CN109350816A - Special joint capable of guiding intubation tube through laryngeal mask bronchofiberscope during mechanical ventilation - Google Patents

Special joint capable of guiding intubation tube through laryngeal mask bronchofiberscope during mechanical ventilation Download PDF

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Publication number
CN109350816A
CN109350816A CN201811126223.7A CN201811126223A CN109350816A CN 109350816 A CN109350816 A CN 109350816A CN 201811126223 A CN201811126223 A CN 201811126223A CN 109350816 A CN109350816 A CN 109350816A
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CN
China
Prior art keywords
laryngeal mask
bronchofiberscope
mechanical ventilation
connecting tube
main body
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
CN201811126223.7A
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Chinese (zh)
Inventor
汤文喜
周海鹏
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Qilu Hospital of Shandong University Qingdao
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Qilu Hospital of Shandong University Qingdao
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Priority to CN201811126223.7A priority Critical patent/CN109350816A/en
Publication of CN109350816A publication Critical patent/CN109350816A/en
Pending legal-status Critical Current

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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
    • A61B1/267Instruments 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

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pulmonology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Biophysics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Optics & Photonics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Otolaryngology (AREA)
  • Emergency Medicine (AREA)
  • Physiology (AREA)
  • Physics & Mathematics (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Respiratory Apparatuses And Protective Means (AREA)

Abstract

The invention discloses a special joint capable of probing or guiding intubation through a laryngeal mask bronchofiberscope under continuous mechanical ventilation, which structurally comprises a joint main body, a breathing machine connecting pipe and a laryngeal mask connecting pipe, and is characterized in that: the right side of the joint main body is fixedly connected with a respirator connecting pipe, the bottom of the joint main body is provided with a laryngeal mask connecting pipe, the top of the joint main body is provided with a movable sealing cover, a V-shaped anti-reflux valve is arranged in the main body close to the bottom, an iris-shaped high-elasticity sealing membrane is arranged close to the top, and a central pupil-shaped expandable hole of the iris-shaped high-elasticity sealing membrane is formed. This can be under lasting mechanical ventilation through the special joint of laryngeal mask bronchofiberscope investigation or guide intubate, through its inside V type anti-reflux flap and the dual seal structure of iris form elasticity seal membrane that is equipped with, can keep encapsulated situation under higher ventilation pressure, the phenomenon of gas leakage can not appear, simple structure, the practicality is stronger.

Description

It is a kind of can special joint in mechanical ventilation through laryngeal mask row Bronchofiberscope guide cannula
Technical field
Detected the present invention relates to a kind of Bronchofiberscope through laryngeal mask promoting the circulation of qi road or trachea cannula field, it is specially a kind of can be through larynx Cover continued mechanical ventilation downlink Bronchofiberscope air flue is detected or the special joint of guide cannula.
Background technique
Trachea cannula is that tracheal catheter is inserted into intratracheally, to keep airway patency by human oral cavity or nasal cavity chamber Or carry out mechanical ventilation medical technology, and Bronchofiberscope guidance under through laryngeal mask trachea cannula be solve tracheal intubation difficulty weight Want one of method, Bronchofiberscope is formed using pulling into very thin fiber by the very high glass of tens of thousands of light transmittances or allyl resin Light guide bundles, to diagnose a kind of instrument of bronchial disease.Its lumen very little, soft flexible, guide-lighting ability is strong, brightness Greatly, it gets a clear view, leggiero can enter tracheae until each branch gas by oral cavity or nasal cavity or by being inserted into intraoral laryngeal mask Pipeline section mouth, doctor can observe tracheae, left and right Ge Ye bronchus opening and mucous membrane situation under direct-view, can also be directed into promoting the circulation of qi pipe Interpolation pipe.It is not exclusively used in the special joint through laryngeal mask row Bronchofiberscope guide cannula on the market at present, draws through laryngeal mask row Bronchofiberscope It needs to interrupt mechanical ventilation when air guide cannula, this can threaten the life security of patient.Relevant substitute products Bronchofiberscope is inserted It is relatively thin and cannot expand to enter hole internal diameter, can only be only used for Bronchofiberscope by the Bronchofiberscope of fixed bore and be detected through laryngeal mask, it cannot For guidance tracheal intubation.Bronchofiberscope needs to close fitting inlet before insertion afterwards simultaneously, is more troublesome.Again because using single layer Non-resilient sealing structure, if it is existing to carry out just being possible to leak air when mechanical ventilation pressure is higher while Bronchofiberscope is detected As this just will affect the ventilatory effect of patient.
Therefore, in order to solve these problems, it is proposed that a kind of can visit under continued mechanical ventilation through laryngeal mask row Bronchofiberscope It looks into or the special joint of guide cannula.
Summary of the invention
The purpose of the present invention is to provide it is a kind of can detect or guide through laryngeal mask row Bronchofiberscope under continued mechanical ventilation it is slotting The special joint of pipe, to solve the problems mentioned in the above background technology.
To achieve the above object, the invention provides the following technical scheme: a kind of can be in mechanical ventilation through laryngeal mask row fibre branch The special joint of mirror guide cannula, structure include adapter body, ventilator connecting tube, laryngeal mask connecting tube, it is characterised in that: institute It states and is fixedly connected with ventilator connecting tube on the right side of adapter body, the bottom of the adapter body is equipped with laryngeal mask connecting tube, described to connect The top of head main body is equipped with movable sealing lid, and the inside of the main body is equipped with V-type counterflow-preventing flap valve close to bottom, sets close to top There is iris shape high resiliency to seal film, the expansible hole of central pupillary shape of the iris shape high resiliency sealing film.
As a kind of preferred embodiment of the invention, the right side of the adapter body connects breathing by way of bonding Machine connecting tube.
As a kind of preferred embodiment of the invention, the bottom of the adapter body is equipped with laryngeal mask connecting tube.
As a kind of preferred embodiment of the invention, the top of the adapter body connects movable sealing lid.
As a kind of preferred embodiment of the invention, the body interior be equipped with band snap collar, V-type counterflow-preventing flap valve and Iris shape high resiliency seals film, and the center of the iris shape high resiliency sealing film is equipped with the expansible hole of pupil shape.
Compared with prior art, beneficial effects of the present invention are as follows:
1. this is a kind of to detect through laryngeal mask row Bronchofiberscope or the special joint of guide cannula under continued mechanical ventilation, master The V-type counterflow-preventing flap valve and iris shape elastic sealing film in internal portion have stronger expansivity, can wear while keeping sealing The Bronchofiberscope and tracheal catheter for crossing various bores can only pass through small-bore Bronchofiberscope unlike traditional structure, it is impossible to be used in Bronchofiberscope guidance tracheal intubation.
2. this is a kind of to detect through laryngeal mask row Bronchofiberscope or the special joint of guide cannula under continued mechanical ventilation, pass through It is internally provided with V-type counterflow-preventing flap valve and iris shape elastic sealing film double sealing structure, it can be under higher venting pressure The phenomenon that keeping sealing state, being not in gas leakage, structure is simple, and practicability is stronger.Unlike traditional structure only has single layer non-ballistic Property sealing structure, is easy to appear gas leakage, influences ventilation efficiency.
3. this is a kind of to detect through laryngeal mask row Bronchofiberscope or the special joint of guide cannula under continued mechanical ventilation, pass through It is internal in its main body to be equipped with the V-type counterflow-preventing flap valve with snap collar and iris shape elastic sealing film, allow Bronchofiberscope direct It inserts or pull out, V-type counterflow-preventing flap valve can be automatically closed after Bronchofiberscope is extracted, and prevent mechanical ventilation airflow reflux and leakage, nothing It need to need to open or close its entrance manually before and after Bronchofiberscope insertion as traditional structure.
Detailed description of the invention
Upon reading the detailed description of non-limiting embodiments with reference to the following drawings, other feature of the invention, Objects and advantages will become more apparent upon:
Fig. 1, which is that the present invention is a kind of, to be detected through laryngeal mask row Bronchofiberscope or the dedicated of guide cannula connects under continued mechanical ventilation The overall structure diagram of head.
Fig. 2, which is that the present invention is a kind of, to be detected through laryngeal mask row Bronchofiberscope or the dedicated of guide cannula connects under continued mechanical ventilation The V-type counterflow-preventing flap valve structural schematic diagram of head.
Fig. 3, which is that the present invention is a kind of, to be detected through laryngeal mask row Bronchofiberscope or the dedicated of guide cannula connects under continued mechanical ventilation The iris shape elastic packing membrane structure diagram of head.
In figure: adapter body -1, ventilator connecting tube -2, laryngeal mask connecting tube -3, movable sealing lid -4, V-type counterflow-preventing are living Valve -5, iris shape elastic sealing film -6, hole -7, plastics software -8, snap collar -9.
Specific embodiment
To be easy to understand the technical means, the creative features, the aims and the efficiencies achieved by the present invention, below with reference to Specific embodiment, the present invention is further explained.
Fig. 1-3 is please referred to, the present invention provides a kind of technical solution: a kind of to draw in mechanical ventilation through laryngeal mask row Bronchofiberscope The special joint of intubation is led, structure includes adapter body 1, ventilator connecting tube 2, laryngeal mask connecting tube 3, it is characterised in that: institute The right side for stating adapter body 1 is fixedly connected with ventilator connecting tube 2, and the bottom of the adapter body 1 is equipped with laryngeal mask connecting tube 3, institute The top for stating adapter body 1 is equipped with movable sealing lid 4, and the inside of the main body 1 is equipped with V-type counterflow-preventing flap valve 5 close to bottom, leans on Nearly top is equipped with iris shape high resiliency and seals film 6, the expansible hole 7 of central pupillary shape of the iris shape high resiliency sealing film 6.
Referring to Fig. 1, the top of the adapter body 1 connects ventilator connecting tube 2 by way of bonding, by being equipped with Ventilator connecting tube 2 can to ensure that the life security of patient without disconnecting mechanical ventilation when Bronchofiberscope is intubated.
Referring to Fig. 1, the bottom of the adapter body 1 connects laryngeal mask connecting tube 3, it, can be with by being equipped with laryngeal mask connecting tube 3 Easily laryngeal mask is connect with connector, it is time saving and energy saving.
Referring to Fig. 1, the top left side edge of the adapter body 1 connects movable sealing lid 4 by plastics software 8, lead to It crosses and is equipped with movable sealing lid 4, can will be fully sealed at the top of connector 1 when not using Bronchofiberscope, prevent mechanical ventilation completely When 1 tip leak of connector, influence ventilatory effect.
Referring to Fig. 2, being equipped with snap collar 9 fixed V-type counterflow-preventing flap valve 5 and iris shape high resiliency inside the main body 1 Film 6 is sealed, Bronchofiberscope extracts rear joint automatic-sealed, so that Bronchofiberscope is directly inserted into or extracts, without being closed manually It closes or opens.
It is of the present invention it is a kind of can special joint in mechanical ventilation through laryngeal mask row Bronchofiberscope guide cannula, when use It is conventional by laryngeal mask oral insert patient's laryngopharynx portion suitable position first, in accordance with clinical manipulation, then by the laryngeal mask connecting tube of the connector 3 connect with laryngeal mask snorkel tail end, then the ventilator connecting tube 2 of the connector is connect with ventilator and carries out mechanical ventilation.Make When with Bronchofiberscope guidance tracheal intubation, first tracheal catheter is covered on Bronchofiberscope insertion section, opens joint sealing lid 4, fibre is propped up Mirror front end sequentially passes through hole 7, V-type counterflow-preventing flap valve 5, laryngeal mask connecting tube 3 and the laryngeal mask master among iris shape elastic sealing film 6 Body is inserted into intratracheal appropriate depth, tracheal catheter is finally pushed into intratracheal suitable position along Bronchofiberscope main body, intubation is completed.It should V-type counterflow-preventing flap valve 5 inside adapter body 1 and the iris shape elastic sealing film 6 close to 1 top of main body can be in the fine branch of insertion Dual sealing functions are maintained when mirror, even if there is higher venting pressure, also can keep sealing state after Bronchofiberscope insertion.So It can complete to detect through laryngeal mask Bronchofiberscope under the premise of not interrupting mechanical ventilation using the connector or trachea cannula, improve The safety of operation.
Adapter body 1 of the invention, ventilator connecting tube 2, laryngeal mask connecting tube 3, movable sealing lid 4, V-type counterflow-preventing flap valve 5, iris shape elastic sealing film 6, hole 7, plastics software 8, snap collar 9, component are universal standard part or those skilled in the art The component that member knows, structure and principle are all that this technology personnel can be learnt by technical manual or by routine experiment method To know, problems solved by the invention is not to be exclusively used in the special joint through laryngeal mask row Bronchofiberscope guide cannula on the market at present, Through needing to interrupt mechanical ventilation when laryngeal mask row Bronchofiberscope guidance tracheal intubation, this can threaten the life security of patient.It is relevant The substitute products Bronchofiberscope diameter that inserts in the hole is relatively thin and cannot expand, and can only be only used for fine branch by the Bronchofiberscope of fixed bore Mirror is detected through laryngeal mask, it is impossible to be used in guidance tracheal intubation.Bronchofiberscope needs to close fitting inlet before insertion afterwards simultaneously, more numb It is tired.Again because using the non-resilient sealing structure of single layer, if progress mechanical ventilation pressure is higher while Bronchofiberscope is detected Just it is possible to the phenomenon that leaks air, this just will affect the ventilatory effect of patient, and the present invention is combined with each other by above-mentioned component, lead to It crosses and is equipped with V-type counterflow-preventing flap valve and iris shape elastic sealing film double sealing structure, can be carried out simultaneously when Bronchofiberscope is detected Mechanical ventilation, the phenomenon that can keeping sealing state under higher venting pressure, be not in gas leakage.Due to its sealing structure Expansivity it is stronger, the connector can pass through various bores Bronchofiberscope carry out detecting through laryngeal mask, can also carry out through larynx The trachea cannula of cover, unlike traditional structure can only cannot be used for trachea cannula due to Fibro-bronchoscopy test.Its body interior is set simultaneously The V-type counterflow-preventing flap valve for having snap collar fixed can be closed automatically after Bronchofiberscope extraction so that Bronchofiberscope be directly inserted into or It extracts, without needing to open or close its entrance, overall structure letter manually before and after Bronchofiberscope insertion as traditional structure Single, practicability is stronger.
The above shows and describes the basic principles and main features of the present invention and the advantages of the present invention, for this field skill For art personnel, it is clear that invention is not limited to the details of the above exemplary embodiments, and without departing substantially from spirit of the invention or In the case where essential characteristic, the present invention can be realized in other specific forms.Therefore, in all respects, should all incite somebody to action Embodiment regards exemplary as, and is non-limiting, the scope of the present invention by appended claims rather than on state Bright restriction, it is intended that including all changes that fall within the meaning and scope of the equivalent elements of the claims in the present invention It is interior.Any reference signs in the claims should not be construed as limiting the involved claims.
In addition, it should be understood that although this specification is described in terms of embodiments, but not each embodiment is only wrapped Containing an independent technical solution, this description of the specification is merely for the sake of clarity, and those skilled in the art should It considers the specification as a whole, the technical solutions in the various embodiments may also be suitably combined, forms those skilled in the art The other embodiments being understood that.

Claims (5)

1. it is a kind of can special joint in mechanical ventilation through laryngeal mask row Bronchofiberscope guide cannula, structure includes adapter body (1), ventilator connecting tube (2), laryngeal mask connecting tube (3), it is characterised in that: be fixedly connected and exhale on the right side of the adapter body (1) The bottom of suction machine connecting tube (2), the adapter body (1) is equipped with laryngeal mask connecting tube (3), sets at the top of the adapter body (1) Have movable sealing lid (4), the inside of the main body (1) is equipped with V-type counterflow-preventing flap valve (5) close to bottom, is equipped with rainbow close to top Membranaceous high resiliency seals film (6), the expansible hole of central pupillary shape (7) of iris shape high resiliency sealing film (6).
It a kind of can be detected or the dedicated of guide cannula connects in continued mechanical downlink Bronchofiberscope of ventilating 2. according to claim 1 Head, it is characterised in that: the right side of the adapter body (1) connects ventilator connecting tube (2) by way of bonding.
3. it is according to claim 1 it is a kind of can special joint in mechanical ventilation through laryngeal mask row Bronchofiberscope guide cannula, It is characterized by: the bottom of the adapter body (1) is equipped with laryngeal mask connecting tube (3).
4. it is according to claim 1 it is a kind of can special joint in mechanical ventilation through laryngeal mask row Bronchofiberscope guide cannula, It is characterized by: the top of the adapter body (1) connects movable sealing lid (4).
5. it is according to claim 1 it is a kind of can special joint in mechanical ventilation through laryngeal mask row Bronchofiberscope guide cannula, It is characterized by: being equipped with band snap collar (11), V-type counterflow-preventing flap valve (5) and the sealing of iris shape high resiliency inside the main body (1) The center of film (6), iris shape high resiliency sealing film (6) is equipped with the expansible hole of pupil shape (7).
CN201811126223.7A 2018-09-26 2018-09-26 Special joint capable of guiding intubation tube through laryngeal mask bronchofiberscope during mechanical ventilation Pending CN109350816A (en)

Priority Applications (1)

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CN201811126223.7A CN109350816A (en) 2018-09-26 2018-09-26 Special joint capable of guiding intubation tube through laryngeal mask bronchofiberscope during mechanical ventilation

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CN201811126223.7A CN109350816A (en) 2018-09-26 2018-09-26 Special joint capable of guiding intubation tube through laryngeal mask bronchofiberscope during mechanical ventilation

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110720887A (en) * 2019-10-31 2020-01-24 苏孟勤 Telescopic airtight assembly special for bronchoscope

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202154921U (en) * 2011-05-08 2012-03-07 徐伟民 Universal air-permeable adapter
CN205458556U (en) * 2016-02-29 2016-08-17 浙江省中医院 Bronchofiberscope anesthesia tee bend
CN205515990U (en) * 2016-03-21 2016-08-31 刘晓师 Three chambeies of canned type joint of ventilating
CN206166892U (en) * 2016-08-15 2017-05-17 屈强 Airtight ventilating of painless fiberoptic bronchoscope air flue links up pipe
EP3372144A1 (en) * 2015-11-03 2018-09-12 Shu, Ni Ventilating laryngoscope having disposable laryngoscope lens

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN202154921U (en) * 2011-05-08 2012-03-07 徐伟民 Universal air-permeable adapter
EP3372144A1 (en) * 2015-11-03 2018-09-12 Shu, Ni Ventilating laryngoscope having disposable laryngoscope lens
CN205458556U (en) * 2016-02-29 2016-08-17 浙江省中医院 Bronchofiberscope anesthesia tee bend
CN205515990U (en) * 2016-03-21 2016-08-31 刘晓师 Three chambeies of canned type joint of ventilating
CN206166892U (en) * 2016-08-15 2017-05-17 屈强 Airtight ventilating of painless fiberoptic bronchoscope air flue links up pipe

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110720887A (en) * 2019-10-31 2020-01-24 苏孟勤 Telescopic airtight assembly special for bronchoscope

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Application publication date: 20190219