in this application , the terms “ distal part ” and “ proximal part ” are used relative to the medical professional , i . e . the “ distal part ” is used to describe the part of the device that is inserted first into the patient . the laryngoscope ( 1 ) of fig1 comprises a handle ( 2 ) for holding and manoeuvring the laryngoscope , a blade holding element ( 3 ) that is pivotally attached to the handle ( 2 ) and a blade ( 4 ) that is attached to the blade holding element ( 3 ). the laryngoscope ( 1 ) further comprises means of visualisation including a display screen ( 5 ) to visualise the area captured , for example , by a camera ( not shown ). this embodiment has a viewing means comprising a fibre optic viewing device but within the context of the invention , the viewing means may include any of a fibre optic device , camera , viewing screen and / or other viewing means . the laryngoscope may be used without a visualisation means such as camera , viewer and / or fibre optics for straightforward cases but the use of a visualisation means is recommended in more complex and difficult intubation situations . the handle ( 2 ) is preferably made of stainless steel for robustness , although other materials such as metals or plastics may be used . in the embodiment of fig1 a detachable display screen ( 5 ) is connected at the proximal end of the handle ( 2 ). at the proximal end , the blade holding element ( 3 ) is pivotally connected to the heel of the handle ( 2 ). the blade ( 4 ) may be hollow so that it can be fitted onto the blade holding element by sliding as can be seen in fig2 and 3 ( described in more detail below ). preferably , the blade holding element ( 3 ) is elongated in shape and its outer contour corresponds substantially to the inner shape of the blade ( 4 ). in a preferred embodiment , the blade ( 4 ) may comprise a pair of wings ( 6 ) that fit the contour of the heel of the handle ( 2 ). as can be seen in fig4 , the proximal end of the blade ( 4 ) is connected to the proximal end of the blade holding element ( 3 ) by means of a snap clip . in this embodiment , the blade holding element ( 3 ) comprises a tooth ( 7 ) that can snap into a corresponding groove ( 8 ) in the blade ( 4 ). it can be envisaged a construction in which the blade ( 4 ) comprises a tooth ( 7 ) and the blade holding element ( 2 ), the corresponding groove ( 8 ). the tooth ( 7 ) is shaped to allow the blade ( 4 ) to slide on easily , but prevent its accidental removal . preferably , the height of the tooth ( 7 ) is less than the depth of the groove ( 8 ) so that there are substantially no protruding parts . the blade ( 4 ) is preferably integrally constructed and is for example produced by injection moulding so that the cost of production is relatively affordable . however , two - part blades may also be used , where the components are joined together by welding , gluing or clipping . the blade is preferably disposable to minimise or eliminate any risk of cross - contamination between patients . preferably the blade ( 4 ) is partially or wholly made of a flexible material , such as a flexible thermoplastic material . most preferably , the blade wings ( 6 ) are made of a flexible material , such as a flexible thermoplastic material . also , the blade or part of the blade may be flexible due to its shape , design or dimension ( e . g . thickness ). the blade ( 4 ) may be straight , e . g . a miller laryngoscope blade . preferably , a curved blade may be used , e . g . a macintosh blade , because a curved blade can be dimensioned to conform to the anatomical curve of the patient &# 39 ; s throat . the laryngoscope ( 1 ) may comprise a light source and / or visualisation means such as fibreoptics , camera , display screen or other technology that enable external indirect visualisation of the laryngeal inlet . a light source may be provided so that the distal tip of the blade is illuminated . this can be achieved for example by providing the handle with electrical power , such as a battery supply , which is electrically connected to a light source preferably located at the distal end of the blade holding element so that light exits through an opening in the distal part of the blade ( 4 ). alternatively , electrical power may be provided by the viewer where a viewer is provided . similarly , visualisation means may be provided to view the distal tip of the blade ( 4 ) and the laryngeal inlet . for example , a fibre optic viewing means may be mounted in the blade holding element and comprise optical fibres . the fibres may be arranged so that their proximal end is attached to a screen ( 5 ). the screen is preferably detachable so that the equipment can be easily cleaned after use . the fibres exit from the distal end of the blade holding element ( 3 ) and through an opening in the distal part of the blade ( 4 ) to view the laryngeal inlet . alternatively , the material of the blade may be wholly or partly transparent so as to allow visualisation instead of using an opening which could be considered to be prone to contamination . in another preferred embodiment , a camera is located at the distal end of the blade holding element . the blade ( 4 ) is attached to the blade holding element ( 3 ) by means of a snap clip ( 7 , 8 ). in this embodiment , and as can be seen on fig2 and 3 , the blade holding element ( 3 ) is placed in the operative position ( i . e . substantially perpendicular to the handle ). the user can slide the hollow blade ( 4 ) onto the blade holding element ( 3 )— in a direction from the distal end to the proximal end of the element ( 4 ). preferably , the outer contour of the blade holding element ( 3 ) corresponds substantially to the inner shape of the blade ( 4 ) to minimise or eliminate any movement of blade ( 4 ) relative to the blade holding element ( 3 ) in use . as can be seen in fig4 to 6 , when the limit of travel is reached , the tooth ( 7 ) of the blade holding element ( 3 ) snaps into the groove ( 8 ) of the blade ( 4 ). a correct fit is indicated by audible feedback of the tooth ( 7 ) snapping into place . the blade ( 4 ) is held in place by a tooth ( 7 ) which is shaped to allow the blade ( 4 ) to slide on easily , but prevent its accidental removal . in this embodiment , the blade ( 4 ) is detached from the blade holding element ( 3 ) by setting the laryngoscope ( 1 ) to its inoperative position by folding up the blade holding element ( 3 ) as shown for example in fig7 . as can be seen in fig8 , the blade ( 4 ) may be removed by applying pressure onto the blade wings ( 6 ). the flexibility of the wings material deforms the area around the tooth catch ( 7 ), sending it away from the blade holding element and allowing the blade to clear the tooth ( 7 ) and slide away from it . the fit between the blade ( 4 ) and the heel of the handle ( 2 ) prevents the blade ( 4 ) from being removed whilst the laryngoscope ( 1 ) is in use since it is difficult to deform the blade ( 4 ) by pinching because of the presence of the handle ( 2 ). in operation , the laryngoscope ( 1 ) is inserted into the mouth of the patient . the blade ( 4 ) will push the tongue of the patient to the side of the oropharynx to create space through which the larynx and the epiglottis can be viewed . the blade ( 4 ) is manipulated to lift the epiglottis thereby exposing the laryngeal inlet . an endotracheal tube can then be introduced and advanced past the vocal cords into the trachea . the user can visualise the distal end of the blade ( 4 ) for example on the display screen and manipulate the laryngoscope ( 1 ) accordingly . once the tube is correctly positioned , the laryngoscope ( 1 ) is removed .
a laryngoscope comprising a handle , a blade holding element , a releasable blade and releasable attachment means to attach the blade to the blade holding element , and handle and a blade for such a laryngoscope .