CN108245755A - A kind of improved visual trachea cannula - Google Patents

A kind of improved visual trachea cannula Download PDF

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Publication number
CN108245755A
CN108245755A CN201810124094.1A CN201810124094A CN108245755A CN 108245755 A CN108245755 A CN 108245755A CN 201810124094 A CN201810124094 A CN 201810124094A CN 108245755 A CN108245755 A CN 108245755A
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China
Prior art keywords
accommodating cavity
trachea cannula
angle
tube body
photographic device
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CN201810124094.1A
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CN108245755B (en
Inventor
左明章
薛富善
王卫东
李宏博
张升炎
朱福斌
李芳柄
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ZHEJIANG UE MEDICAL CORP
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ZHEJIANG UE MEDICAL CORP
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    • 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
    • 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
    • A61B1/012Instruments 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 characterised by internal passages or accessories therefor
    • 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
    • A61B1/267Instruments 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 respiratory tract, e.g. laryngoscopes, bronchoscopes
    • 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
    • A61M2210/10Trunk
    • A61M2210/1025Respiratory system
    • A61M2210/1032Trachea

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pulmonology (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Physiology (AREA)
  • Otolaryngology (AREA)
  • Emergency Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Endoscopes (AREA)

Abstract

The present invention provides a kind of visual trachea cannula, the intubation includes tube body and cuff, the tube body includes flexible patient end, machine end and the tube chamber extended from patient end to machine end, the cuff is arranged on flexible patient end, and it is connected with charger, the tube body has angle, the inboard wall of tube body extended along angle proximal end offers accommodating cavity and irrigation channel, the openend of the accommodating cavity is concordant with angle proximal end, the irrigation channel is closed on and is spaced apart with accommodating cavity, photographic device built in the accommodating cavity, the photographic device is retracted inside relative to angle proximal end;The irrigation channel is provided with photographic device and the flushing hole connected with accommodating cavity.The soft advantage of flexible patient end is remained, while reaches visual effect.Meanwhile clean the significant effect of camera.

Description

A kind of improved visual trachea cannula
Technical field
The invention belongs to the field of medical instrument technology, and in particular to a kind of improved visual trachea cannula.
Background technology
Endotracheal intubation is robbed in general anesthesia operation or CPR and with the Severe acute disease patient of respiratory dysfunction The important method being commonly used in the process is rescued, key is how to improve and trachea cannula under fast and convenient oral direct-view And the success rate of difficult airway intubation, plain edition trachea cannula are needed when in use by the intubation Medical treatment devices such as optical wand or laryngoscope Tool tool, such intubation way is complicated for operation, time-consuming, increases the workload of doctor;Meanwhile laryngoscope and optical wand are to human body It damages larger, and effect of visualization cannot be reached, visible laryngoscope can only also observe oral cavity and glottis position, it is impossible to be fully achieved Visual effect, during operating cost, cost it is higher;Therefore it provides it is a kind of operation precisely it is quick, safe to use effectively, to tissue Damaging visual trachea cannula that is small and can providing the monitoring of overall process dynamic video is very important.
CN205683368U discloses a kind of visual trachea cannula, and camera, mesh are set on the front end face of arc body In preceding medical treatment, generally using top guide is intubated made of flexible material, avoid causing patient in catheterization procedure wound, but front end Face setting camera causes socket to be hardened, and weakens the advantage for even eliminating soft socket, and it is big to implement universal difficulty;It is intubated simultaneously There is oral cavity in process and the secretion of esophagus inevitably pollutes masking camera, it is difficult to reach visual effect.
Invention content
In order to solve problem above, present invention aims at a kind of improved visual trachea cannula is provided, which includes Tube body and cuff, the tube body includes flexible patient end, machine end and the tube chamber extended from patient end to machine end, described Cuff is arranged on flexible patient end, and is connected with charger, and the tube body has angle, in the tube body extended along angle proximal end Wall offers accommodating cavity and irrigation channel, and the openend of the accommodating cavity is concordant with angle proximal end, and the irrigation channel is with housing Chamber is closed on and is spaced apart, and photographic device built in the accommodating cavity, the photographic device is retracted inside relative to angle proximal end;Institute It states irrigation channel and is provided with photographic device and the flushing hole connected with accommodating cavity.Flexible patient end is combined with camera, While remaining the soft advantage of patient end;Ensure that camera view is clear in surgical procedure.
Preferably, the photographic device is camera, the camera is installed in accommodating cavity, and apart from angle proximal end 1~2mm.
Preferably, the irrigation channel bends 30 °~90 ° in the photographic device that is positioned against close to angle, to be formed For rinsing the vertical of photographic device or tilting flushing hole, the flushing hole and photographic device are substantially aligned.
Preferably, the intubation inner wall is installed with support spring.
Preferably, the accommodating cavity and irrigation channel inboard wall of tube body lateral gauge from for 1-2mm;Further, The irrigation channel bends 50 °~75 ° in the photographic device that is positioned against close to angle proximal end, forms inclining towards photographic device Oblique impact hole flushing.
Preferably, the intersection of the accommodating cavity openend and angle proximal end seamlessly transits, to form profile as ellipse The angle of shape.
Preferably, the photographic device further includes the wirning harness being connect with camera, the wirning harness part is through pipe Chamber, the USB joint of the wirning harness tail portion connection;The camera is equipped with LED light.
Preferably, the irrigation channel extends to the outside of tube body is connected with flush pipe and flush-through connection.
Preferably, patient end end side wall is equipped with Mo Feikong, the machine end of the intubation is equipped with connector.
It is a further object to provide a kind of visual trachea cannula system and display device, the camera passes through Imaging is sent to display device by wirning harness.
Compared with prior art, the invention has the advantages that:
1. trachea cannula provided by the invention is by flexible patient end, insertion operation is easy to be quick, while photographic device Positioned at inboard wall of tube body, and a small distance of retracting inside for angle proximal end, both remained the softness of flexible patient end While advantage, and the visual effect that can be optimal, the difficulty of intubation and the complexity of operation are reduced, does not need to be additional Laryngoscope is inserted into, mitigates the treatment pain of patient.
2. compared with existing flusher, the design of the A. inclination flushing holes is rushed completely in time with the liquid of few flow The sundries of photographic device is washed off, does not have residual;B. without the additional flushing mechanism of addition, ingehious design only is done in inboard wall of tube body, Portable construction greatly mitigates the pain of patient in therapeutic process.
3. disease population integrally using support spring, is avoided during surgical operation to sting for tube body or gas caused by doctor operates Cannula is bent, even if very big distortion occurs for tube body, can also ensure normal surgical operation.
4. the angle of intubation provided by the invention is oval, Portable power saving is inserted into, avoids the damage to tissue.
5. irrigation channel is separated by 1-2mm with accommodating cavity, at this point, the electric wire that can be connected to avoid flushing liquid to camera The corrosion of beam, and the stroke of flushing liquid can be reduced, ensure the momentum of flushing liquid, cleaning dynamics are big.
6. combined with display device so that can be clearly observed in clinical catheterization procedure glottis, epiglottis, oesophagus, The position of the tissues such as tracheae and bronchus can understand position and the fixed effect of intubation, greatly in real time by observing video image The big efficiency and success rate for improving intubation;It can not need to, using intubation optical wand and visible laryngoscope, reduce in catheterization procedure The difficulty of intubation and the complexity of operation.
Description of the drawings
Fig. 1 is the structure diagram of trachea cannula provided by the invention;
Fig. 2 is the partial enlarged view at Patients Underwent Endotracheal Intubation end provided by the invention;
Fig. 3 is the sectional view at Patients Underwent Endotracheal Intubation end provided by the invention;
Fig. 4 is the transverse cross-sectional view of trachea cannula tube body provided by the invention.
Specific embodiment
The present invention will be described in detail below in conjunction with the accompanying drawings.
1 visual trachea cannula 1 of embodiment
As shown in figures 1 and 3, a kind of visual trachea cannula, the intubation include tube body and cuff, and the tube body includes flexibility Patient end 1, machine end 3 and the tube chamber 2 extended from patient end 1 to machine end, the cuff 4 is arranged on flexible patient end 1, Inboard wall of tube body is equipped with filling channel, and filling channel is externally connected with pneumatic head in tube body, and the socket of the intubation (inclines for angle 8 Oblique opening), the angle end has proximal end 82 and distal end 81, the inboard wall of tube body extended along angle proximal end 82 to tube chamber head Adjacent but disconnected accommodating cavity 11 and irrigation channel 13 are opened up, the shape of tube body can make a variety of changes, illustrate such as Fig. 1 institutes Show, the tube chamber 2 is arc, and arc official jargon has opposite outer region 9 and inner region 10, accommodating cavity and irrigation channel It is arranged at the outer region 9 of tube chamber;In another example tube chamber is equally arc, but accommodating cavity and irrigation channel are arranged at periphery Region, then illustrate, the shape of tube chamber can be in some cases linear type, when setting support spring as in, can freely change pipe The shape of chamber, therefore tube body provided by the invention is applicable in the intubation of arbitrary shape.But for placing the accommodating cavity of camera 12 11 extend from the proximal end of angle 82, and this point is important, because existing visual intubation is mostly from the inboard wall of tube body of distal end extension Accommodating cavity is opened up, is inserted into the defects of head is hardened in this way, just inevitably resulting in, " outer region " in addition described herein is " interior All regions " and " proximal end " and " outer end " are not limited to a curved line or a nearest point, but one wide in range is determined Justice, such as proximal end distally refer to a region rather than a nearest or farthest point, as long as the invention of the present invention can be realized Purpose is within the scope of protection of the invention.Term as used herein " near " and " remote " are intended to have relative to user Reference point, " distal end " represents to be typically remote from the position, direction or direction of user, and term " proximal end " expression is generally directed toward use Position, direction or the direction of person.
11 built-in camera 12 of accommodating cavity, in order to ensure the visualization of camera 12, it is necessary to assure accommodating cavity 11 is Opening, accommodating cavity opening is consistent with angle opening direction, as shown in Fig. 2, accommodating cavity is extended along the proximal end 82 of angle, holds The proximal end that chamber open end is put with angle is concordant, this point no less important, because if place camera accommodating cavity opening with Camera is together toward a small distance is inside contracted, and during insertion, physiological tissue can also touch the rough part of angle, easily Wound is caused to sufferer.
Reach visualization, the distance that camera is open relative to accommodating cavity or angle proximal end is retracted inside cannot be too Greatly, research is found:When camera 12 is retracted 1~2mm inside relative to accommodating cavity openend, i.e., camera is relative to the near of angle End is equally the citing such as 1mm toward inside contracting 1~2mm, in this way, during implementing and being intubated, first, hard camera is not broken The soft advantage of bad angle, the defects of top guide will not being caused to be hardened because of the implantation of camera, clinical effectiveness is good;Secondly, visually It is optimal to change effect.In addition, the size of accommodating cavity is matched with the size of camera, there are many seating means, is glued including glue Accommodating cavity side wall is connected on, also can be such as clamped by other or screw fixes mode.Meanwhile camera can use transparent material Material package, avoids camera from directly being contacted with human secretion;In this way, remaining the flexible characteristic of flexible patient end, eliminate The defects of intubated patient end caused by existing visual camera device is hardened, and the visual effect that can be optimal.
As shown in Fig. 2, 11 open end of accommodating cavity is flushed with the proximal end profile of angle, it is non-bulging also not contract Into;In addition the accommodating cavity openend 110 is seamlessly transitted with 8 proximal edge intersection of angle, forms the socket being visually intubated Beveled 8 of the edge for ellipse, does not change soft angle advantage, retains its flexible patient end, and the light province of insertion process Power facilitates doctor to operate, and mitigates patient suffering.
As shown in Figure 1, further including the wirning harness 17 being connect with camera in accommodating cavity, 17 part of wirning harness is through pipe Chamber 2, the USB joint 18 of the wirning harness tail portion connection, to realize image transmitting function;The camera is equipped with light source, uses In illuminating glottis or facilitating camera shooting, in of the invention specific embodiment, the internal diameter size of the accommodating cavity is less than 0.5mm, the camera are the CMOS camera of fixed focal length, and light source uses LED light.Patient end end side wall is equipped with ink Fei Shi holes 19, the machine end 3 of the intubation are equipped with connector 31.
2 visual trachea cannula 2 of embodiment
The present embodiment provides one kind on the basis of embodiment 1 can keep camera clearly function at any time, such as Fig. 3 institutes Show, show patient end sectional view, in order to rinse camera, preferably irrigation channel 13 and the neighbouring setting of accommodating cavity 11 in end, Generally speaking " neighbouring " is referred to relative to inboard wall of tube body, adjacent and set but do not connect, i.e., they are to be separated by and set, at this It invents in the embodiment provided, accommodating cavity is 1-2mm in the distance that is spaced laterally apart of the inner wall of tube body inner region with irrigation channel, Irrigation channel 13 is provided with the flushing hole 14 that camera 12 bends and connected with accommodating cavity 11, punching close to the position of angle proximal end Hole flushing 14 is located at the end of irrigation channel 13, and is substantially flush with camera 12, and described be substantially flush refers to rinse to reach Effect, it is substantially flush.As shown in Figure 1, when irrigation channel 13 extends to tube body middle and upper part, connect outside tube body with irrigation channel What is connect has flush pipe 15 and flush-through connection 16, and the flush-through connection is used to connect the flushing devices such as syringe;In this way, it can keep away The corrosion for the wirning harness that flushing-free liquid connects camera, and the stroke of flushing liquid can be reduced, ensure rushing for flushing liquid Amount, cleaning dynamics are big.
In addition, flushing hole is carried out optimized design by the present inventor, find by screening test repeatedly, such as scheme Shown in 3, accommodating cavity 11 extends with irrigation channel 13 along lumen wall, and irrigation channel 13 is positioned against taking the photograph close to angle proximal end As head bends 30 °~90 °;Form two kinds of flushing holes at this time, relative to camera vertically and inclined flushing hole.In the present invention One optimize in embodiment, as shown in figure 3, being spaced laterally apart distance as 1.5- between accommodating cavity 11 and irrigation channel 13 1.6mm, irrigation channel 13 are bending 50 °~75 ° direction cameras 12 close to the position of angle, are being formed to rinse camera Tilt flushing hole 14.At this point, the gradient of flushing hole, which is compared, has other gradients or vertical flushing hole, have following bright Aobvious advantage:1. flushing strength is maximum, and rinses out the sundries of camera with the liquid or gas of few flow completely, do not have residual It stays;2. may be such that cleaning agent is directly toward camera direction, and the sundries of camera is directly rinsed out without any offset, 3. without the additional flushing mechanism of addition, ingehious design only is done in inboard wall of tube body, portable construction greatly mitigates and suffers from therapeutic process The pain of person.
In addition charger provided by the invention may include filling channel, inflating catheter 5, pilot balloon 6, single-phase valve 7 etc., Belong to the prior art.
3 visual trachea cannula 3 of embodiment
As shown in figure 4, the present embodiment in conjunction with the embodiments 1 and trachea cannula that provides of embodiment 2, while in trachea cannula Wall 21 coordinates existing trachea cannula, forms the trachea cannula that intensity is strengthened around inner wall inserting spring 20, can to avoid because Distortion or bending cause gas can not normal through risk, in addition can also play the role of support, can be selected on material Select the materials such as relatively soft material, such as PVC, silica gel.
4 visual trachea cannula system of embodiment
The USB joint of embodiment 1 or the visual trachea cannula of embodiment 2 is connect with display device, you can pass imaging It send to display device, realizes the visual effect in surgical procedure.

Claims (10)

1. a kind of improved visual trachea cannula, which includes tube body and cuff (4), and the tube body includes flexible patient end (1), machine end (3) and the tube chamber (2) extended from patient end (1) to machine end (3), the cuff (4) are arranged on flexible disease People end, and it is connected with charger, it is characterised in that:The tube body has angle (8), the tube body extended along angle proximal end (82) Inner wall offers accommodating cavity (11) and irrigation channel (13), and the openend (110) of the accommodating cavity is concordant with the proximal end of angle, institute It states irrigation channel (13) to close on and be spaced apart with accommodating cavity (11), photographic device built in the accommodating cavity (11), the camera shooting Device is retracted inside relative to angle proximal end;The irrigation channel (13) be provided with photographic device (12) and with accommodating cavity (11) The flushing hole (14) of connection.
2. improved visual trachea cannula according to claim 1, it is characterised in that:The photographic device is camera, The camera (12) is installed in accommodating cavity (11), and apart from (82) 1~2mm of angle (8) proximal end.
3. improved visual trachea cannula according to claim 1, it is characterised in that:The irrigation channel (13) is close The photographic device that is positioned against of angle (8) bends 30 °~90 °, is rushed with being formed for rinsing the vertical of photographic device or tilting Hole flushing, the flushing hole (14) and photographic device (12) are substantially aligned.
4. improved visual trachea cannula according to claim 1, it is characterised in that:The intubation inner wall (21) is equipped with bullet Spring (20).
5. improved visual trachea cannula according to claim 3, it is characterised in that:The accommodating cavity exists with irrigation channel Inboard wall of tube body is spaced laterally apart distance as 1-2mm;Preferably, the irrigation channel (13) is positioned against close to angle proximal end Photographic device bends 50 °~75 °, forms the inclination flushing hole towards photographic device.
6. improved visual trachea cannula according to claim 2, it is characterised in that:The accommodating cavity openend (110) It is seamlessly transitted with the intersection of angle proximal end, to form angle of the profile as ellipse.
7. improved visual trachea cannula according to claim 2, it is characterised in that:The photographic device is further included and is taken the photograph As the wirning harness (17) that head connects, for the wirning harness (17) partly through tube chamber, the wirning harness tail portion connects USB joint (18);The camera is equipped with LED light.
8. improved visual trachea cannula according to claim 1, it is characterised in that:The irrigation channel is outside tube body Extension is connected with flush pipe (15) and flush-through connection (16).
9. improved visual trachea cannula according to claim 1, it is characterised in that:Patient end end side wall is equipped with Mo Feikong (19), the machine end of the intubation are equipped with connector (3).
10. a kind of visual trachea cannula system, it is characterised in that:The system comprises described in claim 1 to 9 any one Visual trachea cannula and display device.
CN201810124094.1A 2018-02-07 2018-02-07 Improved visual trachea cannula Active CN108245755B (en)

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Cited By (9)

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CN109045430A (en) * 2018-08-15 2018-12-21 广州圣犹达生物科技有限公司 A kind of visual trachea cannula
CN109350818A (en) * 2018-10-23 2019-02-19 广州圣犹达生物科技有限公司 A kind of visual Dual-channel tracheal cannula
CN109513083A (en) * 2018-12-18 2019-03-26 北京大学第三医院 A kind of tracheae tube core and automatic endotracheal intubation system
CN109621117A (en) * 2018-12-21 2019-04-16 广州源临医疗器械有限公司 A kind of laryngeal mask with electronics pressure test device
CN110215182A (en) * 2019-06-04 2019-09-10 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 A kind of multifunctional visible laryngoscope
CN112076371A (en) * 2019-06-13 2020-12-15 张立伟 Full-time image monitoring endotracheal tube with built-in image endoscope
CN113598692A (en) * 2021-09-15 2021-11-05 中国科学院长春光学精密机械与物理研究所 Chamber mirror camera lens washing unit
CN113647889A (en) * 2021-09-15 2021-11-16 中国科学院长春光学精密机械与物理研究所 Disposable multipurpose sleeve for endoscope
CN114028683A (en) * 2021-12-06 2022-02-11 中国人民解放军中部战区总医院 First-aid catheter based on real-time image radian adjustment and first-aid intubation method

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109045430A (en) * 2018-08-15 2018-12-21 广州圣犹达生物科技有限公司 A kind of visual trachea cannula
CN109350818A (en) * 2018-10-23 2019-02-19 广州圣犹达生物科技有限公司 A kind of visual Dual-channel tracheal cannula
CN109513083A (en) * 2018-12-18 2019-03-26 北京大学第三医院 A kind of tracheae tube core and automatic endotracheal intubation system
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