CN111760156A - Anti-aerosol spraying isolation hood - Google Patents

Anti-aerosol spraying isolation hood Download PDF

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Publication number
CN111760156A
CN111760156A CN202010704813.4A CN202010704813A CN111760156A CN 111760156 A CN111760156 A CN 111760156A CN 202010704813 A CN202010704813 A CN 202010704813A CN 111760156 A CN111760156 A CN 111760156A
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CN
China
Prior art keywords
hood
baffle
inner cover
lower baffle
windowing
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Granted
Application number
CN202010704813.4A
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Chinese (zh)
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CN111760156B (en
Inventor
荣辉
马正良
顾小萍
孙玉娥
杨帅
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Nanjing University
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Nanjing University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0488Mouthpieces; Means for guiding, securing or introducing the tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/05Splash shields for protection of the surgeon, e.g. splash guards connected to the apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pulmonology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Emergency Medicine (AREA)
  • Surgery (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Respiratory Apparatuses And Protective Means (AREA)

Abstract

The invention relates to an aerosol spray prevention isolation hood which comprises an inner hood and an outer hood, wherein the inner hood is of a square structure with an opening at the lower part, the outer hood is of a square structure with openings at the upper part and the lower part, and the inner hood is slidably nested in the outer hood from top to bottom; the top surface of the inner cover is provided with a staggered windowing structure, the staggered windowing structure consists of an upper baffle and a lower baffle, clamping grooves are respectively arranged on the left side edge and the right side edge of the lower baffle, and the upper baffle is slidably nested on the lower baffle through the left clamping groove and the right clamping groove; the middle area of the lower baffle plate is provided with an open nose window; the inner cover is provided with a screwed pipe windowing; the back side of the outer cover is provided with a neck window at the middle position close to the bottom, and the outer cover is provided with glove windows. The invention can effectively reduce the aerosol spreading amount of an infection source, block aerosol spraying during tracheal intubation in the whole process, reduce the psychological pressure of other workers in the current environment, and can not cause anoxic asphyxia of a patient and influence the continuity operation of the tracheal intubation.

Description

Anti-aerosol spraying isolation hood
Technical Field
The invention relates to the field of medical instruments, in particular to an aerosol-spray-proof isolation hood.
Background
When a suspected or diagnosed patient with the novel coronary viral pneumonia urgently needs an operation, medical workers often adopt standard three-level protection for isolation protection, and the three-level protection refers to the combined use of a mask, goggles, a face screen, protective clothing and multilayer gloves for comprehensive protection. However, the prior protection measures still belong to unilateral protection and isolation, and have the following defects:
1. the surrounding environment of the infection source is lack of isolation protection, and when the infection source continuously coughs, a large amount of aerosol can be transmitted to the current treatment environment, so that the surrounding environment is continuously polluted and secondarily transmitted;
2. the working pressure of medical workers cannot be effectively relieved, although the incidence of virus infection of the medical workers under the tertiary protection is extremely high, the panic and anxiety of the medical workers cannot be eliminated, and investigation and research show that the workers at the first epidemic prevention line are often accompanied by anxiety and depression states with different degrees;
3. the comfort of the user is poor under the three-level protection, and the three-level protection improves the protection level by increasing the protection layer number and improving the air tightness, so that the user is very easy to feel sultry and even heatstroke;
4. further increases in protection levels also require higher costs, emergency endotracheal intubation is one of the most critical procedures for anesthesiologists to contact the patient's aerosol, and anesthesiologists need to protect themselves with protective clothing with internal positive pressure ventilation, which is expensive and disposable.
Therefore, the problems caused by insufficient isolation and protection of the surrounding environment of the infection source seriously affect the working quality of medical workers and the further control of epidemic situations.
Disclosure of Invention
To solve the above problems in the prior art, the present invention provides an aerosol spray prevention insulation hood.
The technical scheme provided by the invention is as follows:
an aerosol spray prevention isolation hood comprises an inner cover and an outer cover, wherein the inner cover is of a square structure with an opening at the lower part, the outer cover is of a square structure with openings at the upper part and the lower part, and the inner cover is slidably nested in the outer cover from top to bottom; the top surface of the inner cover is provided with a staggered windowing structure, the staggered windowing structure consists of an upper baffle and a lower baffle, the lower baffle and the inner cover are connected into a whole, the left side edge and the right side edge of the lower baffle are respectively provided with a clamping groove, and the upper baffle is slidably nested on the lower baffle through the left clamping groove and the right clamping groove; an oral-nasal window is reserved in the middle area of the lower baffle; the inner cover is provided with a pair of screwed pipe windows and is respectively connected with the air inlet pipeline and the air outlet pipeline through the screwed pipe windows; a neck opening window is reserved on the middle position of the rear side surface of the outer cover close to the bottom and is used for being erected on the neck of a patient; the left side face and the right side face of the outer cover are respectively provided with a glove window.
Furthermore, the nesting position of the inner cover and the outer cover is airtight and airtight.
Furthermore, the rear end of the upper baffle is connected with a handle, and the front end of the lower baffle is connected with the upper baffle through a pair of elastic ropes.
Furthermore, the gloves open the window and are equipped with the screw pipe, the screw pipe pass through the nut and connect the gloves structure.
Furthermore, the glove structure comprises a glove body and a connecting structure, the glove body is made of airtight rubber, and the connecting structure is a screw cap arranged at the cuff of the glove body.
Furthermore, each surface of the inner cover and the outer cover is made of transparent plates.
Furthermore, the screwed pipe windowing is arranged on one of the left side surface and the right side surface of the inner cover.
Furthermore, an inflatable air bag is arranged around the neck windowing part and used for improving the sealing performance of the neck joint.
Compared with the prior art, the invention has the beneficial effects that:
1. the invention can effectively reduce the aerosol spreading amount of the infection source, and because the head and the neck of the patient are isolated and protected by the device when in use, the patient can not cause continuous pollution outside the isolation range even if the patient coughs;
2. the device can not cause the patient to be asphyxiated due to oxygen deficiency, and when the device is used, one end of the threaded pipe is arranged in the device, and the other end of the threaded pipe is connected with a breathing machine or an anesthesia machine, so that oxygen can be continuously supplied to the interior and carbon dioxide exchange can be completed.
3. The invention can block aerosol jet during trachea intubation in the whole process: because the anaesthetist can complete the oxygen storage process of the front buckle face cover of the tracheal intubation in the device by opening the window through the glove, the high-pressure airflow can not overflow out of the device; when a patient takes effect of anesthesia and stops breathing, the intubation operation can be carried out when the upper baffle is pushed open, and the upper baffle is automatically closed to recover the isolation state after the intubation, fixing and connection steps are completed. In the process, even if a patient is choked by anesthesia and is slightly shallow, the upper baffle automatically returns to the original position to cover the mouth and nose windows to block the aerosol from spraying as long as the patient is withdrawn from the laryngoscope in time;
4. the invention does not affect the continuity operation of the tracheal intubation, an anaesthetist can buckle the mask to store oxygen by opening the window through the glove, and the upper baffle plate is pushed to expose the mouth and nose before intubation so as to carry out intubation, fixing, connection and other links.
5. The invention can reduce the psychological stress of other workers in the current environment: because the head and the face of the patient are fully protected and isolated, the aerosol density in the working environment of medical workers is reduced, and the infection risk is further reduced.
Drawings
FIG. 1 is a front view of a perspective view of the present invention.
FIG. 2 is a plan view of the upper side of the present invention, and a cross-sectional view of a card slot.
Fig. 3 is a rear view of the three-dimensional structure of the present invention.
FIG. 4 is a cross-sectional view of the present invention through a glove window.
FIG. 5 is a view showing an isolated structure of a fenestration of a glove of the present invention.
In the drawings, each reference numeral indicates a corresponding component name as follows.
In the figure: inner cover 1, dustcoat 2, upper baffle 3, lower floor's baffle 4, draw-in groove 5, stretch cord 6, handle 7, screwed pipe windowing 8, gloves windowing 9, neck windowing 10, inflatable air bag 11, mouthful nose windowing 12, screwed pipe 13, gloves structure 14, nut 15, gloves 16.
Detailed Description
The present invention will be described in further detail with reference to specific examples. The following examples are intended to illustrate the invention only and are not intended to limit the scope of the invention.
As shown in figure 1, the invention is formed by nesting an inner cover 1 and an outer cover 2 from top to bottom, wherein the inner cover 1 is arranged at the inner part, the outer cover 2 is arranged at the outer part, the nesting part is airtight and airtight, and the nesting mode is that the inner cover can slide up and down. The inner cover 1 is a cube structure with a deficient lower surface. The outer cover 2 is of a square structure with two deficient upper and lower surfaces. When a patient lies on the horizontal position, the inner mask is covered on the head and the neck of the patient, the nested structure can ensure that the distance between the upper surface of the inner mask 1 and the mouth and the nose of the patient is adjustable, and can also be used for adjusting the size of the inner space of the inner mask 1.
As shown in fig. 2, a staggered-layer windowing structure consisting of an upper layer baffle and a lower layer baffle is arranged on the inner cover 1. The lower baffle 4 is connected with the front, rear, left and right surfaces of the inner cover into an integral structure. The lower baffle 4 is provided with a clamping groove 5 on the left side and the right side. The lower baffle 4 is nested and connected with the upper baffle 3 at the left side and the right side through the clamping grooves 5, and the connection part is arranged to be slidable. The lower baffle 4 is connected with the upper baffle 3 at the front edge through a pair of elastic ropes 6. The lower baffle 4 is in a free state at the rear. The lower baffle 4 is provided with an open-nose window 12 in the middle area; the back of the upper baffle 3 is connected with a handle 7. When the handle 7 is pushed forwards and backwards, the upper baffle 3 and the lower baffle 3 are staggered, the elastic rope 7 is pulled, and the operable range of the open-nose window 12 is exposed. When the handle 7 is loosened after the operation is finished, the upper layer baffle 3 automatically returns to close the nasal cavity 12 due to the restoring force of the elastic rope 7. As shown in fig. 1, one of the left and right surfaces of the inner cover is provided with a pair of screwed pipe windows 8. The screwed pipe windowing 8 is used for ensuring normal oxygen supply and gas exchange in the inner cover 1 through an air inlet pipeline and an air outlet pipeline of the screwed pipe.
As shown in fig. 3, a neck fenestration 10 is left behind the outer cover close to the middle of the bottom, an inflatable air bag 11 is connected around the neck fenestration and used for being erected above the neck of a patient, and the inflatable air bag 11 is used for improving the tightness of the neck junction.
As shown in fig. 4 and 5, the left and right sides of the outer cover 2 are respectively provided with a glove opening window 9, the glove opening window 9 is provided with a screw tube 13, and the screw tube 13 is connected with a glove structure 14 through a screw cap 15. The glove structure 14 is formed by connecting a glove 16 with a screw cap 15 at the cuff, and the connection mode is an integral structure. The glove 16 is made of an airtight rubber material. When the screw cap 15 is tightly coupled to the screw tube 13, an operator can operate the inside of the inner shield 1 by wearing the glove 16, and the operation is completely isolated from a patient.
The inner cover and the outer cover are made of transparent plates on all sides, so that a visual operation space is ensured in the invention.
Before the oxygen storage mask is used for isolation, the oxygen storage mask is connected with one end of the threaded pipe, and the other two ends of the threaded pipe penetrate through the threaded pipe to be windowed and connected to an anesthesia machine or a breathing machine. The rest are assembled as shown in figures 1 and 2:
the application process of the invention is illustrated as follows:
when the device is used for isolating and protecting a patient to be subjected to general anesthesia tracheal intubation, when the suspected positive patient lies on an operating table, an anaesthetist covers the device on the head and neck of the patient after the three-stage protection is finished, the neck is windowed and completely erected on the neck, and the air bag is inflated by the syringe, so that the sealing effect is just achieved, and the trachea is not squeezed. After examining the anesthesia machine, the anesthesia doctor performs anesthesia intubation after preparing the anesthesia medicine and intubation tool. The method comprises the following steps:
(1) a pre-oxygen supply stage; the two hands of the anaesthetist can extend into the gloves to open the window so as to wear the gloves in the device, and the two hands of the anaesthetist are not in direct contact with the patient at the moment, so that the gas in the device can not overflow. The anaesthetist can slightly buckle the mask on the mouth and the nose of the patient under direct vision so as to ensure that the patient can inhale oxygen and exchange gas. With the increase of anesthesia, when the patient reaches the anesthesia state and the respiratory consciousness disappears, the process of supporting the lower jaw to supply oxygen is completed;
(2) and (3) anesthesia induction process: when the anesthesia is gradually deepened, an anesthesiologist can observe that a transient excitation period appears in part of patients in real time, which is manifested by agitation and cough, and the anesthesiologist does not worry about upward spray of droplets because the upper baffle is in a natural separation state. As anesthesia further progresses and the patient's breathing and consciousness disappears, the anesthesiologist can hold the patient's jaw up and fasten the mask to complete controlled breathing until the patient experiences muscle relaxation.
(3) Laryngoscope exposure and endotracheal intubation; when the patient has the mandibular joint muscle loose, the anaesthetist removes the inner glove of the device and pulls the glove outwards and everts it, which does not affect the relative sliding of the inner cover within the outer cover. Then, the left hand holds the laryngoscope, the right hand holds the handle to push the upper layer baffle open until the mouth and the nose are exposed and the window is opened, the inner box is pressed downwards and lightly until the mouth and the nose of the patient are contacted, at the moment, an anesthesiologist can complete the exposure of the laryngoscope and the trachea cannula operation, in case that the patient is presbyed to have shallow anesthesia and is expected to choke, the laryngoscope can be pulled out immediately, and due to the restoring force action of the elastic rope, the upper layer baffle can rapidly shield the mouth and the nose from opening the window to prevent the spray of the foam and the aerosol. The anesthesia can be deepened continuously, and secondary intubation can be tried after oxygen supply is performed slightly.
(4) Fixing and connecting the conduit; because the mouth-nose window is large enough, the adhesive tape fixing work of the tracheal catheter can be completed in the mouth-nose window, and the operation of connecting the tracheal catheter and the patient end of the screwed pipe can be completed. The exit nose window opening is finished after retreating, and the upper layer baffle can automatically close the exit nose window opening under the action of restoring force of the elastic rope to restore to a natural isolation state. At the moment, the head and neck of the patient, the tracheal catheter and part of the threaded pipe are all isolated in the device, so that the pollution capacity of the suspicious infection source to the surrounding environment is reduced to the maximum extent, and a double-insurance effect is achieved for surrounding medical workers.
The device is not only suitable for anesthesia intubation, but also can be applied to the protection and isolation of ICU patients with severe disease and low immunity in the aspect of a respiratory system, can prevent cross infection among patients, is more favorable for protecting the ward environment, and is convenient for deep disinfection and purification. Except that the glove structure is disposable material, other parts can be repeatedly used after being disinfected, and can be used for a long time by regularly and simply maintaining when necessary, so that the use cost is low, and medical materials are saved.
The above description is only a preferred embodiment of the present invention, and should not be taken as limiting the invention in any way, and any person skilled in the art can make any simple modification, equivalent replacement, and improvement on the above embodiment without departing from the technical spirit of the present invention, and still fall within the protection scope of the technical solution of the present invention.

Claims (8)

1. The utility model provides an prevent aerosol sprays isolation hood which characterized in that: the inner cover is of a square structure with an opening at the lower part, the outer cover is of a square structure with openings at the upper part and the lower part, and the inner cover can be slidably nested in the outer cover from top to bottom; the top surface of the inner cover is provided with a staggered windowing structure, the staggered windowing structure consists of an upper baffle and a lower baffle, the lower baffle and the inner cover are connected into a whole, the left side edge and the right side edge of the lower baffle are respectively provided with a clamping groove, and the upper baffle is slidably nested on the lower baffle through the left clamping groove and the right clamping groove; an oral-nasal window is reserved in the middle area of the lower baffle; the inner cover is provided with a pair of screwed pipe windows and is respectively connected with the air inlet pipeline and the air outlet pipeline through the screwed pipe windows; a neck opening window is reserved on the middle position of the rear side surface of the outer cover close to the bottom and is used for being erected on the neck of a patient; the left side face and the right side face of the outer cover are respectively provided with a glove window.
2. An aerosol spray protection insulation hood as claimed in claim 1, wherein: the nesting position of the inner cover and the outer cover is airtight and airtight.
3. An aerosol spray protection insulation hood as claimed in claim 1, wherein: the rear end of the upper baffle is connected with a handle, and the front end of the lower baffle is connected with the upper baffle through a pair of elastic ropes.
4. An aerosol spray protection insulation hood as claimed in claim 1, wherein: the gloves open the window and are equipped with the screw pipe, the screw pipe pass through the nut and connect the gloves structure.
5. An aerosol spray protection insulation hood as claimed in claim 1, wherein: the glove structure comprises a glove body and a connecting structure, the glove body is made of airtight rubber, and the connecting structure is a screw cap arranged at the cuff of the glove body.
6. An aerosol spray protection insulation hood as claimed in claim 1, wherein: the inner cover and the outer cover are made of transparent plates on each side.
7. An aerosol spray protection insulation hood as claimed in claim 1, wherein: the screwed pipe windowing is arranged on one of the left side surface and the right side surface of the inner cover.
8. An aerosol spray protection insulation hood as claimed in claim 1, wherein: and an inflatable air bag is arranged around the neck windowing part and is used for improving the sealing performance of the neck joint.
CN202010704813.4A 2020-07-21 2020-07-21 Prevent aerosol and spray isolation hood Active CN111760156B (en)

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Application Number Priority Date Filing Date Title
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CN111760156B CN111760156B (en) 2024-10-11

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113100968A (en) * 2021-04-14 2021-07-13 宜春洋晟科技有限公司 Surgical debridement protective equipment

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CN210228597U (en) * 2019-03-19 2020-04-03 甘肃医学院附属医院 Head operation cover
CN210494258U (en) * 2020-02-28 2020-05-12 上海交通大学医学院附属第九人民医院 A protection cage for oral surgery operation
CN111249589A (en) * 2020-02-29 2020-06-09 上海交通大学医学院附属第九人民医院 Disposable trachea inserting/pulling anti-infection device
CN111419595A (en) * 2020-04-10 2020-07-17 四川省肿瘤医院 Airway operation protective hood for respiratory infectious diseases
CN212491058U (en) * 2020-07-21 2021-02-09 南京大学 Anti-aerosol spraying isolation hood

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003200148A (en) * 2001-12-28 2003-07-15 Toshiba Corp Method and apparatus for disassembling apparatus housing harmful organic substance
CN1548021A (en) * 2003-05-15 2004-11-24 石国剑 Wind curtain isolated sick-bed
CN2688242Y (en) * 2003-05-15 2005-03-30 魏晓丽 Portable tracheotomic protective cover
CN1451364A (en) * 2003-05-17 2003-10-29 重庆瑞康生物制药有限公司 Respiratory tract infectious disease isolation sterilizing device
CN1539394A (en) * 2003-10-31 2004-10-27 遵义医学院附属医院 Isolation protecting means of endotracheal intubation and shielding case for fulminating infectious disease in respiratory system
CN2652347Y (en) * 2003-11-08 2004-11-03 遵义医学院附属医院 Tracheal cannula isolation cover for fulminating respiratory system infectious disease
CN206391329U (en) * 2016-09-23 2017-08-11 无锡市第五人民医院 A kind of tracheotomy antispray protective cover
CN206965750U (en) * 2017-06-27 2018-02-06 重庆文理学院 A kind of chemical experiment protective cover
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CN111419595A (en) * 2020-04-10 2020-07-17 四川省肿瘤医院 Airway operation protective hood for respiratory infectious diseases
CN212491058U (en) * 2020-07-21 2021-02-09 南京大学 Anti-aerosol spraying isolation hood

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113100968A (en) * 2021-04-14 2021-07-13 宜春洋晟科技有限公司 Surgical debridement protective equipment
CN113100968B (en) * 2021-04-14 2022-11-18 潍坊医学院附属医院 Surgical debridement protective equipment

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