CN109847164A - For guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope - Google Patents
For guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope Download PDFInfo
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- CN109847164A CN109847164A CN201910175190.3A CN201910175190A CN109847164A CN 109847164 A CN109847164 A CN 109847164A CN 201910175190 A CN201910175190 A CN 201910175190A CN 109847164 A CN109847164 A CN 109847164A
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Abstract
The present invention provides for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, its can solve existing optical wand guidance tracheal intubation art meet pars oralis pharyngis abscess, throat or air flue swell object, influence light transmission there are swelling, plumpness etc. in front of tracheae the case where when, can not judge optical wand present position and can not be successfully the technical issues of guidance tracheal catheter enters air flue.For guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, it is characterised in that: it includes ontology, retaining mechanism and guiding tube；Ontology offers guiding groove；Guiding tube offers side channel, the tube wall open at one end for extending to another end opening and running through guiding tube of side channel bootstrap pipe, guiding tube connects ontology, and the open at one end of the flute length direction of the open at one end and guiding groove of guiding tube is connected to and the side open communication in the groove depth direction of side channel and guiding groove；Retaining mechanism can fix the lamp guide of optical wand, the insertion optical cable of branchofiberoscope and guiding tube or ontology.
Description
Technical field
The present invention relates to mouth promoting the circulation of qi cannula equipment technical fields, and in particular to for guiding the oral row of branchofiberoscope
The guiding device of trachea cannula.
Background technique
Optical wand guidance tracheal intubation art is able to solve most of trachea cannula problem, general logical when doctor uses optical wand
The brightness for the guidance light beam for crossing optical wand front end judges optical wand present position, guidance optical beam ratio when general optical wand is in intratracheal
Guidance light beam when in oesophagus is brighter.But meet pars oralis pharyngis abscess, throat or air flue swell object, exist in front of tracheae it is swollen
When the case where influence light transmission such as swollen, plump, such as when meeting huge goiter, huge parathyroid tissue is covered on tracheae
On, on the one hand, the guidance light beam that can directly result in optical wand front end becomes dim, can not quick and precisely judge optical wand present position,
On the other hand, branchofiberoscope softness itself, Yi Qu and eyepiece are small, and huge parathyroid tissue can prevent branchofiberoscope
Insertion optical cable be smoothly moved to optical wand front end, optical wand present position also can not be just judged by branchofiberoscope, also with regard to nothing
Method smoothly guides tracheal catheter to enter air flue, and then the time of entire trachea cannula can be made to extend, patient's hypoxic exposure also phase
It should extend, if patient's hypoxic exposure is more than 5 minutes, it is possible to produce cerebrocellular edema, Postoperative Cognitive Dysfunction, serious person
Even generate brain death.
Summary of the invention
The present invention provides for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, can solve existing
Optical wand guidance tracheal intubation art meet pars oralis pharyngis abscess, throat or air flue swell object, there are the influences such as swelling, plumpness in front of tracheae
When the case where light transmission, it can not quick and precisely judge optical wand present position and can not be successfully the technology that guidance tracheal catheter enters air flue
Problem.
Its technical solution be it is such, for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, feature
Be: it includes ontology, retaining mechanism and guiding tube；The ontology offers guiding groove, the flute length direction of the guiding groove
Two sides, groove depth direction side extend through ontology, the insertion optical cable of the lamp guide of optical wand and the branchofiberoscope can
Protrude into the guiding groove and from the flute length direction of the guiding groove through the ontology；The guiding tube offers side channel, described
The tube wall open at one end for extending to another end opening and running through the guiding tube of side channel bootstrap pipe, the guiding tube connection
The ontology, the open at one end of the flute length direction of the open at one end and guiding groove of the guiding tube are connected to and the side channel
Insertion optical cable with the side open communication in the groove depth direction of the guiding groove, the branchofiberoscope can be from the side
One side opening in the groove depth direction of slot, the guiding groove is detached from the guiding tube, the ontology；The retaining mechanism includes can
The first retaining mechanism and the second retaining mechanism of unlock, first retaining mechanism can be by the lamp guide of optical wand and the guidance
Pipe or the ontology are fixed, and second retaining mechanism is used for the insertion optical cable of branchofiberoscope and the guiding tube or institute
Ontology is stated to fix.
Further, the guiding device further includes demarcation plate, and the demarcation plate is set in the guiding groove and along institute
The flute length direction for stating guiding groove extends, and the guiding groove is divided into the of from-inner-to-outer setting along groove depth direction by the demarcation plate
One guide hole, the second guiding groove, the connection open at one end of the guiding tube first guide hole, second guiding groove.
Further, the partition and described body by integral forming.
Further, described ontology one end is convexly equipped with plug division, and first guide hole and second guiding groove pass through
The plug division is worn, one end of the guiding tube is sheathed on outside plug division and fixes by locking member.
Further, first retaining mechanism and second retaining mechanism are installed on the ontology, first lock
For fixing the lamp guide of optical wand and the ontology, second retaining mechanism is used for inserting branchofiberoscope for tight mechanism
Enter optical cable to fix with the ontology.
Further, first retaining mechanism and second retaining mechanism include eccentric wheel, pin and driving lever,
The ontology corresponds to first guide hole, second guiding groove offers pilot hole respectively, and the eccentric wheel passes through pin
It is rotatably installed in the pilot hole, the driving lever is installed on the eccentric wheel.
Preferably, the radial side of the eccentric wheel is equipped with cricoid groove, and the section of the groove is arc.
Further, the guiding tube is made by soft materials.
Further, the guiding tube is J-shaped guiding tube.
Guiding device of the invention can be by the first retaining mechanism and the second retaining mechanism by the lamp guide of optical wand, fiber branch
The insertion optical cable of airway wall, guiding tube three fix, i.e. the insertion optical cable of branchofiberoscope can be same with the lamp guide of optical wand
Stepping enters patient oral cavity, when meeting the case where influencing light transmission there are swelling, plumpness etc. in front of tracheae, can pass through fiber branch gas
Pipe sem observation optical wand present position slightly can also unclamp the second retaining mechanism according to the actual situation, enable and be inserted into optical cable edge
Guiding tube is moved forward and backward, and sees glottis position by the eyepiece of branchofiberoscope, then by lamp guide, insertion optical cable, guidance
Glottis is sent into the front end of pipe three, and secondly the second retaining mechanism of unlock, gentle agitation guiding tube enable and be inserted into optical cable completely
It is detached from ontology and guiding tube by the side channel of the opening of the groove depth direction side of guiding groove, guiding tube, then by lamp guide together with one
With oral cavity is exited, the tracheal catheter for being finally sheathed on insertion optical cable can be sent into tracheae along insertion optical cable, and then rapidly, smoothly
Complete intubation in ground.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of guiding device of the invention.
Fig. 2 is the structural schematic diagram that guiding device of the invention omits guiding tube.
Fig. 3 is the left view structural representation that guiding device of the invention omits guiding tube.
Fig. 4 is the right side structural representation that guiding device of the invention omits guiding tube.
Fig. 5 is the A-A profile structure diagram of Fig. 4.
Fig. 6 is the structural schematic diagram of guiding device of the invention.
Fig. 7 is the use state diagram that guiding device of the invention cooperates branchofiberoscope and optical wand.
Specific embodiment
As shown in Fig. 1 ~ Fig. 7, for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope comprising ontology 1,
Retaining mechanism and guiding tube 2；Ontology 1 offers guiding groove 11, the two sides in the flute length direction of guiding groove 11, groove depth direction side
Ontology 1 is extended through, the lamp guide of optical wand and the insertion optical cable of branchofiberoscope can extend into guiding groove 11 and bootstrap slot
Ontology 1 is run through in 11 flute length direction；Guiding tube 2 offers side channel 22,22 bootstrap pipe 2 of side channel it is open at one end extend to it is another
End opening and the tube wall 21 for running through guiding tube 2, guiding tube 2 connect ontology 1, the open at one end and guiding groove 11 of guiding tube 2
The connection open at one end in flute length direction and the side open communication in the groove depth direction of side channel 22 and guiding groove 11, fiber bronchus
The insertion optical cable of mirror can be detached from guiding tube 2, ontology 1, i.e. side channel from a side opening in the groove depth direction of side channel 22, guiding groove 11
The width of 22 width and a side opening in the groove depth direction of guiding groove 11 is all larger than the diameter of insertion optical cable；Retaining mechanism includes
The the first retaining mechanism 3a and the second retaining mechanism 3b, the first retaining mechanism 3a that can be unlocked can by the lamp guide of optical wand with draw
Conduit 2 or ontology 1 are fixed, and the second retaining mechanism 3b is for consolidating the insertion optical cable of branchofiberoscope with guiding tube 2 or ontology 1
It is fixed.
Guiding device further includes demarcation plate 14, and demarcation plate 14 is set in guiding groove 11 and along the flute length direction of guiding groove 11
Extend, it is preferable that partition 14 and ontology 1 are integrally formed, and guiding groove 11 is divided into from-inner-to-outer along groove depth direction by demarcation plate 14
The first guide hole 12 that the lamp guide for optical wand being arranged passes through, the second guidance for passing through of insertion optical cable for branchofiberoscope
Slot 13, connection open at one end first guide hole 12, the second guiding groove 13 of guiding tube 2.On the one hand the setting of partition can limit
The size of second guiding groove 13, so that slight effect insertion optical cable can disengage it from the second guiding groove 13；On the other hand, to leading
Optical wand and insertion optical cable have guiding role, it is ensured that the inside of guiding tube are in after lamp guide insertion, after insertion optical cable insertion
In the outside of guiding tube and adjacent side slots, lamp guide and insertion optical cable can be prevented in intersection in guiding tube or wound, it is ensured that inserted
Enter optical cable and is smoothly detached from the second guiding groove.
1 one end of ontology is convexly equipped with plug division 15, and the first guide hole 12 and the second guiding groove 13 run through plug division, guiding tube 2
One end be sheathed on that plug division 15 is outer and be screwed, and in figure, 17 be screw hole, and guiding tube is convenient in the setting of plug division
Assembly, fixation and convenient for lamp guide and insertion optical cable be smoothly sent into guiding tube.
First retaining mechanism 3a and the second retaining mechanism 3b is installed on ontology 1, and the first retaining mechanism 3a is used for optical wand
Lamp guide and ontology 1 are fixed, and the second retaining mechanism 3b is used for the insertion optical cable of branchofiberoscope and ontology 1 is fixed；First
Retaining mechanism 3a and the second retaining mechanism 3b includes eccentric wheel 31, pin 32 and driving lever 33, corresponding first guide hole of ontology 1
12, the second guiding groove 13 offers pilot hole 17 respectively, and eccentric wheel 31 is rotatably installed in pilot hole 17 by pin 32,
Driving lever 33 is installed on eccentric wheel 31；The radial side of eccentric wheel 31 is equipped with cricoid groove 34, and the section of groove 34 is arc.Partially
The retaining mechanism that heart wheel 31, pin 32 and driving lever 33 are constituted is installed on ontology 1 and is convenient for operation, the adjusting by driving lever to eccentric wheel
It can be realized three locking, half unlock and unlock states, 34 one side of groove of arc section is capable of increasing and lamp guide, insertion
The contact area of optical cable can effectively prevent to injure caused by lock pressure of the retaining mechanism to the two, on the other hand, when partly unlocking, solution
Except the lock pressure to insertion optical cable, insertion optical cable can be moved along the second guiding groove, meanwhile, groove cooperates the second guiding groove to insertion
Optical cable keeps guiding and position-limiting action, prevents insertion optical cable from deviating from the second guiding groove.
Guiding tube 2 is made by soft materials, and guiding tube 2 is J-shaped guiding tube 2, J-shaped guiding tube 2 and human dissection physiology with
And the curved shape matching of lamp guide.
In Fig. 7,41 be the main body of branchofiberoscope, and 42 be the insertion optical cable of branchofiberoscope, 51 holding for optical wand
Handle, 52 be the lamp guide of optical wand, and 6 be tracheal catheter.
As shown in fig. 7, guiding device of the invention in use, 1, tracheal catheter is sheathed on to the insertion light of branchofiberoscope
Cable, 2, by the lamp guide of optical wand from the first guide hole insertion guiding tube, draw the insertion optical cable of branchofiberoscope from second
Guide groove is inserted into guiding tube, 3, by the first retaining mechanism and the locking of the second retaining mechanism by lamp guide, insertion optical cable and ontology
Fixation, and then fixed with guiding tube, 4, the insertion optical cable of branchofiberoscope, the lamp guide of optical wand, the synchronous entrance trouble of guiding tube
Person oral cavity can be observed when meeting the case where influencing light transmission there are swelling, plumpness etc. in front of tracheae by branchofiberoscope
Optical wand present position slightly can also unclamp the second retaining mechanism according to the actual situation, i.e. half the second retaining mechanism of unlock, so that
Insertion optical cable can be moved forward and backward along guiding tube, see glottis position by the eyepiece of branchofiberoscope, and 5, determine glottis position
Postpone, then by lamp guide, insertion optical cable, guiding tube three front end be sent into glottis, 6, completely unlock the second retaining mechanism, gently
Micro- shake guiding tube enables insertion optical cable to be detached from by the opening of the groove depth direction side of guiding groove, the side channel of guiding tube
Ontology and guiding tube, 7, lamp guide together with guiding tube exit oral cavity, 8, be sheathed on the tracheal catheter energy edge of insertion optical cable
Insertion optical cable be sent into tracheae, and then rapidly, favorably accomplish intubation.If the front end of guiding tube is located near esophagus, can fit
When the guiding tube for tilting J-shaped, make to move to glottis on the front end for being inserted into optical cable.
Claims (9)
1. for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, it is characterised in that: it includes ontology, locking machine
Structure and guiding tube；The ontology offers guiding groove, and the two sides in the flute length direction of the guiding groove, the side in groove depth direction are distinguished
Through ontology, the insertion optical cable of the lamp guide of optical wand and the branchofiberoscope can extend into the guiding groove and draw described in
The ontology is run through in the flute length direction of guide groove；The guiding tube offers side channel, and the open at one end of side channel bootstrap pipe is prolonged
It extends to another end opening and runs through the tube wall of the guiding tube, the guiding tube connection ontology, the one of the guiding tube
The open at one end of end opening and the flute length direction of the guiding groove is connected to and the groove depth direction of the side channel and the guiding groove
Side open communication, the insertion optical cable of the branchofiberoscope can be from the groove depth direction of the side channel, the guiding groove
A side opening be detached from the guiding tube, the ontology；The retaining mechanism includes the first retaining mechanism that can be unlocked and
Two retaining mechanisms, first retaining mechanism can fix the lamp guide of optical wand and the guiding tube or the ontology, described
Second retaining mechanism is for fixing the insertion optical cable of branchofiberoscope with the guiding tube or the ontology.
2. according to claim 1 for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, feature exists
In: the guiding device further includes demarcation plate, and the demarcation plate is set in the guiding groove and along the flute length of the guiding groove
Direction extend, the demarcation plate by the guiding groove along groove depth direction be divided into from-inner-to-outer setting the first guide hole, second
Guiding groove, the connection open at one end of the guiding tube first guide hole, second guiding groove.
3. according to claim 2 for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, feature exists
In: the partition and described body by integral forming.
4. according to claim 2 for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, feature exists
In: described ontology one end is convexly equipped with plug division, and first guide hole and second guiding groove run through the plug division, described
One end of guiding tube is sheathed on outside plug division and is fixed by locking member.
5. according to claim 2 for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, feature exists
In: first retaining mechanism and second retaining mechanism are installed on the ontology, and first retaining mechanism is used for light
The lamp guide of stick is fixed with the ontology, and second retaining mechanism is used for the insertion optical cable of branchofiberoscope and described
Body is fixed.
6. according to claim 5 for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, feature exists
It include eccentric wheel, pin and driving lever in: first retaining mechanism and second retaining mechanism, described in the ontology is corresponding
First guide hole, second guiding groove offer pilot hole respectively, and the eccentric wheel is rotatably installed on institute by pin
It states in pilot hole, the driving lever is installed on the eccentric wheel.
7. according to claim 6 for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, feature exists
In: the radial side of the eccentric wheel is equipped with cricoid groove, and the section of the groove is arc.
8. according to claim 1 for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, feature exists
In: the guiding tube is made by soft materials.
9. according to claim 8 for guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope, feature exists
In: the guiding tube is J-shaped guiding tube.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910175190.3A CN109847164A (en) | 2019-03-08 | 2019-03-08 | For guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910175190.3A CN109847164A (en) | 2019-03-08 | 2019-03-08 | For guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope |
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| CN109847164A true CN109847164A (en) | 2019-06-07 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201910175190.3A Pending CN109847164A (en) | 2019-03-08 | 2019-03-08 | For guiding the guiding device of the oral promoting the circulation of qi cannula of branchofiberoscope |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111557635A (en) * | 2019-11-14 | 2020-08-21 | 牛鑫 | Guider for fiber bronchoscope |
| CN116125602A (en) * | 2022-12-27 | 2023-05-16 | 镭神技术（深圳）有限公司 | Optical fiber connector and optical signal transmission device |
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| US20020032459A1 (en) * | 1990-06-20 | 2002-03-14 | Danforth Biomedical, Inc. | Radially-expandable tubular elements for use in the construction of medical devices |
| US20060065268A1 (en) * | 2004-09-27 | 2006-03-30 | Pentax Corporation | Intubation assistance instrument and intubation assistance apparatus provided with the intubation assistance instrument |
| CN201862110U (en) * | 2010-11-12 | 2011-06-15 | 肖一 | Tracheal cannula slot |
| CN203139319U (en) * | 2013-01-14 | 2013-08-21 | 江苏省原子医学研究所 | Fiber bronchoscope orotracheal intubation guiding machine |
| CN210044643U (en) * | 2019-03-08 | 2020-02-11 | 江苏省原子医学研究所 | A bullnose for guiding fiberoptic bronchoscope is through a mouthful trachea cannula |
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2019
- 2019-03-08 CN CN201910175190.3A patent/CN109847164A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20020032459A1 (en) * | 1990-06-20 | 2002-03-14 | Danforth Biomedical, Inc. | Radially-expandable tubular elements for use in the construction of medical devices |
| US20060065268A1 (en) * | 2004-09-27 | 2006-03-30 | Pentax Corporation | Intubation assistance instrument and intubation assistance apparatus provided with the intubation assistance instrument |
| CN201862110U (en) * | 2010-11-12 | 2011-06-15 | 肖一 | Tracheal cannula slot |
| CN203139319U (en) * | 2013-01-14 | 2013-08-21 | 江苏省原子医学研究所 | Fiber bronchoscope orotracheal intubation guiding machine |
| CN210044643U (en) * | 2019-03-08 | 2020-02-11 | 江苏省原子医学研究所 | A bullnose for guiding fiberoptic bronchoscope is through a mouthful trachea cannula |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111557635A (en) * | 2019-11-14 | 2020-08-21 | 牛鑫 | Guider for fiber bronchoscope |
| CN116125602A (en) * | 2022-12-27 | 2023-05-16 | 镭神技术（深圳）有限公司 | Optical fiber connector and optical signal transmission device |
| CN116125602B (en) * | 2022-12-27 | 2024-04-05 | 镭神技术（深圳）有限公司 | Optical fiber connector and optical signal transmission device |
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