CN106110463A - A kind of visual scalable band cuff nasopharyngeal air duct device and using method - Google Patents

A kind of visual scalable band cuff nasopharyngeal air duct device and using method Download PDF

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Publication number
CN106110463A
CN106110463A CN201610692116.5A CN201610692116A CN106110463A CN 106110463 A CN106110463 A CN 106110463A CN 201610692116 A CN201610692116 A CN 201610692116A CN 106110463 A CN106110463 A CN 106110463A
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CN
China
Prior art keywords
cuff
tube chamber
ventilation
ventilation tube
air duct
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.)
Pending
Application number
CN201610692116.5A
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Chinese (zh)
Inventor
王晓亮
鲍红光
尹加林
张勇
谢欣怡
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Nanjing First Hospital
Original Assignee
Nanjing First Hospital
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Filing date
Publication date
Application filed by Nanjing First Hospital filed Critical Nanjing First Hospital
Priority to CN201610692116.5A priority Critical patent/CN106110463A/en
Publication of CN106110463A publication Critical patent/CN106110463A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0461Nasoendotracheal tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/233Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the nose, i.e. nasoscopes, e.g. testing of patency of Eustachian tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0618Nose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0625Mouth
    • A61M2210/065Throat; Pharynx

Abstract

The present invention relates to a kind of visual scalable band cuff nasopharyngeal air duct device and using method, including ventilation interface, pharynx end, ventilation tube chamber, cuff gas injection port, cuff, the minisize pick-up head of band cold light source, data and power line, minisize pick-up head is arranged on breather intracavity, and minisize pick-up head is connected with data and power line.Ventilation tube chamber one end is provided with ventilation interface, and the ventilation tube chamber other end is pharynx end, and ventilation official jargon outer wall is provided with cuff at pharynx end, and ventilation tube chamber is provided with cuff gas injection port, and cuff gas injection port is connected with cuff;Described breather cavity outer wall is provided with scale.The invention have the advantage that simple in construction, respiratory tract are more unimpeded, ventilation contact surface is big, simple to operate, meet every patient's personal characteristics, there is visuality, little to patient trauma, its front end will not stimulate epiglottis and the glottis of patient, avoid patient reflux occurs and inhales by mistake, reduce because using nasopharyngeal air duct induction laryngospasm, threaten the situation of patient vitals's safety to occur.

Description

A kind of visual scalable band cuff nasopharyngeal air duct device and using method
Technical field
The present invention relates to medical auxiliary apparatus, particularly relate to a kind of visual scalable band cuff nasopharyngeal air duct device and Using method.
Background technology
Nasopharyngeal air duct (Nasopharyngeal airway), also referred to as nasopharyngeal airway (Nasopharyngeal Tube), it is the outer breather of glottis of a kind of simple and convenient, is used for releasing Upper respiratory tract obstruction, keeps airway patency.Exist at present The doctor of the clinical departments such as Anesthesia Department, Respiratory Medicine, ICU and emergency department and nurse are frequently as airway management auxiliary implement.At present The most widely used nasopharyngeal air duct is mainly single nostril type, and it is generally made up of medical PVC material, transparent and quality Close to common endotracheal tube, profile is similar to the endotracheal tube of a ting model, is about about 15cm, and its airway has certain arc Degree, its pharynx end angle is shorter and blunt circle, and without cuff, its nose has the edge of a wing protruded, for preventing nasopharyngeal air duct Nose falls into nasal cavity.The model of nasopharyngeal air duct is relevant to its internal diameter and length, generally represents model with internal diameter millimeter.Nose Preferable para-position after pharynx airway puts people is: after the nasal cavity of patient is inserted into pharyngeal cavity, and pharynx end is positioned at the outer 0.5cm of glottis.As This para-position can support pharynx rear wall, thus releases Upper respiratory tract obstruction, keeps airway patency.Due to nasopharyngeal air duct length ratio Its pipe diameter has prior meaning, generally, adult male Fr30~34 (i.e. ID 7.5~8.5mm), grows up Women selects Fr 24~28 (i.e. ID 6.0~7.0mm), and children's then selects the shortest soft nasopharyngeal air duct.
Be primarily present some problem following: 1. but its length is not to be suitable for everyone, length is long, then stimulate throat Portion, causes a series of complication such as nausea and vomiting, laryngospasm, and length is too short, then cannot release blocking of upper respiratory tract.The most sometimes The soft tissue of hypertrophy is attached to swallow rear wall, blocks nasopharyngeal air duct, it is impossible to keep airway patency.The most single passage is the most not Logical, then cannot ventilate.
Summary of the invention
For overcoming the deficiencies in the prior art, it is an object of the invention to provide a kind of visual scalable band cuff nasopharynx ventilation Duct device and using method, it is achieved that nasopharyngeal air duct individuation, visual under promptly and accurately adjust, be more beneficial for the mesh of ventilation 's.
For achieving the above object, the present invention is achieved through the following technical solutions:
A kind of visual scalable band cuff nasopharyngeal air duct device, including ventilation interface, pharynx end, ventilation tube chamber, cuff Gas injection port, cuff, the minisize pick-up head of band cold light source, data and power line, ventilation tube chamber one end is provided with ventilation interface, breather The chamber other end is pharynx end, and ventilation official jargon outer wall is provided with cuff at pharynx end, and ventilation tube chamber is provided with cuff gas injection port, and cuff is noted QI KOU is connected with cuff;Described breather cavity outer wall is provided with scale;Minisize pick-up head is arranged on breather intracavity, miniature Photographic head is connected with data and power line.
Described ventilation interface is positioned at outside nasal cavity.
Being provided with scale outside described ventilation tube chamber one end, scale is initial with the ventilation tube chamber other end, opens at 10cm Begin to indicate.
Described ventilation tube chamber one end is provided with the foldable structure of adjustable length.
Also including that steel wire, described breather cavity wall are provided with a blind hole vertically, steel wire one end is ferrule arrangement, steel wire The other end inserts blind hole, and ferrule arrangement reaches outside ventilation interface.
Described pharynx end is round and smooth structure.
Described breather cavity wall is provided with gas port vertically, and gas port one end connects with cuff gas injection port, the other end It is connected with cuff.
The using method of a kind of visuality scalable band cuff nasopharyngeal air duct device, comprises the following steps:
1) steel wire is inserted blind hole, then the pharynx end of ventilation tube chamber is inserted cavum nasopharyngeum, the round and smooth knot of pharynx end through nostril, side Structure do not damage pharyngeal on the premise of, smoothly ventilation tube chamber is placed in cavum nasopharyngeum, judges ventilation the stretching into of tube chamber according to scale Length;
2) by cuff gas injection port to sleeve bag gas-filling, if patient feels ventilation, tube chamber does not puts in place, then by cuff gas injection port To cuff deflation, then proceeding to force and make pharynx end stretch into cavum nasopharyngeum, until patient feels that ventilation tube chamber puts in place, ventilation tube chamber puts in place Give sleeve bag gas-filling afterwards, make ventilation tube chamber be fixed on cavum nasopharyngeum, then take out steel wire;
3) if until ventilation interface is resisted against at nostril, patient still feels that ventilation tube chamber does not puts in place, the most hand-held steel wire Ferrule arrangement, to pharynx end force, utilizes steel wire to extend foldable structure, until ventilation tube chamber puts in place, to sleeve bag gas-filling, makes breather Chamber is fixed on cavum nasopharyngeum, then takes out steel wire;
4) if the pharynx end of ventilation tube chamber is during cavum nasopharyngeum is inserted in nostril, side, need to observe bottleneck throat, utilize logical Trachea intracavity minisize pick-up head, is delivered to outside ventilation tube chamber by data wire by bottleneck throat image, by the USB of data wire end Interface connects display terminal, it is achieved the accurately position of nasopharyngeal air duct in display placement process, keeps the unobstructed of patient respiration road.
Compared with prior art, the invention has the beneficial effects as follows:
Simple in construction, respiratory tract are more unimpeded, ventilation contact surface is big, simple to operate, meet every patient's personal characteristics, right Patient trauma is little, and its front end will not stimulate epiglottis and the glottis of patient, it is to avoid patient occurs reflux and inhales by mistake, reduces because using nose Pharynx airway induction laryngospasm, threatens the situation of patient vitals's safety to occur.Soundd out by foldable structure and pharynx end is placed in nasopharynx Chamber, it is achieved that nasopharyngeal air duct length can adjust, meets every patient's own characteristic, and respiratory tract is more unobstructed.Front end images Head, the position of visualization location nasopharyngeal air duct.Pharynx end uses round and smooth structure, it is to avoid injured patient's is pharyngeal.Use front end ripple Shape wave cuff gas injection, can make pars oralis pharyngis tissue lift, and increases pars oralis pharyngis space, prevents clogs airways and airway, more Be conducive to patient ventilating.Scale is set, medical personnel can be facilitated to operate, it is simple to that observes pharynx end stretches into degree, is particluarly suitable for There is no the emergency of fluoroscopic apparatus.
Accompanying drawing explanation
Fig. 1 is the structural representation of the present invention.
Fig. 2 is the Fig. 1 sectional view along line A-A.
Fig. 3 is the internal structure schematic diagram of the present invention.
Fig. 4 is the I portion enlarged drawing of Fig. 3.
In figure: 1-ventilation interface 2-pharynx end 3-ventilation tube chamber 4-adjustable mechanism 5-cuff gas injection port 6-cuff 7- Steel wire 8-blind hole 9-gas port 10-minisize pick-up head 11-data and power line.
Detailed description of the invention
Below in conjunction with Figure of description, the present invention is described in detail, it should be noted that the enforcement of the present invention does not limits In following embodiment.
See Fig. 1-Fig. 4, a kind of visual scalable band cuff nasopharyngeal air duct device, including ventilation interface 1, pharynx end 2, lead to Trachea chamber 3, cuff gas injection port 5, cuff 6, the minisize pick-up head 10 of band cold light source, data and power line 11, tube chamber 3 one end of ventilating Being provided with ventilation interface 1, ventilation tube chamber 3 other end is pharynx end 2, and ventilation official jargon outer wall is provided with cuff 6 at pharynx end 2, breather Chamber 3 is provided with cuff gas injection port 5, and cuff gas injection port 5 is connected with cuff 6;Described ventilation tube chamber 3 outer wall is provided with scale. Minisize pick-up head 10 is arranged in ventilation tube chamber 3, and minisize pick-up head 10 is connected with data and power line 11.
Wherein, ventilation interface 1 is positioned at outside nasal cavity, plays the effect limiting nasopharyngeal air duct setting position.Ventilation tube chamber 3 one Being provided with scale outside end, scale is initial with ventilation tube chamber 3 other end, starts to indicate at 10cm.
Ventilation tube chamber 3 one end is provided with the foldable structure 4 of adjustable length.Ventilation tube chamber 3 inwall is provided with a blind hole vertically 8, steel wire 7 one end is ferrule arrangement, and steel wire 7 other end inserts blind hole 8, and it is outside that ferrule arrangement reaches ventilation interface 1.Pharynx end 2 For round and smooth structure, it is to avoid damage cavum nasopharyngeum when stretching into cavum nasopharyngeum.Ventilation tube chamber 3 inwall is provided with gas port 9, gas port 9 vertically One end connects with cuff gas injection port 5, and the other end is connected with cuff 6.
Ventilation tube chamber 3 length 0-20cm, indexing at 10cm, 10cm, 10.5cm, 11cm, 11.5cm ... 20cm, its Middle 14cm-20cm uses adjustable and retractable, during enforcement, is 14mm-20mm, in placement process when foldable structure is fully deployed In, if patient without nausea and vomiting, choke and cough, ventilation is good, and registered depth is fixed on nasopharynx airway device at nostril, reality The principle of existing nasopharyngeal air duct individuation.
Ventilation tube chamber 3 other end is provided with cuff 6, plays a supporting role, cuff 6 be shaped as three-dimensional wave, see Fig. 2, By cuff gas injection port 5 to cuff 6 gas injection, the space of pars oralis pharyngis can be increased, be more beneficial for ventilation.
The using method of scalable band cuff nasopharyngeal air duct device, comprises the following steps:
1) steel wire 7 is inserted blind hole 8, then the pharynx end 2 of ventilation tube chamber 3 is inserted cavum nasopharyngeum, the circle of pharynx end 2 through nostril, side Slipped Clove Hitch structure do not damage pharyngeal on the premise of, smoothly ventilation tube chamber 3 is placed in cavum nasopharyngeum, according to scale judge ventilation tube chamber 3 Built-in length;
2) inflating to cuff 6 by cuff gas injection port 5, if patient feels ventilation, tube chamber 3 does not puts in place, then by cuff gas injection Mouth 5 exits to cuff 6, then proceedes to force and makes pharynx end 2 stretch into cavum nasopharyngeum, until patient feels that ventilation tube chamber 3 puts in place, and breather Chamber 3 is inflated to cuff 6 after putting in place, makes ventilation tube chamber 3 be fixed on cavum nasopharyngeum, then takes out steel wire 7;
3) if until ventilation interface 1 is resisted against at nostril, patient still feels that ventilation tube chamber 3 does not puts in place, the most hand-held steel wire 7 Ferrule arrangement to pharynx end 2 exert a force, utilize steel wire 7 to extend foldable structure 4, until ventilation tube chamber 3 put in place, inflate to cuff 6, make Ventilation tube chamber 3 is fixed on cavum nasopharyngeum, then takes out steel wire 7.
4) if the pharynx end 2 of ventilation tube chamber 3 is during cavum nasopharyngeum is inserted in nostril, side, need to observe bottleneck throat, utilize Minisize pick-up head 10 in ventilation tube chamber 3, is delivered to, by bottleneck throat image, tube chamber 3 outside of ventilating by data wire, by data line end The usb 12 in portion connects display terminal, it is achieved the accurately position of nasopharyngeal air duct in display placement process, keeps patient respiration Road unobstructed.
The present invention uses by cuff gas injection port 5 after cuff 6 gas injection, and cuff 6 can be played a supporting role, and expands pars oralis pharyngis Space, will not increase the external diameter of ventilation tube chamber 3, is more beneficial for ventilation;Cuff gas injection port 5 is stretched out from ventilation tube chamber 3 sidewall, makes Cuff 6 is kept apart with ventilation tube chamber 3, does not interacts when inserting nasopharyngeal air duct.This apparatus structure is simple, tract is unimpeded, Ventilation contact surface is big, simple to operate, and little to patient trauma, its front end will not stimulate epiglottis and the glottis of patient, it is to avoid Bing Renfa Raw reflux and by mistake suction, reduce because using nasopharyngeal air duct induction laryngospasm, threaten the situation that patient vitals is safe to occur.

Claims (8)

1. a visuality scalable band cuff nasopharyngeal air duct device, it is characterised in that include ventilate interface, pharynx end, ventilation Tube chamber, cuff gas injection port, cuff, the minisize pick-up head of band cold light source, data and power line, ventilation tube chamber one end is provided with ventilation and connects Mouthful, the ventilation tube chamber other end is pharynx end, and ventilation official jargon outer wall is provided with cuff at pharynx end, and ventilation tube chamber is provided with cuff gas injection Mouthful, cuff gas injection port is connected with cuff;Described breather cavity outer wall is provided with scale;Minisize pick-up head is arranged on breather Intracavity, minisize pick-up head is connected with data and power line.
The visual scalable band cuff nasopharyngeal air duct device of one the most according to claim 1, it is characterised in that described Ventilation interface be positioned at outside nasal cavity.
The visual scalable band cuff nasopharyngeal air duct device of one the most according to claim 1, it is characterised in that described Ventilation tube chamber one end outside be provided with scale, scale with ventilation the tube chamber other end be initial, start at 10cm sign.
The visual scalable band cuff nasopharyngeal air duct device of one the most according to claim 1, it is characterised in that described Ventilation tube chamber one end be provided with the foldable structure of adjustable length.
The visual scalable band cuff nasopharyngeal air duct device of one the most according to claim 1, it is characterised in that also wrap Including steel wire, described breather cavity wall is provided with a blind hole vertically, and steel wire one end is ferrule arrangement, and the steel wire other end inserts blind Hole, ferrule arrangement reaches outside ventilation interface.
The visual scalable band cuff nasopharyngeal air duct device of one the most according to claim 1, it is characterised in that described Pharynx end be round and smooth structure.
The visual scalable band cuff nasopharyngeal air duct device of one the most according to claim 1, it is characterised in that described Breather cavity wall be provided with gas port vertically, gas port one end connects with cuff gas injection port, and the other end is connected with cuff.
8. according to the use of a kind of visuality scalable band cuff nasopharyngeal air duct device described in claim 1-7 any one Method, it is characterised in that comprise the following steps:
1) steel wire inserting blind hole, then through nostril, side, the pharynx end of ventilation tube chamber is inserted cavum nasopharyngeum, the round and smooth structure of pharynx end exists Do not damage pharyngeal on the premise of, smoothly ventilation tube chamber is placed in cavum nasopharyngeum, according to scale judge ventilation tube chamber built-in length;
2) by cuff gas injection port to sleeve bag gas-filling, if patient feels ventilation, tube chamber does not puts in place, then give set by cuff gas injection port Capsule exit, then proceed to force and make pharynx end stretch into cavum nasopharyngeum, until patient feel ventilate tube chamber put in place, ventilation tube chamber put in place after to Sleeve bag gas-filling, makes ventilation tube chamber be fixed on cavum nasopharyngeum, then takes out steel wire;
3) if until ventilation interface is resisted against at nostril, still sensation ventilation tube chamber does not puts in place, the ferrule arrangement of the most hand-held steel wire To pharynx end force, utilize steel wire to extend foldable structure, until ventilation tube chamber puts in place, to sleeve bag gas-filling, make ventilation tube chamber be fixed on Cavum nasopharyngeum, then takes out steel wire;
4) if the pharynx end of ventilation tube chamber is during cavum nasopharyngeum is inserted in nostril, side, need to observe bottleneck throat, utilize breather Intracavity minisize pick-up head, is delivered to outside ventilation tube chamber by data wire by bottleneck throat image, by the USB interface of data wire end Connect display terminal, it is achieved the accurately position of nasopharyngeal air duct in display placement process, keep the unobstructed of patient respiration road.
CN201610692116.5A 2016-08-19 2016-08-19 A kind of visual scalable band cuff nasopharyngeal air duct device and using method Pending CN106110463A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610692116.5A CN106110463A (en) 2016-08-19 2016-08-19 A kind of visual scalable band cuff nasopharyngeal air duct device and using method

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106512170A (en) * 2016-12-12 2017-03-22 山东省千佛山医院 Comfortable-to-use irritation-reduction trachea cannula
CN114886363A (en) * 2022-05-10 2022-08-12 湖南省华芯医疗器械有限公司 Endoscope butt joint structure, endoscope handle and endoscope

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2608028Y (en) * 2003-03-21 2004-03-31 天津医科大学口腔医院 Tracheal tube with telescopic bellows
CN201414982Y (en) * 2009-05-19 2010-03-03 吴春林 Multifunctional tracheal tube
CN203227170U (en) * 2013-03-13 2013-10-09 陈志彪 Tracheal intubation capable of real-timely monitoring total airway
CN206152039U (en) * 2016-08-19 2017-05-10 南京市第一医院 Scalable area cover bag nasopharynx air vent device

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2608028Y (en) * 2003-03-21 2004-03-31 天津医科大学口腔医院 Tracheal tube with telescopic bellows
CN201414982Y (en) * 2009-05-19 2010-03-03 吴春林 Multifunctional tracheal tube
CN203227170U (en) * 2013-03-13 2013-10-09 陈志彪 Tracheal intubation capable of real-timely monitoring total airway
CN206152039U (en) * 2016-08-19 2017-05-10 南京市第一医院 Scalable area cover bag nasopharynx air vent device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106512170A (en) * 2016-12-12 2017-03-22 山东省千佛山医院 Comfortable-to-use irritation-reduction trachea cannula
CN114886363A (en) * 2022-05-10 2022-08-12 湖南省华芯医疗器械有限公司 Endoscope butt joint structure, endoscope handle and endoscope

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Application publication date: 20161116