CN102886079A - Minimally invasive bedside sputum suction device - Google Patents
Minimally invasive bedside sputum suction device Download PDFInfo
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- CN102886079A CN102886079A CN2012103518494A CN201210351849A CN102886079A CN 102886079 A CN102886079 A CN 102886079A CN 2012103518494 A CN2012103518494 A CN 2012103518494A CN 201210351849 A CN201210351849 A CN 201210351849A CN 102886079 A CN102886079 A CN 102886079A
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- sputum aspirator
- wicresoft
- intubate
- divergent channel
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Abstract
The invention discloses a minimally invasive bedside sputum suction device and relates to the technical field of medical instruments. The minimally invasive bedside sputum suction device comprises a Seldinger puncture assembly and an intubation, wherein the intubation is sleeved outside the Seldinger puncture assembly; and a check valve is arranged at an external opening of the intubation. A channel with the outer diameter of 6mm is punctured into a membrane part between third and fourth tracheal rings in middle of a neck by a seldinger technology; and the external opening is connected with the check valve and then is connected with an airtight sputum suction tube. The device can rotate 15 degrees toward left and right in tracheas.
Description
Technical field
The present invention relates to technical field of medical instruments, be specifically related to a kind of Wicresoft bedside sputum aspirator.
Background technology
For severe pneumonia, expectoration of elderly patients and patient bedridden in long term ubiquity is weak, the problem that expectoration is not smooth.The patient of pulmonary infection particularly, effectively expectoration is particularly important to infection control.Common measure is: 1. eliminate the phlegm, the application of Apophlegmatisant.2. clap the back of the body, medicinal atomized suction.3. pars oralis pharyngis suction sputum initiatively, bottleneck throat ring first film stimulates auxiliary expectoration.4. the artificial airway sets up initiatively suction sputum of sputum aspirator tube.But above treatment measure has many difficulties and limitation.In measure 1 and 2, finally still need initiatively expectoration of patient, but meet expectoration when weak, measure 1 and 2 effect extreme differences.In the measure 3, sputum aspirator tube should not pass through glottis, often need to be by visible laryngoscope, and operating difficulties, workload is large, and patient is painful, is not regular treatment project.In the measure 4, need set up the artificial airway, such as tracheal intubation or tracheotomy, when mechanical ventilation was carried out in respiratory failure, initiatively the suction sputum effect was good by the artificial airway for sputum aspirator tube usually.But exist wound large, the shortcoming that patient dependence is poor.Particularly at the mechanical ventilation development, today that the noinvasive ventilation is used in a large number, the expectoration problem is more outstanding.When reason is the noinvasive ventilation, the prosthetic air flue, the malleation air-flow can be pushed sputum to the deep air flue, air-flow is taken away large quantity of moisture by the dry and hard stasis air flue of sputum simultaneously, severe one causes pulmonary atelectasis, on certain angle, the expectoration problem has restricted the application clinically of noinvasive ventilating technology, also improve simultaneously the noinvasive ventilation and transferred the incidence rate that the wound ventilation is arranged to, it is painful to have increased patient, increase incidence of nosocomial infection, increased the incidence rate of Ventilator Acquired damage with Ventilator Associated Pneumonia, increased the ICU time of staying and hospitalization cost.
Summary of the invention
Primary and foremost purpose of the present invention just is to overcome the existing deficiency of existing medical apparatus and instruments, thereby a kind of Wicresoft bedside sputum aspirator is provided.
Wicresoft of the present invention bedside sputum aspirator comprises Seldinger piercing assembly and intubate, and it is outside that described cannula sleeve is located at the Seldinger piercing assembly, and the collar extension of this intubate is provided with one-way cock.
The bonnet of described one-way cock and sealed sputum aspirator tube is suitable.
Described intubate is provided with kink, and the external diameter of this kink is provided with dorsal pore.
Four jiaos of stars of symmetry centered by the cross sectional shape of described dorsal pore.
The ultimate range of the central authorities of described dorsal pore is less than the external diameter of sputum aspirator tube.This dorsal pore be used for ventilation.
Be provided with rotatable interface between the collar extension of described intubate and the kink, rotatable interface drives the sputum aspirator tube rotation of inserting intubate.
The anglec of rotation of described rotatable interface is for take the central shaft of intubate as axis of symmetry, about each 15 degree.
Described rotatable interface place is arranged with fixing band.
The external diameter of described intubate is 6mm.
Described Seldinger piercing assembly comprises piercing needle cartridge, puncture needle, the first convergent divergent channel, the second convergent divergent channel and the 3rd convergent divergent channel and with the introducer of seal wire, piercing needle cartridge is connected with puncture needle, and the first convergent divergent channel, the second convergent divergent channel and the 3rd convergent divergent channel are sheathed on respectively the seal wire outside of introducer.
The external diameter of described the first convergent divergent channel, the second convergent divergent channel and the 3rd convergent divergent channel is ascending successively.
The present invention utilizes the seldinger technology to hit exactly the passage that the thin 6mm of an external diameter is inserted in membranous part puncture between the 3rd, 4 annulus trachealises at cervical region, and collar extension connects one-way cock, connects closed sputum aspirator again.15 degree turns about this device can be done in trachea.
The present invention has the following advantages:
1. use the puncture of seldinger technology, install safe and simple.Suitable substrate medical institutions carry out.
2. suction sputum safety simple to operate.
3. sputum aspirator tube is used closed sputum aspirator, prevents cross infection in hospital.
4. the one-way cock air flue is isolated from the outside, and guarantees patient's eupnea and sounding.
5. one-way cock design has guaranteed when no-wound mechanical ventilation to have reached simultaneously that effective sputum attracts and air flue endogenous dampness, administration without gas leakage.
6. the low-angle turn of 15 degree designs bootable sputum aspirator tube and enters left and right sides bronchus about.
7. this device external diameter is thin, and the cervical region center only needs to do 6 millimeters little otch under local anaesthesia, damages little.
This device can be repeated multiple times on former cicatrix puncture procedure.
9. because this device is simple to operate fast, so it is temporarily open in case of emergency to do air flue.
Description of drawings
Fig. 1 is the structural representation of the intubate of embodiment, and figure (a) is front view, and figure (b) is left view.
Fig. 2 is the structural representation of the piercing needle cartridge of embodiment.
Fig. 3 is the structural representation of the puncture needle of embodiment.
Fig. 4 is the structural representation of the first convergent divergent channel of embodiment.
Fig. 5 is the structural representation of the second convergent divergent channel of embodiment.
Fig. 6 is the structural representation of the 3rd convergent divergent channel of embodiment.
Fig. 7 is the structural representation of the sealed sputum aspirator tube of embodiment, and wherein, figure (a) is the overall structure sketch map, and figure (b) is the bonnet cutaway view.
Fig. 8 is the structural representation that the fixing band of embodiment is connected with rotatable interface.
Fig. 9 is the structural representation of the introducer of embodiment.
The specific embodiment
Below in conjunction with specific embodiment, the invention will be further described.Should be understood that following examples are only for explanation the present invention but not for limiting scope of the present invention.
As shown in Figure 1, Wicresoft of the present invention bedside sputum aspirator comprises Seldinger piercing assembly and intubate 1, and it is outside that described intubate 1 is sheathed on the Seldinger piercing assembly, and the collar extension of this intubate 1 is provided with one-way cock 2.
Such as Fig. 1 and shown in Figure 7, described one-way cock 2 is suitable with the bonnet 31 of sealed sputum aspirator tube 3.
Described intubate 1 is provided with kink 11, and the external diameter of this kink 11 is provided with dorsal pore 111.
Four jiaos of stars of symmetry centered by the cross sectional shape of described dorsal pore 111.
The ultimate range of the central authorities of described dorsal pore 111 is less than the external diameter of sputum aspirator tube.This dorsal pore 111 be used for ventilation.
Such as Fig. 1 and shown in Figure 8, be provided with rotatable interface 112 between the collar extension of described intubate 1 and the kink 11, rotatable interface 112 drives the sputum aspirator tube rotation of inserting intubate 1, the anglec of rotation of rotatable interface 112 is for take the central shaft of intubate 1 as axis of symmetry, about each 15 degree.
Described rotatable interface 112 places are arranged with fixing band 113.
The external diameter of described intubate 1 is 6mm.
Such as Fig. 2, Fig. 3, Fig. 4, Fig. 5, Fig. 6 and shown in Figure 9, described Seldinger piercing assembly comprises piercing needle cartridge 51, puncture needle 52, the first convergent divergent channel 53, the second convergent divergent channel 54 and the 3rd convergent divergent channel 55 and with the introducer 56 of seal wire 561, piercing needle cartridge 51 is connected with puncture needle 52, and the first convergent divergent channel 53, the second convergent divergent channel 54 and the 3rd convergent divergent channel 55 are sheathed on respectively seal wire 561 outsides of introducer 56.
The external diameter of described the first convergent divergent channel 53 is 1-2mm, and the external diameter of the second convergent divergent channel 54 is 3mm, and the external diameter of the 3rd convergent divergent channel 55 is 5mm.
The practical approach of this device is: the cervical region routine disinfection, drape, hit exactly the 3rd at cervical region, subcutaneous with 1% lignocaine local anaesthesia between 4 annulus trachealises, make the 6mm neck and hit exactly vertical little otch, with piercing needle cartridge 51, puncture needle 52 punctures are brought about the desired sensation, remove piercing needle cartridge 51, insert the introducer 56 with seal wire 561, withdraw from puncture needle 52, insert dilating catheter the first convergent divergent channel 53 along seal wire 561, withdraw from again, outside the first convergent divergent channel 53, put the second convergent divergent channel 54, insert again, withdraw from again, put again the 3rd convergent divergent channel 55, insert again, withdraw from again, put again intubate 1, insert again, withdraw from seal wire 561, the first convergent divergent channel 53, the second convergent divergent channel 54 and the 3rd convergent divergent channel 55 are with the fixing intubate 1 of fixing band 113.
Intubate 1 collar extension connects bonnet 31, connects closed sputum aspirator again, connects negative pressure, inserts sputum aspirator tube, and the angle of the intubate that rotates about 1 is 15 °, and bootable sputum aspirator tube enters left and right sides bronchus suction sputum respectively, inhales and finishes, and sputum aspirator tube is withdrawed from bonnet 31.
This device has the following advantages:
1. puncture is installed safe and simplely, goes out insufficiency of blood, wound is little.
2. can eupnea, sounding.
3. can accomplish no-wound mechanical ventilation, take into account with sputum attraction, intratracheal administration.
4. can be on former cicatrix repeated multiple times puncture procedure.
5. when urgent as the interim open channel of air flue.
Claims (10)
1. Wicresoft's bedside sputum aspirator is characterized in that, comprises Seldinger piercing assembly and intubate, and it is outside that described cannula sleeve is located at the Seldinger piercing assembly, and the collar extension of this intubate is provided with one-way cock.
2. Wicresoft as claimed in claim 1 bedside sputum aspirator is characterized in that the bonnet of described one-way cock and sealed sputum aspirator tube is suitable.
3. Wicresoft as claimed in claim 2 bedside sputum aspirator is characterized in that described intubate is provided with kink, and the external diameter of this kink is provided with dorsal pore.
4. Wicresoft as claimed in claim 3 bedside sputum aspirator is characterized in that, symmetrical four jiaos of stars centered by the cross sectional shape of described dorsal pore.
5. Wicresoft as claimed in claim 4 bedside sputum aspirator is characterized in that the ultimate range of the central authorities of described dorsal pore is less than the external diameter of sputum aspirator tube.
6. Wicresoft as claimed in claim 3 bedside sputum aspirator is characterized in that, is provided with rotatable interface between the collar extension of described intubate and the kink, and rotatable interface drives the sputum aspirator tube rotation of inserting intubate.
7. Wicresoft as claimed in claim 6 bedside sputum aspirator is characterized in that, the anglec of rotation of described rotatable interface is for take the central shaft of intubate as axis of symmetry, about each 15 degree.
8. Wicresoft as claimed in claim 6 bedside sputum aspirator is characterized in that described rotatable interface place is arranged with fixing band.
9. Wicresoft as claimed in claim 1 bedside sputum aspirator is characterized in that the external diameter of described intubate is 6mm.
10. Wicresoft as claimed in claim 1 bedside sputum aspirator, it is characterized in that, described Seldinger piercing assembly comprises piercing needle cartridge, puncture needle, the first convergent divergent channel, the second convergent divergent channel and the 3rd convergent divergent channel and with the introducer of seal wire, piercing needle cartridge is connected with puncture needle, and the first convergent divergent channel, the second convergent divergent channel and the 3rd convergent divergent channel are sheathed on respectively the seal wire outside of introducer.
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Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5279549A (en) * | 1991-01-04 | 1994-01-18 | Sherwood Medical Company | Closed ventilation and suction catheter system |
CN2158726Y (en) * | 1993-04-07 | 1994-03-16 | 高玉珍 | Disposable trachea sputum-suction catheter |
CN2187442Y (en) * | 1994-01-18 | 1995-01-18 | 潘义民 | Multi-function puncture needle for cycrothyroid membrane |
US5449348A (en) * | 1992-11-13 | 1995-09-12 | Hudson Respiratory Care, Inc. | Irrigation apparatus and method for suction catheters |
CN2487383Y (en) * | 2001-03-16 | 2002-04-24 | 唐山市工人医院 | Drainage-tube for hydrocardia |
CN2897273Y (en) * | 2006-05-12 | 2007-05-09 | 威海村松医用制品有限公司 | Multifunctional body fluid respirator |
CN101103932A (en) * | 2007-05-21 | 2008-01-16 | 刘鸿玉 | Multi-purpose percutaneous puncture channel-building ostomy draining device |
JP2008086476A (en) * | 2006-09-29 | 2008-04-17 | Nippon Zeon Co Ltd | Suction catheter and method for producing the same |
CN201200653Y (en) * | 2008-06-04 | 2009-03-04 | 金辉 | Special drainage tube of side-releasing trocars |
CN201906251U (en) * | 2011-01-04 | 2011-07-27 | 西安交通大学医学院第一附属医院 | Pericardicentesis indwelling drainage device |
-
2012
- 2012-09-20 CN CN201210351849.4A patent/CN102886079B/en active Active
Patent Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5279549A (en) * | 1991-01-04 | 1994-01-18 | Sherwood Medical Company | Closed ventilation and suction catheter system |
US5449348A (en) * | 1992-11-13 | 1995-09-12 | Hudson Respiratory Care, Inc. | Irrigation apparatus and method for suction catheters |
CN2158726Y (en) * | 1993-04-07 | 1994-03-16 | 高玉珍 | Disposable trachea sputum-suction catheter |
CN2187442Y (en) * | 1994-01-18 | 1995-01-18 | 潘义民 | Multi-function puncture needle for cycrothyroid membrane |
CN2487383Y (en) * | 2001-03-16 | 2002-04-24 | 唐山市工人医院 | Drainage-tube for hydrocardia |
CN2897273Y (en) * | 2006-05-12 | 2007-05-09 | 威海村松医用制品有限公司 | Multifunctional body fluid respirator |
JP2008086476A (en) * | 2006-09-29 | 2008-04-17 | Nippon Zeon Co Ltd | Suction catheter and method for producing the same |
CN101103932A (en) * | 2007-05-21 | 2008-01-16 | 刘鸿玉 | Multi-purpose percutaneous puncture channel-building ostomy draining device |
CN201200653Y (en) * | 2008-06-04 | 2009-03-04 | 金辉 | Special drainage tube of side-releasing trocars |
CN201906251U (en) * | 2011-01-04 | 2011-07-27 | 西安交通大学医学院第一附属医院 | Pericardicentesis indwelling drainage device |
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Inventor after: Jiang Dongyong Inventor before: Fang Xuchen |
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Effective date of registration: 20170727 Address after: 214174, No. 1719-1, Huishan Avenue, Huishan District, Jiangsu, Wuxi Patentee after: Li Yuan medical technology Wuxi Co., Ltd. Address before: 200438 No. 999 light road, Yangpu District, Shanghai Patentee before: SHANGHAI YANGPU SHIDONG HOSPITAL |