Trachea cannula fixing device
Technical Field
The invention belongs to the technical field of trachea cannula fixing equipment, and particularly relates to a trachea cannula fixing device.
Background
The trachea cannula is a common airway management technology for general anesthesia, and can be used for mechanical ventilation to ensure that the human body is not anoxic; the air passage can also be protected, and the oral cavity content can be prevented from flowing into the air pipe to cause aspiration. The tracheal cannula needs to be firmly fixed to prevent the insertion from being too deep or accidentally pulled out, especially the accidental pull-out can be a fatal event in many cases, such as some operations in prone position, such as posterior decompression of cervical spine, posterior craniotomy, or some cases that the trachea cannot be pulled out immediately after the operation, such as difficult airways, etc. Some of the immobilization methods currently in clinical use include: 1. after the tooth pad is placed, the tooth pad and the trachea cannula are bound together by using an adhesive tape, and then are reinforced by using a bandage or a film to be fixed on the face or the face neck; 2. binding the trachea cannula with thick thread, and tying on teeth; 3. suturing the tracheal cannula on the patient's lips with a thick thread; 4. a professional "mask type" tracheal cannula holder was used. These fixing methods are all external in nature, and have a number of disadvantages: 1. is not firm enough and has the risk of falling off; 2. the operation is complex, and the practical application is inconvenient; 3. some are traumatic, resulting in bleeding of the lips or gums; 4. the head and face parts are prevented from being disinfected during the operation; 5. the left and right mobility in the oral cavity is not generated, and the operation in the oral cavity is affected.
Disclosure of Invention
Aiming at the defects, the tracheal cannula fixing device provided by the invention is simple in structure and firm in fixation, can realize double fixation of the tracheal cannula inside and outside, and effectively solves the problems that the fixation is not firm and easy to fall off, the operation is prevented from being wounded, the activity is not available and the like in the prior art.
In order to achieve the above purpose, the technical scheme adopted by the invention for solving the technical problems is as follows: the utility model provides a trachea cannula fixing device, including solid fixed ring, gu fixed ring center is provided with the fixed orifices with trachea cannula assorted, gu fixed ring one side is provided with the jack that supplies the sputum aspirator to pass through, gu fixed ring opposite side is the loose end, gu fixed ring opposite side's one end is provided with first arch, gu first arch is close to fixed orifices one side and is provided with first recess, gu fixed ring is last still to be provided with second arch and third arch, be provided with the second recess between second arch and the third arch, second recess and first protruding assorted, third arch and first recess assorted, first arch and second protruding outside are provided with bite-block assorted fixed slot, first protruding both sides are provided with a plurality of fixed teeth opposite with the closed direction, second arch and third protruding inboard are provided with fixed tooth assorted micro tooth.
The beneficial effects of the invention are as follows: when the fixing ring is used, the movable end of the fixing ring is opened and clamped on the trachea cannula, the trachea cannula passes through the fixing hole, then the first bulge is closed and inserted into the second groove along the clockwise direction, a plurality of fixing teeth on two sides of the first bulge are meshed and matched with micro teeth on the inner sides of the second bulge and the third bulge, after the first bulge is closed, the first bulge cannot be taken out from the first groove along the anticlockwise direction, the anticlockwise extraction is determined by the setting directions of the fixing teeth and the micro teeth, the anticlockwise extraction is the interference of the fixing teeth and the micro teeth, the disengaging effect cannot be achieved, the trachea cannula can be firmly fixed, a notch, namely a fixing groove, can be formed on the outer side after the first bulge is closed, and the notch can be used for the placement of a sputum aspirator tube and the fixation of a bite pad. When only the fixing ring is adopted, the sputum suction tube can enter from the jack or the fixing groove, and only the inner fixing of the trachea cannula is carried out at the moment; when the bite-block is used at the fixing groove, the fixing ring and the bite-block are simultaneously fixed, so that the internal and external double fixation is realized. The trachea cannula fixing device is firm in fixation, can adopt inner and outer fixation at the same time, is more firm than the existing adhesive tape or bandage and mask type fixation, is not easy to fall off, does not exist interference objects such as the bandage and the like, influences the operation, has certain activity degree because of not adopting the adhesive tape and the like for fixation, can be properly adjusted, has wider application scene and is convenient to popularize and apply.
Further, a marking line for positioning is arranged on the fixing ring.
The beneficial effects of adopting the further scheme are as follows: the marking line is overlapped with the cuff inflation line of the trachea cannula during fixing or is positioned right in front of a human body and used for integrally positioning and fixing the fixing device.
Further, the diameter of the fixing hole is 9-10.5mm.
Further, the thickness of the fixing ring is 5-8mm.
Further, the diameter of the insertion hole is 4-6mm.
Further, baffles are arranged on two sides of the first groove and the second groove.
The beneficial effects of adopting the further scheme are as follows: the baffle is used for preventing the first bulge and the like from falling off from the corresponding groove, so that the first bulge and the like cannot be pulled out in the opposite direction after being inserted, cannot slip off from the side surface, and is more firm and compact in fixation.
Further, the outer layer of the fixing ring is made of silica gel, rubber or cotton cloth.
The beneficial effects of adopting the further scheme are as follows: the inner layer is made of plastic, the outer layer and the inner layer are tightly connected through a hot melting or sewing method, the inner layer is required to be nontoxic and antigen-free, does not change after meeting water, does not deform after being needled, and has certain plasticity.
Drawings
FIG. 1 is a schematic view of an endotracheal tube fixing device with open;
FIG. 2 is a schematic view of the endotracheal tube fixing device closed;
wherein, 1, fixing ring; 2. a fixing hole; 3. a jack; 4. a marking line; 5. a first protrusion; 6. a second protrusion; 7. a third protrusion; 8. a first groove; 9. a fixing groove.
Detailed Description
The following describes the embodiments of the present invention in detail with reference to the drawings.
In one embodiment of the invention, as shown in fig. 1-2, there is provided an endotracheal intubation fixing device, which comprises a fixing ring 1, a fixing hole 2 matched with the endotracheal intubation is arranged in the center of the fixing ring 1, a jack 3 for a sputum suction tube to pass through is arranged on one side of the fixing ring 1, a movable end is arranged on the other side of the fixing ring 1, a first bulge 5 is arranged on one end of the other side of the fixing ring 1, a first groove 8 is arranged on one side of the first bulge 5 close to the fixing hole 2, a second bulge 6 and a third bulge 7 are further arranged on the fixing ring 1, a second groove is arranged between the second bulge 6 and the third bulge 7, the second groove is matched with the first bulge 5, a fixing groove 9 matched with a tooth pad is arranged on the outer side of the first bulge 5 and the second bulge 6, a plurality of fixing teeth opposite to the closing direction are arranged on two sides of the first bulge 5, and micro teeth matched with the fixing teeth are arranged on the inner sides of the second bulge 6 and the third bulge 7. When the fixing ring is used, the movable end of the fixing ring 1 is opened and clamped on the trachea cannula, the trachea cannula passes through the fixing hole 2, then the first bulge 5 is closed and inserted into the second groove along the clockwise direction, a plurality of fixing teeth on two sides of the first bulge 5 are meshed and matched with micro teeth on the inner sides of the second bulge 6 and the third bulge 7, after the first bulge 5 is closed, the first bulge 5 cannot be taken out from the first groove 8 along the anticlockwise direction, the anticlockwise extraction is determined by the setting directions of the fixing teeth and the micro teeth, the anticlockwise extraction is that the fixing teeth and the micro teeth interfere, the effect of disengagement cannot be achieved, the trachea cannula can be firmly fixed, a notch, namely a fixing groove 9, is formed on the outer side after the first bulge 5 is closed, and the notch can be used for the placement of a sputum aspirator tube and the fixation of a tooth pad. When only the fixing ring 1 is adopted, the sputum suction tube can enter from the jack 3 or the fixing groove 9, and only the inner fixing of the trachea cannula is carried out at the moment; when the bite-block is used at the fixing groove 9, the fixing ring 1 and the bite-block are simultaneously fixed, so that the internal and external double fixation is realized. The trachea cannula fixing device is firm in fixation, can adopt inner and outer fixation at the same time, is more firm than the existing adhesive tape or bandage and mask type fixation, is not easy to fall off, does not exist interference objects such as the bandage and the like, influences the operation, has certain activity degree because of not adopting the adhesive tape and the like for fixation, can be properly adjusted, has wider application scene and is convenient to popularize and apply.
The fixed ring 1 is provided with a marking line 4 for positioning; the marking line 4 is overlapped with the cuff inflation line of the trachea cannula during fixing or is positioned right in front of a human body and used for integrally positioning and fixing the fixing device. The diameter of the fixing hole 2 is 9-10.5mm, the thickness of the fixing ring 1 is 5-8mm, the diameter of the insertion hole 3 is 4-6mm, and the diameter of the fixing ring 1 can be 25mm, 27mm or 29mm. Baffles are arranged on two sides of the first groove 8 and the second groove; the baffle is used for preventing the first bulge 5 and the like from falling off from the corresponding groove, so that the first bulge 5 and the like cannot be pulled out in the opposite direction after being inserted, cannot slip off from the side surface, and is more firm and compact in fixation. The outer layer of the fixing ring 1 is made of silica gel, rubber or cotton cloth; the inner layer is made of plastic, the outer layer and the inner layer are tightly connected through a hot melting or sewing method, the inner layer is required to be nontoxic and antigen-free, does not change after meeting water, does not deform after being needled, and has certain plasticity.
Taking adult female hump nose operation as an example, selecting a proper model according to the opening degree of a patient and the operation requirement, selecting a tracheal cannula fixing device with the diameter of 2.7 # according to the invention, selecting a 6.5 # reinforced tracheal cannula, putting on sterile gloves after opening the package, taking out the fixing ring 1, aligning the marking line 4 with the cuff inflation line of the tracheal catheter or with the front middle line of a human body after the cannula, breaking off after using, and then clamping at the position of 20cm of the tracheal cannula (can be adjusted by referring to the neck length of the patient), so as to ensure clamping and not to slide left and right and up and down. After anesthesia induction, the laryngoscope exposes the glottis, the trachea cannula is inserted, the cuff is passed through the glottis, the fixing ring 1 is withdrawn from the laryngoscope when being outside the incisors, the mouth of a patient is separated by a back biting method, and the fixing ring 1 is inserted into the mouth after being inclined and is clamped by the upper incisors and the lower incisors. The intraoperative needs to maintain a certain anesthesia depth, so long as a patient does not actively open a large mouth, the tracheal cannula can not be taken off, and after facial disinfection, the mouth can be sealed by the sterile film to ensure sterility by isolating the intraoral cavity from the operation area, so that the patient is prevented from accidentally opening the mouth. After the operation is finished, under the anesthesia state, the oral cavity is thoroughly cleaned by the sputum suction tube through the left and right openings of the fixed ring 1, and then the bite-block is placed through the right opening, so that the trachea cannula is prevented from being bitten when a patient wakes up. And after the patient is completely awakened, ordering the patient to open the large mouth, loosening the tracheal tube and then pulling out the tracheal tube.
Taking the posterior decompression of cervical vertebra as an example, the internal and external double fixation method is taught, the internal fixation method is the same as the previous method, then the dental pad is put into the right side fixing groove 9, the dental pad is adhered to the face of a patient by using adhesive tape and a sticking film, and after the internal and external double fixation, the internal and external double fixation is more reliable than the pure external fixation. The trachea cannula fixing device has the characteristics of reliability, simplicity, convenience, no damage, time saving and the like, is suitable for various scenes, and is particularly suitable for cosmetic surgery and cervical vertebra surgery.
Although specific embodiments of the invention have been described in detail with reference to the accompanying drawings, it should not be construed as limiting the scope of protection of the present patent. Various modifications and variations which may be made by those skilled in the art without the creative effort are within the scope of the patent described in the claims.