CN112190313B - Olecranon type tracheotomy and propping open integrated pliers - Google Patents

Olecranon type tracheotomy and propping open integrated pliers Download PDF

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Publication number
CN112190313B
CN112190313B CN202011064693.2A CN202011064693A CN112190313B CN 112190313 B CN112190313 B CN 112190313B CN 202011064693 A CN202011064693 A CN 202011064693A CN 112190313 B CN112190313 B CN 112190313B
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clamp
jaw
tracheotomy
integrated
pliers
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CN112190313A (en
Inventor
张海钟
周正
乔波
邢乐君
陈犹白
贾婷婷
孟凡皓
田瑜
胡随馨
于文俊
臧小漪
靳能浩
林权泉
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First Medical Center of PLA General Hospital
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First Medical Center of PLA General Hospital
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Priority to CN202011064693.2A priority Critical patent/CN112190313B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3209Incision instruments
    • A61B17/32093Incision instruments for skin incisions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/2812Surgical forceps with a single pivotal connection
    • A61B17/282Jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/285Surgical forceps combined with cutting implements

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Ophthalmology & Optometry (AREA)
  • Dermatology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a pair of olecranon type tracheotomy and distraction integrated pliers, wherein a jaw is of an olecranon type arc design, the tip of the jaw is sharp, one side in the arc of the jaw is a sharp cutting edge, and scales are marked from the tip of the jaw to the side face of a pliers body. The invention has the advantages of having two functions of soft tissue incision and trachea opening, and being simple and convenient and quick to operate. The caliper body is marked with scales, so that the tracheotomy depth can be accurately controlled, and the tracheotomy safety is improved. Is suitable for single operation of non-medical staff and can greatly improve the success rate of rescuing emergency suffocation patients in the open air.

Description

Olecranon type tracheotomy and propping open integrated pliers
Technical Field
The invention relates to a medical apparatus, in particular to a tracheotomy and opening integrated clamp.
Background
In battlefield and some accident sites, the wounded can suffer from respiratory tract obstruction to cause asphyxia, and the person can stop the heart after 2-4 minutes of asphyxia and can generate irreversible damage to the brain, so the rescue of the sufferer must be in a fraction of seconds. In the event that no professional medical personnel are present at the battlefield or at some accident site, a rapid tracheotomy device is designed and operated by non-medical personnel, such as to rescue the asphyxiators quickly in 2-4 minutes.
However, due to the current state of the art, the following disadvantages exist:
1. all the tracheotomy devices are operated by professional medical staff, and the operation process is complicated.
2. It is difficult for non-medical personnel without specialized training to complete a standard tracheotomy procedure in a short period of time.
3. Inaccurate grasping of the tracheotomy depth is highly likely to cause damage to the posterior wall of the trachea.
The present invention has been made in view of this.
Disclosure of Invention
The invention aims to overcome the defects of the prior art and provide the olecranon-type tracheotomy and stretching integrated clamp which aims to meet the operation requirement of non-medical staff in on-site emergency occasions.
In order to solve the technical problems, the invention adopts the basic conception of the technical scheme that:
the utility model provides an eagle mouth formula tracheotomy struts integrative pincers, includes jaw, body of the pincers, pincers handle and grip ring, and the jaw is the arc design of eagle mouth formula, and the sharp pointed end of jaw, and one side in the arc of jaw is sharp cutting edge, has the scale from the pointed end of jaw to body of the pincers side.
Further, the first and second clamp bodies of the integrated clamp are formed by integrating a jaw, a clamp body, a clamp handle and a clamping ring.
Further, one side in the arc of the jaw on the first clamp body of the integrated clamp is a sharp cutting edge, and one side in the arc of the jaw on the second clamp body is an arc surface.
Further, the tips of the integrated pliers jaws are tilted upwards, and the cross-sectional areas of the upper jaw and the lower jaw are gradually narrowed from bottom to top to the uppermost sharp cutting edge.
Further, the second integrated forceps body is provided with scales from the tip of the jaw to the side face of the forceps body, and the scales are lengths of cross sectional areas from the tip to the forceps shafts.
Further, the first clamp body and the second clamp body are connected in a rotating mode through a clamp shaft.
Further, the left end of the integrated pliers shaft is provided with a structure of integrally forming a jaw and a pliers body, and the right end of the pliers shaft is provided with a structure of integrally forming a pliers handle and a clamping ring.
Further, the clamp handle forms a certain angle with the clamp body, and the tail end of the clamp handle is a circular clamping ring.
Further, when the integrated pliers are closed, the upper pliers body, the lower pliers body and the pliers jaws are mutually clung, and an included angle between the two pliers handles is a certain acute angle.
Further, the first clamp body is also provided with a supporting rod, one end of the supporting rod is fixedly connected to the left end of the first clamp body, and the other end of the supporting rod is buckled on a tooth slot of the second clamp body.
By adopting the technical scheme, compared with the prior art, the invention has the following beneficial effects.
1. The sharp tip of the jaw can directly pierce the skin, subcutaneous soft tissue and trachea.
2. The jaw and the side face of the jaw body are marked with scales, so that the penetration depth can be determined.
3. One side in the arc of the jaw is a sharp cutting edge, which can cut soft tissues and enlarge the incision to increase ventilation.
4. The arc design of the jaw is helpful for inserting the trachea cannula into the trachea along the jaw after the tracheotomy is opened.
5. The invention integrates the functions of puncture, incision and opening, reduces the number of components of the tracheotomy device, simplifies the operation process of the tracheotomy, can be completed by one person, and can greatly improve the success rate of rescuing emergency suffocation patients in the field.
The following describes the embodiments of the present invention in further detail with reference to the accompanying drawings.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the invention. It is evident that the drawings in the following description are only examples, from which other drawings can be obtained by a person skilled in the art without the inventive effort. In the drawings:
FIG. 1 is a schematic general construction of the present invention;
FIG. 2 is a partial enlarged perspective view of a schematic structural view of a jaw;
FIG. 3 is a schematic structural view of embodiment 1 of the present invention;
FIG. 4 is a schematic application diagram of embodiment 1 of the present invention;
FIG. 5 is a schematic view of section B-B of example 1 of the present invention.
The reference numerals in the drawings indicate: 1. a first forceps body, 2, a jaw, 3, a second forceps body, 4, a cutting edge, 5, scales, 6, a cannula, 7 and the surface of skin, 8, an air pipe, 9, a clamp shaft, 10, a clamp body, 11, a clamp handle, 12, a clamping ring, 13 and a supporting rod.
It should be noted that these drawings and the written description are not intended to limit the scope of the inventive concept in any way, but to illustrate the inventive concept to those skilled in the art by referring to the specific embodiments.
Detailed Description
For the purpose of making the objects, technical solutions and advantages of the embodiments of the present invention more apparent, the technical solutions in the embodiments will be clearly and completely described with reference to the accompanying drawings in the embodiments of the present invention, and the following embodiments are used to illustrate the present invention, but are not intended to limit the scope of the present invention.
In the description of the present invention, it should be noted that the directions or positional relationships indicated by the terms "upper", "lower", "front", "rear", "left", "right", "vertical", "inner", "outer", etc. are based on the directions or positional relationships shown in the drawings, are merely for convenience of describing the present invention and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present invention.
In the description of the present invention, it should be noted that, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be either fixedly connected, detachably connected, or integrally connected, for example; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium. The specific meaning of the above terms in the present invention will be understood in specific cases by those of ordinary skill in the art.
The embodiment of the invention discloses a olecranon type tracheotomy and stretching integrated clamp, wherein the tip end of a jaw 2 is extremely sharp, skin, subcutaneous tissue or trachea can be punctured, then soft tissue is cut through a cutting edge 4, the ventilation quantity is increased, then fingers penetrate through a clamping ring 12, a clamp handle 11 is held, the integrated clamp is closed, the jaw 2 can be opened, the tracheotomy can be stretched, and the clamp is buckled on a tooth socket through a supporting rod 13. The olecranon type tracheotomy and distraction integrated clamp is simple in structure and convenient to use, and can completely complete tracheotomy operation by one person under the condition of insufficient personnel.
As shown in fig. 1 to 5, the invention discloses an olecranon type tracheotomy and spreader integrated clamp, which comprises a clamp body 1 and a clamp body 3, wherein the clamp body 1 and the clamp body are rotationally connected through a clamp shaft 9, the clamp body consists of a clamp jaw 2, a clamp body 10 and a clamp handle 11, and the three parts are of an integrated structure. The arc-shaped inner side of the jaw 2 is provided with a sharp cutting edge 4, scales 5 are marked from the tip of the jaw 2 to the side face of the jaw body 10, the jaw 2 and the jaw body 10 are in a horizontal state, a certain obtuse angle is formed between the jaw handle 11 and the jaw body 10, and the tail end of the jaw handle 11 is provided with a circular clamping ring 12.
As shown in fig. 2 to 3, the integrated pliers jaw 2 of the invention is of a olecranon-shaped arc design, the tip of the jaw 2 is sharp, and the jaw 2 on the first pliers body is upward and the jaw 2 on the second pliers body is downward. When the integrated pliers are closed, the section of the jaw 2 gradually narrows from bottom to top until the jaw 2 on the pliers body 1 is a sharp cutting edge, and the jaw 2 is in a symmetrical obtuse triangle shape when seen from top to bottom. The integrated pliers are placed horizontally and the jaw 2 is shaped like a crescent when seen from the front. Thus, the skin, subcutaneous soft tissues and the trachea can be easily and quickly pierced, other sharp equipment is not needed to be found for operation, and the operation time can be greatly prolonged.
One side in the arc of the jaw 2 on the first clamp body is a sharp cutting edge 4, one side in the arc of the jaw 2 on the second clamp body is an arc surface, and the arc surface is as large as the arc bottom surface of the jaw 2 on the first clamp body. The cutting edge 4 can cut soft tissue and enlarge the incision to increase ventilation. When an emergency is encountered, a larger incision can be made with the cutting edge 4 and the jaws 2 are in a closed state.
Scales 5 are marked on the tip of the jaw 2 of the integrated pliers to the side face of the pliers body 10, and the scales 5 represent the length of the cross section area from the tip of the integrated pliers to the position of the pliers shaft 9, and are not the sum of the arc length of the jaw 2 and the length of the pliers body 10. The reason for this is that the scale 5 clearly indicates the penetration depth of the integrated clamp when we are using the integrated clamp, and this value should be expressed in the vertical direction from the tip of the integrated clamp, so that too shallow or too deep penetration by non-professional persons can be prevented, the tracheotomy depth is precisely controlled, and the safety of tracheotomy is improved.
The right end of the jaw 2 of the integrated pliers is connected with the pliers body 10, is integrally formed with the pliers body 10 and is consistent with the pliers body 10 in horizontal direction, and at the right end of the pliers body 10, the first pliers body 1 and the second pliers body 3 are rotatably connected through a pliers shaft 9. When the integrated pliers are required to be spread, the pliers handles 11 are closed up and down, the pliers body 10 and the pliers jaws 2 can be spread at a certain angle, soft tissues can be spread, and at the moment, the trachea can be inserted into the spread part. When the integrated clamp is used, other opening devices do not need to be replaced, the operation can be directly performed, and a large amount of operation time is saved.
The integrated pliers are characterized in that a supporting rod 13 is arranged on a pliers handle 11 of a pliers body I1, one end of the supporting rod 13 is fixed on the pliers handle 11 of the pliers body I1, the other end of the supporting rod 13 is fixed on the pliers handle 11 of a pliers body II 3, the supporting rod is fixed on the pliers handle 11 of the pliers body II 3 and can slide, and tooth grooves are formed in the pliers handle 11. When the integrated pliers jaw 2 needs to be spread, one sliding end of the supporting rod 13 is buckled on the tooth slot, so that the spread opening of the integrated pliers can be fixed. Therefore, in the operation process, the hand only needs to hold the integrated clamp, and the hand does not need to support the integrated clamp again, so that the operation is convenient.
The body 10 of the integrated pliers forms a certain obtuse angle with the handles 11, and when the jaw 2 is closed, a certain acute angle is formed between the two handles 11 of the integrated pliers. A circular-ended gripping ring 12, the gripping ring 12 having a diameter sized to at least allow the thumb of an adult to pass therethrough, approximately 3cm or so. When the jaw 2 needs to be opened, fingers pass through the clamping ring 12, the included angle between the two clamp handles 11 is smaller and smaller, the opening caliber of the jaw 2 is larger and larger, and when no included angle exists between the two clamp handles 11, the opening caliber of the jaw 2 is the largest.
Example 1
As shown in fig. 4 to 5, an embodiment of the olecranon-type tracheotomy and stretching integrated clamp is presented, a wounded is supine, the wounded is not required to lean back, the skin surface 7 of the neck is touched to the position of the trachea 8, the tip of the jaw 2 is used for puncturing skin, subcutaneous soft tissues and the trachea, the puncture depth can be determined through the scale 5 on the side surface of the jaw 2, the operation is simple, the efficiency is improved, and a non-professional can operate without waiting for the professional to arrive at the site. When the tracheal position is found, the soft tissue and trachea are incised downward with the incision blade 4 of the jaws 2 to enlarge the incision, and the jaws 2 remain closed during the cutting process. When the incision size can be smoothly inserted into the trachea cannula 6, the jaw 2 is opened to prop open soft tissues and the trachea incision, then the trachea cannula 6 is inserted into the trachea 8 along the radian of the jaw 2, and simultaneously the first forceps body 1 and the second forceps body are withdrawn to fix the trachea cannula 6, so that the rescuing process is completed. In the operation and use process, the olecranon-type tracheotomy and propping-open integrated clamp can puncture, incise and prop open the function, so that the number of components of the tracheotomy device is reduced, the operation process of the tracheotomy is simplified, all operations can be completed by one person, the success rate of rescuing emergency sufferers in the open air can be greatly improved, and the olecranon-specialized clamp is also suitable for non-professional use and simple in operation.
Example 2
According to the olecranon type tracheotomy and struts integrated clamp, the portable ultrasonic probe is used for rapidly checking the neck, the depth of the front wall and the rear wall of the trachea can be accurately known, the accurate depth of puncture can be carried out on the trachea by matching with the scales 5 of the clamp, the puncture of the trachea can be ensured, and the damage to the rear wall of the trachea due to the deep puncture can be avoided. In addition, coarser vessels can be detected and can be selectively avoided during tracheotomy, thereby avoiding severe bleeding.
The foregoing description is only a preferred embodiment of the present invention, and the present invention is not limited to the above-mentioned embodiment, but is not limited to the above-mentioned embodiment, and any simple modification, equivalent change and modification made by the technical matter of the present invention can be further combined or replaced by equivalent embodiments within the scope of the technical proposal of the present invention without departing from the scope of the technical proposal of the present invention.

Claims (6)

1. The utility model provides an eagle mouth formula tracheotomy struts integrative pincers, includes jaw (2), pincers body (10), pincers handle (11) and grip ring (12), its characterized in that: the jaw (2) is in a olecranon-shaped arc design, the tip of the jaw (2) is sharp, one side in the arc of the jaw (2) is a sharp cutting edge (4), and scales (5) are marked from the tip of the jaw (2) to the side face of the jaw body (10);
the first clamp body (1) and the second clamp body (3) are respectively formed by a jaw (2), a clamp body (10), a clamp handle (11) and a clamping ring (12) in an integrated manner;
one side in the arc of the jaw (2) on the first clamp body (1) is a sharp cutting edge (4), and one side in the arc of the jaw (2) on the second clamp body (3) is a plane;
the tips of the jaws (2) tilt upwards, and the cross sectional areas of the upper jaw (2) and the lower jaw (2) are gradually narrowed from bottom to top to the uppermost sharp cutting edge (4);
the second clamp body (3) is marked with a scale (5) from the tip of the clamp mouth (2) to the side face of the clamp body (10), and the scale is the length of the cross section area between the tip and the clamp shaft (9).
2. The olecranon tracheotomy and struts integrated clamp of claim 1 wherein: the first clamp body (1) and the second clamp body (3) are rotationally connected through a clamp shaft (9).
3. The olecranon tracheotomy and struts integrated clamp of claim 2 wherein: the left end of the clamp shaft (9) is provided with a clamp mouth (2) and a clamp body (10) which are integrally formed, and the right end of the clamp shaft (9) is provided with a clamp handle (11) and a clamping ring (12) which are integrally formed.
4. A pair of olecranon tracheotomy and struts integrated clamp according to claim 3, wherein: the clamp handle (11) is arranged at an angle with the clamp body (10), and the tail end of the clamp handle (11) is an arc-shaped clamping ring (12).
5. The olecranon tracheotomy distraction integrated clamp of claim 4 wherein: when the integrated pliers are closed, the upper and lower pliers bodies (10) and the jaws (2) are mutually clung, and an included angle between the two pliers handles (11) is an acute angle.
6. A pair of olecranon tracheotomy integrated clamp according to any one of claims 1 to 5, wherein: the first clamp body (1) is also provided with a supporting rod (13), one end of the supporting rod (13) is fixedly connected to the left end of the first clamp body (1), and the other end of the supporting rod is buckled on a tooth slot of the second clamp body (3).
CN202011064693.2A 2020-09-30 2020-09-30 Olecranon type tracheotomy and propping open integrated pliers Active CN112190313B (en)

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Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5997566A (en) * 1998-07-14 1999-12-07 Tobin; Joshua Cricothyrotomy forceps
GB0111718D0 (en) * 2001-05-14 2001-07-04 Sanjay Gandhi Post Graduate In An instrument for causing a dilation of the trachea opening
GB0112444D0 (en) * 2000-05-22 2001-07-11 Ruesch Willy Gmbh Device and method for tracheotomy
CN2512450Y (en) * 2001-11-05 2002-09-25 张顺遂 Guide trachea puncture hole dilating forceps
CN1957856A (en) * 2005-10-31 2007-05-09 张海钟 Backward direction tube of circothyroid membrane puncture, and matched push off clamp
CN102462518A (en) * 2010-11-12 2012-05-23 冯川 Tracheotomy clamp type retractor
CN203169231U (en) * 2013-04-07 2013-09-04 山西医科大学 Expanding forceps for percutaneous tracheostomy surgery
CN203424998U (en) * 2013-09-04 2014-02-12 中国人民解放军第三军医大学第三附属医院 Fast cricothyroid membrane cutter
CN204033426U (en) * 2014-08-19 2014-12-24 上海中山医疗科技发展公司 Skin puncture trachea incision stretching pliers

Patent Citations (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5997566A (en) * 1998-07-14 1999-12-07 Tobin; Joshua Cricothyrotomy forceps
GB0112444D0 (en) * 2000-05-22 2001-07-11 Ruesch Willy Gmbh Device and method for tracheotomy
GB0111718D0 (en) * 2001-05-14 2001-07-04 Sanjay Gandhi Post Graduate In An instrument for causing a dilation of the trachea opening
CN2512450Y (en) * 2001-11-05 2002-09-25 张顺遂 Guide trachea puncture hole dilating forceps
CN1957856A (en) * 2005-10-31 2007-05-09 张海钟 Backward direction tube of circothyroid membrane puncture, and matched push off clamp
CN102462518A (en) * 2010-11-12 2012-05-23 冯川 Tracheotomy clamp type retractor
CN203169231U (en) * 2013-04-07 2013-09-04 山西医科大学 Expanding forceps for percutaneous tracheostomy surgery
CN203424998U (en) * 2013-09-04 2014-02-12 中国人民解放军第三军医大学第三附属医院 Fast cricothyroid membrane cutter
CN204033426U (en) * 2014-08-19 2014-12-24 上海中山医疗科技发展公司 Skin puncture trachea incision stretching pliers

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