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CN107019833A - A kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type - Google Patents

A kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type Download PDF

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Publication number
CN107019833A
CN107019833A CN201611199621.2A CN201611199621A CN107019833A CN 107019833 A CN107019833 A CN 107019833A CN 201611199621 A CN201611199621 A CN 201611199621A CN 107019833 A CN107019833 A CN 107019833A
Authority
CN
China
Prior art keywords
cup
aditus laryngis
airway
epiglottis
seat
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201611199621.2A
Other languages
Chinese (zh)
Inventor
朱辉
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Tianjin Maddie Medical Instruments Co Ltd
Original Assignee
Tianjin Maddie Medical Instruments Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Tianjin Maddie Medical Instruments Co Ltd filed Critical Tianjin Maddie Medical Instruments Co Ltd
Priority to CN201611199621.2A priority Critical patent/CN107019833A/en
Publication of CN107019833A publication Critical patent/CN107019833A/en
Priority to US15/851,726 priority patent/US20180177964A1/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/02General characteristics of the apparatus characterised by a particular materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0625Mouth
    • A61M2210/065Throat; Pharynx

Landscapes

  • Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides on a kind of medical intubation tube type, on-inflatable, aditus laryngis, cover-cup type airway.Cup-shaped shape is closely attached with aditus laryngis surrounding anatomical structures kissing merga pass sealing ring with surrounding tissue.The position of correspondence epiglottis is provided with epiglottis support in aditus laryngis portion of the present invention cup;Correspondence tongue location of root is provided with root of the tongue seat on main airway;The lateral wall of main airway has C-shaped stomach tube seat, during using stomach tube, separated as needed with main airway.The present invention with aditus laryngis surrounding anatomical structures on the basis of more coincideing, and cup structure sets up a sealing ring using soft elastomeric material, realizes preferably ventilation sealing and does not oppress, damages aditus laryngis surrounding soft tissue.

Description

A kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type
Technical field
The invention belongs to medical instruments field, especially relate to cover-cup type on a kind of used in ventilation therapy aditus laryngis and lead to Device of air..
Background technology
Patient loses autonomous respiration, it is necessary to be carried out to patient in artificial ventilation, currently known technology in anesthesia, first aid, Artificial ventilation is mainly completed by two kinds of air flue products:Airway on airway (pipe) and aditus laryngis under aditus laryngis.
Airway can be divided into again on existing aditus laryngis:Airway on two kinds of aditus laryngis of inflatable bladder type and on-inflatable bladder type.Rather than Inflation bladder type airway can also be further divided into airway on soft-glue and ebonite type aditus laryngis.
Under aditus laryngis airway because ventilating mode be by by tracheal catheter insertion be located at aditus laryngis under main tracheae and fixation, be referred to as Stable air flue.Airway completes logical by being attached with the tissue around aditus laryngis or closing oropharynx, nasopharyngeal cavity by capsule portion on aditus laryngis Gas, referred to as unstable air flue.There is open defect in unstable air flue, only due to the seal between surrounding tissue and stability For short time operation or ventilation therapy.On using aditus laryngis airway complete/when carrying out ventilation therapy, because of operating time and The uncertainty of ventilation therapy time generally requires " to insert tracheal catheter to set up surely by airway on unstable aditus laryngis Determine airway ", there is many open defects in airway on existing aditus laryngis, be described as follows:
First, clinician is the seal of capsule portion and surrounding tissue for the maximum doubt of airway on existing aditus laryngis. Seal is bad air flue " gas leakage " when causing ventilation, directly affects the effect of ventilation therapy, it is invalid that serious gas leakage can be formed Ventilate and give patient's arrival great risk;
2nd, on existing aditus laryngis during airway use, in ventilation if there is in the presence of vent gas " epiglottis fold back ", it will produce the phenomenon of epiglottis obstructing airway, influences the unobstructed or even airway obstruction of air flue;
3rd, under general anesthesia state, tongue body becomes abnormal soft simultaneously " paralysis " to the direction of the root of the tongue, when can influence the air flue to use Physical stability;
4th, on the third generation aditus laryngis the characteristics of airway it is the airway with " binary channels/two-tube ".In addition to airway Another passage is gastric tube passageway, and the stomach for therapeutic process is depressurized.Once ventilation therapy terminates, exit airway and still need to The operation of keeping gastric canal will be extremely complex:Stomach tube is extracted together with airway, then inserts stomach tube;By stomach tube Cut row processing again.
In summary:The problem of on existing aditus laryngis all there is ventilation seal in airway;Ventilated on air inflated sac type aditus laryngis The problem of road is to complication such as postoperative laryngalgia caused by the compressing of surrounding tissue nerve;Inserted on ebonite aditus laryngis caused by airway Enter the damage problem to swallowing cheek;Epiglottis fold back causes the risk of airway obstruction during ventilation;When using the problem of stability;Three The problem of airway keeping gastric canal being exited for airway on aditus laryngis.Therefore need improvement prior art badly, one is provided for clinician Airway on individual reliable and stable aditus laryngis.
The content of the invention
In view of this, the present invention proposes a kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type, convenient by unstable Air flue sets up stable air flue, reduces the damage to surrounding tissue/nerve, is effectively changed in terms of the stability for improving air flue Enter.
To reach above-mentioned purpose, the technical proposal of the invention is realized in this way:
A kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type, including the overall master for being used to insert tracheal catheter in arcuation Airway, and the unexpansive formula aditus laryngis portion cup on the cup seat of main airway one end;Aditus laryngis portion cup and human body Aditus laryngis portion anatomical structure is matched, and human body aditus laryngis outer rim is covered in aditus laryngis portion cup;The aditus laryngis portion cup edge and aditus laryngis The sealing ring of ring-type is provided with surrounding tissue contact most deep position, i.e. cup inner edge top.
Further, epiglottis support is provided with aditus laryngis portion cup, at correspondence epiglottis, the epiglottis support is apart from cup outer rim The space of formation ensures to accommodate the size of cartilago epiglottica, formation epiglottis attachment point.
Further, the main airway is provided with c-type stomach tube seat relative to another lateral wall that tracheal catheter separates opening, Or the lateral wall is provided with c-type stomach tube seat provided with lug boss, lug boss, the c-type tube seat extends to the cup seat back side top End.
Further, main airway tongue location of root corresponding with aditus laryngis portion cup junction is provided with raised and to both sides The root of the tongue seat of extension, width of the expanded width no more than cup seat.
Further, throat's cup is the soft deformable cup of unexpansive formula.
Further, the main airway section is square, and four square angles are the radian chamfering seamlessly transitted.
Relative to prior art, a kind of beneficial effect of the airway of the closed aditus laryngis surrounding tissue of cover-cup type of the present invention For:
(1) present invention consults the pertinent literature of decades by research human anatomic structure, in autopsy repetition test Contrast;When observing dynamic aeration the change of aditus laryngis surrounding anatomical structures and with China and foreign countries expert exchanges and communication repeatedly, design with The cup external form that aditus laryngis structures surrounding fits like a glove.Produced using soft elastomeric material with being solved around aditus laryngis Cut open the cup that structure matches.And contact " most deep " position i.e. cup inner edge top with aditus laryngis surrounding tissue at cup edge, Add " sealing ring " so that cup edge is wrapped up close by aditus laryngis surrounding tissue.Avoid leaking air during ventilation now to greatest extent As.Soft cup material will not cause damage when inserting to pharynx cheek.Without cup without inflation after inserting, it is to avoid air bag pressure Compressing of the power to peripheral nerve, tissue reduces the generation of postoperative complications.
(2) dynamic studies of epiglottis position when the present invention is according to patient ventilating, the aditus laryngis portion cup of design is by " epiglottis " Completely in cup.In order to prevent " the epiglottis fold back " that is appeared in ventilation in the presence of vent gas from causing to produce meeting Detest the phenomenon of obstructing airway, influence the unobstructed or even airway obstruction of air flue, the present invention devises epiglottis support, the design of epiglottis support Epiglottis can be attached to the position of epiglottis support, it will detest and stay open, it is to avoid epiglottis fold back caused by air-flow;
(3) under general anesthesia state, tongue body becomes abnormal soft simultaneously " paralysis " to the direction of the root of the tongue, and the present invention is dexterously utilized This point, by the soft root of the tongue this is attached in the platform of the lateral extension of Position Design one of the root of the tongue, when adding air flue and using Physical stability.Unstable air flue is allowed to become more stable;
(4) present invention in c-type stomach tube seat design, stomach tube can be both inserted at any time, airway when side can be being exited again Just stomach tube is separated with airway, realizes and smoothly exit airway keeping gastric canal simultaneously.
Brief description of the drawings
The accompanying drawing for constituting the part of the present invention is used for providing further understanding the invention, the invention Schematic description and description is used to explain the invention, does not constitute the improper restriction to the invention.In accompanying drawing In:
Fig. 1 is the dimensional structure diagram of the embodiment of the present invention;
Fig. 2 is the back schematic diagram of the embodiment of the present invention;
Fig. 3 is human body throat schematic diagram.
Wherein:
1st, main airway;2nd, aditus laryngis portion cup;
3rd, cup seat;6th, sealing ring;
7th, epiglottis support;8th, root of the tongue seat;
9th, c-type stomach tube seat;10th, Anesthesia machine interface and anti-occlusion bite-block;
13rd, epiglottis;14th, aditus laryngis;
15th, esophagus;16th, the root of the tongue.
Embodiment
It should be noted that in the case where not conflicting, the feature in embodiments of the invention and embodiment can be mutual Combination.
As shown in Figure 1, 2, the invention provides a kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type, including entirety is in Arcuation is used for the main airway 1 for inserting tracheal catheter, and main one end of airway 1 is provided with cup seat 3, and the cup seat 3 is provided with non- Expansion type aditus laryngis portion cup 2;
It is illustrated in figure 3 the schematic diagram of human body throat, aditus laryngis portion cup 2 and human body aditus laryngis portion anatomical structure kissing Close, human body aditus laryngis outer rim is covered in aditus laryngis portion cup;
The maximum doubt of airway is cup and the seal of surrounding tissue on aditus laryngis.Seal is bad when causing ventilation Air flue " gas leakage ", directly affects the effect of ventilation therapy, and serious gas leakage can form ineffective ventilation and give patient's arrival great risk. The present invention consults the pertinent literature of decades by studying human anatomic structure, in autopsy repetition test contrast;See Aditus laryngis surrounding anatomical structures change and with China and foreign countries expert exchanges and communication repeatedly when examining dynamic aeration, the side of cup 2 in aditus laryngis portion Design the cup external form fitted like a glove with aditus laryngis structures surrounding in edge.Using soft elastomeric material produce with The cup that aditus laryngis surrounding anatomical structures match.And " most deep " position i.e. cup is contacted with aditus laryngis surrounding tissue at cup edge Inner edge top, adds sealing ring 6 so that cup edge is wrapped up close by aditus laryngis surrounding tissue, when avoiding ventilation to greatest extent Leak air phenomenon.Soft cup material will not cause damage when inserting to pharynx cheek.Without cup without inflation after inserting, Compressing of the gasbag pressure to peripheral nerve, tissue is avoided to reduce the generation of postoperative complications.
The dynamic studies of epiglottis position when the present invention is according to patient ventilating, the cup of design covers epiglottis into cup completely It is interior.In ventilation if there is " the epiglottis fold back " in the presence of vent gas, it will produce showing for epiglottis obstructing airway As influenceing the unobstructed or even airway obstruction of air flue.Therefore the present invention is provided with meeting in aditus laryngis portion cup 2, at correspondence epiglottis Detest support 7, the epiglottis support 7 ensures to accommodate the size of cartilago epiglottica apart from the space that cup outer rim is formed, and forms epiglottis attachment Point.Epiglottis can be attached to the position of epiglottis support by the design of epiglottis support, it will detest and stay open, it is to avoid air-flow is led The epiglottis fold back of cause.
It is the airway with " binary channels/two-tube " the characteristics of airway on third generation aditus laryngis.It is another in addition to airway One passage is gastric tube passageway, and the stomach for therapeutic process is depressurized.Once ventilation therapy terminates, exit airway and still need to guarantor Stay the operation of stomach tube will be extremely complex:Stomach tube is extracted together with airway, then inserts stomach tube;Stomach tube is cut Disconnected row processing again.The present invention is provided with c-type stomach tube in the main airway relative to another lateral wall that tracheal catheter separates opening Groove 9, or the lateral wall are provided with c-type stomach tube seat 9 provided with lug boss, lug boss, and the c-type stomach tube seat 9 extends to the cup seat 3 top-rear sides.The appearance of c-type stomach tube seat 9, stomach tube can be both inserted at any time, again can be when exiting airway easily by stomach Pipe is separated with airway, is realized and is smoothly exited airway keeping gastric canal simultaneously.
Under general anesthesia state, tongue body becomes abnormal soft simultaneously " paralysis " to the direction of the root of the tongue.The present invention dexterously utilizes this Point, in correspondence tongue location of root, main airway and aditus laryngis portion cup junction design the platform of a lateral extension, are used as the root of the tongue Seat 8, this is attached to by the soft root of the tongue, width of the root of the tongue 8 expanded widths of seat no more than cup seat 3.When adding air flue and using Physical stability.Unstable air flue is allowed to become more stable.
In embodiments of the present invention, the design section of main airway 1 is square, and four square angles are seamlessly transitted Radian chamfering.
The problem of present invention solves (1) ventilation seal;(2) airway is refreshing to surrounding tissue on air inflated sac type aditus laryngis Caused by the compressing of warp the problem of the complication such as postoperative laryngalgia;(3) damage to swallowing cheek is inserted on ebonite aditus laryngis caused by airway Hinder problem;(4) epiglottis fold back causes the risk of airway obstruction when ventilating;(5) when using the problem of stability;(6) three generations's larynx The problem of airway exits airway keeping gastric canal on mouth, the present invention can obtain thorough or part in above-mentioned various aspects Improve, airway on a reliable and stable aditus laryngis is provided for clinician.
The information such as general principle, principal character and the embodiment of the present invention are the foregoing described, but the present invention is not by upper The limitation of implementation process is stated, on the premise of spirit and scope is not departed from, the present invention there can also be various change and change Enter.Therefore, unless this changes and improvements are departing from the scope of the present invention, they should be counted as comprising in the present invention.

Claims (6)

1. a kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type, it is characterised in that be used to insert gas in arcuation including overall The main airway of pipe conduit, and the unexpansive formula aditus laryngis portion cup on the cup seat of main airway one end;The aditus laryngis portion Cup is matched with human body aditus laryngis portion anatomical structure, and human body aditus laryngis outer rim is covered in aditus laryngis portion cup;Aditus laryngis portion cup Edge contacts the sealing ring that ring-type is provided with most deep position, i.e. cup inner edge top with aditus laryngis surrounding tissue.
2. airway according to claim 1, it is characterised in that be provided with meeting in aditus laryngis portion cup, at correspondence epiglottis Detest support, the epiglottis support ensures to accommodate the size of cartilago epiglottica apart from the space that cup outer rim is formed, and forms epiglottis attachment point.
3. airway according to claim 1, it is characterised in that the main airway is separated relative to tracheal catheter and is open Another lateral wall be provided with c-type stomach tube seat, or the lateral wall is provided with c-type stomach tube seat, the c-type pipe provided with lug boss, lug boss Groove extends to the cup seat top-rear side.
4. airway according to claim 1, it is characterised in that the main airway is corresponding with aditus laryngis portion cup junction Tongue location of root is provided with root of the tongue seat that is raised and extending to both sides, width of the expanded width no more than cup seat.
5. airway according to claim 1, it is characterised in that throat's cup is the soft deformable cover of unexpansive formula Cup.
6. airway according to claim 1, it is characterised in that the main airway section be it is square, square four Angle is the radian chamfering seamlessly transitted.
CN201611199621.2A 2016-12-22 2016-12-22 A kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type Pending CN107019833A (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
CN201611199621.2A CN107019833A (en) 2016-12-22 2016-12-22 A kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type
US15/851,726 US20180177964A1 (en) 2016-12-22 2017-12-21 Glottis mask airway

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201611199621.2A CN107019833A (en) 2016-12-22 2016-12-22 A kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type

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Publication Number Publication Date
CN107019833A true CN107019833A (en) 2017-08-08

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108434569A (en) * 2018-05-24 2018-08-24 无锡圣诺亚科技有限公司 Exempt to inflate suction sputum type intubating laryngeal mask
CN108434568A (en) * 2018-05-24 2018-08-24 无锡圣诺亚科技有限公司 Stomach tube slot laryngeal mask
CN108904945A (en) * 2018-05-24 2018-11-30 无锡圣诺亚科技有限公司 Exempt from gas-flow closure laryngeal mask
WO2019223464A1 (en) * 2018-05-24 2019-11-28 无锡圣诺亚科技有限公司 Positioning sputum suction laryngeal mask

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1835776A (en) * 2003-08-14 2006-09-20 默罕默德·阿斯拉姆·纳西尔 Improved ventilation
CN202724422U (en) * 2012-07-23 2013-02-13 杭州富善医疗器械有限公司 Laryngeal mask convenient for guiding and inserting devices into stomach
CN104307078A (en) * 2014-10-20 2015-01-28 海盐康源医疗器械有限公司 Non-pneumatic laryngeal mask with imbibition function
CN205515848U (en) * 2016-01-20 2016-08-31 姜楠 Special no bag laryngeal mask of cosmetic procedure
CN207012383U (en) * 2016-12-22 2018-02-16 天津麦迪安医疗器械有限公司 A kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1835776A (en) * 2003-08-14 2006-09-20 默罕默德·阿斯拉姆·纳西尔 Improved ventilation
CN202724422U (en) * 2012-07-23 2013-02-13 杭州富善医疗器械有限公司 Laryngeal mask convenient for guiding and inserting devices into stomach
CN104307078A (en) * 2014-10-20 2015-01-28 海盐康源医疗器械有限公司 Non-pneumatic laryngeal mask with imbibition function
CN205515848U (en) * 2016-01-20 2016-08-31 姜楠 Special no bag laryngeal mask of cosmetic procedure
CN207012383U (en) * 2016-12-22 2018-02-16 天津麦迪安医疗器械有限公司 A kind of airway of the closed aditus laryngis surrounding tissue of cover-cup type

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108434569A (en) * 2018-05-24 2018-08-24 无锡圣诺亚科技有限公司 Exempt to inflate suction sputum type intubating laryngeal mask
CN108434568A (en) * 2018-05-24 2018-08-24 无锡圣诺亚科技有限公司 Stomach tube slot laryngeal mask
CN108904945A (en) * 2018-05-24 2018-11-30 无锡圣诺亚科技有限公司 Exempt from gas-flow closure laryngeal mask
WO2019223464A1 (en) * 2018-05-24 2019-11-28 无锡圣诺亚科技有限公司 Positioning sputum suction laryngeal mask
CN108434568B (en) * 2018-05-24 2024-11-12 无锡圣诺亚科技有限公司 Gastric tube slot laryngeal mask

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Application publication date: 20170808