Designing a video laryngoscope imaging system with a 7mm blade for neonatal patients

¹ National Synchrotron Radiation Research Center, Experimental Facility Division, 30076 HsinChu, Taiwan
² National Applied Research Laboratories, Instrument Technology Research Center, 30076 HsinChu, Taiwan

^* Corresponding author: roman@narlabs.org.tw

Abstract

When a newborn infant has been pushed from the birth canal due to ventilation failure while using a resuscitation mask, the doctor must implement infant intubation and other emergency steps to keep the baby alive. However, due to the excessively small mouth area of a newborn or premature infant, the doctors are unable to view the glottis entrance, which can lead to either a failed intubation or longer intubation time, thereby resulting in either a drop in oxygen levels or a rise in intrathoracic pressure. Although the normal video laryngoscope with a 12mm metal blade certainly improves this type of difficult intubation, nevertheless, doctors often complain that the depth of field (DOF) is insufficient and the width of the blade is too wide when performing intubation on neonatal patients. Therefore, this study aims to develop two modules of infant’s video laryngoscope, an ultra-thin 7mm metal blade and an optical imaging system, the core technology of which includes an optical design of a 2.5mm lens and verifications of imaging quality. In order to allow physicians to determine the infant’s airway position immediately and to avoid the binocular disparity from a physician while giving intubation, this study has simulated the optical properties of monolithic lenses while designing the imaging system, allowing the doctor to have a clearer and undistorted image within the field of view.