Intubation instrument

Abstract

The configuration and arrangement of the instrument greatly facilitate safe placement of the instrument and an associated endotracheal tube. The instrument includes a handle with an arm extending therefrom. The arm includes a base portion and a distal lifter portion preferably having an angle between 5° and 85°, inclusive, and the lifter is sized and shaped to engage or lift the patient's epiglottis, thereby to expose the glottis. In a preferred embodiment, the base portion and lifter portion are substantially the same length, and a viewing device, which is preferably a CCD or CMOS camera positioned near the transition portion between the base and lifter portions, is aligned to provide a perspective view toward the distal end of the lifter. Lights, which are preferably LED units, are positioned toward the distal end of the lifter to facilitate viewing. A transparent protective sheathing may be positioned over the assembly to facilitate cleaning and provide sterile multiple use of the device, and the lifter may be pivotally secured to the base portion to facilitate on-site adjustment by the practitioner.

1 . An intubation instrument, a portion of which is for insertion into a patient through the patient's mouth, comprising: a body having a handle attached thereto; an elongate arm having an elongate base portion attached to the body and an elongate lifter portion having a smooth surface for engaging the patient's epiglottis and a distal end for insertion distal-end first through a patient's mouth; said lifter portion being at least 3 centimeters long and extending from said base portion by at least a 5 degree angle. 
     
     
         2 . The intubation instrument of  claim 1 , further including a viewer positioned in the vicinity of the area where the base portion meets the lifter portion of the arm, said viewer directed toward the distal end of the lifter portion. 
     
     
         3 . The intubation instrument of  claim 2 , wherein said viewer is a telescope. 
     
     
         4 . The intubation instrument of  claim 2 , wherein said viewer is a CMOS camera. 
     
     
         5 . The intubation instrument of  claim 2 , wherein said viewer is a CCD camera. 
     
     
         6 . The intubation instrument of  claim 1 , wherein said at least 5° angle is between 5° and 85°, inclusive. 
     
     
         7 . The intubation instrument of  claim 6 , wherein said at least 5° angle, is between 30° and 60°, inclusive. 
     
     
         8 . The intubation instrument of  claim 6 , wherein said at least 5° angle is approximately 45°. 
     
     
         9 . The intubation instrument of  claim 2 , further including a light operably secured to said lifter portion. 
     
     
         10 . The intubation instrument of  claim 9 , wherein said light is an LED. 
     
     
         11 . An intubation instrument, a portion of which is for insertion into a patient through the patient's mouth, the patient having a respiratory system with an oropharynx, a laryngopharynx, and an epiglottis, said intubation instrument comprising: a body having a handle attached thereto; an elongate arm having an elongate base portion operably secured to said body at one end and an elongate lifter portion extending from said elongate base portion toward an opposite end of said elongate base portion thereby defining an angle between said elongate base portion and said elongate lifter portion, said elongate base portion having a first defined length, said first defined length being long enough to extend through the patient's mouth into the patient's oropharynx; said elongate lifter portion having, a distal end for insertion distal-end first through a patient's mouth, a second defined length, said second defined length being long enough to extend into the laryngopharynx and operably engage the epiglottis of the patient when the elongate base portion is extended into the patient's oropharynx, and, a smooth surface for engaging the patient's epiglottis; a viewer operably secured to said elongate arm and directed toward the distal end of said elongate lifter portion; and, a heating element in electrical communication with a power source and in thermal communication with the viewer so as to defog the viewer. 
     
     
         12 . The intubation instrument of  claim 11 , wherein the viewer positioned substantially near where said elongate base portion meets said elongate lifter portion of the elongate arm. 
     
     
         13 . The intubation instrument of  claim 12 , wherein said viewer is a telescope. 
     
     
         14 . The intubation instrument of  claim 12 , wherein said viewer is a Complementary Metal Oxide Semiconductor camera. 
     
     
         15 . The intubation instrument of  claim 12 , wherein said viewer is a Charged Coupled Device camera. 
     
     
         16 . The intubation instrument of  claim 11 , wherein said heating element is a resistor. 
     
     
         17 . The intubation instrument of  claim 11 , wherein said heating element and said power source are contained within the intubation instrument. 
     
     
         18 . The intubation instrument of  claim 11 , wherein said power source is a low voltage, direct current battery. 
     
     
         19 . The intubation instrument of  claim 11 , further including a switch in electrical communication with said heating element and said power source.