CN105148365A - Leech bionic ventilation laryngeal mask - Google Patents
Leech bionic ventilation laryngeal mask Download PDFInfo
- Publication number
- CN105148365A CN105148365A CN201510518420.3A CN201510518420A CN105148365A CN 105148365 A CN105148365 A CN 105148365A CN 201510518420 A CN201510518420 A CN 201510518420A CN 105148365 A CN105148365 A CN 105148365A
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- hirudo
- bionical
- laryngeal mask
- cushion
- ring
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- 238000009423 ventilation Methods 0.000 title abstract description 13
- 241000545744 Hirudinea Species 0.000 title abstract 6
- 239000011664 nicotinic acid Substances 0.000 title abstract 6
- 238000007789 sealing Methods 0.000 claims abstract description 47
- 210000004704 glottis Anatomy 0.000 claims abstract description 22
- 241000237903 Hirudo Species 0.000 claims description 110
- 210000004877 mucosa Anatomy 0.000 claims description 36
- 230000001413 cellular effect Effects 0.000 claims description 21
- 238000013022 venting Methods 0.000 claims description 14
- 210000003300 oropharynx Anatomy 0.000 claims description 10
- 239000000463 material Substances 0.000 claims description 8
- 230000029058 respiratory gaseous exchange Effects 0.000 claims description 8
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 4
- 239000000499 gel Substances 0.000 claims description 4
- 239000000741 silica gel Substances 0.000 claims description 4
- 229910002027 silica gel Inorganic materials 0.000 claims description 4
- 239000007787 solid Substances 0.000 claims description 3
- 210000000867 larynx Anatomy 0.000 claims description 2
- 210000004400 mucous membrane Anatomy 0.000 abstract 1
- 239000002344 surface layer Substances 0.000 abstract 1
- 210000000214 mouth Anatomy 0.000 description 52
- 239000007788 liquid Substances 0.000 description 6
- 238000004519 manufacturing process Methods 0.000 description 5
- 239000007779 soft material Substances 0.000 description 5
- 230000006378 damage Effects 0.000 description 4
- 230000007423 decrease Effects 0.000 description 4
- 210000002249 digestive system Anatomy 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 210000004872 soft tissue Anatomy 0.000 description 4
- 206010016766 flatulence Diseases 0.000 description 3
- 238000005399 mechanical ventilation Methods 0.000 description 3
- 210000002345 respiratory system Anatomy 0.000 description 3
- 230000028327 secretion Effects 0.000 description 3
- 238000010521 absorption reaction Methods 0.000 description 2
- 239000000853 adhesive Substances 0.000 description 2
- 230000001070 adhesive effect Effects 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 230000009699 differential effect Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000001035 gastrointestinal tract Anatomy 0.000 description 2
- 239000011796 hollow space material Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 210000003296 saliva Anatomy 0.000 description 2
- 210000002784 stomach Anatomy 0.000 description 2
- 206010020565 Hyperaemia Diseases 0.000 description 1
- 206010021133 Hypoventilation Diseases 0.000 description 1
- 206010036790 Productive cough Diseases 0.000 description 1
- 208000007123 Pulmonary Atelectasis Diseases 0.000 description 1
- 208000005392 Spasm Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 208000006673 asthma Diseases 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 230000006837 decompression Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 230000002526 effect on cardiovascular system Effects 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 230000001815 facial effect Effects 0.000 description 1
- 230000009931 harmful effect Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000002955 isolation Methods 0.000 description 1
- 238000010030 laminating Methods 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
- 238000001179 sorption measurement Methods 0.000 description 1
- 210000003802 sputum Anatomy 0.000 description 1
- 208000024794 sputum Diseases 0.000 description 1
- 230000003519 ventilatory effect Effects 0.000 description 1
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- Respiratory Apparatuses And Protective Means (AREA)
Abstract
The invention discloses a leech bionic ventilation laryngeal mask comprising a connector used for connecting with a breath channel, a ventilation laryngeal mask conduit, a ventilation laryngeal mask body, and a leech bionic cushion used for contacting the throat wall at the periphery of human glottis in a sealing mode during ventilation. The leech bionic cushion comprises a ring-like base and ring-like suction surface, the ring-like base almost clings to the shape of the throat wall at the periphery of human glottis, and the ring-like suction surface is used for closely contacting the throat wall at the periphery of human glottis. When the leech bionic ventilation laryngeal mask is used, the surface layer provided with the ring-like suction surface can be attached to the mucous membrane of the throat wall at the periphery of human glottis by continuous negative pressure, so optimal sealing can be provided during ventilation. The leech bionic ventilation laryngeal mask is good in sealing during ventilation, safe and reliable, air leakage and aspiration can be thoroughly prevented.
Description
Technical field
The present invention relates to a kind of breather laryngeal mask, the bionical breather laryngeal mask of especially a kind of Hirudo, belongs to the technical field of medical apparatus and instruments.
Background technology
Breather laryngeal mask is one of ventilation consumptive material commonly used at present, has many advantages: (1) uses simple, can set up artificial airway rapidly; (2) be placed to power high, the success rate of unbred medical personnel is 87%, total success rate 99.81%; (3) ventilation is reliable; (4) throat and tunica mucosa tracheae damage is avoided; (5) stimulate little, cardiovascular response is little; (6) air flue when can be used for first aid is set up.
The principle of current all laryngeal mask sealings is compressing sealing, the compressing tightly of throat wall contact site is enclosed outdoors on patient's throat wall by the laryngeal mask of soft material and patient's surround, in order to increase sealing, the method for employing is: (1) uses more soft material; (2) moulding to laryngeal mask cover body apery body structure, laryngeal mask cover body and human body surround are enclosed outdoors and the throat wall of glottis offside is fitted more; (3) air bag is set looking in body, utilizes that the good degree of variation of the plasticity of air bag is high adapts to different human dissection structures.But no matter adopt which kind of method, to enclose outdoors and offside is fixedly astable fixing because of laryngeal mask and surround, laryngeal mask, very easily because of displacement bias, causes laryngeal mask and throat wall to produce gap, and then causes seals to decline.
The use success or failure of laryngeal mask are decided by the sealing of laryngeal mask, when sealing is not enough, following consequence can occur: (1) mechanical ventilation hourglass conductance causes hypoventilation; (2) during mechanical ventilation, gas leakage enters digestive tract and causes gastral cavity flatulence; (3) Digestive system is caused to backflow after gastral cavity flatulence; (4) mouth intracavity liquid (saliva, the Digestive system etc. of refluence) inflow respiratory tract causes respiratory tract spasm; (5) mouth intracavity liquid (saliva, the Digestive system etc. of refluence) inflow pulmonary causes asthma or pulmonary atelectasis.
Summary of the invention
The object of the invention is to overcome the deficiencies in the prior art, there is provided a kind of Hirudo bionical breather laryngeal mask, at breather laryngeal mask and patient's throat wall contact surface, sucker face is set, make class Ring like suction disc face tightly be adsorbed on patient's surround by vacuum suction and enclose mucosa outdoors, seal isolation is effective, and structure is simple, cost is low, convenient fixing is reliable, laborsavingly saves trouble, safe and reliable.
According to technical scheme provided by the invention, the bionical breather laryngeal mask of described a kind of Hirudo comprise breathing interface for being connected with breathing pipeline with breathe laryngeal mask snorkel that sealing joint is communicated with, with the laryngeal mask airway seal of tube be communicated with for holding in the glottis level of bottleneck throat and the laryngeal mask cover body that encloses outdoors at surround of cover cap and top and cover body cover mouth be tightly connected in use for sealing the bionical cushion of Hirudo of the class annular contacted with the throat wall mucosa that surround encloses outdoors.The bionical cushion bottom of described Hirudo arranges profile and substantially fits in use for sealing with the throat wall mucosa that human body surround encloses outdoors the class Ring like suction disc face contacted with the throat wall surface structure that surround encloses outdoors.Described class Ring like suction disc face is communicated with the outer suction catheter be arranged on the bionical cushion of Hirudo, and described outer suction catheter tail end is communicated with the attraction interface arranging and be used for being connected with medical negative pressure suction pipe.The laryngeal mask cover body of the bionical breather laryngeal mask of described Hirudo inserts space in human body oropharynx larynx, and after the bionical cushion ring of described Hirudo covers on the throat wall mucosa of glottis periphery, when described attraction interface is communicated with medical negative pressure suction, the class Ring like suction disc face being arranged on the bionical cushion bottom of Hirudo is attracted to by negative pressure the throat wall mucosa that surround encloses outdoors, makes the bionical cushion of Hirudo and can be close to the throat wall mucosa that surround encloses outdoors to be isolated from the outside cover body inner space.
Described class Ring like suction disc face inner ring edge part arranges the inner ring diaphragm seal circle of soft quality class annular.
Outer ring, described class Ring like suction disc face edge part arranges the outer ring diaphragm seal circle of soft quality class annular.
Described class Ring like suction disc face comprises the cellular annular circle body of the solid netted class sponge structure of setting the Hirudo being arranged on class annular bionical cushion lower surface, described cellular annular circle body is arranged on the midline position of Hirudo bionical cushion annular major axis, and the width of cellular annular circle body is less than the width of Hirudo bionical cushion class annular lower surface.
Described class Ring like suction disc face comprises the sucker mouth that some depressions are arranged on top layer, Hirudo bionical cushion bottom, and each sucker mouth is around the cushion venting cavity of the bionical cushion hollow of Hirudo of class annular.Each sucker mouth is communicated with the outer suction catheter be arranged on the bionical cushion of Hirudo by being arranged on suction catheter in the bionical cushion of Hirudo.
Described sucker mouth comprises class Ring like suction disc mouth, and all kinds of Ring like suction disc mouth, around the cushion venting cavity parallel arranged of hollow, is isolated mutually.
Described sucker mouth comprises rectangular sucker mouth, and each strip sucker mouth is staggered around the cushion venting cavity of hollow is parallel, isolates mutually.
The air bag of class annular is set along major axis in the bionical cushion of described Hirudo.
The hardness of the bionical cushion of described Hirudo and class Ring like suction disc plane materiel material is less than the hardness of human body mucosa, comprises silica gel, gel etc.
Run through the bionical cushion of breather, cover body and Hirudo and arrange gastral cavity relief pipe, described gastral cavity relief pipe opening is arranged on the bionical cushion head end of Hirudo, and export department is arranged on breather tail end.
Advantage of the present invention: class Ring like suction disc face and patient's surround can be made when ventilating to enclose mucosa outdoors by connection negative pressure and be close to absorption, make laryngeal mask cover body interior or exterior space every sealing from effect, avoid leaking gas, inhaling and gastral cavity flatulence by mistake, simply, cost is low, safe and reliable for structure.
Accompanying drawing explanation
Fig. 1 is structural representation of the present invention;
Fig. 2 is the structural representation that the present invention arranges gastral cavity relief pipe;
Fig. 3 is the structural representation of the bionical cushion of Hirudo of the present invention;
Fig. 4 be class Ring like suction disc face of the present invention be set to spongy body look up structural representation;
Fig. 5 is the side-looking structural representation that class Ring like suction disc face of the present invention is set to spongy body;
Fig. 6 be class Ring like suction disc face of the present invention some class Ring like suction disc mouths are set look up structural representation;
Fig. 7 be class Ring like suction disc face of the present invention be set to some strip shape sucker mouths look up structural representation;
Fig. 8 is the side schematic view arranging air bag in the bionical cushion of Hirudo of the present invention.
Description of reference numerals: 1-breathes interface, 2-breather, 3-cover body, the bionical cushion of 4-Hirudo, 41-cushion venting cavity, 5-class Ring like suction disc face, 50-cellular annular circle body, and in 51-inner ring diaphragm seal, 52-outer ring diaphragm seal, 61-class Ring like suction disc mouth, the rectangular sucker mouth of 62-, 71-, suction catheter, the outer suction catheter of 72-, 73-attract interface, 8-air bag and 9-gastral cavity relief pipe.
Detailed description of the invention
Below in conjunction with concrete accompanying drawing, the invention will be further described.
As shown in Figures 1 and 2, the bionical breather laryngeal mask of described a kind of Hirudo, comprise breathing interface 1 for being connected with breathing pipeline with breathe laryngeal mask snorkel 2 that sealing joint is communicated with, with laryngeal mask snorkel 2 seal be communicated with for holding in the glottis level of bottleneck throat and the laryngeal mask cover body 3 that encloses outdoors at surround of cover cap and top and cover body cover mouth be tightly connected in use for sealing the bionical cushion 4 of Hirudo of the class annular contacted with the throat wall mucosa that surround encloses outdoors.
Wherein, breathe the apokoinou construction that interface 1, laryngeal mask snorkel 2 and laryngeal mask cover body 3 is current all laryngeal masks, all laryngeal mask cover body 3 bottoms all arrange the class annular sealing member for sealing.The seal of some laryngeal mask cover body 3 bottoms is set to the annular air-pocket being with gas tube, and other are set to annular gasket.Bottom the oropharynx cavum laryngis of during use, the seal of laryngeal mask and laryngeal mask cover body 3 being inserted patient, after location-appropriate, the housing outer surface of the cover body 3 of similar upside down funnel shape holds on the throat wall mucosa of glottis offside, makes the bell mouth shape peristome of funnel-form cover body 3 put at patient's glottis peripheral around cover.Now, on the throat wall mucosa that seal cover cap encloses outdoors at patient's surround.Like this, the hollow space of cover body 3 funnel structure shrouds the whole glottis of patient, and the housing of cover body 3 struts the bottleneck throat soft tissue of glottis offside, and the seal of annular sticks contact ring provides sealing around the cover body 3 that the bottleneck throat soft tissue of glottis is laryngeal mask.The use success or failure of laryngeal mask are decided by that can the seal of annular provide enough sealings for laryngeal mask.
In the present invention, described annular sealing member is the bionical cushion 4 of Hirudo of class annular, in like manner, during use, bionical for the Hirudo of bionical for described Hirudo breather laryngeal mask head end cushion 4 and cover body 3 are inserted bottom the oropharynx cavum laryngis of patient, after location-appropriate, the housing outer surface of the cover body 3 of similar upside down funnel shape holds on the throat wall mucosa of glottis offside, makes the bell mouth shape peristome of funnel-form cover body 3 put at patient's glottis peripheral around cover.Now, on the throat wall mucosa that Hirudo bionical cushion 4 cover cap encloses outdoors at patient's surround.Now, the hollow space of cover body 3 funnel structure shrouds the whole glottis of patient, and the housing of cover body 3 struts the bottleneck throat soft tissue of glottis offside, and the bionical cushion of Hirudo 4 sticks contact ring and provides basic sealing around the cover body 3 that the bottleneck throat soft tissue of glottis is laryngeal mask.
For increasing the sealing that the bionical cushion 4 of Hirudo provides for laryngeal mask further, described Hirudo bionical cushion 4 bottom arranges profile and substantially fits in use for sealing with the throat wall mucosa that human body surround encloses outdoors the class Ring like suction disc face 5 contacted with the throat wall surface structure that surround encloses outdoors.The class Ring like suction disc face 5 that the throat wall surface structure that profile and surround enclose outdoors is fitted substantially can for providing the sealing on basis when the bionical cushion 4 of Hirudo is fitted with bottleneck throat mucosa.
As shown in Figure 3, described class Ring like suction disc face 5 is communicated with the outer suction catheter 72 be arranged on the bionical cushion of Hirudo 4, and described outer suction catheter 72 tail end is communicated with the attraction interface 73 arranging and be used for being connected with medical negative pressure suction pipe.During use, described attraction interface 73 is communicated with medical negative pressure suction.Under suction function, the class Ring like suction disc face 5 of Hirudo bionical cushion 4 bottom is attracted to the throat wall mucomembranous surface that surround encloses outdoors, the bionical cushion 4 of soft Hirudo is out of shape and the throat wall mucosa that surround sound encloses outdoors can be close to, thus the free surrounding space of cover body 3 inner space and mouth and throat is isolated.In order to reach this effect, the material hardness that the bionical cushion 4 of described Hirudo and class Ring like suction disc face 5 use preferably is less than the hardness of human body mucosa, comprises silica gel, gel etc.
During concrete enforcement, described class Ring like suction disc face 5 is preferably arranged on the midline position of the bionical cushion of Hirudo 4 times category annular major axis, the width in class Ring like suction disc face 5 is less than the width of Hirudo bionical cushion 4 class annular lower surface, and the top layer of the equal indwelling proper width in Hirudo bionical cushion 4 class annular lower surface outside in class Ring like suction disc face 5 is not set to class Ring like suction disc face 5.Like this, during actual use, class Ring like suction disc face 5 is attracted to the throat wall mucomembranous surface that surround encloses outdoors, cushion venting cavity 41 is positioned at glottis front position, the cushion top layer of Hirudo bionical cushion 4 lower surface outside indwelling in class Ring like suction disc face 5 can be pulled the throat wall mucomembranous surface sticking on class Ring like suction disc face 5 outer edge that surround encloses outdoors, plays good sealing function.
During concrete enforcement, class Ring like suction disc face 5 is higher with human body bottleneck throat surface texture laminating degree, and the pressure of negative pressure is larger, and class Ring like suction disc face 5 is more soft, and the bionical cushion of Hirudo 4 just can provide more superior sealing for laryngeal mask cover body 3.During concrete enforcement, the hardness of described Hirudo bionical cushion 4 class Ring like suction disc face 5 material is preferably less than the hardness of human body mucosa, comprises silica gel, gel etc.Like this, under negative-pressure adsorption, class Ring like suction disc face 5 distortion of the bionical cushion 4 of Hirudo is adsorbed on throat wall, instead of throat wall mucosa distortion lift abuts in surface, class Ring like suction disc face 5, avoids negative pressure to cause damage to throat wall mucosa.
During actual fabrication, for the ease of being bonded with cover body 3 by bionical for described Hirudo cushion 4, described Hirudo bionical cushion 4 top can be set to smooth cover body adhesive surface, and corresponding cover body 3 bottom also should be set to smooth adhesive surface.Certainly, bonding is the optimal way that is tightly connected with cover body 3 of the bionical cushion 4 of Hirudo just, can also adopt buckle, inlay, the mode such as ultrasonic curing, is tightly connected with cover body 3 as long as can reach the bionical cushion 4 of Hirudo.
As shown in Figure 4 and Figure 5, described class Ring like suction disc face 5 comprises the cellular annular circle body 50 of setting the solid netted class sponge structure being arranged on class annular Hirudo bionical cushion 4 lower surface.
Described cellular annular circle body 50 is communicated with the outer suction catheter 72 be arranged on the bionical cushion of Hirudo 4, can be communicated with by the attraction interface 73 being arranged on outer suction catheter 72 tail end with the Medical negative pressure seal of tube.Certainly, the outer edge of cellular annular circle body 50 should arrange sealing ring, after attraction interface 73 is communicated with the Medical negative pressure seal of tube, sealing ring can be avoided leaking gas and occur, cellular annular circle body 50 cellular space distortion under suction function is reduced, the throat wall mucomembranous surface making the sunken contraction of cellular annular circle body 50 be close to surround to enclose outdoors, plays preferably sealing function.
Described cellular annular circle body 50 is preferably arranged on the midline position of the bionical cushion of Hirudo 4 times category annular major axis, the width of cellular annular circle body 50 is less than the width of Hirudo bionical cushion 4 class annular lower surface, and Hirudo bionical cushion 4 class annular lower surface outside all indwelling proper width in cellular annular circle body 50.Like this, during actual use, cellular annular circle body 50 is attracted to the throat wall mucomembranous surface that surround encloses outdoors, cushion venting cavity 41 is positioned at glottis front position, the cushion top layer of Hirudo bionical cushion 4 lower surface outside indwelling in cellular annular circle body 50 can be pulled the throat wall mucomembranous surface sticking on cellular annular circle body 50 outer edge that surround encloses outdoors, plays good sealing function.
During concrete enforcement, the more soft material of described cellular annular circle body 50, cellular space is finer and closely woven, and the sealing property provided during use is better.The prompting of value: during actual fabrication, at Hirudo bionical cushion 4 bottom annularly major axis indwelling class in advance ring-shaped depression groove, then can be mounted with the cellular annular circle body 50 that profile size is mated in class ring-shaped depression groove.Arrange interior suction catheter 71 in the edge, interior annular groove outer ring of described Hirudo bionical cushion 4 bottom to seal with outer suction catheter 72 and be communicated with, for negative pressure provides conducting path.
As shown in Fig. 4, Fig. 6 and Fig. 7, be the sealing that Hirudo bionical cushion 4 when improving use further provides, described class Ring like suction disc face 5 inner ring edge part arranges the inner ring diaphragm seal circle 51 of soft quality class annular.
The meaning arranging the inner ring diaphragm seal circle 51 of soft quality class annular at class Ring like suction disc face 5 inner ring edge part is: during use, if when there is gap in edge, inner edge, class Ring like suction disc face 5 and pharyngolaryngeal mucosa, because mechanical ventilation is positive airway pressure, inside, class Ring like suction disc face 5 is negative pressure, and the liquidity preference of gas is flow to side, class Ring like suction disc face 5 in the cover body 3 of laryngeal mask.Now under the pressure differential effect of ventilate malleation and class Ring like suction disc face 5 negative pressure, the inner ring diaphragm seal circle 51 being arranged on class Ring like suction disc face 5 internal edge is out of shape the gap opening place that shutoff occurs with pharyngolaryngeal mucosa in class Ring like suction disc face 5, make in the cover body 3 of laryngeal mask to the gas leakage in class Ring like suction disc face 5 still generation just removed.The prerequisite that certain inner ring diaphragm seal circle 51 works is the location-appropriate of laryngeal mask patient pharyngolaryngeal cavity, and laryngeal mask is fixed safe, and this is lift easily in current laryngeal mask technology.
The effect that described inner ring diaphragm seal circle 51 improves laryngeal mask airway sealing depends on: the thickness of inner ring diaphragm seal circle 51, the material softness degree of inner ring diaphragm seal circle 51, the width of inner ring diaphragm seal circle 51.Inner ring diaphragm seal circle 51 thickness is thinner, more soft material, and width is wider can provide more superior sealing effectiveness.But inner ring diaphragm seal circle 51 thickness is thinner, more soft material, and width is wider, during actual use, inner ring diaphragm seal circle 51 is more curling, causes sealing property to decline.The parameters of inner ring diaphragm seal circle 51 can be regulated during concrete manufacture according to actual experiment effect, make inner ring diaphragm seal circle 51 sealing effectiveness reach best.
In like manner, be the sealing that Hirudo bionical cushion 4 when improving use further provides, outer ring, described class Ring like suction disc face 5 edge part arranges the outer ring diaphragm seal circle 52 of soft quality class annular.
The meaning that outer ring, described class Ring like suction disc face 5 edge part arranges the outer ring diaphragm seal circle 52 of soft quality class annular is: during use, if when there is gap in outer rim edge, class Ring like suction disc face 5 and pharyngolaryngeal mucosa, because the pressure of oropharynx cavum laryngis equals atmospheric pressure, and inside, class Ring like suction disc face 5 is negative pressure, the liquidity preference of gas is flow to side, class Ring like suction disc face 5 in oropharynx cavum laryngis.Now under the pressure differential effect of atmospheric pressure and class Ring like suction disc face 5 negative pressure, the outer ring diaphragm seal circle 52 being arranged on class Ring like suction disc face 5 external margin is out of shape the gap opening place that shutoff occurs with pharyngolaryngeal mucosa in class Ring like suction disc face 5, make in oropharynx cavum laryngis to the gas leakage in class Ring like suction disc face 5 still generation just removed.In like manner, the Digestive system that intraoral secretions and digestive tract backflow also just gets clogged before inflow class Ring like suction disc face 5.
The gas of oropharynx cavum laryngis is noiseless to the sealing of the ventilation of laryngeal mask to the gas leakage in class Ring like suction disc face 5 in essence, but gas leakage makes the negative pressure in class Ring like suction disc face 5 reveal, the degree that sticks of the throat wall mucomembranous surface that class Ring like suction disc face 5 and surround are enclosed outdoors declines, and then class Ring like suction disc face 5 is declined with the sealing of laryngeal mask cover body 3, make gas leakage cause laryngeal mask airway failure Probability to increase.
But mouth intracavity liquid enters class Ring like suction disc face 5 through class Ring like suction disc face 5 and the gap opening of pharyngolaryngeal mucosa, and be useful through interior suction catheter 71, outer suction catheter 72 and the discharge of attraction interface 73, therefore can consider when actual fabrication.At the suitable hole pipeline of the head end end indwelling size of the bionical cushion of Hirudo 4 with suction catheter 71, outer suction catheter 72 with attract interface 73 to communicate.But the hole pipeline of institute's indwelling can not be too large, avoid producing harmful effect to the sealing of laryngeal mask.
As shown in FIG. 6 and 7, described class Ring like suction disc face 5 also comprises the sucker mouth 6 that some depressions are arranged on top layer, Hirudo bionical cushion 4 bottom, and each sucker mouth 6 forms class Ring like suction disc face 5 around the cushion venting cavity 41 of Hirudo bionical cushion 4 class annular hollow.Each sucker mouth 6 is communicated with the outer suction catheter 72 be arranged on the bionical cushion of Hirudo 4 by being arranged on suction catheter 71 in the bionical cushion of Hirudo 4.
Some sucker mouths 6 that described class Ring like suction disc face 5 is arranged all are communicated with the interior suction catheter 71 be arranged in the bionical cushion of Hirudo 4, interior suction catheter 71 goes out Hirudo bionical cushion 4 tail end and connects outer suction catheter 72, and outer suction catheter 72 tail end arranges the attraction interface 73 being used for being connected with negative-pressure suction pipe.Actual when using, insert in patient's oropharynx cavum laryngis to complete when the bionical breather laryngeal mask of described Hirudo and locate and after fixing, attraction interface 73 connects vacuum suction.Under suction function, some sucker mouths 6 are attracted to the bottleneck throat mucomembranous surface of surround door, and then make described class Ring like suction disc face 5 tightly be adsorbed on the bottleneck throat mucomembranous surface of surround door, for the laryngeal mask cover body 3 during ventilation provides enough sealings.
As shown in Figure 6, described sucker mouth 6 comprises class Ring like suction disc mouth 61, and all kinds of Ring like suction disc mouth 61 and the class annular major axis parallel arranged of the bionical cushion 4 of Hirudo of class annular, isolate mutually.
Be provided with two circle class Ring like suction disc mouths 61 in this diagram, often enclose class Ring like suction disc mouth 61 and be all namely arranged on position, class Ring like suction disc face 5 around the annular soft pad venting cavity 41 of the bionical cushion 4 of Hirudo.Each class Ring like suction disc mouth 61 parallel arranged, completely isolated mutually.In use, often enclose class Ring like suction disc mouth 61 and all independently sealing effectiveness is played to the annular soft pad venting cavity 41 of the bionical cushion 4 of Hirudo, air-tightness when laryngeal mask cover body 3 is ventilated when the class Ring like suction disc face 5 of class ring sucker mouth 61 formation of multi-turn adds actual use.The width of the class Ring like suction disc mouth 61 arranged during concrete enforcement is good at about 5mm, and number is The more the better.But by the restriction of class Ring like suction disc face 5 width, especially the Hirudo of ting model bionical breather laryngeal mask class Ring like suction disc face 5 width is less, and class Ring like suction disc mouth 61 number is also inconsistent.
As shown in Figure 7, described sucker mouth 6 comprises rectangular sucker mouth 63, and each strip sucker mouth 63 is parallel on the annular top layer of the bionical cushion of the Hirudo of class annular 4 to be staggered, and isolates mutually.Each strip sucker mouth 63 major axis connecting line is around the class annular hollow portion of the bionical cushion 4 of Hirudo of class annular.
In this set, the structure of the class Ring like suction disc mouth 61 of similar Fig. 6 of formation that multiple strip sucker mouth 63 is interrupted.Just the strip sucker mouth 63 of intermittent intervals in the specific implementation, and the impact mutually reduces, and during use, sealing is more reliable.In this figure, multiple strip sucker mouth 63 forms the structure of the class Ring like suction disc mouth 61 of the similar Fig. 6 of two circles.Certainly can arrange more multiple class Ring like suction disc mouth structure, air-tightness is stronger.
Described each sucker mouth 6 degree of depth is preferably less than 1cm, and the object controlling sucker mouth 6 degree of depth is that to avoid facial area mucosa to be attracted tractive stressed excessive, causes mucous hyperemia red and swollen.Sucker mouth 6 degree of depth is less, and mucosa stress deformation is less, damages less.But sucker mouth 6 degree of depth is too small, sealing may decline.During actual enforcement, the material of the bionical cushion 4 of Hirudo should be enough soft, reduces mucosal injury, can increase air-tightness when ventilating on the other hand when can reach use on the one hand.
As shown in Figure 8, in order to improve sealing when laryngeal mask cover body 3 is ventilated further, the air bag 8 of class annular is set along major axis in the bionical cushion 4 of described Hirudo, air bag 8 to class annular is filled with the gas of suitable pressure, utilizes the degree of deformation of air bag 8 itself to make cover body 3 degree of fitting with patient face portion in use higher.Meanwhile, the setting of air bag 8 decreases the higher materials demand amount of the bionical cushion of Hirudo 4 pairs of pliabilitys, reduces manufacturing cost.For the ease of using, the inflation inlet or gas tube that are used for air bag 8 inflation can being set communicated air bags 8, during for specifically using, regulating the pressure of gas in air bag 8.But on the whole, the pressure of air bag 8 is easily low not easily high, and when pressure is lower, the compliance of air bag 8 is higher, can be closer be fitted on bottleneck throat mucosa that surround encloses outdoors.
As shown in Figure 2, run through the bionical breather laryngeal mask major axis of described Hirudo and arrange gastral cavity relief pipe 9, described gastral cavity relief pipe 9 opening is positioned at Hirudo bionical cushion 4 head end end, and main body is embedded in cover body 3 and breather 2, and outlet is arranged on breather 2 tail end.
Described gastral cavity relief pipe 9 is isolated with the bionical breather laryngeal mask venting cavity of described Hirudo, during use, gastral cavity relief pipe 9 opening be positioned in Hirudo bionical cushion 4 head end is positioned at esophageal aperture place, and when stomach cavity pressure is higher, gastral cavity content (liquid or gas) can be discharged via gastral cavity relief pipe 9.The outlet of gastral cavity relief pipe 9 through being arranged on breather 2 tail end can insert decompression stomach tube if desired.Described gastral cavity relief pipe 9 is isolated with the bionical breather laryngeal mask venting cavity of described Hirudo.
Described gastral cavity relief pipe 9 opening part is preferably arranged to the engraved structure of porous, during normal use, described gastral cavity relief pipe 9 opening part is positioned at the minimum position of human body oropharynx cavum laryngis gap, can be removed comparatively thoroughly intraoral liquid by the engraved structure of porous, can solve and use at present laryngeal mask cannot carry out the puzzlement of clearing up by boil on the nape opposite the mouth luminal sectetion thing, reduce secretions when laryngeal mask is extracted and suck the risk of air flue by mistake.
Operation terminates, after patient awoke and autonomous respiration recover to improve, through described gastral cavity relief pipe 9 opening, attraction cleaning is carried out to the intraoral liquid of patient, the medical negative pressure suction attracting interface 73 to connect is withdrawn, the negative pressure in class Ring like suction disc face 5 disappears, the absorption affinity of the 5 pairs of throat wall mucosas in class Ring like suction disc face disappears, and easily can extract the bionical breather laryngeal mask of described Hirudo, end operation.
In a word: structure of the present invention is simple, connect sealing property superior when the negative pressure continued can reach laryngeal mask airway by class Ring like suction disc face 5, ventilatory effect is good, thoroughly to avoid in oral cavity sputum gas leakage and by mistake inspiration enter respiratory tract.The gastral cavity relief pipe 9 arranged by opening part hollow out can be cleared up comparatively thoroughly to intraoral secretions, and structure is simple, safe and reliable.
Claims (10)
1. the bionical breather laryngeal mask of Hirudo, comprise the breathing interface (1) for being connected with breathing pipeline, the laryngeal mask snorkel (2) be communicated with is sealed with breathing interface (1), seal to be communicated with laryngeal mask snorkel (2) and be used for holding in the glottis level of bottleneck throat and the laryngeal mask cover body (3) that encloses outdoors at surround of cover cap, and top and cover body (3) cover mouth are tightly connected in use for sealing the bionical cushion of Hirudo (4) of the class annular contacted with the throat wall mucosa that surround encloses outdoors, it is characterized in that: the bionical cushion of described Hirudo (4) bottom arranges profile and substantially fits in use for sealing with the throat wall mucosa that human body surround encloses outdoors the class Ring like suction disc face (5) contacted with the throat wall surface structure that surround encloses outdoors, described class Ring like suction disc face (5) is communicated with the outer suction catheter (72) be arranged on the bionical cushion of Hirudo (4), described outer suction catheter (72) tail end is communicated with the attraction interface (73) arranging and be used for being connected with medical negative pressure suction pipe, the laryngeal mask cover body (3) of the bionical breather laryngeal mask of described Hirudo inserts space in human body oropharynx larynx, and after the bionical cushion of described Hirudo (4) ring covers on the throat wall mucosa of glottis periphery, when described attraction interface (73) is communicated with medical negative pressure suction, the class Ring like suction disc face (5) being arranged on the bionical cushion of Hirudo (4) bottom is attracted to by negative pressure the throat wall mucosa that surround encloses outdoors, makes the bionical cushion of Hirudo (4) and can be close to the throat wall mucosa that surround encloses outdoors to be isolated from the outside cover body (3) inner space.
2. the bionical breather laryngeal mask of Hirudo according to claim 1, is characterized in that: described class Ring like suction disc face (5) inner ring edge part arranges the inner ring diaphragm seal circle (51) of soft quality class annular.
3. the bionical breather laryngeal mask of Hirudo according to claim 1, is characterized in that: described class Ring like suction disc face (5) outer ring edge part arranges outer ring diaphragm seal circle (52) of soft quality class annular.
4. the bionical breather laryngeal mask of Hirudo according to claim 1, is characterized in that: described class Ring like suction disc face (5) comprises the cellular annular circle body (50) of the solid netted class sponge structure of setting the bionical cushion of the Hirudo being arranged on class annular (4) lower surface; Described cellular annular circle body (50) is arranged on the midline position of the bionical cushion of Hirudo (4) annular major axis, and the width of cellular annular circle body (50) is less than the width of the bionical cushion of Hirudo (4) class annular lower surface.
5. the bionical breather laryngeal mask of Hirudo according to claim 1, it is characterized in that: described class Ring like suction disc face (5) comprises the sucker mouth (6) that some depressions are arranged on the bionical cushion of Hirudo (4) top layer, bottom, and each sucker mouth (6) is around the cushion venting cavity (41) of the bionical cushion of Hirudo (4) hollow of class annular; Each sucker mouth (6) is communicated with the outer suction catheter (72) be arranged on the bionical cushion of Hirudo (4) by the interior suction catheter (71) be arranged in the bionical cushion of Hirudo (4).
6. the bionical breather laryngeal mask of Hirudo according to claim 5, it is characterized in that: described sucker mouth (6) comprises class Ring like suction disc mouth (61), all kinds of Ring like suction disc mouth (61), around cushion venting cavity (41) parallel arranged of hollow, is isolated mutually.
7. the bionical breather laryngeal mask of Hirudo according to claim 5, is characterized in that: described sucker mouth (6) comprises rectangular sucker mouth (63), and each strip sucker mouth (63) is staggered around the cushion venting cavity (41) of hollow is parallel, isolates mutually.
8. the bionical breather laryngeal mask of Hirudo according to claim 1, is characterized in that: the air bag (8) arranging class annular in the bionical cushion of described Hirudo (4) along major axis.
9. the bionical breather laryngeal mask of Hirudo according to claim 1, is characterized in that: the hardness of the bionical cushion of described Hirudo (4) and class Ring like suction disc face (5) material is less than the hardness of human body mucosa, comprises silica gel, gel etc.
10. the bionical breather laryngeal mask of Hirudo according to claim 1, it is characterized in that: run through breather (2), cover body (3) and the bionical cushion of Hirudo (4) and gastral cavity relief pipe (9) is set, described gastral cavity relief pipe (9) opening is arranged on the bionical cushion of Hirudo (4) head end, and export department is arranged on breather (2) tail end.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201510518420.3A CN105148365B (en) | 2015-08-21 | 2015-08-21 | The bionical breather laryngeal mask of leech |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201510518420.3A CN105148365B (en) | 2015-08-21 | 2015-08-21 | The bionical breather laryngeal mask of leech |
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| CN105148365A true CN105148365A (en) | 2015-12-16 |
| CN105148365B CN105148365B (en) | 2018-01-23 |
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| CN201510518420.3A Expired - Fee Related CN105148365B (en) | 2015-08-21 | 2015-08-21 | The bionical breather laryngeal mask of leech |
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| CN110548204A (en) * | 2019-10-12 | 2019-12-10 | 郭淑儿 | Integrated inflation-free laryngeal mask and production method thereof |
| CN114469518A (en) * | 2022-01-27 | 2022-05-13 | 长沙海润生物技术有限公司 | Dressing for negative-voltage electric field coupling strong-oxygen therapy |
| CN114469517A (en) * | 2022-01-27 | 2022-05-13 | 长沙海润生物技术有限公司 | Dressing for negative pressure coupling strong oxygen therapy |
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|---|---|
| CN105148365B (en) | 2018-01-23 |
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Inventor after: Xing Na Inventor after: Li Yanna Inventor after: Du Yingying Inventor after: Qian Yiling Inventor after: Zhang Wei Inventor after: Gao Hong Inventor after: Wang Zhiping Inventor before: Gao Hong |
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Effective date of registration: 20171228 Address after: 450052 Henan Province, Zhengzhou City, No. 27 East Road, building No. 50 Applicant after: THE FIRST AFFILIATED HOSPITAL OF ZHENGZHOU University Address before: Nanchang District 214023 in Jiangsu province Wuxi City Qingyang Road No. 299, Wuxi City People's Hospital Applicant before: Gao Hong |
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