Ex parte GRAVENSTEIN et al. - Page 2




               Appeal No. 1999-0283                                                                         Page 2                 
               Application No. 08/451,811                                                                                          


                                                        BACKGROUND                                                                 
                       The appellants' invention relates to a method of intubating a patient with an endotracheal                  
               tube comprising directing electromagnetic or sound energy between and/or around the vocal                           
               cords of the patient, sensing the energy so transmitted and thereby locating the vocal cords of                     
               the patient, and routing the distal end of the endotracheal tube through the located vocal cords                    
               and correctly placing it in the trachea.  As illustrated in Figure 3, this method is performed by                   
               transmitting energy (28) from a source (27) through a fiber optic                                                   
               cable (34) outside the patient's neck, the energy emitted from the distal end of the fiber optic                    
               cable (34) penetrating into the trachea below the vocal cords and traveling, at least in part, in                   
               the cephalad  direction between the vocal cords and past the epiglottis (31).  That energy is3                                                                                                      
               transmitted through an energy guide (10) disposed in an endotracheal tube situated with its                         
               distal end in the patient's pharynx and then through a fiber optic cable (16) and is then sensed                    
               by an energy sensor (14).  The energy sensor transmits a signal in response to the energy                           
               sensed to a processing and steering system (15) which indicates in which direction the operator                     
               must advance the stylet system of the endotracheal tube to pass it between the vocal cords into                     
               the trachea.  After the endotracheal tube has been passed into the trachea, the fiber optic cables                  



                       (...continued)2                                                                                                          
               examiner should take appropriate action to have that amendment clerically entered.                                  
                       This is understood to denote a direction toward the patient's head (Webster's New World Dictionary,3                                                                                                          
               Third College Edition (Simon & Schuster, Inc. 1988).                                                                







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