CN107158536A - A kind of pipe and equipment for being used to set up artificial airway - Google Patents

Abstract

The invention discloses a kind of pipe for being used to set up artificial airway, the tracheal catheter for setting up artificial respiration port road is visually provided for medical field to mouth or nose, it includes supervisor, it is the curved stainless steel silk that supervisor keeps bending that supervisor, which is embedded with booster action, described supervisor one end is that the patient end other end is machine end connector, Mo Feikong, air bag, sputum suction hole are disposed with towards machine end connector direction close to patient end supervisor outside, close to the main outside of machine end tip side provided with gas tube, administration joint, suction sputum joint and data cable connector；Its is simple and practical reliable, and practical value is high, effectively reduction product cost and patient medical cost.

Description

A kind of pipe and equipment for being used to set up artificial airway

Technical field

The present invention relates to a kind of medicine equipment, more particularly, to medically can not autonomous respiration need to set up and manually exhale Inhale a kind of pipe for being used to set up artificial airway of passage.

Background technology

Trachea cannula is modern anesthesia and the indispensable basic medical treatment apparatus of emergency medicine, is that ventilation is supported and Respiratory Therapy The crucial apparatus for the treatment of.Trachea cannula is inserted in patient's trachea by oral cavity or nasal cavity, and patient can be helped to set up artificial respiration road, is tieed up It is deep anaesthesia, ensures respiratory passage unblocked, meet the demand of body oxygen and the discharge of carbon dioxide, be widely used in general anesthesia hand Art.The method of trachea cannula Clinical practice can be divided into current domestic and international market：

A. trachea cannula blindmate is carried out using laryngoscope.B. trachea cannula is carried out under visible laryngoscope guiding.C. drawn using Bronchofiberscope Lead lower carry out trachea cannula.D. strong beam guide cannula is used.E. tracheae is carried out using disposable visual trachea intubation guiding is lower Intubation.

Carry out being intubated clinical network minimal, greatest risk in a kinds mode in Clinical practice.Other three kinds of modes are with e kinds Mode Clinical practice security preferably, but is intended for single use costly.Its disposable visual trachea cannula rely on for a long time into Mouthful, technology, which is in, to maintain secrecy and monopolization state.

The content of the invention

The main technical problem to be solved in the present invention is to provide a kind of pipe for being used to set up artificial airway, its structure It is simple and practical, effectively reduce product cost.

In order to solve the above technical problems, the present invention provides a kind of pipe for being used to set up artificial airway, including supervisor, It is the curved stainless steel silk that supervisor keeps bending that the supervisor, which is embedded with booster action, and described supervisor one end is that patient end is another Hold as machine end connector, is disposed with Mo Feikong, air bag, suction towards machine end connector direction close to patient end supervisor is outside Phlegm hole, close to the main outside of machine end tip side provided with gas tube, administration joint, suction sputum joint and data cable connector.

The ring-shaped section and ring-shaped body being responsible in the patient end, on tube wall it is embedded be provided with shooting head bore, two dosing holes, Suction sputum mouthful and pneumatopyle；The shooting head bore is ellipse, and suction sputum mouthful, pneumatopyle are strip, and dosing holes are circle；It is described to take the photograph Annular tube wall both sides are responsible for as head bore, pneumatopyle are respectively arranged at, two dosing holes are located at the shooting head bore both sides, suction sputum mouthful Between dosing holes and pneumatopyle.

Camera, camera outer radial tube wall outer process 1-5mm are provided with the shooting head bore.

The camera connects external equipment by data cable connector, and the camera includes can generate heat in use Module, these modules are arranged on the outside of the supervisor, patient end is not had pyrotoxin.

Specifically, the module of the heating refers in camera structure included imaging sensor and digital signal processor core Piece, described image sensor and digital signal processing chip are arranged on outside the supervisor.

The head shell is set to PP plastic casings, generally envelope modeling rubber-wrapping structure.

Two administration shower nozzles are mounted with the dosing holes 1b of the camera both sides.

The data cable connector includes camera data wire, can also include other signal transmssion lines.

The angle that the gas tube directly carries at the angle of departure, the angle of departure between gas tube and supervisor with supervisor is less than 45°。

The supervisor is arc；As nominal Gui Ge≤6.5mm, supervisor's arc radius should be 140 ± 20mm；Nominal rating ﹤ 6.5mm, supervisor's arc radius should be 140 ± 20mm.

The data cable connector includes min USB joints.

The beneficial effects of the invention are as follows：A kind of pipe for being used to set up artificial airway, it is included in supervisor, the supervisor It is the curved stainless steel silk that supervisor keeps bending to be embedded with booster action, and described supervisor one end is that the patient end other end is machine end Joint, Mo Feikong, air bag, sputum suction hole are disposed with close to patient end supervisor outside towards machine end connector direction, close The main outside of machine end tip side is provided with gas tube, administration joint, suction sputum joint and data cable connector；Its reality simple in construction With reliable, practical value height, effectively reduction product cost and patient medical cost.

Brief description of the drawings

Fig. 1 is the trachea cannula structural representation of an embodiment of the present invention；

Fig. 2 is the trachea cannula structural parameters figure of embodiment illustrated in fig. 1；

Fig. 3 is the Patients Underwent Endotracheal Intubation end profile of embodiment illustrated in fig. 1；

Fig. 4 is embodiment illustrated in fig. 1 tracheal cannula joint structure chart.

Embodiment

The present invention is described in further detail below by embodiment combination accompanying drawing.

Shown in reference picture 1, a kind of pipe for being used to set up artificial airway（Can abbreviation trachea cannula）, for mouth or Nose visually provides the tracheal catheter for setting up artificial respiration port road, and it is by air bag 5, supervisor（Tracheal catheter）, curved stainless steel silk, Machine end connector 3（Pipe joint）, administration joint 9, suction sputum joint 11, gas-charging connection 4（Indicate sacculus and check valve）, transmission take the photograph As the data cable connector 10 of head data and/or other data（Can be min USB joints）Composition.Seal wire is by plastic aluminium core and outside Pipe is constituted.

In such as Fig. 1 embodiment illustrated in fig. 2, a kind of pipe for being used to set up artificial airway, including supervisor, the supervisor It is the curved stainless steel silk that supervisor keeps bending to be embedded with booster action, and described supervisor one end is that the other end of patient end 1 is machine End connector 3, is responsible for outside close to the patient end 1 and is disposed with Mo Fei holes 2, air bag 5, suction sputum towards the direction of machine end connector 3 Hole 6, close to the main outside in the end of machine end connector 3 provided with gas tube 4, administration joint 9, suction sputum joint 11 and data cable connector 10。

As shown in Fig. 2 insertion is provided with shooting head bore on the ring-shaped section and ring-shaped body being responsible in the patient end 1, tube wall 1a, two dosing holes 1b, suction sputum mouthful 1c and pneumatopyle 1d；The shooting head bore 1a is ellipse, and suction sputum mouthful 1c, pneumatopyle 1d are Strip, dosing holes 1b is circle；The shooting head bore 1a, pneumatopyle 1d are respectively arranged at the annular tube wall both sides of supervisor, two Dosing holes 1b is located at the shooting head bore 1a both sides, and suction sputum mouthful 1c is located between dosing holes 1b and pneumatopyle 1d.

During implementation, camera, camera outer radial tube wall outer process 1-5mm are provided with the shooting head bore 1a.

During implementation, the camera connects external equipment, the heating during camera use by data cable connector 10 Module section is placed on supervisor outside, patient end is not had pyrotoxin.

Specifically, imaging sensor and digital signal processing chip that camera structure includes, described image sensor It is arranged on digital signal processing chip outside the supervisor.The module of the heating is to refer at imaging sensor and data signal Manage chip.

During implementation, the head shell is set to PP plastic casings, generally envelope modeling rubber-wrapping structure.

During implementation, two administration shower nozzles are mounted with the dosing holes 1b of the camera both sides.

During implementation, the data cable connector 10 includes camera data wire, can also include other signal transmssion lines.

As shown in Fig. 2 when implementing, the gas tube 4 directly carries gas tube 4 at the angle of departure 7, the angle of departure 7 with supervisor Angle between supervisor is less than 45 °.

The data cable connector includes min USB joints.

The present invention, a kind of pipe for being used to set up artificial airway（Can abbreviation trachea cannula）, for medically can not Autonomous respiration needs to set up artificial respiration passage, the complete equipment visually clearly judged available for operator, and because passing image master Body is embedded in tube wall, and influence scape body is not less than 1CM, and image post-back equipment temperature body is not higher than 41 degree in having 5 minutes pipe phases of propagation. LED illumination is not less than 750lx, sheathing material, metal or medical grade plastic.

Ring like steel wire is added in body and strengthens the intensity of pipeline beneficial to one of the various indeformable normal ventilations of position in operation Body tracheal catheter；All fitment bodies are embedded in pipe inner wall.

This is used for the pipe for setting up artificial airway:1. the present invention relates generally to medically need to set up artificial for technical field The visual of airway broadcasts pipe, visual administration, the integrated tracheal catheter of suction sputum cleaning.The present invention is suitable for artificial airway's The medicine equipment that tracheal catheter visually judges.

Install the upper end varus of air bag/air bag 5, suction inlet and cleaning pipeline additional.Its design principle：Because air bag is after fixation in close Closed state allows air bag upper end varus to be formed a catch basin, at the opening for clearing up pipeline（Sputum suction hole 6）It is placed on air bag upper end Oral secretion can be so cleared up at 5mm at any time.Purpose：Long-term tracheae stays the secretion in the patient's mouth of pipe can be along gas Cannula outer tube wall infects and can also infected by pipeline injection anti-infectives prevention as cleared up to shine into not in time to flowing down.

A kind of pipe for being used to set up artificial airway, it is imaged also includes camera at head bore 1a, the passback of its leading portion Give operator visually to judge, administration is cleared up on administration suction sputum capsule, the overall supervisor of curved wire reinforcement is indeformable to be applicable various spies The integration for setting up artificial ventilation's conduit that different position operation needs.All subsidiary conduits of tracheal catheter are all embedded in tube wall just In operator's smooth operation, while solving medically to set up the integrated tool of artificial respiration passage difficult medical problem.

According to ergonomics human body bottleneck throat data, throat's entrance：（Hyoid bone horizontal plane）：19mm ± 4mm 5, glottis： 21mm ± 4mm 6, tracheae：17mm±3mm.Camera is inserted in tube wall during design, the difference using thickness inside and outside tube wall makes Camera outer radial pipe outer process 3mm makes whole tube wall difference be less than throat's data so at can be with safety glottis.Solve Trachea cannula internal diameter is kept in product use, while easily pass through epiglottis and glottis.

For causing tunica mucosa tracheae to scald problem because of operational error, research institute designs outer by connection by many experiments Portion's equipment, the heating module part during camera use is placed on outside body, patient end is not had pyrotoxin.So in gas Temperature is dropped to normal temperature automatically in cannula venting process.Temperature numerical is up to standard in effective storage life, while how to solve Certainly because human operational error causes tracheal wall to scald problem.

LED is added 3 Luminous lamp holders it is allowed to illumination and reaches 800lx.Colour rendering index Ra:More than the increase of 90. pixels To 300,000 pixels.Eyeglass have also been made antifog paint.In order to which conventional metals head shell has been changed into PP when preventing electric leakage from implementing Plastic casing carries out overall envelope and moulds encapsulated, winding displacement increase 4cm.The definition of camera is solved, allows doctor to be made according to image It is correct to judge.

2 1mm administration shower nozzles are mounted with the dosing holes 1b of camera both sides.Its design principle：It is to utilize two water columns To spray, 2 water columns uniformly spray into 2 sectors to both sides under force at 35 ° of angles.Purpose is：Medicaments uniformity is sprayed at gas Allow tracheal mucosa quickly to absorb on tube wall, do not allow medicine to flow into bronchus such as：Adrenaline, hormone, trachea expanding agent, The medicines such as antibiotic, surface anesthesia, also bring convenient to the patient for putting pipe attention for a long time.

Product desired use of the present invention：It is logical that trachea cannula joint external member is applied to patient that is not breathing spontaneously's offer breathing Road, is useful in general anesthesia operation and runs into Difficult Airway intubated patient's visual trachea cannula, and applicable ICU stays pipe patient's mouth point for a long time Secretion realizes with the body hydrops that flows down and clears up, is administered on capsule, be applicable visual airway mucus surface anesthesia atomization uniformity of dosage and Uniformity of dosage is atomized at infection, being applicable needs air flue to observe conditions of patients development situation and videograph for a long time, and applicable tracheal strips can Depending on suction sputum, the patient with the trachea cannula of special posture in operation is applicable.Trachea cannula joint external member structure is simple, operation makes With conveniently.The operative speed and security of trachea cannula are more preferably improved, the tracheal injury in intubation to patient is reduced.The tracheae Intubation joint external member can realize the functions such as real visual, intrarterial, the suction sputum of integration, and trachea cannula can be helped to lead to Cross display screen and clearly pass through patient epiglottis and glottis, be visually accurately positioned closure sacculus and be administered continuously, suction sputum, sight Examine, videograph, special posture is indeformable in operation, using more convenient.

Product operation principle/action principle of the present invention：

Trachea cannula joint external member is visually inserted to tracheae by the oral cavity of patient, does breather line direct oral cavity when general anesthesia, oxygen therapy Insertion when being applied to clinical recovery or general anesthesia visual artificial airway and the trachea cannula set up using being observed.Patient passes through it It is connected with outside filter, heat moisture exchanger, corrugated hose, anesthesia respirator, forms a complete maintenance patient respiration System.The mechanism for having cleaning, administration channel, air bag varus in tube body wall can be managed so that hydrops function is administered and cleared up on air bag There are 2 administration channels to 30 degree of angles of tube head to form 2 fan aerosolized liquid particles to spray in body wall and act on realization on tracheal wall Camera can photopic vision be for the visual injection of tracheal strips in art and aspirates sputum in accurate uniformity of dosage, tube body wall.Taken the photograph by front end As head can clearly observe situation in patient airway, make intubation simpler, there is ring like steel wire to add the strong of body in tube body wall Degree is applicable needs the patient of special posture with operation.

In present invention application, trachea cannula joint external member product is made up of trachea cannula, seal wire and mouth pad, and a kind of form can To be made up of trachea cannula, seal wire and mouth pad.Another form can be made up of trachea cannula and seal wire.Specifically：Supervisor（Gas The airway tube of cannula）, joint, air bag 5（Cuff can be referred to as）, to air bag 5 inflate gas tube 4, check valve, polyvinyl chloride The sputum aspirator tube 11 of plastic material（Meet GB15593 regulations）, by medical stainless steel silk SUS304 be made reinforcement steel wire, by medical Instruction sacculus that silicon rubber is made, by medical grade polypropylene（PP）The joint that is made, by plastic aluminium core and meet GB15593 regulations Polyvinyl chloride outer tube be made seal wire, by medical polyamide 6（PA6）The mouth pad being made.

The preferred embodiment for the present invention, it is responsible for nominal bore diameter（Millimeter）Can be：5.5、6.0、6.5、7.0、7.5、8.0、 8.5.In appearance:Tracheal catheter（Supervisor）, seal wire and mouth pad surface should bright and clean, impulse- free robustness overlap, breakage, the clear jail of printing Gu.

Air bag uniform wall thickness, smooth non-trimming；Gas tube answers bright and clean foreign, there is good pliability.

Modular connection outward appearance answers bright and clean impulse- free robustness, different from pipe embryo color.

Tracheal catheter patient end should have an inclined-plane, inclined-plane should it is smooth, smooth, without obvious protrusion or cut, burr Etc. defect.

Camera should ensure that observation is clear, must not there is the seminess of degumming, the demoulding and binding agent.Optical element should not Have an impact the attachments such as observation pit, cut, bubble and oil mark, mildew, dust.

Air bag should closely be connected as a single entity with body, and the most near side (ns) on inclined-plane is not to be exceeded in any part of the air bag after filling up Edge.

Black phenanthrene eyelet should be located at the both sides on inclined-plane, and hole surface should smooth, non-trimming.

By previous embodiment, marked with reference to shown in Fig. 2, balloon length L, ultimate range C, minimum range S can be filled up.Tracheae The basic size of intubation should be as follows：

The trachea cannula basic size of table 2（Mark reference picture 2）Unit is millimeter

As shown in figure 4, tracheal cannula joint：The machine end 3 of straight trachea cannula joint is 15mm coneheads；Tracheal catheter patient 13, the end in end should have one 38 ° ± 10 ° of the angle of chamfer；Band air bag 5；Intubated patient end can fill up the machine end of length most to air bag Big distance should meet table 2 and provide；Air bag 5 fills up 30 ± 3mm of diameter（2kPa）.

The gas tube 4 of air bag 5：Gas tube external diameter is no more than 3.0mm, inflation length of tube 220mm.Gas tube at separation with Angle between trachea cannula should be no more than 45 °.Inflating pipe joint should be able to be with meeting the 6% of GB/T1962.1（Rule）Cylindrical tapered joint Head coordinates.

Intubation（Supervisor）Radian：Trachea cannula（Supervisor）For arc.Nominal Gui Ge≤6.5mm, intubation arc radius should be 140±20mm；Nominal rating ﹤ 6.5mm, intubation arc radius should be 140 ± 20mm.

Mo Fei holes 2：The area of black phenanthrene eyelet should provide the 80% of the internal diameter sectional area of each intubation not less than table 2.

Sputum aspirator tube：Sputum aspirator tube specification is 20Fr (6.67mm), and length 200mm connector colors are yellow.

Seal wire size：L：390mm ；OD：Φ4.7mm .

Mouth pad size：Airway depth H：11mm；Airway width W：14mm .

Physical property：Patients Underwent Endotracheal Intubation end dosing holes can not be blocked, and vaporific injection need to be formed during administration.

Degree of being connected firmly：

Power needed for trachea cannula gas tube, delivery tube, sputum aspirator tube and joint or tracheal catheter disconnect any connection should not be small such as Lower regulation：Specification is identified（Nominal outside diameter）1.33 ~ 2.67mm is disconnected and the minimum force 5N needed for pipe shaft；Specification is identified（It is public Claim external diameter）3.0 ~ 4.67mm is disconnected and the minimum force 15N needed for pipe shaft；Specification is identified（Nominal outside diameter）≤ 5.0mm disconnects Connection and the minimum force 20N needed for pipe shaft.

The resistance to negative pressure of sputum aspirator tube：Sputum aspirator tube machine end is connected with vacuum source, collapse should not occur for pipe shaft.Air bag shrinkage depression is tried Test：After the air bag of trachea cannula is filled up in a transparent pipe, its tube chamber should be passed freely through with a steel ball.Air bag protrudes experiment：To Rear gasbag is filled up in transparent pipe and applies an axial force, air bag can not exceed the most proximal end on inclined-plane perpendicular to tube axial direction.

Mist degree：Camera is used in 10 DEG C ~ 40 DEG C temperature ranges, and optical element surface should not occur by temperature change Produce the mist layer of influence observation.

Optical property：Camera pixel 300,000.Illumination：Illumination spot should be full of visual field at operating distance, without obvious Bright dark line of demarcation.Its illumination >=500Lux.The angle of visual field：54 ° of its limit deviation ± 10%.Observe the depth of field：Observation depth of field 10mm ~ ~~40mm。

Chemical property：

Readily oxidizable substance：The leaching liquid of trachea cannula and same batch of isometric blank control liquid phase pair, 0.002mol/L permanganic acid Cha Ying≤2mL of potassium solution consumption.

Acid-base value：The pH value of the leaching liquid of trachea cannula is compareed with same batch blank control liquid, and the difference of pH value must not exceed 2。

Heavy metal：The color that the leaching liquid of trachea cannula is presented should be no more than mass concentration ρ（pb²⁺）=5 μ g/mL standard Comparison liquid.

This product advantage is：Patient for difficult tracheal intubation during general anesthesia crosses 2 positions in epiglottis portion and glottis Very well and can be clearly accurately positioned at pipe putting, suction sputum also can realize visual suction sputum while can also realize standard in art True tracheal strips mucous membrane is simply administered, and whole operation process is very smooth convenient.

Specifically it is summarized as：1. realize whole process of operation visualized operation.2. ring like steel wire is added in inner tubal wall.Solution Release:Because of a kind of tracheal catheter that artificial respiration port road is set up to mouth or the visual offer of nose, it is necessary to reach a variety of functional requirements, institute To output in the pipe wall, passage more than at least five so may result in a kind of visually provided to mouth or nose and set up artificial respiration Not enough, inner tubal wall is deformed the whole body degree of tracheal catheter in port road, and in order to reach fixed standard, YY0337.1-2002 is special It is a kind of visually provide the tracheal catheter inner tubal wall for setting up artificial respiration port road to mouth or nose in add ring like steel wire.3. before End installs at least two administration channel additional, it is possible to provide the equal altar of tracheal wall mucous membrane, and (one kind is visually provided to mouth or nose for precise visualization administration Set up the tracheal catheter in artificial respiration port road, visualized operation doser.) 4. positioning sacculus upper end varuss, upper end cleaning, Administration channel.（Its structure of correspondence caption）.5. temperature control system（Taken the photograph using tablet personal computer Screen Saver Time to cut off As the power supply of head, as long as the screen time of design tablet personal computer can just complete power-off）.6. the anticreep plastic casing of camera （Plastics head shell plastics can be with moulding, and plays a part of insulation, and we are carried out according to three-dimensional tracheae outer wall shape Hot forming, it can be so up to state standards using more spaces as ventilation）.

Above content is to combine specific embodiment further description made for the present invention, it is impossible to assert this hair Bright specific implementation is confined to these explanations.For general technical staff of the technical field of the invention, do not taking off On the premise of from present inventive concept, some simple deduction or replace can also be made, the protection of the present invention should be all considered as belonging to Scope.

Claims (10)

1. a kind of pipe for being used to set up artificial airway, including supervisor, it is characterised in that the supervisor is embedded with reinforcement and made With the curved stainless steel silk for being supervisor's holding bending, described supervisor one end is patient end（1）The other end is machine end connector （3）, close to the patient end（1）Supervisor is outside towards machine end connector（3）Direction is disposed with Mo Feikong（2）, air bag（5）、 Sputum suction hole（6）, close to the machine end connector（3）Main outside is held to be provided with gas tube（4）, administration joint（9）, suction sputum joint（11） And data cable connector（10）.

2. the pipe as claimed in claim 1 for being used to set up artificial airway, it is characterised in that in the patient end（1）It is main Insertion is provided with shooting head bore on the ring-shaped section and ring-shaped body of pipe, tube wall（1a）, two dosing holes（1b）, suction sputum mouthful（1c）It is gentle Bag hole（1d）；The shooting head bore（1a）For ellipse, suction sputum mouthful（1c）, pneumatopyle（1d）For strip, dosing holes（1b）For It is circular；The shooting head bore（1a）, pneumatopyle（1d）It is respectively arranged at the annular tube wall both sides of supervisor, two dosing holes（1b）It is located at The shooting head bore（1a）Both sides, suction sputum mouthful（1c）Positioned at dosing holes（1b）With pneumatopyle（1d）Between.

3. the pipe as claimed in claim 2 for being used to set up artificial airway, it is characterised in that the shooting head bore（1a）Place It is provided with camera, camera outer radial tube wall outer process 1-5mm.

4. the pipe as claimed in claim 3 for being used to set up artificial airway, it is characterised in that the camera passes through data Wire terminal（10）External equipment is connected, the camera structure includes imaging sensor and digital signal processing chip, described Imaging sensor and digital signal processing chip are arranged on outside the supervisor.

5. the pipe as claimed in claim 3 for being used to set up artificial airway, it is characterised in that the head shell is set For PP plastic casings, generally envelope modeling rubber-wrapping structure.

6. the pipe as claimed in claim 3 for being used to set up artificial airway, it is characterised in that in the camera both sides Two administration shower nozzles are mounted with dosing holes 1b.

7. the pipe as claimed in claim 4 for being used to set up artificial airway, it is characterised in that the data cable connector（10） Include camera data wire, other signal transmssion lines can also be included.

8. being used for as described in claim any one of 1-6 sets up the pipe of artificial airway, it is characterised in that the gas tube （4）The angle of departure is directly carried with supervisor（7）, the angle of departure（7）Locate gas tube（4）Angle between supervisor is less than 45 °.

9. being used for as described in claim any one of 1-6 sets up the pipe of artificial airway, it is characterised in that the supervisor is Arc；As nominal Gui Ge≤6.5mm, supervisor's arc radius should be 140 ± 20mm；Nominal rating ﹤ 6.5mm, are responsible for arc radius It should be 140 ± 20mm.

10. being used for as described in claim any one of 1-6 sets up the pipe of artificial airway, it is characterised in that the data Wire terminal（10）Include min USB joints.