CN104623781B - Bougie type tracheal catheter - Google Patents
Bougie type tracheal catheter Download PDFInfo
- Publication number
- CN104623781B CN104623781B CN201310558147.8A CN201310558147A CN104623781B CN 104623781 B CN104623781 B CN 104623781B CN 201310558147 A CN201310558147 A CN 201310558147A CN 104623781 B CN104623781 B CN 104623781B
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- China
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- bougie
- head end
- conduit
- tracheal catheter
- glottis
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- 241001185540 Charissa ambiguata Species 0.000 claims abstract description 10
- 230000004927 fusion Effects 0.000 claims description 2
- 239000000463 material Substances 0.000 claims description 2
- 230000007704 transition Effects 0.000 claims description 2
- 239000004020 conductor Substances 0.000 claims 1
- 210000004704 glottis Anatomy 0.000 abstract description 25
- 238000002627 tracheal intubation Methods 0.000 abstract description 17
- 210000003437 trachea Anatomy 0.000 abstract description 6
- 238000000034 method Methods 0.000 abstract description 5
- 238000005452 bending Methods 0.000 abstract description 4
- 238000000465 moulding Methods 0.000 abstract description 3
- 238000002224 dissection Methods 0.000 abstract description 2
- 238000010030 laminating Methods 0.000 abstract 1
- 238000003780 insertion Methods 0.000 description 6
- 230000037431 insertion Effects 0.000 description 6
- 239000007789 gas Substances 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 210000000867 larynx Anatomy 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 230000037237 body shape Effects 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000002409 epiglottis Anatomy 0.000 description 1
- 230000008676 import Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 210000003127 knee Anatomy 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 210000003800 pharynx Anatomy 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
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- Media Introduction/Drainage Providing Device (AREA)
Abstract
The popularization of video laryngoscope makes the improvement that appears of glottis, but often causes bigger difficulty to trachea cannula, shows as the difficult alignment glottis of tracheal catheter and is then more difficult to send into tracheal strips.Reason is that the anteflexion camber of bottleneck throat air flue when indirect laryngoscope appears glottis increases, and camber is bent after glottis downtake is formed, and constitutes S-shaped passage.Bougie type tracheal catheter innovation of the invention is the cylinder and conduit of catheter tip integrally in shaft-like pre- moulding of hockey, and revolutionary outward turning 180 degree pipe conveying method.After i.e. bougie type head end inserts glottis forward and up, rotating side outside conduit side is pushed to tracheal strips, surface is gone to when body back side center mark line is seen, at glottis mouth, fixed tracheal catheter is in this position for rear annulet line.At this moment the anterior bending of conduit just laminating glottis downtake dissection bending backward.Therefore, bougie type tracheal catheter not only make intubation and send pipe be easier, success rate it is high, it also avoid the damage to air flue.
Description
Technical field
The present invention relates to medical medical instruments field, and in particular to the novel air pipe that a kind of clinic sets up artificial airway is led
Pipe.
Background technology
When clinic implements trachea cannula using conventional laryngoscope, the situation that glottis appears incomplete is frequently encountered, now conventional gas
The intubation of pipe conduit is extremely difficult or easily causes damage, even there is severe depletion of oxygen and death.Appear to solve glottis, indirect larynx
Mirror (video laryngoscope) progressively popularized by clinic so that the situation that appears of glottis is significantly improved, but video laryngoscope appears glottis
When cause that the anteflexion camber from mouth to glottis increases, common tracheal catheter not enough is difficult to be sent at glottis because of leading portion flexibility, when
Bigger difficulty often is caused to trachea cannula, glottis can be clinically seen but the difficult scene of insertion tracheal catheter is occurred again and again, very
To causing death.Current Clinical Countermeasures are inserted frequently with tube core (Stylet) or intubation bougie (Bougie) auxiliary guiding tracheae
Pipe, although part intubation can be solved, but there is following clinical problem：1st, tracheal catheter can be directed at glottis mouthful, but be difficult to send into gas
In pipe.Reason is that have one to bend camber afterwards again in the trend of glottis downtake, and S-shaped passage is constituted with pharyngeal anteflexion camber, and
And it is the anteflexion camber increase under video laryngoscope to heal, S-shaped changes further notable.Accordingly even when tracheal catheter enters glottis mouthful,
Tracheae upper end antetheca is just arrived at further along, it is difficult to be pushed further into tracheae, by conduit when more easily causing tracheal wall damage or moving back laryngoscope
Being not intended to take out of causes unexpected generation.2nd, the method for intubation bougie guiding needs endotracheal tube tip and bougie to be brought into close contact just easily
Import glottis and do not cause to damage, endotracheal tube tip conventional at present to side opening, bougie and tracheal catheter in guiding
Tip is readily formed bifurcated and hinders intubation and cause to damage.3rd, tube core matter is hard, can only subsidiary conduit alignment glottis, it is impossible to
Conduit is helped to enter tracheae, while having the damage of air flue or surprisingly taking the complication such as conduit out of when moving back tube core.Therefore, when indirect larynx
In the period of mirror clinical popularization, the simple and easy to do, success rate of urgent need is high, Airway damage is small, and the easily gas in feeding tracheae stage casing
Pipe conduit.
The content of the invention
Bougie type tracheal catheter, the operation of convenient clinic intubation, easily by numerous doctors is grasped and is received, and makes intubation and send
The success rate of pipe increases, while also reducing the damage of intubation counterpart, pharynx, larynx and tracheae antetheca.
Bougie type tracheal catheter, it is main include with the head end (1,2) at the top of cylinder, air bag (7), catheter body (10),
Mark line (5,8,9) and ventilating joint (11), it is characterised in that conduit uses the material on flexible soft ground, and can pre- plastotype.
Described bougie type tracheal catheter, its head end is characterised by that (diameter is less than 4 to a blunt smooth cylinder of top circle
Millimeter, length is 10-20 millimeter of cylinder) the head end anterior angle (6A) of scarf formation with conduit head end from top to bottom is overlap
Cross, cylinder first half protrusion forms pipe exterior circular column (1A), latter half of and head end antetheca inner face weight outside head end antetheca
Folded fusion forms pipe inner cylinder (1B), and cylinder constitution is soft and consistent with the trend of conduit head end antetheca.During promoting the circulation of qi cannula, should
Cylinder center position above the forefront of tracheal catheter, plays a part of intubation bougie (Bougie).
Described bougie type tracheal catheter, its head end is characterised by pipe inner cylinder rear portion along conduit head end antetheca center line two
Symmetrical four apertures in side simultaneously form cross bridge joint (3) between four holes, and hole diameter is 2.4~3.6mm, shape into it is oval,
The bridge joint of stringer 1.2~2mm wide between semiellipse, hole, forward with pipe inner cylinder transition.Four apertures play routine tracheal and lead
The effect in " Murphy hole ", but aperture face forward during intubation are managed, rather than right side side；Cross bridge joint between four holes is played and prevented
Epiglottis insertion and damage in catheterization procedure.
Described bougie type tracheal catheter, its head end is characterised by that conduit head end lower section scarf forms obtuse angle with catheter body
(6B).The round and smooth obtuse angle structure causes that trachea cannula is smoothed out, and reduces the damage to glottis posterior tissue.
Described bougie type tracheal catheter, after its balloon sites is characterised by four apertures of front end abutment conduit head end
Portion, 1 centimeters have two circles to be spaced 2 centimetres of mark lines around catheter body of (adult type), i.e., preceding annular mark line backward for rear end
And rear annulet line (9) (8).Two middle parts of annulet line are the turning point of guiding-tube bend, make the upward flexing of conduit into
Obtuse angle (120 °~140 °).The air bag is led against the front portion of tracheal catheter, the forward and backward annulet line after air bag except help is recognized
Outside the insertion depth of pipe, or guiding-tube bend point location mark.
Described bougie type tracheal catheter, its catheter body is characterised by that lower section center line has the body back side just to get the bid from front to back
Note line (5), while catheter body along preceding annular mark line to pneumatophore and conduit head end until the song of pipe exterior circular column top orientation
Degree is formed and upwarped slightly, and is in line shape from catheter body after rear annulet line, and integrally pre- plastotype is hockey lever to catheter body
Shape, catheter body is flexible.Tracheal catheter is pre- moulding shaft-like in this hockey, with reference to the bougie type cylindrical structure of its head end,
So that the trachea cannula under indirect laryngoscope and direct laryngoscope eliminates the reliance on the auxiliary to tube core or bougie, the behaviour of intubation is facilitated
Make, improve success rate, while reducing the complication caused by auxiliary uses tube core or bougie.
Brief description of the drawings
Fig. 1 is the whole structure figure of bougie type tracheal catheter, and reference numerals and alphabetical position annotation are：1A, pipe are cylindrical
Cylinder, 1B, pipe inner cylinder, 2, conduit head end, 3, four bridge joints of crosses between aperture and hole, 4, body knee, 5, the body back of the body
Face hits exactly mark line, 6A, head end anterior angle, 6B, head end relief angle, 7, air bag, 8, preceding annular mark line, 9, rear annulet line, 10,
Body, 11, ventilating joint, 12, air bag gas injection port and pressure measurement capsule.
Fig. 2 is the partial schematic diagram of the front and back of bougie type tracheal catheter leading portion.
Fig. 3 is the side partial schematic diagram of bougie type tracheal catheter leading portion.
Fig. 4 is the preforming angle figure in bougie type tracheal catheter entirety side.
Fig. 5 is the constitutional diagram of bougie type tracheal catheter.
Specific embodiment
Bougie type tracheal catheter of the invention is mainly in the case where indirect laryngoscope (video laryngoscope) is used, in order to both solve
Certainly tracheal catheter insertion glottis is difficult and feeding tracheal strips are difficult, intubation is mitigated again and damage of the pipe to air flue is sent, while also making
Trachea cannula operation it is more simple and easy to do and design；Glottis appears under the bougie type tracheal catheter is also applied for direct laryngoscope
Intubation situation when difficult.Its innovation is that bougie type tip is in integrally shaft-like pre- moulding of hockey with conduit, and
Revolutionary outward turning 180 degree pipe conveying method.I.e. in the case where laryngoscope appears, by conduit curvature forward and up, bougie type head end insertion sound
Rotating side outside conduit side is pushed to tracheal strips behind the door, until outward turning 180 degree, it is seen that body back side center mark line is just being gone up (preceding)
Side, rear annulet line is at glottis mouth, and fixed tracheal catheter, in this position, the at this moment anterior bending of tracheal catheter is by forward
Backward, the dissection bending backward of glottis downtake is conformed exactly to, damage and pressure of the conduit in tracheal strips to tracheae antetheca is alleviated
Power.
Its Major Clinical advantage is：Tube core or bougie are independent of in indirect laryngoscope intubation, are made easy to operation；Solve
Insertion glottis solves the difficulty of feeding tracheae while difficult, improve successful intubation；Mitigate catheterization procedure and conduit fixes the phase
Between damage to air flue.The design of bougie type tracheal catheter is based on the deep understanding to Upper and lower airway S-shaped anatomical passageway, pin
The problem occurred to clinical video laryngoscope intubation, and by tube core, bougie guide cannula and double-cavity bronchial cannula three technology
Theory organically blends and produces.
Above is presently preferred embodiments of the present invention, all changes made according to technical solution of the present invention, produced function work
During with scope without departing from technical solution of the present invention, the protection of patent of the present invention is belonged to.
Claims (9)
1. bougie type tracheal catheter, including with head end (1,2), air bag (7), catheter body (10), the mark line at the top of cylinder
(5,8,9) and ventilating joint (11), it is characterised in that conduit uses the material on flexible soft ground, and can pre- plastotype；
The head end is characterised by what scarf of the blunt smooth cylinder of top circle with conduit head end from top to bottom was formed
Head end anterior angle (6A) overlapping transitional, cylinder first half protrusion forms pipe exterior circular column (1A) outside head end antetheca, later half
Portion's fusion Chong Die with head end antetheca inner face forms pipe inner cylinder (1B), and cylinder constitution is soft and moves towards one with conduit head end antetheca
Cause；The cylinder is that diameter is less than 4 millimeters, and length is 10-20 millimeters of cylinder.
2. bougie type tracheal catheter according to claim 1, its head end is characterised by pipe inner cylinder rear portion along conductor housing
End symmetrical four apertures in antetheca center line both sides simultaneously form cross bridge joint (3) between four holes, and hole diameter is 2.4~3.6mm,
Shape into oval, semiellipse, the bridge joint 1.2~2mm wide of stringer between hole, forward with pipe inner cylinder transition.
3. bougie type tracheal catheter according to claim 1, its head end is characterised by conduit head end lower section scarf and leads
Body forms obtuse angle (6B).
4. bougie type tracheal catheter according to claim 2, its balloon sites are characterised by front end abutment conduit head end four
The rear portion of individual aperture, 1 centimeters have the mark line around catheter body that two circles are spaced 2 centimetres, i.e., preceding annulet backward for rear end
Line (8) and rear annulet line (9)；The mark line around catheter body at 2 centimetres of the two circles interval is applied to adult type.
5. bougie type tracheal catheter according to claim 4, its catheter body is characterised by with two annular marks after air bag
The middle part for remembering line is the turning point of guiding-tube bend, makes the upward flexing of conduit into obtuse angle；The obtuse angle is 120 °~140 °.
6. bougie type tracheal catheter according to claim 1, its catheter body is characterised by that lower section center line has pipe from front to back
The body back side hits exactly mark line (5).
7. bougie type tracheal catheter according to claim 5, its catheter body is characterised by along preceding annular mark line to air bag
Body and conduit head end are upwarped slightly until the curvature of pipe exterior circular column top orientation is formed.
8. bougie type tracheal catheter according to claim 5, its catheter body is characterised by being led from after rear annulet line
Body is in line shape.
9. bougie type tracheal catheter according to claim 1, its catheter body is characterised by that integrally pre- plastotype is hockey stick to conduit
Club shape, catheter body is flexible.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310558147.8A CN104623781B (en) | 2013-11-12 | 2013-11-12 | Bougie type tracheal catheter |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310558147.8A CN104623781B (en) | 2013-11-12 | 2013-11-12 | Bougie type tracheal catheter |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104623781A CN104623781A (en) | 2015-05-20 |
| CN104623781B true CN104623781B (en) | 2017-06-16 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310558147.8A Active CN104623781B (en) | 2013-11-12 | 2013-11-12 | Bougie type tracheal catheter |
Country Status (1)
| Country | Link |
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| CN (1) | CN104623781B (en) |
Families Citing this family (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104857609A (en) * | 2015-06-03 | 2015-08-26 | 田鸣 | Novel trachea cannula |
| CN112546378B (en) * | 2020-12-08 | 2023-09-29 | 四川大学华西医院 | A plastic method for intubation fitting laryngoscope |
| CN113082430A (en) * | 2021-04-09 | 2021-07-09 | 重庆大学附属三峡医院 | Novel tracheal catheter |
| CN114366975A (en) * | 2022-03-02 | 2022-04-19 | 张翠霞 | Medical catheter |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4685457A (en) * | 1986-08-29 | 1987-08-11 | Donenfeld Roger F | Endotracheal tube and method of intubation |
| CN2553818Y (en) * | 2002-08-09 | 2003-06-04 | 张心中 | Disposable multifunction tracheal catheter |
| CN2664695Y (en) * | 2003-11-28 | 2004-12-22 | 李宪营 | Double airbag single chamber trachea intubatton |
| CN201020135Y (en) * | 2007-04-17 | 2008-02-13 | 王蓉 | Curvature adjustable tracheal catheter |
| CN202478361U (en) * | 2012-02-27 | 2012-10-10 | 王禄平 | Plastic endotracheal tube |
| CN203075402U (en) * | 2012-03-22 | 2013-07-24 | 田鸣 | Guiding type endotracheal tube |
Family Cites Families (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2307582Y (en) * | 1997-04-04 | 1999-02-17 | 邢群智 | Trachea cannula apparatus for anaesthesia |
| CN2491043Y (en) * | 2001-07-06 | 2002-05-15 | 闻金生 | Trachea cannula device |
| CN2698375Y (en) * | 2004-04-19 | 2005-05-11 | 张兰凤 | Stomach tube |
| CN200970412Y (en) * | 2006-11-24 | 2007-11-07 | 徐桂茹 | Trachea cannula leading device |
| CN201469853U (en) * | 2009-09-15 | 2010-05-19 | 赵荣银 | Pen point-type tracheal catheter |
| KR101274271B1 (en) * | 2011-04-28 | 2013-06-14 | 연세대학교 원주산학협력단 | An endotracheal tube with a curvature control device |
| US20120298112A1 (en) * | 2011-05-27 | 2012-11-29 | Larry Paskar | Endotracheal tube and stylet |
| CN202173662U (en) * | 2011-06-09 | 2012-03-28 | 易杰 | Improved double-cavity bronchial catheter |
-
2013
- 2013-11-12 CN CN201310558147.8A patent/CN104623781B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4685457A (en) * | 1986-08-29 | 1987-08-11 | Donenfeld Roger F | Endotracheal tube and method of intubation |
| CN2553818Y (en) * | 2002-08-09 | 2003-06-04 | 张心中 | Disposable multifunction tracheal catheter |
| CN2664695Y (en) * | 2003-11-28 | 2004-12-22 | 李宪营 | Double airbag single chamber trachea intubatton |
| CN201020135Y (en) * | 2007-04-17 | 2008-02-13 | 王蓉 | Curvature adjustable tracheal catheter |
| CN202478361U (en) * | 2012-02-27 | 2012-10-10 | 王禄平 | Plastic endotracheal tube |
| CN203075402U (en) * | 2012-03-22 | 2013-07-24 | 田鸣 | Guiding type endotracheal tube |
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| Publication number | Publication date |
|---|---|
| CN104623781A (en) | 2015-05-20 |
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Effective date of registration: 20210201 Address after: 205-a30, area B, 560 Luyuan South Street, Tongzhou District, Beijing Patentee after: Beijing mingdashu Medical Technology Co.,Ltd. Address before: 100050 Yongan Road, Xicheng District, Xicheng District, Beijing Patentee before: Tian Ming |
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| TR01 | Transfer of patent right |