WO2022055079A1 - Airway management and endotracheal tube fixing device - Google Patents

Airway management and endotracheal tube fixing device Download PDF

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Publication number
WO2022055079A1
WO2022055079A1 PCT/KR2021/007103 KR2021007103W WO2022055079A1 WO 2022055079 A1 WO2022055079 A1 WO 2022055079A1 KR 2021007103 W KR2021007103 W KR 2021007103W WO 2022055079 A1 WO2022055079 A1 WO 2022055079A1
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WO
WIPO (PCT)
Prior art keywords
patient
tracheal intubation
intubation tube
fixing device
airway
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PCT/KR2021/007103
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French (fr)
Korean (ko)
Inventor
배홍범
Original Assignee
전남대학교산학협력단
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Publication of WO2022055079A1 publication Critical patent/WO2022055079A1/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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/0497Tube stabilizer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L29/00Materials for catheters, medical tubing, cannulae, or endoscopes or for coating catheters
    • A61L29/04Macromolecular 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0402Special features for tracheal tubes not otherwise provided for
    • 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. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • A61M16/049Mouthpieces
    • A61M16/0493Mouthpieces with means for protecting the tube from damage caused by the patient's teeth, e.g. bite block
    • 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
    • A61M2205/58Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/583Means for facilitating use, e.g. by people with impaired vision by visual feedback
    • A61M2205/584Means for facilitating use, e.g. by people with impaired vision by visual feedback having a color code

Definitions

  • the present invention relates to an airway maintenance and tracheal intubation tube fixing device that is inserted into a patient's oral cavity to secure an airway, and more particularly, by configuring the intubation body in a plate-like shape rather than a cylindrical shape, the ease of insertion of the airway maintenance device and the airway maintenance device It is designed to minimize the discomfort of the patient due to intraoral insertion of the tracheal intubation tube and to place the tracheal intubation tube in the center of the oral cavity to prevent distortion of the tracheal intubation tube in the oral cavity, thereby minimizing pain and side effects caused by tracheal intubation and simple operation It is possible to fix and separate the endotracheal intubation tube through It relates to a tracheal intubation tube fixing device.
  • a tracheal intubation tube is inserted into the trachea for patients in need of respiratory assistance using a ventilator, and artificial respiration is performed through this.
  • An oral airway retainer is inserted to prevent the patient from obstructing the airway by pressing the intubation tube with a tooth.
  • the conventional airway retainer with a cylindrical intubation body has a problem in that it can damage teeth or damage the oral mucosa during insertion.
  • an oral airway retainer to be inserted to prevent compression of the tube due to compression of the patient's teeth is located in the center of the patient's mouth, which causes the tracheal intubation tube to be bent and the bent tracheal intubation There is a risk of severe sore throat and vocal cord dislocation due to continuous pressure on one side of the trachea and vocal cords by the tube.
  • the present invention is to solve the problems of the prior art as described above, and an object of the present invention is to minimize the resistance when inserting into the oral cavity by configuring the distal end of the intubation body in a plate shape, and to position the tracheal intubation tube in the center of the oral cavity.
  • the endotracheal intubation tube can be fixed and separated through a simple operation, and by improving the fixation force for the intubation tube inserted into the patient's trachea, it can be fixed around the patient's mouth.
  • An object of the present invention is to provide an airway maintenance and tracheal intubation tube fixation device that can maintain a solid and stable state for a long time.
  • Airway maintenance and tracheal intubation tube fixing device of the present invention for achieving the above object,
  • the tracheal intubation tube ( A coupling groove 120 that is opened in a 'C' shape to which T) is fitted is formed, and in the occipital direction, except for the area where the coupling groove 120 is formed, a cut surface cut in a plate shape is formed.
  • the intubation body portion 100 having a pair of flanges 140 formed on the outer peripheral surface of the tip side;
  • a support piece 220 supporting the periphery of the patient's lips is formed at the rear end of the flange 140 , and in the central portion of the support piece 220 in the longitudinal direction of the intubation body 100 , the patient's maxilla and mandible a support member 200 on which a tooth support unit 240 for supporting each tooth is formed;
  • Fixing member 300 is made including.
  • the fixing member 300 includes a cable tie 320 having a plurality of locking grooves 322 formed on an outer surface thereof, and the cable tie 320 while being engaged with the locking groove 322 .
  • ) may include a locking block 340 to maintain a fixed state.
  • an intubation guide 160 having a round shape on the outside is provided to facilitate the insertion of the tracheal intubation tube (T) in the direction of the patient's airway.
  • a tracheal intubation tube (T) in the direction of the patient's airway.
  • ) may be integrally formed at the distal end, and the inside of the distal end of the intubation body 100 may be formed to be inclined downward toward the center.
  • the support member 200 may be made of any one material selected from silicone, elastomer, thermoplastic elastomer, and soft resin, or a mixture of two or more.
  • the intubation body 100 is elastic polystyrene (PS, polystyrene), polyethylene (PE, polyethylene), polypropylene (PP, polypropylene), ABS resin (ABS resin, acrylonitrile-butadiene-styrene resin), polychlorinated It may be made of any one material selected from vinyl (PVC, polyvinyl chloride) or a mixture of two or more materials.
  • the outer surface of the flange 140 or the support piece 220 has a color consisting of any one or more of red, green, and blue according to the oral structure of the patient or the size of the patient's oral cavity. It can be marked with different colors coated.
  • one surface of the flange 140 may be formed such that a surface in contact with the periphery of the patient's lips with respect to the center is curved with a predetermined curvature.
  • the airway maintenance and tracheal intubation tube fixing device of the present invention As such, the airway maintenance and tracheal intubation tube fixing device of the present invention,
  • the distal end of the intubation body positioned in the patient's laryngeal direction is smoothly processed in a plate shape, it provides the advantage of avoiding damage to teeth and oral mucosa by minimizing resistance when inserting the device into the oral cavity,
  • the endotracheal intubation tube can be quickly fixed or detached through a simple operation
  • FIG. 1 is a view showing the use of a tracheal intubation tube to the airway maintenance and tracheal intubation tube fixing device of the present invention.
  • Figure 2 is a perspective view showing the airway maintenance and tracheal intubation tube fixing device of the present invention.
  • Figure 3 is a side view showing the airway maintenance and tracheal intubation tube fixing device of the present invention.
  • Figure 4 is a bottom perspective view showing the airway maintenance and tracheal intubation tube fixing device of the present invention.
  • Figure 5 is a bottom view showing the airway maintenance and tracheal intubation tube fixing device of the present invention.
  • FIG. 6 is a view showing the use of the airway maintenance and tracheal intubation tube fixing device of the present invention.
  • the best form of the airway maintenance and tracheal intubation tube fixing device is made to be curved along the larynx direction positioned inside the oral cavity to be inserted into the patient's oral cavity, and the tracheal intubation tube (T) is positioned in the center of the oral cavity
  • a coupling groove 120 opened in a 'C' shape into which the tracheal intubation tube (T) is fitted is formed on one side of the region from the front end to the rear end so that the coupling groove 120 is formed in the occipital direction.
  • the intubation body portion 100 in which a cut surface cut in a plate shape is formed in the remaining area except for the formed area, and a pair of flanges 140 are formed on the outer peripheral surface of the tip side;
  • a support piece 220 supporting the periphery of the patient's lips is formed at the rear end of the flange 140 , and in the central portion of the support piece 220 in the longitudinal direction of the intubation body 100 , the patient's maxilla and mandible a support member 200 on which a tooth support unit 240 for supporting each tooth is formed; It is provided to surround the intubation body part 100 on the upper side of the flange 140 and presses the tracheal intubation tube (T) fitted to the coupling groove 120 to maintain a fixed state.
  • the fixing member 300 should be included.
  • tracheal intubation means breathing management to a critically ill patient who cannot spontaneously breathe sufficiently or a critically ill patient under general anesthesia. More specifically, secondary upper airway obstruction due to edema, trauma, tumor, bleeding, apnea, ineffective secretion removal, high risk of aspiration, respiratory failure, mechanical ventilation, general anesthesia, etc. It means inserting a tracheal intubation tube into a patient's oral cavity and inserting it into the trachea through the vocal cords of the larynx.
  • tracheal intubation tube means an inner tube made of rubber or plastic material that is inserted into the trachea during tracheal intubation.
  • Airway maintenance and tracheal intubation tube fixing device of the present invention as shown in Figures 1 and 4,
  • the tracheal intubation tube ( A coupling groove 120 that is opened in a 'C' shape to which T) is fitted is formed, and in the occipital direction, except for the area where the coupling groove 120 is formed, a cut surface cut in a plate shape is formed.
  • the intubation body portion 100 having a pair of flanges 140 formed on the outer peripheral surface of the tip side;
  • a support piece 220 supporting the periphery of the patient's lips is formed at the rear end of the flange 140 , and in the central portion of the support piece 220 in the longitudinal direction of the intubation body 100 , the patient's maxilla and mandible a support member 200 on which a tooth support unit 240 for supporting each tooth is formed;
  • Fixing member 300 is made including.
  • the intubation body part 100 is made to be curved along the laryngeal direction as shown in FIG. 2 so that it can be easily inserted into the patient's oral cavity. That is, when inserted into the oral cavity, the tube can be intubated more easily by forming a shape corresponding to the position from the inside of the oral cavity to the airway.
  • the intubation body part 100 when viewed in a plan view, has a 'C'-shaped opening in its cross-section.
  • the intubation body 100 which is opened in a 'C' shape, serves to position the tracheal intubation tube (T) in the center of the oral cavity.
  • the tracheal intubation tube (T) when the tracheal intubation tube (T) is fitted into the open portion, the tracheal intubation tube (T) can be firmly fixed.
  • the tracheal intubation tube (T) is located in the center of the oral cavity, the bending phenomenon of the tracheal intubation tube can be prevented, and the pressure exerted on the vocal cords and each organ can be minimized to reduce the side effects caused by the pressure.
  • the tracheal intubation tube may be used in various sizes depending on the patient, but according to the 'C'-opened intubation body 100 of the present invention, tracheal intubation tubes of various sizes depending on the characteristics of the opened portion. can accommodate
  • the inside of the front end of the intubation body part 100 may be formed to be inclined downward toward the center. Accordingly, even in a state in which the tracheal intubation tube (T) is fitted into the coupling groove (120) of the intubation body (100), it is possible to adjust the tracheal intubation tube (T) by a predetermined angle as desired.
  • a cut surface cut in a plate shape is formed in the rest of the region except for the region where the coupling groove 120 is formed in the occipital direction.
  • the incision surface cut in the plate shape it is possible to minimize the discomfort of the patient due to the ease of insertion of the airway maintaining device and the insertion of the airway maintaining device into the oral cavity.
  • a pair of flanges 140 are formed on the outer peripheral surface of the distal end side of the intubation body portion 100 .
  • the flange 140 protrudes like a pair of wings around the intubation body part 100 , and has a larger area than the cross-section of the intubation body part 100 .
  • one surface of the flange 140 may be formed to be curved with a certain curvature toward the rear (occipital direction) with respect to the center.
  • one surface of the flange 140 may be formed so that a surface in contact with the periphery of the patient's lips with respect to the center is curved with a predetermined curvature.
  • the direction of the force applied to the tracheal intubation tube (T) in the coupling groove 120 formed by opening the flange 140 is By heading to the airway maintenance and tracheal intubation tube fixing device of the present invention, it is possible to more stably fix the tracheal intubation tube (T).
  • the rear end of the intubation body part 100 has a width of the intubation body part 100 to facilitate the insertion of the tracheal intubation tube (T) in the patient's airway direction.
  • An intubation guide 160 having a width corresponding to that and having a rounded end may be integrally formed at the distal end of the intubation body 100 .
  • the patient's sufficient airway is secured, as well as the advantage of more smoothly inserting the tracheal intubation tube (T).
  • the intubation body 100 described above is elastic polystyrene (PS, polystyrene), polyethylene (PE, polyethylene), polypropylene (PP, polypropylene), ABS resin (ABS resin, acrylonitrile-butadiene-styrene resin), polychloride It may be made of any one material selected from vinyl (PVC, polyvinyl chloride) or a mixture of two or more materials.
  • the support member 200 includes a support piece 220 for supporting the periphery of the patient's lips at the rear end of the flange 140, and a central portion of the support piece 220 in the longitudinal direction of the intubation body 100. It is made to include a tooth support unit 240 for supporting the maxillary and mandibular teeth of the patient, respectively.
  • the support piece 220 is preferably formed in a shape having a curved surface corresponding to the periphery of the patient's lips so as to directly contact and closely support the lip of the patient. Therefore, it is possible to stably adhere to the periphery of the patient's lips by such a curved shape.
  • the support piece 220 is curved to correspond to the periphery of the patient's lips, it suppresses the load pressing the periphery, including the patient's lips, for a long time, so that the lips, which are soft skin, are stressed or caused by the compression of the lips. It does not cause discomfort, and it can prevent swelling or popping of the lips in advance.
  • the tooth support part 240 is formed on the rear side (occipital direction) of the support piece 220 , and is formed along the longitudinal direction of the intubation body part 100 in the central part of the support piece 220 to provide a patient's maxilla. Make sure the teeth and mandibular teeth are supported respectively.
  • the tooth support part 240 it is inserted into the patient's open mouth, and is fitted to the maxillary and mandibular teeth of the patient, respectively. Accordingly, oxygen, etc. delivered through the tracheal intubation tube (T) can be more stably supplied to the patient, and it is possible to maintain a fixed state for a long time without shaking or sliding for a long time.
  • the tooth support unit 240 the patient's oral cavity can be maintained correctly as it is, so that it is possible to significantly reduce the pre-preparation time for various treatments or surgeries.
  • the support member 200 including the support piece 220 and the tooth support part 240 is any one selected from silicone, elastomer, thermoplastic rubber, and soft resin harmless to the human body. It may be made of a material of or a mixture of two or more. It goes without saying that any material that is harmless to the human body and can perform the same function as the above-listed materials can be applied to the present invention.
  • the fixing member 300 is provided to surround the intubation body 100 on the upper side of the flange 140 . That is, the fixing member 300 is wound around the outer periphery of the upper side of the intubation body part 100, and presses the tracheal intubation tube (T) coupled to the coupling groove 120 so that the fixed state is maintained.
  • the fixing member 300 is a cable tie 320 having a plurality of locking grooves 322 formed on the outer surface thereof, and the cable tie 320 is maintained in a fixed state while being engaged with the locking groove 322 . It may include a locking block 340 to do so.
  • the locking block 340 serves to prevent the cable tie 320 from arbitrarily falling out in a fixed state.
  • the locking block 340 serves to maintain the locked state of the cable tie 320 as it is, that is, to prevent the locking from being arbitrarily released.
  • a general cable tie 320 as a means for firmly fixing the tracheal intubation tube (T), but the present invention is not limited thereto, and any means capable of firmly fixing the tracheal intubation tube is also irrelevant, as an example, a conventional medical fixing band may also be used.
  • the outer surface of the flange 140 or the support piece 220 has a color made of any one or more of red, green, and blue according to the oral structure of the patient or the size of the oral cavity of the patient.
  • Various colors can be coated, respectively, so that it is possible to easily identify the size of the airway maintenance and tracheal intubation tube fixing device of the present invention.
  • the airway maintenance and tracheal intubation tube fixing device As described above, the airway maintenance and tracheal intubation tube fixing device according to the present invention,
  • the distal end of the intubation body positioned in the patient's laryngeal direction is smoothly processed in a plate shape, it provides the advantage of avoiding damage to teeth and oral mucosa by minimizing resistance when inserting the device into the oral cavity,
  • the endotracheal intubation tube can be quickly fixed or detached through a simple operation
  • the distal end of the intubation body positioned in the laryngeal direction of the patient is smoothly processed in a plate shape, so it minimizes resistance when inserting the device into the oral cavity to prevent damage to teeth and oral mucosa
  • the endotracheal intubation tube can be quickly fixed or detached, and even if an arbitrary force is applied to the tracheal intubation tube, a firm and stable fixation force can be maintained for a long time, the tracheal intubation tube is placed in the center of the oral cavity to prevent the tube from bending and minimize the pressure on the vocal cords and trachea to reduce the side effects caused by pressure. It can be usefully used and is expected to have a great impact on the development of modern medicine.

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Abstract

The present invention relates to an airway management and endotracheal tube fixing device that can address issues of an existing airway management device and enables an endotracheal tube inserted into a patient's trachea to be firmly and stably fixed. The device comprises: an intubation body part having a coupling groove open in a "C" shape, into which the endotracheal tube is fitted, and which is formed on one side of an area from the front end to the rear end of the intubation body part such that the endotracheal tube can be located in the center of an oral cavity, a cut surface which is cut in a plate shape in the remaining area, except for the area in which the coupling groove is formed, in the occipital direction, and a pair of flanges formed on the outer peripheral surface of the front end side; a support member having a support piece formed at the rear end of the flanges to support the periphery of the patient's lips, and a teeth support portion formed in the central portion of the support piece so as to support the patient's teeth in the longitudinal direction of the intubation body part; and a band-shaped fixing member which is provided to surround the intubation body part on the upper side of the flanges and presses the endotracheal tube fitted into the coupling groove so as to maintain a fixed state.

Description

기도유지 및 기관삽관튜브 고정장치Airway maintenance and tracheal intubation tube fixation device
본 발명은 기도 확보를 위해 환자의 구강에 삽입되는 기도 유지 및 기관삽관튜브 고정장치에 관한 것으로, 더욱 상세하게는 삽관몸체부를 원통형이 아닌 판상형으로 구성하여 기도유지장치의 삽입의 용이함 및 기도유지장치의 구강내 삽입에 따른 환자의 불편감을 최소화하고, 기관삽관튜브를 구강 중앙에 위치할 수 있도록 고안되어 구강내 기관삽관튜브의 뒤틀림을 예방하여 기관삽관에 따른 통증 및 부작용을 최소화함과 동시에 간단한 조작을 통해 기관내 삽관튜브를 고정 및 분리할 수 있으며, 환자의 기관으로 삽입된 삽관튜브에 대한 고정력을 향상시킴으로써, 환자의 입 주변에 고정된 상태를 장시간 동안 견고하고 안정적으로 유지할 수 있는 기도유지 및 기관삽관튜브 고정장치에 관한 것이다.The present invention relates to an airway maintenance and tracheal intubation tube fixing device that is inserted into a patient's oral cavity to secure an airway, and more particularly, by configuring the intubation body in a plate-like shape rather than a cylindrical shape, the ease of insertion of the airway maintenance device and the airway maintenance device It is designed to minimize the discomfort of the patient due to intraoral insertion of the tracheal intubation tube and to place the tracheal intubation tube in the center of the oral cavity to prevent distortion of the tracheal intubation tube in the oral cavity, thereby minimizing pain and side effects caused by tracheal intubation and simple operation It is possible to fix and separate the endotracheal intubation tube through It relates to a tracheal intubation tube fixing device.
전신 마취를 받는 또는 무의식 상태의 환자는 혀뿌리가 이완되어 상기도 폐쇄가 일어나는데 구강용 기도 유지 장치는 이를 예방하여 기도를 확보하고자 일반적으로 사용된다. In patients under general anesthesia or unconscious, the tongue root relaxes and upper airway obstruction occurs, and an oral airway maintenance device is generally used to prevent this and secure an airway.
또한, 일반적으로 수술실과 중환자실 및 응급실 등에서는 인공호흡기를 이용한 호흡보조가 필요한 환자에게는 기관에 기관삽관튜브를 삽입하고 이를 통하여 인공호흡이 이루어지는데, 환자가 의식을 회복하는 과정이나 의식이 명료하지 않은 환자가 치아로 기관삽관튜브를 눌러서 기도를 폐쇄하는 것을 방지하기 위하여 구강용 기도 유지 장치를 삽입한다. In addition, in general, in operating rooms, intensive care units, and emergency rooms, etc., a tracheal intubation tube is inserted into the trachea for patients in need of respiratory assistance using a ventilator, and artificial respiration is performed through this. An oral airway retainer is inserted to prevent the patient from obstructing the airway by pressing the intubation tube with a tooth.
무의식환자에서 기도 폐쇄가 발생할 경우 신속하게 구조 호흡법을 시행하는 것이 필요한데, 삽관몸체부가 원통형인 기존의 기도 유지기는 삽입시 치아가 손상되거나 구강 점막에 손상을 가할 수 있는 문제점이 있다.When airway obstruction occurs in an unconscious patient, it is necessary to promptly implement rescue breathing. However, the conventional airway retainer with a cylindrical intubation body has a problem in that it can damage teeth or damage the oral mucosa during insertion.
또한, 기관삽관튜브 삽입 및 유지시 환자 치아의 눌림에 의한 튜브에 눌림을 방지하기 위해 삽입되는 구강용 기도유지기가 환자의 구강 중앙에 위치하게 되는데, 이는 기관삽관튜브의 꺽임을 유발하고 꺽인 기관삽관튜브에 의해 기관(trachea) 및 성대(vocal cord)의 편측에 지속적인 압력을 가해짐으로서 심각한 인후염 및 성대 탈골의 위험성이 존재한다.In addition, when inserting and maintaining the tracheal intubation tube, an oral airway retainer to be inserted to prevent compression of the tube due to compression of the patient's teeth is located in the center of the patient's mouth, which causes the tracheal intubation tube to be bent and the bent tracheal intubation There is a risk of severe sore throat and vocal cord dislocation due to continuous pressure on one side of the trachea and vocal cords by the tube.
본 발명은 상기한 바와 같은 종래기술의 문제점을 해결하기 위한 것으로, 본 발명의 목적은, 삽관몸체부의 말단을 판상형으로 구성하여 구강내 삽입시 저항을 최소화하고 기관삽관튜브를 구강 중앙에 위치하도록 하여 성대나 기관에 가해지는 압력을 최소화하고자 하였으며, 간단한 조작을 통해 기관 내 삽관튜브를 고정 및 분리할 수 있으며, 환자의 기관으로 삽입된 삽관튜브에 대한 고정력을 향상시킴으로써, 환자의 입 주변에 고정된 상태를 장시간 동안 견고하고 안정적으로 유지할 수 있는 기도유지 및 기관삽관튜브 고정장치를 제공함에 있다.The present invention is to solve the problems of the prior art as described above, and an object of the present invention is to minimize the resistance when inserting into the oral cavity by configuring the distal end of the intubation body in a plate shape, and to position the tracheal intubation tube in the center of the oral cavity. To minimize the pressure applied to the vocal cords or trachea, the endotracheal intubation tube can be fixed and separated through a simple operation, and by improving the fixation force for the intubation tube inserted into the patient's trachea, it can be fixed around the patient's mouth. An object of the present invention is to provide an airway maintenance and tracheal intubation tube fixation device that can maintain a solid and stable state for a long time.
상기한 목적을 달성하기 위한 본 발명의 기도유지 및 기관삽관튜브 고정장치는,Airway maintenance and tracheal intubation tube fixing device of the present invention for achieving the above object,
환자의 구강 내부로 삽입되도록 구강 내부에 위치하는 후두 방향을 따라 곡률지게 이루어지되, 기관삽관튜브(T)를 구강의 중앙에 위치할 수 있도록 선단부에서 후단부에 이르는 영역 일측에 상기 기관삽관튜브(T)가 끼움 결합되는 ‘C’자 형으로 개구된 결합홈(120)이 형성되고, 후두 방향으로 상기 결합홈(120)이 형성된 영역을 제외한 나머지 영역은 판상 형태로 절개된 절개면이 형성되며, 선단부측의 외주면에 한 쌍의 플랜지(140)가 형성되는 삽관몸체부(100)와;The tracheal intubation tube ( A coupling groove 120 that is opened in a 'C' shape to which T) is fitted is formed, and in the occipital direction, except for the area where the coupling groove 120 is formed, a cut surface cut in a plate shape is formed. , The intubation body portion 100 having a pair of flanges 140 formed on the outer peripheral surface of the tip side;
상기 플랜지(140)의 후단에 환자의 입술 주변을 지지하는 지지편(220)이 형성되고, 상기 지지편(220)의 중앙부에 상기 삽관몸체부(100)의 길이방향으로 환자의 상악치아 및 하악치아가 각각 지지되도록 하는 치아지지부(240)가 형성되는 지지부재(200)와;A support piece 220 supporting the periphery of the patient's lips is formed at the rear end of the flange 140 , and in the central portion of the support piece 220 in the longitudinal direction of the intubation body 100 , the patient's maxilla and mandible a support member 200 on which a tooth support unit 240 for supporting each tooth is formed;
상기 플랜지(140)의 상측에 상기 삽관몸체부(100)를 감싸도록 구비되고, 상기 결합홈(120)에 끼움 결합된 기관삽관튜브(T)를 압박하며 고정된 상태가 유지되도록 하는 띠 형태의 고정부재(300);를 포함하여 이루어진다.It is provided to surround the intubation body part 100 on the upper side of the flange 140 and presses the tracheal intubation tube (T) fitted to the coupling groove 120 to maintain a fixed state. Fixing member 300; is made including.
본 발명의 추가 실시예에 따르면, 상기 고정부재(300)는 외측면에 다수의 로킹홈(322)이 형성된 케이블타이(320)와, 상기 로킹홈(322)에 걸림 결합되면서 상기 케이블타이(320)가 고정된 상태를 유지하도록 하는 로킹블록(340)을 포함하여 이루어질 수 있다.According to a further embodiment of the present invention, the fixing member 300 includes a cable tie 320 having a plurality of locking grooves 322 formed on an outer surface thereof, and the cable tie 320 while being engaged with the locking groove 322 . ) may include a locking block 340 to maintain a fixed state.
또한, 상기 삽관몸체부(100)의 후단부에는 환자의 기도 방향으로 기관삽관튜브(T)의 삽입이 원활해지도록, 외측이 라운드진 형상으로 이루어진 삽관가이드(160)가 상기 삽관몸체부(100)의 말단에 일체로 형성될 수 있으며, 상기 삽관몸체부(100)의 선단부 내측은 중심부를 향해 하향 경사지게 형성될 수 있다.In addition, at the rear end of the intubation body part 100, an intubation guide 160 having a round shape on the outside is provided to facilitate the insertion of the tracheal intubation tube (T) in the direction of the patient's airway. ) may be integrally formed at the distal end, and the inside of the distal end of the intubation body 100 may be formed to be inclined downward toward the center.
한편, 상기 지지부재(200)는 실리콘(silicone), 엘라스토머(elastomer), 열가소성 고무(thermo plastic elastomer), 연질수지 중에서 선택된 어느 하나의 소재 또는 2가지 이상이 혼합된 소재로 이루어질 수 있다.Meanwhile, the support member 200 may be made of any one material selected from silicone, elastomer, thermoplastic elastomer, and soft resin, or a mixture of two or more.
또한, 상기 삽관몸체부(100)는 탄성의 폴리스티렌(PS, polystyrene), 폴리에틸렌(PE, polyethylene), 폴리프로필렌(PP, polypropylene), ABS 수지(ABS resin, acrylonitrile-butadiene-styrene resin), 폴리염화비닐(PVC, polyvinyl chloride) 중에서 선택된 어느 하나의 소재 또는 2가지 이상이 혼합된 소재로 이루어질 수 있다.In addition, the intubation body 100 is elastic polystyrene (PS, polystyrene), polyethylene (PE, polyethylene), polypropylene (PP, polypropylene), ABS resin (ABS resin, acrylonitrile-butadiene-styrene resin), polychlorinated It may be made of any one material selected from vinyl (PVC, polyvinyl chloride) or a mixture of two or more materials.
본 발명의 다른 추가 실시예에 따르면, 상기 플랜지(140) 또는 지지편(220)의 외측면에는 빨강, 녹색, 파랑 중 어느 하나 이상으로 이루어진 색상이 환자의 구강구조 또는 환자의 구강 사이즈에 따라 각기 상이한 색상으로 코팅되어 표시될 수 있다.According to another additional embodiment of the present invention, the outer surface of the flange 140 or the support piece 220 has a color consisting of any one or more of red, green, and blue according to the oral structure of the patient or the size of the patient's oral cavity. It can be marked with different colors coated.
또한, 상기 플랜지(140)의 일면은 중심부를 기준으로 환자의 입술 주변과 맞닿는 면이 일정곡률로 만곡되게 형성될 수 있다.In addition, one surface of the flange 140 may be formed such that a surface in contact with the periphery of the patient's lips with respect to the center is curved with a predetermined curvature.
이와 같이 본 발명의 기도유지 및 기관삽관튜브 고정장치는,As such, the airway maintenance and tracheal intubation tube fixing device of the present invention,
첫째, 환자의 후두 방향에 위치되는 삽관몸체부의 말단부가 판상형으로 매끄럽게 처리되어 있으므로, 본 장치를 구강내 삽입시 저항을 최소화하여 치아 및 구강 점막의 손상을 피할 수 있는 이점을 제공하며,First, since the distal end of the intubation body positioned in the patient's laryngeal direction is smoothly processed in a plate shape, it provides the advantage of avoiding damage to teeth and oral mucosa by minimizing resistance when inserting the device into the oral cavity,
둘째, 간단한 조작을 통해 기관 내 삽관튜브를 신속하게 고정하거나 분리할 수 있고,Second, the endotracheal intubation tube can be quickly fixed or detached through a simple operation,
셋째, 기관삽관튜브에 임의의 힘이 가해지더라도 견고하고 안정적인 고정력을 장시간 동안 유지할 수 있으며,Third, even if any force is applied to the tracheal intubation tube, it is possible to maintain a strong and stable fixation force for a long time,
넷째, 기관삽관튜브를 구강 정중앙에 위치토록 하여 튜브의 꺽임현상을 방지하고 성대 및 기관에 미치는 압력을 최소화하여 압력에 의해 발생하는 부작용을 줄일 수 있다.Fourth, by placing the tracheal intubation tube in the center of the oral cavity, it is possible to prevent the tube from bending and minimize the pressure on the vocal cords and trachea, thereby reducing the side effects caused by the pressure.
도 1은 본 발명의 기도유지 및 기관삽관튜브 고정장치에 기관삽관튜브를 장치한 것을 나타낸 사용양태도이다.1 is a view showing the use of a tracheal intubation tube to the airway maintenance and tracheal intubation tube fixing device of the present invention.
도 2는 본 발명의 기도유지 및 기관삽관튜브 고정장치를 나타낸 사시도이다.Figure 2 is a perspective view showing the airway maintenance and tracheal intubation tube fixing device of the present invention.
도 3은 본 발명의 기도유지 및 기관삽관튜브 고정장치를 나타낸 측면도이다.Figure 3 is a side view showing the airway maintenance and tracheal intubation tube fixing device of the present invention.
도 4는 본 발명의 기도유지 및 기관삽관튜브 고정장치를 나타낸 저면사시도이다.Figure 4 is a bottom perspective view showing the airway maintenance and tracheal intubation tube fixing device of the present invention.
도 5는 본 발명의 기도유지 및 기관삽관튜브 고정장치를 나타낸 저면도이다.Figure 5 is a bottom view showing the airway maintenance and tracheal intubation tube fixing device of the present invention.
도 6은 본 발명의 기도유지 및 기관삽관튜브 고정장치의 사용상태를 나타낸 도면이다.6 is a view showing the use of the airway maintenance and tracheal intubation tube fixing device of the present invention.
본 발명에 따른 기도유지 및 기관삽관튜브 고정장치의 최선의 형태는 환자의 구강 내부로 삽입되도록 구강 내부에 위치하는 후두 방향을 따라 곡률지게 이루어지되, 기관삽관튜브(T)를 구강의 중앙에 위치할 수 있도록 선단부에서 후단부에 이르는 영역 일측에 상기 기관삽관튜브(T)가 끼움 결합되는 ‘C’자 형으로 개구된 결합홈(120)이 형성되고, 후두 방향으로 상기 결합홈(120)이 형성된 영역을 제외한 나머지 영역은 판상 형태로 절개된 절개면이 형성되며, 선단부측의 외주면에 한 쌍의 플랜지(140)가 형성되는 삽관몸체부(100)와; 상기 플랜지(140)의 후단에 환자의 입술 주변을 지지하는 지지편(220)이 형성되고, 상기 지지편(220)의 중앙부에 상기 삽관몸체부(100)의 길이방향으로 환자의 상악치아 및 하악치아가 각각 지지되도록 하는 치아지지부(240)가 형성되는 지지부재(200)와; 상기 플랜지(140)의 상측에 상기 삽관몸체부(100)를 감싸도록 구비되고, 상기 결합홈(120)에 끼움 결합된 기관삽관튜브(T)를 압박하며 고정된 상태가 유지되도록 하는 띠 형태의 고정부재(300);를 포함하여 이루어져야 한다.The best form of the airway maintenance and tracheal intubation tube fixing device according to the present invention is made to be curved along the larynx direction positioned inside the oral cavity to be inserted into the patient's oral cavity, and the tracheal intubation tube (T) is positioned in the center of the oral cavity A coupling groove 120 opened in a 'C' shape into which the tracheal intubation tube (T) is fitted is formed on one side of the region from the front end to the rear end so that the coupling groove 120 is formed in the occipital direction. The intubation body portion 100 in which a cut surface cut in a plate shape is formed in the remaining area except for the formed area, and a pair of flanges 140 are formed on the outer peripheral surface of the tip side; A support piece 220 supporting the periphery of the patient's lips is formed at the rear end of the flange 140 , and in the central portion of the support piece 220 in the longitudinal direction of the intubation body 100 , the patient's maxilla and mandible a support member 200 on which a tooth support unit 240 for supporting each tooth is formed; It is provided to surround the intubation body part 100 on the upper side of the flange 140 and presses the tracheal intubation tube (T) fitted to the coupling groove 120 to maintain a fixed state. The fixing member 300 should be included.
이하, 첨부된 도면을 참고하여 본 발명에 대해 보다 구체적으로 설명하기로 한다. 설명하기에 앞서, 본 발명에서 "기관삽관" 이란, 자발적으로 충분한 호흡을 할 수 없는 중환자 또는 전신 마취 중의 중환자에게 호흡관리를 하게 되는데, 이때 기도 확보를 위해 기관 내에 관을 삽입하는 것을 의미한다. 보다 구체적으로, 부종, 외상, 종양, 출혈로 인한 이차적인 상기도폐쇄, 무호흡, 분비물 제거가 비효율적인 경우, 흡인의 위험이 높은 경우, 호흡 부전, 기계적 환기가 요구되는 경우, 전신마취 등의 경우에 환자의 구강 내로 기관삽관튜브를 삽입하여, 후두의 성대 사이를 통해서 기관에 삽입하는 것을 의미한다. 또 "기관삽관튜브" 란, 기관삽관시 기관에 삽입되는 고무재 또는 플라스틱재의 내관을 의미한다.Hereinafter, the present invention will be described in more detail with reference to the accompanying drawings. Prior to description, in the present invention, "tracheal intubation" means breathing management to a critically ill patient who cannot spontaneously breathe sufficiently or a critically ill patient under general anesthesia. More specifically, secondary upper airway obstruction due to edema, trauma, tumor, bleeding, apnea, ineffective secretion removal, high risk of aspiration, respiratory failure, mechanical ventilation, general anesthesia, etc. It means inserting a tracheal intubation tube into a patient's oral cavity and inserting it into the trachea through the vocal cords of the larynx. In addition, "tracheal intubation tube" means an inner tube made of rubber or plastic material that is inserted into the trachea during tracheal intubation.
본 발명의 기도유지 및 기관삽관튜브 고정장치는, 도 1 및 도 4에 나타낸 바와 같이,Airway maintenance and tracheal intubation tube fixing device of the present invention, as shown in Figures 1 and 4,
환자의 구강 내부로 삽입되도록 구강 내부에 위치하는 후두 방향을 따라 곡률지게 이루어지되, 기관삽관튜브(T)를 구강의 중앙에 위치할 수 있도록 선단부에서 후단부에 이르는 영역 일측에 상기 기관삽관튜브(T)가 끼움 결합되는 ‘C’자 형으로 개구된 결합홈(120)이 형성되고, 후두 방향으로 상기 결합홈(120)이 형성된 영역을 제외한 나머지 영역은 판상 형태로 절개된 절개면이 형성되며, 선단부측의 외주면에 한 쌍의 플랜지(140)가 형성되는 삽관몸체부(100)와;The tracheal intubation tube ( A coupling groove 120 that is opened in a 'C' shape to which T) is fitted is formed, and in the occipital direction, except for the area where the coupling groove 120 is formed, a cut surface cut in a plate shape is formed. , The intubation body portion 100 having a pair of flanges 140 formed on the outer peripheral surface of the tip side;
상기 플랜지(140)의 후단에 환자의 입술 주변을 지지하는 지지편(220)이 형성되고, 상기 지지편(220)의 중앙부에 상기 삽관몸체부(100)의 길이방향으로 환자의 상악치아 및 하악치아가 각각 지지되도록 하는 치아지지부(240)가 형성되는 지지부재(200)와;A support piece 220 supporting the periphery of the patient's lips is formed at the rear end of the flange 140 , and in the central portion of the support piece 220 in the longitudinal direction of the intubation body 100 , the patient's maxilla and mandible a support member 200 on which a tooth support unit 240 for supporting each tooth is formed;
상기 플랜지(140)의 상측에 상기 삽관몸체부(100)를 감싸도록 구비되고, 상기 결합홈(120)에 끼움 결합된 기관삽관튜브(T)를 압박하며 고정된 상태가 유지되도록 하는 띠 형태의 고정부재(300);를 포함하여 이루어진다.It is provided to surround the intubation body part 100 on the upper side of the flange 140 and presses the tracheal intubation tube (T) fitted to the coupling groove 120 to maintain a fixed state. Fixing member 300; is made including.
상기 삽관몸체부(100)는 환자의 구강 내부로 용이하게 삽입될 수 있도록, 도 2에 나타낸 바와 같이, 후두 방향을 따라 곡률지게 이루어진다. 즉, 구강 내부로 삽입시 구강 내부에서 기도에 이르는 위치까지 대응되는 형상을 이루도록 하여 튜브의 삽관을 보다 용이하게 할 수 있다.The intubation body part 100 is made to be curved along the laryngeal direction as shown in FIG. 2 so that it can be easily inserted into the patient's oral cavity. That is, when inserted into the oral cavity, the tube can be intubated more easily by forming a shape corresponding to the position from the inside of the oral cavity to the airway.
한편, 상기 삽관몸체부(100)는 평면상으로 볼 때, 그 단면이 'C'자 형으로 개구된 형태를 이룬다. 상기한 바와 같이 'C'자 형으로 개구된 형태로 이루어진 삽관몸체부(100)는 기관삽관튜브(T)를 구강의 정중앙에 위치토록 하는 역할을 한다. 또한, 개구된 부분으로 기관삽관튜브(T)가 끼움 결합될 때, 상기 기관삽관튜브(T)가 견고하게 고정될 수 있도록 한다. 이에 따라 상기 기관삽관튜브(T)가 구강 정중앙에 위치함으로써, 기관삽관튜브의 꺽임현상을 방지할 수 있고, 성대 및 각 기관에 미치는 압력을 최소화하여 압력에 의해 발생하는 부작용을 줄일 수 있다.On the other hand, when viewed in a plan view, the intubation body part 100 has a 'C'-shaped opening in its cross-section. As described above, the intubation body 100, which is opened in a 'C' shape, serves to position the tracheal intubation tube (T) in the center of the oral cavity. In addition, when the tracheal intubation tube (T) is fitted into the open portion, the tracheal intubation tube (T) can be firmly fixed. Accordingly, since the tracheal intubation tube (T) is located in the center of the oral cavity, the bending phenomenon of the tracheal intubation tube can be prevented, and the pressure exerted on the vocal cords and each organ can be minimized to reduce the side effects caused by the pressure.
더불어, 상기 삽관몸체부(100)로부터 기관삽관튜브(T)가 쉽게 빠지는 것을 방지할 수 있게 된다.In addition, it is possible to prevent the tracheal intubation tube (T) from being easily removed from the intubation body (100).
통상적으로 기관삽관튜브는 환자에 따라 다양한 사이즈가 사용될 수 있으나, 본 발명의 'C'자 형으로 개구된 삽관몸체부(100)에 의하면, 그 개구된 부위의 특성에 의하여 다양한 사이즈의 기관삽관튜브를 수용할 수 있다.In general, the tracheal intubation tube may be used in various sizes depending on the patient, but according to the 'C'-opened intubation body 100 of the present invention, tracheal intubation tubes of various sizes depending on the characteristics of the opened portion. can accommodate
또한, 상기 삽관몸체부(100)의 선단부 내측은 도 5에 나타낸 바와 같이, 중심부를 향해 하향 경사지게 형성될 수 있다. 이로써, 상기 삽관몸체부(100)의 결합홈(120)에 기관삽관튜브(T)가 끼워져 결합된 상태에서도 기관삽관튜브(T)를 일정각도 원하는 만큼 조절할 수 있게 된다.In addition, as shown in FIG. 5 , the inside of the front end of the intubation body part 100 may be formed to be inclined downward toward the center. Accordingly, even in a state in which the tracheal intubation tube (T) is fitted into the coupling groove (120) of the intubation body (100), it is possible to adjust the tracheal intubation tube (T) by a predetermined angle as desired.
한편, 상기 삽관몸체부(100)는, 도 2에 나타낸 바와 같이, 후두 방향으로 상기 결합홈(120)이 형성된 영역을 제외한 나머지 영역에는 판상 형태로 절개된 절개면이 형성된다. 상기한 바와 같이, 판상 형태로 절개된 절개면이 형성됨에 따라 기도유지장치의 삽입의 용이함 및 기도유지장치의 구강내 삽입에 따른 환자의 불편감을 최소화할 수 있게 된다.On the other hand, as shown in FIG. 2 , in the cannulation body part 100 , a cut surface cut in a plate shape is formed in the rest of the region except for the region where the coupling groove 120 is formed in the occipital direction. As described above, as the incision surface cut in the plate shape is formed, it is possible to minimize the discomfort of the patient due to the ease of insertion of the airway maintaining device and the insertion of the airway maintaining device into the oral cavity.
상기 삽관몸체부(100)의 선단부측 외주면에는 도 4에 나타낸 바와 같이, 한 쌍의 플랜지(140)가 형성된다. 상기 플랜지(140)는 삽관몸체부(100)의 주위에 한 쌍이 날개처럼 돌출되며, 삽관몸체부(100)의 횡단면보다 넓은 면적을 가진다.As shown in FIG. 4 , a pair of flanges 140 are formed on the outer peripheral surface of the distal end side of the intubation body portion 100 . The flange 140 protrudes like a pair of wings around the intubation body part 100 , and has a larger area than the cross-section of the intubation body part 100 .
본 발명의 추가 실시예에 따르면, 상기 플랜지(140)의 일면은 중심부를 기준으로 후방(후두 방향)을 향하도록 일정곡률로 만곡되게 형성될 수 있다.According to a further embodiment of the present invention, one surface of the flange 140 may be formed to be curved with a certain curvature toward the rear (occipital direction) with respect to the center.
다시 말해, 상기 플랜지(140)의 일면은 중심부를 기준으로 환자의 입술 주변과 맞닿는 면이 일정곡률로 만곡되게 형성될 수 있다.In other words, one surface of the flange 140 may be formed so that a surface in contact with the periphery of the patient's lips with respect to the center is curved with a predetermined curvature.
상기 플랜지(140)가 후방을 향하도록 만곡되게 형성될 때의 작용효과를 살펴보면, 상기 플랜지(140)에 개구되어 형성된 상기 결합홈(120)에서 기관삽관튜브(T)에 가해지는 힘의 방향이 본 발명의 기도유지 및 기관삽관튜브 고정장치로 향하게 됨으로써, 상기 기관삽관튜브(T)를 보다 안정적으로 고정할 수 있게 된다.Looking at the effect when the flange 140 is formed to be curved toward the rear, the direction of the force applied to the tracheal intubation tube (T) in the coupling groove 120 formed by opening the flange 140 is By heading to the airway maintenance and tracheal intubation tube fixing device of the present invention, it is possible to more stably fix the tracheal intubation tube (T).
또한, 본 발명의 다른 추가 실시예에 따르면, 상기 삽관몸체부(100)의 후단부에는 환자의 기도 방향으로 기관삽관튜브(T)의 삽입이 원활해지도록, 상기 삽관몸체부(100)의 폭과 대응되는 폭을 갖고 단부가 라운드진 형상으로 이루어진 삽관가이드(160)가 상기 삽관몸체부(100)의 말단에 일체로 형성될 수 있다.In addition, according to another additional embodiment of the present invention, the rear end of the intubation body part 100 has a width of the intubation body part 100 to facilitate the insertion of the tracheal intubation tube (T) in the patient's airway direction. An intubation guide 160 having a width corresponding to that and having a rounded end may be integrally formed at the distal end of the intubation body 100 .
상기 삽관가이드(160)에 의하면, 환자의 충분한 기도 확보는 물론이고, 기관삽관튜브(T)의 삽입을 보다 원활하게 행할 수 있는 이점을 나타낸다.According to the intubation guide 160, the patient's sufficient airway is secured, as well as the advantage of more smoothly inserting the tracheal intubation tube (T).
상기에서 설명한 삽관몸체부(100)는 탄성의 폴리스티렌(PS, polystyrene), 폴리에틸렌(PE, polyethylene), 폴리프로필렌(PP, polypropylene), ABS 수지(ABS resin, acrylonitrile-butadiene-styrene resin), 폴리염화비닐(PVC, polyvinyl chloride) 중에서 선택된 어느 하나의 소재 또는 2가지 이상이 혼합된 소재로 이루어질 수 있다.The intubation body 100 described above is elastic polystyrene (PS, polystyrene), polyethylene (PE, polyethylene), polypropylene (PP, polypropylene), ABS resin (ABS resin, acrylonitrile-butadiene-styrene resin), polychloride It may be made of any one material selected from vinyl (PVC, polyvinyl chloride) or a mixture of two or more materials.
한편, 상기 지지부재(200)는 플랜지(140)의 후단에 환자의 입술 주변을 지지하는 지지편(220)과, 상기 지지편(220)의 중앙부에 상기 삽관몸체부(100)의 길이방향으로 환자의 상악치아 및 하악치아가 각각 지지되도록 하는 치아지지부(240)를 포함하여 이루어진다.On the other hand, the support member 200 includes a support piece 220 for supporting the periphery of the patient's lips at the rear end of the flange 140, and a central portion of the support piece 220 in the longitudinal direction of the intubation body 100. It is made to include a tooth support unit 240 for supporting the maxillary and mandibular teeth of the patient, respectively.
상기 지지편(220)은 환자의 입술 주변에 직접 닿으며 밀착 지지할 수 있도록, 환자의 입술 주변 부위와 상응하는 곡면을 갖는 형상으로 이루어짐이 바람직하다. 따라서, 이러한 곡면 형상에 의해서 환자의 입술 주변에 안정적으로 밀착될 수 있는 것이다.The support piece 220 is preferably formed in a shape having a curved surface corresponding to the periphery of the patient's lips so as to directly contact and closely support the lip of the patient. Therefore, it is possible to stably adhere to the periphery of the patient's lips by such a curved shape.
또한, 상기 지지편(220)은 환자의 입술 주변에 대응되도록 곡면 처리되어 있기 때문에 장시간 동안 환자의 입술을 포함한 그 주변을 누르는 하중을 억제시켜, 연약한 피부인 입술이 스트레스를 받거나 입술의 압박으로 인한 불편함을 주지 않으며, 또 입술이 붓거나 터지는 현상을 사전에 방지할 수 있다.In addition, since the support piece 220 is curved to correspond to the periphery of the patient's lips, it suppresses the load pressing the periphery, including the patient's lips, for a long time, so that the lips, which are soft skin, are stressed or caused by the compression of the lips. It does not cause discomfort, and it can prevent swelling or popping of the lips in advance.
상기 치아지지부(240)는 상기 지지편(220)의 후측(후두 방향)에 형성되는 것으로, 상기 지지편(220)의 중앙부에 상기 삽관몸체부(100)의 길이방향을 따라 형성되어 환자의 상악치아 및 하악치아가 각각 지지되도록 한다.The tooth support part 240 is formed on the rear side (occipital direction) of the support piece 220 , and is formed along the longitudinal direction of the intubation body part 100 in the central part of the support piece 220 to provide a patient's maxilla. Make sure the teeth and mandibular teeth are supported respectively.
상기 치아지지부(240)에 의하면, 환자의 개구된 입에 삽입되어 환자의 상악치아와 하악치아에 각각 맞물려 끼워진다. 이로써, 상기 기관삽관튜브(T)를 통해 전달되는 산소 등이 보다 안정적으로 환자에게 공급될 수 있고, 장시간 흔들리거나 미끄러지지 않고 고정된 상태를 오랫동안 유지할 수 있게 된다.According to the tooth support part 240, it is inserted into the patient's open mouth, and is fitted to the maxillary and mandibular teeth of the patient, respectively. Accordingly, oxygen, etc. delivered through the tracheal intubation tube (T) can be more stably supplied to the patient, and it is possible to maintain a fixed state for a long time without shaking or sliding for a long time.
또한, 상기 치아지지부(240)에 의하면, 환자의 구강이 개구된 상태를 그대로 올바르게 유지할 수 있어서, 각종 치료나 수술에 따른 사전준비 시간을 대폭 단축시킬 수 있다.In addition, according to the tooth support unit 240, the patient's oral cavity can be maintained correctly as it is, so that it is possible to significantly reduce the pre-preparation time for various treatments or surgeries.
이때, 상기 지지편(220)과 치아지지부(240)를 포함하는 지지부재(200)는 인체에 무해한 실리콘(silicone), 엘라스토머(elastomer), 열가소성 고무(thermo plastic elastomer), 연질수지 중에서 선택된 어느 하나의 소재 또는 2가지 이상이 혼합된 소재로 이루어질 수 있다. 이 밖에도 인체에 무해하면서 상기 열거한 소재들과 동등한 기능을 수행할 수 있는 소재라면 본 발명에 적용할 수 있음은 물론이다.At this time, the support member 200 including the support piece 220 and the tooth support part 240 is any one selected from silicone, elastomer, thermoplastic rubber, and soft resin harmless to the human body. It may be made of a material of or a mixture of two or more. It goes without saying that any material that is harmless to the human body and can perform the same function as the above-listed materials can be applied to the present invention.
한편, 상기 고정부재(300)는 도 4 및 도 5에 나타낸 바와 같이, 상기 플랜지(140)의 상측에 상기 삽관몸체부(100)를 감싸도록 구비된다. 즉, 상기 고정부재(300)는 상기 삽관몸체부(100)의 상부측의 외주에 권취하여, 상기 결합홈(120)에 끼워 결합된 기관삽관튜브(T)를 압박하며 고정된 상태가 유지되도록 하는 것이다.Meanwhile, as shown in FIGS. 4 and 5 , the fixing member 300 is provided to surround the intubation body 100 on the upper side of the flange 140 . That is, the fixing member 300 is wound around the outer periphery of the upper side of the intubation body part 100, and presses the tracheal intubation tube (T) coupled to the coupling groove 120 so that the fixed state is maintained. will do
여기서, 상기 고정부재(300)는 외측면에 다수의 로킹홈(322)이 형성된 케이블타이(320)와, 상기 로킹홈(322)에 걸림 결합되면서 상기 케이블타이(320)가 고정된 상태를 유지하도록 하는 로킹블록(340)을 포함하여 이루어질 수 있다.Here, the fixing member 300 is a cable tie 320 having a plurality of locking grooves 322 formed on the outer surface thereof, and the cable tie 320 is maintained in a fixed state while being engaged with the locking groove 322 . It may include a locking block 340 to do so.
상기 로킹블록(340)은 상기 케이블타이(320)가 고정된 상태에서 임의로 빠지지 않도록 하는 역할을 한다.The locking block 340 serves to prevent the cable tie 320 from arbitrarily falling out in a fixed state.
상기 로킹블록(340)에 대해 보다 구체적으로 설명하면, 상기 삽관몸체부(100)의 상부측의 외주에 권취된 케이블타이(320)의 끝단을 잡아당기면 상기 케이블타이(320)는 탄력적으로 늘어나며 다수의 로킹홈(322)이 상기 로킹블록(340)에 걸리면서 로킹된다. 따라서, 상기 로킹블록(340)은 상기 케이블타이(320)의 로킹상태를 그대로 유지하는 역할, 즉 로킹이 임의로 해제되지 않도록 하는 역할을 한다.In more detail with respect to the locking block 340, when the end of the cable tie 320 wound on the outer periphery of the upper side of the intubation body part 100 is pulled, the cable tie 320 is elastically stretched and a plurality of of the locking groove 322 is locked while being caught by the locking block 340 . Accordingly, the locking block 340 serves to maintain the locked state of the cable tie 320 as it is, that is, to prevent the locking from being arbitrarily released.
한편, 이와는 반대로 상기 케이블타이(320)의 로킹을 해제하고자 하는 경우에는, 상기 케이블타이(320)의 끝단을 잡아당겨서 상기 로킹홈(322)이 로킹블록(340)에 걸리지 않도록 한 후, 상기 로킹블록(340)을 회피하여 상기 케이블타이(320)를 분리할 수 있다.On the other hand, if you want to release the locking of the cable tie 320 on the contrary, pull the end of the cable tie 320 so that the locking groove 322 is not caught in the locking block 340, and then the locking The cable tie 320 may be separated by avoiding the block 340 .
본 발명에서는 기관삽관튜브(T)를 압박하며 단단하게 고정시키기 위한 수단으로써 일반적인 케이블타이(320)를 사용하는 것이 바람직하나, 이에 한정하지 않고 기관삽관튜브를 단단하게 고정할 수 있는 수단이라면 어떠한 형태도 무관하며, 일례로 통상적인 의료용 고정밴드도 사용할 수 있다.In the present invention, it is preferable to use a general cable tie 320 as a means for firmly fixing the tracheal intubation tube (T), but the present invention is not limited thereto, and any means capable of firmly fixing the tracheal intubation tube is also irrelevant, as an example, a conventional medical fixing band may also be used.
한편, 본 발명의 추가 실시예에 따르면, 상기 플랜지(140) 또는 지지편(220)의 외측면에는 빨강, 녹색, 파랑 중 어느 하나 이상으로 이루어진 색상이 환자의 구강구조 또는 환자의 구강 사이즈에 따라서 다양한 색상을 각기 코팅할 수 있으며, 이로써 본 발명의 기도유지 및 기관삽관튜브 고정장치에 대한 크기 등의 식별을 용이하게 행할 수 있다.On the other hand, according to a further embodiment of the present invention, the outer surface of the flange 140 or the support piece 220 has a color made of any one or more of red, green, and blue according to the oral structure of the patient or the size of the oral cavity of the patient. Various colors can be coated, respectively, so that it is possible to easily identify the size of the airway maintenance and tracheal intubation tube fixing device of the present invention.
이상에서 설명한 바와 같이, 본 발명에 따른 기도유지 및 기관삽관튜브 고정장치는,As described above, the airway maintenance and tracheal intubation tube fixing device according to the present invention,
첫째, 환자의 후두 방향에 위치되는 삽관몸체부의 말단부가 판상형으로 매끄럽게 처리되어 있으므로, 본 장치를 구강내 삽입시 저항을 최소화하여 치아 및 구강 점막의 손상을 피할 수 있는 이점을 제공하며,First, since the distal end of the intubation body positioned in the patient's laryngeal direction is smoothly processed in a plate shape, it provides the advantage of avoiding damage to teeth and oral mucosa by minimizing resistance when inserting the device into the oral cavity,
둘째, 간단한 조작을 통해 기관 내 삽관튜브를 신속하게 고정하거나 분리할 수 있고,Second, the endotracheal intubation tube can be quickly fixed or detached through a simple operation,
셋째, 기관삽관튜브에 임의의 힘이 가해지더라도 견고하고 안정적인 고정력을 장시간 동안 유지할 수 있으며,Third, even if any force is applied to the tracheal intubation tube, it is possible to maintain a strong and stable fixation force for a long time,
넷째, 기관삽관튜브를 구강 정중앙에 위치토록 하여 튜브의 꺽임현상을 방지하고 성대 및 기관에 미치는 압력을 최소화하여 압력에 의해 발생하는 부작용을 줄일 수 있는 매우 유용한 발명이다.Fourth, it is a very useful invention that can reduce the side effects caused by pressure by placing the tracheal intubation tube in the center of the oral cavity to prevent the tube from bending and minimize the pressure on the vocal cords and trachea.
본 발명에 따른 기도유지 및 기관삽관튜브 고정장치는 환자의 후두 방향에 위치되는 삽관몸체부의 말단부가 판상형으로 매끄럽게 처리되어 있으므로, 본 장치를 구강내 삽입시 저항을 최소화하여 치아 및 구강 점막의 손상을 피할 수 있는 이점을 제공하며, 간단한 조작을 통해 기관 내 삽관튜브를 신속하게 고정하거나 분리할 수 있고, 기관삽관튜브에 임의의 힘이 가해지더라도 견고하고 안정적인 고정력을 장시간 동안 유지할 수 있으며, 기관삽관튜브를 구강 정중앙에 위치토록 하여 튜브의 꺽임현상을 방지하고 성대 및 기관에 미치는 압력을 최소화하여 압력에 의해 발생하는 부작용을 줄일 수 있는 것으로, 본 발명의 기도유지 및 기관삽관튜브 고정장치는 의료 분야에서 유용하게 사용될 수 있고, 나아가 현대의학 발전에 큰 영향을 미칠 것으로 기대된다.In the airway maintenance and tracheal intubation tube fixing device according to the present invention, the distal end of the intubation body positioned in the laryngeal direction of the patient is smoothly processed in a plate shape, so it minimizes resistance when inserting the device into the oral cavity to prevent damage to teeth and oral mucosa It provides the advantage of avoidance, and through simple manipulation, the endotracheal intubation tube can be quickly fixed or detached, and even if an arbitrary force is applied to the tracheal intubation tube, a firm and stable fixation force can be maintained for a long time, the tracheal intubation tube is placed in the center of the oral cavity to prevent the tube from bending and minimize the pressure on the vocal cords and trachea to reduce the side effects caused by pressure. It can be usefully used and is expected to have a great impact on the development of modern medicine.

Claims (8)

  1. 환자의 구강 내부로 삽입되도록 구강 내부에 위치하는 후두 방향을 따라 곡률지게 이루어지되, 기관삽관튜브(T)를 구강의 중앙에 위치할 수 있도록 선단부에서 후단부에 이르는 영역 일측에 상기 기관삽관튜브(T)가 끼움 결합되는 ‘C’자 형으로 개구된 결합홈(120)이 형성되고, 후두 방향으로 상기 결합홈(120)이 형성된 영역을 제외한 나머지 영역은 판상 형태로 절개된 절개면이 형성되며, 선단부측의 외주면에 한 쌍의 플랜지(140)가 형성되는 삽관몸체부(100)와;The tracheal intubation tube ( A coupling groove 120 that is opened in a 'C' shape to which T) is fitted is formed, and in the occipital direction, except for the area where the coupling groove 120 is formed, a cut surface cut in a plate shape is formed. , The intubation body portion 100 having a pair of flanges 140 formed on the outer peripheral surface of the tip side;
    상기 플랜지(140)의 후단에 환자의 입술 주변을 지지하는 지지편(220)이 형성되고, 상기 지지편(220)의 중앙부에 상기 삽관몸체부(100)의 길이방향으로 환자의 상악치아 및 하악치아가 각각 지지되도록 하는 치아지지부(240)가 형성되는 지지부재(200)와;A support piece 220 supporting the periphery of the patient's lips is formed at the rear end of the flange 140 , and in the central portion of the support piece 220 in the longitudinal direction of the intubation body 100 , the patient's maxilla and mandible a support member 200 on which a tooth support unit 240 for supporting each tooth is formed;
    상기 플랜지(140)의 상측에 상기 삽관몸체부(100)를 감싸도록 구비되고, 상기 결합홈(120)에 끼움 결합된 기관삽관튜브(T)를 압박하며 고정된 상태가 유지되도록 하는 띠 형태의 고정부재(300);를 포함하여 이루어지는 것을 특징으로 하는 기도유지 및 기관삽관튜브 고정장치.It is provided to surround the intubation body part 100 on the upper side of the flange 140, and presses the tracheal intubation tube (T) fitted into the coupling groove 120 to maintain a fixed state. Airway maintenance and tracheal intubation tube fixing device comprising a; fixing member (300).
  2. 제1 항에 있어서,According to claim 1,
    상기 삽관몸체부(100)의 후단부에는 환자의 기도 방향으로 기관삽관튜브(T)의 삽입이 원활해지도록, 외측이 라운드진 형상으로 이루어진 삽관가이드(160)가 상기 삽관몸체부(100)의 말단에 일체로 형성되는 것을 특징으로 하는 기도유지 및 기관삽관튜브 고정장치.At the rear end of the intubation body part 100, an intubation guide 160 having a rounded outside shape is provided to facilitate the insertion of the tracheal intubation tube (T) in the direction of the patient's airway. Airway maintenance and tracheal intubation tube fixing device, characterized in that integrally formed at the distal end.
  3. 제1 항에 있어서,According to claim 1,
    상기 고정부재(300)는 외측면에 다수의 로킹홈(322)이 형성된 케이블타이(320)와, 상기 로킹홈(322)에 걸림 결합되면서 상기 케이블타이(320)가 고정된 상태를 유지하도록 하는 로킹블록(340)을 포함하여 이루어지는 것을 특징으로 하는 기도유지 및 기관삽관튜브 고정장치.The fixing member 300 has a cable tie 320 having a plurality of locking grooves 322 formed on the outer surface thereof, and is engaged with the locking groove 322 to maintain the cable tie 320 in a fixed state. Airway maintenance and tracheal intubation tube fixing device, characterized in that it comprises a locking block (340).
  4. 제1 항에 있어서,According to claim 1,
    상기 삽관몸체부(100)의 선단부 내측은 중심부를 향해 하향 경사지게 형성된 것을 특징으로 하는 기도유지 및 기관삽관튜브 고정장치.Airway maintenance and tracheal intubation tube fixing device, characterized in that the inside of the tip of the intubation body part 100 is inclined downward toward the center.
  5. 제1 항에 있어서,According to claim 1,
    상기 지지부재(200)는 실리콘(silicone), 엘라스토머(elastomer), 열가소성 고무(thermo plastic elastomer), 연질수지 중에서 선택된 어느 하나의 소재 또는 2가지 이상이 혼합된 소재로 이루어지는 것을 특징으로 하는 기도유지 및 기관삽관튜브 고정장치.The support member 200 is airway maintenance and Tracheal intubation tube fixture.
  6. 제1 항에 있어서,According to claim 1,
    상기 삽관몸체부(100)는 탄성의 폴리스티렌(PS, polystyrene), 폴리에틸렌(PE, polyethylene), 폴리프로필렌(PP, polypropylene), ABS 수지(ABS resin, acrylonitrile-butadiene-styrene resin), 폴리염화비닐(PVC, polyvinyl chloride) 중에서 선택된 어느 하나의 소재 또는 2가지 이상이 혼합된 소재로 이루어지는 것을 특징으로 하는 기도유지 및 기관삽관튜브 고정장치.The intubation body 100 is elastic polystyrene (PS, polystyrene), polyethylene (PE, polyethylene), polypropylene (PP, polypropylene), ABS resin (ABS resin, acrylonitrile-butadiene-styrene resin), polyvinyl chloride ( Airway maintenance and tracheal intubation tube fixing device, characterized in that it is made of any one material selected from PVC, polyvinyl chloride) or a mixture of two or more materials.
  7. 제1 항에 있어서,According to claim 1,
    상기 플랜지(140) 또는 지지편(220)의 외측면에는 빨강, 녹색, 파랑 중 어느 하나 이상으로 이루어진 색상이 환자의 구강구조 또는 환자의 구강 사이즈에 따라 각기 상이한 색상으로 코팅되어 표시되는 것을 특징으로 하는 기도유지 및 기관삽관튜브 고정장치.On the outer surface of the flange 140 or the support piece 220, a color made of any one or more of red, green, and blue is coated and displayed with different colors depending on the oral structure of the patient or the size of the patient's oral cavity Airway maintenance and tracheal intubation tube fixation device.
  8. 제1 항에 있어서,According to claim 1,
    상기 플랜지(140)의 일면은 중심부를 기준으로 환자의 입술 주변과 맞닿는 면이 일정곡률로 만곡된 것을 특징으로 하는 기도유지 및 기관삽관튜브 고정장치.Airway maintenance and tracheal intubation tube fixing device, characterized in that one surface of the flange (140) is curved with a certain curvature on the surface in contact with the periphery of the patient's lips based on the center.
PCT/KR2021/007103 2020-09-09 2021-06-08 Airway management and endotracheal tube fixing device WO2022055079A1 (en)

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KR20220138608A (en) 2021-04-06 2022-10-13 주식회사 제이원메딕스 Device for fixing air intubation tube
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