KR20180062304A - Medical facial mask and endotracheal intubation system using the same - Google Patents

Abstract

Provided is a medical facial mask. More specifically, according to one aspect of the present invention, provided is a medical facial mask, which comprises: a ventilation port supplying air to a patient; an edge part including a diaphragm part which protects the face of the patient and keeps the sealed state so as to prevent air from leaking, and a pair of edges which are provided on the diaphragm part and can be tightly coupled and separated from each other; and a slider part coupled to the edge part, moving in a sliding manner along the edge part, and adjusting separation or close contact of the edge part. The slider part includes an intubation port which is for intubating an endotracheal tube and located between the separated edges.

Description

TECHNICAL FIELD [0001] The present invention relates to a medical facial mask and an intubation system using the same,

One aspect of the present invention relates to intubation of a patient, and more particularly to a medical facial mask for intubation and an intubation system utilizing the same.

If the patient suddenly stops breathing and performs CPR (Cardio-Pulmonary Resuscitation), other patients may experience difficulties breathing, general anesthesia may be induced, etc. In many cases, endotracheal intubation Intubation (also referred to herein as "intubation"). In the intubation process, the patient is generally in a state in which the breathing is substantially stopped. If the intubation process fails and the intubation is not successful, the oxygen supply to the patient's brain is interrupted, leading to fatal injury or death There is a possibility.

Meanwhile, various techniques for inserting an endotracheal tube (ETT) without using a laryngoscope have been developed, for example, in Medicine (Baltimore). May 2015; 94 (21): e850 discloses a study showing its excellent efficacy.

However, these procedures are often performed in patients with apnea, which can lead to serious consequences if a problem occurs during intubation.

According to one aspect of the present invention, there is provided a technique capable of performing intubation intubation safely and effectively in a patient.

According to an aspect of the present invention, there is provided a medical facial mask comprising: a ventilation port for supplying air to a patient; A diaphragm portion that protects the face of the patient and keeps the sealed state so as to prevent leakage of air, and an edge portion that is provided on the diaphragm portion and includes a pair of edges that can be tightly coupled (or fastened) to and separate from each other; And a slider part coupled to the edge part and moving in a sliding manner along the edge part and adjusting the separation or close contact of the edge part, wherein the slider part is provided between the separated edges, There is provided a medical facial mask characterized by having an intubating port.

The marginal portion may include a pair of edges that can be fastened and detached to each other in a zippered or chirped manner. The endotracheal tube may be associated with an image acquisition unit that acquires an image of the interior of the body. The slider portion may be provided on the front surface and the rear surface of the slider portion, respectively, so that the edge portion is in tight contact with the slider portion. The medical face mask may have a passage portion passing through the edge, and the passage portion may be provided in the form of a closed circuit connecting two single outlets. The slider portion may include a front protrusion and a rear protrusion that fill the separation gap that can be generated while the two edges that are tightly coupled to each other are separated from each other by insertion of an arbitrary object. The medical facial mask includes: an edge portion provided on the diaphragm portion and the diaphragm portion; And an intubating area including the slider part. The medical facial mask may be divided into a main body portion and a flexible coupling portion flexibly coupled to the face of the patient, and the front end and the rear end of the peripheral portion may be fixed to the main body portion. The upper and lower ends of the respective edges constituting the edge portion may be fastened to the inner surface of the slider portion in a staggered manner.

According to another aspect of the present invention, there is provided an endotracheal intubation system comprising: a medical facial mask; An endotracheal tube, comprising: an image acquisition unit that is engageable with an endotracheal tube and acquires a patient ' s airway image, the medical facial mask comprising: a vent port for supplying air to a patient; And an intubation area for intubation of an intracoracal tube coupled with an image acquiring part for acquiring an image of the inside of the body, wherein the intubating area includes a diaphragm for protecting the face of the patient and maintaining a sealed state so as to prevent air from leaking, And an edge portion provided on the diaphragm portion and including a pair of edges capable of being in tight contact with and separated from each other; And a slider part coupled to the edge part and moving in a sliding manner along the edge part and adjusting the separation or close contact of the edge part, wherein the slider part is provided between the separated edges, There is provided an intubation system for an intubation which is provided with an intubating port.

The marginal portion may include a pair of edges that can be fastened and detached to each other in a zippered or chirped manner. The slider portion may be provided with a single port for allowing the edge portion to be in tight contact with the front surface and the rear surface of the slider portion, respectively. The medical face mask may have a passage portion passing through the edge, and the passage portion may be provided in the form of a closed circuit connecting two single outlets. The slider portion may have a front protruding portion and a rear protruding portion that fill the separation gap that can be generated while being separated from each other by the insertion of an arbitrary object. The medical facial mask may be divided into a main body portion and a flexible coupling portion flexibly coupled to the face of the patient, and the front end and the rear end of the peripheral portion may be fixed to the main body portion.

According to an aspect of the present invention, an intubation can be performed safely and effectively while performing an artificial respiration even during an intubation procedure of an intubation tube.

BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a view showing a vinyl bag having a ridge-shaped rim portion and a slider portion according to the prior art; Fig.
2 is a plan view of a medical face mask according to one embodiment of the present invention.
3 is a plan view for explaining an intubation area of a medical facial mask according to an embodiment of the present invention;
4 is a plan view for explaining a slider part of a medical facial mask according to an embodiment of the present invention;
5 is a cross-sectional view illustrating an intubation area of a medical facial mask according to an embodiment of the present invention.
6 is a view illustrating a mouth opener applied to a patient wearing a medical facial mask according to an embodiment of the present invention.
7 is a view for explaining an intra-tracheal tube inserted into a medical facial mask according to an embodiment of the present invention;
FIG. 8 is a view for explaining a procedure of intubation tube intubation according to an aspect of the present invention using a medical facial mask and an intubation intubation system using the same, according to an embodiment of the present invention.
9 is a view for explaining an intra-tracheal tube inserted into a medical facial mask according to another embodiment of the present invention.
FIG. 10 is a view for explaining a procedure of intubation tube intubation according to one aspect of the present invention using a medical facial mask according to an embodiment of the present invention and an intubation system using the same.
11 is a plan view for explaining an intubation area of a medical facial mask according to another embodiment of the present invention;
FIG. 12 is a view for explaining an intubating area of a medical facial mask according to another embodiment of the present invention; FIG.

While the invention is susceptible to various modifications and alternative forms, specific embodiments thereof are shown by way of example in the drawings and will herein be described in detail.

It should be understood, however, that the invention is not intended to be limited to the particular embodiments, but includes all modifications, equivalents, and alternatives falling within the spirit and scope of the invention.

The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. The singular expressions include plural expressions unless the context clearly dictates otherwise. In the present application, the terms "comprises" or "having" and the like are used to specify that there is a feature, a number, a step, an operation, an element, a component or a combination thereof described in the specification, But do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, or combinations thereof.

Unless defined otherwise, all terms used herein, including technical or scientific terms, have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Terms such as those defined in commonly used dictionaries should be interpreted as having a meaning consistent with the meaning in the context of the relevant art and are to be interpreted in an ideal or overly formal sense unless explicitly defined in the present application Do not.

BRIEF DESCRIPTION OF THE DRAWINGS Fig. 1 is a schematic view of a vinyl bag having a side edge (fastening portion) and a slider portion which are tightly coupled (or fastened) in a zip-lock or zip-lock manner according to the related art. More specifically, it comprises an edge portion 19 including a pair of tightly coupled (or fastened) and detachable pairs of edges, and a slider portion (not shown) for adjusting the close engagement (or fastening) 14, and the slider portion 14 has a single entry port 16 and a double entry port 26. Structures with the jiprok manner portion edge and the slider in close contact bonding (or tightening), for example, Europe, is disclosed in Laid-Open Patent Publication No. EP 0978458 A1, also commercially available under the trade names of, for example jipeorak (R) (Ziplock ^®) And is mounted on a variety of plastic bags and the like. When the slider portion 14 is moved in the direction of tight fitting (or fastening), that is, in the direction of the double entry / exit port 26 (left arrow) from the single entry / exit port 16, the edge portion, through which the single entry / exit port 16 passes, ). On the other hand, when the slider 14 is moved in the separating direction, that is, in the direction of the single entry / exit 16 (right arrow) from the double entry / exit 26, the edge portion through which the double entry / exit 26 passes is separated. In addition, even in the case of a conventional zipper type fastener having a tightly coupled (or fastened) structure that is used variously, such as a conventional garment and a bag, it is also possible to use a zipper- And a slider portion for adjusting the separation and tight coupling (or tightening). In the tightly coupled structure of the zipper and chest type, the term "tightly coupled" can be replaced by the term "fastening ".

Hereinafter, embodiments of the present invention will be described.

A medical facial mask in accordance with an embodiment of the present invention is a medical facial mask capable of being resuscitated, and includes an intubating area for intubation of an intracoronary tube (also referred to as "intubation" hereinafter) Wherein the intubation area comprises a diaphragm part for preventing outflow of air, an edge part provided on the diaphragm part and including a pair of edges which can be tightly coupled (or fastened) to and separated from each other, And a slider part which is coupled with the edge part and moves in a sliding manner along the edge part and adjusts the separation or tightening engagement (or tightening) of the edge part, wherein the slider part is provided between the separated edges, And an intubating port is provided.

2 to 5, the medical face mask according to the present embodiment includes a body portion 50 and a flexible coupling portion (not shown) made of a flexible material and adapted to be coupled according to the shape of the face 60). The patient wearing the medical facial mask 100 may be in a state of artificial respiration using an ambu bag or the like through the ventilation port 30 for supplying air to the patient. The medical facial mask 100 is provided with an intubation area 10 in the main body part 50 for allowing the intramuscular tube to be intubated with the medical facial mask 100 worn, Respectively. The intubation area 10 includes a diaphragm 12 for covering the face of the patient and preventing the outflow of air, and a pair of edges provided in the diaphragm and capable of being tightly coupled (or fastened) (A tight fitting portion or a fastening portion). As the material of the edge portion, a flexible plastic material can be used as in the prior art. In this embodiment, the diaphragm portion 12 is made of a flexible material rather than a rigid material. For example, the diaphragm portion 12 may be made of vinyl. Further, the diaphragm portion is formed in a wrinkled state and deformable. It is needless to say that various materials suitable for various embodiments can be used while being able to maintain a sealed state so as not to leak air. The diaphragm portion 12 can be divided into left and right diaphragms. The diaphragm portion is provided with an edge portion 19 protruding upward and downward at a side opposite to the diaphragm portion and engaging with the slider portion 14. The edge portion 19 is tightly coupled (or fastened) in a detachable form. That is, the pair of edges are tightly coupled (or fastened) in such a manner that they can be detached from each other. More specifically, in the present embodiment, the edge portions 19 are tightly joined (or fastened) in a staggered manner, and are thus detachable. In a state of tightly coupled (or fastened) (See FIG. 5). 2, since the front and rear ends of the edge portion 19 are fixed to the main body portion 20 of the medical facial mask 100 (anterior and posterior ends), the slider portion (14) can maintain a relatively stable position even when artificial respiration occurs.

3 to 5, the intubating area 10 is coupled to an edge portion that is tightly coupled (or fastened) in the striking manner and is moved back and forth in a sliding manner along the edge portion And a slider 14 capable of adjusting the separation or tightening engagement (or tightening) of the edge portion. The forward and backward directions in the present description refer to the direction from the nose 700 to the mouth 800 with respect to the nose 700 and the mouth 800 when viewed from above as a top view from the face of the patient wearing the medical facial mask, The anterior direction is the direction of the nose 800 and the nose 700 direction is the posterior direction. In FIG. 2, a mouth opener 500 (mouth opener) is worn, which will be described later. The slider portion has an intubating port (15) or an inlet for intubating the intubation tube. More specifically, an intubation port 15 is provided at the center of the slider 14 so that the intubation tube can be inserted. The intubation port 15 is provided with a silicon film 13, 15) and keeps the sealed state so that air is not leaked. The silicon membrane 13 is an example of a flexible or stretchable membrane or diaphragm. It is needless to say that the silicone membrane 13 can be made of other materials that enclose the intracorporeal tube in a sealed state. Since the slider portion 14 is a device that can move back and forth along the edge portion 19, the intra-tracheal tube inserted therein can also be moved together (see FIGS. 3A and 3B). The material of the diaphragm portion and the edge portion (considering the hardness and flexibility) and the length of the edge portion may be appropriately selected so that the left and right movement of the tube in the engine can be made within a certain range.

4 (A) and 4 (B) are a plan view and a side view of the slider portion 14 according to the present embodiment, respectively. In the present embodiment, the slider portion 14 has a single entry / exit port 16 on the front and rear surfaces, respectively, so that the edge portion is in tight contact (or fastened) And a passage portion 17 for passing through each edge constituting the edge portion 19. The passage portion is provided in the form of a closed circuit connecting two single outlets 16. The edge portion that enters the slider portion 14 through the single entrance 16 on one side is in a state of being separated in accordance with the design of the passage portion and is in a state of being tightly engaged (or fastened) again on the opposite side, The passage portion is designed so as to be exposed to the outside. In the structure including the edge portion including the pair of edges and the slider portion, the single entrance for making the pair of edges closely contact (or fastened), and the passage portion designed so that the edge portions are separated And the like are well known techniques widely used in commonly used zipper or zipper (registered trademark) vinyl bags and the like. On the other hand, in the structure having the edge portion and the slider portion according to the prior art, as shown in Fig. 1, the edge portion that enters the single entrance / exit port 16 comes out of the slider portion 14 through the double entry / The passage portion is designed to be exposed. (In reality, the edge portion is not moved but the slider portion 14 is moved, but the present invention includes the description that the edge portion 19 is moved easily.) However, in the slider portion of this embodiment, The edge portion that has entered the single entrance 16 is not provided with a passage (for example, a double doorway) opened to the outside of the slider portion 14, that is, in the form of a closed circuit before the door portion 16 is exited to the single entrance / exit 16 on the opposite side. In the separated state, it is not exposed to the outside. That is, even if the slider portion 14 moves in either forward or backward direction, the edge portion is exposed to the outside in a tightly coupled state (or fastened). More specifically, the single entrance and the single entrance of the front surface are constituent elements of one structure, and the two single entrance ports are configured so as to be mutually opposite to each other, so that even if the slider portion 14 moves in the forward and backward directions, Since the edge portion 19 is always exposed to the outside through a single doorway, the state of tightly coupled (or fastened) is maintained. In addition, the edge portion of the slider portion which has entered into the inside of the slider portion is in close contact with the inner surface of the slider portion 14 so that air is prevented from leaking out, The slider portion moves in a sliding manner (see Fig. 5).

In this embodiment, as shown in Fig. 4 (A), the slider portion is formed so that the two edges which are tightly coupled (or fastened) are separated from each other by the insertion of any object, And has a front projection 22 and a rear projection 24. When a specific object is inserted into the edge portion of the tightly coupled (or fastened) state, a certain shape of void may be generated during the separation process. The front protrusion 22 and the rear protrusion 24 filling the separation gap And is provided on the slider portion. The front protrusion 22 and the rear protrusion 24 may be made larger than the separation gap to press the separation gap. When a circular endotracheal tube is inserted as in this embodiment, the pair of tightly coupled edges are separated from each other, and the front protruding portion 22 and the rear protruding portion 24 (shown in Fig. 4 (A) ) Can be generated.

Next, referring to the sectional view of FIG. 5, in this embodiment, the edge portion immediately before being exposed to the outside through the single entrance 16 is tightly coupled (or fastened) by the pressing of the slider portion 14 (A) of the drawing). As described above, the edge portions that have entered the inside of the slider portion are kept in a sealed state so that the close contact projections 29 protruding from the top and bottom of each edge are brought into close contact with the inner surface of the slider portion 14 so as not to leak air . On the other hand, the edge portion 19, which has further entered the inside of the slider portion 14 through the single entrance 16, is separated according to the design of the passage portion (see FIG. In the center of the slider portion 14, an intubating port is provided, which is an inlet through which the intubation tube 200 is inserted, which is located between the separated edges. The intubation port is provided with a silicon membrane 13 to enclose the intracorporeal tube 200 inserted therein and maintain a sealed state (see (C) in the drawing).

As described above, by using the intubation area 10 provided in the medical facial mask according to the embodiment of the present invention, the intracorporeal tube can be moved into the airway and the organ of the patient while the airtight tube is maintained in the airtight state Thus, intubation of the endotracheal tube can be effectively performed while continuing the artificial respiration to the patient. As described above, also in the present embodiment having the tight-fitting structure, the term "tight fit" can be replaced by the term "fastening ".

6, a medical facial mask 100 is worn with a mouth opener 500 (mouth opener) in order to keep a patient's mouth open. The mask 100 can be manufactured in accordance with the state of wearing the mouse opener 500. More specifically, it is possible to make the length of the longitudinal axis longer than that of a conventional medical facial mask. (For example, the lower jaw is positioned lower than normal). The mouth opener is positioned between the upper and lower teeth and forcibly holds the mouth open. This is a well-known technique widely used in dentistry and is not described in detail.

Hereinafter, a procedure for intubating a tube in an endotracheal tube using a medical facial mask and an endotracheal intubation system utilizing the same will be described.

For example, when an emergency patient who needs CPR is induced or general anesthesia is induced, a normal medical face mask (not shown) is first worn on the patient's face to perform bag-mask ventilation ). Of course, if available, it can be connected to other artificial respiration means, such as an artificial respiratory circuit, Thereafter, when intubation of the trachea is determined, the conventional medical facial mask is removed and a mouth opener is opened by inserting a mouth opener in the patient's mouth, as shown in Figs. 6 to 8. Thereafter, the face mask 100 is replaced with the medical face mask 100 of the present embodiment capable of intubation, and artificial respiration is performed through an airbag or the like. Next, the intubation tube to be intubated into the patient's airway is prepared. In this example, the intubation tube 200 is combined with the image acquiring unit 350, which acquires an image of the inside of the body. 7, an image acquiring apparatus having an image acquiring unit 350 is prepared, inserted into the intracoracal tube 200, and fixed using a sealing cap 340. As shown in FIG. Thus, the intubation tube 200 is coupled with the image acquiring unit 350 included in the image acquiring apparatus. The image acquisition device is electrically connected to a monitor, which is a display device 400, in which a video image of a patient airway transmitted from the image acquisition unit 350 is displayed. Meanwhile, the image acquiring apparatus having the image acquiring unit may be, for example, a conventional optical fiber endoscope or a video endoscope, and more specifically, may be a video scope, a tracheoscope, a bronchoscope or the like, and such a conventional device may be modified according to the embodiment of the present invention. For example, the length of the inserted cord portion (or insertion tube) may be appropriately adjusted, It may be equipped with a cap.

More specifically, the image acquisition apparatus according to the present embodiment includes a main body 310, a sealing cap 340, and an insertion cord unit 320. The main body 310 may include a power source, a controller, and a light source. The sealing cap 340 is used to seal the space between the intubation tube 200 and the image capturing device and fix the image capturing device. The distal portion of the inserted cord portion 320 may be provided with an image acquisition portion 350 (shown by hatching) capable of capturing a patient airway image in real time (in the form of a video image) have. The image obtaining unit may be, for example, a camera unit, and more specifically, may be a charge-coupled device (CCD) camera unit or a complementary metal-oxide-semiconductor (CMOS) camera unit. According to another aspect of the present invention, the image obtaining unit may be a fiber-optic cable used in a conventional optical fiber endoscope. As the illumination device, for example, a light source such as a light-emitting diode (LED) may be provided or an optical fiber cable for transmitting light from a light source may be provided. The insertion code unit 320 may include a medium for transferring image information transmitted from the image acquisition unit 350. For example, the insertion code unit 320 may include an optical fiber cable, a cable may be provided. In addition, the insertion code unit 320 is made of a flexible material and can be easily inserted into or removed from the endosseous tube 200 together with the image acquisition unit 350 provided at the distal end thereof. According to another aspect of the present invention, the image acquiring unit 350 may be permanently installed in the intracoracal tube 200, so that the patient's airway image can be continuously observed without removing it. In this case, an electric wire for transmitting an electrical signal may be provided in place of the insertion code unit 320 and may be mounted on the intubation tube 200. In the present embodiment, the image information (signal) captured by the camera unit provided as the image obtaining unit 350 may be transmitted to the display device 400 and displayed, and the intubator can confirm the image information. The image information captured by the image obtaining unit 350 may be processed by either the main body or the control unit of the display device. In this example, a display according to the related art is provided as the display device 400. The display device 400 may include a power source, a receiver, and the like according to a conventional monitor technology. Further, the display device 400 may be installed in the vicinity of the patient, for example, a small-sized monitor may be installed in the medical facial mask 100.

2 and 8, the intubating area cover 20 of the medical facial mask according to the present embodiment is opened to expose the intubating area 10, and the image acquiring device is fixed to the intracavitary tube (200) is inserted into the oral cavity of the patient through the intubation port (15) provided in the intubating area (10), and while watching the monitor on which the image captured and transmitted by the image acquiring device is displayed, 200) into the larynx of the patient and the entrance of the organ (vocal cords). As described above, since the slider part 14 provided with the intubation port 15 can be moved back and forth (the left and right movement can also be partly), the intracoracal tube 200 inserted therein can also be moved Do. During the intubation process, the patient wears the medical facial mask 100 according to the present embodiment, and may be breathing by artificial respiration using an ambu bag and a medical facial mask. When the trachea is confirmed through the monitor image, the practitioner further enters the tracheal tube 200 to perform intubation into the trachea, and air is injected into a cuff (not shown) at a desired position And the tube in the trachea is fixed to the trachea. Fig. 8 is a side sectional view and a side view of some medical instruments together, for clarity of illustration; the medical instrument is shown as transparent as possible, and the intubating area is not separately marked. Fig. After that, the medical instrument excluding the intracorporeal tube 200 is removed. First, the image acquisition device is removed from the intracoronary tube 200, and the medical facial mask 100 is carefully removed from the intracorporeal tube. After that, the intubation tube 200 may be connected to, for example, an artificial respiration machine to perform artificial respiration. Meanwhile, it goes without saying that the intubation tube 200 can be inserted from the side of the patient at an initial stage of the insertion process. In addition, the posture of the patient can be changed to various postures that are convenient for intubation, for example, the patient's neck may be further extended.

According to another embodiment of the present invention, as shown in Figs. 9 to 10, an image acquiring device to be combined with the intracoronary tube 200 is a flexible fiber-optic endoscope ). This is basically the same configuration and function as a conventional endoscope according to the prior art, except that the length of the insertion cord portion 320 (also referred to as an "insertion tube" And a sealing cap 340 is provided to be fixedly coupled to the intracoracular tube 200 in an air-tight sealing state. More specifically, the optical fiber endoscope has a body 310, an insertion cord 320, and a sealing cap 340. The insertion code portion 320 is provided with an optical fiber cable 322, for example, as an image acquiring portion, as in a conventional optical fiber endoscope (see a circle in Fig. 9), and an optical fiber cable A bendable portion 324 capable of bending or deflecting and an angulation cable or wire (not shown) for controlling the bending operation of the bendable portion 324 may be provided have. The bending cable is driven by manipulating a control knob 370 provided on the body 310 with a finger. In addition, it is needless to say that the insertion cord unit 320 may be provided with a discharge passage for discharging oxygen, suction, and the like. According to another aspect of the present invention, the image acquisition unit may be provided with, for example, a video camera instead of the optical fiber cable. In the flexible endoscope, the techniques relating to the bendable portion, the adjustment knob, the illumination device, the image acquisition portion, and the like are well known in the conventional endoscopic device and therefore will not be described in detail.

In this embodiment, when the flexible endoscope is inserted into the endotracheal tube 200 and fixedly coupled thereto, the endoscope is a combined body as shown in Figs. The image transmitted through the optical fiber cable may be converted into an electrical signal in the camera unit provided in the main body 310 and transmitted to the display device 400 for display. In FIG. 9, the monitor 400 is a front view. However, the monitor 400 is shown in an easy-to-understand manner, and the position and angle of the monitor may be set at positions and angles that the operator can view. When the bendable portion 324 of the insertion cord portion 320 is bent in an arbitrary direction, the intracorporeal tube 200 integrally fixedly coupled to the introitus tube 200 It is bent together. In addition, the distal portion of the endotracheal tube 200 may be made of a more flexible material than the other portions for a more smooth bending operation.

In this embodiment, referring to FIG. 10, a flexible endoscope having a remote direction adjusting function is gripped by hand with the endotracheal tube 200 to which the endoscope is fixedly coupled, and the medical endoscope 200 according to the present embodiment, The intubation port of the face mask 100 is provided in the slider portion 14, and the position of the intubation port can be shifted. 10 is a side sectional view and a side view of a part of the medical instrument in order to facilitate understanding; the medical instrument is shown as transparent as possible, and the intubating area is not separately marked. More specifically, in the initial stage of insertion, the intubation tube 200 enters a hyperangulated state (see FIG. 10 (A)), and when necessary, the adjustment knob 370 is moved It is possible to control the bending state of the bendable portion 324 and the intracoracal tube 200 fixedly coupled with the bendable portion 324 to effectively enter the organs. For example, on the image displayed on the monitor, when the organ entrance or vocal cord begins to be visible, it may be that the distal portion of the endotracheal tube 200 is effectively extended into the organs (as opposed to flexed) 10 (B)). In addition to this, it may be possible to adjust the direction appropriately according to necessity. When it is determined that the intracoronary tube 200 has reached the desired position in the organs, the practitioner injects air into the cuff (not shown) to expand the intracorporeal tube to the organs. During this intubation procedure, the patient may be continuing the artificial respiration through the facial mask 100. After that, the medical instrument excluding the intracorporeal tube 200 is removed. First, the image acquisition device is removed from the intracoronary tube 200, and the medical facial mask 100 is carefully removed from the intracorporeal tube. After that, the intubation tube 200 may be connected to, for example, an artificial respiration machine to perform artificial respiration. Meanwhile, it goes without saying that the intubation tube 200 can be inserted from the side of the patient at an initial stage of the intubation process. In addition, the posture of the patient can be changed to various postures that are convenient for intubation, for example, the patient's neck may be further extended.

Further, according to another aspect of the present invention, the present invention can be applied to a conventional intubation method using a flexible endoscope (for example, a bronchoscope) according to the related art. More specifically, after the intracorporeal tube 200 is coupled to a flexible insertion cord (also referred to as an "insertion tube") of a conventional endoscope, (Inserted) through the intubation port 15 of the facial mask 100 and then laterally through the introitus port 15 to the intracorporeal tube 200 (guided) have.

As described above, according to one aspect of the present invention, the intracoronary tube 200 intubated through the medical facial mask 100 can be used in a fixed combination with an image acquiring unit that acquires an internal body image of a patient. Intra-tracheal tube 200 may also be used in combination with other devices, for example, in combination with a lighted stylet provided with a lighting device at the tip of the stylet. Further, it goes without saying that the intracorporeal tube 200 may be manufactured or modified at various angles. Further, the slit part 14 and the edge part 19 provided in the medical facial mask 100 according to one aspect of the present invention may be coupled in any other form capable of maintaining an air-tight sealing state . For example, the slider portion may be moved in a stuck-open manner (or fastened) between the edge portion and the slider portion. As shown in FIG. 12, each of the edges constituting the edge portion is tightly coupled (or fastened) to the slider portion at the upper and lower ends thereof in a staggered manner, and the slider portion is moved . 12, only the coupling structure at one upper end is shown, but the same type of close coupling (or fastening) structure is provided at the upper and lower ends of both sides. In the meantime, although a medical facial mask having a stuck tight fitting (or fastening) structure has been described above, the medical facial mask according to one aspect of the present invention is a tight fitting (or fastening) (Or fastening) structure of any other type capable of adjusting the tight coupling (or fastening) and the separation by the fastening member. For example, it may be provided with an edge portion (fastening portion) tightly joined (or fastened) by a zipper method as shown in FIG. In addition, for example, the elastic member may have an edge portion that is tightly coupled by physical compression of a diaphragm portion made of an elastic material, and may have an edge portion that is tightly coupled by physical compression of, for example, But may also be provided with, for example, an edge portion which is tightly coupled by mutual attraction of magnets, but is not limited thereto. In addition, the means for transmitting the captured image from the above-described image acquiring device to the display unit may be wired or wireless.

Although the present invention has been described in detail with reference to the accompanying drawings, the present invention is not limited thereto. In addition, it is a matter of course that various modifications and variations are possible without departing from the scope of the technical idea of the present invention by anyone having ordinary skill in the art.

Claims (15)

As a medical facial mask,
A ventilation port for supplying air to the patient;
A diaphragm portion that protects the face of the patient and keeps the sealed state so as to prevent leakage of air, and an edge portion that is provided on the diaphragm portion and includes a pair of edges that can be tightly coupled (or fastened) to and separate from each other; And
And a slider portion coupled to the edge portion and moving in a sliding manner along the edge portion and adjusting the separation or close contact of the edge portion,
Wherein the slider portion has an intubating port for intubating the intubation tube, which is located between the separated edges. 2. The apparatus according to claim 1,
And a pair of edges that are fastened and detachable to each other in a zippered, or staggered manner. The medical facial mask of claim 1, wherein the endotracheal tube is associated with an image acquisition unit that acquires an image of the interior of the body. The slider according to claim 1,
And a single doorway is provided on a front surface and a rear surface of the slider portion, respectively, so that the edge portions are in tight contact with each other. The medical facial mask according to claim 1,
And a passage portion passing through the edge, wherein the passage portion is provided in the form of a closed circuit connecting two single outlets. The slider according to claim 1,
And a front protruding portion and a rear protruding portion that fill the separable space that can be generated while the two edges that are tightly coupled to each other are separated from each other by insertion of an arbitrary object. The medical facial mask according to claim 1,
An edge portion provided on the diaphragm portion and the diaphragm portion; And an intubating area including the slider part. The medical facial mask according to claim 1, wherein the medical face mask is distinguishable from a main body portion and a flexible coupling portion that is flexibly coupled to a face of a patient, wherein a front end and a rear end of the edge portion are fixed to the main body portion Mask. [2] The apparatus of claim 1, wherein upper and lower edges of each of the edges,
And is fastened to the inner surface of the slider part in a staggered manner. As an intubation system,
Medical facial masks;
Internal tube: and
And an image acquiring unit that is engageable with the intracoronary tube and acquires an airway image of the patient,
The medical facial mask comprises:
A ventilation port for supplying air to the patient; And an intubating area for intubation of the intracoracal tube combined with an image acquiring part for acquiring an image of the inside of the body,
Wherein the intubating area comprises:
A diaphragm portion that protects the face of the patient and keeps the sealed state so as to prevent air from leaking; and an edge portion that is provided on the diaphragm portion and includes a pair of edges that can be tightly coupled and separated from each other; And a slider portion coupled to the edge portion and moving in a sliding manner along the edge portion and adjusting the separation or close contact of the edge portion,
Wherein the slider portion has an intubating port for intubating the intubation tube, the intubation port being located between the separated edges. 11. The apparatus according to claim 10,
A zipper system, or a pair of edges which are fastened and detachable to each other in a staggered manner. 11. The slide fastener according to claim 10,
Wherein a single entrance is provided on a front surface and a rear surface of the slider portion, respectively, so that the edge portions are in tight contact with each other. 11. The medical facial mask according to claim 10,
And a passage portion passing through the edge, wherein the passage portion is provided in the form of a closed circuit connecting two single outlets. 11. The slide fastener according to claim 10,
Characterized in that the end portion of the intimate intestinal tract is provided with a front protruding portion and a rear protruding portion which fill the separation gap that can be generated while being separated from each other by arbitrary object insertion. [Claim 11] The medical facial mask according to claim 10, wherein the medical facial mask is distinguishable from a main body portion and a flexible coupling portion that is flexibly coupled to a face of the patient, wherein a front end and a rear end of the edge portion are fixed to the main body portion Intubation system.

Images