VISUAL LARYNGEAL MASK

Abstract

The present invention provides an improved visual laryngeal mask comprising a tube, an end of the tube is provided with a fixing seat. The fixing seat is provided with an airbag, and the fixing seat has a recess which is provided with an airway opening. An imaging cavity extends longitudinally inside an inner wall of the tube. The imaging cavity has a built-in imaging device, and the imaging cavity protrudes forward relative to the airway opening to form a stopper which prevents an epiglottis from blocking the imaging device. A front end of the stopper is concaved to form a recess, and an opening of the imaging cavity is located at a low point of the recess.

Claims

1. An improved visual laryngeal mask, comprising a tube, an end of the tube is provided with a fixing seat, wherein the fixing seat is provided with an airbag, and the fixing seat has a recess which is provided with an airway opening; an imaging cavity extends longitudinally inside an inner wall of the tube, wherein the imaging cavity is able to be used for a built-in imaging device, and the imaging cavity protrudes forward relative to the airway opening to form a stopper which is adapted to prevent an epiglottis from blocking the imaging device; wherein a front end of the stopper is concaved to form a recess, and an opening of the imaging cavity is located at a low point of the recess.

2. The improved visual laryngeal mask as claimed in claim 1, wherein a back side of the airbag is provided corresponding to a back plate of the fixing seat; the airbag has an esophagus sealing capsule and an airway sealing capsule, wherein the esophagus sealing capsule is located on a front side of the airway sealing capsule, the esophagus sealing capsule and the airway sealing capsule are in communication and form a separation region between their back sides, so that when the airbag is inflated, an expansion height of the esophagus sealing capsule is smaller than an expansion height of the airway sealing capsule; and the separation region is configured to correspond to a boundary between a esophagus and an airway.

3. The improved visual laryngeal mask as claimed in claim 1, wherein the stopper protrudes from the airway opening by 1-10 mm.

4. The improved visual laryngeal mask as claimed in claim 1, wherein a front side of a back plate of the fixing seat is sealed with a corresponding back side of the airbag, thereby forming a separation region between an esophagus sealing capsule and an airway sealing capsule; and the front side of the back plate of the fixing seat is bonded or thermally joined to the corresponding back side of the airbag.

5. The improved visual laryngeal mask as claimed in claim 3, wherein the stopper protrudes from the airway opening by 3-5 mm; and the stopper is located in the recess of the fixing seat.

6. The improved visual laryngeal mask as claimed in claim 4, wherein the back side of the airbag is provided above the back plate, and the back side of the airbag has a median capsule and an outer side capsule integrated with the median capsule; the median capsule is adapted to a shape of the back plate and is in contact with the back plate, and a connection region is formed between a front side of the median capsule and the front side of the back plate so as to form a separation region between the esophagus sealing capsule and the airway sealing capsule.

7. The improved visual laryngeal mask as claimed in claim 1, wherein the stopper comprises a main body portion having a cylindrical outer surface, and a front end portion comprising a first circular arc surface and a second circular arc surface, wherein the first circular arc surface and the second circular arc surface form an arc intersection where a transition is formed.

8. The improved visual laryngeal mask as claimed in claim 2, wherein the airbag is generally in a shape of an oval ring, and two side walls of the airbag form an arc transition portion at their respective boundary regions; the arc transition portion has an arc transition to provide a smooth transition of the side walls of the airbag.

9. The improved visual laryngeal mask as claimed in claim 1, wherein the imaging device is a camera, which protrudes slightly from an opening of the imaging cavity or is flush with the opening of the imaging cavity; and an end of the camera is provided with a light source.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0027] FIG. 1 is a structural diagram of a visual laryngeal mask provided in the present invention;

[0028] FIG. 2 is a diagram of an insertion end of the visual laryngeal mask provided in the present invention;

[0029] FIG. 3 is a structural diagram of a stopper provided in the present invention;

[0030] FIG. 4 is a cross-sectional view of an imaging device and a cleaning channel provided in the present invention;

[0031] FIGS. 5-6 are diagrams of the field of view of the visual laryngeal mask provided in the present invention;

[0032] FIG. 7 is a diagram of a state in which a laryngeal mask airbag is inserted into the human throat tissue;

[0033] FIG. 8 is a top view of a double airbag medical laryngeal mask provided in the present invention;

[0034] FIG. 9 is a bottom view of the double airbag medical laryngeal mask provided in the present invention;

[0035] FIG. 10 is a diagram of the disassembly of the double airbag medical laryngeal mask provided in the present invention (separating a fixing seat from the airbag);

[0036] FIG. 11 is a cross-sectional diagram of the double airbag medical laryngeal mask provided in the present invention when not inflated; and

[0037] FIG. 12 is a cross-sectional diagram of the double airbag medical laryngeal mask when inflated according to the present invention.

DESCRIPTION OF THE EMBODIMENTS

[0038] The present invention will be described in detail below with reference to the accompanying drawings. It should be understood that:

[0039] In the description of the present invention, the shapes of “tongue” and “oval ring”, and the modifier “roughly” before the shapes are used to describe the shape of a structure of the present invention, but do not necessarily mean that the structure must be strictly in the shape. Instead, the shapes are allowed to have a suitable geometric adjustment or deformation. Some deviations or deformations from the standard shapes also fall within the scope of the present invention, and the structure provided in the present invention is not strictly in a certain shape. The descriptions of some shapes which are intended to facilitate the understanding of those skilled in the art are not to be construed as limiting the scope of the present invention. All shapes achieving the intended aims of the present invention fall within the protection scope of the present invention.

[0040] In the description of the present invention, the “back side”, “ventral side”, “front side” and “rear side” indicate positional relationships based on the positional relationship shown in the drawings, and are merely for easy and simplified description of the present invention. It is not intended or implied that the structures and parts referred to must have a particular orientation, are constructed and operated in a particular orientation, and thus are not to be construed as limiting the present invention.

Embodiment 1: Improved Visual Laryngeal Mask

[0041] As shown in FIG. 1, the laryngeal mask comprises a snorkel (tube) 6, wherein an insertion end portion of the snorkel 6 is provided with an airbag 5 which is roughly in the shape of an oval ring and fixed to the fixing seat 63 formed at an end of the snorkel 6. The fixing seat 63 has a recess which is provided with an airway opening 61. The snorkel 6 enters the airway through the airway opening, and an inner wall of the snorkel longitudinally extends an imaging cavity and a cleaning channel, wherein the imaging cavity has a built-in camera 4, and the imaging channel and the airway opening of the cleaning channel continues to extend forward, where a convex stopper 62 is integrally formed, that is, the stopper 62 is convex relative to a plane of the airway opening on the fixing seat, so that the stopper 62 can push and block physiological tissue into other regions to prevent an epiglottis from blocking the camera 4. A peripheral portion of an opening of the imaging cavity and an end of the cleaning channel constitutes a front end portion 621 of the stopper 62, wherein the front end portion 621 is concavely recessed toward the opening direction of the imaging cavity, so that an opening end of the imaging cavity is located at a low point of the recess, and the peripheral portion of the opening of the imaging cavity (which may also be said to be the peripheral portion of an end of the stopper) constitutes a function similar to a rib, the rib blocking the physiological tissue into other regions than the stopper; preferably, the inventors of the present invention find that when the stopper 62 protrudes from the airway opening 61 by 1~10 mm, that is, the stopper 62 is convex relative to a plane of a periphery of the airway opening, but the stopper is still in the recess of the airbag fixing seat 63, which achieves an optimal visual effect while preventing the epiglottis from blocking the camera. As an optimal implementation manner, according to the adult glottal size of about 21±4 mm, the tracheal size is about 17±2 mm; according to the relative positional relationship between the glottis and the laryngeal mask during the use of the laryngeal mask, the range of the camera observation to be observed is preliminarily determined to make the images their clearest; through an analysis of a glottal size and a laryngeal mask size, combined with the positional relationship of the laryngeal mask and the glottis, an image acquisition direction of the camera is determined. When the stopper 62 protrudes from the airway opening 61 by 3~5 mm, a clear and complete glottis can be seen.

[0042] Wherein, as shown in FIG. 3, the camera 4 may protrude slightly from the opening of the imaging cavity, and may be flush with the opening end of the imaging cavity, but still at the low point of the recess of the stopper, and a shape of the stopper may be varied. For example, the whole stopper has the shape of a shrunken ball; in this case, the stopper in the shape of a shrunken ball has a smooth contour and no sharp edges. Compared with a triangle or other stoppers with sharp sides, the stopper will not make a patient uncomfortable during an operation. For another example, the stopper is divided into a longitudinally extending main body portion 622 in a cylindrical shape, and the front end portion 621, wherein a part of a side wall of the cylindrical main body portion is integrally coupled with a wall surface of the laryngeal mask (because the stopper itself is an imaging cavity extending from the side wall of the snorkel), and a side wall surface adjacent to the airway opening is cylindrical. The front end portion comprises a first semi-circular surface 6211 and a second semi-circular surface 6212 which are integrally connected, and the first semicircular surface 6211 and the second semicircular surface 6212 are not flat surfaces, each having a gradually concave arc surface. An intersection of the first semi-circular surface 6211 and the second semi-circular surface 6212 is an arc transition, and the transition of the intersection has a transition 6213, that is, the first semi-circular surface 6211 and the second semi-circular surface 6212 have an included angle, for example, approximately 90°, so a depth of the recess is deepest at the transition 6213 of the intersection, and a circular transition of the intersection is also provided between the second semi-circular surface and a front side portion of the recess of the fixing seat 63. The development of the structure fits the anatomy of the human throat better, which does not cause a discomfort and facilitates the popularization of the visual mask. Most importantly, due to the physiological characteristics of the epiglottis tissue, the stopper of the structure and the flange (rib) formed at the periphery may cause the epiglottis to be squeezed to the side or block the path of the epiglottis tissue, thereby eliminating the defect of the original patent application Publication No. CN 206167560U where the visual field of the visual device is blocked; being at the low point of the recess, the camera is not easily smeared, thereby effectively reducing cleaning frequency.

[0043] In addition, as shown in FIG. 2, the cleaning channel is provided with a cleaning nozzle 13 facing toward the camera. In order to ensure that the cleaning nozzle 13 is opposite to the camera 4, the cleaning nozzle 13 is slightly higher than the camera 4 or flush with the camera 4, the cleaning nozzle is aligned with the camera to spray a cleaning agent.

[0044] In addition, a front end of the camera is equipped with an LED light, and the camera is fixed in the imaging cavity in various ways which include, but are not limited to, bonding, screwing or clamping, and the opening end of the imaging cavity is closed with a transparent material. The airbag 5 is connected with an inflation tube 3, an indicative balloon 2 and an inflation valve 1. A front end of the snorkel 6 is provided with a connector 7, the camera is connected with a data line 9 and a data connector 11, the data connector and the display device are connected to form a visual laryngeal mask system, and the cleaning channel is connected with a tensing tube 8 and a tensing fitting 10. The airbag 5 is filled with gas through the inflation valve 1 to form a seal around a patient’s airway opening, and the protruding stopper 62 can prevent the epiglottis from obstructing the field of view of the camera.

Embodiment 2: Improved Visual Laryngeal Mask

[0045] As shown in FIG. 4, the visual laryngeal mask provided in the present invention has at least two rows of cleaning nozzles facing toward the camera in the longitudinal direction of the cleaning channel 12. The position of the cleaning nozzle relative to the camera has an important influence on the cleaning effect; for example, cleaning nozzles in former applications are all vertical cleaning nozzles, that is, an included angle between the cleaning nozzles and the cleaning channel or the imaging cavity is 90°, which makes it difficult to clean the device. The inventors of the present invention have found that when, among the two rows of cleaning nozzles, each row of cleaning nozzles consists of a vertical cleaning nozzle 131 which is substantially flush with the camera, and three longitudinally-arranged tilt cleaning nozzles 132 which protrude slightly from the camera (see FIG. 4), the cleaning effect is significantly improved. Preferably, in a specific embodiment of the present invention, the angle between the tilt cleaning nozzle 132 and the cleaning channel 12 is 50°~75°, that is, a small channel formed by bending the end of the cleaning channel 12 by 50°~75° and communicating with the imaging cavity constitutes the tilt cleaning nozzle 132. In this case, the vertical cleaning nozzle 132 and the tilt cleaning nozzle 132 are jointly responsible for the debris on a side wall and a front surface of the camera 4, and the debris on the camera can be completely removed, so as to avoid incomplete cleaning when the original design of the cleaning nozzles is adopted.

Field of View of the Visual Laryngeal Mask Provided in the Present Invention

[0046] In order to better understand how to determine the position of the protrusion, and how to achieve an optimal field of view, the present invention mainly explores the influence of the positional relationship of the camera relative to the laryngeal mask on an overall visual effect of the visual laryngeal mask. Through a functional analysis in the process of clinical use, the mathematical method is used to find the best position for observation, specifically in the following steps: [0047] 1) According to the relative positional relationship between the glottis and the laryngeal mask, determining the range of the glottis image to be observed, and the glottal position should be observed as much as possible in the visual system of the laryngeal mask based on the adult glottal size of 21±4 mm and the trachea size of about 17±2 mm; according to the relative positional relationship between the glottis and the laryngeal mask during use of the laryngeal mask, as shown in FIG. 4 and FIG. 5, preliminarily determining that the image in the range that the camera should observe should be the clearest; through an analysis of the glottal size and the laryngeal mask size, combined with the related positional relationship of the laryngeal mask and the glottis, determining the image acquisition direction of the camera, so that the visual system can see the most complete and clearest glottis through this direction. [0048] 2) Finding the spatial coordinates of the imaging end of the camera relative to the iconic structure of the laryngeal mask. According to the acquisition direction of the camera obtained in step 1), preliminarily determining the central position of the imaging end of the camera by reversing the position of the position; according to the size of a common camera, preliminarily determining the positional relationship between the installing position of the camera and the laryngeal mask itself, and finally obtaining the following expression, combined with a relevant mathematical analysis.

[0049] Ending position of the camera (central point coordinate A):

$\begin{array}{c}{\text{x}}_1=\left({\text{r+R+l}}_2\right)\cos \theta \\ {\text{y}}_2=0\\ {\text{z}}_1=\left({\text{r+R+l}}_1\right)\sin \theta \end{array}$

[0050] Starting position of the camera (central point coordinate B):

$\begin{array}{l}{\text{x}}_2=-{\text{l}}_2\cos \alpha \left(\cos \beta +\cos \gamma \right)\\ {\text{y}}_2=-{\text{l}}_2\cos \beta \left(\cos \alpha +\cos \gamma \right)\\ {\text{z}}_2=-{\text{l}}_2\cos \gamma \left(\cos \beta +\cos \alpha \right)\end{array}$

[0051] Taking the central position of the airway exit as the coordinate origin, the vertical air channel exit end axis is the Y axis, the horizontal direction is the X axis, and the vertical direction is the Z axis (as shown in the following figures).

[0052] Point A is the central point of the end point of the camera, and the coordinates are (x1, y1 and z1). [0053] r: radius of the observation channel [0054] R: radius of the airway of the snorkel [0055] l.sub.1: the shortest distance between the observation channel and the edge of the airway; usually>2 mm [0056] .sup.o: the included angle between the central line of the camera and the coordinate plane X-Y [0057] .sup.β: the included angle between the central line of the camera and the coordinate plane Y-Z [0058] .sup.γ: the included angle between the central line of the camera and the coordinate plane Z-X [0059] l.sub.2: positioning length of the camera, and the length of the rigid section of the camera

[0060] 3) Calculating the space coordinates of the camera terminal to determine the relative positional relationship between the camera system and the laryngeal mask.

[0061] According to the size of the common camera, preliminarily determining the camera insertion channel trajectory and size, and finally obtaining the following parameter table 1, combined with the relevant mathematical analysis.

TABLE-US-00001 Coordinates of observation channel curve No. Coordinate points (mm) X Y Z 1 0 0 0 2 3 0 0 3 6 0 0 4 9 0.05 0 5 12 0.1 0 6 15 0.1 -0.1 7 20 0.3 -0.2 8 21 0.35 -0.3 9 22 0.45 -0.4 10 26 0.5 -1 11 29 0.7 -1.5 12 32 1.3 -2.3 13 35 2 -3.8 14 37 2.7 -5

[0062] The center of the observation channel of the laryngeal mask at the connection between the snorkel of the laryngeal mask and the middle part of the balloon is taken as the origin, and the three-dimensional space curve traced by the above point is the trajectory curve of the laryngeal mask observation channel.

[0063] The results show that the laryngeal mask provides the best field of view.

Embodiment 3

[0064] In a preferred embodiment of the present invention, the present invention provides a double balloon medical laryngeal mask, and as shown in FIGS. 8-10, the airbag 5 is used in a double tube laryngeal mask. The laryngeal mask comprises a snorkel 6 and a fixing seat 63 at a distal end of the snorkel and integrally formed with the snorkel 6, the fixing seat comprises a back plate 63, and the airbag 5 is connected to an inflation tube 3, an indicative balloon 2 and the inflation valve 1. The indicative balloon 2 is coated on the fixing seat 63 provided at the distal end of the snorkel 6 of the laryngeal mask, wherein the fixing seat 63 has a back plate 631. Referring to FIG. 10, the airbag 5 has a back side 500, a ventral side (the back side is the ventral side), and two side walls 502, the back side 500 of the airbag being provided correspondingly above and below the back plate 631 of the fixing seat. The airbag has an esophagus sealing capsule 51 and an airway sealing capsule 52, and in the present invention, for convenience of understanding, referring to FIGS. 8, 9, and 12, the inventors define a boundary line A, wherein a front side of the boundary line A is the esophagus sealing capsule 51, a rear side of the boundary line is the airway sealing capsule 52, the esophagus sealing capsule 51 being located in a front side of the airway sealing capsule 52. In order to ensure that the gas stays in the esophagus sealing capsule and the airway sealing capsule, the esophagus sealing capsule 51 is still in communication with the airway sealing capsule 52. However, in order to prevent the gas filling efficiency, a separation region 53 is formed between the esophagus sealing capsule 51 and a back side of the airway sealing capsule 52, and through the separation region 53, when the gas in the airway sealing capsule flows toward the esophagus sealing capsule, it can only enter through a non-separation region, that is, a near-by side. Referring to FIG. 12, after inflation, an expansion height of the back side of the esophagus sealing capsule is significantly smaller than an inflation height of the airway sealing capsule, that is, the degree of inflation of the esophagus sealing capsule is smaller than the inflation degree of the airway sealing capsule. The separation region 53 corresponds to a boundary between the esophagus and the airway, and when the airbag is inserted into a throat, the airway sealing capsule 52 is used to seal the airway, and the esophagus sealing capsule 51 is used to seal the esophagus, thereby preventing the gas from leaking into the esophagus (causing poor ventilation and bloating), and preventing returning gastric juice from entering the airway to cause an airway infection and poor ventilation.

[0065] A separation region is formed between the esophagus sealing capsule 51 and the back side of the airway sealing balloon 52, and the form of implementation may be various. In a preferred embodiment of the present invention, a front side of the back plate 631 of the fixing seat 63 is connected to the corresponding balloon back side 500 thereof, thereby achieving separation between the esophagus sealing capsule and the region of a back side of the airway sealing capsule, to form a separation region 53, and in addition to this separation region 53. Other than the separation region, other regions remain in communication, including other regions on the back side and two side walls 502. Preferably, the front side of the back plate of the fixing seat and its corresponding back side of the airbag may be bonded or thermally joined. In this embodiment, the front side of the back plate of the fixing seat is bonded to the corresponding back side of the airbag in a sealing form;

[0066] Specifically, in the present embodiment, as shown in FIG. 10, the back side 500 of the airbag is provided above the back plate 631, and the back side 500 of the airbag has a median capsule 5001 and an outer side capsule 5002 integrated with the median capsule 5001. The molded outer capsule 5002 has a shape in which the median capsule 5001 is adapted to the back plate 631, wherein an inner side of the median capsule is in contact with the back plate 631, the outer side capsule 5002 is surrounded on a circumferential side of the back plate, and a connection region 531 is formed between a front side of the median capsule 5001 and the front side of the back plate 631. The connection region is a bonding region in this embodiment, and can realize a separation between the esophagus sealing capsule and the airway sealing capsule. As shown in FIG. 12, referring to FIG. 11, after inflation by the inflation catheter 2, an expansion height of the rear airway sealing capsule is significantly higher than the expansion height of the front esophagus sealing capsule due to the blocking of the separation region, that is, the communication between the side walls does not completely hinder the inflow of the inflation gas, and the esophagus sealing capsule with a small expansion volume can significantly reduce the pressure on the esophagus; because the laryngeal mask is strong against the throat tissue, it is better to reduce the damage.

[0067] The airbag 5 is roughly in the shape of an oval ring, and the two side walls of the balloon form an arc transition 5021 at their respective boundary regions. A lateral dimension of the esophagus sealing capsule 51 is gradually reduced from a rear side to a front side, thereby further reducing the compression against a throat, and the arc transition portion has an arc transition which forms a smooth transition of the side wall of the airbag. The physiological structure is adapted to avoid discomfort.

[0068] Although the embodiments disclosed in the subject matter described herein have been particularly shown and described in detail above and in detail in connection with several exemplary embodiments, a plurality of modifications, changes and omissions may be made by those skilled in the art without departing from the teachings, principles and concepts. Accordingly, the proper scope of the disclosed invention is intended to be determined only by the broadest interpretation of the appended claims to cover all of these modifications, changes and omissions.