CN201832258U - Visual guiding apparatus for tracheal intubation - Google Patents

Visual guiding apparatus for tracheal intubation Download PDF

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Publication number
CN201832258U
CN201832258U CN201020566756XU CN201020566756U CN201832258U CN 201832258 U CN201832258 U CN 201832258U CN 201020566756X U CN201020566756X U CN 201020566756XU CN 201020566756 U CN201020566756 U CN 201020566756U CN 201832258 U CN201832258 U CN 201832258U
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China
Prior art keywords
bronchoscope
profiled filament
sleeve pipe
trachea cannula
special
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Expired - Fee Related
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CN201020566756XU
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Chinese (zh)
Inventor
高宏
艾青
王雁娟
胡毅平
秦钟
顾正峰
张正正
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Individual
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Individual
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Abstract

The utility model relates to a visual guiding apparatus for tracheal intubation, which comprises a special-shaped fiber bronchoscope. An eye lens is arranged at one end of the special-shaped fiber bronchoscope, the other end of the special-shaped fiber bronchoscope is an adjustable bent end, a sleeve is disposed on the special-shaped fiber bronchoscope, the adjustable bent end of the special-shaped fiber bronchoscope penetrates through the sleeve, the sleeve is connected with the special-shaped fiber bronchoscope in a fastened manner, the end, which is correspondingly close to the special-shaped fiber bronchoscope, of the sleeve is a shaping end, the other end corresponding to the shaping end of the sleeve is a hard end. The hard end at one end of the sleeve cannot deform, can have the same function similar to that of a laryngoscope for lifting a tongue and a lower mandible, saves operating space for tracheal intubation, and reduces required opening degree of a mouth of a patient. The shaping end is disposed at the other end of the sleeve, and the harder shaping end can be freely shaped jointly with the special-shaped fiber bronchoscope so as to realize shaping and angle adjustment according to conditions of the air passage of the patient. The visual guiding apparatus is simple in structure, low in processing and use costs and convenient in operation and utilization, and is safe and reliable.

Description

The visual trachea cannula guide
Technical field
This utility model relates to a kind of guide device of endotracheal tube, and especially a kind of visual trachea cannula guide belongs to technical field of medical.
Background technology
The tracheal intubation technology is used very extensive clinically, rescues, breathes and support or the like as general anesthesia, critical patient; Though existing laryngoscope technology can solve most humans tracheal intubation problem, but run into some especial patients as high disruptive patient of patient, palatine bone of: the patient that opening degree is little, head and neck impaired patient, glottis and obese patient etc., then difficult safety is finished the tracheal intubation operation smoothly.
Along with development in science and technology, the use of visual trachea cannula technology more and more widely.At present, but the visual trachea cannula technology of normal use have visual laryngoscope, profiled filament bronchoscope, Discopo Supreme Being to look wireless endoscope and products such as Buddhist nun's laryngoscope are looked by the U.S..Though visual laryngoscope is visual, owing to be subjected to the laryngoscope body volume restrictions, the impaired patient like that of patient that opening degree is less and head and neck still inconvenience uses.Though the profiled filament bronchoscope does not take up space, and is soft, difficult moulding and on carry the root of the tongue and mandibular bone, operation easier is bigger, on top of the personnel of this technology are less.Visual laryngoscope and profiled filament bronchoscope price are comparatively expensive, in case damage, amortization charge is bigger, is unfavorable for the popularization of visual techniques in clinical.Though the wireless endoscope that has can be moulding arbitrarily, because tail end is softer, tail end easy deformation in the time of need mentioning tongue body and lower jaw during some high larynx difficult tracheal intubation and cause difficult intubation.Though the laryngoscope that has has overcome above-mentioned shortcoming,,, and cross the built-in fibre bronchus mirror of the moulding easy damage of altofrequency though head end firmly can moulding difficulty simultaneously because integral body causes injury of tracheal intubation more easily; Simultaneously the material of above-mentioned laryngoscope all belongs to hard material, does not advise that its front end enters glottis, when clear-headed difficult patient's tracheal intubation, because the patient swallows or the action of coughing makes the endotracheal tube slippage, thereby causes intubation defeat.Because the restriction of present visual laryngoscope internal diameter causes guiding thinner endotracheal tube, can't use in than small children child difficult airway.
Summary of the invention
The purpose of this utility model is to overcome the deficiencies in the prior art, and a kind of visual trachea cannula guide is provided, and it is simple in structure, and processing and use cost are low, easy for operation, can be moulding arbitrarily and can increase the service life, and safe and reliable.
According to the technical scheme that this utility model provides, described visual trachea cannula guide comprises the profiled filament bronchoscope, and the bronchoscopic end of described profiled filament is provided with eyepiece, and the other end is the scalable curved end; Described profiled filament bronchoscope is provided with sleeve pipe, and the bronchoscopic scalable curved end of profiled filament passes sleeve pipe, and sleeve pipe and profiled filament bronchoscope are fastened and connected; Sleeve pipe is moulding end corresponding to the bronchoscopic end of contiguous profiled filament, and sleeve pipe is the hard end corresponding to the other end of moulding end.
The bronchoscopic scalable curved end of profiled filament is provided with fibre bronchus mirror's glass fibre; Moulding end in the sleeve pipe is provided with anti-pressing spring.Described profiled filament bronchoscope is provided with the mirror handle corresponding to the end that eyepiece is set.
Be provided with the attraction hole in the described profiled filament bronchoscope, described attraction hole distributes along the bronchoscopic axis of profiled filament; Attract the hole to be connected with attraction import on the profiled filament bronchoscope.
The bronchoscopic scalable curved end of described profiled filament also is provided with light source.Described profiled filament bronchoscope is provided with locating piece, and described locating piece and telescopic hard end are complementary; The profiled filament bronchoscope is fastened and connected by locating piece and sleeve pipe.
Described profiled filament bronchoscope is provided with the photographic head housing corresponding to the end that eyepiece is set, and described photographic head housing and eyepiece are complementary; Be provided with photographic head in the photographic head housing, described photographic head eyepiece is complementary, and photographic head is electrically connected with display screen.
Described attraction is provided with guide wire in the hole.The end of described guide wire is provided with Clean Brush for cleaning.Described profiled filament bronchoscope and sleeve pipe are provided with endotracheal tube; The bronchoscopic scalable curved end of profiled filament stretches in the endotracheal tube, the corresponding cooperation with endotracheal tube of sleeve pipe and profiled filament bronchoscope.
Advantage of the present utility model: (1), a telescopic end are the hard end, have indeformable characteristics, can play as laryngoscope and provoke the tongue body effect identical with lower jaw, have saved the tracheal intubation working place, have dwindled the requirement to patient's mouth opening; (2), a telescopic end is moulding end, described moulding end hard slightly but can with the common free moulding of profiled filament bronchoscope, can look the moulding adjustment angle of patient airway situation; (3), after sleeve pipe and profiled filament bronchoscope be fastened, a little exposes the head end of profiled filament bronchoscope, but its quality softness free adjustment flexibility is easily found the glottis orientation, has reduced the tracheal intubation difficulty; The head end of profiled filament bronchoscope can be inserted air flue during tracheal intubation, guide cannula, thereby avoid conscious patient swallow or acutely the cough action make the endotracheal tube slippage, and then cause the situation of intubation defeat to take place; (4), when sleeve pipe uses, visual device can move with the handle freedom of movement, the tracheal intubation of overcoming a difficulty problem is easier; (5), sleeve pipe can unload, and takes on common profiled filament bronchoscope role, finishes the crooked more difficult intubation of cannula passage; (6), guide wire penetrates and attracts in the hole, not damaged has solved the child and in particular cases too carefully can not be inserted in the bronchoscopic difficult tracheal intubation of profiled filament because of endotracheal tube; (7), Clean Brush for cleaning is set, solved existing profiled filament bronchoscope oxygen uptake/sputum suction hole road cleaning and maintenance problem in the end of guide wire; (8), display screen can install and dismantle, visual intubate can be finished under many people observe, and also can finish under single observation; And reduced the weight of operating assembly during single intubate, made operation more light; (9), sleeve pipe directly contacts with the patient during intubate, has protected profiled filament bronchoscope expensive in the sleeve pipe.Because sleeve pipe is cheap, can disposablely use simultaneously, reduce the chance of cross infection.
Description of drawings
Fig. 1 is an explosive view of the present utility model.
Fig. 2 is the telescopic structural representation of this utility model.
Fig. 3 be among Fig. 1 the bronchoscopic A of profiled filament to view.
Fig. 4 is the structural representation of this utility model guide wire.
The specific embodiment
The utility model is described in further detail below in conjunction with concrete drawings and Examples.
As Fig. 1 ~ shown in Figure 4: this utility model comprises profiled filament bronchoscope 1, sleeve pipe 2, locating piece 3, mirror handle 4, attracts import 5, eyepiece 6, photographic head housing 7, display screen 8, photographic head 9, moulding end 10, hard end 11, Clean Brush for cleaning 12, light source 13, attract hole 14, guide wire 15, fibre bronchus mirror's glass fibre 16 and anti-pressing spring 17.
As Fig. 1, Fig. 2 and shown in Figure 3: as described in an end of profiled filament bronchoscope 1 be provided with eyepiece 6, the other end is the scalable curved end; Profiled filament bronchoscope 1 can be crooked arbitrarily by control knob.In order to reduce the instructions for use of profiled filament bronchoscope 1, on profiled filament bronchoscope 1, be provided with sleeve pipe 2, described sleeve pipe 2 comprises moulding end 10 and hard end 11, described hard end 11 links to each other with the end of moulding end 10.Profiled filament bronchoscope 1 stretches in the sleeve pipe 2 corresponding to the scalable curved end is set, and passes sleeve pipe 2; Wherein, the moulding end 10 of sleeve pipe 2 is contiguous with the scalable curved end of profiled filament bronchoscope 1.Profiled filament bronchoscope 1 is provided with locating piece 3, and described locating piece 3 is complementary with hard end 11, and the hard end 11 and the profiled filament bronchoscope 1 of sleeve pipe 2 utilize locating piece 3 to be fastened and connected.The scalable curved end of profiled filament bronchoscope 1 and moulding end 10 corresponding cooperations can be effectively moulding; Profiled filament bronchoscope 1 utilizes hard end 11 to have bigger hardness, thereby can reduce the instructions for use of profiled filament bronchoscope 1.When preventing that sleeve pipe 2 is moulding, cause profiled filament bronchoscope 1 to sustain damage, in the moulding end 10 of sleeve pipe 2, be provided with anti-pressing spring 17, described anti-pressing spring 17 distributes along the moulding end 10 of sleeve pipe 2.
The scalable curved end of profiled filament bronchoscope 1 is provided with fibre bronchus mirror's glass fibre 16, and profiled filament bronchoscope 1 is gathered figure by fibre bronchus mirror's glass fibre 16, and by eyepiece 6 outputs, can be convenient to observation.For can fibre bronchus mirror's glass fibre 16 images acquired, the scalable curved end of profiled filament bronchoscope 1 also be provided with light source 13, and described light source 13 adopts the cold light sources illumination.Be provided with the attraction hole 14 that distributes along profiled filament bronchoscope 1 axis in the profiled filament bronchoscope 1, described attraction hole 14 is connected with attraction import 5 on the profiled filament bronchoscope 1, can be used in the effect of oxygen uptake, suction expectorant.Profiled filament bronchoscope 1 also is provided with mirror handle 4 corresponding to the end of contiguous eyepiece 6, and described mirror handle 4 is provided with the scalable curved end Deformation Control device of control profiled filament bronchoscope 1 and the on and off switch of control light source 13 illuminations.
For the scalable curved end that can allow more people observe profiled filament bronchoscope 1 is inserted situation, be provided with display screen 8 at eyepiece 6 ends, described display screen 8 is electrically connected with photographic head 9, and described photographic head 9 is installed in the photographic head housing 7, and described photographic head housing 7 is complementary with eyepiece 6; Photographic head housing 7 can be installed on the eyepiece 6, and photographic head 9 can be gathered the image of profiled filament bronchoscope 1 by eyepiece 6, and shows output by display screen 8.Described display screen 8 can be relative with the photographic head connecting line movable, is convenient to check image.
As shown in Figure 4: solved the child and in particular cases too carefully can not be inserted in the bronchoscopic difficult tracheal intubation of profiled filament because of endotracheal tube in order to solve not damaged, in attracting hole 14, be provided with guide wire 15, described guide wire 15 adopts strong but pliable in texture and softish steel wire is made its smooth surface.End in guide wire 15 also is provided with Clean Brush for cleaning 12, can remove the foreign body that attracts in the hole 14 by Clean Brush for cleaning 12, avoids cross infection.Guide wire 15 is positioned in the guide wire sleeve pipe, is convenient to place and the use of taking.
As Fig. 1 ~ shown in Figure 4: as described in sleeve pipe 2 comprise moulding end 10 and hard end 11, the length of sleeve pipe 2 is less than the length of profiled filament bronchoscope 1, thus with in fiber bronchus 1 threading 2 time, the scalable curved end of profiled filament bronchoscope 1 can expose; Sleeve pipe 2 is fastened and connected with profiled filament bronchoscope 1 and takes on the role of visual guidance formula laryngoscope.Before the tracheal intubation, the endotracheal tube that scribbles paraffin oil is enclosed within on the sleeve pipe 2, the scalable curved end of profiled filament bronchoscope 1 exposes.According to patient's glottis height, common moulding to suitable radian, so that find the glottis tracheal intubation easily accurately together with the moulding end 10 of endotracheal tube and sleeve pipe 2.During intubate, hand-held mirror handle 4 will be with the profiled filament bronchoscope 1 of endotracheal tube and insert along patient's bicker with sleeve pipe 2, by eyepiece 6 under visual condition, pushing tongue body to a rear flank makes profiled filament bronchoscope 1 and endotracheal tube move to the center, see uvula, continue to advance gently forward earlier, enter bottleneck throat and see epiglottis.Appear glottis thereupon moving to epiglottis below, after the scalable curved end for the treatment of profiled filament bronchoscope 1 enters trachea, endotracheal tube is pushed trachea suffered, extract profiled filament bronchoscope 1 and sleeve pipe 2, put into bite-block, immobilization with adhesive tape.Eyepiece 6 can also link to each other with photographic head housing 7, thereby shows by display screen 8 by the situation of photographic head 9 with eyepiece 6 observations, can be convenient to many people and observe simultaneously.
Described sleeve pipe 2 also can unload, and under the crooked more situation of cannula passage (as nasal trachea cannula), profiled filament bronchoscope 1 is served as existing common profiled filament bronchoscope role, thereby finishes tracheal intubation.Short because of profiled filament bronchoscope 1 more common profiled filament bronchoscope, operation easier will descend.
This utility model has possessed the advantage of existing visual trachea cannula equipment simultaneously, the little patient of opening degree, the impaired high disruptive patient of patient, palatine bone of patient, glottis of head and neck, the obese patient, children's child's difficult airway, difficulty per nasal air flue or the like these complicated and diversified difficult airway patients of script can finish tracheal intubation easily.

Claims (10)

1. a visual trachea cannula guide comprises profiled filament bronchoscope (1), and an end of described profiled filament bronchoscope (1) is provided with eyepiece (6), and the other end is the scalable curved end; It is characterized in that: described profiled filament bronchoscope (1) is provided with sleeve pipe (2), and the scalable curved end of profiled filament bronchoscope (1) passes sleeve pipe (2), and sleeve pipe (2) is fastened and connected with profiled filament bronchoscope (1); Sleeve pipe (2) is moulding end (10) corresponding to the end of contiguous profiled filament bronchoscope (1), and sleeve pipe (2) is hard end (11) corresponding to the other end of moulding end (10).
2. visual trachea cannula guide according to claim 1 is characterized in that: the scalable curved end of profiled filament bronchoscope (1) is provided with fibre bronchus mirror's glass fibre (16); Moulding end (10) in the sleeve pipe (2) is provided with anti-pressing spring (17).
3. visual trachea cannula guide according to claim 1 is characterized in that: described profiled filament bronchoscope (1) is provided with mirror handle (4) corresponding to the end that eyepiece (6) is set.
4. visual trachea cannula guide according to claim 1 is characterized in that: be provided with attraction hole (14) in the described profiled filament bronchoscope (1), described attraction hole (14) distributes along the axis of profiled filament bronchoscope (1); Attract hole (14) to be connected with attraction import (5) on the profiled filament bronchoscope (1).
5. visual trachea cannula guide according to claim 2 is characterized in that: the scalable curved end of described profiled filament bronchoscope (1) also is provided with light source (13).
6. visual trachea cannula guide according to claim 1 is characterized in that: described profiled filament bronchoscope (1) is provided with locating piece (3), and described locating piece (3) is complementary with the hard end (10) of sleeve pipe (2); Profiled filament bronchoscope (1) is fastened and connected by locating piece (3) and sleeve pipe (2).
7. visual trachea cannula guide according to claim 1 is characterized in that: described profiled filament bronchoscope (1) is provided with photographic head housing (7) corresponding to the end that eyepiece (6) is set, and described photographic head housing (7) is complementary with eyepiece (6); Be provided with photographic head (8) in the photographic head housing (7), described photographic head (8) eyepiece (6) is complementary, and photographic head (9) is electrically connected with display screen (8).
8. visual trachea cannula guide according to claim 4 is characterized in that: be provided with guide wire (15) in the described attraction hole (14).
9. visual trachea cannula guide according to claim 8 is characterized in that: the end of described guide wire (15) is provided with Clean Brush for cleaning (12).
10. visual trachea cannula guide according to claim 1 is characterized in that: described profiled filament bronchoscope (1) and sleeve pipe (2) are provided with endotracheal tube; The scalable curved end of profiled filament bronchoscope (1) stretches in the endotracheal tube, sleeve pipe (2) and the corresponding cooperation with endotracheal tube of profiled filament bronchoscope (1).
CN201020566756XU 2010-10-18 2010-10-18 Visual guiding apparatus for tracheal intubation Expired - Fee Related CN201832258U (en)

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CN201020566756XU CN201832258U (en) 2010-10-18 2010-10-18 Visual guiding apparatus for tracheal intubation

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Application Number Priority Date Filing Date Title
CN201020566756XU CN201832258U (en) 2010-10-18 2010-10-18 Visual guiding apparatus for tracheal intubation

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019227996A1 (en) * 2018-05-28 2019-12-05 杭州创辉医疗电子设备有限公司 Airway treatment system
CN110730675A (en) * 2017-05-05 2020-01-24 富利凯(集团)有限公司 Intubation device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110730675A (en) * 2017-05-05 2020-01-24 富利凯(集团)有限公司 Intubation device
WO2019227996A1 (en) * 2018-05-28 2019-12-05 杭州创辉医疗电子设备有限公司 Airway treatment system

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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: 20110518

Termination date: 20111018