TW201231105A - Positive and negative pressure air supplying device for upper gastrointestinal endoscopy - Google Patents

Positive and negative pressure air supplying device for upper gastrointestinal endoscopy Download PDF

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Publication number
TW201231105A
TW201231105A TW100102221A TW100102221A TW201231105A TW 201231105 A TW201231105 A TW 201231105A TW 100102221 A TW100102221 A TW 100102221A TW 100102221 A TW100102221 A TW 100102221A TW 201231105 A TW201231105 A TW 201231105A
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Taiwan
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gas supply
upper gastrointestinal
carbon dioxide
supply structure
gastrointestinal endoscopy
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TW100102221A
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Chinese (zh)
Inventor
Cheng-Huan Zheng
guo-xun Huang
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Nat Defense Medical Ct
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Priority to TW100102221A priority Critical patent/TW201231105A/en
Publication of TW201231105A publication Critical patent/TW201231105A/en

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Abstract

This invention relates to an air supplying structure for upper gastrointestinal endoscopy. The air supplying structure of this invention includes a mouth bite apparatus, a cover body, an air supplying tubing, and a plurality of sampling tubings. The cover body is connected with the mouth bite apparatus, and the air supplying tubing is connected with the cover body and supplies oxygen into the cover body for an examinee to inhale, so as to keep the examinee breathing smoothly. Those sampling tubings can collect carbon dioxide exhaled from the mouth and nose of the examinee to monitor the concentration of carbon dioxide, so as to determine whether the examinee has respiratory disorder according to the concentration of carbon dioxide exhaled from the mouth and nose of the examinee. When the examinee has respiratory disorder, positive pressure or negative pressure oxygen can be immediately supplied to restore the examinee to normal respiration to avoid life threatening due to lack of oxygen when apnea occurs, so as to greatly increase the safety of upper gastrointestinal endoscopy, and enable the endoscopic examination to be continuously performed even the examinee has respiratory disorder.

Description

201231105 六、發明說明: 【發明所屬之技術領域】 [0001] 本發明係有關於一種供氣及檢測結構,尤指一種用 於上消化道内視鏡檢查並可提供口鼻氧氣及檢測口鼻所 呼出之二氧化碳之供氣結構。 [先前技術】 [0002] 〇 「上消化道内視鏡檢查」是利用一條直徑約一公分 的黑色塑朦包裹導光纖維的細長管子,前端裝有内視鏡 由嘴中伸人受檢者的食道、胃至十二指腸,藉由光源器 所發出之強光,經由導先織維可使光轉彆,讓醫師從另 一端清楚地觀察上消化道内各部位妁健康狀況 。必要時 ,可由胃鏡上的小洞伸入夾乎做切太^羞。(I鏡檢查能 很清楚的看出上消化道之疾病,如食道炎、胃炎、食道 潰瘍、胃潰瘍、十二指腸潰瘍、胃息肉、食道癌或胃癌 等,其賴效果十分可靠。 本發明提供一種用 於上消化道内視鏡檢查之趕靖:,可福德氧氣至病患 之口鼻,有效維持病患之呼吸,防止病患於檢查過程中 發生無法呼吸的問題,特別是於上腸胃道内視鏡檢查時 上了麻醉之病患。本發明之供氣結構更能檢測病患之口 鼻所呼出之二氧化碳’有效確認病患是否持續呼吸。 【發明内容】 [0003] 本發明之目的’係在於提供一種用於上消化道内視 鏡檢查之供氣結構,該供氣結構具有供氣管路,該供氣 管路分別供應氧氣至病患之口鼻,有效保持受檢查者於 内視鏡檢查過程中呼吸順暢。 100102221 表單編號A0101 第3頁/共23頁 1002003965-0 201231105 本發明之再一目的,係在於提供一種用於上消化道 内視鏡檢查之供氣結構,供氣結構具有複數採樣管路, 該些採樣管路可傳輸病患之口鼻所呼出之二氧化碳,有 效確認受檢測者是否發生呼吸異常,避免受檢查者因發 生呼吸中止產生缺氧而危急生命,有效提升於上消化道 内視鏡檢查之安全性。 本發明之又一目的,係在於提供一種用於上消化道 内視鏡檢查之供氣結構,當受檢測者發生呼吸異常時, 供氣結構提供一密封件,密封件密封口咬器及罩體,並 供應正壓氧氣至罩體内,以恢復受檢查者之呼吸,並可 持續進行内視鏡檢查。 為了達到上述之目的,本發明提供一種用於上消化 道内視鏡檢查之供氣結構,其係包含:一 口咬器,用於 撐開一人體之口腔,以供一内視鏡插入至該人體之上消 化道進行檢查;一罩體,連接該口咬器,並罩設於該人 體之口鼻部;一供氣管路,其一端連接該罩體,並供應 一氧氣至該罩體,病人之口鼻部吸取該氧氣;以及複數 採樣管路,其一端位於該口咬器及鼻孔處,採集該口腔 或/及該鼻部所呼出之二氧化碳,以監測二氧化碳之濃度 以得知病人是否有呼吸。該供氣結構更包含一密封件, 該密封件塞設於該口咬器,以密封該口咬器及該罩體, 以提供正壓呼吸。 【實施方式】 [0004] 100102221 茲為使貴審查委員對本發明之結構特徵及所達成 之功效有更進一步之瞭解與認識,謹佐以較佳之實施例 及配合詳細之說明,說明如後: 表單編號A0101 第4頁/共23頁 1002003965-0 201231105 本實施例提供一種用於上消化道内視鏡檢查之供氣 結構,本實施例之供氣結構主要用於胃鏡及十二指腸等 上消化道内視鏡檢查,其供應一氧氣至被檢查者之鼻部 及口腔,被檢查者於正常呼吸下利用口鼻吸取該氧氣, 以避免進行檢查中被檢查者發生缺氧之狀態。另,供氣 結構1監測從被檢查者之鼻部及口腔所呼出之二氧化碳, 確認病患有正常呼吸,以提早得知檢查中是否發生呼吸 中止之狀態,而及早處置。 請參閱第一A及一B圖,係本發明之一較佳實施例之 結構圖。如圖所示,本實施例之供氣結構1包含一 口咬器 10、一罩體12、一供氣管路14及複數採樣管路16。罩體 12連接口咬器10,本實施例之罩體12為一鼻罩,僅罩設 於被檢查者之鼻部。供氣管路14之一端連接罩體12,其 另一端連接一供氣裝置3,供氣裝置3供應一氧氣至供氣 管路14,供氣管路14傳輸氧氣至罩體12内,罩體12内之 氧氣供受檢查者之鼻部吸取。該些採樣管路16之一端位 於口咬器10及鼻孔處,並採集受檢查者之鼻部及口腔所 呼出之二氧化碳,且傳輸受檢查者之鼻部及口腔所呼出 之二氧化碳至一監測裝置5,監測裝置5監測受檢查者之 鼻部及口腔所呼出之二氧化碳之濃度以得知病人呼吸狀 態是否正常。 上述罩體12具有一進氣口 121,供氣管路14之一端 連接罩體12之進氣口 121,供氣裝置3供應氧氣,並透過 供氣管路14傳輸氧氣從進氣口 121進入罩體12内,罩體 12内之氧氣供受檢查者之鼻部吸取。本實施例提供供氣 管路14與進氣口 121之一較佳固定方式,其主要進氣口 100102221 表單編號A0101 第5頁/共23頁 1002003965-0 201231105 121具有—連接部123,連接部123位於罩體12之外側。 供氣官路14連接於進氣口 121之一端具有一接合部141 , 接合部141接合於連接部123 ’如此固定供氣管路μ於進 氣口 121,以進行氧氣之傳輸。 監測裝置5收集被檢查者之鼻部及口腔所呼出之二氧 化碳之方式’其為監測裝置5連接一傳輸管6,該些採樣 管路16連接傳輪管6 ’該些採樣管路16採取受檢查者之鼻 部及口腔所呼出之二氧化碳為樣本,並透過傳輸管6傳回 監測裝置5 ’監測裝置5監測受檢查者之鼻部及口腔所呼 出之一氧化碳之濃度。本實施例之該些採樣管路16包含 至少一鼻部採樣管路161及至少一口腔採樣管路163,鼻 部採樣管路161位於罩體12内’並鄰近鼻部外側,以採集 鼻部所呼出之二氧化碳β π腔採樣管路163位於口咬器1〇 内’並鄰近π腔外側,以採集口腔所呼出之二氧化碳。 傳輸管6匯集鼻部採樣管路161所傳輸之二氧化碳及口腔 採樣管163所傳輸之二氣Μ,並將縫集之二氧化碳傳 回監測裝置5進行監測。上述監測鼻部及口腔所呼出之二 氧化碳濃度’亦可僅監叫_或口腔所呼出之二氧化碳 派度’舉例來說’右僅監測鼻部所呼出之二氧化碳濃度 時,該些採樣管路㈣位於罩體12,㈣鼻部所呼出之 -氧化被’將無涉至4採樣管路16於卩咬器1Q内。上述 揭露監測裝f 5收集被檢查者之鼻部及口腔所呼出之二氧 化碳之方式僅為-較佳實施例,其他收集方式於此不再 贅述。 復參閱第一 A圖及第 使用時,受檢測者先咬住 一β圖,本實施例之供氣結構1於 口咬器10,口咬器10可撐開受 100102221 表單編號Α0101 第6頁/共23 頁 1002003965-0 201231105 檢測者之口腔,使受檢測者之口腔維持張開狀態。口咬 器10具有一插入通道,内視鏡及其管路從口咬器1〇之 插入通道101插入,並經過受檢查者之口腔進入上腸胃道 進行檢查。連接於口咬器上方之罩體12罩設於受檢測 者之鼻部。供氣裝置3供應乳氣,氧氣透過供氣管路14傳 輸並由罩體12之進氣口 121進入至罩體12内,且使罩體 12内充滿氧氣’受檢查者於正常呼吸下吸入罩體12内之 氧氣,以保持受檢查者於内視鏡檢查過程中呼吸順暢。 Ο 位於鼻部外侧之鼻部採樣管路161採集鼻部所呼出之 二氧化碳,位於口腔外侧之口腔採樣管路163採集口腔所 呼出之二氧化碳,鼻部採樣管路及口腔採樣管路163 所收集之二氧化碳匯集於傳輸管6,傳輸管6傳輸匯集後 之二氧化破至監測裝置5,監測裝置5監測受檢查者所呼 出之二氧化碳濃度’檢查者依據監測裝置5所測得之二氧201231105 VI. Description of the Invention: [Technical Field of the Invention] [0001] The present invention relates to a gas supply and detection structure, and more particularly to an endoscopic fluoroscopy for the upper digestive tract and for providing nasal and nasal oxygen and detecting the nose and mouth. The gas supply structure of the exhaled carbon dioxide. [Prior Art] [0002] 〇 "Upper gastrointestinal endoscopy" is an elongated tube that uses a black plastic plaque with a diameter of about one centimeter to wrap the light guiding fiber, and the front end is equipped with an endoscope that extends from the mouth to the subject. From the esophagus to the stomach to the duodenum, the light emitted by the light source can be used to guide the light through the lead weaving, so that the doctor can clearly observe the health of the various parts of the upper digestive tract from the other end. If necessary, it can be made by a small hole in the gastroscope. (I microscopic examination can clearly see the diseases of the upper digestive tract, such as esophagitis, gastritis, esophageal ulcer, gastric ulcer, duodenal ulcer, gastric polyp, esophageal cancer or gastric cancer, etc., the effect is very reliable. The present invention provides a use In the upper digestive tract endoscopy: Jing Ke oxygen to the patient's mouth and nose, effectively maintain the patient's breathing, prevent the patient from breathing problems during the examination, especially in the upper gastrointestinal tract The patient is anesthetized at the time of microscopic examination. The gas supply structure of the present invention is more capable of detecting the carbon dioxide exhaled by the mouth and nose of the patient 'effectively confirming whether the patient continues to breathe. [Abstract] [0003] The object of the present invention is The invention provides a gas supply structure for upper gastrointestinal endoscopy, the gas supply structure has a gas supply pipeline, which supplies oxygen to the mouth and nose of the patient respectively, and effectively maintains the examiner's endoscopic examination process. The breathing is smooth. 100102221 Form No. A0101 Page 3 of 23 1002003965-0 201231105 A further object of the present invention is to provide an upper gastrointestinal view Inspecting the gas supply structure, the gas supply structure has a plurality of sampling lines, which can transmit the carbon dioxide exhaled by the mouth and nose of the patient, and effectively confirm whether the subject has a breathing abnormality, and avoid the breathing of the examinee due to the occurrence of breathing Producing hypoxia and life-threatening, effectively improving the safety of endoscopic fluoroscopy. Another object of the present invention is to provide a gas supply structure for upper gastrointestinal endoscopy, when the subject breathes In case of abnormality, the gas supply structure provides a seal, the seal seals the mouthpiece and the cover, and supplies positive pressure oxygen to the inside of the cover to restore the breath of the examinee and to continue the endoscope inspection. In view of the above, the present invention provides a gas supply structure for upper gastrointestinal endoscopy, which comprises: a bite device for propping a human body cavity for inserting an endoscope onto the human body The digestive tract is inspected; a cover is connected to the mouth bite and covered in the mouth and nose of the human body; a gas supply line, one end of which is connected to the cover body and supplies an oxygen Up to the cover, the patient's mouth and nose absorb the oxygen; and a plurality of sampling lines, one end of which is located at the mouth bite and the nostrils, collecting the carbon dioxide exhaled from the mouth or/and the nose to monitor the concentration of carbon dioxide The air supply structure further includes a sealing member, and the sealing member is plugged to the mouth bite to seal the mouth bite and the cover to provide positive pressure breathing. [0004] For the purpose of further understanding and understanding of the structural features and the achievable effects of the present invention, the preferred embodiment and the detailed description are as follows: Form No. A0101 No. 4 Page / Total 23 pages 1002003965-0 201231105 This embodiment provides a gas supply structure for upper gastrointestinal endoscopy, and the gas supply structure of the present embodiment is mainly used for endoscopy examination of the upper gastrointestinal tract such as gastroscope and duodenum. An oxygen is applied to the nose and mouth of the examinee, and the examinee uses the nose and mouth to absorb the oxygen under normal breathing to avoid the occurrence of hypoxia in the examinee during the examination. . In addition, the air supply structure 1 monitors the carbon dioxide exhaled from the nose and mouth of the examinee, and confirms that the patient has normal breathing, so as to know early whether the state of respiratory arrest occurs during the examination, and to treat it early. Please refer to Figures A and B for a block diagram of a preferred embodiment of the present invention. As shown, the air supply structure 1 of the present embodiment includes a mouthpiece 10, a cover 12, a gas supply line 14, and a plurality of sampling lines 16. The cover 12 is connected to the mouth bite 10, and the cover 12 of the present embodiment is a nasal mask which is only placed on the nose of the subject. One end of the gas supply line 14 is connected to the cover body 12, and the other end is connected to a gas supply device 3, and the gas supply device 3 supplies an oxygen gas to the gas supply line 14, and the gas supply line 14 transmits oxygen to the inside of the cover body 12, and the inside of the cover body 12 The oxygen is taken up by the nose of the examinee. One of the sampling lines 16 is located at the mouth bite 10 and the nostrils, and collects carbon dioxide exhaled from the nose and mouth of the examinee, and transmits the carbon dioxide exhaled from the nose and mouth of the examinee to a monitoring device. 5. The monitoring device 5 monitors the concentration of carbon dioxide exhaled by the nose and mouth of the examinee to know whether the patient's breathing state is normal. The cover body 12 has an air inlet 121, one end of the air supply line 14 is connected to the air inlet 121 of the cover body 12, the air supply device 3 supplies oxygen, and oxygen is transmitted through the air supply line 14 from the air inlet 121 into the cover body. Within 12, the oxygen in the shell 12 is drawn by the nose of the examinee. In this embodiment, a preferred manner of fixing the air supply line 14 and the air inlet 121 is provided. The main air inlet 100102221 has a connection number 123, a connection portion 123, a form number A0101, a fifth page, a total of 23 pages, a 2003. Located on the outer side of the cover 12. One end of the air supply port 14 connected to the air inlet 121 has a joint portion 141 which is joined to the joint portion 123' to fix the air supply line μ to the air inlet port 121 for oxygen transmission. The monitoring device 5 collects the carbon dioxide exhaled by the nose and the mouth of the examinee. The monitoring device 5 is connected to a transmission pipe 6, and the sampling pipelines 16 are connected to the transmission pipe 6'. The carbon dioxide exhaled from the nose and mouth of the examiner is a sample and is transmitted back to the monitoring device through the transfer tube 5 'the monitoring device 5 monitors the concentration of carbon monoxide exhaled from the nose and mouth of the examinee. The sampling lines 16 of the embodiment comprise at least one nasal sampling line 161 and at least one oral sampling line 163. The nasal sampling line 161 is located in the inside of the shell 12 and adjacent to the outside of the nose to collect the nose. The exhaled carbon dioxide β π cavity sampling line 163 is located in the mouthpiece 1 并 and adjacent to the outside of the π cavity to collect the carbon dioxide exhaled by the oral cavity. The transfer tube 6 collects the carbon dioxide transmitted by the nasal sampling line 161 and the two gas enthalpy transmitted by the oral sampling tube 163, and transmits the segregated carbon dioxide back to the monitoring device 5 for monitoring. The above-mentioned monitoring of the concentration of carbon dioxide exhaled from the nose and mouth can also be used only for monitoring _ or the carbon dioxide concentration exhaled by the mouth. For example, when the right side only monitors the concentration of carbon dioxide exhaled by the nose, the sampling lines (four) are located. The cover 12, (iv) the exhaled - oxidized by the nose will not be involved in the 4 sampling line 16 in the bite 1Q. The above disclosure discloses that the monitoring device f 5 collects the carbon dioxide exhaled from the nose and mouth of the examinee only for the preferred embodiment, and other collection methods are not described herein. Referring to the first A picture and the first use, the subject first bites a β picture, the air supply structure 1 of the embodiment is in the mouth bite 10, and the mouth bite 10 can be opened 100102221 Form No. 1010101 Page 6 / Total 23 pages 1002003965-0 201231105 The mouth of the examiner keeps the mouth of the subject open. The mouth bite 10 has an insertion passage, and the endoscope and its tubing are inserted from the insertion passage 101 of the mouth bite 1 and passed through the oral cavity of the examinee to be inspected. A cover 12 attached to the upper portion of the mouthpiece is placed over the nose of the subject. The gas supply device 3 supplies the milk gas, and the oxygen gas is transmitted through the gas supply line 14 and enters into the cover body 12 through the air inlet 121 of the cover body 12, and the inside of the cover body 12 is filled with oxygen'. The inspector breathes the cover under normal breathing. Oxygen in body 12 to keep the subject breathing smoothly during endoscopy.鼻 The nasal sampling line 161 located outside the nose collects the carbon dioxide exhaled from the nose, and the oral sampling line 163 located outside the oral cavity collects the carbon dioxide exhaled by the oral cavity, and the nasal sampling line and the oral sampling line 163 collect the carbon dioxide. The carbon dioxide is collected in the transmission pipe 6, and the transmission pipe 6 transmits and collects the dioxide to the monitoring device 5. The monitoring device 5 monitors the concentration of carbon dioxide exhaled by the inspector, and the inspector measures the dioxane according to the monitoring device 5.

化碳濃度判斷受檢查者是否發生呼吸異常,當二氧化碳 濃度漸漸降低時,即表示受檢査者發生呼吸異常,應準 備給予受檢查者正壓或負壓氧氣。 100102221 請參閱第二圖,係本發明之另-較佳實施例之採樣 管路-又置於σ咬器之剖面圖。如圖所示,承上述實施例 ’ 口腔採樣管路163位於口咬器1〇之插入通道ι〇ι内,插 入通道101係供内視鏡及其管路插人,若口腔採樣管路 163無固定於口咬器10之插入通道内側時,可能干擾 内視鏡檢查之進行,所以本實施難供-種α腔採樣管 3固疋於口咬器10之方式,其於插入通道内壁設 置至=一固定件103,固定件1〇3具有—穿孔1〇31,口腔 路163穿设於穿孔1(m,以定位〇腔採樣管路⑻ 表單編號聰 ιηη 1002003965-0 201231105 於插入通道1 〇 1内。 凊參閱第三圖’係本發明之另一較佳實施例之採樣 官路叹置於口咬器之剖面圖。如圖所示,本實施例提供 另一種口腔採樣管路163固定於口咬器10之方式口咬器 10設有至少一定位孔1〇5,定位孔1〇5係從口咬器1〇外侧 貝穿至口咬器1〇内側,口腔採樣管路163穿設於定位孔 105,其從口咬器10外側穿至口咬器1〇内侧定位孔1〇5 疋位口腔採樣管路163於口咬器1〇内側。 凊參閱第四圖,係本發明之另一較佳實施例之結構 圖。如圖所不,承第一人躕實施例,本實施例與第一A圖 實施例不同在於,本實施例之罩體12邊緣具有至少一嵌 槽125,嵌槽125係供鼻部採樣管路161嵌入,設置嵌槽 125之原因,係因為鼻部採樣管路161採樣鼻部所呼出之 二氧化碳,必須伸入罩體12内,罩體12之邊緣壓於鼻部 採樣管路161上,導致罩體12無法完全貼合於鼻部周圍, 可能導致傳輸至罩體12内之氧氣發生洩漏。所以當鼻部 採樣管路161嵌入嵌槽丨2 5後,俾罩體12貼合於鼻部周圍 ,以使傳輸至罩體12内之氧氣不會玫漏。 凊參閱第五圖,係本發明之另一較佳實施例之結構 圖。如圖所示,承第—A圖之實施例,罩體12使用鼻罩, 本實施例與第一A圖實施例不同在於,罩體12使用充氣式 面罩,罩體12具有一開口 127,口咬器1〇之一端連接於開 口 127 ’開口127與口咬器1〇之插入通道1〇1連通。本實 施例之罩體12不僅罩設於受檢查者之鼻部,更罩設於受 檢測者之口腔。第一A圖實施例所提供之供氣結構1主要 用於不須麻醉之上腸胃道内視鏡檢查,當受檢查者未被 100102221 表單編號A0101 第8頁/共23頁 1002003965-0 201231105 麻醉時,可維持正常呼吸,此時提供一般氧氣,主要維 持受檢查者之呼吸順暢。而本實施例之供氣結構1主要用 於須麻醉之上腸胃道内視鏡檢查,當受檢查者被麻醉時 ,可能發生呼吸中止的狀況,隨時都需要作緊急輸入正 壓或負壓氧氣進行急救,本實施例之罩體12使用面罩, 其罩設範圍大,密封性良好,便於曰後進行輸入正壓或 負壓氧氣急救。 請一併參閱第六圖,係本發明之另一較佳實施例之 剖面圖。如圖所示本實施例與第一A圖實施例另一不同在 於,本實施例之口咬器10具有至少一進氣口 107,當供氣 裝置14供應氧氣至罩體12内,充滿於罩體12内之氧氣透 過口咬器10之進氣口 107進入至口咬器10内,受檢查者於 正常呼吸下可利用口腔吸取氧氣。進氣口 107之一較佳實 施例為柵欄狀,而本實施例之進氣口 107亦可使用其他形 式之孔洞,於此不再贅述。 請參閱第七圖,係本發明之另一較佳實施例之結構 圖。如圖所糸,承第五圖實施例,當檢查者依據監測裝 置16監測受檢查者之鼻部與口腔所呼出之二氧化碳濃度 發現受檢查者呼吸異常時,於受檢查者呼吸中止前,先 對受檢查者供應正壓或負壓氧氣,以使受檢查者恢復呼 吸,進行上述動作時亦同時進行内視鏡檢查。對受檢查 者供應正壓或負壓氧氣時,須先將一密封件2從罩體12之 開口 127塞入至口咬器10前端,使口咬器10及罩體12與 受檢查者之鼻部及口腔間完全密封,以防止供應至口咬 器10及罩體12之正壓或負壓氧氣不會洩漏,如此提供受 檢查者足夠之氧氣吸取。上述密封件2為一C型件,其具 100102221 表單編號A0101 第9頁/共23頁 1002003965-0 201231105 有一通道21及—缺σ 23 ’通道21與缺口 23相連通。因密 封件2非於内視鏡檢查之_開始設置於口咬器ι〇及罩體^ ’所以於進行内視鏡檢查中密封件2設置於口咬器1〇及罩 體12 ’密封件2之缺口 23可讓内視鏡之管路進入密封件2 之通道21内,密封件2滑動於内視鏡之管路,並滑入罩體 12之開口 127及口咬器1〇之通道1〇1之前端,且不遮蔽口 咬器10之進氣口1〇3。 由上述可知,本發明提供—種狀切化道内視鏡 檢查之供氣結構,本發明之供氣結構具有—供氣管路及 複數私樣檢測管路,供氣管路分別供應氣氣至受檢查者 之鼻乂維持丈檢查者於檢查過程中呼吸順暢。該些 採樣管路可採集受檢查者之口鼻所呼出之二氧化碳^ 監測該些採樣管路所傳輸之二氧化碳之濃度依據受檢 查者之口鼻所呼出之二氧化碳濃度判斷受檢查者是否發 生呼吸異常,當受檢查者發生呼吸異常時,可即時供應 正壓或負壓氧氣’以恢復__之呼吸,避免受檢查 者因發生呼吸中止產生缺翁危級命,有效提升於上 消化道内視鏡檢查之安全娃、於受檢查者發生呼吸異常 時内視鏡檢查仍可持續進行。 Τ所迷本發明係實為一具有新穎性、進步性及 可供產業利用者’應符合我國專利法所規定之專利申請 要件疑t依法提出發明專利申請’折鈞局早曰賜 准利,至感為禱。 准、斤述者,僅為本發明之一較佳實施例而已, 並葬用來限定本發”施之範ffi,舉凡依本發明申請專 利圍所述之㊉狀、構造、特徵及精神所為之均等變化 1002003965-0 100102221 表單蝙號A0101 第1〇頁/共23頁 201231105 [0005] Ο 與修錦’均應包括於本發明之tft專利範圍内。 【圖式簡單說明】 第一 A及一 B圖係本發明之一較佳實施例之結構圖; 第二圖係本發明之另一較佳實施例之採樣管路設置於口 咬 器之剖面圖; 第三圖係本發明之另一較佳實施例之採樣管路設置於口 咬器之剖面圖; 第四圖本發明之另一較佳實施例之結構圖; 第五圖係本發明之另一較佳實施例之結構圖; 第六囷係本發明之另一較佳實施例之剖面圖;以及 苐七圖係本發明之另一較佳實施例之結構圖。 【主要元件符號說明】 Ο [0006] 1 供氣結構 10 口咬器 101 插入通道 103 固定件 1031 穿孔 105 定位孔 107 進氣口 12 罩體 121 進氣口 123 連接部 125 嵌槽 127 開口 表單編珑A0101 第11頁/共23頁 100102221 1002003965-0 201231105 14 供氣管路 141 接合部 16 採樣管路 161 鼻部採樣管路 163 口腔採樣管路 2 密封件 3 供氧裝置 5 監測裝置 6 傳輸管 100102221 表單編號A0101 第12頁/共23頁 1002003965-0The carbon concentration determines whether the subject has a breathing abnormality. When the carbon dioxide concentration gradually decreases, it indicates that the subject has a breathing abnormality, and the test subject should be given positive or negative pressure oxygen. 100102221 Referring to the second figure, a sampling line of another preferred embodiment of the present invention is again placed in a cross-sectional view of the σ bite. As shown in the figure, the oral sampling line 163 of the above embodiment is located in the insertion channel ι〇ι of the mouth bite 1 , and the insertion channel 101 is for the endoscope and its pipeline to be inserted, if the oral sampling line 163 When it is not fixed to the inner side of the insertion channel of the mouth bite device 10, it may interfere with the endoscope inspection. Therefore, it is difficult to provide a method for the alpha cavity sampling tube 3 to be fixed to the mouth bite 10, which is disposed on the inner wall of the insertion channel. To = a fixing member 103, the fixing member 1 〇 3 has a perforation 1 〇 31, and the oral path 163 is passed through the perforation 1 (m to position the sputum sampling line (8). Form number simplification 1002003965-0 201231105 in the insertion channel 1 〇1. 第三 Referring to the third figure, a cross-sectional view of a sampling official road according to another preferred embodiment of the present invention is placed on the mouth bite. As shown, the present embodiment provides another oral sampling line 163. The mouth bite 10 is fixed to the mouth bite 10, and at least one positioning hole 1〇5 is provided. The positioning hole 1〇5 is passed from the outer side of the mouth bite 1 to the inner side of the mouth bite 1 , and the oral sampling line 163 The utility model is disposed on the positioning hole 105, and is disposed from the outside of the mouth bite 10 to the inner positioning hole 1〇5 of the mouth bite device 1〇 The oral cavity sampling line 163 is inside the mouth bite 1 凊. Referring to the fourth figure, it is a structural view of another preferred embodiment of the present invention. As shown in the figure, the first embodiment is adopted. The difference between the embodiment of the first embodiment and the first embodiment is that at least one of the recesses 125 is formed at the edge of the cover 12 of the embodiment. The recessed groove 125 is for the nasal sampling line 161 to be embedded. The reason for setting the recessed groove 125 is because the nose is sampled. The pipeline 161 samples the carbon dioxide exhaled from the nose and must protrude into the cover 12, and the edge of the cover 12 is pressed against the nasal sampling line 161, so that the cover 12 cannot completely fit around the nose, which may result in transmission. Oxygen leaks into the casing 12. Therefore, when the nose sampling line 161 is fitted into the groove 丨25, the 俾 体 12 is attached around the nose so that the oxygen transmitted into the hood 12 does not rise.漏 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 。 The embodiment of the figure differs in that the cover 12 uses an inflatable mask, and the cover 12 has an opening 127 for biting One end of the device 1 is connected to the opening 127', and the opening 127 is connected to the insertion channel 1〇1 of the mouth bite 1。. The cover 12 of the embodiment is not only covered on the nose of the examinee, but also covered in the detection. The oral cavity provided by the first embodiment of Fig. A is mainly used for gastrointestinal endoscopy without anesthesia, when the examinee is not 100102221 Form No. A0101 Page 8 of 23 1002003965- 0 201231105 During anesthesia, normal breathing can be maintained, and general oxygen is provided at this time, mainly to maintain the breathing of the examinee. The air supply structure 1 of the present embodiment is mainly used for gastrointestinal endoscopy under anesthesia, when examined. When the person is anesthetized, a situation in which the breathing is suspended may occur, and an emergency input positive pressure or a negative pressure oxygen is required for emergency treatment at any time. The mask 12 of the present embodiment uses a mask, and the cover is large in scope, and the sealing property is good, which is convenient for the rear view. Perform a positive or negative pressure oxygen first aid. Please refer to the sixth drawing, which is a cross-sectional view of another preferred embodiment of the present invention. Another difference between the present embodiment and the first embodiment of FIG. A is that the mouth bite 10 of the present embodiment has at least one air inlet 107, and when the air supply device 14 supplies oxygen to the cover 12, it is filled with Oxygen in the cover 12 enters the mouth bite 10 through the air inlet 107 of the mouth bite 10, and the examinee can use the mouth to draw oxygen under normal breathing. One of the air inlets 107 is preferably a fence shape, and the air inlets 107 of the present embodiment may also use other types of holes, and details are not described herein. Please refer to the seventh drawing, which is a structural view of another preferred embodiment of the present invention. As shown in the figure, in the embodiment of the fifth figure, when the examiner detects the abnormal breathing of the examinee according to the monitoring device 16 monitoring the concentration of carbon dioxide exhaled by the nose and the mouth of the examinee, before the breath of the examinee is suspended, The test subject is supplied with positive or negative pressure oxygen to restore the subject's breathing, and the endoscopic examination is also performed at the same time. When the positive or negative pressure oxygen is supplied to the examinee, a sealing member 2 is first inserted from the opening 127 of the cover 12 to the front end of the mouth bite 10, so that the mouth bite 10 and the cover 12 and the examinee are The nose and the mouth are completely sealed to prevent the positive or negative pressure oxygen supplied to the mouth bite 10 and the cover 12 from leaking, thus providing sufficient oxygen absorption by the examinee. The sealing member 2 is a C-shaped member having a 100102221 form number A0101, page 9 of 23, 1002003965-0 201231105, a passage 21 and a missing σ 23 ' channel 21 are in communication with the notch 23. Since the sealing member 2 is not provided for the endoscope inspection, the sealing device 2 is disposed on the mouth bite 1 〇 and the cover 12 'seal during the endoscope inspection. The notch 23 of the 2 allows the endoscope mirror to enter the passage 21 of the seal 2, the seal 2 slides on the endoscope mirror, and slides into the opening 127 of the cover 12 and the passage of the mouth bite 1 1 〇 1 front end, and does not cover the air inlet 1 〇 3 of the mouth bite 10 . It can be seen from the above that the present invention provides a gas supply structure for endoscopic inspection of a seed-cutting path. The gas supply structure of the present invention has a gas supply line and a plurality of private sample detection lines, and the gas supply lines respectively supply gas to be inspected. The nose of the person maintains the examiner's breathing during the examination. The sampling pipelines can collect the carbon dioxide exhaled by the mouth and nose of the examinee. 2. Monitor the concentration of carbon dioxide transmitted by the sampling pipelines according to the concentration of carbon dioxide exhaled by the mouth and nose of the examinee to determine whether the examiner has abnormal breathing. When the inspected person has a breathing abnormality, the positive or negative pressure oxygen can be immediately supplied to restore the breathing of the __, so as to prevent the inspected person from being killed due to the occurrence of respiratory arrest, and effectively improve the upper digestive tract endoscope. The safety of the inspection and the endoscopic examination of the safety of the examinee may continue. The invention is a novelty, progressive and available to the industry. 'It should meet the requirements of the patent application specified in the Patent Law of China. Pray for the feeling. It is only a preferred embodiment of the present invention, and is used to define the present invention. The tenth, structure, features and spirits described in the patent application of the present invention are The equal change 1002003965-0 100102221 Form bat number A0101 Page 1 / 23 pages 201231105 [0005] Ο and 锦锦' should be included in the scope of the tft patent of the present invention. [Simplified illustration] First A and Figure 2 is a structural view of a preferred embodiment of the present invention; the second drawing is a cross-sectional view of the sampling tube disposed in the mouth bite according to another preferred embodiment of the present invention; A cross-sectional view of a preferred embodiment of a sampling tube disposed in a mouthpiece; a fourth embodiment of the preferred embodiment of the present invention; and a fifth structural diagram of another preferred embodiment of the present invention The sixth embodiment is a cross-sectional view of another preferred embodiment of the present invention; and the seventh embodiment is a structural view of another preferred embodiment of the present invention. [Description of Main Components] [0006] 1 Gas supply structure 10 mouth bite 101 insertion channel 103 fixing piece 1031 perforation 105 Positioning hole 107 Intake port 12 Cover 121 Intake port 123 Connection part 125 Nesting groove 127 Opening form compilation A0101 Page 11 of 23 100102221 1002003965-0 201231105 14 Air supply line 141 Engagement section 16 Sampling line 161 Nose Sampling line 163 Oral sampling line 2 Seal 3 Oxygen supply 5 Monitoring unit 6 Transmission tube 100102221 Form number A0101 Page 12 of 23 1002003965-0

Claims (1)

201231105 七、申請專利範圍: 1 . 一種用於上消化道内視鏡檢查之供氣結構,係包含: 一口咬器,用於撐開一人體之口腔,以供一内視鏡插 入至該人體之上消化道進行檢查; 一罩體,連接該口咬器,並罩設於該人體之鼻部; 一供氣管路,其一端連接該罩體,並供應一氧氣至該罩 體,該鼻部吸取該氧氣;以及 至少一採樣管路,其一端位於該口咬器或/及該罩體内, 採集該口腔或/及該鼻部所呼出之二氧化碳,以監測二氧 ❹ 化碳之濃度。 2 .如申請專利範圍第1項所述之用於上消化道内視鏡檢查之 供氣結構,其中該口咬器具有一插入通道,該插入通道係 供該内視鏡插入至該上消化道。 3 .如申請專利範圍第1項所述之用於上消化道内視鏡檢查之 供氣結構,其中該供氣管路之另一端連接一供氣裝置,該 供氣裝置供應一氧氣至該供氣管路,該供氣管路傳輸該氧 Q 氣至該罩體。 4 .如申請專利範圍第1項所述之用於上消化道内視鏡檢查之 供氣結構,其中該罩體具有一進氣口,該供氣管路連接該 進氣口。 5 .如申請專利範圍第4項所述之用於上消化道内視鏡檢查之 供氣結構,其中該進氣口具有一連接部,該供氣管路具有 一接合部,該接合部接合該連接部。 6 .如申請專利範圍第1項所述之用於上消化道内視鏡檢查之 供氣結構,其中該些採樣管路之另一端連接一傳輸管之一 100102221 表單編號A0101 第13頁/共23頁 1002003965-0 201231105 端,該傳輸管之另一端連接一監測裝置,該些採樣管路採 集該口腔或/及該鼻部所呼出之二氧化碳,並分別傳輸該 些採樣管路所採集之二氧化碳至該傳輸管,該傳輸管匯集 該些採樣管路所採集之二氧化碳,並傳輸已匯集之二氧化 碳至該監測裝置。 7 .如申請專利範圍第6項所述之用於上消化道内視鏡檢查之 供氣結構,更包含: 至少一定位件,設置於該口咬器之内側,該定位件定位採 集該口腔所呼出之二氧化碳之該採樣管路於該口咬器之内 側。 8 .如申請專利範圍第7項所述之用於上消化道内視鏡檢查之 供氣結構,其中該定位件具有一穿孔,該採樣管路穿設於 該穿孔。 9 .如申請專利範圍第&項所述之用於上消化道内視鏡檢查之 供氣結構,其中該口咬器具有至少一定位孔,該採集該口 腔所呼出之二氧化碳之該採樣管路穿設於該定位孔,該定 位孔定位該採樣管路於該口咬器之内侧。 10 .如申請專利範圍第6項所述之用於上消化道内視鏡檢查之 供氣結構,其中該罩體具有至少一嵌槽,採集該鼻部所呼 出之二氧化碳之該採樣管路嵌設於該嵌槽。 11 .如申請專利範圍第1項所述之用於上消化道内視鏡檢查之 供氣結構,其中該口咬器具有一進氣口,該進氣口係供該 罩體内之該氧氣進入該口咬器。 12 .如申請專利範圍第1項所述之用於上消化道内視鏡檢查之 供氣結構,其中該罩體更可罩設於該口腔。 13 .如申請專利範圍第1項所述之用於上消化道内視鏡檢查之 100102221 表單編號A0101 第14頁/共23頁 1002003965-0 201231105 供氣結構,其中該罩體為一充氣式面罩。 14 .如申請專利範圍第13項所述之用於上消化道内視鏡檢查之 供氣結構,其中該罩體具有一開口,該口咬器連接該開口 〇 15 .如申請專利範圍第1項所述之用於上消化道内視鏡檢查之 供氣結構,更包含: 一密封件,塞設於該口咬器,密封該口咬器及該罩體。 16 .如申請專利範圍第1項所述之用於上消化道内視鏡檢查之 供氣結構,其中該氧氣為正壓氧氣或負壓氧氣。 ❹201231105 VII. Patent application scope: 1. A gas supply structure for upper gastrointestinal endoscopy, comprising: a bite device for propping a human body cavity for inserting an endoscope into the human body The upper digestive tract is inspected; a cover body is connected to the mouth bite and is disposed on the nose of the human body; a gas supply line is connected at one end to the cover body and supplies an oxygen to the cover body, the nose portion The oxygen is aspirated; and at least one sampling line is disposed at one end of the mouthpiece or/and the body, and the carbon dioxide exhaled from the mouth or/and the nose is collected to monitor the concentration of carbon dioxide. 2. The gas supply structure for upper gastrointestinal endoscopy as described in claim 1, wherein the mouthpiece has an insertion passage for the endoscope to be inserted into the upper digestive tract. 3. The gas supply structure for upper gastrointestinal endoscopy according to claim 1, wherein the other end of the gas supply line is connected to a gas supply device, and the gas supply device supplies an oxygen gas to the gas supply pipe. The gas supply line transmits the oxygen Q gas to the cover. 4. The gas supply structure for upper gastrointestinal endoscopy according to claim 1, wherein the cover has an air inlet, and the air supply line is connected to the air inlet. 5. The gas supply structure for upper gastrointestinal endoscopy according to claim 4, wherein the air inlet has a connecting portion, and the air supply line has a joint portion that engages the joint unit. 6. The gas supply structure for upper gastrointestinal endoscopy according to claim 1, wherein the other end of the sampling line is connected to one of the transmission tubes 100102221 Form No. A0101 Page 13 of 23 Page 1002003965-0 201231105, the other end of the transmission tube is connected to a monitoring device, the sampling pipeline collects the carbon dioxide exhaled by the oral cavity and/or the nasal portion, and separately transmits the carbon dioxide collected by the sampling pipelines to The transfer tube collects the carbon dioxide collected by the sampling lines and transfers the collected carbon dioxide to the monitoring device. 7. The gas supply structure for upper gastrointestinal endoscopy according to claim 6, further comprising: at least one positioning member disposed on an inner side of the mouth bite, the positioning member is positioned to collect the oral cavity The sampling line of the exhaled carbon dioxide is inside the mouth bite. 8. The gas supply structure for upper gastrointestinal endoscopy according to claim 7, wherein the positioning member has a perforation, and the sampling line is disposed through the perforation. 9. The gas supply structure for upper gastrointestinal endoscopy according to the scope of the application of the patent scope, wherein the mouth bite has at least one positioning hole, and the sampling line for collecting carbon dioxide exhaled by the oral cavity The positioning hole is disposed in the positioning hole, and the positioning hole is positioned on the inner side of the mouth bite. 10. The gas supply structure for upper gastrointestinal endoscopy according to claim 6, wherein the cover has at least one recessed groove, and the sampling pipeline for collecting carbon dioxide exhaled from the nose is embedded. In the slot. 11. The gas supply structure for upper gastrointestinal endoscopy according to claim 1, wherein the mouthpiece has an air inlet for the oxygen in the housing to enter Mouth bite. 12. The gas supply structure for upper gastrointestinal endoscopy according to claim 1, wherein the cover is further covered in the oral cavity. 13. For the upper digestive tract endoscopy as described in item 1 of the patent application. 100102221 Form No. A0101 Page 14 of 23 1002003965-0 201231105 Air supply structure, wherein the cover is an inflatable mask. 14. The gas supply structure for upper gastrointestinal endoscopy according to claim 13, wherein the cover has an opening, and the mouth bite is connected to the opening .15. The air supply structure for the upper gastrointestinal endoscope inspection further comprises: a sealing member plugged on the mouth bite, sealing the mouth bite and the cover. 16. The gas supply structure for upper gastrointestinal endoscopy as described in claim 1, wherein the oxygen is positive pressure oxygen or negative pressure oxygen. ❹ 100102221 表單編號A0101 第15頁/共23頁 1002003965-0100102221 Form No. A0101 Page 15 of 23 1002003965-0
TW100102221A 2011-01-21 2011-01-21 Positive and negative pressure air supplying device for upper gastrointestinal endoscopy TW201231105A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106730222A (en) * 2016-12-28 2017-05-31 盐城师范学院 Oxygen mask with respiration transducer
CN107635614A (en) * 2015-06-11 2018-01-26 革新医疗器械有限公司 Ventilation mask
CN110960765A (en) * 2019-12-10 2020-04-07 中南大学湘雅二医院 Surgery auxiliary ventilation system with intraoperative respiration state monitoring function

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107635614A (en) * 2015-06-11 2018-01-26 革新医疗器械有限公司 Ventilation mask
US11331446B2 (en) 2015-06-11 2022-05-17 Revolutionary Medical Devices, Inc. Ventilation mask
US11813402B2 (en) 2015-06-11 2023-11-14 Sunmed Group Holdings, Llc Ventilation mask
CN106730222A (en) * 2016-12-28 2017-05-31 盐城师范学院 Oxygen mask with respiration transducer
CN106730222B (en) * 2016-12-28 2023-03-07 盐城师范学院 Oxygen mask with respiration sensor
CN110960765A (en) * 2019-12-10 2020-04-07 中南大学湘雅二医院 Surgery auxiliary ventilation system with intraoperative respiration state monitoring function

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