TWM653190U - Anesthesia intubation protection device - Google Patents
Anesthesia intubation protection device Download PDFInfo
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- TWM653190U TWM653190U TW112213014U TW112213014U TWM653190U TW M653190 U TWM653190 U TW M653190U TW 112213014 U TW112213014 U TW 112213014U TW 112213014 U TW112213014 U TW 112213014U TW M653190 U TWM653190 U TW M653190U
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- 238000002627 tracheal intubation Methods 0.000 title claims abstract description 47
- 206010002091 Anaesthesia Diseases 0.000 title claims abstract description 37
- 230000037005 anaesthesia Effects 0.000 title claims abstract description 37
- 210000000214 mouth Anatomy 0.000 claims abstract description 64
- 210000004513 dentition Anatomy 0.000 claims abstract description 22
- 230000036346 tooth eruption Effects 0.000 claims abstract description 22
- 239000002184 metal Substances 0.000 claims description 3
- 229920001296 polysiloxane Polymers 0.000 claims description 3
- 230000006378 damage Effects 0.000 description 12
- 238000000034 method Methods 0.000 description 9
- 238000010586 diagram Methods 0.000 description 8
- 210000003464 cuspid Anatomy 0.000 description 6
- 230000008569 process Effects 0.000 description 5
- 210000004872 soft tissue Anatomy 0.000 description 5
- 210000003437 trachea Anatomy 0.000 description 5
- 238000009423 ventilation Methods 0.000 description 5
- 239000007789 gas Substances 0.000 description 4
- 230000028327 secretion Effects 0.000 description 4
- 230000037380 skin damage Effects 0.000 description 4
- 210000001260 vocal cord Anatomy 0.000 description 4
- 239000003292 glue Substances 0.000 description 3
- 230000001681 protective effect Effects 0.000 description 3
- 108010013296 Sericins Proteins 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000009471 action Effects 0.000 description 2
- 239000000560 biocompatible material Substances 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000010168 coupling process Methods 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 210000000867 larynx Anatomy 0.000 description 2
- 238000010146 3D printing Methods 0.000 description 1
- 206010012289 Dementia Diseases 0.000 description 1
- 240000005002 Erythronium dens canis Species 0.000 description 1
- 230000004308 accommodation Effects 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000001055 chewing effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002695 general anesthesia Methods 0.000 description 1
- 210000004704 glottis Anatomy 0.000 description 1
- 210000004283 incisor Anatomy 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000035764 nutrition Effects 0.000 description 1
- 235000016709 nutrition Nutrition 0.000 description 1
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- 229910052760 oxygen Inorganic materials 0.000 description 1
- 230000003239 periodontal effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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Abstract
一種麻醉插管保護裝置,包括牙套元件、張口支撐元件及固持元件。牙套元件包括上牙套與下牙套,上牙套與下牙套分別用以套設於口腔中上牙齒列與下牙齒列。張口支撐元件包括上支撐元件與下支撐元件,上支撐元件凸出於上牙套之外表面,下支撐元件凸出於下牙套之外表面。固持元件包括口咬件及連接件,口咬件設於上支撐元件與下支撐元件之間,且口咬件包括容置部,連接件包括第一連接件與第二連接件,第一連接件與上支撐元件相互固定,第二連接件與下支撐元件相互固定,且容置部用以固定氣管內管之位置。An anesthesia intubation protection device includes a dental brace component, an opening support component and a holding component. The brace component includes an upper brace and a lower brace. The upper brace and the lower brace are respectively used to cover the upper and lower dentitions in the oral cavity. The mouth-opening support element includes an upper support element and a lower support element. The upper support element protrudes from the outer surface of the upper brace, and the lower support element protrudes from the outer surface of the lower brace. The holding element includes a bite piece and a connector. The bite piece is located between the upper support element and the lower support element. The bite piece includes a receiving part. The connector includes a first connector and a second connector. The first connector The second connecting piece and the upper supporting element are fixed to each other, the second connecting piece and the lower supporting element are fixed to each other, and the accommodating portion is used to fix the position of the endotracheal tube.
Description
本揭露是有關於一種保護裝置,特別是一種麻醉插管保護裝置。 The present disclosure relates to a protective device, in particular an anesthesia intubation protective device.
氣管插管是指將一氣管內管經聲門置入氣管的技術稱為氣管插管,透過氣管插管能為氣道通暢、通氣供氧、呼吸道抽吸和防止外物或液體吸入下呼吸道等提供最佳條件。 Tracheal intubation refers to the technique of inserting an endotracheal tube into the trachea through the glottis. Tracheal intubation can provide the best conditions for airway patency, ventilation and oxygen supply, respiratory suction, and prevention of foreign objects or liquids from being inhaled into the lower respiratory tract.
執行全身麻醉並於插管過程中,左手拿喉頭鏡,將喉頭鏡從病人嘴巴進入,並將病患舌頭推向左側。接著將喉頭鏡之葉柄慢慢伸入喉頭深處,同時將喉頭鏡往上往前提,直到看到聲帶為止,右手拿氣管內管,將氣管內管經過聲帶送入氣管內。若遇到病患牙齒或牙周狀態不健康,上述插管過程容易使牙齒損傷,甚至掉落造成缺牙。缺牙不僅影響咀嚼,營養與生活品質都會出現問題,甚至會增加失智風險。這類損傷容易產生術後醫療糾紛,降低手術患者醫療滿意度。 During general anesthesia and intubation, hold the laryngoscope in your left hand, enter the laryngoscope through the patient's mouth, and push the patient's tongue to the left. Then slowly extend the petiole of the laryngoscope into the depth of the larynx, and at the same time move the laryngoscope upward and forward until the vocal cords are seen. Hold the endotracheal tube in your right hand and pass the endotracheal tube through the vocal cords into the trachea. If the patient's teeth or periodontal condition are not healthy, the above-mentioned intubation process can easily damage the teeth, or even cause them to fall out and cause missing teeth. Missing teeth not only affects chewing, but also causes problems with nutrition and quality of life, and may even increase the risk of dementia. This type of injury can easily lead to postoperative medical disputes and reduce surgical patients' medical satisfaction.
再者,缺牙多顆或牙齒搖晃的患者,在插管過程中,醫師要打開嘴巴會沒有良好的施力點,如此可能間接提升器械對軟組織造成的傷害。 Furthermore, for patients with multiple missing teeth or shaky teeth, during the intubation process, the doctor will not have a good point to apply force when opening the mouth, which may indirectly increase the damage caused by the instrument to the soft tissue.
此外,目前插管完成後,大多用膠帶固定。黏膠產品選擇不當、黏貼和移除技巧不正確,均可能導致皮膚損傷。而採側臥手術的患者, 口中分泌物流出也可能降低膠帶的黏性,增加氣管內管滑脫的風險。 In addition, after the intubation is completed, it is mostly fixed with tape. Improper selection of adhesive products and incorrect application and removal techniques may cause skin damage. For patients undergoing side-lying surgery, The discharge of secretions from the mouth may also reduce the adhesiveness of the tape and increase the risk of endotracheal tube slippage.
另外,插管完成後,為了防止患者催醒時咬管造成無法通氣的危險情形,通常會放一個咬嘴。咬嘴若沒有固定好容易滑脫,如此一來造成不便利。 In addition, after the intubation is completed, a mouthpiece is usually placed in order to prevent the patient from biting the tube causing a dangerous situation of being unable to ventilate when the patient is awakened. If the mouthpiece is not fixed properly, it can easily slip, causing inconvenience.
本揭露實施例提供一種麻醉插管保護裝置,提供新型態插管保護裝置,有效解決上述習用技術之問題。 The disclosed embodiment provides an anesthesia intubation protection device, providing a new type of intubation protection device, which effectively solves the problems of the above-mentioned conventional technology.
本揭露的一實施例提出一種麻醉插管保護裝置,用於一口腔內放置一氣管內管,麻醉插管保護裝置包括一牙套元件、一張口支撐元件、以及一固持元件。牙套元件包括一上牙套與一下牙套,上牙套與下牙套分別為一半圓環狀,上牙套與下牙套分別用以套設於口腔中一上牙齒列與一下牙齒列。張口支撐元件設於牙套元件之一中線之一側,張口支撐元件包括一上支撐元件與一下支撐元件,上支撐元件連接於上牙套,且上支撐元件凸出於上牙套之外表面,下支撐元件連接於下牙套,且下支撐元件凸出於下牙套之外表面。固持元件包括一口咬件以及一連接件,口咬件位於上支撐元件與下支撐元件之間,且口咬件包括一容置部,連接件包括一第一連接件與一第二連接件,第一連接件與第二連接件連接於口咬件之相對兩側,第一連接件與上支撐元件相互固定,第二連接件與下支撐元件相互固定,使口咬件之一端用以位於口腔中上牙套與下牙套之間,且容置部用以固定氣管內管之位置。 An embodiment of the present disclosure provides an anesthesia intubation protection device for placing an endotracheal tube in an oral cavity. The anesthesia intubation protection device includes a brace element, a mouth support element, and a retaining element. The brace element includes an upper brace and a lower brace, and the upper brace and the lower brace are respectively in the shape of a semicircular ring, and the upper brace and the lower brace are respectively used to be mounted on an upper tooth row and a lower tooth row in the oral cavity. The mouth support element is disposed on one side of a midline of the brace element, and the mouth support element includes an upper support element and a lower support element, the upper support element is connected to the upper brace, and the upper support element protrudes from the outer surface of the upper brace, and the lower support element is connected to the lower brace, and the lower support element protrudes from the outer surface of the lower brace. The holding element includes a bite piece and a connecting piece. The bite piece is located between the upper supporting element and the lower supporting element, and the bite piece includes a receiving portion. The connecting piece includes a first connecting piece and a second connecting piece. The first connecting piece and the second connecting piece are connected to opposite sides of the bite piece. The first connecting piece and the upper supporting element are fixed to each other, and the second connecting piece and the lower supporting element are fixed to each other, so that one end of the bite piece is used to be located between the upper braces and the lower braces in the oral cavity, and the receiving portion is used to fix the position of the endotracheal tube.
在一實施例中,上述張口支撐元件包括多個插槽,這些插槽 分別設於上支撐元件與下支撐元件,第一連接件與第二連接件分別包括一卡榫,這些卡榫分別對應卡固於插槽。 In one embodiment, the above-mentioned opening support element includes a plurality of slots, and these slots Disposed on the upper support element and the lower support element respectively, the first connecting piece and the second connecting piece each include a tenon, and these tenons are respectively fixed in the slots.
在一實施例中,上述上支撐元件與下支撐元件分別包括一卡榫,第一連接件與第二連接件分別包括一插槽,固持元件用以朝一口腔方向進入口腔,使得這些卡榫分別對應卡固於插槽。 In one embodiment, the upper supporting element and the lower supporting element respectively include a latch, the first connecting member and the second connecting member respectively include a slot, and the retaining element is used to enter the oral cavity in a direction of the oral cavity, so that these latches are respectively fixed to the slots.
在一實施例中,上述口咬件包括一開口部,開口部連通容置部。 In one embodiment, the above-mentioned bite piece includes an opening portion, and the opening portion is connected to the accommodating portion.
在一實施例中,上述口咬件包括一本體,容置部設於本體之內,開口部為本體之一開槽。 In one embodiment, the above-mentioned bite piece includes a body, the receiving portion is provided inside the body, and the opening is a slot in the body.
在一實施例中,上述開口部位於本體之一側。 In one embodiment, the opening is located on one side of the body.
在一實施例中,上述口咬件包括至少一凹槽,凹槽為本體之一切口,且凹槽之位置不同於開口部之位置。 In one embodiment, the bite piece includes at least one groove, the groove is a cutout of the body, and the position of the groove is different from the position of the opening.
在一實施例中,上述凹槽與連接件位於本體之同一側。 In one embodiment, the groove and the connecting piece are located on the same side of the body.
在一實施例中,上述牙套元件為一生物相容結構。 In one embodiment, the brace element is a biocompatible structure.
在一實施例中,上述口咬件為一硬質結構。 In one embodiment, the bite piece is a hard structure.
本揭露的另一實施例提出一種麻醉插管保護裝置,用於一口腔,麻醉插管保護裝置包括一牙套元件以及一張口支撐元件。牙套元件包括一上牙套與一下牙套,上牙套與下牙套分別用以套設於口腔中一上牙齒列與一下牙齒列。張口支撐元件連接於牙套元件,且張口支撐元件位於牙套元件之一中線之旁側,張口支撐元件包括一上支撐元件與一下支撐元件,上支撐元件凸出於上牙套之外表面,下支撐元件凸出於下牙套之外表面。 Another embodiment of the present disclosure provides an anesthesia cannula protection device for use in an oral cavity. The anesthesia cannula protection device includes a brace component and a mouth support component. The brace component includes an upper brace and a lower brace. The upper brace and the lower brace are respectively used to cover an upper dentition and a lower dentition in the oral cavity. The mouth opening support element is connected to the brace element, and the mouth opening support element is located beside one of the midlines of the brace element. The mouth opening support element includes an upper support element and a lower support element. The upper support element protrudes from the outer surface of the upper brace, and the lower support element The elements protrude from the outer surface of the lower braces.
在一實施例中,上述上牙套與該下牙套分別為一半圓環狀。 In one embodiment, the upper brace and the lower brace are each in the shape of a half ring.
在一實施例中,上述牙套元件為一生物相容結構。 In one embodiment, the brace element is a biocompatible structure.
在一實施例中,上述牙套元件為一金屬結構。 In one embodiment, the braces element is a metal structure.
在一實施例中,上述牙套元件為一矽膠結構。 In one embodiment, the braces element is a silicone structure.
基於上述,本揭露藉由張口支撐元件作為打開嘴巴的施力點,降低器械對軟組織造成的傷害。 Based on the above, the present disclosure uses the mouth opening support element as a force application point to open the mouth, thereby reducing the damage caused by the instrument to the soft tissue.
再者,本揭露藉由將上支撐元件與下支撐元件設置前排牙齒最尖、最穩固的犬齒的位置,以確保穩固連接上支撐元件與下支撐元件之位置。 Furthermore, the present invention ensures a stable connection between the upper supporting element and the lower supporting element by placing the upper supporting element and the lower supporting element at the sharpest and most stable canine teeth of the front row of teeth.
此外,本揭露於喉頭鏡之推移過程更可藉由上牙套與下牙套保護上牙齒列與下牙齒列,避免損傷牙齒。並且,揭露藉由上牙套與下牙套保護上牙齒列與下牙齒列,有助於分散定點壓力,避免插管壓迫或是患者牙關閉緊造成的牙齒損傷。 In addition, the present disclosure can also protect the upper and lower dentitions through the upper and lower braces during the advancement process of the laryngoscope to avoid damaging the teeth. Furthermore, it is disclosed that protecting the upper and lower dentitions by upper and lower braces helps to disperse the pressure at the fixed point and avoid tooth damage caused by intubation pressure or the patient's closed jaws.
另外,於插管後可直接將氣管內管移動至口咬件之容置部之內,以固定氣管內管之位置,以絲膠固定於口咬件上,而無須採用傳統膠帶固定於病患嘴巴或其他皮膚處,而不會有皮膚損傷之疑慮,進一步若採側臥手術的患者,口中分泌物之流出不會浸濕絲膠或造成口咬件之移動,故能降低氣管內管滑脫的風險。 In addition, after intubation, the endotracheal tube can be moved directly into the receiving part of the bite piece to fix the position of the endotracheal tube, and it can be fixed on the bite piece with silk glue instead of using traditional tape to fix it to the patient. There is no concern about skin damage in the mouth or other skin areas. Furthermore, if the patient is operated on his side, the secretions flowing out of the mouth will not soak the sericin or cause the mouth piece to move, so it can reduce the slippage of the endotracheal tube. risk of detachment.
另外,本揭露為了防止患者催醒時咬管造成無法通氣的危險情形,本揭露無須額外設置咬嘴,本揭露口咬件為一硬質結構,可供病患咬住口咬件而避免氣管內管被咬住而無法通氣之狀況,藉此達到保護與維持氣管內管的完整性、以及保持通氣之狀況。並且,由於本揭露採用上牙 套與下牙套保護上牙齒列與下牙齒列,上牙套與下牙套咬住口咬件,能避免上牙齒列與下牙齒列因咬到口咬件而可能造成的損傷,或者是避免上牙齒列與下牙齒列為多缺牙或牙齒搖晃的患者無法有效咬住口咬件之情況。 In addition, in order to prevent the dangerous situation of being unable to ventilate due to the bite tube when the patient is awakened, the present disclosure does not require an additional mouthpiece. The bite piece of the disclosure is a hard structure, which can be used by the patient to bite the bite piece to prevent the patient from being trapped in the trachea. The tube is bitten and cannot be ventilated, thereby protecting and maintaining the integrity of the endotracheal tube and maintaining ventilation. Moreover, since this disclosure uses upper teeth Braces and lower braces protect the upper and lower dentitions. The upper and lower braces bite the bite piece, which can prevent the upper dentition and lower dentition from possible damage caused by biting the bite piece, or prevent the upper teeth from being damaged. Patients with multiple missing teeth or shaky teeth in the upper and lower rows are unable to effectively bite the bite piece.
為讓本揭露能更明顯易懂,下文特舉實施例,並配合所附圖式作詳細說明如下。 In order to make this disclosure more clear and easy to understand, the following is a specific example and a detailed description with the attached drawings.
50A:上牙齒列 50A: Upper dentition
50B:下牙齒列 50B: Lower teeth
60:氣管內管 60: Endotracheal tube
62:管體 62: Pipe body
64:氣體通道 64: Gas channel
100:麻醉插管保護裝置 100: Anesthesia intubation protection device
110:牙套元件 110:Braces components
112:上牙套 112: Braces
114:下牙套 114: Lower braces
120,220:張口支撐元件 120,220: Mouth support element
122,222:上支撐元件 122,222: Upper support element
124:下支撐元件 124: Lower support element
130,230:固持元件 130,230: Holding element
132:口咬件 132: Bite piece
132A,132B,132C:壁面 132A, 132B, 132C: wall
132D:容置部 132D: Accommodation Department
132E:開口部 132E: Opening
134:連接件 134: Connector
134A,234:第一連接件 134A, 234: first connector
134B,236:第二連接件 134B,236: Second connecting piece
222A:第一上支撐元件 222A: First upper support element
222B:第二上支撐元件 222B: Second upper support element
234A,236A:插槽 234A,236A: slot
AX:中線 AX: midline
G1:卡榫 G1: tenon
H:插槽 H: slot
L:口腔方向 L: Oral direction
MK:犬齒 MK: canine tooth
M1,M2:凹槽 M1,M2: Groove
N1:卡榫 N1: latch
PA:右側 PA:right side
PB:左側 PB:Left side
第1圖為本揭露的麻醉插管保護裝置與氣管內管被固定的側面示意圖。 Figure 1 is a schematic side view of the disclosed anesthesia intubation protection device and the endotracheal tube being fixed.
第2圖為本揭露的麻醉插管保護裝置與氣管內管被固定的立體示意圖。 Figure 2 is a three-dimensional schematic diagram of the disclosed anesthesia intubation protection device and the endotracheal tube being fixed.
第3圖為麻醉插管保護裝置一實施例的示意圖。 Figure 3 is a schematic diagram of an embodiment of an anesthesia intubation protection device.
第4圖為麻醉插管保護裝置中氣管內管被固定的示意圖。 Figure 4 is a schematic diagram of the endotracheal tube being fixed in the anesthesia intubation protection device.
第5圖為本揭露張口支撐元件與固持元件另一實施例的局部示意圖。 Figure 5 is a partial schematic diagram of another embodiment of the mouth opening support element and the retaining element disclosed herein.
下文列舉實施例並配合附圖來進行詳細地說明,但所提供的實施例並非用以限制本揭露所涵蓋的範圍。此外,附圖僅以說明為目的,並未依照原尺寸作圖。為了方便理解,在下述說明中相同的元件將以相同的符號標示來說明。 The following is a detailed description of the embodiments and accompanying drawings, but the embodiments provided are not intended to limit the scope of the present disclosure. In addition, the drawings are for illustrative purposes only and are not drawn in original size. For ease of understanding, the same components will be indicated by the same symbols in the following description.
關於本揭露中所提到「包括」、「包含」、「具有」等的用語均為開放性的用語,也就是指「包含但不限於」。 The terms "including", "comprising", "having" and the like mentioned in this disclosure are open terms, which means "including but not limited to".
在各個實施例的說明中,當以「第一」、「第二」、「第三」、 「第四」等的用語來說明元件時,僅用於將這些元件彼此區分,並不限制這些元件的順序或重要性。 In the description of each embodiment, when the terms "first", "second", "third", "fourth", etc. are used to describe an element, they are only used to distinguish these elements from each other and do not limit the order or importance of these elements.
在各個實施例的說明中,所謂的「耦接」或「連接」,其可指二或多個元件相互直接作實體或電性接觸,或是相互間接作實體或電性接觸,而「耦接」或「連接」還可指二或多個元件相互操作或動作。 In the description of various embodiments, the so-called "coupling" or "connection" may refer to two or more elements making direct physical or electrical contact with each other, or indirectly making physical or electrical contact with each other, and "coupling" "Connect" or "connect" can also refer to the mutual operation or action of two or more components.
第1圖為本揭露的麻醉插管保護裝置與氣管內管被固定的側面示意圖。第2圖為本揭露的麻醉插管保護裝置與氣管內管被固定的立體示意圖。第3圖為麻醉插管保護裝置一實施例的示意圖。第4圖為麻醉插管保護裝置中氣管內管被固定的示意圖。請參閱第1圖至第4圖,本揭露的麻醉插管保護裝置100用於輔助口腔內放置氣管內管60,進行氣管插管之動作。麻醉插管保護裝置100包括一牙套元件110、一張口支撐元件120、以及一固持元件130。牙套元件110包括一上牙套112與一下牙套114,上牙套112與下牙套114分別為一半圓環狀,上牙套112與下牙套114分別用以套設於口腔中上牙齒列50A與下牙齒列50B。牙套元件110為生物相容結構,可利用口內數位掃描機(digital intraoral scanner)或類似設備,以數位印模法取代傳統印模法,取得患者口腔內齒列與相鄰軟組織的3維影像。接著,依據前述取得的影像,使用生物相容的材質,以3維列印方式製作保護牙套,即本揭露的上牙套112與下牙套114。前述生物相容的材料如硬度偏高的矽膠結構,或者是金屬結構,藉由上牙套112與下牙套114保護上牙齒列50A與下牙齒列50B,有助於分散定點壓力,避免插管壓迫或是患者牙關閉緊造成的牙齒損傷。
Figure 1 is a schematic side view of the disclosed anesthesia intubation protection device and the endotracheal tube being fixed. Figure 2 is a three-dimensional schematic diagram of the disclosed anesthesia intubation protection device and the endotracheal tube being fixed. Figure 3 is a schematic diagram of an embodiment of an anesthesia intubation protection device. Figure 4 is a schematic diagram of the endotracheal tube being fixed in the anesthesia intubation protection device. Please refer to Figures 1 to 4. The disclosed anesthesia
張口支撐元件120設於牙套元件110之一中線AX之一側,也
就是說,張口支撐元件120偏離於牙套元件110之中線AX位置,而設於牙套元件110之中線AX之旁側。舉例而言,張口支撐元件120可設置於前排牙齒最尖、最穩固的犬齒(canine tooth)MK的位置,又稱尖牙(cuspid)、犬牙(dog tooth),每側上下顎各有一枚,且位於門齒和臼齒之間的牙齒。
The mouth-opening
具體而言,張口支撐元件120包括一上支撐元件122與一下支撐元件124,上支撐元件122連接於上牙套112,且上支撐元件122凸出於上牙套112之外表面,下支撐元件124連接於下牙套,且下支撐元件124凸出於下牙套114之外表面。藉由將上支撐元件122與下支撐元件124設置前排牙齒最尖、最穩固的犬齒MK的位置,以確保穩固連接上支撐元件122與下支撐元件124。此外,本實施例的上支撐元件122與下支撐元件124例如為一板件,其形狀例如為矩形或可依據實際情況來調整上支撐元件122與下支撐元件124之形狀。
Specifically, the mouth
本揭露固持元件130包括一口咬件132以及一連接件134,口咬件132位於上支撐元件122與下支撐元件124之間。連接件134包括一第一連接件134A與一第二連接件134B,第一連接件134A與第二連接件134B分別連接於口咬件132之相對兩側(如上下兩側)。第一連接件134A與上支撐元件122相互固定,第二連接件134B與下支撐元件124相互固定,使口咬件132之一端用以位於口腔中的上牙套112與下牙套114之間。
The disclosed retaining
上述口咬件132包括一容置部132D,容置部132D用以固定氣管內管60之位置,氣管內管60包括管體62與氣體通道64,管體62之內設置氣體通道64以供給氣體。在一實施例中,口咬件132為一硬質結構,可供病患咬住口咬件132而避免氣管內管60被咬住而無法通氣之狀況,藉此達
到保護與維持氣管內管60的完整性、以及保持通氣之狀況。並且,由於本揭露採用上牙套112與下牙套114保護上牙齒列50A與下牙齒列50B,上牙套112與下牙套114咬住口咬件132,能避免上牙齒列50A與下牙齒列50B因咬到口咬件132而可能造成的損傷,或者是避免上牙齒列50A與下牙齒列50B為多缺牙或牙齒搖晃的患者無法有效咬住口咬件132之情況。
The above-mentioned
在一實施例中,張口支撐元件120包括多個插槽H,這些插槽H分別設於上支撐元件122與下支撐元件124,插槽H例如為上支撐元件122與下支撐元件124的通孔,第一連接件134A與第二連接件134B分別包括一卡榫N1,這些卡榫N1分別對應卡固於插槽H,使得第一連接件134A與上支撐元件122相互固定,第二連接件134B與下支撐元件124相互固定。
In one embodiment, the
在此舉例一口咬件132的實際案例,口咬件132包括多個壁面132A、132B、132C構成的一本體、一容置部132D、以及一開口部132E,其中壁面132A與壁面132C相對並相隔一距離、壁面132B之一端垂直連接壁面132A,壁面132B之另一端垂直連接壁面132C。容置部132D設於壁面132A、132B、132C形成的本體之內,開口部132E為本體之一開槽,開口部132E位於本體之一側,開口部132E連通容置部132D。
Here is an actual example of the
在一實施例中,口咬件132包括兩個凹槽M1、M2,凹槽M1、M2分別為本體之一切口,且凹槽M1、M2之位置不同於開口部132E之位置。以第2圖為例,凹槽M1為壁面132A的切口,凹槽M2為壁面132C的切口,而開口部132E的位置與壁面132B的位置相對。
In one embodiment, the
此外,凹槽M1與第一連接件134A位於本體之同一側,凹槽M2與第二連接件134B位於本體之同一側,也就是說,凹槽M1、凹槽M2的位置係能與連接件134的位置相對應。
In addition, the groove M1 and the first connecting
在一實施例中,如第3圖所示,可將喉頭鏡從病患口腔中右側PA進入,其中右側PA為張口支撐元件120設置的位置。接著,藉由張口支撐元件120作為打開嘴巴的施力點,降低器械對軟組織造成的傷害,使得喉頭鏡之葉柄慢慢伸入喉頭深處,同時將喉頭鏡往上往前提,直到看到聲帶為止。上述喉頭鏡之推移過程更可藉由上牙套112與下牙套114保護上牙齒列50A與下牙齒列50B,避免損傷牙齒。接著,將氣管內管60由口腔中左側PB經過聲帶送入至病患之氣管內後,可再將固持元件130連接於張口支撐元件120,並將氣管內管60由左側PB朝右側PA移動,使得氣管內管60由口咬件132之開口部132E進入至容置部132D之內,使用絲膠纏繞於凹槽M1、M2以加強固定氣管內管60之位置,完成插管的動作,而無須採用傳統膠帶固定於病患嘴巴或其他皮膚處,而不會有皮膚損傷之疑慮,進一步若採側臥手術的患者,口中分泌物之流出不會造成口咬件132之移動或是膠帶鬆脫,故能降低氣管內管60滑脫的風險。
In one embodiment, as shown in FIG. 3 , the laryngoscope can be inserted into the right side PA of the patient's oral cavity, where the right side PA is the position where the
在其他實施例中,如第2圖所示,可利用膠帶或其他固定手段來封住口咬件132之開口部132E,更加強化氣管內管60固定位置。另一方面,口咬件132之容置部132D的尺寸係大於或約等於氣管內管60之尺寸,並可依據實際氣管內管60之尺寸來調整,如氣管內管60之尺寸較小,可以透過凹槽M1、M2做為膠帶固定之位置,藉此能供不同尺寸之氣管內管60使用。
In other embodiments, as shown in FIG. 2, the
另外,插管完成後,為了防止患者催醒時咬管造成無法通氣的危險情形,本揭露無須額外設置咬嘴,此口咬件132即可供可供病患咬住口咬件132而避免氣管內管60被咬住而無法通氣之狀況,藉此達到保護與維持氣管內管60的完整性、以及保持通氣之狀況。
In addition, after the intubation is completed, in order to prevent the patient from biting the tube when awakening and causing a dangerous situation of being unable to ventilate, the present disclosure does not need to set up an additional mouthpiece. The
第5圖為本揭露張口支撐元件與固持元件另一實施例的局部示意圖。請參閱第5圖,且為了說明差異,僅繪出部分元件。不同於前述如第1圖至第4圖實施例上支撐元件122與下支撐元件124為一板件,本揭露上支撐元件222為一卡榫件,同理,下支撐元件也可為如上支撐元件222作為一卡榫件。並且,上支撐元件222例如為兩個,其分別為第一上支撐元件222A與第二上支撐元件222B,第一上支撐元件222A與第二上支撐元件222B設置並凸出於上牙套112之外表面,且上支撐元件222包括一卡榫G1。同理下支撐元件也可等同上支撐元件222的設置方式並包括卡榫。第一連接件234包括一插槽234A,同理,第二連接件236件跟前述第一連接元件234的設置相同,同樣包括插槽236A。固持元件230中的口咬件132與其連接的第一連接件234與第二連接件236用以朝一口腔方向L進入口腔之內,使得這些卡榫G1分別對應卡固於插槽234A。使得將氣管內管深入病患口腔後,接著直接將固持元件230朝口腔方向L進入口腔之內,便能方便將固持元件230固定連接於張口支撐元件220,進而節省插管時間,亦方便張口幅度受限支患者使用。
Figure 5 is a partial schematic diagram of another embodiment of the mouth opening support element and the retaining element disclosed in the present invention. Please refer to Figure 5, and in order to illustrate the difference, only some of the elements are drawn. Different from the above-mentioned embodiments such as Figures 1 to 4, in which the
綜上所述,本揭露藉由張口支撐元件作為打開嘴巴的施力點,降低器械對軟組織造成的傷害。 To sum up, the present disclosure uses the mouth opening support element as a force application point to open the mouth, thereby reducing the damage caused by the device to the soft tissue.
再者,本揭露藉由將上支撐元件與下支撐元件設置前排牙齒 最尖、最穩固的犬齒的位置,以確保穩固連接上支撐元件與下支撐元件之位置。 Furthermore, the present disclosure disposes the upper supporting element and the lower supporting element to the front row of teeth. The position of the sharpest and most stable canine teeth ensures a stable connection between the upper support element and the lower support element.
此外,本揭露於喉頭鏡之推移過程更可藉由上牙套與下牙套保護上牙齒列與下牙齒列,避免損傷牙齒。並且,揭露藉由上牙套與下牙套保護上牙齒列與下牙齒列,有助於分散定點壓力,避免插管壓迫或是患者牙關閉緊造成的牙齒損傷。 In addition, the present disclosure can also protect the upper and lower dentitions through the upper and lower braces during the advancement process of the laryngoscope to avoid damaging the teeth. Furthermore, it is disclosed that protecting the upper and lower dentitions by upper and lower braces helps to disperse the pressure at the fixed point and avoid tooth damage caused by intubation pressure or the patient's closed jaws.
另外,於插管後可直接將氣管內管移動至口咬件之容置部之內,以固定氣管內管之位置,以絲膠固定於口咬件上,而無須採用傳統膠帶固定於病患嘴巴或其他皮膚處,而不會有皮膚損傷之疑慮,進一步若採側臥手術的患者,口中分泌物之流出不會浸濕絲膠或造成口咬件之移動,故能降低氣管內管滑脫的風險。 In addition, after intubation, the endotracheal tube can be moved directly into the receiving part of the bite piece to fix the position of the endotracheal tube, and it can be fixed on the bite piece with silk glue instead of using traditional tape to fix it to the patient. There is no concern about skin damage in the mouth or other skin areas. Furthermore, if the patient is operated on his side, the secretions flowing out of the mouth will not soak the sericin or cause the mouth piece to move, so it can reduce the slippage of the endotracheal tube. risk of detachment.
進一步,本揭露固持元件中的口咬件可供不同尺寸之氣管內管使用,並能利用不同位置之凹槽或者是開口部來封住強化固定氣管內管,藉此提升使用上靈活度。 Furthermore, the bite piece in the holding element of the present disclosure can be used for endotracheal tubes of different sizes, and grooves or openings at different positions can be used to seal and strengthen the fixation of the endotracheal tube, thereby improving the flexibility of use.
另外,本揭露為了防止患者催醒時咬管造成無法通氣的危險情形,本揭露無須額外設置咬嘴,本揭露口咬件為一硬質結構,可供病患咬住口咬件而避免氣管內管被咬住而無法通氣之狀況,藉此達到保護與維持氣管內管的完整性、以及保持通氣之狀況。並且,由於本揭露採用上牙套與下牙套保護上牙齒列與下牙齒列,上牙套與下牙套咬住口咬件,能避免上牙齒列與下牙齒列因咬到口咬件而可能造成的損傷,或者是避免上牙齒列與下牙齒列為多缺牙或牙齒搖晃的患者無法有效咬住口咬件之情況。 In addition, in order to prevent the dangerous situation of being unable to ventilate due to the bite tube when the patient is awakened, the present disclosure does not require an additional mouthpiece. The bite piece of the disclosure is a hard structure, which can be used by the patient to bite the bite piece to prevent the patient from being trapped in the trachea. The tube is bitten and cannot be ventilated, thereby protecting and maintaining the integrity of the endotracheal tube and maintaining ventilation. Moreover, since the present disclosure uses upper braces and lower braces to protect the upper and lower dentitions, and the upper and lower braces bite the bite piece, it can avoid possible injuries to the upper dentition and the lower dentition caused by biting the bite piece. Damage, or to prevent patients with multiple missing teeth or shaky teeth in the upper and lower dentition from being able to effectively bite the bite piece.
雖然本揭露已以實施例揭露如上,然其並非用以限定本揭 露,任何所屬技術領域中具有通常知識者,在不脫離本揭露之精神和範圍內,當可作些許之更動與潤飾,故本揭露之保護範圍當視後附之申請專利範圍所界定者為準。 Although the present disclosure has been disclosed as above by way of embodiments, it is not intended to limit the present disclosure. Any person with ordinary knowledge in the relevant technical field may make some changes and modifications within the spirit and scope of the present disclosure. Therefore, the protection scope of the present disclosure shall be subject to the scope defined by the attached patent application.
50A:上牙齒列 50A: Upper teeth
50B:下牙齒列 50B: Lower dentition
60:氣管內管 60: Endotracheal tube
100:麻醉插管保護裝置 100: Anesthesia intubation protection device
110:牙套元件 110: Braces components
112:上牙套 112: Braces
114:下牙套 114: Lower braces
120:張口支撐元件 120: Mouth opening support element
122:上支撐元件 122: Upper support element
124:下支撐元件 124: Lower support element
130:固持元件 130: Holding element
132:口咬件 132: Bite parts
134:連接件 134: Connectors
134A:第一連接件 134A: First connecting piece
134B:第二連接件 134B: Second connecting piece
N1:卡榫 N1: tenon
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