CN108378907B

CN108378907B - A cricothyroid membrane rapid puncture ventilation kit

Info

Publication number: CN108378907B
Application number: CN201810299460.7A
Authority: CN
Inventors: 原红; 黄明
Original assignee: Individual
Current assignee: Individual
Priority date: 2018-04-04
Filing date: 2018-04-04
Publication date: 2024-07-09
Anticipated expiration: 2038-04-04
Also published as: CN108378907A

Abstract

The present invention relates to a medical device for emergency use, in particular to a cricothyroid membrane rapid puncture ventilation kit used in the rescue of acute upper respiratory tract obstruction. The kit product of the present invention comprises a puncture needle assembly, a ventilation inner sheath assembly, and a fixed balloon assembly, wherein the ventilation inner sheath assembly is on the outer layer of the puncture needle assembly, and the fixed balloon assembly is on the outer layer of the ventilation inner sheath assembly. The puncture needle assembly comprises a puncture needle and a puncture needle handle for puncturing the cricothyroid membrane; the ventilation inner sheath assembly comprises a ventilation inner sheath and a standard breathing end connection port. The fixed balloon assembly comprises a balloon push outer sheath, a push handle, an external fixed balloon and an internal fixed balloon, and the internal and external fixed balloons are both umbrella-shaped structures as a whole, and the sliding balloon push handle can slide to control the self-expansion and contraction of the internal and external fixed balloons at the other end. The kit of the present invention is easy to fix, easy to connect with a ventilator and a simple breathing airbag, has a simple operation process, is low in cost, can provide 100% pure oxygen to patients, and is very beneficial to the recovery of the patient's respiratory function.

Description

Quick puncture ventilation kit for cricothyroid membrane

Technical Field

The invention relates to medical equipment for emergency treatment, in particular to a cricothyroid membrane rapid puncture ventilation kit applied to emergency treatment of acute upper respiratory tract obstruction.

Background

In clinic, acute laryngeal edema, acute epiglottis or edema of the gap in front of the epiglottis, head and neck or throat trauma, head and neck tumor, difficult intubated tracheal cannula obstruction of general anesthesia patients or glossolalia postoperation tongue root falling and the like are all easy to cause acute upper respiratory tract obstruction, if not treated in time, suffocation death of patients can be caused in a short time. In emergency treatment, it is often necessary to perform cricothyroid puncture and then take measures to rapidly open the airway such as emergency endotracheal intubation, tracheotomy or cricothyroid incision. At present, the clinical treatment of acute upper respiratory obstruction is carried out by puncturing the cricothyroid membrane by directly puncturing the cricothyroid membrane by using a large-size syringe needle, so that the airway is communicated with air, however, only 21% of oxygen in the air of a patient can be provided by doing so, the needle cannot be fixed, and the needle is easy to fall off or puncture the airway and surrounding tissues along with agitation of the patient, so that serious complications are caused.

Disclosure of Invention

Technical problem to be solved by the invention

The invention solves the technical problems that most of the prior cricothyroid membrane puncture kits adopted in the field of first aid are imported abroad, are high in price, so that the economic burden of patients is heavy, and the operation is complex and needs to be implemented by special doctors.

Technical proposal

The utility model provides a rapid puncturing ventilation kit for the cricothyroid membrane, the rapid puncturing ventilation kit for the cricothyroid membrane comprises a puncture needle component, a ventilation inner sheath component and a fixed saccule component, wherein the ventilation inner sheath component is arranged on the outer layer of the puncture needle component, and the fixed saccule component is arranged on the outer layer of the ventilation inner sheath component.

Further, the puncture needle assembly comprises a puncture needle 1 for puncturing a cricothyroid membrane, a puncture needle handle 2 which can be screwed off, and the puncture needle handle 2 is positioned at the end part of the puncture needle 1.

Further, the ventilation inner sheath assembly comprises a ventilation inner sheath 7 and a standard breathing end connecting port 3 connected with a breathing machine and a simple breathing air bag for ventilation, wherein the standard breathing end connecting port 3 is positioned at the end part of the ventilation inner sheath 7.

Further, the fixed saccule assembly comprises a saccule pushing outer sheath 8, a sliding saccule pushing handle 4 for pushing and retracting the saccule, an outer fixed saccule 5 for fixing the ventilation inner sheath assembly outside the skin and preventing the outer fixed saccule from sliding into the airway, an inner fixed saccule 6 for fixing the ventilation inner sheath assembly in the airway and preventing the inner sheath assembly from falling out of the skin, the sliding saccule pushing handle 4 for pushing and retracting the saccule is positioned at the tail section of the saccule pushing outer sheath 8, the outer fixed saccule 5 and the inner fixed saccule 6 are positioned at the other end of the saccule pushing outer sheath 8, and the sliding saccule pushing handle 4 can slide up and down to control the opening and closing of the inner fixed saccule 6 and the outer fixed saccule 5 at the other end.

Further, the whole of the inner fixed balloon 6 and the outer fixed balloon 5 in the fixed balloon assembly are of umbrella-shaped structures, and the diameters of the folded fixed balloons are the same as the diameters of the balloon pushing outer sheath 8, and the fixed balloons are arranged on the balloon pushing outer sheath 8.

Advantageous effects

The rapid puncture ventilation kit is easy to fix, simple and convenient to operate and moderate in price, can provide 100% pure oxygen for a patient, is very beneficial to recovery of respiratory functions of the patient, can also suck phlegm, and can also assist in breathing for a breathing machine. Thereby being widely applied to clinical first-line departments such as emergency treatment, intensive care units, operating rooms, interventional departments, catheter rooms and the like.

Drawings

FIG. 1 is a schematic diagram of the overall structure of the present invention.

FIG. 2 is a schematic view of the combination of a needle assembly and a vented inner sheath assembly of the present invention.

FIG. 3 is a schematic view of a fixed balloon assembly according to the present invention.

In the figure: 1 is a puncture needle assembly, 2 is a puncture needle handle, 3 is a standard respiratory end connecting port, 4 is a sliding balloon pushing handle, 5 is an external fixed balloon, 6 is an internal fixed balloon, 7 is a ventilation inner sheath assembly, and 8 is a balloon pushing outer sheath.

DETAILED DESCRIPTION OF EMBODIMENT (S) OF INVENTION

As shown in fig. 1, 2 and 3, the product kit of the present invention comprises a puncture needle assembly, a ventilation inner sheath assembly, a fixing balloon assembly, the ventilation inner sheath assembly being arranged on the outer layer of the puncture needle assembly, and the fixing balloon assembly being arranged on the outer layer of the ventilation inner sheath assembly. The puncture needle assembly comprises a puncture needle 1 for puncturing a cricothyroid membrane and a puncture needle handle 2 which can be screwed off, and the ventilation inner sheath assembly comprises a ventilation inner sheath 7 and a standard breathing end connecting port 3 which is used for being connected with a breathing machine or a simple breathing air bag for ventilation. The fixed balloon assembly comprises a balloon pushing outer sheath 8, a sliding balloon pushing handle 4 for pushing and retracting the balloon, an outer fixed balloon 5 for fixing the ventilation inner sheath outside the skin so as not to slide into the airway further, and an inner fixed balloon 6 for fixing the ventilation inner sheath inside the airway so as not to deviate from the skin. According to the technical scheme, the inner fixing saccule and the outer fixing saccule can fix the ventilation inner sheath not to slide into the deep part of the airway or to deviate from the airway, so that complications in the rescue process can be reduced, and the standard respiratory end connecting port 3 can be connected with a breathing machine and a simple respiratory air bag.

Compared with the prior art, the invention has the following advantages:

1) The product kit has compact and ingenious overall design structure, flexible, convenient and safe operation, is directly processed and formed during production, and is packaged into a disposable product after being sterilized and disinfected by ethylene oxide.

2) In the product kit, the ventilation inner sheath and the standard respiratory end connector can be directly connected with respiratory support equipment such as a respirator, a simple respiratory air bag and the like to provide 100% pure oxygen for a patient, so that the recovery of the later respiratory function of the patient is facilitated;

3) In the product kit, the internal fixing saccule is used for fixing the ventilation inner sheath in the airway so that the ventilation inner sheath cannot slip out of the body; the external fixing saccule is used for fixing the ventilation inner sheath on the surface of the skin so that the ventilation inner sheath cannot slide into the far end of the airway, and therefore complications are reduced. And the ventilation inner sheath is fixed by adopting the inner and outer fixing balloons with self-expanding umbrella-shaped structures, so that the ventilation process is safe and simple. And a sliding balloon pushing handle is designed, and the handle is positioned at the tail end of the balloon pushing rod and is arranged on the balloon pushing outer sheath 8. The pushing handle can freely slide for self-expansion and contraction of the inner and outer fixed balloons, the structure is compact and ingenious, the operation is flexible, convenient and safe, and the diameter of the inner and outer balloons after being folded is the same as the diameter of the balloon pushing sheath 8.

The application method of the product kit comprises the following steps:

1. patient position, patient takes supine position, leans back head, and the shoulder is put on the pillow to tighten the median ligament of the cricothyroid, which is beneficial to exposing anatomical marks. Rapidly sterilizing, spreading a sterile towel, and carrying out local injection anesthesia on 1-2 mL of 2% lidocaine. In emergency, the patient can take the semi-lying position or sitting position without anesthesia or sterile towel laying.

2. Determining the position of a cricothyroid membrane: when the head is bent backwards as much as possible, two bulges can be seen and contacted in the middle of the front neck, the upper part is a laryngeal knot and the front corner, the lower part is an annular cartilage arch, and the concave part between the two parts, namely the central ligament of the cricothyroid, is the correct part for puncture.

3. The operation method comprises the following steps: the nail cartilage and the cricoid cartilage are respectively fixed by the thumb and the index finger of the left hand, and the skin is slightly tightened, so that the median ligament of the cricoid is tensioned, and the puncture and the operation are facilitated. The puncture needle 1 and the puncture needle handle 2 are held by the index finger and the middle finger of the right hand, and a falling feel exists after the puncture needle enters the subglottal region along the central horizontal position of the cricothyroid membrane, namely, the puncture is successful, then a 0.3mm incision is cut at the joint of the puncture needle and the skin by using a blade, the puncture needle handle 2 is unscrewed, then the ventilation inner sheath 7 and the standard respiratory end connecting port 3 are inserted into the airway along the puncture needle 1, then the puncture needle 1 is withdrawn, the left hand fixing balloon pushes the outer sheath 8, the right hand slides the sliding balloon pushing handle 4 towards the balloon end, the inner fixing balloon 6 and the outer fixing balloon 5 are expanded, and the ventilation inner sheath 7 is fixed in the airway and on the skin so as to avoid the sheath tube from falling out. Then, the simple breathing air bag or the breathing machine can be directly connected through the standard breathing end connecting port 3, so that the breathing support is provided for the patient in the rescue of the acute upper respiratory obstruction.

In conclusion, the product kit disclosed by the invention is low in cost and convenient to popularize and apply in a large area in clinic.

Claims

1. A cricothyroid membrane rapid puncture and ventilation kit, characterized in that the cricothyroid membrane rapid puncture and ventilation kit comprises a puncture needle assembly, a ventilation inner sheath assembly, and a fixed balloon assembly, wherein the ventilation inner sheath assembly is on the outer layer of the puncture needle assembly, and the fixed balloon assembly is on the outer layer of the ventilation inner sheath assembly;

The fixed balloon assembly comprises a balloon pushing outer sheath (8), a sliding balloon pushing handle (4) for pushing and retracting the balloon, an external fixed balloon (5) for fixing the ventilation inner sheath assembly outside the skin so that it does not slide further into the airway, and an internal fixed balloon (6) for fixing the ventilation inner sheath assembly inside the airway so that it does not fall out of the skin. The sliding balloon pushing handle (4) for pushing and retracting the balloon is located at the tail section of the balloon pushing outer sheath (8), the external fixed balloon (5) and the internal fixed balloon (6) are located at the other end of the balloon pushing outer sheath (8), and the sliding balloon (5) and the internal fixed balloon (6) are located at the other end of the balloon pushing outer sheath (8). The push handle (4) can slide up and down to control the self-expansion and contraction of the internal fixation balloon (6) and the external fixation balloon (5) at the other end; the internal fixation balloon (6) and the external fixation balloon (5) in the fixed balloon assembly are both umbrella-shaped structures as a whole, and their diameters after being retracted are the same as the diameter of the balloon push sheath (8), and they are both arranged on the balloon push sheath (8); the puncture needle assembly comprises a puncture needle (1) for puncturing the cricothyroid membrane and a puncture needle handle (2) that can be screwed down, and the puncture needle handle (2) is located at the end of the puncture needle (1).

2. A cricothyroid membrane rapid puncture ventilation kit as described in claim 1, characterized in that the ventilation inner sheath assembly includes a ventilation inner sheath (7), a standard breathing end connection port (3) for connecting to a ventilator and a simple breathing airbag for ventilation, and the standard breathing end connection port (3) is located at the end of the ventilation inner sheath (7).