CN205698802U - A kind of tracheal intubation tube core and tracheal intubation - Google Patents
A kind of tracheal intubation tube core and tracheal intubation Download PDFInfo
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- CN205698802U CN205698802U CN201620219355.4U CN201620219355U CN205698802U CN 205698802 U CN205698802 U CN 205698802U CN 201620219355 U CN201620219355 U CN 201620219355U CN 205698802 U CN205698802 U CN 205698802U
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Abstract
本实用新型提供一种操作简单,安全高效的气管插管管芯及气管插管,所述气管插管管芯包括引导尖端和塑形管芯,所述引导尖端自所述塑形管芯一端向外延伸,所述引导尖端和塑形管芯连接,一种气管插管,所述气管插管管芯外径小于所述气管插管内径,所述气管插管管芯置于所述气管插管内,所述气管插管长度小于所述气管插管管芯长度。本实用新型气管插管管芯的引导尖端可以替代气管插管,使得插管时的前端更细,更容易插入气管中;改变以往插管方式,以更细的引导尖端先行插入,将气管插管推入,更加安全、高效;以塑形管芯和引导尖端相结合,在保证引导功能的同时,保持塑形,避免了金属伤及人体,更加安全,结合起来操作容易,价格便宜,制作方便。
The utility model provides an easy-to-operate, safe and efficient tracheal intubation stylet and tracheal intubation. The tracheal intubation stylet includes a guiding tip and a shaping stylet. The guiding tip is formed from one end of the shaping stylet. Extending outward, the guide tip is connected with a plastic tube core, a kind of endotracheal tube, the outer diameter of the endotracheal tube core is smaller than the inner diameter of the endotracheal tube, and the endotracheal tube core is placed in the trachea In the intubation tube, the length of the endotracheal tube is less than the length of the endotracheal tube core. The guide tip of the tracheal intubation stylet of the utility model can replace the tracheal intubation, so that the front end of the intubation is thinner and easier to insert into the trachea; changing the previous intubation method, the thinner guide tip is inserted first, and the tracheal intubation The tube is pushed in, which is safer and more efficient; the combination of the shaping tube core and the guide tip ensures the guiding function while maintaining the shape, avoiding metal damage to the human body, and is safer. The combination is easy to operate, cheap, and easy to manufacture. convenient.
Description
技术领域technical field
本实用新型属于医学麻醉领域,具体涉及一种气管插管管芯及气管插管。The utility model belongs to the field of medical anesthesia, in particular to a tracheal intubation tube core and a tracheal intubation tube.
背景技术Background technique
气管导管作为医院麻醉科、急诊科和喉科必备器械,已经越来越广泛地被使用。由于气管导管上由塑料制成,质地相对较软,其刚性不足,气管内插管是每个麻醉医生几乎每天都要进行的操作。气管内插管是指在全身麻醉过程中待患者意识消失后,将由套管和管芯组成的气管插管经过患者的口、咽、喉置入患者的气管中用于对患者进行辅助呼吸或者机械通气。由于解剖因素每个人的口咽喉都不会在一条直线上,就需要用喉镜辅助喉镜挑起下颌,可以暴露声门,这样才能将气管插管置入。但是很多情况下,由于解剖关系,声门很难暴露,也就是经由喉镜辅助明视下很难看到声门或者仅仅能看到声门的边缘,或者只能看见会厌或者会厌的一部分,甚至不能看见会厌。并且术前的访视工作有时不能准确的判断声门位置的高低。往往是用喉镜挑起后,才发现为困难气道。Endotracheal tubes have been used more and more widely as an essential device in the anesthesiology department, emergency department and laryngology department of the hospital. Since the endotracheal tube is made of plastic, which is relatively soft and not rigid enough, endotracheal intubation is an operation that every anesthesiologist performs almost every day. Endotracheal intubation refers to the endotracheal intubation, which is composed of a cannula and a stylet, is inserted into the patient's trachea through the patient's mouth, pharynx, and larynx after the patient's consciousness disappears during general anesthesia. Mechanical Ventilation. Due to anatomical factors, everyone's mouth and throat will not be in a straight line, so it is necessary to use a laryngoscope to assist the laryngoscope to lift the mandible, which can expose the glottis, so that the tracheal intubation can be placed. But in many cases, due to anatomical relationship, the glottis is difficult to expose, that is, it is difficult to see the glottis or only the edge of the glottis, or only the epiglottis or part of the epiglottis, or even The epiglottis cannot be seen. And the preoperative visit work sometimes cannot accurately judge the height of the glottis. Difficult airway is often discovered after laryngoscopy is used to provoke.
在临床的实际工作中,会有这样几个问题:第一,需要金属塑形,符合人体特征,因为单凭经验弯成的角度不一定合适,通常可以看到声门的边缘的情况下仅仅需要一个很小的角度,但是看不到声门的情况下需要的角度就相对较大,而准备好的管芯的角度不合适,易造成插管失败;第二,需要充分进入气管,在引导过程中要避免脱出;第三,在引导过程中,需要无创环境,以减少损伤;第四,在盲操时,引导的前端需要足够细,才能准确地进入气管。为解决此问题,现有技术中医生都是采用不锈钢丝按病人上气道特点塑形并消毒后置入气管导管中,使气管导管可以保持与经塑形后的不锈钢丝同样的形状,以便气管导管与人体上气道的生理弯曲相匹配,一方面由于不锈钢丝的朔形是由医生凭经验用手弯曲而成,有一定的随意性,难以保证与患者上气道的生理弯曲真正相匹配;另一方面由于不锈钢丝没有专用的与气管导管相配固定件,使得不锈钢丝和气管导管需要医生用手分别操作,为此,气管插管过程中至少需要两位医生共同操作,如果两位医生配合不默契,不锈钢丝的前端伸出气管导管前端就有伤及患者上气道结构的可能,或者不锈钢丝前端离气管导管前端较远,使得不锈钢丝不能起到应有的塑形作用。In the actual clinical work, there will be several problems: First, metal shaping is required to conform to the characteristics of the human body, because the angle of bending based on experience alone may not be suitable. Usually, the edge of the glottis can only be seen A small angle is required, but the angle required is relatively large when the glottis cannot be seen, and the angle of the prepared stylet is not suitable, which may easily lead to failure of intubation; second, it needs to fully enter the trachea. During the guiding process, it is necessary to avoid prolapse; third, during the guiding process, a non-invasive environment is required to reduce damage; fourth, during the blind operation, the front end of the guiding needs to be thin enough to accurately enter the trachea. In order to solve this problem, in the prior art, doctors use stainless steel wires to shape and sterilize according to the characteristics of the patient's upper airway and insert them into the endotracheal tube, so that the endotracheal tube can maintain the same shape as the shaped stainless steel wire, so that The endotracheal tube matches the physiological curvature of the upper airway of the human body. On the one hand, because the shape of the stainless steel wire is bent by the doctor's hands based on experience, it has a certain degree of randomness, and it is difficult to ensure that it is truly consistent with the physiological curvature of the patient's upper airway. On the other hand, since the stainless steel wire does not have a special fixing piece to match the endotracheal tube, the stainless steel wire and the endotracheal tube need to be operated by doctors separately. If the doctor does not cooperate tacitly, the front end of the stainless steel wire protruding from the front end of the endotracheal tube may injure the upper airway structure of the patient, or the front end of the stainless steel wire is far away from the front end of the endotracheal tube, so that the stainless steel wire cannot play its due role in shaping.
实用新型内容Utility model content
为了解决上述问题,本实用新型提供一种操作简单,安全高效的气管插管管芯及气管插管。In order to solve the above problems, the utility model provides an easy-to-operate, safe and efficient tracheal intubation stylet and tracheal intubation tube.
一种气管插管管芯,所述气管插管管芯包括引导尖端和塑形管芯,所述引导尖端自所述塑形管芯一端向外延伸,所述引导尖端和塑形管芯连接;An endotracheal intubation stylet, the endotracheal intubation stylet comprises a guiding tip and a shaping stylet, the guiding tip extends outward from one end of the shaping stylet, the guiding tip is connected to the shaping stylet ;
进一步地,所述引导尖端长度为2cm-4cm;Further, the length of the guide tip is 2cm-4cm;
进一步地,所述引导尖端为塑料软管;Further, the guide tip is a plastic hose;
进一步地,所述塑形管芯为金属材料;Further, the shaped die is a metal material;
进一步地,所述气管插管管芯为一体成型结构;Further, the endotracheal intubation stylet is integrally formed;
进一步地,所述气管插管管芯还包括手持末端,所述手持末端连接在所述塑形管芯相反于引导尖端的另一端;Further, the endotracheal intubation stylet also includes a hand-held end, and the hand-held end is connected to the other end of the shaping stylet opposite to the guiding tip;
一种气管插管,所述气管插管内径大于气管插管管芯外径,所述气管插管管芯置于所述气管插管内,所述气管插管管芯长度大于所述气管插管长度;A tracheal intubation tube, the inner diameter of the tracheal intubation tube is greater than the outer diameter of the endotracheal intubation core, the endotracheal intubation core is placed in the endotracheal intubation, the length of the endotracheal intubation core is longer than the endotracheal intubation tube length;
进一步地,所述引导尖端位于所述气管插管外,所述塑形管芯位于所述气管插管内;Further, the guide tip is located outside the endotracheal tube, and the shaping stylet is located inside the endotracheal tube;
进一步地,所述手持末端位于所述气管插管外。Further, the hand-held end is located outside the endotracheal tube.
本实用新型的有益效果如下:The beneficial effects of the utility model are as follows:
1)引导尖端可以替代气管插管,使得插管时的前端更细,更容易插入气管中;1) The guide tip can replace the endotracheal tube, making the front end of the tube thinner and easier to insert into the trachea;
2)改变以往插管方式,以更细的引导尖端先行插入,随后将气管插管推入,更加安全、高效;2) Changing the previous intubation method, using a thinner guide tip to insert first, and then push the endotracheal intubation in, which is safer and more efficient;
3)以塑形管芯和引导尖端相结合,在保证引导功能的同时,对气管插管保持塑形;3) Combining the shaping tube core and the guide tip, while ensuring the guiding function, the tracheal intubation can be kept in shape;
4)以原有插管管芯的铁丝为塑形管芯,保持气管插管形状,同时用塑料软管作为引导尖端,替代了金属,避免了金属伤及人体,结合起来操作容易,价格便宜,制作方便。4) The iron wire of the original intubation core is used as the shaping core to maintain the shape of the tracheal intubation. At the same time, the plastic hose is used as the guide tip to replace the metal, which avoids the metal from hurting the human body. The combination is easy to operate and the price is cheap , easy to make.
附图说明Description of drawings
图1为本实用新型气管插管管芯及气管插管的结构图。Fig. 1 is the structural view of the endotracheal intubation stylet and endotracheal intubation tube of the present invention.
具体实施方式detailed description
为了使本实用新型的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本实用新型进行进一步详细描述。应当理解,此处所描述的具体实施例仅仅用于解释本实用新型,并不用于限定本实用新型。相反,本实用新型涵盖任何由权利要求定义的在本实用新型的精髓和范围上做的替代、修改、等效方法以及方案。进一步,为了使公众对本实用新型有更好的了解,在下文对本实用新型的细节描述中,详尽描述了一些特定的细节部分。对本领域技术人员来说没有这些细节部分的描述也可以完全理解本实用新型。In order to make the purpose, technical solution and advantages of the utility model clearer, the utility model will be further described in detail below in conjunction with the accompanying drawings and embodiments. It should be understood that the specific embodiments described here are only used to explain the utility model, and are not intended to limit the utility model. On the contrary, the utility model covers any alternatives, modifications, equivalent methods and schemes made on the spirit and scope of the utility model defined by the claims. Further, in order to make the public have a better understanding of the utility model, some specific details are described in detail in the detailed description of the utility model below. Those skilled in the art can fully understand the present invention without the description of these detailed parts.
下面结合附图和具体实施例对本实用新型作进一步说明,但不作为对本实用新型的限定。下面为本实用新型的举出最佳实施例:The utility model will be further described below in conjunction with the accompanying drawings and specific embodiments, but not as a limitation of the utility model. List the best embodiment for the utility model below:
实施例1:成人型气管插管管芯及气管插管Embodiment 1: Adult type endotracheal intubation stylet and endotracheal intubation
如图1所示,本实用新型一种气管插管管芯4包括引导尖端1、塑形管芯2和手持末端3,所述引导尖端1通过塑形管芯2连接手持末端3,所述气管插管管芯4为一体成型结构。As shown in Figure 1, a tracheal intubation stylet 4 of the utility model includes a guide tip 1, a shaping stylet 2 and a hand-held end 3, the guiding tip 1 is connected to the hand-held end 3 through a shaping stylet 2, the The endotracheal tube core 4 is integrally formed.
所述引导尖端1自所述塑形管芯2一端向外延伸,所述引导尖端1长度为2cm-4cm,所述引导尖端1为塑料软管,所述引导尖端外径为3mm-5mm。The guide tip 1 extends outward from one end of the shaping tube core 2, the length of the guide tip 1 is 2cm-4cm, the guide tip 1 is a plastic hose, and the outer diameter of the guide tip is 3mm-5mm.
所述塑形管芯2为一体成型的金属材料。The plastic tube core 2 is integrally formed of metal material.
一种气管插管5,所述气管插管5内径大于气管插管管芯4外径,所述气管插管5为型号规格6.0-8.5的气管插管5,所述气管插管管芯4置于所述气管插管5内,所述气管插管管芯4长度大于所述气管插管5长度。所述引导尖端1位于所述气管插管5外,所述塑形管芯2位于所述气管插管5内,所述手持末端3位于所述气管插管5外。A tracheal intubation tube 5, the inner diameter of the tracheal intubation tube 5 is greater than the outer diameter of the tracheal intubation tube core 4, the tracheal intubation tube 5 is a tracheal intubation tube 5 with a model specification of 6.0-8.5, and the tracheal intubation tube core 4 Placed in the endotracheal tube 5 , the length of the endotracheal tube core 4 is greater than the length of the endotracheal tube 5 . The guide tip 1 is located outside the endotracheal tube 5 , the shaping tube core 2 is located inside the endotracheal tube 5 , and the hand-held tip 3 is located outside the endotracheal tube 5 .
本实用新型在使用时,握住手持末端3,将引导尖端1插到气管插管5的导管尖端的外侧,将塑形管芯2弯成相应弧度,随着引导尖端1的探出而进入气管插5管内,并对气管插管5进行塑形,以方便插管,待气管插管管芯4完全进入气管插管5后开始插管。插管时,以右手拇指、食指及中指如持笔式持住导管的中、上段,由右口角进入口腔,直到导管接近喉头时再将管端移至喉镜片处,同时双目经过镜片与管壁间的狭窄间隙监视插管管芯的前进方向,准确轻巧地将引导尖端1插入声门。借助气管插管管芯插管4时,当引导尖端1入声门后,应拔出塑形管芯2后再将气管插管插入气管内。气管插管5插入气管内的深度成人为4~5cm,气管插管管芯4的引导尖端1至门齿的距离约18~22cm。插管完成后,要确认气管插管5已进入气管内再固定。When the utility model is in use, hold the hand-held end 3, insert the guide tip 1 to the outside of the catheter tip of the endotracheal intubation tube 5, bend the shaping tube core 2 into a corresponding arc, and enter with the guide tip 1 protruding out. The endotracheal tube is intubated into the tube 5, and the endotracheal tube 5 is shaped to facilitate intubation. After the endotracheal tube core 4 completely enters the endotracheal tube 5, the endotracheal tube is started. When intubating, hold the middle and upper parts of the catheter with the thumb, index finger and middle finger of the right hand, and enter the mouth from the right corner of the mouth until the catheter is close to the larynx, then move the end of the tube to the laryngeal mirror, and at the same time, the eyes pass through the mirror and The narrow gap between the tube walls monitors the advancing direction of the intubation stylet, and inserts the guide tip 1 accurately and lightly into the glottis. When intubating the tube 4 with the help of the endotracheal tube core, after the guiding tip 1 enters the glottis, the shaping stylet 2 should be pulled out and then the endotracheal tube should be inserted into the trachea. The depth of insertion of the endotracheal tube 5 into the trachea is 4-5 cm for adults, and the distance from the guide tip 1 of the endotracheal tube core 4 to the incisors is about 18-22 cm. After the intubation is completed, confirm that the tracheal intubation tube 5 has entered the trachea and then fix it.
实施例2:儿童型气管插管管芯及气管插管Embodiment 2: Pediatric endotracheal intubation stylet and endotracheal intubation
如图1所示,本实用新型一种气管插管管芯4包括引导尖端1、塑形管芯2和手持末端3,所述引导尖端1通过塑形管芯2连接手持末端3,所述气管插管管芯4为一体成型结构。As shown in Figure 1, a tracheal intubation stylet 4 of the utility model includes a guide tip 1, a shaping stylet 2 and a hand-held end 3, the guiding tip 1 is connected to the hand-held end 3 through a shaping stylet 2, the The endotracheal tube core 4 is integrally formed.
所述引导尖端1自所述塑形管芯2一端向外延伸,所述引导尖端1长度为1cm-3cm,所述引导尖端1为塑料软管,所述引导尖端外径为1mm-3mm。The guide tip 1 extends outward from one end of the shaping tube core 2, the length of the guide tip 1 is 1cm-3cm, the guide tip 1 is a plastic hose, and the outer diameter of the guide tip is 1mm-3mm.
所述塑形管芯2为一体成型的金属材料。The plastic tube core 2 is integrally formed of metal material.
一种气管插管5,所述气管插管5内径大于气管插管管芯4外径,所述气管插管5为型号规格3.0-5.5的气管插管5,所述气管插管管芯4置于所述气管插管5内,所述气管插管管芯4长度大于所述气管插管5长度。所述引导尖端1位于所述气管插管5外,所述塑形管芯2位于所述气管插管5内,所述手持末端3位于所述气管插管5外。A tracheal intubation tube 5, the inner diameter of the tracheal intubation tube 5 is greater than the outer diameter of the tracheal intubation tube core 4, the tracheal intubation tube 5 is a tracheal intubation tube 5 with a model specification of 3.0-5.5, and the tracheal intubation tube core 4 Placed in the endotracheal tube 5 , the length of the endotracheal tube core 4 is greater than the length of the endotracheal tube 5 . The guide tip 1 is located outside the endotracheal tube 5 , the shaping tube core 2 is located inside the endotracheal tube 5 , and the hand-held tip 3 is located outside the endotracheal tube 5 .
本实用新型在使用时,握住手持末端3,将引导尖端1插到气管插管5的导管尖端的外侧,将塑形管芯2弯成相应弧度,随着引导尖端1的探出而进入气管插5管内,并对气管插管5进行塑形,以方便插管,待气管插管管芯4完全进入气管插管5后开始插管。插管时,以右手拇指、食指及中指如持笔式持住导管的中、上段,由右口角进入口腔,直到导管接近喉头时再将管端移至喉镜片处,同时双目经过镜片与管壁间的狭窄间隙监视插管管芯的前进方向,准确轻巧地将引导尖端1插入声门。借助气管插管管芯插管4时,当引导尖端1入声门后,应拔出塑形管芯2后再将气管插管插入气管内。气管插管5插入气管内的深度儿童为2~3cm,气管插管管芯4的引导尖端1至门齿的距离约15cm~18cm。插管完成后,要确认气管插管5已进入气管内再固定。When the utility model is in use, hold the hand-held end 3, insert the guide tip 1 to the outside of the catheter tip of the endotracheal intubation tube 5, bend the shaping tube core 2 into a corresponding arc, and enter with the guide tip 1 protruding out. The endotracheal tube is intubated into the tube 5, and the endotracheal tube 5 is shaped to facilitate intubation. After the endotracheal tube core 4 completely enters the endotracheal tube 5, the endotracheal tube is started. When intubating, hold the middle and upper parts of the catheter with the thumb, index finger and middle finger of the right hand, and enter the mouth from the right corner of the mouth until the catheter is close to the larynx, then move the end of the tube to the laryngeal mirror, and at the same time, the eyes pass through the mirror and The narrow gap between the tube walls monitors the advancing direction of the intubation stylet, and inserts the guide tip 1 accurately and lightly into the glottis. When intubating the tube 4 with the help of the endotracheal tube core, after the guiding tip 1 enters the glottis, the shaping stylet 2 should be pulled out and then the endotracheal tube should be inserted into the trachea. The depth of insertion of the endotracheal tube 5 into the trachea is 2-3 cm for children, and the distance from the guide tip 1 of the endotracheal tube core 4 to the incisors is about 15 cm-18 cm. After the intubation is completed, confirm that the tracheal intubation tube 5 has entered the trachea and then fix it.
以上所述的实施例,只是本实用新型较优选的具体实施方式的一种,本领域的技术人员在本实用新型技术方案范围内进行的通常变化和替换都应包含在本实用新型的保护范围内。The above-described embodiment is only a kind of preferred embodiment of the utility model, and the usual changes and replacements carried out by those skilled in the art within the scope of the technical solutions of the utility model should be included in the protection scope of the utility model Inside.
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2018223409A1 (en) * | 2017-06-06 | 2018-12-13 | 肖金仿 | Efficient care-type variable endotracheal tube ventilation device |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
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| WO2018223409A1 (en) * | 2017-06-06 | 2018-12-13 | 肖金仿 | Efficient care-type variable endotracheal tube ventilation device |
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