JP2017196120A - Trachea monitoring conduit and trachea inner tube using the same - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a trachea monitoring conduit and a trachea inner tube.SOLUTION: A trachea monitoring conduit and a trachea inner tube connect a trachea monitoring conduit 2 to the outside of a breathing tube 1. The breathing tube 1 has a first end 11 and a second end 12, and the breathing tube 1 is inserted into a respiratory tract A of a patient from the first end 11 when in use. The trachea monitoring conduit 2 has a monitoring end 22, the monitoring end 22 is fixed onto the breathing tube 1 so as to have a set distance d between the monitoring end 22 and the first end 11 of the breathing tube 1. Thus, an endoscope 3 is inserted into the trachea monitoring conduit 2, thereby making it possible to observe the situation of inserting the breathing tube 1 into the respiratory tract A of a patient from the outside of the breathing tube 1.SELECTED DRAWING: Figure 2

Description

  The present invention relates to a tracheal monitoring conduit and an endotracheal tube using the same, and more particularly to a structure capable of observing a state in which a respiratory tube is inserted into a patient's airway from the outside.

Tracheal intubation is an effective way to maintain patient breathing so that breathing does not stop.
Therefore, how to maintain the correct position of the respiratory tract in the airway after intubation is extremely important.

The “endoscope system having a universal respiratory tract controller” disclosed in Patent Document 1 displays a respiratory tube coupled to an endoscope.
However, since the endoscope of the above-mentioned plan is directly inserted into the respiratory tract, when observing the respiratory tract movement in the traveling route of the respiratory tract, its accuracy is less effective than observing the respiratory tract traveling route from the outside. .
Moreover, since it may be necessary to put other instruments such as sputum suction equipment in the respiratory tract, there is a possibility that there is not enough space for inserting an endoscope.

Patent document 2 “tracheal intubation tool”, patent document 3 “Rigid fiberoptic alignment”, patent document 4 “Incubation assistance apparatus and intubation assistance used in the apparatus” Support the tube.
Thereby, the endoscope can observe the respiratory tract progression route from the outside.

However, when using the above plan, the support table needs to provide a passage for the respiratory tract and the endoscope at the same time.
When the support table is localized, the structure is more complicated because the respiratory tract needs to be inserted further into the airway with respect to the support table.
In addition, since the proposed respiratory tract has no indication part, the doctor cannot observe the length of the respiratory tract inserted into the airway.

Taiwan Patent No. 201416049 Specification Taiwan Patent No. M429482 specification U.S. Pat. No. 4,306,547 US Patent No. 20070106121

  The prior art has a drawback that the doctor cannot observe the length of insertion of the respiratory tract into the airway because there is no indication site in the respiratory tract.

  An object of the present invention is to provide a tracheal monitoring conduit and an endotracheal tube.

The endotracheal tube according to the invention has a respiratory tube and a tracheal monitoring line.
The respiratory tract has a first end portion and a second end portion, and has a marking portion located closer to the first end portion than the second end portion.
The tracheal monitoring line provides an endoscopic passage that is used to insert an endoscope. The tracheal monitoring conduit has a monitoring end located at one end. The monitoring end is fixed outside the respiratory tract. The monitoring end and the first end of the respiratory tube are separated from each other by a predetermined distance.
When the respiratory tract is inserted into the airway, it engages with the tracheal monitoring line.

  The monitoring end of the tracheal monitoring conduit according to the present invention is further 0.5 cm to 3 cm away from the marking portion, preferably the monitoring end of the tracheal monitoring conduit is 1 cm away from the marking portion.

  The tracheal monitoring conduit according to the present invention further has a rear end located at the other end, and the tracheal monitoring conduit is spirally wound from the monitoring end to the rear end along the extending direction of the respiratory tract. It is wound 1/6 turn counterclockwise.

  A tracheal monitoring line according to the present invention is secured on a respiratory tract having a first end and a second end. The tracheal monitoring conduit has a monitoring end and a fixing member. The fixing member fixes the monitoring end on the respiratory tract. The monitoring end and the first end of the respiratory tube are separated by a predetermined distance.

  The fixing member of the tracheal monitoring conduit according to the present invention is one of a C-shaped clip, an adhesive member, and a heat contraction film.

The present invention can achieve the following effects.
1. The doctor inserts an endoscope through the tracheal monitoring duct and observes the situation where the respiratory duct enters the patient's respiratory tract from outside the respiratory duct.
2. Because the monitoring end of the tracheal monitoring line is fixed on the respiratory tube, interlocks with the respiratory tube, and has a marking on the respiratory tube, the doctor can determine how long the respiratory tube has been inserted into the patient's airway. Easy to know.
3. The structure of the present invention is simple and provides an endoscopic passage to the tracheal monitoring conduit, and can be used fixed on a general respiratory tract simply by connecting a fixing member to the tracheal monitoring conduit. Cost is low and easy to spread.

1 is a perspective view of a tracheal monitoring conduit according to an embodiment of the present invention. FIG. 1 is a perspective view of an endotracheal tube according to an embodiment of the present invention. It is a mimetic diagram showing the state where a tracheal monitoring conduit by one embodiment of the present invention spirally winds along a respiratory tract. 1 is a schematic diagram showing l such that a respiratory tract is inserted into an airway from the outside of the respiratory tract using an endoscope according to an embodiment of the present invention. It is a schematic diagram which shows a mode that a respiratory tract is inserted into an airway from the outer side of a respiratory tract using the endoscope by one Embodiment of this invention. It is a schematic diagram which shows a mode that a respiratory tract is inserted into an airway from the outer side of a respiratory tract using the endoscope by one Embodiment of this invention.

(One embodiment)
As shown in FIGS. 1 and 2, the present embodiment includes a respiratory tube 1 and a tracheal monitoring conduit 2.

The respiratory tract 1 has a first end portion 11, a second end portion 12, and an upper portion 13 and a lower portion 14 that face each other (see FIG. 5 for the upper portion 13 and the lower portion 14).
On the respiratory tube 1, there is a marking portion 15 close to the first end portion 11.

The tracheal monitoring conduit 2 provides an endoscope passage 21 into which the endoscope 3 can be inserted (see FIG. 3, FIG. 4 or FIG. 5 for the endoscope 3).
The tracheal monitoring conduit 2 has a monitoring end 22 and a rear end 23 which face each other.
The tracheal monitoring conduit 2 has a fixing member 24, thereby fixing the monitoring end 22 outside the respiratory tube 1.
The fixing member 24 is a C-shaped clip, an adhesive member, a heat contraction film, or the like.

Since the airway A of the human body is located in front of the esophagus B, the monitoring end 22 is fixed to the lower part 14 of the respiratory tract 1 to facilitate observation during intubation.
A preferable position is a position at 5 o'clock or 7 o'clock, and the monitoring end 22 and the first end 11 of the respiratory tube 1 are set at a set distance d.
The monitoring end 22 is separated from the marking unit 15 by 0.5 cm to 3 cm, preferably 1 cm from the marking unit 15.
As shown in FIG. 3, the tracheal monitoring conduit 2 is spirally wound from the monitoring end 22 to the rear end 23 along the extending direction of the respiratory tube 1 and is 1/6 in the counterclockwise direction. It is wound around. As a result, the rear end 23 is at the 9 o'clock or 3 o'clock position of the second end 12 of the respiratory tube 1.
This type of arrangement is convenient for the patient to bite.

As shown in FIGS. 4 and 5, for a patient who needs intubation treatment, when the doctor inserts the first end 11 of the respiratory tube 1 in front of the airway A and the esophagus B, the doctor inserts the endoscope 3 into the tracheal monitoring tube. It is inserted into the endoscope passage 21 from the rear end 23 of the passage 2 and extends to the monitoring end 22 of the tracheal monitoring conduit 2.
Thereby, the patient's airway A and esophagus B position can be observed clearly, the advancing direction of the respiratory tract 1 can be observed from the outside of the respiratory tract 1, and the respiratory tract 1 can be controlled to accurately enter the respiratory tract A. it can.

At the same time, by observing the position of the marking portion 15 on the respiratory tube 1, the doctor can reliably position the respiratory tube 1, avoiding the respiratory tube 1 from entering too deeply and damaging the trachea, or from entering too shallow and dropping off. .
Since the tracheal monitoring conduit 2 advances together according to the respiratory tube 1, both maintain a set distance d and can be conveniently observed by a doctor.

  As shown in FIG. 6, the monitoring end 22 of the tracheal monitoring pipeline 2 is positioned at the 5 o'clock or 7 o'clock position of the respiratory tube 1 to facilitate observation during intubation.

  Since the tracheal monitoring conduit 2 of the present invention only provides the endoscope passage 21, and the tracheal monitoring conduit 2 can be used by being fixed to a general respiratory tube only by connecting the fixing member 24. Is inexpensive and easy to spread.

  The embodiments of the present invention described above do not limit the present invention, and therefore the scope protected by the present invention is based on the claims described below.

1 respiratory tube,
11 first end,
12 Second end,
13 Upper part,
14 Lower part,
15 Marking part,
2 Tracheal monitoring pipelines,
21 Endoscopic passage,
22 Monitoring end,
23 Rear end,
24 fixing member,
25 fixing member,
3 Endoscope,
d Set distance,
A Airway,
B Esophageal.

Claims (6)

An endotracheal tube used for the application of an endoscope at the time of tracheal intubation, comprising a respiratory tube and a tracheal monitoring line,
The respiratory tract has a first end portion and a second end portion, and has a marking portion located closer to the first end portion side than the second end portion,
The tracheal monitoring conduit provides an endoscope passage, is used to insert an endoscope, has a monitoring end located at one end, and the monitoring end is fixed to the outside of the respiratory tract. A predetermined distance from the first end of the respiratory tract,
The endotracheal tube, wherein the respiratory tube is interlocked with the tracheal monitoring conduit when inserted into the respiratory tract.   The endotracheal tube according to claim 1, wherein the monitoring end of the tracheal monitoring conduit is 0.5 cm to 3 cm away from the marking portion.   The endotracheal tube according to claim 2, wherein the monitoring end of the tracheal monitoring conduit is 1 cm away from the marking portion. The tracheal monitoring conduit has a rear end located at the other end;
The tracheal monitoring conduit is wound spirally along the extending direction of the respiratory tube from the monitoring end to the rear end, and is wound 1/6 turn in the counterclockwise direction. The endotracheal tube according to claim 1. Fixed to a respiratory tract having a first end and a second end;
A monitoring end and a fixing member;
The fixing member fixes the monitoring end on the respiratory tract,
The tracheal monitoring conduit characterized in that the monitoring end and the first end of the respiratory duct are separated by a predetermined distance.   The tracheal monitoring conduit according to claim 5, wherein the fixing member is one of a C-shaped clip, an adhesive member, and a heat-contracting film.

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