CN110448390B

CN110448390B - Oral cavity lavage auxiliary device for trachea cannula patient

Info

Publication number: CN110448390B
Application number: CN201910832090.3A
Authority: CN
Inventors: 查君敬; 黄利娟; 梅本刚; 方秀花
Original assignee: Individual
Current assignee: Individual
Priority date: 2019-09-04
Filing date: 2019-09-04
Publication date: 2021-06-01
Anticipated expiration: 2039-09-04
Also published as: CN110448390A

Abstract

The invention relates to the technical field of medical instruments, in particular to an oral cavity lavage auxiliary device for a tracheal intubation patient, which comprises an oral cavity fixer body, wherein the oral cavity fixer body is fixedly connected with two intubation tubes, the two intubation tubes are respectively used for bearing trachea and the lavage tubes, the intubation tubes penetrate through the front side wall and the rear side wall of the oral cavity fixer body, the inner wall of each intubation tube is provided with a convex ring, a rubber ring is arranged above the convex ring, the front side wall of the oral cavity fixer body is provided with two groups of cylinders, the two cylinders in each group are respectively and fixedly connected with two ends of an elastic frenum, and the rear side wall of the oral cavity fixer body is fixedly connected with a dental pad and a. The beneficial effects are that: the invention can not only open the oral cavity of a patient through intubation, but also protect the trachea, prevent the patient from biting the tongue or the trachea, and can hold the trachea and the lavage tube tightly through the rubber ring, so as to prevent the trachea and the lavage tube from loosening back and forth, thereby facilitating the oral cavity lavage nursing of medical staff, and having simple structure and convenient wearing.

Description

Oral cavity lavage auxiliary device for trachea cannula patient

Technical Field

The invention relates to the technical field of medical instruments, in particular to an oral cavity lavage auxiliary device for a tracheal intubation patient.

Background

In recent years, endotracheal intubation mechanical ventilation therapy has become increasingly used in critically ill patients. The oral cavity is one of the ways of pathogenic microorganisms invading the organism, and because the oral cavity of a patient with oral trachea cannula is in a frequently open state due to the incapability of eating and limited chewing and swallowing functions, the oral mucosa of the patient is easy to dry or the oropharyngeal secretions are abnormally increased, so that the self-cleaning function of the oral cavity and the resistance of the local mucosa are weakened, and the bacteria are propagated in the oral cavity in a large quantity; the translocation of oral bacteria into the lower respiratory tract is one of the important reasons for causing ventilator-associated pneumonia (VAP), and VAP is a serious complication of mechanical ventilation, the related fatality rate is as high as 50-70%, and the cure success rate of patients of the type is seriously influenced. On the other hand, patients with mechanical ventilation are often seriously ill, have long course of disease and low immunity of the organism, and the opportunity of oral infection is increased. Therefore, oral care is of great importance in preventing oral infections and the occurrence of VAP in patients who are intubated through the oral trachea.

Meanwhile, local ulcer and erosion of oral mucosa are easily caused due to friction of the tracheal cannula and the bite-block, so that the barrier effect is weakened; the use of large amounts of antibiotics causes a dysbacteriosis that promotes the abnormal reproduction of bacteria in the oral cavity. The traditional oral nursing method is applied to patients with oral tracheal intubation, so that the secretion accumulated on the tongue surface, teeth and other parts of the patients and the oropharynx is difficult to clean thoroughly and effectively, and good propagation conditions are created for bacteria in the oral cavity. At present, the dental plaque cannot be effectively removed or special parts such as an oropharyngeal area cannot be thoroughly cleaned by simply applying oral washing or oral scrubbing.

In the prior art, the oral cavity of a patient with an endotracheal intubation is nursed by adopting an irrigating method, but in the actual operation process of oral cavity irrigation, the patient bites the trachea or bites the tongue, which causes medical accidents, so that an oral cavity irrigation auxiliary device for the patient with the endotracheal intubation is urgently needed in the technical field.

Disclosure of Invention

The present invention is directed to an oral cavity lavage auxiliary device for endotracheal intubation patients, so as to solve the problems mentioned in the background art.

In order to achieve the purpose, the invention provides the following technical scheme: the utility model provides a trachea cannula patient is with oral cavity lavage auxiliary device, includes oral cavity fixer body, oral cavity fixer body fixed connection intubate, the intubate is equipped with two, and one of them is used for bearing the trachea, and another is used for bearing the lavage pipe, the intubate runs through the front and back lateral wall of locating the oral cavity fixer body, and the inner wall of intubate is equipped with the bulge loop, the bulge loop top is equipped with the rubber ring, four cylinders of preceding lateral wall fixed connection of oral cavity fixer body, four cylinder equidivide into two sets ofly, two cylinders in every group respectively with the both ends fixed connection of an elastic frenulum, the back lateral wall fixed connection bite-block of oral cavity fixer body, the back lateral wall of oral cavity fixer body is fixed connection lip portion at a distance from the pad still.

Preferably, the front side wall of the oral cavity fixer body is fixedly connected with two force applying handles, the two force applying handles are rectangular plates and are distributed above and below the cannula, and the left end and the right end of each force applying handle are both subjected to fillet treatment.

Preferably, the rubber ring is a circular ring, the inner diameter of the rubber ring is smaller than the outer diameter of the trachea and the outer diameter of the lavage tube, the convex ring and the intubation tube are integrally formed, and the inner diameter of the convex ring is larger than the outer diameter of the trachea and the outer diameter of the lavage tube.

Preferably, the top and the bottom of rubber ring are equipped with backing ring and lower backing ring respectively, it all is equipped with the annular groove that holds the rubber ring to go up backing ring and lower backing ring, the rubber ring imbeds in the annular groove just, go up the backing ring and glue and connect lower backing ring, lower backing ring glues and connects the bulge loop.

Preferably, the top of rubber ring is equipped with the clamping ring, the outside of clamping ring is equipped with the external screw thread, the inner wall of intubate is equipped with the internal thread, clamping ring threaded connection intubate, and the upper surface looks butt of clamping ring and rubber ring, the lower surface and the bulge loop looks butt of rubber ring.

Preferably, all be equipped with a bite-block above and below the intubate, the elastic protection pad is connected to the bite-block glue, the elastic protection pad adopts medical silica gel material.

Preferably, the lip shock insulator adopts medical silica gel material and is equipped with two, and two lip shock insulators distribute in the upper and lower below of intubate, and two lip shock insulators and trachea cannula patient's upper and lower lip position phase-matches.

Compared with the prior art, the invention has the beneficial effects that:

1. the invention can not only open the oral cavity of a patient through the intubation, but also protect the trachea, prevent the patient from biting the tongue or the trachea, and can hold the trachea and the lavage tube tightly through the rubber ring, so as to prevent the trachea and the lavage tube from loosening back and forth, thereby facilitating the oral cavity lavage nursing of medical staff, and having simple structure and convenient wearing;

2. the dental pad is used for providing stress points for a patient, so that the patient can conveniently bite the oral cavity fixator body, the oral cavity fixator body is prevented from loosening in the oral cavity lavage nursing process, the comfort of the patient biting the dental pad can be improved through the elastic protection pad, and the comfort of the patient contacting the rear side wall of the oral cavity fixator body is improved through the lip separation pad;

3. the invention provides a force application point for medical staff through the force application handle, is convenient for the medical staff to rotate the oral cavity fixer body, solves the problem that the oral cavity fixer body is difficult to take down when a patient bites the tooth pad unconsciously, and is simple and convenient.

Drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a rear view of FIG. 1;

FIG. 3 is a schematic view showing the structure of the insert tube and the rubber ring in example 1;

fig. 4 is a schematic view of the structure for installing the cannula and the rubber ring in embodiment 2.

In the figure: 1 oral cavity fixer body, 2 intubate, 3 bulge loops, 4 rubber rings, 5 go up backing ring, 6 backing rings down, 7 clamping rings, 8 cylinders, 9 elasticity frenulum, 10 bite-blocks, 11 elasticity protection pads, 12 lip spacers, 13 application of force handle, 14 trachea, 15 lavage pipe.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

Referring to fig. 1 to 4, the present invention provides a technical solution: the utility model provides a trachea cannula patient is with oral cavity lavage auxiliary device, includes oral cavity fixer body 1, oral cavity fixer body 1 fixed connection intubate 2, intubate 2 is equipped with two, and one of them is used for bearing trachea 14, and another is used for bearing lavage tube 15. The cannula 2 is arranged on the front and back side walls of the oral cavity fixer body 1 in a penetrating way. Four cylinders 8 of preceding lateral wall fixed connection of oral cavity fixer body 1, four cylinders 8 etc. divide into two sets ofly, two cylinders 8 in every group respectively with the both ends fixed connection of an elastic frenulum 9, control two elastic frenulums 9 and be used for tying to hang on the patient's ear, realize patient and the fixed before oral cavity fixer body 1.

The back lateral wall fixed connection bite-block 10 of oral cavity fixer body 1, the upper and lower below of intubate 2 all is equipped with a bite-block 10, and bite-block 10 provides the stress point for patient's tooth, and the patient of being convenient for bites oral cavity fixer body 1, prevents that in oral cavity lavage nursing process, oral cavity fixer body 1 takes place to loosen. The bite-block 10 is connected with the elastic protection pad 11 by glue, and the elastic protection pad 11 is made of medical silica gel, so that the comfort of the patient biting the bite-block 10 is improved.

The back side wall of the oral cavity fixer body 1 is also fixedly connected with a lip spacer 12. Lip spacer 12 adopts medical silica gel material and is equipped with two, and two lip spacers 12 distribute in the upper and lower below of intubate 2, and two lip spacers 12 and trachea cannula patient's upper and lower lip position phase-matches, and lip spacer 12 improves the travelling comfort of patient and the rear side wall contact of oral cavity fixer body 1.

The front side wall of the oral cavity fixer body 1 is fixedly connected with two force applying handles 13, the force applying handles 13 are rectangular plates and are provided with two force applying handles, the two force applying handles 13 are distributed above and below the cannula 2, and the left end and the right end of the force applying handles 13 are both subjected to fillet treatment. Through application of force handle 13, provide the point of application of force for medical staff, the medical staff of being convenient for rotates oral cavity fixer body 1, when solving patient's unconscious bite on bite-block 10, the problem that oral cavity fixer body 1 is difficult to take off.

The inner wall of the intubation tube 2 is provided with a convex ring 3, the convex ring 3 and the intubation tube 2 are integrally formed, the inner diameter of the convex ring 3 is larger than the outer diameter of the trachea 14 and the outer diameter of the lavage tube 15, a rubber ring 4 is arranged above the convex ring 3, and the rubber ring 4 has two installation modes in the intubation tube 2, namely, the invention has two embodiments as follows:

example 1

As shown in fig. 3, the top and the bottom of the rubber ring 4 are respectively provided with an upper backing ring 5 and a lower backing ring 6, the upper backing ring 5 and the lower backing ring 6 are both provided with an annular groove for accommodating the rubber ring 4, the rubber ring 4 is just embedded into the annular groove, the upper backing ring 5 is connected with the lower backing ring 6 in an adhesive manner, and the lower backing ring 6 is connected with the convex ring 3 in an adhesive manner. When installing rubber ring 4, at first place rubber ring 4 in the annular groove of backing ring 6 down, then align rubber ring 4 with the annular groove of backing ring 5, and the butt department of rubber connection backing ring 5 and backing ring 6 down, rubber connection backing ring 6 and bulge loop 3 down at last, utilize backing ring 5 and backing ring 6 down to retrain rubber ring 4 in intubate 2, prevent that rubber ring 4 from breaking away from intubate 2.

Example 2

As shown in fig. 4, a press ring 7 is arranged at the top of the rubber ring 4, an external thread is arranged on the outer side of the press ring 7, an internal thread is arranged on the inner wall of the insertion tube 2, the press ring 7 is in threaded connection with the insertion tube 2, the press ring 7 abuts against the upper surface of the rubber ring 4, and the lower surface of the rubber ring 4 abuts against the convex ring 3. When the rubber ring 4 is installed, the rubber ring 4 is firstly horizontally arranged on the convex ring 3, then the inserting pipe 2 and the pressing ring 7 are in threaded connection, the rubber ring 4 is pressed by the pressing ring 7, and the rubber ring 4 is prevented from being separated from the inserting pipe 2.

The rubber ring 4 has the following functions: because rubber ring 4 is the ring circle, and the internal diameter of rubber ring 4 all is less than the external diameter of trachea 14 and the external diameter of lavage tube 15, so when trachea 14 inserted rubber ring 4, owing to receive trachea 14's extrusion, rubber ring 4 takes place deformation, the downward complete deformation of inner ring of rubber ring 4, rubber ring 4 after the deformation is for the expanded joint relation with trachea 14, rubber ring 4 can hold trachea 14 tightly, prevent that trachea 14 from making a round trip not hard up, improve intubate 2 to trachea 14's firm effect. Similarly, the rubber ring 4 can hold the lavage tube 15 tightly, so as to prevent the lavage tube 15 from loosening back and forth, and facilitate the oral cavity lavage nursing of the medical staff.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims

1. An oral cavity lavage auxiliary device for trachea cannula patient, includes oral cavity fixer body (1), oral cavity fixer body (1) fixed connection intubate (2), intubate (2) are equipped with two, and one of them is used for bearing trachea (14), and another is used for bearing lavage pipe (15), its characterized in that: the oral cavity fixator comprises an oral cavity fixator body (1), an insertion pipe (2) and a lower backing ring (6), wherein the insertion pipe (2) is arranged on the front side wall and the rear side wall of the oral cavity fixator body (1) in a penetrating mode, a convex ring (3) is arranged on the inner wall of the insertion pipe (2), a rubber ring (4) is arranged above the convex ring (3), the rubber ring (4) is a circular ring, the inner diameter of the rubber ring (4) is smaller than the outer diameter of an air pipe (14) and the outer diameter of an irrigation pipe (15), the convex ring (3) and the insertion pipe (2) are integrally formed, the inner diameter of the convex ring (3) is larger than the outer diameter of the air pipe (14) and the outer diameter of the irrigation pipe (15), the top and the bottom of the rubber ring (4) are respectively provided with the upper backing ring (5) and the lower backing ring (6), the upper backing ring (5) and the lower backing ring (6) are respectively provided with an annular groove for accommodating the rubber ring (4), the rubber ring (4), four cylinders (8) of preceding lateral wall fixed connection of oral cavity fixer body (1), four cylinder (8) etc. divide into two sets ofly, two cylinders (8) in every group respectively with the both ends fixed connection of an elastic frenulum (9), back lateral wall fixed connection bite-block (10) of oral cavity fixer body (1), back lateral wall of oral cavity fixer body (1) still fixed connection lip spacer (12), preceding lateral wall fixed connection application of force handle (13) of oral cavity fixer body (1), application of force handle (13) are a rectangular plate and are equipped with two, and two application of force handles (13) distribute in the upper and lower side of intubate (2), and both ends all do the fillet and handle about application of force handle (13).

2. An oral lavage aid for an endotracheal intubation patient according to claim 1 wherein: the upper and lower side of intubate (2) all is equipped with a bite-block (10), bite-block (10) rubber joint elasticity protection pad (11), elasticity protection pad (11) adopt medical silica gel material.

3. An oral lavage aid for an endotracheal intubation patient according to claim 1 wherein: lip portion dottle pin (12) adopt medical silica gel material and are equipped with two, and two lip portion dottle pins (12) distribute in the upper and lower below of intubate (2), and two lip portion dottle pins (12) and trachea cannula patient's upper and lower lip position phase-matches.