A pressure measuring syringe, known as the EasyCuff™, has been designed and manufactured to provide physicians with a tool to accurately measure the pressure inside the distal cuff of endotracheal tube tubes (ETTs). The syringe, identical in size to a standard 10 cc syringe, has four components: a seal, a plunger, a barrel, and a silicone-rubber bellows (the pressure measuring component). A finite-element model of the bellows was created using ADINA™; silicone rubber bellows were then produced and shown to correlate linearly with the model to within ±5% up to a load equivalent to an internal pressure of 200 cm H2O. 20 of these bellows were then assembled into EasyCuff™ syringes and tested to assess their accuracy and repeatability. The experimental setup used a currently-available manometer, which the EasyCuff™ is designed to replace, as a reference tool. The data show that the relationship between measured pressure and bellows deflection is linear, with a correlation factor of R2 = 0.99; additionally, environmental testing showed that the EasyCuff™ is unaffected by temperature cycling between −15 °F and +170 °F.

References

1.
Blanch
,
P. B.
, 2004, “
Laboratory Evaluation of 4 Brands of Endotracheal Tube Cuff Inflator
,” Resp. Care., 49(2), pp. 166–173. Available at http://www.rcjournal.com/contents/02.04/02.04.0166.pdfhttp://www.rcjournal.com/contents/02.04/02.04.0166.pdf
2.
Chapman
,
J.
,
Pallin
,
D.
,
Ferrera
,
L.
,
Mortell
,
S.
,
Pliakas
,
J.
,
Shear
,
M.
, and
Thomas
,
S.
, 2009, “
Endotracheal Tube Cuff Pressures in Patients Intubated Before Transport
,”
Am. J. Emergency Medicine
,
27
(
8
), pp.
980
982
.
3.
Svenson
,
J. E.
,
Lindsay
,
M. B.
, and
O’Connor
,
J. E.
, 2007, “
Endotracheal Intracuff Pressures in the ED and Prehospital Setting: Is There a Problem?
,”
Am. J. Emergency Medicine
,
25
(
1
), pp.
53
56
.
4.
Galinski
,
M.
,
Tréoux
,
V.
,
Garrigue
,
B.
,
Lapostolle
,
F.
,
Borron
,
S. W.
, and
Adnet
,
F.
, 2006, “
Intracuff Pressures of Endotracheal Tubes in the Management of Airway Emergencies: The Need for Pressure Monitoring
,”
Ann. Emergency Medicine
,
47
(
6
), pp.
545
547
.
5.
Sengupta
,
P.
,
Sessler
,
D. I.
,
Maglinger
,
P.
,
Wells
,
S.
,
Vogt
,
A.
,
Durrani
,
J.
, and
Wadhwa
,
A.
, 2004, “
Endotracheal Tube Cuff Pressure in Three Hospitals, and the Volume Required to Produce an Appropriate Cuff Pressure
,”
BMC Anesthesiology
,
4
(
8
), pp.
1
6
.
6.
Bernhard
,
W. N.
,
Cottrell
,
J. E.
,
Sivakumaran
,
C.
,
Patel
,
K.
,
Yost
,
L.
, and
Turndorf
,
H.
, 1979, “
Adjustment of Intracuff Pressure to Prevent Aspiration
,”
Anesthesiology
,
50
(
4
), pp.
363
366
.
7.
Rose
,
B.
,
Kyle
,
B.
,
Koshy-Delaffon
,
A.
, and
Cregg
,
R.
, 2009, “
Endotracheal Tube Cuff Pressures are Too High During Anesthesia
,” Abstract 3AP1-1, Presented at the European Society of Anesthesiology, Milan, Italy, June 6–9.
8.
Morris
,
L.
,
Zoumalan
,
R. A.
,
Roccaforte
,
J. D.
, and
Amin
,
M. R.
, 2007, “
Monitoring Tracheal Tube Cuff Pressures in the Intensive Care Unit: A Comparison of Digital Palpation and Manometry
,”
Ann. Otol. Rhin. Laryngol.
,
116
, pp.
639
642
.
9.
Jaber
,
S.
,
Kamel
,
M. E.
,
Chanques
,
G.
,
Sebbane
,
M.
,
Cazottes
,
S.
,
Perrigault
,
P.-F.
, and
Eledjam
,
J.-J.
2007, “
Endotracheal Tube Cuff Pressure in Intensive Care Unit: The Need for Pressure Monitoring
,”
Intensive Care Med.
,
33
, pp.
917
918
.
10.
Dullenkopf
,
A. S. A.
,
Frei
,
M.
,
Gerber
,
A. C.
, and
Weiss
,
M.
, 2004, “
Air Leakage Around Endotracheal Tube Cuffs
,”
Eur. J. Anesth.
,
21
, pp.
448
453
.
11.
Rello
,
J.
,
Soñora
,
R.
,
Jubert
,
P.
,
Artigas
,
A.
,
Rué
,
M.
, and
Vallés
,
J.
, 1996, “
Pneumonia in Intubated Patients: Role of Respirator Airway Care
,”
Am. J. Respir. Crit. Care Med.
,
154
(
1
), pp.
111
115
.
12.
Seegoben
,
R. D.
, and
van Hasselt
,
G. L.
, 1984, “
Endotracheal Cuff Pressure and Tracheal Mucosal Blood Flow: Endoscopic Study of Effects of Four Large Volume Cuffs
,”
Br. Med. J.
,
288
, pp.
965
968
.
13.
Faris
,
C.
,
Koury
,
E.
,
Philpott
,
J.
,
Sharma
,
S.
,
Tolley
,
N.
, and
Narula
,
A.
, 2007, “
Estimation of Tracheostomy Tube Cuff Pressure by Piolo Balloon Palpation
,”
J. Laryngol. Otolaryngol.
,
121
, pp.
869
871
.
14.
Fernandez
,
R. B. L.
,
Mancebo
,
J.
,
Bonsoms
,
N.
, and
Artigas
,
A.
, 1990, “
Endotracheal Tube Cuff Pressure Assessment: Pitfalls of Finger Estimation and Need for Objective Measurement
,”
Crit. Care Med.
,
18
, pp.
1423
1426
.
15.
Parwani
,
V.
,
Hahn
,
I.
,
Hsu
,
B.
, and
Hoffman
,
R.
, 2004, “
Experienced Emergency Physicians Cannot Safely Inflate Endotracheal Tube Cuffs or Estimate Endotracheal Tube Cuff Pressure Using Standard Technique
,”
Acad. Emerg. Med.
,
11
, p.
490
.
16.
Slocum
, Jr.
,
Duffley
,
S. C.
,
Moreu
,
J.
,
Watral
,
A.
,
Spiegel
,
J. E.
, and
Slocum
,
A. H.
, “
Design of a Pressure Measuring Syringe
,” presented at the 2010 Design of Medical Devices Conference, Minneapolis, MN, April 13–15.
17.
Vicone High-Performance Rubber, St-Eustache, Quebec, Canada, http://www.vicone.cahttp://www.vicone.ca
18.
ADINA Finite Element Software, ADINA R&D, Inc., Watertown, MA, http://www.adina.comhttp://www.adina.com
19.
Admet Universal Testing Systems, 51 Morgan Drive, Norwood, MA. Online URL for eXpert 5601 Testing Machine, http://admet.com/assets/eXpert560x.pdfhttp://admet.com/assets/eXpert560x.pdf
20.
Slocum
, Jr.,
A. H.
, and
Spiegel
,
J. E.
, “
Integrated Low-Pressure Measurement
,” presented at the 2010 Annual Meeting of the Biomedical Engineering Society, Austin, TX, October 6–9.
21.
Slocum
, Jr.,
A. H.
,
Slocum
, Sr.,
A. H.
, and
Spiegel
,
J. E.
, 2012, “
Design and In-Vitro Testing of a Pressure-Sensing Syringe For Endotracheal Tube Cuffs
,”
Anesth. Analg.
,
114
(
5
), pp.
967
971
.
You do not currently have access to this content.