CN107519566A - A kind of anti-roll off device based on nasal trachea cannula - Google Patents
A kind of anti-roll off device based on nasal trachea cannula Download PDFInfo
- Publication number
- CN107519566A CN107519566A CN201710914207.3A CN201710914207A CN107519566A CN 107519566 A CN107519566 A CN 107519566A CN 201710914207 A CN201710914207 A CN 201710914207A CN 107519566 A CN107519566 A CN 107519566A
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- CN
- China
- Prior art keywords
- trachea cannula
- crotch
- roll
- device based
- card
- 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
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- 210000003437 trachea Anatomy 0.000 title claims abstract description 45
- 210000003928 nasal cavity Anatomy 0.000 claims abstract description 16
- 210000001331 nose Anatomy 0.000 claims abstract description 16
- 230000000694 effects Effects 0.000 abstract description 9
- 238000002695 general anesthesia Methods 0.000 abstract description 7
- 238000001356 surgical procedure Methods 0.000 abstract description 7
- 238000002627 tracheal intubation Methods 0.000 abstract description 6
- 238000009434 installation Methods 0.000 abstract description 3
- 238000010276 construction Methods 0.000 abstract description 2
- 239000003814 drug Substances 0.000 abstract description 2
- 206010017076 Fracture Diseases 0.000 description 16
- 208000010392 Bone Fractures Diseases 0.000 description 13
- 210000003128 head Anatomy 0.000 description 9
- 230000002146 bilateral effect Effects 0.000 description 6
- 238000000034 method Methods 0.000 description 6
- 210000000214 mouth Anatomy 0.000 description 6
- 241001631457 Cannula Species 0.000 description 4
- 210000001847 jaw Anatomy 0.000 description 4
- 210000000088 lip Anatomy 0.000 description 4
- 230000002980 postoperative effect Effects 0.000 description 4
- 238000012913 prioritisation Methods 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 210000000216 zygoma Anatomy 0.000 description 4
- 206010002091 Anaesthesia Diseases 0.000 description 3
- 208000006735 Periostitis Diseases 0.000 description 3
- 230000037005 anaesthesia Effects 0.000 description 3
- 210000003460 periosteum Anatomy 0.000 description 3
- 238000012360 testing method Methods 0.000 description 3
- 230000001720 vestibular Effects 0.000 description 3
- 239000002390 adhesive tape Substances 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 238000007639 printing Methods 0.000 description 2
- 239000007787 solid Substances 0.000 description 2
- 238000010146 3D printing Methods 0.000 description 1
- 208000006670 Multiple fractures Diseases 0.000 description 1
- RTAQQCXQSZGOHL-UHFFFAOYSA-N Titanium Chemical compound [Ti] RTAQQCXQSZGOHL-UHFFFAOYSA-N 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 230000004927 fusion Effects 0.000 description 1
- 210000004704 glottis Anatomy 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 210000004373 mandible Anatomy 0.000 description 1
- 210000002050 maxilla Anatomy 0.000 description 1
- 210000004086 maxillary sinus Anatomy 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- 238000003801 milling Methods 0.000 description 1
- 230000036407 pain Effects 0.000 description 1
- 238000000016 photochemical curing Methods 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 239000013049 sediment Substances 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 229910052719 titanium Inorganic materials 0.000 description 1
- 239000010936 titanium Substances 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0461—Nasoendotracheal tubes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/04—Tracheal tubes
- A61M16/0488—Mouthpieces; Means for guiding, securing or introducing the tubes
- A61M16/0497—Tube stabilizer
Abstract
The invention belongs to medicine instrument technical field, is related to a kind of anti-roll off device based on nasal trachea cannula, it is characterised in that:Provided with body, crotch and ennation is encircled, crotch is connected with encircling body, and ennation is connected with crotch, and ennation is curved, its form and nasal cavity is out of shape fits.It is simple in construction in the present invention, easy to operate, cost is cheap, there is provided convenient, efficient, stable anti-conduit dislocation function.Stable anti-dislocation effect is taken in one's arms to the card of the card armful of trachea cannula, crotch and the intubation offside wing of nose by anti-roll off device, it makes rapid, simple installation, worked well, and is the effective means of Oral and Maxillofacial Surgery general anesthesia operation anti-falling pipe.
Description
Technical field
The invention belongs to medicine instrument technical field, is related to a kind of anti-roll off device based on nasal trachea cannula.
Background technology
Traditional clinical surgery uses oral trachea cannula more, and Oral and Maxillofacial Surgery art area is related to oral cavity and face,
Trachea catheter via mouth influences operation technique.And nasal trachea cannula occupies that Maxillary region art area space is small, does not influence intraoral operation
Advantage has obtained the extensive use in Oral and Maxillofacial Surgery field, but the oromaxillo-facial operation head position frequent nasal intubation of variation is easy
Deviate from glottis, cause patient ventilation to suspend, operation need to be stopped immediately to be intubated again, the easy contaminated operation art area of this process, extended
Operating time, increase operation risk.Take off that pipe is much more clinical to be fixed using adhesive tape to prevent tracheae, fixed effect difference and sterilization be present
Region dead angle, art area is polluted if adhesive tape in art releases;Also method is to be consolidated using seam bolt tracheal catheter in nasion portion
Fixed, fixed effect is fine, but extra wound is caused to patient, and postoperative patient has philtrum ridge's pain symptom more.
The content of the invention
In order to solve problems of the prior art, the invention provides a kind of anti-dislocation based on nasal trachea cannula
Device, its is simple in construction, easy to operate, cost is cheap, there is provided convenient, efficient, stable anti-conduit dislocation function.Pass through anticreep
Position device takes stable anti-dislocation effect in one's arms to the card of the card armful of trachea cannula, crotch and the intubation offside wing of nose, and its making is fast
Speed, simple installation, work well, be the effective means of Oral and Maxillofacial Surgery general anesthesia operation anti-falling pipe.
Solves a kind of anti-roll off device based on nasal trachea cannula in the present invention of above technical problem, its feature exists
In:Provided with body, crotch and ennation is encircled, crotch is connected with encircling body, and ennation is connected with crotch, and ennation is curved, it
Form with nasal cavity is out of shape fits.
The body of encircling is tubular, 1/4 lateral opening, the allocation mouth being open as trachea cannula.
Device described in prioritization scheme is additionally provided with card and embraces body, positioned at encircling on internal wall.
Armful body that blocks embraces a body for triangular prism shaped card, and triangular prism sharp edge direction encircles body center, more solid with acquisition
Position effect.
180 ° of the crotch extends the part of tubular body end 1/4, and to catch on the intubation opposite side wing of nose, hook surface is arc
Face, its form are bonded with wing of nose form.
The card embraces body >=2 pair, and card embraces body=3 pair in prioritization scheme, and each pair, which is symmetrically positioned in, encircles on internal side, and close
Opening.
The tubulose encircles the internal diameter 8.2-8.8mm of body, consistent with the external diameter of nasal trachea cannula;Height 1.5-2.5cm.
In the present invention by anti-roll off device to trachea cannula card embrace, crotch and be intubated the offside wing of nose card take in one's arms it is steady
Fixed anti-dislocation effect, it makes rapid, simple installation, worked well, and is having for Oral and Maxillofacial Surgery general anesthesia operation anti-falling pipe
Efficacious prescriptions formula.Prove effectively, head position to be converted in 20 surgeries for several times, under operative site is related to by 20 general anesthesia operation experiments
The cranium Maxillary region such as jaw, the upper jaw, zygoma position, equal good results.
Brief description of the drawings
Below in conjunction with the accompanying drawings and embodiment does further detailed description to the present invention:
Fig. 1 is the apparatus structure schematic diagram in the present invention
Fig. 2 embraces body Local map for card in the present invention
Fig. 3-Fig. 4 is device and nasal trachea cannula, the combination figure of nose in the present invention
1. tubulose encircles body, 2. triangular prism cards embrace body, 3. crotches, 4. ennations, 5. nasal trachea cannulas, 6. noses, 7. nostrils
Embodiment
Below in conjunction with the accompanying drawings, the present invention is described in detail:
Embodiment 1
The present embodiment is related to a kind of be provided with and encircles body, crotch and ennation, and crotch is connected with encircling body, and ennation connects with crotch
Connect, ennation is curved, its form and nasal cavity is out of shape fits.It is tubular to encircle body, 1/4 lateral opening, is open and is used as gas
The allocation mouth of cannula.180 ° of crotch extends the part of tubular body end 1/4, to catch on the intubation opposite side wing of nose, hook surface
For cambered surface, its form is bonded with wing of nose form.Tubulose encircles the internal diameter 8.2mm of body, consistent with the external diameter of nasal trachea cannula;It is high
Spend 1.5 cm or 2.5cm.
Device described in prioritization scheme is additionally provided with card and embraces body, positioned at encircling on internal wall.
Armful body that blocks embraces a body for triangular prism shaped card, and triangular prism sharp edge direction encircles body center, more solid with acquisition
Position effect.
The card embraces body >=2 pair, and card embraces body=3 pair in prioritization scheme, and each pair, which is symmetrically positioned in, encircles on internal side, and close
Opening.
Embodiment 2
The present embodiment be related to it is a kind of be provided with encircle body, card embraces body, crotch and an ennation, crotch is connected with encircling body, ennation and
Crotch connects, ennation is curved, its form with nasal cavity is out of shape fits, card, which is embraced body and is located at, to be encircled on internal wall.Encircling body is
Tubular, 1/4 lateral opening, the allocation mouth being open as trachea cannula.180 ° of crotch extends the part of tubular body end 1/4,
To catch on the intubation opposite side wing of nose, hook surface is cambered surface, and its form is bonded with wing of nose form.Tubulose encircles the internal diameter of body
8.8mm, it is consistent with the external diameter of nasal trachea cannula;Height 2cm.Card embraces body and embraces body, triangular prism sharp edge court for triangular prism shaped card
To body center is encircled, to obtain more retention effect.It is 3 pairs that card, which embraces body, and each pair, which is symmetrically positioned in, encircles on internal side, and close
Opening.
The preparation method of anti-roll off device in the present invention, can be completed using 3 d modeling software and 3D printing equipment, bag
Include following steps:
Step 1: the diameter of measurement nasal trachea cannula, general clinical multi-purpose internal diameter 6.0mm, external diameter 8.2mm, or internal diameter
6.5mm, external diameter 8.8mm trachea cannula.
Step 2: tubulose is created in modeling software encircles body, tubulose encircles the outer of the internal diameter of body and supporting trachea cannula
Footpath is consistent, cuts tubulose 1/4 allocation mouth as trachea cannula of body side surface, modification tubular body height parameter 2cm.
Step 3: setting three pairs of cards to embrace body, card embraces body prototype and is arranged to triangular prism, and embedded tubulose encircles internal wall, Rhizoma Sparganii
Post sharp edge is towards tubular body center to obtain more retention effect.
Step 4: 180 ° of crotches of design extend tubular body end, purpose of design is intubated the opposite side wing of nose, crotch to catch on
Surface is designed as cambered surface in the form of being more bonded nasal cavity.
Step 5: crotch end adds ennation, ennation bending direction is opposite with crotch bending direction, out of shape with nasal cavity
It is adapted, surface is also designed as arc.
Step 6: complete model is preserved with STL formatted files, it is directed into 3D printer, it is recommended to use photocuring 3D
Printer, its smooth fracture resistence force in printout surface are strong.Fully polished after the completion of printing is needed if using fusion sediment 3D printer.
Step 7: use milling tools after the completion of printing(Fine sandpaper, clinical conventional sander, turbine etc.)Repair slightly
The whole each acute angle of printout can be completed.
Test example 1
Patient man, 36 years old, because of bilateral maxilla, fracture of zygoma and zygomatic arch row " Maxillary region multiple fracture internal fixation ".
After anesthesia selects No. 6.5 nasal trachea cannulas, operation general anesthesia to work, crotch is stretched into offside nasal cavity and adjusted to suitable nasal cavity depth
Degree, trachea cannula is embedded in tubulose encircles in body i.e. completion trachea cannula and fix.Sterile drape is after bilateral upper jaw vestibular ditch
Otch is done, periosteum exposure bilateral maxillary sinus antetheca is peeled off, about 60 ° of during which head bit map amplitude, cheekbone cheekbone is done before the ear of left side
The local small otch of bow, 150 ° of conversion head position are done otch to right side, fixed after the completion of exposure respectively at each fracture site with titanium plate,
Occluding relation and fracture line reset case are checked, layering sutures each operative incision, and during which head bit map is more than 90 ° and amounts to 17
Secondary, trachea cannula dislocation does not occur for operation whole process.Postoperative patient nasal cavity, the wing of nose and upper lip have not told any discomfort.
Test example 2
Patient female, 45 years old, because chin portion center and bilateral mandibular angle fractures row " are consolidated in chin portion and bilateral mandibular angle fractures open reduction
Determine art ".After anesthesia selects No. 6.0 nasal trachea cannulas, operation general anesthesia to work, crotch is stretched into offside nasal cavity and adjusted to suitable
Nasal cavity depth, trachea cannula is embedded in tubulose encircled in body and complete trachea cannula and fix.Sterile drape is after right side lower jaw
Do after jaw and jaw lower cut exposure right side mandibular angle fractures line region, 150 ° of the head position that turns right is to left side, in left side angle of mandible
Jaw lower cut is done in area, then head position is gone into center, and lower jaw vestibular ditch otch is done in intraoral, peels off periosteum exposure chin portion fracture line,
Fully loosened fracture site in each otch.Recover patient's occluding relation, amount to 10 pieces of jaws in the intraoral bilateral upper jaw, lower jaw implantation
Between traction nail, fix each fracture site respectively, check occluding relation again, layering sutures each operative incision, is converted in art
Head position amounts to 16 times, and trachea cannula dislocation does not occur for operation whole process.Postoperative patient nasal cavity, the wing of nose and upper lip do not told it is any not
It is suitable.
Test example 3
Infant man, 4 years old, because of lower jaw chin portion and the prominent basal part fracture row of left side condyle " lower jaw chin portion and the prominent basal part fracture of left side condyle
Internal fixation ".After anesthesia selects No. 5.0 nasal trachea cannulas, operation general anesthesia to work, crotch is stretched into offside nasal cavity
In adjust to suitable nasal cavity depth, trachea cannula be embedded in tubulose encircled in body and complete trachea cannula and fix.Sterile drape
Otch is done after lower jaw vestibular ditch, peels off periosteum exposure chin portion fracture line, 90 ° of rotary head position is to left side, the make-game before the ear of left side
The small otch in portion, the prominent basal part fracture line of exposure condyle, loosen each fracture site and match-place occluding relation, fixes double fracture respectively
The broken ends of fractured bone, it is layered and sutures each operative incision, head bit map 11 times in art, more than 60 °.Trachea cannula does not occur and takes off for operation whole process
Position, postoperative patient nasal cavity, the wing of nose and upper lip have not told any discomfort.
The preferred embodiments of the present invention are the foregoing is only, are merely illustrative for the purpose of the present invention, and it is nonrestrictive;
Those of ordinary skill in the art understand that can carry out many to it in the spirit and scope that the claims in the present invention are limited changes
Become, modification, or even equivalent change, but fall within protection scope of the present invention.
Claims (8)
- A kind of 1. anti-roll off device based on nasal trachea cannula, it is characterised in that:Provided with encircling body(1), crotch(3)And extension Body(4), crotch(3)With encircling body(1)Connection, ennation(4)With crotch(3)Connection, ennation(4)Curved, its form with Nasal cavity is out of shape to fit.
- A kind of 2. anti-roll off device based on nasal trachea cannula according to claim 1, it is characterised in that:It is described to encircle Body(1)For tubular, 1/4 lateral opening, it is open as nasal trachea cannula(5)Allocation mouth.
- A kind of 3. anti-roll off device based on nasal trachea cannula according to claim 1 or 2, it is characterised in that:It is described Device is additionally provided with card and embraces body(2), positioned at encircling body(1)On inwall.
- A kind of 4. anti-roll off device based on nasal trachea cannula according to claim 3, it is characterised in that:The card is embraced Body(2)Body is embraced for triangular prism shaped card, triangular prism sharp edge embraces body towards card(1)Center.
- A kind of 5. anti-roll off device based on nasal trachea cannula according to claim 3 or 4, it is characterised in that:It is described Card embraces body(2)>=2 pairs, each pair, which is symmetrically positioned in, encircles internal side and close to opening.
- A kind of 6. anti-roll off device based on nasal trachea cannula according to claim 5, it is characterised in that:The card is embraced Body(2)=3 pairs.
- A kind of 7. anti-roll off device based on nasal trachea cannula according to claim 1, it is characterised in that:The crotch (3)Extend the part of tubular body end 1/4, crotch(3)Surface is cambered surface, and its form is bonded with wing of nose form.
- A kind of 8. anti-roll off device based on nasal trachea cannula according to claim 1, it is characterised in that:The tubulose The internal diameter 8.2-8.8mm of body is encircled, it is consistent with the external diameter of nasal trachea cannula;Height 1.5-2.5cm.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201710914207.3A CN107519566A (en) | 2017-09-30 | 2017-09-30 | A kind of anti-roll off device based on nasal trachea cannula |
Applications Claiming Priority (1)
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CN201710914207.3A CN107519566A (en) | 2017-09-30 | 2017-09-30 | A kind of anti-roll off device based on nasal trachea cannula |
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CN201710914207.3A Pending CN107519566A (en) | 2017-09-30 | 2017-09-30 | A kind of anti-roll off device based on nasal trachea cannula |
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CN2313600Y (en) * | 1997-09-30 | 1999-04-14 | 晋万强 | Disposable nosal catheter for oxygen supply |
US5894840A (en) * | 1995-12-05 | 1999-04-20 | King; George Hwa Kou | Endotracheal tube holder |
CN201073485Y (en) * | 2007-09-06 | 2008-06-18 | 南方医科大学 | Self-fixed form oxygen uptake pipe |
CN201591897U (en) * | 2009-11-11 | 2010-09-29 | 新疆维吾尔自治区人民医院 | Nasal splint for nasogastric tube |
WO2011155794A2 (en) * | 2010-06-11 | 2011-12-15 | 주식회사 우영메디칼 | Endotracheal tube fixing device |
CN202516139U (en) * | 2012-04-20 | 2012-11-07 | 刘军 | Medical nasal catheter fixer |
KR20130102370A (en) * | 2012-03-07 | 2013-09-17 | 이나리 | Fixing apparatus for endotracheal intubation |
CN106551796A (en) * | 2015-09-25 | 2017-04-05 | 襄阳市中心医院 | Medical gastric canal external fixation clamp |
CN206473643U (en) * | 2016-11-15 | 2017-09-08 | 西安交通大学第一附属医院 | A kind of surface anesthesia through nasal intubation and expanding pilot device |
CN208852186U (en) * | 2017-09-30 | 2019-05-14 | 四川大学 | A kind of anti-roll off device based on nasal trachea cannula |
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2017
- 2017-09-30 CN CN201710914207.3A patent/CN107519566A/en active Pending
Patent Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5894840A (en) * | 1995-12-05 | 1999-04-20 | King; George Hwa Kou | Endotracheal tube holder |
CN2313600Y (en) * | 1997-09-30 | 1999-04-14 | 晋万强 | Disposable nosal catheter for oxygen supply |
CN201073485Y (en) * | 2007-09-06 | 2008-06-18 | 南方医科大学 | Self-fixed form oxygen uptake pipe |
CN201591897U (en) * | 2009-11-11 | 2010-09-29 | 新疆维吾尔自治区人民医院 | Nasal splint for nasogastric tube |
WO2011155794A2 (en) * | 2010-06-11 | 2011-12-15 | 주식회사 우영메디칼 | Endotracheal tube fixing device |
KR20130102370A (en) * | 2012-03-07 | 2013-09-17 | 이나리 | Fixing apparatus for endotracheal intubation |
CN202516139U (en) * | 2012-04-20 | 2012-11-07 | 刘军 | Medical nasal catheter fixer |
CN106551796A (en) * | 2015-09-25 | 2017-04-05 | 襄阳市中心医院 | Medical gastric canal external fixation clamp |
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