Auxiliary distraction device for conscious intubation of ankylosing spondylitis patient

Abstract

The utility model discloses an ankylosing spondylitis patient consciousness intubation auxiliary distraction device, which belongs to the technical field of medical instruments and comprises a distraction device, a tooth cushion and a spring, the distraction device comprises a left support and a right support, the spring is arranged at the position of a middle pin shaft of the left support and the right support, and the tooth cushion is arranged on the left support and the right support. The tooth cushion is mounted at the position, connected with the left bracket and the right bracket, of the spring; a protective air bag is arranged at the end, close to the throat, of the dilator. The utility model has the beneficial effects that the product can increase the space of the oropharyngeal cavity, overcomes the defects that the epiglottis of a patient collapses to cover the glottis, the mouth is small and the body position is abnormal, increases the success rate of the conscious intubation of the soft lens, and greatly improves the medical safety.

Description

Technical Field

[0001] The utility model relates to the technical field of medical devices, and in particular to an auxiliary distraction device for awake intubation of ankylosing spondylitis patients. Background Art

[0002] In clinical anesthesia intubation, especially for tracheal intubation of patients with difficult airway, an advanced tool for difficult airway treatment, the visual intubation soft mirror, is often needed. Especially for patients with ankylosing spondylitis, the problem of difficult airway is particularly severe, and the visual intubation soft mirror is often used for awake intubation to avoid the occurrence of emergency difficult airway and affect the patient's life safety. Now many patients have abnormal body position, limited mouth opening, stiff joints, and forward head. Other tools cannot be placed in the mouth clinically. The use of a visual intubation soft mirror is the best choice. However, when using a visual intubation soft mirror for patients with ankylosing spondylitis, it is often difficult to distinguish the specific anatomical structure, because the epiglottis of ankylosing spondylitis patients collapses and covers the glottis, and the visual intubation soft mirror is often blocked by the depressed epiglottis, resulting in unsuccessful intubation. Because the visual intubation soft mirror has its own operational characteristics as an advanced airway treatment tool: the visual intubation soft mirror requires a certain space to have a field of view to distinguish the anatomical structure.

[0003] For example, the utility model with the announcement number CN217988117U discloses an improved oropharyngeal airway for assisting visual soft-scope endotracheal intubation, including a wing, a tooth pad and a pharyngeal curve, wherein the wing is connected to the tooth pad, and the tooth pad is connected to the pharyngeal curve, and the wing, the tooth pad and the pharyngeal curve all have openings, and the openings are connected to each other to form a long gap, and the wing, the tooth pad and the pharyngeal curve are integrally formed and connected in the middle. The utility model can effectively assist the insertion of the visual intubation soft-scope, and can quickly find the epiglottis and glottis in the case of hypertrophy or excessive posterior fall of the patient's tongue, significantly shorten the endotracheal intubation time, and reduce the difficulty of operation. However, it cannot solve the problem that when the patient is in the awake intubation state, the epiglottis collapses and covers the glottis, and the visual intubation soft-scope will be blocked by the depressed epiglottis, resulting in unsuccessful intubation.

[0004] In view of this, the inventor conducted in-depth research on this demand, and thus the present case was produced. Utility Model Content

[0005] In order to overcome the problem in the prior art that when a patient is intubated awake, the epiglottis collapses and covers the glottis, and the visual intubation soft mirror is blocked by the depressed epiglottis, resulting in failure of intubation, the utility model provides an auxiliary distraction device for awake intubation of ankylosing spondylitis patients, comprising a distractor, a tooth pad and a spring, the distractor comprising a left bracket and a right bracket, the spring being arranged at the middle pin shaft between the left bracket and the right bracket, the tooth pad being installed at the position where the spring connects the left bracket and the right bracket; a protective airbag is arranged at the end of the distractor close to the throat.

[0006] The protective airbag can expand the oropharyngeal cavity to create an operating space for the visual intubation soft endoscope, so that the visual intubation soft endoscope has a certain field of view to identify the anatomical structure.

[0007] Preferably, at one end of the expander away from the protective airbag, the left bracket is provided with a left groove on the side close to the right bracket, and the right bracket is provided with a right groove on the side close to the left bracket, and the left groove and the right groove cooperate to form a working channel. The visual intubation soft mirror passes through the working channel and then passes through the tooth pad to enter the oropharyngeal cavity.

[0008] Preferably, the edge of the left groove is provided with a block extending toward the right bracket, and the edge of the right groove is provided with a slot recessed inward, and the block fits in the slot. The block and the slot are provided to firmly secure the left bracket and the right bracket to form the working channel.

[0009] Preferably, at one end of the expander away from the protection airbag, the left bracket and the right bracket are in an open state under the action of the spring, and the expander sets one end of the protection airbag close together.

[0010] When the end of the expander away from the protective airbag is brought together to form a working channel, the end of the expander with the protective airbag will open accordingly, and the left bracket and the right bracket will expand the oropharyngeal cavity. When the operator unlocks the clamping block and the clamping slot, under the action of the spring, the end of the expander away from the protective airbag will automatically rebound and return to the open state.

[0011] Preferably, the length from one end of the protective airbag provided on the expander to the edge of the dental pad is 16-18 cm.

[0012] Preferably, the protective airbag comprises a left protective airbag and a right protective airbag, the left protective airbag is located at the end of the left bracket and away from the side of the right bracket, and the right protective airbag is located at the end of the right bracket and away from the side of the left bracket.

[0013] Preferably, the protective airbag is made of one of medical polyethylene and medical polypropylene materials to protect the oropharyngeal mucosa and prevent damage and bleeding.

[0014] Preferably, the tooth pad is a hollow structure, and the length of the tooth pad along the length direction of the spreader is 2-4 cm.

[0015] Preferably, the dental pad is made of medical high-density polyethylene resin material to prevent the patient from biting the tube when awake, which may affect ventilation or damage the body of the visual soft mirror.

[0016] The national standard for the medical high-density polyethylene resin material is GB / T 11116-1989. If the latest national standard number is released, the latest national standard number shall prevail.

[0017] Preferably, the expander is made of medical soft silicone material to protect the patient's airway and reduce airway damage.

[0018] The beneficial effects produced by adopting the technical solution of the utility model are as follows:

[0019] (1) By setting a protective airbag at the end of the expander close to the throat, the oropharyngeal mucosa can be protected to prevent damage and bleeding, and the oropharyngeal cavity can be expanded to create a space for visual intubation soft endoscope operation.

[0020] (2) By setting a working channel at the end of the expander away from the protective airbag, the visual intubation soft mirror can be guided to be inserted toward the throat; by setting a tooth pad on the expander, it can be protected from biting the tube when the teeth are closed, which may affect ventilation or damage the body of the visual soft mirror. BRIEF DESCRIPTION OF THE DRAWINGS

[0021] In order to more clearly illustrate the technical solution of the implementation mode of the utility model, the drawings required for use in the implementation mode will be briefly introduced below. It should be understood that the following drawings only show certain embodiments of the utility model and therefore should not be regarded as limiting the scope. For ordinary technicians in this field, other relevant drawings can be obtained based on these drawings without paying creative work.

[0022] Figure 1 It is a schematic diagram of the main structure of a preferred ankylosing spondylitis patient awake intubation auxiliary distraction device of the present invention.

[0023] Figure 2 This is a schematic diagram of the main structure of the preferred ankylosing spondylitis patient awake intubation auxiliary distraction device of the utility model. Figure 2 .

[0024] Among them, 1. expander; 11. left bracket; 111. left groove; 112. block; 12. right bracket; 121. right groove; 122. slot; 2. tooth pad; 3. spring; 4. protective airbag; 41. left protective airbag; 42. right protective airbag; 5. working channel. DETAILED DESCRIPTION

[0025] In order to make the purpose, technical solutions and advantages of the embodiments of the utility model clearer, the technical solutions in the embodiments of the utility model will be clearly and completely described below in conjunction with the drawings in the embodiments of the utility model. Obviously, the described embodiments are part of the embodiments of the utility model, not all of the embodiments. Therefore, the following detailed description of the embodiments of the utility model provided in the drawings is not intended to limit the scope of the utility model for which protection is sought, but merely represents the selected embodiments of the utility model. Based on the embodiments in the utility model, all other embodiments obtained by ordinary technicians in this field without making creative work are within the scope of protection of the utility model.

[0026] This embodiment fully analyzes the related problems in the prior art that when a patient is in the awake intubation state, the epiglottis collapses and covers the glottis, and the visual intubation soft mirror is blocked by the depressed epiglottis, resulting in the inability to successfully intubate. A device for assisting intubation in ankylosing spondylitis patients is designed, which can expand the oropharyngeal cavity and create an operating space for the visual intubation soft mirror. The specific embodiments are as follows:

[0027] like Figure 1 and 2 As shown, an auxiliary distraction device for awake intubation of ankylosing spondylitis patients includes a distractor 1, a tooth pad 2 and a spring 3. The distractor 1 includes a left bracket 11 and a right bracket 12. The spring 3 is arranged at the middle pin shaft of the left bracket 11 and the right bracket 12. The tooth pad 2 is installed at the position where the spring 3 connects the left bracket 11 and the right bracket 12; a protective airbag 4 is arranged at the end of the distractor 1 close to the throat.

[0028] The protective airbag 4 can expand the oropharyngeal cavity to create an operating space for the visual intubation soft endoscope, so that the visual intubation soft endoscope has a certain field of view to identify the anatomical structure.

[0029] As a preferred embodiment, at the end of the expander 1 away from the protective airbag 4, a left groove 111 is provided on the side of the left bracket 11 close to the right bracket 12, and a right groove 121 is provided on the side of the right bracket 12 close to the left bracket 11, and the left groove 111 and the right groove 121 cooperate to form a working channel 5. The visual intubation soft mirror passes through the working channel 5, then passes through the tooth pad 2, and enters the oropharyngeal cavity.

[0030] As a preferred embodiment, the edge of the left groove 111 is provided with a block 112 extending toward the right bracket 12, and the edge of the right groove 121 is provided with a slot 122 recessed inwardly, and the block 112 fits with the slot 122. The block 112 and the slot 122 are provided to firmly secure the left bracket 11 and the right bracket 12 to form the working channel 5.

[0031] As a preferred embodiment, at the end of the expander 1 away from the protective airbag 4, the left bracket 11 and the right bracket 12 are in an open state under the action of the spring 3, and the end of the expander 1 where the protective airbag 4 is arranged is closed.

[0032] When the end of the expander 1 away from the protective airbag 4 is closed, the end of the expander 1 with the protective airbag 4 will open, and the left bracket 11 and the right bracket 12 will expand the oropharyngeal cavity. When the operator unlocks the block 112 and the slot 122, under the action of the spring 3, the end of the expander 1 away from the protective airbag 4 will automatically rebound and return to the open state.

[0033] As a preferred embodiment, the length from one end of the protective airbag 4 of the expander 1 to the edge of the dental pad 2 is 16-18 cm.

[0034] As a preferred embodiment, the protective airbag 4 includes a left protective airbag 41 and a right protective airbag 42. The left protective airbag 41 is located at the end of the left bracket 11 and away from the side of the right bracket 12, and the right protective airbag 42 is located at the end of the right bracket 12 and away from the side of the left bracket 11.

[0035] As a preferred embodiment, the protective airbag 4 is made of one of medical polyethylene and medical polypropylene materials to protect the oropharyngeal mucosa and prevent damage and bleeding.

[0036] As a preferred embodiment, the tooth pad 2 is a hollow structure, and the length of the tooth pad 2 in the length direction of the spreader 1 is 2-4 cm.

[0037] As a preferred embodiment, the tooth pad 2 is made of medical high-density polyethylene resin material to prevent the patient from biting the tube when awake, affecting ventilation or damaging the body of the visual soft mirror.

[0038] The national standard for the medical high-density polyethylene resin material is GB / T 11116-1989. If the latest national standard number is released, the latest national standard number shall prevail.

[0039] As a preferred embodiment, the expander 1 is made of medical soft silicone material to protect the patient's airway and reduce airway damage.

[0040] When ankylosing spondylitis patients need intubation, the device of the utility model can be directly inserted into the patient's mouth after lubrication by blind probing, and then the end of the expander 1 away from the throat is closed to form a soft mirror working channel 5, the block 112 and the slot 122 are fixed, and the end of the expander 1 with the protective airbag 4 will automatically expand the oropharyngeal cavity to create a visual intubation soft mirror operation space. Then the visual soft mirror is passed through the working channel 5, and then through the dental pad 2 for intubation, and finally the catheter is sent into the patient's trachea.

[0041] The above description is only the preferred implementation of the utility model, and is not intended to limit the utility model. For those skilled in the art, the utility model can have various modifications and changes. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the utility model shall be included in the protection scope of the utility model.

Claims

1. A device for assisting intubation and distraction during awake intubation of ankylosing spondylitis patients, characterized in that: It includes a stretcher, a tooth pad and a spring, the stretcher includes a left bracket and a right bracket, the spring is arranged at the middle pin shaft of the left bracket and the right bracket, and the tooth pad is installed at the position where the spring connects the left bracket and the right bracket; a protective airbag is arranged at the end of the stretcher close to the throat; at the end of the stretcher away from the protective airbag, a left groove is arranged on the side of the left bracket close to the right bracket, and a right groove is arranged on the side of the right bracket close to the left bracket, and the left groove and the right groove cooperate to form a working channel; the edge of the left groove is provided with a card block extending toward the right bracket, and the edge of the right groove is provided with an inwardly recessed card groove, and the card block fits with the card groove.

2. The device for assisting intubation and distraction during awake intubation of ankylosing spondylitis patients according to claim 1, characterized in that: At one end of the expander away from the protection airbag, the left bracket and the right bracket are in an open state under the action of the spring, and the expander sets one end of the protection airbag together.

3. The device for assisting intubation and distraction during awake intubation of ankylosing spondylitis patients according to claim 1, characterized in that: The length from one end of the protective airbag of the expander to the edge of the dental pad is 16-18 cm.

4. The device for assisting intubation and distraction during awake intubation of ankylosing spondylitis patients according to claim 1, characterized in that: The protective airbag comprises a left protective airbag and a right protective airbag. The left protective airbag is located at the end of the left bracket and away from the side of the right bracket. The right protective airbag is located at the end of the right bracket and away from the side of the left bracket.

5. The device for assisting intubation and distraction during awake intubation of ankylosing spondylitis patients according to claim 1, characterized in that: The protective airbag is made of one of medical polyethylene material and medical polypropylene material.

6. The device for assisting intubation and distraction during awake intubation of ankylosing spondylitis patients according to claim 1, characterized in that: The tooth pad is a hollow structure, and the length of the tooth pad along the length direction of the spreader is 2-4 cm.

7. The device for assisting intubation and distraction during awake intubation of ankylosing spondylitis patients according to claim 1, characterized in that: The tooth pad is made of medical high-density polyethylene resin material.

8. The device for assisting intubation and distraction during awake intubation of ankylosing spondylitis patients according to claim 1, characterized in that: The expander is made of medical soft silicone material.

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