CN103330981B - Automatic sputum suction type artificial airway and sputum suction system with same - Google Patents
Automatic sputum suction type artificial airway and sputum suction system with same Download PDFInfo
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- CN103330981B CN103330981B CN201310278897.XA CN201310278897A CN103330981B CN 103330981 B CN103330981 B CN 103330981B CN 201310278897 A CN201310278897 A CN 201310278897A CN 103330981 B CN103330981 B CN 103330981B
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Abstract
The invention discloses an automatic sputum suction type artificial airway. The automatic sputum suction type artificial airway comprises an airway duct, wherein an air ventilating channel is arranged inside the airway duct, and an air inflation bag and an air inflation tube are arranged on the airway duct. The automatic sputum suction type artificial airway is characterized in that a sputum suction tube is arranged in the air ventilating channel, and a sputum suction channel is formed inside the sputum suction tube. A sputum suction system comprises a sputum collecting bottle, a sputum-pumping pump and a control circuit, wherein a sputum inlet tube and a sputum outlet tube are arranged on the sputum collecting bottle, a sputum-pumping inlet tube is arranged on the sputum-pumping pump, the sputum inlet tube is communicated with the sputum suction tube, the sputum-pumping inlet tube is communicated with the sputum outlet tube, and the control circuit controls the sputum-pumping pump to carry out sputum pumping. The automatic sputum suction type artificial airway and the sputum suction system avoid stimulation caused by an existing movable sputum suction tube to the trachea wall of a patient in the process of sputum suction, and damage caused by the existing movable sputum suction tube to trachea mucosae, overcome the defect that hypoxia is caused by removal of a respirator, and relieve pain of the patient. Medical workers only need to carry out analysis on the symptoms and the physical sign of the patient, and set relevant parameters of a device, the device can carry out automatic sputum suction, and workload and working intensity of the medical workers are reduced.
Description
Technical field
The present invention relates to the suction sputum system of a kind of automatic suction sputum type artificial airway and formation thereof, belong to medical instruments field.
Background technology
Conduit is inserted trachea through upper respiratory tract or is directly inserted the gas passage that trachea sets up by artificial airway.Artificial airway is for ensureing airway patency and in physiology air flue and being effectively connected of setting up between air or other sources of the gas, for the effective drainage of air flue, unobstructed, mechanical ventilation, treatment pulmonary disease provide condition.
Setting up artificial airway by endotracheal intubation and tracheotomy tube placing operation is to the important measures in the Severe acute disease patient rescue process of respiratory dysfunction.Technological means the most ripe when being first aid and Critical Ill Patient relief, nursing.Be most widely used general, the most effective means the most efficiently in management of respiratory, vital effect is played to rescue patient life, reduction case fatality rate.Tracheal intubation can the tracheal strips secretions of sucking-off in time or foreign body, prevents foreign body from entering respiratory tract, keeps respiratory passage unblocked, carries out effective artificial or breathing machine ventilation, prevents patient's anoxia and carbon dioxide retention.Tracheal intubation and tracheostomy tube are the critical operation apparatuses setting up artificial airway in endotracheal intubation and tracheotomy tube placing operation.
The patient's major part implementing endotracheal intubation and tracheotomy tube placing operation has sputum and generates, and its sputum generates following reason:
1. because disease itself is caused as the disease such as pulmonary infection, pulmonary edema.
2. artificial airway itself and the reason such as calm, that causes coughre flex and function weakens disappearance, causes sputum to gather and increases.Because set up the ability that artificial airway loses cough and expectoration.
3. artificial airway inserts trachea stimulates tracheal mucosa to cause secretions increase.
During current endotracheal intubation and tracheotomy tube placing operation, inhaling-conveying mode adopts separated in time usually, and sputum gathers a certain amount of at tracheal strips, is inserted by sputum aspirator tube in artificial airway to arrive trachea to aspirate, clear up in lung the sputum arriving trachea and artificial airway.Following shortcoming is mainly there is at present by artificial airway's inhaling-conveying mode:
1. passed through to determine patients symptomatic, sign (auscultation respiratory murmur, observation blood oxygen saturation) analysis and patient requests by medical personnel the interval time of suction sputum, or timing suction sputum.The sputum gathered between twice suction sputum is not when bringing the change of symptom and sign to patient, also can accumulate in inner surface of trachea for a long time because of sputum and can cause tracheal wall cilium lodging in respective regions, final result is that sputum cannot arrive trachea by lung tissue by fibre swing.Also a large amount of workloads and working strength is brought to medical personnel with the Hour Minute Second sign that ceaselessly observes the symptoms
2. at present inhaling-conveying mode due to zest large, sputum aspirator tube touches tracheal wall suction can bring violent discomfort to patient, and repeatedly suction sputum also can cause damage to tracheal mucosa repeatedly.The injury on body and mind is brought repeatedly to patient and family members.Increase patient to the feared state of mind of suction sputum, be unfavorable for that patient compliance treats.
3. and mechanical ventilation needs of patients be separated air duct, each suction sputum time can only control in 15 seconds-20 seconds.Overlong time can cause patient's discomfort and anoxia.And the patient that sputum is more, exhaustion tracheal strips sputum needs point carry out several times, take time and effort and also increase patient's discomfort.
4. this type of turn-over bed for patient or when kowtowing contrary to reason treatment, often occurs that the sputum short time pours in trachea by lung tissue bronchioles, causes airway obstruction, and respiratory resistance increases, and sensation of asphyxia appears in patient.Now medical personnel prepare to open the sputum aspirator tube of aseptic packaging the suction sputum waiting time are long again, patient is greatly painful.
5. often need clinically to carry out the analysis of sputum sample examination for this type of patient.Leaving and taking frequent in sputum sample processes mutually can pollution because of sputum and extraneous or oral secretion, causing the pollution of sputum sample, the accuracy of sputum result of laboratory test is impacted.
The patent documentation that the such as patent No. is CN200580031174.3, denomination of invention is " suction device of intra-tracheal sputum ", disclose a kind of in person's windpipe, be placed in tracheal intubation 14 after, utilize suction catheter 15 by the device of sputum sucking-off from person's windpipe.Wherein, suction catheter 15 and tracheal intubation 14 are not integrative-structures, and the end of suction catheter 15 easily produces person's windpipe inwall and stimulates, and easily damages patient.Most importantly, because the gas being attracted pipe 15 sucking-off does not add in respirator 12, like this, respirator can detect that the difference of the gas of its gas exported and input is not in given area, respirator can be made to be in alarm condition all the time, to be extremely unfavorable for using.
Summary of the invention
The present invention, in order to overcome the shortcoming of above-mentioned technical problem, provides the suction sputum system of a kind of automatic suction sputum type artificial airway and formation thereof.
Automatic suction sputum type artificial airway of the present invention, comprise the pneumatic duct matched with person's windpipe, the inside of described pneumatic duct is airway, gas tube pneumatic duct being provided with aerating gasbag and being connected with aerating gasbag, and aerating gasbag is positioned on the outer wall of pneumatic duct; It is characterized in that: be provided with sputum aspirator tube in described airway, the inside of sputum aspirator tube is suction sputum passage; The end of described sputum aspirator tube terminates in the end of pneumatic duct, and the top of sputum aspirator tube is connected with sputum aspirator.
If as the use of tracheal intubation, then pneumatic duct is inserted in person's windpipe by oral cavity, if put pipe as tracheotomy, then by the cervical region edge of a knife, pneumatic duct will be inserted in person's windpipe.Patient is by airway breathe air or adopt respirator to breathe, and aerating gasbag is arranged at the surrounding of pneumatic duct, after being inflated, can be fixed in person's windpipe by gas tube.Sputum aspirator tube is arranged among airway, forms integrative-structure with pneumatic duct, after being connected with sputum aspirator, and the sputum sucking-off that can effectively will be formed in person's windpipe.Can suction sputum be carried out while patient adopts respirator, it also avoid the drawback in the past adopting movable sputum aspirator tube easily inner surface of trachea to be caused to stimulation.
Automatic suction sputum type artificial airway of the present invention, described suction sputum passage is be formed at circle in pneumatic duct tube wall or oblong cavity, the inwall of suction sputum passage is provided with the nano coating avoiding sputum to adhere to tube wall.Suction sputum passage is unsuitable too small and excessive, the too small outflow being unfavorable for sputum, and cross the work that conference affects airway, nano coating can avoid sputum to adhere in suction sputum vias inner walls, to avoid the blocking of suction sputum passage.
Automatic suction sputum type artificial airway of the present invention, the end of described pneumatic duct is inclined plane, and the end of described suction sputum passage is also inclined plane; When the inclined plane of pneumatic duct end becomes plumbness with horizontal plane, the inclined plane of suction sputum channel end becomes the angle of 30 ~ 60 ° with horizontal plane.Patient is generally in the state becoming about 30 ° with horizontal plane, and the end of suction sputum passage becomes the angle of 30 ~ 60 ° with horizontal plane, be both conducive to sucking-off sputum, also can avoid the blocking of suction sputum passage.
The suction sputum system that automatic suction sputum type artificial airway of the present invention is formed, comprises collection sputum bottle, drawing liquid pump and control circuit, collection sputum bottle is provided with into expectorant pipe and goes out expectorant pipe, and the inside of collection sputum bottle is the cavity for holding sputum, drawing liquid pump is provided with drawing liquid inlet pipe; Enter expectorant pipe to be connected with sputum aspirator tube, drawing liquid inlet pipe with go out expectorant pipe and be connected, control circuit controls drawing liquid pump to carry out taking out sputum.
Under the control action of control circuit to drawing liquid pump, the sputum in sputum aspirator tube can be pumped in collection sputum bottle, to realize the auto-pumping effect to sputum in person's windpipe.Control circuit can carry out the setting of mode of operation, can meet different to take out sputum demand.
The suction sputum system that automatic suction sputum type artificial airway of the present invention is formed, comprise the respirator for maintaining patient respiratory, respirator is connected with pneumatic duct with escape pipe by air inlet pipe; Drawing liquid pump goes out pipe by drawing liquid and is connected with air inlet pipe or escape pipe, and drawing liquid goes out pipe for filling into the gas extracted out from suction sputum passage in respirator gas-circulating system.For needing the patient completing respiratory movement by respirator, the gas extracted from person's windpipe due to drawing liquid pump is sent to again in escape pipe or air inlet pipe, avoids the warning of respirator.And, because sputum aspirator tube is arranged separately, when taking out sputum, do not affect the work of respirator, avoid the drawback needing respirator to unload when in the past taking out sputum.
The suction sputum system that automatic suction sputum type artificial airway of the present invention is formed, described sputum aspirator tube with enter expectorant pipe and be connected by tee T, the junction going out expectorant pipe and drawing liquid inlet pipe is provided with microbe filter; Microbe filter is structure as a whole with collection sputum bottle.When blocking occurs suction sputum passage, the effect of clearing up suction sputum passage can be realized by tee T, simultaneously by suction sputum passage, also can to injection medicament in person's windpipe.
The suction sputum system that automatic suction sputum type artificial airway of the present invention is formed, described control circuit comprises microcontroller, pressure transducer, collection expectorant full sense switch, drawing liquid pump motor, microcontroller is connected with drawing liquid pump motor by motor control module, and microcontroller is also connected with power module, clock circuit and control button; Described pressure transducer is arranged on drawing liquid inlet pipe, and the full sense switch of collection expectorant is arranged at out on expectorant pipe, controls button for controlling the mode of operation of drawing liquid pump motor.
Microcontroller has the effect that signals collecting, data operation and control export, and can detect the force value in suction sputum passage, to judge that whether suction sputum passage is blocked by pressure transducer.Whether the sputum that the full sense switch of collection expectorant is used in detected set sputum bottle is filled with.Power module is for providing the electric energy needed for suction sputum system works, and clock circuit, for providing the pulse signal needed for microcontroller work, controls button for controlling the mode of operation of control circuit.
The suction sputum system that automatic suction sputum type artificial airway of the present invention is formed, the full sense switch of described collection expectorant comprises combined socket and switch and is arranged at out two metal probes on expectorant pipe, and two metal probes penetrate the tube wall in going out expectorant pipe; Combined socket and switch is provided with the metal slot matched with metal probe, metal slot is connected with the input of microcontroller by wire; When control circuit detects and has sputum to exist between two metal probes, alarm signal can be sent.Two probes closely near but do not contact, combined socket and switch and metal probe carry out plug and coordinate.After collection sputum bottle is filled with, has sputum and enter into out in expectorant pipe, two metal probes are contacted; The wire be connected with metal slot will conjugate closure state by off-state, and microcontroller will detect that collection sputum bottle is full.
The suction sputum system that automatic suction sputum type artificial airway of the present invention is formed, the lower storage expectorant chamber that described collection sputum bottle comprises storage expectorant chamber and is connected with upper storage expectorant chamber; The bottom in described upper storage expectorant chamber is tapered portion, is provided with conical plug in tapered portion.In the process extracting sputum, first sputum enters in storage expectorant chamber, and when the sputum in upper storage expectorant chamber is abundant, conical plug can suspend, and makes sputum enter into lower storage expectorant chamber.
The suction sputum system that automatic suction sputum type artificial airway of the present invention is formed, comprise the control box being easy to carry and laying, described drawing liquid pump, control circuit are all arranged in control box, and described control button is all arranged on control box; Described control box being provided with the hook for hanging collection sputum bottle, control box being provided with the equipment fixed hook for being suspended on sick bed guardrail or respirator.Control box can be fixed on sick bed guardrail or respirator easily by equipment fixed hook, and collection sputum bottle hangs on control box by hook, very convenient to use.
The invention has the beneficial effects as follows: (1) artificial airway of the present invention, by arranging sputum aspirator tube in airway, defining can by the suction sputum passage of sputum sucking-off in person's windpipe, because suction sputum passage and pneumatic duct are structure as a whole, the inner surface of trachea of human body can not be stimulated when suction sputum, avoid existing movable sputum aspirator tube when suction sputum to the stimulation of patient airway's wall, and the damage to tracheal mucosa.(2) simultaneously, because suction sputum passage is the autonomous channel in pneumatic duct, the work of respirator can not be affected while suction sputum, avoid in existing suction sputum process and need respirator is removed and easily causes the drawback of patient's anoxia, decrease the slight illness of patient.(3) and, because suction sputum passage and pneumatic duct are structure as a whole, can facilitate and carry out timely taking out sputum operation, to turn-over bed for patient or when kowtowing contrary to reason treatment, even if occur that the sputum short time pours in the phenomenon of trachea by lung tissue bronchioles, due to the sputum aspirator tube without the need to opening aseptic packaging, greatly reducing the waiting time of patient, decreasing the misery of patient.
The suction sputum system be made up of artificial airway of the present invention, (1) by arranging for depositing the collection sputum bottle of sputum and the control circuit of automatic control action can being carried out, control circuit can be operated in automatically, continuous and manual work state, achieve and automatically sputum is taken out to patient, medical personnel are by analyzing patients symptomatic, sign (auscultation respiratory murmur, observation blood oxygen saturation), set suction sputum interval time and suction sputum persistent period, effectively reduce workload and the working strength of medical personnel.(2) gas that drawing liquid pump is extracted out from collection sputum bottle goes out after pipe to be sent to again respirator system through drawing liquid, avoids respirator and reports to the police because the error passing in and out gas produces comparatively greatly.(3) because whole suction sputum liquid system is in airtight state, getting the pollution that can not be subject to the external world or oral secretion in sputum sample processes sputum, making sputum result of laboratory test more accurate.
Accompanying drawing explanation
Fig. 1 is the structural representation of automatic suction sputum type artificial airway of the present invention;
Fig. 2 is the partial enlarged drawing of pneumatic duct end in Fig. 1;
Fig. 3 is the structural representation of the first pneumatic duct in the present invention;
Fig. 4 is the structural representation of the second pneumatic duct in the present invention;
Fig. 5 is the structure principle chart of the suction sputum system with respirator in the present invention;
Fig. 6 is the schematic diagram of control circuit in the present invention;
Fig. 7 is the structural representation collecting the full sense switch of expectorant in the present invention;
Fig. 8 is the structural representation of the first collection sputum bottle in the present invention;
Fig. 9 is the structural representation of the second collection sputum bottle in the present invention;
Figure 10 is the use structural representation of suction sputum system in the present invention;
Figure 11 is the structure principle chart of the suction sputum system not with respirator in the present invention;
Figure 12 is the schematic diagram that drawing liquid pump carries out disinfection;
Figure 13 is the schematic diagram that suction sputum vias inner walls arranges nano coating.
In figure: 1 pneumatic duct, 2 airways, 3 aerating gasbags, 4 gas tubes, 5 sputum aspirator tubes, 6 suction sputum passages, 7 person's windpipes, 8 pressure transducers, 9 tee Ts, 10 collection sputum bottles, 11 enter expectorant pipe, 12 go out expectorant pipe, 13 sputum bottle lids, the full sense switch of 14 collection expectorant, 15 microbe filters, 16 drawing liquid inlet pipes, 17 drawing liquid pumps, 18 control circuits, 19 drawing liquids go out pipe, 20 respirators, 21 air inlet pipe, 22 escape pipes, 23 microcontrollers, 24 power modules, 25 clock circuits, 26 motor control modules, 27 drawing liquid pump motors, 28 metal probes, 29 combined socket and switch, 30 metal slots, expectorant chamber is stored up on 31, 32 times storage expectorant chambeies, 33 tapered portion, 34 conical plugs, 35 control boxes, 36 control button, 37 hooks, 38 equipment fixed hooks, 39 packed disinfectant solution, 40 disinfectant solution cavitys, 41 storage cavities, 42 sputum aspirator tube tube walls, 43 nano coatings, 44 hydrones.
Detailed description of the invention
Below in conjunction with accompanying drawing and embodiment, the invention will be further described.
As shown in Figure 1, give the structural representation of automatic suction sputum type artificial airway of the present invention, it comprises pneumatic duct 1, aerating gasbag 3, gas tube 4 and sputum aspirator tube 5, pneumatic duct 1 matches with person's windpipe 7, in trachea plug-in type, come in and gone out in trachea by the oral cavity of patient, when incision is inserted, be inserted in person's windpipe by the cervical region of human body.The inside of pneumatic duct 1 is airway 2, or can gas in incoming call air or respirator 20 by airway 2.Aerating gasbag 3 is arranged at the periphery of pneumatic duct 1, and the upper end of gas tube 4 protrudes from the outer wall of pneumatic duct 1, and lower end is formed among the tube wall of pneumatic duct 1, and gas tube 4 is connected with aerating gasbag 3.Can be inflated aerating gasbag by gas tube 4, after aerating gasbag 3 expands in person's windpipe 7, both can ensure pneumatic duct 1 fixing at person's windpipe 7, and also can avoid the gas overflowing of aerating gasbag 3 bottom.
Sputum aspirator tube 5 is formed in airway 2, is structure as a whole with pneumatic duct 1.The inside of sputum aspirator tube 5 is suction sputum passage 6, and the upper end (top) of suction sputum passage protrudes from the outer wall of pneumatic duct 1, for being connected with sputum aspirator; The lower end (end) of suction sputum passage terminates in the end of pneumatic duct 1, for by the sputum sucking-off in person's windpipe 7.Enter in person's windpipe 7 for the ease of pneumatic duct 1, the end of pneumatic duct 1 is inclined plane, and the end of airway 2 is also inclined plane; And, as the partial enlarged drawing of pneumatic duct end in Fig. 1 that Fig. 2 provides, under the end tilts face of pneumatic duct 1 becomes plumbness situation with horizontal plane, the inclined plane of airway 2 end becomes the angle of 30 ~ 60 ° with horizontal plane, this structure, person's windpipe 7 pairs of pneumatic ducts 1 not only can be avoided to result in blockage, but also be conducive to sputum and enter among suction sputum passage 6.
The diameter of suction sputum passage 6 is unsuitable excessive also unsuitable too small, excessive, and the normal use of meeting airway 2 impacts; Too small, be unfavorable for the outflow of sputum.As shown in Figure 3 and Figure 4, sets forth the structural representation of the first and the second pneumatic duct, the suction sputum passage 6 shown in Fig. 3 is oblong cavity, and it is formed among the tube wall of pneumatic duct 1; Suction sputum passage 6 is as shown in Figure 4 circular cavity, and it is also formed among the tube wall of pneumatic duct 1, and outstanding in airway 2.
As shown in Figure 5, give the structure principle chart of the suction sputum system with respirator in the present invention, it comprises pneumatic duct 1, collection sputum bottle 10, drawing liquid pump 17, control circuit 18 and respirator 20, pneumatic duct 1 enters among person's windpipe 7 by patient oral cavity or cervical region, respirator 20 is connected, for maintaining the breathing of patient by air inlet pipe 21 and escape pipe 22 and pneumatic duct 1.Shown collection sputum bottle 10 be provided with into expectorant pipe 11 and go out expectorant pipe 12, entering expectorant pipe 11 and is communicated with sputum aspirator tube 5 selectivity by tee T 9, so as by the sputum in person's windpipe 7 by suction sputum passage 6, tee T 9, enter expectorant pipe 11 suction and extremely collect in sputum bottle 10.Meanwhile, when person's windpipe 7 needs injection, relative medicine can be injected by tee T 9 in person's windpipe 7; And, when blocking occurs suction sputum passage 6, by tee T 9, suction sputum passage 6 is got through.
Drawing liquid pump 17 is provided with drawing liquid inlet pipe 16 and drawing liquid goes out pipe 19, drawing liquid inlet pipe 16 with go out expectorant pipe 12 and be connected, so that drawing liquid pump 17 is by sputum suction collection sputum bottle 10.Microbe filter 15 is also provided with, with the pipeline avoiding the microorganisms such as the antibacterial in person's windpipe 7, collection sputum bottle 13 in sputum to enter into drawing liquid pump 17 and respirator 20 at drawing liquid inlet pipe 16 and the junction going out expectorant pipe 12; Microbe filter 15 can be made of one structure with going out expectorant pipe 12, and sputum bottle 10 is the same is all disposable medical article with collection.Drawing liquid goes out pipe 19 and is communicated with the air inlet pipe 21 on respirator 20 or escape pipe 22, and like this, the gas that drawing liquid pump 17 is extracted out from person's windpipe 7 flow into again in the recyclegas of respirator 20, avoids the warning of respirator.During suction sputum system works of the present invention, the swing of cilium on person's windpipe 7 inwall, can be pushed to 6 places by sputum; Or accelerate sputum and enter trachea by the base of lung by standing up the clinical conventional physics mode such as buckle back postural drainage and arrive 6, to realize utilizing sputum aspirator tube 5 by sputum sucking-off object.
As shown in Figure 6, give the schematic diagram of control circuit in invention, it comprises microcontroller 23, power module 24, pressure transducer 8, clock circuit 25, controls button 36, collects expectorant full sense switch 14, motor control module 26, drawing liquid pump motor 27; Microcontroller 23 has the effect that signals collecting, data operation and control export, and it can adopt single-chip microcomputer.Power module 24 provides electric energy for the work of whole suction sputum system, and the normal work that clock circuit 25 is microcontroller provides pulse signal.Pressure transducer 8 is arranged on drawing liquid inlet pipe 16, realizes the measurement to pressure in drawing liquid inlet pipe 16; When the negative pressure that pressure transducer 8 detects is too high, illustrate that suction sputum passage 6 blocks, should clear up suction sputum passage 6 in time.
Control button 36 to be connected with the input of microcontroller 23, by controlling the control of button 36, suction sputum system can be made automatically, continuously and between manual mode to switch, and can the parameter under often kind of mode of operation be set.Microcontroller 23 is controlled by motor control module 26 pairs of drawing liquid pump motors 27, and drawing liquid pump motor 27 drives drawing liquid pump 17 to carry out work.
Whether the full sense switch 14 of collection expectorant is arranged at and collection sputum bottle 10 goes out on expectorant pipe 12, full for the sputum in detected set sputum bottle 10.As shown in Figure 7, give the structural representation of the full sense switch of collection expectorant, it is made up of metal probe 28, combined socket and switch 29 and metal slot 30, and two metal probes 28 are parallel to each other, two metal probes 28 are through on the tube wall going out expectorant pipe 12, and close to each other but do not contact.Two metal slots 30 are arranged on combined socket and switch 29, for matching with metal probe.Two metal slots 30 are connected by the input of wire with microcontroller 23, to detect the state between two metal probes 28.When collecting sputum bottle 10 and not filling with sputum, the state that microcontroller 23 detects between two detected metal probes 28 is open-circuit condition; When collecting the sputum collection in sputum bottle 10 and being full, the moisture in sputum can make two metal probes 28 be in conducting state, and microcontroller 23 can send alarm signal after two metal probe 28 conductings being detected, and control drawing liquid pump 17 stops suction sputum work immediately.
As shown in Figure 8, give the structural representation of the first collection sputum bottle in the present invention, it is cylindrical structural, and shown sputum bottle lid 13 can be screwed to the upper end of collection sputum bottle 10 by screw thread, realizes the sealing of collection sputum bottle 10.When collecting sputum bottle 10 and using, sputum bottle lid 13 also can be screwed to top, to prevent loss.After at collection, sputum bottle 10 collects the sputum of patient, by sputum bottle lid 13 tighten sealing after, can censorship be carried out, avoid sputum and easily pollution condition occurs.
As shown in Figure 9, give the structural representation of the second collection sputum bottle in the present invention, it comprises storage expectorant chamber 31, lower storage expectorant chamber 32 and conical plug 34, and the volume in shown lower storage expectorant chamber 32 is greater than the volume in storage expectorant chamber 31, can realize the storage to larger volume sputum.The bottom in upper storage expectorant chamber 31 is tapered portion 33, is provided with conical plug 34 in tapered portion 33; When the sputum in upper storage expectorant chamber 31 is abundant, conical plug 34 meeting is floating and rise, and makes sputum enter into lower storage expectorant chamber 32.Like this, in the process that drawing liquid pump 17 works, only the portion gas in upper storage expectorant chamber 31 need be extracted out, the suction be enough to the sputum sucking-off in suction sputum passage 6 can be produced.
As shown in Figure 10, give the use structural representation of suction sputum system in the present invention, control circuit, drawing liquid pump 17 are all arranged at the inside of control box 35, and multiple control button 36 is arranged on the outer surface of control box 35.Collection sputum bottle 10 can be hung on by hook 37 on the outer wall of control box 35, and control box is also provided with equipment fixed hook.In the process used, control box 35 can hang on sick bed guardrail or respirator by equipment fixed hook, more convenient to use.Control circuit 18 and the drawing liquid pump 17 of control box 35 and its inside are reusable part, integrate sputum bottle 13, artificial airway, microbe filter 15 as disposable product.
As shown in figure 11, give the structure principle chart of the expectorant system not with respirator in the present invention, be applicable to the patient that can not complete respiratory movement by respirator voluntarily, the top of described pneumatic duct 1 is without the need to being connected with respirator 20; The gas that drawing liquid pump 17 is extracted out directly enters in air, and remaining structure is all same as shown in Figure 5.
As shown in figure 12, give the schematic diagram that drawing liquid pump carries out disinfection, shown packed disinfectant solution 39 is made up of disinfectant solution cavity 40 also storage cavities 41, stores disinfectant solution in disinfectant solution cavity 40, and storage cavities 41 is cavity.In the process used, the drawing liquid inlet pipe 16 of drawing liquid pump 17 is connected with disinfectant solution cavity 40, the drawing liquid of drawing liquid pump 17 goes out pipe 19 and is connected with storage chamber 41, start drawing liquid pump 17, by the liquid suction in disinfectant solution cavity 40 in the process of storage cavities 41, namely complete the cleaning and sterilizing of drawing liquid pump pipeline.Other position that need carry out disinfection, adopts chlorine-containing disinfectant wiping.
As shown in figure 13, give the schematic diagram that suction sputum vias inner walls arranges nano coating, shown nano coating 43 is arranged on the inner surface of sputum aspirator tube tube wall 42, size due to hydrone 44 is greater than the distance between adjacent two projections, hydrone cannot adhere on sputum aspirator tube tube wall 42, therefore sputum also cannot adhere on sputum aspirator tube tube wall 42, avoids the effect of sputum blocking suction sputum passage 6.
Suction sputum system of the present invention, in the process of work, according to the concrete condition that patient's sputum generates, is adjusted to different duties by controlling button 36; Such as, under automatic operation mode, drawing liquid pump work x minute can be controlled, stop y minute, run so forth; Under continuous operation mode, can continuous operation 3 minutes; Under manual work pattern, can regulate work and the concrete time stopped, with the demand of satisfied different patient.
Artificial airway of the present invention, avoids existing movable sputum aspirator tube when suction sputum to the stimulation of patient airway's wall, and the damage to tracheal mucosa.When respirator does not remove, suction sputum operation also can be given in time.Due to the sputum aspirator tube without the need to opening aseptic packaging, greatly reducing the waiting time of patient, decreasing the misery of patient.And avoid respirator owing to passing in and out the error generation warning comparatively greatly of gas.
Claims (8)
1. the suction sputum system of an automatic suction sputum type artificial airway formation, described automatic suction sputum type artificial airway comprises the pneumatic duct (1) matched with person's windpipe (7), the inside of described pneumatic duct is airway (2), the gas tube (4) pneumatic duct being provided with aerating gasbag (3) and being connected with aerating gasbag, aerating gasbag is positioned on the outer wall of pneumatic duct; Be provided with sputum aspirator tube (5) in described airway (2), the inside of sputum aspirator tube is suction sputum passage (6); The end of described sputum aspirator tube terminates in the end of pneumatic duct, and the top of sputum aspirator tube is connected with sputum aspirator;
It is characterized in that: described suction sputum system comprises collection sputum bottle (10), drawing liquid pump (17) and control circuit (18), collection sputum bottle is provided with into expectorant pipe (11) and goes out expectorant pipe (12), the inside of collection sputum bottle is the cavity for holding sputum, drawing liquid pump is provided with drawing liquid inlet pipe (16); Enter expectorant pipe to be connected with sputum aspirator tube (5), drawing liquid inlet pipe (16) with go out expectorant pipe (12) and be connected, control circuit controls drawing liquid pump to carry out taking out sputum;
Comprise the respirator (20) for maintaining patient respiratory, respirator is connected with pneumatic duct (1) with escape pipe (22) by air inlet pipe (21); Drawing liquid pump (17) goes out pipe (19) by drawing liquid and is connected with air inlet pipe or escape pipe, and drawing liquid goes out pipe for filling into the gas extracted out from suction sputum passage (6) to respirator gas-circulating system.
2. the suction sputum system of automatic suction sputum type artificial airway formation according to claim 1, it is characterized in that: described suction sputum passage (6), for being formed at circle in pneumatic duct (1) tube wall or oblong cavity, the inwall of suction sputum passage is provided with the nano coating (43) avoiding sputum to adhere to tube wall.
3. the suction sputum system of automatic suction sputum type artificial airway formation according to claim 1 and 2, it is characterized in that: the end of described pneumatic duct (1) is inclined plane, the end of described suction sputum passage (6) is also inclined plane; When the inclined plane of pneumatic duct end becomes plumbness with horizontal plane, the inclined plane of suction sputum channel end becomes the angle of 30 ~ 60 ° with horizontal plane.
4. the suction sputum system of automatic suction sputum type artificial airway formation according to claim 1 and 2, it is characterized in that: described sputum aspirator tube (5) with enter expectorant pipe (11) and be connected by tee T (9), go out expectorant pipe (12) and the junction of drawing liquid inlet pipe (16) be provided with microbe filter (15); Microbe filter is structure as a whole with collection sputum bottle (10).
5. the suction sputum system of automatic suction sputum type artificial airway formation according to claim 1 and 2, it is characterized in that: described control circuit comprises microcontroller (23), pressure transducer (8), collection expectorant full sense switch (14), drawing liquid pump motor (27), microcontroller is connected with drawing liquid pump motor by motor control module (26), and microcontroller is also connected with power module (24), clock circuit (25) and controls button; Described pressure transducer is arranged on drawing liquid inlet pipe (16), and the full sense switch of collection expectorant is arranged at out on expectorant pipe (12), controls button for controlling the mode of operation of drawing liquid pump motor.
6. the suction sputum system of automatic suction sputum type artificial airway formation according to claim 5, it is characterized in that: the full sense switch of described collection expectorant comprises combined socket and switch (29) and is arranged at out two metal probes (28) on expectorant pipe (12), two metal probes penetrate the tube wall in going out expectorant pipe; Combined socket and switch is provided with the metal slot (30) matched with metal probe, metal slot is connected by the input of wire with microcontroller (23); When control circuit detects and has sputum to exist between two metal probes, alarm signal can be sent.
7. the suction sputum system of automatic suction sputum type artificial airway formation according to claim 1 and 2, is characterized in that: the lower storage expectorant chamber (32) that described collection sputum bottle (10) comprises storage expectorant chamber (31) and is connected with upper storage expectorant chamber; The bottom of described upper storage expectorant chamber (31) is tapered portion (33), is provided with conical plug (34) in tapered portion.
8. the suction sputum system of automatic suction sputum type artificial airway formation according to claim 1 and 2, it is characterized in that: comprise the control box (35) being easy to carry and laying, described drawing liquid pump (17), control circuit (18) are all arranged in control box, and described control button (36) is all arranged on control box (35); Described control box being provided with the hook (37) for hanging collection sputum bottle (10), control box being provided with the equipment fixed hook (38) for being suspended on sick bed guardrail or respirator.
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