This application is based on and claims priority under 35 USC 119 from Japanese Patent Applications No. 2018-064937 filed on Mar. 29, 2018 and No. 2018-218145 filed on Nov. 21, 2018 the contents of which are incorporated herein by reference.
The presently disclosed subject matter relates to an airway adaptor and a nasal cannula.
As a tool for enabling high concentration oxygen to be inhaled through the oral cavity or the nasal cavity in order to perform a treatment for dissolving a hypoxic condition, an oxygen mask and an oxygen cannula are known. Moreover, an airway adaptor is known to which, in order to monitor the respiratory condition of the living body when a technique such as a surgery or a procedure is performed, a carbon dioxide concentration measurement sensor (hereinafter, referred to as “CO2 sensor”) for measuring the concentration of carbon dioxide contained in the expiration while causing oxygen to be inhaled through the oral cavity or the nasal cavity can be attached.
As a technique related to an airway adaptor, an airway adaptor has been disclosed that includes: a gas passage into which the respiratory gas of a subject flows; a nasal cannula which guides the respiratory gas emitted from the nostrils of the subject, to the gas passage; a mouth guide which guides the respiratory gas emitted from the mouth of the subject, to the gas passage; and an airway case on which a temperature sensor that detects a temperature change of the respiratory gas flowing into the gas passage is mountable (for example, see Patent Literature 1).
Patent Literature 1: JP-A-2014-64881
In the case of a technique in which a tool is inserted into one of the two nostrils, such as a transnasal endoscopic surgical procedure, it is desired to simultaneously perform inhalation of oxygen and monitoring of the respiratory condition. In a conventional airway adaptor, two nasal cannulas which are to be inserted into the nostrils are disposed in accordance with the two nostrils. In such a case, therefore, the nasal cannula on the side of the nostril into which the tool is to be inserted impedes the implementation of the technique, and the airway adaptor is difficult to be used in adaptation to various techniques.
It is an object of the presently disclosed subject matter to improve the adaptabilities of an airway adaptor and a nasal cannula to techniques.
The presently disclosed subject matter provides an airway adaptor wherein the adaptor includes: a nasal expiration collecting portion which is to be connected to a nostril of a living body, and which collects an expiration of a nasal cavity; a gas passage portion that forms a gas passage through which the expiration collected by the nasal expiration collecting portion passes; and a gas sensor attaching portion to which a gas sensor that is disposed in the gas passage portion, and that measures the concentration of a predetermined gas component contained in the expiration is attachable, and the nasal expiration collecting portion shows a flowing state where a flow of the expiration is allowed, and an obstruction state where the flow of the expiration is blocked.
The presently disclosed subject matter provides a nasal cannula wherein the cannula includes a nostril connecting portion which is to be connected to a nostril of a living body, and which supplies a gas to a nasal cavity, and the nasal cavity connecting portion shows a flowing state where a flow of the gas is allowed, and an obstruction state where the flow of the gas is blocked.
According to the presently disclosed subject matter, it is possible to improve the adaptabilities of an airway adaptor and a nasal cannula to techniques.
Hereinafter, embodiments of the airway adaptor and nasal cannula of the presently disclosed subject matter will be described with reference to the drawings. In the embodiments, the airway adaptor collects the expiration in order that the respiratory condition of the living body is monitored by a carbon dioxide concentration measurement sensor (hereinafter, referred to as “gas sensor”) for measuring the concentration of carbon dioxide contained in the expiration emitted from the oral cavity or nasal cavity of the human body that is an example of the living body. In the embodiments, an airway adaptor which, in order to dissolve a hypoxic condition when a technique such as a surgery or a procedure is performed, monitors the respiratory condition of the living body while supplying oxygen to the oral cavity or the nasal cavity will be described. In the embodiment, the nasal cannula is a tool for, in, for example, a treatment for dissolving a hypoxic condition, supplying a gas (such as highly concentrated oxygen) from a tubular nostril connecting portion which is inserted into a nostril, to the nasal cavity.
In the following description and the drawings, it is assumed that the direction which, when the airway adaptor is attached to the human body that is an example the living body, is opposed to the face of the human body is the front direction, and the surface of the airway adaptor which is attached to the human body is the front surface. In the following description and the drawings, directions as seen in the front direction in the case where the airway adaptor is attached to the human body are assumed as follows: the left direction as viewed toward the face of the human body to which the airway adaptor is attached is the −X direction; the right direction as viewed toward the face is the +X direction; the direction which is directed toward the interior of the oral cavity of the human body is the +Y direction; the direction which is separated from the oral cavity of the human body is the −Y direction; the direction which is directed toward the upper side (the vertex) of the face of the human body is the +Z direction; and the direction which is directed toward the lower side (the jaw) is the −Z direction.
[First Embodiment]
In the airway adaptor 1, when the position where the gas sensor attaching portion 12 is disposed is set as the center, the nasal expiration collecting portion 11 extends in the +Z and +Y directions. The nasal expiration collecting portion 11 is formed by a material in which the degree of influence on the human body is low, and which is soft and flexible, such as a silicone resin.
The gas sensor attaching portion 12 is disposed below the nasal expiration collecting portion 11 in the −Z direction. As indicated by the dash-dot lines in
The first gas supplying portion 131 is disposed so as to extend in the −X direction with setting the position where the gas sensor attaching portion 12 of the airway adaptor 1 is disposed, as the center. The second gas supplying portion 132 is disposed so as to extend in the +X direction with setting the position where the gas sensor attaching portion 12 of the airway adaptor 1 is disposed, as the center.
The oral expiration collecting portion 20 is disposed so as to extend in the −Z direction with setting the position where the gas sensor attaching portion 12 of the airway adaptor 1 is disposed, as the center. When the airway adaptor 1 is attached to the face of the human body, the oral expiration collecting portion 20 is located in front of the oral cavity, collects the expiration emitted from the mouth, and sends the collected expiration to the gas sensor attaching portion 12.
Each of the first and second nasal expiration collecting portions 111, 112 is configured by a fluid path having an approximately cylindrical shape. When the airway adaptor 1 is attached to the human body, tip end portions of the first and second nasal expiration collecting portions 111, 112 are inserted into the two nostrils of the human body, respectively. The nasal expiration collecting portion 11 collects the expiration which is emitted from the nasal cavity of the human body, toward the gas sensor attaching portion 12. Alternatively, the nasal expiration collecting portion 11 may send gasses which are supplied from the first and second gas supplying portions 131, 132, to the nostrils of the human body.
The first nasal expiration collecting portion 111 may include a first locked portion 113 in the vicinity of a tip end part of the front surface side. Moreover, the second nasal expiration collecting portion 112 may include a second locked portion 114 in the vicinity of a tip end part of the front surface side. Both the first and second locked portions 113, 114 are configured by through holes which are formed in the first and second nasal expiration collecting portions 111, 112, respectively.
The gas sensor attaching portion 12 may include a base portion 121, a gas sensor engaging portion 122, a magnet portion 123, gas sensor locking portions 124, gas sensor measurement windows 125, a first locking portion 127, and a second locking portion 128.
The base portion 121 forms an approximate shape of the gas sensor attaching portion 12, and supports the nasal expiration collecting portion 11 which is disposed on the gas sensor attaching portion 12.
The gas sensor engaging portion 122 is disposed so as to be engaged with the gas sensor 30. The gas sensor engaging portion 122 has a shape with which an engaged portion of the gas sensor 30 can be engaged. Specifically, the gas sensor engaging portion 122 has a partition wall which separates the outer and inner sides from each other, on each of at least the front surface and the both side surfaces, thereby forming the gas passage portion, into which an expiration from the nasal expiration collecting portion 11 and the oral expiration collecting portion 20 flows, in the inner space.
The magnet portion 123 can be contacted with a magnet portion which is disposed in the engaged portion of the gas sensor 30. The magnet portion 123 is disposed in, for example, the front-oriented surface of the gas sensor engaging portion 122. The magnet portion 123 is contacted with the magnet portion of the gas sensor 30 which is not illustrated, to prevent the gas sensor 30 from slipping off
The gas sensor locking portion 124 has a shape which, in order to allow locking with at least a part of the housing of the gas sensor 30, can receive a part of the housing of the gas sensor.
The gas sensor measurement windows 125 are disposed so that the concentration of carbon dioxide of the gas in the gas passage portion formed in the gas sensor engaging portion 122 is measured by the gas sensor 30 which is attached to the gas sensor attaching portion 12. Therefore, the gas sensor measurement windows 125 are formed so that light emitted from the emitter of the gas sensor 30, and light propagating to the detector can pass through the respective windows. The gas sensor measurement windows 125 are windows in which, for example, a predetermined light transmittance is ensured. The gas sensor measurement windows 125 are disposed at respective positions which, when the gas sensor 30 is attached as illustrated in
The first locking portion 127 is disposed on the base portion 121. The first locking portion 127 is configured by a projection which is projected on the base portion 121. The first locking portion 127 is formed as a projection having a size which corresponds to the size of the hole of the first locked portion 113. The first locking portion 127 may be formed into a hook-like shape in order to maintain the locked state of the locked first locked portion 113.
In the same or similar manner as the first locking portion 127, the second locking portion 128 is disposed on the base portion 121. In the same or similar manner as the first locking portion 127, preferably, the second locking portion 128 may be configured by a projection which is projected on the base portion 121, and have the size and shape which are same as or similar to those of the first locking portion 127.
As illustrated in
The first gas supplying portion 131 is configured by a fluid path for supplying a gas to the nasal expiration collecting portion 11. The first gas supplying portion 131 is disposed on the left side as viewed toward the face of the human body. In the same or similar manner as the first gas supplying portion 131, also the second gas supplying portion 132 is configured by a fluid path for supplying a gas to the nasal expiration collecting portion 11. The second gas supplying portion 132 is disposed on the right side as viewed toward the face of the human body.
The first tube connecting portion 133 is disposed in an end part of the first gas supplying portion 131. A tube which is not illustrated, and through which the gas is supplied can be connected to the first tube connecting portion 133. The first tube connecting portion 133 is configured by an opening which communicates with the first gas supplying portion 131. The gas which is supplied through the tube connected to the first tube connecting portion 133 is supplied to the nasal cavity of the human body from the nostril with passing through the nasal expiration collecting portion 11 from the first gas supplying portion 131.
The second tube connecting portion 134 is disposed in an end part of the second gas supplying portion 132. In the same or similar manner as the first tube connecting portion 133, the tube through which the gas is supplied can be connected to the second tube connecting portion 134. The second tube connecting portion 134 is configured by an opening which communicates with the second gas supplying portion 132. The gas which is supplied through the tube connected to the second tube connecting portion 134 is supplied to the nasal cavity of the human body from the nostril with passing through the nasal expiration collecting portion 11 from the second gas supplying portion 132.
In the airway adaptor 1, as described above, the nasal expiration collecting portion 11 is formed by a flexible material. In the airway adaptor 1, the first locked portion 113 is disposed in the first nasal expiration collecting portion 111, and the second locked portion 114 is disposed in the second nasal expiration collecting portion 112. In the airway adaptor 1, as described above, moreover, the first and second locking portions 127, 128 are disposed in the base portion 121 of the gas sensor attaching portion 12 which is on the front side. In the airway adaptor 1, the first locked portion 113 is locked to the first locking portion 127, and the second locked portion 114 is locked to the second locking portion 128, thereby the first and second nasal expiration collecting portions 111, 112 which are formed by a soft and flexible member are bent. As a result, the flow paths of the first and second nasal expiration collecting portions 111, 112 are collapsed, and the states of the flow paths are changed from the flowing state where the flow of the expiration is allowed, to the obstruction state where the flow of the expiration is blocked.
In the airway adaptor 1, as described above, the first and second locked portions 113, 114 function as the obstruction state producing portion which causes the first nasal expiration collecting portion 111 to be obstructable. In the airway adaptor 1, moreover, the first and second locking portions 127, 128 function as the obstruction state producing portion which causes the second nasal expiration collecting portion 112 to be obstructable. In the airway adaptor 1, then, the first and second nasal expiration collecting portions 111, 112 of the nasal expiration collecting portion 11 can show the flowing state where the flow of the expiration is allowed, and the obstruction state where the flow of the expiration is blocked.
[Use Examples of Airway Adaptor]
Next, use examples of the airway adaptor 1 which has been described above will be described.
According to the airway adaptor 1, when a tool is to be inserted into the nostril NH1, as described above, the nasal expiration collecting portion 11 can be prevented from impeding the implementation of techniques, and the adaptability to the techniques can be improved.
According to the airway adaptor 1 which can be used in this way, even under circumstances where a liquid such as snivel or medicine drips from the nostril NH1, the first nasal expiration collecting portion 111 can be obstructed. Therefore, it is possible to prevent a situation where a liquid enters the gas passage portion 126 to cause the gas sensor 30 to malfunction, from occurring.
In the nasal expiration collecting portion 11, the positions where the first and second locked portions 113, 114 are respectively disposed are not limited to the above-described ones. The first and second locked portions 113, 114 are requested only to lock the flexible nasal expiration collecting portion 11 to maintain the bent state, so that the nasal expiration collecting portion 11 is obstructed.
In the airway adaptor 1, the gas supplying portion is not limited to have the configuration where two portions are laterally separated as viewed toward the face of the human body, such as in the case of the first and second gas supplying portions 131, 132. For example, the gas supplying portion may have a configuration where the gas is suppled through a tube which is connected to one tube connecting portion.
[Second Embodiment]
Next, a second embodiment of the airway adaptor of the presently disclosed subject matter will be described. In the description of the embodiment, only differences with the airway adaptor 1 of the above-described embodiment will be described.
In the nasal expiration collecting portion 11A, a first nasal expiration collecting portion 111A and a second nasal expiration collecting portion 112A are formed so as to be detachable from the airway adaptor 1.
The first and second nasal expiration collecting portions 111A, 112A are attached onto a tubular attached portion 129 which is disposed in a base portion 121A of the gas sensor attaching portion 12A, thereby the nasal expiration collecting portions are attached to the airway adaptor 1A.
A lid 115 which functions as the obstruction state producing portion is attached to the attached portion 129 from which the first nasal expiration collecting portion 111A or the second nasal expiration collecting portion 112A is detached, so that the gas passage of the corresponding nasal expiration collecting portion can be obstructed.
In the airway adaptor 1A, as described above, the first nasal expiration collecting portion 111A or the second nasal expiration collecting portion 112A is detached, and the resulting opening is closed by the lid 115, thereby the nasal expiration collecting portion 11A can be prevented from impeding the implementation of techniques such as insertion of a tool into the other nostril. According to the airway adaptor 1A, therefore, the adaptabilities to the techniques can be improved.
[Third Embodiment]
Next, a third embodiment of the airway adaptor of the presently disclosed subject matter will be described. In the description of the embodiment, only differences with the airway adaptor 1 of the above-described embodiment will be described.
Unlike the nasal expiration collecting portion 11 including the first and second nasal expiration collecting portions 111, 112, the nasal expiration collecting portion 11B may include one tubular part which can be inserted into the nostril. The nasal expiration collecting portion 11B is configured so as to swing about the Z direction with respect to a base portion 121B of the gas sensor attaching portion 12B. As illustrated in
Although
In the airway adaptor 1B, as described above, the one nasal expiration collecting portion 11B is deviated to the side of the one nostril, thereby the nasal expiration collecting portion 11B can be prevented from impeding the implementation of techniques such as insertion of a tool into the other nostril, and the adaptabilities to the techniques can be improved.
[Fourth Embodiment]
Next, a fourth embodiment of the airway adaptor of the presently disclosed subject matter will be described. In the description of the embodiment, only differences with the airway adaptor 1 of the above-described embodiment will be described.
Unlike the nasal expiration collecting portion 11 including the first and second nasal expiration collecting portions 111, 112, the nasal expiration collecting portion 11C may include one tubular part which can be inserted into the nostril. When the airway adaptor 1C is to be attached to the human body, the nasal expiration collecting portion 11C is inserted into one of the two nostrils. No technique is applied to the one nostril. In this case, the nasal expiration collecting portion 11C may be larger in tube length than the above-described nasal expiration collecting portion 11 and the like.
In the airway adaptor 1C, as described above, the one nasal expiration collecting portion 11C is inserted into one of the nostrils, thereby the nasal expiration collecting portion 11C can be prevented from impeding the implementation of technique such as insertion of a tool into the other nostril, and the adaptabilities to the techniques can be improved.
[Fifth Embodiment]
Next, an embodiment of the nasal cannula of the presently disclosed subject matter will be described as a fifth embodiment. In the description of the embodiment, only differences with the airway adaptor 1 of the above-described embodiment will be described.
The first nostril connecting portion 111D is connected to the left nostril NH1 of the human body H to supply the gas to the nasal cavity. The second nostril connecting portion 112D is connected to the right nostril NH2 of the human body H to supply the gas to the nasal cavity. The configuration of the first nostril connecting portion 111D, including the disposition of the first locked portion 113 which is lockable to the first locking portion 127 is same as or similar to that of the above-described first nostril connecting portion 111. Moreover, the configuration of the second nostril connecting portion 112D, including the disposition of the second locked portion 114 which is lockable to the second locking portion 128 is same as or similar to that of the above-described second nostril connecting portion 112. The base portion 121 forms an approximate shape of the nasal cannula 1D. The base portion 121 supports the nostril connecting portion having the first and second nostril connecting portion 111D, 112D, and the gas supplying portion having the first and second gas supplying portions 131, 132. The first and second locking portions 127, 128 are configured by projections which are projected on the base portion 121, respectively, in the same or similar manner as the first and second locking portions 127, 128 of the above-described airway adaptor 1.
The first gas supplying portion 131 supplies the gas to the first nostril connecting portion 111D. The second gas supplying portion 132 supplies the gas to the second nostril connecting portion 112D.
In the nasal cannula 1D, in the same or similar manner as the airway adaptor 1, in such a case where, when the cannula is attached to the human body H, a tool for a transnasal endoscopic surgical procedure is to be inserted through one nostril NH1 as illustrated in
According to the nasal cannula 1D, when a tool is to be inserted into the nostril NH1 or NH2, as described above, the first nostril connecting portion 111D or the second nostril connecting portion 112D can be prevented from impeding the implementation of techniques, and the adaptability to the techniques can be improved.
Number | Date | Country | Kind |
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2018-064937 | Mar 2018 | JP | national |
2018-218145 | Nov 2018 | JP | national |