CN106075686A - A kind of method that fixator for tracheal cannule and this device fix tracheal intubation - Google Patents
A kind of method that fixator for tracheal cannule and this device fix tracheal intubation Download PDFInfo
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- CN106075686A CN106075686A CN201610539067.1A CN201610539067A CN106075686A CN 106075686 A CN106075686 A CN 106075686A CN 201610539067 A CN201610539067 A CN 201610539067A CN 106075686 A CN106075686 A CN 106075686A
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- tracheal intubation
- fixing
- bite
- protection board
- tracheal
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Classifications
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- 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
- A61M16/04—Tracheal tubes
-
- 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
- A61M16/04—Tracheal tubes
- A61M16/0488—Mouthpieces; Means for guiding, securing or introducing the tubes
- A61M16/049—Mouthpieces
- A61M16/0493—Mouthpieces with means for protecting the tube from damage caused by the patient's teeth, e.g. bite block
Abstract
The present invention relates to a kind of fixator for tracheal cannule and method that this device fixes tracheal intubation, including extenal fixation, bite-block, protection board, described extenal fixation, bite-block, the middle part of protection board is coaxial circular aperture, described coaxial circular aperture be all outward extended with air supply pipe intubate laterally across opening, described extenal fixation is provided with the occlusion mechanism for being engaged tracheal intubation, described occlusion mechanism is three and fixes tooth around the equally distributed occlusion of central shaft, it is provided with draw-in groove inside described bite-block, described protection board is provided with the fixed structure for fixing dribbling, described fixed structure is the fixing bar of four rectangular distributions, described extenal fixation is chimeric with bite-block through the coaxial circular aperture on protection board, the most described occlusion mechanism is chimeric with draw-in groove.
Description
Technical field
The present invention relates to medical auxiliary apparatus technical field, to through implication in a kind of mechanical ventilation
Device that cannula is fixed and use the method that this device fixes tracheal intubation.
Background technology
In treatment clinical course, carry out Artificial controlled mechanical ventilation, be respiratory nursing during treatment respiratory failure and anesthesia
Important measures, mechanical ventilation has important function in critical illness rescues, and tracheal intubation abjection is the most serious in mechanical ventilation
One of complication, once occur tracheal intubation to slip, the injury again to patient can be caused, as processed the most in time, may result in
Patients acuity anoxia, even suffocates, dead, so keeping tracheal intubation not move in fixed position after tracheal intubation success
Position, coming off becomes particularly important, the fixing means of traditional oral trachea cannula is roughly divided into following several:
1) medical proof fabric fixing means: after determining and intubating successfully, bite-block is inserted between the front tooth up and down of patient, use glue
Tracheal intubation is fixed by cloth with bite-block strapped side by side, and tracheal intubation is finally fixed on the Face and cheek of patient with adhesive plaster.
2) Duropore immobilization with adhesive tape method: Duropore is the adhesive plaster being exclusively used in fixing tracheal intubation, this adhesive plaster be cloth cover,
Having silk quality sense, adhesion is strong, after tracheal intubation, will intubate and move to the side corners of the mouth, is carved along the corners of the mouth one end on the downside of adhesive plaster
Fix at degree and intubate, and along this scale clockwise or counterclockwise around fixing.
3) very little band fixation: fix again after can taking to remove bite-block for conscious patient, be fixed on tracheal intubation with belt
At front tooth scale, belt can one end the longest, walk around patients head with slightly long one end, be connected with slightly shorter one end knotting, fix
After Hao, it be put at the bicker of both sides with adjuvant or gauze pad and be protected by.
4) safety pin fixation: be a kind of fixing means for tracheal cannula in infants, by vertical with bicker for long safety pin from
Conduit buckles by passing outside bicker, is then respectively adhered on safety pin with adhesive plaster and the upper and lower two ends of safety pin.
But, there is many deficiencies in traditional fixing means, medical proof fabric fixing means is simple, convenient, economical, but fixing
Fastness is poor, and is prone to come off；Duropore immobilization with adhesive tape method material price is more expensive, owing to adhesive plaster viscosity is big, and should not be from the face
Remove the marking；Mostly very little band fixing means is on the basis of immobilization with adhesive tape to strengthen fixing, and is the good side preventing immobilization with adhesive tape from coming off
Method, but the method is only limitted to the patient of Clear consciousness, should not use for restless, gnathospasma and the patient that can not coordinate；Not
The fixing infant that is only limitted to of pin uses.
Along with the development of medical skill, some novel tracheal cannula fixers occur in the market, such as: Chen Jun
China, Guo Qiaozhen, Xu Suoqin etc. propose a kind of self-locking trachea in 13 (11) phases in 2006 page 58 59 of " nursing journal "
This self-locking tracheal cannula fixer of cannula fixation, passes tracheal intubation from holder opening part, mouth guard is put into trouble
In person oral cavity, tightening locking nut from side, anchor band penetrates, finally after 1 week around cervical region in holder other end aperture
Buckle velcro, reach the purpose of fixing tracheal intubation.For another example: Chinese patent: ZL201520645357.5, publication number:
CN204910412U, discloses a kind of tracheal cannula fixer, including bite-block main body, is provided with pipe clamp, pipe clamp in bite-block main body
Including the fixing seat being arranged in bite-block main body, fixing seat is elasticly connected with slide block by elastic component, fixing seat sets
Have and determine hole, slide block is provided with movable span, determining hole and movable span position is run through and had expansion screw, movable span lower wall surface or
The upper wall surface determining hole is provided with the screw thread corresponding with expansion screw, is locked the purpose reaching fixing tracheal intubation by screw rod.
Tracheal cannula fixer uses simple, firm, but single unit system complicated structure, material price is more expensive, and cost is higher；
Holder volume and deadweight are relatively big, still can operate sight equation to forming compressing around patient face mouth, bring not to patient
Suitable, and and this structure easily cause patient and sting flat tracheal intubation and cause tracheal intubation ventilation smooth, tracheal intubation position is solid
It is not easy to nurse after Ding and carries out the nursing procedure such as mouth care, suction sputum, replacing position, be unfavorable for wholistic therapy.
Summary of the invention
In sum, in order to improve tracheal intubation fixing means further, increase the comfort level of patient, reduce complicated by postoperative
Disease, reduces the probability of retrograde infection, and the present invention provides a kind of tracheal cannula fixing device and uses this device to fix gas
The method of cannula, can not only protect tracheal intubation to make it not shift, do not deviate from, moreover it is possible to effectively on the basis of fixation
Also lip portion will not be reduced again to forming compressing around patient face mouth without recycling elastic force adhesive plaster extenal fixation tracheal intubation
In position pressure ulcer, oral cavity, ulceration and skin of face are damaged, and simple in construction, and it is convenient to change, and takies volume little, facilitates nurse to carry out
The nursing procedure such as mouth care, suction sputum, replacing position, reduce post-operative complication, reduce the probability of retrograde infection, can also increase simultaneously
Add the comfort level of patient, beneficially wholistic therapy to carry out.
The present invention is achieved through the following technical solutions:
A kind of tracheal cannula fixing device, including extenal fixation, bite-block, protection board, described extenal fixation, bite-block, protection
The middle part of plate is coaxial circular aperture, described coaxial circular aperture be all outward extended with air supply pipe intubate laterally across opening, described outer solid
Fixed be provided with the occlusion mechanism for being engaged tracheal intubation, described occlusion mechanism be three around the equally distributed occlusion of central shaft
Fixing tooth, is provided with draw-in groove inside described bite-block, described protection board is provided with the fixed structure for fixing dribbling, described fixed knot
Structure is the fixing bar of four rectangular distributions, and described extenal fixation is chimeric with bite-block through the coaxial circular aperture on protection board, institute simultaneously
State occlusion mechanism chimeric with draw-in groove.
For expansion,
Described extenal fixation specifically includes: shape is hollow circular cylinder, and the hollow bulb of described extenal fixation can accommodate tracheal intubation
Longitudinally through, for the occlusion mechanism for being engaged fixing tracheal intubation below described extenal fixation, described occlusion mechanism is three and encloses
Fix tooth around the equally distributed occlusion of central shaft, be used for being engaged fixing tracheal intubation.Described extenal fixation is provided with and cylindrical hollow
Partially communicating sagittal plane opening, opening angle is 80 °, and tracheal intubation can be laterally across.
Described bite-block specifically includes: shape be top be hollow circular cylinder, bottom is hollow cone cylinder, hollow cone post
External surface contact oral cavity lingual surface, described bite-block internal ring and draw-in groove are chimeric with extenal fixation and occlusion mechanism, described bite-block be provided with and
The sagittal plane opening of hollow bulb connection, opening angle 80 °, tracheal intubation can be laterally across, and described bite-block is used for being fitted together to extenal fixation,
It is easy to dental articulation, protects tracheal intubation, it is to avoid pressurized.
Described protection board specifically includes: shape is the round-meshed round rectangle thin plate in middle part, and described circular hole is to fillet square
Shape straight line have air supply pipe intubate laterally across opening, described round rectangle thin plate is provided with for fixing the fixing of dribbling
Structure, described fixed structure is the fixing bar of four rectangular distributions, and described fixing bar is made up of lever bracket, bar waist and head, institute
Stating that lever bracket and round rectangle thin plate are fixing to be connected or dismountable fixing connection, described protection board is used for protecting lip portion, external
Tracheal intubation fixes dribbling.
As the further optimization of the present invention, described occlusion mechanism is three to be fixed around the equally distributed occlusion of central shaft
Tooth, described occlusion is fixed on tooth the contact surface with tracheal intubation and is provided with the roller of projection, netted indenture is distributed on described roller.
As the further optimization of the present invention, described occlusion mechanism is the annulus that inside is embedded with roller, is provided with outside annulus
The projection chimeric with described draw-in groove.
Further, in order to increase the frictional force of roller and tracheal intubation, described roller gathers netted indenture.
As the further optimization of the present invention, the top of described extenal fixation is provided with earrings, and described earrings is provided with concave panel,
So that rotation extenal fixation.
As the further optimization of the present invention, described fixed structure is two bar holes, described bar hole and round rectangle
What straight line was vertical and symmetrical is arranged on the both sides of described circular hole.
As the further optimization of the present invention, described round rectangle thin plate is double-decker, and internal layer is structure sheaf, and outer layer is
Cushion course, described internal layer is medical rigid plastics, and described outer layer is medical soft material.
As the further optimization of the present invention, include described lever bracket fixing be connected dismountable with round rectangle thin plate: spiral shell
Stricture of vagina connects and bonded.
As the further optimization of the present invention, described round rectangle thin plate is curved sheets structure, in order to user face
Portion or lip agree with.
As the further optimization of the present invention, the inner side of described protection board is provided with the groove for clamping extenal fixation and bite-block
Or boss, described extenal fixation and bite-block being correspondingly provided with protection board clamping is boss or groove.
A kind of method of fixing tracheal intubation, including, it is provided that a kind of device, including: include extenal fixation, bite-block, protection board,
Described fixing, the middle part of bite-block, protection board is coaxial circular hole, described circular hole be all outward extended with air supply pipe intubate laterally across
Opening, described extenal fixation is provided with the occlusion mechanism for being engaged tracheal intubation, is provided with draw-in groove, described guarantor inside described bite-block
Backplate is provided with the fixed structure for fixing dribbling, and described fixed structure is the fixing bar of four rectangular distributions, described outside
The circular hole being secured across on protection board is chimeric with bite-block, and the most described occlusion mechanism is chimeric with draw-in groove；
By extenal fixation, bite-block, protection board is assembled into a kind of tracheal cannula fixing device so that opening is consistent, will be solid
Determine device per os immediately below tracheal intubation, insert oral cavity, embed tracheal intubation by opening, rotate counterclockwise extenal fixation 0～
120 °, treat that the occlusion mechanism on extenal fixation is chimeric with the draw-in groove on bite-block, then in longitudinally by fixing for tracheal intubation occlusion, now outside
The fixing sagittal plane opening with protection board is towards different, in laterally fixing tracheal intubation.
Preferably, after rotating counterclockwise extenal fixation 0～120 °, turn clockwise protection board, thus allows trachea be fixed on out
In the concentric circle holes that mouth is formed.Here, extenal fixation can be first to turn clockwise, and then protection board rotates counterclockwise.Certainly,
The direction that can be the most contrary rotates simultaneously, so allows trachea fixing in a device.When needs take off trachea when, permissible
According to mode reverse operating expressed above, allow extenal fixation, bite-block, the opening of protection board is on same straight line, such that it is able to
Take off trachea.Trachea is allowed to separate with fixator for tracheal cannule.
Preferably, the inner side of described protection board is provided with for clamping extenal fixation and the groove of bite-block or boss, described outer solid
Determining and being correspondingly provided with protection board clamping on bite-block is boss or groove.
Preferably, described fixed structure is two bar holes, the both sides being arranged on described circular hole that described bar hole is symmetrical.
Preferably, described protection board is double-decker, and internal layer is structure sheaf, and outer layer is cushion course, and described internal layer is medical
Rigid plastics, described outer layer is medical soft material.
Preferably, described occlusion mechanism is three and fixes tooth around the equally distributed occlusion of central shaft, and described occlusion is fixed
On tooth, the contact surface with tracheal intubation is provided with protruding roller, and netted indenture is distributed on described roller.
Preferably, it is characterised in that described occlusion mechanism is the annulus that inside is embedded with roller, it is provided with outside annulus with described
The projection that draw-in groove is chimeric, described roller gathers netted indenture.
Preferably, described protection board is curved sheets structure, in order to agree with user face or lip.
A kind of method of fixing tracheal intubation, including using a kind of tracheal cannula fixing device to fix tracheal intubation,
It is specifically divided into following steps:
Step one, sets position: patient takes dorsal position, removes and loosen tooth and artificial tooth, remove oral foreign body or secretions,
Push away volume method with lifting chin, make head fully swing back with atlantooccipital joint for turning point, in order to mouth, pharynx, larynx are straight line (cervical vertebra injury
Except person)；
Step 2, protects lip: intersect with thumb and forefinger and push upper lower lip aside, protect lip tooth；
Step 3, laryngoscope inserts: along right side bicker vertically into oral cavity；Then tongue body is pushed to left side, and laryngoscope moves to mouth
On the median line of chamber, it is slowly advanced laryngoscope, until epiglottis root is arrived at laryngoscope tip, above carries laryngoscope and expose fissure of glottis；
Step 4, inserts tracheal intubation under direct-view: tracheal intubation alignment fissure of glottis, along the Lens grooves of laryngoscope in photopic vision
Lower feeding tracheal intubation；Soft rotary guide pipe so that it is be smoothly through fissure of glottis and enter tracheal strips；
Step 5, first successive step and fixing tracheal intubation: after tentatively adjusting catheter depth, by extenal fixation, bite-block, protection
Plate is assembled into a kind of tracheal cannula fixing device so that opening is consistent, by fixing device per os immediately below tracheal intubation
Insert oral cavity, embed tracheal intubation by opening, rotate counterclockwise extenal fixation 0～120 °, treat occlusion mechanism on extenal fixation with
Draw-in groove on bite-block is fitted together to, then in longitudinally by fixing for tracheal intubation occlusion, and the now sagittal plane opening court of extenal fixation and protection board
To difference, in the most fixing tracheal intubation；
Step 6, fixing tracheal intubation: observe the tracheal intubation degree of depth after the most fixing and exit laryngoscope, adjusting tracheal intubation
After the degree of depth is the most satisfied, tracheal intubation is fixed dribbling to be fixed on the fixed structure of protection board.
Beneficial effects of the present invention performance is as follows:
When rescuing oral trachea cannula patient, after intubating successfully, after fixing device is assembled into one, embedded by opening
Tracheal intubation, rear utilization rotates extenal fixation, makes the occlusion mechanism below extenal fixation fix with tracheal intubation, substitutes tradition bite-block
Extenal fixation mode, compared with prior art obtains following beneficial effect:
1, tracheal intubation can not only be effectively protected to make it not shift, do not deviate from, moreover it is possible to nothing on the basis of fixation
Elastic force adhesive plaster extenal fixation tracheal intubation need to be recycled and also will not reduce lip position again to forming compressing around patient face mouth
In pressure ulcer, oral cavity, ulceration and skin of face are damaged.
2, utilize tetragon component rule, make the tongue of patient cannot produce enough thrust, effectively reduce and tell pipe now
The generation of elephant.
3, the design of cushion course and curved surface arc can be greatly improved patient's local comfort degree, effectively reduces lip position pressure
In skin ulcer, oral cavity, ulceration and skin of face are damaged.
4, described occlusion mechanism is designed as inside and is embedded with roller structure, and roller also can partly protrude to reduce annular diameters,
Abjection can be prevented with stronger fixing tracheal intubation while increasing frictional force.
5, present configuration is simple, takies volume little, and it is convenient to change, can clearly observation panel intracavity lesion situation and trachea
Catheter depth, beneficially wholistic therapy are carried out.
6, tracheal intubation fixing means of the present invention, easy to be easy-to-use, greatly reduce the specialty to medical personnel and want
Ask, thus saved the biggest human cost, and add the comfort level of patient, reduce post-operative complication, reduce sense of driving in the wrong direction
The probability of dye.
Accompanying drawing explanation
Accompanying drawing 1 is the structural representation of extenal fixation of the present invention；
Accompanying drawing 2 is the structural representation of protection board of the present invention；
Accompanying drawing 3 is the structural representation of bite-block of the present invention；
Accompanying drawing 4 is fixing device package assembly schematic diagram of the present invention；
Wherein: extenal fixation 1, bite-block 2, protection board 3, circular hole 4, opening 5, occlusion mechanism 6, the fixing tooth 601 of occlusion, draw-in groove 7,
Fixed structure 8, fixing bar 801, lever bracket 802, bar waist 803, head 804, round rectangle thin plate 9, earrings 10
Detailed description of the invention
Understandable for enabling the above-mentioned purpose of the application, feature and advantage to become apparent from, 1,2,3,4 and below in conjunction with the accompanying drawings
The application is described in further detail by detailed description of the invention.
As it is shown in figure 1, a kind of tracheal cannula fixing device, described extenal fixation 1 is hollow circular cylinder for shape, described
The hollow bulb of extenal fixation 1 can accommodate tracheal intubation longitudinally through and be outward extended with air supply pipe intubate laterally across opening 5, institute
The top stating extenal fixation 1 is provided with earrings 10, and described earrings 10 is provided with concave panel, in order to rotate extenal fixation, described extenal fixation
For the occlusion mechanism 6 for being engaged fixing tracheal intubation below 1, described occlusion mechanism 6 is three and is uniformly distributed around central shaft
Occlusion fix tooth 601, be used for being engaged fixing tracheal intubation, on described extenal fixation 1 air supply pipe intubate laterally across opening be
Cylindrical hollow partially communicating sagittal plane opening, the angle of opening 5 is 80 °, and tracheal intubation can be laterally across.
Described occlusion mechanism 6 be three around the equally distributed occlusion of central shaft fix tooth 601 time, tooth is fixed in described occlusion
On 601, the contact surface with tracheal intubation is provided with protruding roller, and netted indenture is distributed on described roller.(not shown)
Described occlusion mechanism 6 could be arranged to inside and is embedded with the annulus of roller, is provided with chimeric with described draw-in groove 7 outside annulus
Projection.(not shown)
As in figure 2 it is shown, a kind of tracheal cannula fixing device, described protection board 3 is that middle part is (i.e. circular with circular hole 4
Through hole) round rectangle thin plate 9, described circular hole 4 to the straight line of round rectangle thin plate 9 have air supply pipe intubate laterally across
Opening 5, described round rectangle thin plate 9 is provided with the fixed structure 8 for fixing dribbling, described fixed structure 8 be four in square
The fixing bar 801 of shape distribution, optimal distribution is four angle one_to_one corresponding of four fixing bars 801 and round rectangle thin plate 9, this
More rationally uniformly, described fixing bar 801 is that force rod is by lever bracket 802, bar waist 803 and head 804 groups to sample protection board 3 stress
Becoming, lever bracket 802 is reinforced root and is connected, and head 804 prevents dribbling from coming off, and preferably lever bracket 802, bar waist 803 and head 804 is
The solid that little two, integrated centre is big, three is for being coaxially disposed or not in same axle center, to facilitate fixing dribbling
It is advisable.
Described lever bracket 802 is fixing with round rectangle thin plate 9 to be connected, or fixing bar 801 becomes with round rectangle thin plate 9 one
Type, or fixing bar 801 fixing is connected by lever bracket 802 is dismountable with round rectangle thin plate 9, mentioned here dismountable
Fixing connection include but not limited to threaded, bonded, pin connect, card snapping.
Described round rectangle thin plate 9 is double-decker, and internal layer is structure sheaf, and outer layer is cushion course, and described internal layer is medical
Rigid plastics, described outer layer is medical soft material.(not shown)
In order to reduce the pressure ulcer of lip position further, described round rectangle thin plate 9 is set to curved sheets structure, in order to
User face or lip agree with.(not shown)
In order to simplify structure, cost-effective, described fixed structure 8 is designed as two bar holes, described bar hole and fillet
What rectangle straight line was vertical and symmetrical is arranged on the both sides (not shown) of described circular hole.
As it is shown on figure 3, a kind of tracheal cannula fixing device, described bite-block 2 top is hollow circular cylinder, during bottom is
Empty conical cylinder, hollow cone cartridge outer surface contact oral cavity lingual surface, the internal ring of described bite-block 2 and draw-in groove 7 and extenal fixation 1 and
Occlusion mechanism 6 is fitted together to, and described bite-block 2 is provided with the sagittal plane opening connected with hollow bulb, opening angle 80 °, and tracheal intubation can be horizontal
To passing through, described bite-block 2 is used for being fitted together to extenal fixation 1, it is simple to dental articulation, protects tracheal intubation, it is to avoid pressurized.
As shown in Figure 4, a kind of tracheal cannula fixing device, including extenal fixation 1, bite-block 2, protection board 3, described outer solid
Fixed 1, bite-block 2, the middle part of protection board 3 is coaxial circular hole 4, described circular hole 4 be all outward extended with air supply pipe intubate laterally across
Opening 5, described extenal fixation 1 is provided with the occlusion mechanism 6 for being engaged tracheal intubation, described occlusion mechanism 6 be three around
Tooth 601 is fixed in the equally distributed occlusion of central shaft, is provided with draw-in groove 7 inside described bite-block 2, and described protection board 3 is provided with for solid
The fixed structure 8 of price fixing band, described fixed structure 8 is the fixing bar 801 of four rectangular distributions, and described extenal fixation 1 is through protecting
Circular hole 4 on backplate 3 is chimeric with bite-block 2, and the most described occlusion mechanism 6 is chimeric with draw-in groove 7.
For expansion,
Described extenal fixation 1 specifically includes: shape is hollow circular cylinder, and the hollow bulb of described extenal fixation 1 can accommodate trachea and insert
Pipe longitudinally through, for for being engaged the occlusion mechanism 6 of fixing tracheal intubation below described extenal fixation 1, described occlusion mechanism 6 is three
Individual fix tooth 601 around the equally distributed occlusion of central shaft, be used for being engaged fixing tracheal intubation.Described extenal fixation 1 is provided with and circle
The sagittal plane opening of cylinder hollow space connection, opening angle is 80 °, and tracheal intubation can be laterally across.
Described extenal fixation includes that top is big, the structure that bottom is little, and so junction in upper and lower forms one
Cervical region, the diameter of the through hole of such protection board is less than the diameter on fixed part top, so assembling when, protection board and outer solid
Surely it is connected together, is formed and can mutually rotate but the structure (Fig. 1, Fig. 4) that can fix.
Described bite-block 2 specifically includes: shape be top be hollow circular cylinder, bottom is hollow cone cylinder, hollow cone
Cartridge outer surface contact oral cavity lingual surface, internal ring and the draw-in groove 7 of described bite-block 2 are chimeric with extenal fixation 1 lower end and occlusion mechanism 6, institute
Stating bite-block 2 and be provided with the sagittal plane opening connected with hollow bulb, opening angle 80 °, tracheal intubation can be laterally across, described bite-block 2
For being fitted together to extenal fixation 1, it is simple to dental articulation, protect tracheal intubation, it is to avoid pressurized.
Described protection board 3 specifically includes: shape is the round-meshed round rectangle thin plate 9 in middle part, and described circular hole 4 is to fillet
The straight line of rectangular thin plate 9 have air supply pipe intubate laterally across opening 5, described round rectangle thin plate 9 is provided with for solid
The fixed structure 8 of price fixing band, described fixed structure 8 is the fixing bar 801 of four rectangular distributions, and described fixing bar 801 is by bar
Torr 802, bar waist 803 and head 804 form, and described lever bracket 802 is fixing with round rectangle thin plate 9 to be connected or dismountable fixing company
Connecing, described protection board 3 is used for protecting lip portion, external gas cannula to fix dribbling.
The inner side of described protection board 3 is provided with for clamping extenal fixation 1 and the groove of bite-block 2 or boss, described extenal fixation 1 He
The boss with protection board 3 clamping or groove it is correspondingly provided with on bite-block 2.(not shown)
A kind of method of fixing tracheal intubation, including, it is provided that a kind of device, including: include extenal fixation, bite-block, protection board,
Described fixing, the middle part of bite-block, protection board is coaxial circular hole, described circular hole be all outward extended with air supply pipe intubate laterally across
Opening, described extenal fixation is provided with the occlusion mechanism for being engaged tracheal intubation, is provided with draw-in groove, described guarantor inside described bite-block
Backplate is provided with the fixed structure for fixing dribbling, and described fixed structure is the fixing bar of four rectangular distributions, described outside
The circular hole being secured across on protection board is chimeric with bite-block, and the most described occlusion mechanism is chimeric with draw-in groove；
By extenal fixation, bite-block, protection board is assembled into a kind of tracheal cannula fixing device so that opening is consistent, will be solid
Determine device per os immediately below tracheal intubation, insert oral cavity, embed tracheal intubation by opening, rotate counterclockwise extenal fixation 0～
120 °, treat that the occlusion mechanism on extenal fixation is chimeric with the draw-in groove on bite-block, then in longitudinally by fixing for tracheal intubation occlusion, now outside
The fixing sagittal plane opening with protection board is towards different, in laterally fixing tracheal intubation.
Preferably, after rotating counterclockwise extenal fixation 0～120 °, turn clockwise protection board, thus allows trachea be fixed on out
In the concentric circle holes that mouth is formed.Here, extenal fixation can be first to turn clockwise, and then protection board rotates counterclockwise.Certainly,
The direction that can be the most contrary rotates simultaneously, so allows trachea fixing in a device.When needs take off trachea when, permissible
According to mode reverse operating expressed above, allow extenal fixation, bite-block, the opening of protection board is on same straight line, such that it is able to
Take off trachea.Trachea is allowed to separate with fixator for tracheal cannule.
The method of a kind of fixing tracheal intubation that the present invention provides, including using, a kind of tracheal cannula fixing device is solid
Determine tracheal intubation, be specifically divided into following steps:
Step one, sets position: patient takes dorsal position, removes and loosen tooth and artificial tooth, remove oral foreign body or secretions,
Push away volume method with lifting chin, make head fully swing back with atlantooccipital joint for turning point, in order to mouth, pharynx, larynx are straight line (cervical vertebra injury
Except person).
Step 2, protects lip: intersect with thumb and forefinger and push upper lower lip aside, protect lip tooth.
Step 3, laryngoscope inserts: along right side bicker vertically into oral cavity；Then tongue body is pushed to left side, and laryngoscope moves to mouth
On the median line of chamber, it is slowly advanced laryngoscope, until epiglottis root is arrived at laryngoscope tip, above carries laryngoscope and expose fissure of glottis.
Step 4, inserts tracheal intubation under direct-view: tracheal intubation alignment fissure of glottis, along the Lens grooves of laryngoscope in photopic vision
Lower feeding tracheal intubation；Soft rotary guide pipe so that it is be smoothly through fissure of glottis and enter tracheal strips.
Step 5, first successive step and fixing tracheal intubation: after tentatively adjusting catheter depth, by extenal fixation 1, bite-block 2, protect
Backplate 3 is assembled into a kind of tracheal cannula fixing device so that opening is consistent, by fixing device per os in tracheal intubation just under
Oral cavity is inserted by side, embeds tracheal intubation by opening 5, rotation extenal fixation 0 counterclockwise～120 °, treats the holding-on machine on extenal fixation 1
Structure 6 is chimeric with the draw-in groove 7 on bite-block 2, then in longitudinally tracheal intubation occlusion being fixed, and now extenal fixation 1 and the sagittal of protection board 3
Face opening is towards difference, in the most fixing tracheal intubation.
Step 6, fixing tracheal intubation: observe the tracheal intubation degree of depth after the most fixing and exit laryngoscope, adjusting tracheal intubation
After the degree of depth is the most satisfied, tracheal intubation is fixed dribbling to be fixed on the fixed structure 8 of protection board 3.
Being further illustrated by the present invention as a example by adult man, during giving emergency treatment to a patient, adult's man's trachea is inserted
Pipe standards are 7.5mm tracheal intubation, and external diameter is 9.5mm, and the present invention includes extenal fixation 1, bite-block 2, protection board 3；Wherein, outside described
Fixing 1, matched hollow circular cylinder size is height 25mm, outer annular diameter 25mm, annular diameters 14mm, can accommodate gas
Cannula passes through, and is three fixing teeth 601 of tracheal intubation occlusion below extenal fixation 1, and a length of 10mm, width is 2.9mm, is used for
Fixing tracheal intubation, sagittal plane opening 9mm, opening angle 80 °, tracheal intubation can be laterally across.Described bite-block 2, therewith phase
The height joined is 28mm, and cylinder external diameter is 25mm, and internal ring is chimeric with extenal fixation 1 and occlusion mechanism 6 thereof, and lower section conical cylinder contacts
Oral cavity lingual surface, sagittal plane opening 9mm, opening angle 80 °, tracheal intubation can be laterally across.Described protection board 3 is matched
Size is the round rectangle thin plate 9 of length 50mm, width 34mm, thickness 1.9mm, and centre is diameter 20mm circular hole 4, opening 5
Width is 9mm, consistent with 7.5mm tracheal intubation external diameter (9.5mm), and tracheal intubation can be laterally across, is used for protecting lip portion,
External gas cannula fixes dribbling.
After success oral trachea cannula, being assembled with extenal fixation 1 and bite-block 2 by protection board 3, after assembling, per os is in trachea
Insert oral cavity immediately below intubating, at this moment protection board 3, bite-block 2, extenal fixation 1 sagittal plane opening consistent, will be fixing by opening 5
Device embeds tracheal intubation, rotation extenal fixation 0 counterclockwise～120 °, treats the occlusion mechanism 6 on extenal fixation 1 and the card on bite-block 2
Groove 7 is fitted together to, then in longitudinally by fixing for tracheal intubation occlusion, now extenal fixation 1 from the sagittal plane opening of protection board 3 towards different,
In the most fixing tracheal intubation.
If nursing staff carries out oral care practices, oral cavity can be exposed to greatest extent and block without fixing device.
If fixing device need to be changed, first extenal fixation 1 can be rotated to an angle counterclockwise, make occlusion mechanism 6 whiz bite-block
Draw-in groove 7, and make protection board 3, bite-block 2, extenal fixation 1 sagittal plane opening consistent, the laterally moved out fixing device of tracheal intubation can be made,
And then replacing fixing device.
Finally illustrate, above detailed description of the invention only in order to technical scheme to be described and unrestricted, although
The present invention is described in detail by above-mentioned detailed description of the invention, it is to be understood by those skilled in the art that can
In the form and details it is made various change, the model limited without departing from claims of the present invention
Enclose.
Claims (10)
1. a tracheal cannula fixing device, it is characterised in that include extenal fixation, bite-block, protection board, described fixing, tooth
Pad, the middle part of protection board be coaxial circular hole, described circular hole be all outward extended with air supply pipe intubate laterally across opening, described
Extenal fixation is provided with the occlusion mechanism for being engaged tracheal intubation, is provided with draw-in groove inside described bite-block, and described protection board is provided with
For fixing the fixed structure of dribbling, described fixed structure is the fixing bar of four rectangular distributions, and described extenal fixation is through protecting
Circular hole on backplate is chimeric with bite-block, and the most described occlusion mechanism is chimeric with draw-in groove.
A kind of tracheal cannula fixing device the most according to claim 1, it is characterised in that the inner side of described protection board
It is provided with for clamping extenal fixation and the groove of bite-block or boss, described extenal fixation and bite-block are correspondingly provided with protection board clamping are
Boss or groove.
A kind of tracheal cannula fixing device the most according to claim 1, it is characterised in that described fixed structure is two
Individual bar hole, the both sides being arranged on described circular hole that described bar hole is symmetrical.
A kind of tracheal cannula fixing device the most according to claim 1, it is characterised in that described protection board is double-deck
Structure, internal layer is structure sheaf, and outer layer is cushion course, and described internal layer is medical rigid plastics, and described outer layer is medical soft material.
A kind of tracheal cannula fixing device the most according to claim 2, it is characterised in that described protection board is double-deck
Structure, internal layer is structure sheaf, and outer layer is cushion course, and described internal layer is medical rigid plastics, and described outer layer is medical soft material.
6. according to a kind of tracheal cannula fixing device described in claim 1 or 2 or 3 or 4, it is characterised in that described in sting
Conjunction mechanism is three and fixes tooth around the equally distributed occlusion of central shaft, and the contact surface on tooth with tracheal intubation is fixed in described occlusion
It is provided with the roller of projection, netted indenture on described roller, is distributed.
7. according to a kind of tracheal cannula fixing device described in claim 1 or 2 or 3 or 4, it is characterised in that described in sting
Closing mechanism is the annulus that inside is embedded with roller, is provided with the projection chimeric with described draw-in groove outside annulus, and described roller gathers net
Shape indenture.
A kind of tracheal cannula fixing device the most according to claim 6, it is characterised in that described protection board is curved surface
Thin-slab structure, in order to agree with user face or lip.
9. the method for a fixing tracheal intubation, it is characterised in that include using described tracheal cannula fixing device to fix
Tracheal intubation, is specifically divided into following steps:
Step one, sets position: patient takes dorsal position, removes and loosen tooth and artificial tooth, remove oral foreign body or secretions, with lifting
Chin pushes away volume method, makes head fully swing back with atlantooccipital joint for turning point, in order to mouth, pharynx, larynx are straight line；
Step 2, protects lip: intersect with thumb and forefinger and push upper lower lip aside, protect lip tooth；
Step 3, laryngoscope inserts: along right side bicker vertically into oral cavity；Then tongue body is pushed to left side, and laryngoscope is just moving to oral cavity
On center line, it is slowly advanced laryngoscope, until epiglottis root is arrived at laryngoscope tip, above carries laryngoscope and expose fissure of glottis；
Step 4, inserts tracheal intubation: tracheal intubation alignment fissure of glottis, the Lens grooves along laryngoscope is sent under photopic vision under direct-view
Enter tracheal intubation；Soft rotary guide pipe so that it is be smoothly through fissure of glottis and enter tracheal strips；
Step 5, first successive step and fixing tracheal intubation: after tentatively adjusting catheter depth, by extenal fixation, bite-block, protection board group
Dress is a kind of tracheal cannula fixing device so that opening is consistent, is inserted by fixing device per os immediately below tracheal intubation
Oral cavity, embeds tracheal intubation, rotation extenal fixation 0 counterclockwise～120 ° by opening, treats the occlusion mechanism on extenal fixation and bite-block
On draw-in groove be fitted together to, then in longitudinally by fixing for tracheal intubation occlusion, now extenal fixation and the sagittal plane opening of protection board be not towards
With, in the most fixing tracheal intubation；
Step 6, fixing tracheal intubation: observe the tracheal intubation degree of depth after the most fixing and exit laryngoscope, adjusting the tracheal intubation degree of depth
To satisfaction, tracheal intubation is fixed dribbling to be fixed on the fixed structure of protection board.
10. a method for fixing tracheal intubation, including,
A kind of device is provided, including: including extenal fixation, bite-block, protection board, described fixing, the middle part of bite-block, protection board is coaxial
Circular hole, described circular hole be all outward extended with air supply pipe intubate laterally across opening, described extenal fixation is provided with for being engaged
The occlusion mechanism of tracheal intubation, is provided with draw-in groove inside described bite-block, described protection board is provided with the fixed knot for fixing dribbling
Structure, described fixed structure is the fixing bar of four rectangular distributions, and described extenal fixation is embedding with bite-block through the circular hole on protection board
Closing, the most described occlusion mechanism is chimeric with draw-in groove；
By extenal fixation, bite-block, protection board is assembled into a kind of tracheal cannula fixing device so that opening is consistent, by fixing dress
Put per os immediately below tracheal intubation, insert oral cavity, embed tracheal intubation by opening, rotate counterclockwise extenal fixation 0～120 °,
Treat that the occlusion mechanism on extenal fixation is chimeric with the draw-in groove on bite-block, then in longitudinally tracheal intubation occlusion being fixed, now extenal fixation
From the sagittal plane opening of protection board towards different, in the most fixing tracheal intubation.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610539067.1A CN106075686A (en) | 2016-07-09 | 2016-07-09 | A kind of method that fixator for tracheal cannule and this device fix tracheal intubation |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610539067.1A CN106075686A (en) | 2016-07-09 | 2016-07-09 | A kind of method that fixator for tracheal cannule and this device fix tracheal intubation |
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| CN106075686A true CN106075686A (en) | 2016-11-09 |
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| CN201610539067.1A Pending CN106075686A (en) | 2016-07-09 | 2016-07-09 | A kind of method that fixator for tracheal cannule and this device fix tracheal intubation |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107638617A (en) * | 2017-09-21 | 2018-01-30 | 铜仁市恒睿生产力促进中心有限公司 | A kind of trachea cannula of division of respiratory disease one-hand operation and the fixing device of bite-block |
| CN108969859A (en) * | 2018-06-21 | 2018-12-11 | 青岛市口腔医院 | A kind of adjustable fixator for tracheal cannule |
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| CN108969859B (en) * | 2018-06-21 | 2020-09-08 | 青岛市口腔医院 | Adjustable trachea cannula fixing device |
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