WO2019227996A1 - Système de traitement des voies respiratoires - Google Patents

Système de traitement des voies respiratoires Download PDF

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Publication number
WO2019227996A1
WO2019227996A1 PCT/CN2019/076857 CN2019076857W WO2019227996A1 WO 2019227996 A1 WO2019227996 A1 WO 2019227996A1 CN 2019076857 W CN2019076857 W CN 2019076857W WO 2019227996 A1 WO2019227996 A1 WO 2019227996A1
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WO
WIPO (PCT)
Prior art keywords
airway
guide wire
blade
image
host
Prior art date
Application number
PCT/CN2019/076857
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English (en)
Chinese (zh)
Inventor
陆海同
张申
蔡冰
Original Assignee
杭州创辉医疗电子设备有限公司
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.)
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Publication date
Application filed by 杭州创辉医疗电子设备有限公司 filed Critical 杭州创辉医疗电子设备有限公司
Publication of WO2019227996A1 publication Critical patent/WO2019227996A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/06—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with illuminating arrangements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/267—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the respiratory tract, e.g. laryngoscopes, bronchoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04—Tracheal tubes

Definitions

  • the present application relates to the technical field of medical equipment, and in particular, to an airway treatment system.
  • the traditional method is to place a tracheal intubation outside the bronchoscope and adjust the front angle during intubation.
  • Complete tracheal intubation In order to achieve single-lung ventilation and double-lumen endotracheal intubation, a fiberoptic bronchoscope was used to reach the inside of the double-lumen endotracheal intubation, and it was observed that the front-end airbag fully entered one side of the bronchus.
  • the purpose of this application is to provide an airway treatment system to solve the problem that the existing tracheal intubation operation is limited to a single-function medical device.
  • an airway treatment system which includes a host, a common airway blade, a visual guide wire, and a flexible laryngoscope, wherein:
  • the ordinary airway blade, the visible guide wire, and the flexible laryngoscope can be detachably mounted on the host;
  • a common tracheal cannula cooperates with the common airway blade, and the common airway blade acquires an image in the airway and provides it to the host computer according to the information obtained by the common airway blade.
  • the image in the airway is operated on the ordinary tracheal intubation;
  • the visual guide wire extends into the ordinary tracheal intubation, and the visual guide wire acquires an image in the airway and provides it to the host, and acquires the visual guide wire according to the visual guide wire.
  • the visual guide wire acquires an image in the airway and provides it to the host, and acquires the visual guide wire according to the visual guide wire.
  • the visual guidewire is extended into a double-lumen endotracheal tube, and the double-lumen endotracheal tube is operated according to the image in the airway obtained by the visual guidewire.
  • the flexible laryngoscope After removing the visual guide wire, the flexible laryngoscope extends into a lumen of one side of the double-lumen tracheal intubation, the visual guide wire, the soft laryngoscope, and the double cavity
  • the endotracheal intubation can realize a double-lumen endotracheal intubation operation, and the soft laryngoscope acquires an image in the airway and provides it to the host, and the image in the airway obtained according to the soft laryngoscope
  • the position adjustment operation is performed on the double-lumen tracheal intubation.
  • the ordinary airway blade acquires an image in the airway and provides the image to the host, according to the ordinary airway An image in the airway acquired by a blade operates the ordinary tracheal intubation.
  • the visual guide wire acquires an image in the airway and provides To the host, operate the ordinary tracheal intubation according to the image in the airway obtained by the visual guide wire.
  • the visual guide wire and the soft laryngoscope when performing an airway operation of a single lung ventilation operation, acquire images in the airway, and Provided to the host, and operating the dual-lumen tracheal intubation based on images in the airway acquired by the visual guidewire and the soft laryngoscope, respectively.
  • the ordinary airway blade includes an arc-shaped blade and a horizontal segment blade connected to the arc-shaped blade, and a radius of the arc-shaped blade is 50 mm to 65mm, and the included angle between the straight line where the horizontal section blades are located and the tangent line of the host is 80 ° -90 °.
  • the common airway blade has a sealed shooting cavity and a tube guide connected to the shooting cavity, and a shooting component is installed in the shooting cavity, and the shooting The component includes a first camera, a first data line, and a first circuit board.
  • the first camera is located at an end of the shooting cavity.
  • the first data line connects the first camera and the first circuit board.
  • the first circuit board is connected to the host.
  • an end of the shooting cavity has a shooting window
  • a shooting bracket is provided on the shooting window
  • the shooting component is fixed on the camera bracket
  • the shooting window The vertical photographing baseline of the lens has a deviation angle from the central axis of the common airway blade, and the deviation angle is greater than 0 ° and less than or equal to 10 °.
  • the visual guide wire has a second camera, a second data cable, and a second circuit board, and the second camera is installed at one end of the visual guide wire.
  • the second data line is housed inside the visible guide wire, and the second circuit board is located at the other end of the visible guide wire.
  • the visible guide wire can maintain a bending angle after bending.
  • the soft laryngoscope has a third camera, a third data cable, and a third circuit board, and the third camera is installed at one end of the soft laryngoscope
  • the third data line is housed inside the flexible laryngoscope, and the third circuit board is located at the other end of the flexible laryngoscope.
  • the first camera has a first cold light source, the first cold light source illuminates the inside of the airway, and the working temperature is lower than 40 degrees Celsius.
  • the second camera has a second cold light source, the second cold light source illuminates the inside of the airway, and the working temperature is lower than 40 degrees Celsius.
  • the third camera has a third cold light source, and the third cold light source illuminates the inside of the airway, and the working temperature is lower than 40 degrees Celsius.
  • the host includes a display screen, an image processing module, operation buttons, a battery compartment, and a connection clip,
  • the display screen is used to display an image in the airway
  • the image processing module is configured to digitally process an image in an airway captured by the camera, and provide the image to the display screen;
  • the operation keys are used to control the display screen to be turned on or off, and to control the image processing module to take pictures, record videos, browse archives, or set display parameters for the images displayed on the display screen;
  • the battery compartment is used for accommodating a battery, and the battery provides power to the host, and the battery is charged or directly replaced by an external power source;
  • connection buckle is used to fix the ordinary airway blade, the flexible laryngoscope or the visible guide wire to the host.
  • a common function of an existing laryngoscope is solved by installing a common airway blade, a visual guide wire, or a flexible laryngoscope on the host under different use conditions.
  • the problem of difficult operation and long cycle during use has realized a multifunctional visual laryngoscope with a visual laryngoscope blade (common airway blade), a visual guide wire and a visual hose (soft laryngoscope). Equipment that guarantees the convenience of surgery.
  • FIG. 1 is a schematic diagram of an airway treatment system according to an embodiment of the present application.
  • FIG. 2 is a schematic diagram of a blade angle of an airway treatment system according to an embodiment of the present application
  • FIG. 3 is a schematic diagram of an airway treatment system according to another embodiment of the present application.
  • FIG. 4 is a schematic diagram of an airway treatment system according to another embodiment of the present application.
  • FIG. 5 is a schematic diagram of an airway treatment system according to another embodiment of the present application.
  • FIG. 6 is a schematic diagram of an airway treatment system according to another embodiment of the present application.
  • the core idea of the present application is to provide an airway treatment system to solve the problem that the existing tracheal intubation operation is limited to a single-function medical device.
  • the present application provides an airway treatment system, which includes a host, a common airway blade, a visual guide wire, and a flexible laryngoscope, wherein the common airway blade, the The visual guide wire and the flexible laryngoscope can be detachably installed on the host; under normal circumstances, an ordinary tracheal intubation is matched with the ordinary airway blade, and the ordinary airway blade performs an image in the airway.
  • the visual guide wire acquires the image in the airway and provides it to the host, and operates the ordinary tracheal intubation according to the image in the airway; in the case of surgery requiring single lung ventilation, the visual guide The wire is inserted into a double-lumen endotracheal tube, and the double-lumen endotracheal tube is operated according to the image in the airway; after the visual guide wire is taken out, the flexible laryngoscope extends into the double-lumen endotracheal tube Inside the lumen, the A visual guide wire, a flexible laryngoscope, and the double-lumen tracheal intubation realize a double-lumen tracheal intubation operation.
  • the soft laryngoscope acquires an image in the airway and provides it to the host. The image in the channel performs
  • the present application provides an airway treatment system, which includes a host 10, a common airway blade 20, a visual guide wire 30, and a flexible laryngoscope 40, wherein:
  • the ordinary airway blade 20, the visible guide wire 30, and the flexible laryngoscope 40 can be detachably mounted on the host 10, respectively.
  • an ordinary airway cannula is matched with the ordinary airway blade 20.
  • the ordinary airway blade 20 acquires an image in the airway and provides it to the host 10 to operate the ordinary tracheal intubation according to the image in the airway; in an abnormal situation, the visible A guide wire 30 extends into the ordinary tracheal intubation, and the visual guide wire 30 acquires an image in the airway and provides it to the host, and performs the ordinary tracheal intubation according to the image in the airway.
  • the visual guide wire 30 extends into a double-lumen endotracheal intubation, and operates the double-lumen endotracheal intubation according to the image in the airway; remove the visual guide After the wire 30, the soft laryngoscope 40 extends into the double-lumen trachea In the lumen of one side of the tube, the visual guide wire 30, the flexible laryngoscope 40, and the dual-lumen endotracheal intubation realize a dual-lumen endotracheal intubation operation, and the soft laryngoscope 40 images the airway. Acquire and provide it to the host 10, and perform the operation of adjusting the position of the double-lumen tracheal intubation according to the image in the airway.
  • the common airway blade 20, the visible guide wire 30, and the flexible laryngoscope 40 can all acquire images in the airway and provide them to the host 10;
  • the common airway blade 20 includes The arc-shaped blade 21 and the horizontal segment blade 22 connected to the arc-shaped blade 21 are connected to the host 10, and when the ordinary airway blade 20 is inserted into the airway, the horizontal segment The blade 22 penetrates the airway, wherein the radius of the arc-shaped blade 21 is 50 mm to 65 mm, and the angle ⁇ between the straight line where the horizontal section blade 22 is located and the tangent line of the host 10 is 80 ° to 90 ° (such as (Shown in FIG. 2);
  • the visual guide wire 30 includes a triangular end portion 31 and a guide wire end portion 32.
  • the triangular end portion 31 is connected to the host 10.
  • the guide wire end portion 32 penetrates into the airway;
  • the flexible laryngoscope 40 includes a triangular end portion 41 and a hose 42, the triangular end portion 41 is connected to the host 10, and the soft laryngoscope 40 is inserted into the airway
  • the hose 42 penetrates the airway.
  • the ordinary airway blade 20 when the airway is normal, the ordinary airway blade 20 is installed on the host 10, and the ordinary trachea cannula is inserted into the airway, and the ordinary The airway blade 20 acquires an image in the airway and provides it to the host 10 to operate the ordinary tracheal intubation according to the image in the airway.
  • the visual guide wire 30 is installed on the host 10 and the ordinary airway cannula is inserted into the airway, and the visual The guide wire 30 acquires an image in the airway, provides it to the host 10, and operates the ordinary tracheal intubation according to the image in the airway.
  • the visual guide wire 30 and the soft laryngoscope 40 are successively installed on the host 10, and the double-lumen trachea cannula is inserted into the airway. Both the visual guide wire 30 and the flexible laryngoscope 40 acquire images in the airway and provide them to the host, and operate the double-lumen trachea intubation according to the images in the airway.
  • the common airway blade 20 has a sealed photographing cavity and a tube guide, and a photographing component is installed in the photographing cavity.
  • the photographing component includes a camera, A data line and a circuit board, the camera is located at an end of the shooting cavity, the data line is connected between the camera and the circuit board, and the circuit board is connected to the host 10.
  • a photographing window is provided at the end of the photographing cavity
  • a photographing bracket is provided on the photographing window
  • the photographing component is fixed on the photographing bracket.
  • the vertical shooting baseline of the shooting window and the central axis of the ordinary airway blade 20 have a deviation angle, and the deviation angle is greater than 0 ° and less than or equal to 10 °.
  • the visible guide wire 30 also has a camera, a data cable, and a circuit board, and the camera is installed at one end of the guide wire end portion 32.
  • the data line is connected between the camera and the circuit board, and the data line is accommodated inside the guide wire end portion 32.
  • the circuit board is connected to the host 10, and the circuit board is located at The inside of the triangular end portion 31.
  • the guide wire end portion 32 is a shape memory material and maintains a bending angle after bending.
  • the rear end of the visible guide wire 30 is provided with a connection interface (ie, a triangular end portion 31), and the guide wire end portion 32 is a plastic bendable tube body, and the bending angle is maintained after the bending.
  • the soft laryngoscope 40 also has a camera, a data cable, and a circuit board.
  • the camera is located at an end of the hose 42.
  • a data line is connected between the camera and the circuit board, and the data line is accommodated in the hose 42, the circuit board is connected to the host 10, and the circuit board is located at the triangle end The inside of the section 41.
  • the flexible laryngoscope 40 is provided with a connection interface (ie, a triangular end portion 41) at the rear end, and the hose 42 is a flexible and bendable body.
  • the connection interface can firmly connect the host and the visible hose, and realize electrical connection. Signal connection, bendable hose body can protect the internal wires, and has resistance to bending and stretching.
  • the camera has a cold light source, the cold light source illuminates the inside of the airway, and the working temperature is lower than 40 degrees Celsius. That is, the front end of the visual guide wire and the front end of the visual hose are provided with a visual camera with a cold light source, wherein the cold light source can illuminate the observation site and the working temperature is not higher than the human body.
  • the video camera can convert clear image shooting into a digital model and pass it to the host.
  • the host computer 10 includes a display screen 11, an image processing module, an operation button 12, a battery compartment 13, and a connection clip 14.
  • the display screen 11 displays an image in an airway; the image processing module displays an airway image captured by the camera.
  • the image is digitally processed and provided to the display screen 11;
  • the operation button 12 controls the display screen 11 to be turned on or off, and controls the image processing module to take pictures, record videos, and browse the image displayed on the display screen 11 Archive or set display parameters;
  • the battery compartment 13 is used to store a battery, the battery provides power to the host, and the battery is charged or replaced directly by an external power source;
  • the connection buckle 14 is used to charge the ordinary gas
  • the canal blade 20, the visual guide wire 30, and the flexible laryngoscope 40 are fixed on the main body 10.
  • the host computer 10 can digitally process the image captured by the camera and display it clearly on the display screen.
  • the operation keys can control the host to turn on, off, take pictures, record videos, browse archives, and set display contrast, brightness, and saturation. Set the system time and light intensity.
  • the battery compartment can be installed as a battery to provide power to the host.
  • a common function of an existing laryngoscope is solved by installing a common airway blade, a visual guide wire, or a flexible laryngoscope on the host under different use conditions.
  • the problem of difficult operation and long cycle during use has realized a multifunctional visual laryngoscope with a visual laryngoscope blade (common airway blade), a visual guide wire and a visual hose (soft laryngoscope). Equipment that guarantees the convenience of surgery.
  • the technical solution proposed in this application is to design a visual laryngoscope with a laryngoscope blade, a visible hose, and a visual guide wire. It includes a host, a laryngoscope blade detachably connected to the host, a visible hose detachably connected to the host, a visual guide wire and a battery detachably connected to the host.
  • a laryngoscope blade for intubation during ordinary tracheal intubation; use a visual guide wire for intubation when the laryngoscope blade is difficult to expose the difficult airways of the glottis; use a visual tube for single lung ventilation To locate the insertion position of the dual lumen tube.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Optics & Photonics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pulmonology (AREA)
  • Emergency Medicine (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Otolaryngology (AREA)
  • Physiology (AREA)
  • Endoscopes (AREA)

Abstract

La présente invention concerne un système de traitement des voies respiratoires. Dans des circonstances normales, une intubation trachéale ordinaire correspond à une lame de voie aérienne ordinaire (20), et la lame de voie respiratoire ordinaire (20) obtient une image dans une voie aérienne, fournit celle-ci à une machine hôte (10), et actionne l'intubation trachéale ordinaire en fonction de l'image dans les voies respiratoires. Dans des circonstances exceptionnelles, un fil de guidage visible (30) s'étend dans l'intubation trachéale ordinaire, obtient l'image dans les voies respiratoires, fournit celle-ci à la machine hôte (10), et actionne l'intubation trachéale ordinaire en fonction de l'image dans les voies respiratoires. Dans une chirurgie nécessitant une ventilation pulmonaire, le fil de guidage visible (30) s'étend dans une intubation trachéale à double lumière, et actionne l'intubation trachéale à double lumière en fonction de l'image dans les voies respiratoires. Après la sortie du fil de guidage visible (30), un laryngoscope souple (40) s'étend dans une lumière d'un côté de l'intubation trachéale à double lumière, le fil de guidage visible (30), le laryngoscope souple (40) et l'intubation trachéale à double lumière constituent une opération d'intubation trachéale à double lumière, et le laryngoscope souple (40) obtient l'image dans les voies respiratoires, le fournit à la machine hôte (10), et effectue une opération de réglage de position sur l'intubation trachéale à double lumière en fonction de l'image dans les voies respiratoires.
PCT/CN2019/076857 2018-05-28 2019-03-04 Système de traitement des voies respiratoires WO2019227996A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN201820804465.6 2018-05-28
CN201820804465.6U CN209771052U (zh) 2018-05-28 2018-05-28 气道处理***

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WO2019227996A1 true WO2019227996A1 (fr) 2019-12-05

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR3114955A1 (fr) * 2020-10-12 2022-04-15 Vital Technics Lame de laryngoscope ou laryngoscope integrant cette lame avec des formes specifiques de guidage de la sonde endotracheale et methode associee

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112826430B (zh) * 2020-12-31 2022-08-23 湖南省肿瘤医院 一种耳鼻喉科检查用的通气式喉镜及其使用方法

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CN201832259U (zh) * 2010-10-18 2011-05-18 艾青 头端塑形引导式可视气管插管喉镜
CN201832258U (zh) * 2010-10-18 2011-05-18 高宏 可视气管插管引导器
CN202446614U (zh) * 2012-01-07 2012-09-26 周亚东 一种便携式气管插管用摄像导丝
US20140160261A1 (en) * 2011-01-12 2014-06-12 King Systems Corporation Visualization instrument
CN106419811A (zh) * 2016-05-31 2017-02-22 杭州创辉医疗电子设备有限公司 可视喉镜

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201832259U (zh) * 2010-10-18 2011-05-18 艾青 头端塑形引导式可视气管插管喉镜
CN201832258U (zh) * 2010-10-18 2011-05-18 高宏 可视气管插管引导器
US20140160261A1 (en) * 2011-01-12 2014-06-12 King Systems Corporation Visualization instrument
CN202446614U (zh) * 2012-01-07 2012-09-26 周亚东 一种便携式气管插管用摄像导丝
CN106419811A (zh) * 2016-05-31 2017-02-22 杭州创辉医疗电子设备有限公司 可视喉镜

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR3114955A1 (fr) * 2020-10-12 2022-04-15 Vital Technics Lame de laryngoscope ou laryngoscope integrant cette lame avec des formes specifiques de guidage de la sonde endotracheale et methode associee

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