CN218853276U - Double-mirror display device for difficult trachea cannula - Google Patents

Double-mirror display device for difficult trachea cannula Download PDF

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Publication number
CN218853276U
CN218853276U CN202221899645.XU CN202221899645U CN218853276U CN 218853276 U CN218853276 U CN 218853276U CN 202221899645 U CN202221899645 U CN 202221899645U CN 218853276 U CN218853276 U CN 218853276U
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oxygen
tube
difficult
module
mirror
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刘勇
刘爱杰
赵玥
孔欣园
郭欣宜
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Affiliated Hospital of University of Qingdao
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Affiliated Hospital of University of Qingdao
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    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Abstract

The utility model provides a two mirror display device for difficult trachea cannula, including two mirrors, display and host computer, the host computer includes the mainframe box, is used for controlling two mirror illumination luminance the control module, be used for the video processing module who is connected two mirrors and display, establish the video storage module on the mainframe box and be used for giving the power module of control module, video processing module and video storage module power supply, the two mirrors include all with the host computer be connected visual laryngoscope and thick fibre bronchoscope, visual laryngoscope is used for picking up the epiglottis, thick fibre bronchoscope is used for carrying out trachea cannula and oxygen suppliment simultaneously. The utility model discloses can easily peep at the glottis at the intubate in-process of difficult air flue, reduce the intubate degree of difficulty, insert high flow oxygen extension safety time of suffocating simultaneously, effectively avoid a series of complications because of the oxygen deficiency brings.

Description

Double-mirror display device for difficult trachea cannula
Technical Field
The utility model relates to a trachea cannula technical field, in particular to a double mirror display device for difficult trachea cannula.
Background
The endotracheal intubation is the most effective and reliable method for establishing artificial air passage, and is one technology of setting special tracheal tube through oral cavity or nasal cavity and glottis into trachea, and the technology can provide optimal conditions for eliminating obstruction of respiratory tract, ensuring smooth respiratory tract, eliminating secretion in respiratory tract, preventing aspiration, assisting or controlling respiration, etc. It is often used for the treatment of anesthesia in trachea and critical illness. The difficulty in tracheal intubation refers to the difficulty that a normed anesthetist can easily see the glottis under the direct vision of a common laryngoscope, the naked eye can not see any part of the glottis, and a catheter cannot be inserted into the trachea after repeated and intermittent tracheal intubation attempts, or the tracheal intubation time exceeds 10 minutes. If the patients with difficult tracheal intubation try to perform intubation repeatedly without success, the patients often can cause pharyngeal cavity and laryngeal cavity mucosa tissue damage and bleeding, and pharyngeal cavity soft tissue edema or swelling simultaneously occurs, so that the tracheal intubation difficulty is aggravated, individual patients even develop upper respiratory tract management difficulty, the patients face the dangers of incapability of intubation and incapability of ventilation, anoxic respiratory arrest, botanic people and the like can be seriously caused, and the difficult tracheal intubation always refers to the key and difficult problems which need to be solved urgently by anesthetists.
The visible laryngoscope commonly used for intubation sometimes can not pick up the epiglottis, and the glottis can not be seen after the epiglottis is picked up, so that the insertion of the tracheal catheter can not be known. The disadvantage of this method is that the endotracheal tube is often stuck in the posterior junction of the epiglottis and glottis during the process of sliding inwards along the bronchofiberscope; another method uses a double bronchofiberscope, which is applied in a conscious patient, i.e. a patient with a difficult airway is expected to be under anesthesia after intubation, and the conscious patient has the advantages that the muscle of the patient is tensed, the mandible is not loosened, and although the tongue is also fallen, the inner space of the oral cavity can still be subjected to bronchofiberscope operation. The patient does not breathe spontaneously due to the use of anesthetic, so that the life safety of the patient cannot be guaranteed if the tracheal cannula is not inserted, the repeated intubation may cause edema of tissues around the glottis, and the patient can be quickly lack of oxygen to cause a series of complications if the patient cannot ventilate with the mask. At this time, the lower jaw of the patient is loose, the tongue body falls down seriously, the inner part of the oral cavity does not have enough space for performing the operation of the bronchofiberscope, the double bronchofiberscope loses the advantages in the situation, if the double bronchofiberscope is required to be used, extra people are required to specially lift the lower jaw of the patient, the labor is wasted, and the operation is inconvenient.
SUMMERY OF THE UTILITY MODEL
The utility model provides a double mirror display device for difficult trachea cannula has solved among the prior art difficult air flue intubate in-process and has exposed the problem that the difficulty leads to unable intubate and unable ventilation because of the glottis.
The technical scheme of the utility model is realized like this:
the utility model provides a two mirror display device for difficult trachea cannula, includes two mirrors, display and host computer, the host computer includes the mainframe box, is used for controlling two mirrors illumination brightness the control module, be used for the video processing module who is connected two mirrors and display, establish the video storage module on the mainframe box and be used for giving the power module of control module, video processing module and video storage module power supply, two mirrors are including the visual laryngoscope and the thick fibre bronchoscope all of being connected with the host computer, the visual laryngoscope is used for picking up the epiglottis, thick fibre bronchoscope is used for carrying out trachea cannula and oxygen suppliment simultaneously.
Preferably, the coarse fiber bronchoscope comprises a handle, a scope body, an endotracheal tube sleeved on the outer wall of the scope body and an endotracheal tube fixer, the end part of the scope body is close to the open end of the endotracheal tube and does not exceed the end part of the open end, and the endotracheal tube fixer is used for fixedly connecting the endotracheal tube and the scope body.
Preferably, the outer wall of the endoscope body is attached to the inner wall of the tracheal catheter.
Preferably, the thick fiber bronchoscope further comprises a knob installed on the handle, the tail end of the scope body is connected with a bendable pipe, and the bendable pipe can be driven to bend by rotating the knob.
Preferably, the length of the bendable pipe is 3cm-4cm, the bending angle of the bendable pipe comprises a first angle positioned on one side of the extension line of the end of the endoscope body and a second angle positioned on the other side of the extension line of the end of the endoscope body, and the first angle and the second angle are both in the same plane.
Preferably, the first angle is in the range of 0-180 ° and the second angle is in the range of 0-180 °.
Preferably, the handle is provided with an oxygen connecting structure, and the oxygen connecting structure is used for connecting an external oxygen source.
Preferably, the tube wall of the endoscope body is provided with an LED light source, an oxygen tube and a feeding tube, the feeding tube is used for placing a nipper, the LED light source is connected with a power supply module of the host, and the oxygen tube is connected with the oxygen connection structure to access oxygen.
Preferably, the number of the LED light sources is 3, the number of the oxygen pipes is 2, the number of the feeding pipes is 1, and the LED light sources and the oxygen pipes are arranged at intervals;
the diameter of the oxygen tube is smaller than that of the feeding tube.
Preferably, the length of the coarse fiber bronchoscope ranges from 40 cm to 50cm.
The utility model has the advantages that:
(1) The utility model can simultaneously display the images of the two mirrors on the display screen through the visible laryngoscope and the coarse fiber bronchoscope which are connected with the host, thereby facilitating the simultaneous action adjustment;
(2) The oxygen tube and the feeding tube are arranged in the thick fiber bronchoscope, the oxygen tube is used for carrying out passive oxygenation on a patient who loses spontaneous respiration by high-flow oxygen supply while carrying out tracheal intubation, the feeding tube is closed in a conventional state and opened during use, and the oxygen tube is used as a pore channel for using medical instruments such as a nipper and the like, so that the difficulty of difficult tracheal intubation is reduced, and the success rate is improved;
(3) The utility model discloses a visual laryngoscope is picking up the in-process that the epiglottis exposed the glottis, even the glottis exposes inadequately or can't expose completely, thereby also can spy on glottis, control intubate in the display through the front end flexible pipe collection image of thick fiber bronchoscope, effectual vocal cord damage, the half dislocation of arytenoid cartilage, mucous membrane hemorrhage, complications such as edema around the glottis of having avoided blind insertion or violence intubate to bring.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts. In addition, there may be some degree of variation in the size of the particular product in order to accommodate the use of different types of endotracheal tubes, and such modifications and variations are intended to be within the scope of the present invention.
Fig. 1 is a schematic structural view of a double-mirror display device for difficult trachea intubation according to the present invention;
fig. 2 is a schematic structural view of a medium thick fiber bronchoscope according to the present invention;
FIG. 3 is a schematic view of the bending angle of the bendable pipe relative to the scope body according to the present invention;
fig. 4 is a schematic cross-sectional structure diagram of the body of the medium-thick fiber bronchoscope according to the present invention;
drawings
1-display, 2-host computer, 3-visual laryngoscope;
4-thick fiber bronchoscope, 400-handle, 410-scope body, 411-camera, 420-tracheal catheter, 430-tracheal catheter fixer, 440-knob, 450-bendable tube, 460-oxygen connecting structure, 470-LED light source, 480-oxygen tube, 490-feeding tube;
a-a first angle, B-a second angle.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative efforts all belong to the protection scope of the present invention.
Example 1
Fig. 1-4 show, a double mirror display device for difficult trachea cannula, including double mirror, display 1 and host computer 2, host computer 2 includes the mainframe box, is used for controlling double mirror illumination brightness the control module, is used for the video processing module who is connected double mirror and display 1, establishes the video storage module on the mainframe box and is used for giving the power module of control module, video processing module and video storage module power supply, the double mirror is including visual laryngoscope 3 and thick fibre bronchoscope 4 all being connected with host computer 2, visual laryngoscope 3 is used for picking up the epiglottis, thick fibre bronchoscope 4 is used for carrying out trachea cannula and oxygen suppliment simultaneously.
As another specific solution, as shown in fig. 2, the coarse fiber bronchoscope 4 includes a handle 400, a scope body 410, an endotracheal tube 420 sleeved on an outer wall of the scope body 410, and an endotracheal tube holder 430, wherein an end of the scope body 410 is close to an open end of the endotracheal tube 420 and does not exceed an end of the open end, and the endotracheal tube holder 430 is used for fixedly connecting the endotracheal tube 420 and the scope body 410.
In this structure, a light path, a camera channel and a camera 411 are arranged in the mirror body 410, the camera 411 is arranged at the front end of the light path and the camera channel, and further comprises a USB interface and a power-on key arranged on one side of the display 1, and a photographing/recording key arranged on the handle 400, and electronic components arranged in the handle 400 are respectively connected with the USB interface, the power-on key, the display 1, the photographing/recording key and the camera 411. The single pressing of the photographing/recording key is photographing, and the long pressing is recording. The USB interface is used for leading out photographic images for later discussion or connecting a monitor to be convenient for better observing the intubation condition of a patient. The system can complete starting, photographing, video recording, shutdown and intubation by one hand, is convenient and quick to use, can strive for emergency time for doctors, and avoids secondary pollution.
The endotracheal tube holder 430 includes a limiting member and a locking member connected to each other, the limiting member is used to limit the relative position of the endotracheal tube 420, and the limiting member is locked by the locking member after the position is selected, and the locking member may be a bolt or a pin.
Preferably, the outer wall of the scope body 410 is attached to the inner wall of the endotracheal tube 420.
With the structure, the inner diameter of the tracheal catheter 420 is 7.5mm for male and 7.0mm for female, and meanwhile, the tracheal catheter 420 can be selected from No. 6.0 (6.0 mm of the inner diameter of the catheter) to No. 8.0 (8 mm of the inner diameter of the catheter) according to the actual situation, and the outer wall of the scope body 410 is matched with the inner wall of the tracheal catheter 420 correspondingly in thickness, so that the outer wall of the scope body 410 is attached to the inner wall of the tracheal catheter 420.
Preferably, the coarse fiber bronchoscope 4 further comprises a knob 440 mounted on the handle 400, the bendable tube 450 is connected to the end of the scope body 410, and the bendable tube 450 can be bent by rotating the knob 440.
In this configuration, a large force can be provided to bend the bendable pipe 450 by using the knob 440, and the knob 440 is connected to the bendable pipe 450 via a pulling wire, and the pulling wire is pulled by the knob 440 to pull the bendable pipe 450 to be bent.
Preferably, as shown in fig. 3, the bendable pipe 450 has a length of 3cm to 4cm, and the bending angle thereof includes a first angle a located on one side of the end extension of the lens body 410 and a second angle B located on the other side of the end extension of the lens body 410, and the first angle a and the second angle B are both in the same plane.
Preferably, the first angle a is in the range of 0-180 ° and the second angle B is in the range of 0-180 °.
With this structure, the bendable pipe 450 and the mirror body 410 are integrally formed, and the maximum angle range is 360 °
As another specific scheme, an oxygen connection structure 460 is disposed on the handle 400, and the oxygen connection structure 460 is used for connecting an external oxygen source.
The structure is based on an asphyxia oxygenation technology, which is a method for passively oxygenating an asphyxia patient and prolonging the safe asphyxia time by supplying high-concentration and high-flow oxygen through an air passage to promote the exchange of oxygen in an alveolus when a human body does not do respiratory motion. After general anesthesia, the patient does not breathe spontaneously when intubated, and the survival probability of the patient is improved through the supply of high-flow oxygen.
As another specific scheme, as shown in fig. 4, an LED light source 470, an oxygen tube 480 and a feeding tube 490 are arranged on the tube wall of the scope body 410, the feeding tube 490 is used for placing a grasper, the LED light source 470 is connected with a power supply module of the main machine 2, and the oxygen tube 480 is connected with the oxygen connecting structure 460 to access oxygen.
Preferably, the number of the LED light sources 470 is 3, the number of the oxygen tubes 480 is 2, the number of the feeding tubes 490 is 1, and the LED light sources 470 and the oxygen tubes 480 are arranged at intervals;
the diameter of the oxygen tube 480 is smaller than that of the feeding tube 490.
In the structure, oxygen is input through the oxygen connecting structure 460 and reaches the vicinity of the glottis through the 2 oxygen pipes 480, so as to realize suffocation oxygenation; the center of the mirror body 410 is a camera 411; the feeding tube 490 is normally closed.
Preferably, the length of the coarse fiber bronchoscope 4 ranges from 40 cm to 50cm.
Example 2
Based on embodiment 1, as shown in fig. 1, a difficult airway intubation method using the double-mirror display device for difficult trachea intubation includes the following steps:
s1: the epiglottis is chosen by the visual laryngoscope 3;
s2: opening the oxygen connection 460 of the coarse fiber bronchoscope 4 to input pure oxygen, and simultaneously performing intubation controlled by the coarse fiber bronchoscope 4;
s3: the visual laryngoscope 3 is connected with the host computer 2 by a data line, and the image collected by the visual laryngoscope 3 is displayed on the visual laryngoscope 3 and the display 1 at the same time;
s4: the thick fiber bronchoscope 4 is connected with the host machine 2 through a data line, and an image collected by the thick fiber bronchoscope 4 is displayed on the display 1;
s5: the operator of the visual laryngoscope 3 is guided by the operator of the coarse fiber bronchoscope 4, and the difficult airway intubation work is completed together.
To sum up, the utility model discloses can easily peep at the glottis at the intubate in-process of difficult air flue, reduce the intubate degree of difficulty, insert high flow oxygen extension safety time of suffocating simultaneously, effectively avoid a series of complications that the oxygen deficiency brought.
The above description is only a preferred embodiment of the present invention, and should not be taken as limiting the invention, and any modifications, equivalent replacements, improvements, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (10)

1. The utility model provides a two mirror display device for difficult trachea cannula, includes two mirror structure, display and host computer, the host computer includes the mainframe box, is used for controlling two mirror structure illumination brightness's control module, is used for the video processing module who is connected two mirror structure and display, establishes the video storage module on the mainframe box and be used for give the power module of control module, video processing module and video storage module power supply, a serial communication port, two mirror structure is including the visual laryngoscope and the thick fibre bronchoscope of all being connected with the host computer, the visual laryngoscope is used for picking up the epiglottis, thick fibre bronchoscope is used for carrying out trachea cannula and oxygen suppliment simultaneously.
2. The double-mirror display device for difficult endotracheal intubation according to claim 1, wherein the coarse fiber bronchoscope comprises a handle, a scope body, an endotracheal tube fitted over an outer wall of the scope body, an end portion of the scope body being close to an open end of the endotracheal tube and not exceeding an end portion of the open end, and an endotracheal tube holder for fixedly connecting the endotracheal tube and the scope body.
3. The device as claimed in claim 2, wherein the outer wall of the body is attached to the inner wall of the endotracheal tube.
4. The dual scope display apparatus for difficult endotracheal intubation according to claim 2, wherein said coarse fiber bronchoscope further comprises a knob mounted on the handle, and a bendable tube is connected to the distal end of said body, and the bending tube is driven to bend by rotating the knob.
5. The dual scope display device for difficult endotracheal intubation according to claim 4, wherein the bendable tube has a length ranging from 3cm to 4cm, and the bending angles of the bendable tube include a first angle on one side of the extension line of the body end and a second angle on the other side of the extension line of the body end, the first angle and the second angle being in the same plane.
6. The dual scope display apparatus for difficult endotracheal intubation according to claim 5, wherein said first angle ranges from 0 to 180 ° and said second angle ranges from 0 to 180 °.
7. The device as claimed in claim 2, wherein the handle is provided with an oxygen connection structure for connecting an external oxygen source.
8. The device as claimed in claim 7, wherein the wall of the endoscope body is provided with an LED light source, an oxygen tube and a feeding tube, the feeding tube is used for placing the grasper, the LED light source is connected to the power supply module of the host, and the oxygen tube is connected to the oxygen connection structure for accessing oxygen.
9. The double-mirror display device for difficult trachea intubation according to claim 8, wherein the number of the LED light sources is 3, the number of the oxygen tubes is 2, the number of the feeding tubes is 1, and the LED light sources and the oxygen tubes are arranged at intervals;
the diameter of the oxygen pipe is smaller than that of the feeding pipe.
10. The dual scope display apparatus for difficult endotracheal intubation according to claim 1, wherein the length of the coarse fiber bronchoscope ranges from 40 cm to 50cm.
CN202221899645.XU 2022-07-22 2022-07-22 Double-mirror display device for difficult trachea cannula Active CN218853276U (en)

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CN202221899645.XU CN218853276U (en) 2022-07-22 2022-07-22 Double-mirror display device for difficult trachea cannula

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Application Number Priority Date Filing Date Title
CN202221899645.XU CN218853276U (en) 2022-07-22 2022-07-22 Double-mirror display device for difficult trachea cannula

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CN218853276U true CN218853276U (en) 2023-04-14

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