JP2006075242A - Laryngoscope - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To allow an intubation instructor and an intubation executor to view a visual field in common in a regularly used laryngoscope when the intubation instructor instructs the intubation executor in instructing endotracheal intubation using the laryngoscope. <P>SOLUTION: The intubation executor who mounts and disposes an endoscope 7 on an endoscope guide 3 disposed in a laryngoscope blade 1 performs the intubation and the intubation instructor instructs while sharing the intubation visual field using the endoscope 7. In this case, a light source 2 of the laryngoscope is used. This laryngoscope allows a plurality of persons to assist and instruct the intubation while confirming it and allows the recording of the intubation work in a camera, a video or the like. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The invention of this application relates to a laryngoscope used to facilitate the insertion of a tube such as a catheter into the trachea.

  Traditionally, laryngoscopes have been used to intubate tubes such as catheters into the trachea. They are inserted through the oral cavity, and while holding the tongue, the bulb is brightly illuminated around the trachea to assist intubation, and the oral cavity is observed. It is also used to do.

As a laryngoscope having such a function, various improvements and proposals have been made so far. For example, typical examples of the laryngoscope include illumination on the blade portion of the laryngoscope and image acquisition. Proposals have been made to mount an optical fiber or to incorporate an imaging camera inside the blade part (Patent Documents 1-3).
JP-A-10-127579 JP-A-4-108423 JP 2000-175867 A

  However, a laryngoscope with an optical fiber attached to the blade or a camera built in the blade requires a high cost for the laryngoscope body, and cables for power, optical fiber, camera signals, etc. are connected from the laryngoscope body to an external light source or Since it is connected to a power source or the like, it is difficult to perform a smooth intubation operation by depriving the freedom of intubation operation. In addition, since the weight of the laryngoscope body increases, there is a problem in that it is difficult to perform a smooth intubation operation because it affects delicate operations.

  In addition, a laryngoscope with a camera or the like built in the blade requires many peripheral devices and occupies a lot of space on the intubation site.

  Above all, these conventional laryngoscopes have the following problems when they are used for education or guidance in clinical practice.

  That is, when teaching endotracheal intubation using a laryngoscope, it is difficult to provide the same intubation field of view for the intubator and the intubation instructor.

  When instructing and teaching endotracheal intubation with a laryngoscope, it is difficult for the intubator and the intubation instructor to obtain the same intubation field of view, and the intubation work takes a long time, increasing the burden on the patient.

  When endotracheal intubation is difficult in cases, it is difficult to perform intubation work while discussing and giving guidance while obtaining the same intubation view by multiple people.

  Therefore, an object of the invention of this application is to provide a new laryngoscope that solves the conventional problems as described above.

This application provides the following invention as a solution to the problems as described above.
First: having a guide for attaching an endoscope, and having a display or recording, or a means for displaying and recording, which enables sharing of the intubation field of view by a plurality of persons via the endoscope attached by the guide A laryngoscope characterized by
Second: The above laryngoscope having a light source incorporated in at least one of a blade and a handle for antibioticizing the laryngoscope, and does not use an external power source for the endoscope.
Third: A laryngoscope characterized in that the light source is a white light emitting diode.
Fourth: The laryngoscope according to any one of the above, wherein the intubation visual field can be shared by an external monitor means for an endoscope.

According to the first invention of this application as described above, an endoscope commonly used in many hospitals can be attached to a laryngoscope, thereby realizing the following.
(1) Since an intubator and an intubation instructor obtain the same intubation field of view, accurate intubation instruction is facilitated.
(2) When endotracheal intubation is difficult in some cases, it enables examination by multiple persons.

  Further, according to the second invention, since the light source of the laryngoscope blade is used, it is not necessary to use an external power source for an endoscope, and it is possible to easily prepare and secure a space around the intubation site.

  According to the third invention, diagnosis is easy as a light source with a white emission color close to natural light. Further, according to the fourth invention, by using an endoscope used in many hospitals. The cost for the laryngoscope can be reduced.

  This can be realized at low cost by preparing an adapter for connecting a commercially available camera, video or the like to the endoscope.

  Embodiments of the invention of this application having the features as described above will be described below.

  FIG. 1 is a left and right side view of the blade (1) illustrating the state in which the endoscope (7) is mounted on the laryngoscope blade (1) having the endoscope guide (3). 2 is an enlarged perspective view around the endoscope guide (3), and FIG. 3 is an enlarged perspective view around the endoscope fixing bracket (4). FIG. 4 is a system configuration diagram illustrating a state in which the hand (6) is attached to the blade (1) and the external monitor (9) is connected to the endoscope (7).

  In the embodiment illustrated in these drawings, as shown in FIG. 1, the blade (1) has a built-in light source (2) for illuminating its tip (1a). The endoscope guide (3) is positioned so that the endoscope (7) faces the blade tip (1a) and does not obstruct illumination around the blade tip (1a) by the light source (2). It is arranged.

  The endoscope guide (3) in FIG. 2 has a pipe shape having an inner diameter enough to accommodate many commonly used endoscopes (7). By passing it through the endoscope guide (3), the field of view can be stably directed to the blade tip (1a), and the role of protecting the endoscope (7) from being damaged by teeth or the like is also provided. Bear.

  The endoscope fixing bracket (4) in FIG. 3 is made of a soft material so as not to damage the endoscope (7), and the endoscope fixing bracket (4) and the blade are fixed by the endoscope fixing screw (5). (1) The endoscope (7) is squeezed and fixed in between.

  It may be possible to further protect the endoscope (7) by swallowing a soft material such as an endoscope fixing bracket (4) between the endoscope (7) and the blade (1).

  Various light sources such as a light emitting diode may be considered as the light source (2), and among them, a white light emitting diode can be used as a suitable one. This is because white light emitting diodes have an emission color close to that of natural light, so that the oral cavity is easily diagnosed.

  The white light-emitting diode serving as the light source (2) is blocked by the endoscope guide (3) where the irradiation of the tip of the laryngoscope (1a) does not reach and confirmation of the intubation field by the endoscope (7). Place it in a place that does not.

  In this example, a white light-emitting diode is arranged at the position below the endoscope guide (3) and at a position where the endoscope guide (3) can be avoided and the periphery of the laryngoscope tip (1a) can be irradiated when lit. ing. The white light emitting diode has a cord built in the white light emitting diode pipe (8), and is lit by a battery built in the handle (6).

  The endoscope (7) is loosened by the endoscope fixing screw (5), and the endoscope (7) only passes through the endoscope (7) between the endoscope fixing bracket (4) and the blade (1). Create a gap and slowly insert the endoscope (7) from behind the blade (1). If resistance is felt in the endoscope (7) during insertion, the endoscope fixing screw (5) is further loosened so that there is no resistance.

  The endoscope (7) is inserted into the tube of the endoscope guide (3), and the endoscope distal end (7a) is inserted to the vicinity of the endoscope guide distal end (3a).

  The entire endoscope (7) is rotated so that the visual field inside the oral cavity using the endoscope (7) and the visual field seen directly through the blade (1) coincide with each other, and the upper, lower, left and right coincide with each other. Adjust as follows.

  After the adjustment, the endoscope fixing screw (5) is tightened, and the endoscope (7) is sandwiched and fixed between the endoscope fixing bracket (4) and the blade (1). At this time, care should be taken not to crush the endoscope (7) with the endoscope fixing bracket (4).

  The visual field is confirmed with the endoscope (7), and the endoscope tip (7a) is moved up and down and left and right to perform fine adjustment. When the image is projected on the external monitor (9), the external monitor connection cable (10) is connected to the endoscope (7). The handle (6) is connected to the blade (1), and the white light emitting diode light source (2) is turned on.

  The intubation instructor gives advice to the intubation operator while confirming the intubation visual field using the endoscope (7).

  After the intubation is completed, remove the handle (6) from the blade (1), turn it off, loosen the endoscope fixing screw (5), and slowly remove it from the blade (1) so as not to damage the endoscope (7). .

  When the endoscope (7) has a function for connecting to the external monitor (9), the external monitor (9) is connected via the external monitor connection adapter (10) and the external monitor connection cable (11) as shown in FIG. By connecting to and projecting the intubation field of view, multiple people can grasp the intubation state at the same time.

  If the external monitor (9) itself is too large to be brought into the intubation site and you want to record the intubation status on the camera, video, etc., change the external monitor connection adapter (10) so that it can be connected to the camera, video, etc. It becomes possible. In addition, the use of a commercially available camera, video, etc. can also reduce the cost of the storage medium.

  In the above example, a laryngoscope in which the light source (2) is a white light emitting diode has been described. However, a light source such as a halogen bulb or tungsten bulb is housed in the handle (6) and provided in the blade (1). It is also possible to use a form based on a commercially available laryngoscope, such as a fiber type that transmits a light source through an optical fiber.

  In addition, laryngoscopes having various shapes such as a Macintosh type and a mirror type are also possible.

  Furthermore, there are various other methods for fixing the endoscope (7), such as a method in which a fixing bracket or the like is attached to the endoscope (7) side as a guide and fixed to the rear end of the blade (1). Can be considered.

It is the layout which illustrated the laryngoscope with an endoscope based on invention of this application, and FIG. A and FIG. B are the left-right side views. It is an expansion perspective view of the guide for endoscopes which illustrated the laryngoscope with an endoscope based on the invention of this application. It is an expansion perspective view of the endoscope fixing | fixed part which illustrated the laryngoscope with an endoscope based on invention of this application. It is the arrangement | positioning figure at the time of the output with respect to the external monitor of the intubation visual field which illustrated the laryngoscope with an endoscope based on invention of this application.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Blade 1a Blade front-end | tip 2 Light source 3 Endoscope guide 3a Endoscope guide front-end | tip 4 Endoscope fixing bracket 5 Endoscope fixing screw 6 Handle 7 Endoscope 7a Endoscope end 8 White light emitting diode Piping 9 External monitor 10 External monitor connection adapter 11 External monitor connection cable

Claims (4)

  It has a guide for attaching an endoscope, and has a display or recording, or a means for displaying and recording, which enables sharing of the intubation field of view by a plurality of persons via the endoscope attached by this guide. Characteristic laryngoscope.   2. The laryngoscope according to claim 1, further comprising: a light source incorporated in at least one of a blade and a handle constituting the laryngoscope, and no external power supply for the endoscope being used.   The laryngoscope according to claim 2, wherein the light source is a white light emitting diode.  The laryngoscope according to any one of claims 1 to 3, wherein the intubation visual field can be shared by an external monitor means for an endoscope.