CN106924854A - It is a kind of to remove the trachea cannula that sputum is gathered and reduces inflammatory reaction - Google Patents

It is a kind of to remove the trachea cannula that sputum is gathered and reduces inflammatory reaction Download PDF

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Publication number
CN106924854A
CN106924854A CN201710168994.1A CN201710168994A CN106924854A CN 106924854 A CN106924854 A CN 106924854A CN 201710168994 A CN201710168994 A CN 201710168994A CN 106924854 A CN106924854 A CN 106924854A
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CN
China
Prior art keywords
sputum
suction hole
trachea cannula
air bag
passage
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Pending
Application number
CN201710168994.1A
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Chinese (zh)
Inventor
宛新建
张伟星
杨莹
黎金臻
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Shanghai First Peoples Hospital
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Shanghai First Peoples Hospital
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Priority to CN201710168994.1A priority Critical patent/CN106924854A/en
Publication of CN106924854A publication Critical patent/CN106924854A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0402Special features for tracheal tubes not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M2025/0008Catheters; Hollow probes having visible markings on its surface, i.e. visible to the naked eye, for any purpose, e.g. insertion depth markers, rotational markers or identification of type
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/0043Catheters; Hollow probes characterised by structural features
    • A61M25/0045Catheters; Hollow probes characterised by structural features multi-layered, e.g. coated
    • A61M2025/0046Coatings for improving slidability

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pulmonology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Child & Adolescent Psychology (AREA)
  • Emergency Medicine (AREA)
  • External Artificial Organs (AREA)

Abstract

The trachea cannula that sputum is gathered and reduces inflammatory reaction is removed the present invention relates to a kind of.It is provided with body, breathing machine connector, blow vent, air bag, filling channel and gas tube, and the described inner and outer wall of body and the outer wall of air bag is provided with hydrophobic oleophobic layer;Described air bag is provided with several flange collars, and most proximal end flange collar proximally direction projection so that forming holding tank between sacculus and body;Proximally direction curls into receiving slit at described blow vent edge;The inwall of described body is provided with suction sputum passage, described suction sputum passage is provided with the first sputum suction hole and the second sputum suction hole, the distal openings of suction sputum passage are the 3rd sputum suction hole, first sputum suction hole outward opening, second sputum suction hole UNICOM holding tank, 3rd sputum suction hole UNICOM receiving slit, the near-end connection sputum aspirator tube of suction sputum passage.Trachea cannula of the invention can thoroughly remove sputum, reduce the field planting and growth of germ, reduce the incidence of infection probability and inflammatory reaction, and fixation is more firm, is difficult displacement and gas leakage.

Description

It is a kind of to remove the trachea cannula that sputum is gathered and reduces inflammatory reaction
Technical field
The present invention relates to technical field of medical instruments, specifically, it is related to one kind to remove sputum and gathers and reduce inflammation The trachea cannula of reaction.
Background technology
Endotracheal intubation is widely used in various outside emergency department, various ICU, department of anesthesia, various wards and institute First aid scene.This technology can attract for airway patency, ventilation oxygen-supplying, respiratory tract and prevent suction etc. by mistake from providing optimum condition.
Under normal circumstances, because oral cavity is to the natural reaction of insertion foreign matter, substantial amounts of saliva, phlegm and other secretions can be produced Liquid, various liquid are mixed and flow to balloon position under gravity, just long-pending phlegm formed here, and these secretion also hold On the inside and outside wall for investing trachea cannula easy to stick, not only cause the ventilatory effect for not accommodating influence trachea cannula on patient's sense organ, The space of germ field planting and growth is additionally provided, easily causes infection.Therefore it is periodically required in the nursing process of trachea cannula Some are more sticky in sucking the sputum of trachea cannula inside and outside wall, but these secretion, therefore are difficult thoroughly to absorb, and if accidentally Lung is flowed to, then easily causes the serious diseases such as pneumonia.During trachea cannula, clinically it has also been found that the contact site of tracheae and sacculus Position often produces inflammatory reaction because of prolonged stimulation, increases patient suffering.
Chinese patent literature CN200910132495.2, publication date 2010.09.29, disclosing one kind can be while aspirates gas The device of secretion and flushing and cleaning trachea cannula inwall in road and trachea cannula, it is characterised in that:In sputum aspirator tube (1) Tube wall on add at least 3 be parallel to each other, the small pipeline (2) that spacing is equal;The one end open of small pipeline is in suction sputum tube wall Go up (3) and with sputum aspirator tube distal openings at a distance of 20-50mm, the other end pools a pipeline (4) in the near-end of sputum aspirator tube, its Opening can be connected with syringe;There is graduated scale (5) on the surface of sputum aspirator tube.By carrying out to trachea cannula inwall positioning flushing, clear It is clean, it is to avoid field planting bacterium and phlegm scab occurs in trachea cannula inwall, reduces the generation of Ventilator Associated Pneumonia, improves mechanical ventilation Curative effect.But this mode of operation has the risk for causing trachea cannula inwall secretion to drop, and operation is relatively complicated, in punching Still suction sputum operation is carried out after washing and cleaning.
Yet there are no can effectively simply remove long-pending phlegm to avoid not smooth ventilation, virus infection and patient uncomfortable, And can effectively reduce the trachea cannula of Airway inflammatory response.
The content of the invention
The purpose of the present invention is directed to deficiency of the prior art, there is provided one kind can remove that sputum is gathered and to reduce inflammation anti- The trachea cannula answered.
To achieve the above object, the present invention is adopted the technical scheme that:
A kind of to remove the trachea cannula that sputum is gathered and reduces inflammatory reaction, described trachea cannula is provided with body, exhales Suction machine joint, blow vent, air bag, filling channel and gas tube, the inner and outer wall of described body and the outer wall of air bag are equal It is provided with hydrophobic oleophobic layer;Described air bag is provided with several flange collars, and most proximal end flange collar proximal edge proximally direction projection So that forming the holding tank of ring-type between sacculus and body;The edge of described blow vent in body to proximal direction crimp Form receiving slit;The inwall of described body is provided with suction sputum passage, and described suction sputum passage is provided with the first sputum suction hole and second and inhales Phlegm hole, the distal openings of suction sputum passage are the 3rd sputum suction hole;Described the first sputum suction hole outward opening is simultaneously located at the 3rd sputum suction hole Near-end, the second described sputum suction hole UNICOM holding tank, the 3rd described sputum suction hole UNICOM receiving slit;The near-end of suction sputum passage connects Connect sputum aspirator tube.
Near-end 0.2-1.5cm of the second described sputum suction hole apart from air bag.
The near-end connection of described gas tube indicates sacculus.
The near-end of described instruction sacculus is gas-charging connection.
Described hydrophobic oleophobic layer is made up of fluorine-containing nanometer polymer.
Described fluorine-containing nanometer polymer is fluorine carbon-nano polymer, silicon fluoride nanometer polymer or fluorine molybdenum nanometer polymerization Thing.
The invention has the advantages that:
1st, tube surfaces be provided with hydrophobic oleophobic layer, the secretion such as sputum are separated by with the surface of body, it is therefore prevented that directly with Its contact, and then prevent the surface attachment thick substances therein of body and block, it is to avoid ventilation is not smooth;
2nd, hydrophobic oleophobic layer can reduce the field planting and accumulation of bacterium, fungi, reduce the incidence of infection;
3rd, hydrophobic oleophobic layer reduces the stimulation that air bag is produced to tracheae, can reduce the incidence of inflammatory reaction;
4th, hydrophobic oleophobic layer makes the frictional force very little of secretion and body, therefore is easy to thoroughly absorb secretion;
5th, receiving slit is provided with, the secretion slid by inboard wall of tube body can be accommodated, prevent inflow lung from causing pneumonia, accumulated in Secretion in receiving slit can be absorbed by the 3rd sputum suction hole;
6th, holding tank is provided with, the secretion slid by tube wall can be accommodated, and secretion is gathered in the second sputum suction hole Around, easily and thoroughly absorb sputum;
7th, the first described sputum suction hole contributes to the cleaning of the secretion produced by body distal end tracheae;
8th, air bag is provided with flange collar, on the one hand reduces the contact area with tracheae, reduces the stimulation to tracheae and inflammation Generation, on the other hand can make body fix it is more firm, be difficult gas leakage.
9th, instruction sacculus 9 is provided with, is easy to the inflated condition of observation in vitro air bag.
Brief description of the drawings
Fig. 1 is trachea cannula structural representation of the invention.
Specific embodiment
The specific embodiment that the present invention is provided is elaborated below in conjunction with the accompanying drawings.
The reference and part being related in accompanying drawing are as follows:
1. the breathing machine connector of body 2.
3. the receiving slit of blow vent 4.
5. the flange collar of air bag 51.
6. the filling channel of holding tank 7.
8. gas tube 9. indicates sacculus
10. the suction sputum passage of gas-charging connection 11.
The sputum suction hole of 111. first sputum suction hole 112. second
The sputum aspirator tube of 113. the 3rd sputum suction hole 12.
Embodiment 1
Fig. 1 is referred to, Fig. 1 is trachea cannula structural representation of the invention.Described trachea cannula is provided with body 1, institute The body 1 stated is hollow and both ends open a tubular body, and the near-end of body 1 is provided with breathing machine connector 2, and distal end is ventilation Mouth 3.Described blow vent 3 is inclined plane shape, and edge curls into receiving slit 4 in the body 1 to proximal direction.Described body 1 distal section and be provided with air bag 5 in the top of blow vent 3, described air bag 5 in the deflated condition its outer wall in wavy, Be provided with several flange collars 51 to outer projection, and the flange collar 51 of most proximal end proximal edge proximally direction projection so that Make to be formed between sacculus 5 and body 1 holding tank 6 of a ring-type.The inwall of described body 1 is provided with filling channel 7, described The distal end UNICOM air bag 5 of filling channel 7, filling channel 7 proximally by the through hole (not marked in figure) on the side wall of body 1 with inflation Pipe 8 is connected, and the near-end connection of described gas tube 8 indicates sacculus 9, and the near-end of described instruction sacculus 9 is gas-charging connection 10.Institute Suction sputum passage 11 is additionally provided with the inwall of the body 1 stated, the described wall of suction sputum passage 11 is provided with the first sputum suction hole 111 and second Sputum suction hole 112, the opening of the distal end of suction sputum passage 11 is the 3rd sputum suction hole 113, and the described outward opening side of the first sputum suction hole 111 is simultaneously Positioned at the near-end of the 3rd sputum suction hole 113, the second described sputum suction hole 112 is connected with holding tank 6, the 3rd described sputum suction hole 113 are connected with receiving slit 4, the near-end connection sputum aspirator tube 12 of suction sputum passage 11.The inner and outer wall and gas of described body 1 The outer wall of capsule 5 is equipped with hydrophobic oleophobic layer (not shown).
It should be noted that the effect of described hydrophobic oleophobic layer is inner and outer surfaces one pipe protection of formation in body 1 Film, the secretion such as sputum are separated by with the surface of body 1, it is therefore prevented that directly contacted with it, and then prevented the surface attachment of body 1 Thick substances therein and block, it is to avoid ventilation is not smooth;The field planting and growth of bacterium, fungi can be also reduced, infection is reduced Incidence;Hydrophobic oleophobic layer also reduces the stimulation that air bag 5 is produced to tracheae, can reduce the incidence of inflammatory reaction.It is described " inner and outer wall of body 1 be provided with hydrophobic oleophobic layer " also contains receiving slit 4, holding tank 6, the first sputum suction hole 111, second The position that sputum suction hole 112, suction sputum passage 11 and sputum aspirator tube 12 these components are contacted with secretion is provided with hydrophobic oleophobic layer.Described Hydrophobic oleophobic thickness degree is preferably 50-5000nm, can play good buffer action, and the interior diameter of body 1 can't be caused narrow It is small and influence ventilation.Hydrophobic oleophobic layer 5 is preferably the composite Nano coating with super-hydrophobic oleophobic property, and its material can be fluorine-containing Nanometer polymer, such as fluorine carbon-nano polymer, silicon fluoride nanometer polymer, fluorine molybdenum nanometer polymer etc., can use plasma Body coating technique is allowed to be deposited on the surface of component.Described receiving slit 4 is used to accommodate the secretion slid by the inwall of body 1, Prevent inflow lung from causing pneumonia.The 3rd described sputum suction hole 113 can directly absorb the secretion accumulated in receiving slit 4. Described holding tank 6 can accommodate the secretion slid by the outer wall of body 1, and secretion is gathered in the week of the second sputum suction hole 112 Enclose, it is convenient to absorb sputum, and described the second sputum suction hole 112 and the near-end of air bag 5 distance preferably 0.2-1.5cm, sputum can be made It is thorough by absorbing.The first described sputum suction hole 111 is used to absorb the secretion produced by the distal end tracheae of body 1.Described is hydrophobic Oleophobic layer 15 also causes that secretion weakens significantly to the adhesive force of body 1, therefore the attraction of sputum also becomes very easily, to mitigate The burden of nursing staff.Described air bag 5 carries flange collar 51, on the one hand reduces the contact area with tracheae, and it is right to reduce The stimulation of tracheae, forms certain extruding and is swelled slightly to center between another aspect tracheae and two adjacent flange collars 51, Increase the snap-in force of air bag 5 and tracheae with this, preferably fix body 1 and avoid the generation of gas leakage.Described instruction sacculus 9 is used In the inflated condition of pilot balloon 5, it is easy to observation in vitro.
Gas-charging connection 10 in use, after intubation, is connected gas injection syringe by trachea cannula of the invention, and gas is through referring to Show that sacculus 9, gas tube 8 reach air bag 5, each position of air bag 5 is strutted completely including flange collar 51, described flange collar 51 and gas Tubing is mutually twisted, and observation indicates sacculus 9, and inflation is stopped if suitable degree of inflation is reached.During putting pipe, pars oralis pharyngis and Secretion produced by tracheae can't be adhered on the wall of body 1, and the secretion in body 1 will be accumulated in receiving slit 4 simultaneously Excluded in vitro through suction sputum passage 11, sputum aspirator tube 12 by the 3rd sputum suction hole 113, the secretion outside body 1 will be accumulated in holding tank 6 And excluded in vitro through suction sputum passage 11, sputum aspirator tube 12 by the second sputum suction hole 112, the secretion of the distal end of sacculus 5 will be by the first suction sputum Discharge in hole 111.Trachea cannula of the invention can thoroughly remove sputum, reduce the field planting and growth of germ, significantly reduce infection several Rate and the incidence of inflammatory reaction, and fixation is more firm, is difficult displacement and gas leakage.
Also, it should be noted that the design in equipment surfaces design hydrophobic oleophobic layer of the invention is not limited only to the present invention. Apply also for following apparatus:1st, chamber scope, including digestive endoscopy (gastroscope, enteroscope, Sigmoidoscope, choledochoscope etc.), thoracoscope, Laparoscope, cystoscope and joint of vertebral column mirror etc.;2nd, chamber Insertion, including intrathoracic drain, peritoneal cavity drainage tube, catheter, courage Pipe holder, nerve trachea, nose bile duct, stomach jejunum pipe etc.;3rd, blood vessel inserts thing, and mainly various vessel catheters, seal wire, blood vessel are replaced For thing and various intravascular stents, vessel catheter includes that various arterio-venous catheters, hemodialysis catheter, ECMO insert arterio-venous catheter Include various artificial blood vessels Deng, replacement vessels, intravascular stent includes inserting the various supports of blood vessel, such as cardiac coronary-artery Deng.Reach the purpose of isolation body fluid or drain or nutrient solution or blood.
The above is only the preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art Member, on the premise of the inventive method is not departed from, can also make some improvement and supplement, and these are improved and supplement also should be regarded as Protection scope of the present invention.

Claims (6)

1. a kind of to remove the trachea cannula that sputum is gathered and reduces inflammatory reaction, described trachea cannula is provided with body, breathing Machine joint, blow vent, air bag, filling channel and gas tube, it is characterised in that the inner and outer wall and air bag of described body Outer wall be equipped with hydrophobic oleophobic layer;Described air bag is provided with several flange collars, and most proximal end flange collar proximal edge proximally Direction projection is so that form the holding tank of ring-type between sacculus and body;The edge of described blow vent in body proximally Direction curls into receiving slit;The inwall of described body is provided with suction sputum passage, and described suction sputum passage is provided with the first sputum suction hole With the second sputum suction hole, the distal openings of suction sputum passage are the 3rd sputum suction hole;Described the first sputum suction hole outward opening is simultaneously located at the The near-end of three sputum suction holes, the second described sputum suction hole UNICOM holding tank, the 3rd described sputum suction hole UNICOM receiving slit;Suction sputum passage Near-end connection sputum aspirator tube.
2. trachea cannula according to claim 1, it is characterised in that near-end of the second described sputum suction hole apart from air bag 0.2-1.5cm。
3. trachea cannula according to claim 1, it is characterised in that the near-end connection of described gas tube indicates sacculus.
4. trachea cannula according to claim 3, it is characterised in that the near-end of described instruction sacculus is gas-charging connection.
5. trachea cannula according to claim 1, it is characterised in that described hydrophobic oleophobic layer is by fluorine-containing nanometer polymer It is made.
6. trachea cannula according to claim 5, it is characterised in that described fluorine-containing nanometer polymer is poly- for fluorine carbon-nano Compound, silicon fluoride nanometer polymer or fluorine molybdenum nanometer polymer.
CN201710168994.1A 2017-03-21 2017-03-21 It is a kind of to remove the trachea cannula that sputum is gathered and reduces inflammatory reaction Pending CN106924854A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107497033A (en) * 2017-09-25 2017-12-22 郭松领 A kind of closed Multifunctional sputum aspirator
CN109621136A (en) * 2018-12-21 2019-04-16 广州源临医疗器械有限公司 A kind of luminous trachea cannula
CN113144390A (en) * 2021-04-26 2021-07-23 珠海通桥医疗科技有限公司 Balloon catheter for intracranial CTO

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003101516A1 (en) * 2002-05-29 2003-12-11 University Of Florida Endotracheal tube apparatus and method for using the same to reduce the risk of infections
CN102631740A (en) * 2011-07-22 2012-08-15 湛江市事达实业有限公司 Sputum-suction trachea cannula, trachea cannula assembly and manufacturing method of trachea cannula
CN203564624U (en) * 2013-08-13 2014-04-30 严静 Y-shaped airbag trachea cannula
CN203790408U (en) * 2014-04-24 2014-08-27 聂时南 Drug carrier type self-cleaning adult tracheostomy tube sleeve
CN105031793A (en) * 2015-06-30 2015-11-11 四川大学华西医院 Trachea cannula

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003101516A1 (en) * 2002-05-29 2003-12-11 University Of Florida Endotracheal tube apparatus and method for using the same to reduce the risk of infections
CN102631740A (en) * 2011-07-22 2012-08-15 湛江市事达实业有限公司 Sputum-suction trachea cannula, trachea cannula assembly and manufacturing method of trachea cannula
CN203564624U (en) * 2013-08-13 2014-04-30 严静 Y-shaped airbag trachea cannula
CN203790408U (en) * 2014-04-24 2014-08-27 聂时南 Drug carrier type self-cleaning adult tracheostomy tube sleeve
CN105031793A (en) * 2015-06-30 2015-11-11 四川大学华西医院 Trachea cannula

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107497033A (en) * 2017-09-25 2017-12-22 郭松领 A kind of closed Multifunctional sputum aspirator
CN109621136A (en) * 2018-12-21 2019-04-16 广州源临医疗器械有限公司 A kind of luminous trachea cannula
CN113144390A (en) * 2021-04-26 2021-07-23 珠海通桥医疗科技有限公司 Balloon catheter for intracranial CTO

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Application publication date: 20170707

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