CN103463719B - A kind of endotracheal tube complete built-in laryngeal mask associating breather - Google Patents
A kind of endotracheal tube complete built-in laryngeal mask associating breather Download PDFInfo
- Publication number
- CN103463719B CN103463719B CN201310461584.8A CN201310461584A CN103463719B CN 103463719 B CN103463719 B CN 103463719B CN 201310461584 A CN201310461584 A CN 201310461584A CN 103463719 B CN103463719 B CN 103463719B
- Authority
- CN
- China
- Prior art keywords
- laryngeal mask
- endotracheal tube
- associating
- conduit
- tube
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
Landscapes
- Respiratory Apparatuses And Protective Means (AREA)
Abstract
The invention discloses a kind of endotracheal tube complete built-in laryngeal mask associating breather, comprising: body, this body includes laryngeal mask conduit and the endotracheal tube being built in completely in laryngeal mask conduit;Pushing structure, this pushing structure is for releasing mobile from described laryngeal mask conduit for the portion of giving vent to anger of described endotracheal tube;Scalable connecting tube, this scalable connecting tube is built in laryngeal mask conduit completely, and the intake section of described laryngeal mask conduit and the endotracheal tube corresponding two ends being tightly connected this scalable connecting tube respectively.This device not only can conveniently change endotracheal tube and laryngeal mask both vent methods, also can be effectively prevented gas and leak from the gap between endotracheal tube and laryngeal mask conduit, good sealing effect, can also simplify processing technology simultaneously, improve production efficiency.
Description
Technical field
The present invention relates to medical apparatus technique field, be specifically related to a kind of endotracheal tube complete built-in laryngeal mask connection
Close breather.
Background technology
Anaesthetize sb. generally operation time need surgical patient to carry out assisted respiartion to keep General Anesthesia Undergoing blood
Hydromechanics is stable, and conventional assisted respiartion breather includes that endotracheal tube breather and laryngeal mask are breathed logical
Device of air.
The tracheal tube that endotracheal tube breather is made up of an elongated tubular is constituted, at the far-end cloth of elongated tubular
It is equipped with an inflatable sacculus.In operation, the far-end of tracheal tube is inserted into the oral cavity of patient,
And enter in the trachea of patient through throat's entrance (or referred to as glottis opening) of patient.This tracheal tube one
Denier is so positioned, then form described inflated to the inner passage of trachea and seal.Being formed, this is close
After envelope, the near-end of this tracheal tube is applied normal pressure to inflate to the lung of patient.The advantage of endotracheal tube
Being, it can bear bigger seal pressure, is difficult to gas leakage.And its major defect is, it is difficult to suitably
Tracheal tube is inserted by ground, requires too high to the technology of actual operator.In addition to this major defect,
There is also the other defect being associated with tracheal tube.Such as, tracheal tube often makes patient feel violent
" have sore throat ".This " having sore throat " is mainly by rubbing between described tracheal tube and patient's cartilaginous tissue
Caused by wiping, it is also possible to cause the violent cough reflex of patient.
Contrary with tracheal tube, set up one and exhale in laryngeal mask airway device can insert patient body relatively easily
Inhale passage.It addition, the reason that laryngeal mask airway device is a kind of " can make us bearing " device is: even if
Being improperly inserted into, this laryngeal mask airway device still can set up a respiration channel.Therefore, laryngeal mask airway
Device is often referred to as one and " saves somebody's life " device.It addition, can be only by head, neck and the oral cavity to patient
Carry out less control action just can be inserted by laryngeal mask airway device.Additionally, this laryngeal mask airway device need not
The inner passage sensitive with trachea contacts and just can inflate to the lung of patient, this laryngeal mask airway device set up
The size being sizes substantially larger than the respiration channel set up by tracheal tube of respiration channel.And laryngeal mask airway
The major defect of device is, cost is high, and seal pressure is too small and cause gas leakage, the position requirement of patient
Height, easily shifts other special postures patient and causes controlling to ventilate unsuccessfully.
Current endotracheal tube breather and laryngeal mask airway device are usually the most independent assisted respirator,
Its mutual replacing is inconvenient for, and tends to be caused by anesthesia changing breathing pattern when
Early extubation, makes air flue produce a series of complication that hypersusceptibility causes, makes operation exist unpredictable
Unfavorable factor.
Although, the built-in laryngeal mask of trachea occurs in some patent documentations, such as Chinese patent ZL02819802.6
And United States Patent (USP) US5303697, but, its endotracheal tube is built in laryngeal mask conduit the most completely, in reality
Changing in pipe operating process of border, endotracheal tube easily comes off, and the update of endotracheal tube is the most inconvenient.
To this end, Chinese utility model patent application 201320086145.9 disclose a kind of endotracheal tube completely in
Putting formula laryngeal mask associating breather, this device includes body, cover body, aerating and exhaust device, pushing structure and close
Seal apparatus；Described body includes laryngeal mask conduit and the endotracheal tube being built in completely in laryngeal mask conduit, described gas
The portion of giving vent to anger of pipe conduit is provided with endotracheal tube air bag；Described cover body combines with the described laryngeal mask conduit portion of giving vent to anger；
Described pushing structure includes the impeller being arranged on described endotracheal tube intake section and is arranged on described laryngeal mask
The guide hole of conduit intake section, described pushing structure can be by the portion of giving vent to anger of described endotracheal tube from described laryngeal mask conduit
Middle mobile release；Described aerating and exhaust device includes the first aerating and exhaust device and the second aerating and exhaust device, described
One aerating and exhaust device and the second aerating and exhaust device corresponding and described endotracheal tube air bag and described cover body phase respectively
Connect, the function described endotracheal tube air bag and cover body being inflated/exitting with realization.Systemic fiber crops
After liquor-saturated induction, patient realizes disappearance, first complete for endotracheal tube built-in laryngeal mask associating breather is set to larynx
Cover function operation state, in i.e. endotracheal tube is concealed in laryngeal mask conduit, the intake section of laryngeal mask conduit and respirator
Being connected, inserted by this associating breather in the pharyngeal cavity of patient, cover body correctly locating cover is stopped talking, laughing, or crying door, logical
Cross the second aerating and exhaust device cover body is inflated so that it is be fixed in the pharyngeal cavity of patient, promote and be fixed on gas
Impeller on pipe conduit intake section, makes endotracheal tube slide along laryngeal mask conduit cavity.Now, endotracheal tube
Being pushed among the air flue of patient by patient's glottis, this associating breather is changed into endotracheal tube and inserts
Duty, is inflated endotracheal tube air bag by the first aerating and exhaust device so that it is be fixed on patient's
Among air flue, then by the second aerating and exhaust device, cover body is exitted, to complete to install.This just makes endotracheal tube
Update easy, and endotracheal tube can be effectively prevented and come off.After operation terminates, according to facing
Bed anesthesia operating instructions, controls the first aerating and exhaust device and exits endotracheal tube air bag, by patient airway
In endotracheal tube extract out, endotracheal tube and patient airway depart from, and stir impeller and make endotracheal tube rollback,
Endotracheal tube is concealed in laryngeal mask conduit again, and this associating breather is just changed into laryngeal mask function operation state.
After patient is clear-headed, by the second aerating and exhaust device, cover body is exitted, by this associating breather from patient
Pharyngeal cavity is extracted.And in order to be effectively prevented gas leakage, described sealing device includes the first sealing device and second
Sealing device, wherein, described first sealing device is located at outside described laryngeal mask conduit intake section, is mainly used in
Seal described guide hole, prevent gas from leaking from guide hole, and described second sealing device is mainly used in preventing
The only gas leakage between endotracheal tube and laryngeal mask conduit, its one of which structure is to include sleeve pipe and sealing ring, institute
State sleeve upper end and seal combination with laryngeal mask conduit intake section, and endotracheal tube is socketed outside described sleeve pipe, described
Sealing ring is fixedly installed on endotracheal tube inwall, and can move with endotracheal tube, and moves at endotracheal tube
During Dong, the position of this sealing ring is always positioned on its lower end, with prevent gas from endotracheal tube with
Gap between laryngeal mask conduit leaks.But, the second sealing device of this spline structure, owing to sealing
Ring together can move along with endotracheal tube, therefore yet suffers between sealing ring and sleeve pipe gap, not only making gas
Pipe conduit easily comes off from sleeve pipe, and gas remains able to let out from the gap between sealing ring and sleeve pipe
Dew, between endotracheal tube and laryngeal mask conduit, is finally leaked to outside body, and sealing effectiveness is poor.Meanwhile,
Owing to, in the moving process of endotracheal tube, the position of this sealing ring is always positioned on its lower end, so
During making, it is necessary to control the length of sleeve pipe and the removable of endotracheal tube strictly, exactly
Distance relation between the two, this adds increased the complexity of processing technology, is unfavorable for carrying of work efficiency
High.
Summary of the invention
The technical problem to be solved is to provide a kind of complete built-in laryngeal mask of endotracheal tube and combines ventilation
Device, it can be effectively prevented gas and leak from the gap between endotracheal tube and laryngeal mask conduit,
Good sealing effect, and facilitate two kinds of vent method conversions of endotracheal tube and laryngeal mask, making can also be simplified simultaneously
Technique, improves production efficiency.
For solving the problems referred to above, the technical solution adopted in the present invention content is specific as follows:
A kind of endotracheal tube complete built-in laryngeal mask associating breather, comprising:
Body, this body includes laryngeal mask conduit and the endotracheal tube being built in completely in laryngeal mask conduit；
Pushing structure, this pushing structure is for moving the portion of giving vent to anger of described endotracheal tube from described laryngeal mask conduit
Dynamic release；
Scalable connecting tube, this scalable connecting tube is built in laryngeal mask conduit completely, and described laryngeal mask is led
The intake section of pipe and the endotracheal tube corresponding two ends being tightly connected this scalable connecting tube respectively.
When needs use endotracheal tube, available pushing structure promotes endotracheal tube, makes entering of endotracheal tube
Gas portion releases from laryngeal mask conduit, very convenient.Seal simultaneously because present invention employs scalable connecting tube
Connect endotracheal tube and the intake section of laryngeal mask conduit, make the gas from respirator can only be from laryngeal mask conduit
Intake section enters directly into the inside of endotracheal tube, it is therefore prevented that gas is between endotracheal tube and laryngeal mask conduit
Gap leaks, good sealing effect.
And go to be tightly connected endotracheal tube and laryngeal mask relative to using sleeve pipe fitted seal circle of the prior art
The intake section of both conduits, uses scalable connecting tube can more easily control himself length and leads with trachea
The movable distance of pipe relation between the two, simplifies processing technology, beneficially the raising of work efficiency.
As the improved structure of scalable connecting tube, described scalable connecting tube is flexible concertina connecting tube.
Preferably, described flexible concertina connecting tube is corrugated tube or rubber tube.
As the first structure of pushing structure, described pushing structure includes being arranged on described endotracheal tube air inlet
The impeller in portion and the guide hole being arranged on described laryngeal mask conduit intake section；Described impeller is for penetrating at finger
Described endotracheal tube is promoted to lead in-pipe at described laryngeal mask time in described guide hole.
Preferably, described impeller is push rod.
When the present invention uses the pushing structure of the first structure, in order to prevent gas from leaking from guide hole,
Preferably, present invention additionally comprises the sealing slip lid for guide hole described in movable sealing；Described sealing slip lid can edge
The outer wall described laryngeal mask conduit slides.This sealing slip lid, by slidably reciprocating, seals or opens described guide hole.
It is further preferred that described laryngeal mask conduit intake section surface has cylindrical protuberance, described guide hole sets
Put on this cylinder protuberance, this cylinder protuberance is additionally provided with for guiding described sealing slip lid to slide
Guide groove.
As the second structure of pushing structure, described pushing structure includes being arranged on described endotracheal tube air inlet
The impeller in portion and the guide hole being arranged on described laryngeal mask conduit intake section；Described impeller is led described in being slidably connected
Hole.Slide in guide hole described endotracheal tube can be promoted to move in described laryngeal mask conduit by stirring impeller
Dynamic.
Preferably, described impeller is push button.
When the present invention uses the pushing structure of the second structure, in order to prevent gas from leaking from guide hole,
The first preferred structure is: present invention additionally comprises sealing lid, described sealing lid is used for sealing guide hole described in snapping.
The second preferred structure is: present invention additionally comprises and is sleeved on described laryngeal mask conduit outside and by himself
Centered by laryngeal mask conduit, rotate to seal actively the seal ring set of described guide hole；Set on described seal ring set
There is block button hole；Described impeller also can slide in described block button hole.
It should be noted that in above-mentioned the second preferred structure, described seal ring set and described laryngeal mask conduit
Can be fitted tightly by frictional force, thus described seal ring set is combined on described laryngeal mask conduit rotationally.
Further, in the second preferred structure, as another kind, seal ring set is combined in rotationally laryngeal mask
Supravasal improved structure, described laryngeal mask catheter outer surface is provided with projection, described seal ring set inner surface sets
There is the chute accommodating described projection.Owing to this chute is arranged along the circumference of described seal ring set inner surface, and
And described projection is contained in described chute, thus described seal ring set is combined in described laryngeal mask rotationally
On conduit.
In above-mentioned the second preferred structure more preferably, described block button hole is by vertical draw-in groove and horizontal draw-in groove
Composition, described vertical draw-in groove synthesizes L-shaped with horizontal pocket set.Wherein, this horizontal draw-in groove as location structure,
Limit the lateral attitude of impeller, thus realize the function of seal ring set movable sealing guide hole.
Or, in above-mentioned the second preferred structure more preferably, described block button hole by upper horizontal draw-in groove, under
Laterally draw-in groove and vertical draw-in groove composition, described horizontal draw-in groove, lower horizontal draw-in groove and vertical pocket set synthesis Z
Shape.Wherein, on this, horizontal draw-in groove and lower horizontal draw-in groove are as location structure, limit the horizontal position of impeller
Put, equally realize utilizing seal ring set that guide hole is carried out the function of movable sealing.
Structure as a further improvement on the present invention, the portion of giving vent to anger of described laryngeal mask conduit combines with a cover body;Institute
State and in the portion of giving vent to anger of endotracheal tube, be additionally provided with endotracheal tube air bag.
Preferably, the intake section of described laryngeal mask conduit is provided with the joint for connecting respirator.
Preferably, present invention additionally comprises an aerating and exhaust device, described aerating and exhaust device includes leading with described trachea
The first aerating and exhaust device that tube airbag connects and the second aerating and exhaust device of being connected with described cover body.
It is highly preferred that the charge and discharge trachea of the second aerating and exhaust device is arranged against described tube wall.
Compared to existing technology, the beneficial effects of the present invention is:
(1) present invention by arrange a scalable connecting tube with utilize its two ends to go respectively to seal laryngeal mask conduit and
The intake section of both endotracheal tubes, makes the gas from respirator can only be directly entered from laryngeal mask conduit intake section
Inside to endotracheal tube, it is therefore prevented that gas leaks from the gap between endotracheal tube and laryngeal mask conduit,
Good sealing effect.
(2) relative in prior art, employing sleeve pipe fitted seal circle goes to be tightly connected laryngeal mask conduit and trachea is led
The intake section of pipe, uses this scalable connecting tube can more easily control himself length and endotracheal tube
Movable distance relation between the two, simplifies processing technology, beneficially the raising of work efficiency.
(3) flexible concertina connecting tube is used to remove to be tightly connected the intake section of laryngeal mask conduit and endotracheal tube, can be more
It is easy to endotracheal tube move back and forth in laryngeal mask conduit, and, use corrugated tube or rubber tube as flexibility
Retractable connecting tube is then more beneficial for reducing and produces life originally.
(4) use sealing lid to remove to seal actively guide hole, when in use, this seal cap sealing is connected
Guide hole, thus can prevent gas from leaking from guide hole, not only simple in construction, and be conducive to further
Reduce production cost.
(5) the charge and discharge trachea of the second aerating and exhaust device is arranged against described tube wall, make the present invention overall
Profile is compacter, saves parking space.
Described above is only the general introduction of technical solution of the present invention, in order to better understand the technology of the present invention
Means, and can being practiced according to the content of description, and in order to allow the present invention above and other purpose,
Feature and advantage can become apparent, and below especially exemplified by preferred embodiment, and coordinates accompanying drawing, describes in detail such as
Under.
Accompanying drawing explanation
Fig. 1 is the knot of endotracheal tube complete built-in laryngeal mask associating the first embodiment of breather of the present invention
Structure schematic diagram；
Fig. 2 is that Fig. 1 is in the structural representation sealed under slip lid open mode；
Fig. 3 is the structural representation that Fig. 2 is under endotracheal tube release state；
Fig. 4 is the perspective view of the cylindrical protuberance in Fig. 1；
Fig. 5 is the knot of endotracheal tube complete built-in laryngeal mask associating breather the second embodiment of the present invention
Structure schematic diagram；
Fig. 6 is the structural representation that Fig. 5 is under endotracheal tube release state；
Fig. 7 is the structural representation of the improvement embodiment of the block button hole of Fig. 5；
Fig. 8 is the cut away view in the A-A direction of Fig. 5；
Fig. 9 is the sectional drawing that the seal ring set in Fig. 8 is in rotary state；
Figure 10 is the knot of endotracheal tube complete built-in laryngeal mask associating the third embodiment of breather of the present invention
Structure schematic diagram；
Figure 11 is the structural representation that Figure 10 is under endotracheal tube release state.
In figure: 1, body；11, laryngeal mask conduit；111, guide hole；112, protruding；12, endotracheal tube；
121, endotracheal tube air bag；122, push rod；123, push button；13, joint；14, corrugated tube；2, cover
Body；3, sealing device；31, cylindrical protuberance；311, guide groove；32, slip lid is sealed；33, seal
Ring set；34, block button hole；35, lid is sealed；4, the first aerating and exhaust device；5, the second aerating and exhaust device.
Detailed description of the invention
The basic operation process of the present invention is as follows:
The present invention can be divided into laryngeal mask function operation state and endotracheal tube function to insert two kinds of forms of duty.
After systemic induction of anesthesia, patient realizes disappearance, the present invention is first set to laryngeal mask function operation state, i.e.
Endotracheal tube 12 is concealed in laryngeal mask conduit 11, and joint 13 is connected with respirator, the present invention is inserted
In the pharyngeal cavity of patient, cover body 2 correctly locating cover is stopped talking, laughing, or crying door, by the second aerating and exhaust device 5 to cover body 2
It is inflated so that it is be fixed in the pharyngeal cavity of patient, promotes and be fixed on pushing away on endotracheal tube 12 intake section
Moving part, makes endotracheal tube 12 slide along laryngeal mask conduit 11 inner chamber.Now, endotracheal tube 12 passes through patient
Glottis is pushed among the air flue of patient, and the present invention is changed into endotracheal tube and inserts duty, by the
Endotracheal tube air bag 121 is inflated by one aerating and exhaust device 4 so that it is be fixed among the air flue of patient,
By the second aerating and exhaust device 5, cover body 2 is exitted again, complete the installation of the present invention.
After operation terminates, according to clinical anesthesia operating instructions, control the first aerating and exhaust device 4 to endotracheal tube
Air bag 121 is exitted, and is extracted out by the endotracheal tube 12 in patient airway, endotracheal tube 12 and patient's gas
Road departs from, and stirs impeller and makes endotracheal tube 12 rollback, and endotracheal tube 12 is concealed in laryngeal mask conduit 11 again
In, the present invention is changed into laryngeal mask function operation state.After patient is clear-headed, right by the second aerating and exhaust device 5
Cover body 2 is exitted, and the present invention is extracted from patient's pharyngeal cavity.
By further illustrating the technological means and effect that the present invention taked by reaching predetermined goal of the invention, below
In conjunction with accompanying drawing and preferred embodiment, to the foundation detailed description of the invention of the present invention, structure, feature and effect thereof,
Describe in detail as follows:
Embodiment one
Shown in Fig. 1 to Fig. 4 is the of the endotracheal tube complete built-in laryngeal mask associating breather of the present invention
A kind of embodiment, it includes body 1, and this body 1 includes laryngeal mask conduit 11 and is built in described laryngeal mask completely
Endotracheal tube 12 in conduit 11, the intake section of laryngeal mask conduit 11 is provided with the joint 13 for connecting respirator,
The portion of giving vent to anger of endotracheal tube 12 is provided with endotracheal tube air bag 121；Cover body 2, this cover body 2 and laryngeal mask conduit
The portion of giving vent to anger of 11 combines；Pushing structure, this pushing structure includes being arranged on described endotracheal tube 12 intake section
On impeller and the guide hole 111 that is arranged on described laryngeal mask conduit 11 intake section, described pushing structure is used for
Release mobile from described laryngeal mask conduit 11 for the portion of giving vent to anger of described endotracheal tube 12；Sealing device 3, this is close
Seal apparatus 3 includes that the second sealing device and the first sealing device, described second sealing device are one the most built-in
Scalable connecting tube in described laryngeal mask conduit 11, the two ends of this scalable connecting tube correspondence and laryngeal mask respectively
The intake section of both conduit 11 and endotracheal tube 12 is tightly connected；Described first sealing device is for actively
Seal described guide hole 111；Aerating and exhaust device, this aerating and exhaust device is for described endotracheal tube air bag 121 He
Cover body 2 is inflated/exits.
It should be noted that described impeller is for promoting described gas when finger penetrates in described guide hole 111
Pipe conduit 12 moves in described laryngeal mask conduit 11.
When needs use endotracheal tube 12, the impeller of endotracheal tube 12 intake section can be promoted, by trachea
Conduit 12 is released from laryngeal mask, very convenient.Simultaneously because be provided with sealing device 3, in use, profit
It is possible to prevent gas to leak from guide hole 111 with the first sealing device, and utilizes and seal dress as second
The scalable connecting tube put removes to be tightly connected the intake section of both endotracheal tube 12 and laryngeal mask conduit 11, makes
The inside of endotracheal tube 12 can only be entered directly into from laryngeal mask conduit 11 intake section from the gas of respirator, anti-
Stop gas to leak from the gap between endotracheal tube 12 and laryngeal mask conduit 11, good sealing effect,
Effectively prevent the appearance of gas leak phenomenon, and relative to using in prior art by sleeve pipe fitted seal circle
The second sealing device formed removes to be tightly connected the intake section of both laryngeal mask conduit 11 and endotracheal tube 12,
Scalable connecting tube is used can more easily to control the movable distance two of himself length and endotracheal tube 12
Relation between person, simplifies processing technology, beneficially the raising of work efficiency.
Specifically, described scalable connecting tube is flexible concertina connecting tube, it is simple to endotracheal tube 12 is led at laryngeal mask
Pipe 11 moves back and forth.
Specifically, described flexible concertina connecting tube be corrugated tube 14 or rubber tube (not shown) or other with
Corrugated tube 14 or the identical any flexible concertina connecting tube of rubber tube function.And, use corrugated tube 14 or
Person's rubber tube is more beneficial for reducing as flexible concertina connecting tube and produces life originally.
In order to prevent gas from leaking from guide hole 111, specifically, the first sealing device bag of the present invention
Including the sealing slip lid 32 for guide hole described in movable sealing 111, described sealing slip lid 32 can be along described laryngeal mask
The outer wall of conduit 11 slides.This sealing slip lid 32, by slidably reciprocating, seals or opens described guide hole 111.
More specifically, as shown in Figure 4, described laryngeal mask conduit 11 intake section surface has cylindrical protuberance
31, described guide hole 111 is arranged on this cylinder protuberance 31, and this cylinder protuberance 31 is additionally provided with
For the guide groove 311 guiding described sealing slip lid 32 to slide.Slide to the right along guide groove 311 when sealing slip lid 32
Time dynamic, it is possible to seal and be positioned at the guide hole 111 sealed on the right side of slip lid 32, and slide to the left when sealing slip lid 32
Time, it is possible to open described guide hole 111.
Specifically, described impeller is push rod 122.
When promoting push rod 122 along guide hole 111, endotracheal tube 12 is pushed out, and endotracheal tube 12 passes through
Patient's glottis is pushed among patient airway, and the present invention is changed into endotracheal tube and inserts duty.Work as gas
Pipe conduit 12 stretch out arrival extreme position, sealing slip lid 32 can be closed, thus seal guide hole 111.Regain
During endotracheal tube 12, open sealing slip lid 32, promote push rod 122 to make built-in endotracheal tube 12 rollback, make
Endotracheal tube 12 is concealed in laryngeal mask conduit 11 again.
In order to endotracheal tube air bag 121 and cover body 2 are inflated/exit, specifically, described inflation/deflation dress
Put the first aerating and exhaust device 4 including being connected with described endotracheal tube air bag 121 and connect with described cover body 2
The second aerating and exhaust device 5 connect.
As the more excellent embodiment of the first embodiment, the charge and discharge trachea of the second aerating and exhaust device 5 is against institute
State body 1 outer wall and (not shown) is set, make monnolithic case of the present invention compacter, save parking space.
Embodiment two
Shown in Fig. 5 to Fig. 9 is the of the endotracheal tube complete built-in laryngeal mask associating breather of the present invention
Two kinds of embodiments, its difference from the first embodiment is that pushing structure and the first sealing device all use
Different structures goes to realize promoting endotracheal tube 12 and movable sealing guide hole 111 in laryngeal mask conduit 11
Function.Wherein, the first sealing device of the second embodiment and the concrete structure of pushing structure are as follows:
Described pushing structure includes the impeller being arranged on described endotracheal tube 12 intake section and is arranged on described larynx
The guide hole 111 of cover conduit 11 intake section；Described impeller is slidably connected described guide hole 111.Push away by stirring
Moving part slides in guide hole 111 and described endotracheal tube 12 can be promoted to move in described laryngeal mask conduit 11.
Described first sealing device includes being sleeved on described laryngeal mask conduit 11 outside and by himself around laryngeal mask conduit 11
Centered by rotate to seal actively the seal ring set 33 of described guide hole 111；Described seal ring set 33 is provided with
Block button hole 34；Described impeller also can slide in described block button hole 34.Further, in the present embodiment, excellent
Selecting described impeller is push button 123.
It should be noted that described seal ring set 33 closely can be pasted by frictional force with described laryngeal mask conduit 11
Close, thus described seal ring set 33 is combined on described laryngeal mask conduit 11 rotationally.
Or, improvement knot seal ring set 33 being combined on laryngeal mask conduit 11 rotationally as another kind
Structure, as shown in Figure 8 and Figure 9, described laryngeal mask conduit 11 outer surface is provided with protruding 112, described seal ring set
33 inner surfacies are provided with the described chute of protruding 112 331 of receiving.Owing to this chute 331 is along described sealing
The circumference of ring set 33 inner surface is arranged, and described protruding 112 are contained in described chute 331, thus will
Described seal ring set 33 is combined on described laryngeal mask conduit 11 rotationally.
Specifically, as shown in Figure 5 and Figure 6, described block button hole 34 is made up of vertical draw-in groove and horizontal draw-in groove,
Described vertical draw-in groove synthesizes L-shaped with horizontal pocket set.Wherein, this horizontal draw-in groove, as location structure, limits
The lateral attitude of impeller, thus realize the function of seal ring set 33 movable sealing guide hole 111.
When promoting push button 123 along guide hole 111 and block button hole 34, endotracheal tube 12 is released, and trachea is led
Pipe 12 is pushed among patient airway by patient's glottis, and the present invention is changed into endotracheal tube insertion work shape
State.When push button 123 is pushed to the end of guide hole 111 and block button hole 34, reaching of endotracheal tube 12
Reach extreme position, rotatory sealing ring set 33, make push button 123 snap fit onto horizontal draw-in groove from vertical draw-in groove, gas
Pipe conduit 12 links closely location, and seal ring set 33 seals described guide hole 111.When regaining endotracheal tube 12,
Rotatory sealing ring set 33 makes push button 123 snap fit onto vertical draw-in groove from horizontal draw-in groove, stirs push button 123 and makes to push away
Button 123 is upward sliding in the vertical draw-in groove of guide hole 111 and block button hole 34, so that endotracheal tube 12 times
Move back, finally make endotracheal tube 12 again be concealed in laryngeal mask conduit 11.
Or, block button hole 34 can also use another kind of structure, specifically, as it is shown in fig. 7, described buckle
Hole 34 is made up of upper horizontal draw-in groove, lower horizontal draw-in groove and vertical draw-in groove, described horizontal draw-in groove, lower horizontal card
Groove and the synthesis of vertical pocket set are Z-shaped.Wherein, on this, horizontal draw-in groove and lower horizontal draw-in groove are as location structure,
Limit the lateral attitude of impeller, equally realize utilizing seal ring set 33 that guide hole 111 is carried out activity
The function sealed.
Before needs move down push button 123, rotatory sealing ring set 33, make push button 123 from upper horizontal card
Groove slides in vertical draw-in groove, and the vertical draw-in groove then along guide hole 111 and block button hole 34 pushes down on push button
123, endotracheal tube 12 is released, and built-in endotracheal tube 12 is pushed among patient airway by patient's glottis,
The present invention is changed into endotracheal tube and inserts duty.When push button 123 is pushed to guide hole 111 and block button hole 34
The end time, endotracheal tube 12 stretch out arrival extreme position, rotatory sealing ring set 33, make push button 123 from
Vertical draw-in groove snaps fit onto in lower horizontal draw-in groove, and endotracheal tube 12 links closely location, described in seal ring set 33 seals
Guide hole 111.When regaining endotracheal tube 12, rotatory sealing ring set 33 makes push button 123 from lower horizontal draw-in groove card
Receive in vertical draw-in groove, stir push button 123 and make push button 123 at guide hole 111 and the vertical draw-in groove of block button hole 34
Middle upward sliding, so that endotracheal tube 12 rollback, finally makes endotracheal tube 12 again be concealed in laryngeal mask and leads
In pipe 11.
Embodiment three
Shown in Figure 10 to Figure 11 is the endotracheal tube complete built-in laryngeal mask associating breather of the present invention
The third embodiment, its difference from the second embodiment is that the first sealing device have employed different knots
Structure goes to realize the function of movable sealing guide hole 111, wherein, the knot of the first sealing device of the third embodiment
Structure is specific as follows:
Described first sealing device includes sealing lid 35, and the described lid 35 that seals is used for sealing guide hole described in snapping
111, not only simple in construction, and be conducive to reducing production cost further.
Along guide hole 111 push down on push button 123 time, endotracheal tube 12 releases, and endotracheal tube 12 passes through
Patient's glottis is pushed among patient airway, and the present invention is changed into endotracheal tube and inserts duty.When pushing away
When button 123 is pushed to guide hole 111, endotracheal tube 12 stretch out arrival extreme position, sealing lid 35 is covered
Cover on push button 123 and seal guide hole 111 described in snapping, in case gas leaks from guide hole 111.When
When regaining endotracheal tube 12, take apart from guide hole 111 sealing lid 35, then stir push button 123
Make push button 123 upward sliding in guide hole 111, so that endotracheal tube 12 rollback, finally make endotracheal tube
12 are concealed in laryngeal mask conduit 11 again.
The laryngeal mask material of the present invention all uses Medical patient biocompatibility height material to make, nontoxic non-stimulated.
Cover body 2 can be selected for the silica gel material of softness and designs consistent with the profile of bottleneck throat, reduces to greatest extent people
Body stimulates, and improves the sealing with throat.Laryngeal mask conduit 11 middle and upper part is through strengthening, it is simple to operation push button
123 and prevent tooth to sting flat laryngeal mask conduit 11.Endotracheal tube 12 smooth pliable, transparency is high, anti-flexibility
Splendid.
The present invention is easy to use, structural integrity, simple to operate, and intubation way can convert the most at any time,
The endotracheal tube 12 degree of depth in laryngeal mask conduit 11 can adjust in real time.Various models can be produced, be suitable for difference
Age, sex, various operation position crowd.Particularly during patient is clear-headed, can be at any time by trachea
Conduit patten transformation is laryngeal mask pattern, reduces tube drawing complication after the various anesthesia that air flue untoward reaction causes.
Main feature and purposes: anaesthetize early extubation for average of operation periods, prevent tube drawing from choking and cough the air flue height caused
The complication of reaction, prevents airway pressure generation obstacle after tube drawing, such as glossoptosis, respiration inhibition etc..It is suitable for
In all general anesthesia operations, various age and sex, particularly brain surgery patient.
The clinical effectiveness reached of the present invention is as follows:
1) reduce craniocerebral operations extubation choke cough the intracranial pressure caused drastically raise, hemorrhage, Brain shift；
2) cardiovascular response that stress cause is reduced, such as complication such as wound bleeding, cerebral hemorrhage, myocardial infarctions；
3) surgical wound surface preventing other operations from causing is hemorrhage；
4) minimizing is choked to cough and is caused abdominal pressure to raise, wound dehiscence；
5) vomit during asphyxia and emergence after preventing anesthesia, inhale by mistake, glossoptosis.
Above-mentioned embodiment is only the preferred embodiment of the present invention, it is impossible to limit present invention protection with this
Scope, the change of any unsubstantiality that those skilled in the art is done on the basis of the present invention and replacement
Belong to scope of the present invention.
Claims (18)
1. an endotracheal tube complete built-in laryngeal mask associating breather, it is characterised in that: comprising:
Body, this body includes laryngeal mask conduit and the endotracheal tube being built in completely in laryngeal mask conduit；
Pushing structure, this pushing structure is for releasing mobile from described laryngeal mask conduit for the portion of giving vent to anger of described endotracheal tube；
Scalable connecting tube, this scalable connecting tube is built in laryngeal mask conduit completely, and described laryngeal mask conduit and trachea are led
Manage both intake section corresponding two ends being tightly connected this scalable connecting tube respectively.
2. endotracheal tube complete built-in laryngeal mask associating breather as claimed in claim 1, it is characterised in that: described can
Retractable connecting tube is flexible concertina connecting tube.
3. endotracheal tube complete built-in laryngeal mask associating breather as claimed in claim 2, it is characterised in that: described soft
Property retractable connecting tube is corrugated tube or rubber tube.
4. the endotracheal tube complete built-in laryngeal mask associating breather as described in claim 1-3 any one, its feature exists
In: described pushing structure includes the impeller being arranged on described endotracheal tube intake section and is arranged on described laryngeal mask conduit intake section
Guide hole；Described impeller for promoting described endotracheal tube to move in described laryngeal mask conduit when finger penetrates in described guide hole
Dynamic.
5. endotracheal tube complete built-in laryngeal mask associating breather as claimed in claim 4, it is characterised in that push away described in:
Moving part is push rod.
6. endotracheal tube complete built-in laryngeal mask associating breather as claimed in claim 4, it is characterised in that: also include
Sealing slip lid for guide hole described in movable sealing；Described sealing slip lid can slide along the outer wall of described laryngeal mask conduit.
7. endotracheal tube complete built-in laryngeal mask associating breather as claimed in claim 6, it is characterised in that: described larynx
Cover conduit intake section surface has cylindrical protuberance, and described guide hole is arranged on this cylinder protuberance, and this cylinder is protruded
The guide groove for guiding described sealing slip lid to slide it is additionally provided with in portion.
8. the endotracheal tube complete built-in laryngeal mask associating breather as described in claim 1-3 any one, its feature exists
In: described pushing structure includes the impeller being arranged on described endotracheal tube intake section and is arranged on described laryngeal mask conduit intake section
Guide hole；Described impeller is slidably connected described guide hole.
9. endotracheal tube complete built-in laryngeal mask associating breather as claimed in claim 8, it is characterised in that push away described in:
Moving part is push button.
10. endotracheal tube complete built-in laryngeal mask associating breather as claimed in claim 8, it is characterised in that: also include
Sealing lid, described sealing lid is used for sealing guide hole described in snapping.
The 11. complete built-in laryngeal mask of endotracheal tube as claimed in claim 8 associating breathers, it is characterised in that: also include
It is sleeved on described laryngeal mask conduit outside and by himself rotating to seal described guide hole actively centered by laryngeal mask conduit
Seal ring set；Described seal ring set is provided with block button hole；Described impeller also can slide in described block button hole.
The 12. complete built-in laryngeal mask of endotracheal tube as claimed in claim 11 associating breathers, it is characterised in that: described
Laryngeal mask catheter outer surface is provided with projection, and described seal ring set inner surface is provided with the chute accommodating described projection.
The 13. complete built-in laryngeal mask of endotracheal tube as claimed in claim 11 associating breathers, it is characterised in that: described
Block button hole is made up of vertical draw-in groove and horizontal draw-in groove, and described vertical draw-in groove synthesizes L-shaped with horizontal pocket set.
The 14. complete built-in laryngeal mask of endotracheal tube as claimed in claim 11 associating breathers, it is characterised in that: described
Block button hole is made up of upper horizontal draw-in groove, lower horizontal draw-in groove and vertical draw-in groove, described horizontal draw-in groove, lower horizontal draw-in groove and vertically block
Groove combination is z-shape.
The 15. complete built-in laryngeal mask of the endotracheal tube as described in claim 1-3 any one associating breathers, its feature
It is: the portion of giving vent to anger of described laryngeal mask conduit combines with a cover body；It is additionally provided with endotracheal tube gas in the portion of giving vent to anger of described endotracheal tube
Capsule.
The 16. complete built-in laryngeal mask of endotracheal tube as claimed in claim 15 associating breathers, it is characterised in that: described
The intake section of laryngeal mask conduit is provided with the joint for connecting respirator.
The 17. complete built-in laryngeal mask of endotracheal tube as claimed in claim 15 associating breathers, it is characterised in that: also wrap
Include an aerating and exhaust device, described aerating and exhaust device include the first aerating and exhaust device of being connected with described endotracheal tube air bag and with
The second aerating and exhaust device that described cover body connects.
The 18. complete built-in laryngeal mask of endotracheal tube as claimed in claim 17 associating breathers, it is characterised in that: second
The charge and discharge trachea of aerating and exhaust device is arranged against described tube wall.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310461584.8A CN103463719B (en) | 2013-09-30 | 2013-09-30 | A kind of endotracheal tube complete built-in laryngeal mask associating breather |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310461584.8A CN103463719B (en) | 2013-09-30 | 2013-09-30 | A kind of endotracheal tube complete built-in laryngeal mask associating breather |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN103463719A CN103463719A (en) | 2013-12-25 |
| CN103463719B true CN103463719B (en) | 2016-11-09 |
Family
ID=49788901
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310461584.8A Active CN103463719B (en) | 2013-09-30 | 2013-09-30 | A kind of endotracheal tube complete built-in laryngeal mask associating breather |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN103463719B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108663239A (en) * | 2018-06-14 | 2018-10-16 | 张立升 | Natural gas line sampler |
Families Citing this family (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104800941B (en) * | 2014-01-28 | 2018-01-19 | 广州维力医疗器械股份有限公司 | Tracheal catheter built in a kind of reversible type combines air-breather with laryngeal mask |
| WO2015113338A1 (en) * | 2014-01-28 | 2015-08-06 | 广州维力医疗器械股份有限公司 | Convertible combined ventilation device of built-in endotracheal tube and laryngeal mask |
| US10596339B2 (en) | 2018-05-21 | 2020-03-24 | Sridhar R. Musuku | Intubation devices and methods of use |
| USD858752S1 (en) | 2018-05-21 | 2019-09-03 | Sridhar R. Musuku | Intubation device |
| USD921185S1 (en) | 2019-01-24 | 2021-06-01 | Sridhar R. Musuku | Intubation device |
| CN111407994B (en) * | 2020-03-31 | 2022-07-29 | 北京大学第三医院（北京大学第三临床医学院） | Laryngeal mask with telescopic tracheal catheter |
| CN115738005A (en) * | 2022-11-15 | 2023-03-07 | 杨明 | Air flue management system |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5303697A (en) * | 1991-02-11 | 1994-04-19 | Brain Archibald Ian Jeremy | Artificial airway device |
| CN101292893A (en) * | 2008-05-27 | 2008-10-29 | 乌日娜 | Portable pen type thyrocricoid puncture device |
| CN102974014A (en) * | 2012-11-27 | 2013-03-20 | 肖金仿 | Combined air breather both of built-inBuilt-in tracheal catheter and laryngeal mask combined air breather for general anesthesia |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP3138394B2 (en) * | 1994-10-11 | 2001-02-26 | 象印マホービン株式会社 | Vacuum double bellows pipe |
| US7040322B2 (en) * | 2001-11-08 | 2006-05-09 | Fortuna Anibal De Oliveira | Combination artificial airway device and esophageal obturator |
| WO2011001437A2 (en) * | 2009-07-02 | 2011-01-06 | Tubular Medical Ltd. | Multi-layer endotracheal tube apparatus |
-
2013
- 2013-09-30 CN CN201310461584.8A patent/CN103463719B/en active Active
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5303697A (en) * | 1991-02-11 | 1994-04-19 | Brain Archibald Ian Jeremy | Artificial airway device |
| CN101292893A (en) * | 2008-05-27 | 2008-10-29 | 乌日娜 | Portable pen type thyrocricoid puncture device |
| CN102974014A (en) * | 2012-11-27 | 2013-03-20 | 肖金仿 | Combined air breather both of built-inBuilt-in tracheal catheter and laryngeal mask combined air breather for general anesthesia |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108663239A (en) * | 2018-06-14 | 2018-10-16 | 张立升 | Natural gas line sampler |
Also Published As
| Publication number | Publication date |
|---|---|
| CN103463719A (en) | 2013-12-25 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN103463719B (en) | A kind of endotracheal tube complete built-in laryngeal mask associating breather | |
| CN104001250B (en) | The completely built-in laryngeal mask joint air-breather of tracheal catheter | |
| CN104994899B (en) | Reversible airway device and the correlation technique for making patient ventilation | |
| CN203235108U (en) | Laryngeal mask combined ventilation device with completely-internal type endotracheal tube | |
| CN105343975B (en) | A kind of tracheal inserting device without laryngoscope | |
| WO2002092144A3 (en) | Anatomical airway ventilation intubating and resuscitating device | |
| CN203620024U (en) | Combined laryngeal breather with completely inlaid tracheal tube | |
| CN104958818A (en) | Multifunctional double-bag trachea cannula | |
| CN109589478B (en) | Built-in tracheal catheter laryngeal mask combined ventilation device for general anesthesia | |
| CN102553047A (en) | Trachea cannula device suitable for bronchoscope operation emptysis rescue and difficult airways | |
| CN108273168A (en) | Tracheal strips operation high-frequency ventilation gas operated device and its working method | |
| CN108498928A (en) | A kind of trachea cannula external member that downlink bronchial obstruction can be guided in Bronchofiberscope | |
| WO2015078204A1 (en) | Safe three-channel laryngeal mask | |
| CN201333207Y (en) | Disposable sealed sputum suction tube | |
| CN206198427U (en) | The trachea cannula and glottis upper respiratory tract device of a kind of all-plastic | |
| CN107029330A (en) | Endotracheal catheter | |
| CN204890869U (en) | Multi -functional couple of bag trachea cannula | |
| CN207898748U (en) | Endotracheal catheter | |
| CN206007748U (en) | Many gasbag-type Dual-channel tracheal cannulas | |
| CN2857966Y (en) | Throat cover with single cavity | |
| CN2910241Y (en) | Novel two-way throat cover for respiratory tract and esophagus | |
| CN208031616U (en) | Dismountable type tracheal catheter laryngeal mask set composite | |
| CN209662374U (en) | A kind of tracheal catheter for the antibacterial lubricant can be used for localization by ultrasonic | |
| CN203436651U (en) | Oropharyngeal airway capable of blocking esophagus and guiding trachea cannula | |
| CN209332923U (en) | Intratracheal operation high-frequency ventilation gas operated device |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant |