Speaking valve
Technical Field
The invention belongs to the field of medical instruments, and particularly relates to a speaking valve.
Background
Tracheotomy (tracheostomy) is a common operation used to relieve dyspnea caused by laryngeal dyspnea, respiratory dysfunction or retention of lower respiratory secretions, in which the neck trachea is dissected and the tracheal cannula is inserted. In the medical field in China, for a sober patient with a tracheotomy, in order to speak, the simple method is to adopt a cork, a cotton stick, an adhesive tape and the like to temporarily block the entrance of a tracheal cannula, and if the trachea cannula is successfully developed, the cannula is pulled out in a short time; otherwise, the long time for blocking the tube can lead to chronic hypoxia of the patient and influence the functions of important organs such as brain, heart, lung and the like. In addition, sputum is sticky and cannot be expectorated, forming a crusted sputum, which may result in asphyxia. However, it is difficult to speak to a tracheotomy patient without removing the tracheal tube.
With the development of medical technology, humanized care has been deeply paid to various aspects of medical practice, and how to make tracheotomy patients breathe smoothly and express their will smoothly in the rehabilitation process, so as to improve the life quality of patients is a problem that family members and medical workers have to pay attention to the disease treatment.
Furthermore, tracheotomy patients have difficulty taking medication, swallowing can be painful for this type of patient, and even a simple medication act can present a safety hazard. Breathing through intubation also often suffers from over-cooling or over-drying of the inhaled gas, which can also cause discomfort to the patient.
Disclosure of Invention
The technical problem to be solved by the invention is to provide a speaking valve, which can enable a patient who carries out tracheotomy to produce voice while using a gas sleeve to assist respiration; through setting up the string rope, can be convenient take off this device when not using, wear at the neck, be difficult for losing. The second technical problem is solved by the invention that the inhaled gas is heated by the heating administration connecting device, the administration of anesthetics, tranquilizers, pain relievers or cough relievers can be synchronously realized, the patient inhales the medicine in a gas release mode, and the potential safety hazard of the administration of the patient with tracheotomy through the esophagus is avoided.
The technical scheme adopted by the invention for solving the technical problems is as follows: the speaking valve comprises a speaking valve body, wherein the speaking valve body comprises an outer cylinder body, one end of the outer cylinder body is provided with a one-way vent valve, and the other end of the outer cylinder body is provided with a tracheal cannula connector; the one-way vent valve comprises an air inlet and a film, the air inlet is arranged at the end part of the outer cylinder body, and an air inlet grid is arranged on the air inlet; the film is positioned in the outer cylinder body, and one or more points of the film are fixed on the air inlet grille; when air is sucked, the film can be bent inwards to deform, and the air inlet cannot be blocked; when exhaling, the film can be opened flat and cover the air inlet completely, its characterized in that sets up the rope hole on the outer wall of outer barrel, installs the anticreep in the rope hole and hangs the rope.
Preferably, a transverse reinforcing rib is arranged in the outer barrel, an inner barrel is fixed on the transverse reinforcing rib, and the inner barrel and one end of the outer barrel, which is provided with the tracheal cannula connector, are coaxially arranged; an annular tracheal cannula inserting space is formed between the inner barrel and the outer barrel; the tracheal cannula can be inserted into the tracheal cannula inserting space.
Preferably, the film is made of elastic medical rubber; the outer cylinder body is made of medical plastic materials.
Preferably, the device further comprises a heating administration connecting device, wherein the heating administration connecting device comprises an upper connecting ring, and the upper connecting ring is arranged at the connecting position of the outer cylinder body and the tracheal cannula; the heating and drug administration connecting device can heat air flow entering the tracheal cannula from the air inlet, and can deliver drugs to a patient in a mode of smearing a drug liquid film on the inner wall of the tracheal cannula and volatilizing the liquid film.
Preferably, the upper connecting ring is sleeved on the tracheal cannula, the upper connecting ring is connected with the hooping ring body through a flexible telescopic ring sleeve, the hooping ring body can be sleeved on the outer wall of the outer barrel, and the joint of the outer barrel and the tracheal cannula is wrapped in the flexible telescopic ring.
Preferably, the heating administration connecting device further comprises an upper left slot hole and an upper right slot hole, wherein an upper left pointed wedge block and an upper right pointed wedge block are respectively inserted into the upper left slot hole and the upper right slot hole, and the upper left pointed wedge block and the upper right pointed wedge block can be punctured from the left side and the right side and inserted into the tracheal cannula; the upper left pointed wedge block and the upper right pointed wedge block are respectively provided with a left through hole and a right through hole; the heating device can be inserted into the tracheal cannula through the left through hole and the right through hole.
Preferably, the heating device comprises an upper conductive plate and a lower mounting plate; the upper conducting plate comprises an upper left conducting plate block and an upper right conducting plate block, and the upper left conducting plate block and the upper right conducting plate block are connected into a whole through an upper insulating plate; the upper left conducting plate and the upper right conducting plate are respectively connected with the lower mounting plate through more than one left heating resistance wire and right heating resistance wire; the short-circuit board is sleeved on the left heating resistance wire and the right heating resistance wire and can slide up and down along the left heating resistance wire and the right heating resistance wire; the upper end of the left sliding rail and the upper end of the right sliding rail are arranged on the lower part of the upper connecting ring, the left sliding rail and the right sliding rail are respectively positioned on two sides of the air pipe sleeve, the lower ends of the left sliding rail and the right sliding rail are connected with the lower connecting ring, a storage battery is arranged in the lower connecting ring, and the storage battery is connected with a wiring contact through a lead; the wire is arranged in the left and right slide rails, the wiring contact is arranged in the left and right slot holes, the upper left and right pointed wedge blocks are made of conductive metal materials, and when the upper left and right pointed wedge blocks are inserted into the left and right slot holes, the wiring contact is communicated with the upper left conductive plate block and the upper right conductive plate block through the upper left and right pointed wedge blocks; the magnetic attraction outer sliding block is sleeved on the left sliding rail and the right sliding rail, and when the magnetic attraction outer sliding block moves up and down along the left sliding rail and the right sliding rail, the magnetic attraction short circuit plate can move up and down along the left heating resistance wire and the right heating resistance wire through magnetic force so as to control the access length of the left heating resistance wire and the right heating resistance wire and further control the heating amount of the heating device.
Preferably, a lower left slot hole and a lower right slot hole are formed in the lower connecting ring, a lower left pointed wedge block and a lower right pointed wedge block are respectively inserted into the lower left slot hole and the lower right slot hole, and the lower left pointed wedge block and the lower right pointed wedge block can be punctured from the left side and the right side and inserted into the tracheal cannula; the lower left pointed wedge block and the lower right pointed wedge block are provided with magnetic attraction, and can attract and fix the lower mounting plate through the magnetic attraction;
and elastic pin shafts are respectively arranged in the upper left and right slotted holes and the lower left and right slotted holes, and can be manually adjusted to stretch into or withdraw from the upper left and right slotted holes or the lower left and right slotted holes so as to fix the insertion positions of the upper left and right pointed wedge blocks or the lower left and right pointed wedge blocks.
Preferably, the magnetic suction type connecting device also comprises a magnetic suction leading-out block, wherein the magnetic suction leading-out block is hinged to the upper mounting ring and the lower connecting ring through hinge shafts respectively; when the magnetic attraction leading-out block rotates to the outside of the upper left slot hole, the upper right slot hole, the lower left slot hole and the lower right slot hole around the hinge shaft, the elastic pin shaft is manually adjusted to withdraw from the upper left slot hole, the upper right slot hole, the lower left slot hole and the upper right slot hole, and at the moment, the upper left pointed wedge block, the lower right pointed wedge block can be pulled out from the upper left slot hole, the lower left slot hole and the right slot hole under the attraction effect of the magnetic attraction leading.
Preferably, the heating and drug administration connecting device further comprises a drug administration device, the drug administration device comprises a drug administration ring embedded in the tracheal cannula, the cross section of the drug administration ring is C-shaped or L-shaped, a cotton wool clamping cavity is formed between the drug administration ring and the inner wall of the tracheal cannula, cotton wool is placed in the cotton wool clamping cavity, and the cotton wool can be soaked in the liquid medicine in advance; the drug delivery ring comprises a metal inner framework, and a silica gel outer coating is arranged outside the metal inner framework; the lower part of the upper connecting ring is provided with a fixed position magnetic attraction ring, a magnetic isolation gap is arranged between the fixed position magnetic attraction ring and the tracheal cannula, and the tracheal cannula fixing device also comprises an annular magnetic isolation plate which can move up and down along the tracheal cannula; in an initial state, the annular magnetic isolation plate moves downwards to a lower limit position, and the fixed position magnetic suction ring attracts the medicine feeding ring to be fixed at one end of the tracheal cannula connected with the outer barrel; when the annular magnetism isolating plate moves upwards to be limited, the annular magnetism isolating plate can be inserted into the magnetism isolating gap, the fixed position magnetic suction ring does not attract the medicine feeding ring any more, the medicine feeding ring can be driven by the magnetic suction outer sliding block to move up and down along the inner wall of the tracheal cannula at the moment, the medicine feeding ring can coat a liquid medicine thin layer on the inner wall of the tracheal cannula by absorbent cotton in the up-and-down moving process, and the liquid medicine thin layer can be evaporated at an accelerated speed under the heating action of the heating device to feed medicine to a patient in a steam liquid medicine mode.
The invention has the beneficial effects that:
1. the tracheal cannula connector is sleeved at the entrance of the tracheal cannula. When a patient inhales, the film is folded inwards and deformed, the air inlet is opened, the one-way vent valve is opened, and airflow can enter the lung through the respiratory tract by the tracheal cannula; when the trachea cannula is used for breathing, the film is completely flattened on the air inlet grille, the air inlet is completely covered from the inside, the one-way vent valve is closed, the exhaled airflow passes through a gap between the trachea wall and the outside of the trachea cannula, passes through the vocal cords, and is exhaled by the mouth and the nose, so that the vocal cords are vibrated, and the user can speak. The patient can smoothly complete the intake of oxygen and the vocal speaking during one breath without pulling out or blocking the tracheal cannula, the use is convenient and safe, the patient can clearly express the self-intention and the treatment feeling, the medical rehabilitation is facilitated, and the mood index and the life quality of the patient can be improved.
2. Set up the strengthening rib in outer barrel, can prevent effectively that this device from being forced extrusion deformation, further promote factor of safety.
3. The fixing connecting hole is arranged outside the outer cylinder body, and the tracheal cannula can be firmly fixed on the tracheal cannula through a rope, so that the tracheal cannula can be prevented from falling off during breathing or accidental collision.
4. The heating and administration connecting device heats the inhaled gas, the administration of anesthetics, tranquilizers, pain relievers or cough relievers can be synchronously realized, the patient inhales the medicine in a gas release mode, and the potential safety hazard of the administration of the patient with tracheotomy through the esophagus is avoided. In addition, the humidifying device can humidify the inhaled gas and improve the comfort of the patient.
5. The invention has the advantages of refined structure, practicability, lower production cost and suitability for popularization in the industry.
Drawings
FIG. 1 is a schematic view of the present invention (in a state where a heating administration set is not attached);
FIG. 2 is a schematic view of the structure of the present invention (the state in which the heating administration connection apparatus is installed);
FIG. 3 is an enlarged view of portion A of FIG. 2;
in the figure: 1. the speaking valve body: 1.1, an air inlet; 1.2, thin film; 1.3, an outer cylinder body; 1.4, transverse reinforcing ribs; 1.5, rope holes; 1.6, an inner cylinder body;
2. a tracheal tube;
3. heating the administration connecting device: 3.1, a left slide rail; 3.2, conducting wires; 3.3, magnetically attracting the outer slide block; 3.4, a left heating resistance wire; 3.5, a lower left pointed wedge-shaped block; 3.6, a lower connecting ring; 3.7, a storage battery; 3.8, a lower mounting plate; 3.9, a lower right pointed wedge-shaped block; 3.10, a short circuit board; 3.11, right heating resistance wire; 3.12, administration ring; 3.13, an upper connecting ring; 3.14, an upper right pointed wedge block; 3.15, tightening the ring body; 3.16, flexible telescopic ring sleeves; 3.17, an elastic pin shaft; 3.18, magnetically attracting the leading-out block; 3.19, an upper left pointed wedge block; 3.20, wiring contact; 3.21, fixing a position magnetic ring; 3.22, a magnetic isolation gap; 3.23, annular magnetic isolation plates; 3.24, absorbent cotton; 3.25, an upper right conductive plate; 3.26, insulating plates; 3.27, upper left conductive plate.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings and specific embodiments.
As shown in fig. 1, 2 and 3, the speaking valve of the invention comprises a speaking valve body, wherein the speaking valve body comprises an outer cylinder body, one end of the outer cylinder body is provided with a one-way vent valve, and the other end of the outer cylinder body is provided with a tracheal cannula connector; the one-way vent valve comprises an air inlet and a film, the air inlet is arranged at the end part of the outer cylinder body, and an air inlet grid is arranged on the air inlet; the film is positioned in the outer cylinder body, and one or more points of the film are fixed on the air inlet grille; when air is sucked, the film can be bent inwards to deform, and the air inlet cannot be blocked; when exhaling, the film can be opened flat and cover the air inlet completely, its characterized in that sets up the rope hole on the outer wall of outer barrel, installs the anticreep in the rope hole and hangs the rope.
A transverse reinforcing rib is arranged in the outer barrel, an inner barrel is fixed on the transverse reinforcing rib, and the inner barrel and one end of the outer barrel, which is provided with a tracheal cannula connector, are coaxially arranged; an annular tracheal cannula inserting space is formed between the inner barrel and the outer barrel; the tracheal cannula can be inserted into the tracheal cannula inserting space.
The film is made of elastic medical rubber.
The outer cylinder body is made of medical plastic materials.
The heating and drug administration connecting device comprises an upper connecting ring, and the upper connecting ring is arranged at the connecting position of the outer cylinder body and the tracheal cannula; the heating and drug administration connecting device can heat air flow entering the tracheal cannula from the air inlet, and can deliver drugs to a patient in a mode of smearing a drug liquid film on the inner wall of the tracheal cannula and volatilizing the liquid film.
The upper connecting ring is sleeved on the tracheal cannula and connected with the hooping ring body through a flexible telescopic ring sleeve, the hooping ring body can be sleeved on the outer wall of the outer barrel, and the joint of the outer barrel and the tracheal cannula is wrapped in the flexible telescopic ring.
The heating administration connecting device also comprises an upper left slot hole and an upper right slot hole, wherein an upper left pointed wedge block and an upper right pointed wedge block are respectively inserted into the upper left slot hole and the upper right slot hole, and the upper left pointed wedge block and the upper right pointed wedge block can be punctured from the left side and the right side and inserted into the tracheal cannula; the upper left pointed wedge block and the upper right pointed wedge block are respectively provided with a left through hole and a right through hole; the heating device can be inserted into the tracheal cannula through the left through hole and the right through hole.
The heating device comprises an upper conductive plate and a lower mounting plate; the upper conducting plate comprises an upper left conducting plate block and an upper right conducting plate block, and the upper left conducting plate block and the upper right conducting plate block are connected into a whole through an upper insulating plate; the upper left conducting plate and the upper right conducting plate are respectively connected with the lower mounting plate through more than one left heating resistance wire and right heating resistance wire; the short-circuit board is sleeved on the left heating resistance wire and the right heating resistance wire and can slide up and down along the left heating resistance wire and the right heating resistance wire; the upper end of the left sliding rail and the upper end of the right sliding rail are arranged on the lower part of the upper connecting ring, the left sliding rail and the right sliding rail are respectively positioned on two sides of the air pipe sleeve, the lower ends of the left sliding rail and the right sliding rail are connected with the lower connecting ring, a storage battery is arranged in the lower connecting ring, and the storage battery is connected with a wiring contact through a lead; the wire is arranged in the left and right slide rails, the wiring contact is arranged in the left and right slot holes, the upper left and right pointed wedge blocks are made of conductive metal materials, and when the upper left and right pointed wedge blocks are inserted into the left and right slot holes, the wiring contact is communicated with the upper left conductive plate block and the upper right conductive plate block through the upper left and right pointed wedge blocks; the magnetic attraction outer sliding block is sleeved on the left sliding rail and the right sliding rail, and when the magnetic attraction outer sliding block moves up and down along the left sliding rail and the right sliding rail, the magnetic attraction short circuit plate can move up and down along the left heating resistance wire and the right heating resistance wire through magnetic force so as to control the access length of the left heating resistance wire and the right heating resistance wire and further control the heating amount of the heating device.
A lower left slot hole and a lower right slot hole are arranged in the lower connecting ring, a lower left sharp-pointed wedge block and a lower right sharp-pointed wedge block are respectively inserted into the lower left slot hole and the lower right slot hole, and the lower left sharp-pointed wedge block and the lower right sharp-pointed wedge block can be punctured from the left side and the right side and are inserted into the tracheal cannula; the lower left and right tip wedges have magnetic attraction, and the lower left and right tip wedges can attract and fix the lower mounting plate through the magnetic attraction.
And elastic pin shafts are respectively arranged in the upper left and right slotted holes and the lower left and right slotted holes, and can be manually adjusted to stretch into or withdraw from the upper left and right slotted holes or the lower left and right slotted holes so as to fix the insertion positions of the upper left and right pointed wedge blocks or the lower left and right pointed wedge blocks.
The magnetic attraction leading-out block is hinged to the upper mounting ring and the lower connecting ring through hinge shafts respectively; when the magnetic attraction leading-out block rotates to the outside of the upper left slot hole, the upper right slot hole, the lower left slot hole and the lower right slot hole around the hinge shaft, the elastic pin shaft is manually adjusted to withdraw from the upper left slot hole, the upper right slot hole, the lower left slot hole and the upper right slot hole, and at the moment, the upper left pointed wedge block, the lower right pointed wedge block can be pulled out from the upper left slot hole, the lower left slot hole and the right slot hole under the attraction effect of the magnetic attraction leading.
The heating administration connecting device also comprises an administration device, the administration device comprises an administration ring embedded in the tracheal cannula, the section of the administration ring is C-shaped or L-shaped, an absorbent cotton clamping cavity is formed between the administration ring and the inner wall of the tracheal cannula, absorbent cotton is placed in the absorbent cotton clamping cavity, and the absorbent cotton can be soaked in liquid medicine in advance; the drug delivery ring comprises a metal inner framework, and a silica gel outer coating is arranged outside the metal inner framework; the lower part of the upper connecting ring is provided with a fixed position magnetic attraction ring, a magnetic isolation gap is arranged between the fixed position magnetic attraction ring and the tracheal cannula, and the tracheal cannula fixing device also comprises an annular magnetic isolation plate which can move up and down along the tracheal cannula; in an initial state, the annular magnetic isolation plate moves downwards to a lower limit position, and the fixed position magnetic suction ring attracts the medicine feeding ring to be fixed at one end of the tracheal cannula connected with the outer barrel; when the annular magnetism isolating plate moves upwards to be limited, the annular magnetism isolating plate can be inserted into the magnetism isolating gap, the fixed position magnetic suction ring does not attract the medicine feeding ring any more, the medicine feeding ring can be driven by the magnetic suction outer sliding block to move up and down along the inner wall of the tracheal cannula at the moment, the medicine feeding ring can coat a liquid medicine thin layer on the inner wall of the tracheal cannula by absorbent cotton in the up-and-down moving process, and the liquid medicine thin layer can be evaporated at an accelerated speed under the heating action of the heating device to feed medicine to a patient in a steam liquid medicine mode.
It should be noted that the above-mentioned embodiments are only preferred embodiments of the present invention, and any equivalent or similar substitutes within the scope of the present invention will be apparent to those skilled in the art from the following description and claims.