CN204428578U - The pervasive bite-block of a kind of oral intubation - Google Patents

The pervasive bite-block of a kind of oral intubation Download PDF

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Publication number
CN204428578U
CN204428578U CN201420869364.9U CN201420869364U CN204428578U CN 204428578 U CN204428578 U CN 204428578U CN 201420869364 U CN201420869364 U CN 201420869364U CN 204428578 U CN204428578 U CN 204428578U
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dental pad
main body
dental
pad
teeth
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孙焱芫
王异
张昊鹏
李树志
王殊秀
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Air Force Medical University
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Fourth Military Medical University FMMU
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Abstract

本实用新型涉及一种口腔插管普适牙垫,包括牙垫主体和底部均开设有牙槽;且牙垫主体的一端开设有与气管导管相配合的凹槽,且凹槽处设置有延伸的固定臂;牙垫主体呈能够适配于上颚或下颚中任意一侧牙体的弧形。使用时,首先让患者一侧牙齿咬住牙垫主体,由于牙垫主体一侧设有牙槽,从而能够将患者上颚或下颚的牙齿准确的固定于牙槽内,提高了装置的稳定性,能够有效避免牙垫移位;由于在牙垫主体的一端的开设有与气管导管相配合的凹槽和固定臂,从而能够将气管导管通过固定臂与牙垫主体相固定,防止导管脱落;能够根据患者的牙列情况和体位选择不同的安置部位,满足各种手术的要求。

The utility model relates to a universal dental pad for oral intubation, which comprises a tooth pad body and a bottom with tooth sockets; The fixed arm of the tooth block; the main body of the dental block is in an arc shape that can be adapted to the teeth on either side of the upper or lower jaw. When in use, first let the teeth on one side of the patient bite the main body of the dental pad. Since the side of the main body of the dental pad is provided with an alveolar, the teeth of the upper or lower jaw of the patient can be accurately fixed in the alveolar, which improves the stability of the device. It can effectively avoid the displacement of the dental pad; because a groove and a fixed arm matching the endotracheal tube are provided at one end of the dental pad body, the tracheal tube can be fixed to the dental pad body through the fixed arm to prevent the catheter from falling off; According to the patient's dentition and body position, different placement positions can be selected to meet the requirements of various operations.

Description

一种口腔插管普适牙垫Universal dental pad for oral intubation

技术领域technical field

本实用新型涉及一种牙垫,具体涉及一种口腔插管普适牙垫。The utility model relates to a dental pad, in particular to a universal dental pad for oral intubation.

背景技术Background technique

气管内插管术是临床上麻醉和抢救危重病人的常用技术,而气管导管的固定是手术成功的保证。目前多使用牙垫固定气管导管,可有效防止导管被牙齿咬合变形和移位。常用的牙垫结构包括牙垫主体、牙垫翼、牙垫卡三部分,牙垫翼设置在牙垫主体的两侧,牙垫主体放入患者上下齿列之间,起支撑作用,以防牙齿咬坏气管导管,牙垫翼置于上下齿列之外缘,以防牙垫移位,牙垫卡用于固定气管导管,防止气管导管移位。这种普通结构的牙垫虽有价格便宜、操作简便,提高手术效率的优点,但也存有存在不足之处:多采用硬度高无弹性材质制作,与口腔软组织顺应性差,易直接损伤舌体、口腔粘膜和牙龈等牙齿软组织等;且使用中舒适度不高,容易移位,长时间机械通气和苏醒期患者还有可能因机械碰触造成牙齿松动或脱落,给患者带来不必要的医源性损伤,甚至引发医患矛盾。Endotracheal intubation is a common technique for clinical anesthesia and rescue of critically ill patients, and the fixation of the endotracheal tube is the guarantee for the success of the operation. At present, tooth pads are often used to fix the endotracheal tube, which can effectively prevent the tube from being deformed and displaced by the occlusal teeth. The commonly used dental pad structure includes three parts: the dental pad main body, the dental pad wing, and the dental pad card. The dental pad wings are arranged on both sides of the dental pad main body. Teeth bite the endotracheal tube, and the wing of the dental pad is placed on the outer edge of the upper and lower dentition to prevent the displacement of the dental pad. The dental pad is used to fix the endotracheal tube and prevent the displacement of the endotracheal tube. Although this kind of tooth pad with a common structure has the advantages of cheap price, easy operation, and improved surgical efficiency, it also has disadvantages: it is mostly made of high hardness and inelastic material, which has poor compliance with oral soft tissues and is easy to directly damage the tongue. , oral mucosa, gums and other tooth soft tissues, etc.; and the comfort is not high during use, and it is easy to shift. Patients with long-term mechanical ventilation and recovery period may also cause teeth loosening or falling off due to mechanical contact, which will bring unnecessary inconvenience to the patient. The iatrogenic injury may even lead to conflicts between doctors and patients.

实用新型内容Utility model content

本实用新型的目的在于克服上述现有技术中存在的缺点,提供一种口腔插管普适牙垫,具有患者使用舒适,避免损伤舌体、口腔粘膜和牙齿软组织的优点,还能最大限度保护牙齿,尤其是牙列不齐,门齿部分脱落的患者。The purpose of this utility model is to overcome the shortcomings in the prior art and provide a universal dental pad for oral intubation, which has the advantages of being comfortable for patients to use, avoiding damage to the tongue, oral mucosa and soft tissue of the teeth, and can also protect teeth to the greatest extent. Teeth, especially those with misaligned dentition and partial loss of incisors.

为实现上述目的,本实用新型采用以下技术方案:包括牙垫主体,牙垫主体的一侧开设有牙槽;且牙垫主体的一端的开设有与气管导管相配合的凹槽,且凹槽处设置有向外延伸的固定臂;In order to achieve the above object, the utility model adopts the following technical solutions: it includes a dental pad main body, and one side of the dental pad main body is provided with an alveolar; A fixed arm extending outward is provided at the place;

所述的牙垫主体呈能够适配于上颚或下颚中任意一侧牙体的弧形。The main body of the dental pad is in an arc shape that can be adapted to the teeth on either side of the upper jaw or the lower jaw.

所述的固定臂内侧侧壁上设置有防滑螺纹,且固定臂的长度为1.5~2.0cm。The inner side wall of the fixed arm is provided with anti-slip threads, and the length of the fixed arm is 1.5-2.0 cm.

所述的牙垫主体底部的厚度大于上端厚度,且牙垫主体底部的厚度为0.5~1.0cm。The thickness of the bottom of the main body of the dental pad is greater than that of the upper end, and the thickness of the bottom of the main body of the dental pad is 0.5-1.0 cm.

所述的凹槽的旁侧开设有直径为0.5~0.8cm的吸痰孔。A suction hole with a diameter of 0.5-0.8 cm is opened on the side of the groove.

所述的牙槽的外侧面深度为0.5~0.8cm,内侧面深度为0.7~1.0cm。The depth of the outer surface of the alveolar is 0.5-0.8 cm, and the depth of the inner surface is 0.7-1.0 cm.

所述的牙垫主体长度为3~6cm,牙垫主体底部与牙槽底部之间的距离为1.0~1.5cm。The length of the main body of the dental pad is 3-6 cm, and the distance between the bottom of the main body of the dental pad and the bottom of the alveolar is 1.0-1.5 cm.

所述的牙垫主体和固定臂均由医用硅胶制成。Both the main body of the dental pad and the fixed arm are made of medical silica gel.

本实用新型具有以下的有益效果:相比较现有技术,本实用新型包括牙垫主体,牙垫主体的顶部和底部均开设有牙槽;且牙垫主体的一端的开设有与气管导管相配合的凹槽;凹槽处设置有延伸的固定臂;牙垫主体呈能够适配于上颚或下颚中任意一侧牙体的弧形。使用时能够根据需要选用一个或多个,首先让患者一侧牙齿咬住牙垫主体,由于牙垫主体上侧开设有牙槽,从而能够将患者上颚或下颚的牙齿准确的固定于牙槽内,提高了装置的稳定性,能够有效避免牙垫移位;由于在牙垫主体的一端的开设有与气管导管相配合的凹槽和固定臂,从而能够将气管导管通过固定臂与牙垫主体相固定,防止导管脱落;并且能够根据患者的体位选择不同的安置部位,满足各种手术,尤其是俯卧位等特殊体位的要求;还能最大限度保护牙齿,尤其是牙列不齐,门齿部分脱落的患者,避免造成牙齿松动甚至脱落等医源性损伤,本装置适用于大面积推广和使用。The utility model has the following beneficial effects: compared with the prior art, the utility model includes a dental pad main body, the top and the bottom of the dental pad main body are provided with alveolar; and one end of the dental pad main body is provided with a The groove; the groove is provided with an extended fixed arm; the main body of the dental pad is in an arc shape that can be adapted to the teeth on either side of the upper or lower jaw. When using, one or more can be selected according to the needs. First, let the patient's teeth bite the main body of the dental pad. Since the upper side of the main body of the dental pad is provided with an alveolar, the teeth of the upper or lower jaw of the patient can be accurately fixed in the alveolar. , which improves the stability of the device and can effectively avoid the displacement of the dental pad; since a groove and a fixed arm that match the endotracheal tube are provided at one end of the dental pad body, the endotracheal tube can pass through the fixed arm and the dental pad body The phase is fixed to prevent the catheter from falling off; and different placement positions can be selected according to the patient's position to meet the requirements of various operations, especially the prone position and other special positions; it can also protect the teeth to the greatest extent, especially the uneven dentition and incisors Patients who fall out can avoid iatrogenic injuries such as tooth loosening or even falling off. This device is suitable for large-scale promotion and use.

进一步的,由于固定臂内侧侧壁上设置有防滑螺纹,从而能够进一步的防止插管滑动,保证装置的稳定性。Furthermore, since the anti-slip thread is provided on the inner side wall of the fixed arm, the sliding of the cannula can be further prevented and the stability of the device can be ensured.

进一步的,由于凹槽的旁侧开设有吸痰孔,从而能够通过吸痰孔吸取患者口腔内的痰和分泌物,保证患者的口腔清洁,避免产生其他并发症。Further, since a phlegm suction hole is provided on the side of the groove, the phlegm and secretions in the patient's mouth can be sucked through the sputum suction hole, so as to ensure the patient's oral cavity clean and avoid other complications.

进一步的,牙垫材质选择有一定伸缩性的医用硅胶,从而最大限度的避免装置对患者舌体、口腔粘膜、牙齿及其软组织的损伤,同时降低了成本。Furthermore, the material of the dental pad is medical silica gel with a certain degree of elasticity, so as to avoid damage to the patient's tongue, oral mucosa, teeth and their soft tissues by the device to the greatest extent, and at the same time reduce the cost.

附图说明Description of drawings

图1是本装置结构示意图;Fig. 1 is the structural representation of this device;

图2是本装置剖视图。Figure 2 is a sectional view of the device.

具体实施方式Detailed ways

下面结合附图,对本实用新型作进一步详细说明。Below in conjunction with accompanying drawing, the utility model is described in further detail.

参见图1-2,本实用新型包括牙垫主体1,牙垫主体1的一侧开设有牙槽3;且牙垫主体1的一端的开设有与气管导管相配合的凹槽2,且凹槽2处设置有向外延伸的固定臂5;牙垫主体1呈能够适配于上颚或下颚中任意一侧牙体的弧形。固定臂5内侧侧壁上设置有防滑螺纹,且固定臂5的长度为1.5~2.0cm。牙垫主体1底部的厚度大于上端厚度,且牙垫主体1底部的厚度为0.5~1.0cm。凹槽2的旁侧开设有直径为0.5~0.8cm的吸痰孔4。牙槽3的外侧面深度为0.5~0.8cm,内侧面深度为0.7~1.0cm。牙垫主体1长度为3~6cm,牙垫主体1底部与牙槽3底部之间的距离为1.0~1.5cm。牙垫主体1和固定臂5均由医用硅胶制成。Referring to Fig. 1-2, the utility model includes a dental pad main body 1, and one side of the dental pad main body 1 is provided with an alveolar 3; The groove 2 is provided with a fixed arm 5 extending outward; the dental pad main body 1 is in an arc shape that can be adapted to the teeth on either side of the upper jaw or the lower jaw. An anti-skid thread is provided on the inner side wall of the fixed arm 5, and the length of the fixed arm 5 is 1.5-2.0 cm. The thickness of the bottom of the dental pad main body 1 is greater than that of the upper end, and the thickness of the bottom of the dental pad main body 1 is 0.5-1.0 cm. A suction hole 4 with a diameter of 0.5-0.8 cm is provided on the side of the groove 2 . The depth of the outer surface of the alveolar 3 is 0.5-0.8 cm, and the depth of the inner surface is 0.7-1.0 cm. The length of the dental pad main body 1 is 3-6 cm, and the distance between the bottom of the dental pad main body 1 and the bottom of the alveolar 3 is 1.0-1.5 cm. Both the dental pad main body 1 and the fixed arm 5 are made of medical silica gel.

使用时,首先让患者一侧牙齿咬住牙垫主体1,由于牙垫主体1上侧开设有牙槽3,从而能够将患者上颚或下颚的牙齿准确的固定于牙槽3内,提高了装置的稳定性,能够有效避免患者吞食;由于在牙垫主体1的一端的开设有与气管导管相配合的凹槽2,凹槽2处设置有固定臂5,从而能够将气管导管与牙垫主体1相固定,防止插管在手术中滑动,进而最大限度的避免装置对患者舌体、口腔粘膜和牙齿软组织的磨损,同时由于牙垫主体1同时适用于上颚和下颚,从而能够根据患者的体位进行选择安装位置,满足手术中特殊体位的要求。凹槽2内侧侧壁上设置有防滑螺纹,从而能够进一步的防止插管滑动,保证装置的稳定性。凹槽2的旁侧开设有吸痰孔4,从而能够通过吸痰孔4吸取患者口腔内的痰和分泌物,保证患者的口腔清洁,避免产生其他并发症。牙垫主体1由医用硅胶制成,从而进一步的提高了舒适度,同时降低了成本,提高了普适性。使用方法:首先根据患者体位,将牙垫主体1弯曲成适用于患者一侧牙体的弧形,之后将装置放置于患者的口腔内,也能够根据需要将两个或多个牙垫主体1放置于口腔内,当使用两个时对角放置或同侧放置;使用四个时上颚和下颚两侧的牙齿上均套有牙垫主体1;所有牙垫主体1的凹槽2处设置的固定臂5共同压紧气管导管,之后将前期已经插入患者体内的气管导管使用医用胶布将其与固定臂5固定后粘贴于患者脸部。使用中,患者咬紧牙垫主体1,由于患者上牙或下牙均位于牙槽3内,从而有效防止牙垫主体1前后滑动,保证了气管导管固定的稳定性。When in use, first let the teeth on one side of the patient bite the dental pad main body 1, since the upper side of the dental pad main body 1 is provided with an alveolar 3, the teeth of the patient's upper or lower jaw can be accurately fixed in the dental alveolar 3, and the device is improved. Stability can effectively prevent patients from swallowing; because a groove 2 matching with the endotracheal tube is provided at one end of the dental pad main body 1, and a fixed arm 5 is provided at the groove 2, so that the endotracheal tube and the dental pad main body can be connected Phase 1 is fixed to prevent the cannula from slipping during the operation, thereby avoiding the device from wearing the patient's tongue, oral mucosa and tooth soft tissue to the greatest extent. Choose the installation location to meet the requirements of special postures in the operation. An anti-slip thread is provided on the inner side wall of the groove 2, so as to further prevent the intubation tube from sliding and ensure the stability of the device. A sputum suction hole 4 is provided on the side of the groove 2, so that the sputum and secretions in the patient's mouth can be sucked through the sputum suction hole 4, so as to ensure the patient's oral cavity clean and avoid other complications. The dental pad main body 1 is made of medical silica gel, thereby further improving comfort, reducing cost and improving universality. How to use: First, according to the patient's body position, bend the main body 1 of the dental pad into an arc suitable for the teeth on one side of the patient, and then place the device in the patient's mouth. Two or more dental pad main bodies 1 can also be placed as needed Placed in the oral cavity, when using two, place them diagonally or on the same side; when using four, the teeth on both sides of the upper and lower jaws are covered with dental pad main body 1; the grooves 2 of all dental pad main bodies 1 are set The fixed arm 5 compresses the endotracheal tube together, and then the endotracheal tube that has been inserted into the patient's body is fixed with the fixed arm 5 with medical adhesive tape and pasted on the patient's face. During use, the patient clenches the main body 1 of the dental pad, and since the patient's upper teeth or lower teeth are located in the alveolar 3, the dental pad main body 1 is effectively prevented from sliding back and forth, ensuring the stability of the endotracheal tube.

Claims (7)

1.一种口腔插管普适牙垫,其特征在于:包括牙垫主体(1),牙垫主体(1)的一侧开设有牙槽(3);且牙垫主体(1)的一端开设有与气管导管相配合的凹槽(2),且凹槽(2)处设置有向外延伸的固定臂(5); 1. a kind of oral cannula universal dental pad, it is characterized in that: comprise dental pad main body (1), a side of dental pad main body (1) is provided with alveolar (3); And one end of dental pad main body (1) A groove (2) matching the endotracheal tube is provided, and a fixed arm (5) extending outward is provided at the groove (2); 所述的牙垫主体(1)呈能够适配于上颚或下颚中任意一侧牙体的弧形。 The dental pad main body (1) is in an arc shape that can be adapted to the teeth on either side of the upper jaw or the lower jaw. 2.根据权利要求1所述的一种口腔插管普适牙垫,其特征在于:所述的固定臂(5)内侧侧壁上设置有防滑螺纹,且固定臂(5)的长度为1.5~2.0cm。 2. A kind of universal dental pad for oral intubation according to claim 1, characterized in that: the inner side wall of the fixed arm (5) is provided with anti-slip threads, and the length of the fixed arm (5) is 1.5 ~2.0cm. 3.根据权利要求1所述的一种口腔插管普适牙垫,其特征在于:所述的牙垫主体(1)底部的厚度大于上端厚度,且牙垫主体(1)底部的厚度为0.5~1.0cm。 3. A kind of oral intubation universal dental pad according to claim 1, characterized in that: the thickness of the bottom of the dental pad main body (1) is greater than the thickness of the upper end, and the thickness of the dental pad main body (1) bottom is 0.5~1.0cm. 4.根据权利要求1所述的一种口腔插管普适牙垫,其特征在于:所述的凹槽(2)的旁侧开设有直径为0.5~0.8cm的吸痰孔(4)。 4 . The universal dental pad for oral intubation according to claim 1 , characterized in that: a suction hole ( 4 ) with a diameter of 0.5-0.8 cm is opened on the side of the groove ( 2 ). 5.根据权利要求1所述的一种口腔插管普适牙垫,其特征在于:所述的牙槽(3)的外侧面深度为0.5~0.8cm,内侧面深度为0.7~1.0cm。 5. The universal dental pad for oral intubation according to claim 1, characterized in that: the depth of the outer surface of the alveolar (3) is 0.5-0.8 cm, and the depth of the inner surface is 0.7-1.0 cm. 6.根据权利要求1所述的一种口腔插管普适牙垫,其特征在于:所述的牙垫主体(1)长度为3~6cm,牙垫主体(1)底部与牙槽(3)底部之间的距离为1.0~1.5cm。 6. A universal dental pad for oral intubation according to claim 1, characterized in that: the length of the main body (1) of the dental pad is 3-6 cm, and the bottom of the main body (1) of the dental pad is in contact with the alveolar (3 ) The distance between the bottoms is 1.0-1.5cm. 7.根据权利要求1所述的一种口腔插管普适牙垫,其特征在于:所述的牙垫主体(1)和固定臂(5)均由医用硅胶制成。 7. A universal dental pad for oral intubation according to claim 1, characterized in that: the dental pad main body (1) and the fixing arm (5) are both made of medical silica gel.
CN201420869364.9U 2014-12-31 2014-12-31 The pervasive bite-block of a kind of oral intubation Expired - Fee Related CN204428578U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104474621A (en) * 2014-12-31 2015-04-01 中国人民解放军第四军医大学 Universal dental pad for oral intubation

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104474621A (en) * 2014-12-31 2015-04-01 中国人民解放军第四军医大学 Universal dental pad for oral intubation

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