Medical devices with camera and methods of placement

Abstract

The present invention provides medical devices comprising a camera combined with a second device selected from an endotracheal tube, oral airway, supraglottic airway, tracheostomy tube, suction catheter, tubeless intubating device, tool tube and/or stylet. The present invention also provides methods for rapid and accurate placement of a medical device in a patient with a guidance of a bougie and continuous real-time monitoring, including a remote monitoring, of the patient after the placement.

1 . A medical intubating device comprising a camera combined with a second device comprising an endotracheal tube, oral airway, tracheostomy tube, suction catheter, supraglottic oral airway, truncated supraglottic oral airway, tool tube, trocar, ventilation cap, medical examination glove and/or stylet; wherein the camera has a distal end and a proximal end and wherein the second device has a distal end and a proximal end, and wherein the distal end of the camera is in near proximity with the distal end of the second device. 
     
     
         2 . The medical intubating device of  claim 1 , wherein the camera is attached to a tube, and wherein the camera is combined with the second device by the second device being placed into the tube, and wherein the position of the camera on the second medical device can be adjusted by sliding the tube along the proximal-distal axis of the second device. 
     
     
         3 . The medical intubating device of  claim 1 , wherein the camera is attached to at least one ring which may optionally comprise a clasp, and wherein the second device comprises a tubal body, and wherein the camera is combined with the second device by the ring being secured around the tubal body. 
     
     
         4 . The medical intubating device of  claim 1 , wherein the second device comprises a cuff and wherein the camera is combined with the second device by being placed under the cuff such that the distal end of the camera is positioned distally to the cuff. 
     
     
         5 . The medical intubating device of  claim 1 , wherein the camera is attached to the tool tube and/or the stylet. 
     
     
         6 . The medical intubating device of  claim 1 , wherein the camera is attached to the tool tube and the stylet, and wherein a bougie is placed in the tool tube, and wherein the bougie has a proximal end and a distal end, and wherein the distal end of the bougie protrudes distally from the tool tube and wherein the bougie protrudes distally to the distal end of the camera. 
     
     
         7 . The medical device of  claim 6 , wherein the tool tube is a slit wall tube. 
     
     
         8 . The medical intubating device of  claim 1 , wherein the second device is the endotracheal tube and an inflatable cuff which is wrapped around the endotracheal tube near the distal end of the endotracheal tube, and wherein the camera is sealed externally along the proximal-distal axis of the endotracheal tube. 
     
     
         9 . The medical intubating device of  claim 1 , wherein the second device is the endotracheal tube with an inflatable cuff which is wrapped around the endotracheal tube near the distal end of the endotracheal tube, and wherein the camera is sealed externally along the proximal-distal axis of the endotracheal tube. 
     
     
         10 . The medical intubating device of  claim 1 , wherein the second device is the endotracheal tube with an inflatable cuff which is wrapped around the endotracheal tube and the camera near the distal end of the endotracheal tube, and wherein the distal end of the camera collects images distally to the cuff. 
     
     
         11 . The medical intubating device of  claim 1 , wherein the second device is the endotracheal tube with an inflatable cuff which is wrapped around the endotracheal tube and the camera is positioned near the distal end of the endotracheal tube, and wherein the endotracheal tube comprises a sleeve near the proximal end of the endotracheal tube, and wherein the camera is inserted into the sleeve. 
     
     
         12 . The medical intubating device of  claim 1 , wherein the second device is the tracheostomy tube comprising a tubal body with a plate and an inflatable cuff wrapped around the tubal body in proximity to the distal end of the tubal body, and wherein the camera is combined with tubal body externally by being inserted into an opening of the plate and being placed under the inflatable cuff. 
     
     
         13 . The medical intubating device of  claim 1 , wherein the second device is the endotracheal tube, wherein the endotracheal tube is combined with a tool tube externally, wherein the tool tube can optionally comprise a cap, and wherein the endotracheal tube is held in place on the endotracheal tube with at least one ring, wherein the camera slides inside the tool tube and wherein at least one of the following tools is optionally inserted in the tool tube: biopsy forceps, esophageal stethoscope, cuff tube, suction tube, nasogastric tube, stylet and/or bougie. 
     
     
         14 . The medical intubating device of  claim 1 , wherein the second device is the endotracheal tube, wherein the endotracheal tube is combined with a tool tube externally, wherein the tool tube can optionally comprise a cap, and wherein the endotracheal tube is held in place on the endotracheal tube with a cuff which wraps around the tool tube and endotracheal tube, wherein the camera slides inside the tool tube and wherein at least one of the following tools is optionally inserted in the tool tube: biopsy forceps, esophageal stethoscope, cuff tube, suction tube, nasogastric tube, stylet and/or bougie. 
     
     
         15 . The medical intubating device of  claim 1 , wherein the second device is the oral airway which comprises a curved tubal body with a proximal end and a distal end, wherein the tubal body has a lumen and comprises a plate at the proximal end of the curved tubal body, and wherein the camera is combined with the tubal body by being inserted through an opening in the plate and then through an opening in the wall of the curved tubal body, the distal end of the camera being inside the lumen and in near proximity with the distal end of the curved tubal body. 
     
     
         16 . The medical intubating device of  claim 1 , wherein the second device is the oral airway which comprises a hollow curved tubal body with a proximal end and a distal end, wherein the hollow tubal body has a lumen and comprises a plate at the proximal end of the curved tubal body, and wherein the camera is combined with the tubal body by being inserted through an opening in the plate and placed along the hollow curved tubal body externally, wherein the second device further comprises a second hollow tubal body which is aligned with the hollow curved tubal body, and wherein a balloon wraps around the hollow curved tubal body, the second hollow tubal body and the camera. 
     
     
         17 . The medical intubating device of  claim 1 , wherein the second device is the oral airway device which comprises a two-part tubal body made from an outer cylindrical tube wall and an inner cylindrical tube, wherein the inner cylindrical tube is at least partially inserted into the outer cylindrical tube, wherein the inner cylindrical tube wall is extendable, the camera is combined with the oral airway device by being inserted inside the two-part tubal body through an opening located in proximity to the proximal end of the tubal body, the second device further optionally comprises a bougie. 
     
     
         18 . The medical intubating device of  claim 1 , wherein the second device is the oral airway device which comprises two hollow tubes, a first hollow tube and a second hollow tube, wherein the first hollow tube is inserted inside the second hollow tube partially, the first hollow tube is longer in length than the second hollow tube, the first hollow tube being insertable and removable from the second hollow tube, the first hollow tube comprising a tapered tongue at the distal end, the second hollow tube comprises a plate at the proximal end, wherein the camera is inserted through an opening in the plate and is combined with the second device by being positioned externally along the second hollow tube, and wherein the oral airway device comprises a tool lumen. 
     
     
         19 . The medical intubating device of  claim 1 , wherein the second device is the oral airway device which comprises a curved tubal body with a central lumen and a plate at a proximal end of the curved tubal body, wherein the a cuff wraps around the curved tubal body and a handle is attached to the cuff, wherein the cuff is movable from the proximal end on the curved tubal body to the distal end of the curved tubal body with the handle and wherein the camera is combined with the oral airway device by being inserted in an opening in the plate, positioned along the curved tubal body externally and wherein the cuff wraps over the camera such that the distal end of the camera is positioned distally to the cuff. 
     
     
         20 . The medical intubating device of  claim 1 , wherein the second device is the oral airway device which comprises a curved tubal body with a central lumen, wherein two tubes are inserted in the central lumen, the first hollow tube and a second hollow tube with a slit wall, wherein the first tube and the second tube are each attached to the wall of the oral airway device and wherein a distal end of the first tube and a distal end of the second tube are near a distal end of the curved tubal body, and wherein a camera is insertable in the first tube and a bougie and/or a medical tool is insertable in the second tube. 
     
     
         21 . The medical intubating device of  claim 20 , wherein a cuff wraps around the curved tubal body near the distal end of the curved tubal body. 
     
     
         22 . The medical intubating device of  claim 1 , wherein the second device is the supraglottic oral airway, wherein the supraglottic oral airway comprise a tubal body with a central lumen, wherein a soft cuff wraps around the distal end of the tubal body, wherein the wall of the tubal body comprises a first lumen and a second lumen with a slit, and wherein a camera is insertable in the first lumen and a bougie is insertable in the second lumen, and wherein the slit connects the second lumen with a central lumen of the tubal body. 
     
     
         23 . The medical intubating device of  claim 22 , wherein the tubal body is truncated and the device comprises a handle with a holder, a first tube which connects with the first lumen and a second tube with slit wall which connects with the second lumen with a slit. 
     
     
         24 . A method of intubating a patient, the method comprising inserting the medical device of  claim 1  by guiding the insertion with a bougie under the continuous visualization with the camera. 
     
     
         25 . (canceled) 
     
     
         26 . (canceled) 
     
     
         27 . (canceled) 
     
     
         28 . (canceled) 
     
     
         29 . (canceled) 
     
     
         30 . (canceled) 
     
     
         31 . (canceled)