CN202161653U - Portable visible trachea cannula introducer - Google Patents
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Abstract
本实用新型公开了一种便携式可视气管插管导引器,包括导引器主体、手柄、摄像头、光源和显示屏;所述导引器主体内设有吸引通道、摄像头安装通道和光源安装通道;所述手柄与导引器主体的末端固定连接,所述显示屏安装于手柄上,且手柄内设有用于控制摄像头、光源和显示屏的控制盒。该导引器能够帮助气管插管顺利插入患者咽喉部,具有可视调节,使用方便的特点。
The utility model discloses a portable visible trachea intubation guider, which comprises a guider main body, a handle, a camera, a light source and a display screen; the guider main body is provided with a suction channel, a camera installation channel and a light source installation channel; the handle is fixedly connected to the end of the introducer main body, the display screen is installed on the handle, and a control box for controlling the camera, light source and display screen is arranged inside the handle. The introducer can help the tracheal intubation tube to be smoothly inserted into the patient's throat, and has the characteristics of visual adjustment and convenient use.
Description
技术领域 technical field
本发明涉及一种医疗辅助器械,具体来说涉及一种便携式可视气管插管导引器。The invention relates to a medical auxiliary device, in particular to a portable visual tracheal intubation guider.
背景技术 Background technique
气管插管是多系统疾病或损害的危重患者监护的一部分,包括心跳、呼吸骤停、缺氧、通气不足、气道阻塞或不能防止误吸等情况。在紧急状态下或急症时,气管插管是必备的急救措施。气管插管是一种实践性很强的操作技能,直接喉镜下经口插管操作简单、快、创伤小、排痰容易、并发症少,在抢救中是最为可靠和有效的急救措施。部分病人由于某些先天及病理原因,造成上呼吸道解剖异常,使气管插管时声门显露困难。常规气管插管使用的是可弯、有弹性和韧性的软细铜条制作的管芯,在困难气管插管时,导管前端在用力上提会厌时易变形下滑,不易进入声门。为了提高困难气管插管的成功率,有医生选用较硬金属丝作为导管的管芯,使用较硬管芯后,部分病例在上提会厌时,可暴露部分声门,使插管困难程度降低,对可见会厌的困难插管病例,可快速完成气管插管。管芯较硬可使口外塑形的弧度不易发生改变,导管前端在咽喉部按所需方向可任意移动和进退,从而提高了插管的一次成功率,缩短了插管时间。但是,因直接喉镜使用不当,可导致口、舌、咽、喉部损伤、牙齿破损、松动或脱落;由于管芯较硬,易损伤咽喉部及气道粘膜,甚至因暴力导致食管穿孔,气管插管过深,插入一侧支气管,易进入右侧支气管,而造成左侧肺不张。纤维支气管镜引导下气管插管一次成功率极高,损伤少,并能引流大气道分泌物通畅气道及留取下呼吸道分泌物标本送检验,插管时对体位要求不高,对于脊柱外伤或心衰等不宜变动体位的病人尤为有利。Endotracheal intubation is part of the care of critically ill patients with multisystem disease or impairment, including cardiac beating, respiratory arrest, hypoxia, hypoventilation, airway obstruction, or failure to prevent aspiration. Endotracheal intubation is a must-have first aid measure in emergencies or emergencies. Endotracheal intubation is a very practical operation skill. Oral intubation under direct laryngoscope is simple, fast, less traumatic, easy to expel sputum, and has fewer complications. It is the most reliable and effective first aid measure in rescue. Due to some congenital and pathological reasons, some patients have abnormal upper airway anatomy, which makes it difficult to expose the glottis during tracheal intubation. Conventional tracheal intubation uses a tube core made of bendable, elastic, and tough soft thin copper strips. During difficult tracheal intubation, the front end of the tube is easily deformed and slips when the epiglottis is lifted up, making it difficult to enter the glottis. In order to improve the success rate of difficult tracheal intubation, some doctors choose a harder metal wire as the tube core. After using a harder tube core, some cases can expose part of the glottis when lifting the epiglottis, reducing the difficulty of intubation. , For difficult intubation cases with visible epiglottis, endotracheal intubation can be completed quickly. The hard tube core makes it difficult to change the radian of the outer mouth shape, and the front end of the catheter can move and advance arbitrarily in the desired direction in the throat, thereby improving the first-time success rate of intubation and shortening the intubation time. However, improper use of direct laryngoscope can lead to damage to the mouth, tongue, pharynx, and larynx, and damage, loosening or loss of teeth; due to the hard tube core, it is easy to damage the throat and airway mucosa, and even perforate the esophagus due to violence. Tracheal intubation is too deep, inserted into one side of the bronchus, easy to enter the right bronchus, resulting in atelectasis of the left lung. Fiberoptic bronchoscope-guided endotracheal intubation has a very high one-time success rate, less damage, and can drain large airway secretions to unblock the airway and save lower respiratory tract secretion specimens for inspection. The position requirements for intubation are not high, and it is suitable for spinal trauma It is especially beneficial for patients who are not suitable for changing positions such as heart failure or heart failure.
但是,纤维支气管镜引导下气管插管存在下面几个问题:However, there are several problems with endotracheal intubation guided by fiberoptic bronchoscope:
(1)纤维支气管镜价格相对昂贵。(1) Fiberoptic bronchoscopy is relatively expensive.
(2)使用前准备工作较繁琐。(2) The preparation work before use is cumbersome.
(3)声门显露困难者,纤维支气管镜引导下气管插管存在一定困难。(3) For those with difficulty in glottis exposure, it is difficult to intubate the trachea under the guidance of fiberoptic bronchoscope.
实用新型内容 Utility model content
本实用新型的目的在于提供一种便携式可视气管插管导引器,该导引器能够帮助气管插管顺利插入患者咽喉部,具有可视调节,使用方便的特点。The purpose of the utility model is to provide a portable visible tracheal intubation guide, which can help the tracheal intubation to be smoothly inserted into the patient's throat, and has the characteristics of visual adjustment and convenient use.
本实用新型的目的可通过以下的技术措施来实现:一种便携式可视气管插管导引器,包括导引器主体和手柄,还包括摄像头、光源和显示屏;所述导引器主体内设有吸引通道、摄像头安装通道和光源安装通道;所述手柄与导引器主体的末端固定连接,所述显示屏安装于手柄上,且手柄内设有用于控制摄像头、光源和显示屏的控制盒。The purpose of this utility model can be achieved through the following technical measures: a portable visual tracheal intubation guide, including a guide body and a handle, and also includes a camera, a light source and a display screen; A suction channel, a camera installation channel and a light source installation channel are provided; the handle is fixedly connected to the end of the introducer main body, the display screen is installed on the handle, and the handle is provided with controls for controlling the camera, light source and display screen box.
所述吸引通道前端开口,末端通过所述手柄上的开口与外接的吸引设备相连。The front end of the suction channel is open, and the end is connected with the external suction device through the opening on the handle.
所述摄像头安装通道和光源安装通道前端通过透明盖封闭,且所述摄像头和光源置于所述封闭端内侧。The front ends of the camera installation channel and the light source installation channel are closed by a transparent cover, and the camera and light source are placed inside the closed end.
所述导引器主体的弯曲弧度与人体咽喉部弯曲弧度一致,所述导引器主体的杆身外径与气管插管内径一致。The curved arc of the introducer main body is consistent with the curved arc of the throat of the human body, and the outer diameter of the shaft of the introducer main body is consistent with the inner diameter of the tracheal intubation tube.
作为本实用新型的另一种改进,所述导引器主体为弧形筒柱状或弧形杆状。As another improvement of the utility model, the main body of the introducer is in the shape of an arc-shaped cylinder or an arc-shaped rod.
所述控制盒内设有为摄像头、光源和显示屏供电的电池。The control box is provided with a battery for powering the camera, the light source and the display screen.
所述显示屏为折叠式或外接式的液晶显示屏。所述导引器主体由医用不锈钢材料制成。所述光源为LED灯。The display screen is a foldable or external liquid crystal display screen. The introducer body is made of medical stainless steel material. The light source is an LED lamp.
本实用新型对比现有技术,有如下优点:Compared with the prior art, the utility model has the following advantages:
1、该气管插管导引器制作简单、使用方便、且操作时可视可调节,能有效用于经喉插管的病人,获得咽喉部、声门和气管内图象,同时由于其具有一定硬度,可帮助上提会厌,暴露声门给操作带来方便,尤其用于困难插管的患者;1. The tracheal intubation introducer is simple to make, easy to use, and can be adjusted visually during operation. It can be effectively used for patients with translaryngeal intubation to obtain images of the throat, glottis and trachea. A certain hardness can help lift the epiglottis and expose the glottis to bring convenience to the operation, especially for patients with difficult intubation;
2、该气管插管导引器可采用普通医用不锈钢制成,其制作成本和消耗均低于现有技术,低成本,易于广泛推广使用。2. The tracheal intubation introducer can be made of ordinary medical stainless steel, and its production cost and consumption are lower than the prior art, low cost, and easy to be widely used.
附图说明 Description of drawings
图1是本实用新型的便携式可视气管插管导引器具体实施例一的结构示意图;Fig. 1 is a schematic structural view of a
图2是图1所示气管插管的A向剖视图;Fig. 2 is an A-directed sectional view of the tracheal intubation tube shown in Fig. 1;
图3是另一具体实施例的导引器主体剖视图;Fig. 3 is a sectional view of the introducer main body of another specific embodiment;
图4是图1所示气管插管的使用状态参考图。Fig. 4 is a reference diagram of the use state of the endotracheal tube shown in Fig. 1 .
具体实施方式 Detailed ways
图1和图2示出了本实用新型的气管插管导引器的结构示意图,包括导引器主体1、手柄2、摄像头、光源和显示屏6;导引器主体1为弧形杆状,且杆身内设有吸引通道3、摄像头安装通道4和光源安装通道5;手柄2与导引器主体1的末端固定连接,显示屏6采用可折叠的液晶显示屏,并安装于手柄2上,手柄2内设有用于控制摄像头、光源和显示屏6的控制盒7,且控制盒7内设有常用的摄像头图象处理电路板和供电电池,电池为摄像头、LED灯泡和显示屏供电。该导引器主体1的弯曲弧度与人体咽喉部弯曲弧度一致,弯曲半径约为140±20mm,杆身外径则与气管插管内径一致,约为5至6mm,且由医用不锈钢材料制成,因此,具有一定硬度和韧性,可方便地插入患者咽喉内。Fig. 1 and Fig. 2 have shown the structure diagram of the endotracheal intubation introducer of the present utility model, comprise introducer
其中,吸引通道3前端开口,末端通过手柄上的开口8与外接的负压吸引设备相连。摄像头安装通道4和光源安装通道5前端通过透明盖封闭,摄像头和光源则置于封闭端内侧,因此,光源发出光线可通过透明盖透射出来,同时摄像头也可通过透明盖采集图像。如图2所示,摄像头安装通道4内设摄像头连接线40,用于连接摄像头采集图像信号到显示屏显示,光源安装通道5内设LED灯泡连接线40。Wherein, the front end of the
该导引器主体也可采用如图3所示的另一个具体实施例结构,即导引器主体1为弧形筒柱状,外径约为5至6mm,内径约为4至5mm,内部插设三条管道,分别作为吸引通道3、摄像头安装通道4和光源安装通道5,且其中的摄像头安装通道4和光源安装通道5的前端用透明盖封闭,因此,该结构的导引器主体和三条通道可随时拆换和组装。The main body of the introducer can also adopt the structure of another specific embodiment as shown in Figure 3, that is, the main body of the
如图4所示的使用状态参考图,该气管插管导引器的使用过程是:首先将气管插管9套装于导引器主体1外,手握手柄将导引器主体1插入患者咽喉部,插入过程中依靠光源和摄像头采集咽喉部头像,并通过观察显示屏上输出的咽喉部图像帮助上提会厌并顺利插入气管内,同时,通过外接吸引设备与吸引通道可将咽喉以及气管内的痰和组织液吸出;当到达适当位置时,将气管插管9顺着导引器主体1向前推入气管内;最后保持气管插管9不动的状态下,将气管插管导引器抽离,即完成气管插管操作。As shown in the use state reference diagram in Figure 4, the use process of the endotracheal intubation introducer is: firstly, the
本实用新型的便携式可视气管插管导引器手柄上设有可折叠的液晶显示屏,或者采用外接式的液晶显示屏,通过导引器主体前端内设的摄像头,可实时监测插管的整个过程,此导引器具有气管插管导引的作用,因具有一定的韧性,也可根据不同患者的情况适当弯曲。此外,通过手柄控制操作导引器,提升会厌,暴露喉部和声门。可以非常直观的看到声门、会厌,降低插管的难度,加快插管速度,插管准确性提高,同时减少患者插管损伤。特别是对于张口较小;颈椎僵直;会厌肥大;声门较高等困难插管尤其适用。该导引器的长度可制作为350-370mm,通过液晶显示屏,距离患者头部较远,就可直接从液晶显示屏看到患者声门、会厌等部位,而完成插管及声门部的检查、观察,相对保持了患者与操作者的距离,提供医护人员良好的操作环境,减少了医护人员的感染机会,对医护人员更加安全。同时还可以将该导引器扩展使用于其他检查及手术操作中,例比如口腔声门检查、换管检查、插胃管等。The handle of the portable visual tracheal intubation introducer of the utility model is provided with a foldable liquid crystal display screen, or adopts an external liquid crystal display screen, and can monitor the progress of the intubation in real time through the camera installed in the front end of the main body of the introducer. During the whole process, the introducer has the function of guiding the tracheal intubation. Because of its certain toughness, it can also be bent appropriately according to the conditions of different patients. In addition, the introducer is manipulated by handle control to elevate the epiglottis, exposing the larynx and glottis. The glottis and epiglottis can be seen very intuitively, the difficulty of intubation is reduced, the speed of intubation is accelerated, the accuracy of intubation is improved, and the intubation injury of patients is reduced at the same time. It is especially suitable for difficult intubation such as small mouth opening, stiff cervical spine, hypertrophic epiglottis, and high glottis. The length of the introducer can be made to be 350-370mm. Through the liquid crystal display, far away from the patient's head, the patient's glottis and epiglottis can be seen directly from the liquid crystal display, and the intubation and glottis can be completed. The inspection and observation can relatively keep the distance between the patient and the operator, provide a good operating environment for medical staff, reduce the chance of infection for medical staff, and make it safer for medical staff. At the same time, the introducer can also be extended and used in other examinations and surgical operations, such as oral glottic examination, tube replacement examination, gastric tube insertion, etc.
本实用新型的实施方式不限于此,在本实用新型上述基本技术思想前提下,按照本领域的普通技术知识和惯用手段对本实用新型内容所做出其它多种形式的修改、替换或变更,均落在本实用新型权利保护范围之内。The implementation of the present utility model is not limited thereto. On the premise of the above-mentioned basic technical idea of the utility model, other modifications, replacements or changes made to the content of the utility model in accordance with common technical knowledge and conventional means in this field shall be accepted. Fall within the protection scope of the utility model rights.
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Cited By (12)
| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2014040253A1 (en) * | 2012-09-13 | 2014-03-20 | 台州瀚创医疗器械科技有限公司 | S-shaped visible hard intubation core |
| CN103948430A (en) * | 2014-05-14 | 2014-07-30 | 刘志国 | Conchoscope for transsphenoidal pituitectomy |
| CN105169540A (en) * | 2015-10-17 | 2015-12-23 | 曾居华 | Brightness-adjustable double positioning video light stick for tracheal cannula |
| CN107469216A (en) * | 2017-08-30 | 2017-12-15 | 王德伟 | A kind of clinical anesthesia intubation auxiliary device |
| EP3225153A4 (en) * | 2014-11-24 | 2018-07-25 | Shanghai Anqing Medical Instrument Co. Ltd. | Electronic laryngoscope |
| CN110115556A (en) * | 2018-02-06 | 2019-08-13 | 上海梵焜医疗器械有限公司 | Endoscope and endoscopic system |
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| CN113304382A (en) * | 2021-06-03 | 2021-08-27 | 广州市第一人民医院(广州消化疾病中心、广州医科大学附属市一人民医院、华南理工大学附属第二医院) | Mediastinum catheterization guiding device |
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2011
- 2011-07-04 CN CN2011202329994U patent/CN202161653U/en not_active Expired - Fee Related
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| WO2014040253A1 (en) * | 2012-09-13 | 2014-03-20 | 台州瀚创医疗器械科技有限公司 | S-shaped visible hard intubation core |
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| EP3225153A4 (en) * | 2014-11-24 | 2018-07-25 | Shanghai Anqing Medical Instrument Co. Ltd. | Electronic laryngoscope |
| CN105169540A (en) * | 2015-10-17 | 2015-12-23 | 曾居华 | Brightness-adjustable double positioning video light stick for tracheal cannula |
| CN107469216A (en) * | 2017-08-30 | 2017-12-15 | 王德伟 | A kind of clinical anesthesia intubation auxiliary device |
| CN110115556A (en) * | 2018-02-06 | 2019-08-13 | 上海梵焜医疗器械有限公司 | Endoscope and endoscopic system |
| CN111772563A (en) * | 2020-06-04 | 2020-10-16 | 天津大学 | A wire conduction ultrasonic bronchoscope for liquefying thick phlegm |
| CN111973853A (en) * | 2020-09-23 | 2020-11-24 | 衡阳市大井医疗器械科技有限公司 | Medical visual intubation device |
| CN113304382A (en) * | 2021-06-03 | 2021-08-27 | 广州市第一人民医院(广州消化疾病中心、广州医科大学附属市一人民医院、华南理工大学附属第二医院) | Mediastinum catheterization guiding device |
| CN113244472A (en) * | 2021-07-06 | 2021-08-13 | 岱川医疗(深圳)有限责任公司 | Sputum aspirator and control method thereof |
| CN113289094A (en) * | 2021-07-06 | 2021-08-24 | 岱川医疗(深圳)有限责任公司 | Sputum aspirator and control method thereof |
| CN113244472B (en) * | 2021-07-06 | 2021-10-26 | 岱川医疗(深圳)有限责任公司 | Sputum aspirator and control method thereof |
| CN113289094B (en) * | 2021-07-06 | 2023-11-24 | 岱川医疗(深圳)有限责任公司 | Sputum aspirator and control method thereof |
| CN114870183A (en) * | 2022-04-22 | 2022-08-09 | 深圳市安元康健科技有限公司 | Multifunctional trachea cannula and manufacturing method thereof |
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