CN106063966A - 一种可保留自主呼吸的吸入麻醉系统 - Google Patents
一种可保留自主呼吸的吸入麻醉系统 Download PDFInfo
- Publication number
- CN106063966A CN106063966A CN201610455011.8A CN201610455011A CN106063966A CN 106063966 A CN106063966 A CN 106063966A CN 201610455011 A CN201610455011 A CN 201610455011A CN 106063966 A CN106063966 A CN 106063966A
- Authority
- CN
- China
- Prior art keywords
- suction
- anaesthetic
- gas
- negative pressure
- attachment means
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 206010002091 Anaesthesia Diseases 0.000 title claims abstract description 66
- 230000037005 anaesthesia Effects 0.000 title claims abstract description 66
- 230000029058 respiratory gaseous exchange Effects 0.000 title claims abstract description 15
- 230000003444 anaesthetic effect Effects 0.000 claims abstract description 56
- 238000007789 sealing Methods 0.000 claims abstract description 18
- 238000012806 monitoring device Methods 0.000 claims abstract description 17
- 238000012544 monitoring process Methods 0.000 claims abstract description 10
- 239000007789 gas Substances 0.000 claims description 42
- 229910052760 oxygen Inorganic materials 0.000 claims description 17
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 16
- 239000001301 oxygen Substances 0.000 claims description 16
- 239000000463 material Substances 0.000 claims description 5
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 4
- 239000000741 silica gel Substances 0.000 claims description 4
- 229910002027 silica gel Inorganic materials 0.000 claims description 4
- 244000043261 Hevea brasiliensis Species 0.000 claims description 3
- 210000004712 air sac Anatomy 0.000 claims description 3
- 210000004556 brain Anatomy 0.000 claims description 3
- 229920003052 natural elastomer Polymers 0.000 claims description 3
- 229920001194 natural rubber Polymers 0.000 claims description 3
- UBAZGMLMVVQSCD-UHFFFAOYSA-N carbon dioxide;molecular oxygen Chemical compound O=O.O=C=O UBAZGMLMVVQSCD-UHFFFAOYSA-N 0.000 claims description 2
- 239000012530 fluid Substances 0.000 claims description 2
- 239000000565 sealant Substances 0.000 claims description 2
- 230000006698 induction Effects 0.000 abstract description 9
- 238000000034 method Methods 0.000 abstract description 7
- 230000008569 process Effects 0.000 abstract description 7
- 238000001949 anaesthesia Methods 0.000 abstract description 5
- 230000006378 damage Effects 0.000 abstract description 5
- 239000003983 inhalation anesthetic agent Substances 0.000 description 10
- 230000001276 controlling effect Effects 0.000 description 5
- 210000000214 mouth Anatomy 0.000 description 5
- 239000003994 anesthetic gas Substances 0.000 description 3
- 210000005013 brain tissue Anatomy 0.000 description 3
- 230000008859 change Effects 0.000 description 3
- 238000007459 endoscopic retrograde cholangiopancreatography Methods 0.000 description 3
- 210000003128 head Anatomy 0.000 description 3
- 239000003158 myorelaxant agent Substances 0.000 description 3
- 231100000915 pathological change Toxicity 0.000 description 3
- 230000036285 pathological change Effects 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 239000002912 waste gas Substances 0.000 description 3
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- 230000033228 biological regulation Effects 0.000 description 2
- 239000004744 fabric Substances 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 230000003533 narcotic effect Effects 0.000 description 2
- 210000001331 nose Anatomy 0.000 description 2
- 238000002640 oxygen therapy Methods 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 210000002345 respiratory system Anatomy 0.000 description 2
- 229960002078 sevoflurane Drugs 0.000 description 2
- DFEYYRMXOJXZRJ-UHFFFAOYSA-N sevoflurane Chemical compound FCOC(C(F)(F)F)C(F)(F)F DFEYYRMXOJXZRJ-UHFFFAOYSA-N 0.000 description 2
- 238000002627 tracheal intubation Methods 0.000 description 2
- 229940125725 tranquilizer Drugs 0.000 description 2
- 239000003204 tranquilizing agent Substances 0.000 description 2
- 230000002936 tranquilizing effect Effects 0.000 description 2
- 210000004291 uterus Anatomy 0.000 description 2
- 235000009852 Cucurbita pepo Nutrition 0.000 description 1
- 241000219104 Cucurbitaceae Species 0.000 description 1
- 208000008589 Obesity Diseases 0.000 description 1
- CAMYKONBWHRPDD-UHFFFAOYSA-N Phenprobamate Chemical compound NC(=O)OCCCC1=CC=CC=C1 CAMYKONBWHRPDD-UHFFFAOYSA-N 0.000 description 1
- 208000007123 Pulmonary Atelectasis Diseases 0.000 description 1
- CZPWVGJYEJSRLH-UHFFFAOYSA-N Pyrimidine Chemical compound C1=CN=CN=C1 CZPWVGJYEJSRLH-UHFFFAOYSA-N 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000036592 analgesia Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 230000002490 cerebral effect Effects 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- VTMVHDZWSFQSQP-VBNZEHGJSA-N dezocine Chemical compound C1CCCC[C@H]2CC3=CC=C(O)C=C3[C@]1(C)[C@H]2N VTMVHDZWSFQSQP-VBNZEHGJSA-N 0.000 description 1
- 229960003461 dezocine Drugs 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000008451 emotion Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000001815 facial effect Effects 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 206010016766 flatulence Diseases 0.000 description 1
- 230000005764 inhibitory process Effects 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 238000000691 measurement method Methods 0.000 description 1
- 238000005399 mechanical ventilation Methods 0.000 description 1
- 210000003928 nasal cavity Anatomy 0.000 description 1
- 235000020824 obesity Nutrition 0.000 description 1
- 210000003300 oropharynx Anatomy 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 230000002685 pulmonary effect Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 230000036391 respiratory frequency Effects 0.000 description 1
- 230000000717 retained effect Effects 0.000 description 1
- 229920006395 saturated elastomer Polymers 0.000 description 1
- 238000005728 strengthening Methods 0.000 description 1
- 210000003437 trachea Anatomy 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
- 238000010792 warming Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/01—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes specially adapted for anaesthetising
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
- A61B5/14542—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring blood gases
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4821—Determining level or depth of anaesthesia
-
- A61M1/0023—
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/73—Suction drainage systems comprising sensors or indicators for physical values
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0087—Environmental safety or protection means, e.g. preventing explosion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/0087—Environmental safety or protection means, e.g. preventing explosion
- A61M16/009—Removing used or expired gases or anaesthetic vapours
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/06—Respiratory or anaesthetic masks
- A61M16/0683—Holding devices therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1005—Preparation of respiratory gases or vapours with O2 features or with parameter measurement
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/104—Preparation of respiratory gases or vapours specially adapted for anaesthetics
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/12—Preparation of respiratory gases or vapours by mixing different gases
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/20—Valves specially adapted to medical respiratory devices
- A61M16/201—Controlled valves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1005—Preparation of respiratory gases or vapours with O2 features or with parameter measurement
- A61M2016/102—Measuring a parameter of the content of the delivered gas
- A61M2016/1025—Measuring a parameter of the content of the delivered gas the O2 concentration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/10—Preparation of respiratory gases or vapours
- A61M16/1005—Preparation of respiratory gases or vapours with O2 features or with parameter measurement
- A61M2016/102—Measuring a parameter of the content of the delivered gas
- A61M2016/1035—Measuring a parameter of the content of the delivered gas the anaesthetic agent concentration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/06—Head
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2230/00—Measuring parameters of the user
- A61M2230/20—Blood composition characteristics
- A61M2230/205—Blood composition characteristics partial oxygen pressure (P-O2)
Abstract
本发明提供一种可保留自主呼吸的吸入麻醉系统，该吸入麻醉系统由麻醉机、负压吸引装置、吸入麻醉头罩、监测装置构成，其中吸入麻醉头罩包括头罩本体(1)和附件(11)，所述头罩本体(1)设有监测导线连接装置(2)、气体监测装置(3)、声音播放装置(4)、透明观察窗(5)、气体排除连接装置(6)、负压吸引连接装置(7)、气体供应连接装置(8)、对讲装置(9)、密封圈(10)。该吸入麻醉系统能够保留自主呼吸，不会造成任何损伤，克服现有面罩、喉罩通气密闭性差的缺点，加快麻醉诱导和苏醒，并能在麻醉过程中实时观察患者的麻醉状态。本发明具有安全、有效、简单的特点。
Description
技术领域
本发明涉及一种可保留自主呼吸的吸入麻醉系统，所述吸入麻醉系统由麻醉机、吸入麻醉头罩、负压吸引装置、监测装置构成。
背景技术
吸入麻醉药经肺通气进入体内和排除，其麻醉深度的调节较其他静脉麻醉更为容易。吸入麻醉剂如七氟烷，具有良好的镇痛和麻醉作用，且对呼吸抑制轻，能在保留自主呼吸的情况下完成体表和四肢的手术，如前列腺电切术、子宫锥形切除术等。
目前常用的吸入麻醉使用的工具有：面罩、喉罩和气管插管。面罩由于不能很好密封患者口鼻，易造成麻醉剂泄漏，导致手术室污染，目前只用于麻醉诱导时的几分钟时间的使用；且由于面罩空间小，婴幼儿等患者难以接受；喉罩置入时常需要使用一定剂量的镇静药、肌松剂，难以保留患者的自主呼吸，且喉罩置入可带来一定的损伤和并发症；气管插管置入时需要使用更多的镇静药、肌松剂，无法保留患者的自主呼吸，且气管导管置入的并发症更多。
目前关于吸入麻醉工具的研究主要集中在面罩的改良，通过改良增强面罩的密闭性(防漏性)，但未能改变面罩用于麻醉诱导的局限。如发明专利“防漏麻醉面罩”(申请号201010228941.2)公开了一种防漏的麻醉面罩，该面罩通过增加了防漏气囊的设计，使得面罩更加紧贴于患者面部达到防漏的目的。如发明专利“一种指扣型麻醉面罩”(申请号201110280425.9)公开了一种新型的指扣型装置，使得扣面罩的过程中不至因无有效着力点而造成双手滑脱导致面罩扣不紧的现象，进而减少漏气发生。如实用新型专利“麻醉面罩”(申请号201320248821.8)公开了一种包括面罩体、底座、进气口和挂钩的麻醉面罩，其底座位于面罩体的下方，进气口位于面罩体的上方，挂钩与底座固定，达到固定牢靠，防止脱落的目的。
因此，目前临床缺乏一种可以保留自主呼吸、简单、有效、安全的吸入麻醉工具和吸入麻醉系统。
发明内容
本发明公开了一种可保留自主呼吸的吸入麻醉系统，所述吸入麻醉系统由麻醉机、吸入麻醉头罩、负压吸引装置、监测装置构成。
本发明公开了一种吸入麻醉头罩(见附图)，所述的吸入麻醉头罩包括头罩本体(1)和附件(11)，所述头罩本体(1)设有监测导线连接装置(2)、气体监测装置(3)、声音播放装置(4)、透明观察窗(5)、气体排除连接装置(6)、负压吸引连接装置(7)、气体供应连接装置(8)、对讲装置(9)、密封圈(10)。
本发明公开的吸入麻醉头罩(见附图)，除已经标注的功能和装置外，可以根据临床需要，增加功能和装置，如用于胃镜、纤维支气管镜等检查麻醉时，增加镜头或器具伸入口、鼻的插入孔。
本发明所述的麻醉机其主体中包括吸入麻醉剂挥发罐、废气回收装置、调节装置，其中调节装置用于调节气量以及氧气与麻醉剂的比例。氧气通过临床使用的氧气瓶、氧气发生器以及输氧管道供应。
本发明所述负压吸引装置选自中心负压吸引系统、电动负压吸引器、负压吸引袋、负压吸引球、负压吸引瓶，优选中心负压吸引系统。
本发明所述监测装置包括脑组织氧饱和度监测装置、麻醉深度监测装置。
本发明所述监测装置与吸入麻醉头罩通过监测导线连接装置(2)连接，所述负压吸引装置与吸入麻醉头罩通过负压吸引连接装置(6)连接，所述麻醉机与吸入麻醉头罩通过气体供应连接装置(8)和气体排除连接装置(6)连接。
本发明公开的吸入麻醉系统无需使用其他的镇静药和肌松剂，患者佩戴吸入麻醉头罩，仅靠麻醉机吸入麻醉剂如七氟烷即可达到一定的麻醉深度，能满足大多数手术的麻醉需要。如头颈部以下的体表和四肢的手术，无需很强肌松要求的部分体腔内手术如内镜下前列腺电切术、子宫锥形切除术等，以及用于胃镜、肠镜、纤维支气管镜、逆行胰胆管造影(ERCP)等经过口腔、鼻腔行内镜下检查和治疗的麻醉。
本发明公开的吸入麻醉系统可以单独使用，也可以与其他如右美托嘧啶、地佐辛等镇静、镇痛药联合使用。
本发明公开的吸入麻醉系统对于肥胖、睡觉打鼾等在麻醉时可能出现上呼吸道梗阻的患者，在麻醉时需要联合使用口咽或鼻咽通气道以保持上呼吸道通畅。
本发明公开的吸入麻醉系统体现人文关怀，麻醉头罩上设有扬声器可以播放音乐，充分缓解病人的紧张情绪和恐惧感，使患者在自然呼吸状态下伴随音乐进入麻醉状态，同时也免除了患者在麻醉前遭受打针的痛苦，这对婴幼儿患者的麻醉诱导尤其有利；头罩还可以实现各种卡通造型，利于患儿接受；对讲装置使医生和患者能够在诱导过程中相互交流，且能在手术结束后唤醒病人。
本发明公开的麻醉系统，由于吸入麻醉头罩罩住了整个头部，在患者自主呼吸的情况下不会引起麻醉气体的泄漏，有效克服现有面罩、喉罩通气密闭性差的缺点；由于吸入麻醉头罩没有侵入患者的气道，因此不会造成任何损伤，还可避免机械正压通气(气管插管)导致的胃胀气及肺不张、机械通气性肺损伤等其他损伤并发症；由于吸入麻醉头罩保留患者自主呼吸，患者在手术过程中通过呼吸频率和潮气量的改变而自主调节麻醉的深度；由于吸入麻醉头罩上设有透明的观察窗以及本麻醉系统中配有气体监测装置、麻醉深度监测装置、脑氧饱和度监测装置等一系列监测装置，麻醉医生可以在麻醉过程中实时观察患者的麻醉深度。由于本麻醉系统具备负压吸引装置，负压吸引装置通过加速气体在头罩内的单向流动，能够在麻醉诱导和麻醉苏醒阶段通过加大新鲜气流量和流速，达到快速升高或降低头罩内麻醉气体浓度的目的，缩短患者麻醉诱导时的起效时间和麻醉结束后的苏醒时间，并且即使在高流量新鲜气流条件下头罩内压力也能保持在5cmH2O以下，使头罩内的压力一直控制在-5cmH2O～5cmH2O压力水平，这一方面降低头罩密封的压力要求，同时也增加了患者颈部的舒适感和防止了密封圈对颈部压迫伤的发生；另一方面也降低了麻醉剂的泄漏风险。因此，本吸入麻醉系统具有安全、有效、简单的特点，具有显著的新颖性、创造性和实用性。
附图说明
图1：本发明的吸入麻醉头罩示意图
附图中1-头罩本体、2-监测导线连接装置、3-气体监测装置、4-声音播放装置、5-透明观察窗、6-气体排除连接装置、7-负压吸引连接装置、8-气体供应连接装置、9-对讲装置、10-密封圈、11-附件。
具体实施方式
为进一步公开本发明的技术方案，下面结合说明书附图通过实例做详细说明。
本可保留自主呼吸的吸入麻醉系统由麻醉机、吸入麻醉头罩、负压吸引装置、监测装置构成。
本发明所述的吸入麻醉头罩包括头罩本体(1)和附件(11)，所述头罩本体(1)设有监测导线连接装置(2)、气体监测装置(3)、声音播放装置(4)、透明观察窗(5)、气体排除连接装置(6)、负压吸引连接装置(7)、气体供应连接装置(8)、对讲装置(9)、密封圈(10)。
本发明所述的麻醉机其主体中包括吸入麻醉剂挥发罐、废气回收装置、调节装置，其中调节装置用于调节气量以及氧气与吸入麻醉剂的比例。氧气通过临床使用的氧气瓶、氧气发生器以及输氧管道供应。所述负压吸引装置选自中心负压吸引系统、电动负压吸引器、负压吸引袋、负压吸引球、负压吸引瓶，优选中心负压吸引系统、电动负压吸引器，最优选中心负压吸引系统。所述监测装置包括脑组织氧饱和度监测装置、麻醉深度监测装置，所述的麻醉深度监测装置优选通过放置在前额部的电极来进行监测的麻醉深度监测仪，所述的脑组织氧饱和度监测装置优选脑血氧饱和度监测仪。
本发明所述的监测装置与吸入麻醉头罩通过监测导线连接装置(2)连接，所述负压吸引装置与吸入麻醉头罩通过负压吸引连接装置(6)连接，所述麻醉机与吸入麻醉头罩通过气体供应连接装置(8)和气体排除连接装置(6)连接。
本发明所述的监测导线连接装置(2)是气密导线孔，优选具有气囊的孔，麻醉深度监测仪和脑氧饱和度监测仪的电极线通过气密导线孔接入到麻醉头罩内。
本发明所述的气体监测装置(3)是氧气、二氧化碳和吸入麻醉气体浓度检测仪，其采用红外复合测量技术，头罩内的气体以扩散的形式通过微孔过滤片进入检测仪，吸收特定波长的红外光，吸收强度与待测气体浓度满足朗伯-比尔吸收定律，通过分析吸收前后红外光强度的变化获得待测气体的实时浓度。
本发明所述声音播放装置(4)是扬声器，优选连接声源播放音乐以及其他特定声音，可以在麻醉前、麻醉开始以及苏醒过程中播放音乐，缓解患者手术紧张的情绪。
本发明所述透明观察窗(5)优选由高分子材料制成的透明面板，医生可以通过窗口观察患者的麻醉状态，同时也方便患者清醒状态下的对外交流。该透明观察窗与麻醉头罩主体可以是一体，也可以是可装卸。
本发明所述气体排除连接装置(6)是气密控制阀门，通过管道连接麻醉机进气口(气体回流)和吸入麻醉头罩，在麻醉整个过程中，含有麻醉剂、氧气、二氧化碳的混合气体从吸入麻醉头罩内回流到麻醉机进气口，循环利用或作为废气回收。
本发明所述的负压吸引连接装置(7)是气密控制阀门，通过管道连接负压吸引装置和吸入麻醉头罩。在麻醉过程中，当麻醉机显示的罩内压力5cmH2O以下时，负压吸引连接装置处于关闭状态。当在诱导麻醉时，因为氧气流量较高，在高流量气流时可升高头罩内的压力，增加头罩密闭所需的压力和麻醉剂泄露的风险，因此在麻醉诱导时打开负压吸引连接装置，在高流量新鲜气流下，可以使头罩内的吸入麻醉剂浓度快速上升，实现快速的麻醉诱导，还可以降低高流量新鲜气流下头罩内的压力，使之保持在5cmH2O以下，有效防止麻醉气体的泄露。当麻醉过程中麻醉机显示的罩内压力5cmH2O以上时，打开负压吸引连接装置，快速降低头罩内的压力，有效防止麻醉气体的泄露。当手术结束时，关闭吸入麻醉剂(挥发罐)后打开负压吸引连接装置的同时加大氧气流量，可以快速降低头罩内吸入麻醉剂的浓度，加快患者苏醒，另外还可以把头罩内残留的麻醉气体抽吸掉，防止打开头罩时残留麻醉气体的泄漏。
本发明所述气体供应连接装置(8)是气密控制阀门，通过管道连接麻醉机的出气口和吸入麻醉头罩，麻醉机将含有麻醉剂和氧气的混合气体通过麻醉机的出气口输送到吸入麻醉头罩内，达到麻醉的目的。
本发明所述对讲装置(9)是具有对讲功能的便携式对讲机，可以在麻醉前、麻醉开始时以及唤醒后患者和医生的交流，便于缓解患者的紧张情绪和恐惧感，也能够传达医生的指示以及患者的主诉，利于医生实时全面掌控患者的麻醉情况。
本发明所述的密封圈(10)选自硅胶密封圈、天然橡胶密封圈、气囊密封圈、弹性密封圈、涂有密封胶的高分子材料，优选硅胶密封圈、天然橡胶密封圈、气囊密封圈和弹性密封圈，最优选硅胶密封圈、弹性密封圈。该密封圈与麻醉头罩主体可以是一体，也可以是可装卸。
本发明所述的附件(11)优选织物、高分子材料制备的膜，最优选织物，主要起吸入麻醉头罩固定以及患者机体保护、遮挡、保暖的作用。
Claims (4)
1.一种可保留自主呼吸的吸入麻醉系统，其特征在于所述吸入麻醉系统由麻醉机、负压吸引装置、吸入麻醉头罩、监测装置构成，所述的吸入麻醉头罩包括头罩本体(1)和附件(11)，所述头罩本体(1)设有监测导线连接装置(2)、气体监测装置(3)、声音播放装置(4)、透明观察窗(5)、气体排除连接装置(6)、负压吸引连接装置(7)、气体供应连接装置(8)、对讲装置(9)、密封圈(10)。
2.权利要求1所述负压吸引装置选自中心负压吸引系统、电动负压吸引器、负压吸引袋、负压吸引球、负压吸引瓶，所述监测装置包括脑氧饱和度监测装置、麻醉深度监测装置。
3.权利要求1所述监测装置与吸入麻醉头罩通过监测导线连接装置(2)连接，所述负压吸引装置与吸入麻醉头罩通过负压吸引连接装置(7)连接，所述麻醉机与吸入麻醉头罩通过气体供应连接装置(8)和气体排除连接装置(6)连接。
4.权利要求1所述的监测导线连接装置(2)是气密导线孔，所述的气体监测装置(3)是氧气、二氧化碳和麻醉剂浓度监测仪，所述声音播放装置(4)是扬声器，所述透明观察窗(5)是由高分子材料制成的透明面板，所述气体排除连接装置(6)是气密控制阀门，所述负压吸引连接装置(7)是气密控制阀门，所述气体供应连接装置(8)是气密控制阀门，所述对讲装置(9)是具有对讲功能的便携式对讲机，所述的密封圈(10)选自硅胶密封圈、天然橡胶密封圈、弹性密封圈、气囊密封圈、涂有密封胶的高分子材料。
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610455011.8A CN106063966A (zh) | 2016-06-17 | 2016-06-17 | 一种可保留自主呼吸的吸入麻醉系统 |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610455011.8A CN106063966A (zh) | 2016-06-17 | 2016-06-17 | 一种可保留自主呼吸的吸入麻醉系统 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN106063966A true CN106063966A (zh) | 2016-11-02 |
Family
ID=57420496
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610455011.8A Pending CN106063966A (zh) | 2016-06-17 | 2016-06-17 | 一种可保留自主呼吸的吸入麻醉系统 |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN106063966A (zh) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108030991A (zh) * | 2018-01-23 | 2018-05-15 | 路琳琳 | 一种小儿鼻塞无创通气用头套 |
Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2277688A (en) * | 1993-05-05 | 1994-11-09 | David Stewart | A self-retaining device to facilitate the inhalation of gas to human beings and animals |
| US5676133A (en) * | 1995-06-14 | 1997-10-14 | Apotheus Laboratories, Inc. | Expiratory scavenging method and apparatus and oxygen control system for post anesthesia care patients |
| CN1923307A (zh) * | 2006-09-22 | 2007-03-07 | 佛山市第一人民医院 | 一种面罩吸入麻醉的废气排除装置 |
| WO2007128571A2 (en) * | 2006-05-08 | 2007-11-15 | Medizinische Universität Innsbruck | Helmet |
| US20090199854A1 (en) * | 2008-01-31 | 2009-08-13 | Erkki Paavo Heinonen | Method and system for anesthesia delivery |
| CN202724407U (zh) * | 2012-07-12 | 2013-02-13 | 向强 | 防污染麻醉气体吸入面罩 |
| CN103028175A (zh) * | 2011-09-29 | 2013-04-10 | 王寿根 | 吸入麻醉专用面罩 |
| CN105358203A (zh) * | 2013-06-13 | 2016-02-24 | 伊利诺伊大学董事会 | 用于麻醉的头盔 |
-
2016
- 2016-06-17 CN CN201610455011.8A patent/CN106063966A/zh active Pending
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2277688A (en) * | 1993-05-05 | 1994-11-09 | David Stewart | A self-retaining device to facilitate the inhalation of gas to human beings and animals |
| US5676133A (en) * | 1995-06-14 | 1997-10-14 | Apotheus Laboratories, Inc. | Expiratory scavenging method and apparatus and oxygen control system for post anesthesia care patients |
| WO2007128571A2 (en) * | 2006-05-08 | 2007-11-15 | Medizinische Universität Innsbruck | Helmet |
| CN1923307A (zh) * | 2006-09-22 | 2007-03-07 | 佛山市第一人民医院 | 一种面罩吸入麻醉的废气排除装置 |
| US20090199854A1 (en) * | 2008-01-31 | 2009-08-13 | Erkki Paavo Heinonen | Method and system for anesthesia delivery |
| CN103028175A (zh) * | 2011-09-29 | 2013-04-10 | 王寿根 | 吸入麻醉专用面罩 |
| CN202724407U (zh) * | 2012-07-12 | 2013-02-13 | 向强 | 防污染麻醉气体吸入面罩 |
| CN105358203A (zh) * | 2013-06-13 | 2016-02-24 | 伊利诺伊大学董事会 | 用于麻醉的头盔 |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108030991A (zh) * | 2018-01-23 | 2018-05-15 | 路琳琳 | 一种小儿鼻塞无创通气用头套 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| WO2017075903A1 (zh) | 具有可弃性喉镜片的通气喉镜 | |
| CN105854143A (zh) | 一种加药吸痰测温型气管插管 | |
| CN110464952A (zh) | 一种麻醉科用多功能吸入式全身麻醉装置 | |
| CN106029145A (zh) | 喉罩 | |
| CN202724406U (zh) | 困难气道联合插管设备 | |
| CN205569479U (zh) | 一种基于食道封堵胃肠减压的通气装置 | |
| CN104784796A (zh) | 一种可发声且保湿的气管导管 | |
| CN106880897A (zh) | 一种麻醉导管 | |
| CN201168310Y (zh) | 多功能发光气管导管 | |
| CN106063966A (zh) | 一种可保留自主呼吸的吸入麻醉系统 | |
| CN110681027A (zh) | 一种可防止麻醉气体逸出的封闭式麻醉面罩 | |
| CN205598379U (zh) | 一种便携式气管切开保护装置 | |
| CN205867243U (zh) | 一种简易呼吸器 | |
| CN202314783U (zh) | 上消化道内镜检查型喉罩 | |
| CN2259914Y (zh) | 插管式急救呼吸器 | |
| CN206261910U (zh) | 一种可保留自主呼吸的吸入麻醉头罩 | |
| CN113318313A (zh) | 一种儿童用吸入麻醉诱导装置 | |
| CN208626366U (zh) | 一种危重患者监护人工呼吸器 | |
| CN202342638U (zh) | 一种多功能气切导管 | |
| CN207722205U (zh) | 人工智能多功能型人工气道探测仪 | |
| CN207591070U (zh) | 一种麻醉面罩 | |
| CN206964861U (zh) | 可嵌入引流管的麻醉专用面罩 | |
| CN217772950U (zh) | 一种颈部气管套管加湿器 | |
| CN213191931U (zh) | 一种具有吸附功能的防呼吸道分泌物污染防护罩 | |
| CN213312615U (zh) | 一种人工气道储氧式吸氧装置 |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| TA01 | Transfer of patent application right | ||
| TA01 | Transfer of patent application right |
Effective date of registration: 20171107 Address after: Chongqing city Shapingba District 400037 Bridge Street No. 183 Applicant after: No.2 Hospital Attached to No.3 Military Medical College, PLA Applicant after: Chongqing Auki Medical Technology Co Ltd Address before: Chongqing city Shapingba District 400037 Bridge Street No. 183 Applicant before: No.2 Hospital Attached to No.3 Military Medical College, PLA Applicant before: Chongqing Source Medical Technology Co., Ltd. |
|
| TA01 | Transfer of patent application right | ||
| TA01 | Transfer of patent application right |
Effective date of registration: 20180131 Address after: Chongqing city Shapingba District 400037 Bridge Street No. 183 Applicant after: No.2 Hospital Attached to No.3 Military Medical College, PLA Applicant after: Chongqing Auki Medical Technology Co Ltd Address before: Chongqing city Shapingba District 400037 Bridge Street No. 183 Applicant before: No.2 Hospital Attached to No.3 Military Medical College, PLA Applicant before: Chongqing Source Medical Technology Co., Ltd. |
|
| TA01 | Transfer of patent application right | ||
| TA01 | Transfer of patent application right |
Effective date of registration: 20180207 Address after: 400039 Chongqing Jiulongpo Branch City Road No. 166, building 67, No. 2-1 Applicant after: Chongqing Auki Medical Technology Co Ltd Address before: Chongqing city Shapingba District 400037 Bridge Street No. 183 Applicant before: No.2 Hospital Attached to No.3 Military Medical College, PLA Applicant before: Chongqing Source Medical Technology Co., Ltd. |
|
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| TA01 | Transfer of patent application right | ||
| TA01 | Transfer of patent application right |
Effective date of registration: 20190325 Address after: 404100 No. 83 Xinqiao Zhengjie, Shapingba District, Chongqing Applicant after: The Second Affiliated Hospital of PLA Military Medical University Address before: 400039 No. 2-1, Building 67, 166 Kecheng Road, Jiulongpo District, Chongqing Applicant before: Chongqing Auki Medical Technology Co Ltd |