CN104436397A - Anti-biting pad used in oral cavity intubation tube - Google Patents
Anti-biting pad used in oral cavity intubation tube Download PDFInfo
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- CN104436397A CN104436397A CN201410852332.2A CN201410852332A CN104436397A CN 104436397 A CN104436397 A CN 104436397A CN 201410852332 A CN201410852332 A CN 201410852332A CN 104436397 A CN104436397 A CN 104436397A
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- fixed arm
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- 238000002627 tracheal intubation Methods 0.000 title claims abstract description 12
- 210000000214 mouth Anatomy 0.000 title description 7
- 206010036790 Productive cough Diseases 0.000 claims description 4
- 208000024794 sputum Diseases 0.000 claims description 4
- 210000003802 sputum Anatomy 0.000 claims description 4
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 3
- 239000000741 silica gel Substances 0.000 claims description 3
- 229910002027 silica gel Inorganic materials 0.000 claims description 3
- 210000003456 pulmonary alveoli Anatomy 0.000 claims 3
- 229960001866 silicon dioxide Drugs 0.000 claims 1
- 238000006073 displacement reaction Methods 0.000 abstract description 4
- 210000004513 dentition Anatomy 0.000 abstract description 3
- 230000036346 tooth eruption Effects 0.000 abstract description 3
- 210000004872 soft tissue Anatomy 0.000 description 5
- 206010062717 Increased upper airway secretion Diseases 0.000 description 4
- 210000002200 mouth mucosa Anatomy 0.000 description 4
- 208000026435 phlegm Diseases 0.000 description 4
- 230000006378 damage Effects 0.000 description 3
- 206010061213 Iatrogenic injury Diseases 0.000 description 2
- 210000004283 incisor Anatomy 0.000 description 2
- 210000001847 jaw Anatomy 0.000 description 2
- 229920002529 medical grade silicone Polymers 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000028327 secretion Effects 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000028399 Critical Illness Diseases 0.000 description 1
- 239000002390 adhesive tape Substances 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000005399 mechanical ventilation Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000009747 swallowing Effects 0.000 description 1
- 210000002105 tongue Anatomy 0.000 description 1
- 210000003781 tooth socket Anatomy 0.000 description 1
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- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
Abstract
本发明涉及一种口腔插管中使用的抗咬牙垫,包括牙垫主体和底部均开设有牙槽;且牙垫主体的一端开设的有与气管导管相配合的凹槽,且设置有延伸的固定臂;牙垫主体能够适配于任意一侧牙体的弧形。使用时,首先让患者一侧牙齿咬住牙垫主体,由于牙垫主体上下两侧均开设有牙槽,从而能够将患者上颚和下颚的牙齿准确的固定于牙槽内,提高了装置的稳定性,能够有效避免牙垫移位;由于在牙垫主体的一端的开设有与气管导管相配合的凹槽和固定臂,从而能够将气管导管通过固定臂与牙垫主体相固定,防止导管脱落;并且能够根据患者的牙列情况和体位选择不同的安置部位,满足各种手术,尤其是俯卧位等特殊体位的要求。
The invention relates to an anti-bite pad used in oral intubation. The main body and the bottom of the dental pad are both provided with alveoli; The fixed arm; the body of the dental pad can be adapted to the arc of the tooth body on either side. When in use, first let the patient’s teeth on one side bite the main body of the dental pad. Since the upper and lower sides of the main body of the dental pad are provided with alveoli, the upper and lower teeth of the patient can be accurately fixed in the dental alveolar, which improves the stability of the device. It can effectively avoid the displacement of the dental pad; because there is a groove and a fixed arm that match the endotracheal tube at one end of the dental pad body, the endotracheal tube can be fixed with the dental pad body through the fixed arm to prevent the tube from falling off ; And can choose different placement positions according to the patient's dentition and body position to meet the requirements of various operations, especially special positions such as the prone position.
Description
技术领域technical field
本发明涉及一种牙垫,具体涉及一种口腔插管中使用的抗咬牙垫。The invention relates to a tooth pad, in particular to an anti-bite tooth pad used in oral intubation.
背景技术Background technique
气管内插管术是临床上麻醉和抢救危重病人的常用技术,而气管导管的固定是手术成功的保证。目前多使用牙垫固定气管导管,可有效防止导管被牙齿咬合变形和移位。常用的牙垫结构包括牙垫主体、牙垫翼、牙垫卡三部分,牙垫翼设置在牙垫主体的两侧,牙垫主体放入患者上下齿列之间,起支撑作用,以防牙齿咬坏气管导管,牙垫翼置于上下齿列之外缘,以防牙垫移位,牙垫卡用于固定气管导管,防止气管导管移位。这种普通结构的牙垫虽有价格便宜、操作简便,提高手术效率的优点,但也存有存在不足之处:多采用硬度高无弹性材质制作,与口腔软组织顺应性差,易直接损伤舌体、口腔粘膜和牙龈等牙齿软组织等;且使用中舒适度不高,容易移位,长时间机械通气和苏醒期患者还有可能因机械碰触造成牙齿松动或脱落,给患者带来不必要的医源性损伤,甚至引发医患矛盾。Endotracheal intubation is a common technique for clinical anesthesia and rescue of critically ill patients, and the fixation of the endotracheal tube is the guarantee for the success of the operation. At present, tooth pads are often used to fix the endotracheal tube, which can effectively prevent the tube from being deformed and displaced by the occlusal teeth. The commonly used dental pad structure includes three parts: the dental pad main body, the dental pad wing, and the dental pad card. The dental pad wings are arranged on both sides of the dental pad main body. Teeth bite the endotracheal tube, and the wing of the dental pad is placed on the outer edge of the upper and lower dentition to prevent the displacement of the dental pad. The dental pad is used to fix the endotracheal tube and prevent the displacement of the endotracheal tube. Although this kind of tooth pad with a common structure has the advantages of cheap price, easy operation, and improved surgical efficiency, it also has disadvantages: it is mostly made of high hardness and inelastic material, which has poor compliance with oral soft tissues and is easy to directly damage the tongue. , oral mucosa, gums and other tooth soft tissues, etc.; and the comfort is not high during use, and it is easy to shift. Patients with long-term mechanical ventilation and recovery period may also cause teeth loosening or falling off due to mechanical contact, which will bring unnecessary inconvenience to the patient. The iatrogenic injury may even lead to conflicts between doctors and patients.
发明内容Contents of the invention
本发明的目的在于克服上述现有技术中存在的缺点,提供一种口腔插管中使用的抗咬牙垫,具有患者使用舒适,避免损伤舌体、口腔粘膜和牙齿软组织的优点,还能最大限度保护牙齿,尤其是牙列不齐,门齿部分脱落的患者。The object of the present invention is to overcome the above-mentioned shortcomings in the prior art, and provide an anti-bite pad used in oral intubation, which has the advantages of being comfortable for patients to use, avoiding damage to the tongue, oral mucosa and soft tissues of teeth, and can also maximize Protect teeth, especially patients with misaligned teeth and partial loss of incisors.
为实现上述目的,本发明采用以下技术方案:包括牙垫主体,牙垫主体的顶部和底部均开设有牙槽;且牙垫主体的一端的开设有与气管导管相配合的凹槽,且凹槽处设置有延伸的固定臂;In order to achieve the above object, the present invention adopts the following technical solutions: including a dental pad main body, the top and bottom of the dental pad main body are provided with alveoli; The groove is provided with an extended fixed arm;
所述的牙垫主体呈能够适配于任意一侧牙体的弧形。The main body of the dental pad is in an arc shape that can be adapted to the teeth on any side.
所述的固定臂内侧侧壁上设置有防滑螺纹,且固定臂的长度为1.5~2.0cm。The inner side wall of the fixed arm is provided with anti-slip threads, and the length of the fixed arm is 1.5-2.0 cm.
所述的牙垫主体中部的厚度大于上端和下端厚度,且牙垫主体中部的厚度为0.5~1.0cm。The thickness of the middle part of the main body of the dental pad is greater than that of the upper end and the lower end, and the thickness of the middle part of the main body of the dental pad is 0.5-1.0 cm.
所述的凹槽的旁侧牙垫主体上开设有直径为0.5~0.8cm的吸痰孔。A phlegm suction hole with a diameter of 0.5-0.8 cm is opened on the main body of the side tooth pad of the groove.
所述的牙槽的外侧面深度为0.5~0.8cm,内侧面深度为0.7~1.0cm。The depth of the outer surface of the alveolar is 0.5-0.8 cm, and the depth of the inner surface is 0.7-1.0 cm.
所述的牙垫主体的长度为3~6cm,牙垫主体中两个牙槽底部之间的距离为1.0~1.5cm。The length of the dental pad main body is 3-6 cm, and the distance between two alveolar bottoms in the dental pad main body is 1.0-1.5 cm.
所述的牙垫主体和固定臂均由医用硅胶制成。Both the main body of the dental pad and the fixed arm are made of medical silica gel.
本发明具有以下的有益效果:相比较现有技术,本发明包括牙垫主体,牙垫主体的顶部和底部均开设有牙槽;且牙垫主体的一端的开设有与气管导管相配合的凹槽;凹槽处设置有延伸的固定臂;牙垫主体呈能够适配于任意一侧牙体的弧形。使用时,首先让患者一侧牙齿咬住牙垫主体,由于牙垫主体上下两侧均开设有牙槽,从而能够将患者上颚和下颚的牙齿准确的固定于牙槽内,提高了装置的稳定性,能够有效避免牙垫移位;由于在牙垫主体的一端的开设有与气管导管相配合的凹槽和固定臂,从而能够将气管导管通过固定臂与牙垫主体相固定,防止导管脱落;并且能够根据患者的体位选择不同的安置部位,满足各种手术,尤其是俯卧位等特殊体位的要求;还能最大限度保护牙齿,尤其是牙列不齐,门齿部分脱落的患者,避免造成牙齿松动甚至脱落等医源性损伤,本装置适用于大面积推广和使用。The present invention has the following beneficial effects: compared with the prior art, the present invention includes a dental pad main body, the top and bottom of the dental pad main body are provided with alveoli; groove; the groove is provided with an extended fixed arm; the main body of the tooth pad is in an arc shape that can be adapted to any side of the tooth body. When in use, first let the patient’s teeth on one side bite the main body of the dental pad. Since the upper and lower sides of the main body of the dental pad are provided with alveoli, the upper and lower teeth of the patient can be accurately fixed in the dental alveolar, which improves the stability of the device. It can effectively avoid the displacement of the dental pad; because the end of the main body of the dental pad is provided with a groove and a fixed arm that matches the endotracheal tube, the endotracheal tube can be fixed to the main body of the dental pad through the fixed arm to prevent the tube from falling off ; and can choose different placement positions according to the patient's position to meet the requirements of various operations, especially the prone position and other special positions; it can also protect the teeth to the greatest extent, especially for patients with irregular dentition and partial loss of incisors, to avoid causing For iatrogenic injuries such as loose teeth or even falling off, the device is suitable for large-scale promotion and use.
进一步的,由于固定臂内侧侧壁上设置有防滑螺纹,从而能够进一步的防止插管滑动,提高了装置的稳定性。Furthermore, since the anti-slip thread is provided on the inner side wall of the fixed arm, the sliding of the cannula can be further prevented and the stability of the device is improved.
进一步的,由于开设有吸痰孔,从而能够通过吸痰孔吸取患者口腔内的痰和分泌物,保证患者的口腔清洁,避免产生其他并发症。Further, since the phlegm suction hole is provided, the phlegm and secretions in the patient's mouth can be sucked through the phlegm suction hole, so as to ensure the patient's oral cavity clean and avoid other complications.
进一步的,由于牙垫主体和固定臂材质选择有伸缩性的医用硅胶,从而最大限度的避免装置对患者舌体、口腔粘膜、牙齿及其软组织的损伤,并且提高了舒适度,同时降低了成本。Furthermore, since the main body of the dental pad and the fixed arm are made of stretchable medical silicone, the damage to the patient's tongue, oral mucosa, teeth and their soft tissues can be avoided to the greatest extent, and the comfort level is improved while reducing the cost. .
附图说明Description of drawings
图1是本装置结构示意图;Fig. 1 is the structural representation of this device;
图2是本装置剖视图。Figure 2 is a sectional view of the device.
具体实施方式Detailed ways
下面结合附图,对本发明作进一步详细说明。The present invention will be described in further detail below in conjunction with the accompanying drawings.
参见图1-2,本发明包括牙垫主体1,牙垫主体1的顶部和底部均开设有牙槽3;且牙垫主体1的一端的开设有与气管导管相配合的凹槽2,且凹槽2处设置有延伸的固定臂5;牙垫主体1呈能够适配于任意一侧牙体的弧形。固定臂5内侧侧壁上设置有防滑螺纹,且固定臂5的长度为1.5~2.0cm。牙垫主体1中部的厚度大于上端和下端厚度,且牙垫主体1中部的厚度为1.0~1.5cm。凹槽2旁侧开设有直径为0.5~0.8cm的吸痰孔4。牙槽3的外侧面深度为0.5~0.8cm,内侧面深度为0.7~1.0cm。牙垫主体1弧形的长度为3~6cm,牙垫主体1中两个牙槽3底部之间的距离为1.0~1.5cm。牙垫主体1和固定臂5均由医用硅胶制成。Referring to Figures 1-2, the present invention includes a dental pad main body 1, the top and bottom of the dental pad main body 1 are provided with tooth sockets 3; The groove 2 is provided with an extended fixed arm 5; the main body of the dental pad 1 is in an arc shape that can be adapted to any side of the tooth body. An anti-skid thread is provided on the inner side wall of the fixed arm 5, and the length of the fixed arm 5 is 1.5-2.0 cm. The thickness of the middle part of the dental pad main body 1 is greater than that of the upper end and the lower end, and the thickness of the central part of the dental pad main body 1 is 1.0-1.5 cm. A suction hole 4 with a diameter of 0.5-0.8 cm is provided on the side of the groove 2 . The depth of the outer surface of the alveolar 3 is 0.5-0.8 cm, and the depth of the inner surface is 0.7-1.0 cm. The length of the arch of the dental pad main body 1 is 3-6 cm, and the distance between the bottoms of the two alveoli 3 in the dental pad main body 1 is 1.0-1.5 cm. Both the dental pad main body 1 and the fixed arm 5 are made of medical silica gel.
使用时,首先让患者一侧牙齿咬住牙垫主体1,由于牙垫主体1上下两侧均开设有牙槽3,从而能够将患者上颚和下颚的牙齿准确的固定于牙槽3内,提高了装置的稳定性,能够有效避免患者吞食;由于在牙垫主体1的一端的开设有与气管导管相配合的凹槽2,从而能够将气管导管与牙垫主体1相固定,防止气管导管在手术中滑动,进而最大限度的避免装置对患者舌体、口腔粘膜和牙齿软组织的磨损,同时由于牙垫主体1同时适用于上颚和下颚,从而能够根据患者的体位进行选择安装位置,满足手术中特殊体位的要求。由于固定臂5内侧侧壁上设置有防滑螺纹,从而能够进一步的防止气管导管滑动,保证装置的稳定性。由于凹槽2的旁侧开设有吸痰孔4,从而能够通过吸痰孔4吸取患者口腔内的痰和分泌物,保证患者的口腔清洁,避免产生其他并发症。牙垫主体1和固定臂5由医用硅胶制成,从而进一步的提高了舒适度,同时降低了成本,提高了普适性。When in use, first let the teeth of one side of the patient bite the main body of the dental pad 1, since the upper and lower sides of the main body of the dental pad 1 are provided with alveoli 3, so that the teeth of the upper and lower jaws of the patient can be accurately fixed in the alveolar 3, improving the It improves the stability of the device and can effectively prevent the patient from swallowing; because a groove 2 that matches the endotracheal tube is provided at one end of the dental pad main body 1, the endotracheal tube and the dental pad main body 1 can be fixed to prevent the endotracheal tube from being Slip during the operation, thereby avoiding the wear and tear of the device on the patient's tongue, oral mucosa and tooth soft tissue to the greatest extent. At the same time, because the main body of the dental pad 1 is suitable for both the upper and lower jaws, the installation position can be selected according to the patient's body position to meet the needs of the operation. Special posture requirements. Since the inner side wall of the fixed arm 5 is provided with an anti-slip thread, it can further prevent the endotracheal tube from sliding and ensure the stability of the device. Since the side of the groove 2 is provided with a sputum suction hole 4, the sputum and secretions in the patient's mouth can be sucked through the sputum suction hole 4, so that the patient's oral cavity is kept clean and other complications are avoided. The dental pad main body 1 and the fixed arm 5 are made of medical silicone, thereby further improving the comfort, reducing the cost and improving the universality.
使用方法:首先根据患者体位,将牙垫主体1弯曲成适用于患者一侧牙体的弧形,之后将装置放置于患者的口腔内,装置凹槽2放置于口腔中门牙处,之后将前期已经插入患者体内的气管导管管头使用医用胶布将其与凹槽2处的固定臂5固定后粘贴于患者脸部。使用中,患者咬紧牙垫主体1,由于患者上牙和下牙均位于牙槽3内,从而有效防止牙垫主体1前后滑动,保证了气管导管固定的稳定性。How to use: First, according to the patient's position, bend the main body 1 of the dental pad into an arc suitable for the teeth on one side of the patient, then place the device in the patient's oral cavity, and place the device groove 2 at the front teeth in the oral cavity, and then place the The endotracheal tube tip that has been inserted into the patient's body is pasted on the patient's face after it is fixed with the fixed arm 5 at the groove 2 place with medical adhesive tape. During use, the patient clenches the main body 1 of the dental pad, and since the patient's upper teeth and lower teeth are located in the alveolar 3, the dental pad main body 1 is effectively prevented from sliding back and forth, ensuring the stability of the endotracheal tube.
Claims (7)
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Cited By (3)
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CN107754066A (en) * | 2017-10-20 | 2018-03-06 | 上海市肺科医院 | A kind of modified form bite-block |
CN109771779A (en) * | 2019-03-08 | 2019-05-21 | 四川大学华西医院 | Tongue protector and method of using the same |
WO2019182660A1 (en) * | 2018-03-23 | 2019-09-26 | Cosentino Andrew | Customizable thermoplastic hemi bite block |
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CN201350273Y (en) * | 2009-02-11 | 2009-11-25 | 王春红 | Anti-slip anesthesia tracheal catheter |
US20140238410A1 (en) * | 2009-12-09 | 2014-08-28 | Board Of Trustees Of The University Of Arkansas | Mouth Guard |
JP2013116297A (en) * | 2011-12-02 | 2013-06-13 | Kazuhisa Matsubara | Bite block |
CN202761872U (en) * | 2012-09-26 | 2013-03-06 | 汕头大学医学院第一附属医院 | Tracheal intubation fixing device |
CN203647829U (en) * | 2014-01-06 | 2014-06-18 | 武汉大学 | Mouth protective bite block and threaded trachea cannula combined device |
CN204428577U (en) * | 2014-12-31 | 2015-07-01 | 中国人民解放军第四军医大学 | The anti-bite bite-block used in a kind of oral intubation |
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CN107754066A (en) * | 2017-10-20 | 2018-03-06 | 上海市肺科医院 | A kind of modified form bite-block |
WO2019182660A1 (en) * | 2018-03-23 | 2019-09-26 | Cosentino Andrew | Customizable thermoplastic hemi bite block |
CN109771779A (en) * | 2019-03-08 | 2019-05-21 | 四川大学华西医院 | Tongue protector and method of using the same |
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