CN107174316A - A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method - Google Patents
A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method Download PDFInfo
- Publication number
- CN107174316A CN107174316A CN201710346283.9A CN201710346283A CN107174316A CN 107174316 A CN107174316 A CN 107174316A CN 201710346283 A CN201710346283 A CN 201710346283A CN 107174316 A CN107174316 A CN 107174316A
- Authority
- CN
- China
- Prior art keywords
- puncture
- tracheae
- seal wire
- skin
- tracheotomy
- 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
- 238000000034 method Methods 0.000 title claims abstract description 10
- 239000007788 liquid Substances 0.000 claims abstract description 12
- 238000005520 cutting process Methods 0.000 claims abstract description 8
- 238000002372 labelling Methods 0.000 claims abstract description 7
- 238000003780 insertion Methods 0.000 claims description 17
- 230000037431 insertion Effects 0.000 claims description 17
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 claims description 10
- 229910052802 copper Inorganic materials 0.000 claims description 10
- 239000010949 copper Substances 0.000 claims description 10
- 239000002775 capsule Substances 0.000 claims description 9
- 239000012530 fluid Substances 0.000 claims description 6
- 230000009286 beneficial effect Effects 0.000 claims description 4
- 206010044310 Tracheo-oesophageal fistula Diseases 0.000 description 5
- 208000005864 Tracheoesophageal Fistula Diseases 0.000 description 5
- 208000016274 isolated tracheo-esophageal fistula Diseases 0.000 description 5
- 230000006378 damage Effects 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 3
- 206010051955 Tracheal pain Diseases 0.000 description 2
- 206010052428 Wound Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 230000000149 penetrating effect Effects 0.000 description 2
- 210000002345 respiratory system Anatomy 0.000 description 2
- 230000028327 secretion Effects 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 208000030090 Acute Disease Diseases 0.000 description 1
- 241001269238 Data Species 0.000 description 1
- 208000000059 Dyspnea Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 206010016717 Fistula Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010059639 Laryngeal obstruction Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 206010065716 Pharyngeal inflammation Diseases 0.000 description 1
- 206010036790 Productive cough Diseases 0.000 description 1
- 206010038669 Respiratory arrest Diseases 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 208000029028 brain injury Diseases 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000003890 fistula Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 210000000867 larynx Anatomy 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 201000003144 pneumothorax Diseases 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 210000003802 sputum Anatomy 0.000 description 1
- 208000024794 sputum Diseases 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
-
- 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
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B2017/3454—Details of tips
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pulmonology (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Emergency Medicine (AREA)
- Hematology (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Anesthesiology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Prostheses (AREA)
Abstract
A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method, tracheotomy device include：Labelling apparatus for marking cut line and incision length；Cutter for cutting skin along cut line；For being vertically pierced into endotracheal puncture outfit in incision；For verifying whether puncture outfit penetrates endotracheal verifying attachment；Play the seal wire of guiding function；Carry out expanding the expansion skin device of skin at point of puncture；For guiding hypodermic tunnel enlarging device, tracheae device to enter the long stay pipe of tracheae；Create and expand skin surface to the path clearance between tracheae to form the tunnel enlarging device of hypodermic tunnel；Connected with tracheae and the tracheae device of liquid can be drawn from tracheal strips.The Tracheostoma tracheotomy method implemented using the present invention has accurate estimation size incision, improves puncture needle judging nicety rate, it is to avoid the characteristics of paracentesis depth is too deep, can effectively improve the security of tracheotomy.
Description
Technical field
The present invention relates to a kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method.
Background technology
Tracheotomy is one of acute disease, severe ICU, ear nose larynx neck section common operation.Tracheotomy includes：Conventional gas
Tubotomy, intercricothyrotomy, percutaneous tracheotomy and Percutaneous Tracheotomy.It is primarily adapted for use in：1, by pharyngeal inflammation,
Tumour, wound, serious laryngeal obstruction caused by foreign matter etc.；2, lower respiratory tract secretion storage caused by a variety of causes is stayed, and is suction sputum, is protected
Hold airway patency, it is contemplated that tracheotomy, such as patients with severe brain injury, burn of respiratory tract, serious chest trauma etc.；3, preventative gas
Pipe is cut；4, take foreign body in airpassage；5, cervical trauma person is with bottleneck throat tracheae, Ce damage, for going out immediately after damage
Existing expiratory dyspnea person.
Complication Post-tracheotomy is mainly bleeding, respiratory arrest, pneumothorax, pneumoderm and tracheoesophageal fistula etc., its
Middle tracheoesophageal fistula prognosis is poor.Often there is long-term disunion in such complications, infection, or even dead.Trachealgia leakage is main
During autogenous cutting, the damage of tracheae rear wall causes tracheae and oesophagus to communicate.But at present on the market can without a autogenous cutting device
To effectively reduce the incidence of such complications.
The problem of common in tracheotomy, has：1. puncture needle leading portion can be usually run into operating process by tissue occlusion,
It is mistakenly considered not cause autogenous cutting to fail in tracheae, or puncture is excessive, causes the damage of tracheae rear wall to cause tracheoesophageal fistula；2.
Be unable to estimate oddi's sphincteroplasty, often result in that otch is long or otch not enough, cut or suture repeatedly excessive otch.
In summary, current conventional tracheal cutting operation exist operation otch oddi's sphincteroplasty can not accurate evaluation, puncture and exist
Position judges to be disturbed, paracentesis depth can not determine and be difficult to the shortcoming estimated, and tracheotomy has been had influence on to a certain extent
Security.
The content of the invention
Deficiency regarding to the issue above, the present invention proposes a kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method.
Technical proposal that the invention solves the above-mentioned problems is：
A kind of puncture outfit, the puncture outfit includes nook closing member and puncture cannula, and the puncture cannula includes handle section and pipeline section,
The nook closing member includes handling section and needle body；Needle body runs through puncture cannula and the fixation by being arranged between handling section and handle section
Device is fixed on puncture cannula；The free end of the pipeline section has the puncture cannula parallel with the needle point angle of needle body oblique
Mouthful,
And the line between the needle point and fixing device is parallel with the central shaft of nook closing member, to be indicated by fixing device
The position of needle point；The pipeline section is provided with the locator for guided puncture depth, and locator includes to move along the axial direction of pipeline section
The positioning pipe for moving and positioning, positioning pipe sleeve is located on pipeline section, and one end of positioning pipe towards needle point is connected with the first spacing ring, with
The insertion depth of needle body is limited, and the first spacing ring and positioning pipe are perpendicular.
Further, fixing device includes the plush copper being arranged on handling section and the groove being arranged on handle section, the hand
Section and handle section is held to be detachably connected by the realization that is clasped of plush copper and groove.
Further, locator inwall is provided with the first internal thread, and pipeline section is provided with the first external screw thread, the locator and pipe
Section threaded connection.
The tracheotomy device built by a kind of puncture outfit of the present invention, including：
Labelling apparatus for marking cut line and incision length；
Cutter for cutting skin along cut line；
For being vertically pierced into the endotracheal puncture outfit in incision；
For verifying whether puncture outfit penetrates endotracheal verifying attachment；
Play the seal wire of guiding function；
Carry out expanding the expansion skin device of skin at point of puncture；
For guiding hypodermic tunnel enlarging device, tracheae device to enter the long stay pipe of tracheae；
Create and expand skin surface to the path clearance between tracheae to form the tunnel enlarging device of hypodermic tunnel；
Connected with tracheae and the tracheae device of liquid can be drawn from tracheal strips；
The verifying attachment is syringe, and syringe includes push rod and cylinder, and push rod has be available for seal wire to penetrate first
Axially extending bore, the first axially extending bore and cylinder insertion, to constitute the passage penetrated for seal wire；
Have in the expansion skin device and be available for the second axially extending bore that seal wire is penetrated, the expansion skin device includes being used to expand otch
Tip section and for hand-held endpiece, and tip section is provided with the second spacing ring；
Have in the long stay pipe and be available for the 3rd axially extending bore that seal wire is penetrated, and the insertion end of long stay pipe has and inserted
Enter the insertion head of point of puncture, and the long stay pipe is also arranged with the 3rd spacing ring close to one end of insertion head；
Have in tunnel enlarging device and be available for the 4th axially extending bore that long stay pipe is penetrated, the head end of tunnel enlarging device, which has, to be used
In the piercing section for penetrating tracheae, the section that is pierced into is in be beneficial to the endotracheal arc that axially extends to along tracheae, and is pierced into section
It is arranged with the 4th spacing ring；
The tracheae device includes having in tracheal tube and the support frame being co-axially located in tracheal tube, support frame as described above
There is the 5th axially extending bore for being available for long stay pipe to penetrate；
Tracheal tube and support frame are detachably connected by attachment means, and the body of the tracheal tube is software, and is managed
The front end of body is used to be put into tracheal strips, and the end of body is connected with hard pile tube, the end of body respectively with for into body
Inflated airbag is connected with the attraction capsule that liquid is drawn from tracheal strips, and air bag has air inlet, attracts capsule to have leakage fluid dram；
Body is curved close to one section of front end, in order to axially extend along tracheae to tracheal strips.
Further, described labelling apparatus is mark chapter, the length of the stamp of the mark chapter and predetermined incision length
It is equal.
Further, the cutter is small circular knife.
Further, the attachment means include being arranged on the second internal thread of pile tube inwall and are arranged on outside support frame head end
Second external screw thread of wall, tracheal tube and the support frame threaded connection.
The Tracheostoma tracheotomy method implemented using tracheotomy device of the present invention, is comprised the following steps：
Step 1, operation prepares：
Step 1.1, nook closing member is put into puncture cannula, and buckles well the plush copper and groove of fixing device, prevented with fixing nook closing member
Only nook closing member is rotated；According to predetermined paracentesis depth regulation and axial location of the fixed locator along puncture cannula；
Step 1.2, support frame is inserted in the body of tracheal tube, and matched somebody with somebody by the way that the second internal thread and second are externally threaded
Close, support frame and tracheal tube is interfixed；
Step 2, it is stained with Iodophor with mark chapter and cut line is marked on skin, limits oddi's sphincteroplasty and position；
Step 3, skin is cut along cut line with small dise knife；
Step 4, puncture outfit vertical neck skin is punctured in incision；
Step 5, nook closing member is extracted；
Step 6, syringe is inserted in puncture cannula and is evacuated, when producing bubble in cylinder, it was demonstrated that puncture outfit is
Penetrate tracheal strips；When not producing bubble in cylinder, repeat step 4 and step 5, until producing bubble in cylinder；
Step 7, seal wire is inserted in syringe and puncture cannula, and extends to tracheal strips；
Step 8, seal wire indwelling, pulls out puncture cannula and syringe；
Step 9, skin device will be expanded to be enclosed on seal wire, and enters point of puncture, and the progress expansion skin at point of puncture along seal wire；
Step 10, take out and expand skin device, support pipe sleeve to enter point of puncture on seal wire, and along seal wire by long；
Step 11, by hypodermic tunnel enlarging device be enclosed on long stay pipe and seal wire on, and enter along long stay pipe and seal wire
Enter point of puncture, create and expand skin surface to the path clearance between tracheae, to form hypodermic tunnel；
Step 12, hypodermic tunnel enlarging device, long stay pipe and seal wire indwelling are pulled out；
Step 13, by tracheae device be enclosed on long stay pipe and seal wire on, and inserted subcutaneously along long stay pipe and seal wire
In tunnel；
Step 14, support frame, long stay pipe and the seal wire in tracheal tube are pulled out；
Step 15, inflated by air bag into body；
Step 16, fixed tracheal tube, neck is fixed on by tracheal tube；
Step 17, periodically the intracapsular liquid suctioned out from tracheal strips will be attracted to be siphoned away through leakage fluid dram.
1st, to solve the problem of otch oddi's sphincteroplasty is difficult to assess, the present invention is based on zoopery and a large amount of clinical datas,
Set up size incision and Guan Jing correlation model, introduce otch mark chapter, before operation, operator can using otch mark chapter come
Incision length is determined, so as to avoid otch long or too short.
2nd, to solve the problem of puncture needle on-site judgment is disturbed, the problem is blocked mainly due to puncture needle inner tissue to be caused
Error in judgement, it is in place using nook closing member when puncturing present invention introduces the puncture outfit of adjustable fixation, nook closing member is pulled out during judgement, effectively
Raising correct judgment, while the security of puncture can also be increased.
3rd, it can not determine for solving thorn depth and be difficult to estimate, puncture outfit of the invention, operable preceding setting paracentesis depth,
So as to reach that assessment is acted on, it is often more important that, the introducing of the locator of puncture outfit can substantially reduce the generation of tracheoesophageal fistula
Rate, improves the difficulty of security and reduction operation.
Beneficial effects of the present invention are mainly manifested in：
1st, puncture outfit of the present invention and the tracheotomy device built by it are simple to operate, and success rate is high, and wound is small
The characteristics of.
2nd, puncture outfit of the present invention and the tracheotomy device built by it estimate size incision with accurate, improve
Puncture needle judging nicety rate, it is to avoid the characteristics of paracentesis depth is too deep, can effectively improve the security of tracheotomy.
3rd, Tracheostoma tracheotomy method of the present invention has skilled surgical skill without operator, it is adaptable to new hand and just
Scholar.
Brief description of the drawings
Fig. 1 is mark chapter upward view；
Fig. 2 is the structural representation of puncture outfit；
Fig. 3 is the structural representation of nook closing member；
Fig. 4 is the front view of nook closing member；
Fig. 5 is the front view of puncture cannula；
Fig. 6 is the structural representation of locator；
Fig. 7 is the structural representation for expanding skin device；
Fig. 8 is the structural representation of long stay pipe；
Fig. 9 is the structural representation of tunnel enlarging device；
Figure 10 is the structural representation of syringe；
Figure 11 is the structural representation of support frame；
Figure 12 is the structural representation of tracheal tube.
Embodiment
Referring to the drawings 1-12, a kind of puncture outfit, the puncture outfit includes the nook closing member 21 and puncture cannula 22 being coaxially arranged, institute
Stating puncture cannula 22 includes handle section 222 and pipeline section 221, and the nook closing member 21 includes handling section 212 and needle body 211；Needle body 211 is passed through
Wear puncture cannula 22 and be fixed on by the fixing device being arranged between handling section 212 and handle section 222 on puncture cannula 22；
The free end of the pipeline section 221 has the puncture cannula angle parallel with the needle point angle of needle body 211, and the needle point is with consolidating
Determine that the line between device is parallel with the central shaft of nook closing member 21, to pass through the position that fixing device indicates needle point；The pipeline section
221 be provided with for guided puncture depth locator 23, locator 23 include can along pipeline section 221 axial movement and position
Positioning pipe 232, positioning pipe 232 is set on pipeline section 221, and one end of positioning pipe 232 towards needle point is connected with the first spacing ring
231, to limit the insertion depth of needle body 211, and the first spacing ring 231 and positioning pipe 232 are perpendicular.
Positioner includes the plush copper 213 being arranged on handling section 212 and the groove 223 being arranged on handle section 222, institute
Handling section 212 and handle section 222 is stated to be detachably connected by the realization that is clasped of plush copper 213 and groove 223.
The inwall of locator 23 is provided with the first internal thread, and pipeline section 221 is provided with the first external screw thread, the locator 23 and pipe
Section 221 is threadedly coupled.
The tracheotomy device built by a kind of puncture outfit of the present invention, including：
Labelling apparatus for marking cut line and incision length；
Cutter for cutting skin along cut line；
For being vertically pierced into the endotracheal puncture outfit in incision；
For verifying whether puncture outfit penetrates endotracheal verifying attachment；
Play the seal wire of guiding function；
Carry out expanding the expansion skin device 4 of skin at point of puncture；
For guiding hypodermic tunnel enlarging device 5, tracheae device to enter the long stay pipe 3 of tracheae；
Create and expand skin surface to the path clearance between tracheae to form the tunnel enlarging device 5 of hypodermic tunnel；
Connected with tracheae and the tracheae device of liquid can be drawn from tracheal strips；
The verifying attachment is syringe 6, and syringe 6 includes push rod 62 and cylinder 61, and push rod 62, which has, is available for seal wire to wear
The first axially extending bore entered, the first axially extending bore and the insertion of cylinder 61, to constitute the passage penetrated for seal wire；
Have in the expansion skin device 4 and be available for the second axially extending bore that seal wire is penetrated, the expansion skin device 4 includes being used to expand to cut
Mouthful tip section 41 and for hand-held endpiece 42, the tip section 41 is provided with the second spacing ring 43；
Have in the long stay pipe 3 and be available for the 3rd axially extending bore that seal wire is penetrated, and the insertion end of long stay pipe 3 has
The insertion first 31 of point of puncture is inserted, and the long stay pipe 3 is also arranged with the 3rd spacing ring 32 close to one end of insertion first 31；
Have in tunnel enlarging device 5 and be available for the 4th axially extending bore that long stay pipe 3 is penetrated, the head end tool of tunnel enlarging device 5
There is the piercing section 51 for penetrating tracheae, the section 51 that is pierced into is in be beneficial to the endotracheal arc that axially extends to along tracheae, and
It is pierced into section 51 and is arranged with the 4th spacing ring 52；
The tracheae device includes tracheal tube 72 and the support frame 71 being co-axially located in tracheal tube 72, the support
Have in frame 71 and be available for the 5th axially extending bore that long stay pipe 3 is penetrated；
Tracheal tube 72 and support frame 71 are detachably connected by attachment means, and the body 721 of the tracheal tube is soft
Body, and body 721 front end be used for be put into tracheal strips, the end of body 721 is connected with hard pile tube 722, the end of body 721
It is connected respectively with the attraction capsule 724 for for the inflated airbag 723 into body 721 and drawing liquid from tracheal strips, and air bag
723 have air inlet, attract capsule 724 to have leakage fluid dram；Body 721 is curved close to one section of front end, in order to along tracheae axle
Extend to tracheal strips
Support frame 71 has the inner segment 712 extended in tracheae body 721 and the outer section 713 for exposing to body 721, described outer
The 5th spacing ring 711 is arranged with section 713.
Described labelling apparatus is mark chapter 1, the length and predetermined incision length phase of the stamp 11 of the mark chapter 1
Deng.
The cutter is small circular knife.
The attachment means include being arranged on the second internal thread of the inwall of pile tube 722 and are arranged on the 5th limit of support frame 71
The second external screw thread on the outer wall of ring 711 of position, the body 721 and support frame 71 are threadedly coupled.
The length for being shorter in length than body 721 of the inner segment 712 of support frame 71, to avoid the termination of inner segment 712 of support frame 71
Touch tracheae.
The part introduction of the present invention：
(1) chapter 1 is indicated：Mark chapter 1 is stained with Iodophor mark cut line, to determine oddi's sphincteroplasty and point of puncture Position Approximate.
(2) small circular knife：Scratch the surface skin of point of puncture.
(3) puncture outfit：Localised puncture point, and the adjustable depth punctured, increase the security punctured, reduce trachealgia
The incidence of fistula.
(3.1) nook closing member 21：When can prevent from puncturing, tissue enters in puncture cannula 22, to avoid that Needle localization can not be judged
Whether device is in place；Secondly, after the insertion of nook closing member 21 puncture cannula 22, the angle of puncture cannula and the angle of needle point are completely superposed, with
Reduce the resistance punctured；Finally, there is the plush copper 213 of fixing device on nook closing member 21, the direction for determining needle point, fixing device can
Fixed nook closing member 21, prevents nook closing member 21 from rotating.
(3.2) puncture cannula 22：After nook closing member 21 is pulled out, puncture cannula 22 constitutes the passage of seal wire；The tail end of puncture cannula 22
The groove 223 of fixing device coordinate with nook closing member 21, for the direction for determining needle point and fixed nook closing member 21, prevent 21 turns of nook closing member
It is dynamic.
(3.3) locator 23：It can be moved up and down by helicitic texture along puncture cannula 22, so as to adjust and determine what is punctured
Depth, it is to avoid the generation of tracheoesophageal fistula, improves processing safety.
(4) syringe 6：Both it can be used to confirm that whether puncture cannula 22 can allow to lead in place (tracheal strips), again
Silk is directly entered from rear.
(5) skin device 4 is expanded：Expand skin, the entrance of convenient long stay pipe 3 and hypodermic tunnel enlarging device 5.
(6) seal wire：Play guiding function.
(7) long stay pipe 3：Guiding hypodermic tunnel enlarging device 5, tracheal tube 72 enter tracheae.
(8) hypodermic tunnel enlarging device 5：Create and expand skin surface to the path clearance between tracheae, the 4th spacing ring
52 are used to mark and prevent it from entering long.
(9) support frame 71：Supporting function is played to tracheal tube 72, increases certain hardness, facilitates tracheal tube 72 to pass through
Hypodermic tunnel inserts tracheal strips.
(10) tracheal tube 72：
(10.1) body 721：The passage of breathing；
(10.2) air bag 723：Air is blasted, in the effect of intra-tranchea stabillization tracheal tube；
(10.3) capsule 724 is attracted：Attract for the secretion above capsule, liquid, it is to avoid Liquid deposition.
The use step of tracheotomy device of the present invention is：
Step 1, operation prepares：
Step 1.1, nook closing member 21 is put into puncture cannula 22, and buckles well the plush copper 213 and groove 223 of fixing device, with
Fixed nook closing member 21 prevents nook closing member 21 from rotating；According to predetermined paracentesis depth (such as 1.5cm) regulation and fixed locator 23 along wearing
Pierce the axial location of sleeve pipe；
Step 1.2, support frame 71 is inserted in the body 721 of tracheal tube 72, and by the second internal thread and second outside
The cooperation of screw thread, makes support frame 71 and tracheal tube 72 interfix；
Step 2, it is stained with Iodophor with mark chapter 1 and cut line is marked on skin, limits oddi's sphincteroplasty and position；
Step 3, skin is cut along cut line with small dise knife；
Step 4, puncture outfit vertical neck skin is punctured in incision；
Step 5, nook closing member 21 is extracted；
Step 6, syringe 6 is inserted in puncture cannula 22 and is evacuated, when producing bubble in cylinder 61, it was demonstrated that puncture outfit
Tracheal strips are penetrated；When not producing bubble in cylinder 61, repeat step 4 and step 5, until producing bubble in cylinder 61；
Step 7, seal wire is inserted in syringe 6 and puncture cannula 22, and extends to tracheal strips；
Step 8, seal wire indwelling, pulls out puncture cannula 22 and syringe 6；
Step 9, skin device 4 will be expanded to be enclosed on seal wire, and enters point of puncture, and the progress expansion skin at point of puncture along seal wire；
Step 10, take out and expand skin device 4, long stay pipe 3 is enclosed on seal wire, and enter point of puncture along seal wire；
Step 11, by hypodermic tunnel enlarging device 5 be enclosed on long stay pipe 3 and seal wire on, and along long stay pipe 3 and seal wire
Into point of puncture, create and expand skin surface to the path clearance between tracheae, to form hypodermic tunnel；
Step 12, hypodermic tunnel enlarging device 5, long stay pipe 3 and seal wire indwelling are pulled out；
Step 13, by tracheae device be enclosed on long stay pipe 3 and seal wire on, and insert skin along long stay pipe 3 and seal wire
In lower tunnel；
Step 14, support frame 71, long stay pipe 3 and the seal wire in tracheal tube 72 are pulled out；
Step 15, inflated by air bag 723 into body 721；
Step 16, fixed tracheal tube 72, neck is fixed on by tracheal tube 72 by bandage；
Step 17, periodically (such as 2 days) siphon away the liquid for attracting to suction out from tracheal strips in capsule 724 through leakage fluid dram.
Content described in this specification embodiment is only enumerating to the way of realization of inventive concept, protection of the invention
Scope is not construed as being only limitted to the concrete form that embodiment is stated, protection scope of the present invention also includes art technology
Personnel according to present inventive concept it is conceivable that equivalent technologies mean.
Claims (8)
1. a kind of puncture outfit, it is characterised in that：The puncture outfit includes nook closing member and puncture cannula, and the puncture cannula includes handle
Section and pipeline section, the nook closing member include handling section and needle body；Needle body is through puncture cannula and by being arranged on handling section and handle section
Between fixing device be fixed on puncture cannula；The free end of the pipeline section has wear parallel with the needle point angle of needle body
The line pierced between sleeve pipe angle, and the needle point and fixing device is parallel with the central shaft of nook closing member, to pass through fixing device
Indicate the position of needle point；The pipeline section be provided with for guided puncture depth locator, locator include can along pipeline section axle
To positioning pipe that is mobile and positioning, positioning pipe sleeve is located on pipeline section, and to be connected with first spacing for one end of positioning pipe towards needle point
Ring, to limit the insertion depth of needle body, and the first spacing ring and positioning pipe are perpendicular.
2. a kind of puncture outfit as claimed in claim 1, it is characterised in that：Fixing device include being arranged on plush copper on handling section and
The groove on handle section is arranged on, the handling section and handle section are detachably connected by the realization that is clasped of plush copper and groove
Connect.
3. a kind of puncture outfit as claimed in claim 2, it is characterised in that：Locator inwall is provided with the first internal thread, pipeline section
Provided with the first external screw thread, the locator is threadedly coupled with pipeline section.
4. the tracheotomy device built as a kind of puncture outfit described in claim any one of 1-3, it is characterised in that including：
Labelling apparatus for marking cut line and incision length；
Cutter for cutting skin along cut line；
For being vertically pierced into the endotracheal puncture outfit in incision；
For verifying whether puncture outfit penetrates endotracheal verifying attachment；
Play the seal wire of guiding function；
Carry out expanding the expansion skin device of skin at point of puncture；
For guiding hypodermic tunnel enlarging device, tracheae device to enter the long stay pipe of tracheae；
Create and expand skin surface to the path clearance between tracheae to form the tunnel enlarging device of hypodermic tunnel；
Connected with tracheae and the tracheae device of liquid can be drawn from tracheal strips；
The verifying attachment is syringe, and syringe includes push rod and cylinder, and push rod has be available for seal wire to penetrate first axially
Through hole, the first axially extending bore and cylinder insertion, to constitute the passage penetrated for seal wire；
Have in the expansion skin device and be available for the second axially extending bore that seal wire is penetrated, the expansion skin device includes being used to expand scalloping point
Head section and for hand-held endpiece, and tip section is provided with the second spacing ring；
Have in the long stay pipe and be available for the 3rd axially extending bore that seal wire is penetrated, and the insertion end of long stay pipe is worn with insertion
The insertion head of point is pierced, and the long stay pipe is also arranged with the 3rd spacing ring close to one end of insertion head；
Have in tunnel enlarging device and be available for the 4th axially extending bore that long stay pipe is penetrated, the head end of tunnel enlarging device, which has, to be used to wear
Enter the piercing section of tracheae, the section that is pierced into is in be beneficial to the endotracheal arc that axially extends to along tracheae, and is arranged in piercing section
There is the 4th spacing ring；
The tracheae device includes having in tracheal tube and the support frame that is co-axially located in tracheal tube, support frame as described above can
The 5th axially extending bore penetrated for long stay pipe；
Tracheal tube and support frame are detachably connected by attachment means, and the body of the tracheal tube is software, and body
Front end is used to be put into tracheal strips, and the end of body is connected with hard pile tube, the end of body respectively with for being inflated into body
Air bag be connected with the attraction capsule that liquid is drawn from tracheal strips, and air bag has an air inlet, attracts capsule to have leakage fluid dram；Body
One section close to front end is curved, in order to axially extend along tracheae to tracheal strips.
5. tracheotomy device as claimed in claim 4, it is characterised in that：Described labelling apparatus is mark chapter, the mark
Remember that the length of the stamp of chapter is equal with predetermined incision length.
6. tracheotomy device as claimed in claim 5, it is characterised in that：The cutter is small circular knife.
7. tracheotomy device as claimed in claim 6, it is characterised in that：The attachment means include being arranged on pile tube inwall
The second internal thread and be arranged on the second external screw thread of support frame head end outer wall, tracheal tube and the support frame threaded connection.
8. the Tracheostoma tracheotomy method implemented using tracheotomy device as claimed in claim 7, is comprised the following steps：
Step 1, operation prepares：
Step 1.1, nook closing member is put into puncture cannula, and buckles well the plush copper and groove of fixing device, pin is prevented to fix nook closing member
Core is rotated；According to predetermined paracentesis depth regulation and axial location of the fixed locator along puncture cannula；
Step 1.2, support frame is inserted in the body of tracheal tube, and coordinated by the way that the second internal thread and second are externally threaded,
Support frame and tracheal tube is set to interfix；
Step 2, it is stained with Iodophor with mark chapter and cut line is marked on skin, limits oddi's sphincteroplasty and position；
Step 3, skin is cut along cut line with small dise knife；
Step 4, puncture outfit vertical neck skin is punctured in incision；
Step 5, nook closing member is extracted；
Step 6, syringe is inserted in puncture cannula and is evacuated, when producing bubble in cylinder, it was demonstrated that puncture outfit has been penetrated
Tracheal strips；When not producing bubble in cylinder, repeat step 4 and step 5, until producing bubble in cylinder；
Step 7, seal wire is inserted in syringe and puncture cannula, and extends to tracheal strips；
Step 8, seal wire indwelling, pulls out puncture cannula and syringe；
Step 9, skin device will be expanded to be enclosed on seal wire, and enters point of puncture, and the progress expansion skin at point of puncture along seal wire；
Step 10, take out and expand skin device, support pipe sleeve to enter point of puncture on seal wire, and along seal wire by long；
Step 11, by hypodermic tunnel enlarging device be enclosed on long stay pipe and seal wire on, and enter along long stay pipe and seal wire and wear
Point is pierced, creates and expands skin surface to the path clearance between tracheae, to form hypodermic tunnel；
Step 12, hypodermic tunnel enlarging device, long stay pipe and seal wire indwelling are pulled out；
Step 13, by tracheae device be enclosed on long stay pipe and seal wire on, and insert hypodermic tunnel along long stay pipe and seal wire
It is interior；
Step 14, support frame, long stay pipe and the seal wire in tracheal tube are pulled out；
Step 15, inflated by air bag into body；
Step 16, fixed tracheal tube, neck is fixed on by tracheal tube；
Step 17, periodically the intracapsular liquid suctioned out from tracheal strips will be attracted to be siphoned away through leakage fluid dram.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710346283.9A CN107174316A (en) | 2017-05-17 | 2017-05-17 | A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710346283.9A CN107174316A (en) | 2017-05-17 | 2017-05-17 | A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107174316A true CN107174316A (en) | 2017-09-19 |
Family
ID=59832499
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710346283.9A Pending CN107174316A (en) | 2017-05-17 | 2017-05-17 | A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN107174316A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111513801A (en) * | 2020-05-06 | 2020-08-11 | 遵义医科大学附属医院 | Accurate depth-limiting ring saw suit of percutaneous vertebral plate drilling for spinal minimally invasive surgery |
| CN113855968A (en) * | 2021-10-21 | 2021-12-31 | 占文强 | First-aid kit is breathed to difficulty |
Citations (25)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2449667Y (en) * | 2000-11-02 | 2001-09-26 | 张顺遂 | Guide type arc tracheal puncture needle |
| CN1327790A (en) * | 2000-06-12 | 2001-12-26 | 中国石化集团齐鲁石油化工公司 | Application of pen in drawing line of operation incision and its special pen |
| CN2537409Y (en) * | 2001-12-05 | 2003-02-26 | 张顺遂 | Guided tracheal puncutre needle |
| US20040133226A1 (en) * | 2002-09-30 | 2004-07-08 | Damage Control Surgical Technologies, Inc. | Method and apparatus for rapid deployment chest drainage |
| CN2626516Y (en) * | 2003-05-21 | 2004-07-21 | 卢才义 | Syringe for cardiovascular vessel |
| CN2686542Y (en) * | 2004-03-18 | 2005-03-23 | 杨明施 | Controllable channel skin puncture trachea incision puncture needle |
| CN1620994A (en) * | 2003-11-26 | 2005-06-01 | 李彦文 | Special writing tool for scoring at operation incision |
| CN201001739Y (en) * | 2007-01-25 | 2008-01-09 | 中国人民解放军第三军医大学第三附属医院 | Testicle puncture biopsy device |
| CN201123940Y (en) * | 2007-10-11 | 2008-10-01 | 黄淑存 | Cardiovascular guidewire intervented injection syringe |
| CN201197836Y (en) * | 2008-04-24 | 2009-02-25 | 赵德安 | Injection syringe for cardiovascular intervention |
| CN201602853U (en) * | 2010-02-04 | 2010-10-13 | 熊红 | Integrated medical bone marrow puncture needle |
| CN101953701A (en) * | 2010-10-28 | 2011-01-26 | 冯清亮 | Percutaneous tracheostomy device |
| CN102526867A (en) * | 2010-12-22 | 2012-07-04 | 北京汇福康医疗技术有限公司 | Fascia dilator |
| CN102920487A (en) * | 2012-10-31 | 2013-02-13 | 常州德天医疗器械有限公司 | Endoscopic double-needle puncture device |
| CN203123288U (en) * | 2013-02-28 | 2013-08-14 | 冯清亮 | Percutaneous trachea dilator |
| CN203677211U (en) * | 2014-01-27 | 2014-07-02 | 洛阳东方医院 | Cricothyroid membrane puncture needle set |
| CN203915706U (en) * | 2014-06-12 | 2014-11-05 | 陶振钢 | Disposable autogenous cutting sleeve pipe |
| CN104258497A (en) * | 2014-09-30 | 2015-01-07 | 蓝勇基 | Disposable injury-free urethral dilator and using method thereof |
| CN104274894A (en) * | 2013-11-07 | 2015-01-14 | 湛江市事达实业有限公司 | Tracheotomy tube and puncture tube assembly and using method thereof, and storage box |
| CN204655719U (en) * | 2015-03-12 | 2015-09-23 | 中国人民解放军第三军医大学第三附属医院 | Scalable suction sputum autogenous cutting plug-in unit |
| CN105310749A (en) * | 2014-08-04 | 2016-02-10 | 谢言虎 | Parietal extrapleural catheterizing method |
| CN105920713A (en) * | 2016-05-17 | 2016-09-07 | 杨力 | Percutaneous tracheotomy cannula suit |
| CN105944206A (en) * | 2016-05-18 | 2016-09-21 | 黄泽浩 | Sleeve used for tracheotomy |
| CN207532428U (en) * | 2017-05-17 | 2018-06-26 | 洪玉才 | A kind of puncture outfit and the tracheotomy device by its structure |
| CN210582591U (en) * | 2019-04-19 | 2020-05-22 | 武汉圣惠康生物医药科技有限责任公司 | Multifunctional puncture needle for abdominocentesis catheterization |
-
2017
- 2017-05-17 CN CN201710346283.9A patent/CN107174316A/en active Pending
Patent Citations (25)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1327790A (en) * | 2000-06-12 | 2001-12-26 | 中国石化集团齐鲁石油化工公司 | Application of pen in drawing line of operation incision and its special pen |
| CN2449667Y (en) * | 2000-11-02 | 2001-09-26 | 张顺遂 | Guide type arc tracheal puncture needle |
| CN2537409Y (en) * | 2001-12-05 | 2003-02-26 | 张顺遂 | Guided tracheal puncutre needle |
| US20040133226A1 (en) * | 2002-09-30 | 2004-07-08 | Damage Control Surgical Technologies, Inc. | Method and apparatus for rapid deployment chest drainage |
| CN2626516Y (en) * | 2003-05-21 | 2004-07-21 | 卢才义 | Syringe for cardiovascular vessel |
| CN1620994A (en) * | 2003-11-26 | 2005-06-01 | 李彦文 | Special writing tool for scoring at operation incision |
| CN2686542Y (en) * | 2004-03-18 | 2005-03-23 | 杨明施 | Controllable channel skin puncture trachea incision puncture needle |
| CN201001739Y (en) * | 2007-01-25 | 2008-01-09 | 中国人民解放军第三军医大学第三附属医院 | Testicle puncture biopsy device |
| CN201123940Y (en) * | 2007-10-11 | 2008-10-01 | 黄淑存 | Cardiovascular guidewire intervented injection syringe |
| CN201197836Y (en) * | 2008-04-24 | 2009-02-25 | 赵德安 | Injection syringe for cardiovascular intervention |
| CN201602853U (en) * | 2010-02-04 | 2010-10-13 | 熊红 | Integrated medical bone marrow puncture needle |
| CN101953701A (en) * | 2010-10-28 | 2011-01-26 | 冯清亮 | Percutaneous tracheostomy device |
| CN102526867A (en) * | 2010-12-22 | 2012-07-04 | 北京汇福康医疗技术有限公司 | Fascia dilator |
| CN102920487A (en) * | 2012-10-31 | 2013-02-13 | 常州德天医疗器械有限公司 | Endoscopic double-needle puncture device |
| CN203123288U (en) * | 2013-02-28 | 2013-08-14 | 冯清亮 | Percutaneous trachea dilator |
| CN104274894A (en) * | 2013-11-07 | 2015-01-14 | 湛江市事达实业有限公司 | Tracheotomy tube and puncture tube assembly and using method thereof, and storage box |
| CN203677211U (en) * | 2014-01-27 | 2014-07-02 | 洛阳东方医院 | Cricothyroid membrane puncture needle set |
| CN203915706U (en) * | 2014-06-12 | 2014-11-05 | 陶振钢 | Disposable autogenous cutting sleeve pipe |
| CN105310749A (en) * | 2014-08-04 | 2016-02-10 | 谢言虎 | Parietal extrapleural catheterizing method |
| CN104258497A (en) * | 2014-09-30 | 2015-01-07 | 蓝勇基 | Disposable injury-free urethral dilator and using method thereof |
| CN204655719U (en) * | 2015-03-12 | 2015-09-23 | 中国人民解放军第三军医大学第三附属医院 | Scalable suction sputum autogenous cutting plug-in unit |
| CN105920713A (en) * | 2016-05-17 | 2016-09-07 | 杨力 | Percutaneous tracheotomy cannula suit |
| CN105944206A (en) * | 2016-05-18 | 2016-09-21 | 黄泽浩 | Sleeve used for tracheotomy |
| CN207532428U (en) * | 2017-05-17 | 2018-06-26 | 洪玉才 | A kind of puncture outfit and the tracheotomy device by its structure |
| CN210582591U (en) * | 2019-04-19 | 2020-05-22 | 武汉圣惠康生物医药科技有限责任公司 | Multifunctional puncture needle for abdominocentesis catheterization |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111513801A (en) * | 2020-05-06 | 2020-08-11 | 遵义医科大学附属医院 | Accurate depth-limiting ring saw suit of percutaneous vertebral plate drilling for spinal minimally invasive surgery |
| CN113855968A (en) * | 2021-10-21 | 2021-12-31 | 占文强 | First-aid kit is breathed to difficulty |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US5217005A (en) | Apparatus for performing percutaneous tracheostomies and cricothyroidectomies | |
| US4364391A (en) | Tracheostomy apparatus and method | |
| JP4834073B2 (en) | Tracheal opening tube positioning device, tracheal opening tube and needle | |
| EP3801720B1 (en) | Systems, apparatus, and methods for performing a percutaneous tracheostomy | |
| CN107174316A (en) | A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method | |
| US7305989B2 (en) | Medico-surgical instruments | |
| US20230191061A1 (en) | Systems, apparatus, and methods for performing a percutaneous tracheostomy | |
| CN207604997U (en) | Lung neoplasm puncture locator | |
| CN207532428U (en) | A kind of puncture outfit and the tracheotomy device by its structure | |
| US20210275766A1 (en) | Systems, apparatus, and methods for performing a percutaneous tracheostomy | |
| US20090107509A1 (en) | System for providing an open airway and methods of use thereof | |
| CN203763175U (en) | Grading expansion percutaneous tracheostomy device | |
| CN102018549B (en) | Percutaneous tracheostomy device | |
| CN204092779U (en) | Endotracheal tube | |
| CN206044696U (en) | It is disposably anti-error to wear thyrocricoid puncture device | |
| CN201905970U (en) | Percutaneous tracheostomy device | |
| CN201939442U (en) | Percutaneous trachea cutter | |
| CN202637044U (en) | Minimally invasive percutaneous dilatational tracheostomy device | |
| CN209004141U (en) | A kind of percutaneous trachea incision puncture needle external member | |
| CN103735297B (en) | A kind of classification expansion through skin trachea incising apparatus | |
| CN101953701B (en) | Percutaneous tracheostomy device | |
| CN116457051A (en) | Systems, devices, and methods for performing percutaneous tracheotomy | |
| CN207707984U (en) | Lung deep tubercle Needle localization labelling apparatus | |
| CN202619803U (en) | Blade type percutaneous tracheotomy apparatus | |
| CN215275219U (en) | Guide type tracheotomy sleeve |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination |