CN103071222A - Fiber bronchoscope orotracheal intubation guider - Google Patents

Fiber bronchoscope orotracheal intubation guider Download PDF

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Publication number
CN103071222A
CN103071222A CN2013100115867A CN201310011586A CN103071222A CN 103071222 A CN103071222 A CN 103071222A CN 2013100115867 A CN2013100115867 A CN 2013100115867A CN 201310011586 A CN201310011586 A CN 201310011586A CN 103071222 A CN103071222 A CN 103071222A
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China
Prior art keywords
tube
branchofiberoscope
guiding
guiding tube
locking nut
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CN2013100115867A
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CN103071222B (en
Inventor
黄政坤
张云仙
苏海丰
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Jiangsu Institute of Nuclear Medicine
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Jiangsu Institute of Nuclear Medicine
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Abstract

The invention provides a fiber bronchoscope orotracheal intubation guider, which is used for rapidly guiding an insertion cable of a fiber bronchoscope to reach a glottis to complete tracheal intubation, the intubation time is shortened, the success rate is improved, and the safety of a patient is guaranteed. The fiber bronchoscope orotracheal intubation guider comprises a fiber bronchoscope body, an insertion cable and a tracheal catheter, wherein one end of the insertion cable is connected with the fiber bronchoscope body. The fiber bronchoscope orotracheal intubation guider is characterized by also comprising a guiding tube made of biomedical stainless steel, a telescopic tube and a telescopic guiding casing. The tracheal catheter is sleeved on an outer ring surface of the front end of the guiding tube, the rear end of the guiding tube is connected with the front end of the telescopic tube through a locking nut, the tail end of the telescopic tube penetrates into an inner cavity of the telescopic guiding casing, the tail end of the telescopic guiding casing is connected with a fiber bronchoscope fixing sleeve through a hollow globe joint, and the bottom of the fiber bronchoscope body is connected in a fastening mode through a fiber bronchoscope locking nut after being arranged on the fiber bronchoscope fixing sleeve.

Description

Branchofiberoscope oral trachea cannula guide
Technical field
The present invention relates to the technical field of tracheal intubation supplementary structure, be specially branchofiberoscope oral trachea cannula guide.
Background technology
When implementing tracheal intubation anesthesia clinically, often can meet difficult tracheal intubation, if the tracheal intubation failure, the life security that tends to jeopardize patient, this moment, row branchofiberoscope tracheal intubation was one of classical way of dealing with problems.
When using branchofiberoscope to pass through mouthful branchofiberoscope tracheal intubation, because it is soft and be difficult for controlling to insert optical cable, particularly the patient is under general anesthesia, of flaccid muscles, fall behind the root of the tongue, the oral cavity passage is narrow, makes it operation and becomes more difficult, intubation time obviously prolongs, patient's anoxia time is corresponding prolongation also, if patient's anoxia time surpasses 5 minutes, might produce cerebrocellular edema, Postoperative Cognitive Dysfunction, severe patient even generation brain death.
Summary of the invention
For the problems referred to above, the invention provides branchofiberoscope oral trachea cannula guide, it guides fast the insertion optical cable of branchofiberoscope to arrive glottis and finishes tracheal intubation, shortens intubation time, improves success rate, guarantees patient's safety.
Branchofiberoscope oral trachea cannula guide, its technical scheme is such: it comprises branchofiberoscope mirror body, insert optical cable, endotracheal tube, one end of described insertion optical cable connects described branchofiberoscope mirror body, it is characterized in that: it also comprises the guiding tube that medical stainless steel is made, telescoping tube, flexible guide thimble, described endotracheal tube is set in the front end outer ring surface of described guiding tube, the rear end of described guiding tube connects the front end of described telescoping tube by locking nut, the end of described telescoping tube gos deep into the inner chamber of described flexible guide thimble, the end of described flexible guide thimble connects the branchofiberoscope fixed cover by the hollow ball joint, the bottom of described branchofiberoscope mirror body is fastenedly connected by the branchofiberoscope locking nut after being installed on described branchofiberoscope fixed cover, and the other end of described insertion optical cable passes flexible guide thimble successively, telescoping tube, expose to described guiding tube behind the inner chamber of guiding tube.
It is further characterized in that:
Described guiding tube is specially the guiding tube of J type;
The outer ring surface of the postmedian of described guiding tube is provided with the endotracheal tube stopper, and the rear end section of described endotracheal tube is limited in described endotracheal tube stopper;
The outer wall of described telescoping tube is provided with the gathering sill of straight line, and the inwall of described flexible guide thimble is provided with the guide and limit key, and described guide and limit key is installed in described gathering sill;
The middle part of described flexible guide thimble is provided with the telescopic tube locking nut, the head of described telescopic tube locking nut is aimed at described gathering sill after passing the outer wall of described flexible guide thimble, and the handle portion of described telescopic tube locking nut exposes to described flexible guide thimble;
The end of described telescoping tube is provided with spacer pin, and described spacer pin is positioned at the end of described gathering sill.
After adopting structure of the present invention; the insertion optical cable that is difficult for controlling of branchofiberoscope is placed in the guiding tube of medical stainless steel making; directly will insert optical cable delivers near the glottis; afterwards by inserting the image of branchofiberoscope that optical cable feeds back to; aim at glottis so that insert optical cable; guiding is inserted optical cable to trachea; endotracheal tube is inserted in the trachea; afterwards guiding tube is taken out; so that endotracheal tube is finished intubate; because guiding tube is hard tube, handled easily is adjusted its position, and then the convenient position of inserting optical cable of adjusting; it guides fast the insertion optical cable of branchofiberoscope to arrive glottis and finishes tracheal intubation; shorten intubation time, improve success rate, guarantee patient's safety.
Description of drawings
Fig. 1 is front view structural representation of the present invention;
Fig. 2 is axonometric chart structural representation of the present invention.
The specific embodiment
See Fig. 1, Fig. 2, it comprises branchofiberoscope mirror body 1, insert optical cable 2, endotracheal tube 3, an end that inserts optical cable 2 connects branchofiberoscope mirror body 1, it also comprises the guiding tube 4 that medical stainless steel is made, telescoping tube 5, flexible guide thimble 6, endotracheal tube 3 is set in the front end outer ring surface of guiding tube 4, the rear end of guiding tube 4 connects the front end of telescoping tube 5 by locking nut 7, the end of telescoping tube 5 is the inner chamber of flexible guide thimble 6 deeply, the end of flexible guide thimble 6 connects branchofiberoscope fixed cover 9 by hollow ball joint 8, the bottom of branchofiberoscope mirror body 1 is fastenedly connected by branchofiberoscope locking nut 10 after being installed on branchofiberoscope fixed cover 9, and the other end that inserts optical cable 2 passes flexible guide thimble 6 successively, telescoping tube 5, expose to guiding tube 4 behind the inner chamber of guiding tube 4.Guiding tube 4 is specially J type guiding tube; The outer ring surface of the postmedian of guiding tube 4 is provided with endotracheal tube stopper 11, and the rear end section of endotracheal tube 3 is limited in endotracheal tube stopper 11; The outer wall of telescoping tube 5 is provided with the gathering sill 12 of straight line, and the inwall of flexible guide thimble 6 is provided with guide and limit key 13, and guide and limit key 13 is installed in gathering sill 12; The middle part of flexible guide thimble 6 is provided with telescopic tube locking nut 14, the head of telescopic tube locking nut 14 passes alignment guide groove 12 behind the outer wall of flexible guide thimble 6, the handle portion 15 of telescopic tube locking nut 14 exposes to flexible guide thimble 6, the end of telescoping tube 5 is provided with spacer pin 16, and spacer pin 16 is positioned at the end of gathering sill 12.
Its operation principle is as follows: after endotracheal tube 3 is set in guiding tube 4, guiding tube 4 band tracheal catheters 3, insert optical cable 2 and stretch into patient's oral cavity and throat section, insert the image of optical cable 2 heads, be sent to branchofiberoscope mirror body 1, the operator adjusts the angulation in branchofiberoscope fixed cover 9 and hollow ball joint 8, reduce the height of branchofiberoscope mirror body 1, the convenient operation person observes the image that inserts optical cable 2 heads, so that can can't not observe because of branchofiberoscope mirror body 1 excessive height, need extra mobile integral device to cause guiding tube 4 to cause secondary injury at the human body internal shift, the operator is by inserting optical cable 2 head images, adjust the position of guiding tube 4, aim at glottis so that insert optical cable 2, fixed guide pipe 4 positions, unclamp the in advance telescopic tube locking nut 14 of locking, to stretch guide thimble 6 together with branchofiberoscope mirror body 1, inserting optical cable 2 is shifted along gathering sill 12 to operator's far-end, guiding is inserted optical cable 2 to trachea, endotracheal tube 3 is inserted in the trachea, afterwards guiding tube 4 is taken out together with inserting optical cable 2, finish endotracheal tube 3 intubate.When because the unusual guiding tube of patient oral cavity anatomical structure 4 positions when not in place, adjust the direction of inserting optical cable 2 tops by the control stick 17 on the branchofiberoscope mirror body 1, suitably adjust simultaneously position, guiding tube 4 left and right sides, arrive near the glottis so that insert optical cable 2, unclamp the in advance telescopic tube locking nut 14 of locking, guiding is inserted optical cable 2 to trachea, and endotracheal tube 3 is inserted in the trachea, finishes tracheal intubation.

Claims (6)

1. branchofiberoscope oral trachea cannula guide, it comprises branchofiberoscope mirror body, insert optical cable, endotracheal tube, one end of described insertion optical cable connects described branchofiberoscope mirror body, it is characterized in that: it also comprises the guiding tube that medical stainless steel is made, telescoping tube, flexible guide thimble, described endotracheal tube is set in the front end outer ring surface of described guiding tube, the rear end of described guiding tube connects the front end of described telescoping tube by locking nut, the end of described telescoping tube gos deep into the inner chamber of described flexible guide thimble, the end of described flexible guide thimble connects the branchofiberoscope fixed cover by the hollow ball joint, the bottom of described branchofiberoscope mirror body is fastenedly connected by the branchofiberoscope locking nut after being installed on described branchofiberoscope fixed cover, and the other end of described insertion optical cable passes flexible guide thimble successively, telescoping tube, expose to described guiding tube behind the inner chamber of guiding tube.
2. branchofiberoscope oral trachea cannula guide according to claim 1, it is characterized in that: described guiding tube is specially the guiding tube of J type.
3. branchofiberoscope oral trachea cannula guide according to claim 1, it is characterized in that: the outer ring surface of the postmedian of described guiding tube is provided with the endotracheal tube stopper, and the rear end section of described endotracheal tube is limited in described endotracheal tube stopper.
4. branchofiberoscope oral trachea cannula guide according to claim 1, it is characterized in that: the outer wall of described telescoping tube is provided with the gathering sill of straight line, the inwall of described flexible guide thimble is provided with the guide and limit key, and described guide and limit key is installed in described gathering sill.
5. branchofiberoscope oral trachea cannula guide according to claim 4, it is characterized in that: the middle part of described flexible guide thimble is provided with the telescopic tube locking nut, the head of described telescopic tube locking nut is aimed at described gathering sill after passing the outer wall of described flexible guide thimble, and the handle portion of described telescopic tube locking nut exposes to described flexible guide thimble.
6. according to claim 4 or 5 described branchofiberoscope oral trachea cannula guides, it is characterized in that: the end of described telescoping tube is provided with spacer pin, and described spacer pin is positioned at the end of described gathering sill.
CN201310011586.7A 2013-01-14 2013-01-14 Fiber bronchoscope orotracheal intubation guider Active CN103071222B (en)

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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104107028A (en) * 2014-07-15 2014-10-22 冯起校 Combined type soft bronchoscope
CN107847704A (en) * 2015-07-22 2018-03-27 皇家飞利浦有限公司 Non-invasive ventilation bronchoscopy checks observer guiding piece and method
CN109152616A (en) * 2016-03-18 2019-01-04 罗博凯思公司 For being inserted into the robot and related accessories of elongated flexible medical instrument
CN109770832A (en) * 2019-02-27 2019-05-21 刘奇为 Superfine electric endoscopic system and its application method with guide function
CN110167511A (en) * 2017-11-02 2019-08-23 光电株式会社 Catheter retaining device and indwelling system
CN111557635A (en) * 2019-11-14 2020-08-21 牛鑫 Guider for fiber bronchoscope
CN113729892A (en) * 2021-10-12 2021-12-03 唐英丽 Gynecological uterine curettage device with video monitoring function and observation method thereof

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US5279281A (en) * 1990-09-14 1994-01-18 Harvey James C Single-handed fibre-optic flexible laryngoscope
US5607386A (en) * 1993-09-21 1997-03-04 Flam; Gary H. Malleable fiberoptic intubating stylet and method
US5636625A (en) * 1994-08-30 1997-06-10 Machida Endoscope Co., Ltd. Tracheal airway apparatus
JP4566699B2 (en) * 2004-11-12 2010-10-20 Hoya株式会社 Intubation scope
CN201782744U (en) * 2010-08-30 2011-04-06 武汉佑康科技有限公司 Soft and hard combined bendable turning endoscope
CN201798990U (en) * 2010-09-27 2011-04-20 上海景仁医疗科技有限公司 Optical rod for tracheal cannula
CN202409748U (en) * 2011-10-24 2012-09-05 河南科技大学第一附属医院 General anesthesia system for video tracheobronchial foreign body microscope examination
CN203139319U (en) * 2013-01-14 2013-08-21 江苏省原子医学研究所 Fiber bronchoscope orotracheal intubation guiding machine

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5279281A (en) * 1990-09-14 1994-01-18 Harvey James C Single-handed fibre-optic flexible laryngoscope
US5607386A (en) * 1993-09-21 1997-03-04 Flam; Gary H. Malleable fiberoptic intubating stylet and method
US5636625A (en) * 1994-08-30 1997-06-10 Machida Endoscope Co., Ltd. Tracheal airway apparatus
JP4566699B2 (en) * 2004-11-12 2010-10-20 Hoya株式会社 Intubation scope
CN201782744U (en) * 2010-08-30 2011-04-06 武汉佑康科技有限公司 Soft and hard combined bendable turning endoscope
CN201798990U (en) * 2010-09-27 2011-04-20 上海景仁医疗科技有限公司 Optical rod for tracheal cannula
CN202409748U (en) * 2011-10-24 2012-09-05 河南科技大学第一附属医院 General anesthesia system for video tracheobronchial foreign body microscope examination
CN203139319U (en) * 2013-01-14 2013-08-21 江苏省原子医学研究所 Fiber bronchoscope orotracheal intubation guiding machine

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104107028A (en) * 2014-07-15 2014-10-22 冯起校 Combined type soft bronchoscope
CN104107028B (en) * 2014-07-15 2016-09-07 冯起校 A kind of soft bronchoscope of combined type
CN107847704A (en) * 2015-07-22 2018-03-27 皇家飞利浦有限公司 Non-invasive ventilation bronchoscopy checks observer guiding piece and method
CN107847704B (en) * 2015-07-22 2021-01-12 皇家飞利浦有限公司 Noninvasive ventilated bronchoscopy scope guide and method
CN109152616A (en) * 2016-03-18 2019-01-04 罗博凯思公司 For being inserted into the robot and related accessories of elongated flexible medical instrument
CN110167511A (en) * 2017-11-02 2019-08-23 光电株式会社 Catheter retaining device and indwelling system
US11337585B2 (en) 2017-11-02 2022-05-24 Coden Co., Ltd. Catheter placement device and placement system
CN109770832A (en) * 2019-02-27 2019-05-21 刘奇为 Superfine electric endoscopic system and its application method with guide function
CN109770832B (en) * 2019-02-27 2023-11-21 爱尔博微视(上海)医疗科技有限公司 Superfine electronic endoscope system with guiding function and using method thereof
CN111557635A (en) * 2019-11-14 2020-08-21 牛鑫 Guider for fiber bronchoscope
CN113729892A (en) * 2021-10-12 2021-12-03 唐英丽 Gynecological uterine curettage device with video monitoring function and observation method thereof

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