CN209405433U - Difficulty in opening mouth oral trachea cannula soft lens protects Occluding device - Google Patents

Difficulty in opening mouth oral trachea cannula soft lens protects Occluding device Download PDF

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Publication number
CN209405433U
CN209405433U CN201821712483.8U CN201821712483U CN209405433U CN 209405433 U CN209405433 U CN 209405433U CN 201821712483 U CN201821712483 U CN 201821712483U CN 209405433 U CN209405433 U CN 209405433U
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CN
China
Prior art keywords
tube body
centimetre
occluding device
opening
difficulty
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Expired - Fee Related
Application number
CN201821712483.8U
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Chinese (zh)
Inventor
曾金
杨绍武
吴惊雷
黄一丹
杨媛媛
黄金秀
彭俊华
王小平
王雪飞
贾月姣
黄蓓
韦新权
黄荣荣
杨竑
梁予洁
马丽
务军
韦晓林
刘清平
卜梦梦
唐红燕
廖雪
唐晓梅
张一夏
张薇
韦玉明
覃慧娟
蒋云华
吴艳华
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Liuzhou Peoples Hospital
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Liuzhou Peoples Hospital
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Priority to CN201821712483.8U priority Critical patent/CN209405433U/en
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Publication of CN209405433U publication Critical patent/CN209405433U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model discloses a kind of difficulty in opening mouth oral trachea cannula soft lens protection Occluding device; it is related to medical instruments field; it includes being disposed with over-hang part, occlusion portion and pressure tongue to sting tube body; the two sidewalls up and down for stinging tube body between over-hang part and occlusion portion are provided with baffle, be provided on baffle for the duct of stinging the fixed band connection of tube body;It stings tubular body and is provided with channel, stinging at left and right sides of tube body has side to offer the opening communicated with channel;Over-hang part end is nearby provided with one for the fixed plate with the fixed band connection of intubation.The utility model, which solves existing Occluding device, cannot be used for the protection of difficulty in opening mouth and nasal intubation taboo patient's oral trachea cannula soft lens.After completing intubation using the utility model, the soft reinforced tracheal catheter of integration can also remove from the utility model sidewall opening, remove Occluding device, meet the requirement including all operations such as oral cavity, bottleneck throats.Patient can avoid the related complication of tracheotomy, improve medical safety.

Description

Difficulty in opening mouth oral trachea cannula soft lens protects Occluding device
Technical field
The utility model relates to the field of medical instrument technology, especially a kind of for solving patient, there are difficulties in opening mouth, and Oral soft lens (branchofiberoscope or soft electrical throat are protected in having of being unable to that the patient with operation of trachea intubation uses Mirror) function Occluding device.
Background technique
Trachea general anesthesia intubation is one of most common airway management and inhalation anesthesia important measures in clinical anesthesia, conventional Intubation procedure is oral and intranasal progress trachea cannula, but when there are (common mouth opening indicates when apparent difficulty in opening mouth by patient Mouthful degree opened, mouth opening refer to the distance after patient's maximum is dehisced between upper and lower front tooth, and the mouth opening of adult normal is 3.5 ~5.5 centimetres, mouth opening < 3.0 centimetre are difficulty in opening mouth.I degree difficulty in opening mouth person's mouth opening is 2~3 centimetres, II degree difficulty in opening mouth Mouth opening is 1~2 centimetre, and III degree difficulty in opening mouth mouth opening is 1.0~0.5 centimetres, IV degree difficulty in opening mouth mouth opening < 0.5 li Rice), trachea cannula is generally carried out using branchofiberoscope or soft electrical pharyngoscope guidance via intranasal application.However, when patient is same When being avoided there are difficulty in opening mouth and nasal trachea cannula, such as patient's nosebleed epistaxis (nosebleed), rhino tumor, fracture of nasal bone or basis cranii Fracture etc. is the taboo of naso-tracheal intubation.It cannot such as try to carry out this crucial skill of trachea cannula from the oral cavity of difficulty in opening mouth Art problem, patient only carries out tracheotomy merging tracheal tube or tracheal catheter establishes artificial airway.Crowd knows, cuts gas There are many complication, such as pneumothorax, mediastinal emphesema, esophageal injury to cause trachealgia leakage, dysphagia, accidentally suction, tracheae for cannula Narrow, infection etc..
The utility model, which can solve clinically existing Medical mouth gag, cannot be used for the difficult obvious and via intranasal application of mouth opening The protection of trachea cannula taboo patient's oral trachea cannula soft lens.Also, it is even if small-bore Occluding device can be placed in tonicity The oral cavity of 3.0~3.5 centimetres of patients, guides the protection of Bronchofiberscope or electron flexible cystoscope when as trachea cannula, but works as trachea cannula After the completion, Bronchofiberscope or electron flexible cystoscope can be exited from Occluding device, at this time problem appear to is that soft integration is reinforced Pipe joint on tracheal catheter tail end cannot be exited from Occluding device, and Occluding device and integrated tracheal catheter cannot be made from oral cavity Middle separation causes Occluding device that cannot remove from oral cavity, this will lead to the normal implementation for influencing oral cavity, bottleneck throat operation.
The patient of I degree, II degree and III degree difficulty in opening mouth for mouth opening less than 3.0 centimetres, due to existing Occluding device It cannot be placed in oral cavity, therefore, it cannot be used for the protection of such patient's oral trachea cannula soft lens.However, by using different model The utility model, can be not only used for different degrees of difficulty in opening mouth and nasal trachea cannula taboo patient's oral trachea cannula soft lens Protection, but also trachea cannula can be favorably accomplished by Bronchofiberscope or the guidance of soft electrical pharyngoscope.It is soft after completing intubation The reinforced tracheal catheter of matter integration can also remove from the utility model sidewall opening, remove Occluding device, and meeting includes mouth The requirement of all operations such as chamber, bottleneck throat.Patient can avoid the related complication of tracheotomy, medical safety be improved, to this Class patient has great value for clinical application.
Utility model content
The technical problem to be solved by the utility model is to provide a kind of difficulty in opening mouth oral trachea cannula soft lens to protect Occluding device, The utility model can solve the problem of three aspects:
1) utility model of different model can be used for different degrees of difficulty in opening mouth, and there are nasal trachea cannula taboos The protection of soft lens in the trachea cannula of patient, including fiber bronchus or soft electrical pharyngoscope etc..
2) it can be guided by Bronchofiberscope or the soft pharyngoscope of soft lens, direct oral cavity completes trachea cannula, avoids such trouble Person carries out tracheotomy and carries out trachea cannula or merging tracheal tube, avoids the generation and medical treatment of tracheotomy related complication Risk.
3) the soft reinforced tracheal catheter of integration of insertion and Occluding device can be made to separate by using the utility model, Occluding device is taken out from oral cavity, influences pars oralis pharyngis surgical procedure in the oral cavity so as to avoid Occluding device.
To solve the above-mentioned problems, the technical solution of the utility model is: this difficulty in opening mouth oral trachea cannula soft lens protection Occluding device includes being disposed with over-hang part, occlusion portion and pressure tongue to sting tube body, between the over-hang part and the occlusion portion It is provided with baffle, the tubular body of stinging is provided with channel, and described sting at left and right sides of tube body has side to offer and the channel The opening communicated;The over-hang part is provided with fixed plate in the side of the relatively described opening, and the fixed plate is equipped with for wearing The through-hole of system's intubation fixing belt.
In above-mentioned technical proposal, more specifically scheme may also is that the baffle plate setting stings the upper and lower of tube body described Two sidewalls, be provided on the baffle for the duct of stinging the fixed band connection of tube body;Alveolus is provided in the occlusion portion.
Further, there are two the through-holes being arranged in the fixed plate.
Further, the intubation fixing belt and the tube body fixing belt of stinging are elastic band or cord.
Further, the total length for stinging tube body is E, E=4~7 centimetre, transverse width G, G=2~4 centimetre, Zong Xianggao Degree is B, B=1.5~3 centimetre;The opening width is A, A=0.6~0.8 centimetre;The over-hang part length is F, F=2~2.5 Centimetre;The pressure tongue length is D, D=1~1.5 centimetre;End length C of the fixed plate apart from the over-hang part, C=0.5 ~1 centimetre, centre-height H, H=0.5~1 centimetre, 0.3~0.5 centimetre of thickness.
Due to the adoption of the above technical scheme, the utility model has the following beneficial effects:
1, for the utility model according to the setting of the situation of I to III degree difficulty in opening mouth there are three types of model, it is simple to sting pipe structure, Rationally, function is prominent for design, is able to satisfy the overwhelming majority there are difficulty in opening mouth and is not suitable for nasal trachea cannula patients surgery, It is directed into orotracheal tube of passing through using Bronchofiberscope or soft electrical pharyngoscope and implements general anesthesia.
2, the utility model is made into using hard plastics, can not sting it is flat, to intubation soft lens (Bronchofiberscope or soft throat Mirror) there is protective effect, avoid soft lens when intubation from being bitten broken or damaged by patient.
3, it is open since the one side wall in the utility model is equipped with, after the completion of trachea cannula, adds since integration is soft The tail end of strong type tracheal catheter more slightly cannot be directly pierced by from Occluding device, only be moved by the opening on the utility model side wall Out, tracheal catheter is separated with Occluding device.Occluding device is taken out from oral cavity, to avoid the shadow of Occluding device counterpart pharyngeal operation operation It rings.
4, the utility model is provided with the hole for installing fixing belt on stinging front tooth baffle and fixed plate on tube body, Conduit is fixed on patient mouthful week by the fixator that can be used as tracheal catheter.
5, the utility model is provided with the Multiple Type for being suitble to various situations, for there are difficulties in opening mouth and unsuitable progress The patient of nasal trachea cannula can complete oral trachea cannula while protection is intubated soft lens, avoid patient and carry out tracheae It cuts and carries out trachea cannula, avoid patient because of the injury of tracheotomy bring spirit and the human body, the particularly important is can be with The generation because of many related complications for implementing tracheotomy is reduced, as pneumothorax, mediastinal emphesema, esophageal injury cause trachealgia Leakage, dysphagia, accidentally suction, tracheostenosis, infection etc..
6, the utility model can be also used for I degree, II degree in addition to being intubated soft lens protection for difficulty in opening mouth patient airway The protection of gastrofiberscope when mouth Patients with Difficult gastrocopy, since the patient of current II degree difficulty in opening mouth is because without special Occluding device pair The protection of gastroscope cannot generally implement gastrocopy.Just because of can be such patient by using the utility model Occluding device Implement gastrocopy, provides convenience condition for patient to the early diagnosis of upper digestive tract illness and early treatment.
Detailed description of the invention
Fig. 1 is the schematic front view of the utility model;
Fig. 2 is the schematic top plan view of the utility model;
Fig. 3 is the right side view of the utility model;
Fig. 4 is the left view schematic diagram of the utility model;
Fig. 5 is one of the utility model size marking schematic diagram;
Fig. 6 is the two of the utility model size marking schematic diagram.
Figure label indicates are as follows: 1, sting tube body, 1-1, over-hang part, and 1-2, occlusion portion, 1-2-1, alveolus, 1-3, pressure tongue, 2, baffle, 2-1, duct, 3, fixed plate, 3-1, through-hole, 4, channel.
Specific embodiment
The present invention will be further described with reference to the accompanying drawings and examples:
The difficulty in opening mouth oral trachea cannula soft lens of Fig. 1 to Fig. 6 protects Occluding device, including is disposed with over-hang part 1-1, occlusion Portion 1-2's and pressure tongue 1-3 stings tube body 1, stings tube body 1 and is internally provided with channel 4, channel 4 carries out for nursing staff or doctor Take out phlegm or corresponding operation;It presses tongue 1-3 to go deep into patient oral cavity, tongue is avoided easily can to push Occluding device and make The situation that Occluding device falls off;Alveolus 1-2-1 is provided on occlusion portion 1-2, occlusion portion 1-2 provides sufferer tooth and is engaged, with It maintains sufferer mouth to open, and enters in human body oral cavity for the trachea cannula and carry out corresponding anesthesia, first aid or for oxygen supply Gas.Over-hang part 1-1 is provided with fixed plate 3 in the side of the relatively described opening, i.e. the setting of fixed plate 3 is complete in over-hang part 1-1 On the side wall of left or right side, right side wall opening, fixed plate 3 is located on left side wall, conversely, left side wall opening, fixed plate 3 is located at the right side On side wall;Being set in the fixed plate 3 there are two being used to wear is the through-hole 3-1 for being intubated fixing belt;When the utility model is used, it inserts Tube fixing band (being not drawn into figure) is fixed for that will be intubated with Occluding device after wearing two through-hole 3-1 for tying up to fixed plate 3, prevents Only conduit is mobile or deviates from.Over-hang part 1-1 provide nursing staff or doctor's holding in favor of being placed in patient oral cavity or The Occluding device is taken out, and over-hang part 1-1 also carries out corresponding adhesive tape sticking and fixation for nursing staff or doctor and passes through Through-hole 3-1 in fixed plate 3 is fixed the tracheal catheter of insertion using fixing belt.
Baffle 2 is provided between over-hang part 1-1 and occlusion portion 1-2, the two sidewalls up and down for stinging tube body 1 are arranged in baffle 2, gear Be provided on plate 2 for the duct 2-1 that stings tube body fixing belt (being not drawn into figure) and connect;Baffle 2 is set to outside patient oral cavity; It is fixed by wearing the tube body fixing belt of stinging tied up on the 2-1 of duct to tube body is stung.It the above intubation fixing belt and described stings Tube body fixing belt is the frenulum of elastic band or cord etc.
The left and right sides for stinging tube body 1 wherein has side to offer the opening communicated with channel 4, that is, stinging is to open on the left of tube body 1 When mouth, corresponding right sidewall is completely enclosed, conversely, corresponding left side side wall has been when stinging on the right side of tube body 1 to be open Totally-enclosed, it is completely enclosed side that fixed plate 3, which is located at side wall,.The utility model is integrally formed using hard plastics, firmly Matter plastics sting tube body be not easy to be snapped it is flat.
The total length for stinging tube body 1 is E, and E=4~7 centimetre, transverse width G, G=2~4 centimetre, longitudinal direction are highly B, B= 1.5~3 centimetres;The opening width is A, A=0.6~0.8 centimetre;Over-hang part 1-1 length is F, F=2~2.5 centimetre;Press tongue Portion's 1-3 length is D, D=1~1.5 centimetre;End length C of the fixed plate 3 apart from over-hang part 1-1, C=0.5~1 centimetre, center are high Spending is H, H=0.5~1 centimetre, 0.3~0.5 centimetre of thickness.
It is used to adapt to the different patient of difficulty in opening mouth degree, the utility model 3 kinds of model Medical mouth gags of ad hoc meter are adopted With different longitudinal height B and opening width A in various degree there are difficulty in opening mouth and cannot using nasal trachea cannula suffer from Person.
No. 1 Medical mouth gag stings the longitudinal height of tube body 1 B=3 centimetre, opening width A=0.8 centimetre;For there are I degree to dehisce Patients with Difficult;
No. 2 Medical mouth gags sting the longitudinal height of tube body 1 B=2 centimetre, opening width A=0.7 centimetre;For there are II degree Mouth Patients with Difficult;
No. 3 Medical mouth gags sting the longitudinal height of tube body 1 B=1 centimetre, opening width A=0.6 centimetre;For there are III degree Mouth Patients with Difficult (patient's mouth opening is 0.8~1 centimetre).
Use the utility model operating procedure:
1, classification of the patient there are difficulty in opening mouth is firstly evaluated, selects the Medical mouth gag of different model to intubation soft lens (Bronchofiberscope or soft intubation pharyngoscope, hereinafter referred to as intubation soft lens) is protected.I degree difficulty in opening mouth selects No. 1, and II degree is dehisced Difficulty selection 2, III degree difficulty in opening mouth (mouth opening is 1~0.8 centimetre) selection 3, can not adopt when mouth opening < 0.8 centimetre With oral trachea cannula, only selection tracheotomy trachea cannula.
2, to patient's bottleneck throat carry out sufficient surface anesthesia or and give analgesia appropriate, calmness.
3, the Medical mouth gag of suitable types will be selected to place patient oral cavity, by the fixed Occluding device of assistant, soft lens will be intubated First being inserted in the reinforced tracheal catheters of suitable types, (or common tracheal catheter, trachea cannula and intubation soft lens have been moistened with hospital Lubrication prescription lubrication), hang over intubation soft lens end, intubation guidance is carried out with soft lens, the front end of soft lens is inserted into from channel oral cavity, Pharyngeal and throat will cover what the tracheal catheter in soft lens end was guided along soft lens after determining that soft lens front end enters intratracheal Intratracheal, completion trachea cannula is sent into front end.
4, it completes intubation backed off after random and is intubated soft lens, and give conventional analgesia, calmness, GENERAL ANESTHETICS and muscle relaxant and deepen anesthesia Reach the depth of anesthesia for being able to satisfy various operations.
5, the person that such as can be used bite-block in the operation of non-pars oralis pharyngis, tracheal catheter and Occluding device is fixed in mouth week, such as The pars oralis pharyngis operation person that is unable to bite-block, then separate Occluding device from the opening of the Medical mouth gag side wall by tracheal catheter, take out (the reinforced more common tracheal catheter of tracheal catheter is softer, can reduce difficult intubation patient pars oralis pharyngis and airway mucus for Occluding device Damage, moreover, the joint for respiratory device on the proximal end of reinforced tracheal catheter be it is fixed, size is direct big compared with tracheal catheter More, which cannot pass through from Occluding device hollow channel), tracheal catheter is fixed on by mouth week using suture suture or adhesive plaster.

Claims (5)

1. a kind of difficulty in opening mouth oral trachea cannula soft lens protects Occluding device, it is characterised in that: including being disposed with over-hang part (1- 1), occlusion portion (1-2) and pressure tongue (1-3) are stung tube body (1), are set between the over-hang part (1-1) and the occlusion portion (1-2) It is equipped with baffle (2), the baffle (2) is equipped with duct (2-1), and the tube body (1) of stinging is internally provided with channel (4), feature Be: described sting at left and right sides of tube body (1) has side to offer the opening communicated with the channel (4);The over-hang part (1-1) It is provided with fixed plate (3) in the side of the relatively described opening, it is to be intubated leading to for fixing belt that the fixed plate (3), which is equipped with for wearing, Hole (3-1).
2. difficulty in opening mouth oral trachea cannula soft lens according to claim 1 protects Occluding device, it is characterised in that: the baffle (2) setting be provided on the two sidewalls up and down for stinging tube body (1), the baffle (2) for sting the fixed band connection of tube body Duct (2-1);Alveolus (1-2-1) is provided on the occlusion portion (1-2).
3. difficulty in opening mouth oral trachea cannula soft lens according to claim 1 or 2 protects Occluding device, it is characterised in that: setting exists There are two the through-holes (3-1) on the fixed plate (3).
4. difficulty in opening mouth oral trachea cannula soft lens according to claim 3 protects Occluding device, it is characterised in that: the intubation is solid Determining band and the tube body fixing belt of stinging is elastic band or cord.
5. difficulty in opening mouth oral trachea cannula soft lens according to claim 4 protects Occluding device, it is characterised in that: described to sting tube body (1) total length is E, and E=4~7 centimetre, transverse width G, G=2~4 centimetre, longitudinal height are B, B=1.5~3 centimetre;Institute Stating opening width is A, A=0.6~0.8 centimetre;Over-hang part (1-1) length is F, F=2~2.5 centimetre;The pressure tongue (1-3) length is D, D=1~1.5 centimetre;End length of the fixed plate (3) apart from the over-hang part (1-1) is C, C=0.5 ~1 centimetre, centre-height H, H=0.5~1 centimetre, 0.3~0.5 centimetre of thickness.
CN201821712483.8U 2018-10-22 2018-10-22 Difficulty in opening mouth oral trachea cannula soft lens protects Occluding device Expired - Fee Related CN209405433U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201821712483.8U CN209405433U (en) 2018-10-22 2018-10-22 Difficulty in opening mouth oral trachea cannula soft lens protects Occluding device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201821712483.8U CN209405433U (en) 2018-10-22 2018-10-22 Difficulty in opening mouth oral trachea cannula soft lens protects Occluding device

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CN209405433U true CN209405433U (en) 2019-09-20

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CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20190920

Termination date: 20201022