CN104524677B - Visual noinvasive tracheal intubation - Google Patents
Visual noinvasive tracheal intubation Download PDFInfo
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- CN104524677B CN104524677B CN201410496246.2A CN201410496246A CN104524677B CN 104524677 B CN104524677 B CN 104524677B CN 201410496246 A CN201410496246 A CN 201410496246A CN 104524677 B CN104524677 B CN 104524677B
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- overlay film
- film frame
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- tracheal intubation
- visual
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Abstract
nullThe present invention relates to visual noinvasive tracheal intubation，Can effectively solve existing tracheal intubation and easily cause intubation defeat、Increase the weight of the deterioration of original disease、The more serious problem intubating complication generation even occurs，Technical scheme is，Including body，The front end (insertion end) of body is equipped with the overlay film frame of expanding，It is coated with in body and leads core，The one end leading core passes the center of overlay film frame and stretches out the front end of overlay film frame，Equipped with minisize pick-up head on the one end stretched out，The minisize pick-up head display through being contained in the data wire leading in-core be placed in outside body is connected，Equipped with water pocket on the outside lead core in the range of overlay film frame，Water pocket is connected with being embedded in the waterflood path leading on outer core，The water filling port of waterflood path stretches out the rear end (free end) of body，Novelty of the present invention is unique，Advantages of simple，Easily produce，Achieve the Real time visible during intubation to guide，Easily operation，One-time insertion success rate rate is high，Injure little，Easy to use，Effective.
Description
Technical field
The present invention relates to tracheal intubation, particularly a kind of visual noinvasive tracheal intubation.
Background technology
Tracheal intubation is that special endotracheal tube, through a mouth of a patient or nasal cavity are inserted tracheal strips, is the skill operation ingredient of the important clinical treatment measures such as clinical rescue critical patient, surgery anesthesia and cardio-pulmonary resuscitation.The approach of tracheal intubation do under direct laryngoscope photopic vision with direct oral cavity intubate secondly most commonly seen, for the direct-view time of via intranasal application laryngoscope or blind tracheal intubation.In endotracheal intubation, even if carrying out intubation in strict accordance with technical operation code requirement, also can cause crisis and some row complication, this is caused just because of the construction features of existing trachea cannula conduit itself and design defect, especially all the more so in some difficult intubations patient.At present, the major complications using existing endotracheal tube to carry out tracheal intubation has: the damage of laryngeal edema, glottis, tooth and oral cavity tissue damage, pivot joint is dislocated, be strayed into esophagus and a laterobronchus, respiratory tract injury, pneumonia and pulmonary atelectasis, injury of tracheal intubation cause the local blood circulation diseases such as severe haemorrhage and hypertension, hypotension, arrhythmia, myocardial ischemia and cardiac arrest.Research finds, tracheal intubation crisis and the generation of complication are not only relevant with the technical merit of the age of patient, sex, the anatomic characteristic of pars oralis pharyngis and operator, also relevant with the material of existing endotracheal tube, structure and design feature；Further, there is substantial portion of tracheal intubation complication precisely due to caused by the design defect of trachea cannula conduit itself, it may be said that be that existing tracheal intubation itself is the most unavoidable.The most widely used existing trachea cannula conduit is only the medical plastic pipe fitting of a diameter 10mm size, designs simple, clumsy, without visual device, easily causes an intubation defeat；And this conduit head end is sharp-pointed, easily cause the damage of patient respiration channel organization structure, cause the double iatrogenic injury of patient, increase the weight of the deterioration of original disease, even there will be the more serious complication that intubates to occur, bring danger not only to the treatment of patient, also bury the hidden danger of malpractice and conflict between doctors and patients.Therefore, according to the most scientific and hommization treatment needs, it is imperative that existing tracheal intubation is improved and innovated.
Summary of the invention
For above-mentioned situation, for overcoming the defect of prior art, the purpose of the present invention is just to provide a kind of visual noinvasive tracheal intubation, can effectively solve existing tracheal intubation and easily cause intubation defeat, the deterioration increasing the weight of original disease, even occurs more serious intubating the problem that complication occurs.
The technical scheme that the present invention solves is, including body, the front end (insertion end) of body is equipped with the overlay film frame of expanding, it is coated with in body and leads core, the one end leading core passes the center of overlay film frame and stretches out the front end of overlay film frame, equipped with minisize pick-up head on the one end stretched out, the minisize pick-up head display through being contained in the data wire leading in-core be placed in outside body is connected, equipped with water pocket on the outside lead core in the range of overlay film frame, water pocket is connected with being embedded in the waterflood path leading on outer core, and the water filling port of waterflood path stretches out the rear end (free end) of body.
Described overlay film frame includes expandable stent and covers the elastomer on expandable stent, the overlay film frame of expanding is linked together by transition and straight length and constitutes, transition is tubaeform, flaring big opening end is connected with the end of body, osculum end is connected with straight length, the diameter of straight length is less than the diameter of body, and expandable stent is placed in elastomer, and the outer surface of expandable stent is fixed together with the inner surface of elastomer；Described elastomer 6 is by the membrane structure made such as silica gel, latex elastomeric material, cover on expandable stent, play seal box and follow the effect that expandable stent synchronizes to expand, when expandable stent 8 opens, elastomer 6 opens together, elastomer 6 is closely joined together with the end of body tube wall simultaneously, plays the effect of sealing, it is ensured that the eupnea of patient；
Described stretch out the leading on core equipped with spherical glass curtain of overlay film frame end, minisize pick-up head is placed in spherical glass curtain, at the uniform optical fibers that is provided around of minisize pick-up head in spherical glass curtain, fibre-optic receiving terminal is connected through the inside leading core with the light source being placed in outside body.
Novelty of the present invention is unique, and advantages of simple easily produces, it is achieved that the Real time visible during intubation guides, and easily operates, and one-time insertion success rate rate is high, injures little, easy to use, effective, is the innovation in tracheal intubation.
Accompanying drawing explanation
Fig. 1 is the sectional front view of the present invention.
Fig. 2 is the partial enlarged drawing leading core at Fig. 1 water filling port of the present invention.
Fig. 3 is the partial enlarged drawing leading core in Fig. 1 body of the present invention.
Fig. 4 is the enlarged drawing of overlay film frame of the present invention.
Fig. 5 is the partial enlarged drawing (unexpanded state) of overlay film frame in Fig. 1 of the present invention.
Fig. 6 is the partial enlarged drawing (expansion state and water pocket are full of) of overlay film frame in Fig. 1 of the present invention.
Fig. 7 is the partial enlarged drawing (expansion state and water pocket emptying) of overlay film frame in Fig. 1 of the present invention.
Detailed description of the invention
Below in conjunction with accompanying drawing, the detailed description of the invention of the present invention is described in further detail.
Be given by Fig. 1-7, the present invention includes body, the front end (insertion end) of body 1 is equipped with the overlay film frame of expanding, it is coated with in body 1 and leads core 2, the one end leading core 2 passes the center of overlay film frame and stretches out the front end of overlay film frame, equipped with minisize pick-up head 10 on the one end stretched out, the minisize pick-up head 10 display 4 through being contained in the data wire 12 led in core 2 and be placed in outside body is connected, equipped with water pocket 8 on the outside leading core 2 in the range of overlay film frame, water pocket 8 is connected with being embedded in the waterflood path 13 led on outer core, the water filling port 13a of waterflood path 13 stretches out the rear end (free end) of body 1.
For ensureing using effect, described overlay film frame includes expandable stent 7 and covers the elastomer 6 on expandable stent 7, overlay film frame is linked together constituted by transition 6a and straight length 6b, transition 6a is tubaeform, flaring big opening end is connected with the end of body 1, and osculum end is connected with straight length 6b, and the diameter of straight length 6b is less than the diameter of body 1, expandable stent 7 is placed in elastomer 6, and the outer surface of expandable stent 7 is fixed together with the inner surface of elastomer 6；
Described elastomer 6 is by the membrane structure made such as silica gel, latex elastomeric material, cover on expandable stent, play seal box and follow the effect that expandable stent synchronizes to expand, when expandable stent 8 opens, elastomer 6 opens together, elastomer 6 is closely joined together with the end of the first body 2 tube wall simultaneously, play the effect of sealing, after expansion, the diameter of the elastomer 6 strutted is consistent with the diameter of body 1, also dependent on the diameter needed more than body 1, the most unobstructed to ensure the respiratory tract of patient；
Described stretch out the leading on core 2 equipped with spherical glass curtain 9 of overlay film frame end, minisize pick-up head 10 is placed in spherical glass curtain 9, being provided around uniform optical fibers 11 at minisize pick-up head 10 in spherical glass curtain 9, the receiving terminal of optical fibers 11 is connected through the inside leading core 2 with the light source 5 being placed in outside body.
Described optical fibers 11 has uniform 3-6 root, a diameter of 0.6mm；
The front end of described spherical glass curtain 9 is arc surfaced；
The a length of 6-9cm of described overlay film frame, the expansion scope of diameter is 4-23mm；
Described body is arc, a length of 26-36cm；
The rear end (free end) of described body 1 is equipped with respiratory organ joint 3；
Described waterflood path 13 stretches out on one end of body equipped with two-way water valve 13b.
Described expandable stent 7 is commercially available prod (prior art), such as the capsule expanding precoated metal trachea bracket of Huaian SIGMA Medical Apparatus Co., Ltd.'s production and selling；
Described minisize pick-up head 10 is commercially available prod (prior art), if Shenzhen's gold universe is as the needle point formula photographic head of photographic head plant produced and sale；Described body 1 is conventional medical plastic pipeline.
nullWhen the present invention uses，Light source power is opened，The data wire 12 being connected with minisize pick-up head 10 is connected with display 4 or has with other screen electronic product to be connected by bluetooth，The operation of visual damage-free type tracheal intubation can be started，During insertion，When seeing that the overlay film frame that conduit leading portion is thinner enters fissure of glottis about 3cm，After position adjustment suitably，Two-way water valve water filling outside by conduit，Water passes through waterflood path 13 to water pocket water filling，Water balloon dilator，Expandable stent 7 is strutted by water pocket，After being expanded to modest size，The water storage in water pocket is extracted out by two-way water valve，Water pocket atrophy is restored，The core of leading of the band photographic head in conduit is exited，Put and stay this trachea cannula conduit in patient airway，Technical operation completes，Respiratory organ joint 3 by the rear end (free end) of main catheter body，It is connected with medical equipments such as respirators，Start next step remedy measures.
Compared with prior art, the present invention has an advantage highlighted below:
1, in body, it is placed with the plastics having certain degree of hardness and moulding degree matched with it leads core, this metal leading the alternative existing tracheal intubation of core is led core and can freely come in and go out, and what this led core is a minisize pick-up head foremost, use as real time image collection when carrying out tracheal intubation operation, at the minisize pick-up head optical fibers 3-6 root having Φ 0.6mm distributed about, as pickup-light source, this minisize pick-up head can guide operator by the image that data line transfer goes out and the most disposably complete the operation of the tracheal intubation to patient smoothly, complication such as repeatedly intubating the making patients's state of an illness brought and the unnecessary iatrogenic injury that brings to patient can be prevented effectively from occur, and the situation that can be prevented effectively from intubation defeat occurs；
2, the header terminal design of this tracheal intubation body is the overlay film frame structure of thinner controlled expansion, implement to be inserted into fissure of glottis and tracheal strips under unexpanded thinner state, stimulation and the injury of local can be greatly reduced, go by water balloon dilator overlay film frame again after inserting trachea, making it open, set up effective artificial ventilation pipeline, design science is reasonable, and leading core print end due to plastics is perfectly round supervision head shoot type glass curtain, operation equally reduces stimulation and the injury of local when guiding；
3, core led by plastics in body, it is connected with photographic head foremost, the data wire of photographic head and optical fibers are walked in it leads core inner tube chamber, and be connected with the light source being arranged on outside main catheter body least significant end and display, realize the Real time visible in operating process to guide, simultaneously, lead the core part consistent with distensible Tectorial membrane trachea stent at plastics and be also equipped with the water pocket of annular wall-attachment, the length of water pocket is consistent with Expansible overlay film frame, water pocket is carefully moulded the waterflood path led on core tube wall be connected with the water filling port with two way valve outside rear end of conduit by being embedded in, this water pocket can be used as the dilator of capsule expanding overlay film frame；
4, on the light source outside body, bluetooth module can be installed, both can be with display wired connection, it is possible to wireless connections therewith, and the most also can realize the mobile phone with scene or have screen electronic product to be connected mutually；
5, body and the expandable stent of the present invention is disposable, the reusable use of other assemblies, also can be by conduit with lead core and be designed as disposably in the lump, only display and light source can be to reuse, so can reach and avoid cross infection and reduce the purpose using restriction, it is possible under large quantities of rescue wounded's situations, can be docked with on-the-spot Mobile phone screen by bluetooth, complete visual techniques operation, the field first aid in convenient burst place；
6, equipped with the respiratory organ joint of standard at the open rearward end of body, can match with medical equipments such as respirators and be connected；
7, easily producing, easily operate, one-time insertion success rate rate is high, injures little, easy to use, effective, is the innovation in tracheal intubation, has good Social and economic benef@.
Claims (7)
- null1. a visual noinvasive tracheal intubation，Including body，It is characterized in that，The front end of body (1) is equipped with the overlay film frame of expanding，It is coated with in body (1) and leads core (2)，The one end leading core (2) passes the center of overlay film frame and stretches out the front end of overlay film frame，Equipped with minisize pick-up head (10) on the one end stretched out，The minisize pick-up head (10) display (4) through being contained in the data wire (12) led in core (2) and be placed in outside body is connected，Equipped with water pocket (8) on the outside leading core (2) in the range of overlay film frame，Water pocket (8) is connected with being embedded in the waterflood path (13) leading on outer core，The water filling port (13a) of waterflood path (13) stretches out the rear end of body (1)，Described overlay film frame includes expandable stent (7) and covers the elastomer (6) on expandable stent (7)，The overlay film frame of expanding is linked together constituted by transition (6a) and straight length (6b)，Transition (6a) is tubaeform，Flaring big opening end is connected with the end of body (1)，Osculum end is connected with straight length (6b)，The diameter of straight length (6b) is less than the diameter of body (1)，Expandable stent (7) is placed in elastomer (6)，The outer surface of expandable stent (7) is fixed together with the inner surface of elastomer (6)，Stretch out the leading on core (2) equipped with spherical glass curtain (9) of overlay film frame end，Minisize pick-up head (10) is placed in spherical glass curtain (9)，The inherent minisize pick-up head of spherical glass curtain (9) (10) be provided around uniform optical fibers (11)，The receiving terminal of optical fibers (11) is connected through the inside leading core (2) with the light source (5) being placed in outside body.
- Visual noinvasive tracheal intubation the most according to claim 1, it is characterised in that described optical fibers (11) has uniform 3-6 root, a diameter of 0.6mm.
- Visual noinvasive tracheal intubation the most according to claim 1, it is characterised in that the front end of described spherical glass curtain (9) is arc surfaced.
- Visual noinvasive tracheal intubation the most according to claim 1, it is characterised in that a length of 6-9cm of described overlay film frame, the expansion scope of diameter is 4-23mm.
- Visual noinvasive tracheal intubation the most according to claim 1, it is characterised in that described body is arc, a length of 26-36cm.
- Visual noinvasive tracheal intubation the most according to claim 1, it is characterised in that the rear end of described body (1) is equipped with respiratory organ joint (3).
- Visual noinvasive tracheal intubation the most according to claim 1, it is characterised in that described waterflood path (13) stretches out on one end of body equipped with two-way water valve (13b).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410496246.2A CN104524677B (en) | 2014-09-25 | 2014-09-25 | Visual noinvasive tracheal intubation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410496246.2A CN104524677B (en) | 2014-09-25 | 2014-09-25 | Visual noinvasive tracheal intubation |
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| Publication Number | Publication Date |
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| CN104524677A CN104524677A (en) | 2015-04-22 |
| CN104524677B true CN104524677B (en) | 2016-08-17 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201410496246.2A Expired - Fee Related CN104524677B (en) | 2014-09-25 | 2014-09-25 | Visual noinvasive tracheal intubation |
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| CN (1) | CN104524677B (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105477758A (en) * | 2016-01-29 | 2016-04-13 | 青岛大学附属医院 | Novel trachea cannula |
| CN106039513A (en) * | 2016-07-06 | 2016-10-26 | 河南驼人医疗器械集团有限公司 | Wireless visual guide core for tracheal intubation |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201073490Y (en) * | 2007-06-29 | 2008-06-18 | 王世民 | Light guiding intubator |
| CN203370179U (en) * | 2013-06-06 | 2014-01-01 | 上海市同济医院 | Atraumatic trachea cannula |
| CN203647830U (en) * | 2014-01-15 | 2014-06-18 | 王学亮 | Dual-gas bag trachea cannula with camera |
| CN204133996U (en) * | 2014-09-25 | 2015-02-04 | 任建伟 | A kind of visual noinvasive tracheal intubation |
Family Cites Families (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20090107497A1 (en) * | 2007-10-29 | 2009-04-30 | Alex Stenzler | Method and device to prevent ventilator acquired pneumonia using nitric oxide |
| US20070215162A1 (en) * | 2005-12-16 | 2007-09-20 | Ezc Medical Llc | Visualization airway apparatus and methods for selective lung ventilation |
| WO2013142915A1 (en) * | 2012-03-28 | 2013-10-03 | Boyce Alistair | Endotracheal tube introducer |
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2014
- 2014-09-25 CN CN201410496246.2A patent/CN104524677B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201073490Y (en) * | 2007-06-29 | 2008-06-18 | 王世民 | Light guiding intubator |
| CN203370179U (en) * | 2013-06-06 | 2014-01-01 | 上海市同济医院 | Atraumatic trachea cannula |
| CN203647830U (en) * | 2014-01-15 | 2014-06-18 | 王学亮 | Dual-gas bag trachea cannula with camera |
| CN204133996U (en) * | 2014-09-25 | 2015-02-04 | 任建伟 | A kind of visual noinvasive tracheal intubation |
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| CN104524677A (en) | 2015-04-22 |
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Inventor after: Zhou Liang Inventor after: Ren Jianwei Inventor before: Ren Jianwei |
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Effective date of registration: 20160616 Address after: 450000 Department of Neurosurgery, Zhengzhou first people's Hospital, 56 East Street, Tube City, Henan, Zhengzhou Applicant after: Zhou Liang Address before: 450000 Henan city in Zhengzhou Province, Guancheng Hui District tower No. 99 Applicant before: Ren Jianwei |
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