With auxiliary sounding valve function it is flushable can the anti-error suction of suction sputum autogenous cutting intubation
Technical field
The invention belongs to medical instruments field, and in particular to one kind with auxiliary sounding valve function it is flushable can suction sputum it is anti-error
The autogenous cutting intubation of suction.
Background technology
Cervical trachea cuts in tracheotomy system, is put into autogenous cutting intubation, and tracheotomy is to release the property breathing of larynx source
Difficult, breathing function is not normal or lower respiratory tract secretion is detained a kind of caused dyspneic common surgical.
Medical field at home, to the Conscious Patients of tracheotomy, in order to be able to make it speak, simple way is to use cork
Temporarily closure is intubated body entrance for plug, cotton rod, adhesive plaster etc., if making good progress, pulls out its sleeve pipe in the short time;Otherwise, seal
Plugging overlong time, can cause Chronic anoxic, influence the important organ functions such as brain, the heart, lung.If in addition, thick sputum, no
Energy expectoration, forms phlegm scab, then has the danger of asphyxia.But to allow tracheotomy patients, in the case where not pulling out intubation body
Speak and be but difficult to realize.
In order to realize the concern with humanization to tracheotomy sufferer, sufferer is not only allowed more to be relaxed when carrying autogenous cutting intubation
Suitable safety, autogenous cutting intubation, which should be realized, can prevent from inhaling by mistake, again convenient cleaning, should also be easy to suction sputum, oxygen supply to supply medicine and opening
Speak.Applied for that one kind was spoken valve, Patent No. 201320313970.8, available in this patent before applicant.But
In research process, it is more reasonable that applicant devises another structure, and air valve opening and closing flexibly, be difficult gas leakage, function-stable
Property more preferably elastic sounding valve, also be adapted for using by patent.
The content of the invention
The technical problems to be solved by the invention be to provide it is a kind of with auxiliary sounding valve function it is flushable can suction sputum it is anti-error
The autogenous cutting intubation of suction, can make the patient for implementing tracheotomy while being breathed using autogenous cutting cannula-assisted, can also accomplish
Timely suction sputum, prevent from inhaling by mistake, more convenient oxygen supply is talked for medicine and sounding.Second technical problem of the solution of the present invention is can be real
The air-flow heating now sucked to patient.
The technical solution adopted for the present invention to solve the technical problems is:There is provided a kind of auxiliary sounding valve function that carries can rush
Wash can the anti-error suction of suction sputum autogenous cutting intubation, it is characterised in that including intubation body, intubation body include insertion end and external end;
The first air bag and the second air bag are set gradually on the tube wall at built-in end from outside to inside, the first air bag and the second air bag connect respectively
One gas tube and the second gas tube;Open up unidirectional to outside pipe on the tube wall of intubation body between the first air bag and the second air bag
The valve of unlatching;Also include sputum aspirator tube, sputum aspirator tube is located in intubation body, and one end of sputum aspirator tube passes the insertion end of intubation body
And suction sputum mouthful is connected, the other end of sputum aspirator tube passes the external end connection suction connector of intubation body;In the outer of intubation body
End sets sounding valve and oxygen supply to supply medicine interface.
It is of the present invention with auxiliary sounding valve function it is flushable can the anti-error suction of suction sputum autogenous cutting intubation, it is characterised in that
Described sounding valve is built-in sounding valve, and described built-in sounding valve includes valve body and insertion tube, in being set in valve body
Axle, the suit activity valve on axis;Annular or radial blend stop, annular and radial blend stop are set on the outer face of valve body
Air admission hole is surrounded, inner in axis sets ventilation ring, and passage is set on ventilation ring;Insertion tube is elastic material, valve body
Insertion tube is connected, and inserts and is fixed in the external end of intubation body by insertion tube;Insertion tube UNICOM passage;When using
When person exhales, movable valve is attached on the inside of the outer face of valve body, and air admission hole can be sheltered from completely, is intubated intrinsic air-flow
It can not enter extraneous by built-in sounding valve;When the wearer inhales the air, movable valve is attached to the inner side of ventilation ring, movable flap
Film not exclusively blocks passage, and extraneous air-flow can be entered in intubation body by air admission hole, passage and insertion tube.
Gas port is opened up on the external end of intubation body, the mounting converter on gas port, the external end of intubation body passes through
Converter connects sounding valve and oxygen supply supplies medicine interface.
Converter is sleeved on the external end of intubation body in a ring;Sounding valve and oxygen supply are radial, logical for medicine interface
Sealing ring is crossed on converter;Around intubation body rotation converter, sounding valve can connect gas in turn with oxygen supply for medicine interface
Mouthful.
Converter is sleeved on the external end of intubation body in a tubular form;Sounding valve and oxygen supply for medicine interface in " one " font,
Installed on the switch by sealing ring;Converter is moved left and right along intubation body, sounding valve and oxygen supply can be in turn for medicine interface
Connect gas port.
Sounding valve is valve of speaking.
Sounding valve is that elasticity is spoken sounding valve, and elasticity sounding valve of speaking includes tubular shell, pacifies in one end of tubular shell
The elastic check valve of dress, the other end of tubular shell is connector;Elastic one-way valve includes air inlet, with intake port shape identical
Cock body, cock body is arranged in tubular shell by elastic device;Elastic device includes helical spring, " C " type spring or elastic thread.
Filter is set in tubular shell, and filter includes filtering sponge or activated carbon granule.
Also include airflow heating device, airflow heating device is sleeved on the external end of intubation body;Airflow heating device
Including entering compression ring and flatulence ring, entering between compression ring and flatulence ring to set the gas column of more than three;Compression ring enters in gas column one end UNICOM,
The other end of gas column connects flatulence ring by valve;Air inlet, air inlet connection source of the gas are set on compression ring is entered;On flatulence ring
Pressure-sensitive vent valve is set, and when the air pressure in flatulence ring reaches preset upper limit value, pressure-sensitive vent valve is opened, and discharges gas pressure;
When the air pressure in flatulence ring reaches preset lower limit value, pressure-sensitive vent valve is closed.
The inner side of gas column is heat-conducting metal material, and the outside of gas column is heat-insulated plastic rubber material;When gas column is inflated, outside
Side dilatancy, the heat that inner side conduction compressed gas is produced is heated to being intubated on the tube wall of body to pipe interior air-flow.
The beneficial effects of the invention are as follows:
1st, the present invention can be realized that order implements the patient of tracheotomy while being breathed using autogenous cutting cannula-assisted,
It can accomplish to carry out suction sputum expectoration by the suction sputum mouthful of sputum aspirator tube and bell mouth shape in time, the second air bag is being inflated the same of tracheal wall
When, closing tracheae prevents from inhaling by mistake;Using also can be taken off cleaning and sterilizing, hygienic and convenient after a period of time.Meanwhile, the present apparatus is more convenient
Oxygen supply is talked for medicine and sounding, and because oxygen supply can not possibly be carried out for medicine and sounding speech simultaneously, and frequently in intubation body
The device that difference in functionality is installed in upper plug can bring discomfort to patient again, therefore using converter sounding valve and oxygen supply can be made to supply
Medicine interface is opened and closed in turn, two kinds of functions is easily switched, design experience more hommization.
2nd, when patient is during medication or oxygen uptake, need not such as speak function, simultaneously can fill the first air bag and the second air bag
Gas, so intubation body is supported by two air bags to tracheal wall, and intubation can be made more to consolidate, and the first air bag and the
Valve is closed by two air bags, can prevent patient from surprisingly opening valve in activity, causes to suck thing by mistake to tracheae;Use bullet
Property speak sounding valve when, connect intubation body gas port after, by the first air bag deflation shrink, when the patient inhales, elasticity is spoken
Received in the cock body of sounding valve, air inlet is opened, elastic one-way valve is opened, air-flow through respiratory tract can enter lung by intubation body;
During expiration, cock body compresses closure air inlet, and elastic one-way valve is closed, and valve of the air-flow through unidirectionally opening of exhalation crosses vocal cords, by
Mouth and nose are breathed out, and such vocal cords are vibrated, you can sounding is spoken.Patient is without extracting or blocking intubation body, you can exhaled one
One inhale between, the intake and sounding for smoothly completing oxygen are spoken, and are used conveniently and safely, make patient can clearly express itself wish and
Treatment impression, not only helps medical rehabilitation, moreover it is possible to lift the mood index and quality of life of patient.The sounding valve arrangement is relatively said
Talk about that valve is relatively reliable, unlike valve of speaking before requires higher to the material of film, once film stress deformation or for some reason
Can not flatten can not accomplish completely enclosed air-inlet grille, cause failure of apparatus.Double bolloon sets not only order intubation safety and firmness,
And dual opening and closing insurance can be played a part of to valve, filled in addition, whether nursing staff need to only observe the first gas tube and be in
Gaseity, you can judge whether patient can speak, on the scene even without nursing staff, patient also can voluntarily be turned on and off speaking
Function.
3rd, in normal state, elastic device connects and controls cock body, when the suction by patient breaths, is received in cock body
Air inlet can be opened, conversely, when exhaling, cock body blocks air inlet under the control of spring assembly again.Elastic device includes spiral
Spring, " C " type spring or elastic thread, different types of spring assembly can be selected as needed, to be adapted to different size or class
The valve of speaking of type provides the elastic tensioning power of cock body.
The 4th, filter is set in tubular shell, and filter includes filtering sponge or activated carbon granule, filter
The impurity such as the dust foreign matter in efficiency filtering patient's suction gas, improve breathing quality.
5th, it is set with airflow heating device at the external end of intubation body.The inner side of the gas column of airflow heating device is heat conduction gold
Belong to material, the outside of gas column is heat-insulated plastic rubber material;When gas column is inflated, lateral expansion is deformed without dissipated heat, interior
The heat that side conduction compressed gas is produced is heated to being intubated on the tube wall of body to pipe interior air-flow.Produced by compressed air
Heat, is heated to the air-flow that patient sucks, even if patient can be made in the winter of cold weather, progress open air fortune that also can be appropriate
It is dynamic, beneficial physical and mental health.
6th, built-in sounding valve can effectively save device take up space and weight, and structure more refine, it is practical, make
With working well, while effectively helping the patient to do pronunciation practice, usage experience is more comfortable.
7th, structural refinement of the present invention, suitable for practicality, production cost is relatively low, suitably in the industry cycle popularizes.
Brief description of the drawings
Fig. 1 is the structural representation of the embodiment of the present invention one;
Fig. 2 is the use state structural representation of embodiment one;
Fig. 3 is the structural representation of the embodiment of the present invention two;
Fig. 4 is the use state structural representation of embodiment two;
Fig. 5 is the structural representation of valve of speaking;
Fig. 6 is Fig. 5 A to structural representation;
Fig. 7 is Fig. 6 B-B direction structural representation;
Fig. 8 is the structural representation of elastic sounding valve of speaking(" C " type spring structure);
Fig. 9 is the cock body and spring assembly attachment structure schematic diagram of elastic sounding valve of speaking(" C " type spring structure);
Figure 10 is the structural representation of elastic sounding valve of speaking(Helical spring structure);
Figure 11 is the cock body and spring assembly attachment structure schematic diagram of elastic sounding valve of speaking(Helical spring structure);
Figure 12 is the structural representation of airflow heating device;
Figure 13 is Figure 12 C to structural representation;
Figure 14 is Figure 13 D-D to structural representation;
Figure 15 is the structural representation of the embodiment of the present invention four;
Figure 16 is the use state schematic diagram of the embodiment of the present invention four;
Figure 17 is the structural representation of built-in sounding valve in the embodiment of the present invention four;
Figure 18 is the structural representation of the ventilation ring of built-in sounding valve;
In figure:1st, suction connector;2nd, it is intubated body;3rd, sounding valve;4th, sputum aspirator tube;5th, neck fixator;6. conversion
Device;7th, oxygen supply supplies medicine interface;8th, the first gas tube;9th, gas port;10th, suction sputum mouthful;11st, the second air bag;12nd, tubular shell;13、
Air inlet;14th, film;15th, reinforcement;16th, connector;17. air-inlet grille;18th, air inlet;19th, cock body;20th, connector;
21st, tubular shell;22nd, filter;" 23. C " type spring;24th, helical spring;25th, the second gas tube;26th, the first air bag;
27th, valve;28th, air inlet;29th, pressure-sensitive vent valve;30;Valve;31;Gas column;32nd, compression ring is entered;33rd, source of the gas;34th, flatulence ring;
35th, built-in sounding valve;36th, air admission hole;37th, axis, 38, blend stop;39th, movable valve;40th, ventilation ring;41st, insertion tube;42、
Passage;43rd, valve body.
Embodiment
The present invention is described in further detail with embodiment below in conjunction with the accompanying drawings.
Embodiment one
As illustrated in fig. 1 and 2, in the present invention, intubation body 2 includes insertion end and external end.At the built-in end of intubation body 2
Tube wall on set gradually the first air bag 26 and the second air bag 11 from outside to inside, the first air bag 26 and the second air bag 11 are connected respectively
First gas tube 25 and the second gas tube 8;Opened up on the tube wall of intubation body 2 between the first air bag 26 and the second air bag 11
The valve 27 unidirectionally opened to outside pipe;Also include sputum aspirator tube 4, sputum aspirator tube 4 is located in intubation body 2, and one end of sputum aspirator tube 4 is passed
It is intubated the insertion end of body 2 and connects suction sputum mouthful 10, the other end of sputum aspirator tube 4 passes the external end connection suction of intubation body 2
Connector 1.Gas port 9 is opened up on the external end of intubation body 2, the mounting converter 6 on gas port 9 is intubated the external end of body 2
Sounding valve 3 is connected by converter 6 and oxygen supply supplies medicine interface 7.
Converter 6 of the present invention in a ring, is sleeved on and is intubated on the external end of body 2.Sounding valve 3 and oxygen supply supply medicine
Interface 7 is radial, be arranged on by sealing ring on converter 6;Around the intubation rotation converter 6 of body 2, sounding valve 3 and oxygen supply
Gas port 9 can be connected in turn for medicine interface 7.
Sounding valve 3 can be using the valve of speaking as shown in Fig. 5,6 and 7.The valve of speaking has been applied and patented power.
Its structure is sketched at this:One-way vent valve is installed in one end of tubular shell 12, the other end of tubular shell 12 is connector
16.The air inlet 13 of one-way vent valve, which is arranged on the end of tubular shell 12, air inlet 13, installs air-inlet grille 17, air inlet grille
Grid 17 are radially.Film 14 is located in tubular shell 12, is made up of elastic soft materials such as silica gel.The center solid point of film 14
On the Radial centrc point for being scheduled on air-inlet grille 17, air inlet 9 can be completely covered when flattening in film 14 from inside.In tubular shell 12
Interior setting reinforcement 15, effectively can prevent the present apparatus to be forced crimp.
When patient is during medication or oxygen uptake, need not such as speak function, can simultaneously by the first air bag and the second airbag aeration,
So intubation body is supported by two air bags to tracheal wall, and intubation can be made more to consolidate, and the first air bag and second
Valve is closed by air bag, can prevent patient from surprisingly opening valve in activity, causes to suck thing by mistake to tracheae.When speaking,
After the gas port 9 that the connector 16 for valve of speaking is connected to intubation body 2, the first air bag 26, when the patient inhales, film 14 are shunk
Inside folding deformation, air inlet 13 is opened, and air-flow can enter lung through respiratory tract;During expiration, film 14 is on air-inlet grille 17
Flattening completely, will be completely covered air inlet from inside, and one-way vent valve is closed, valve of the air-flow through unlatching of exhalation, by vocal cords,
Breathed out by mouth and nose, such vocal cords are vibrated, you can sounding is spoken.
By experimental study, applicant also invented another sounding valve 3, i.e. elasticity and speak sounding valve.The sounding valve knot
Structure is relatively reliable compared with valve of speaking, unlike valve of speaking before requires higher to the material of film 14, once the stress of film 14
Completely enclosed air-inlet grille 17 can not be accomplished by deforming or can not flattening for some reason, cause failure of apparatus.Elasticity is spoken sounding valve
Structure is:As shown in FIG. 8 and 9, elastic one-way valve is installed in one end of tubular shell 21, the other end of tubular shell 21 is connection
Mouth 20.Elastic one-way valve includes air inlet 18, and with the shape identical cock body 19 of air inlet 18, cock body 19 is installed by elastic device
In tubular shell 21.Elastic device is " C " type spring 23.As shown in FIG. 10 and 11, in the present embodiment, also can be by elasticity dress
" C " the type spring 23 put replaces with helical spring 24, and remaining structure is constant.
Filter 22 is set in tubular shell 21.Filter 22 is filtering sponge or activated carbon granule, filtering dress
The impurity such as the dust foreign matter that 22 efficiencies filtering patient is sucked in gas are put, breathing quality is improved.
Using elasticity speak sounding valve when, connect intubation body 2 gas port 9 after, shrink the first air bag.Work as patient breaths
When, cock body 19 is interior to be received, and air inlet 18 is opened, and elastic one-way valve is opened, and air-flow can enter lung through respiratory tract;During expiration, cock body
19 compress closure air inlet 18, and elastic one-way valve is closed, and valve of the air-flow through unlatching of exhalation, by vocal cords, is breathed out by mouth and nose,
So vocal cords are vibrated, you can sounding is spoken.Patient is without extracting or blocking intubation body, you can exhaled one between a suction,
The intake and sounding for smoothly completing oxygen are spoken, and are used conveniently and safely, and make patient clearly to express itself wish and treatment impression,
Not only help medical rehabilitation, moreover it is possible to lift the mood index and quality of life of patient.
Embodiment two
As shown in Figures 3 and 4, converter 6 is sleeved on the external end of intubation body 2 in a tubular form;Sounding valve and oxygen supply supply medicine
Interface 7 is arranged on converter 6 in " one " font, by sealing ring;Move left and right converter 6 along intubation body 2, sounding valve and
Oxygen supply can connect gas port 9 in turn for medicine interface 7.Remaining structure and application method be the same as Example one, are repeated no more.
Embodiment three
Airflow heating device is set with the external end of intubation body.
As shown in figs. 12-14, airflow heating device is included into compression ring 32 and flatulence ring 34, is entering compression ring 32 and flatulence ring 34
Between set four gas columns 31;Compression ring 32 enters in one end UNICOM of gas column 31, and the other end of gas column 31 connects flatulence ring by valve 30
34. air inlet 28 is set on compression ring 32 is entered, the connection source of the gas 33 of air inlet 28.Pressure-sensitive vent valve 29 is set on flatulence ring 34,
When the air pressure in flatulence ring 34 reaches preset upper limit value, pressure-sensitive vent valve 29 is opened, and discharges gas pressure;When 34 in flatulence ring
Air pressure when reaching preset lower limit value, pressure-sensitive vent valve 29 is closed, and continues the process that air compresses heat production.
The inner side of gas column 31 is heat-conducting metal material, and the outside of gas column is heat-insulated plastic rubber material(See grey portion in figure
Point);When gas column 31 is inflated, lateral expansion deformation(Dotted portion is the form of gas column lateral expansion after inflation).It is intubated body 2
Insert into compression ring 32 and flatulence ring 34, and the middle chamber encircled a city by gas column 31 therebetween, the metal material of the inner side of gas column 31
The heat that matter conduction compressed gas is produced is heated to being intubated on the tube wall of body 2 to pipe interior air-flow, and gas column 31 is laterally
A small amount of deformation is produced, the current path of intubation body 2 will not be extruded.By compressed air heat production, the air-flow sucked to patient
Heated, even if patient can be made in the winter of cold weather, carry out outdoor exercises that also can be appropriate, beneficial physical and mental health.
Example IV,
As shown in figures 15-16, described sounding valve is built-in sounding valve 35.As shown in FIG. 17 and 18, it is described built-in
Formula sounding valve 35 includes valve body 43 and insertion tube 41, and axis 37 is set in valve body 43, the suit activity valve 39 on axis 37;
Annular blend stop 38 is set on the outer face of valve body 4.(Or it is radial, structure shown in figure is annular), blend stop 38 surrounds air inlet
Hole 36, inner in axis 37 sets ventilation ring 40, and passage 42 is set on ventilation ring 40;Insertion tube 41 is elastic material,
Valve body 43 connects insertion tube 41, and inserts and be fixed in the external end of intubation body 2 by insertion tube 41;The UNICOM of insertion tube 41
Passage 42.
When the wearer exhales the air, movable valve 39 is attached on the inside of the outer face of valve body 43, and air inlet can be sheltered from completely
Air-flow in hole 36, intubation body 1 can not enter extraneous by built-in sounding valve 35, thus make patient can sounding speak;
When the wearer inhales the air, movable valve 39 is attached to the inner side of ventilation ring 40, and movable valve 39 not exclusively blocks passage 42, outside
The air-flow on boundary can be entered in intubation body 2 by air admission hole 36, passage 42 and insertion tube 41, patient respiratory can be made smooth.
Built-in sounding valve 35 can effectively save device take up space and weight, and structure more refine, it is practical, make
With working well, while effectively helping the patient to do pronunciation practice, usage experience is more comfortable.
It is pointed out that above-mentioned embodiment is only the preferred embodiment of the invention, for the common of the art
For technical staff, on the premise of operation principle of the present invention is met, any equivalent or similar replacement each falls within the present invention's
In protection domain.