4651202 Mar. 1987 Arakawa 4677471 Jun. 1987 Takamura et al.

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4878485 Nov. 1989 Adair 128/6 4901708 Feb. 1990 Lee 128/11 4918521 Apr. 1990 Yabe et al.

4989586 Feb. 1991 Furukawa 5363838 Nov. 1994 George 5363839 Nov. 1994 Lankford 5408992 Apr. 1995 Hamlin 5494483 Feb. 1996 Adair 5527261 Jun. 1996 Monroe et al.

4086919 May 1978 Bullard 5178131 Jan. 1993 Upsher 5263472 Nov. 1993 Ough 5800344 Oct. 1998 Wood et al. 600/188.185 BACKGROUND OF THE INVENTION The Laryngoscope is a specialized medical instrument used for instrumentation of the patients airways to facilitate. exposure, visualization and endo-tracheal intubation of the trachea.

It is a widely used instrument by multiple medical specialties and medical personnel World wide. In its most specialized purpose serves as the most relied upon and used Anesthesiology instrument. In addition it finds its use in all hospitals, operating rooms, intensive care units, emergency and trauma rooms, life-flights, fire stations, and paramedics gear.

The procedure of laryngoscopy in which it is used is performed to establish an airway, and often is as a life- saving procedure. Therefore reliance upon for predictable performance under difficult circumstances and variable conditions associated with patient to patient anatomical variations, places a rather high demand upon its performance and reliabiabiability.

With this perspective in mind there has been an ongoing search for continued improvements to perfect its performance at every level possible.

The most often encountered failure in it performance is its inability to allow exposure and visualization of the Laryngeal anatomy such as Pharynx and Vocal Cords to pass an endo-tracheal tube into the Trachea and securing the airway of the patient.

This is most often due to excessive soft tissue in heavy patients, or abnormal Maxillo-facial structures. Under these circumstances'blind'attempts to intubate may cause a cascade of associated complications when unsuccessful.

These complications are in and of themselves present a threat to life.

The present day advances in improving the Laryngoscope has focused on replacing the necessity to use direct visualization of the anatomic structures by the utilization of available technology, i. e. fiberoptics, fiberoptic video scopes adapted from other medical uses- These devices provide an indirect and more maneuverable option, by replacing the human eye as a direct visual instrument that must see into the mouth through a limited opening and around often none displaceable structures.

The use of available technology to facilitate and transmit the image of the Pharyngeal and Tracheal anatomy to outside the mouth where the operator performing the procedure is more conveniently able to visualize has been the focus of most resent innovations and invention.

The frequency of failure at first attempts to intubate is directly proportional with operator training, experience, patients weight and variations of the maxillofacial anatomy.

The Laryngoscope's weakness lies in its Blade design. It presents limitations due to its shape design often fail when anatomic variations are encountered.

The procedure of Laryngoscopy requires that the Blade be inserted into the mouth, displacing the tongue, base of the tongue and reaching under the Pharyngeal structure and lifting the Epiglottis that covers, conceals and protects the Tracheal opening, and Vocal cords.

When displacing, lifting and exposing the tracheal opening is not accomplished at first attempt, all subsequent attempts necessitate more force and manipulation of the Blade which causes undue collateral damage to teeth, soft tissues with its associated bleeding, swelling and distortion of anatomy.

When failure necessitates'blind'intubation its success rate is rather low and accidental Esophageal intubation carries its life threaten complications such as gastric reflux, aspiration pneumonitis and increasing morbidity and mortality.

The ultimate of all life threatening complication when a Laryngoscope fails is the inability to establish an airway, i. e. intubate or ventilate the patients Lungs. As to date the number one cause of operating room deaths are caused by"inability to establish an airway', leading to cardiac arrest and often brain injury.

Therefore the Laryngoscope is a critically important instrument that must be used and relied upon for performance, under life threatening conditions that places an ever increasing demand for technical improvements for reliability and predictability of performance.

SUMMARY OF THE INVENTION The present invention provides a Laryngoscope with structural and technical design characteristics that defines its advantages and improvement of its performance and reliability during its use.

The Laryngoscope is comprised of a Blade unit, a Handle unit, a Tubing unit, an Optical image sensor unit, Handle to Blade Coupler-mount unit, a Digital color processor unit, a Battery power supply unit, on or more remote wireless Display color monitor units fitted with a Radio- frequency receiver and an LCD Monitor display unit.

The Blade is an ergonomically shaped by design with a concave distal portion that facilitates displacement of the most obstructive structure encountered, and facilitates exposure of the subepiglotic anatomy, namely the vocal cords and the tracheal opening.

Thus aiding the performance of layngoscopic endo-tracheal intubation process whether performed under direct or indirect visual control.

The Blade is fitted with an Infrared Light Emitting Diode mounted to the distal end for illuminating the anatomical structures of the visual field, and its proximal end forms the first part of the Coupler-mount system for mounting it to the Handle unit a slide-mount mechanism.

The Handle holds the Tube unit, that is contoured to fit the Blade's bending curvature, independently behind the Blade unit, extending near its distal end. The Tube unit houses an Optical image sensor unit, wired and sealed, connecting it to the Handle and its Digital Color Processor.

The Handle's proximal end contains the second part of the Coupler-mount unit for Blade attachment, as well as the Digital Color Processor electronic circuits. The Digital processor receives its input from the Optical image sensor via wiring and sends it by wire to a connecting mount that connects the Handle to a Radio-Frequency Transmitter (RFT) unit.

The Handle holds a form-molded Battery unit that serves as a power supply for the Digital Processor electronics as well as for the RFT unit. The Battery forms part of the Handle and it is an integral part thereof.

The RFT receives its input from the Digital Processor unit and transmits it to one or multiple Remote Wireless Display color monitor screens fitted with a Radio-frequency Receiver (RFC) unit. The-image of the visual field of the anatomic structures are thus visualized and displayed in full color and picture quality resolution.

The RFT may be replaced with a small and compact color LCD Monitor that connects to the Handle's distal end connector.

The LCD color display monitor mounted to an adjustable support mount for viewing the visual field displayed in full color and picture type resolution.

Additional details of its features are described in the detailed description of the invention.

BRIEF DESCRIPTION OF THE DRAWINGS Drawing 1; is a full side view of the invention unit with the numbered elements as per fig. 1-13 depicted.

Fig. 1 is the Blade and its Light system Fig. 5 protruding through the Blade's flange. It is mounted to the Handle unit Fig. 6 via Coupler-mount system Fig. 3 and Lock-knob Fig. 4.

Fig. 2 is the contoured Tube housing the Optical image sensor and wiring mounted to the Coupler-mount Fig. 3 and Handle Fig. 6.

Fig. 6 is the Handle, holding the Coupler-mount Fig. 3 and Tube Fig. 2, as well as the form-molded Battery Fig. 7.

Fig. 8 is the connector-mount to Fig. 9 and support swivel Fig. 10 to LCD monitor Fig. 11. Drawing 2; is a side view of the invention unit Figs. 2-11 with the Blade unit Fig. 2 removed.

Drawing 3; a 3-dimensional side view of the Blade Fig. 1 detached from Coupler-mount system Fig. 3. Its distal end with'reveresed-curvature'/concave surface contour, with its Light system Fig. 5, and proximal end'male'coupler- mount'and Lock-knob Fig. 4.

- a 3-dimensional view of Tube unit Fig. 2 and 'female'Coupler-mount unit Fig. 3 without Handle Fig. 6 Drawing 4, a side view of Fig. 2 distal end a cut-away showing Optical image sensor system, distal end of Tube Fig. 2 and its proximal end cut showing wiring at proximal <BR> <BR> end and Coupler-mount Fig. 3 with Hanlde Fig. 6 section view<BR> exposing digital circuit board/chip Fig. 6. 2 wiring, connectors Fig. 6.1 and Battery Fig. 7 removed.

Drawing 5; a Left/Right side views of Blade Fig. 1 with Light Fig. 5 wiring and connector housed in sealed tube - an end view Fig. 1, top view of Fig. 1 with'male'coupler- mount proximal end with Lock-knob Fig. 4.

Drawing 6; 3-dimensional views of the'female'Coupler-mount element subassembly Fig. 3 and LCD monitor Fig. 11 front and side wievs with connector Fig. 9 and mount support Fig. 10.

Drawing 7; side view of Fig. 3 cut, Handle Fig. 6 and Battery Fig. 7 with Fig. 8 and Fig. 9 connector/holder of Radio- Frequency Transmitter (RFT) Fig. 12 and remote receiver monitor Fig. 13 fitted with radio-frequency receiver.

DETAILED DESCRIPTION OF THE INVENTION The Laryngoscope described in the invention is featured in Figs. 1-13. The Laryngoscope preferred embodiments are: a Blade unit Fig. 1, a Handle unit Fig. 6, a Tubing unit Fig. 2, an Optical unit housed in the Tube unit Fig. 2, a Handle to Blade, Coupler-Mount unit Fig. 3, a Digital Color Processor unit Fig. 6.2 housed in the Handle unit, a Battery/Power supply unit Fig. 7 housed in the Handle, a Radio-Frequency Transmitter (RFT) unit Fig. 12, a single or multiple Wireless Remote Display Monitor screen (s) unit Fig. 13 with Radio- Frequency Receivers (RFC) units and an LCD Color Display Monitor unit Fig. 11.

The Blade Fig. 1 is ergonomically shaped by design to accommodate and conform to anatomical structures upon which it is designed to act. At its distal portion it incorporates a concave/reverse curvature surface positioned to facilitate maximum displacement when applied to the most obstructive part, base of the tongue, of the anatomical structures it must displace to aid in exposure of subepiglottic structures, namely the vocal cords and trachea to facilitate and aid in the procedure of endo- tracheal intubation under an indirect or direct and continuous visual control technique.

The Blade is fitted with an Infra-red Light Emitting <BR> <BR> Diode (LED) or Light Bulb Fig. 5, and mounted to the Blade's<BR> flange near the distal end. This provides illumination of the anatomical structures of the visual field. The LED Fig. 5 is wired into a hermetically sealed tubing affixed to the outer flange of the Blade, and reaches a contact- connector Fig. 5 on the Blade's proximal end, that forms the Blade to Handle Coupler-mount unit.

The Blade's proximal end of its flange is thinned to allow manipulation and pitching the blade during its use, without the risk of tooth damage.

The Blade's proximal end forms a part of the Coupler-Mount unit Fig. 3, that enables assembly to the Handle unit, and is fitted with a Lock-knob Fig. 4 for securing it to Handle.

The Coupler-mount second part Fig. 3 is affixed to the Handle Fig. 6 forming a slide-mount mechanism for Blade mounting. This slide-mount provides for fast and easy Blade changing without disruption to the Optical unit, Tube housing Fig. 2.

The Handle unit holds the Tube unitFig. 2, that is contoured and designed to fit the Blade's bending radius, independently following its curvature behind the Blade Fig. 1, extending near its distal end.

The Tube unit Fig. 2 distal end houses the Optical unit and its wiring that connects it to the Digital Color Processor Fig. 6.2.

The Optical image sensor unit is composed of a lens system that collects the light image input from its visual field, projects it onto a sensor with 0-0.7 Lux sensitivity, that converts it into signals transmitted to the Digital Processor. The Tube unit Fig. 2 provides a hermetically sealed system and its proximal end is mounted to the Handle Fig. 6 and Coupler-mount Fig. 3.

Thus, the Handle/Tube unit is completely independent of the Blade Fig. 1. The Digital color processor Fig. 6.2 housed in the Handle Fig. 6, receives its input by direct wire connection with the Optical image sensor unit of Fig. 2 and sends it by direct wire connection to a connector mount Fig. 6.1&Fig. 8 that receives connector Fig. 9 with its mounting of RFT Fig. 12.

The Handle Fig. 6 is ergonomically contoured, and mounted at such an angle relative to the Blade's averaged axis, as to facilitate maximum force transfer to the blades concave curvature and distal tip and facilitate displacement of the encountered soft tissues namely the base of the tongue.

The Handle Fig. 6 accommodates a form-molded Battery Fig. 7 that serves as power supply for the electronics of the Digital processor Fig. 6.2, the LED Fig. 5 and RFT Fig. 12. It is form-molded to conform to and become an integral part of the Handle. It is rechargeable and removable.

The RFT Fig. 12 receives its input from the Digital color processor unit Fig. 6.2 and transmits it by predetermined radio-frequency waves settings, via remote wireless mode to one or multiple Display monitor screens outfitted with a <BR> <BR> Radio-Frequency Receiver (RFC), that are located in the same<BR> and/or other locations.

The displayed image may be view by one or many individuals in full color and picture quality resolution. This adds a valuable feature to the invention by allowing utilization for training, teaching or supervising purposes in addition to utilization for the instrumentation of the airways and the performance of Laryngoscopic endotracheal intubations.

The Handle Fig. 6 may be individually fitted with a small 3- 4 inch LCD Monitor Fig. 11. The LCD Monitor with its separate disposable battery/power supply housed behind its back panel is connected to the Handle via Fig. 8-9.