Multitube laryngeal mask
Technical field
The present invention relates to a kind of airway device, and multiple passages beyond main channel are mainly added on laryngeal mask, make it
Respiratory tract and alimentary canal disposal are done in the case where not disturbing ventilatory conditions, makes can both to have ensured sufferer respiratory function during treatment or can allow intervention
Device smoothly passes in and out.
Background technology
Laryngeal mask be it is a kind of stretch into after throat can rapidly and accurately with tracheae close to contraposition upper respiratory tract sound door device,
The sense of discomfort of patient and the other location contacts of throat can be reduced when flexible touch can be provided, being used.General laryngeal mask is with single material
Material is made, but multiple contact point tolerances in throat are different, may damage.In the larynx disclosed by patent CN2728531Y
Hood structure is to be adapted to each contact point of throat to be made of a variety of materials, as shown in figure 8, principal character includes:With body A mono-
The expanding part B of connection is held, its front end forms a slice shape, and expanding part B leading edges are provided with a protruded stigma C, prolonged in body A end
Stretch to form extension edge;The soft supporter D of one ring-type, around being incorporated into around expanding part B, set in the soft supporter D of the ring-type
There is a piece of supporting pad E;One flexible gum cover F, the tension force that there is stickiness and expanded when inflating, by expanding part B, supporter D and support
It is integral to pad E claddings, forms laryngeal mask.
Clinically introscope often is used as respiratory tract, digestive tract examining, but in recent years not only in terms of inspection, also increasingly
It is usually used on interventional therapy.During general endoscopy, because the time is shorter, generally only with simple airway management equipment example
Such as:Nasal cannula oxygen supply, occasionally there is breathing to stop but be unlikely to cause sufferer anoxic.Endoscopy does treatment simultaneously and may require that now
Compare more operating times, intervention action thus need to be anaesthetized to sufferer, if therefore non-device airway management equipment for example:Endotracheal tube
Or laryngeal mask, have the risk for causing sufferer anoxic.It is using endotracheal tube because invasive higher, there is larger risk, general disease
Suffer from and medical personnel are unwilling to use;General laryngeal mask cover body is too big, can block esophageal orifice, should not make when alimentary canal is disposed
With;Separately there is a kind of laryngeal mask with gastric tube passageway, though can enter stomach with smaller introscope, passage can not accommodate disposal
It is equipped with introscope and disposal.
It is that cover body is too big, body is more straight, can block esophageal orifice the problem of laryngeal mask at present, makes limited space, after inserting laryngeal mask
It is difficult to introscope is inserted into, and the Carynx cover structure disclosed by patent CN2728531Y can avoid blocking because cover body is smaller
Esophageal orifice, but it is more inconvenient or need to use Occluding device to be snapped into prevent introscope when operating.Using after Occluding device and need
Laryngeal mask edge is found out in oral cavity and esophagus could be entered by laryngeal mask edge, therefore not only oral cavity space is reduced, even more in increase
Visor and the risk of mucous membrane friction, also increase are moved to the risk of laryngeal mask.Therefore in order to ensure laryngeal mask airway and mucosa lesions are reduced,
Situation above should be improved.
In patent CN202314783U laryngeal mask for upper gastrointestinal endoscopy and patent CN201727823U double air passage
All it is that the pipeline for passing through endoscopy is put in laryngeal mask body in laryngeal mask, the method can cause several defects, including:It is interior
Visor passage is adjacent with corrugated hose, causes passage and pipeline to interact, channel sized is restricted;When operating introscope,
Introscope operating space must be restricted by laryngeal mask cover body;Introscope operation needs direction of rotation, can be because logical in passage
Road angle of bend and be limited;, can because laryngeal mask cover body and body are connected and laryngeal mask can be driven to move during operation introscope disengaging
Laryngeal mask gas leakage probability can be caused to improve.The design is to avoid analogue, therefore instrument channel independently of respiratory siphon.
The content of the invention
The problem of upper was used to improve laryngeal mask, invention emphasis should be put at two, one is expands available space, if will pipe
Body is flexible by being directly changed to, and cover body is changed to only to cover glottis, then Occluding device or bite-block are otherwise replaced, you can allows
Go out more rear space;Two be to reduce when introscope enters oral cavity and rubbed caused by mucous membrane, prevents mucosa lesions, can be in cover body
Peripheral hardware elasticity and soft passage, tubular device or intervention device is facilitated to pass in and out;Therefore reach instrument channel and respiratory siphon is not mutual
Mutually disturb.
The purpose of the present invention is that the Carynx cover structure disclosed by airway device patent CN2728531Y is improved, in this larynx
The device moved admittedly and the device for strengthening body firmness degree are protected in increase in hood structure, are further added by one and be can ensure that ventilation and can
The passage for entering introscope or intervention device, make smooth can both to ventilate or introscope or intervention device can be allowed smoothly to enter during treatment
Go out.
A kind of multitube laryngeal mask is provided, including:Flexible main body tube, for lung ventilation, which is provided with anti-skidding anti-bite
Device;The one or more that multitube laryngeal mask is additionally included under the situation for not influenceing main body tube ventilation, allows various apparatuses conveniently to operate
It is soft again can free bend deformation extra autonomous channel, the autonomous channel is connected to covers edge.
Preferably, described main pipe one end connection expanding part, expanding part front end form a slice shape, before expanding part
Edge is provided with a protruded stigma;The end of main pipe extends to form extension edge, and extension edge bottom is provided with a horn-like outlet and pressed close at glottis;
A threaded hard tube is cased with main body tube, a threaded flexible pipe is set again on screw thread hard tube, screw thread hard tube and soft
Pipe forms anti-skidding anti-bite device.
Preferably, described main body tube expanding part is provided with multiple air-vents.
Preferably, there is the circular lines of plural number on described screw thread hard tube, circular lines is vertical with body.
Preferably, described screwed hose is provided with a semicylinder and connected plural lines, semicylinder and pipe
Body is parallel.
Preferably, the plural lines on described screwed hose is in tortuous bow shape, and vertical with body.
Preferably, in addition to a cover body, it can cover glottis and only account for the oropharynx space of less than half, be one independent
Unit;Cover body includes the soft supporter of a ring-type, and the soft supporter of ring-type surround and is incorporated into around expanding part, the soft branch of ring-type
A piece of supporting pad is set in support body, and expanding part, supporting pad and supporter are overmolding to by a flexible gum cover with stickiness and tension force
One.
Preferably, described supporting pad is provided with multiple air-vents.
Preferably, described extra autonomous channel is resilient channels, and material is softer, can be with used device in passage
Tool changes shape, and resilient channels are connected or penetrated with cover body peripheral part independently of main body tube.
Preferably, described resilient channels can be fabricated to tubulose.
Preferably, described resilient channels can be fabricated to coil paper shape.
Preferably, described resilient channels are provided with a harder hollow tubular thing.
The present invention provides a kind of multitube laryngeal mask, one is laryngeal mask is in integrally hook solid, including one is used for lung ventilation
Main body tube, main body tube is flexible so that closer to glottis cover body rear can be made to be allowed in throat when entering patient's throat
Go out more space, so as to various apparatus pipelines by when can reduce interference, while reduction is moved to cover body and causes gas leakage;The second is
Main body tube is provided with anti-skidding anti-bite device to reinforce main body tube, such as a threaded hard tube can be covered on main body tube, with generation
For Occluding device or bite-block, a threaded flexible pipe is set to reduce and pass in and out it in oral cavity to anti-skidding again on this screw thread hard tube
During its intervention device, the risk of laryngeal mask body is moved to, it is preferred that screw thread hard tube is provided with the circular lines of plural number, plural line
Road is vertical with body, and screwed hose is provided with a semicylinder and connected plural lines, the semicylinder on screwed hose with
Body is parallel, and the plural lines on screwed hose is in tortuous bow shape, and vertical with body;The third is the connection of main pipe one end extends out
Portion, multiple air-vents can be provided with expanding part, expanding part front end forms a slice shape, and the expanding part leading edge is provided with a protruded stigma,
Extend to form extension edge in the end of main pipe, extension edge lower end forms horn-like outlet, directly corresponds to glottis mouth, makes respiratory siphon
Closer to respiratory tract, reach the oxygen supply that more effective ventilation ensures sufferer;The fourth is multitube laryngeal mask is additionally provided with a cover body, it can
Cover glottis and only account for the oropharynx space of less than half, be a separate unit, cover body includes the soft supporter of a ring-type, and ring-type is soft
Matter supporter is surround and is incorporated into around expanding part, and a piece of supporting pad is set in the soft supporter of ring-type, and one has stickiness with opening
The flexible gum cover of power coats expanding part, supporting pad and supporter integrally, forms independent ventilation road, avoids setting additional channels
When ventilation is influenceed in instrumentation, multiple air-vents can be provided with supporting pad.
Multitube laryngeal mask separately has the passage of one or more elastomeric flexibles, and resilient channels are independently of main body tube, with cover body week
Part is enclosed to be connected or penetrate, with being rubbed caused by mucous membrane when resilient channels can reduce introscope or intervening equipment enters oral cavity, energy
Mucosa lesions are prevented, while facilitate intervention device repeatedly to pass in and out.Resilient channels, which are located at by flexible gum cover or penetrated, shrinks in gum cover,
Resilient channels can with multitube laryngeal mask simultaneously into patient oral cavity, thereby passage for various tubular devices by reach esophagus
In, various inflatable shapes are made in resilient channels, such as coil paper shape, tubulose, so that pipeline disengaging is not by volumetric constraint;Coil paper shape bullet
A harder hollow tubular thing can be also provided with property passage, coil paper shape passage is strutted, uses expansion pipe passage.
Resilient channels are made using soft material, the apparatus arbitrary motion that can allow in passage or change angle or curve, no
It can produce as apparatus is limited the awkward situation of operating in rigid passage.And the only zonule of front end one of resilient channels and laryngeal mask cover
Body connects, and the ventilation of respiratory siphon is not interfered with during apparatus in operating walk way, therefore the oxygen supply safety of sufferer is more secure.
In addition, when being such as put into thinner and not firm soft apparatus in resilient channels, can be first put into resilient channels
A harder pipe, thin and unsubstantial apparatus can be passed through from hard tube.
Another situation is, it is necessary to is intervened from corrugated hose, resilient channels can be changed over breathing during such case
Pipeline, then by passing through from corrugated hose apparatus.In this embodiment, resilient channels are set and are formed directly into laryngeal mask body, from
Resilient channels are ventilated.Convenient in order to be ventilated from resilient channels, expanding part and elastomeric pad are provided with multiple perforation, allow gas can be from this
A little perforation enter in glottis and air flue.
Brief description of the drawings
Refer to the attached drawing is best understood from the present invention, in the accompanying drawings:
Fig. 1, Fig. 2 are overall schematics of the present invention;
Fig. 3 is the crosscutting profile of one embodiment of the present invention;
Fig. 4 is the present invention secondly the crosscutting profile of embodiment;
Fig. 5 is the present invention thirdly the crosscutting profile of embodiment;
Fig. 6 is the crosscutting profile of its four embodiment of the invention;
Fig. 7 is the side schematic view of embodiment of the present invention;
Fig. 8 is the Carynx cover structure stereo appearance figure continued to use.
Description of reference numerals:Main pipe 1;Expanding part 11;Protruded stigma 111;Air-vent 112;Extend edge 12;Supporter 2;Support
Pad 3;Air-vent 31;Flexible gum cover 4;Side perforation 41;Screw thread hard tube 5;Screw thread 51;Screwed hose 6;Screw thread lines 61;Right cylinder
Body 62;Resilient channels 7;Tubular elastomeric passage 71;Coil paper shape resilient channels 72;Hollow and hard pipe 73;Body A;Expanding part B;Protruded stigma
C;The soft supporter D of ring-type;Supporting pad E;Flexible gum cover F;Gastroscope G.
Embodiment
Refering to Fig. 1 and the present invention illustrated in Figure 2, laryngeal mask mainly includes the expanding part 11 of the one end of a main pipe 1, expanding part
It is provided with multiple air-vents 112, its expanding part front end forms a slice shape, and the expanding part leading edge is provided with a protruded stigma 111, and under
Side extends to form horn-like body extension edge 12 in the end of main pipe 1;The soft supporter 2 of one ring-type, extended out around being incorporated into
Around portion, a piece of supporting pad 3 is provided with the soft supporter 2 of the ring-type;One flexible gum cover 4, when it has stickiness with supplying to inflate
The tension force of expansion, expanding part, supporting pad 3 and supporter 2 are coated integrally, and supporting pad 3 is provided with multiple air-vents 31.Should
The middle of laryngeal mask main pipe 1 is cased with a screw thread hard tube 5, and its screw thread 51 is that a circle vertical with hard tube encloses circular lines, its lines
For plural number.A screwed hose 6 is also cased with this screw thread hard tube 5, there is screw thread lines 61 and the straight cylinder to connect 62, screw thread line on pipe
There is male and fomale(M&F) on road 61, with straight cylinder 62 in vertical direction and screw thread lines 61 for plural number;Screw thread hard tube can replace Occluding device or tooth
Pad, screwed hose can be used to anti-skidding, reduce when passing in and out other intervention devices in oral cavity, are moved to the risk of laryngeal mask body.
As shown in Fig. 3, Fig. 4, Fig. 5, the present invention is in tubulose or coil paper shape of the side of gum cover 4 of stretching provided with a phase same material
Resilient channels 7, and laryngeal mask main pipe 1 is set to hook solid, middle covers a threaded hard tube 5, about 1- on main pipe 1
3 centimeter lengths, then a flexible pipe 6 for having screw thread lines, about 7-10 centimeter lengths are set on this screw thread hard tube 5.Resilient channels can subtract
With being rubbed caused by mucous membrane when few introscope or intervening equipment enter oral cavity, mucosa lesions can be prevented, while facilitate intervention device
Repeatedly disengaging.
As shown in Fig. 3, Fig. 4, Fig. 5, Fig. 6, the flexible side of gum cover 4 links place with resilient channels 7, and resilient channels 7 are
10-20 centimeter lengths, to facilitate introscope or intervening equipment to pass in and out.A kind of embodiment is that tubular conduit 71 is a tubulose, another
Embodiment is coil paper shape 72, passage can be paved or rolled, and tubular conduit is similar to after rolling, and in another embodiment,
Web-like channel center can place into a hollow and hard pipe 73;Also a kind of embodiment is that resilient channels 7 can be by the side of gum cover 4 of stretching
Perforation 41 enters in gum cover;Another embodiment is then that the embodiment of described above can all exist simultaneously.
By taking the disposal of gastroscope Interventional as an example, refering to Fig. 7, when using the multitube laryngeal mask of the present invention, in sufferer anesthesia induction
Afterwards, by correct position in laryngeal mask sufferer throat, respiratory system pipe is connected into main body pipe joint, the incidence of sufferer backward
Face upward, throat, oral cavity and mouth (face) are in a straight line, test and are confirmed whether smoothly to ventilate, then introscope is passed through in oral cavity
The resilient channels at place are put into sufferer esophagus, are thereby performed and are checked or treat.Gastroscope can pass in and out in resilient channels if necessary, keep away
Exempt from because gastroscope, which repeatedly passes in and out, causes mucosa lesions.