CN108452419A - It checks and uses airway management device - Google Patents

It checks and uses airway management device Download PDF

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Publication number
CN108452419A
CN108452419A CN201810275772.4A CN201810275772A CN108452419A CN 108452419 A CN108452419 A CN 108452419A CN 201810275772 A CN201810275772 A CN 201810275772A CN 108452419 A CN108452419 A CN 108452419A
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China
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pipe
breathing suppotion
cover
breathing
outer tube
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CN201810275772.4A
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Chinese (zh)
Inventor
熊振天
陈中书
高宏
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Individual
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Individual
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Priority to CN201810275772.4A priority Critical patent/CN108452419A/en
Publication of CN108452419A publication Critical patent/CN108452419A/en
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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
    • A61M16/0434Cuffs
    • A61M16/044External cuff pressure control or supply, e.g. synchronisation with respiration
    • 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
    • A61B1/24Instruments 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 mouth, i.e. stomatoscopes, e.g. with tongue depressors; Instruments for opening or keeping open the mouth
    • 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
    • A61B1/2676Bronchoscopes
    • 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
    • A61B1/273Instruments 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 upper alimentary canal, e.g. oesophagoscopes, gastroscopes
    • A61B1/2736Gastroscopes
    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84Drainage tubes; Aspiration tips
    • 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
    • A61M16/0463Tracheal tubes combined with suction tubes, catheters or the like; Outside connections
    • 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
    • A61M16/0486Multi-lumen tracheal 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/049Mouthpieces
    • A61M16/0495Mouthpieces with tongue depressors

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pulmonology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Emergency Medicine (AREA)
  • Radiology & Medical Imaging (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Otolaryngology (AREA)
  • Physiology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Endoscopes (AREA)

Abstract

The present invention relates to a kind of inspection airway management devices comprising struts cover, for liquid to be attracted to the suction tube gone out and for the Breathing Suppotion pipe of Breathing Suppotion, the tail end of suction tube, which stretches into, to be strutted in cover for strut bottleneck throat formation operation space;The tail end of Breathing Suppotion pipe, which is located at, to be strutted in cover, and Breathing Suppotion pipe tail end is adjustable positioned at the length strutted in cover;Breathing Suppotion pipe is located at the tail end strutted in cover and is enclosed with Breathing Suppotion air bag, and the Breathing Suppotion air bag is connected to the breathing bag gas tube for being inflated to the Breathing Suppotion air bag;It struts and also sets up the operation mirror merging positioning port for allowing operation mirror merging on cover, operation mirror is stretched by operation mirror merging positioning port and strutted in cover.The present invention can meet the placement and operation of bronchoscope, gastroscope etc., avoid saliva from sucking complication caused by lung, can fast implement Breathing Suppotion in emergency situations, easy to use, securely and reliably.

Description

It checks and uses airway management device
Technical field
The present invention relates to a kind of managing device, especially a kind of check to use airway management device, belongs to the skill of medical instrument Art field.
Background technology
Fiberoptic bronchoscopy is an important means for diagnosing respiratory disease, has been widely used in clinic. Fiberoptic bronchoscopy can be visually known trachea-bronchial epithelial cell lesion, bronchoscope takes tissue biopsy, can also directly carry out one A little row clinical treatments.Since fiberoptic bronchoscopy is a very strong store period of irritation, bronchoscope is to glottis Patient is easy to cause with bronchial intense stimulus to choke cough and restless, it may appear that the generation of the events such as cycle disorder, anoxic.In the past Patient is difficult to be resistant under surface anesthesia, and especially infant is difficult to complete to operate, and inspection is often made to suspend or interrupt.Only with vein Anesthesia can cause different degrees of respiration inhibition to patient, be susceptible to hypoventilation, and blood oxygen saturation declines, and fiber crops easily occur Outside the signs of getting drunk.
In recent years using standard laryngeal mask is first placed under Intravenous Anesthesia, branchofiberoscope is then inserted by laryngeal mask and is carried out The method of inspection is clinically to be generalizable, but one of the original intention that laryngeal mask is born is to mitigate caused by trachea cannula Airway damage, existing laryngeal mask can not continue to supply oxygen when being inserted into branchofiberoscope to patient, therefore clinically patient holds Easily there is anoxic, make inspection operation disruption, need to first pull out bronchoscope and patient is rescued, emergency measures is that merging injection is exhaled The injection breathing of suction pipe row, or directly trachea cannula row mechanical ventilation.Present emergency measures wastes time longer, increases patient Risk and pain.Clinic needs a kind of more quickly and easily backup breaths emergency measures.
In addition, in bronchoscopy, since patient swallows suppressed, it is susceptible to saliva sucking lung, is caused tight The complication of weight, this dangerous situation are also required to effective saliva and cleaning measure are attracted to be prevented.
Invention content
The purpose of the present invention is overcoming the deficiencies in the prior art, a kind of inspection airway management device is provided, It is compact-sized, the placement and operation of bronchoscope, gastroscope etc. can be met, avoid saliva from sucking complication caused by lung, tight Breathing Suppotion can be achieved under anxious state, it is easy to use, securely and reliably.
According to technical solution provided by the invention, described check uses airway management device, including is used to strut bottleneck throat shape Cover is strutted at operating space, for liquid to be attracted to the suction tube gone out and for the Breathing Suppotion pipe of Breathing Suppotion, is attracted The tail end of pipe, which stretches into, to be strutted in cover;The tail end of Breathing Suppotion pipe be located at struts in cover, and Breathing Suppotion pipe tail portion be located at strut cover Interior length is adjustable;The operation mirror merging positioning port for being also set up on cover and allowing to operate mirror merging is strutted, operation mirror is by operating mirror Merging positioning port, which can stretch into, to be strutted in cover.
Outer tube is set on strutting cover, and Breathing Suppotion pipe is placed in outer tube, and the tail end of Breathing Suppotion pipe is from housing It is located at after being pierced by pipe and struts in cover, Breathing Suppotion pipe can moves in outer tube along the length direction of outer tube, Breathing Suppotion When pipe moves in outer tube, Breathing Suppotion pipe tail portion can be adjusted and be located at the length strutted in cover.
The head end of the Breathing Suppotion pipe is located at outside outer tube, the head end setting breathing connector of Breathing Suppotion pipe, breathing Pore is supported in the tail end setting of stay pipe, and the support pore penetrates through Breathing Suppotion pipe, and Breathing Suppotion air bag is located at stay pipe Between hole and the end of outer tube.
The suction hole of the tail end setting perforation suction tube of the suction tube, the head end setting of suction tube attract connector, inhale It is connected by baffle between the head end and outer tube of skirt.
The operation mirror merging positioning port includes middle part merging positioning port and side merging positioning port, middle part merging positioning For mouth between suction tube and Breathing Suppotion pipe, side merging positioning port is located at suction tube, the corresponding outside of Breathing Suppotion pipe;Behaviour Include bronchoscope or gastroscope as mirror.
Further include sealed bladder, the sealed bladder along the inner surface distribution for strutting cover, sealed bladder be used to fill sealed bladder The sealed bladder gas tube of gas is connected to and in communication with, and sealed bladder gas tube sealing valve is arranged on sealed bladder gas tube.
Further include the angle adjusting mechanism for adjusting Breathing Suppotion pipe tail angle, can be adjusted by angle adjusting mechanism Breathing Suppotion pipe tail portion is strutting the angle in cover.
The angle adjusting mechanism includes the angular adjustment monomer air bag for being set to Breathing Suppotion pipe tail end, the angle tune It saves monomer air bag and is used to connect the angular adjustment monomer airbag inflation pipe that the angular adjustment monomer air bag is inflated, institute It states and also sets up angular adjustment monomer airbag inflation pipe sealing valve on angular adjustment monomer airbag inflation pipe;Pass through angular adjustment monomer It, can be so that the tail end tilting angle of Breathing Suppotion pipe becomes larger when airbag inflation pipe is to angular adjustment monomer airbag aeration;Pass through angle It, can be so that the tail end of Breathing Suppotion pipe tilts angle change when degree adjusts monomer airbag inflation pipe to angular adjustment monomer air bag deflation It is small.
Further include the spatula being connect with outer tube, suction tube, the spatula, which is located at, struts cover, and spatula is along attraction The length direction distribution of pipe, outer tube.
Further include that can make patient oral cavity and the distracted ability to speak dilator of tooth, the ability to speak dilator be sheathed on suction tube, Outer tube, on ability to speak dilator setting allow the first tooth socket of side dental articulation and permission corresponding with first tooth socket The second tooth socket of offside dental articulation.
Advantages of the present invention:Bottleneck throat can be strutted by strutting cover, can be attracted by suction tube and be strutted, in operating process Liquid avoids accidentally being sucked lung, and Breathing Suppotion pipe can be moved strutting cover, in case of emergency, utilize Breathing Suppotion pipe Play the role of tracheal catheter, realizes Breathing Suppotion;Operation mirror is strutted by operating mirror merging positioning port merging in cover, thus into The required operation of row, can meet the placement and operation of bronchoscope, gastroscope etc., avoid saliva from sucking concurrent caused by lung Disease can realize Breathing Suppotion in emergency situations, easy to use, securely and reliably.
Description of the drawings
Fig. 1 is the structural diagram of the present invention.
Fig. 2 is that the schematic diagram of angular adjustment monomer air bag is arranged in the tail end of Breathing Suppotion pipe of the present invention.
Fig. 3 is the schematic diagram of present invention setting spatula.
Fig. 4 is a kind of implementation schematic diagram of angle adjusting mechanism of the present invention.
Fig. 5 is the schematic diagram of present invention setting ability to speak dilator.
Fig. 6 is the schematic diagram of ability to speak dilator of the present invention.
Fig. 7 is the side view of ability to speak dilator of the present invention.
Reference sign:1- breathes connector, 2- breathing bags gas tube, 3- breathing gas tubes sealing valve, 4- breathings Stay pipe, 5- baffles, 6- attract connector, 7- suction tubes, 8- outer tubes, 9- to strut body, the middle parts 10- merging positioning port, the sides 11- Wall merging positioning port, 12- suction holes, 13- Breathing Suppotions air bag, 14- support pore, 15- to strut membrane body, 16- angular adjustment lists Body air bag, 17- angular adjustment monomers airbag inflation pipe, 18- angular adjustment monomer airbag inflation pipes sealing valve, 19- spatulas, The first air bag of 20- angular adjustments binary, the second air bag of 21- angular adjustments binary, 22- abilities to speak dilator, 23- occlusion portion of upper body, 24- occlusions lower body, 25- connecting lateral plates, 26- side plates connection locating piece, 27- locking racks, 28- first are nested with connecting leg, 29- the Two are nested with connecting leg, 30- locking teeths, 31- connections locking body, the second tooth socket of the first tooth sockets of 32- and 33-.
Specific implementation mode
With reference to specific drawings and examples, the invention will be further described.
As shown in Figure 1:In order to meet the placement and operation of bronchoscope, gastroscope etc., saliva sucking lung is avoided to cause Complication, can realize that Breathing Suppotion, the present invention include the support for strutting bottleneck throat formation operation space in emergency situations Open cover 9, for liquid to be attracted to the suction tube 7 gone out and for the Breathing Suppotion pipe 4 of Breathing Suppotion, the tail end of suction tube 7 is stretched Enter to strut in cover 9 and the setting of the tail end of suction tube 7 penetrates through the suction hole 12 of suction tube 7;The tail end of Breathing Suppotion pipe 4, which is located at, to be strutted In cover 9, and 4 tail end of Breathing Suppotion pipe is adjustable positioned at the length strutted in cover 9;Breathing Suppotion pipe 4 is located at the tail end strutted in cover 9 Be enclosed with Breathing Suppotion air bag 13, the Breathing Suppotion air bag 13 with for exhaling what the Breathing Suppotion air bag 13 was inflated Suction air gas tube 2 is connected to;The operation mirror merging positioning port for being also set up on cover 9 and allowing to operate mirror merging is strutted, operation mirror passes through Operation mirror merging positioning port, which stretches into, to be strutted in cover 9.
Specifically, cover 9 is strutted in hood-like, cover 9 is strutted and may be used and meet the material of medical standard and be made, and strutting cover 9 can Using the mask body shape of existing laryngeal mask or using hood-like structure made of medical adhesive, can specifically be selected as needed, Bottleneck throat formation operation space is strutted as long as can realize.The tail end of suction tube 7, which stretches into, to be strutted in cover 9, and suction tube 7 is passed through Suction hole 12 liquid strutted in cover 9 can be sucked out under the action of negative pressure, avoid liquid from being caused by accidentally sucking lung serious Complication.The liquid that suction tube 7 attracts includes sputum or saliva etc..
The tail end of Breathing Suppotion pipe 4, which also is located at, to be strutted in cover 9, the head end of Breathing Suppotion pipe 4 and the equal position of head end of suction tube 7 In strutting the same side outside cover 9, the head end of Breathing Suppotion pipe 4 is in parallelly distribute on the head end of suction tube 7.Breathing Suppotion air bag 13 Positioned at the tail end of Breathing Suppotion pipe 4, Breathing Suppotion air bag 13, which is located at, to be strutted in cover 9, can be to breathing by breathing bag gas tube 2 Airbag support 13 is inflated.Operation mirror is stretched by operation mirror merging positioning port and is strutted in cover 9, to the behaviour needed for realization Make.
When being operated, Breathing Suppotion can be carried out using Breathing Suppotion pipe 4, that is, does not interfere with the operation of operation mirror, and While Breathing Suppotion, operation mirror are operated, attraction operation can also be carried out.When specifically used, strut cover 9 and be located at glottis Mouthful, when in case of emergency, the tail end of Breathing Suppotion pipe 4 can be placed in air flue, Breathing Suppotion pipe 4 is by Breathing Suppotion The effect that tracheal catheter can be served as under the cooperation of air bag 13 implements Breathing Suppotion, really again without that will strut after cover 9 etc. exits The reliability in operating process has been protected, has been reduced to the damage in patient's operating process.
Further, outer tube 8 is set on strutting cover 9, and Breathing Suppotion pipe 4 is placed in outer tube 8, and Breathing Suppotion pipe 4 tail end is located at after being pierced by out of outer tube 8 to be strutted in cover 9, and Breathing Suppotion pipe 4 can be along the length of outer tube 8 in outer tube 8 Direction moves, and Breathing Suppotion pipe 4 when movement, can adjust 4 tail end of Breathing Suppotion pipe and be located at the length strutted in cover 9 in outer tube 8 Degree.
In the embodiment of the present invention, in order to realize that 4 tail end length of Breathing Suppotion pipe is strutting the adjustable of cover 9, need supportting Setting outer tube 8 on cover 9 is opened, outer tube 8 is strutting outside cover 9, and outer tube 8 can be in parallel strutting outside cover 9 with suction tube 7 Distribution, Breathing Suppotion pipe 4 are placed in outer tube 8, by movement of the Breathing Suppotion pipe 4 in outer tube 8, can realize Breathing Suppotion 4 tail end of pipe is strutting the length adjustment in cover 9.When it is implemented, the outer diameter of Breathing Suppotion pipe 4 is adapted to the internal diameter of outer tube 8, Breathing Suppotion pipe 4 when movement, needs to realize under the effect of external force in outer tube 8, after applied external force removes, breathing Stay pipe 4 is stably held in outer tube 8.Certainly, the end of outer tube 8, which can also be stretched into, struts in cover 9, can also be by normal Breathing Suppotion pipe 4 and outer tube 8 are kept stablizing by interim retention mechanism, and the specific constructive form of temporary securing mechanism can be with It is selected as needed, details are not described herein again.
Further, the head end of the Breathing Suppotion pipe 4 is located at outside outer tube 8, the head end setting breathing of Breathing Suppotion pipe 4 Pore 14 is supported in the tail end setting of connector 1, Breathing Suppotion pipe 4, and the support pore 14 penetrates through Breathing Suppotion pipe 4, and breathes Airbag support 13, which is located at, to be supported between pore 14 and the end of outer tube 8.
In the embodiment of the present invention, the head end of Breathing Suppotion pipe 4 can be with the breathings branch such as jet ventilator by breathing connector 1 Holding equipment connects, and Breathing Suppotion equipment realizes Breathing Suppotion by the way that oxygen to be sent into Breathing Suppotion pipe 4.Breathing Suppotion pipe 4 with When outer tube 8 coordinates, Breathing Suppotion air bag 13 is located at outside the end of outer tube 8, and Breathing Suppotion air bag 13, which is located at, supports pore 14 Between the end of outer tube 8, that is, support pore 14 closer to the tail end of Breathing Suppotion pipe 4.
When it is implemented, the head end setting of the suction tube 7 attracts connector 6, between the head end and outer tube 8 of suction tube 7 It is connected by baffle 5.In the embodiment of the present invention, suction tube 7 is by attracting connector 6 that can connect with external vacuum suction equipment It connects, suction tube 7 is connect by baffle 5 with outer tube 8, can make the holdings such as the position of suction tube 7, outer tube 8 steady by baffle 5 It is fixed.
Breathing gas tube sealing valve 3 for closing breathing bag gas tube 2 is set on the breathing bag gas tube 2. In the embodiment of the present invention, the inflation/deflation to Breathing Suppotion air bag 3 can be realized by airbag inflation pipe 2, after inflation/deflation, led to Airbag inflation pipe 2 can be blocked by crossing breathing gas tube sealing valve 3, it is ensured that Breathing Suppotion air bag 13, which can be stablized, is in corresponding state.
Further, the operation mirror merging positioning port includes middle part merging positioning port 10 and side merging positioning port 11, middle part be placed in positioning port 10 positioned at suction tube 7 and Breathing Suppotion pipe 4 between, side be placed in positioning port 11 be located at suction tube 7, The corresponding outside of Breathing Suppotion pipe 4;It includes bronchoscope or gastroscope to operate mirror.
In the embodiment of the present invention, strut cover 9 into similar triangular shape, i.e., it is similar with the shape of existing laryngeal mask, it is of course also possible to It using other shapes, struts on cover 9 setting and struts membrane body 15, strut membrane body 15 and be covered in and strut on cover 9, middle part merging positioning 10 perforation of mouth struts membrane body 15, and being respectively provided with side in the outside of suction tube 7, Breathing Suppotion pipe 4 is placed in positioning pipe 11, and operation mirror can It is strutted in cover 9 with passing through middle part merging positioning port 10 or the side merging merging of positioning pipe 11, operation mirror merging struts in cover 9, has The implementation operating process of body is consistent with the prior art, and details are not described herein again.When operating mirror using bronchoscope, gastroscope, have There is video capability, therefore, in case of emergency, when Breathing Suppotion pipe 4 is placed in air flue, the video of operation mirror can be utilized to assist Carry out the process that Breathing Suppotion pipe 4 is placed in air flue, it is ensured that be placed in the reliability of air flue.In case of emergency when Breathing Suppotion, exhale The effect of Breathing Suppotion air bag 13 is consistent with the existing air bag of tracheal catheter end on suction stay pipe 4, and details are not described herein again.
In addition, further include sealed bladder, the sealed bladder along the inner surface distribution for strutting cover 9, sealed bladder be used for close The sealed bladder gas tube of encapsulated inflation is connected to and in communication with, and sealed bladder gas tube sealing valve is arranged on sealed bladder gas tube.By close Encapsulated gas tube can be inflated sealed bladder, can be sealed by sealed bladder and strut 9 medial surface of cover and the contact at glottis position is close Feng Xing.
In addition, further including the angle adjusting mechanism for adjusting 4 tail angle of Breathing Suppotion pipe, pass through angle adjusting mechanism 4 tail portion of Breathing Suppotion pipe can be adjusted and strutting the angle in cover 9.
In the embodiment of the present invention, the angle adjusting mechanism includes the angle for adjusting 4 tail end angle of Breathing Suppotion pipe Adjust monomer air bag 16, as shown in Figure 2, wherein the angular adjustment monomer air bag 16 with for the angular adjustment monomer The angular adjustment monomer airbag inflation pipe 17 that air bag 16 is inflated connects, on the angular adjustment monomer airbag inflation pipe 17 also Angular adjustment monomer airbag inflation pipe sealing valve 18 is set;By angular adjustment monomer airbag inflation pipe 17 to angular adjustment monomer It, can be so that the close inner wall for strutting cover 9 of the tail end of Breathing Suppotion pipe 4 when air bag 16 is inflated.
In the embodiment of the present invention, the angular adjustment monomer air bag 16 is fixed on the tail end of Breathing Suppotion pipe 4, and angle tune Section monomer air bag 16 is located at Breathing Suppotion pipe 4 far from the side for strutting 9 inner wall of cover.When passing through angular adjustment monomer airbag inflation pipe When 17 pairs of angular adjustment monomer air bags 16 are inflated for deflated, can the angle that the tail end of Breathing Suppotion pipe 4 tilts be become larger or be become smaller, It is convenient when urgent easily to carry out Breathing Suppotion to adapt to the demand of merging patient's glottis;Specifically, pass through angular adjustment It, can be so that the tail end of Breathing Suppotion pipe 4 tilts angle change when monomer airbag inflation pipe 17 inflates angular adjustment monomer air bag 16 Greatly;When deflating to angular adjustment monomer air bag 16 by angular adjustment monomer airbag inflation pipe 17, it can make Breathing Suppotion pipe 4 Tail end tilts angle and becomes smaller.Usually, angular adjustment monomer air bag 16 is in non-inflated state, when need adjust Breathing Suppotion pipe When 4 angle, just need to be inflated angular adjustment monomer air bag 16, to not interfere with the work of Breathing Suppotion air bag 13 State.
As shown in figure 4, implementing schematic diagram for the another of angle adjusting mechanism of the present invention, wherein angle adjusting mechanism packet The first air bag of angular adjustment binary 20 and the second air bag of angular adjustment binary 21 are included, it is double that Breathing Suppotion pipe 4 is located at angular adjustment The engaging portion of the first air bag of body 20 and the second air bag of angular adjustment binary 21, the first air bag of angular adjustment binary 20, angular adjustment The outer wall of the second air bag of binary 21 is fixedly connected with Breathing Suppotion pipe 4.Certainly, the first air bag of angular adjustment binary 20, angle The second air bag of binary 21 is adjusted also to be correspondingly connected with corresponding binary airbag inflation pipe, it can be right by corresponding binary airbag inflation pipe The first air bag of angular adjustment binary 20, the second air bag of angular adjustment binary 21 carry out independent inflation/deflation, specific inflation/deflation process Known to those skilled in the art.When Breathing Suppotion pipe 4 is adjusted, according to the requirement of angular adjustment, to angle tune The first air bag of section binary 20 and/or the second air bag of angular adjustment binary 21 are inflated, and utilize the first air bag of angular adjustment binary Inflated condition between 20 and the second air bag of angular adjustment binary 21 effectively realizes the angular adjustment to 4 tail end of Breathing Suppotion pipe.When So, in the specific implementation, angle adjusting mechanism can also use the form needed for other, can specifically be selected as needed It selects, as long as the adjusting of 4 tail angle of Breathing Suppotion pipe can be realized, specifically repeats no more.
As shown in figure 3, further including the spatula 19 being connect with outer tube 8, suction tube 7, the spatula 19, which is located at, to be strutted The outside of cover 9, and spatula 19 is distributed along the length direction of suction tube 7, outer tube 8.In the embodiment of the present invention, spatula 19 can To be in straight trip plate or arc plate, the length of spatula 19 is less than the length of outer tube 8, suction tube 7, and spatula 19 will not Influence the merging and operation of operation mirror.After will strut the merging bottleneck throat of cover 9, tongue can be pushed down by spatula 19, avoid tongue Head is rolled close to maxilla, to not interfere with the operation of operation mirror etc..
Further include that can make patient oral cavity and the distracted ability to speak dilator 22 of tooth in order to enable increasing the opening degree of oral area, The ability to speak dilator 22 is sheathed on suction tube 7, outer tube 8, on ability to speak dilator 22 setting allow the of side dental articulation One tooth socket 32 and second tooth socket of permission offside dental articulation corresponding with first tooth socket 32 33.
In the embodiment of the present invention, ability to speak dilator 22 is located at the outside for strutting cover 9, and ability to speak dilator 22 is set in suction tube 7 on outer tube 8, and ability to speak dilator 22 is located at baffle 5 and struts between cover 9.When strutting the merging bottleneck throat of cover 9, patient's The ability to speak dilator 22 can be placed and be bitten to tooth, and the opening journey of patient's oral area can be controlled using the thickness of ability to speak dilator 22 Degree.First tooth socket 32 and the second tooth socket 33 are set on ability to speak dilator 22, and the first tooth socket 32, the second tooth socket 33 are with patient's The adaptations such as tooth improve the adaptability of occlusion so that the tooth of patient is effectively placed on the first tooth socket 32, in the second tooth socket 33.
It is a kind of implementation structural schematic diagram of ability to speak dilator 22 as shown in Fig. 5, Fig. 6 and Fig. 7, wherein the ability to speak support Open device 22 include occlusion portion of upper body 23 and with the occlusion lower body 24 that be adapted to of occlusion portion of upper body 23, be engaged portion of upper body 23 and Occlusion lower body 24 can enclose box-like or box-like structure type, be engaged portion of upper body 23 and be engaged between lower body 24 and can mutually move It is dynamic, occlusion portion of upper body 23 be engaged between lower body 24 after relative movement, the thickness for enclosing box-like or box like structure can be adjusted, when After dental articulation is on the ability to speak dilator 22, the stretching degree of patient's oral area can be effectively adjusted.When it is implemented, the first tooth Slot 32 is set on occlusion portion of upper body 23, and the second tooth socket 33 is located in occlusion lower body 24, and the first tooth socket 32 is in occlusion portion of upper body It is uniformly distributed on 23, the second tooth socket 33 is uniformly distributed in occlusion lower body 24.
Occlusion portion of upper body 23 can be sleeved on the cavity being enclosed between lower body 24 is engaged on suction tube 7 and outer tube 8, In addition, in order to the convenient cooperation with suction tube 7, outer tube 8, in occlusion portion of upper body 23 setting first be nested with connecting leg 28 and Second is nested with connecting leg 29, is nested with connecting leg 28 by first, second is nested with connecting leg 29 and can be respectively fitted over suction tube 7, on outer tube 8, And occlusion portion of upper body 23 is nested with connecting leg 28 by first, second is nested with connecting leg 29 and can be moved on suction tube 7, outer tube 8, is engaged Portion of upper body 23 is after suction tube 7, outer tube 8 move, and occlusion lower body 24 can follow occlusion portion of upper body 23 to move, to adapt to not Dental articulation in the case of needs.
In addition, also setting up connection locking body 31 on occlusion portion of upper body 23, top can will be engaged by connecting locking body 31 Body 23 is mutually locked with suction tube 7, outer tube 8, to ensure the Stability and dependability during dental articulation.Certainly, specifically When implementation, first be nested with connecting leg 28, second be nested with connecting leg 29 can also be arranged occlusion lower body 24 in, specifically can be according to need It is selected, details are not described herein again.
Further, in order to realize occlusion portion of upper body 23 and be engaged being mutually shifted between lower body 24, it is being engaged lower body Side plate is set on 23 and connects locating piece 26, setting side plate connects positioning port in the side plate connection locating piece 26;It is engaged lower body 24 there is connecting lateral plate 25, connecting lateral plate 25 can penetrate in the side plate connection positioning port of side plate connection locating piece 26, connecting lateral plate 25 can move in side plate connection positioning port, after connecting lateral plate 25 is moved with respect to side plate connection locating piece 26, can be engaged Portion's body 23 be engaged it is close to each other or separate between lower body 24.In addition, locking teeth 30 is set on the outer wall of occlusion portion of upper body 23, In the end set locking rack 27 of connecting lateral plate 25,27 tilt distribution of locking rack is locked in the end of connecting lateral plate 25 It can be intermeshed between rack 27 and locking teeth 30.After locking rack 27 and locking teeth 30 are intermeshed, it can will be engaged portion of upper body 23 mutually lock with being engaged between lower body 24.Usually, locking rack 27 can pass through locking in the activity of the end of connecting lateral plate 25 Rack 27 connecting lateral plate 25 activity and after detaching with locking teeth 30, occlusion portion of upper body 23 can be released and be engaged between lower body 24 Mutual locking state, to prepare with mutual move be engaged between lower body 24 for follow-up occlusion portion of upper body 23, raising mouth The convenience that tooth dilator 22 adjusts patient's oral area open configuration.
The present invention can strut bottleneck throat by strutting cover 9, can be attracted by suction tube 7 strut, the liquid in operating process, It avoids accidentally being sucked lung, Breathing Suppotion pipe 4 can be moved strutting cover 9, in case of emergency, be risen using Breathing Suppotion pipe 4 To the effect of tracheal catheter, Breathing Suppotion is realized;Operation mirror is strutted by operating mirror merging positioning port merging in cover 9, thus into The required operation of row, can meet the placement and operation of bronchoscope, gastroscope etc., avoid saliva from sucking concurrent caused by lung Disease can realize Breathing Suppotion in emergency situations, easy to use, securely and reliably.

Claims (10)

1. a kind of check uses airway management device, it is characterized in that:Include strutting cover for strut bottleneck throat formation operation space (9), for liquid to be attracted to the suction tube gone out (7) and for the Breathing Suppotion pipe (4) of Breathing Suppotion, the tail of suction tube (7) End, which is stretched into, to be strutted in cover (9);The tail end of Breathing Suppotion pipe (4), which is located at, to be strutted in cover (9), and Breathing Suppotion pipe (4) tail portion is located at The length strutted in cover (9) is adjustable;Strut the operation mirror merging positioning port for being also set up on cover (9) and allowing to operate mirror merging, operation Mirror can be stretched by operation mirror merging positioning port and be strutted in cover (9).
2. according to claim 1 check uses airway management device, it is characterized in that:Outer tube is set on strutting cover (9) (8), Breathing Suppotion pipe (4) is placed in outer tube (8), and the tail end of Breathing Suppotion pipe (4) be pierced by out of outer tube (8) after be located at It struts in cover (9), Breathing Suppotion pipe (4) is moved in outer tube (8) interior energy along the length direction of outer tube (8), Breathing Suppotion pipe (4) in outer tube (8) when movement, Breathing Suppotion pipe (4) tail portion can be adjusted and be located at the length strutted in cover (9).
3. according to claim 2 check uses airway management device, it is characterized in that:The head end of the Breathing Suppotion pipe (4) Outside positioned at outer tube (8), the head end setting breathing connector (1) of Breathing Suppotion pipe (4), the tail end setting of Breathing Suppotion pipe (4) Support pore (14), support pore (14) the perforation Breathing Suppotion pipe (4), and Breathing Suppotion air bag (13) are located to support pore (14) between the end of outer tube (8).
4. according to claim 2 check uses airway management device, it is characterized in that:The tail end of the suction tube (7) is arranged Penetrate through suction tube (7) suction hole (12), suction tube (7) head end setting attract connector (6), the head end of suction tube (7) with It is connected by baffle (5) between outer tube (8).
5. according to claim 1 check uses airway management device, it is characterized in that:The operation mirror is placed in positioning port Middle part is placed in positioning port (10) and side merging positioning port (11), and middle part merging positioning port (10) is located at suction tube (7) and exhales Between inhaling stay pipe (4), side merging positioning port (11) is located at the corresponding outside of suction tube (7), Breathing Suppotion pipe (4);Operation Mirror includes bronchoscope or gastroscope.
6. according to claim 1 check uses airway management device, it is characterized in that:Further include sealed bladder, the sealed bladder Along strut cover (9) inner surface distribution, sealed bladder be used for the sealed bladder gas tube that sealed bladder is inflated is connected to and in communication with, it is close Sealed bladder gas tube sealing valve is set on encapsulated gas tube.
7. according to claim 1 check uses airway management device, it is characterized in that:Further include for adjusting Breathing Suppotion pipe (4) angle adjusting mechanism of tail angle can adjust Breathing Suppotion pipe (4) tail portion by angle adjusting mechanism and strut cover (9) Interior angle.
8. according to claim 7 check uses airway management device, it is characterized in that:The angle adjusting mechanism includes setting In the angular adjustment monomer air bag (16) of Breathing Suppotion pipe (4) tail end, the angular adjustment monomer air bag (16) and for institute State angular adjustment monomer airbag inflation pipe (17) connection that angular adjustment monomer air bag (16) is inflated, the angular adjustment list Angular adjustment monomer airbag inflation pipe sealing valve (18) is also set up on body airbag inflation pipe (17);Pass through angular adjustment monomer air bag It, can be so that the tail end tilting angle of Breathing Suppotion pipe (4) becomes larger when gas tube (17) inflates angular adjustment monomer air bag (16); It, can be so that Breathing Suppotion pipe when being deflated to angular adjustment monomer air bag (16) by angular adjustment monomer airbag inflation pipe (17) (4) tail end tilts angle and becomes smaller.
9. according to claim 2 check uses airway management device, it is characterized in that:Further include and outer tube (8), suction tube (7) spatula (19) connected, the spatula (19), which is located at, to be strutted on the outside of cover (9), and spatula (19) along suction tube (7), The length direction of outer tube (8) is distributed.
10. according to claim 2 check uses airway management device, it is characterized in that:Further include that can make patient oral cavity and tooth The distracted ability to speak dilator (22) of tooth, the ability to speak dilator (22) are sheathed on suction tube (7), outer tube (8), ability to speak dilator (22) setting allows the first tooth socket (32) of side dental articulation and permission offside corresponding with the first tooth socket (32) on The second tooth socket of dental articulation (33).
CN201810275772.4A 2018-03-30 2018-03-30 It checks and uses airway management device Pending CN108452419A (en)

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