Multiple access adaptors for monitoring, sampling, medicating, aspirating, and ventilating the respiratory tract of a patient

An adapter assembly for connection to a proximal end of an endotracheal tube and to a ventilator so as to provide ventilation of an intubated patient's respiratory tract, and for delivering respiratory therapy by way of aspiration of fluids and by way of other treatment including any one of delivery of fluids, removing patient samples or providing visual inspection of the respiratory tract through the endotracheal tube without interruption of ventilation, said adapter assembly comprising:

• adapter means for providing a flow path therethrough which is substantially axially aligned with and adapted for fluid communication with a proximal end of an endotracheal tube, said adapter means comprising:
• a distal port means adapted for removable coupling to a proximal end of an endotracheal tube;
• proximal port means adapted for removable coupling to a ventilator;
• first access port means for providing a substantially axially aligned access to said flow path by a first catheter means for aspirating a respiratory tract;
• second access port means for providing a substantially axially aligned access to said flow path by a second catheter means adapted for providing said other treatment;
• and
• third access port means, positioned adjacent one of the first and second access port means, for providing introduction of a lavage fluid in conjunction with said one of the first and second access port means;
• an access control means for selectively positioning one or the other of said first and second access port means in substantial axial alignment with said flow path;
• first catheter means, connected to said first access port means, for aspirating a respiratory tract when desired, said first catheter means comprising an elongated aspirating catheter tube and a collapsible sheath surrounding the aspirating catheter tube, said elongated aspirating catheter tube being slidably positionable through said first access port means for substantially axially aligned entry through said flow path and into a proximal end of an endotracheal tube;
• and
• second catheter means, connected to said second access port means, for providing said other treatment when desired, said second catheter means comprising an elongated catheter treatment tube and a collapsible sheath surrounding the catheter treatment tube, said elongated catheter treatment tube being slidably positionable through said second access port means for substantially axially aligned entry through said flow path and into a proximal end of an endotracheal tube.

An adapter assembly for connection to a proximal end of an endotracheal tube and to a ventilator so as to provide ventilation of an intubated patient's respiratory tract, and for delivering respiratory therapy by way of aspiration of fluids and by way of other treatment including any one of delivery of fluids, removing patient samples or providing visual inspection of the respiratory tract through the endotracheal tube without interruption of ventilation, said adapter assembly comprising:

• adapter means for providing a flow path therethrough which is substantially axial aligned with and adapted for fluid communication with a proximal end of an endotracheal tube, said adapter means comprising:
• a distal port means adapted for removable coupling to a proximal end of an endotracheal tube;
• proximal port means adapted for removable coupling to a ventilator;
• first access port means for providing a substantially axially aligned access to said flow path by a first catheter means for aspirating the respiratory tract;
• second access port means for providing a substantially axially aligned access to said flow path by a second catheter means adapted for providing said other treatment;
• and
• third access port means, positioned adjacent the first access port means, for providing introduction of a lavage fluid in conjunction with the first access port means;
• an access control means for selectively positioning one or the other of said first and second access port means in substantial axial alignment with said flow path;
• first catheter means, permanently connected to said first access port means;
• for aspirating a respiratory tract when desired, said first catheter means comprising an elongated aspirating catheter tube and a collapsible sheath surrounding the aspirating catheter tube, said elongated aspirating catheter tube being slidably positionable through said first access port means for substantially axially aligned entry through said flow path and into a proximal end of an endotracheal tube;
• and
• second catheter means, permanently connected to said second access port means, for providing said other treatment when desired, said second catheter means comprising elongated catheter treatment tube and a collapsible sheath surrounding the catheter treatment tube, said elongated catheter treatment tube being slidably positionable through said second access port means for substantially axially aligned entry through said flow path and into a proximal end of an endotracheal tube.

An adapter assembly for connection to a proximal end of an endotracheal tube and to a ventilator so as to provide ventilation of an intubated patient's respiratory tract, and for delivering respiratory therapy by way of aspiration of fluids and by way of other treatment including any one of delivery of fluids, removing patient samples or providing visual inspection of the respiratory tract through the endotracheal tube without interruption of ventilation, said adapter assembly comprising:

• adapter means for providing a flow path therethrough which is substantially axially aligned with and adapted for fluid communication with a proximal end of an endotracheal tube, said adapter means comprising:
• a distal port means adapted for removable coupling to a proximal end of an endotracheal tube;
• proximal port means adapted for removable coupling to a ventilator;
• first access port means for providing a substantially axially aligned access to said flow path by a first catheter means for aspirating a respiratory tract;
• second access port means for providing a substantially axially aligned access to said flow path by a second catheter means adapted for providing said other treatment;
• third access port means, positioned adjacent the first access port means, for providing introduction of a lavage fluid in conjunction with the first access port means;
• and
• fourth access port means, positioned adjacent the second access port means, for providing introduction of a lavage fluid in conjunction with the second access port means;
• an access control means for selectively positioning one or the other of said first and second access port means in substantial axial alignment with said flow path;
• first catheter means, removably connected to said first access port means, for aspirating a respiratory tract when desired, said first catheter means comprising an elongated aspirating catheter tube and a collapsible sheath surrounding the aspirating catheter tube, said elongated aspirating catheter tube being slidably positionable through said first access port means for substantially axially aligned entry through said flow path and into a proximal end of an endotracheal tube;
• and
• second catheter means, removably connected to said second access port means, for providing said other treatment when desired, said second catheter means comprising an elongated catheter treatment tube and a collapsible sheath surrounding the catheter treatment tube, said elongated catheter treatment tube being slidably positionable through said second access port means for substantially axially aligned entry through said flow path and into a proximal end of an endotracheal tube.

An adapter assembly for connection to a proximal end of an endotracheal tube and to a ventilator so as to provide ventilation of an intubated patient's respiratory tract, and for delivering respiratory therapy by way of aspiration of fluids and by way of other treatment including any one of delivery of fluids, removing patient samples or providing visual inspection of the respiratory tract through the endotracheal tube without interruption of ventilation, said adapter assembly comprising:

• adapter means for providing a flow path therethrough which is substantially axially aligned with and adapted for fluid communication with a proximal end of an endotracheal tube, said adapter means comprising:
• a distal port means adapted for removable coupling to a proximal end of a endotracheal tube;
• proximal port means adapted for removable coupling to a ventilator;
• first access port means for providing a substantially axially aligned access to said flow path by a first catheter means for aspirating a respiratory tract;
• second access port means for providing a substantially axially aligned access to said flow path by a second catheter means adapted for providing said other treatment;
• and
• third access port means, positioned adjacent the first access port means, for providing introduction of a lavage fluid in conjunction with the first access port means;
• and
• access control means for selectively positioning one or the other of said first and second access port means in substantial axial alignment with said flow path, said access control means comprising a stator means having an opening therethrough that is in substantial axial alignment with said flow path, and rotor means having said first and second access port means mounted thereon, said rotor means being rotatable to a first position wherein said first access port means is in fluid communication and is aligned with said stator opening and said second access port means is not in fluid communication and is not in alignment with said stator opening, and said rotor means being rotatable to a second position wherein said second access port means is in fluid communication and is aligned with said stator opening and said first access port means is not in fluid communication and is not in alignment with said stator opening, and wherein said rotor means is rotatable to a third position wherein neither of said first and second access port means are in fluid communication and are not in alignment with said stator opening;
• first catheter means, removably connected to said first access port means, for aspirating a respiratory tract when desired, said first catheter means comprising an elongated aspirating catheter tube and a collapsible sheath surrounding the aspirating catheter tube, said elongated aspirating catheter tube being slidably positionable through said first access port means for substantially axially aligned entry through said flow path and into a proximal end of an endotracheal tube;
• and
• second catheter means, removably connected to said second access port means, for providing said other treatment when desired, said second catheter means comprising an elongated catheter treatment tube and a collapsible sheath surrounding the catheter treatment tube, said elongated catheter treatment tube being slidably positionable through said second access port means for substantially axially aligned entry through said flow path and into a proximal end of an endotracheal tube.

An adapter assembly for connection to a proximal end of an endotracheal tube and to a ventilator so as to provide ventilation of an intubated patient's respiratory tract, and for delivering respiratory therapy by way of aspiration of fluids, said adapter assembly comprising:

• adapter means for providing a flow path therethrough which is substantially axially aligned with and adapted for fluid communication with a proximal end of an endotracheal tube, said adapter means comprising:
• a distal port means adapted for removable coupling to a proximal end of an endotracheal tube;
• proximal port means adapted for removable coupling to a ventilator;
• and
• first access port means for providing a substantially axially aligned access to
• said flow path by a catheter means for aspirating a respiratory tract;
• access control means for selectively positioning said first access port means either in a first position where said first access port means is in substantial axial alignment with said flow path or in a second position where said first access port means is not in substantial axial alignment with said flow path;
• and
• catheter means, connected to said first access port means, for aspirating a respiratory tract when desired, said catheter means being slidably positionable through said first access port means for substantially axially aligned entry through said flow path and a proximal end of an endotracheal tube.

An adapter assembly for connection to a proximal end of an endotracheal tube and to a ventilator so as to provide ventilation of an intubated patient's respiratory tract, and for delivering respiratory therapy by way of aspiration of fluids, said adapter assembly comprising:

• adapter means for providing a flow path therethrough which is substantially axially aligned with and adapted for fluid communication with a proximal end of an endotracheal tube, said adapter means comprising:
• a distal port means adapted for removable coupling to a proximal end of an endotracheal tube;
• proximal port means adapted for removable coupling to a ventilator;
• first access port means for providing a substantially axially aligned access to said flow path by a catheter means for aspirating a respiratory tract;
• and
• second access port means, positioned adjacent the first access port means, for providing introduction of a lavage fluid in conjunction with the first access port means;
• access control means for selectively positioning said first access port means in substantial axial alignment with said flow path, access control means comprising a stator means having an opening therethrough that is in substantial axial alignment with said flow path, and rotor means having said first access port means mounted thereon, said rotor means being rotatable to a first position wherein said first access port means is in fluid communication and is aligned with said stator opening and said rotor means being rotatable to a second position wherein said first access port means is not in fluid communication and is not in alignment with said stator opening;
• and
• catheter means, removably connected to said first access port means, for aspirating a respiratory tract when desired, said catheter means comprising an elongated aspirating catheter tube and a collapsible sheath surrounding the aspirating catheter tube, said elongated aspirating catheter tube being slidably positionable through said first access port means for substantially axially aligned entry through said flow path and into a proximal end of an endotracheal tube.