CN107412889A

CN107412889A - A kind of sputum aspirator for being automatically positioned insertion depth

Info

Publication number: CN107412889A
Application number: CN201710768663.1A
Authority: CN
Inventors: 杨嵘
Original assignee: Individual
Current assignee: Individual
Priority date: 2017-08-23
Filing date: 2017-08-23
Publication date: 2017-12-01
Anticipated expiration: 2037-08-23
Also published as: CN107412889B

Abstract

The present invention relates to field of medical device, especially a kind of sputum aspirator for being automatically positioned insertion depth.It includes：A kind of sputum aspirator for being automatically positioned insertion depth, it is characterised in that including：Body, storage sputum bottle, air cleaner, negative pressure pump, the vacuum meter for detecting negative pressure value, vavuum pump, negative pressure regulating valve, duplexing position switching valve, triple valve, oxygen hose, sputum aspirator tube, tracheal tube, column, bull stick, ultrasonic probe, supporting plate, self-locking air spring, Ultrasound Instrument main frame, CCD image display instrument, sliding block and alarm.It is positioned using ultrasonic wave, it can prevent from being intubated too deep or excessively shallow, without manually extracting sputum aspirator tube, it can avoid because patient caused by artificial experience deficiency or operational error inhales the damage of mucous membrane, its tracheal tube can be very good to be fixed in tracheae and prevents from releasing by interior air bag, and outer air bag combination applying tube can be used for adding medicine to and drawing the sputum at air bag.

Description

A kind of sputum aspirator for being automatically positioned insertion depth

Technical field

The present invention relates to field of medical device, especially a kind of sputum aspirator for being automatically positioned insertion depth.

Background technology

Sputum aspirator is mainly used in clearing of respiratory tract phlegm, and at present, hospital is for the vomiting of headstroke stupor, pulmonary infection phlegm The rescue of the patients such as bolt, surgical operation, acute laryngemphraxis, emergency treatment tracheotomy will carry out trachea cannula and through gas such as oropharynx suction sputums Road control measures, to remove airway secretions or foreign matter, so as to keep airway patency, and help further lung ventilator pressurization and support Ventilation etc. measure progress, if airway secretions or vomitus cleaning not in time, can cause infect exacerbation, side atelectasis, Patient's asphyxia even dead serious consequence can be caused when serious.

The content of the invention

Present invention seek to address that above mentioned problem, there is provided a kind of sputum aspirator for being automatically positioned insertion depth, it is utilized Ultrasonic wave is positioned, and can prevent from being intubated too deep or excessively shallow, is extracted sputum aspirator tube without artificial, can be avoided due to artificial experience deficiency Or patient caused by operational error inhales the damage of mucous membrane, its tracheal tube can be very good to be fixed on tracheae by interior air bag In prevent from releasing, and outer air bag combination applying tube can be used for adding medicine to and drawing sputum at air bag, its technical scheme used It is as follows：

A kind of sputum aspirator for being automatically positioned insertion depth, it is characterised in that including：Body, storage sputum bottle, air filtration Device, negative pressure pump, the vacuum meter for detecting negative pressure value, vavuum pump, negative pressure regulating valve, duplexing position switching valve, triple valve, oxygen It is pipe, sputum aspirator tube, tracheal tube, column, bull stick, ultrasonic probe, supporting plate, self-locking air spring, super for receiving and handling The Ultrasound Instrument main frame for the signal that sonic probe detects, the image for the signal progress image of Ultrasound Instrument host process to be shown Display instrument, sliding block and the alarm that alarm is sent when tracheal tube reaches precalculated position, the air cleaner and vavuum pump Air entry be connected, the air cleaner, storage sputum bottle, negative pressure regulating valve, duplexing position switching valve and triple valve are from left to right It is sequentially connected in series, thimerosal, the one outlet end that the tracheal tube passes through oxygen hose and triple valve is loaded with the storage sputum bottle It is connected, the column is longitudinally disposed and bottom is rotatablely connected with body, and one end and the column of the bull stick are slidably connected can edge Column is slided up and down, and the sliding block is connected with rod slides, can be along rod slides；The ultrasonic probe rotates with sliding block to be connected Connect, the supporting plate and column Joint, described self-locking air spring one end are connected with supporting plate, and the other end is connected with bull stick Connect.

On the basis of above-mentioned technical proposal, the column is made up of the cylindrical section of bottom section and the cubic section of top section.

On the basis of above-mentioned technical proposal, guide sleeve is provided with below the gas outlet of the storage sputum bottle, in the guide sleeve Floating post of the top for cone is provided with, the floating post can close the gas outlet of storage sputum bottle.

On the basis of above-mentioned technical proposal, the length sum of the length of the guide sleeve and floating post is more than the outlet of storage sputum bottle Distance between mouth extremely storage sputum bottle bottom of bottle.

On the basis of above-mentioned technical proposal, in addition to servomotor, slide unit, screw mandrel, supporting table, rotating disk, cylinder, semicircle Clamping plate, gear ring, rotating motor, active synchronization belt wheel, driven synchronous pulley, spur gear, the servomotor fix peace Loaded on body, the screw mandrel is rotatablely connected by bearing and the bearing block being installed on body, and the screw mandrel forms with slide unit Ball screw assembly, the slide unit are slidably connected with body, and the supporting table is fixedly installed on slide unit, the top of the supporting table For semicircle face, its top surface is recessed to form semicircle chute downwards, and the bottom of the rotating disk is embedded in chute and and slide Connection, the center position of the rotating disk offer the through hole passed through for sputum aspirator tube, and the cylinder is two, is fixedly installed in and turns On the left side of disk and it is symmetrically distributed in through hole both sides；The semicircle clamping plate is connected with the piston rod of cylinder, described positive and negative Turn that motor is fixed in supporting table and its rotating shaft is connected with active synchronization belt wheel, the active synchronization belt wheel passes through synchronization Band drives driven synchronous pulley, and the driven synchronous pulley and spur gear are coaxial affixed and are connected by rotating shaft and supporting table rotation Connect, the gear ring is fixed on rotating disk right-hand member and is meshed with rotating disk concentric, the spur gear with gear ring.

The invention has the advantages that：It is positioned using ultrasonic wave, can prevent from being intubated it is too deep or excessively shallow, without artificial Sputum aspirator tube is extracted, can be avoided because patient caused by artificial experience deficiency or operational error inhales the damage of mucous membrane, its tracheae Sleeve pipe can be very good to be fixed in tracheae and prevents from releasing by interior air bag, and outer air bag combination applying tube can be used for medicine-feeding and Draw the sputum at air bag.

Brief description of the drawings

In order to illustrate more clearly about the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing There is the required accompanying drawing used in technology description to be briefly described.It should be evident that drawings in the following description are only this A kind of embodiment of invention, for those of ordinary skill in the art, on the premise of not paying creative work, can be with Being extended according to the accompanying drawing of offer, acquisition is other to implement accompanying drawing.

Fig. 1：The structural representation of the present invention；

Fig. 2：The simple diagram of the present invention；

Fig. 3：The left view structural representation of rotating disk of the present invention；

Fig. 4：The right side structural representation of rotating disk of the present invention；

Fig. 5：The cross-sectional view of supporting table of the present invention；

Fig. 6：The structural representation of tracheal tube of the present invention；

Fig. 7：Section mplifying structure schematic diagram at the air bag of tracheal tube of the present invention；

Fig. 8：The overlooking the structure diagram of column of the present invention；

Fig. 9：The present invention utilizes schematic diagram during ultrasonic wave positioning；

Embodiment

The invention will be further described with example below in conjunction with the accompanying drawings：

Embodiments of the invention are described below in detail, the example of the embodiment is shown in the drawings, wherein from beginning to end Same or similar label represents same or similar element or the element with same or like function.Below with reference to attached The embodiment of figure description is exemplary, is only used for explaining the present invention, and is not considered as limiting the invention.

In the description of the invention, it is necessary to illustrate, unless otherwise clearly defined and limited, term " installation ", " phase Even ", " connection " should be interpreted broadly, for example, it may be being fixedly connected or being detachably connected, or be integrally connected；Can To be to be joined directly together, can also be indirectly connected by intermediary.For the ordinary skill in the art, can be specific Situation understands the concrete meaning of above-mentioned term in the present invention.

In the description of the invention, it is to be understood that the orientation or position relationship of the instruction such as term "left", "right" are Based on the orientation or position relationship shown in accompanying drawing 1, it is for only for ease of the description present invention and simplifies description, rather than instruction or dark Show that the device of meaning or element there must be specific orientation, with specific azimuth configuration and operation, thus it is it is not intended that right The limitation of the present invention.

As shown in Figures 1 to 6, a kind of sputum aspirator for being automatically positioned insertion depth of the present embodiment, it is characterised in that Including：Body 1, storage sputum bottle 2, air cleaner 4, negative pressure pump 5, the vacuum meter 50 for detecting negative pressure value, vavuum pump 5, negative pressure It is regulating valve 7, duplexing position switching valve 8, triple valve 9, oxygen hose 90, sputum aspirator tube 91, tracheal tube 100, column 50, bull stick 51, super Sonic probe 52, supporting plate 53, self-locking air spring 54, the ultrasound of the signal detected for receiving and handling ultrasonic probe Instrument main frame 55, carry out for the signal that handles Ultrasound Instrument main frame 55 CCD image display instrument 56, sliding block 57 and work as gas that image shows Pipe-in-pipe 100 sends the alarm of alarm when reaching precalculated position, the air cleaner 4 is connected with the air entry of vavuum pump 5 Connect, the air cleaner 4, storage sputum bottle 2, negative pressure regulating valve 7, duplexing position switching valve 8 and triple valve 9 are gone here and there successively from left to right Connection, described store are loaded with thimerosal in sputum bottle 2, the tracheal tube 100 passes through the one outlet end of oxygen hose 90 and triple valve 9 It is connected, the column 50 is longitudinally disposed and bottom is rotatablely connected with body 1, and one end of the bull stick 51 is slided with column 50 to be connected Connecing can slide up and down along column 50, and the sliding block 57 is slidably connected with bull stick 51, can be slided along bull stick 51；The ultrasonic probe 52 are rotatablely connected with sliding block 57, the supporting plate 53 and the Joint of column 50, described one end of self-locking air spring 54 and supporting plate 53 connections, the other end are connected with bull stick 51.One inlet end of the duplexing position switching valve 8 is connected with negative pressure regulating valve 7, separately One inlet end can be connected with oxygen cylinder or humidification machine or artificial nose.

Routine tracheal cuts suction sputum art and requires that sputum aspirator tube tip exceedes tracheal tube top, reaches tracheae or main bronchus, Patient's cough reflex is stimulated, promotes deep sputum to exclude.But air flue mucous membrane can be caused impaired for strong impulse and airway pressure Drastically increase.To mitigate stimulation of the suction sputum to respiratory mucosa, Wood in 1998 etc. proposes superficial part suction sputum method, i.e. suction sputum tip End be located at tracheal catheter apical position, is damaged caused by negative pressure and catheter contact tracheal mucosa during avoiding suction sputum.But superficial part Suction sputum depends on the ability that patient clears up air flue, including sputum amount, cough significant degree, feel to the effect of patients with respiratory tract management The level of waking up etc..For severe brain injury tracheotomy patients, because it lies in a comatose condition, cough reflex weakens or disappeared, To ensure Airway Care quality, still recommend deep suction sputum.At present during suction sputum, nurse is not objective to sputum aspirator tube insertion depth Criterion, inserts that the dynamics of sputum aspirator tube is larger, and the stimulation to Carina is obvious, easily causes local damage during operation.And The technical scheme of the application solves this problem in that well, calculates the depth to be inserted first, and patient lies low exposed throat, this When can draw horizontal line mark in patient throat, then rotate column, swing bull stick 51, and sliding slider 57 makes ultrasonic probe 52 Directly over throat, and bull stick 51 should not hinder operation, make bull stick 51 drive ultrasonic probe 52 together to drop to up to a positioning Postpone, adjustment ultrasonic probe 52 make ultrasonic probe 52 ultrasonic beam plane transverse throat and substantially with the mark in throat Line overlaps, and when inserting sputum aspirator tube, slowly insertion, (tip of sputum aspirator tube reaches ultrasonic wave when sputum aspirator tube reaches predetermined depth The ultrasonic beam plane of probe 52), CCD image display instrument is shown, while alarm is alarmed.Now illustrate that sputum aspirator tube arrives Up to predetermined depth, at this moment, ultrasonic probe 52 can be risen, recycle bull stick to go on inoperative position.It can reduce gas The incidence of pipe mucosa injury, breath holding time when shortening suction sputum；Severe brain injury tracheotomy patients pneumatic duct can be reached The target of reason, that is, prevent and reduce intrapulmonary infection, keep respiratory passage unblocked.

In order to prevent sputum from entering in negative pressure pump 5, it is preferred that be also series at air including safety flack 3, the safety flack 3 Between filter 4 and storage sputum bottle 2.

As shown in figure 8, wherein, the column 50 can be made up of the cylindrical section 50-1 of bottom section and the cubic section 50-2 of top section.

Preferably, this can be automatically positioned sputum aspirator of insertion depth also include servomotor 10, slide unit 12, screw mandrel 11, Supporting table 13, rotating disk 14, cylinder 15, semicircle clamping plate 16, gear ring 17, rotating motor 18, active synchronization belt wheel 19, from Dynamic synchronous pulley 20, spur gear 21, the servomotor 10 are fixedly installed on body 1, and the screw mandrel 11 passes through bearing and peace Loaded on the bearing block rotation connection on body 1, the screw mandrel 11 forms ball screw assembly, the slide unit 12 and body with slide unit 12 1 is slidably connected, and the supporting table 13 is fixedly installed on slide unit 12, and the top of the supporting table 13 is semicircle face, its top surface Depression forms semicircle chute 13a downwards, and the bottom of the rotating disk 14 is embedded in chute 13a and is slidably connected with chute 13a, institute The center position for stating rotating disk 14 offers the through hole 14a passed through for sputum aspirator tube 91, and the cylinder 15 is two, is fixedly installed in On the left side of rotating disk 14 and it is symmetrically distributed in through hole 14a both sides；The semicircle clamping plate 16 is connected with the piston rod of cylinder 15 Connect, the rotating motor 18 is fixed in supporting table 13 and its rotating shaft is connected with active synchronization belt wheel 19, the master Dynamic synchronous pulley 19 drives driven synchronous pulley 20 by timing belt, and the driven synchronous pulley 20 and spur gear 21 are coaxially affixed And be rotatablely connected by rotating shaft and supporting table 13, the gear ring 17 be fixed on the right-hand member of rotating disk 14 and with the concentric of rotating disk 14, institute Spur gear 21 is stated to be meshed with gear ring 17.Cylinder 15 sputum aspirator tube can be clamped by semicircle clamping plate 16 but do not press from both sides it is flat it.Pass through cunning Platform 12 is horizontally slipped, such as sputum aspirator tube can be pulled out slowly to incision of trachea or tracheal tube to the left, and suction sputum is clamped by cylinder 15 Pipe simultaneously clockwise and is rotated counterclockwise using the driving rotating disk 14 of rotating motor 18, and combines the motion of slide unit 12, so Side rotation suction sputum tube edge can be achieved sputum aspirator tube is slowly pulled out to incision of trachea or tracheal tube This move.If pulled out during manual operation Neglect and neglected soon slowly during sputum aspirator tube, mucous membrane can be inhaled to patient and cause to damage, and this technical scheme can be then avoided due to artificial experience not Patient caused by foot or operational error inhales the damage of mucous membrane, and side rotation suction sputum tube edge tube drawing, can not only reduce suction sputum in addition The filling of pipe and suction sputum is more abundant.

Preferably, sliding sleeve 140 is installed in the through hole 14a.

Preferably, guide sleeve 21 is provided with below the gas outlet of the storage sputum bottle 2, top is provided with the guide sleeve 21 For the floating post 20 of cone, the floating post 20 can close the gas outlet of storage sputum bottle 2.When storage sputum bottle 2 in sputum due to forgetting down When reason is excessive, the gas outlet of the floating floating of post 20 closing storage sputum bottle 2 prevents sputum from entering in negative pressure pump 5.

Preferably, the length sum of the length of the guide sleeve 21 and floating post 20 is more than the gas outlet of storage sputum bottle 2 to storing phlegm Distance between 2 bottom of bottle of bottle.

Preferably, the tracheal tube 100 is mainly by oxygen hose/humidifying pipe joint 101, casing main body 104, air inlet pipe portion 105th, swivel joint, baffle plate 109, dressing 110, outer tube 107, inner sleeve 108 and phlegm storage jar 111 form, and the oxygen hose/ Humidifying pipe joint 101 is detachably connected with oxygen hose 90, and described sleeve pipe main body 104 is by hollow cylinder portion 104-2 and hollow Hemisphere portion 104-1 be integrally formed, the diameter of the cylinder portion 104-2 is less than hemisphere portion 104-1 diameter, the oxygen Tracheae/humidifying pipe joint 101 and cylinder portion 104-2 Joints, the air inlet pipe portion 105 and hemisphere portion 104-1 Joints And one end is penetrated in hemisphere portion 104-1, the first rotating part 106-1 Joints of the other end and swivel joint, the rotation connects Second rotating part 106-2 of head is threaded onto in outer tube 107 with one end Joint of inner sleeve 108, the inner sleeve 108, institute One end and the Joint of baffle plate 109 of outer tube 107 are stated, the inner side of the baffle plate 109 has dressing 110, the phlegm storage jar 111 are detachably connected with hemisphere portion 104-1, are formed between the cylinder portion 104-2 and hemisphere portion 104-1 for backstop The gear liquid portion 104a of sputum.Further, dressing 110 is made up of the hydrophilic layer of internal layer and the hydrophobic layer of outer layer, the hydrophilic layer by Polyurethane and polyglycol porous foam composition, can fully absorb sputum around wound, wound surrounding skin is kept dry It is dry, reduce the adverse reactions such as red swelling of the skin, fash, erosion and infection and occur.Dressing interval time common sterile yarn can be extended During cloth care following, to keep wound local desiccation, skin damage and the chance of extraneous bacteria attack are reduced, dressing can only be increased The frequency, the workload of nursing staff is added, and frequently change tracheotomy gauze, outer sleeve for trachea is fixed frenulum pine It is dynamic, cause patient acutely to cough, expectoration, tracheal tube is easily deviate from, and increases patient suffering when reinserting.And the application's is deposited Material has viscose glue in itself, and is expanded after absorbing sputum to wound side, makes it close with skin attachement, keeps dry skin, only exist Just need to change when dressing expands completely, extend dressing interval time, so as to mitigate nursing work load, improve patient comfort Degree.

In order that air-flow is more homogenized, it is preferred that is provided with it between cylinder portion 104-2 and hemisphere portion 104-1 On offer some homogenizing through hole 103a dividing plates 103.

Preferably, at least provided with two semicircular aft cover plates 102, the screening in the oxygen hose/humidifying pipe joint 101 Flowing plate 102 is laid staggeredly.

As shown in Figure 7, it is preferred that the tracheal tube 100 also includes interior air bag 112, outer air bag 113, manual inflatable ball 114 With applying tube 115, the interior air bag 112 is arranged at the outside of outer tube 107 and by being fixed on filling in the outside wall surface of outer tube 107 Tracheae is connected with dynamic inflatable ball 114, and the applying tube 115 is fixed on the lateral wall of outer tube 107 and is connected with outer air bag 113 Logical, the interior air bag 112 is the air bag of closing, and medicine-feeding hole is laid with the outer air bag 113.I.e. outer air bag 113 is non-close 's.Decoction can be passed through in outer air bag 113 by applying tube 115 so as to impose on the position oppressed by interior air bag 112 by hole of adding medicine to Put place.

The present invention is described by way of example above, but the invention is not restricted to above-mentioned specific embodiment, it is all to be based on Any changes or modifications that the present invention is done belong to the scope of protection of present invention.

Claims

A kind of 1. sputum aspirator for being automatically positioned insertion depth, it is characterised in that including：Body (1), storage sputum bottle (2), air Filter (4), negative pressure pump (5), the vacuum meter (50) for detecting negative pressure value, vavuum pump (5), negative pressure regulating valve (7), double It is reversal valve (8), triple valve (9), oxygen hose (90), sputum aspirator tube (91), tracheal tube (100), column (50), bull stick (51), super Sonic probe (52), supporting plate (53), self-locking air spring (54), the signal detected for receiving and handling ultrasonic probe Ultrasound Instrument main frame (55), carry out for the signal that handles Ultrasound Instrument main frame (55) CCD image display instrument (56) that image shows, Sliding block (57) and the alarm of alarm is sent when tracheal tube (100) reaches precalculated position, the air cleaner (4) with it is true The air entry of empty pump (5) is connected, the air cleaner (4), storage sputum bottle 2), negative pressure regulating valve (7), duplexing position switching valve (8) it is sequentially connected in series from left to right with triple valve (9), thimerosal, the tracheal tube (100) is loaded with the storage sputum bottle (2) It is connected by oxygen hose (90) with the one outlet end of triple valve (9), the column (50) is longitudinally disposed and bottom and body (1) it is rotatablely connected, one end and the column (50) of the bull stick (51), which are slidably connected, to be slided up and down along column (50), the sliding block (57) it is slidably connected, can be slided along bull stick (51) with bull stick (51)；The ultrasonic probe (52) is rotatablely connected with sliding block (57), The supporting plate (53) and column (50) Joint, described self-locking air spring (54) one end is connected with supporting plate (53), another End is connected with bull stick (51).
A kind of 2. sputum aspirator for being automatically positioned insertion depth according to claim 1, it is characterised in that：The column (50) it is made up of the cylindrical section (50-1) of bottom section and the cubic section (50-2) of top section.
A kind of 3. sputum aspirator for being automatically positioned insertion depth according to claim 1 or 2, it is characterised in that：It is described Guide sleeve (21) is provided with below the gas outlet of storage sputum bottle (2), top is provided with the guide sleeve (21) as the floating of cone Post (20), the floating post (20) can close the gas outlet of storage sputum bottle (2).
A kind of 4. sputum aspirator for being automatically positioned insertion depth according to claim 3, it is characterised in that：The guiding The length sum for covering length and the floating post (20) of (21) is more than and stores the gas outlet of sputum bottle (2) to storing distance between sputum bottle (2) bottom of bottle.
5. a kind of sputum aspirator for being automatically positioned insertion depth according to Claims 1-4 any one, its feature exist In：Also include servomotor (10), slide unit (12), screw mandrel (11), supporting table (13), rotating disk (14), cylinder (15), semicircle clevis Plate (16), gear ring (17), rotating motor (18), active synchronization belt wheel (19), driven synchronous pulley (20), spur gear (21), (10 are fixedly installed on body (1) servomotor, and the screw mandrel (11) is by bearing and is installed on body (on 1 Bearing block rotation connection, the screw mandrel (11) and slide unit (12) composition ball screw assembly, the slide unit (12) is sliding with body (1) Dynamic connection, the supporting table (13) are fixedly installed on slide unit (12), and the top of the supporting table (13) is semicircle face, and it is pushed up Downwards depression formed semicircle chute (13a, it is in bottom insertion chute (13a) of the rotating disk (14) and sliding with chute (13a) Dynamic connection, the center position of the rotating disk (14) offer the through hole (14a) passed through for sputum aspirator tube (91), the cylinder (15) For two, it is fixedly installed on the left side of rotating disk (14) and is symmetrically distributed in through hole (14a) both sides；The semicircle clamping plate (16) piston rod with cylinder (15) is connected, and the rotating motor (18) is fixed in supporting table (13) and its rotating shaft It is connected with active synchronization belt wheel (19), the active synchronization belt wheel (19) drives driven synchronous pulley (20) by timing belt, The driven synchronous pulley (20) and spur gear (21) are coaxial affixed and pass through rotating shaft and be rotatablely connected with supporting table (13), the tooth Circle (17) is fixed on rotating disk (14) right-hand member and is meshed with rotating disk (14) concentric, the spur gear (21) with gear ring (17).