CN103877656B - The manufacture method of a kind of laryngeal mask, laryngeal mask and the intubation procedure of laryngeal mask - Google Patents

The manufacture method of a kind of laryngeal mask, laryngeal mask and the intubation procedure of laryngeal mask Download PDF

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Publication number
CN103877656B
CN103877656B CN201410139395.3A CN201410139395A CN103877656B CN 103877656 B CN103877656 B CN 103877656B CN 201410139395 A CN201410139395 A CN 201410139395A CN 103877656 B CN103877656 B CN 103877656B
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China
Prior art keywords
air bag
laryngeal mask
pressure transducer
main pipe
pressure
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Expired - Fee Related
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CN201410139395.3A
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CN103877656A (en
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王青威
李永强
袭菲菲
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Jinan No4 People's Hospital
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Jinan No4 People's Hospital
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Abstract

The invention discloses a kind of laryngeal mask, the manufacture method of laryngeal mask and the intubation procedure of laryngeal mask, the outer surface of the air bag of laryngeal mask of the present invention is fixed with pressure transducer, and pressure transducer is connected with display.The manufacture method of laryngeal mask comprises step: pressure transducer is fixed on air bag by (1): air bag is installed on main pipe by (2), is connected by air bag with aerating and exhaust device.The intubation procedure of laryngeal mask comprises step: one end of duct tape air bag is inserted in trachea by (1); (2) to airbag aeration; (3) judge whether trachea blocks, and observes force value simultaneously.Laryngeal mask of the present invention shows safety signal by display, doctor is instructed to control in air bag at most, avoid that tunica mucosa tracheae local pressure is too high causes damage to tracheal wall, laryngeal mask manufacture method of the present invention can make pressure transducer firmly be bonded on air bag, intubation procedure of the present invention can monitor the pressure produced between air bag and tracheal wall, improves processing safety.

Description

The manufacture method of a kind of laryngeal mask, laryngeal mask and the intubation procedure of laryngeal mask
Technical field
The present invention relates to a kind of laryngeal mask, also relate to the manufacture method of laryngeal mask and the intubation procedure of laryngeal mask.
Background technology
At present, outer wall pressure pressure tester when not yet finding to monitor endotracheal tube airbag aeration, the pressure apparatus produced in capsule when only having monitoring to inflate, its reflection is intraluminal pressure, the pressure produced between gasbag ektexine and adjacent tissue can not be shown, after usual intubate during shutoff trachea, doctor needs inflation in conductive pipe air bag, determines aeration quantity by news and air-flow sound, with inaccurate factor and certain blindness, therefore, there is the potential danger of Airway damage, the case of related complication happens occasionally.
Summary of the invention
The technical problem to be solved in the present invention is: provide the laryngeal mask that a kind of safety is good, also provides a kind of manufacture method of aforementioned laryngeal mask and provides a kind of intubation procedure of aforementioned laryngeal mask.
In order to solve the problems of the technologies described above, the present invention includes the aerating and exhaust device of main pipe, air bag and air bag, the outer surface of described air bag is fixed with pressure transducer, and pressure transducer is connected with display.
In order to monitor the pressure between air bag and tracheal wall more accurately, described pressure transducer has four, and circumferentially uniform in gasbag ektexine central authorities of four pressure transducers, four pressure transducers all connect described display.
In order to easy to connect, described pressure transducer is connected with display by holding wire, and holding wire is through air bag, main pipe passing from the rear portion of main pipe, and one end holding wire is exposed at outside main pipe connects display.
The manufacture method of laryngeal mask of the present invention, comprise the steps: that pressure transducer is fixed on air bag by (1): inflate in air bag, keep capsule internal gas pressure at 37-38 millimetres of mercury, the bottom surface of each pressure transducer is coated multiple glue point, the bottom surface of pressure transducer is adhered on air bag, hole on air bag with the drill bit of external diameter the same as holding wire, holding wire is inserted in air bag from hole, then release the gas in air bag; (2) be installed on main pipe by air bag, one end holding wire is exposed at outside main pipe, through air bag, main pipe passing from the rear portion of main pipe, is connected display, is connected by air bag with aerating and exhaust device by holding wire.
The intubation procedure of laryngeal mask of the present invention, comprises the steps: that one end of duct tape air bag is inserted in trachea by (1), (2) slowly inflate in air bag, air bag expands extruding trachea gradually, (3) judge whether trachea blocks by inspecting pulmonary's expansion status and observing trachea blocking effect with stethoscope, the force value of each pressure transducer of observation display display simultaneously, when trachea has blocked well and the detected pressures maximum of display display pressure transducer is less than 35 millimetres of mercury, close the aerating and exhaust device of air bag, stop inflation, intubate completes, when trachea also do not block detected pressures that is good and display display pressure transducer have be more than or equal to 35 millimetres of mercury time, stop inflation, step (1) is again performed after searching reason, and (3) (2).
The invention has the beneficial effects as follows: laryngeal mask of the present invention is mainly used in Intubation patient, can monitor after intubate endotracheal tube airbag aeration blockade trachea time and the external pressure that produces of adjacent tissue's organ, safety signal is shown by display, doctor is instructed to control in air bag at most, control the safe pressure between air bag and tracheal wall, avoid that tunica mucosa tracheae local pressure is too high causes damage to tracheal wall, pressurized time as long in tunica mucosa tracheae, local blood supply disorder, tunica mucosa tracheae necrosis is caused to come off, cause tracheal stenosis or tracheomalacia, even cause the complication such as patient's death by suffocation.Laryngeal mask manufacture method of the present invention can make pressure transducer firmly be bonded on air bag, difficult drop-off.Intubation procedure of the present invention can monitor the pressure produced between air bag and tracheal wall, improves processing safety, can obviously reduce tracheal intubation complication.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention.
In figure: 1, pressure transducer, 2, air bag, 3, main pipe, 4, aerating and exhaust device, 5, display.
Detailed description of the invention
A kind of laryngeal mask as shown in Figure 1, comprise the aerating and exhaust device 4 of main pipe 3, air bag 2 and air bag 2, the outer surface of air bag 2 is fixed with pressure transducer 1, pressure transducer 1 is connected with display 5.Pressure transducer 1 preferably arranges four, and circumferentially uniform in air bag 2 outer wall central authorities of four pressure transducers 1, four pressure transducers 1 all connect described display 5.Certainly, pressure transducer 1 also can arrange several more or arrange several less.Pressure transducer 1 is connected with display 5 by holding wire, and holding wire is through air bag 2, main pipe 3 passing from the rear portion of main pipe 3, and one end holding wire is exposed at outside main pipe 3 connects display 5.Pressure transducer 1 and display 5 also can adopt wireless connections.What pressure transducer 1 adopted is microsensor, such as can adopt the diffusion silicon pressure sensor that Hangzhou STI Micro-Electronics Co., Ltd. is raw.
The manufacture method of aforementioned laryngeal mask, comprise the steps: that pressure transducer 1 is fixed on air bag 2 by (1): inflate in air bag 2, keep capsule internal gas pressure at 37-38 millimetres of mercury, the bottom surface of each pressure transducer 1 is coated multiple glue point, the bottom surface of pressure transducer 1 is adhered on air bag 2, hole on air bag 2 with the drill bit of external diameter the same as holding wire, holding wire is inserted from hole in air bag 2, then release the gas in air bag 2; (2) air bag 2 is installed on main pipe 3 by (2), and one end holding wire is exposed at outside main pipe 3, through air bag 2, main pipe 3 passing from the rear portion of main pipe 3, is connected display 5, is connected by air bag 2 with aerating and exhaust device 4 by holding wire.Because holding wire is inserted in air bag 2 bonding pressure sensor 1 and boring under the state of inflation, thus make air bag 2 pressure transducer 1 difficult drop-off when repeating inflation/deflation, and the splicing position of holding wire not easily leaks gas when air bag 2 normally uses.
The intubation procedure of aforementioned laryngeal mask, comprises the steps: that main pipe 3 one end with air bag 2 is inserted in trachea by (1), (2) slowly inflate in air bag 2, air bag 2 expands gradually and extrudes trachea, and gasbag ektexine extrudes inner surface of trachea generation pressure from low to high gradually, until complete shutoff air flue, can show force value from display, (3) judge whether trachea blocks by inspecting pulmonary's expansion status and observing trachea blocking effect with stethoscope, how to judge the being common practise in this area, the qualified doctor of these section office all can judge, the force value of each pressure transducer 1 of observation display 5 display simultaneously, when trachea blocked detected pressures maximum that good and display 5 shows pressure transducer 1 be less than 35 millimetres of mercury time, close the aerating and exhaust device 4 of air bag 2, stop inflation, when trachea also do not block detected pressures that good and display 5 shows pressure transducer 1 have be more than or equal to 35 millimetres of mercury time, stop inflation, reason can be searched, need to revise if any reason, searching reason is whether digital examination one equipment connects correctly, whether display has fault, search the conventional means that reason is the industry, or take safeguard procedures, avoid the generation of intubate complication, improve patient safety, so that next time is intubate smoothly, and then perform step (1), and (3) (2).
In catheterization procedure: when tracheal diameter has variation or catheter position is amesiality in trachea, in airbag inflation process, then have one side first contact tracheal wall, now show pressure lower, in air bag expands gradually, balloon positions can adjustment be placed in the middle automatically, raise gradually along with contact area increases pressure, until whole obstructing airways, now four pressure monitoring points all with tracheal wall close contact.
This intubation procedure can find the safe and effective pressure of shutoff trachea by monitoring, and can in use monitoring observation pressure condition at any time.This monitoring method may be used in high and low pressure air bag, equal effective and safe, and in this kind of more current capsule in monitoring aspect, monitoring method is safer, accurate and effective.

Claims (1)

1. a manufacture method for laryngeal mask, described laryngeal mask comprises the aerating and exhaust device of main pipe, air bag and air bag, and the outer surface of described air bag is fixed with pressure transducer, and pressure transducer is connected with display, described pressure transducer has four, circumferentially uniform in gasbag ektexine central authorities of four pressure transducers, and four pressure transducers all connect described display, described pressure transducer is connected with display by holding wire, holding wire is through air bag, main pipe also passes from the rear portion of main pipe, one end holding wire is exposed at outside main pipe connects display, it is characterized in that: described method comprises the steps: that pressure transducer is fixed on air bag by (1): inflate in air bag, keep capsule internal gas pressure than capsule outer air pressure height 37-38 millimetres of mercury, the bottom surface of each pressure transducer is coated multiple glue point, the bottom surface of pressure transducer is adhered on air bag, hole on air bag with the drill bit of external diameter the same as holding wire, holding wire is inserted in air bag from hole, then the gas in air bag is released, (2) be installed on main pipe by air bag, one end holding wire is exposed at outside main pipe, through air bag, main pipe passing from the rear portion of main pipe, is connected display, is connected by air bag with aerating and exhaust device by holding wire.
CN201410139395.3A 2014-04-09 2014-04-09 The manufacture method of a kind of laryngeal mask, laryngeal mask and the intubation procedure of laryngeal mask Expired - Fee Related CN103877656B (en)

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CN106001016B (en) * 2016-05-20 2019-07-12 宁波行泰环保科技有限公司 A kind of dust-removing device of band inflation pipe close
CN107041799A (en) * 2017-02-08 2017-08-15 上海纽脉太惟医疗科技有限公司 The micro pressure sensing device of sacculus radial expansion force can be measured in real time
CN108853671A (en) * 2018-05-18 2018-11-23 浙江简成医疗科技有限公司 pressure monitoring laryngeal mask
CN110269594A (en) * 2019-06-18 2019-09-24 济南市第四人民医院 A kind of coronary flow reserve fraction measurement system

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US6266548B1 (en) * 1995-12-22 2001-07-24 Wolfram Lamade Indotracheal tube
CN1565379A (en) * 2003-06-18 2005-01-19 魏蔚 Trachea monitoring method and device for medical use

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US7077812B2 (en) * 2002-11-22 2006-07-18 The Board Regents Of The University System Apparatus and method for palpographic characterization of vulnerable plaque and other biological tissue
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Publication number Priority date Publication date Assignee Title
US6266548B1 (en) * 1995-12-22 2001-07-24 Wolfram Lamade Indotracheal tube
CN1565379A (en) * 2003-06-18 2005-01-19 魏蔚 Trachea monitoring method and device for medical use

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