CN108785814A - Attract under a kind of glottis and rinses tracheal catheter device - Google Patents
Attract under a kind of glottis and rinses tracheal catheter device Download PDFInfo
- Publication number
- CN108785814A CN108785814A CN201710306221.5A CN201710306221A CN108785814A CN 108785814 A CN108785814 A CN 108785814A CN 201710306221 A CN201710306221 A CN 201710306221A CN 108785814 A CN108785814 A CN 108785814A
- Authority
- CN
- China
- Prior art keywords
- several
- conduit
- gas tube
- air bag
- foam
- 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
Links
- 210000004704 glottis Anatomy 0.000 title claims abstract description 14
- 238000011010 flushing procedure Methods 0.000 claims abstract description 15
- 239000006260 foam Substances 0.000 claims abstract description 13
- 230000028327 secretion Effects 0.000 abstract description 13
- 210000002345 respiratory system Anatomy 0.000 abstract description 9
- 210000004072 lung Anatomy 0.000 abstract description 6
- 208000015181 infectious disease Diseases 0.000 abstract description 5
- 230000002685 pulmonary effect Effects 0.000 abstract description 5
- 230000000694 effects Effects 0.000 abstract description 4
- 210000003097 mucus Anatomy 0.000 abstract description 3
- 238000005273 aeration Methods 0.000 description 5
- 230000006835 compression Effects 0.000 description 3
- 238000007906 compression Methods 0.000 description 3
- 238000009423 ventilation Methods 0.000 description 3
- 210000004877 mucosa Anatomy 0.000 description 2
- 206010011224 Cough Diseases 0.000 description 1
- 206010035664 Pneumonia Diseases 0.000 description 1
- 229920003171 Poly (ethylene oxide) Polymers 0.000 description 1
- 208000001431 Psychomotor Agitation Diseases 0.000 description 1
- 206010038743 Restlessness Diseases 0.000 description 1
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 1
- 206010044310 Tracheo-oesophageal fistula Diseases 0.000 description 1
- 206010044314 Tracheobronchitis Diseases 0.000 description 1
- 208000005864 Tracheoesophageal Fistula Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 230000001580 bacterial effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000034994 death Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 210000000981 epithelium Anatomy 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 208000016274 isolated tracheo-esophageal fistula Diseases 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 230000035790 physiological processes and functions Effects 0.000 description 1
- -1 polyoxyethylene Polymers 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 239000000741 silica gel Substances 0.000 description 1
- 229910002027 silica gel Inorganic materials 0.000 description 1
- 208000024891 symptom Diseases 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
- A61M16/0463—Tracheal tubes combined with suction tubes, catheters or the like; Outside connections
-
- A61M1/0058—
-
- 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
- A61M16/0003—Accessories therefor, e.g. sensors, vibrators, negative pressure
-
- 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
- A61M16/0486—Multi-lumen tracheal 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
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
-
- 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
- A61M3/00—Medical syringes, e.g. enemata; Irrigators
- A61M3/02—Enemata; Irrigators
- A61M3/0279—Cannula; Nozzles; Tips; their connection means
- A61M3/0283—Cannula; Nozzles; Tips; their connection means with at least two inner passageways, a first one for irrigating and a second for evacuating
-
- 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
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/1025—Respiratory system
- A61M2210/1032—Trachea
Abstract
The present invention relates to attract under a kind of glottis and rinse tracheal catheter device; it can effectively ensure that air flue is closed, positive airway pressure, fixed catheter, and can be effectively protected airway mucus; prevent upper respiratory tract secretion and enter lower respiratory tract and lung, to prevent the generation of secondary pulmonary infection.The device is made of main pipe, connector, air bag, foam or sponge dressing, gas tube, pilot balloon, charge valve, several attraction flushing holes, several attraction flush pipes, end cap, catheter port, conduit graduated scale.It is equipped with several attraction flush pipes and gas tube on conduit, wherein flush pipe is attracted to be connected with several attraction flushing holes on conduit, attracts and surrounds foam or sponge dressing in flushing hole;Gas tube is connected with the air bag being arranged on conduit, and graduated scale is arranged on catheter wall, it is reasonable for structure, safe and reliable, using effect is good.
Description
Technical field:
The invention belongs to medical apparatus technical fields, and in particular to attract under a kind of glottis and rinse tracheal catheter device.
Background technology:
Artificial airway is the effective means for ensureing airway patency, particularly important during patient with severe symptoms rescues.However, people
The foundation of work air flue destroys the normal anatomical structure of respiratory tract and physiological function, and air flue protective capability is caused to be destroyed, point
Secretion increases, and epithelium healing secretion is gathered in above tracheal catheter air bag, causes local bacterial to breed, secretion can be through airbag wall
Gauffer, gap leakage between tracheal wall enter downtake, cause Ventilator Acquired tracheobronchitis (VAT) and lung ventilator
Pneumonia (VAP) occurs, and prolonged mechanical duration of ventilation and hospital stays, increases considerably payment for medical care, seriously affects severe
The prognosis of patient.
It is well known that the most basic effect of air bag is to maintain glottis air flue closing below, fixed catheter, to ensure just
Pressure ventilation efficiently accomplishes.The closure of air bag can also prevent pars oralis pharyngis and gastric content accidentally sucking lung, reduce pulmonary infection.
The improve and perfect of air bag never stops.From the 1970s widely applied 1st generation it is low hold high pressure rubber sacculus, to 70
Later stage in age 2nd generation height holds the silica gel or polyoxyethylene air bag of low pressure, then to the circular cone air bag improved in recent years.All air bags are equal
It has the following problems:1) airbag aeration amount is with lucky closed airway, and air flue is air tight (minimal closure technology) when ensureing ventilation, point
Gap of the secretion between air bag and tracheal wall leaks into lung and increases:2) in order to reduce leakage, usually increase airbag aeration
Amount, then cause gasbag pressure excessively high, compression tracheal mucosa, or even the complication such as tracheostenosis, tracheoesophageal fistula occurs;3)
Since tracheae is not regular circle shapes tube chamber, even if increasing airbag aeration amount Subglottic secretion still can pass through airbag wall and gas
Gauffer, gap between tube wall, it is micro constantly to leak into lower respiratory tract, make into lung, especially restlessness, operation etc.
Conduit drawing, displacement, are intubated for a long time, and Subglottic secretion leakage becomes apparent from.This is the pass for causing VAP incidences high
Key factor.The scholars such as Philippart in 2015 CHEST magazines deliver result of study show the taper air bag improved in recent years compared with
Cylindrical airbag fails to reduce VAP incidences.Having multinomial research at present confirms that tracheae of the application with attraction (SSD) under glottis is led
Pipe carries out secretion under glottis and drains, can effectively reduce VAP incidences.But current existing tracheal catheter is between single hole under glottis
It is disconnected to attract, attraction power often is lost because single hole blocks, can not be carried out effectively and reliable infraglottic cavity drainage, to have
Effect removes secretion under glottis and occurs micro- accidentally suction repeatedly, when causing pulmonary infection repeated, thus considerably increasing in hospital
Between and hospitalization cost and the death rate.Therefore, there are no one kind closing gas just in airbag aeration amount in the prior art
Road ensures positive airway pressure, avoids compression tracheal mucosa, and Subglottic secretion can be effectively prevent to leak into lower respiratory tract
Glottis under attract and rinse tracheal catheter;Simultaneously, moreover it is possible to ensure when attracting under carrying out glottis or rinsing, avoid airway mucus
Damage, bleeding, even acutely the complication such as cough and discomfort occur for necrosis, patient's irritation, fundamentally prevent the upper respiratory tract
Secretion enters lower respiratory tract, effectively prevents to attract and rinse tracheal catheter under the glottis of the disposable antiseep of pulmonary infection.
Invention content:
The purpose of the present invention, one kind is provided according to above-mentioned technical problem can ensure that air flue closing, fixation are led
Pipe, ensures efficiently accomplishing for positive airway pressure, avoids compression airway mucus, and Subglottic secretion can be effectively prevent to leak
Enter and attracts under a kind of glottis of the disposable antiseep of lower respiratory tract and rinse tracheal catheter device.The device by continue or
Disconnected infraglottic cavity regionality attracts rather than single hole attracts to ensure to attract effect, fundamentally prevents upper respiratory tract secretion
Into lower respiratory tract and lung, effectively prevent pulmonary infection.The present invention is realized in, the device include main pipe, connector,
Air bag, foam or sponge dressing, gas tube, pilot balloon, charge valve, several attract flushing holes, several attract flush pipes,
End cap, catheter port, conduit graduated scale, (as shown in the figure) are provided with several in leading pipe outer wall and attract flush pipe and fill
Tracheae.Several attract one end of flush pipe to be provided with end cap, and the other end is connected with several attraction flushing holes, gas tube
One end is connected with pilot balloon and charge valve, and the other end is connected with the air bag of front end on conduit, in the rear end of main pipe
Equipped with connector, foam or sponge dressing separately are surround in several attraction flushing holes of front end on main pipe, several
Attract flushing hole and foam or the sponge dressing closely company of folding, so that negative pressure is transmitted to entire foam or sponge dressing.In conduit
Digital calibration ruler is provided on outer wall, the front end of conduit is set as ellipticity, and offers nose circle mouth in side.
Description of the drawings:
Attached drawing 1 is overall structure of the present invention.
Drawing reference numeral:1 main pipe, 2 connectors, 3 air bags, 4 foams or sponge dressing, 5 gas tubes, 6 pilot balloons, 7 inflations
Valve, 8 several attraction flushing holes, 9 several attraction flush pipe, 10 end caps, 11 nose circle mouths, 12 conduit graduated scales.
Specific implementation mode
It is provided with several on main pipe (1) outer wall and attracts flush pipe (9), gas tube is equipped in main pipe (1) outer wall
(5), several attract one end of flush pipe (9) to be provided with end cap (10), and the other end is connected with several attraction flushing holes (8)
It connects, one end of gas tube (5) is connected with pilot balloon (6) and charge valve (7), and the aeration quantity for grasping air bag is another
It holds and is connected with the gas cell (3) for being located in front end on conduit (1), and give and inflate.It is equipped with connection in the rear end of main pipe (1)
Head (2) separately surrounds foam or sponge dressing (4) in several attraction flushing holes (8) that main pipe (1) front is equipped with, if
Dry attracts flushing hole and foam or sponge dressing (4) are closely folded to connect, so that negative pressure is passed to entire foam or sponge dressing (4)
It passs, digital calibration ruler (12) is provided in the pipe outer wall of main pipe (1), for grasping depth when conduit (1) operation.It is leading
The front end for managing (1) is ellipticity, and offers nose circle mouth (11) in side.
Claims (1)
1. attracting under a kind of glottis and rinsing tracheal catheter device, it includes main pipe (1), connector (2), air bag (3), foam
Or sponge dressing (4), gas tube (5), pilot balloon (6), charge valve (7), several attraction flushing holes (8), several attractions
Flush pipe (9), end cap (10), nose circle mouth (11), conduit graduated scale (12), it is characterized in that being provided on main pipe (1) outer wall
Gas tube (5) and several attraction flush pipes (9), gas tube (5) one end are connected with air bag (3), the other end and pilot balloon
(6) charge valve (7) is connected, several attraction flushing holes (8) is equipped with above the frontal air bag (3) of main pipe (1), with flushing
Pipe (9) end cap (10) is connected, and surrounds foam or sponge dressing (4) in several attractions flushing holes (8), and with foam or
Sponge dressing is closely folded to be connected, and digital calibration ruler (12) is provided in the pipe outer wall of main pipe (1).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201710306221.5A CN108785814A (en) | 2017-05-04 | 2017-05-04 | Attract under a kind of glottis and rinses tracheal catheter device |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201710306221.5A CN108785814A (en) | 2017-05-04 | 2017-05-04 | Attract under a kind of glottis and rinses tracheal catheter device |
Publications (1)
Publication Number | Publication Date |
---|---|
CN108785814A true CN108785814A (en) | 2018-11-13 |
Family
ID=64053584
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201710306221.5A Pending CN108785814A (en) | 2017-05-04 | 2017-05-04 | Attract under a kind of glottis and rinses tracheal catheter device |
Country Status (1)
Country | Link |
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CN (1) | CN108785814A (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110755705A (en) * | 2019-11-14 | 2020-02-07 | 北京雅果科技有限公司 | Subglottic attraction system and control method thereof |
Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103751895A (en) * | 2013-01-25 | 2014-04-30 | 郦文泽 | Porous suction tracheal intubation tube |
CN204671642U (en) * | 2015-05-24 | 2015-09-30 | 李建丽 | A kind of gynecological cleaning device |
CN106215258A (en) * | 2016-09-30 | 2016-12-14 | 柳州市人民医院 | Negative pressure drainage device |
CN205867258U (en) * | 2016-06-23 | 2017-01-11 | 湖北医药学院附属襄阳医院 | Novel phlegm scab duster |
CN205994835U (en) * | 2016-05-02 | 2017-03-08 | 于子荞 | A kind of flushing trachea cannula |
CN207822227U (en) * | 2017-05-04 | 2018-09-07 | 李志平 | Attract under a kind of glottis and rinses tracheal catheter device |
-
2017
- 2017-05-04 CN CN201710306221.5A patent/CN108785814A/en active Pending
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103751895A (en) * | 2013-01-25 | 2014-04-30 | 郦文泽 | Porous suction tracheal intubation tube |
CN204671642U (en) * | 2015-05-24 | 2015-09-30 | 李建丽 | A kind of gynecological cleaning device |
CN205994835U (en) * | 2016-05-02 | 2017-03-08 | 于子荞 | A kind of flushing trachea cannula |
CN205867258U (en) * | 2016-06-23 | 2017-01-11 | 湖北医药学院附属襄阳医院 | Novel phlegm scab duster |
CN106215258A (en) * | 2016-09-30 | 2016-12-14 | 柳州市人民医院 | Negative pressure drainage device |
CN207822227U (en) * | 2017-05-04 | 2018-09-07 | 李志平 | Attract under a kind of glottis and rinses tracheal catheter device |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN110755705A (en) * | 2019-11-14 | 2020-02-07 | 北京雅果科技有限公司 | Subglottic attraction system and control method thereof |
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