CN110201286B - Percutaneous tracheotomy tracheal catheter implanter - Google Patents
Percutaneous tracheotomy tracheal catheter implanter Download PDFInfo
- Publication number
- CN110201286B CN110201286B CN201910592892.1A CN201910592892A CN110201286B CN 110201286 B CN110201286 B CN 110201286B CN 201910592892 A CN201910592892 A CN 201910592892A CN 110201286 B CN110201286 B CN 110201286B
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- CN
- China
- Prior art keywords
- sleeve
- circular saw
- implanter
- chain wheel
- tracheotomy
- 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.)
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- 238000005520 cutting process Methods 0.000 claims abstract description 12
- 239000004579 marble Substances 0.000 claims description 7
- 238000009434 installation Methods 0.000 claims description 4
- 210000003437 trachea Anatomy 0.000 abstract description 7
- 238000002513 implantation Methods 0.000 abstract description 6
- 230000006872 improvement Effects 0.000 description 9
- 230000000007 visual effect Effects 0.000 description 3
- 230000006978 adaptation Effects 0.000 description 2
- 239000007943 implant Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 230000005540 biological transmission Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 210000000621 bronchi Anatomy 0.000 description 1
- 210000003811 finger Anatomy 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 238000003756 stirring Methods 0.000 description 1
- 210000003813 thumb Anatomy 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
Landscapes
- Health & Medical Sciences (AREA)
- Pulmonology (AREA)
- Emergency Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Abstract
The invention discloses a percutaneous tracheotomy tracheal catheter implanter, which comprises a skin spreading device and a tracheotomy device. The percutaneous tracheotomy tracheal catheter implanter with the structure uses the circular saw to replace a surgical knife to cut the trachea, so that the cutting length and depth can be accurately controlled. And in the cutting process, the skin is propped up by using the skin propping up device, so that the cutting tube incision and the tracheal catheter implantation are independently completed without assistance of an assistant.
Description
Technical Field
The present invention relates to a percutaneous tracheostomy device.
Background
Tracheal tubes are medical devices that are inserted into the trachea and/or bronchi of a patient to create a temporary artificial respiratory pathway for the patient, particularly for patients who are unable to breathe spontaneously.
The existing tracheal catheter implantation method is to cut an incision of 1.5-2.0 cm at a puncture point by a surgical knife, then expand the incision by an expanding clamp and then implant the tracheal catheter.
This procedure has the following disadvantages:
1. The incision of the trachea by the scalpel is performed by the experience and technology of a doctor of the main scalpel, and the length and depth of the incision are difficult to master by novice, so that a great deal of exercise is required.
2. The use of expansion pliers to open the incision requires assistance from an assistant, which increases the number of people in the operation.
Disclosure of Invention
In view of the above, the present invention provides a tracheotomy endotracheal tube implanter that uses a circular saw cut instead of the conventional scalpel cut, and the length and depth of the incision can be easily grasped. And the implant is provided with the opening device, so that the independent operation is convenient.
In order to solve the technical problems, the technical scheme of the invention is to adopt a percutaneous tracheotomy tracheal catheter implanter, which comprises a skin stretching device and a tracheotomy device.
As an improvement, a sleeve for supporting the skin opening device and the tracheostomy device is also included. The sleeve not only supports the skin stretching device and the tracheostomy device, but also the passage for implantation of the endotracheal tube.
As a further improvement, the skin stretching device comprises four supporting pieces which are respectively arranged at the front, the back, the left and the right of the sleeve, and the tail ends of the supporting pieces are fixed with connecting rods; the connecting rod is movably connected with cross bars arranged around the front, back, left and right sides of the sleeve; the sliding sleeve can slide up and down along the sleeve, and a driving rod is movably connected between the sliding sleeve and the connecting rod. The support piece is driven to open and close by the sliding of the sleeve, so that the use is more convenient, and the positioning is also more convenient.
As another further improvement, the end part of the cross rod is a hoop with a universal joint, and the cross rod is connected with the connecting rod at the tail end of the supporting piece by the hoop. The length of the supporting sheet is convenient to adjust.
As an improvement, a plurality of telescopic marbles are arranged on the outer wall of the sleeve, and positioning holes for the marbles to match are arranged on the sliding sleeve; the outer wall of the sleeve is provided with a groove, the marble is inlaid in the groove, and a spring is arranged below the marble in the groove. The marble is matched with the positioning hole to position the sliding cylinder so as to fix the opening angle of the supporting plate. And the pinball can automatically pop out and position after sliding into the positioning hole, so that other operations are not needed, and the pinball is convenient to execute by one hand.
As an improvement, the tracheotomy device comprises a circular saw vertically arranged at the lower end of the sleeve and a driven sprocket wheel coaxial with the circular saw; the device also comprises a driving sprocket arranged at the top end of the sleeve, and the driving sprocket is in linkage with the driven sprocket through a chain. The driven sprocket is driven by the driving sprocket to drive the circular saw to rotate for cutting.
As an improvement, the device also comprises a poking disc coaxial with the driving sprocket. The dial can be shifted by a finger, so that the driving sprocket is manually driven.
As an improvement, the lower end of the sleeve is provided with a mounting seat, and a horizontal rotating shaft is fixed on the mounting seat; the circular saw and the driven sprocket are movably sleeved on the rotating shaft.
As an improvement, the circular saw is arranged at the lower end edge of the sleeve. Avoiding blocking the sleeve passage.
As an improvement, the sleeve side wall is provided with a cavity for a chain to pass through and a cavity for an endoscope to pass through.
The invention has the advantages that: the percutaneous tracheotomy tracheal catheter implanter with the structure uses the circular saw to replace a surgical knife to cut the trachea, so that the cutting length and depth can be accurately controlled. And in the cutting process, the skin is propped up by using the skin propping up device, so that the cutting tube incision and the tracheal catheter implantation are independently completed without assistance of an assistant.
Drawings
Fig. 1 is a cross-sectional view of the present invention.
Fig. 2 is a side view of the present invention (with the support sheets on the left and right removed).
The marks in the figure: 1 sleeve, 2 sliding sleeve, 3 supporting blade, 4 connecting rod, 5 actuating lever, 6 staple bolt, 7 horizontal pole, 8 circular saw, 9 mount pad, 10 driven sprocket, 11 chain, 12 drive sprocket, 13 stir dish, 14 marbles.
Detailed Description
In order to make the technical scheme of the present invention better understood by those skilled in the art, the present invention will be further described in detail with reference to the following specific embodiments.
As shown in fig. 1 and 2, the present invention includes a skin stretching device and a tracheostomy device. Also included is a sleeve 1 for supporting the skin stretching means and the tracheostomy device.
In this embodiment, the sleeve 1 is cylindrical, hollow, and has two ends open. The material is stainless steel.
The skin stretching device comprises a plurality of supporting pieces 3 which are respectively arranged around the sleeve 1, and connecting rods 4 are fixed at the tail ends of the supporting pieces 3; the connecting rod 4 is movably connected with a cross rod 7 arranged on the sleeve 1; the sliding sleeve 2 can slide up and down along the sleeve 1, and a driving rod 5 is movably connected between the sliding sleeve 2 and the connecting rod 4. The end part of the cross rod 7 is a hoop 6 with a universal joint, and the cross rod 7 is connected with the connecting rod 4 at the tail end of the supporting piece 3 by using the hoop 6. The outer wall of the sleeve 1 is provided with a plurality of telescopic marbles 14, and the sliding sleeve 2 is provided with positioning holes matched with the marbles 14; the outer wall of the sleeve 1 is provided with a groove, the marble 14 is inlaid in the groove, and a spring is arranged below the marble 14 in the groove. In this embodiment, the number of marbles 14 is 3 arranged in the axial direction of the sleeve.
In this embodiment, the support pieces are 4 pieces and are uniformly distributed along the circumference. The connection position of the connecting rod 4 and the driving rod 5 can be adjusted. For example, a plurality of axial small holes are formed on the connecting rod 4, and then the connecting rod 4 and the driving rod 5 are movably connected by bolts. In addition, the connecting rod 4 is connected with the cross rod 7 through the anchor ear 6, and the connection position of the connecting rod and the cross rod can be adjusted according to the requirement. The supporting sheet 3 is bent outwards, so that the skin and tissues are more easily spread.
The tracheotomy device comprises a circular saw 8 vertically arranged at the lower end of the sleeve 1 and a driven sprocket 10 coaxial with the circular saw 8; the novel clutch transmission mechanism further comprises a driving chain wheel 12 arranged at the top end of the sleeve 1, and the driving chain wheel 12 is in linkage with the driven chain wheel 10 through a chain 11. And also includes a toggle plate 13 coaxial with the drive sprocket 12. The lower end of the sleeve 1 is provided with an installation seat 9, and a horizontal rotating shaft is fixed on the installation seat 9; the circular saw 8 and the driven sprocket 10 are movably sleeved on the rotating shaft. It is foreseen that the upper end of the sleeve 1 should also have a support frame for the drive sprocket 12. The diameter of the toggle disc 13 is larger than that of the driving sprocket 12, so that more labor is saved. A circular saw 8 is provided at the lower end edge of the sleeve 1. The side wall of the sleeve 1 is provided with a cavity for the chain 11 to pass through and a cavity for the endoscope to pass through.
The circular saw 8 is a circular saw blade, and the outer edge of the saw blade is provided with saw teeth for cutting objects. In the application, the circular saw is made of stainless steel.
The mounting seat 9 is semi-closed, so that only the lower end of the circular saw 8 is exposed, and damage to tissues beside is avoided.
When in use, the scalpel is used for incising the skin at the trachea. The skin incision is then spread with the spreader plate 3. The degree of opening can be adjusted through the upper and lower positions of the sliding sleeve 2 or through the connection position of the anchor ear 6 and the connecting rod 4. Finally, the ball 14 and the positioning hole are matched for positioning. Note that the lower end of the circular saw 8 is brought into contact with the trachea while being spread.
When cutting, the sleeve 1 is held by hand, the thumb is used for driving the poking disc 13 to rotate, the poking disc 13 drives the driving chain wheel 12, and the driving chain wheel 12 drives the driven chain wheel 10 by the chain 11, so that the circular saw 8 is driven to rotate to cut the air pipe. After the cutting is completed, the tracheal catheter is implanted from the incision of the trachea through the sleeve 1. For the visual operation, the endoscope can be also observed through the cavity implantation incision of the side wall of the sleeve 1, so that visual cutting and visual tracheal catheter implantation can be realized.
The foregoing is merely a preferred embodiment of the present invention, and it should be noted that the above-mentioned preferred embodiment should not be construed as limiting the invention, and the scope of the invention should be defined by the appended claims. It will be apparent to those skilled in the art that various modifications and adaptations can be made without departing from the spirit and scope of the invention, and such modifications and adaptations are intended to be comprehended within the scope of the invention.
Claims (4)
1. A percutaneous tracheotomy endotracheal tube implanter, characterized in that: comprises a skin opening device and a tracheotomy device;
the device also comprises a sleeve for supporting the skin stretching device and the air tube cutting device;
The skin stretching device comprises a plurality of supporting pieces which are respectively arranged around the sleeve, and the tail ends of the supporting pieces are fixed with connecting rods; the connecting rod is movably connected with a cross rod arranged on the sleeve; the sliding sleeve can slide up and down along the sleeve, and a driving rod is movably connected between the sliding sleeve and the connecting rod;
the end part of the cross rod is a hoop with a universal joint, and the cross rod is connected with a connecting rod at the tail end of the supporting piece by the hoop;
The outer wall of the sleeve is provided with a plurality of telescopic marbles, and the sliding sleeve is provided with positioning holes matched with the marbles; the outer wall of the sleeve is provided with a groove, the marble is inlaid in the groove, and a spring is arranged below the marble in the groove;
The tracheotomy device comprises a circular saw vertically arranged at the lower end of the sleeve and a driven sprocket coaxial with the circular saw; the driving chain wheel is arranged at the top end of the sleeve, and the driving chain wheel is in linkage with the driven chain wheel through a chain;
The lower end of the sleeve is provided with an installation seat, and a horizontal rotating shaft is fixed on the installation seat; the circular saw and the driven sprocket are movably sleeved on the rotating shaft.
2. A percutaneous tracheostomy endotracheal tube implanter according to claim 1, wherein: and the driving chain wheel is coaxial with the driving chain wheel.
3. A percutaneous tracheostomy endotracheal tube implanter according to claim 1, wherein: the circular saw is arranged at the lower end edge of the sleeve.
4. A percutaneous tracheostomy endotracheal tube implanter according to claim 1, wherein: the sleeve side wall is provided with a cavity for a chain to pass through and a cavity for an endoscope to pass through.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910592892.1A CN110201286B (en) | 2019-07-02 | 2019-07-02 | Percutaneous tracheotomy tracheal catheter implanter |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910592892.1A CN110201286B (en) | 2019-07-02 | 2019-07-02 | Percutaneous tracheotomy tracheal catheter implanter |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN110201286A CN110201286A (en) | 2019-09-06 |
| CN110201286B true CN110201286B (en) | 2024-06-25 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201910592892.1A Active CN110201286B (en) | 2019-07-02 | 2019-07-02 | Percutaneous tracheotomy tracheal catheter implanter |
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| CN (1) | CN110201286B (en) |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN112220523B (en) * | 2020-11-12 | 2023-01-24 | 陶建 | Miniature bone drill of neurosurgery cranium |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN210963446U (en) * | 2019-07-02 | 2020-07-10 | 自贡市第一人民医院 | Percutaneous tracheotomy tracheal catheter implanting device |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US20070129634A1 (en) * | 2005-10-17 | 2007-06-07 | Hickey Katherine M | Biomedical positioning and stabilization system |
| CN203017009U (en) * | 2012-10-31 | 2013-06-26 | 张朝跃 | Full-set type inner supporting device used for soft tissue endoscopic surgery |
| CN206652074U (en) * | 2016-12-27 | 2017-11-21 | 西安市儿童医院 | One kind is used to clean trachea cannula inwall sputum accommodating device |
| CN107440767A (en) * | 2017-09-05 | 2017-12-08 | 山东省肿瘤防治研究院 | A kind of minimally invasive tumor resection equipment of mammary gland and its application method |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN210963446U (en) * | 2019-07-02 | 2020-07-10 | 自贡市第一人民医院 | Percutaneous tracheotomy tracheal catheter implanting device |
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| Publication number | Publication date |
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| CN110201286A (en) | 2019-09-06 |
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