CN111888632A - Double-layer throat supporting device - Google Patents

Double-layer throat supporting device Download PDF

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Publication number
CN111888632A
CN111888632A CN202010753391.XA CN202010753391A CN111888632A CN 111888632 A CN111888632 A CN 111888632A CN 202010753391 A CN202010753391 A CN 202010753391A CN 111888632 A CN111888632 A CN 111888632A
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China
Prior art keywords
air
supporting
air bag
air pipe
pipe
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Application number
CN202010753391.XA
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Chinese (zh)
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CN111888632B (en
Inventor
于凌昱
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Priority to CN202010753391.XA priority Critical patent/CN111888632B/en
Publication of CN111888632A publication Critical patent/CN111888632A/en
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Publication of CN111888632B publication Critical patent/CN111888632B/en
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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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/01Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/6852Catheters
    • A61B5/6853Catheters with a balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6885Monitoring or controlling sensor contact pressure
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0625Mouth
    • A61M2210/065Throat; Pharynx

Abstract

The invention discloses a double-layer throat supporting device which comprises a supporting air bag and a main air pipe, wherein a standby air bag is arranged inside the supporting air bag, one end of an air outlet of the main air pipe is connected with a first air pipe and a second air pipe through a reversing valve, an air outlet of the first air pipe is connected with an air inlet of the supporting air bag, an air outlet of the second air pipe is connected with an air inlet of the standby air bag, and the first air pipe and the second air pipe are respectively provided with a first gas pressure sensor and a second gas pressure sensor; when the supporting air bag and the standby air bag are inflated, the whole body of the supporting air bag and the standby air bag is in a triangular prism shape; an air inlet of the main air pipe is provided with an air charging device connecting piece, and a sealing plug is detachably arranged at the air inlet of the air charging device connecting piece. The pressure in the supporting air bag can be monitored in real time when the device is used after operation, and the spare air bag is arranged to avoid the need of replacing the supporting device when the supporting air bag is damaged or the air pressure does not meet the supporting requirement in the using process.

Description

Double-layer throat supporting device
Technical Field
The invention relates to the field of medical instruments, in particular to a double-layer throat supporting device.
Background
Treatment of laryngeal cancer is usually based on the size of the tumor range, with surgical resection being preferred. However, it is very important for the long-term life quality of the patient how to maintain the laryngeal function of the patient as much as possible, especially to maintain the size of the laryngeal cavity of the patient to the maximum extent, on the basis of complete removal of the tumor. In current clinical work, depending on the scope of the surgical resection, it may be necessary for the laryngeal tissue remaining after resection to be placed locally with a gauze-filled cuff or silicone tube to provide temporary support. Particularly, when the laryngeal cavity is large in defect and a new laryngeal cavity is formed by local filling of a muscular flap and the like, the thyroid cartilage is partially or completely cut off, so that the partial supporting effect is partially or completely lost, the postoperative airway is seriously collapsed, the tracheotomy tube is difficult to pull out, and the life quality of a patient is seriously affected. Similar devices are also needed for throat stenosis, vocal cord adhesions, uncut larynx, etc. to avoid early restenosis.
Disclosure of Invention
In view of the above problems, the present invention provides a dual-layer laryngeal support device, which is convenient for monitoring the pressure in the support airbag in real time during the operation after the operation, and the spare airbag is arranged to avoid the need of replacing the support device when the support airbag is damaged or the air pressure does not meet the support requirement during the operation.
The technical scheme of the invention is as follows:
a double-layer throat supporting device comprises a supporting air bag and a main air pipe, wherein a standby air bag is arranged inside the supporting air bag, one end of an air outlet of the main air pipe is connected with a first air pipe and a second air pipe through a reversing valve, an air outlet of the first air pipe is connected with an air inlet of the supporting air bag, an air outlet of the second air pipe is connected with an air inlet of the standby air bag, and a first gas pressure sensor and a second gas pressure sensor are respectively arranged on the first air pipe and the second air pipe; when the supporting air bag and the standby air bag are inflated, the whole body of the supporting air bag and the standby air bag is in a triangular prism shape; an air inlet of the main air pipe is provided with an air charging device connecting piece, and a sealing plug is detachably arranged at the air inlet of the air charging device connecting piece.
The working principle of the technical scheme is as follows:
the backup airbag is provided in the support airbag to prevent the support airbag from being deflated or damaged. If a single-layer air bag is adopted, when the single-layer air bag can not provide support in case of air leakage, if the laryngeal mask is taken out in advance, the time for the laryngeal mask to support the local part is not enough, and the function of avoiding local stenosis can not be achieved; if the support device needs to be replaced again in order to ensure the time for providing the support effect, there is secondary damage or the patient may have difficulty in withstanding the replacement process again. The situation can be well avoided by introducing the standby air bag. The air pressure sensors are arranged on the first air pipe and the second air pipe to monitor whether the air pressure in the air bags meets the supporting requirement in real time, if the medical staff check that the air pressure in the supporting air bags does not meet the supporting requirement, the supporting air bags are inflated again, at least three minutes are observed, if the air pressure in the supporting air bags is not enough after three minutes, the standby air bags are inflated, the supporting air bags are further supported, and the standby air bags are sealed through the sealing plugs after the inflation is finished. If oral sputum suction is needed, the supporting air bag or the standby air bag can be deflated temporarily as necessary according to the situation, so that the sputum can be sucked fully and thoroughly, and the supporting function is continuously provided by inflating after the sputum suction is completed completely; if the existing throat model with the silicone tube or the gauze fingerstall is adopted, the shape cannot be changed, and the shape and the volume cannot be changed through air release or other modes, so that a dead angle for sucking phlegm inevitably exists, airway secretion residues are accumulated, and the risk of infection is increased; meanwhile, after the supporting time is enough, when the laryngeal mould needs to be taken out, the invasive taking-out process is not needed, the inner air sac can be completely deflated firstly and then taken out along the path of the laryngeal mould catheter through the tracheotomy opening, if necessary, the catheter wire can be cut off after the complete deflation, and the air sac part in the laryngeal cavity can be directly taken out through mouth under the fiber laryngoscope.
In a further technical scheme, the double-layer throat supporting device further comprises an infrared temperature measuring sensor, an induction part of the infrared temperature measuring sensor is provided with an adhesive layer attached to the skin of the neck of a human body, and a display part of the infrared temperature measuring sensor is connected with the main air pipe through a buckle.
The infrared temperature measurement sensor is arranged to facilitate observation of the local temperature of the detected throat and check whether infection exists.
In a further technical scheme, the double-layer throat supporting device further comprises a controller and an alarm, a first signal output end of the controller is connected with a signal input end of the alarm, a first signal input end of the controller is connected with a signal output end of the temperature detection device, a second signal input end of the controller is connected with a signal output end of the first gas pressure sensor, and a third signal input end of the controller is connected with a signal output end of the second gas pressure sensor.
The controller and the alarm are arranged to give an alarm when the temperature or the air pressure changes in the using process conveniently, and family members or medical staff of a user are reminded to look over conveniently.
In a further technical scheme, an air inlet of the connecting piece of the inflating device is connected with an inflating balloon through threads.
When needing to inflate, take off the sealing plug, will inflate sacculus and aerating device connecting piece and be connected again, conveniently carry out manual inflation to observe the change of its atmospheric pressure through baroceptor.
In a further technical scheme, the outer side of the supporting air bag and the outer side of the standby air bag are both provided with a silica gel coating.
The silica gel coating is arranged on the outer sides of the supporting air bag and the standby air bag, because of good biocompatibility of silica gel, the silica gel coating has no irritation, no toxicity, no anaphylactic reaction and few organism rejection reactions to human tissues; has good physical and chemical properties, can keep the original elasticity and softness in the process of contacting body fluid and tissues, and is not degraded.
The invention has the beneficial effects that:
1. the standby air bag is arranged in the supporting air bag, so that the phenomenon that when the supporting air bag leaks air or is damaged, the laryngeal mask needs to be taken out in advance when the air bag leaks air, the laryngeal mask has insufficient supporting action time on the local part, and the local part is still narrow is avoided; when the air bag is damaged, the supporting device needs to be replaced again in order to ensure the supporting time, but secondary damage exists or the patient can be difficult to endure the replacement again; the air pressure sensors are arranged on the first air pipe and the second air pipe to monitor whether the air pressure in the air bags meets the supporting requirement in real time, if the medical staff checks that the air pressure in the supporting air bags does not meet the supporting requirement, the supporting air bags are inflated again and observed for at least three minutes, if the air pressure in the supporting air bags is not enough after three minutes, the standby air bags are inflated, the supporting air bags are further supported, and the standby air bags are sealed through the sealing plugs after the inflation is finished; if the sputum is required to be sucked through the mouth, the inner air sac can be temporarily deflated according to the situation when necessary, so that the sputum can be fully and thoroughly sucked. If the existing throat model with the silicone tube or the gauze fingerstall is adopted, the shape cannot be changed, and the shape and the volume cannot be changed through air release or other modes, so that a dead angle for sucking phlegm inevitably exists, airway secretion residues are accumulated, and the risk of infection is increased; meanwhile, after the supporting time is enough, when the laryngeal mould needs to be taken out, an invasive taking-out process is not needed, the inner air sac can be completely deflated firstly and then taken out along the path of the laryngeal mould catheter through the tracheotomy opening, if necessary, the catheter wire can be cut off after the inner air sac is thoroughly deflated, and the air sac part in the laryngeal cavity can be directly taken out through mouth under a fiber laryngoscope;
2. the infrared temperature measurement sensor is arranged to facilitate observation of the local temperature of the detected throat and check whether the infection phenomenon exists;
3. the controller and the alarm are arranged to give an alarm when the temperature or the air pressure changes in the using process, so that the family members or medical staff of a user can be reminded to check conveniently;
4. when inflation is needed, the sealing plug is taken down, the inflatable balloon is connected with the connecting piece of the inflating device, manual inflation is convenient, and the change of the air pressure of the inflatable balloon is observed through the air pressure sensor;
5. the silica gel coating is arranged on the outer sides of the supporting air bag and the standby air bag, because of good biocompatibility of silica gel, the silica gel coating has no irritation, no toxicity, no anaphylactic reaction and few organism rejection reactions to human tissues; has good physical and chemical properties, can keep the original elasticity and softness in the process of contacting body fluid and tissues, and is not degraded.
Drawings
FIG. 1 is a schematic view of the overall structure of a dual-layered laryngeal support device in accordance with an embodiment of the present invention;
FIG. 2 is a schematic partial structure view of a dual-layered laryngeal support device in accordance with an embodiment of the present invention;
FIG. 3 is a schematic view of a double-layered laryngeal support device in partial cross-section according to an embodiment of the present invention;
fig. 4 is a schematic diagram of the overall signal flow structure of the double-layer throat supporting device according to the embodiment of the invention.
Description of reference numerals:
10. a support airbag; 11. a standby air bag; 20. a main air pipe; 21. a diverter valve; 22. a first air pipe; 23. a second air pipe; 24. a first gas pressure sensor; 25. a second gas pressure sensor; 30. an inflator attachment; 40. a sealing plug; 50. an infrared temperature measuring sensor; 51. a sensing part; 52. a display unit; 53. a bonding layer; 60. a controller; 70. an alarm; 80. inflating the balloon; 90. and (4) coating silica gel.
Detailed Description
The embodiments of the present invention will be further described with reference to the accompanying drawings.
Example (b):
as shown in fig. 1-3, a double-layer throat support device comprises a support airbag 10 and a main air tube 20, wherein a standby airbag 11 is arranged inside the support airbag 10, one end of an air outlet of the main air tube 20 is connected with a first air tube 22 and a second air tube 23 through a reversing valve 21, an air outlet of the first air tube 22 is connected with an air inlet of the support airbag 10, an air outlet of the second air tube 23 is connected with an air inlet of the standby airbag 11, and a first air pressure sensor 24 and a second air pressure sensor 25 are respectively arranged on the first air tube 22 and the second air tube 23; when the supporting air bag 10 and the standby air bag 11 are inflated, the whole body is in a triangular prism shape; an air inlet of the main air pipe 20 is provided with an inflator connecting piece 30, and a sealing plug 40 is detachably arranged at the air inlet of the inflator connecting piece 30.
The working principle of the technical scheme is as follows:
the backup airbag 11 is provided in the support airbag 10 in order to prevent the support airbag 10 from being deflated or damaged. If a single-layer air bag is adopted, when the single-layer air bag can not provide support in case of air leakage, if the laryngeal mask is taken out in advance, the time for the laryngeal mask to support the local part is not enough, and the function of avoiding local stenosis can not be achieved; if the support device needs to be replaced again in order to ensure the time for providing the support effect, there is secondary damage or the patient may have difficulty in withstanding the replacement process again. The introduction of the standby airbag 11 can better circumvent the above situation. The air pressure sensors are arranged on the first air pipe 22 and the second air pipe 23 to monitor whether the air pressure in the air bags meets the supporting requirement in real time, if the medical staff checks that the air pressure in the supporting air bags 10 does not meet the supporting requirement, the supporting air bags 10 are inflated again, the observation is carried out for at least three minutes, if the air pressure is not enough after the three minutes, the standby air bags 11 are inflated, the supporting air bags 10 are further supported, and the sealing plugs 40 are used for sealing after the inflation is finished. If oral sputum suction is needed, the supporting air bag 10 or the standby air bag 11 can be deflated temporarily as necessary according to the situation, so that the sputum can be sucked fully and thoroughly, and the supporting function is continuously provided by inflating after the complete sputum suction is finished; if the existing throat model with the silicone tube or the gauze fingerstall is adopted, the shape cannot be changed, and the shape and the volume cannot be changed through air release or other modes, so that a dead angle for sucking phlegm inevitably exists, airway secretion residues are accumulated, and the risk of infection is increased; meanwhile, after the supporting time is enough, when the laryngeal mould needs to be taken out, the invasive taking-out process is not needed, the inner air sac can be completely deflated firstly and then taken out along the path of the laryngeal mould catheter through the tracheotomy opening, if necessary, the catheter wire can be cut off after the complete deflation, and the air sac part in the laryngeal cavity can be directly taken out through mouth under the fiber laryngoscope.
In another embodiment, as shown in fig. 1-4, the double-layered laryngeal support device further comprises an infrared temperature sensor 50, a sensing portion 51 of the infrared temperature sensor 50 is provided with an adhesive layer adhered to the skin of the neck of the human body, and a display portion 52 of the infrared temperature sensor 50 is connected with the main trachea 20 through a buckle.
The infrared temperature sensor 50 is provided to facilitate observation of the local temperature of the throat to check whether inflammation is present.
In another embodiment, as shown in fig. 1-4, the double-layered laryngeal support device further comprises a controller 60 and an alarm 70, a first signal output terminal of the controller 60 is connected to a signal input terminal of the alarm 70, a first signal input terminal of the controller 60 is connected to a signal output terminal of the temperature detection device, a second signal input terminal of the controller 60 is connected to a signal output terminal of the first gas pressure sensor 24, and a third signal input terminal of the controller 60 is connected to a signal output terminal of the second gas pressure sensor 25.
The controller 60 and the alarm 70 are provided to give an alarm when the temperature or the air pressure changes during the use, and to remind the family members or medical staff of the user to check the temperature or the air pressure.
In another embodiment, as shown in fig. 1-4, the inlet port of the inflator attachment member 30 is threadably connected to an inflation balloon 80.
When inflation is needed, the sealing plug 40 is taken down, the inflatable balloon 80 is connected with the inflator connecting piece 30, manual inflation is facilitated, and the change of the air pressure is observed through the air pressure sensor.
In another embodiment, as shown in fig. 1-3, the outside of the support airbag 10 and the outside of the reserve airbag 11 are both provided with a silicone coating 90.
The silica gel coating 90 is arranged on the outer sides of the supporting air bag 10 and the standby air bag 11, because of good biocompatibility of silica gel, the silica gel has no irritation, toxicity, anaphylactic reaction and few organism rejection reactions to human tissues; has good physical and chemical properties, can keep the original elasticity and softness in the process of contacting body fluid and tissues, and is not degraded.
The above-mentioned embodiments only express the specific embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the present invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention.

Claims (5)

1. A double-layer throat supporting device is characterized by comprising a supporting air bag and a main air pipe, wherein a standby air bag is arranged inside the supporting air bag, one end of an air outlet of the main air pipe is connected with a first air pipe and a second air pipe through a reversing valve, an air outlet of the first air pipe is connected with an air inlet of the supporting air bag, an air outlet of the second air pipe is connected with an air inlet of the standby air bag, and the first air pipe and the second air pipe are respectively provided with a first gas pressure sensor and a second gas pressure sensor; when the supporting air bag and the standby air bag are inflated, the whole body of the supporting air bag and the standby air bag is in a triangular prism shape; an air inlet of the main air pipe is provided with an air charging device connecting piece, and a sealing plug is detachably arranged at the air inlet of the air charging device connecting piece.
2. The double-layer laryngeal support device of claim 1, further comprising an infrared temperature measurement sensor, wherein an induction portion of the infrared temperature measurement sensor is provided with an adhesive layer attached to the skin of the neck of a human body, and a display portion of the infrared temperature measurement sensor is connected with the main air pipe through a buckle.
3. The double-layered laryngeal support device of claim 2, further comprising a controller and an alarm, wherein a first signal output of the controller is connected with a signal input of the alarm, a first signal input of the controller is connected with a signal output of the temperature detection device, a second signal input of the controller is connected with a signal output of the first gas pressure sensor, and a third signal input of the controller is connected with a signal output of the second gas pressure sensor.
4. The dual-layered laryngeal support device of claim 1, wherein an inflation balloon is threadably connected to the inlet end of the inflation device connector.
5. The dual-layered laryngeal support device of claim 1, wherein a silicone coating is provided on both the outside of the support balloon and the outside of the backup balloon.
CN202010753391.XA 2020-07-30 2020-07-30 Double-layer throat supporting device Active CN111888632B (en)

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Application Number Priority Date Filing Date Title
CN202010753391.XA CN111888632B (en) 2020-07-30 2020-07-30 Double-layer throat supporting device

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CN111888632B CN111888632B (en) 2022-06-14

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114233163A (en) * 2021-12-13 2022-03-25 航天建筑设计研究院有限公司 Sealing structure of clean room door body

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1997023163A1 (en) * 1995-12-22 1997-07-03 Lamade Wolfram Endotracheal tube
US8634894B2 (en) * 2009-09-21 2014-01-21 Neurovision Medical Products, Inc. Electrode for prolonged monitoring of laryngeal electromyography
CN106237489A (en) * 2016-08-22 2016-12-21 何剑 A kind of partial laryngectomy postoperative cavum laryngis extension fixture
CN209564487U (en) * 2018-03-09 2019-11-01 任燕萍 A kind of more air bags alternating gas injection type trachea cannulas of bilayer

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1997023163A1 (en) * 1995-12-22 1997-07-03 Lamade Wolfram Endotracheal tube
US8634894B2 (en) * 2009-09-21 2014-01-21 Neurovision Medical Products, Inc. Electrode for prolonged monitoring of laryngeal electromyography
CN106237489A (en) * 2016-08-22 2016-12-21 何剑 A kind of partial laryngectomy postoperative cavum laryngis extension fixture
CN209564487U (en) * 2018-03-09 2019-11-01 任燕萍 A kind of more air bags alternating gas injection type trachea cannulas of bilayer

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114233163A (en) * 2021-12-13 2022-03-25 航天建筑设计研究院有限公司 Sealing structure of clean room door body

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