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Q: For Umiat - Methods of confirming endotracheal intubation, cont'd ( Answered 5 out of 5 stars,   0 Comments )
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Subject: For Umiat - Methods of confirming endotracheal intubation, cont'd
Category: Health > Medicine
Asked by: hovig-ga
List Price: $50.00
Posted: 02 Mar 2004 16:09 PST
Expires: 01 Apr 2004 16:09 PST
Question ID: 312777
Dear Umiat, thank you very much for your willingness to help further.
I'm posting the question now and hopefully you'll have time to do the
research before you leave tomorrow. Here is the question.

In addition to the great information that you have already provided on
the currently available devices and the U.S. based manufacturers who
offer those devices - to confirm endotracheal intubation, I am also
interested in learning about really early stage companies, whether in
the US or international, that manufacture products to confirm
endotracheal intubation. What I am MOST interested in is really brand
new  - innovative - products that are just in the early development
stage ? like the devices that some of the universities are working on,
or those that are being presented at research type meetings (as an
abstract or an article), or are developed by small, not so well known
companies (e.g., it may include companies that are looking for
partnership or venture agreements). Just to clarify, I am interested
in knowing about the devices in development ? even if they are just at
a university or looking for a partner ? or have an idea that they may
have tried in animals.  Maybe they are trying to come up with new
devices to offer somewhat different, a more efficient device to
confirm intubations.
 
If they have a real product, then I need to know the manufacturers,
not distributors. Again, any additional information that you provide
will be very helpful. Many thanks for your hard work. - Lucy

Request for Question Clarification by umiat-ga on 02 Mar 2004 16:56 PST
I will see what I can find!
Answer  
Subject: Re: For Umiat - Methods of confirming endotracheal intubation, cont'd
Answered By: umiat-ga on 03 Mar 2004 08:26 PST
Rated:5 out of 5 stars
 
Hello, hovig-ga (Lucy),

 I have researched your question quite thoroughly and have come up
with some new products and companies to keep your eye on. Some of the
products are still under development and some are awaiting arrival on
the market. A few are newly on the market so I included them as well.


A NEW ENDOTRACHEAL TUBE DESIGN FROM MIT
****************************************

I am not sure what state this project is in:

"Novel Endotracheal Tube Design." (a.k.a. Nerdvana). MIT 2002-2003
Ideas competition winners. $2000 IDEAS Prize (Sponsored by the Boeing
Company)
http://web.mit.edu/ideas/www/archives.html#nerdvana

"Endotracheal tubes are used to delivery air to patients (over 200
million/yr.) in critical intensive care situations. The polymeric
tube, with an inflatable cuff at the trachea protects the lungs from
any foreign materials that may be aspirated into the trachea. The
current tracheal tubes in use cause problems from irritation to severe
morbidity to death because of intubation. The endotracheal tube design
that will be used is meant to ameliorate the complications of the
present inflatable cuffs inflated at the trachea by alleviating the
high constant pressure and placing it with a low-pressure system. A
design patented by Dr. Everard Cox, a retired surgeon who has agreed
to let us work on the improvement of this tube, needs additional
prototyping and testing. His design will bring the pressure on the
trachea from 50mmHg to 5mmHg."
(Email contact - nerdvana@mit.edu)

More on this project can be found on the following site:
http://web.mit.edu/cortiz/www/tube.html
 

=


DR. JOHN BARRELL - TWO NEW PRODUCTS UNDER DEVELOPMENT
********************************************************
http://www.cslscope.com/


1. Camera Screen Laryngoscope
--------------------------
"For Intubations - When direct line of vision is obstructed." 
"And For Teaching - Now instructor and student can see and talk about
the same anatomy at the same time.  Students see directly; instructor
sees on the screen."
http://www.cslscope.com/cslscope.html (Follow the screen arrows)


2. The Serpent Blade
--------------------
"To provide a direct line of sight during intubation."

Excellent control of the tongue 
Excellent control of opening of the mouth 
Ability to do jaw thrust move 
No contact with teeth 
http://www.cslscope.com/Serpent%20Blade%203D.htm (follow the screen arrows)


Read about Dr. Berall
http://www.cslscope.com/Profile.htm


Contact Information:
Dr Jon Jack Berall, MD: Intubate123@aol.com
http://www.cslscope.com/contact.html


=


DR. JACK PACEY AND SATURN BIOMEDICAL SYSTEMS
*********************************************

Dr. Jack Pacey has designed the following products in conjunction with
Saturn Biomedical Systems, a B.C. - based Medical Innovation company:
http://www.drpacey.com/products.htm


1. Glide-Scope Video Laryngoscope 
==================================
"An advanced TV guided laryngoscope that will do challenging
intubation with a high degree of reliability. Excellent for bloody or
contaminated airways."
http://www.drpacey.com/prod01.htm

This device is still in limited distribution. Please see the Feb. 2002
article highlighted on the Saturn Biomedical site:

Video Laryngoscope making Intubation Easier. The Medical Post (Feb 12, 2002)
http://www.saturnbiomedical.com/saturnarticle.htm



2. Secretion Clearing Endotracheal Tube 
=========================================
"An ETT that automatically clears secretions from the airway. This
innovation is directed at the problem of Ventilator acquired pneumonia
and suction induced colonization."
http://www.drpacey.com/prod02.htm

This product is still in the testing phase:
http://www.saturnbiomedical.com/mark7ett.php


  
3. Speaker Tracheotomy 
========================
"A tracheotomy system that will clear secretions and allow speech
during ventilation. This solves the problem of communication during
positive pressure ventilation."
http://www.drpacey.com/prod03.htm

This product is still in the testing phase:
http://www.saturnbiomedical.com/speakertrach.php


Contact Information
-------------------
Saturn Biomedical Systems
7033 Antrim Avenue
Burnaby, British Columbia
Canada, V5J 4M5 
Telephone: +1 604.439.3009 
Fax: +1 604.439.3039 
http://www.saturnbiomedical.com/contact.php 


=


PARKER MEDICAL PRODUCTS
************************

Parker has recently offered some new designs to the market, but since
they have already been around for a while, I will not highlight them.
However, there are two new devices on their site to watch for:

From the FAQ's
---------------
Concerning the new Parker TrachViewTM Scope:
 
"Are you thinking of offering a battery-powered scope for pre-hospital use?" 
Answer: "Yes." 
http://www.parkermedical.com/Customer/questionview.asp?QuestSrc=15


What's Next?
------------
"The Parker Intubation Guide is designed for fast, easy, safe
insertion of Parker endotracheal tubes. Lightweight, anatomically
contoured and disposable, this guide should enable medical
professionals to perform accurate fiberoptic or video intubation in
seconds."
http://www.parkermedical.com/next.asp


=


INTUMED LTD. - ALMA100 AUTOMATIC LARYNGEL MOBILE ANAPNOGUIDE
************************************************************

"Intumed's ALMA100 Automatic Laryngeal Mobile Anapnoguide self-guiding
intubation device provides medical community with the ability to
perform this life-saving procedure. The ALMA100 is based on
well-known, existing technologies and materials, such as those
embedded within the laryngoscope and bronchoscope, which Intumed has
integrated into the ALMA100."

"Intumed's innovative technology requires no past experience or
special know-how. It enables intubation under any circumstances,
without the need for electricity or other external connections, and it
adapts to all anatomies and irregularities. The ALMA100 is designed to
fit all intubation tubes."
http://www.icn.co.il/pages/intumed.htm


INTUMED WEBSITE
http://www.virtual-point.co.il/intumed/

The Alma100:
"Intumed?s first product is the ALMA100 (Automatic Laryngeal Mobile
Anapnoguide), aimed at the endotracheal intubation market. We have
thus far accomplished the development of the engineering model, which
is now undergoing testing."
http://www.virtual-point.co.il/intumed/appli_new.html


Contact:
Intumed, Ltd.
58B Amal St. (Galdani bldg.)
P.O.B. 10082
Petach-Tikva 49001
ISRAEL 
Tel. +972 (3) 9187003
Fax. +972 (3) 9222646
intumed@breslauer.org



==


Profile of New Products under Development from the East of England Relay Center
http://www.innovation-east.co.uk/index.htm

THE TJONG ENDOTRACHEAL INTUBATION SYSTEM
*****************************************
       
Country:    Netherlands  
Entry Date: Tue, August 26, 2003  
Deadline:   Sat, August 14, 2004  
Abstract:  
 
Abstract:

"A small Dutch company developed a system that enables simple
endotracheal intubation. This routine procedure is done by
anaesthetists and in emergency cases nurses or doctors. Intubation can
be a problem in certain patients and it is not always possible to
predict in which patients it will be impossible to view their vocal
cords. The company is looking for partners who are active in the
market of ventilation and emergency care to further develop the
product and bring it to the market.

(Read more....)
http://www.ircnet.lu/matching/completerec.cfm?BBS_ID=11308&COMPANY=21257 


=


PORTABLE DEVICE FOR MEASURING CO2 IN EXHALED RESPIRATION GASES..
*****************************************************************

Entry Date:  Tue, January 27, 2004  
Deadline:    Wed, January 26, 2005  

"German company offers portable device for measuring CO2 in exhaled
respiration gases utilising infrared absorption as measurement
technique. The device is applied in accident and emergency units and
hospital anaesthetic rooms where it checks for the correct intubation.
The device is smaller and faster than other systems, thus perfect for
mobile emergency use. Partners are sought for commercial agreements
with technical assistance."
 
Description:
"German company offers a low-cost, compact End-Tidal Carbon Dioxide
(etCO2) Monitor that verifies correct placement in endotracheal
intubation. It is designed for use by Accident & Emergency Units and
hospital anaesthetic rooms. Measuring CO2 is a quick and ensuring way
to check the correct intubation. The device takes just a few seconds,
after power on, to verify correct placement in endotracheal
intubation."

"It is a portable device for measuring CO2 in exhaled respiration
gases utilising infrared absorption as the measurement technique."

(Read more)
http://www.ircnet.lu/matching/completerec.cfm?BBS_ID=12397&COMPANY=21257 


=


SMARTSCOPE MD LTD
******************

Product Overview:

"The incorporation of our innovative imaging system into our
laryngoscope design creates a new product, the Camera Smartscope. This
device offers radical improvements over existing equipment both in
clinical performance and cost. Currently, as a result of the
shortfalls of existing laryngoscopy equipment, up to half a million
patients in Europe each year suffer trauma such as broken teeth,
damage to the soft tissue of the throat, brain damage and in some
cases death. NHS feedback suggests that widespread uptake of the
Camera Smartscope could result in a significant reduction in this
figure."

"The Camera Smartscope device could represent the most significant
advancement in laryngoscope design since the 1940?s and could
revolutionise the global practice of intubation." Dr Gary Enever -
Consultant Anaesthetist (Royal Victoria Hospital, Newcastle)

"We will achieve a pre-production design specification for the Camera
Smartscope by early 2004. We require funding to then enter a
pre-production development phase and will produce a large batch of
demonstrator models for European use. This development process will
add significant value to our lead product and put us in a position to
licence a clinically proven production design by late 2004."

(Read more...)
http://www.connectonthenet.com/Web/Site/SpringboardPresenter/Spring_Present_03/SmartscopeMD.asp

Contact Details:
Mr Matt McGrath, Director
Smartscope MD Ltd
15 / 9 Oxford Street
Edinburgh EH8 9PH
T: 0131 662 1308
M: 07815 933010
E: smartscopedevice@aol.com


=


NELLCOR/TYCO INTERNATIONAL -  DISPOSABLE RESUSCITATORS
******************************************************

Tyco International Ltd. Unit Unveils Resuscitator Line - May 15, 2003

"Nellcor, part of Tyco Healthcare, a unit of Tyco International Ltd.,
introduced its new line of high-quality INdGO Disposable Manual
Resuscitators that includes models with a built-in INdCAP colorimetric
CO2 detector. This combination resuscitator bag/CO2 detector provides
a convenient, cost-effective way for clinicians and first responders
to meet current clinical guidelines requiring the use of CO2 detection
during intubation. The presence of CO2 in exhaled breath (end-tidal
carbon dioxide, or etCO2) helps ensure the endotracheal tube is placed
in the trachea-and not the esophagus-during intubation."
http://news.moneycentral.msn.com/ticker/sigdev.asp?Symbol=TYC


Nellcor Website:
http://www.nellcor.com/ 
 
* Click on link for following press release:

02/03/2004: "Studies Find Nellcor's Hi-LoŽ Evac Endotracheal Tube
Significantly Reduces Ventilator-Associated Pneumonia Rates"


==


You might want to keep your eye on the following company as they have
a strong focus on new product introduction:

Portex Ltd.
===========

"Clinicians and healthcare professionals know what type of products
they need for effective and safe Airway Management. This is why
currently over 90% of our new product ideas come from our customers.
Without their ideas, our Airway Management portfolio would not have
made some of its recent advances........"
http://www.portex.com/airway4/newideas/

Portex Ltd.
Boundary Road
Hythe
Kent CT21 6JL
United Kingdom 
Phone: +44 (0) 1303 260 551
 
Cedric Russell
Clinical Research Manager
00 44 1303 236 730
c.russell@portex.com


=


Just one last cute little design for Rodents!
*********************************************

"Colonial Medical Supply Introduces the Rodent Work Stand & Intubation Packs."

"The rodent Work Stand is designed to support rats, mice and similar
small rodents in a stable and comfortable position for the technician
during endotracheal intubation and intratracheal instillation."
http://www.colmedsupply.com/new_prod.html


====


 I hope the information I have uncovered provides you with an overview
of the products currently under development or new to the market.
There is no easy way to search for these new products and I tried to
stay within the price parameters that you offered. I do believe,
however, that I have uncovered most of the latest innovations. Aside
from the products which popped up within my research search terms, I
also went through several lists of medical product development
companies, clicking on each one to find the latest innovations.

 Please keep me in mind for any future research needs. I will gladly
look into any additional questions you may have. I will be available
here for several more hours, and will also be checking in while I am
out of town, so please don't hesitate to contact me if necessary!

Sincerely,

umiat

Google Search Strategy
new research on endotracheal intubation
Dr. Everard Cox AND intubation 
Saturn Biomedical systems
intubation research "new product"
The Tjong Endotracheal Intubation System 
"new products" for endotracheal intubation
new medical products seeking investors
Medical Design Excellence Awards 2003
new medical airway products seeking investors
clinical studies for endotracheal intubation

Request for Answer Clarification by hovig-ga on 03 Mar 2004 10:19 PST
Hello Umiat,

Thank you for the excellent and very thorough research that you
completed in record time!  The information is very interesting, and I
will be willing to pay for it, however, it is not completely what I
asked for.  I was looking for devices that CONFIRM endotracheal
intubation.  I noted that the last one on the list -INdCAP
colorimetric CO2 detector - is more along the lines that I need. 
Again, this is good information and will be very helpful to my
research and is worthy of an excellent rating!  However, did you
uncover any other devices that actually confirm endotracheal
intubation, rather than just make it possible to perform the procedure
more efficiently?  Even if you find something in the following days ?
I will be most interested in any follow on information.  Thank you
again for your focus and hard work! Lucy

Clarification of Answer by umiat-ga on 03 Mar 2004 11:33 PST
Hi, Lucy,

 There are three more references included in the original answer
(aside from the colorimetric CO2 detector) which also provide
confirmation of correct placement:

PORTABLE DEVICE FOR MEASURING CO2 IN EXHALED RESPIRATION GASES..
*****************************************************************

Entry Date:  Tue, January 27, 2004  
Deadline:    Wed, January 26, 2005  

Description:

"German company offers a low-cost, compact End-Tidal Carbon Dioxide
(etCO2) Monitor that

** verifies correct placement in endotracheal intubation.

** Switched on and connected to the mainstream respiratory flow, the
instrument confirms correct intubation within seconds. (If the display
does not show an E or CO2-value, the endotracheal tube is not in the
trachea.)

http://www.ircnet.lu/matching/completerec.cfm?BBS_ID=12397&COMPANY=21257
==


Visual Confirmation
===================

Visualization is a technique that provides an alternative assurance of
correct placement. That is why imaging is such an important
breakthrough! If you can see that the intubation instrument is going
into the trachea rather than the esophagus, that is an important
confirmation!


1. Glide-Scope Video Laryngoscope 
==================================

"An advanced TV guided laryngoscope that will do challenging
intubation with a high degree of reliability. Excellent for bloody or
contaminated airways."
http://www.drpacey.com/prod01.htm


==

2. The Tjong Endotracheal Intubation System is designed to provide
maximum guidance into the trachea:

"The Tjong Intubation System is a "blind" system that does not intend
to visualise the vocal cord. The system consists of two J-shaped
structures that together form an extendable guiding system that is
placed over the tongue in the larynx until it locks in the fold from
the epiglottis. By pulling slightly the epiglottis will be opened,
giving access to the trachea. Then the system is extended in such a
way that the back of the system forms a guidance,

** which leads the tube directly into the trachea. 

Through the specific shape of the back part of the instrument a tube
can be easily placed in the trachea."
http://www.ircnet.lu/matching/completerec.cfm?BBS_ID=11308&COMPANY=21257

==

I will continue to work on this to see if I can find more than the
four which meet your requirements. However, it will likley not be for
a few days. I will see what comes up, okay?

umiat

Request for Answer Clarification by hovig-ga on 03 Mar 2004 21:54 PST
Thank you for your great work, Umiat. It is definitely a tough topic
and quite old. I am thinking that there might be some other names for
these devices that don't necessarily come up under "endotracheal
intubation." If you do come across anything along these lines in the
next few days - please send those. Regardless of that, you've done
great work and I really appreciate your time and dedication.

Clarification of Answer by umiat-ga on 05 Mar 2004 13:04 PST
Lucy,

 I have not been ignoring you! I am actually on vactation in Iowa at
my oldest son's hockey tournament. However, I have my laptop and have
spent several more hours looking for the newest developments in
products that confirm endotracheal intubation. Unfortunately, I cannot
find anything further than the four I found in my answer. I am
tripping over myself, encountering the same sites over and over.
Everytime I think I have come upon something new, I do a search and
find out that it was developed several years ago.
 I have tried many variations on search terms, including intubation,
airway management, confirming ventilation, newest capnometers, etc.
Nothing new comes up. Unfortunately, as I said in my earier
clarification, there is no easy way to search for cutting edge
products. I believe I have found most of what is new.
 I am so sorry I cannot find more new inventions for you. Perhaps the
latest medical product conventions would be a source for edotracheal
intubation confirmation devices. However, you would have to go to the
convention or find information about products displayed at the shows.
 Again, I wish I could have found more but I have spent a good 8-10
hours on this overall! I don't know that prolonging this question and
final clarificatin will turn up anything more than I have found.
However, I will still keep a lookout and invite anyone to add any new
products they know about in the comments section.
 Thank you again for your patience and kindness while I looked
further. I would still be happy to work on any further questions you
might post on GA in the future! I was trained as an emergency medical
technician(in my past!!) so your questions hold a special interest for
me!

umiat

Request for Answer Clarification by hovig-ga on 08 Mar 2004 11:43 PST
Hello Umiat,

I appreciate you taking the time to continue the research even during
your vacation! You did a great job, so thank you very much. I know
it's a difficult topic and completely understand the lack of
information out there. Thank you for your time and dedication to this
project, I'll be sure to keep you in mind for future research needs!

Clarification of Answer by umiat-ga on 08 Mar 2004 11:46 PST
Thank you, Lucy! You are a shining example of a wonderful GA customer!
hovig-ga rated this answer:5 out of 5 stars and gave an additional tip of: $15.00
Excellent work!

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