CN207012384U - A kind of airway of the closed aditus laryngis surrounding tissue of Kai Bianshi cover-cup types - Google Patents
A kind of airway of the closed aditus laryngis surrounding tissue of Kai Bianshi cover-cup types Download PDFInfo
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- CN207012384U CN207012384U CN201621418744.6U CN201621418744U CN207012384U CN 207012384 U CN207012384 U CN 207012384U CN 201621418744 U CN201621418744 U CN 201621418744U CN 207012384 U CN207012384 U CN 207012384U
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- airway
- cup
- aditus laryngis
- tracheal catheter
- epiglottis
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Abstract
The utility model provides a kind of airway of the closed aditus laryngis surrounding tissue of Kai Bianshi cover-cup types itself exited after facilitating tracheal catheter to insert and insert.Cup-shaped shape closely attaches with aditus laryngis surrounding anatomical structures kissing merga pass sealing ring with surrounding tissue.Main airway side open side shackle designs facilitate tracheal catheter insertion and insertion tracheal catheter after, this cover-cup type airway exit, the position that epiglottis is corresponded in aditus laryngis portion described in the utility model cup is provided with epiglottis support;Tongue location of root is corresponded on main airway and is provided with root of the tongue seat;The lateral wall of main airway has C-shaped stomach tube groove, during using stomach tube, is separated as needed with main airway.For the utility model on the basis of more being coincide with aditus laryngis surrounding anatomical structures, cup structure sets up a sealing ring using soft elastomeric material, realizes preferably ventilation sealing and does not oppress, damages aditus laryngis surrounding soft tissue.
Description
Technical field
The utility model belongs to medical instruments field, especially relates to what is used in a kind of ventilation therapy, can be inserted into gas
Cover-cup type air-breather on the aditus laryngis of pipe conduit.
Background technology
Patient loses autonomous respiration, it is necessary to give patient progress artificial ventilation in anesthesia, first aid, in currently known technology,
Artificial ventilation is mainly completed by two kinds of air flue products:Airway on airway (pipe) and aditus laryngis under aditus laryngis.
Airway can be divided into again on existing aditus laryngis:Airway on two kinds of aditus laryngis of inflatable bladder type and on-inflatable bladder type.Rather than
Inflation bladder type airway can also be further divided into airway on soft-glue and ebonite type aditus laryngis.
Under aditus laryngis airway because ventilating mode be by by tracheal catheter insertion be located at aditus laryngis under main tracheae and fixation, be referred to as
Stable air flue.Airway with the tissue around aditus laryngis by attaching or being completed by capsule portion closing oropharynx, nasopharyngeal cavity logical on aditus laryngis
Gas, referred to as unstable air flue.Unstable air flue is only used because the seal between surrounding tissue and stability have open defect
In short time operation or ventilation therapy.Complete in airway on using aditus laryngis/when carrying out ventilation therapy, because of operating time and logical
The uncertainty of gas treatment time generally requires " to insert tracheal catheter by airway on unstable aditus laryngis to establish stable lead to
Air flue ", there is many open defects in airway on existing aditus laryngis, be described as follows:
First, when needing to establish stable air flue by airway on aditus laryngis, it is necessary to which tracheal catheter is passed through into unstable air flue
Airway tracheal catheter is inserted to main tracheae under patient's aditus laryngis in glottis.When inserting tracheal catheter, due to airway itself
Length:1, it is difficult to which tracheal catheter is inserted directly into main tracheal strips ideal position.2, insert after tracheal catheter " unstable air flue "
Effect Lock-out, it is necessary to which unstable air flue is pulled out.Now because insertion depth is inadequate, tracheal catheter can be connected when pulling out
Band is pulled out, and risk is caused to patient.Common practice is, using another conduit, after tracheal catheter " disclose to " ideal position
Airway is extracted again;
2nd, clinician is the seal of capsule portion and surrounding tissue for the maximum doubt of airway on existing aditus laryngis.
Seal is bad air flue " gas leakage " when causing ventilation, directly affects the effect of ventilation therapy, serious gas leakage can form invalid logical
Gas gives patient's arrival great risk;
3rd, on existing aditus laryngis during airway use, in ventilation if there is in the presence of vent gas
" epiglottis fold back ", it will produce the phenomenon of epiglottis obstructing airway, influence the unobstructed or even airway obstruction of air flue;
4th, under general anesthesia state, tongue body becomes abnormal soft simultaneously " paralysis " to the direction of the root of the tongue, when can influence air flue use
Physical stability;
5th, on the third generation aditus laryngis the characteristics of airway it is the airway with " binary channels/two-tube ".In addition to airway
Another passage is gastric tube passageway, and the stomach for therapeutic process depressurizes.Once ventilation therapy terminates, exit airway and still need to protect
Stay the operation of stomach tube will be extremely complex:Stomach tube is extracted together with airway, then inserts stomach tube;Stomach tube is cut
Row processing again.
In summary:On existing aditus laryngis all there is the operating difficulties for inserting tracheal catheter in airway;Ventilation seal
Problem;On air inflated sac type aditus laryngis caused by compressing of the airway to surrounding tissue nerve the problem of the complication such as postoperative laryngalgia;Firmly
Insertion caused by airway is to swallowing narrow damage problem on glue aditus laryngis;Epiglottis fold back causes the risk of airway obstruction during ventilation;
During use the problem of stability;Airway exits the problem of airway keeping gastric canal on three generations's aditus laryngis.Therefore it is existing to need improvement badly
Technology, airway on a reliable and stable aditus laryngis is provided for clinician.
The content of the invention
In view of this, it is convenient the utility model proposes a kind of airway of the closed aditus laryngis surrounding tissue of Kai Bianshi cover-cup types
Stable air flue is established by unstable air flue, the damage to surrounding tissue/nerve is reduced, improves stability of air flue etc. and enter
Row is efficiently modified.
To reach above-mentioned purpose, what the technical solution of the utility model was realized in:
A kind of airway of the closed aditus laryngis surrounding tissue of Kai Bianshi cover-cup types, including overall is in that arcuation is led for inserting tracheae
The main airway of pipe, and the unexpansive formula aditus laryngis portion cup on the cup seat of main airway one end;Aditus laryngis portion cup
Matched with human body aditus laryngis portion anatomical structure, human body aditus laryngis outer rim is covered in aditus laryngis portion cup;The main airway porch
Side wall separate side provided with tracheal catheter.
Further, the tracheal catheter separates side and is correspondingly provided with locker removable, in flat sheet.
Further, the tracheal catheter separates side both sides and is respectively provided with a dovetail groove, the locker both sides
It is respectively provided with the dovetail corresponding with dovetail groove.
Further, the locker is with being installed on the Anesthesia machine interface of main airway entrance and anti-being engaged bite-block one
It is body formed.
Further, the aditus laryngis portion cup edge contacts most deep position, i.e. cup inner edge highest with aditus laryngis surrounding tissue
The sealing ring of ring-type is provided with peak.
Further, epiglottis support is provided with aditus laryngis portion cup, at corresponding epiglottis, the epiglottis support is apart from cup outer rim
The space of formation ensures to accommodate the size of cartilago epiglottica, formation epiglottis attachment point.
Further, the main airway separates another lateral wall being open relative to tracheal catheter and is provided with c-type stomach tube groove,
Or the lateral wall is provided with lug boss, lug boss is provided with c-type stomach tube groove, the c-type stomach tube groove extends to the cup seat back side top
End.
Further, main airway tongue location of root corresponding with aditus laryngis portion cup junction is provided with raised and to both sides
The root of the tongue seat of extension, expanded width are no more than the width of cup seat.
Further, aditus laryngis portion cup is the soft deformable cup of unexpansive formula.
Further, the main airway section is square that four square angles are the radian chamfering seamlessly transitted.
Relative to prior art, a kind of airway of the closed aditus laryngis surrounding tissue of Kai Bianshi cover-cup types described in the utility model
Have the beneficial effect that:
(1) the utility model separates side and corresponding locker provided with tracheal catheter, after opening side opening, can extend
The propulsion depth of tracheal catheter, tracheal catheter is inserted directly into ideal position, and smoothly the master as " unstable air flue " led to
Air flue exits, and is very easy to the operation inserted tracheal catheter by unstable air flue and establish stable air flue;
(2) the utility model is consulted the pertinent literature of decades, is being autopsied repeatedly by research human anatomic structure
Experimental Comparison;When observing dynamic aeration the change of aditus laryngis surrounding anatomical structures and with China and foreign countries expert exchanges and communication repeatedly, design
Go out the cup external form to be fitted like a glove with aditus laryngis structures surrounding.Using softness elastomeric material produce with around aditus laryngis
The cup that anatomical structure matches.And " most deep " position i.e. cup inner edge highest is contacted with aditus laryngis surrounding tissue at cup edge
Peak, add " sealing ring " so that aditus laryngis surrounding tissue wraps up cup edge close.Avoid leaking air during ventilation to greatest extent
Phenomenon.Soft cup material narrow to pharynx will not cause to damage when inserting.After inserting air bag is avoided without capsule cup without inflation
The compressing of pressure against ambient nerve, tissue reduces the generation of postoperative complications.
(3) dynamic studies of epiglottis position when the utility model is according to patient ventilating, the aditus laryngis portion cup of design is by " meeting
Detest " completely in cup.In order to prevent " the epiglottis fold back " that is appeared in ventilation in the presence of vent gas from causing to produce
The phenomenon of epiglottis obstructing airway, the unobstructed or even airway obstruction of air flue is influenceed, the utility model devises epiglottis support, epiglottis support
Epiglottis can be attached to the position of epiglottis support by design, it will and detest and stay open, epiglottis fold back caused by avoiding air-flow;
(4) under general anesthesia state, tongue body becomes abnormal soft simultaneously " paralysis " to the direction of the root of the tongue, the ingenious land productivity of the utility model
With this point, the root of the tongue of softness is attached to this in the platform of the lateral extension of Position Design one of the root of the tongue, adds air flue use
When physical stability.Unstable air flue is allowed to become more stable;
(5) in the utility model c-type stomach tube groove design, can both insert stomach tube at any time, can exit airway again
When easily stomach tube is separated with airway, realize smoothly exits airway simultaneously keeping gastric canal.
Brief description of the drawings
Form a part of accompanying drawing of the present utility model to be used for providing further understanding the utility model creation, this reality
It is used to explain that the utility model is created with the schematic description and description of new creation, does not form and the utility model is created
The improper restriction made.In the accompanying drawings:
Fig. 1 is the dimensional structure diagram of the utility model embodiment;
Fig. 2 is the back schematic diagram of the utility model embodiment;
Fig. 3 is that the tracheal catheter of the utility model embodiment separates side and lock schematic diagram;
Fig. 4 is that the tracheal catheter of the utility model embodiment separates the schematic diagram on side;
Fig. 5 is the schematic diagram of the locker of the utility model embodiment;
Fig. 6 is human body throat schematic diagram.
Wherein:
1st, main airway;2nd, aditus laryngis portion cup;
3rd, cup seat;4th, tracheal catheter separates side;
5th, locker;6th, sealing ring;
7th, epiglottis support;8th, root of the tongue seat;
9th, c-type stomach tube groove;10th, Anesthesia machine interface and anti-occlusion bite-block;
11st, dovetail groove;12nd, dovetail;
13rd, epiglottis;14th, aditus laryngis;
15th, esophagus;16th, the root of the tongue.
Embodiment
It should be noted that in the case where not conflicting, feature in embodiment and embodiment of the present utility model can be with
It is mutually combined.
As shown in Figure 1, 2, 3, the utility model provides a kind of ventilation of the closed aditus laryngis surrounding tissue of Kai Bianshi cover-cup types
Road, including the overall main airway 1 for being used to insert tracheal catheter in arcuation, main one end of airway 1 is provided with cup seat 3, the cover
Cup 3 is provided with unexpansive formula aditus laryngis portion cup 2;
It is illustrated in figure 6 the schematic diagram of human body throat, aditus laryngis portion cup 2 and human body aditus laryngis portion anatomical structure kissing
Close, human body aditus laryngis outer rim is covered in aditus laryngis portion cup;
The other end of main airway 1 is the entrance of tracheal catheter, and porch is provided with Anesthesia machine interface and anti-occlusion bite-block
10, the side wall of porch separates side 4 provided with tracheal catheter.The tracheal catheter separates concrete structure such as Fig. 4 institutes on side 4
Show, both sides are respectively provided with a dovetail groove 11, and corresponding tracheal catheter separates side 4, provided with lock removable, in flat sheet
Device 5, as shown in figure 5, the both sides of the locker 5 are respectively provided with the dovetail 12 corresponding with dovetail groove 11, the lock dress
Putting 5 can be separately provided, and can also be integrally formed with Anesthesia machine interface and the anti-bite-block 10 that is engaged.
Above-mentioned bayonet type opens side, after opening side opening, can extend the propulsion depth of tracheal catheter, and tracheal catheter is directly inserted
Enter ideal position, and smoothly exit unstable air flue.It is very easy to insert tracheal catheter foundation surely by unstable air flue
Determine the operation of air flue.
The maximum doubt of airway is cup and the seal of surrounding tissue on aditus laryngis.When seal is bad to cause ventilation
Air flue " gas leakage ", directly affects the effect of ventilation therapy, and serious gas leakage can form ineffective ventilation and give patient's arrival great risk.This
Utility model consults the pertinent literature of decades, in autopsy repetition test contrast by studying human anatomic structure;See
Aditus laryngis surrounding anatomical structures change and with China and foreign countries expert exchanges and communication repeatedly when examining dynamic aeration, the side of cup 2 in aditus laryngis portion
Design the cup external form to be fitted like a glove with aditus laryngis structures surrounding in edge.Produced and larynx using the elastomeric material of softness
The cup that mouth surrounding anatomical structures match.And " most deep " position i.e. cup inner edge is contacted with aditus laryngis surrounding tissue at cup edge
Top, add sealing ring 6 so that aditus laryngis surrounding tissue wraps up at cup edge closely, avoids occurring during ventilation to greatest extent
Gas leak phenomenon.Soft cup material will not cause to damage when inserting to pharynx cheek.After inserting gas is avoided without cup without inflation
Compressing of the bag pressure power to peripheral nerve, tissue reduces the generation of postoperative complications.
The dynamic studies of epiglottis position when the utility model is according to patient ventilating, the cup of design epiglottis is covered completely into
In cup.In ventilation if there is " the epiglottis fold back " in the presence of vent gas, it will produce epiglottis obstructing airway
Phenomenon, influence the unobstructed or even airway obstruction of air flue.Therefore the utility model is in aditus laryngis portion cup 2, at corresponding epiglottis
Provided with epiglottis support 7, the epiglottis support 7 ensures to accommodate the size of cartilago epiglottica apart from the space that cup outer rim is formed, and forms epiglottis
Attachment point.Epiglottis can be attached to the position of epiglottis support by the design of epiglottis support, it will detest and stay open, avoid air-flow
Caused epiglottis fold back.
It is the airway with " binary channels/two-tube " the characteristics of airway on third generation aditus laryngis.It is another in addition to airway
One passage is gastric tube passageway, and the stomach for therapeutic process depressurizes.Once ventilation therapy terminates, exit airway and still need to retain
The operation of stomach tube will be extremely complex:Stomach tube is extracted together with airway, then inserts stomach tube;Stomach tube is cut again
Row processing.The utility model is provided with c-type stomach tube in the main airway relative to another lateral wall of tracheal catheter separation opening
Groove 9, or the lateral wall is provided with lug boss, lug boss is provided with c-type stomach tube groove 9, the c-type stomach tube groove 9 extends to the cup seat 3
Top-rear side.The appearance of c-type stomach tube groove 9, can both insert stomach tube at any time, again can be when exiting airway easily by stomach
Pipe separates with airway, realizes and smoothly exits airway keeping gastric canal simultaneously.
Under general anesthesia state, tongue body becomes abnormal soft simultaneously " paralysis " to the direction of the root of the tongue.The utility model dexterously utilizes
This point, in corresponding tongue location of root, main airway and aditus laryngis portion cup junction, the platform of one lateral extension of design, as
Root of the tongue seat 8, the root of the tongue of softness is attached to this, the expanded width of root of the tongue seat 8 is no more than the width of cup seat 3.Adding air flue makes
The physical stability of used time.Unstable air flue is allowed to become more stable.
In the utility model embodiment, the main design section of airway 1 is that four square, square angles are smoothed
The radian chamfering crossed.
The utility model solves airway on (1) existing aditus laryngis and the operating difficulties for inserting tracheal catheter all be present;(2)
The problem of ventilation seal;(3) postoperative laryngalgia etc. caused by compressing of the airway to surrounding tissue nerve on air inflated sac type aditus laryngis
The problem of complication;(4) damage problem of the insertion to pharynx cheek caused by airway on ebonite aditus laryngis;(5) epiglottis fold back when ventilating
Cause the risk of airway obstruction;(6) when using the problem of stability;(7) airway exits airway reservation on three generations's aditus laryngis
The problem of stomach tube, the utility model can obtain thoroughly in above-mentioned various aspects or part improves, and one is provided for clinician
Airway on individual reliable and stable aditus laryngis.
The information such as general principle, principal character and embodiment of the present utility model are the foregoing described, but this practicality is new
Type is not limited by above-mentioned implementation process, and on the premise of utility model spirit and scope are not departed from, the utility model can be with
There are various changes and modifications.Therefore, unless this changes and improvements are departing from the scope of the utility model, they should be counted as
Included in the utility model.
Claims (10)
1. a kind of airway of the closed aditus laryngis surrounding tissue of Kai Bianshi cover-cup types, it is characterised in that be used for including entirety in arcuation
Insert the main airway of tracheal catheter, and the unexpansive formula aditus laryngis portion cup on the cup seat of main airway one end;It is described
Aditus laryngis portion cup is matched with human body aditus laryngis portion anatomical structure, and human body aditus laryngis outer rim is covered in aditus laryngis portion cup;The master is led to
The side wall of air flue porch separates side provided with tracheal catheter.
2. airway according to claim 1, it is characterised in that the tracheal catheter separate side be correspondingly provided with it is dismantled and assembled
, locker in flat sheet.
3. airway according to claim 2, it is characterised in that the tracheal catheter separates side both sides and is respectively provided with one
Dovetail groove, the locker both sides are respectively provided with the dovetail corresponding with dovetail groove.
4. the airway according to Claims 2 or 3, it is characterised in that the locker enters with being installed on main airway
The Anesthesia machine interface of mouth and anti-occlusion bite-block are integrally formed.
5. airway according to claim 1, it is characterised in that the aditus laryngis portion cup edge connects with aditus laryngis surrounding tissue
Touch most deep position, the sealing ring of ring-type is provided with the top of cup inner edge.
6. airway according to claim 1, it is characterised in that be provided with meeting in aditus laryngis portion cup, at corresponding epiglottis
Detest support, the epiglottis support ensures to accommodate the size of cartilago epiglottica apart from the space that cup outer rim is formed, and forms epiglottis attachment point.
7. airway according to claim 1, it is characterised in that the main airway is separated relative to tracheal catheter and is open
Another lateral wall be provided with c-type stomach tube groove, or the lateral wall is provided with lug boss, lug boss is provided with c-type stomach tube groove, the c-type stomach
Tube seat extends to the cup seat top-rear side.
8. airway according to claim 1, it is characterised in that the main airway is corresponding with aditus laryngis portion cup junction
Tongue location of root is provided with root of the tongue seat that is raised and extending to both sides, and expanded width is no more than the width of cup seat.
9. airway according to claim 1, it is characterised in that aditus laryngis portion cup is that unexpansive formula softness is deformable
Cup.
10. airway according to claim 1, it is characterised in that the main airway section is square, square four
Angle is the radian chamfering seamlessly transitted.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201621418744.6U CN207012384U (en) | 2016-12-22 | 2016-12-22 | A kind of airway of the closed aditus laryngis surrounding tissue of Kai Bianshi cover-cup types |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201621418744.6U CN207012384U (en) | 2016-12-22 | 2016-12-22 | A kind of airway of the closed aditus laryngis surrounding tissue of Kai Bianshi cover-cup types |
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CN207012384U true CN207012384U (en) | 2018-02-16 |
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CN201621418744.6U Active CN207012384U (en) | 2016-12-22 | 2016-12-22 | A kind of airway of the closed aditus laryngis surrounding tissue of Kai Bianshi cover-cup types |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106581832A (en) * | 2016-12-22 | 2017-04-26 | 天津麦迪安医疗器械有限公司 | Separate edge cup type air duct capable of sealing tissue around throat |
-
2016
- 2016-12-22 CN CN201621418744.6U patent/CN207012384U/en active Active
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106581832A (en) * | 2016-12-22 | 2017-04-26 | 天津麦迪安医疗器械有限公司 | Separate edge cup type air duct capable of sealing tissue around throat |
CN106581832B (en) * | 2016-12-22 | 2024-01-26 | 天津麦迪安医疗器械有限公司 | Open-edge type air passage for cup-type airtight tissues around laryngeal opening |
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