CN113398403A

CN113398403A - Neonate prone position endotracheal tube fixing device

Info

Publication number: CN113398403A
Application number: CN202110768454.3A
Authority: CN
Inventors: 李芹; 晏玲; 阳丽平; 王久娟; 杨小莉; 郎瑜; 冯菊霜子; 周韬
Original assignee: First Affiliated Hospital of Army Medical University
Current assignee: First Affiliated Hospital of Army Medical University
Priority date: 2021-07-07
Filing date: 2021-07-07
Publication date: 2021-09-17
Anticipated expiration: 2041-07-07
Also published as: CN113398403B

Abstract

The invention relates to the field of medical fixing devices, and discloses a tracheal catheter fixing device for a neonate in a prone position, which comprises a fixing seat and a fixing belt, wherein an avoidance opening for avoiding the mouth of the neonate is formed in the middle of the fixing seat, the cross section of the fixing seat is arc-shaped, and the fixing seat is detachably connected to the fixing belt; the pipe fixing assembly is movably connected to the fixing seat and comprises a fixing block and a pipe clamp arranged on the fixing block, and a limiting part is arranged between the fixing block and the fixing seat. In the process of fixing the tracheal catheter of the neonate, the tracheal catheter does not need to be adhered by using a medical adhesive tape, so that the problems of skin allergy and easy edge curling of the medical adhesive tape after long-term adhesion are solved. In addition, this scheme in the in-service use, can be according to the endotracheal tube intubate position of difference, the fixed position of adjustment of adaptability guarantees the fixed angle of best endotracheal tube.

Description

Neonate prone position endotracheal tube fixing device

Technical Field

The invention relates to the field of medical fixing devices, in particular to a neonate prone position tracheal catheter fixing device.

Background

An endotracheal tube is a medical device inserted into the trachea of a patient to create a temporary artificial respiratory pathway for the patient, particularly for patients who cannot breathe spontaneously. The tracheal catheter for the neonate mainly comprises a breathing tube, a sputum suction tube and the like, and the nostril of the neonate is very small, so the outer diameters of the tracheal catheters provided with the breathing tube, the sputum suction tube and the like are usually very small, and the tracheal catheter is convenient to insert through the nostril of the neonate. When a newborn lies on a hospital bed, the newborn is very easy to move, so that the tracheal catheter inserted into the nostril of the newborn is easy to extend, displace or come off and needs to be inserted again. And the skin of the newborn is delicate, so that the tissue of the newborn is very easy to be damaged by repeated insertion. In order to prevent the tracheal catheter from shifting or falling off, the tracheal catheter is fixed by a medical adhesive tape bonding and fixing mode mostly at present, but the skin allergy problem is easy to occur when the medical adhesive tape is bonded for a long time. Moreover, when the newborn baby moves, the adhesive tape is easy to have a curling problem, so that the adhesive fixing effect is poor. Therefore, it is desirable to design a fixing device for an endotracheal tube.

Disclosure of Invention

The invention aims to provide a device for fixing a tracheal catheter in a neonatal prone position, which solves the problems that skin allergy is easy to occur and the bonding and fixing effects are poor in the mode of fixing the tracheal catheter by using an adhesive tape in the prior art.

In order to achieve the purpose, the invention adopts the following technical scheme: the tracheal catheter fixing device for the neonate in the prone position comprises a fixing seat and a fixing belt, wherein an avoidance opening for avoiding the mouth of the neonate is formed in the middle of the fixing seat, the cross section of the fixing seat is arc-shaped, and the fixing seat is detachably connected to the fixing belt; the pipe fixing assembly is movably connected to the fixing seat and comprises a fixing block and a pipe clamp arranged on the fixing block, and a limiting part is arranged between the fixing block and the fixing seat.

The principle and the advantages of the scheme are as follows: in the technical scheme, when the fixing device is used, the fixing band is wound around the head of a newborn (usually, the newborn is in a lying position) and is fixedly connected with the fixing seat. The fixing seat is used for being placed on the periphery of the mouth of a newborn and plays a role in integrally supporting the fixing block and the pipe clamp. Through avoiding the setting of mouth, can avoid the fixing base to shelter from neonate's oral area, avoid influencing breathing etc.. Through setting up the fixing base into curved structure, compare in setting up it into straight structure, can be better with the oral area periphery cooperation of neonate, avoid excessive oppression. After the trachea of the newborn is intubated, the tracheal catheter is fixed through the pipe clamp, so that the operation is convenient; and through setting the fixed block to the mode of swing joint on the fixing base, in the in-service use process, can be according to the endotracheal tube intubate position of difference (left side nostril/right side nostril), the position of adaptive adjustment fixed block, then it is spacing fixed through the locating part.

The beneficial effects of this technical scheme lie in:

1. in the technical scheme, in the process of fixing the tracheal catheter of the neonate, the medical adhesive tape is not needed for bonding, so that the problem of skin allergy caused by long-time adhesion of the medical adhesive tape and easy curling of the medical adhesive tape after long-time use is avoided.

2. In the technical scheme, the tracheal catheter is fixed through the fixing seat, the fixing belt and the pipe clamp, a plane structure for fixing the tracheal catheter is constructed by the fixing seat and the fixing belt, and then the tracheal catheter is clamped and fixed through the pipe clamp, so that the operation is very convenient; and the travelling comfort that uses can also be improved to the optimization of fixing base structure, avoids local heavy pressure neonate's skin, avoids causing secondary damage to neonate's skin.

3. Among this technical scheme, through setting the fixed block to swing joint's mode on the fixing base, in the in-service use process, can be according to the endotracheal tube intubate position of difference, the position of the adjustment fixed block of adaptability, then spacing fixedly through the locating part, can guarantee the fixed angle of best endotracheal tube.

4. Among this technical scheme, this kind of fixed knot of wear-type constructs, when the neonate moves, the fixed position of endotracheal tube is in the simultaneous movement with the neonate, and the problem that makes endotracheal tube aversion or deviate from because of the neonate moves can effectually be avoided to the state of relative rest.

Preferably, as an improvement, an adjusting groove is arranged on the fixed seat, and the fixed block is connected in the adjusting groove in a sliding manner; the locating part includes spacing piece and a plurality of spacing grooves that are used for holding spacing piece, and the middle part of spacing piece rotates to be connected on the fixing base, and the spacing groove sets up in the both sides portion of adjustment tank, and the spacing groove that is located adjustment tank both sides portion just is setting up.

Among this technical scheme, the adjustment tank plays the effect of direction and holding the fixed block, when the position of the angular adjustment fixed block of needs according to endotracheal tube intubate, rotate spacing piece and make it screw out from the spacing groove to make the length direction of spacing piece be on a parallel with the length direction of adjustment tank, then promote the fixed block and make it slide to suitable position along the adjustment tank, the fixed block removes the back of taking one's place, rotatory spacing piece once more, make it hold in the spacing inslot of suitable position, can realize the spacing fixed of fixed block, and convenient operation. In addition, in the scheme, the limit of the fixing block is realized by simultaneously screwing the two ends of the limiting sheet into the limiting grooves, namely, two-point fixing is realized, and the fixing effect is better compared with unidirectional limit.

Preferably, as an improvement, both ends of the limiting sheet are both arranged to be fan-shaped structures, and the shape of the limiting groove is semicircular.

In this technical scheme, all set up to fan-shaped structure, spacing groove through the both ends with spacing piece and set up to semi-circular structure, can guarantee the suitability of spacing piece and spacing groove, can not produce the movement hindrance moreover. After the limiting sheet is rotated to be in place, the contact area between the limiting sheet and the limiting groove is relatively large, and the fixing effect is further ensured.

Preferably, as an improvement, an auxiliary band for wrapping the vertex of the skull of the newborn is detachably connected to the fixing band.

In the technical scheme, the auxiliary belts are connected at two ends of the fixing belt when in use, the top ends of the auxiliary belts are positioned on the skull top of a newborn, the auxiliary belts are matched with the fixing belt to realize transverse and longitudinal bidirectional fixing, and the fixing stability of the fixing base can be improved.

Preferably, as an improvement, the two ends of the fixing band are both connected with ear accommodating rings, and the inner edges of the ear accommodating rings are provided with protective pads.

Among this technical scheme, hold the ring through setting up the ear on the fixed band, its ears that can be used to hold the neonate to utilize the ears of neonate to reverse fixedly to the position of fixed band, avoid the neonate at the in-process that removes, the fixed band is along neonate head circumference removal, and structural design is ingenious. In addition, in this scheme, the neonate skin is tender, can play the effect of protection to the neonate skin through the setting of protection pad.

Preferably, as an improvement, the fixing belt is provided with a plurality of first air holes.

Among this technical scheme, the gas permeability between fixed band and the neonate's skin can be increased in the setting of first bleeder vent, avoids appearing skin allergy problem.

Preferably, as an improvement, the fixing seat is provided with a plurality of second air holes.

Among this technical scheme, the setting of second bleeder vent can increase the gas permeability between fixing base and the neonate lip skin, avoids appearing skin allergy problem.

Preferably, as an improvement, the inner side of the fixed seat is provided with a buffer layer.

In this technical scheme, because neonate's skin is delicate, through set up the blotter in the inside portion (with the one side of skin contact) of fixing base, can play the effect of buffer protection.

Preferably, as an improvement, the buffer layer is detachably connected with an adhesive layer.

In this technical scheme, can set up the adhesive linkage on the buffer layer, realize the supplementary fixed of fixing base through bonding, the visual actual operation condition selectivity of this operation is launched.

Drawings

Fig. 1 is a top view of a neonate prone position endotracheal tube fixing device according to an embodiment of the present invention.

Fig. 2 is an enlarged view at a1 in fig. 1.

Fig. 3 is a front view of a neonate prone position endotracheal tube fixing device according to an embodiment of the present invention.

Fig. 4 is an enlarged view at a2 in fig. 3.

Fig. 5 is a front view of an ear receiving ring in accordance with a second embodiment of the present invention.

Detailed Description

The following is further detailed by way of specific embodiments:

reference numerals in the drawings of the specification include: fixing base 1, fixed band 2, dodge mouth 3, buffer layer 4, ear and hold ring 5, fixed block 6, pipe clamp 7, adjustment tank 8, spacing piece 9, spacing groove 10, first bleeder vent 11, first magic subsides 12, supplementary area 13, second magic subsides 14, third magic subsides 15.

Example one

This embodiment is substantially as shown in figure 1: neonate's prone position endotracheal tube fixing device includes fixing base 1 and fixed band 2.

As shown in fig. 3, the fixing base 1 is annular, that is, an avoiding opening 3 for avoiding the mouth of the newborn baby is formed in the middle of the fixing base 1. As shown in fig. 1, the cross section of the fixing base 1 is arc-shaped, so that the matching effect of the fixing base 1 and the peripheral skin of the mouth of the newborn can be ensured. The buffer layer 4 is bonded on the inner side wall of the fixing seat 1, and the buffer layer 4 in the embodiment is a silica gel layer. The fixing base 1 is provided with a plurality of second air holes, and the second air holes penetrate through the silica gel layer (not shown in the figure).

As shown in fig. 3 and 4, the fixing base 1 is movably connected with a conduit fixing assembly, the conduit fixing assembly includes a fixing block 6 and a pipe clamp 7, and a limiting member is disposed between the fixing block 6 and the fixing base 1. Be provided with round adjustment tank 8 on the

fixing base

1, 6 sliding connection of fixed block are in adjustment tank 8, and pipe clamp 7 bonds on the upper portion of fixed block 6 for the centre gripping endotracheal tube. In this embodiment, the limiting member includes a limiting piece 9 and a limiting groove 10 for accommodating the limiting piece 9, the middle part of the limiting piece 9 is rotatably connected to the fixing base 1, both ends of the limiting piece 9 are provided with fan-shaped structures, the width of the limiting piece 9 is smaller than that of the adjusting groove 8, and the length of the limiting piece 9 is larger than that of the adjusting groove 8; the limiting groove 10 is provided with a plurality of, and the limiting groove 10 all sets up in the both sides portion of adjustment tank 8, and the shape of limiting groove 10 is semi-circular, and the limiting groove 10 that is located adjustment tank 8 both sides portion is just to setting up.

The fixed band 2 is soft area body structure for enclose on neonate's head, is provided with a plurality of first bleeder vents 11 on the fixed band 2, and bonds through first magic subsides 12 on the fixed band 2 and has the auxiliary band 13 that is used for wrapping the neonate's cranium top, also is provided with a plurality of first bleeder vents 11 on the auxiliary band 13. In this embodiment, the fixing base 1 and the fixing band 2 are detachably connected, as shown in fig. 2, the specific detachable connection mode is as follows: the both sides portion of fixing base 1 all bonds and has the second magic subsides 14, and the outside of fixed band 2 is sewed up can with the third magic subsides 15 of the 14 complex of second magic subsides, when bonding the second magic subsides 14 on the third magic subsides 15, can realize fixing base 1 and fixed band 2 be connected fixedly.

The specific implementation process is as follows: when needs fixed neonate endotracheal tube (neonate is the clinostatism), at first place fixed band 2 in neonate's head below, place fixing base 1 peripherally at neonate's oral area for neonate's oral area is located and dodges mouthful 3 in, then utilizes second magic subsides 14 and third magic subsides 15 to fix fixing base 1 bonding on fixed band 2. The both ends with supplementary area 13 are pasted 12 through first magic and are bonded on fixed band 2 for the top of supplementary area 13 is located the top of neonate's cranium top, is the package form, and supplementary area 13 and fixed band 2 realize horizontal and fore-and-aft two-way fixed.

Then, the positions of the fixing block 6 and the pipe clamp 7 are adjusted by observing the position of the intubation tube of the endotracheal tube or the specific direction of the intubation tube, so as to ensure the optimal fixed angle of the endotracheal tube. In an initial state, the limiting piece 9 is accommodated in the limiting groove 10, when the position of the fixing block 6 is adjusted, the limiting piece 9 is rotated to be screwed out from the limiting groove 10, the length direction of the limiting piece 9 is parallel to the length direction of the adjusting groove 8, then the fixing block 6 is pushed to slide to a proper position along the adjusting groove 8, then the limiting piece 9 is rotated again, two ends of the limiting piece 9 are respectively accommodated in the proper limiting groove 10, and limiting and fixing after the fixing block 6 is moved to a proper position can be achieved. And finally, clamping and fixing the tracheal catheter on the fixing block 6 by using the pipe clamp 7.

The head-mounted fixing structure of this embodiment, when the neonate moves, the fixed position of endotracheal tube is in synchronous motion with the neonate, and the problem that endotracheal tube aversion or deviate from because of the neonate moves can effectually be avoided to the relatively static state. In addition, through setting fixed block 6 to swing joint mode on fixing base 1, in the in-service use process, can be according to the endotracheal tube intubate position of difference, the position of the fixed block 6 of adjustment of adaptability, then spacing fixedly through the locating part, can guarantee the fixed angle of best endotracheal tube, be particularly suitable for clinical popularization.

Example two

Referring to fig. 5, the difference between the present embodiment and the first embodiment is: in this embodiment, the two ends of the fixing band 2 are sewed with ear accommodating rings 5, and the inner edge of the ear accommodating ring 5 is adhered with a protective pad.

In this embodiment, through set up ear on fixed band 2 and hold ring 5, it can be used to hold neonate's ears to utilize neonate's ears to fix fixed band 2's position reversal, avoid the neonate at the in-process that removes, fixed band 2 is along neonate's head circumference removal, and structural design is ingenious. In addition, in this scheme, the neonate skin is tender, can play the effect of protection to the neonate skin through the setting of protection pad.

EXAMPLE III

The present embodiment is different from the second embodiment in that: in this embodiment, an adhesive layer is bonded to the inner side of the cushion layer 4.

In this embodiment, an adhesive layer may be disposed on the buffer layer 4, and the auxiliary fixation of the fixing base 1 is realized by adhesion, and this operation may be selectively enabled according to actual operation conditions.

The foregoing is merely an example of the present invention and common general knowledge in the art of designing and/or characterizing particular aspects and/or features is not described in any greater detail herein. It should be noted that, for those skilled in the art, without departing from the technical solution of the present invention, several variations and modifications can be made, which should also be regarded as the protection scope of the present invention, and these will not affect the effect of the implementation of the present invention and the practicability of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.

Claims

1. Neonate's prone position endotracheal tube fixing device which characterized in that: the device comprises a fixed seat and a fixed belt, wherein an avoidance opening for avoiding the mouth of a newborn is formed in the middle of the fixed seat, the cross section of the fixed seat is arc-shaped, and the fixed seat is detachably connected to the fixed belt; the pipe fixing assembly is movably connected to the fixing seat and comprises a fixing block and a pipe clamp arranged on the fixing block, and a limiting part is arranged between the fixing block and the fixing seat.

2. The neonatal prone position endotracheal tube fixing device according to claim 1, characterized in that: the fixed seat is provided with an adjusting groove, and the fixed block is connected in the adjusting groove in a sliding manner; the locating part includes spacing piece and a plurality of spacing grooves that are used for holding spacing piece, and the middle part of spacing piece rotates to be connected on the fixing base, and the spacing groove sets up in the both sides portion of adjustment tank, and is located the spacing groove of adjustment tank both sides portion just to setting up.

3. The neonatal prone position endotracheal tube fixing device according to claim 2, characterized in that: the two ends of the limiting sheet are both arranged to be fan-shaped structures, and the limiting groove is semicircular in shape.

4. The neonatal prone position endotracheal tube fixing device according to claim 3, characterized in that: the fixing belt is detachably connected with an auxiliary belt used for wrapping the skull top of the newborn.

5. The neonatal prone position endotracheal tube fixing device according to claim 4, characterized in that: the both ends of fixed band all are connected with ear and hold the ring, the inner edge that the ring was held to the ear is provided with the protection pad.

6. The neonatal prone position endotracheal tube fixing device according to claim 5, characterized in that: a plurality of first air holes are formed in the fixing belt.

7. The neonatal prone position endotracheal tube fixing device according to claim 6, characterized in that: the fixing seat is provided with a plurality of second air holes.

8. The neonatal prone position endotracheal tube fixing device according to claim 7, characterized in that: the inside portion of fixing base is provided with the buffer layer.

9. The neonatal prone position endotracheal tube fixing device according to claim 8, characterized in that: the buffer layer is detachably connected with an adhesive layer.