CN110694164A - Device for removing an exchanger from the mouth - Google Patents
Device for removing an exchanger from the mouth Download PDFInfo
- Publication number
- CN110694164A CN110694164A CN201911004784.4A CN201911004784A CN110694164A CN 110694164 A CN110694164 A CN 110694164A CN 201911004784 A CN201911004784 A CN 201911004784A CN 110694164 A CN110694164 A CN 110694164A
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- China
- Prior art keywords
- exchanger
- collar
- wire
- oral cavity
- groove
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/10—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
- A61B90/16—Bite blocks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M2025/0177—Introducing, guiding, advancing, emplacing or holding catheters having external means for receiving guide wires, wires or stiffening members, e.g. loops, clamps or lateral tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/33—Controlling, regulating or measuring
- A61M2205/3327—Measuring
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M2205/00—General characteristics of the apparatus
- A61M2205/58—Means for facilitating use, e.g. by people with impaired vision
- A61M2205/587—Lighting arrangements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0618—Nose
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
- A61M2210/0625—Mouth
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Neurosurgery (AREA)
- Biophysics (AREA)
- Pulmonology (AREA)
- Anesthesiology (AREA)
- Hematology (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
The invention provides a device for removing an exchanger from the mouth, comprising: the front end of the tongue depressor is in a downward bending state, the middle part of the upper surface of the tongue depressor is downwards sunken to form a groove, and the groove extends from the rear end to the front end and at least extends to a bending connection part; at least one collar fixed in the groove and having a top surface no higher than a topmost portion of the groove at a corresponding location; a wire bent to form a loop and constrained within the collar on opposite sides of the wire such that the loop is formed at a front end of the collar, the opposite sides of the wire being movable along the collar toward a front/rear end to change the size of the loop under the resiliency of bending of the wire. The invention can conveniently take out the end part of the exchanger to the outside of the oral cavity.
Description
Technical Field
The invention relates to a nasobiliary tube placement aid, in particular to a device for removing an exchanger from an oral cavity.
Background
Endoscopic nasobiliary drainage (ENBD) is an endoscopic treatment method in which a nasobiliary tube is placed in a proper position of a biliary tube through a duodenoscope and is finally led out from a nasal cavity on one side of a patient to drain bile above a bile duct blockage position or a lesion position to the outside of the body. At present, most of nasal bile ducts directly enter the oral cavity through nostrils and then enter the pharyngeal portion to be placed into the bile ducts, and operation is difficult. It is more convenient for the nasobiliary tube to extend directly into the stomach through the mouth, and then an exchanger is needed to extend the end of the nasobiliary tube from the nostril out of the mouth. The exchanger needs to be extended into the oral cavity from the nostril in advance and then can be connected with the nasal bile duct, so that the exchanger needs to be taken out of the oral cavity from the end part of the oral cavity in order to facilitate the connection of the exchanger and the nasal bile duct.
It should be understood that the above description is not admitted to be prior art.
Disclosure of Invention
The invention provides a device for taking out an exchanger from an oral cavity, which can take out the end part of the exchanger to the outside of the oral cavity more conveniently.
The invention provides a device for taking out an exchanger from an oral cavity, wherein the exchanger enters the oral cavity from a nostril, the exchanger is used for being connected with a nasal bile duct so as to pull out the nasal bile duct from the nostril through the exchanger, and the device comprises:
the front end of the tongue depressor is in a downward bending state, the middle part of the upper surface of the tongue depressor is downwards sunken to form a groove, and the groove extends from the rear end to the front end and at least extends to a bending connection part;
at least one collar fixed in the groove and having a top surface no higher than a topmost portion of the groove at a corresponding location;
a wire bent to form a loop and constrained within the collar on opposite sides of the wire such that the loop is formed at a front end of the collar, the opposite sides of the wire being movable along the collar toward a front/rear end to change the size of the loop under the resiliency of bending of the wire.
Furthermore, the collar is made of elastic material, a containing cavity is arranged in the collar and used for containing the throat-moistening medicament, micropores communicated with the containing cavity are formed in the collar, and openings of the micropores are located on the inner surface of the collar.
Furthermore, an LED lamp is arranged on the bent part at the front end of the tongue depressor.
Further, the apparatus further comprises:
the upper tooth cushion is connected to the upper surface of the tongue depressor through an elastic element, and the upper surface of the upper tooth cushion is used for being in contact with the upper row of teeth on the human body.
Further, the elastic elements comprise at least two elastic elements which are evenly distributed on two sides of the groove.
Further, an inductor is arranged at the front end of the bent part at the front end of the tongue depressor, the inductor is connected with a prompter, and when the inductor induces that the distance between the inductor and the bottom end of the exchanger is smaller than a preset value, the prompter gives out a prompt.
Further, the two opposite sides of the metal wire are connected with drivers for driving the two opposite sides of the metal wire to move forward/backward along the binding ring, wherein when the sensor senses that the distance between the sensor and the bottom end of the exchanger is less than a predetermined value, the drivers drive the two opposite sides of the metal wire to move backward along the binding ring.
Compared with the prior art, the invention has the beneficial effects that: the invention is especially suitable for the patient who needs to set the nose bile duct after anaesthesia, the invention first puts the device into the mouth, the bending part of the front end extends to the place near the throat, thus the tongue can be flattened by the tongue depressor and the tongue root can be prevented from falling into the throat, two opposite sides of the metal wire are pushed to the front end, the opening of the metal ring is gradually enlarged by the metal ring under the bending resilience of the metal ring until the metal ring is contacted with the skin of the throat, the exchanger is put into the nostril, the inner end of the exchanger positioned in the mouth is gradually extended into the metal ring, two opposite sides of the metal wire are pulled backwards, the metal ring is gradually contracted, and then the inner end of the exchanger can be pulled out from the mouth, and then the inner end of the exchanger can be conveniently connected with the nose bile duct outside the mouth, the exchanger can be pulled from the nostril end after being connected with the nose bile duct.
Drawings
Fig. 1 is a side view of the device for removing an exchanger from the mouth of a subject invention.
Fig. 2 is a top view of the device for removing the exchanger from the mouth of the present invention.
Fig. 3 is a sectional view taken along the plane a-a of fig. 1 or 2.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It will be understood that when an element is referred to as being "connected" to another element, it can be directly connected to the other element or intervening elements may also be present. When a component is referred to as being "disposed on" another component, it can be directly on the other component or intervening components may also be present. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.
Some embodiments of the invention are described in detail below with reference to the accompanying drawings. The embodiments described below and the features of the embodiments can be combined with each other without conflict.
Before describing the present invention in detail, the patient's condition under anaesthesia will be described. Before arranging nose bile duct in the human body, some patients are difficult to bear pain, need anesthesia earlier, and patient under the anesthesia state is not conscious, and the tongue is in the state of lacking energy (the state of lying prone softly promptly), and the tongue probably curls and can't take out the interchanger, can make tongue root after even when arranging nose bile duct fall to throat department and influence and breathe.
Referring to fig. 1-3, the present invention provides an apparatus 110 for removing an exchanger 120 from the mouth. The exchanger 120 may be a common hose (e.g., a medical hose made of silicone). The exchanger 120 extends into the oral cavity from the nostril, one end of the exchanger is remained outside the nostril, the inner end of the exchanger extends into the oral cavity, the inner end extending into the oral cavity cannot be connected with the nasal bile duct in the oral cavity, the exchanger needs to be taken out of the oral cavity, the nasal bile duct is connected outside the oral cavity, and then the end of the exchanger 120 positioned outside the nostril is pulled, so that the nasal bile duct extends out of the nostril.
The device 110 for extracting the exchanger 120 from the oral cavity of the present invention comprises: a tongue depressor 10, a collar 20 and a wire 30.
The front end of the tongue depressor 10 is bent downward to form a bent portion 12, and the middle of the upper surface of the tongue depressor 10 is recessed downward to form a groove 11, the groove 11 extends from the rear end to the front end and extends at least to the bent connection, in this embodiment, the groove 11 penetrates through the front end and the rear end. The tongue depressor 10 can be made of medical polymer material.
The collar 20 may be one or more, which is fixed in the groove 11 and has a top surface not higher than the topmost portion of the groove 11 at the corresponding position. When one, it is preferable that the length (front-to-rear distance) of the collar 20 is slightly larger. When plural, the plural binder rings 20 are spaced along the length of the groove 11, so as to ensure that the following wire 30 moves along the groove 11.
The wire 30, which is bent to form a loop 31, is restrained in the collar 20 at the same time with opposite sides of the wire 30 such that the loop 31 is formed at the front end of the collar 20, and the opposite sides of the wire 30 are movable along the collar 20 toward the front/rear ends, thereby changing the size of the loop 31 under the bending resilience of the wire 30.
The principle of the invention is that the tongue is pressed flatly by the tongue pressing plate 10, the bending part 12 at the front end of the tongue pressing plate is close to the throat, and the bending part 12 is bent downwards, so that the tongue root can be prevented from falling to the throat, the tongue can be tidied well, and the exchanger 120 can be taken out conveniently in the follow-up process. Since the collar 20 is fixed in the recess 11 with its top surface not higher than the uppermost portion of the recess 11 at the corresponding position and the opposite sides of the wire 30 are simultaneously restrained in the collar 20, the wire 30 is received in the recess 11, and when the upper jaw, which is weak due to anesthesia, is unexpectedly closed, the teeth are not pressed against the wire 30 to affect the front/rear movement of the wire 30. The metal wire 30 is moved to the front end, because the metal wire 30 has bending resilience, the opening of the metal ring 31 is gradually enlarged until the metal wire is contacted with the skin of the throat, the exchanger 120 is inserted into the nostril, the inner end of the exchanger 120 gradually passes through the opening of the metal ring 31, and after reaching a certain depth, (see fig. 2) the two opposite sides of the metal ring 31 are pulled outwards, the opening of the metal ring 31 is gradually reduced, the inner end of the exchanger 120 is difficult to be separated from the metal ring 31, at the moment, the metal ring 31 pulls the inner end of the exchanger 120 to the mouth end, so that the exchanger 120 can be conveniently taken out, and the phenomenon that the patient feels uncomfortable to go to the doctor due to failure in taking the exchanger 120 for many times.
Further, as shown in fig. 3, the collar 20 is made of an elastic material, the collar 20 is provided therein with a receiving cavity 21, the receiving cavity 21 is preferably provided at a front end of the collar 20 (when there are a plurality of collars 20, it is preferably provided at a front end of the collar 20 at the forefront end), the receiving cavity 21 is used for receiving the throat-moistening agent, the collar 20 is provided with a micro-hole 22 communicated with the receiving cavity 21, and an opening of the micro-hole 22 is located on an inner surface of the collar 20. In use, the throat moistening agent can be injected into the accommodating cavity 21, because the metal ring 31 has bending resilience, when the two opposite sides of the metal ring 31 are bound in the collar 20, the metal ring 31 can press (particularly press the front opening of the collar 20) the collar 20, so as to compress the accommodating cavity 21, the throat moistening agent in the accommodating cavity 21 is coated on the metal ring 31, and then the throat moistening agent is coated on the throat when the metal ring 31 is in contact with the skin of the throat, so that throat discomfort caused by retention of the nasobiliary duct or the metal ring 31 can be prevented, and in addition, the throat moistening agent can promote the movement of the two opposite sides of the metal ring 31 relative to the collar 20.
With continued reference to fig. 1, an LED lamp 40 is provided on the front curved portion 12 of the tongue depressor 10, wherein the LED lamp 40 can illuminate the oral cavity to facilitate viewing of the position of the exchanger 120 and the position of the wire 30, and a wire 41 connected to the LED lamp 40 can be arranged inside the tongue depressor 10.
In the present embodiment, with continued reference to fig. 1 and 2, the device 110 further comprises an upper dental pad 50 connected to the upper surface of the tongue depressor 10 via an elastic element 51, the upper surface of the upper dental pad 50 being adapted to contact the upper row of teeth of the human body. As described above, the upper jaw is closed after anesthesia, and the mouth should be kept open during the process of removing the exchanger 120, which not only facilitates the medical staff to check the condition in the oral cavity, but also does not easily obstruct the movement of the wire 30. the upper tooth pad 50 of the present invention compresses the elastic element 51 before being placed in the oral cavity, so that the distance between the upper tooth pad 50 and the tongue depressor 10 is small, which makes the upper tooth pad thinner and better placed in the oral cavity from the mouth, and after being placed in the oral cavity, the upper tooth pad 50 can move up and down the teeth under the elastic force of the elastic element 51, so that the upper jaw and the lower jaw are separated, and the mouth is opened. The elastic elements 51 comprise at least two which are equally distributed on both sides of the groove 11.
In this embodiment, as shown in fig. 1, a sensor 42 is disposed at the front end of the front end bending portion 12 of the tongue depressor 10, and the sensor 42 is connected with a reminder (not shown, which may be separately disposed), and when the sensor 42 senses that the distance between the sensor 42 and the bottom end of the exchanger 120 is less than a predetermined value, the reminder gives a prompt, so as to prompt the medical staff that the exchanger 120 has been lowered to a proper position, and the wire 30 can be moved to the rear end. Further, in this embodiment, the two opposite sides of the wire 30 are connected to drivers (not shown) for driving the two opposite sides of the wire 30 to move forward/backward along the ring 20, wherein when the sensor 42 senses that the distance between the sensor and the bottom end of the exchanger 120 is less than a predetermined value, the drivers drive the two opposite sides of the wire 30 to move backward along the ring 20, and the wire 30 is driven to move by the drivers, so that the movement of the wire 30 is more stable, and the removal of the exchanger 120 is more reliable.
The above description is only for the purpose of illustrating the preferred embodiments of the present invention and is not to be construed as limiting the invention, and any modifications, equivalents and improvements made within the spirit and principle of the present invention are intended to be included within the scope of the present invention.
Claims (7)
1. An apparatus for removing an exchanger from an oral cavity into the oral cavity from a nostril, the exchanger for connection with a nasobiliary duct to pull the nasobiliary duct from the nostril through the exchanger, wherein the apparatus comprises:
the front end of the tongue depressor is in a downward bending state, the middle part of the upper surface of the tongue depressor is downwards sunken to form a groove, and the groove extends from the rear end to the front end and at least extends to a bending connection part;
at least one collar fixed in the groove and having a top surface no higher than a topmost portion of the groove at a corresponding location;
a wire bent to form a loop and constrained within the collar on opposite sides of the wire such that the loop is formed at a front end of the collar, the opposite sides of the wire being movable along the collar toward a front/rear end to change the size of the loop under the resiliency of bending of the wire.
2. The device for removing an exchanger from a mouth as claimed in claim 1, wherein said collar is made of an elastic material, said collar has a receiving cavity therein for receiving a throat moistening agent, said collar has a micro-hole therein communicating with said receiving cavity, and an opening of said micro-hole is located on an inner surface of said collar.
3. The device for removing the exchanger from the oral cavity according to claim 1, wherein the front curved portion of the spatula is provided with an LED lamp.
4. The device for removing an exchanger from an oral cavity according to claim 1, further comprising:
the upper tooth cushion is connected to the upper surface of the tongue depressor through an elastic element, and the upper surface of the upper tooth cushion is used for being in contact with the upper row of teeth on the human body.
5. The device for extracting an exchanger from the oral cavity according to claim 4, wherein said elastic elements comprise at least two, equally distributed on both sides of said groove.
6. The device for removing the exchanger from the oral cavity as claimed in claim 1, wherein the front end of the curved portion of the front end of the spatula is provided with a sensor, the sensor is connected with a reminder, and the reminder gives a prompt when the sensor senses that the distance between the sensor and the bottom end of the exchanger is less than a predetermined value.
7. The device as claimed in claim 6, wherein a driver is connected to opposite sides of the wire for driving the opposite sides of the wire to move forward/backward along the collar, wherein the driver drives the opposite sides of the wire to move backward along the collar when the sensor senses that the distance from the bottom end of the exchanger is less than a predetermined value.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911004784.4A CN110694164B (en) | 2019-10-16 | 2019-10-16 | Device for removing an exchanger from the mouth |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201911004784.4A CN110694164B (en) | 2019-10-16 | 2019-10-16 | Device for removing an exchanger from the mouth |
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| Publication Number | Publication Date |
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| CN110694164A true CN110694164A (en) | 2020-01-17 |
| CN110694164B CN110694164B (en) | 2022-02-08 |
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| CN201911004784.4A Active CN110694164B (en) | 2019-10-16 | 2019-10-16 | Device for removing an exchanger from the mouth |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN110694164B (en) | 2022-02-08 |
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