metal oxide semiconductor image sensor. ### Claim 12 (depends on 1) The method of claim 1, wherein the at least one illuminator includes a plurality of illuminators each including a light-emitting diodes. ### Claim 13 (depends on 1) The method of claim 1, wherein the at least one illuminator includes one or more fiber optic cables coupled to an illumination source surrounding the image-capturing device. ### Claim 14 (depends on 1) The method of claim 1, wherein the distal end of the fiber optic stylet is removably insertable through the stylet port to extend through the needle port and slide within the hollow needle when the needle is affixed to the needle port. ### Claim 15 (depends on 1) The method of claim 1, wherein the images or video displayed on the display monitor is utilized to confirm the needle is in the desired anatomical region. ### Claim 16 A method of performing a cricothyroidotomy or a tracheostomy with a video-assisted system, including the steps of: providing a video-assisted system, comprising, a display monitor for displaying still or video images, a percutaneous needle assembly, comprising, a syringe port, a needle port, a stylet port in communication with the needle port, a hollow needle that includes a single lumen releasably attached to the needle port, the hollow needle including a beveled tip, a syringe including a cavity for holding a liquid or gas therein, a syringe tip in fluid communication with the cavity, and a plunger associated with the cavity and configured to extract or retract the liquid or gas through the syringe tip; a fiber optic stylet having a proximal end and a distal end that includes an image-capturing device and at least one illuminator; a communication module operatively coupled to the proximal end of the fiber optic stylet; and a communication cable having one end operatively coupled to the display monitor, and a second end operatively coupled to the communication module; locating an insertion site; inserting the needle at the insertion site and positioning the needle at a desired anatomical region; advancing the fiber optic stylet further into the anatomical region; decoupling the communication cable from the communication module; removing the needle from the first anatomical region leaving the fiber optic stylet in the second anatomical region; advancing a dilator and an air cannula over the fiber optic stylet and into the anatomical region of the person; and removing the dilator and fiber optic stylet leaving the air cannula in the anatomical region. ### Claim 17 (depends on 16) The method of claim 16, wherein the image-capturing device and the at least one illuminator is operatively controlled by the display monitor via the communication module. ### Claim 18 (depends on 16) The method of claim 16, wherein the fiber optic stylet is insertable through the air cannula to confirm the air cannula is positioned correctly within the desired anatomical region. ### Claim 19 (depends on 1) The method of claim 1, wherein the anatomical region is a person's tracheal lumen bifurcation into the person's bronchus. ### Claim 20 A method of performing a cricothyroidotomy or a tracheostomy with a video-assisted system, including the steps of: providing a video-assisted system, comprising, a display monitor for displaying still or video images, a percutaneous needle assembly, comprising, a syringe port, a needle port, a stylet port in communication with the needle port, a hollow needle that includes a single lumen releasably attached to the needle port, the hollow needle including a beveled tip, a syringe including a cavity for holding a liquid or gas therein, a syringe tip in fluid communication with the cavity, and a plunger associated with the cavity and configured to extract or retract the liquid or gas through the syringe tip; a fiber optic stylet having a proximal end and a distal end that includes an image-capturing device and at least one illuminator; a communication module operatively coupled to the proximal end of the fiber optic stylet; and a communication cable having one end operatively coupled to the display monitor, and a second end operatively coupled to the communication module; locating an insertion site; inserting the needle at the insertion site and positioning the needle at a desired anatomical region; advancing the fiber optic stylet further into the anatomical region; decoupling the communication cable from the communication module; removing the needle from the first anatomical region leaving the fiber optic stylet in the second anatomical region; advancing a dilator and an air cannula over the fiber optic stylet and into the anatomical region of the person; removing the dilator and fiber optic stylet leaving the air cannula in the anatomical region; and connecting an artificial manual breathing unit or a ventilator to the air cannula.