CN101822564A - Trachea incising and inserting forceps - Google Patents

Trachea incising and inserting forceps Download PDF

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Publication number
CN101822564A
CN101822564A CN 201010148135 CN201010148135A CN101822564A CN 101822564 A CN101822564 A CN 101822564A CN 201010148135 CN201010148135 CN 201010148135 CN 201010148135 A CN201010148135 A CN 201010148135A CN 101822564 A CN101822564 A CN 101822564A
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China
Prior art keywords
clamp arm
arm
tong arm
tong
right clamp
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CN 201010148135
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Chinese (zh)
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CN101822564B (en
Inventor
王青威
岳庆祝
李永强
李静
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Jinan No4 People's Hospital
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Jinan No4 People's Hospital
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Abstract

The invention provides a pair of trachea incising and inserting forceps comprising a left forcep arm and a right forcep arm which are articulated with each other. The pair of trachea incising and inserting forceps is characterized in that both the left forcep arm and the right forcep arm comprise an upper end and a lower end, the upper end and the lower end of the same forcep arm form an obtuse angle; the top of the lower end of the left forcep arm and/or the top of the lower end of the right forcep arm are/is provided with blades or a blade; the lower end of the right forcep arm is internally provided with a hollow cavity; and the upper end and the lower end of the hollow cavity are communicated with the outside. Provided with the blades and the hollow cavity, the pair of trachea incising and inserting forceps has the function of the sharp knife and facilitates the detection test. The pair of trachea incising and inserting forceps solves the problem of inconvenient tool change during tracheotomy, saves the time and is more convenient for rescuing the patient.

Description

Trachea incising and inserting forceps
Technical field
The present invention relates to a kind of trachea incising and inserting forceps, in particular, relate in particular to a kind of trachea incising and inserting forceps that is provided with cavity and blade.
Background technology
Tracheotomy be with remove laryngeal dyspnea, breathing function is not normal or the lower respiratory tract ischesis due to dyspneic a kind of common operation; it is normal clinically artificial airway's mode of selecting; because the tube chamber of trachea is big, the path is short and dead space is few, can effectively reduce the ventilation of airway resistance and dead space.At present, tracheotomy develops into rescue and the treatment that is widely used in multiple disease by simple rescue laryngeal obstruction.But existing tracheotomy complicated operation, waste time and energy, and the degree of injury to patient is big, comprise tracheotomy in its operating procedure and insert two steps of trachea, time spent is big, if run into respiratory tract disease or other patients who is in a bad way, the conduit that might also not have enough time to insert, patient is because severe depletion of oxygen brain death or stopped heart beating.
Summary of the invention
The present invention provides a kind of trachea incising and inserting forceps in order to overcome the shortcoming of above-mentioned technical problem.
Trachea incising and inserting forceps of the present invention, comprise the left clamp arm and the right clamp arm that are hinged together, its special feature is: described left clamp arm and right clamp arm include tong arm upper end and tong arm lower end, and the tong arm upper end of same tong arm and the angle between the tong arm lower end are the obtuse angle; The top of the top of the tong arm lower end of described left clamp arm and/or the tong arm lower end of right clamp arm is provided with blade; The inside, tong arm lower end of described right clamp arm is provided with cavity, and the top and bottom of described cavity all communicate with the external world.Left clamp arm and right clamp arm are not intersect hinged, left clamp arm and right clamp arm are positioned at the same side, so that when guaranteeing that the tong arm upper end of trachea incising and inserting forceps is in open configuration, its tong arm lower end is in closure state, when the tong arm upper end of trachea incising and inserting forceps was in closure state, its tong arm lower end was in open configuration.The top of the top of the tong arm lower end of left clamp arm and/or the tong arm lower end of right clamp arm is provided with blade, can replace sharp knife to implement tracheotomy, has simplified program, has saved the time; Cavity is arranged at the inside of the tong arm lower end of right clamp arm, and the cavity upper and lower side all communicates with the external world, and whether correct, also can carry out sucking-off to the secretions of trachea inside if can detect the position that trachea incising and inserting forceps stretches into by this cavity like this.
Trachea incising and inserting forceps of the present invention, the top of described cavity is provided with the gas outlet that communicates with it, the open top of this gas outlet.Set out that inflator is more convenient all to have the device of suction to be connected with other, whether the position that also just can detect trachea incising and inserting forceps more efficiently and extend into is correct, saved the time.
Trachea incising and inserting forceps of the present invention, the tong arm upper end of described left clamp arm and right clamp arm is provided with tension rail, and the tong arm upper end of described left clamp arm and the tong arm upper end of right clamp arm all have the groove that is used with tension rail.Tension rail and groove are set, in the process of using, more help keeping two tong arm lower ends to be in tight state of contact all the time, also just can guarantee carrying out smoothly of tracheotomy.
Trachea incising and inserting forceps of the present invention, the thickness of the tong arm lower end of described left clamp arm is less than the thickness of the tong arm lower end of right clamp arm.Because right clamp arm inside is provided with cavity, its thickness is bigger, and the ratio right clamp arm that left clamp arm can be done is thinner, so as to be more prone to carry out tracheotomy.
Trachea incising and inserting forceps of the present invention, the length of the tong arm lower end of described left clamp arm is less than the length of the tong arm lower end of right clamp arm.Because left clamp arm only plays in whole tracheotomy and struts the used of trachea, so its relatively weak point that can do so also can improve the accuracy that detects by cavity.
Trachea incising and inserting forceps of the present invention, the tong arm upper end of described left clamp arm and the tong arm upper end of right clamp arm are provided with and can make trachea incising and inserting forceps be in the buckle teeth bar of certain opening angle.When two tong arm lower ends of trachea incising and inserting forceps were in closure state, two buckle teeth bars are in released state, and were inoperative; When two tong arm lower ends of trachea incising and inserting forceps are opened, at this moment two buckle teeth bars are in contact condition, and, realize the interlock in various degree of two tong arms upper end by being arranged on the different teeth on the buckle teeth bar, realize that two tong arm lower ends are in open configuration in various degree.
Trachea incising and inserting forceps of the present invention, the tong arm upper end afterbody of the tong arm upper end afterbody of described left clamp arm and right clamp arm is provided with the annular circle of shaking hands.Setting is shaken hands, and circle is more convenient to be used.
Trachea incising and inserting forceps of the present invention is provided with contiguous block on described left clamp arm and the right clamp arm, has the connection circular hole on each contiguous block.By connecting being used of circular hole and connecting axle, play left clamp arm and the hinged purpose of right clamp arm.
The invention has the beneficial effects as follows: by top blade is set, makes trachea incising and inserting forceps also can be used as sharp knife and use in the tong arm lower end, solved replacing instrument in the tracheotomy the inconvenience that brought, saved the time; Inside in the tong arm lower end of right clamp arm is provided with cavity, can whether correct by the position that this cavity detection trachea incising and inserting forceps extend in the trachea, also can carry out sucking-off to the secretions of trachea inside by this cavity, the instrument of having saved has also been simplified program, helps more patient is implemented to rescue.
Description of drawings
Fig. 1 is the structural representation of first kind of embodiment of the present invention;
Fig. 2 is the front view of first kind of embodiment of the present invention;
Fig. 3 is the structural representation of the left clamp arm of trachea incising and inserting forceps of the present invention;
Fig. 4 is the structural representation of the right clamp arm of trachea incising and inserting forceps of the present invention;
Fig. 5 is the structure enlarged diagram of tong arm lower end of the right clamp arm of trachea incising and inserting forceps of the present invention;
Fig. 6 is the cross-sectional view of tong arm lower end of the right clamp arm of trachea incising and inserting forceps of the present invention;
Fig. 7 is the structural representation of second kind of embodiment of the present invention;
Fig. 8 is the local structure for amplifying sketch map of second kind of embodiment of the present invention;
Fig. 9 is the structural representation of the third embodiment of the present invention;
Figure 10 is the local structure for amplifying sketch map of the third embodiment of the present invention.
Among the figure: 1 left clamp arm, 2 right clamp arms, 3 tong arms upper end, 4 tong arm lower ends, 5 gas outlets, 6 cavitys, 7 blades, 8 tension rails, 9 buckle teeth bars, 10 connecting axles, 11 grooves, 12 contiguous blocks.
The specific embodiment
The invention will be further described below in conjunction with accompanying drawing and embodiment.
Embodiment 1, and Fig. 1 to Fig. 6 has provided the structural representation of first kind of embodiment of the present invention, and it comprises left clamp arm 1, right clamp arm 2, gas outlet 5, cavity 6, blade 7, tension rail 8, buckle teeth bar 9, connecting axle 10, groove 11, contiguous block 12.Fig. 3 and Fig. 4 have provided the structural representation of left clamp arm 1 and right clamp arm 2 respectively, left clamp arm 1 and right clamp arm 2 include tong arm upper end 3 and tong arm lower end, the tong arm upper end of each tong arm and the angle between the tong arm lower end are the obtuse angle, and be provided with contiguous block 12 on left clamp arm 1 and the right clamp arm, have on the contiguous block 12 with connecting axle 10 matches and be connected circular hole, left clamp arm 1 and right clamp arm 2 are hinged by connecting axle, and can guarantee that the angle between tong arm upper end and the tong arm lower end is the obtuse angle, help implementing tracheotomy.4 inside, tong arm lower end of the right clamp arm shown in Fig. 1, Fig. 2, Fig. 4, Fig. 5, Fig. 6 have cavity 6, the upper end of this cavity 6 is connected with gas outlet 5, the lower ending opening of cavity 6 is positioned at the top of the tong arm lower end 4 of right clamp arm, be that cavity 6 communicates with the external world at the tip position place of the tong arm lower end 4 of right clamp arm, whether the purpose that cavity 6 and gas outlet 5 are set is correct in order to detect the position of trachea incising and inserting forceps of the present invention in trachea, certainly, if the diameter of cavity is enough big, also can carry out sucking-off to the secretions in the trachea; Gas outlet 5 is raised in right clamp arm, so more makes things convenient for to be connected with other getter devices.Top in the tong arm lower end of the top of the tong arm lower end 4 of left clamp arm and right clamp arm is provided with blade 7, the purpose that blade is set is in order to replace sharp knife to implement tracheotomy, saved and changed the loaded down with trivial details of medical apparatus, saved the time, helped patient is implemented to rescue timely.Owing to utilizing trachea incising and inserting forceps of the present invention patient to be implemented in the process of tracheotomy, closely contact between the tong arm lower end 4 that need to keep left clamp arm and the tong arm lower end 4 of right clamp arm, if only the hand-power by the people supports, instability that will be very, therefore be provided with groove 11 in the tong arm upper end 3 of left clamp arm and the tong arm upper end 3 of right clamp arm, and extend into two modes in the groove 11 by an arcual tension rail 8, play making two tong arms upper ends 3 be in released state and two tong arm lower ends 4 are in the purpose of tight closure state.
The afterbody of two tong arm upper ends 3 is provided with the circle of shaking hands, and uses with convenient; Also be provided with two buckle teeth bars 9 on two tong arm upper ends 3, by the mutual fastening of two buckle teeth bars 9, the two tong arm lower ends that can play control trachea incising and inserting forceps of the present invention are in certain opening angle, be beneficial to and insert airway in trachea.
Certainly, cavity 6 is not restricted to the tong arm lower end 4 that is arranged on right clamp arm with gas outlet 5, also can be arranged on the tong arm lower end 4 of left clamp arm, the top of the top of the tong arm lower end of described left clamp arm and the tong arm lower end of right clamp arm, can one be provided with blade, also can two be provided with blade.
Embodiment 2, Fig. 7 and Fig. 8 have provided structural representation and the partial enlarged drawing of embodiment in of the present invention second, the tong arm lower end 4 of shown right clamp arm is provided with cavity 6 and gas outlet 5, the thickness of the tong arm lower end 4 of left clamp arm is less than the thickness of the tong arm lower end of right clamp arm, can reduce the tong arm lower end of left clamp arm and the total width in tong arm lower end of right clamp arm like this, help convenient extending in the person's windpipe in tracheotomy, also can avoid human body is produced bigger wound.Other structures of trachea incising and inserting forceps in the present embodiment are all identical with structure among the embodiment 1.
Embodiment 3, Fig. 9 and Figure 10 have provided structural representation and the partial enlarged drawing of embodiment in the of the present invention the 3rd, the tong arm lower end 4 of shown right clamp arm is provided with cavity 6 and gas outlet 5, the thickness of the tong arm lower end 4 of the left clamp arm shown in the figure and length less than the thickness and the length of the tong arm lower end of right clamp arm, at this moment have only the top of the tong arm lower end of right clamp arm to be provided with blade respectively.The purpose that the thickness of the tong arm lower end 4 of left clamp arm is made less than the thickness of the tong arm lower end of right clamp arm is, can reduce the tong arm lower end of left clamp arm and the total width in tong arm lower end of right clamp arm, help convenient extending in the person's windpipe in tracheotomy, also can avoid human body is produced bigger wound.It is thickness for the top, tong arm lower end that increases right clamp arm that the length of the tong arm lower end 4 of left clamp arm is made purpose less than the length of the tong arm lower end 4 of right clamp arm, makes the inside diameter size that is more prone to process cavity 6 and increases cavity 6.Other structure of trachea incising and inserting forceps in the present embodiment is all identical with trachea incising and inserting forceps among the embodiment 1.
The using method of trachea incising and inserting forceps of the present invention in tracheotomy: at first, adopt the conventional method skin that carries out disinfection, and utilize the method for empty needle puncture trachea to determine the incision site of trachea; Then, utilize blade to cut skin, and thrust trachea, should guarantee that at this moment tension rail 8 put in two grooves with trachea incising and inserting forceps of the present invention to subcutaneous tissue; Then, carry out the resorption test, enter the correct position of trachea with the tong arm lower end of confirming trachea incising and inserting forceps by cavity 6 and gas outlet 5; At last, take off tension rail 8 and strut the tong arm lower end, insert conduit, extract and cut pincers, i.e. complete operation by the space between the two tong arm lower ends.If under the situation that skilled operation and not error situation take place, got final product complete operation in general about 1 minute.

Claims (8)

1. trachea incising and inserting forceps, comprise the left clamp arm (1) and the right clamp arm (2) that are hinged together, it is characterized in that: described left clamp arm (1) and right clamp arm (2) include tong arm upper end (3) and tong arm lower end (4), and the angle between the tong arm upper end (3) and tong arm lower end (4) of same tong arm is the obtuse angle; The top of the tong arm lower end of the top of the tong arm lower end of described left clamp arm (1) and/or right clamp arm (2) is provided with blade (7); The inside, tong arm lower end (4) of described right clamp arm is provided with cavity (6), and the top and bottom of described cavity (6) all communicate with the external world.
2. trachea incising and inserting forceps according to claim 1 is characterized in that: the top of described cavity (6) is provided with the gas outlet (5) that communicates with it, the open top of this gas outlet (5).
3. trachea incising and inserting forceps according to claim 1 and 2, it is characterized in that: the tong arm upper end (3) of described left clamp arm and right clamp arm is provided with tension rail (8), and the tong arm upper end of described left clamp arm and the tong arm upper end of right clamp arm all have the groove (11) that is used with tension rail.
4. trachea incising and inserting forceps according to claim 1 and 2 is characterized in that: the thickness of the tong arm lower end (4) of described left clamp arm is less than the thickness of the tong arm lower end (4) of right clamp arm.
5. trachea incising and inserting forceps according to claim 4 is characterized in that: the length of the tong arm lower end (4) of described left clamp arm is less than the length of the tong arm lower end (4) of right clamp arm.
6. trachea incising and inserting forceps according to claim 1 and 2 is characterized in that: the tong arm upper end (3) of described left clamp arm and the tong arm upper end (3) of right clamp arm are provided with and can make trachea incising and inserting forceps be in the buckle teeth bar (9) of certain opening angle.
7. trachea incising and inserting forceps according to claim 1 and 2 is characterized in that: tong arm upper end (3) afterbody of tong arm upper end (3) afterbody of described left clamp arm and right clamp arm is provided with the annular circle of shaking hands.
8. trachea incising and inserting forceps according to claim 1 and 2 is characterized in that: be provided with contiguous block (12) on described left clamp arm (1) and the right clamp arm (2), each contiguous block has the connection circular hole on (12).
CN2010101481354A 2010-04-16 2010-04-16 Trachea incising and inserting forceps Expired - Fee Related CN101822564B (en)

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Application Number Priority Date Filing Date Title
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105963839A (en) * 2016-06-24 2016-09-28 河南曙光健士医疗器械集团股份有限公司 Disposable kit for tracheotomy

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2187929Y (en) * 1994-03-30 1995-01-25 上海长征医院 Blunt separating forceps for incision of trachea with eversion lip
US5997566A (en) * 1998-07-14 1999-12-07 Tobin; Joshua Cricothyrotomy forceps
GB2377383A (en) * 2001-05-14 2003-01-15 Sanjay Gandhi Post Graduate In An instrument for causing a dilation of the trachea opening
CN2612351Y (en) * 2003-01-10 2004-04-21 王星 Rongeur for fracture diaplasis
CN2683033Y (en) * 2004-03-08 2005-03-09 尹键 Improved tracheotomy dilator
DE102006022775A1 (en) * 2006-05-16 2007-11-22 Universitätsklinikum Hamburg-Eppendorf Körperschaft des Öffentlichen Rechts Device for easement of nasal or oral intubation of trachea of patient, comprises jaws angulated and formed with curve, where jaws are left side angulated approximately at seventy five degree angle
CN201356585Y (en) * 2009-03-13 2009-12-09 刘兆东 Surgery stretching pliers
CN201642214U (en) * 2010-04-16 2010-11-24 济南市第四人民医院 Trachea cutting and pipe placing pincers

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2187929Y (en) * 1994-03-30 1995-01-25 上海长征医院 Blunt separating forceps for incision of trachea with eversion lip
US5997566A (en) * 1998-07-14 1999-12-07 Tobin; Joshua Cricothyrotomy forceps
GB2377383A (en) * 2001-05-14 2003-01-15 Sanjay Gandhi Post Graduate In An instrument for causing a dilation of the trachea opening
CN2612351Y (en) * 2003-01-10 2004-04-21 王星 Rongeur for fracture diaplasis
CN2683033Y (en) * 2004-03-08 2005-03-09 尹键 Improved tracheotomy dilator
DE102006022775A1 (en) * 2006-05-16 2007-11-22 Universitätsklinikum Hamburg-Eppendorf Körperschaft des Öffentlichen Rechts Device for easement of nasal or oral intubation of trachea of patient, comprises jaws angulated and formed with curve, where jaws are left side angulated approximately at seventy five degree angle
CN201356585Y (en) * 2009-03-13 2009-12-09 刘兆东 Surgery stretching pliers
CN201642214U (en) * 2010-04-16 2010-11-24 济南市第四人民医院 Trachea cutting and pipe placing pincers

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105963839A (en) * 2016-06-24 2016-09-28 河南曙光健士医疗器械集团股份有限公司 Disposable kit for tracheotomy

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