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Abstract

Background

Tracheotomy is a surgical technique in which the trachea in the front of the neck is cut to construct an artificial airway. Bypassing blockage or lesions in the upper airway, this opening permits oxygen provision and carbon dioxide exhalation straight through the trachea. A more profound comprehension of the pathophysiologic role of the airway has made tracheotomy a crucial component of treatment for several illnesses. Medical devices used both during and after a tracheotomy are known as auxiliary devices for tracheotomies. These devices, which include dilators, cannulas, plugging devices for cannulas, and immobilization devices, ensure the procedure is completed safely and the patient recovers quickly.

Objective

This paper aims to identify the key issues, summarize the many tracheotomy auxiliary device constructions in recent years, and serve as a resource for researchers working on related topics.

Methods

Assess and evaluate the benefits and drawbacks of the tracheotomy auxiliary devices covered by the patents filed in the last several years and identify areas for development.

Results

This patent research examines the shortcomings of current tracheotomy auxiliary devices and speculates about future directions for their advancement.

Conclusion

Although they are challenging to use, the tracheotomy auxiliary devices now in use provide good stability and dependability. Enhancing the mechanical structure of tracheotomy auxiliary devices and strengthening clinical trials for various patient populations and intricate surgical settings are essential improvements. Furthermore, pertinent patents for auxiliary equipment used in tracheotomies have not yet been created.

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2024-11-29
2025-01-18
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References

  1. Ratwani A. Davis A. Maldonado F. Current practices in the management of central airway obstruction. Curr. Opin. Pulm. Med. 2021 34720097
    [Google Scholar]
  2. Wan Y. Feng Y. Wang X. Progress of clinical care for respiratory failure. Chinese J Pulm Dis 2021 14 5 692 694
    [Google Scholar]
  3. Cai B. He Q. Gao Z. Expert consensus on the diagnosis and treatment of bronchiectasis in adults (2012 edition). Chinese J Critic Care Med 2012 5 05 315 328
    [Google Scholar]
  4. Zou S. He G. Indications for tracheotomy and selection of surgical timing. Pract Hosp Clin J 2011 8 05 47 49
    [Google Scholar]
  5. Gallagher T.Q. Hartnick C.J. Pediatric Tracheotomy. Adv. Otorhinolaryngol. 2012 73 26 30 10.1159/000334294 22472224
    [Google Scholar]
  6. Botti C. Menichetti M. Marchese C. Pernice C. Giordano D. Perano D. Russo P. Ghidini A. The role of tracheotomy in patients with moderate to severe impairment of the lower airways. Acta Otorhinolaryngol. Ital. 2022 42 2 Suppl. 1 10 10.14639/0392‑100X‑suppl.1‑42‑2022‑08 35763277
    [Google Scholar]
  7. Karimpour H.A. Vafaii K. Chalechale M. Mohammadi S. Kaviannezhad R. Percutaneous dilatational tracheostomy via griggs technique. Arch. Iran Med. 2017 20 1 49 54 28112532
    [Google Scholar]
  8. Lang H. Tracheotomy. Out-of-Hospital Ventilation: An Interdisciplinary Perspective on Landscape and Health. Cham Springer 2023 75 93 10.1007/978‑3‑662‑64196‑5_4
    [Google Scholar]
  9. Wu L. "Nursing progress of post-tracheotomy complications”//2015 Zhejiang Province Neurology Academic Annual Conference. 2015
  10. Shi J. Qu J. Zhang W. Tracheotomy. Modern Biomed Prog 2018 18 02 381 384 10.13241/j.cnki.pmb.2018.02.042
    [Google Scholar]
  11. Xiao T. Xiao J. Yu H. Research progress of airway wetting management in tracheotomized patients. Modern Clin Med 2021 47 04 291 293
    [Google Scholar]
  12. Lai Y. Liu X. Nie Y. Analysis of bacterial colonization of the lower respiratory tract after tracheotomy and its effect on patients' prognosis and regression. Marker Immunoassay Clin 2021 28 06 973 976
    [Google Scholar]
  13. Liang W. Clinical experience of percutaneous dilatation tracheotomy Primary Medical Forum 2016 20 S1 95 96 10.3969/j.issn.1672‑1721.2016.z1.072
    [Google Scholar]
  14. Wang L. Review and new progress of tracheotomy Proceedings of the 2015 National Rhinology Annual Meeting and the Seventh Symposium on Nasal Infections and Allergic Diseases. 2015
    [Google Scholar]
  15. He X. Chen S. Fu M. Application of electronic laryngoscope after tracheotomy. J Pract Med 2009 25 21 3730
    [Google Scholar]
  16. Gaubert N. Crambert A. Malgras B. Surgical tracheotomy. J. Visc. Surg. 2021 158 1 69 74 10.1016/j.jviscsurg.2020.10.002 33268320
    [Google Scholar]
  17. Somashekhar A. Kumar P.P. Basavaraja G. Sanjay K.S. Fathima A. Baskar P. Pediatric tracheostomy decannulation: A prospective study at a tertiary care centre. J Pediatr Critic Care 2023 10 1 24 29 10.4103/jpcc.jpcc_77_22
    [Google Scholar]
  18. Zhang X. Yang J. Peng P. Application of percutaneous dilatational tracheotomy in critically ill patients. Xinjiang Med 2010 40 08 53 54
    [Google Scholar]
  19. Flanagan F. Healy F. Tracheostomy decision making: From placement to decannulation. Semin. Fetal Neonatal Med. 2019 24 5 101037 10.1016/j.siny.2019.101037 31699570
    [Google Scholar]
  20. Chen M. Research progress on the types of disposable tracheotomy trocars and replacement methods. Contemp Nurses(Zhongdian) 2020 27 10 13 10.19792/j.cnki.1006‑6411.2020.29.001
    [Google Scholar]
  21. Zhao J. Jin P. Research progress of tracheotomy jacket tube fixation. Evid. Based Nurs. 2018 4 06 503 506
    [Google Scholar]
  22. Wei Y. Li L. Dai Y. Application of progressive tube plugger in tracheotomy patients with tube plugging. J Nurs 2019 34 10 68 69
    [Google Scholar]
  23. Cheng F. Chen X. Application of hemagglutinin ampoule rubber bottle stopper in tracheotomy patients with metal cannula occlusion. Contemp Med 2020 26 20 111 113
    [Google Scholar]
  24. Pan Q. Qiu C. Liu C. Application value of two types of padded dressings in tracheotomy patients after laryngeal cancer surgery. Modern Pract Med 2021 33 04 516 518
    [Google Scholar]
  25. Zhao W. Progress of clinical application of percutaneous dilatational tracheotomy. 2020,15(01):75-77 Minimally Invasive Med 2020 15 01 75 77
    [Google Scholar]
  26. Hsia D.W. Ghori U.K. Musani A.I. Percutaneous dilational tracheostomy. Clin. Chest Med. 2013 34 3 515 526 10.1016/j.ccm.2013.04.002 23993821
    [Google Scholar]
  27. Wang Y. Liu P. Chen S. Effect of percutaneous minimally invasive tracheotomy with guidewire expansion forceps technique in neurocritical care patients. Medical Equipment 2023 36 06 63 65
    [Google Scholar]
  28. Chi R. Gu W. Ye Q. Clinical application of percutaneous dilational tracheostomy in critical patients necessitating secondary tracheostomy. Chinese J Otolaryngol Skull Base Surg 2018 24 05 475 477
    [Google Scholar]
  29. Singh J. Sing R.F. Performance, Long-term Management, and Coding for Percutaneous Dilational Tracheostomy. Chest 2019 155 3 639 644 10.1016/j.chest.2018.10.049 30552868
    [Google Scholar]
  30. Liang Q. Tracheotomy in severe patients and analysis of complications. China Med Digest (Otolaryngology) 2021 36 01 117 119
    [Google Scholar]
  31. Roxbury C. Qualliotine J. Molena D. Kim Y. Unusual airway complication after percutaneous tracheotomy: Case report and literature review. Laryngoscope 2015 125 8 1883 1885 10.1002/lary.25286 25877660
    [Google Scholar]
  32. Davide G. Cecilia B. Andrea C. Tracheal Stenosis after Tracheotomy for COVID-19. Ear Nose Throat J. 2021 2021 1455613211045539 1455613211045539 34625001
    [Google Scholar]
  33. Chen J. Research on the development of patent technology for patient interface in ventilation system. Technol Outlook 2016 26 13 41
    [Google Scholar]
  34. Armitage E. Comprehensive Tracheostomy Care: The National Tracheostomy Safety Project Manual. J Paramed Pract 2014 6 9 484 484 10.12968/jpar.2014.6.9.484
    [Google Scholar]
  35. Qin J. Wang J. Huang L. Research Progress of Cleaning and Disinfection of Tracheal Cannula. World Dig Recent Med Inform 2018 18 96 35 36
    [Google Scholar]
  36. Guo Y. Tian J. He P. Selection of types of tracheal cannulae and current status of application of assistive devices. J Nurse Advancement 2017 32 20 1847 1850
    [Google Scholar]
  37. Vital J. Dias F. Henriques M. Tracheostomy Tube Types. Tracheostomy: A Surgical Guide. Cham Springer International Publishing 2018 23 46 10.1007/978‑3‑319‑67867‑2_3
    [Google Scholar]
  38. Ren L. Wan H. Zhang Y. Design and application observation of an adjustable tracheal cannula occlude. Shiyong Laonian Yixue 2020 34 03 304 305
    [Google Scholar]
  39. Xu J. Wang J. Liu S. Discussion on the steps of extubation and methods of tube blocking in tracheotomized patients. Chinese J Lung Dis 2016 9 05 578 579
    [Google Scholar]
  40. Zhou H. Yang X. Tang Y. Application of rubber plug on the piston head of sterile empty needle in tracheotomy patients with total tube blockage. Nurs Pract Res 2021 18 15 2306 2309
    [Google Scholar]
  41. Tian T. Research progress of tracheotomy catheter occlude. China Med Digest (Otolaryngology) 2022 37 01 137 139
    [Google Scholar]
  42. Yang L. Current status of research on tube plugging devices for tracheotomy patients. Contemp. Nurse 2016 03 6 9
    [Google Scholar]
  43. Cai M. Nursing progress of tracheotomy indwelling metal tracheal tube plugging. Nurs Pract Res 2016 13 17 27 29
    [Google Scholar]
  44. Zhao J. Jin P. Research progress of tracheotomy external casing fixation. Evid. Based Nurs. 2018 4 06 503 506
    [Google Scholar]
  45. Huang H. Liu Y. Chen B. Improvement of tracheotomy trocar fixation method in ICU. China Clinic Res 2014 27 01 115 116
    [Google Scholar]
  46. Liu L. Zhao Z. Zhan H. Comparison of the effects of four tracheotomy trocar fixation methods. PLA Nursing J 2015 32 21 68 69
    [Google Scholar]
  47. Xu X. Huang X. Application of evidence-based nursing in respiratory care after tracheotomy in neurosurgical critical care patients. J PLA Nurs 2016 33 08 58 61
    [Google Scholar]
  48. Jiang Z. Huang H. Evaluation of the clinical application effect of tracheal tube fixation tape 2019
  49. Putensen C. Theuerkauf N. Guenther U. Vargas M. Pelosi P. Percutaneous and surgical tracheostomy in critically ill adult patients: a meta-analysis. Crit. Care 2014 18 6 544 10.1186/s13054‑014‑0544‑7 25526983
    [Google Scholar]
  50. Sun T. An improved ICU tracheotomy dilatation forceps. CN Patent 219167387U, 2023.
  51. He B. Tao X. Tang H. A tracheal dilation device. CN Patent 219461341U, 2023.
  52. Wang S. Lu W. A detached tracheotomy dilator. CN Patent 87202514, 1998.
  53. Zhang W. Chen X. Feng Y. A threaded tracheotomy dilator. CN Patent 213285103U, 2021.
  54. Dempsey G.A. Grant C.A. Jones T.M. Percutaneous tracheostomy: a 6 yr prospective evaluation of the single tapered dilator technique. Br. J. Anaesth. 2010 105 6 782 788 10.1093/bja/aeq238 20813838
    [Google Scholar]
  55. Cianchi G. Zagli G. Bonizzoli M. Batacchi S. Cammelli R. Biondi S. Spina R. Peris A. Comparison between single-step and balloon dilatational tracheostomy in intensive care unit: a single-centre, randomized controlled study. Br. J. Anaesth. 2010 104 6 728 732 10.1093/bja/aeq087 20413380
    [Google Scholar]
  56. Wan P. Xing W. A disposable tracheotomy dilator. CN Patent 105963839B, 2019.
  57. Wang Z. Tian F. A tracheotomy dilatation guiding forceps. CN Patent 215651401U, 2022.
  58. Wang W. A tracheal cannula no-cut dilator. CN Patent 204072346U, 2015.
  59. Cuevas B. Dilator loading catheter. EP Patent 2331179, 2015.
  60. Feng Q. A graded percutaneous tracheotomy dilator. CN Patent 103735297B, 2016.
  61. Zhu H. Zhang Q. Wang L. A cricothyroid puncture placement tracheal cannula dilator. CN Patent 2502716, 2002.
  62. Doody N. Smart N. Percutaneous tracheostomy and cricothyrotomy techniques. Anaesth. Intensive Care Med. 2020 21 4 177 184 10.1016/j.mpaic.2020.01.009
    [Google Scholar]
  63. Shen P. A new type of rotary dilator for percutaneous tracheotomy dilator. CN Patent 205054309U, 2016.
  64. Shi X. Yang L. Wang L. A new percutaneous rotary tracheotomy dilator. CN Patent 214912197U, 2021.
  65. Ma J. Han X. Ren K. A bi-directional intubating tracheotomy dilator device with intubating channels. CN Patent 113144361B, 2023.
  66. Ren J. Chen P. Huang G. A tracheotomy synchronized dilatation device. CN Patent 08542443B, 2019.
  67. Liu H. Ren J. Chen H. A tracheotomy dilatation device. CN Patent 108378882B, 2019.
  68. Zgoda A. Percutaneous tracheostomy balloon apparatus. CN Patent 7036510, 2006.
  69. Li F. Qiao Z. Yang D. A plugging device for tracheotomy. CN Patent 203647828U, 2014.
  70. Duan W. A disposable aseptic dual-use tracheotomy plugging device. CN Patent 218980103U, 2023.
  71. Yang Y. A new type of tracheotomy plug. CN Patent 217246050U, 2022.
  72. Zhang Y. Wang L. Du M. An adjustable blocking device for tracheotomy trial-blocking tubes. CN Patent 215024447U, 2023.
  73. Cheng H. Zhu Y. Zhang Z. A tracheotomy plugging device with adjustable caliber. CN Patent 219001578U, 2023.
  74. Chen W. Gong X. Hua F. A plugging device for tracheotomy extubation. CN Patent 211513023U, 2020.
  75. Yang D. A tracheal cannula plugging device. CN Patent 219354975U, 2020.
  76. Chen S. Wang Q. Ma H. A balloon-type tracheotomy plugging device. CN Patent 211050607U, 2020.
  77. Jing F. Qi W. Liang J. Production and clinical application of tracheotomy immobilization tape. Shanghai Nursing 2016 16 01 52 55
    [Google Scholar]
  78. Xu W. Observation on the effect of improving the new method of tracheotomy trocar fixation. Electron J Cardiovasc Dis Integr Chinese Western Med 2020 8 02 192 195
    [Google Scholar]
  79. Chen X. Hua M. Observation on the application effect of modified tracheotomy trocar fixation method in neurosurgical critically ill patients. Nursing Pract Res 2022 19 05 730 732
    [Google Scholar]
  80. Teng L. Wang F. A tracheotomy outer cannula fixation device. CN Patent 219517455U, 2023.
  81. Shi W. A tracheotomy care device for easy immobilization. CN Patent 219049948U, 2023.
  82. Zhang Q. Zhang Y. Qian X. A tracheotomy fixation device with a sterilizing effect. CN Patent 209751870U, 2019.
  83. Chen C. Xiong X. A trans-burn tracheotomy immobilization band. CN Patent 218552866U, 2023.
  84. Wang Z. A tracheotomy multifunctional fixation device for preventing pressure sores. CN Patent 212038042U, 2020.
  85. Zhang H. Li K. Ding Y. A head and neck fixation device for tracheotomy surgery. CN Patent 217828320U, 2022.
  86. Dong D. A tracheal cannula fixation device. CN Patent 213760061U, 2021.
  87. Gui X. Song B. Zhang X. A modified tracheal cannula. CN Patent 215916076U, 2022.
  88. Tang Z. Yang H. Peng Z. A tracheal cannula. CN Patent 217612374U, 2022.
  89. Yang Y. Tong J. A suctionable tracheal cannula. CN Patent 218961529U, 2023.
  90. Xia M. Wang S. Tan B. A double-layer capsule tracheal cannula provided with a drug injection flow channel. CN Patent 218501103U, 2023.
  91. Yan P. An improved dual-balloon tracheal cannula. CN Patent 215938675U, 2022.
  92. De Leyn P. Bedert L. Delcroix M. Depuydt P. Lauwers G. Sokolov Y. Van Meerhaeghe A. Van Schil P. Tracheotomy: clinical review and guidelines. Eur. J. Cardiothorac. Surg. 2007 32 3 412 421 10.1016/j.ejcts.2007.05.018 17588767
    [Google Scholar]
  93. Rana S. Pendem S. Pogodzinski M.S. Hubmayr R.D. Gajic O. Tracheostomy in critically ill patients. Mayo Clin. Proc. 2005 80 12 1632 1638 10.4065/80.12.1632 16342657
    [Google Scholar]
  94. Liu H. Jiang L. Nursing coordination of percutaneous tracheotomy using “ox horn type” one-step dilator in mechanically ventilated patients. Contemporary Nurses(Upper) 2016 05 39 40
    [Google Scholar]
  95. Sheykholeslami K. Rezaee R. Lavertu P. Percutaneous Tracheotomy. Atlas Oral Maxillofac. Surg. Clin. North Am. 2010 18 1 51 60 10.1016/j.cxom.2009.12.001 20176326
    [Google Scholar]
  96. Hillejan L. Rawert H. Tracheotomie – chirurgisch und perkutan. Zentralbl. Chir. 2015 140 3 339 360 10.1055/s‑0035‑1546135 26131574
    [Google Scholar]
  97. Paleczny J. Maciejewski D. Łoniewska-Paleczny E. Sawczuk M. Kaczur A. [Percutaneous tracheotomy]. Wiad. Lek. 2000 53 9-10 552 561 11148924
    [Google Scholar]
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