CN201361337Y - Retrograde emergency intubation tube guide wire - Google Patents

Retrograde emergency intubation tube guide wire Download PDF

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Publication number
CN201361337Y
CN201361337Y CNU2009200530233U CN200920053023U CN201361337Y CN 201361337 Y CN201361337 Y CN 201361337Y CN U2009200530233 U CNU2009200530233 U CN U2009200530233U CN 200920053023 U CN200920053023 U CN 200920053023U CN 201361337 Y CN201361337 Y CN 201361337Y
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CN
China
Prior art keywords
seal wire
guide wire
soft
retrograde
superhard
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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.)
Expired - Fee Related
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CNU2009200530233U
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Chinese (zh)
Inventor
曹云飞
周雪飞
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Individual
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Individual
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Priority to CNU2009200530233U priority Critical patent/CN201361337Y/en
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Publication of CN201361337Y publication Critical patent/CN201361337Y/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Abstract

The utility model belongs to the field of medical equipment, and discloses a retrograde emergency intubation tube guide wire which comprises a super-hard guide wire; a J-shaped soft joint is arranged at one end of the super-hard guide wire. The intubation tube guide wire is characterized in that a soft guide wire is arranged at the other end of the super-hard guide wire. Compared with the prior art, the intubation tube guide wire has the advantages of simpler and more convenient operation, reduced tissue damage, and increased success rate.

Description

First aid intubate seal wire drives in the wrong direction
Technical field
This utility model relates to medical instruments field, specifically is a kind of retrograde first aid intubate seal wire.
Background technology
Tracheal intubation is the maintenance respiratory passage unblocked, is convenient to breathe and manages blanking method really, important measures when being anesthesia and rescue critical patient.But also can run into clinically because developmental disorder or disease, the caused anatomical variation of wound and can not expose the tracheal intubation difficulty of glottis, in case and tracheal intubation difficulty or deal with improperly then can cause severe depletion of oxygen and CO 2Accumulate, and direct life-threatening.One of solution is to drive in the wrong direction through ring first film for guiding the first aid tracheal intubation.The so-called tracheal intubation of driving in the wrong direction is conventional relatively tracheal intubation, promptly puncture in the air flue by ring first film ligament earlier, a seal wire is sent into air flue through ring first film, and the cephalad direction advances, by throat and pars oralis pharyngis, until can per nasal or per os is visited and its end.Then with another hollow guiding tube from the beginning the direction of side seal wire is inserted in it, be inserted in endotracheal tube again, and direct motion is inserted in the air flue under the guiding of seal wire and guiding tube.Because the guidance tracheal intubation technology of driving in the wrong direction need not adopt laryngoscope to appear glottis and the required special posture of conventional tracheal intubation, so it is very suitable for the difficult tracheal intubation due to excuse neck trauma, neck joint inflammation, ankylosis of temporomandibular joint, the gnathospasma etc., especially the urgent difficult tracheal intubation patient who has failed for cervical spine injury and other tracheal intubation methods does not need special installation and special skill to become the outstanding advantage of retrograde guidance tracheal intubation technology yet.
Used seal wire mostly is the superhard seal wire of superslide greatly at present, and the seal wire head end is the soft header structure of J type, and guidewire body is the straight type structure of hard.The soft header structure of J type (about long 3cm) can not damage body tissue and have good steering capability, can guarantee seal wire along moving in trachea and the pharyngolaryngeal cavity, and per nasal or per os are drawn.Guiding tube and endotracheal tube can be near the straight type seal wire of hard arrive at thyrocricoid puncture point subsequently, and when extracting seal wire out, taking advantage of a situation pushes guiding tube and endotracheal tube in the air flue.But because thyrocricoid puncture point is very near from the glottis mouth, make when this step operates, not only need to strain seal wire, also firmly guiding tube and endotracheal tube are pushed up to glottis and air flue front end, the extraction and the sending into of guiding tube and endotracheal tube of seal wire need be carried out synchronously simultaneously, otherwise cause displacement of guiding tube or endotracheal tube or resilience easily, cause guide cannula failure even enter the esophagus by mistake.Existing seal wire in use is difficult to solve this technological difficulties.
The utility model content
The purpose of this utility model is at the deficiencies in the prior art, and a kind of retrograde first aid intubate seal wire that in use can reduce the technical difficulty of the guidance tracheal intubation that drives in the wrong direction and improve successful intubation is provided.
The technical solution of the utility model is as follows:
A kind of retrograde first aid intubate seal wire comprises one section superhard seal wire, and an end of superhard seal wire is the soft head of J type, it is characterized in that: the other end of superhard seal wire is provided with one section soft seal wire.
Further, the joint of soft seal wire and superhard seal wire is a bending.
Further, that end of joining of soft seal wire and superhard seal wire is the U type.
Further, the length of soft seal wire is 5~7cm.
Further, soft seal wire is provided with scale mark.
Further, also be provided with scale mark on the superhard seal wire.
This utility model is set up one section soft seal wire at existing seal wire tail end, its role is to: when guiding tube arrives near the thyrocricoid puncture point along seal wire, needn't resemble and extract seal wire out the method previously, and guiding tube and seal wire together can be pushed into air flue, make operation more easy.Soft seal wire can not damage the respiratory mucosa tissue, and is drawn out of from guiding tube easily after operation is finished.
The soft seal wire of the long 5~7cm of tail end can play containment guides effect preferably.
The soft seal wire of tail end and the joint of superhard seal wire are designed to bending, more help it is dragged in the introducing air flue, and can not damage the respiratory mucosa tissue, when bringing air flue into because of the guiding tube propelling is passive, the traction of forniciform soft seal wire has also guaranteed the propelling of guiding tube along air flue dead ahead inwall, thereby avoid it when extracting seal wire, to be shifted or resilience skids off may going of air flue, and increase the success rate of intubate.
On soft seal wire scale mark being set, is when guiding tube and seal wire tail end to be sent into air flue in order to identify.
Scale mark is set on stiff guide wire, is in order to identify the insertion depth of guiding tube.
This utility model compared with prior art has the following advantages:
(1) operation is easier.Tradition seal wire guiding method need be strained seal wire when operation, and firmly guiding tube and endotracheal tube is pushed up to glottis and air flue front end, and when extracting seal wire and guiding tube out, taking advantage of a situation pushes endotracheal tube in the air flue.And use this seal wire seal wire and guiding tube can be pushed in the lump into air flue, and then endotracheal tube is imported in the air flue.
(2) reduce tissue injury.Need not when extracting seal wire firmly guiding tube and endotracheal tube top to glottis and air flue front end, thereby avoid the damage of local organization structure.
(3) improve success rate.Guiding tube is in progradation, curved soft header structure has played good containment guides effect, guaranteed the propelling of guiding tube, thereby avoided it when extracting seal wire, to be shifted or resilience skids off the probability of air flue, and increased the success rate of intubate along air flue dead ahead inwall.
Description of drawings
Fig. 1 is the sketch map of a kind of preferred structure of the present utility model.
Fig. 2 is the sketch map of another kind of preferred structure of the present utility model.
Fig. 3 is one of traditional seal wire user mode sketch map.
Fig. 4 is two of traditional seal wire user mode sketch map.
Fig. 5 is one of this utility model seal wire user mode sketch map
Fig. 6 is two of this utility model seal wire user mode sketch map.
Among the figure, 1: stiff guide wire; The soft head of 2:J type; 3: soft seal wire; 4: scale mark; 5: scale mark; 6: guiding tube.
The specific embodiment
The present invention is further detailed explanation below in conjunction with drawings and Examples.
Embodiment 1
As shown in Figure 1, a kind of retrograde first aid intubate seal wire comprises one section superhard seal wire 1, and an end of superhard seal wire 1 is soft 2 on J type, and the other end of superhard seal wire 1 is provided with one section soft seal wire 3.Soft seal wire 3 is provided with scale mark 4, and superhard seal wire is provided with scale mark 5.Soft seal wire 3 is a bending with the joint of superhard seal wire 1.
Embodiment 2
As shown in Figure 2, a kind of retrograde first aid intubate seal wire comprises one section superhard seal wire 1, and an end of superhard seal wire 1 is soft 2 on J type, and the other end of superhard seal wire 1 is provided with one section soft seal wire 3.Soft seal wire 3 is provided with scale mark 4, and superhard seal wire is provided with scale mark 5.Soft seal wire 3 is the U type with that end that superhard seal wire 1 joins.
Fig. 3, Fig. 4 are traditional seal wire user mode sketch maps.
As shown in Figure 3, send into traditional seal wire in the air flue and the propelling of cephalad direction by the puncture of ring first film ligament earlier, after drawing, per os is inserted in supporting hollow guiding tube 6 (as the Teflon guiding tube of U.S. COOK company special use) then, and near the straight type seal wire 1 of hard arrives at thyrocricoid puncture point, for preventing that seal wire from extracting the displacement or the resilience of guiding tube simultaneously out, need firmly strain seal wire this moment and with guiding tube 6 tops to glottis and air flue front end (as shown in Figure 3).Because the main body seal wire 1 of hard is not flexible and flexural deformation after can not reply original shape, therefore must extract seal wire earlier out, and take advantage of a situation simultaneously guiding tube 6 is pushed (as shown in Figure 4) in the air flue, again endotracheal tube is imported in the air flues by guiding tube 6 subsequently.
Fig. 5, Fig. 6 are this utility model seal wire user mode sketch maps.
As shown in Figure 5, puncture in the air flue by ring first film ligament earlier, the head end (the soft head of J type) of seal wire is sent into air flue through ring first film, and the cephalad direction advances, by throat and pars oralis pharyngis, per os is drawn again, is positioned at throat skin penetrating point place until the scale mark of seal wire tail end.Tension seal wire two ends and with supporting hollow guiding tube 6 (as the Teflon guiding tube of U.S. COOK company special use) from the beginning the direction of side seal wire is inserted in it, enter air flue along seal wire by the oral cavity then, up to arriving near the thyrocricoid puncture point, this moment, the guiding tube end was positioned at the scale mark place (as shown in Figure 5) of seal wire front end just.At this moment, loosen the soft seal wire of seal wire tail end, and guiding tube and seal wire are pushed in the lump into air flue (as shown in Figure 6), again endotracheal tube is imported in the air flue by guiding tube subsequently.

Claims (6)

1, a kind of retrograde first aid intubate seal wire comprises one section superhard seal wire, and an end of superhard seal wire is the soft head of J type, it is characterized in that: the other end of superhard seal wire is provided with one section soft seal wire.
2, retrograde first aid intubate seal wire according to claim 1, it is characterized in that: the joint of soft seal wire and superhard seal wire is a bending.
3, retrograde first aid intubate seal wire according to claim 2, it is characterized in that: that end that soft seal wire and superhard seal wire join is the U type.
4, retrograde first aid intubate seal wire according to claim 3, it is characterized in that: the length of soft seal wire is 5~7cm.
5, according to each described retrograde first aid intubate seal wire of claim 1~4, it is characterized in that: soft seal wire is provided with scale mark.
6, retrograde first aid intubate seal wire according to claim 5 is characterized in that: also be provided with scale mark on the superhard seal wire.
CNU2009200530233U 2009-03-20 2009-03-20 Retrograde emergency intubation tube guide wire Expired - Fee Related CN201361337Y (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNU2009200530233U CN201361337Y (en) 2009-03-20 2009-03-20 Retrograde emergency intubation tube guide wire

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNU2009200530233U CN201361337Y (en) 2009-03-20 2009-03-20 Retrograde emergency intubation tube guide wire

Publications (1)

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CN201361337Y true CN201361337Y (en) 2009-12-16

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011079500A1 (en) * 2009-12-28 2011-07-07 Chen Zhiyang Guide core and guide wire of pencil-shaped endotracheal tube for retrograde tracheal intubation
CN109999299A (en) * 2019-04-23 2019-07-12 北京大学口腔医学院 A kind of seal wire for trachea cannula and the conduit for being arranged with seal wire
WO2019145774A1 (en) * 2018-01-23 2019-08-01 Marco Munaro Device and kit for retrograde intubation

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011079500A1 (en) * 2009-12-28 2011-07-07 Chen Zhiyang Guide core and guide wire of pencil-shaped endotracheal tube for retrograde tracheal intubation
WO2019145774A1 (en) * 2018-01-23 2019-08-01 Marco Munaro Device and kit for retrograde intubation
CN109999299A (en) * 2019-04-23 2019-07-12 北京大学口腔医学院 A kind of seal wire for trachea cannula and the conduit for being arranged with seal wire

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C14 Grant of patent or utility model
GR01 Patent grant
C17 Cessation of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20091216

Termination date: 20120320