CN113350647B - Tracheotomy catheter assembly - Google Patents

Tracheotomy catheter assembly Download PDF

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Publication number
CN113350647B
CN113350647B CN202110569766.1A CN202110569766A CN113350647B CN 113350647 B CN113350647 B CN 113350647B CN 202110569766 A CN202110569766 A CN 202110569766A CN 113350647 B CN113350647 B CN 113350647B
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Prior art keywords
wing plate
interface
connecting pipe
air
circuit board
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CN202110569766.1A
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CN113350647A (en
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郑微
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Mcc Hospital
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Mcc Hospital
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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
    • A61M16/0465Tracheostomy tubes; Devices for performing a tracheostomy; Accessories therefor, e.g. masks, filters
    • 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

Abstract

The invention relates to the technical field of medical instruments, in particular to a tracheotomy catheter; the invention aims to provide a tracheotomy catheter assembly which is more convenient for adjusting the orientation of an artificial nose. The tracheotomy catheter assembly comprises a wing plate, a connecting pipe and a first connector, wherein an intubation interface and the first connector are arranged on the wing plate and are communicated through the wing plate, one end of the connecting pipe is communicated with the first connector and is in rotating fit with the first connector, an artificial nose interface with the axis vertical to the axis of the connecting pipe is arranged on the connecting pipe, and a second connector is arranged at the other end of the connecting pipe; the connecting pipe is characterized by further comprising a driving motor and a circuit board, the circuit board is arranged in the wing plate, the driving motor is fixed on the wing plate and electrically connected with the circuit board, a gear ring is arranged on the outer wall of the connecting pipe and surrounds the axis of the connecting pipe, and a driving gear of the driving motor is in meshing transmission with the gear ring.

Description

Tracheotomy catheter assembly
Technical Field
The invention relates to the technical field of medical instruments, in particular to a tracheotomy catheter.
Background
The existing tracheotomy tube consists of a trachea cannula, a wing plate and a respirator interface, wherein the trachea cannula is communicated with the respirator interface through the wing plate, through holes are formed in the two ends of the wing plate in the length direction, and the two ends of a tying belt are tied in the through holes in the two ends of the wing plate;
the respirator interface is generally used for connecting a sputum suction tube and an artificial nose, wherein the artificial nose is a disposable wet heat exchanger, a chemical adsorbent is arranged in the top of the artificial nose, and when a person to be ventilated exhales, the gas which enters the artificial nose and is equivalent to body temperature and saturated humidity is condensed to release heat stored in a steam state; during inspiration, external air enters the air chamber to be humidified and warmed and then enters the lung, and the air chamber is mainly used for patients with artificial airways;
when the patient is in the supine position, the top of artificial nose is located the top that is located the patient, be in far away ground side, become the back of lying on the side from lying on the back when the position of patient, artificial nose is located patient's side or side below, be in nearly ground side, if the orientation at artificial nose top is adjusted in untimely time, the water vapor in the gas of patient exhalation is soaked the chemical adsorption agent in with artificial nose easily under the action of gravity, and then make artificial nose scrap, need to change new artificial nose, the burden of patient has been aggravated, secondly, to nursing staff, after patient's position changes, the orientation that needs in time to adjust artificial nose top upwards, need artifical position of monitoring patient constantly, consume the manpower.
Disclosure of Invention
The invention aims to provide a tracheotomy catheter assembly which is more convenient for adjusting the orientation of an artificial nose.
The technical scheme adopted by the invention for solving the technical problems is as follows: the tracheotomy catheter assembly comprises a wing plate, wherein an intubation interface and a first interface are arranged on the wing plate, the intubation interface is communicated with the first interface through the wing plate, the tracheotomy catheter assembly also comprises a connecting pipe, one end of the connecting pipe is communicated with the first interface and is in rotary fit with the first interface, an artificial nose interface with the axis vertical to the axis of the connecting pipe is arranged on the connecting pipe, and a second interface is arranged at the other end of the connecting pipe;
the connecting pipe is characterized by further comprising a driving motor and a circuit board, the circuit board is arranged in the wing plate, the driving motor is fixed on the wing plate and electrically connected with the circuit board, a gear ring is arranged on the outer wall of the connecting pipe and surrounds the axis of the connecting pipe, and a driving gear of the driving motor is in meshing transmission with the gear ring.
Furthermore, the device also comprises a gravity sensor which is fixed on the wing plate and is electrically connected with the circuit board.
Furthermore, an air cushion is respectively fixed at two ends of the wing plate in the length direction, two ends of the lace are respectively fixedly connected with the two air cushions, a neck fixing position is arranged among the lace, the air cushions and the wing plate, the intubation tube interface is positioned in the neck fixing position, and the air cushions are communicated with a one-way air injection tube.
The air pump is fixed on the wing plate and electrically connected with the circuit board, and an air outlet of the air pump is communicated with the air cushion through an air injection pipe.
Furthermore, a pressure sensor is further packaged, the pressure sensor is fixed on one side of the air cushion positioned at the neck fixing position, and the pressure sensor is electrically connected with the air pump through a circuit board.
Furthermore, two ends of the wing plate in the width direction are respectively fixed with an air cushion, the air cushions are as long as the wing plates, and the air cushions are communicated with a one-way air injection pipe.
Furthermore, the air cushion is provided with an anti-skid bump on one side of the neck fixing position.
The invention has the beneficial effects that: the tracheotomy catheter assembly comprises a wing plate, a connecting pipe and a catheter, wherein an intubation interface and a first interface are arranged on the wing plate, the intubation interface is communicated with the first interface through the wing plate, one end of the connecting pipe is communicated with the first interface and is in rotating fit with the first interface, an artificial nose interface with the axis vertical to the axis of the connecting pipe is arranged on the connecting pipe, the other end of the connecting pipe is a second interface, the artificial nose interface on the connecting pipe is used for connecting an artificial nose, and the second interface is used for connecting a sputum suction catheter or other equipment interfaces;
the device also comprises a driving motor and a circuit board, wherein the circuit board is arranged in the wing plate, the driving motor is fixed on the wing plate, the driving motor is electrically connected with the circuit board, a gear ring is arranged on the outer wall of the connecting pipe and surrounds the axis of the connecting pipe, and a driving gear of the driving motor is in meshing transmission with the gear ring;
when patient's position changes, the accessible circuit board controls driving motor rotatory, thereby control the orientation of artifical nose interface, and then the orientation at the top of the artifical nose of control connection on the artifical nose interface, still accessible electricity on the circuit board connects spare parts such as remote control module or sensor, realize remote control or automated control artifical nose's top orientation upwards, need not nursing staff and spend time monitoring patient position and artifical nose orientation, it is more convenient to adjust artifical nose orientation, the manpower is saved, this subassembly also makes artifical nose difficult by the water logging, make the life of artifical nose lengthen, save medical cost for the patient.
Drawings
FIG. 1 is an isometric view of the structure of the present invention;
FIG. 2 is a left side view of the structure of the present invention;
parts, positions and numbers in the figures: the artificial nose comprises a wing plate 1, a first interface 101, a cannula interface 102, an air cushion 2, a one-way air injection pipe 201, an air pump 3, an air injection pipe 301, a lace 4, a pressure sensor 5, a connecting pipe 6, a gear ring 601, an artificial nose interface 602, a second interface 603, a driving motor 7, a driving gear 701 and a gravity sensor 8.
Detailed Description
The invention will be further explained with reference to the drawings.
As shown in fig. 1 and 2, the tracheotomy catheter assembly comprises a wing plate 1, wherein an intubation interface 102 and a first interface 101 are arranged on the wing plate 1, the intubation interface 102 is communicated with the first interface 101 through the wing plate 1, the tracheotomy catheter assembly further comprises a connecting pipe 6, one end of the connecting pipe 6 is communicated with the first interface 101 and is in rotating fit with the first interface 101, an artificial nose interface 602 with an axis vertical to an axis of the connecting pipe 6 is arranged on the connecting pipe 6, a second interface 603 is arranged at the other end of the connecting pipe 6, the artificial nose interface 602 is used for connecting an interface on an artificial nose, and the second interface 603 is used for connecting a sputum suction tube or other equipment;
still include driving motor 7 and circuit board, the circuit board sets up in pterygoid lamina 1, driving motor 7 is fixed on pterygoid lamina 1, driving motor 7 and circuit board electricity are connected, the circuit board is used for controlling driving motor 7's rotation, accessible manual control or automatic control mode realize, bluetooth control for example, infrared communication control, on-off control, sensor control etc., it is equipped with ring gear 601 to encircle the axis of takeover 6 on the outer wall of takeover 6, driving gear 701 and ring gear 601 meshing transmission of driving motor 7, still can drive the belt through driving motor 7 and drive takeover 5 transmission, or drive rack linear motion through linear electric motor, rack and ring gear 601 meshing, or other can make takeover 6 rotatory can round the axis of first interface 101.
When the assembly is used, the wing plate 1 is fixed on the neck of a patient, the intubation tube interface 102 is connected with a tracheal intubation, the artificial nose interface 602 is connected with an artificial nose, and the second interface 603 is connected with a sputum suction tube or other instruments.
In order to further save labor and realize automatic control, the invention also comprises a gravity sensor 8, the gravity sensor 8 is fixed on the wing plate 1, the gravity sensor 8 is electrically connected with the circuit board, when the body position of a patient changes, the gravity sensor 8 detects the posture change of the wing plate, a control signal is sent to the driving motor 7 through the circuit board to control the driving motor 7 to rotate, so that the orientation of the artificial nose interface 602 is rotated, and finally the top of the artificial nose faces upwards, and a rotation range can be set on the circuit board, so that the rotation range of the artificial nose interface 602 is controlled within a certain angle.
When the component is used, after the tracheal cannula is inserted into the patient, when the patient is in a supine position, the wing plate 1 is fastened on the neck of the patient through the lacing 4, according to instructions or experiences, an operator inserts fingers between the neck of the patient and the lacing 4 to judge the tensioning degree of the lacing, so that the wing plate 1 is tightly attached to the neck of the patient, and the second interface 603 is connected with a component of a breathing machine or other equipment;
because frenulum 1 generally is textile ribbon or elastic cord, operating personnel's the thickness of finger also differs, when judging the tensioning degree of frenulum through the finger, different operating personnel are inconsistent to the tensioning degree of same patient's adjustment, moreover when patient's position changes, for example from the supine position to the position of lying on the side, or when becoming the supine position from the position of lying on the side, because human musculature can take place to warp when moving, make patient's neck warp, thereby make and have great space between frenulum and the patient's neck after patient's position changes, frenulum 4 can not the tensioning at patient's neck, make pterygoid lamina 1 can not hug closely patient's neck, thereby make and insert the internal trachea cannula of patient and take place to remove, amazing patient's trachea, make the patient produce behaviors such as chocking cough, easy emergence danger, so patient's position changes the back, operating personnel need ligature 4 again to adjust the tensioning degree of frenulum 4, consuming time and difficultly, the tensioning degree of different operating personnel adjustment is inconsistent, make the operation nonstandard.
In order to fix this subassembly at the patient neck for the convenience, also more convenient for adjusting frenulum 4 tensioning degree, respectively be fixed with an air cushion 2 at the both ends along pterygoid lamina 1's length direction, frenulum 4's both ends respectively with two air cushion 2 fixed connection, be the neck between frenulum 4, air cushion 2 and the pterygoid lamina 1 and fix the position, intubate interface 102 is arranged in the neck and fixes the position, and the intercommunication has one-way gas injection pipe 201 on the air cushion 2.
The intercommunication has one-way gas injection pipe 201 on air cushion 2, when patient's position changes, the accessible is to inflating and deflating the pressure that comes between air cushion and the patient neck to air cushion 2 between frenulum 4 and pterygoid lamina 1, thereby adjust the tensioning degree of frenulum 4, the process of ligature frenulum has again been saved to operating personnel, it is more convenient to adjust frenulum tensioning degree, if regard as the judgement standard of tensioning degree with the pressure between air cushion 2 and the patient neck, then need not operating personnel and judge the tensioning degree with the finger, and the tensioning degree of different operating personnel to same patient's adjustment also will be unanimous, it is more accurate to operate, it is more convenient.
In order to further save labor, the invention also comprises an air pump 3, the air pump 3 is fixed on the wing plate 1, the air pump 3 is electrically connected with the circuit board, the air outlet of the air pump 3 is communicated with the air cushion 2 through an air injection pipe 301, and the air cushion 2 is inflated by electrifying the air pump 3.
In order to further improve the automation degree of the invention and save manpower, the invention also comprises a pressure sensor 5, the circuit board is arranged in the wing plate 1, the pressure sensor 5 is fixed on one side of the air cushion 2 positioned at the neck fixing position, the pressure sensor 5 is electrically connected with the air pump 3 through the circuit board, a pressure value can be set on the circuit board, when the pressure sensor 5 detects that the pressure between the air cushion 2 and the neck of the patient is smaller than or higher than a set value, the circuit board controls the air pump 3 to start or stop, or controls the air pump 3 to perform other actions, thereby adjusting the inflation quantity of the air cushion 2, further adjusting the tensioning degree of the lacing 5 and further releasing the manpower.
In order to keep the posture of the wing plate 1 stable, two ends of the wing plate 1 in the width direction are respectively fixed with an air cushion 2, the air cushions 2 are as long as the wing plate 1, the air cushions 2 are communicated with one-way air injection pipes 201, and when the air cushions 2 are arranged around the wing plate 1, the existence of the air cushions 2 is equivalent to increase the contact area between the wing plate 1 and the neck of a patient, so that the posture of the wing plate 1 is more stable, and the wing plate 1 is not easy to overturn or incline around the short axis and the long axis of the wing plate 1.
In order to prevent the air cushion 2 from slipping with the neck of the patient, anti-slip protrusions, such as anti-slip bumps and anti-slip stripes, are arranged on one side of the air cushion 2, which is located at the neck fixing position.

Claims (6)

1. Tracheostomy tube assembly comprising a wing (1), characterized in that: the wing plate (1) is provided with an intubation interface (102) and a first interface (101), the intubation interface (102) is communicated with the first interface (101) through the wing plate (1), the intubation device further comprises a connecting pipe (6), one end of the connecting pipe (6) is communicated with the first interface (101) and is in rotating fit with the first interface (101), an artificial nose interface (602) with an axis vertical to that of the connecting pipe (6) is arranged on the connecting pipe (6), and the other end of the connecting pipe (6) is provided with a second interface (603);
the connecting pipe is characterized by further comprising a driving motor (7) and a circuit board, wherein the circuit board is arranged in the wing plate (1), the driving motor (7) is fixed on the wing plate (1), the driving motor (7) is electrically connected with the circuit board, a gear ring (601) is arranged on the outer wall of the connecting pipe (6) in a surrounding mode along the axis of the connecting pipe (6), and a driving gear (701) of the driving motor (7) is in meshing transmission with the gear ring (601);
the gravity sensor (8) is fixed on the wing plate (1), and the gravity sensor (8) is electrically connected with the circuit board; when patient's position changed, gravity sensor (8) detected the gesture change of pterygoid lamina, sent drive motor (7) with control signal through the circuit board, control drive motor (7) are rotatory, drive the orientation rotation of artificial nose interface (602) to up.
2. The tracheotomy catheter assembly of claim 1, wherein: the two ends of the length direction of the wing plate (1) are respectively fixed with an air cushion (2), the two ends of the frenulum (4) are respectively fixedly connected with the two air cushions (2), the frenulum (4), the air cushions (2) and the wing plate (1) are positioned at the neck fixing position, the cannula interface (102) is positioned at the neck fixing position, and the air cushions (2) are communicated with a one-way air injection pipe (201).
3. The tracheotomy catheter assembly of claim 2, wherein: the air pump is characterized by further comprising an air pump (3), the air pump (3) is fixed on the wing plate (1), the air pump (3) is electrically connected with the circuit board, and an air outlet of the air pump (3) is communicated with the air cushion (2) through an air injection pipe (301).
4. The tracheotomy catheter assembly of claim 3, wherein: and the air cushion is also covered with a pressure sensor (5), the pressure sensor (5) is fixed on the air cushion (2) and positioned on one side of the neck fixing position, and the pressure sensor (5) is electrically connected with the air pump (3) through a circuit board.
5. The tracheotomy catheter assembly of any of claims 2-4, wherein: two ends of the wing plate (1) in the width direction are respectively fixed with an air cushion (2), the air cushions (2) are as long as the wing plate (1), and the air cushions (2) are communicated with a one-way air injection pipe (201).
6. The tracheotomy catheter assembly of claim 5, wherein: an anti-skid bulge is arranged on one side of the air cushion (2) positioned at the neck fixing position.
CN202110569766.1A 2021-05-25 2021-05-25 Tracheotomy catheter assembly Active CN113350647B (en)

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Application Number Priority Date Filing Date Title
CN202110569766.1A CN113350647B (en) 2021-05-25 2021-05-25 Tracheotomy catheter assembly

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Application Number Priority Date Filing Date Title
CN202110569766.1A CN113350647B (en) 2021-05-25 2021-05-25 Tracheotomy catheter assembly

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CN113350647A CN113350647A (en) 2021-09-07
CN113350647B true CN113350647B (en) 2023-02-28

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CN203885976U (en) * 2014-05-13 2014-10-22 昆山韦睿医疗科技有限公司 Heat and humidity exchange device
CN204092664U (en) * 2014-09-15 2015-01-14 蔡海瑜 A kind of laparoscopic surgery revolves suction suction pump
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CN213131432U (en) * 2020-08-04 2021-05-07 吉林大学第一医院 Tracheotomy fixing band with pressure early warning function

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