Endotracheal tube intraoral holder
By designing an intraoral fixation device for endotracheal tubes, which uses a fixed tube body and pads to clamp the teeth, combined with fixation clips and limiting components, the problem of unstable external fixation of endotracheal tubes is solved, achieving stable fixation inside the oral cavity, thus improving surgical safety and ease of operation.
Patent Information
- Application Number
- CN202211687604.9
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2022-12-27
- Publication Date
- 2025-12-23
- Estimated Expiration
- 2042-12-27
AI Technical Summary
In existing technologies, the external fixation method for endotracheal tubes is prone to reduced adhesion due to moisture from saliva, disinfectant, and other liquids, leading to unstable fixation, affecting surgical safety and operation, and causing discomfort and increasing the risk of pain, especially for patients undergoing facial surgery.
An intraoral fixation device for endotracheal tubes was designed. The device uses a fixation tube body and a pad to clamp the teeth in the oral cavity. Combined with a fixation clamp and a limiting component, it achieves stable fixation of the endotracheal tube, adapts to different surgical positions, and is further secured by a fixation rope to ensure the stability of the endotracheal tube in the oral cavity.
This method achieves stable fixation of the endotracheal tube in the oral cavity, reducing the risk of dislodgement, infection, and suffocation, improving the convenience and safety of surgical procedures, and does not affect the disinfection effect.
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Figure CN116077781B_ABST
Abstract
Description
TECHNICAL FIELD
[0001] The present application belongs to the technical field of medical auxiliary tools, and particularly relates to an endotracheal tube intraoral fixator. BACKGROUND
[0002] In the tracheal intubation general anesthesia, the safe fixation and non-falling of the endotracheal tube is very important for the operation. At present, most of the clinical methods are to fix the endotracheal tube outside the cheek of the surgical patient in the form of "8" by using adhesive tape, or to fix it by using a head and neck band.
[0003] The adhesive tape winding method is a commonly used method for anesthesiologists in their work. After being soaked by saliva, disinfectant, blood and other liquids, the adhesive tape will lose its adhesion, and its firmness will be greatly reduced, which will cause the endotracheal tube to move outward or fall off, making the patient very unsafe. In addition, for patients undergoing facial surgery, the adhesive tape winding method will affect disinfection and operation. At present, most doctors use needle and thread to sew on the lips or gums, which will increase the postoperative pain and anxiety of the patient, etc. SUMMARY
[0004] In view of this, in order to solve the above-mentioned problems existing in the prior art, the purpose of the present application is to provide an endotracheal tube intraoral fixator to achieve the stability of the fixation of the endotracheal tube in the patient's oral cavity, and to be suitable for different surgical positions and to reduce the difficulty of surgical operation.
[0005] The technical solution adopted by the present application is as follows: an endotracheal tube intraoral fixator, which comprises:
[0006] a fixed tube body extending into the oral cavity, an inner hole of the fixed tube body being matched with the endotracheal tube;
[0007] at least one set of gasket pairs, the gasket pairs being movably assembled on the fixed tube body and clamped on the tooth row in the oral cavity through the gasket pairs;
[0008] wherein the fixed tube body is fixed in the oral cavity through the gasket pairs.
[0009] Further, one end of the fixed tube body is provided in a half-opened form, and the half-opened end is inserted into the oral cavity of the patient. The half-opened end is beneficial to the insertion of the fixed tube body into the oral cavity, and will not cause discomfort to the oral cavity of the patient.
[0010] Further, a fixed clamp is arranged at the end port of the fixed tube body, and the endotracheal tube is fixed in the fixed tube body through the fixed clamp. Under the action of the fixed clamp, the endotracheal tube is fixed in the interior of the fixed tube body, and will not be loose, and the normal operation of the surgery can be ensured.
[0011] Further, the fixed clamp is provided as a fixed ring with an opening, and the opening of the fixed ring is provided with toothed openings that are mutually engaged, and after the toothed openings are mutually engaged, the fixed ring can be automatically locked to firmly clamp the tracheal tube by changing the caliber of the fixed ring.
[0012] Further, one end of the gasket pair is movably assembled on the outer wall of the fixed tube body through the limiting assembly, and under the action of the limiting assembly, the gasket pair can be ensured to be limited in the appropriate position and angle to play its fixing role.
[0013] Further, each gasket pair includes an outer gasket and an inner gasket, and the outer gasket and the inner gasket are located on the same side of the fixed tube body, and one end of the outer gasket and the inner gasket is movably assembled on the outer wall of the fixed tube body through the limiting assembly, and the outer gasket and the inner gasket are clamped on the tooth row of the teeth in the oral cavity, and under the simultaneous action of the outer gasket and the inner gasket, the outer gasket and the inner gasket can be clamped on the tooth row of the teeth in the oral cavity.
[0014] Further, the limiting assembly includes:
[0015] The sliding groove is symmetrically arranged on the fixed tube body, and a plurality of strip-shaped grooves are arranged in the axial direction of the fixed tube body in the sliding groove;
[0016] The clamping opening is arranged at one end of the outer gasket and the inner gasket, and the clamping opening is matched with the outer wall of the fixed tube body, and opposite sides of the clamping opening are provided with limiting blocks matched with the strip-shaped grooves;
[0017] Among them, each strip-shaped groove is located in the circumferential direction of the outer wall of the fixed tube body, so that the outer gasket and the inner gasket can adjust the angle and orientation according to different tooth shapes, and thus the fixing firmness between the gasket pair and the teeth can be maximized.
[0018] Further, the limiting block is provided in the shape of an arc-shaped convex ball, which is conducive to the sliding of the gasket along the strip-shaped groove arrangement direction in the sliding groove, and after reaching the specified position, it can be clamped in the corresponding strip-shaped groove without affecting the angle and orientation adjustment of the gasket; and the outer gasket and the inner gasket are provided with anti-skid pieces on the side surface facing the teeth, which are made of anti-skid rubber and are attached to the surface of the teeth in the oral cavity, having good anti-skid effect, and thus the firmness between the gasket and the teeth can be further improved.
[0019] Further, the outer gasket and / or the inner gasket are sleeved with a fixed sleeve rope, and one end of the fixed sleeve rope is led out to the outside of the oral cavity through the lead hole, and the fixed sleeve rope is sleeved on the teeth in the oral cavity of the patient through the dental fissure, and the medical staff can ensure that the outer gasket and / or the inner gasket are further fixed on the teeth in the oral cavity under the action of the fixed sleeve rope by pulling the led-out end.
[0020] Further, the two sets of gaskets correspond to the teeth of the upper and lower oral cavities respectively, so as to ensure that the whole fixer is firm and stable.
[0021] The present application has the following advantages:
[0022] 1. The tracheal tube oral cavity fixer provided by the present application can fix the tracheal tube by the fixing tube, and the fixing tube is fixed in the oral cavity by the gaskets. The fixing method can be applied to different surgical positions and is not limited by the surgical position of the patient. In particular, it does not affect the disinfection of the head, face and neck of the patient, thereby reducing the risk of infection and making the operation of the surgeon more convenient and efficient. On the other hand, the fixer has a certain gap in the oral cavity of the patient after use, which can facilitate the operator to remove the oral secretion (sputum), thereby reducing the risk of suffocation of the patient, and is convenient to operate, clean and beautiful in appearance.
[0023] 2. The tracheal tube oral cavity fixer provided by the present application can fix the tracheal tube by the fixing tube, and the fixing tube is fixed in the oral cavity by the gaskets. The fixing method can be applied to different surgical positions and is not limited by the surgical position of the patient. In particular, it does not affect the disinfection of the head, face and neck of the patient, thereby reducing the risk of infection and making the operation of the surgeon more convenient and efficient. On the other hand, the fixer has a certain gap in the oral cavity of the patient after use, which can facilitate the operator to remove the oral secretion (sputum), thereby reducing the risk of suffocation of the patient, and is convenient to operate, clean and beautiful in appearance. BRIEF DESCRIPTION OF DRAWINGS
[0024] Figure 1 is the overall structure schematic diagram of the tracheal tube oral cavity fixer provided by the present application;
[0025] Figure 2 is the installation schematic diagram of the tracheal tube oral cavity fixer provided by the present application in the clinic;
[0026] Figure 3 is the structure schematic diagram of the tracheal tube oral cavity fixer provided by the present application from another perspective;
[0027] Figure 4 is the structure schematic diagram of the tracheal tube oral cavity fixer provided by the present application in embodiment 2;
[0028] Figure 5 is the structure schematic diagram of the outer gasket in the tracheal tube oral cavity fixer provided by the present application.
[0029] The drawings are marked as follows:
[0030] 1 - fixing tube, 2 - outer gasket, 3 - inner gasket, 4 - sliding groove, 5 - strip-shaped groove, 6 - tracheal tube, 7 - oral cavity, 8 - fixing clamp, 9 - limiting block, 10 - fixing sleeve rope, 11 - lead hole, 12 - anti-skid piece. DETAILED DESCRIPTION
[0031] In order to make the objects, technical solutions and advantages of the embodiments of the present application clearer, the following will clearly and completely describe the technical solutions in the embodiments of the present application with reference to the drawings in the embodiments of the present application. Obviously, the described embodiments are only some but not all of the embodiments of the present application. The components of the embodiments of the present application described and shown in the drawings can be arranged and designed in various different configurations.
[0032] Therefore, the following detailed description of the embodiments of the present application provided in the drawings is not intended to limit the scope of the claimed present application, but only represents selected embodiments of the present application. All other embodiments obtained by those of ordinary skill in the art based on the embodiments in the present application without creative labor are within the scope of protection of the present application.
[0033] It should be noted that the embodiments in the present application and the features in the embodiments can be combined with each other without conflict.
[0034] It should be noted that:
[0035] In the description of the embodiments of the present application, it should be noted that, unless otherwise explicitly specified and limited, the terms “set”, “connected” should be understood broadly, for example, can be fixedly connected, can be detachably connected, or integrally connected; can be directly connected, or indirectly connected through an intermediate medium. For those of ordinary skill in the art, the specific meanings of the above terms in the present application can be understood according to the specific circumstances; the drawings in the embodiments are used to clearly and completely describe the technical solutions in the embodiments of the present application. Obviously, the described embodiments are only some but not all of the embodiments of the present application. The components of the embodiments of the present application described and shown in the drawings can be arranged and designed in various different configurations.
[0036] Embodiment 1
[0037] As shown in the drawings, in the present embodiment, a tracheal tube intraoral fixator is specifically provided, which aims to replace the existing adhesive fixing method by the fixator to ensure that the fixation of the tracheal tube 6 in the patient's mouth 7 is more stable and is not affected by external factors. Figures 1-3
[0038] The fixing device comprises a fixing tube body 1 and two sets of gasket pairs arranged on the fixing tube body 1. In actual application, the fixing tube body 1 is inserted into the oral cavity 7, and therefore, one end of the fixing tube body 1 is provided in a semi-open shape. The medical staff inserts the fixing tube body 1 into the oral cavity 7 of the patient through the end, and meanwhile, the end of the fixing tube body 1 can avoid causing discomfort to the patient. The inner hole of the fixing tube body 1 is matched with the tracheal tube 6, and the tracheal tube 6 can be inserted into the oral cavity 7 of the patient along the inner hole of the fixing tube body 1. In order to ensure the stability of the tracheal tube 6 on the fixing tube body 1, a fixing clamp 8 is arranged at one end of the fixing tube body 1, and the tracheal tube 6 is fixed in the fixing tube body 1 through the fixing clamp 8. Considering the manufacturing cost of the fixing device, the fixing clamp 8 is provided as a fixing ring with an opening. The fixing ring is integrally formed on the tracheal tube 6, and the material of the fixing ring is made of elastic plastic. The opening of the fixing ring is provided with toothed openings that are mutually engaged. Since the fixing ring is provided with an opening, the fixing ring can be deformed under the action of an external force. In the deformation process, the toothed openings at two ends of the opening can be mutually engaged, so as to change the inner diameter of the fixing ring, and the tracheal tube 6 can be firmly fixed under the action of the fixing ring.
[0039] After the fixing tube body 1 is inserted into the oral cavity 7 of the patient, it needs to be fixed to replace the existing "8" adhesive tape fixing mode. Therefore, two sets of gasket pairs are arranged on the fixing tube body 1. The two sets of gasket pairs are symmetrically arranged and correspond to the tooth rows of the upper oral cavity 7 and the lower oral cavity 7, so as to achieve good fixation of the fixing tube body 1. The gasket pairs are movably assembled on the fixing tube body 1 and are clamped on the tooth rows in the oral cavity 7, so as to fix the fixing tube body 1 in the oral cavity 7 through the gasket pairs.
[0040] The gasket pairs are designed as follows: one end of the gasket pairs is movably assembled on the outer wall of the fixing tube body 1 through a limiting assembly. The gasket pairs can freely slide along the axial direction of the fixing tube body 1, so as to adapt to different fixing positions. In clinical practice, in order to ensure that the gasket pairs have good fixing effect, the axial direction and the circumferential direction of the gasket pairs on the fixing tube body 1 should have adjustable margins. Therefore, the gasket pairs are designed as follows:
[0041] Each of the gasket pairs comprises an outer gasket 2 and an inner gasket 3, which are located on the same side of the fixed tube body 1 (with the center line of the fixed tube body 1 as the center plane, such as being located on the upper side of the center plane or being located on the lower side of the center plane), and one end of the outer gasket 2 and the inner gasket 3 is movably assembled on the outer wall of the fixed tube body 1 through a limiting assembly, and is clamped on the tooth row in the oral cavity 7 through the outer gasket 2 and the inner gasket 3. Under the action of the limiting assembly, the outer gasket 2 and / or the inner gasket 3 can be fixed in any axial direction of the fixed tube body 1, and at the same time, after being fixed in the current position, the outer gasket 2 and / or the inner gasket 3 can be rotated in a certain range along the circumferential direction of the fixed tube body 1, so that through the adjustment in the above two dimensions, the gasket pair on the fixed tube body 1 can adapt to different positions and different shapes of the teeth in the oral cavity 7. In actual application, the limiting assembly comprises a sliding groove 4 and a clamping opening on the gasket pair, wherein the sliding groove 4 is provided with two and is symmetrically provided on both sides of the fixed tube body 1, and a plurality of strip-shaped grooves 5 are arranged in the sliding groove 4 in the axial direction of the fixed tube body 1, the spacing between the adjacent two strip-shaped grooves 5 should be slightly smaller than the thickness of the teeth in the oral cavity 7, and each of the strip-shaped grooves 5 is located in the circumferential direction of the outer wall of the fixed tube body 1, so as to satisfy the outer gasket 2 and the inner gasket 3 with a certain range of adjustment in the circumferential direction of the fixed tube body 1.
[0042] As shown in Figure 5 The one end of the outer gasket 2 and the inner gasket 3 is provided with a clamping opening, which is matched with the outer wall of the fixed tube body 1, and the opposite sides of the clamping opening are provided with limiting blocks 9 matched with the strip-shaped grooves 5, and the limiting blocks 9 are arc convex spherical. The limiting blocks 9 are provided in the form of arc convex spherical, which can ensure that the outer gasket 2 and the inner gasket 3 can slide between each strip-shaped groove 5 in the sliding groove 4, and since the clamping opening itself has a certain elastic force after being provided on the outer gasket 2 and the inner gasket 3, the limiting blocks 9 on the two sides of the clamping opening will be clamped into the strip-shaped grooves 5 under the action of the elastic force, and since the limiting blocks 9 are in the form of arc convex spherical, the outer gasket 2 and the inner gasket 3 can be adjusted by rotating in the circumferential direction of the fixed tube body 1, so as to adapt to the teeth in different directions in the oral cavity 7 of the patient.
[0043] In order to further improve the fixing degree of the fixer in the oral cavity of the patient, the outer gasket 2 and the inner gasket 3 are provided with anti-skid pieces 12 on the side surface facing the teeth, the anti-skid pieces 12 are slightly convex compared with the surface of the gasket, and at the same time, the anti-skid pieces 12 are made of anti-skid rubber, which has a large friction force and has a good anti-skid effect when being attached to the surface of the teeth in the oral cavity, thereby further improving the firmness between the gasket and the teeth.
[0044] Example 2
[0045] On the basis of the endotracheal tube oral cavity fixer provided in Example 1,Figure 4 As shown, the outer gasket 2 and the inner gasket 3 are sleeved with a fixing sleeve rope 10, and one end of the fixing sleeve rope 10 is led out to the outside of the oral cavity 7 through the lead hole 11 on the outer wall of the fixed tube body 1. In actual application, the fixing sleeve rope 10 is arranged only on the inner gasket 3, which can achieve the effect of auxiliary fixing, and is also convenient for disassembly later. Specifically, the fixing sleeve rope 10 can be made of soft material, and the soft material has certain plasticity. Therefore, the fixing sleeve rope 10 can be firmly sleeved on the teeth in the oral cavity 7 through the tooth gap, and the fixing sleeve rope 10 is knotted in the form of an eight-character knot, and the end after knotting is led out to the outside of the oral cavity 7. After the medical staff adjusts the position and orientation of the outer gasket 2 and the inner gasket 3, the end of the rope led out is pulled, and under the action of the eight-character knot, the gasket pair can be firmly fixed on the teeth in the oral cavity 7, so as to further assist in fixing the fixed tube body 1, so as to improve the stability and reliability of the fixed tube body 1. In actual application, in order to ensure the stable rope wiring of the fixing sleeve rope 10 pulled, the lead hole 11 is arranged on the outer wall of the fixed tube body 1, and one end of the fixing sleeve rope 10 is led out through the lead hole 11, so as to facilitate the medical staff to pull the end part, and then assist in fixing, thereby improving the firmness of the fixed tube body 1.
[0046] The present application is not limited to the above-mentioned optional embodiments, and anyone can derive other various forms of products under the inspiration of the present application, but regardless of any changes in shape or structure, any technical solutions falling within the scope defined by the claims of the present application fall within the protection scope of the present application.
Claims
1. An intraoral fixator for an endotracheal tube, characterized in that, The fixing device comprises: a fixing tube (1) extending into the oral cavity (7), an inner hole of the fixing tube (1) being matched with the tracheal tube (6); at least one set of pad pairs movably assembled on the fixing tube (1) and clamped on the tooth row in the oral cavity (7) through the pad pairs; wherein the fixing tube (1) is fixed in the oral cavity (7) through each pad pair; one end of the pad pair is movably assembled on the outer wall of the fixing tube (1) through a limiting assembly, and the pad pair is provided with two sets and corresponds to the tooth row of the upper oral cavity and the lower oral cavity respectively; each pad pair comprises an outer pad (2) and an inner pad (3), the outer pad (2) and the inner pad (3) are located on the same side of the fixing tube (1), one end of the outer pad (2) and the inner pad (3) is movably assembled on the outer wall of the fixing tube (1) through a limiting assembly, and the outer pad (2) and the inner pad (3) are clamped on the tooth row in the oral cavity (7); the limiting assembly comprises: a sliding groove (4) symmetrically arranged on the fixing tube (1), a plurality of strip-shaped grooves (5) arranged at equal intervals in the axial direction of the fixing tube (1) are arranged in the sliding groove (4); a clamping opening arranged at one end of the outer pad (2) and the inner pad (3), the clamping opening is matched with the outer wall of the fixing tube (1), and opposite sides of the clamping opening are provided with limiting blocks (9) matched with the strip-shaped grooves (5); wherein each strip-shaped groove (5) is located in the circumferential direction of the outer wall of the fixing tube (1).
2. The endotracheal tube intraoral holder of claim 1, wherein, One end of the fixing tube (1) is provided as a half-opened opening, and the end extends into the oral cavity (7) of the patient.
3. The endotracheal tube intraoral holder of claim 1, wherein, A fixing clamp (8) is arranged at the port of one end of the fixing tube (1), and the tracheal tube (6) is fixed in the fixing tube (1) through the fixing clamp (8).
4. The endotracheal tube intraoral holder of claim 3, wherein, The fixing clamp (8) is provided as a fixed ring with an opening, and the opening of the fixed ring is provided as a toothed opening that bites each other at two ends.
5. The endotracheal tube intraoral holder of claim 1, wherein, The limiting block (9) is provided as an arc-shaped convex ball, and the outer pad (2) and the inner pad (3) are provided with anti-skid pieces (12) on the side surface facing the teeth.
6. The endotracheal tube intraoral holder of claim 1, wherein, The outer pad (2) and / or the inner pad (3) are sleeved with a fixing sleeve rope (10), and one end of the fixing sleeve rope (10) is led out to the outside of the oral cavity (7) through a lead hole (11).
Citation Information
Patent Citations
Novel oropharynx breather pipe
CN210542769U
Intraoral fixator for tracheal catheter
CN219375779U
The fixing device for endotracheal tube
KR1020080071842A