TWM532261U - Tongue anteriorizer - Google Patents

Abstract

A tongue anteriorizer includes a handle and a tongue lifting part having a curved portion. The tongue lifting part is configured to inserting the arc member of the tongue lifting part into a mouth of a patient until it reaching a base of a posterior part of the tongue, and will not push the tongue into the mouth; then hooked the tongue posterior part and move the tongue anteriorly, open the laryngopharyngeal area, and make endotracheal intubation simple, safe and efficient.

Description

Tongue advanceer

This creation refers to a medical tool, especially a breathing airway space that can easily open the mouth and throat after the tongue is mentioned, so it is the best to provide early advancement of the tongue in the tracheal intubation environment. The device.

Endotracheal intubation is the insertion of the endotracheal tube into the trachea of the patient through the mouth or nasal cavity to perform artificial respiration or pressurized oxygen to maintain airway patency.

Endotracheal intubation plays an important role in the treatment of respiratory tract. However, when intubation, it is often due to obesity, structural abnormalities and improper use of the patient, which increases the difficulty of intubation, even The patient's throat and airway cause significant damage, so it is extremely important to make the tracheal intubation operation simple.

Current tracheal intubation is commonly performed with a Laryngoscope and a Videolaryngoscope. The method of opening the airway is to place the front end as far as possible at the base of the tongue, then press the tongue forward and push it upwards to pull the jaw down. Close the TMJ to open the throat space. Usually, these laryngoscopes can open the respiratory tract. However, there are still missing. For example, in patients with small chin, obesity and big tongue, the length and curvature of the laryngoscope are often too deep in the narrow oral space. And the laryngoscope itself is limited by its thickness and volume, so that it extends When entering the cavity, the tongue will be moved inward, causing the position of the throat to change, the space is reduced, and then try to open the throat. At this time, there are often technical difficulties and limitations in vision, even if experienced physicians complete it once. The ratio of intubation is often less than 90%, and multiple attempts are required to achieve a success rate of around 95%, and the success rate of novices is even lower. When the intubation process is not smooth, in addition to causing damage to the internal tissues of the mouth, it also endangers the safety of the patient's life, especially in the case of intubation failure.

In addition, endotracheal intubation is also assisted by intubation using a videostylet (Videostylet) and a fiberoptic scope. However, the visible rigid tube mirror directly places the lens in the middle of the mouth without opening the throat, so only the local closeness can be seen, and the tongue above it tends to move it together into the throat, changing it. The normal structure of the throat, and because it does not open the space in front, the lens is often affected by saliva, resulting in blurred images, it is easy to lose the orientation and direction, so the success rate is not high; and the fiber optic bronchoscope is large The use process is quite time-consuming, expensive, easy to damage, and long-term learning. It is usually only used when it is difficult to intubate, and often requires multiple attempts to succeed. Therefore, by both (visible tube and fiberoptic bronchoscope) for tracheal intubation, there are also obvious missing, and there is a need to improve. Therefore, how to improve the problems of the existing tracheal intubation operation should be an important direction for the industry to solve and overcome.

The key problem in the operation of the auxiliary device required for the above-mentioned endotracheal intubation is that the tongue cannot be smoothly opened to open the throat. The prior art has a lack of effective design and double-effect combination with the tongue and the forward tongue. effect. However, due to the operation of lifting the tongue and moving the tongue, it is necessary to further consider the design of the force-applying device of the tongue-lifting device and the moderate micro-deformation consideration after the force application, so that the advancement device on the tongue can achieve its intended effect. , how can I give the tongue the advancement of the same The convenience of combining the lifting of the tongue and the advancement of the tongue is the focus of the technical design of the creation.

The creator has developed the solution based on the clinical experience, in view of the shortcomings of the use of the assistive devices required for the existing tracheal intubation and the fact that the structural design is not ideal, and hopes to develop a more Effectiveness, convenience, and ergonomics on the tongue advancement structure to promote the development of this industry, and the creation of this creation after a long period of time.

The purpose of this creation is to provide a tongue advanceer that utilizes its camber and moderately deformed design so that the advancement on the tongue can reach the base of the tongue along the posterior wall of the mouth without pushing the tongue forward and Moderately hooking the base of the tongue, it is convenient to naturally pull the tongue out of the mouth, thus greatly increasing the space of the oral throat, and its moderate micro-deformation design can be combined with the human operation engineering, so that the direction of the force is naturally followed by the tongue muscles, easily The tongue is pulled up and moved forward, so that it has excellent intubation assisting effect and convenience.

The technical means for achieving the above object includes: a handle comprising a handle portion, the handle portion having a handle end; and a tongue portion connected to the handle portion And including a curved plate-shaped tongue section having a tongue end and a tongue end.

The tongue-raising section has an arc-shaped flat strip shape and a uniform thickness.

The width of the tongue segment is greater than the handle segment.

The tongue advanceer further includes a connecting portion connected to the handle via the connecting portion, the connecting portion has a connecting portion, and the connecting portion is provided with a handle connected to the handle portion The connecting end of the end and a connecting end connected to the beginning of the tongue of the tongue.

The handle segment and the tongue segment are integrally formed with the connecting segment for operational use.

The width of the tongue segment is greater than the connecting segment.

The width of the connecting section is smaller than the handle joint and the tongue section.

The connecting segment has an arc distance less than 1/3 of the tongue segment.

The connecting portion is formed by combining a first set of connecting segments and a second set of connecting segments, the first set of connecting segments being connected to the handle connecting segment, and the second set of connecting segments being connected to the protruding tongue segment.

The first set of connecting segments is formed with a protruding member, the second set of connecting portions is formed with a concave member, and the first set of connecting portions is concave with the protruding member and the second set of connecting portions The connectors are plugged and combined to form the joint.

The connecting section is a curve which is inversely related to the curvature of the tongue section.

The tongue advanceer is provided with at least one reinforcing rib on the back side thereof to enhance its strength.

The line segment connecting the beginning end of the tongue and the end of the tongue is a control string, and the handle segment is preset to be bent in a shape corresponding to the control string in a range of 60 degrees to 210 degrees, the control string having a vertical line, the longest distance between the control string and the two points of the tongue is the arc depth of the tongue segment, and the ratio of the arc depth to the contrast string is set at 1/4~1 Between /2.

The tongue segment has a wide portion, the width of the wide portion is larger than the tongue portion, and the tongue portion is connected to the wide portion at an end portion, and the wide portion is disposed on the concave surface of the curved portion There are a plurality of bumps.

The tongue section includes a narrow joint having a width smaller than the shank joint, and the narrow joint connects the other sections of the tongue section with an end.

The tongue section is provided with a plurality of convex ridges.

For a better understanding and understanding of the technical features and the efficacies achieved, please refer to the preferred embodiment diagrams and detailed descriptions.

10‧‧‧ handle

10D‧‧‧ handle

11‧‧‧ handle joint

11D‧‧‧ handle joint

111‧‧‧End of the handle

12‧‧‧Handle bend

13‧‧‧ shank side extension

20‧‧‧Connecting Department

20A‧‧‧Connecting Department

20D‧‧‧Connecting Department

, 21‧‧‧ Connection section

21D‧‧‧ Connection section

211‧‧‧Connecting start

212‧‧‧Connected end

221A‧‧‧The first set of segments

222A‧‧‧Second group

231A‧‧‧Bindings

232A‧‧‧ recessed parts

30‧‧ ‧Tip

30A‧‧ ‧ tongue

30B‧‧ ‧Tip

30C‧‧ ‧ tongue

30D‧‧‧Tip

30E‧‧‧Tip

31‧‧ ‧ tongue section

31A‧‧‧Tip section

31B‧‧‧Tip section

31C‧‧ ‧ tongue section

31D‧‧‧Tip section

31E‧‧ ‧ tongue section

311‧‧ ‧ tongue start

312‧‧ ‧ end of tongue

313B‧‧‧ arc concave

314A‧‧‧End

314C‧‧‧

314E‧‧‧End

315E‧‧‧Narrow section

316‧‧‧ Short-end

32B‧‧‧ convex

32C‧‧‧ convex

33C‧‧‧ Wide Department

330C‧‧‧ arc concave

40‧‧‧ reinforcing ribs

A‧‧‧Endoscopic catheter

A1‧‧‧ front end

P‧‧‧ Patients

P1‧‧‧ tongue

X‧‧‧Control string

Y‧‧‧ arc depth

1 is a perspective view of a first embodiment of the present invention; FIG. 2 is a schematic side view of the first embodiment of the creation; FIG. 3A is a first embodiment of the creation of the first 180 degree angle of the first embodiment FIG. 3B is a schematic view showing a first embodiment of the creation of the second 210 degree angle; FIG. 3C is a schematic view showing the third embodiment of the first 150 degree angle. 3D is a schematic view of a first embodiment of the creation of the fourth 135 degree angle; FIG. 3E is a schematic view of the first embodiment of the creation of the fifth 120 degree angle; 3F is a first embodiment of the creation, and is a schematic diagram of a sixth 90 degree angle; 4A to 4E are schematic diagrams 1 to 5 of the clinical intubation operation steps of the first embodiment; FIG. The first embodiment of the present invention is a schematic diagram of a 210 degree angle state use description; the sixth diagram is a schematic diagram of the use of a 60 degree angle state in the first embodiment of the creation; the seventh embodiment is the first creation The embodiment makes a schematic diagram of the simplified steps of the clinical intubation operation of the nearly 90 degree angle state, and the first step is shown in FIG. FIG. 9 is a perspective view of the second embodiment of the present invention; FIG. 10 is an exploded perspective view of the third embodiment of the present invention; Fig. 12 is a perspective view of a fourth embodiment of the present invention; Fig. 13 is a perspective view of a fourth embodiment of the present invention; Fig. 14 is a perspective view of a fifth embodiment of the creation; a perspective view of a sixth embodiment; Figure 16 is a perspective view of a seventh embodiment of the present invention; and Figure 17 is a perspective view of the eighth embodiment of the present invention.

As shown in FIG. 1, a perspective view of a first embodiment of the present invention is shown. The tongue advanceer includes a handle portion 10, a connecting portion 20 and a tongue portion 30.

The handle 10 includes a handle connecting portion 11, a shank side extending portion 13 parallel to the shank connecting portion 11 and a shank bending portion 12, and the shank bending portion 12 is connected to the handle portion on both sides Segment 11, shank side extension 13. The shank portion 11 of the handle 10 has a length that is about the length of the operator's palm and has a shank end 111.

The handle 10 in this embodiment includes at least a shank joint 11 and optionally includes a shank bent section 12 and a shank side extension 13 and the handle 10 can be appropriately held. The structure is not limited to the structure of the handle 10 in this embodiment.

The connecting portion 20 includes a connecting portion 21 having a curved shape. The two ends of the connecting portion 21 are respectively a connecting end 211 and a connecting end 212. The connecting end 211 is connected to the handle end 111. The connecting end 212 is connected to the tongue. Part 30.

The shape of the connecting section 21 in this embodiment may be separately formed into a curved section (as shown in FIGS. 3A-3E) or a straight line segment (as shown in FIG. 3F) or according to actual work requirements. Other feasible shapes not shown in the figure are made according to actual use requirements.

The tongue portion 30 includes a tongue section 31, and the tongue section 31 is an arc-shaped member made of a flat strip material, and has a tongue end 311 and a tongue end 312, and the tongue end 311 is connected. At the end 212.

The tongue section 31 is formed into a long strip shape with a curved shape and a uniform thickness, and the short ends 316 on both sides are two parallel lines, and the two ends of the tongue section 31 are respectively a tongue starting end 311 and a mention The tongue end, 312, and the flat strip-shaped structure of the tongue section 31 itself can be bent to a desired angle (as shown in Fig. 2).

The tongue section 31 is connected to the connecting end 212 by a tongue end 311, and the tongue end 312 is an open end (as shown in Figures 1 and 2). The connecting section 21 is a curved section, and the curvature of the connecting section 21 is opposite to the curvature of the tab portion 30.

Furthermore, the line segment connecting the ends of the tongue section 31, that is, the connecting tab end 312 to the tongue starting end 311, is formed with a contrast string X. The contrast string X can be pre-set to a respective shape in the range of 60-210 degrees between the handle end 111 of the handle segment 11 (as shown in Figures 3A-3F, 5, and 6).

The longest vertical distance between the tongue section 31 and the control string X is the arc depth Y of the tongue portion 30. The connecting section 21 is connected to the handle section 11 and the tongue section 31.

In the present embodiment, the tongue section 31 of the tongue portion 30 is a circular arc or an elliptical arc, and the reference string X is smaller than the diameter circle of the corresponding circle or the length of the arc corresponding to the long axis of the corresponding ellipse. . According to the creator's actual experiment and test results, the curved section of the connecting section 21 is preferably less than 1/3 of the length of the tongue section 31. The ratio of the arc depth Y of the tongue portion 30 to the contrast string X (Y/X) varies depending on the object to be used, and the difference value is preferably between 1/4 and 1/2. In general, the length of the control string X is about 5-7 cm for infants, about 7-9 cm for children, and about 9-13 cm for adults.

Please refer to FIGS. 3A-3E and 4A to 4E for the first to fifth aspects of the tongue advanceer in the first embodiment of the present invention, that is, the connecting segments of the first to fifth aspects. 21 is formed into a curved line segment so that each of the tongue advances the connecting portion 21 at the time of manufacture, its prefabricated bending angle The range of degrees can be formed separately from the angle of 90 degrees to 210 degrees, that is, the tongue advancer of each angle made in each angle range is feasible.

When performing an operational application, the operator holds the handle 10 (handle joint 11) such that the end 312 of the tongue (the tongue section 31) reaches the base of the tongue of the tongue P1 along the posterior wall of the patient P (as in Figure 4A). In the operation, during the operation, the tongue end 312 of the tongue segment 31 can be properly hooked to the tongue root, and the tongue P1 is conveniently pulled out of the mouth (as shown in FIG. 4B).

When the operator holds the handle 10 (handle joint 11) to the outside of the mouth and toward the arcuate direction of the tongue 30, as shown in FIG. 4C, the tongue 31 can be applied. The direction of force is to follow the natural direction of the tongue muscles, and easily pull the tongue up and forward, so that it can be opened to increase the space of the oral throat, so that an endoscope catheter A can be smoothly inserted into the oral cavity, and the inside The front end A1 of the sight glass catheter A is conveniently inserted and placed in the desired correct position (as shown in Fig. 4E).

Because endoscopic catheter or endotracheal intubation requires a forward introversion of the tongue to achieve a smooth intubation effect, and mentioning the connection section 21 and the tongue during the advancement operation on the tongue advanceer Section 31 naturally produces a very small amount of moderate elastic deformation due to the material, so as to adapt to the human body engineering and the natural progression of the muscles of the tongue P1, so as to achieve an excellent use effect.

As shown in FIG. 3E, FIG. 6 and FIGS. 7A to 7C, a sixth aspect of the tongue advanceer in the first embodiment of the present invention is shown, that is, the connecting section 21 is formed as a straight line segment. Each tongue on the advancer connecting section 21 can be set at a bending angle range of various angles ranging from 60 degrees to 90 degrees, so that each tongue is made. The angle of the advancement advancer is feasible within this range of angles. Therefore, when operating the application, its operation situation, steps and its effects on the human body engineering and the natural tendency of the muscles of the tongue P1, except for the angle change The other descriptions are the same as the above-mentioned first angle change range, and the description is omitted for the sake of simplicity of explanation.

Referring to Fig. 8, there is shown a perspective view of a second embodiment of the present invention, the main structure of which is the same as that of the first embodiment, and the same reference numerals are used and the description thereof is omitted.

The tongue advancement device of the second embodiment is formed with a reinforcing rib 40 on the back surface of the shank portion 10 in the bending direction, or as shown in Fig. 9, a reinforcing rib 40 is provided on each of the back sides. To enhance the strength of the advancement on the tongue during operation.

Referring to Figures 10 and 11, there are shown an exploded perspective view and a combined perspective view of the third embodiment of the present invention, the main structures of which are the same as those of the first embodiment, and the same reference numerals are used and the description thereof is omitted.

The connecting portion 20A is composed of a first group of segments 221A and a second group of segments 222A divided into two segments, the first group of segments 221A and the second group of segments, compared to the connector portion 20 of the first embodiment. The 222A is connected to the handle segment 11 and the tongue segment 31, respectively.

The first set of connecting portions 221A is formed with a protruding member 231A, and the second set of connecting portions 222A is formed with a concave member 232A. The protruding member 231A and the female connecting member 232A can be inserted and integrated into one body for the first The connecting portion 221A is combined with the female member 232A of the second set of connecting end portions 222A to form a connecting portion 20A, so that the tongue advanceer in the embodiment is detachable and assembled. Convenient for manufacturing, packaging, transportation or use.

Referring to Fig. 12, there is shown a perspective view of the fourth embodiment of the present invention. The main structure of the present invention is the same as that of the first embodiment, and the same reference numerals are used and the description thereof is omitted.

The tongue section 31A of the tongue portion 30A in the fourth embodiment is wider than the tongue section 31 of the first embodiment, and the tongue section 31A is formed with an end portion 314A at the tongue end 311 to be connected thereto. The connecting end 212 of the connecting portion 20, and the width of the tongue portion 31A is also larger than the width of the connecting portion 21.

The end portion 314A in this embodiment is slightly straight as shown in Fig. 12, and may be slightly inclined as shown in Fig. 13.

Referring to Fig. 14, which is a perspective view showing a fifth embodiment of the present invention, the main structure is the same as that of the first embodiment, and the same reference numerals are used and the description thereof is omitted. The tongue portion 30B of the embodiment is provided with a plurality of convex cavities 32B on the arc concave surface 313B of the tongue portion 31B for preventing the tongue from slipping during operation.

Referring to Fig. 15, there is shown a perspective view of a sixth embodiment of the present invention, the main structure of which is the same as that of the fifth embodiment, and the same reference numerals are used and the description thereof is omitted.

The tongue-splitting portion 31C of the tongue-raising portion 30C in this embodiment extends to the both sides of the tongue-finishing end portion 312 to form a wide portion 33C so that the width of the wide portion 33C is larger than other sections of the tongue-splitting portion 31C. . The tongue section 31C is connected to the wide portion 33C by an end portion 314C, and the plurality of convex cavities 32C are provided on the arc concave surface 330C of the wide portion 33C.

Referring to Fig. 16, there is shown a perspective view of a seventh embodiment of the present invention, the main structure of which is the same as that of the sixth embodiment, and the same reference numerals are used and the description thereof is omitted.

The tongue portion 30D of the present embodiment has the same wide portion 33C as that of the sixth embodiment, and the tongue portion 30D is reduced in other portions of the tongue portion 31D other than the wide portion 33C, so that the width thereof is smaller than that of the sixth embodiment. The tongue section 31C.

The tongue portion 30D is connected to the connecting portion 20D with the reduced tongue portion 31D, and the connecting portion 21D of the connecting portion 20D has the same width as the tongue portion 31D. The handle 10D is connected with the connecting portion 21D by the handle connecting portion 11D, and can also be reduced in width to the connecting portion 21D and the tongue-splitting portion 31D at the joint of the handle connecting portion 11D and the connecting portion 21D, so that the tongue is created on the tongue The advancer is lighter and easier to operate.

Referring to Fig. 17, there is shown a perspective view of an eighth embodiment of the present invention, the main structure of which is the same as that of the first embodiment, and the same reference numerals are used and the description thereof is omitted.

The tongue portion 30E in this embodiment is inwardly reduced to a narrow width narrow section 315E near the front end 311 of the tongue, and the width of the narrow joint 315E is smaller than the handle joint 11 and the connecting section 21, and is narrow. The connecting portion 315E connects the connecting portion 21 of the same width and the other sections of the tongue-splitting portion 31E with an end portion 314E, so that the advancement device on the original tongue is lighter and more convenient for operation.

The above-mentioned composition of the tongue advancement device can be designed with its special shape so that the advancement device on the tongue can reach the base of the tongue along the back wall of the oral cavity without pushing the tongue into the oral cavity, and can properly hook the tongue. The root is convenient to pull the tongue out to the mouth, increasing the space of the oral throat, and its special shape design can be combined with the human operation engineering, so that the direction of the advancement of the original tongue is adapted to the natural direction of the tongue muscle, and the tongue is easily Pull up and move forward to achieve excellent intubation assistance and convenience.

The above description is only a preferred embodiment of the present invention. It should be noted that those skilled in the art can also make some improvements and retouching without departing from the principle of the present invention. These improvements and retouchings should also be considered. The scope of protection for this creation.

10‧‧‧ handle

11‧‧‧ handle joint

111‧‧‧End of the handle

12‧‧‧Handle bend

13‧‧‧ shank side extension

20‧‧‧Connecting Department

21‧‧‧ Connection section

211‧‧‧Connecting start

212‧‧‧Connected end

30‧‧ ‧Tip

31‧‧ ‧ tongue section

311‧‧ ‧ tongue start

312‧‧ ‧ end of tongue

316‧‧‧ Short-end

Claims (18)

An early advancement device for a tongue includes: a handle portion including a handle portion, the handle portion having a handle end; a tongue portion connected to the handle portion and including a handle portion The curved plate-shaped tongue section has a tongue starting end and a tongue end. The tongue advancement device of claim 1, wherein the tongue-and-groove section has an arc-shaped flat strip shape and a uniform thickness. The tongue advancement device of claim 1, wherein the tongue segment has a width greater than the handle segment. The tongue advanceer according to claim 1, wherein the tongue advanceer further comprises a connecting portion, the tongue is connected to the handle via the connecting portion, the connecting portion has a connection The connecting section is provided with a connecting end connected to the end of the handle portion of the handle and a connecting end connected to the starting end of the tongue of the tongue. The tongue advancement device of claim 4, wherein the handle segment and the tongue segment are integrally formed with the connecting segment for operational use. The tongue advancement device of claim 5, wherein the tongue width is greater than the connecting segment. The tongue advanceer according to claim 5, wherein the connecting section has a width smaller than the handle joint and the tongue section. The tongue advancement device of claim 5, wherein the connecting segment has an arc distance less than 1/3 of the tongue segment. The tongue advanceer according to claim 5, wherein the connecting portion is formed by a combination of a first set of segments and a second set of segments, the first set of segments being connected to the handle The connecting portion is connected to the tongue segment. The tongue advanceer according to claim 9, wherein the first group of segments is formed with a protruding member, the second group of segments is formed with a female member, and the first group is connected. The segment is combined with the female connector of the second set of segments to form the connecting portion. The tongue advanceer as described in claim 4 or 5, wherein the connecting section is a curve which is inversely related to the curvature of the tongue section. The tongue advanceer according to claim 1 or 4 or 5, wherein the tongue advanceer is provided with at least one reinforcing rib on the back thereof to enhance the strength thereof. The tongue advancement device according to claim 1 or 5, wherein the line segment connecting the beginning end of the tongue and the end of the tongue is a control string, and the handle portion is bent relative to the control string. Individual shapes in the range of 60 degrees to 210 degrees. The tongue advancement device of claim 13, wherein the control string has a middle vertical line, and the longest distance between the control string and the two points of the tongue portion is the tongue segment The arc depth length, the ratio of the arc depth to the contrast chord is set between 1/4 and 1/2. The tongue advanceer according to claim 1 or 5, wherein the tongue segment has a wide portion, the width of the wide portion is larger than the tongue segment, and the tongue segment is end The portion is connected to the wide portion. The tongue advanceer according to claim 15, wherein the wide portion is provided with a plurality of convex ridges on the concave surface of the arc. The tongue advanceer according to claim 1 or 5, wherein the tongue segment comprises a narrow joint having a width smaller than the shank joint, and the narrow joint is connected with an end portion. Other sections of the tongue. The tongue advanceer according to claim 1 or 5, wherein the tongue is provided with a plurality of ridges.