CN219323756U - Double-joint bending control hard tube visual guide core - Google Patents
Double-joint bending control hard tube visual guide core Download PDFInfo
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- CN219323756U CN219323756U CN202320175279.1U CN202320175279U CN219323756U CN 219323756 U CN219323756 U CN 219323756U CN 202320175279 U CN202320175279 U CN 202320175279U CN 219323756 U CN219323756 U CN 219323756U
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Abstract
The utility model discloses a double-joint bending control hard tube visual guide core, which comprises a core rod, wherein the tail end of the core rod is connected with a handle, the front end of the core rod is connected with a bendable snake bone, a camera is arranged in the bendable snake bone, one end of a wire rope is arranged on the handle, the other end of the wire rope penetrates through the core rod and is connected with the bendable snake bone, and one end of the handle far away from the core rod is provided with a double-joint arm and a display screen is arranged on the double-joint arm. The utility model is suitable for the rapid intubation of difficult airways, so that the operation of the tracheal intubation is simpler and more convenient, and simultaneously, whether the tracheal catheter is positioned in the trachea and whether the insertion depth of the tracheal catheter is proper can be rapidly determined, thereby reducing the medical risk.
Description
Technical Field
The utility model relates to the technical field of medical appliances, in particular to a double-joint bending control hard tube visual guide core.
Background
Tracheal intubation is an important rescue technology commonly used in emergency treatment work, and is one of the most widely applied, effective and quick means in respiratory tract management. Especially for patients with cardiopulmonary resuscitation and acute critical illness accompanied with respiratory dysfunction, the emergency tracheal intubation is an important measure in the clinical rescue process. The tracheal intubation is used for placing a special tracheal catheter into the trachea through the glottis, is used for keeping the airway unobstructed, can provide good conditions for ventilation and oxygen supply, respiratory tract suction, erroneous suction prevention and the like, is one of basic skills which medical staff must be skillfully mastered, and plays a vital role in rescuing the life of a patient and reducing the death rate of the patient. Also, for some critically ill, general anesthesia patients, endotracheal intubation is a necessary means of maintaining respiratory function and medical personnel must place an endotracheal tube into a patient's trachea in a predetermined location in a short period of time to provide respiratory support. However, in clinic, patients with difficult airways often suffer from the problems that the traditional tracheal catheter implantation method adopting blind insertion can cause the tracheal intubation to be too long, the airways to be damaged and even the intubation to be failed, delay the treatment of the patients or miss the optimal rescue time, cause serious injury to the patients and even cause death of the patients, and bring medical risks to hospitals. Therefore, how to quickly and effectively complete the tracheal intubation becomes a key problem for patient treatment.
To solve the above problems, the technique of the visual guide core has been developed, and the method of using the technique is to sleeve the tracheal catheter on the visual guide core, then to perform the catheterization, and to guide the catheter to be inserted into the airway at a predetermined position by observing the imaging system of the visual guide core. The visual guide cores adopted clinically at present comprise a shapable visual guide core and a hard non-shapable visual guide core, wherein the shapable visual guide core comprises a handle with a display visual guide core and a single-handle (wireless transmission) visual guide core.
The hard non-shapable visual guide core is shaped in advance according to the physiological bending of the oropharynx, and has the advantages that the guide core is harder, the guide core cannot deform during intubation, and the guide core is not easy to damage due to the fact that repeated bending and shaping are not needed, and the guide core has the defects that the guide core cannot be shaped individually according to the physiological structure of a patient, and tissues such as oral mucosa, epiglottis, surrounding glottis and vocal cords are easily damaged due to the fact that the guide core is harder; the advantage and disadvantage of the shapable visual guide core is opposite to that of the hard non-shapable visual guide core. The visual guide core display of handle area display is generally fixed in the top or the side of handle through single joint structure, and flip angle has certain restriction, and its advantage is when carrying out the trachea cannula, and the display screen is unanimous with the catheterization direction, and the doctor can observe the display screen when putting the pipe, and redundant action is less, and the shortcoming is that the display screen can disturb doctor's operation, especially when the catheter pointed end gets into the oral cavity and arrives outside the sound door, and when catheter and guide core and patient's body become approximately 45 contained angles, the display screen can press close to doctor's chest, causes the display screen interface to be located outside doctor's field of vision because of flip angle is insufficient and causes unable observation and disturbance doctor's operation. The advantage of visual guide core of single handle is that the display breaks away from through wireless transmission image with the handle, uses lightly, and the shortcoming is that display screen and handle separation need additionally to prepare the fixed display of support, and the doctor need put the pipe simultaneously and twist the head and observe the display screen, influences and puts pipe efficiency.
How to solve the problems is a technical problem to be solved.
Disclosure of Invention
The utility model aims to provide a double-joint bending control hard tube visual guide core which is suitable for quick intubation of difficult airways, so that the operation of trachea intubation is simpler and more convenient, and simultaneously, whether the tracheal catheter is positioned in a trachea and whether the insertion depth of the tracheal catheter is proper can be quickly determined.
In order to achieve the above purpose, the utility model adopts the following technical scheme:
the utility model provides a visual guide core of a double-joint bending control hard tube, which comprises a core rod, wherein the tail end of the core rod is connected with a handle, the front end of the core rod is connected with a bendable snake bone, a camera is arranged in the bendable snake bone, one end of a wire rope is arranged on the handle, the other end of the wire rope penetrates through the core rod and is connected with the bendable snake bone, and one end of the handle far away from the core rod is provided with a double-joint arm and a display screen is arranged on the double-joint arm.
Further, the handle comprises a handle body and a controllable turning wheel arranged on the handle body, the controllable turning wheel is close to the position of the double-joint arm, the wire rope is arranged on the controllable turning wheel, and the handle body is respectively connected with the core bar and the double-joint arm.
Further, an aseptic sheath is detachably arranged at one end, close to the core rod, of the handle main body, the aseptic sheath wraps the periphery of the core rod, and the aseptic sheath is used for isolating the core rod from contact with human mucous membrane.
Further, the aseptic sheath includes the rotation type cover body, rotation type cover body demountable installation is in on the handle main part, the inside T type recess that is equipped with of one end of rotation type cover body, the other end of rotation type cover body is connected with the sheath hose, the sheath hose parcel is in the core bar periphery, and be equipped with on the handle main part with T type boss of T type recess looks adaptation.
Further, the double-joint arm comprises a joint arm body, and a first joint and a second joint which are positioned at two ends of the joint arm body, wherein the first joint is connected with the display screen through a concentric joint shaft and is used for adjusting the angle of the display screen, and the second joint is connected with the handle body through a concentric joint shaft and is used for adjusting the position of the display screen.
Further, the core rod comprises a core rod fixing seat and a core rod body fixedly installed on the core rod fixing seat, the core rod fixing seat is installed in the handle body, the bendable snake bone is located at the tail end of the core rod body, the wire rope is located in the core rod body and connected with the controllable bending wheel after penetrating into the handle body along the core rod body and the core rod fixing seat, and the sheath hose wraps the periphery of the core rod body.
Further, the tail end of the core rod body is formed by pre-bending, the pre-bending angle is 90 degrees to 110 degrees, and the upward bendable angle of the wire rope is 0 degrees to 75 degrees.
Further, a transparent protective sleeve is arranged outside the bendable snake bone.
Further, the maximum bending angle of the second joint and the handle main body is 180 degrees, and the maximum bending angle of the first joint and the display screen is 220 degrees.
Further, the core rod body is made of stainless steel.
Due to the adoption of the structure, the utility model has the following beneficial effects:
the utility model relates to a double-joint control bending hard tube visual guide core which comprises a core rod, wherein the tail end of the core rod is connected with a handle, the front end of the core rod is connected with a bendable snake bone, a camera is arranged in the bendable snake bone, one end of a wire rope is arranged on the handle, the other end of the wire rope penetrates through the core rod and then is connected with the bendable snake bone, and one end, far away from the core rod, of the handle is provided with a double-joint arm and a display screen is arranged on the double-joint arm. When the adjustable visual field angle device is used, the wire rope is driven, the tension of the wire rope is transmitted to the bendable snake bone, the bendable snake bone is bent under the action of the tension, and the camera fixed on the bendable snake bone is bent along with the bendable snake bone, so that the aim of adjustable visual field angle is fulfilled; meanwhile, the position of the display screen can be adjusted by the double-joint arm arranged above the handle, and the position of the display screen can be adjusted according to actual needs during tube placement. The utility model improves the problem that the prior shapable visual guide core is easy to deform due to the fact that the guide core is too soft, so that intubation is difficult; the hard non-shapable visual guide core is not suitable for partial patients because the guide core is often non-shapable, meanwhile, the guide core is too hard to damage tissues such as oral mucosa, epiglottis, surrounding glottis, vocal cords and the like during operation, bleeding or edema is caused, the problems of difficult tracheal intubation, disinfection and sterilization are aggravated, and the like are solved.
The utility model will become more apparent from the following description taken in conjunction with the accompanying drawings which illustrate embodiments of the utility model.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present utility model, the drawings that are needed in the embodiments or the description of the prior art will be briefly described below, it being obvious that the drawings in the following description are only some embodiments of the present utility model, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic diagram of the overall structure of the present utility model;
FIG. 2 is a side view of a flexible snake bone according to the utility model;
FIG. 3 is a cross-sectional view of a bendable snake bone of the utility model;
FIG. 4 is a schematic view of the inside of the core rod of the present utility model;
FIG. 5 is a front view of a display screen of the present utility model;
FIG. 6 is a schematic view of a dual articulated arm rotation according to the present utility model.
Description of the embodiments
The following description of the embodiments of the present utility model will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present utility model, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the utility model without making any inventive effort, are intended to be within the scope of the utility model.
Referring to fig. 1-6, the visual guide core for a double-joint controlled bending hard tube provided by the utility model comprises a core bar 5, wherein the tail end of the core bar 5 is connected with a handle 2, the front end of the core bar 5 is connected with a bendable snake bone 6, a camera 7 is arranged in the bendable snake bone 6, one end of a wire rope 8 is arranged on the handle 2, the other end of the wire rope 8 penetrates through the core bar 5 and then is connected with the bendable snake bone 6, and one end of the handle 2 far away from the core bar 5 is provided with a double-joint arm 1 and a display screen 4 is arranged on the double-joint arm 1. The wire rope 8 may be a wire rope made of stainless steel material.
Preferably, the handle 2 comprises a handle body 21 and a controllable deflection wheel 22 arranged on the handle body 21, wherein the controllable deflection wheel 22 is close to the position of the double-joint arm 1, the wire rope 8 is arranged on the controllable deflection wheel 22, and the handle body 21 is respectively connected with the core bar 5 and the double-joint arm 1. The handle 2 is internally provided with a data line interface, an integrated circuit, a power supply module and a wire rope 8, and the data line interface is connected with a power supply device or a display screen 4 through a data line; the front end of the core bar 5 is provided with a bendable snake bone 6 and a camera 7, the angle of view can be adjusted in real time in the process of placement, the sound entrance can be positioned rapidly, and the tracheal catheter can be placed into the trachea accurately.
Preferably, an aseptic sheath 3 is detachably mounted on the end, close to the core rod 5, of the handle main body 21, the aseptic sheath 3 wraps the periphery of the core rod 5, and the aseptic sheath 3 is used for isolating the core rod 5 from contact with mucous membranes of a human body. The use of the sterile sheath 3 can reduce the risk of cross-infection and the costs of sterilization.
Preferably, the aseptic sheath 3 includes a rotary sleeve 31, the rotary sleeve 31 is detachably mounted on the handle main body 21, a T-shaped groove 311 is formed in one end of the rotary sleeve 31, a sheath hose 32 is connected to the other end of the rotary sleeve 31, the sheath hose 32 wraps the outer periphery of the core rod 5, and a T-shaped boss 211 adapted to the T-shaped groove 311 is formed on the handle main body 21. The sheath hose 32 has high light transmittance and high telescopic ductility, and the sheath hose 32 wraps and isolates the core rod 5, so that the risk of cross infection is reduced. The sheath hose 32 is a very flexible and very thin film tube, the length of which is about 400mm, and the rotating sleeve 31 and the handle main body 21 rotate at a small angle, and can be locked by slightly rotating, so that deformation can be generated only at a position close to the rotating sleeve 31, and the head end of the rotating sleeve 31 cannot be influenced.
Preferably, the dual-joint arm 1 includes a joint arm body 11, and a first joint 12 and a second joint 13 at two ends of the joint arm body 11, wherein the first joint 12 is connected with the display screen 4 through a concentric joint shaft and the first joint 12 is used for adjusting the angle of the display screen 4, and the second joint 13 is connected with the handle body 21 through a concentric joint shaft and the second joint 13 is used for adjusting the position of the display screen 4. The angle and the position of the display screen 4 can be adjusted by the first joint 12 and the second joint 13, the influence of the display screen 4 on the operation of a doctor during the tube placement can be greatly reduced, and meanwhile, a better observation angle and a better posture are provided, so that the tube placement efficiency is more efficient and more convenient. When the double articulated arm is turned over by means of concentric shafts on the second joint 13, the position of the display screen 4 connected to the first joint 12 will also change accordingly.
Preferably, the core 5 includes a core fixing base 52 and a core body 51 fixedly installed on the core fixing base 52, the core fixing base 52 is installed in the handle main body 21, the bendable snake bone 6 is located at the tail end of the core body 51, the wire rope 8 is located in the core body 51 and the wire rope 8 is connected with the controllable bending wheel 22 after penetrating through the handle main body 21 along the core body 51 and the core fixing base 52, and the sheath hose 32 is wrapped around the periphery of the core body 51. The existence of the sheath hose 32 effectively isolates the contact between the core rod body 51 and the mucous membrane of the human body, and effectively reduces the risk of cross infection. The part of the wire rope 8 above the inner core rod fixing seat 52 of the handle main body 21 is provided with a tightness adjusting screw head for adjusting the tightness of the wire rope 8. A circuit board is arranged in the handle main body 21.
Preferably, the tail end of the core rod body 51 is formed by pre-bending, the pre-bending angle is 90 degrees to 110 degrees, the forming angle is matched with the physiological anatomy structure of the human body, and the upward bendable angle of the wire rope 8 is 0 degrees to 75 degrees.
Preferably, a transparent protective sleeve is arranged outside the bendable snake bone 6.
Preferably, the maximum bending angle of the second joint 13 and the handle body 21 is 180 °, and the maximum bending angle of the first joint 12 and the display screen 4 is 220 °.
Preferably, the core rod body 51 is made of stainless steel.
When the utility model is particularly used, the controllable bending wheel 22 is controlled to drive the wire rope 8, the tension of the wire rope 8 is transmitted to the bendable snake bone 6, the bendable snake bone 6 is bent under the action of the tension, and the camera 7 fixed on the bendable snake bone 6 is bent along with the bendable snake bone 6, so that the aim of adjusting the angle of view is fulfilled; meanwhile, the double-joint arm 1 is arranged above the handle 2, the first joint 12 is connected with the display screen 4, the second joint 13 is connected with the handle 2, the first joint 12 can adjust the angle of the display screen 4, the second joint 13 can adjust the position of the display screen 4, and the pipe placing process can be adjusted according to actual needs. The utility model improves the problem that the prior shapable visual guide core is easy to deform due to the fact that the guide core is too soft, so that intubation is difficult; the hard non-shapable visual guide core is not suitable for partial patients because the guide core is often non-shapable, meanwhile, the guide core is too hard to damage tissues such as oral mucosa, epiglottis, surrounding glottis, vocal cords and the like during operation, bleeding or edema is caused, the problems of difficult tracheal intubation, disinfection and sterilization are aggravated, and the like are solved.
The preferred embodiments of the present utility model have been described above. It is to be understood that the utility model is not limited to the specific embodiments described above, wherein devices and structures not described in detail are to be understood as being implemented in a manner common in the art; any person skilled in the art can make many possible variations and modifications to the technical solution of the present utility model or modifications to equivalent embodiments without departing from the scope of the technical solution of the present utility model, using the methods and technical contents disclosed above, without affecting the essential content of the present utility model. Therefore, any simple modification, equivalent variation and modification of the above embodiments according to the technical substance of the present utility model still fall within the scope of the technical solution of the present utility model.
Claims (10)
1. The utility model provides a visual guide core of curved hard tube of double-joint accuse, includes core bar (5), core bar (5) tail end connection has handle (2), its characterized in that: the utility model discloses a handle, including core bar (5), flexible snake bone (6) and install camera (7) in flexible snake bone (6), a wire rope (8) one end is installed on handle (2) and this the wire rope (8) other end pass behind core bar (5) with flexible snake bone (6) are connected, and, handle (2) are kept away from one end of core bar (5) is installed double-joint arm (1) and is in install display screen (4) on double-joint arm (1).
2. The dual-joint controlled bending hard tube visual guide core as set forth in claim 1, wherein: the handle (2) comprises a handle main body (21) and a controllable bending wheel (22) arranged on the handle main body (21), the controllable bending wheel (22) is close to the position of the double-joint arm (1), the wire rope (8) is arranged on the controllable bending wheel (22), and the handle main body (21) is respectively connected with the core bar (5) and the double-joint arm (1).
3. The dual-joint controlled bending hard tube visual guide core as set forth in claim 2, wherein: an aseptic sheath (3) is detachably arranged at one end, close to the core bar (5), of the handle main body (21), and the aseptic sheath (3) wraps the periphery of the core bar (5).
4. A dual-joint controlled-bending hard tube visual guide core as set forth in claim 3, wherein: the sterile sheath (3) comprises a rotary sleeve body (31), the rotary sleeve body (31) is detachably mounted on the handle main body (21), a T-shaped groove (311) is formed in one end of the rotary sleeve body (31), a sheath hose (32) is connected to the other end of the rotary sleeve body (31), the sheath hose (32) is wrapped on the periphery of the core rod (5), and a T-shaped boss (211) matched with the T-shaped groove (311) is arranged on the handle main body (21).
5. The dual-joint controlled bending hard tube visual guide core as set forth in claim 2, wherein: the double-joint arm (1) comprises a joint arm body (11) and a first joint (12) and a second joint (13) which are positioned at two ends of the joint arm body (11), wherein the first joint (12) is connected with the display screen (4) through a concentric joint shaft, the first joint (12) is used for adjusting the angle of the display screen (4), and the second joint (13) is connected with the handle main body (21) through a concentric joint shaft, and the second joint (13) is used for adjusting the position of the display screen (4).
6. The dual-joint bending-control rigid tube visual guide core according to claim 4, wherein: the core rod (5) comprises a core rod fixing seat (52) and a core rod body (51) fixedly installed on the core rod fixing seat (52), the core rod fixing seat (52) is installed in the handle main body (21), the bendable snake bone (6) is located at the tail end of the core rod body (51), the wire rope (8) is located in the core rod body (51) and the wire rope (8) penetrates into the handle main body (21) along the core rod body (51) and the core rod fixing seat (52) and then is connected with the controllable bending wheel (22), and the sheath hose (32) is wrapped on the periphery of the core rod body (51).
7. The dual-joint controlled bending hard tube visual guide core as set forth in claim 6, wherein: the tail end of the core rod body (51) is formed by pre-bending, the pre-bending angle is 90-110 degrees, and the upward bendable angle of the wire rope (8) is 0-75 degrees.
8. The dual-joint controlled bending hard tube visual guide core as set forth in claim 1, wherein: a transparent protective sleeve is arranged outside the bendable snake bone (6).
9. The dual-joint bending-control rigid tube visual guide core according to claim 5, wherein: the maximum bending angle of the second joint (13) and the handle main body (21) is 180 degrees, and the maximum bending angle of the first joint (12) and the display screen (4) is 220 degrees.
10. The dual-joint controlled-bending hard tube visual guide core as set forth in claim 6 or 7, wherein: the core rod body (51) is made of stainless steel.
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CN202320175279.1U CN219323756U (en) | 2023-02-10 | 2023-02-10 | Double-joint bending control hard tube visual guide core |
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CN202320175279.1U CN219323756U (en) | 2023-02-10 | 2023-02-10 | Double-joint bending control hard tube visual guide core |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN117180580A (en) * | 2023-09-18 | 2023-12-08 | 常州市儿童医院(常州市第六人民医院) | Visual endotracheal tube of angularly adjustable |
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2023
- 2023-02-10 CN CN202320175279.1U patent/CN219323756U/en active Active
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN117180580A (en) * | 2023-09-18 | 2023-12-08 | 常州市儿童医院(常州市第六人民医院) | Visual endotracheal tube of angularly adjustable |
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