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CN116808378B - An auxiliary support structure for tracheal intubation - Google Patents

An auxiliary support structure for tracheal intubation Download PDF

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Publication number
CN116808378B
CN116808378B CN202310832088.2A CN202310832088A CN116808378B CN 116808378 B CN116808378 B CN 116808378B CN 202310832088 A CN202310832088 A CN 202310832088A CN 116808378 B CN116808378 B CN 116808378B
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Prior art keywords
rod
support structure
rotating shaft
connecting rod
arc
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CN116808378A (en
Inventor
周露茜
冯添裕
林志威
丁嘉斌
秦利洁
陈大伟
秦景城
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First Affiliated Hospital of Guangzhou Medical University
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First Affiliated Hospital of Guangzhou Medical University
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Priority to CN202310832088.2A priority Critical patent/CN116808378B/en
Publication of CN116808378A publication Critical patent/CN116808378A/en
Priority to PCT/CN2023/136712 priority patent/WO2025010930A1/en
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    • 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
    • A61M16/04Tracheal 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/049Mouthpieces
    • A61M16/0495Mouthpieces with tongue depressors

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  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Emergency Medicine (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)
  • Otolaryngology (AREA)
  • Endoscopes (AREA)

Abstract

The invention discloses an auxiliary supporting structure of an endotracheal intubation, which relates to the technical field of intubation and solves the problems that two persons are required to cooperate to finish operation during intubation, and intubators are required to have better proficiency to operate a laryngoscope blade and the endotracheal intubation simultaneously. The utility model provides an auxiliary support structure of trachea cannula, includes bearing structure slide rail A, one side of bearing structure slide rail A is equipped with bearing structure slide rail B, be equipped with a fly leaf between bearing structure slide rail A and the bearing structure slide rail B, the place ahead of fly leaf is equipped with the arc, be equipped with a pivot connecting rod between arc and the fly leaf, link to each other through the pivot between pivot connecting rod and the fly leaf. The invention can automatically adjust the angle of the head of the patient and pull the mouth of the patient away from the patient, so that the patient does not need to be assisted by one side in the intubation process, and the laryngoscope with the tongue and the tongue root pressed can be automatically fixed, thereby reducing the requirements of the skill of operators.

Description

一种气管插管的辅助支撑结构An auxiliary support structure for tracheal intubation

技术领域Technical field

本发明涉及气管插管技术领域,具体为一种气管插管的辅助支撑结构。The invention relates to the technical field of tracheal intubation, specifically an auxiliary support structure for tracheal intubation.

背景技术Background technique

气管插管是将一特制的气管内导管通过口腔或鼻腔,经声门置入气管或支气管内的方法,为呼吸道通畅、通气供氧、呼吸道吸引等提供最佳条件,是抢救呼吸功能障碍患者的重要措施;Tracheal intubation is a method of inserting a special endotracheal tube through the oral cavity or nasal cavity and into the trachea or bronchi through the glottis. It provides the best conditions for respiratory tract unobstruction, ventilation and oxygen supply, and respiratory tract suction. It is an important method for rescuing patients with respiratory dysfunction. important measures;

而现有的气管插管存在着在实际的使用过程中,气管插管容易出现脱落的现象的问题,而专利号CN211513024U,其名称为一种急诊科用气管插管辅助装置,通过采用通过设置括紧固带和紧固支架,且在紧固支架的两端设置和紧固带相互匹配的第一固定部,第一固定部上设置第一固定槽,紧固带套设至第一固定槽上,并且在紧固支架的前端设置第一凹槽,第一凹槽贯通紧固支架的前后的两个侧面,紧固支架的相对第一凹槽的上方设置第二固定部,紧固之间相对第一凹槽的下方设置连接支架,连接支架和第二固定部之间设置支撑柱,支撑柱上设置用于通过气管插管的第二固定槽,在支撑柱的顶部设置第一通孔,第一通孔的内部设置固定柱,将本申请套设至人体的头部的方式从而解决了上述问题。However, the existing tracheal intubation has the problem that the tracheal intubation is prone to falling off during actual use. The patent number CN211513024U, which is called an auxiliary device for tracheal intubation in emergency departments, adopts the setting It includes a fastening belt and a fastening bracket, and a first fixing part matching the fastening belt is provided at both ends of the fastening bracket. A first fixing groove is provided on the first fixing part, and the fastening belt is sleeved to the first fixing part. groove, and a first groove is provided at the front end of the fastening bracket, the first groove runs through the front and rear sides of the fastening bracket, and a second fixing part is provided above the fastening bracket relative to the first groove, and the fastening A connecting bracket is arranged below the first groove, a supporting column is arranged between the connecting bracket and the second fixing part, a second fixing groove for tracheal intubation is arranged on the supporting pillar, and a first fixing groove is arranged on the top of the supporting pillar. Through holes, a fixing post is provided inside the first through hole, and the above problem is solved by setting the present invention on the head of the human body.

在插入气管插管的过程中,首先需要有一个人用手扶住患者的头部,使其后仰,尽量使得患者嘴部与气管相对齐,并用手打开患者嘴部,方便后续插管人员喉镜的插入,当患者嘴部被打开后,插管人员手持喉镜,将其插入患者嘴部,上压患者的舌头以及其舌根,以此来打开声门,之后插管人员的另一只手手持气管插管从喉镜上的沟槽缓缓插入气管的内部,此种插管方式不仅需要两位工作人员配合才可完成插管操作,且插管人员必须还要有相当高的操作熟练度,能够同时操作喉镜以及其气管插管,其要求较高;因此,不满足现有的需求,对此我们提出了一种气管插管的辅助支撑结构。During the insertion of tracheal intubation, one person first needs to hold the patient's head with his hands, tilt it back, try to make the patient's mouth aligned with the trachea, and open the patient's mouth with his hands to facilitate subsequent intubation personnel. After the patient's mouth is opened, the intubator holds the laryngoscope, inserts it into the patient's mouth, presses the patient's tongue and its base to open the glottis, and then uses the other hand of the intubator The hand-held tracheal intubation tube is slowly inserted into the interior of the trachea from the groove on the laryngoscope. This intubation method not only requires the cooperation of two staff members to complete the intubation operation, but also the intubation personnel must have considerable operational skills. The proficiency required to operate the laryngoscope and its tracheal intubation at the same time is relatively high; therefore, it does not meet the existing needs, so we proposed an auxiliary support structure for tracheal intubation.

发明内容Contents of the invention

本发明的目的在于提供一种气管插管的辅助支撑结构,以解决上述背景技术中提出的在插入气管插管的过程中,首先需要有一个人用手扶住患者的头部,使其后仰,尽量使得患者嘴部与气管相对齐,并用手打开患者嘴部,方便后续插管人员喉镜的插入,当患者嘴部被打开后,插管人员手持喉镜,将其插入患者嘴部,上压患者的舌头以及其舌根,以此来打开声门,之后插管人员的另一只手手持气管插管从喉镜上的沟槽缓缓插入气管的内部,此种插管方式不仅需要两位工作人员配合才可完成插管操作,且插管人员必须还要有相当高的操作熟练度,能够同时操作喉镜以及其气管插管,其要求较高等问题。The object of the present invention is to provide an auxiliary support structure for tracheal intubation to solve the problem in the above-mentioned background technology that during the insertion of tracheal intubation, a person first needs to hold the patient's head with his hands to tilt it back. , try to make the patient's mouth aligned with the trachea, and open the patient's mouth with your hands to facilitate the subsequent insertion of the laryngoscope by the intubator. When the patient's mouth is opened, the intubator holds the laryngoscope and inserts it into the patient's mouth. Press the patient's tongue and its base upward to open the glottis. Then, the intubator holds the tracheal intubation tube in his other hand and slowly inserts it into the trachea from the groove on the laryngoscope. This intubation method not only requires The intubation operation can only be completed by the cooperation of two staff members, and the intubator must have a high degree of operational proficiency and be able to operate the laryngoscope and its tracheal intubation at the same time, which requires higher requirements.

为实现上述目的,本发明提供如下技术方案:一种气管插管的辅助支撑结构,包括支撑结构滑轨A,所述支撑结构滑轨A的一侧设有支撑结构滑轨B,所述支撑结构滑轨A和支撑结构滑轨B之间设有一个活动板,所述活动板的前方设有弧形板,所述弧形板与活动板之间设有一个转轴连接杆,所述转轴连接杆与活动板之间通过转轴相连,所述转轴连接杆上朝向弧形板的面与弧形板相固定,所述弧形板上朝向活动板的面呈环形排列设有多个牙齿槽;In order to achieve the above object, the present invention provides the following technical solution: an auxiliary support structure for tracheal intubation, including a support structure slide rail A. One side of the support structure slide rail A is provided with a support structure slide rail B. The support structure slide rail A is provided with a support structure slide rail B. There is a movable plate between the structural slide rail A and the supporting structure slide rail B. There is an arc plate in front of the movable plate. There is a rotating shaft connecting rod between the arc plate and the movable plate. The rotating shaft The connecting rod and the movable plate are connected through a rotating shaft. The surface of the rotating shaft connecting rod facing the arc-shaped plate is fixed to the arc-shaped plate. The surface of the arc-shaped plate facing the movable plate is arranged in an annular arrangement with a plurality of tooth slots. ;

所述弧形板的上方设有辅助开喉机构,所述辅助开喉机构包括角度调整机构和喉镜,由所述角度调整机构可任意大幅度或小幅度调整喉镜的角度。An auxiliary throat opening mechanism is provided above the arc-shaped plate. The auxiliary throat opening mechanism includes an angle adjustment mechanism and a laryngoscope. The angle adjustment mechanism can adjust the angle of the laryngoscope in any large or small amplitude.

优选的,所述支撑结构滑轨A上朝向支撑结构滑轨B的面和支撑结构滑轨B上朝向支撑结构滑轨A的面均设有一个导向杆,两个所述导向杆之间设有一个同时与两个所述导向杆之间滑动相连的颈椎枕。Preferably, the surface of the support structure slide rail A facing the support structure slide rail B and the surface of the support structure slide rail B facing the support structure slide rail A are both provided with a guide rod, and there is a guide rod between the two guide rods. There is a cervical pillow that is slidingly connected between the two guide rods.

优选的,所述活动板上朝向支撑结构滑轨A的面固定设有一个连接杆,且所述连接杆上朝向支撑结构滑轨A的面通过转轴连接有一个滑动安装于支撑结构滑轨A上的电动滑台,所述活动板上朝向支撑结构滑轨B的面固定设有一个夹持杆。Preferably, the surface of the movable plate facing the support structure slide rail A is fixed with a connecting rod, and the surface of the connecting rod facing the support structure slide rail A is connected to a sliding and installed support structure slide rail A through a rotating shaft. There is an electric slide on the movable plate, and a clamping rod is fixed on the movable plate toward the surface of the support structure slide rail B.

优选的,所述支撑结构滑轨B上端面的一侧滑动安装有一个活动杆A,所述活动杆A的内部设有连接杆A,所述连接杆A的底端与活动杆A之间设有一个支撑弹簧;Preferably, a movable rod A is slidably installed on one side of the upper end surface of the support structure slide rail B. A connecting rod A is provided inside the movable rod A. There is a gap between the bottom end of the connecting rod A and the movable rod A. Provided with a support spring;

所述支撑结构滑轨A上端面的一侧活动安装有一个活动杆B,所述活动杆B的内部设有连接杆B,所述连接杆B和连接杆A的上端面固定设有一个升降杆,且所述辅助开喉机构安装于升降杆外表面的中间位置。A movable rod B is movably installed on one side of the upper end surface of the support structure slide rail A. A connecting rod B is provided inside the movable rod B. A lift is fixed on the upper end surfaces of the connecting rod B and the connecting rod A. rod, and the auxiliary throat opening mechanism is installed at the middle position of the outer surface of the lifting rod.

优选的,所述连接杆B的内部设有螺杆,所述螺杆靠近底端的外侧设有贯穿连接杆B的内螺纹通孔,且所述螺杆的底端与活动杆B之间通过滚子轴承相连;Preferably, a screw is provided inside the connecting rod B, and an internally threaded through hole is provided on the outside of the screw rod near the bottom end of the connecting rod B, and a roller bearing is used between the bottom end of the screw rod and the movable rod B. connected; connected

所述螺杆的上端面固定设有圆形板A,所述螺杆的上方设有圆形板B,所述圆形板B下端面的两侧对称设有两个均活动竖向贯穿圆形板A的长杆,所述圆形板B上端面的中间位置固定设有转轴,所述转轴的上端面固定设有位于升降杆外侧的旋转把手。The upper end face of the screw is fixedly provided with a circular plate A, the upper end of the screw is provided with a circular plate B, and the two sides of the lower end face of the circular plate B are symmetrically provided with two movable vertical circular plates. As for the long rod A, a rotating shaft is fixed at the middle position of the upper end surface of the circular plate B, and a rotating handle located outside the lifting rod is fixedly installed on the upper end surface of the rotating shaft.

优选的,所述圆形板B上端面的外侧设有环形齿槽,所述环形齿槽的上方设有环形套,所述环形套的下端面呈环形排列设有一圈尖齿头,所述环形齿槽的内部设有多个与位于环形套下端面的尖齿头向匹配的尖齿槽。Preferably, an annular tooth groove is provided on the outside of the upper end surface of the circular plate B, an annular sleeve is provided above the annular tooth groove, and a ring of sharp tooth heads is arranged on the lower end surface of the annular sleeve in an annular manner. The interior of the annular tooth groove is provided with a plurality of tine tooth grooves that are radially matched with the tine teeth located on the lower end surface of the annular sleeve.

优选的,所述转轴的外侧设有位于升降杆外表面的内螺纹槽,所述内螺纹槽的内部螺纹连接有内螺纹套,所述内螺纹套下端面的外侧设有滚子轴承环,所述滚子轴承环下端面的四个端角均固定设有一个推送杆,四个所述推送杆的底端均与环形套之间相固定。Preferably, the outer side of the rotating shaft is provided with an internal threaded groove located on the outer surface of the lifting rod, the internal threaded groove is threadedly connected to an internally threaded sleeve, and the outer side of the lower end surface of the internally threaded sleeve is provided with a roller bearing ring. A push rod is fixed at the four end corners of the lower end surface of the roller bearing ring, and the bottom ends of the four push rods are fixed to the annular sleeve.

优选的,所述角度调整机构包括喉镜夹、金属杆、弧形槽、弹性弧形块、螺柱A、螺柱B、内螺纹套、大型伞形齿轮、小型伞形齿轮、齿轮传动转轴和转轴,所述喉镜被夹持于两个所述喉镜夹之间,从左至右数第二个所述喉镜夹外表面的一侧固定设有金属杆,所述金属杆的外表面设有一圈弧形槽,每个所述弧形槽的内部均卡有一个弹性弧形块。Preferably, the angle adjustment mechanism includes a laryngoscope clip, a metal rod, an arc groove, an elastic arc block, a stud A, a stud B, an internal thread sleeve, a large bevel gear, a small bevel gear, and a gear transmission shaft. and a rotating shaft, the laryngoscope is clamped between two laryngoscope clips, and a metal rod is fixed on one side of the outer surface of the second laryngoscope clip from left to right, and the metal rod is A circle of arc-shaped grooves is provided on the outer surface, and an elastic arc-shaped block is stuck inside each arc-shaped groove.

优选的,所述金属杆外表面的一侧固定设有转轴,所述转轴的外表面固定套设有螺柱A,所述螺柱A的上方啮合有螺柱B,所述螺柱B的上方啮合有通过滚子轴承安装于升降杆上的内螺纹套。Preferably, a rotating shaft is fixed on one side of the outer surface of the metal rod, and a stud A is fixedly mounted on the outer surface of the rotating shaft. A stud B is engaged above the stud A, and a stud B is engaged with the stud B. The upper part is engaged with an internally threaded sleeve installed on the lifting rod through a roller bearing.

优选的,所述螺柱A的一侧设有同样固定套设于喉镜夹外表面的大型伞形齿轮,所述大型伞形齿轮啮合有小型伞形齿轮,所述小型伞形齿轮的轴心连接有一齿轮传动转轴,所述齿轮传动转轴的上端固定设有位于升降杆外侧的小幅度角度调整旋转把手。Preferably, one side of the stud A is provided with a large bevel gear that is also fixedly sleeved on the outer surface of the laryngoscope clip. The large bevel gear is meshed with a small bevel gear, and the shaft of the small bevel gear is The center is connected to a gear transmission shaft, and the upper end of the gear transmission shaft is fixedly provided with a small angle adjustment rotating handle located outside the lifting rod.

与现有技术相比,本发明的有益效果是:Compared with the prior art, the beneficial effects of the present invention are:

1、本发明通过使用此辅助支撑设备时,可以自动自动调整患者头部的角度以及打开患者的嘴部,使其不在需要两人合作进行操作,从而增加了设备的其功能性;1. By using this auxiliary support device, the present invention can automatically adjust the angle of the patient's head and open the patient's mouth, so that it no longer requires the cooperation of two people to operate, thereby increasing the functionality of the device;

2、本发明通过之后角度调整机构从而可以转动喉镜,随之位于患者嘴部上方的喉镜的旋转,喉镜将会自动进入其内部,并上压设头以及设根,以此来打开声门,且喉镜每旋转一定的角度,即可在固定结构的影响下被固定,通过上述技术方案从而可以固定打开声门的喉镜,使得插管人员不在需要同时使用喉镜和气管插管,降低了其操作繁琐性,且通过此结构被固定的喉镜不会轻易的发生晃动,相较于手动的固定方式,其稳定性更高。2. The present invention can rotate the laryngoscope through the angle adjustment mechanism. With the rotation of the laryngoscope located above the patient's mouth, the laryngoscope will automatically enter its interior and press up on the head and root to open the laryngoscope. The laryngoscope can be fixed under the influence of the fixed structure every time the laryngoscope rotates to a certain angle. Through the above technical solution, the laryngoscope that opens the glottis can be fixed, so that the intubator no longer needs to use the laryngoscope and tracheal intubation at the same time. The tube reduces the tediousness of its operation, and the laryngoscope fixed through this structure will not shake easily. Compared with the manual fixation method, it has higher stability.

附图说明Description of the drawings

图1为本发明整体的结构示意图;Figure 1 is a schematic diagram of the overall structure of the present invention;

图2为本发明图1中B处的内部结构示意图;Figure 2 is a schematic diagram of the internal structure at B in Figure 1 of the present invention;

图3为本发明图1中A处的内部结构侧视图;Figure 3 is a side view of the internal structure at position A in Figure 1 of the present invention;

图4为本发明图3中C处的结构示意图;Figure 4 is a schematic structural diagram of C in Figure 3 of the present invention;

图5为本发明图3中C处的结构放大图;Figure 5 is an enlarged view of the structure at C in Figure 3 of the present invention;

图6为本发明整体的底部结构示意图。Figure 6 is a schematic diagram of the overall bottom structure of the present invention.

图中:1、支撑结构滑轨A;2、辅助开喉机构;201、喉镜;202、喉镜夹;203、金属杆;204、弧形槽;205、弹性弧形块;206、螺柱A;207、螺柱B;208、内螺纹套;209、大型伞形齿轮;210、小型伞形齿轮;211、齿轮传动转轴;212、转轴;3、导向杆;4、颈椎枕;5、夹持杆;6、活动板;7、连接杆;8、活动杆A;9、升降杆;10、连接杆A;11、支撑结构滑轨B;12、转轴连接杆;13、弧形板;14、牙齿槽;15、活动杆B;16、连接杆B;17、螺杆;18、内螺纹通孔;19、圆形板A;20、长杆;21、圆形板B;22、环形齿槽;23、环形套;24、推送杆;25、滚子轴承环;26、内螺纹套;27、转轴;28、内螺纹槽。In the picture: 1. Support structure slide rail A; 2. Auxiliary throat opening mechanism; 201. Laryngoscope; 202. Laryngoscope clamp; 203. Metal rod; 204. Arc groove; 205. Elastic arc block; 206. Screw Column A; 207, stud B; 208, internal thread sleeve; 209, large bevel gear; 210, small bevel gear; 211, gear transmission shaft; 212, rotating shaft; 3, guide rod; 4, cervical pillow; 5 , clamping rod; 6. movable plate; 7. connecting rod; 8. movable rod A; 9. lifting rod; 10. connecting rod A; 11. support structure slide rail B; 12. rotating shaft connecting rod; 13. arc Plate; 14. Teeth slot; 15. Movable rod B; 16. Connecting rod B; 17. Screw; 18. Internally threaded through hole; 19. Circular plate A; 20. Long rod; 21. Circular plate B; 22 , annular tooth groove; 23, annular sleeve; 24, push rod; 25, roller bearing ring; 26, internal thread sleeve; 27, rotating shaft; 28, internal thread groove.

具体实施方式Detailed ways

下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some of the embodiments of the present invention, rather than all the embodiments.

请参阅图1至图6,本发明提供的一种实施例:一种气管插管的辅助支撑结构,包括支撑结构滑轨A1,支撑结构滑轨A1的一侧设有支撑结构滑轨B11,支撑结构滑轨A1和支撑结构滑轨B11之间设有一个活动板6,活动板6的前方设有弧形板13,弧形板13与活动板6之间设有一个转轴连接杆12,转轴连接杆12与活动板6之间通过转轴相连,转轴连接杆12上朝向弧形板13的面与弧形板13相固定,弧形板13上朝向活动板6的面呈环形排列设有多个牙齿槽14;Please refer to Figures 1 to 6. One embodiment provided by the present invention: an auxiliary support structure for tracheal intubation, including a support structure slide rail A1, and a support structure slide rail B11 is provided on one side of the support structure slide rail A1. There is a movable plate 6 between the support structure slide rail A1 and the support structure slide rail B11. There is an arc plate 13 in front of the movable plate 6. There is a rotating shaft connecting rod 12 between the arc plate 13 and the movable plate 6. The rotating shaft connecting rod 12 and the movable plate 6 are connected through a rotating shaft. The surface of the rotating shaft connecting rod 12 facing the arc plate 13 is fixed to the arc plate 13. The surface of the arc plate 13 facing the movable plate 6 is arranged in an annular shape. multiple tooth sockets 14;

弧形板13的上方设有辅助开喉机构2,辅助开喉机构2包括角度调整机构和喉镜201,由角度调整机构可任意大幅度或小幅度调整喉镜201的角度。An auxiliary throat opening mechanism 2 is provided above the arc-shaped plate 13. The auxiliary throat opening mechanism 2 includes an angle adjustment mechanism and a laryngoscope 201. The angle adjustment mechanism can adjust the angle of the laryngoscope 201 in any large or small amplitude.

支撑结构滑轨A1上朝向支撑结构滑轨B11的面和支撑结构滑轨B11上朝向支撑结构滑轨A1的面均设有一个导向杆3,两个导向杆3之间设有一个同时与两个导向杆3之间滑动相连的颈椎枕4;活动板6上朝向支撑结构滑轨A1的面固定设有一个连接杆7,且连接杆7上朝向支撑结构滑轨A1的面通过转轴连接有一个滑动安装于支撑结构滑轨A1上的电动滑台,活动板6上朝向支撑结构滑轨B11的面固定设有一个夹持杆5;支撑结构滑轨B11上端面的一侧滑动安装有一个活动杆A8,活动杆A8的内部设有连接杆A10,连接杆A10的底端与活动杆A8之间设有一个支撑弹簧;The surface of the support structure slide rail A1 facing the support structure slide rail B11 and the surface of the support structure slide rail B11 facing the support structure slide rail A1 are both provided with a guide rod 3, and a guide rod 3 is provided between the two guide rods 3 to connect the two guide rods simultaneously A cervical pillow 4 is slidably connected between two guide rods 3; a connecting rod 7 is fixed on the surface of the movable plate 6 facing the support structure slide rail A1, and the surface of the connecting rod 7 facing the support structure slide rail A1 is connected through a rotating shaft. An electric slide is slidably installed on the support structure slide rail A1. A clamping rod 5 is fixed on the movable plate 6 toward the surface of the support structure slide rail B11; there is a sliding installation on one side of the upper end surface of the support structure slide rail B11. The movable rod A8 has a connecting rod A10 inside the movable rod A8, and a support spring is provided between the bottom end of the connecting rod A10 and the movable rod A8;

支撑结构滑轨A1上端面的一侧活动安装有一个活动杆B15,活动杆B15的内部设有连接杆B16,连接杆B16和连接杆A10的上端面固定设有一个升降杆9,且辅助开喉机构2安装于升降杆9外表面的中间位置;连接杆B16的内部设有螺杆17,螺杆17靠近底端的外侧设有贯穿连接杆B16的内螺纹通孔18,且螺杆17的底端与活动杆B15之间通过滚子轴承相连;A movable rod B15 is movably installed on one side of the upper end surface of the supporting structure slide rail A1. A connecting rod B16 is provided inside the movable rod B15. A lifting rod 9 is fixedly installed on the upper end surfaces of the connecting rod B16 and the connecting rod A10, and the auxiliary opening The throat mechanism 2 is installed at the middle position of the outer surface of the lifting rod 9; a screw rod 17 is provided inside the connecting rod B16, and an internally threaded through hole 18 is provided on the outside of the screw rod 17 near the bottom end of the connecting rod B16, and the bottom end of the screw rod 17 is in contact with the connecting rod B16. The movable rods B15 are connected through roller bearings;

螺杆17的上端面固定设有圆形板A19,螺杆17的上方设有圆形板B21,圆形板B21下端面的两侧对称设有两个均活动竖向贯穿圆形板A19的长杆20,圆形板B21上端面的中间位置固定设有转轴27,转轴27的上端面固定设有位于升降杆9外侧的旋转把手;圆形板B21上端面的外侧设有环形齿槽22,环形齿槽22的上方设有环形套23,环形套23的下端面呈环形排列设有一圈尖齿头,环形齿槽22的内部设有多个与位于环形套23下端面的尖齿头向匹配的尖齿槽;转轴27的外侧设有位于升降杆9外表面的内螺纹槽28,内螺纹槽28的内部螺纹连接有内螺纹套26,内螺纹套26下端面的外侧设有滚子轴承环25,滚子轴承环25下端面的四个端角均固定设有一个推送杆24,四个推送杆24的底端均与环形套23之间相固定。A circular plate A19 is fixed on the upper end surface of the screw rod 17, a circular plate B21 is provided above the screw rod 17, and two long rods are symmetrically provided on both sides of the lower end surface of the circular plate B21, both of which are movable and vertically penetrate the circular plate A19. 20. The middle position of the upper end surface of the circular plate B21 is fixed with a rotating shaft 27, and the upper end surface of the rotating shaft 27 is fixedly equipped with a rotating handle located outside the lifting rod 9; the outer side of the upper end surface of the circular plate B21 is provided with an annular tooth groove 22, annular An annular sleeve 23 is provided above the tooth groove 22. The lower end surface of the annular sleeve 23 is arranged in an annular shape and is provided with a ring of tines. The annular tooth groove 22 is provided with a plurality of tines located on the lower end surface of the annular sleeve 23. The head direction matches. The outer side of the rotating shaft 27 is provided with an internal threaded groove 28 located on the outer surface of the lifting rod 9. The internal threaded groove 28 is threaded with an internally threaded sleeve 26, and the outer side of the lower end surface of the internally threaded sleeve 26 is provided with a roller bearing. The four end corners of the ring 25 and the lower end surface of the roller bearing ring 25 are each fixed with a push rod 24, and the bottom ends of the four push rods 24 are fixed to the annular sleeve 23.

使用时,检查各个机构的使用情况,将该装置移动到工作区域,使用此辅助支撑设备时,首先将夹持杆5从支撑结构滑轨B11上拿下,之后翻转活动板6,在将患者的颈部放置于颈椎枕4上,使其患者的头部后仰,之后在放平活动板6,将夹持杆5卡到支撑结构滑轨B11上,之后将与活动板6之间相连的弧形板13卡到患者的下齿上,之后启动与活动板6之间间接相连的电动滑台向后推送活动板6,以此来打开患者的嘴部,通过上述技术方案从而使其不在需要有人在一旁进行辅助,通过此设备可以自动调整患者头部的角度以及打开患者的嘴部,从而增加了其功能性。When in use, check the usage of each mechanism and move the device to the work area. When using this auxiliary support equipment, first remove the clamping rod 5 from the support structure slide rail B11, then flip the movable plate 6, and then lift the patient Place the patient's neck on the cervical pillow 4 to tilt the patient's head back, then flatten the movable board 6, clamp the clamping rod 5 onto the support structure slide rail B11, and then connect it to the movable board 6 The arc plate 13 is stuck on the patient's lower teeth, and then the electric slider indirectly connected to the movable plate 6 is started to push the movable plate 6 backward to open the patient's mouth. Through the above technical solution, the patient's mouth is opened. Instead of needing someone to assist, the device can automatically adjust the angle of the patient's head and open the patient's mouth, thus increasing its functionality.

进一步的,角度调整机构包括喉镜夹202、金属杆203、弧形槽204、弹性弧形块205、螺柱A206、螺柱B207、内螺纹套208、大型伞形齿轮209、小型伞形齿轮210、齿轮传动转轴211和转轴212,喉镜201被夹持于两个喉镜夹202之间,从左至右数第二个喉镜夹202外表面的一侧固定设有金属杆203,金属杆203的外表面设有一圈弧形槽204,每个弧形槽204的内部均卡有一个弹性弧形块205;金属杆203外表面的一侧固定设有转轴212,转轴212的外表面固定套设有螺柱A206,螺柱A206的上方啮合有螺柱B207,螺柱B207的上方啮合有通过滚子轴承安装于升降杆9上的内螺纹套208;螺柱A206的一侧设有同样固定套设于喉镜夹202外表面的大型伞形齿轮209,大型伞形齿轮209啮合有小型伞形齿轮210,小型伞形齿轮210的轴心连接有一齿轮传动转轴211,齿轮传动转轴211的上端固定设有位于升降杆9外侧的小幅度角度调整旋转把手。Further, the angle adjustment mechanism includes laryngoscope clamp 202, metal rod 203, arc groove 204, elastic arc block 205, stud A206, stud B207, internal thread sleeve 208, large bevel gear 209, small bevel gear 210. Gear drive shaft 211 and shaft 212. The laryngoscope 201 is clamped between two laryngoscope clips 202. A metal rod 203 is fixed on one side of the outer surface of the second laryngoscope clip 202 from left to right. The outer surface of the metal rod 203 is provided with a circle of arc-shaped grooves 204, and an elastic arc-shaped block 205 is stuck inside each arc-shaped groove 204; a rotating shaft 212 is fixed on one side of the outer surface of the metal rod 203, and the outer surface of the rotating shaft 212 is fixed. The surface fixed sleeve is provided with a stud A206, the upper part of the stud A206 is engaged with a stud B207, and the upper part of the stud B207 is engaged with an internally threaded sleeve 208 installed on the lifting rod 9 through a roller bearing; one side of the stud A206 is provided with There is a large bevel gear 209 that is also fixedly sleeved on the outer surface of the laryngoscope clip 202. The large bevel gear 209 is meshed with a small bevel gear 210. The axis of the small bevel gear 210 is connected to a gear transmission shaft 211. The gear transmission shaft The upper end of 211 is fixedly provided with a small angle adjustment rotating handle located outside the lift rod 9 .

在实际应用时,手动旋转转轴27来带动与之相连的圆形板B21以及被位于圆形板B21下端面上的长杆20所贯穿的圆形板A19旋转,当圆形板A19旋转时与之相固定的螺杆17也会随之旋转,当螺杆17旋转时通过与之相连的内螺纹通孔18的螺纹结构,螺杆17将会随之上下移动,当螺杆17上升时,与之相连的升降杆9将会随之上升,当螺杆17下降时,升降杆9整体将会随之下降,将位于升降杆9上的喉镜201的尖端调整至被打开的患者嘴部,之后旋转位于转轴27外侧的内螺纹套26,通过其螺纹结构,当内螺纹套26旋转时,可上下移动,当内螺纹套26整体下降时与之滚子轴承相连的推送杆24和与此推送杆24之间相固定的环形套23下端面上的尖齿头将会随之插入位于圆形板B21上的环形齿槽22的内部,从而固定住圆形板B21,防止其旋转,以此来预防在插入喉镜201的过程中,喉镜201的高度发生改变;In practical applications, the rotating shaft 27 is manually rotated to drive the circular plate B21 connected thereto and the circular plate A19 penetrated by the long rod 20 located on the lower end surface of the circular plate B21 to rotate. When the circular plate A19 rotates, The screw 17 fixed to it will also rotate accordingly. When the screw 17 rotates, the screw 17 will move up and down through the thread structure of the internal thread through hole 18 connected to it. When the screw 17 rises, the screw 17 connected to it will move up and down. The lifting rod 9 will rise accordingly. When the screw rod 17 descends, the lifting rod 9 as a whole will descend accordingly. Adjust the tip of the laryngoscope 201 located on the lifting rod 9 to the opened patient's mouth, and then rotate it to the rotating axis. The internal thread sleeve 26 on the outside of 27 can move up and down through its thread structure when the internal thread sleeve 26 rotates. When the internal thread sleeve 26 descends as a whole, the push rod 24 connected to the roller bearing and the push rod 24 The tines on the lower end surface of the fixed annular sleeve 23 will be inserted into the annular tooth groove 22 on the circular plate B21, thereby fixing the circular plate B21 and preventing it from rotating, thereby preventing the circular plate B21 from rotating. During the insertion of laryngoscope 201, the height of laryngoscope 201 changes;

在实际应用时,旋转位于升降杆9外表面的内螺纹套208,当内螺纹套208旋转时与之通过螺柱B207从而啮合的螺柱A206将会随之发生较大幅度的旋转,当螺柱A206旋转时连接于其轴心上的转轴212和与此转轴212之间通过金属杆203相固定的喉镜夹202和被夹持于喉镜夹202上的喉镜201将会随之旋转,随着喉镜201的旋转,喉镜201将会进入患者嘴部的内部,并随着角度的变大,将会上压舌头以及其舌根,从而打开声门,在打开声门的过程中,放开内螺纹套208,旋转齿轮传动转轴211,当齿轮传动转轴211旋转时与之相固定的小型伞形齿轮210和与小型伞形齿轮210相啮合的大型伞形齿轮209将会小幅度旋转,当大型伞形齿轮209旋转时连接于其轴心上的转轴212和与转轴212间接相连的喉镜201将会小幅度旋转,通过小幅度旋转喉镜201的方式来打开声门,可以提高其安全性;In practical applications, the internal thread sleeve 208 located on the outer surface of the lifting rod 9 is rotated. When the internal thread sleeve 208 rotates, the stud A206 that meshes with the stud B207 will subsequently rotate to a greater extent. When the screw When the column A206 rotates, the rotating shaft 212 connected to its axis, the laryngoscope clamp 202 fixed by the metal rod 203 between the rotating shaft 212, and the laryngoscope 201 clamped on the laryngoscope clamp 202 will rotate accordingly. , as the laryngoscope 201 rotates, the laryngoscope 201 will enter the inside of the patient's mouth, and as the angle becomes larger, it will press up on the tongue and its base, thereby opening the glottis. During the process of opening the glottis, , release the internal thread sleeve 208 and rotate the gear transmission shaft 211. When the gear transmission shaft 211 rotates, the small bevel gear 210 fixed to it and the large bevel gear 209 meshing with the small bevel gear 210 will rotate slightly. Rotate. When the large bevel gear 209 rotates, the rotating shaft 212 connected to its axis and the laryngoscope 201 indirectly connected to the rotating shaft 212 will rotate slightly. The glottis can be opened by rotating the laryngoscope 201 slightly. improve its safety;

金属杆203在旋转的过程中,卡入金属杆203外表面上的弧形槽204内部的弹性弧形块205将会随之被向外推送,每当金属杆203旋转一定的角度,多个弹性弧形块205将会再次卡入弧形槽204的内部,从而在一定的程度上固定住金属杆203,当金属杆203被固定时与之间接相连的喉镜201也会随之被固定,通过上述技术方案从而可以固定打开声门的喉镜201,使得插管人员不在需要同时使用喉镜201和气管插管,降低了其操作繁琐性,且通过此结构被固定的喉镜201不会轻易的发生晃动,相较于手动的固定方式,其稳定性更高。During the rotation of the metal rod 203, the elastic arc-shaped block 205 stuck inside the arc-shaped groove 204 on the outer surface of the metal rod 203 will be pushed outward. Whenever the metal rod 203 rotates at a certain angle, multiple The elastic arc-shaped block 205 will snap into the inside of the arc-shaped groove 204 again, thereby fixing the metal rod 203 to a certain extent. When the metal rod 203 is fixed, the laryngoscope 201 indirectly connected to it will also be fixed. Through the above technical solution, the laryngoscope 201 that opens the glottis can be fixed, so that the intubator no longer needs to use the laryngoscope 201 and the tracheal intubation at the same time, which reduces the cumbersome operation, and the laryngoscope 201 fixed by this structure does not need to be used. It will shake easily and is more stable than manual fixation.

对于本领域技术人员而言,显然本发明不限于上述示范性实施例的细节,而且在不背离本发明的精神或基本特征的情况下,能够以其他的具体形式实现本发明。因此,无论从哪一点来看,均应将实施例看作是示范性的,而且是非限制性的,本发明的范围由所附权利要求而不是上述说明限定,因此旨在将落在权利要求的等同要件的含义和范围内的所有变化囊括在本发明内。不应将权利要求中的任何附图标记视为限制所涉及的权利要求。It is obvious to those skilled in the art that the present invention is not limited to the details of the above-described exemplary embodiments, and the present invention can be implemented in other specific forms without departing from the spirit or essential characteristics of the present invention. Therefore, the embodiments should be regarded as illustrative and non-restrictive from any point of view, and the scope of the present invention is defined by the appended claims rather than the above description, and it is therefore intended that all claims falling within the claims All changes within the meaning and scope of equivalent elements are included in the present invention. Any reference signs in the claims shall not be construed as limiting the claim in question.

Claims (6)

1. The utility model provides an auxiliary support structure of trachea cannula, includes bearing structure slide rail A (1), its characterized in that: one side of the supporting structure sliding rail A (1) is provided with a supporting structure sliding rail B (11), a movable plate (6) is arranged between the supporting structure sliding rail A (1) and the supporting structure sliding rail B (11), an arc-shaped plate (13) is arranged in front of the movable plate (6), a rotating shaft connecting rod (12) is arranged between the arc-shaped plate (13) and the movable plate (6), the rotating shaft connecting rod (12) is connected with the movable plate (6) through a rotating shaft, the surface, facing the arc-shaped plate (13), of the rotating shaft connecting rod (12) is fixed with the arc-shaped plate (13), and a plurality of tooth sockets (14) are annularly arranged on the surface, facing the movable plate (6), of the arc-shaped plate (13);
an auxiliary throat opening mechanism (2) is arranged above the arc-shaped plate (13), the auxiliary throat opening mechanism (2) comprises an angle adjusting mechanism and a laryngoscope (201), and the angle of the laryngoscope (201) can be adjusted by any large or small amplitude by the angle adjusting mechanism;
one side of the upper end surface of the support structure sliding rail B (11) is slidably provided with a movable rod A (8), a connecting rod A (10) is arranged in the movable rod A (8), and a support spring is arranged between the bottom end of the connecting rod A (10) and the movable rod A (8);
one side of the upper end surface of the support structure sliding rail A (1) is movably provided with a movable rod B (15), a connecting rod B (16) is arranged in the movable rod B (15), the upper end surfaces of the connecting rod B (16) and the connecting rod A (10) are fixedly provided with a lifting rod (9), and the auxiliary throat opening mechanism (2) is arranged in the middle position of the outer surface of the lifting rod (9);
a screw rod (17) is arranged in the connecting rod B (16), an internal thread through hole (18) penetrating through the connecting rod B (16) is formed in the outer side, close to the bottom end, of the screw rod (17), and the bottom end of the screw rod (17) is connected with the movable rod B (15) through a roller bearing;
the upper end face of the screw rod (17) is fixedly provided with a circular plate A (19), a circular plate B (21) is arranged above the screw rod (17), two long rods (20) which vertically penetrate through the circular plate A (19) are symmetrically arranged on two sides of the lower end face of the circular plate B (21), a rotating shaft (27) is fixedly arranged in the middle of the upper end face of the circular plate B (21), and a rotating handle positioned on the outer side of the lifting rod (9) is fixedly arranged on the upper end face of the rotating shaft (27);
an annular tooth groove (22) is formed in the outer side of the upper end face of the circular plate B (21), an annular sleeve (23) is arranged above the annular tooth groove (22), a circle of sharp tooth heads are annularly arranged on the lower end face of the annular sleeve (23), and a plurality of sharp tooth grooves matched with the sharp tooth heads positioned on the lower end face of the annular sleeve (23) in the direction are formed in the annular tooth groove (22);
the outer side of pivot (27) is equipped with internal thread groove (28) that are located lifter (9) surface, the inside threaded connection of internal thread groove (28) has internal thread cover (26), the outside of terminal surface is equipped with roller bearing ring (25) under internal thread cover (26), four terminal angles of terminal surface all are fixed under roller bearing ring (25) are equipped with push rod (24), four between the bottom of push rod (24) all and annular cover (23) is fixed mutually.
2. An auxiliary support structure for an endotracheal tube according to claim 1, wherein: the face of the support structure sliding rail A (1) facing the support structure sliding rail B (11) and the face of the support structure sliding rail B (11) facing the support structure sliding rail A (1) are both provided with a guide rod (3), and a cervical vertebra pillow (4) which is simultaneously connected with the guide rods (3) in a sliding manner is arranged between the two guide rods (3).
3. An auxiliary support structure for an endotracheal tube according to claim 1, wherein: the face towards the supporting structure sliding rail A (1) on the movable plate (6) is fixedly provided with a connecting rod (7), the face towards the supporting structure sliding rail A (1) on the connecting rod (7) is connected with an electric sliding table which is slidably mounted on the supporting structure sliding rail A (1) through a rotating shaft, and the face towards the supporting structure sliding rail B (11) on the movable plate (6) is fixedly provided with a clamping rod (5).
4. An auxiliary support structure for an endotracheal tube according to claim 1, wherein: the angle adjusting mechanism comprises a laryngoscope clamp (202), a metal rod (203), arc grooves (204), elastic arc blocks (205), a stud A (206), a stud B (207), an internal thread sleeve, a large bevel gear (209), a small bevel gear (210), a gear transmission rotating shaft (211) and a rotating shaft, wherein the laryngoscope (201) is clamped between the two laryngoscope clamps (202), the metal rod (203) is fixedly arranged on one side of the outer surface of the laryngoscope clamp (202) from left to right, the outer surface of the metal rod (203) is provided with a circle of arc grooves (204), and one elastic arc block (205) is clamped inside each arc groove (204).
5. The auxiliary support structure for an endotracheal tube according to claim 4, wherein: a rotating shaft is fixedly arranged on one side of the outer surface of the metal rod (203), a stud A (206) is fixedly sleeved on the outer surface of the rotating shaft, a stud B (207) is meshed with the upper side of the stud A (206), and an internal thread sleeve arranged on the lifting rod (9) through a roller bearing is meshed with the upper side of the stud B (207).
6. An auxiliary support structure for an endotracheal tube according to claim 5: the method is characterized in that: one side of the stud A (206) is provided with a large bevel gear (209) which is fixedly sleeved on the outer surface of the laryngoscope clamp (202), the large bevel gear (209) is meshed with a small bevel gear (210), the axle center of the small bevel gear (210) is connected with a gear transmission rotating shaft (211), and the upper end of the gear transmission rotating shaft (211) is fixedly provided with a small-amplitude angle adjustment rotating handle which is positioned on the outer side of the lifting rod (9).
CN202310832088.2A 2023-07-07 2023-07-07 An auxiliary support structure for tracheal intubation Active CN116808378B (en)

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PCT/CN2023/136712 WO2025010930A1 (en) 2023-07-07 2023-12-06 Assisted supporting structure for tracheal intubation

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