CN105107069A - Atomization and sputum aspiration integrated device particularly suitable for unconscious patient - Google Patents

Atomization and sputum aspiration integrated device particularly suitable for unconscious patient Download PDF

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Publication number
CN105107069A
CN105107069A CN201510634714.2A CN201510634714A CN105107069A CN 105107069 A CN105107069 A CN 105107069A CN 201510634714 A CN201510634714 A CN 201510634714A CN 105107069 A CN105107069 A CN 105107069A
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atomization
sputum
tube
sputum aspirator
atomizer
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CN105107069B (en
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刘春香
韦涌初
汪莉
梁艺
石娟
谢作华
卢淑妹
梁家芝
凌洁
陈立霜
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Second Peoples Hospital of Nanning
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Second Peoples Hospital of Nanning
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Abstract

The invention provides an atomization and sputum aspiration integrated device particularly suitable for an unconscious patient. The atomization and sputum aspiration integrated device comprises an atomizer body, a body support, a crossed four-way joint, a sputum aspiration assembly, a telescopic hose, a gas outlet and a liquid medicine bottle, wherein the liquid medicine bottle is communicated with the atomizer body through an infusion tube, the infusion tube is provided with a water stopping clip, the atomization outlet of the atomizer body is connected with a lower connector of the crossed four-way joint, a left connector of the crossed four-way joint is connected with one end of the telescopic hose, and the other end of the telescopic hose is connected with the gas outlet; a right connector of the crossed four-way joint is connected with the sputum aspiration assembly, and an upper connector of the crossed four-way joint is connected with a respirator. When atomization and sputum aspiration treatment are conducted on the unconscious patient through the atomization and sputum aspiration integrated device, real-time maintenance of a nurse is not needed in the atomization treatment process; during sputum aspiration treatment, sputum on the tube wall of a trachea can be sucked thoroughly without rotating a sputum aspiration tube, the patient acceptance is higher, and trachea mucosa is not prone to damage; thus, by using and popularizing the atomization and sputum aspiration integrated device, workloads can be effectively reduced for the nurse, and work efficiency is improved.

Description

A kind of atomization suction sputum integrated device being specially adapted to coma patient
Technical field
The present invention relates to atomization and sputum aspirator, specifically a kind of atomization suction sputum integrated device being specially adapted to coma patient, belongs to technical field of medical instruments.
Background technology
The critical patient of patients with severe brain injury stupor usually needs to carry out tracheal intubation operation and ensures the unimpeded of its respiratory tract.Tracheal intubation inserts from patient's mouth, operate comparatively simple, but the time of its indwelling in patient airway is generally unsuitable long, when patient lies in a comatose condition for a long time, for the ease of nursing and being more conducive to suction sputum, also need to do tracheotomy in patient's neck, tracheal casing pipe is inserted tracheal strips, with alternative tracheal intubation.No matter be tracheal intubation or tracheotomy operation, it all changes the normal channel that gas enters respiratory tract while treatment patient, destroy normal physiological function and the system of defense of respiratory mucosa cilium system, make the gas of suction without heating, humidifying process and directly enter lower respiratory tract, cause respiratory tract humidity deficit, ciliary movement weakens, expectoration difficulties, easily cause respiratory tract infection, reduce the compliance of lung.As formed expectorant crust clogs airways, dyspnea will be caused or suffocate, the life security of serious threat patient.For this reason for tracheal intubation or patients accepted tracheotomy, we need to give in time atomization and suction sputum treatment, with humidifying airway, reduce airway secretions alluvial, blocking, thus effectively minimizing Airway Complications and pulmonary infection occur.
But it is difficult especially to do atomization inspiration treatment to the tracheal intubation of stupor or patients accepted tracheotomy with existing nebulizer, because no matter the gas outlet of existing nebulizer is difficult to articulate or face shield all can not match with the tracheal casing pipe interface of the tracheal intubation interface of patient's mouth or patient's neck, coma patient face upward recumbency accept treatment time, nurse needs hand-held nebulizer that the tracheal intubation of patient or the entry position of tracheal casing pipe are aimed in its gas outlet, also will buttress nebulizer body at any time makes it be in upright duty, tilt to avoid nebulizer body or stand upside down, cause atomizing particle few, the phenomenon of atomizing effect difference.And atomization and suction sputum treatment is general needs interspersed carrying out, namely suction sputum will be carried out after being atomized certain hour, suction sputum separated in time re-starts atomization again, nurse needs to change nebulizer and sputum aspirator back and forth, not only the interface of tracheal intubation or tracheal casing pipe is easily contaminated brings out pulmonary infection, and work is very loaded down with trivial details.And existing sputum aspirator limit by structure, in order to the sputum on trachea tube wall be blotted only, when suction sputum, nurse also needs constantly to rotate sputum aspirator tube, and it is very inconvenient to operate, and patient can feel sick and feels bad very much, also easily damages tunica mucosa tracheae.Therefore with existing nebulizer and sputum aspirator to giving the tracheal intubation of stupor or patients accepted tracheotomy is atomized and suction sputum treatment, the workload of nurse and operating pressure are all very large, and work efficiency is also comparatively low.
Summary of the invention
In order to solve the problem, to liberate and to alleviate workload and the pressure of nurse, increase work efficiency, the invention provides a kind of atomization suction sputum integrated device being specially adapted to coma patient, its concrete technical scheme adopted is as follows:
A kind of atomization suction sputum integrated device being specially adapted to coma patient, it is characterized in that: comprise nebulizer body, main body rack, cross four-way, suction sputum assembly, bellows, gas outlet and medicinal liquid bottle, wherein medicinal liquid bottle is connected with nebulizer body by tube for transfusion, tube for transfusion is also furnished with tongs, the atomisation outlet of nebulizer body connects the lower interface of cross four-way, the left interface of cross four-way connects one end of bellows, and the other end of bellows connects gas outlet; The right interface of described cross four-way connects suction sputum assembly, and upper interface, for connecting respirator, when not needing to connect respirator, being furnished with corresponding lid and closing it.
Described gas outlet comprises pipe joint and loudspeaker nozzle, wherein one end of pipe joint connects bellows, the other end is flexibly connected loudspeaker nozzle by buckle, loudspeaker nozzle can around pipe joint axial rotation, the outside of loudspeaker nozzle is provided with two symmetrical binder hanging rings, and the inner surface of loudspeaker nozzle is provided with one deck rubber blanket.
Described nebulizer body comprises atomizing cup, atomizer, atomization lid and supply air line, is wherein fixed with a circle magnet ring outside atomizing cup, and the side of atomizing cup is also provided with tube for transfusion interface and is connected with tube for transfusion; Described main body rack is the U-shaped bearing of an irony, and the rear of U-shaped bearing is fixedly connected with one and embraces folder; Nebulizer body is seated on the U-shaped bearing of main body rack by the adhesive effect of magnet ring is upright.
The Bei Di center of described atomizing cup is provided with a hollow trapezoidal cylindric jet base raised up, be connected with supply air line at the bottom of the lower interface of jet base passes glass, the end face of jet base closes and end face center is provided with jet orifice, atomizer removable cover is on jet base, its base is supported at the bottom of atomizing cup cup, clearance channel is equipped with as fluid course between atomizer inwall and jet base outer wall and at the bottom of atomizer base and atomizing cup cup, atomizer end face center is provided with orifice, orifice is positioned at directly over the jet orifice of jet base, and the aperture of orifice is greater than jet orifice aperture, described atomization lid is threaded connection above atomizing cup, its lid end face is provided with atomisation outlet, lid inside top surface a hemispherical atomization block by four support plate fixed bearings to downward-extension, atomization block is positioned at directly over the orifice of atomizer, the lower end of four support plates is also provided with draw-in groove and forms location and top pressure to atomizer, and the jet length between limiting bottom orifice to atomization block dome-type, to obtain good atomizing effect.
Sheath is surrounded by outside the sputum aspirator tube of described suction sputum assembly, sputum aspirator tube head is not fixed, afterbody is fixedly connected with sputum aspirator access mouth together with the tail end of sheath, sputum aspirator access mouth is also provided with pressing type negative pressure controller, the head end of sheath is connected with plug receptacle, whether plug receptacle rear is provided with inserted sheet switch and cleaning interface, stretched into by inserted sheet on-off control sputum aspirator tube head; Sputum aspirator tube head mouth of pipe sidewall is provided with multiple auxiliary sucker, a mini vibrator is also provided with above auxiliary sucker, mini vibrator is close to sputum aspirator tube inwall and is installed and be partially submerged within inwall, to ensure that it can not result in blockage to sputum aspirator tube, microoscillator adopts Copper Foil formula line powering, this circuit to be close on sputum aspirator tube inwall and to extend back along sputum aspirator tube, until outwards drawn from the side of sputum aspirator access mouth by connector, described Copper Foil formula circuit skin also scribbles the corrosion resistant insulating barrier of one deck, prevents the erosion of sputum.
Atomization suction sputum integrated device of the present invention is fixed on transfusion pole by arranging main body rack by upright for nebulizer body, and design a universal horn-like gas outlet, for the various tracheal intubation of different bore or the entrance of tracheal casing pipe, all can mate connection well, use this device to stupor tracheal intubation or patients accepted tracheotomy is atomized and suction sputum treatment time, after each parts are connected, nebulae inhalation process does not need nurse to safeguard in real time, and when suction sputum is treated, sputum aspirator tube is only needed correctly to stretch into the degree of depth suitable in patient's trachea, then slowly extract out, owing to being provided with mini vibrator, sputum aspirator tube end can realize slight vibration at tracheal strips, do not need to rotate sputum aspirator tube the sputum on trachea tube wall to be blotted only yet, patient's acceptance is better, also be not easy to damage tunica mucosa tracheae, and the vibration of mini vibrator can also effectively dredge sputum aspirator tube head, it is avoided to be blocked by sticky sputum.The present invention is also provided with medicinal liquid bottle and tongs, can supply atomizing cup repeatedly use a medicinal liquid bottle dosing, be atomized and suction sputum treatment is interspersed carry out time, do not need nurse repeatedly to open tedious work that atomizing cup carries out dosing.Therefore promote the use of apparatus of the present invention, effectively can alleviate the workload of nurse, improve its work efficiency.Compare with Conventional nebulizer in addition, the nebulizer body internal structure of this device is improved, and its atomizing effect is better.
Accompanying drawing explanation
Fig. 1 is the overall structure schematic diagram that the present invention is atomized suction sputum integrated device.
Fig. 2 is the parts explosion after Fig. 1 removes medicinal liquid bottle and tube for transfusion part.
Fig. 3 is the amplification view of nebulizer body.
Fig. 4 is the top view of main body rack.
Fig. 5 is the schematic perspective view of gas outlet.
Fig. 6 is the part view sub-anatomy of Fig. 5.
Fig. 7 is the schematic diagram of sputum aspirator tube head.
In figure: 1-nebulizer body, 2-main body rack, 21-U shape bearing, 22-embraces folder, 3-cross four-way, 4-bellows, 5-gas outlet, 51-pipe joint, 52-loudspeaker nozzle, 53-binder hanging ring, 54-rubber blanket, 6-suction sputum assembly, 61-plug receptacle, 62-inserted sheet switch, 63-cleans interface, 64-sheath, 65-sputum aspirator tube, 651-assists sucker, 652-vibrating motor, 653-Copper Foil formula circuit, 66-negative pressure controller, 67-sputum aspirator access mouth, 68-connector, 7-atomizing cup, 71-magnet ring, 72-tube for transfusion interface, the jet base of 73-, 8-atomizer, 9-is atomized lid, 91-atomisation outlet, 92-is atomized block, 93-support plate, 94-draw-in groove, 10-medicinal liquid bottle, 11-tube for transfusion, 12-tongs, 13-supply air line.
Detailed description of the invention
Below in conjunction with accompanying drawing, the present invention will be further described.
As Figure 1-3, this atomization suction sputum integrated device comprises nebulizer body 1, main body rack 2, cross four-way 3, suction sputum assembly 6, bellows 4, gas outlet 5 and medicinal liquid bottle 10, wherein medicinal liquid bottle 10 is connected with nebulizer body 1 by tube for transfusion 11, tube for transfusion 11 is also furnished with tongs 12, the atomisation outlet 91 of nebulizer body 1 connects the lower interface of cross four-way 3, the left interface of cross four-way 3 connects one end of bellows 4, and the other end of bellows 4 connects gas outlet 5; The right interface of described cross four-way 3 connects suction sputum assembly 6, and upper interface, for connecting respirator, when not needing to connect respirator, being furnished with corresponding lid and closing (not shown in FIG.) it.
As shown in Figure 2, Figure 5 and Figure 6, described gas outlet 5 comprises pipe joint 51 and loudspeaker nozzle 52, wherein one end of pipe joint 51 connects bellows 4, the other end is flexibly connected loudspeaker nozzle 52 by buckle, loudspeaker nozzle 52 can around pipe joint 51 axial rotation, the outside of loudspeaker nozzle 52 is provided with two symmetrical binder hanging rings 53, and the inner surface of loudspeaker nozzle 52 is provided with one deck rubber blanket 54.
As shown in Figure 3, described nebulizer body 1 comprises atomizing cup 7, atomizer 8, atomization lid 9 and supply air line 13, and be wherein fixed with a circle magnet ring 71 outside atomizing cup 7, the side of atomizing cup 7 is also provided with tube for transfusion interface 72 and is connected with tube for transfusion 11; As shown in Figure 4, described main body rack 2 is the U-shaped bearing 21 of an irony, and the rear of U-shaped bearing 21 is fixedly connected with one and embraces folder 22; Nebulizer body 1 is seated on the U-shaped bearing 21 of main body rack 2 by the adhesive effect of magnet ring 71 is upright.
As shown in Figures 2 and 3, the Bei Di center of described atomizing cup 7 is provided with a hollow trapezoidal cylindric jet base 73 raised up, be connected with supply air line 13 at the bottom of the lower interface of jet base 73 passes glass, the end face of jet base 73 closes and end face center is provided with jet orifice, atomizer 8 removable cover is on jet base 73, its base is supported at the bottom of atomizing cup 7 glasss, clearance channel is equipped with as fluid course between atomizer 8 inwall and jet base 73 outer wall and at the bottom of atomizer 8 base and atomizing cup 7 glasss, atomizer 8 end face center is provided with orifice, orifice is positioned at directly over the jet orifice of jet base 73, and the aperture of orifice is greater than jet orifice aperture, described atomization lid 9 is threaded connection above atomizing cup 7, its lid end face is provided with atomisation outlet 91, lid inside top surface a hemispherical atomization block 92 by four support plate 93 fixed bearings to downward-extension, atomization block 92 is positioned at directly over the orifice of atomizer 8, the lower end of four support plates 93 is also provided with draw-in groove 94 pairs of atomizers 8 and forms location and top pressure, and the jet length between limiting bottom orifice to atomization block 92 dome-type, to obtain good atomizing effect.
As shown in Figure 2 and Figure 7, sheath 64 is surrounded by outside the sputum aspirator tube 65 of described suction sputum assembly 6, sputum aspirator tube 65 head is not fixed, afterbody is fixedly connected with sputum aspirator and accesses mouth 67 together with the tail end of sheath 64, sputum aspirator access mouth 67 is also provided with pressing type negative pressure controller 66, the head end of sheath 64 is connected with plug receptacle 61, and whether plug receptacle 61 rear is provided with inserted sheet switch 62 and cleaning interface 63, control sputum aspirator tube 65 head stretch into by inserted sheet switch 62, sputum aspirator tube 65 head mouth of pipe sidewall is provided with multiple auxiliary sucker 651, a mini vibrator 652 is also provided with above auxiliary sucker 651, mini vibrator 652 is close to sputum aspirator tube 65 inwall and is installed and be partially submerged within inwall, to ensure that it can not result in blockage to sputum aspirator tube 65, microoscillator 652 adopts Copper Foil formula circuit 653 to power, this circuit 653 to be close on sputum aspirator tube 65 inwall and to extend back along sputum aspirator tube 65, until outwards drawn from the side of sputum aspirator access mouth 67 by connector 68, described Copper Foil formula circuit 653 skin also scribbles the corrosion resistant insulating barrier of one deck, prevent the erosion of sputum.
The present invention is atomized suction sputum integrated device in use, comprises the following steps:
1), by main body rack 2 be clamped on the transfusion pole body of rod, the medicinal liquid bottle 10 installing medicinal liquid is hung over above transfusion pole.
2), nebulizer body 1, cross four-way 3, suction sputum assembly 6, bellows 4, gas outlet 5 and supply air line 13 assemble, by the upper interface of the interface of respirator access cross four-way 3, then nebulizer body 1 is fixed on main body rack 2.
3), for the patient using tracheal casing pipe after tracheotomy, be each passed through the binder hanging ring 53 outside gas outlet loudspeaker nozzle 52 with two bandages and around to patient's neck rear tighten, the rubber blanket 54 inside loudspeaker nozzle 52 be against on the entrance of tracheal casing pipe; For the patient of tracheal intubation, gas outlet loudspeaker nozzle 52 can be passed through the direct tighten of binder on the entrance of tracheal intubation.Because loudspeaker nozzle 52 can axial rotation, when being independently shifted appears in coma patient sometimes, loudspeaker nozzle 52 can be followed and be forwarded corresponding angle to, makes bellows 4 can not occur seriously to bend phenomenon, avoids being atomized airway obstruction.
4), with tube for transfusion 11 connect medicinal liquid bottle 10 and atomizing cup 7, control to flow into the liquid medicine amount needed for atomizing cup 7 nebulae inhalation, the entrance of supply air line 13 is connected to source of oxygen, opens air supply valve by tongs 12, adjustment supply gas pressure, can carry out nebulae inhalation.
5), after primary atomization treatment terminates, start to carry out suction sputum treatment, the sputum aspirator of suction sputum assembly 6 access mouth 67 is connected with sputum aspirator, inserted sheet switch 62 is opened, sputum aspirator tube 65 is stretched into position suitable in patient's trachea behind cross four-way 3, bellows 4, gas outlet 5, switches on power and make mini vibrator 652 pairs of sputum aspirator tube 65 heads carry out slight vibration, start sputum aspirator, sputum aspirator tube 65 is slowly outwards extracted out, can suction sputum treatment be carried out.
6), suction sputum complete after separated in time, again control to flow into the liquid medicine amount needed for atomizing cup 7 nebulae inhalation by tongs 12, carry out secondary-atomizing treatment, so repeat, can realize the interspersed treatment of atomization and suction sputum, whole therapeutic process need not repeatedly dosing.

Claims (4)

1. one kind is specially adapted to the atomization suction sputum integrated device of coma patient, it is characterized in that: comprise nebulizer body (1), main body rack (2), cross four-way (3), suction sputum assembly (6), bellows (4), gas outlet (5) and medicinal liquid bottle (10), wherein medicinal liquid bottle (10) is connected with nebulizer body (1) by tube for transfusion (11), tube for transfusion (11) is also furnished with tongs (12), the atomisation outlet (91) of nebulizer body (1) connects the lower interface of cross four-way (3), the left interface of cross four-way (3) connects one end of bellows (4), the other end of bellows (4) connects gas outlet (5), the right interface of described cross four-way (3) connects suction sputum assembly (6), and upper interface is for connecting respirator,
Described gas outlet (5) comprises pipe joint (51) and loudspeaker nozzle (52), wherein one end of pipe joint (51) connects bellows (4), the other end is flexibly connected loudspeaker nozzle (52) by buckle, loudspeaker nozzle (52) can around pipe joint (51) axial rotation, the outside of loudspeaker nozzle (52) is provided with two symmetrical binder hanging rings (53), and the inner surface of loudspeaker nozzle (52) is provided with one deck rubber blanket (54);
Described nebulizer body (1) comprises atomizing cup (7), atomizer (8), atomization lid (9) and supply air line (13), wherein atomizing cup (7) outside is fixed with a circle magnet ring (71), and the side of atomizing cup (7) is also provided with tube for transfusion interface (72) and is connected with tube for transfusion (11); Described main body rack (2) is the U-shaped bearing (21) of an irony, and the rear of U-shaped bearing (21) is fixedly connected with one and embraces folder (22); Nebulizer body (1) is seated on the U-shaped bearing (21) of main body rack (2) by the adhesive effect of magnet ring (71) is upright.
2. atomization suction sputum integrated device according to claim 1, it is characterized in that: the Bei Di center of described atomizing cup (7) is provided with a hollow trapezoidal cylindric jet base (73) raised up, be connected with supply air line (13) at the bottom of the lower interface of jet base (73) passes glass, the end face of jet base (73) closes and end face center is provided with jet orifice, atomizer (8) removable cover is on jet base (73), its base is supported at the bottom of atomizing cup (7) cup, clearance channel is equipped with as fluid course between atomizer (8) inwall and jet base (73) outer wall and at the bottom of atomizer (8) base and atomizing cup (7) cup, atomizer (8) end face center is provided with orifice, orifice is positioned at directly over the jet orifice of jet base (73), and the aperture of orifice is greater than jet orifice aperture, described atomization lid (9) is threaded connection in atomizing cup (7) top, its lid end face is provided with atomisation outlet (91), lid inside top surface dome-type atomization block (92) by four support plate to downward-extension (93) fixed bearings, and atomization block (92) is positioned at directly over the orifice of atomizer (8).
3. atomization suction sputum integrated device according to claim 2, it is characterized in that: the lower end of described four support plates (93) is also provided with draw-in groove (94) and forms location and top pressure to atomizer (8), and limit orifice to the jet length between being atomized bottom block (92) dome-type.
4. atomization suction sputum integrated device according to claim 1, it is characterized in that: outside the sputum aspirator tube (65) of described suction sputum assembly (6), be surrounded by sheath (64), sputum aspirator tube (65) head is not fixed, afterbody is fixedly connected with sputum aspirator and accesses mouth (67) together with the tail end of sheath (64), sputum aspirator access mouth (67) is also provided with pressing type negative pressure controller (66), the head end of sheath (64) is connected with plug receptacle (61), plug receptacle (61) rear is provided with inserted sheet switch (62) and cleaning interface (63), control sputum aspirator tube (65) head by inserted sheet switch (62) whether to stretch into, sputum aspirator tube (65) head mouth of pipe sidewall is provided with multiple auxiliary sucker (651), a mini vibrator (652) is also provided with in auxiliary sucker (651) top, mini vibrator (652) is close to sputum aspirator tube (65) inwall and is installed and be partially submerged within inwall, microoscillator (652) adopts Copper Foil formula circuit (653) power supply, this circuit (653) to be close on sputum aspirator tube (65) inwall and to extend back along sputum aspirator tube (65), until outwards drawn from the side of sputum aspirator access mouth (67) by connector (68), described Copper Foil formula circuit (653) skin also scribbles the corrosion resistant insulating barrier of one deck.
CN201510634714.2A 2015-09-30 2015-09-30 A kind of atomization suction sputum integrated device suitable for coma patient Active CN105107069B (en)

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CN105771041A (en) * 2016-03-07 2016-07-20 西安交通大学第二附属医院 Multifunctional nebulization-administration sputum-suction cleaning device for otorhinolaryngological department
CN107899113A (en) * 2017-12-21 2018-04-13 钱稳 360 ° of Multifunction mist haustoriums
CN108542563A (en) * 2018-06-07 2018-09-18 四川大学华西医院 Medical oral cavity humidifying suction drier

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CN107899113A (en) * 2017-12-21 2018-04-13 钱稳 360 ° of Multifunction mist haustoriums
CN107899113B (en) * 2017-12-21 2020-05-12 钱稳 360-degree multifunctional atomization oxygen inhaler
CN108542563A (en) * 2018-06-07 2018-09-18 四川大学华西医院 Medical oral cavity humidifying suction drier
CN108542563B (en) * 2018-06-07 2023-11-21 四川大学华西医院 Medical oral cavity humidifying and sucking device

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