CN208927342U - Upper airway obstruction oxygen mask - Google Patents
Upper airway obstruction oxygen mask Download PDFInfo
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- CN208927342U CN208927342U CN201820041381.1U CN201820041381U CN208927342U CN 208927342 U CN208927342 U CN 208927342U CN 201820041381 U CN201820041381 U CN 201820041381U CN 208927342 U CN208927342 U CN 208927342U
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Abstract
本实用新型涉及一种吸氧面罩,尤其是一种上呼吸道梗阻吸氧面罩,属于医疗器械的技术领域。按照本实用新型提供的技术方案,所述上呼吸道梗阻吸氧面罩,包括吸氧面罩本体;还包括用于解除上呼吸道梗阻的口撑舌咽道体,口撑舌咽道体的一端形成与吸氧面罩本体适配连接的面罩连接部,口撑舌咽道体的另一端形成用于置入口腔内撑开舌体的咽道置入部。本实用新型通过吸氧面罩本体与口撑舌咽道体连接,利用吸氧面罩本体以及口撑舌咽道体配合能解除患者上呼吸道梗阻进行面罩通气,能与患者共用上呼吸道进行口腔、上消化道及上呼吸道检查,结构简单,降低使用成本,方便易行,安全可靠。
The utility model relates to an oxygen inhalation mask, in particular to an oxygen inhalation mask for upper airway obstruction, which belongs to the technical field of medical devices. According to the technical solution provided by the present utility model, the upper airway obstruction oxygen inhalation mask includes an oxygen inhalation mask body; and also includes a mouth-supporting glossopharyngeal body for relieving upper airway obstruction, and one end of the mouth-supporting glossopharyngeal body is formed with The body of the oxygen inhalation mask is adapted to connect with the mask connecting part, and the other end of the mouth-supporting glossopharyngeal body forms a pharynx insertion part for inserting into the oral cavity to open the tongue body. The oxygen-absorbing mask body is connected with the mouth-supporting glossopharyngeal body, and the oxygen-absorbing mask body and the mouth-supporting glossopharyngeal body cooperate to relieve the upper airway obstruction of the patient for mask ventilation, and can share the upper airway with the patient for oral and upper respiratory tract ventilation. The inspection of digestive tract and upper respiratory tract has the advantages of simple structure, low use cost, convenient and easy operation, safety and reliability.
Description
技术领域technical field
本实用新型涉及一种吸氧面罩,尤其是一种上呼吸道梗阻吸氧面罩,属于医疗器械的技术领域。The utility model relates to an oxygen inhalation mask, in particular to an oxygen inhalation mask for upper airway obstruction, which belongs to the technical field of medical devices.
背景技术Background technique
面罩呼吸管理是麻醉中呼吸管理重要的一部分,如:全麻诱导面罩呼吸管理时必须实施的关键一步、全麻结束拔管后经常需要实施面罩呼吸管理、静脉麻醉呼吸抑制时罩呼吸管理至关重要。Mask breathing management is an important part of breathing management in anesthesia, such as: a key step that must be implemented during general anesthesia induction mask breathing management, mask breathing management is often required after extubation after general anesthesia, and mask breathing management during intravenous anesthesia respiratory depression is crucial. important.
许多偏瘦或正常体型患者面罩呼吸管理相对比较容易,但某些肥胖患者或体型特殊者面罩呼吸管理可能有不同难度,甚至是面罩通气困难,此时风险巨大,即使经验多么丰富的麻醉医师处理时也较为棘手。肥胖患者或体型特殊者面罩通气的难点就在于上呼吸道梗阻,解除上呼吸道梗阻时这些患者面罩通气的关键。Mask breathing management is relatively easy for many thin or normal-sized patients, but some obese patients or people with special body types may have different difficulties in mask breathing management, and even mask ventilation is difficult. is also more difficult. The difficulty of mask ventilation for obese patients or people with special body types lies in upper airway obstruction, and the key to mask ventilation for these patients is to relieve upper airway obstruction.
在胃镜检查静脉麻醉中,呼吸抑制多发生在胃镜检查进行时,目前要处理呼吸抑制必须中断检查,给患者带来风险,给消化科检查的医生和麻醉医生均带来不便。In intravenous anesthesia for gastroscopy, respiratory depression mostly occurs during gastroscopy. At present, to deal with respiratory depression, the examination must be interrupted, which brings risks to patients and brings inconvenience to both gastroenterology doctors and anesthesiologists.
临床急需一种能快捷解除上呼道梗阻、能在胃镜检查时提供呼吸辅助的通气工具。There is an urgent need for a ventilation tool that can quickly relieve upper airway obstruction and provide respiratory assistance during gastroscopy.
发明内容SUMMARY OF THE INVENTION
本实用新型的目的是克服现有技术中存在的不足,提供一种上呼吸道梗阻吸氧面罩,其能解除上呼吸道梗阻并进行面罩通气,在面罩通气同时能进行口腔、上呼吸道及上消化道检查,结构简单,使用成本低,安全可靠。The purpose of this utility model is to overcome the deficiencies existing in the prior art and provide an oxygen inhalation mask for upper airway obstruction, which can relieve upper airway obstruction and perform mask ventilation, and simultaneously perform oral cavity, upper respiratory tract and upper gastrointestinal tract ventilation during mask ventilation. Inspection, simple structure, low use cost, safe and reliable.
按照本实用新型提供的技术方案,所述上呼吸道梗阻吸氧面罩,包括吸氧面罩本体;还包括用于解除上呼吸道梗阻的口撑舌咽道体,口撑舌咽道体的一端形成与吸氧面罩本体适配连接的面罩连接部,口撑舌咽道体的另一端形成用于置入口腔内撑开舌体的咽道置入部。According to the technical solution provided by the present utility model, the upper airway obstruction oxygen inhalation mask includes an oxygen inhalation mask body; and also includes a mouth-supporting glossopharyngeal body for relieving upper airway obstruction, and one end of the mouth-supporting glossopharyngeal body is formed with The oxygen inhalation mask body is adapted to connect with the mask connecting part, and the other end of the mouth-supporting glossopharyngeal body forms a pharynx insertion part for inserting into the oral cavity to open the tongue body.
所述咽道置入部呈弧形,吸氧面罩本体内设有咽道体连接口,口撑舌咽道体的面罩连接部进入吸氧面罩体内,并与咽道体连接口适配连接。The pharyngeal tract insertion part is arc-shaped, the oxygen inhalation mask body is provided with a pharyngeal tract body connection port, and the mask connecting part that supports the glossopharyngeal tract body enters the oxygen inhalation mask body, and is adapted and connected with the pharyngeal tract body connection port .
所述口撑舌咽道体的长度可调。The length of the mouth support glossopharyngeal body is adjustable.
所述口撑舌咽道体通过长度调节机构进行长度调节,所述长度调节机构包括用于面罩连接部连接的第一调节臂以及与咽道置入部连接的第二调节臂;The length of the mouth brace glossopharyngeal body is adjusted by a length adjustment mechanism, and the length adjustment mechanism includes a first adjustment arm for connecting the mask connecting part and a second adjusting arm for connecting with the pharyngeal insertion part;
在第二调节臂上设置滑移套,第一调节臂能套置在滑移套内滑移,还包括用于锁定第一调节臂与第二调节臂位置的滑移锁紧机构。A sliding sleeve is arranged on the second adjusting arm, the first adjusting arm can be sleeved and slid in the sliding sleeve, and a sliding locking mechanism for locking the positions of the first adjusting arm and the second adjusting arm is also included.
所述滑移锁紧机构包括设置于第一调节臂上的调节卡齿以及设置于滑移套上且能抵在调节卡齿内的弹性固定条,调节卡齿沿第一调节臂的长度方向分布,弹性固定条能在滑移套上摆动,弹性固定条摆动时,弹性固定条能与调节卡齿分离。The sliding locking mechanism includes an adjusting tooth arranged on the first adjusting arm and an elastic fixing strip that is arranged on the sliding sleeve and can abut against the adjusting tooth, and the adjusting tooth is along the length direction of the first adjusting arm. distribution, the elastic fixing strip can swing on the sliding sleeve, and when the elastic fixing strip swings, the elastic fixing strip can be separated from the adjusting teeth.
口撑舌咽道体的咽道置入部内设有允许操作工具置入的舌咽通气道,舌咽通气道沿咽道置入部的长度方向分布。A glossopharyngeal airway is arranged in the pharynx insertion part of the mouth brace glossopharyngeal body, which allows the insertion of an operating tool, and the glossopharyngeal airway is distributed along the length direction of the pharyngeal insertion part.
所述口撑舌咽道体上还设置牙齿撑开环,所述牙齿撑开环的外壁设置允许牙齿咬入的凹陷,牙齿撑开环内设置与舌咽通气道连通的操作工具置入口。The mouth support glossopharyngeal body is also provided with a tooth spacer ring, the outer wall of the tooth spacer ring is provided with a depression allowing teeth to bite in, and an operation tool insertion port communicated with the glossopharyngeal airway is arranged in the tooth spacer ring.
所述吸氧面罩本体上设有与吸氧面罩本体内腔连通的呼吸器连接管,呼吸器连接管与吸氧面罩本体的结合部形成咽道体连接口;面罩连接部嵌置于咽道体连接口内时,呼吸器连接管通过贯通面罩连接部的连接部通孔与吸氧面罩本体的内腔连通。The oxygen inhalation mask body is provided with a respirator connection pipe that communicates with the inner cavity of the oxygen inhalation mask body, and the joint part of the respirator connection pipe and the oxygen inhalation mask body forms a pharyngeal body connection port; the mask connection part is embedded in the pharynx. When the body is connected to the mouth, the connecting pipe of the respirator communicates with the inner cavity of the oxygen inhalation mask body through the connecting part through hole penetrating the connecting part of the mask.
吸氧面罩本体上设有与所述吸氧面罩本体内腔连通的吸氧管,所述吸氧管上连接有用于控制吸氧管通气状态的卡时开关。The oxygen inhalation mask body is provided with an oxygen inhalation pipe that communicates with the inner cavity of the oxygen inhalation mask body, and the oxygen inhalation pipe is connected with a card time switch for controlling the ventilation state of the oxygen inhalation pipe.
所述吸氧面罩本体的外壁上还设有操作连接管,所述操作连接管内设有操作管密封膜以及能密封所述操作连接管的操作管封堵体。An operation connecting pipe is also arranged on the outer wall of the oxygen inhalation mask body, and an operation pipe sealing film and an operation pipe blocking body capable of sealing the operation connecting pipe are arranged in the operation connecting pipe.
本实用新型的优点:通过吸氧面罩本体与口撑舌咽道体连接,利用吸氧面罩本体以及口撑舌咽道体配合能解除患者上呼吸道梗阻进行面罩通气,能与患者共用上呼吸道进行口腔、上消化道及上呼吸道检查,结构简单,降低使用成本,方便易行,安全可靠。The advantages of the utility model: the oxygen inhalation mask body is connected with the mouth support glossopharyngeal body, the oxygen inhalation mask body and the mouth support glossopharyngeal body can cooperate to relieve the upper airway obstruction of the patient and perform mask ventilation, and can share the upper airway with the patient for mask ventilation. The inspection of oral cavity, upper gastrointestinal tract and upper respiratory tract has simple structure, reduces use cost, is convenient and easy to operate, and is safe and reliable.
附图说明Description of drawings
图1为本实用新型的结构示意图。Figure 1 is a schematic structural diagram of the utility model.
图2为本实用新型口撑舌咽通气道体的结构示意图。FIG. 2 is a schematic structural diagram of the mouth support glossopharyngeal airway body of the present invention.
图3为本实用新型口撑舌咽通气道体长度调节机构的结构示意图。Figure 3 is a schematic structural diagram of the mouth brace glossopharyngeal airway body length adjustment mechanism of the present invention.
图4为本实用新型吸氧面罩本体的结构示意图。4 is a schematic structural diagram of the body of the oxygen inhalation mask of the present invention.
图5为本实用新型口撑舌咽通气道体A切面结构示意图。FIG. 5 is a schematic view of the structure of the cross section of the mouth brace glossopharyngeal airway body A of the present invention.
图6为本实用新型口撑舌咽通气道体B切面结构示意图。FIG. 6 is a schematic structural diagram of the cross section of the mouth brace glossopharyngeal airway body B of the present invention.
图7为本实用新型口撑舌咽通气道体C切面结构示意图。FIG. 7 is a schematic structural diagram of the C section of the mouth brace glossopharyngeal airway body of the present invention.
附图标记说明:1-吸氧面罩本体、11-咽道体连接口、12-吸氧管、120-卡式开关、13-呼吸器连接管、130-呼吸器管堵塞体、14-操作连接管、140-操作管封堵体、141-操作杆密封膜、15-密封圈、2-口撑舌咽通气道体、21-面罩连接部、22-牙齿撑开环、220-操作工具置入口、221-齿档板、23-舌咽通气管、230-通气空腔、3-长度调节机构、31-第一调节臂、311-调节卡齿、312-限位卡齿、32-第二调节臂、321-滑移套、322-固定卡条。Description of reference numerals: 1-Oxygen inhalation mask body, 11-Pharyngeal body connection port, 12-Oxygen inhalation tube, 120-Card switch, 13-Respirator connecting tube, 130-Respirator tube blocking body, 14-Operation Connecting tube, 140-operating tube blocking body, 141-operating rod sealing membrane, 15-sealing ring, 2-mouth brace glossopharyngeal airway body, 21-mask connecting part, 22-dental opening ring, 220-operating tool Inlet, 221-tooth baffle, 23-glossopharyngeal ventilation tube, 230-ventilation cavity, 3-length adjustment mechanism, 31-first adjustment arm, 311-adjustment clip, 312-limit clip, 32- The second adjusting arm, 321-sliding sleeve, 322-fixing clip.
具体实施方式Detailed ways
下面结合具体附图和实施例对本实用新型作进一步说明。The utility model will be further described below in conjunction with the specific drawings and embodiments.
为了解除全身麻醉诱导面罩通气患者上呼吸道梗阻问题,如图1、图2和图4所示,本实用新型包括吸氧面罩本体1;还包括用于解除上呼吸道梗阻的口撑舌咽道体2,口撑舌咽道体2的一端形成与吸氧面罩本体1适配连接的面罩连接部21,口撑舌咽道体2的另一端形成用于置入口腔内撑开舌体的咽道置入部。In order to relieve the problem of upper airway obstruction in patients with general anesthesia-induced mask ventilation, as shown in Figures 1, 2 and 4, the present invention includes an oxygen inhalation mask body 1; and also includes a mouth support glossopharyngeal body for relieving upper airway obstruction 2. One end of the mouth-supporting glossopharyngeal body 2 forms a mask connecting part 21 that is adapted to connect with the oxygen inhalation mask body 1, and the other end of the mouth-supporting glossopharyngeal body 2 forms a pharynx for inserting into the oral cavity to open the tongue body. Road Insertion Department.
具体地,所述咽道置入部呈弧形,吸氧面罩本体1内设有咽道体连接口11,口撑舌咽道体2的面罩连接部21进入吸氧面罩体1内,并与咽道体连接口11适配连接。用于置入患者口腔内撑开患者舌体,在舌体和咽后壁间形成通气腔道。当患者上呼吸道梗阻时,将口撑舌咽道体2的咽道置入部置入患者口腔内,能快速建立通气道,保证患者通气安全。当患者上呼吸道梗阻时,若患者有自主呼吸,仅需将口撑舌咽道体2的烟道置入部置入患者口腔内解除梗阻,吸氧或不吸氧视病情而定。若患者没有自主呼吸,需使用机械通气仪器,如:麻醉机、呼吸机和简易呼吸器对患者实施辅助通气。多数患者发生上呼吸道梗阻时呼吸潮气量减少甚至没有自主呼吸,需要吸氧,甚至需要吸氧同时实施辅助通气,否则不能满足氧量需求。Specifically, the pharyngeal tract insertion part is arc-shaped, the pharyngeal tract body connecting port 11 is provided in the oxygen inhalation mask body 1, and the mask connecting part 21 of the mouth support glossopharyngeal tract body 2 enters the oxygen inhalation mask body 1, and It is adapted to connect with the pharyngeal body connection port 11 . It is used to place the patient's tongue in the patient's mouth and open the patient's tongue to form a ventilation channel between the tongue and the posterior wall of the pharynx. When the upper airway of the patient is obstructed, the pharyngeal insertion part of the mouth support glossopharyngeal body 2 is placed in the patient's oral cavity, which can quickly establish an airway and ensure the patient's ventilation safety. When the upper airway of the patient is obstructed, if the patient breathes spontaneously, it is only necessary to place the flue insertion part of the mouth-supporting glossopharyngeal body 2 into the patient's oral cavity to relieve the obstruction, and oxygen inhalation or no oxygen inhalation depends on the condition. If the patient is not breathing spontaneously, mechanical ventilation equipment, such as anesthesia machine, ventilator and simple breathing apparatus, should be used to implement assisted ventilation for the patient. Most patients with upper airway obstruction have reduced tidal volume or even no spontaneous breathing. They need oxygen inhalation, or even need to inhale oxygen and implement assisted ventilation at the same time, otherwise the oxygen demand cannot be met.
无论吸氧或无创实施辅助呼吸均需要使用吸氧面罩本体1,吸氧面罩本体1能使最小氧流量产生最大浓度吸氧效果;吸氧面罩本体1能为患者口鼻部提供密封环境,为无创辅助呼吸提供必要条件。为了方便吸氧避免吸氧面罩本体1脱落,同时,也为了固定口撑舌咽道体2,避免口撑舌咽道体2脱出,在口撑舌咽道体2的端部设置面罩连接部21,在吸氧面罩本体1内设置咽道体连接口11,面罩连接部21和咽道体连接口11大小外形匹配,以便当面罩连接部21嵌置在咽道体连接口11后,能使得口撑舌咽道体2与吸氧面罩本体1临时固定连接。当吸氧面罩本体1和口撑舌咽道体2连接为一体时,要防止吸氧面罩本体1和口撑舌咽道体2脱落,仅需对吸氧面罩本体1或口撑舌咽道体2加以固定即可。比如,用医院最常见的束头带将吸氧面罩本体1固定在患者头面部即可。如此,即可通过吸氧面罩本体1为患者提供高效的氧供,通过口撑舌咽道体2解除患者上呼吸道梗阻。Oxygen inhalation mask body 1 is required for both oxygen inhalation and non-invasive assisted breathing. Oxygen inhalation mask body 1 can produce the maximum concentration of oxygen inhalation effect from the minimum oxygen flow rate; oxygen inhalation mask body 1 can provide a sealed environment for the patient's nose and mouth, which Non-invasive assisted breathing provides the necessary conditions. In order to facilitate oxygen inhalation and prevent the oxygen mask body 1 from falling off, and at the same time, in order to fix the mouth support glossopharyngeal body 2 and prevent the mouth support glossopharyngeal body 2 from coming out, a mask connecting part is provided at the end of the mouth support glossopharyngeal body 2 21. The pharyngeal body connecting port 11 is provided in the oxygen inhalation mask body 1, and the mask connecting portion 21 and the pharyngeal body connecting port 11 are matched in size and shape, so that when the mask connecting portion 21 is embedded in the pharyngeal body connecting port 11, it can be The mouth brace tongue and pharynx body 2 is temporarily fixedly connected with the oxygen inhalation mask body 1 . When the oxygen inhalation mask body 1 and the mouth support glossopharyngeal body 2 are connected as a whole, to prevent the oxygen inhalation mask body 1 and the mouth support glossopharyngeal body 2 from falling off, it is only necessary to connect the oxygen inhalation mask body 1 or the mouth support glossopharyngeal body 2. Body 2 can be fixed. For example, the oxygen inhalation mask body 1 can be fixed on the patient's head and face with the most common headband in the hospital. In this way, an efficient oxygen supply can be provided to the patient through the oxygen inhalation mask body 1 , and the upper airway obstruction of the patient can be relieved through the mouth-supporting glossopharyngeal body 2 .
不同患者口咽深度不同,为了满足不同患者使用需求,因此,口撑舌咽道体2的长度可以调节,口撑时咽道体2的长度调节方式可以采用可伸缩杆的方式或其他方式,如图1、图2和图3所示,为采用长度调节机构3进行长度调节的实施情况。长度调节机构位于咽道置入部与面罩连接部21之间。通过长度调节机构3能对口撑舌咽道体2长短做出适当的调节,适应不同患者口腔深部。Different patients have different oropharynx depths. In order to meet the needs of different patients, the length of the mouth brace body 2 can be adjusted, and the length of the pharynx body 2 can be adjusted by using a retractable rod or other methods. As shown in FIG. 1 , FIG. 2 and FIG. 3 , the length adjustment mechanism 3 is used for the implementation of length adjustment. The length adjustment mechanism is located between the pharynx insertion part and the mask connecting part 21 . The length adjustment mechanism 3 can appropriately adjust the length of the mouth support glossopharyngeal body 2 to adapt to the deep oral cavity of different patients.
长度调节机构3的可选择方案很多,此处就图3实施例具体阐述。所所述长度调节机构包括用于面罩连接部21连接的第一调节臂31以及与咽道置入部连接的第二调节臂32;There are many options for the length adjustment mechanism 3, and the embodiment of FIG. 3 is described in detail here. The length adjusting mechanism includes a first adjusting arm 31 for connecting the mask connecting portion 21 and a second adjusting arm 32 for connecting with the pharyngeal tract insertion portion;
在第二调节臂32上设置滑移套321,第一调节臂31能套置在滑移套321内滑移,还包括用于锁定第一调节臂31与第二调节臂32位置的滑移锁紧机构。A sliding sleeve 321 is provided on the second adjusting arm 32 , the first adjusting arm 31 can be sleeved in the sliding sleeve 321 to slide, and also includes a sliding sleeve for locking the positions of the first adjusting arm 31 and the second adjusting arm 32 locking mechanism.
所述滑移锁紧机构包括设置于第一调节臂31上的调节卡齿311以及设置于滑移套321上且能抵在调节卡齿311内的弹性固定条322,调节卡齿311沿第一调节臂31的长度方向分布,弹性固定条322能在滑移套321上摆动,弹性固定条322摆动时,弹性固定条322能与调节卡齿311分离。The sliding locking mechanism includes an adjusting tooth 311 arranged on the first adjusting arm 31 and an elastic fixing strip 322 arranged on the sliding sleeve 321 and can abut against the adjusting tooth 311. An adjustment arm 31 is distributed in the length direction, the elastic fixing strip 322 can swing on the sliding sleeve 321 , and when the elastic fixing strip 322 swings, the elastic fixing strip 322 can be separated from the adjusting tooth 311 .
本实用新型实施例中,弹性固定卡条322不受力时自然顶持在调节卡齿311内。当需要调节口撑舌咽道体2长度时,向下调节牵拉第二调节臂32,因为调节卡齿311的倾斜方向向下,弹性固定条322受力抬高进入下一级调节卡齿311内,直至调节结束。由于口撑舌咽道体2正常使用时受力方向向上,故调整时只是需向下调节,调节完毕时需对第二调节臂32向上限位即可。这样,通过长度调节机构3能对口撑舌咽道体2长短做出适当的调节,适应不同患者口腔深部,达到最佳使用效果,使患者在上呼道梗阻时能快速重新建立呼吸通道,并通过吸氧面罩本体1为患者提供辅助呼吸。具体实施时,第一调节臂31上的端部还设置限位卡齿312,限位卡齿312的方向与调节卡齿311的方向相反且限位卡齿312高出调节卡齿311。In the embodiment of the present invention, the elastic fixing clips 322 are naturally held in the adjusting clips 311 when there is no force. When the length of the mouth brace glossopharyngeal body 2 needs to be adjusted, the pulling second adjusting arm 32 is adjusted downward, because the inclination direction of the adjusting tooth 311 is downward, and the elastic fixing strip 322 is lifted up by force and enters the next level adjusting tooth 311 until the adjustment ends. Since the mouth-supporting glossopharyngeal body 2 is subjected to upward force during normal use, it only needs to be adjusted downwards during adjustment, and the second adjustment arm 32 needs to be moved to the upper limit when the adjustment is completed. In this way, the length adjustment mechanism 3 can appropriately adjust the length of the mouth-supporting glossopharyngeal body 2 to adapt to the depth of the oral cavity of different patients, so as to achieve the best use effect, so that the patient can quickly re-establish the breathing channel when the upper airway is blocked, and Assisted breathing is provided for the patient through the oxygen inhalation mask body 1 . In a specific implementation, the end of the first adjusting arm 31 is further provided with limit teeth 312 , the direction of the limit teeth 312 is opposite to the direction of the adjustment teeth 311 and the limit teeth 312 are higher than the adjustment teeth 311 .
进一步的,如图1、图2及图6所示,为了满足胃镜检查患者、上呼吸道检查患者麻醉要求,所述口撑舌咽道体2上设有牙齿撑开环22,所述牙齿撑开环22内径大于10mm。通过牙齿撑开环22能通过与患者牙齿配合,对口撑舌咽道体2起到固定作用。通过牙齿撑开环22固定原理是:牙齿撑开环22中部设置有凹陷,凹陷的外侧设有齿档板221,患者牙齿咬合在对应凹陷内,从而避免口撑舌咽道体2在患者口咽部滑移。同时,牙齿撑开环22中部设有操作工具置入口220,操作工具置入口220能避免患者上下牙齿咬合,支气管镜检查和胃镜检查时,昂贵的仪器经操作工具置入口220进入患者口腔内,避免昂贵的仪器被患者不自主的抵抗动作导致的牙齿闭合咬伤。Further, as shown in Figure 1, Figure 2 and Figure 6, in order to meet the anesthesia requirements of patients undergoing gastroscopy and upper respiratory tract examination, the mouth support glossopharyngeal body 2 is provided with a tooth opening ring 22, and the teeth support The inner diameter of the open ring 22 is greater than 10 mm. Through the tooth-opening ring 22, the mouth-pulling glossopharyngeal body 2 can be fixed by cooperating with the patient's teeth. The fixing principle of the tooth opening ring 22 is as follows: the middle part of the tooth opening ring 22 is provided with a depression, the outer side of the depression is provided with a tooth baffle 221, and the patient's teeth are bitten in the corresponding depression, so as to prevent the mouth support glossopharyngeal body 2 from being in the patient's mouth. Pharyngeal slip. At the same time, an operation tool insertion port 220 is provided in the middle of the tooth opening ring 22. The operation tool insertion port 220 can prevent the upper and lower teeth of the patient from occluding. During bronchoscopy and gastroscopy, expensive instruments enter the patient's mouth through the operation tool insertion port 220. Avoid tooth closure and bite of expensive instruments caused by the patient's involuntary resisting action.
为了便于在胃镜检查和支气管镜检查时使用,如图7所示,所述口撑舌咽道体2的咽道置入部为扁圆的类弧形切面,类弧形切面中部形成舌咽通气道23,所述舌咽通气道23内具有通气空腔230。所述口撑舌咽道体2设置为扁圆的优点是尽量减少对口腔内空间的占用,口腔的空间在宽度上有富余,高度上较为狭窄,设置扁圆的舌咽通气道23能在不占用高度的情况下,达到同样大小的通气面积,为胃镜或支气管镜节省出空间,便于手术医师操作。当然,为了使口撑舌咽道体2上下外形比较一致,增加外观美感,如图5所示,在口撑舌咽道体2牙齿撑开环22以上部位和长度调节机构3以下部位,可以设置成和扁圆的舌咽通气道23类似的结构,并给口撑舌咽道体2设置对应的通气腔道。舌咽通气道23与操作工具置入口220相连通,操作工具通过操作工具置入口220进入舌咽通气道23内,进而置入患者的口腔内。In order to facilitate the use in gastroscopy and bronchoscopy, as shown in FIG. 7 , the pharyngeal insertion part of the mouth-supporting glossopharyngeal body 2 is a flat arc-like section, and the middle of the arc-like section forms the glossopharyngeal pharynx The airway 23 has a ventilation cavity 230 in the glossopharyngeal airway 23 . The advantage of setting the mouth support glossopharyngeal body 2 as an oblate shape is to minimize the occupation of the space in the oral cavity, and the oral cavity space is rich in width and narrow in height, and the oblate glossopharyngeal airway 23 can In the case of not occupying height, the ventilation area of the same size can be achieved, which saves space for gastroscope or bronchoscope and is convenient for surgeons to operate. Of course, in order to make the upper and lower shapes of the mouth-supporting glossopharyngeal body 2 more consistent and increase the aesthetics of the appearance, as shown in FIG. It is arranged in a structure similar to the oblate glossopharyngeal airway 23 , and the mouth brace glossopharyngeal body 2 is provided with a corresponding ventilation cavity. The glossopharyngeal airway 23 is communicated with the operation tool insertion port 220, and the operation tool enters the glossopharyngeal airway 23 through the operation tool insertion opening 220, and is then inserted into the patient's oral cavity.
如图4所示,所述吸氧面罩本体1设有吸氧管12。在某些上呼吸道梗阻的患者,如:麻醉刚刚拔管后上呼吸道梗阻的患者,虽然通过口撑舌咽道体2能解除上呼吸道梗阻,患者保留了自主呼吸,但氧需求量仍然不足,通过有吸氧管12能为面罩内提供浓度较高的气流,提高患者氧供,增加安全性。吸氧管12上设有卡式开关120。As shown in FIG. 4 , the oxygen inhalation mask body 1 is provided with an oxygen inhalation tube 12 . In some patients with upper airway obstruction, such as: patients with upper airway obstruction just after extubation of anesthesia, although the upper airway obstruction can be relieved through mouth support of the glossopharyngeal body 2, the patient retains spontaneous breathing, but the oxygen demand is still insufficient. By having the oxygen inhalation tube 12, a high-concentration airflow can be provided in the mask, so as to improve the oxygen supply of the patient and increase the safety. A cassette switch 120 is provided on the oxygen inhalation tube 12 .
进一步的,所述吸氧面罩本体1设有呼吸器连接管13和与呼吸器连接管13匹配的呼吸器管堵塞体130,呼吸器连接管13与吸氧面罩本体1的结合部形成咽道体连接口11;面罩连接部21嵌置于咽道体连接口11内时,呼吸器连接管13通过贯通面罩连接部21的连接部通孔与吸氧面罩本体1的内腔连通。当患者呼吸暂停或潮气量严重不足时,如全身麻醉诱导时,需通过呼吸器为患者提供辅助呼吸。设置呼吸器连接管13为吸氧面罩本体1连接呼吸器提供了便利。目前所有的呼吸器,包括麻醉机、呼吸机、简易呼吸器等接口规格一致,较为方便。匹配的呼吸器管堵塞体130设置的目的是:当患者只需吸氧,无需面罩辅助呼吸时,可使用呼吸器管堵塞体130堵塞呼吸器连接管13,避免进入吸氧面罩本体1的氧气流快速逸出,提高吸氧面罩本体1内的氧气浓度,提高吸氧治疗效果,增加安全性。Further, the oxygen inhalation mask body 1 is provided with a respirator connecting pipe 13 and a respirator pipe blocking body 130 matching the respirator connecting pipe 13, and the joint of the respirator connecting pipe 13 and the oxygen inhalation mask body 1 forms a pharynx. When the mask connecting part 21 is embedded in the pharyngeal body connecting port 11, the respirator connecting pipe 13 communicates with the inner cavity of the oxygen inhalation mask body 1 through the connecting part through hole passing through the mask connecting part 21. When the patient has apnea or severely insufficient tidal volume, such as induction of general anesthesia, the patient needs to be provided with assisted breathing through a ventilator. The arrangement of the respirator connecting pipe 13 provides convenience for connecting the oxygen inhalation mask body 1 to the respirator. At present, all respirators, including anesthesia machines, ventilators, and simple respirator, have the same interface specifications, which is more convenient. The purpose of setting the matching respirator tube blocking body 130 is: when the patient only needs to inhale oxygen and does not need a mask to assist breathing, the respirator tube blocking body 130 can be used to block the respirator connecting tube 13 to avoid oxygen entering the oxygen inhalation mask body 1 . The flow escapes quickly, increases the oxygen concentration in the oxygen inhalation mask body 1, improves the oxygen inhalation treatment effect, and increases the safety.
为了提高胃镜检查、上呼吸道检查的效率,避免患者麻醉中发生上呼吸道梗阻或呼吸抑制时不中断检查,同时保证患者能进行辅助呼吸。所述吸氧面罩本体1设有操作连接管14,所述操作连接管14内设有操作管密封帽141,并设有和操作连接管14匹配的操作管封堵体140。胃镜检查患者、上呼吸道检查时,检查器械经操作连接管14置入患者口面部,并通过中部设置大小适当孔径的操作管密封膜141为检查器械提供密封性。患者发生上呼吸道梗阻或呼吸抑制时,仅需将呼吸器连接管13连接呼吸器即可达到使用要求。当然,为了避免非胃镜检查、上呼吸道检查时辅助通气漏气严重,在操作连接管14设置操作管封堵体140,当其他情况下,可将操作连接管14堵塞使用。此外,吸氧面罩本体1的下表面还设有密封圈15,利用密封圈15密封与面部的接触位置。In order to improve the efficiency of gastroscopy and upper respiratory tract examination, avoid uninterrupted examination when upper respiratory tract obstruction or respiratory depression occurs in patients during anesthesia, and ensure that patients can perform assisted breathing. The oxygen inhalation mask body 1 is provided with an operation connection pipe 14 , an operation pipe sealing cap 141 is arranged in the operation connection pipe 14 , and an operation pipe blocking body 140 matched with the operation connection pipe 14 is arranged. During gastroscopy and upper respiratory tract examination, the inspection instrument is inserted into the patient's orofacial face through the operation connecting tube 14, and the operation tube sealing membrane 141 with an appropriate aperture is provided in the middle to provide sealing for the inspection instrument. When the patient has upper airway obstruction or respiratory depression, it is only necessary to connect the respirator connecting tube 13 to the respirator to meet the usage requirements. Of course, in order to avoid serious leakage of auxiliary ventilation during non-gastroscopy and upper respiratory tract examinations, an operation tube blocking body 140 is provided on the operation connecting tube 14. In other cases, the operation connecting tube 14 can be blocked for use. In addition, the lower surface of the oxygen inhalation mask body 1 is also provided with a sealing ring 15, and the sealing ring 15 is used to seal the contact position with the face.
本实用新型通过吸氧面罩本体1与口撑舌咽道体2连接,利用吸氧面罩本体1以及口撑舌咽道体2配合能解除患者上呼吸道梗阻进行面罩通气,能与患者共用上呼吸道进行口腔、上消化道及上呼吸道检查,结构简单,降低使用成本,方便易行,安全可靠。The utility model is connected with the mouth support glossopharyngeal body 2 through the oxygen inhalation mask body 1, and the oxygen inhalation mask body 1 and the mouth support glossopharyngeal body 2 can cooperate to relieve the upper airway obstruction of the patient for mask ventilation, and can share the upper airway with the patient. The inspection of the oral cavity, the upper gastrointestinal tract and the upper respiratory tract has the advantages of simple structure, low cost of use, convenient and easy operation, safety and reliability.
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