CN107812292A - Two channel joint tracheal catheter respiratory system - Google Patents

Two channel joint tracheal catheter respiratory system Download PDF

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Publication number
CN107812292A
CN107812292A CN201711224017.5A CN201711224017A CN107812292A CN 107812292 A CN107812292 A CN 107812292A CN 201711224017 A CN201711224017 A CN 201711224017A CN 107812292 A CN107812292 A CN 107812292A
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CN
China
Prior art keywords
joint
chamber
gas
tracheal catheter
gas sampling
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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.)
Withdrawn
Application number
CN201711224017.5A
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Chinese (zh)
Inventor
杨明
曹常在
王铭
张媛媛
张东惠
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Yang Ming
Original Assignee
TIANJIN PLASTICS RESEARCH INSTITUTE
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Publication date
Application filed by TIANJIN PLASTICS RESEARCH INSTITUTE filed Critical TIANJIN PLASTICS RESEARCH INSTITUTE
Priority to CN201711224017.5A priority Critical patent/CN107812292A/en
Publication of CN107812292A publication Critical patent/CN107812292A/en
Withdrawn legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/01Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes specially adapted for anaesthetising
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0486Multi-lumen tracheal tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/08Bellows; Connecting tubes ; Water traps; Patient circuits
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/08Bellows; Connecting tubes ; Water traps; Patient circuits
    • A61M16/0816Joints or connectors
    • A61M16/0841Joints or connectors for sampling
    • A61M16/085Gas sampling

Abstract

The present invention relates to a kind of two channel joint tracheal catheter respiratory system, it is characterised by:Including tracheal catheter, breathing circuit filter, L-shaped joint, connection wye and Anesthesia machine connecting tube, the tracheal catheter includes conduit, patient's insertion end, the air bag being arranged in patient's insertion end, the gas tube and charge valve connected with conduit inflatable chamber, tracheal catheter connects L-shaped joint by pipe joint, the L-shaped joint connects connection wye, the connection wye connects Anesthesia machine connecting tube, at least provided with two chambers, the connection wye is the Demountable in it at least provided with two chambers for the pipe joint and L-shaped joint.Advantage is:Mechanical inefficiencies chamber can be eliminated, respiration inhibition caused by effectively alleviating anaesthetic, improves breath function due, corrects patient's body acid-base imbalance, and then can significantly improve vital sign situation.The elimination mechanical inefficiencies chamber especially in infant, critical patient or prolonged operationses, and ICU management etc. are especially significant.

Description

Two channel joint tracheal catheter respiratory system
Technical field
The invention belongs to clinical treatment equipment technology field, and system is breathed more particularly to a kind of two channel joint tracheal catheter System.
Background technology
Clinically, dead space also known as breathes dead space, refers to the space for not participating in gas exchanges in respiratory, including life Manage dead space and mechanical inefficiencies chamber.Physiological dead space includes bronchus, tracheae, oral cavity, nasal cavity;Mechanical inefficiencies chamber fills including air bag Tracheae, tracheal catheter, breathe breathing circuit filter, breathing circuit breeches joint.In each respiratory, exhalation process discharge Exhaust gas section rests on dead space, and breathing process can suck human body again, cannot get gas exchanges.
Clinically, breathing dead space problem can not be avoided, and physiological dead space is adapted to by patient, and anesthesia is not influenceed; It is urgently to be resolved hurrily as one in clinical anesthesia how harmful effect that mechanical inefficiencies chamber or reduction mechanical inefficiencies chamber bring is eliminated The problem of.At present, breathing pattern of the patient under generalized anesthetic state is divided into autonomous respiration and Mechanical course breathing two ways. Autonomous respiration refers to patient and breathed by itself strength, because the respiration inhibition of arcotic acts on the presence with mechanical inefficiencies chamber, It can raise gas concentration lwevel in blood samples of patients, show as blood pressure rise, increased heart rate, respiratory rate is accelerated;Mechanical course Breathing refers to patient's autonomous respiration pause, carrys out assisted respiartion by lung ventilator, due to the presence of mechanical inefficiencies chamber, lung ventilator need to provide more Big throughput and airway pressure, or respiratory rate maintains effectively to breathe faster, there is the wind for causing respiratory tract and injury of lungs Danger.The capacity of mechanical inefficiencies chamber is from tens milliliters to milliliters up to a hundred.Breathing often only has tens every time in infant's anesthesia Milliliter gas, due to the presence of mechanical inefficiencies chamber, make suck in gas that to have close to half oneself discharged but without absorption every time The waste gas of filtering;Although will not anoxic, carbon dioxide in blood can be made to raise and bring adverse reaction.Eliminate mechanical inefficiencies Chamber, respiration inhibition caused by can alleviating anaesthetic in the general anesthesia for retaining autonomous respiration, improve respiratory function, correct Body acid-base imbalance, and then improve vital sign situation;Throughput can be reduced in the general anesthesia of control breathing, reduction is exhaled Pressure in road is inhaled, slows down respiratory rate, reduces respiratory system damage.Patient age body weight is smaller, and health is poorer, during operation Between it is longer, eliminate mechanical inefficiencies chamber clinical meaning it is bigger.
The content of the invention
The present invention provides one kind for technical problem present in solution known technology can eliminate mechanical inefficiencies chamber, alleviation fiber crops Liquor-saturated drug induced respiration inhibition, improve respiratory function, correct patient's body acid-base imbalance, and then improving vital sign situation Two channel joint tracheal catheter respiratory system.
The present invention is adopted the technical scheme that to solve technical problem present in known technology:
Two channel joint tracheal catheter respiratory system, it is characterised in that:Including tracheal catheter, L-shaped joint, connection wye and Anesthesia machine connecting tube, the tracheal catheter include the conduit provided with inflatable chamber in it, patient's insertion end, are arranged on patient's insertion end On air bag, the gas tube and charge valve that are connected with conduit inflatable chamber, the tracheal catheter connects L-shaped by pipe joint and connects Head, the L-shaped joint connect connection wye, and the connection wye connects Anesthesia machine connecting tube, and the pipe joint and L-shaped joint are extremely Two chambers are provided with less, and the connection wye is the Demountable in it at least provided with two chambers.
The present invention can also adopt the following technical scheme that:
The pipe joint is provided with three chambers, respectively symmetrically arranged semicircle expiration chamber, semicircle suction muffler and position In expiration chamber and the circular gas sampling cavity of suction muffler adjacent position, the L-shaped joint and connection wye is equipped with and conduit The expiration chamber of joint, suction muffler and corresponding three chambers of gas sampling chamber, the other end of the pipe joint gas sampling chamber Connected by L-shaped joint with the second gas sampling cavity in connection wye, the conduit connects the L-shaped of three chambers by pipe joint Joint, the L-shaped joint connect the connection wye of three chambers, and the side of the connection wye is provided with the be connected with gas sampling chamber Two gas sampling joints, the connection wye connect Anesthesia machine connecting tube;
One end that the L-shaped joint of three chamber is connected with pipe joint is patient end, and the one end being connected with connection wye is fiber crops Liquor-saturated machine interface end, the semicircle expiration chamber corresponding with pipe joint, semicircle suction muffler are provided with L-shaped joint and positioned at exhaling The circular gas sampling cavity of air cavity and suction muffler adjacent position.
The connection wye of three chamber includes the second housing, on the second housing provided with patient interface end, Anesthesia machine output end And anesthesia machine input terminal, second housing are equipped with the second filter core, it is connected with the side of connection wye and connects with gas sampling chamber Logical gas sampling joint, the 3rd filter core is housed in gas sampling intracavitary.
The conduit of the tracheal catheter is provided with gas sampling mouth close to the tube wall of pipe joint, and the gas sampling mouth connects External gas sampler is connected to, the external gas sampler connects external gas sampling joint;The conduit is connect by conduit Head connection L-shaped joint, the L-shaped joint connect connection wye, and the Y shapes joint connects Anesthesia machine connecting tube, and the conduit connects Head, L-shaped joint and connection wye are the double cavity structure provided with expiration chamber and suction muffler in it.
The external gas sampling joint includes the 3rd housing, input end connector, output end connector and the 4th filter core, the For three housings built with the 4th filter core, the 3rd shell one end is connected with input end connector, and the 3rd housing other end is affixed There is output end connector.
Two channel joint tracheal catheter respiratory system, it is characterised in that:Connect including tracheal catheter, breathing circuit filter, L-shaped Head, connection wye and Anesthesia machine connecting tube, tracheal catheter include conduit, patient's insertion end, the gas being arranged in patient's insertion end Capsule, the gas tube and charge valve connected with conduit inflatable chamber, the tracheal catheter connect breathing circuit filter, institute by pipe joint Breathing circuit filter connection L-shaped joint is stated, the L-shaped joint connects connection wye, and the connection wye connects Anesthesia machine connecting tube.
The pipe joint is provided with three chambers, respectively symmetrically arranged semicircle expiration chamber, semicircle suction muffler and position In expiration chamber and the circular gas sampling cavity of suction muffler adjacent position, the tracheal catheter was breathed by pipe joint connection Filter, the L-shaped joint of the breathing circuit filter connection two-chamber, the connection wye of the L shapes joint connection two-chamber, the Y shape connect Head connection Anesthesia machine connecting tube;The breathing circuit filter is provided with the first gas sampling connected with pipe joint gas sampling chamber Joint.
The breathing circuit filter includes the first housing, is provided with machine end in the first shell one end, the first housing other end is set There is patient end, the middle part of first housing is more than machine end and patient end, and suction is provided with the first housing middle part Gas filtration chamber, exhaled gas filter chamber and first gas sampling cavity, the suction gas filtration chamber, exhaled gas filter chamber and The first filter core is equipped with first gas sampling cavity;The affixed first gas sampling joint of first housing upper outside, it is described First gas sampling joint connects with first gas sampling cavity.
The conduit of the tracheal catheter is provided with gas sampling mouth close to the tube wall of pipe joint, and the gas sampling mouth connects External gas sampler is connected to, the external gas sampler connects external gas sampling joint;The conduit in it by setting There is expiration chamber to connect breathing circuit filter with the pipe joint of suction muffler, the breathing circuit filter connects L-shaped joint, and the L-shaped connects Head connection connection wye, the connection wye connect Anesthesia machine connecting tube, and the breathing circuit filter, L-shaped joint and connection wye are Double cavity structure provided with expiration chamber and suction muffler in it.
The breathing circuit filter includes the first housing, is provided with machine end in the first shell one end, the first housing other end is set There is patient end, the middle part of first housing is more than machine end and patient end, and suction is provided with the first housing middle part Gas filtration chamber, exhaled gas filter chamber and gas sampling chamber, it is described to suck in gas filtration chamber and exhaled gas filter chamber Provided with the first filter core.
The present invention has the advantages and positive effects of:Because the present invention uses above-mentioned technical proposal, i.e., by by tracheae Supravasal joint is designed as the channel structure of air intake passage and exhalation passages independence, breathing circuit filter, L-shaped joint and Y shape Joint is designed as two-chamber or three-cavity structure, is connected so as to corresponding with the catheter slipjoint of two-chamber or three chambers, breathing circuit is by original Some connection wyes are designed as detachable two-chamber or three-cavity structure and are connected with L-shaped joint.So, from catheter slipjoint, inhale Gas passage is individually connected with exhalation passages with the connecting tube of Anesthesia machine, in the absence of shared tube chamber;Due to having list inside Anesthesia machine Exist to flap valve, this system is formed two independent air-breathings and exhalation path, and loop is formed in each respiratory. When the patient inhales, inspiratory valve opens expiratory valve and closed, and the live gas of volatile anesthetic mixture of oxygen leads to from air-breathing Road enters patient body.During patient expiration, inspiratory valve is closed expiratory valve and opened, and is mixed with carbon dioxide, volatile anesthetic The exhaust gas absorption device that the exhaled gas of medicine and partial oxidation enters in Anesthesia machine from exhalation path, fully absorbs carbon dioxide It is changed into live gas with oxygen mix afterwards to be inhaled by a patient in next respiratory cycle.So, the machinery in dead space is breathed Dead space is largely eliminated.Mechanical inefficiencies chamber is eliminated, can alleviate anaesthetic in the general anesthesia for retaining autonomous respiration Caused by respiration inhibition, improve respiratory function, correct body acid-base imbalance, and then improve vital sign situation;Breathed in control General anesthesia in can reduce throughput, reduce pressure in respiratory tract, slow down respiratory rate, reduce respiratory system damage.Suffer from Person's age body weight is smaller, and health is poorer, and operating time is longer, and the clinical meaning for eliminating mechanical inefficiencies chamber is bigger.
This two channel joint tracheal catheter is also used as zero dead space intubatton type laryngeal mask or the compound laryngeal mask of zero dead space Built-in tracheal catheter after success uses.Breathing circuit filter, L-type joint, breeches joint, Anesthesia machine company can be connected after being intubated successfully The components such as adapter are connected with Anesthesia machine, can eliminate most of mechanical inefficiencies chamber.
Brief description of the drawings
Fig. 1 is the structural representation of the embodiment of the present invention 1;
Fig. 2 is Fig. 1 right view;
Fig. 3 is the structural representation of tracheal catheter in Fig. 1;
Fig. 3 a are the A portions enlarged drawings in Fig. 3;
Fig. 3 b are the B portions enlarged drawings in Fig. 3;
Fig. 3 c are the C portions enlarged drawings in Fig. 3;
Fig. 3 d are the A-A sectional views in Fig. 3;
Fig. 3 e are the B-B sectional views in Fig. 3;
Fig. 3 f are the A direction views in Fig. 3;
Fig. 3 g are the B direction views in Fig. 3;
Fig. 3 h are the C-C sectional views in Fig. 3 f;
Fig. 4 is the connection wye structural representation of the embodiment of the present invention 1;
Fig. 4 a are Fig. 4 left views;
Fig. 4 b are Fig. 4 top views;
Fig. 5 is the L-shaped joint design schematic diagram of the embodiment of the present invention 1;
Fig. 5 a are Fig. 5 right views;
Fig. 5 b are Fig. 5 upward views;
Fig. 6 is the structural representation of the embodiment of the present invention 2;
Fig. 7 is Fig. 6 right view;
Fig. 8 is the tracheal catheter structural representation of the embodiment of the present invention 2;
Fig. 8 a are Fig. 8 D portions enlarged drawings;
Fig. 9 is Fig. 8 top view;
Figure 10 is the connection wye structural representation of the embodiment of the present invention 2;
Figure 10 a are Figure 10 left views;
Figure 10 b are Figure 10 top views;
Figure 11 is the external gas sampling joint structural representation of the embodiment of the present invention 2;
Figure 12 is the structural representation of the embodiment of the present invention 3;
Figure 13 is Figure 12 right view;
Figure 14 is the structural representation of the breathing circuit filter of the embodiment of the present invention 3;
Figure 14 a are Figure 14 left views;
Figure 14 b are Figure 14 C-C sectional views;
Figure 14 c are Figure 14 C direction views;
Figure 14 d are Figure 14 D direction views;
Figure 15 is the structural representation of the connection wye of the embodiment of the present invention 3;
Figure 15 a are Figure 15 left views;
Figure 15 b are Figure 15 top views;
Figure 16 is the structural representation of the embodiment of the present invention 4;
Figure 17 is Figure 16 right view;
Figure 18 is the structural representation of the breathing circuit filter of the embodiment of the present invention 4;
Figure 18 a are Figure 18 side views;
Figure 18 b are Figure 18 D-D sectional views;
Figure 18 c are Figure 18 E direction views;
Figure 18 d are Figure 18 F direction views.
In figure:1st, tracheal catheter;1-1, patient's insertion end;1-2, air bag;1-3, inflatable chamber;1-4, gas tube;1-5, fill Air valve;1-6, pipe joint;1-6A, expiration chamber;1-6B, suction muffler;1-6C, gas sampling chamber;1-7, gas sampling mouth;
2nd, breathing circuit filter;2-1, the first housing;2-2, machine end;2-3, patient end;2-4, first gas sampling joint; 2-5, first gas sampling cavity;2-6, suction gas filtration chamber;2-7, exhaled gas filter chamber;2-8, the first filter core;
3rd, L-shaped joint;3-1, Anesthesia machine interface end;3-2, patient end;
4th, connection wye;4-1, patient interface end;4-2, Anesthesia machine output end;4-3, anesthesia machine input terminal;4-4, the second filter Core;4-5, second gas sampling cavity;4-6, the 3rd filter core;4-7, second gas sampling joint;4-8, the second housing;
5th, external gas sampling joint;5-1, the 3rd housing;5-2, input end connector;5-3, output end connector;5-4, Four filter cores;
6th, external gas sampler;7th, Anesthesia machine connecting tube.
Embodiment
In order to further understand the content, features and effects of the present invention, hereby enumerating following examples, and coordinate accompanying drawing Describe in detail as follows:
Embodiment 1,
Refer to Fig. 1-Fig. 5 b, two channel joint tracheal catheter respiratory system, including tracheal catheter 1, L shapes joint 3, Y shape Joint 4 and Anesthesia machine connecting tube 7.The tracheal catheter include in it provided with inflatable chamber 1-3 conduit, patient's insertion end 1-1, The air bag 1-2 that is arranged in patient's insertion end, the gas tube 1-4 connected with conduit inflatable chamber and charge valve 1-5, the tracheae are led Pipe connects L-shaped joint by pipe joint 1-6, and the L-shaped joint connects connection wye, the connection wye connection Anesthesia machine connection Pipe, the pipe joint and L-shaped joint at least provided with two chambers, the connection wye in it at least provided with the removable of two chambers Unload formula structure.
In the present embodiment, the pipe joint is provided with three chambers, respectively symmetrically arranged semicircle expiration chamber 1-6A, half Circular suction chamber 1-6B and positioned at expiration chamber and the circular gas sampling cavity 1-6C of suction muffler adjacent position, the L-shaped joint 3 Three chambers corresponding with the expiration chamber, suction muffler and gas sampling chamber of pipe joint are equipped with connection wye 4.The conduit The other end of joint gas sampling chamber is connected by L-shaped joint with the second gas sampling cavity 4-5 in connection wye, the conduit The L-shaped joint of three chambers is connected by pipe joint, the L-shaped joint connects the connection wye of three chambers, the side of the connection wye The second gas sampling joint 4-7 being connected with second gas sampling cavity is provided with, the connection wye other end connection Anesthesia machine connects Adapter 7.
In the present embodiment, one end that the L-shaped joint of three chamber is connected with pipe joint is patient end 3-2, with connection wye One end of connection is Anesthesia machine interface end 3-1, and the semicircle expiration chamber 1- corresponding with pipe joint is provided with L-shaped joint 6A, semicircle suction muffler 1-6B and positioned at expiration chamber and the circular gas sampling cavity 1-6C of suction muffler adjacent position.
In the present embodiment, the connection wye 4 of three chamber includes the second housing 4-8, on the second housing provided with patient interface 4-1, Anesthesia machine output end 4-2 and anesthesia machine input terminal 4-3 are held, second housing is equipped with the second filter core 4-4, in connection wye Side on be connected with the second gas sampling joint 4-7 connected with second gas sampling cavity 4-5, in second gas sampling cavity Equipped with the 3rd filter core 4-6.
The operation principle of the present embodiment 1 is:
After the completion of entire patient's anesthesia induction, tracheal catheter is inserted, L-shaped joint is sequentially connected and the Y shape with filter core connects Head, connection wye connect Anesthesia machine by Anesthesia machine connecting tube 7, and the gas sampler that Anesthesia machine or patient monitor are connected connects with Y shape Gas sampling joint connection on head.From on patient's glottis, the connecting conduit joint 1-6 of tracheal catheter 1, pass through L-shaped joint, Y Shape joint and Anesthesia machine connecting tube 7 are connected with Anesthesia machine, are not present from catheter slipjoint and share tube chamber;Due to anesthesia With the presence of unidirectional valve inside machine, this system is set to form two independent air-breathings and exhalation path, and in each respiratory Middle formation loop.Gas sampling passes through the second of the gas sampling chamber 1-1C of conduit, L-shaped joint and connection wye with filter core Gas sampling joint 4-7 is realized.
During patient breaths, inspiratory valve opens expiratory valve and closed, the live gas of volatile anesthetic mixture of oxygen from Air suction way enters patient body.During patient expiration, inspiratory valve is closed expiratory valve and opened, and is mixed with carbon dioxide, volatilizees Property arcotic and partial oxidation exhaled gas from exhalation path enter Anesthesia machine in exhaust gas absorption device, fully absorb two It is changed into live gas with oxygen mix after carbonoxide to be inhaled by a patient in next respiratory cycle.So, breathe in dead space Mechanical inefficiencies chamber be largely eliminated.
Embodiment 2,
Refer to Fig. 6-Figure 11, two channel joint tracheal catheter respiratory system, including tracheal catheter 1, L shapes joint 3, Y shape Joint 4 and Anesthesia machine connecting tube 7.The tracheal catheter include in it provided with inflatable chamber 1-3 conduit, patient's insertion end 1-1, The air bag 1-2 that is arranged in patient's insertion end, the gas tube 1-4 connected with conduit inflatable chamber and charge valve 1-5, the tracheae are led Pipe connects L-shaped joint by pipe joint 1-6, and the L-shaped joint connects connection wye, the connection wye connection Anesthesia machine connection Pipe, the pipe joint, L-shaped joint are two cavity configurations, and connection wye is the Demountable of two chambers.
In the present embodiment, the conduit of the tracheal catheter is provided with gas sampling mouth 1-7, institute close to the tube wall of pipe joint State gas sampling mouth and be connected with external gas sampler 6, the external gas sampler connects external gas sampling joint 5.Institute Conduit 1 is stated by pipe joint 1-6 connection L-shaped joint 3, the L shapes joint connects connection wye 4, the connection wye connection fiber crops Liquor-saturated machine connecting tube 7, the pipe joint, L-shaped joint and connection wye are to be provided with semicircle expiration chamber 1-6A and semicircle in it Shape suction muffler 1-6B double cavity structure.
In the present embodiment, one end of the connection wye 4 is patient interface end 4-1, and the other end is respectively Anesthesia machine output end 4-2 and anesthesia machine input terminal 4-3, the second filter core 4-4 is provided with Anesthesia machine output end 4-2 and anesthesia machine input terminal 4-3.
In the present embodiment, the external gas sampling joint 5 includes the 3rd housing 5-1, input end connector 5-2, output end Joint 5-3 and the 4th filter core 5-4, in the 3rd housing built with the 4th filter core, the 3rd shell one end is connected with input termination Head, the 3rd housing other end are connected with output end connector.
The operation principle of the present embodiment 2 is:
After the completion of entire patient's anesthesia induction, tracheal catheter is inserted, L-shaped joint is sequentially connected and the Y shape with filter core connects Head, connection wye connect Anesthesia machine, the gas sampler and tracheae that Anesthesia machine or patient monitor are connected by Anesthesia machine connecting tube 7 External gas sampling joint connection with filter core on conduit.From on patient's glottis, the venting cavity of tracheal catheter is connect by L-shaped Head, connection wye and Anesthesia machine connecting tube 7 are connected with Anesthesia machine, are not present from catheter slipjoint and share tube chamber;Due to fiber crops With the presence of unidirectional valve inside liquor-saturated machine, this system is set to form two independent air-breathings and exhalation path, and breathed every time Loop is formed in journey.Gas sampling is connect by gas sampling chamber 1-1C, external gas sampler 6 and the external gas sampling of conduit First 5 realize.
During patient breaths, inspiratory valve opens expiratory valve and closed, the live gas of volatile anesthetic mixture of oxygen from Air suction way enters patient body.During patient expiration, inspiratory valve is closed expiratory valve and opened, and is mixed with carbon dioxide, volatilizees Property arcotic and partial oxidation exhaled gas from exhalation path enter Anesthesia machine in exhaust gas absorption device, fully absorb two It is changed into live gas with oxygen mix after carbonoxide to be inhaled by a patient in next respiratory cycle.So, breathe in dead space Mechanical inefficiencies chamber be largely eliminated.
Embodiment 3,
Refer to Figure 12-Figure 15 b, two channel joint tracheal catheter respiratory system, including tracheal catheter 1, breathing circuit filter 2nd, L-shaped joint 3, connection wye 4 and Anesthesia machine connecting tube 7, tracheal catheter include conduit, patient's insertion end 1-1, are arranged on patient Air bag 1-2 in insertion end, with the conduit inflatable chamber 1-3 gas tube 1-4 connected and charge valve 1-5.The tracheal catheter passes through Pipe joint 1-6 connects breathing circuit filter, and the breathing circuit filter connects L-shaped joint, and the L-shaped joint connects connection wye, institute State connection wye connection Anesthesia machine connecting tube.
In the present embodiment, the pipe joint is provided with three chambers, respectively symmetrically arranged semicircle expiration chamber 1-6A, half Circular suction chamber 1-6B and positioned at expiration chamber and the circular gas sampling cavity 1-6C of suction muffler adjacent position.The tracheal catheter Breathing circuit filter 2, the L-shaped joint 3 of the breathing circuit filter connection two-chamber, the L-shaped joint connection are connected by pipe joint The connection wye 4 of two-chamber, the connection wye connection Anesthesia machine connecting tube 7;The breathing circuit filter is provided with and pipe joint gas The first gas sampling joint 2-4 of sampler body chamber connection.
In the present embodiment, the breathing circuit filter 2 includes the first housing 2-1, and machine end 2- is provided with the first shell one end 2, the first housing other end is provided with patient end 2-3, and the middle part of first housing is more than machine end 2-2 and patient end 2-3, Suction gas filtration chamber 2-6, exhaled gas filter chamber 2-7 and first gas sampling cavity 2-5 are provided with the first housing middle part, The first filter core 2- is equipped with the suction gas filtration chamber 2-6, exhaled gas filter chamber 2-7 and first gas sampling cavity 2-5 8.The affixed first gas sampling joint 2-4 of first housing upper outside, the first gas sampling joint and first gas Sampling cavity connects.
In the present embodiment, the L-shaped joint 3 is identical with the L-shaped joint design in embodiment 2,
In the present embodiment, one end of the connection wye 4 is patient interface end 4-1, and the other end is respectively that Anesthesia machine is defeated Go out to hold 4-2 and anesthesia machine input terminal 4-3.
The operation principle of the present embodiment 3 is:
After the completion of entire patient's anesthesia induction, tracheal catheter is inserted, is sequentially connected breathing circuit filter, L-shaped joint and Y shape connect Head, connection wye connect Anesthesia machine, the gas sampler and breathing that Anesthesia machine or patient monitor are connected by Anesthesia machine connecting tube 7 Gas sampling joint connection on filter.From on patient's glottis, the venting cavity of tracheal catheter passes through breathing circuit filter, L-shaped Joint, connection wye and Anesthesia machine connecting tube 7 are connected with Anesthesia machine, are not present from catheter slipjoint and share tube chamber;Due to With the presence of unidirectional valve inside Anesthesia machine, this system is set to form two independent air-breathings and exhalation path, and breathing every time During form loop.Gas sampling chamber 1-6C of the gas sampling by pipe joint, the breathing provided with the first filter core 2-8 in it Filter 2 and the first gas sampling joint 2-4 that is arranged on outside breathing circuit filter housing are realized.
During patient breaths, inspiratory valve opens expiratory valve and closed, the live gas of volatile anesthetic mixture of oxygen from Air suction way enters patient body.During patient expiration, inspiratory valve is closed expiratory valve and opened, and is mixed with carbon dioxide, volatilizees Property arcotic and partial oxidation exhaled gas from exhalation path enter Anesthesia machine in exhaust gas absorption device, fully absorb two It is changed into live gas with oxygen mix after carbonoxide to be inhaled by a patient in next respiratory cycle.So, breathe in dead space Mechanical inefficiencies chamber be largely eliminated.
Embodiment 4,
Refer to Figure 16-Figure 18 d, two channel joint tracheal catheter respiratory system, including tracheal catheter 1, breathing circuit filter 2nd, L-shaped joint 3, connection wye 4 and Anesthesia machine connecting tube 7, tracheal catheter include conduit, patient's insertion end 1-1, are arranged on patient Air bag 1-2 in insertion end, with the conduit inflatable chamber 1-3 gas tube 1-4 connected and charge valve 1-5.The tracheal catheter passes through Pipe joint 1-6 connects breathing circuit filter, and the breathing circuit filter connects L-shaped joint, and the L-shaped joint connects connection wye, institute State connection wye connection Anesthesia machine connecting tube.
In the present embodiment, the conduit of the tracheal catheter is provided with gas sampling mouth 1-7, institute close to the tube wall of pipe joint State gas sampling mouth and be connected with external gas sampler 6, the external gas sampler connects external gas sampling joint 5.Institute Conduit is stated by connecting breathing circuit filter 2 with suction muffler 1-6B pipe joint provided with expiration chamber 1-6A in it, it is described to breathe Filter connection L-shaped joint 3, the L-shaped joint connect connection wye 4, the connection wye connection Anesthesia machine connecting tube 7.It is described to exhale It is to be provided with double cavity structure corresponding with pipe joint expiration chamber and suction muffler in it to be drawn through filter, L shapes joint and connection wye.
In the present embodiment, the breathing circuit filter 2 includes the first housing 2-1, and machine end 2- is provided with the first shell one end 2, the first housing other end is provided with patient end 2-3, and the middle part of first housing is more than machine end 2-2 and patient end 2-3, Suction gas filtration chamber 2-6, exhaled gas filter chamber 2-7, the suction gas filtration chamber are provided with the first housing middle part The first filter core 2-8 is equipped with 2-6 and exhaled gas filter chamber 2-7.
In the present embodiment, the external gas sampling joint 5 includes the 3rd housing 5-1, input end connector 5-2, output end Joint 5-3 and the 4th filter core 5-4, in the 3rd housing built with the 4th filter core, the 3rd shell one end is connected with input termination Head, the 3rd housing other end are connected with output end connector.
In the present embodiment, the L-shaped joint 3 is identical with the structure of the L-shaped joint of embodiment 2.
In the present embodiment, one end of the connection wye 4 is patient interface end 4-1, and the other end is respectively that Anesthesia machine is defeated Go out to hold 4-2 and anesthesia machine input terminal 4-3.
The operation principle of the present embodiment 4 is:
After the completion of entire patient's anesthesia induction, tracheal catheter is inserted, is sequentially connected breathing circuit filter 2, L-shaped joint 3 and Y shape Joint 4, connection wye connect Anesthesia machine, the gas sampler and gas that Anesthesia machine or patient monitor are connected by Anesthesia machine connecting tube 7 Supravasal external gas sampling joint 5 is managed to connect.From on patient's glottis, the venting cavity of tracheal catheter passes through breath Device, L-shaped joint, connection wye and Anesthesia machine connecting tube 7 are connected with Anesthesia machine, in the absence of share pipe from catheter slipjoint Chamber;Due to, with the presence of unidirectional valve, making this system form two independent air-breathings and exhalation path inside Anesthesia machine, and every Loop is formed in secondary respiratory.Gas sampling chamber 1-6C, external gas sampler 6 and the external gas that gas sampling passes through conduit Sampler body joint 5 is realized.
During patient breaths, inspiratory valve opens expiratory valve and closed, the live gas of volatile anesthetic mixture of oxygen from Air suction way enters patient body.During patient expiration, inspiratory valve is closed expiratory valve and opened, and is mixed with carbon dioxide, volatilizees Property arcotic and partial oxidation exhaled gas from exhalation path enter Anesthesia machine in exhaust gas absorption device, fully absorb two It is changed into live gas with oxygen mix after carbonoxide to be inhaled by a patient in next respiratory cycle.So, breathe in dead space Mechanical inefficiencies chamber be eliminated by complete most of.
Embodiment described in accompanying drawing of the present invention is exemplary, is only used for explaining the present invention, and it is not intended that to this The limitation of invention.

Claims (10)

  1. A kind of 1. two channel joint tracheal catheter respiratory system, it is characterised in that:Including tracheal catheter, L-shaped joint, connection wye With Anesthesia machine connecting tube, the tracheal catheter includes the conduit provided with inflatable chamber in it, patient's insertion end, is arranged on patient's insertion Air bag on end, the gas tube and charge valve connected with conduit inflatable chamber, the tracheal catheter connect L-shaped by pipe joint and connect Head, the L-shaped joint connect connection wye, and the connection wye connects Anesthesia machine connecting tube, and the pipe joint and L-shaped joint are extremely Two chambers are provided with less, and the connection wye is the Demountable in it at least provided with two chambers.
  2. 2. two channel joint tracheal catheter respiratory system according to claim 1, it is characterised in that:The pipe joint is set There are three chambers, respectively symmetrically arranged semicircle expiration chamber, semicircle suction muffler and positioned at expiration chamber and suction muffler adjacent bit The circular gas sampling cavity at place is put, it is gentle with expiration chamber, the suction muffler of pipe joint that the L-shaped joint and connection wye are equipped with Three corresponding chambers of sampler body chamber, the other end of the pipe joint gas sampling chamber pass through in L-shaped joint and connection wye Second gas sampling cavity connects, and the conduit connects the L-shaped joint of three chambers by pipe joint, and the L-shaped joint connects three chambers Connection wye, the side of the connection wye is provided with the second gas sampling joint being connected with gas sampling chamber, and the Y shape connects Head connection Anesthesia machine connecting tube;
    One end that the L-shaped joint of three chamber is connected with pipe joint is patient end, and the one end being connected with connection wye is Anesthesia machine Interface end, the semicircle expiration chamber corresponding with pipe joint, semicircle suction muffler are provided with L-shaped joint and positioned at expiration chamber With the circular gas sampling cavity of suction muffler adjacent position.
  3. 3. two channel joint tracheal catheter respiratory system according to claim 2, it is characterised in that:The Y shape of three chamber Joint includes the second housing, on the second housing provided with patient interface end, Anesthesia machine output end and anesthesia machine input terminal, described Two housings are equipped with the second filter core, the gas sampling joint connected with gas sampling chamber are connected with the side of connection wye, in gas Sampler body intracavitary is equipped with the 3rd filter core.
  4. 4. two channel joint tracheal catheter respiratory system according to claim 1, it is characterised in that:The tracheal catheter Conduit is provided with gas sampling mouth close to the tube wall of pipe joint, and the gas sampling mouth is connected with external gas sampler, institute State external gas sampler and connect external gas sampling joint;The conduit connects L-shaped joint, the L-shaped by pipe joint Joint connects connection wye, and the connection wye connects Anesthesia machine connecting tube, and the pipe joint, L-shaped joint and connection wye are Double cavity structure provided with expiration chamber and suction muffler in it.
  5. 5. two channel joint tracheal catheter respiratory system according to claim 4, it is characterised in that:The external gas is adopted Sample joint includes the 3rd housing, input end connector, output end connector and the 4th filter core, in the 3rd housing built with the 4th filter core, 3rd shell one end is connected with input end connector, and the 3rd housing other end is connected with output end connector.
  6. A kind of 6. two channel joint tracheal catheter respiratory system, it is characterised in that:Connect including tracheal catheter, breathing circuit filter, L-shaped Head, connection wye and Anesthesia machine connecting tube, tracheal catheter include conduit, patient's insertion end, the gas being arranged in patient's insertion end Capsule, the gas tube and charge valve connected with conduit inflatable chamber, the tracheal catheter connect breathing circuit filter, institute by pipe joint Breathing circuit filter connection L-shaped joint is stated, the L-shaped joint connects connection wye, and the connection wye connects Anesthesia machine connecting tube.
  7. 7. two channel joint tracheal catheter respiratory system according to claim 6, it is characterised in that:The pipe joint is set There are three chambers, respectively symmetrically arranged semicircle expiration chamber, semicircle suction muffler and positioned at expiration chamber and suction muffler adjacent bit The circular gas sampling cavity at place is put, the tracheal catheter connects breathing circuit filter by pipe joint, and the breathing circuit filter connects The L-shaped joint of logical two-chamber, the connection wye of the L-shaped joint connection two-chamber, the connection wye connect Anesthesia machine connecting tube;It is described Breathing circuit filter is provided with the first gas sampling joint connected with pipe joint gas sampling chamber.
  8. 8. two channel joint tracheal catheter respiratory system according to claim 7, it is characterised in that:The breathing circuit filter Including the first housing, machine end is provided with the first shell one end, the first housing other end is provided with patient end, first housing Middle part is more than machine end and patient end, and suction gas filtration chamber, exhaled gas filtering are provided with the first housing middle part Chamber and first gas sampling cavity, described suck in gas filtration chamber, exhaled gas filter chamber and first gas sampling cavity are equipped with First filter core;The affixed first gas sampling joint of first housing upper outside, the first gas sampling joint and first Gas sampling chamber connects.
  9. 9. two channel joint tracheal catheter respiratory system according to claim 6, it is characterised in that:The tracheal catheter Conduit is provided with gas sampling mouth close to the tube wall of pipe joint, and the gas sampling mouth is connected with external gas sampler, institute State external gas sampler and connect external gas sampling joint;The conduit passes through the conduit provided with expiration chamber and suction muffler in it Joint connects breathing circuit filter, and the breathing circuit filter connects L-shaped joint, and the L-shaped joint connects connection wye, and the Y shape connects Head connection Anesthesia machine connecting tube, the breathing circuit filter, L-shaped joint and connection wye are to be provided with expiration chamber and suction muffler in it Double cavity structure.
  10. 10. two channel joint tracheal catheter respiratory system according to claim 9, it is characterised in that:The breath Device includes the first housing, is provided with machine end in the first shell one end, the first housing other end is provided with patient end, first housing Middle part be more than machine end and patient end, suction gas filtration chamber, exhaled gas mistake are provided with the first housing middle part Filter chamber and gas sampling chamber, described suck in gas filtration chamber and exhaled gas filter chamber are equipped with the first filter core.
CN201711224017.5A 2017-11-29 2017-11-29 Two channel joint tracheal catheter respiratory system Withdrawn CN107812292A (en)

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CN205729940U (en) * 2016-05-31 2016-11-30 中国人民解放军北京军区总医院 A kind of Novel threaded pipe
CN205849947U (en) * 2016-06-19 2017-01-04 付鹏 Anesthesia aeration cycle system
CN107213543A (en) * 2017-07-11 2017-09-29 威海市立医院 The special-shaped throat cover air flue conduit pipe of intubation
CN208877604U (en) * 2017-11-29 2019-05-21 天津市塑料研究所有限公司 Two channel joint tracheal catheter respiratory system

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CN2278490Y (en) * 1995-08-18 1998-04-15 北京儿童医院 Dual-channel tracheal cannula
TW200533399A (en) * 2004-02-12 2005-10-16 Atsuo F Fukunaga Multifunctional integrated filter and breathing conduit
CN2907722Y (en) * 2006-06-13 2007-06-06 严家洪 Child respiration tube
CN203291344U (en) * 2013-06-20 2013-11-20 中国人民解放军第四军医大学 Atomization inhalation surface anesthesia threaded pipe used under general anesthesia conditions
CN203874240U (en) * 2014-05-30 2014-10-15 常州市儿童医院 Valve-type breathing circuit three-way device
CN204671697U (en) * 2015-05-26 2015-09-30 成都大学 Novel anesthetic gas machine
CN105233384A (en) * 2015-09-19 2016-01-13 陕西省人民医院 Trachea cannula capable of monitoring air bag pressure automatically
CN205322968U (en) * 2016-01-21 2016-06-22 深圳市人民医院 A two -chamber last CO2 of endotracheal tube connecting device expiration detects structure
CN205729940U (en) * 2016-05-31 2016-11-30 中国人民解放军北京军区总医院 A kind of Novel threaded pipe
CN205849947U (en) * 2016-06-19 2017-01-04 付鹏 Anesthesia aeration cycle system
CN107213543A (en) * 2017-07-11 2017-09-29 威海市立医院 The special-shaped throat cover air flue conduit pipe of intubation
CN208877604U (en) * 2017-11-29 2019-05-21 天津市塑料研究所有限公司 Two channel joint tracheal catheter respiratory system

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111558117A (en) * 2020-05-15 2020-08-21 四川省第四人民医院 Breathing machine and control method thereof

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