CN117398555A - Medical anesthesia gas storage bag connection structure - Google Patents
Medical anesthesia gas storage bag connection structure Download PDFInfo
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- CN117398555A CN117398555A CN202311544170.1A CN202311544170A CN117398555A CN 117398555 A CN117398555 A CN 117398555A CN 202311544170 A CN202311544170 A CN 202311544170A CN 117398555 A CN117398555 A CN 117398555A
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- connecting shaft
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- anesthesia
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- 206010002091 Anaesthesia Diseases 0.000 title claims abstract description 96
- 230000037005 anaesthesia Effects 0.000 title claims abstract description 96
- 238000003860 storage Methods 0.000 title claims abstract description 46
- 239000007789 gas Substances 0.000 claims abstract description 41
- 238000000889 atomisation Methods 0.000 claims abstract description 38
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims abstract description 27
- 239000001301 oxygen Substances 0.000 claims abstract description 27
- 229910052760 oxygen Inorganic materials 0.000 claims abstract description 27
- 238000007789 sealing Methods 0.000 claims abstract description 13
- 239000003994 anesthetic gas Substances 0.000 claims description 5
- 229920001343 polytetrafluoroethylene Polymers 0.000 claims description 5
- 239000004810 polytetrafluoroethylene Substances 0.000 claims description 5
- 239000011248 coating agent Substances 0.000 claims description 4
- 238000000576 coating method Methods 0.000 claims description 4
- -1 polytetrafluoroethylene Polymers 0.000 claims description 4
- 230000007423 decrease Effects 0.000 claims description 3
- 238000009423 ventilation Methods 0.000 abstract description 18
- 206010011224 Cough Diseases 0.000 abstract description 15
- 230000003444 anaesthetic effect Effects 0.000 abstract description 14
- 230000000694 effects Effects 0.000 abstract description 14
- 206010006482 Bronchospasm Diseases 0.000 abstract description 13
- 208000009079 Bronchial Spasm Diseases 0.000 abstract description 12
- 208000014181 Bronchial disease Diseases 0.000 abstract description 12
- 230000000638 stimulation Effects 0.000 abstract description 11
- 208000006673 asthma Diseases 0.000 abstract description 10
- 238000000034 method Methods 0.000 abstract description 10
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- 239000006199 nebulizer Substances 0.000 abstract description 4
- 239000003814 drug Substances 0.000 description 17
- 230000029058 respiratory gaseous exchange Effects 0.000 description 10
- 210000002345 respiratory system Anatomy 0.000 description 7
- 238000005457 optimization Methods 0.000 description 6
- 230000000241 respiratory effect Effects 0.000 description 6
- 208000000059 Dyspnea Diseases 0.000 description 5
- 206010013975 Dyspnoeas Diseases 0.000 description 5
- 238000012377 drug delivery Methods 0.000 description 5
- 239000007788 liquid Substances 0.000 description 5
- 229940079593 drug Drugs 0.000 description 4
- 208000037883 airway inflammation Diseases 0.000 description 3
- 239000003193 general anesthetic agent Substances 0.000 description 3
- 239000004081 narcotic agent Substances 0.000 description 3
- 206010061218 Inflammation Diseases 0.000 description 2
- 230000001154 acute effect Effects 0.000 description 2
- 239000000443 aerosol Substances 0.000 description 2
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- 230000002269 spontaneous effect Effects 0.000 description 2
- 208000000884 Airway Obstruction Diseases 0.000 description 1
- 206010061688 Barotrauma Diseases 0.000 description 1
- 206010008589 Choking Diseases 0.000 description 1
- 206010020751 Hypersensitivity Diseases 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- PIWKPBJCKXDKJR-UHFFFAOYSA-N Isoflurane Chemical compound FC(F)OC(Cl)C(F)(F)F PIWKPBJCKXDKJR-UHFFFAOYSA-N 0.000 description 1
- 206010023845 Laryngeal oedema Diseases 0.000 description 1
- 206010035664 Pneumonia Diseases 0.000 description 1
- 208000037656 Respiratory Sounds Diseases 0.000 description 1
- 206010047924 Wheezing Diseases 0.000 description 1
- 238000012387 aerosolization Methods 0.000 description 1
- NDAUXUAQIAJITI-UHFFFAOYSA-N albuterol Chemical compound CC(C)(C)NCC(O)C1=CC=C(O)C(CO)=C1 NDAUXUAQIAJITI-UHFFFAOYSA-N 0.000 description 1
- 201000009961 allergic asthma Diseases 0.000 description 1
- 230000000172 allergic effect Effects 0.000 description 1
- FQPFAHBPWDRTLU-UHFFFAOYSA-N aminophylline Chemical compound NCCN.O=C1N(C)C(=O)N(C)C2=C1NC=N2.O=C1N(C)C(=O)N(C)C2=C1NC=N2 FQPFAHBPWDRTLU-UHFFFAOYSA-N 0.000 description 1
- 229960003556 aminophylline Drugs 0.000 description 1
- 238000001949 anaesthesia Methods 0.000 description 1
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- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 230000037396 body weight Effects 0.000 description 1
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- 229940124630 bronchodilator Drugs 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
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- 230000005713 exacerbation Effects 0.000 description 1
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- 230000003434 inspiratory effect Effects 0.000 description 1
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- 238000001990 intravenous administration Methods 0.000 description 1
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- 230000003533 narcotic effect Effects 0.000 description 1
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M11/00—Sprayers or atomisers specially adapted for therapeutic purposes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M15/00—Inhalators
- A61M15/0001—Details of inhalators; Constructional features thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES 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
- A61M16/00—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
- A61M16/01—Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes specially adapted for anaesthetising
Abstract
The invention discloses a medical anesthesia gas storage bag connecting structure, which comprises an anesthesia machine connector, a connecting shaft and a gas storage bag; the connecting shaft penetrates through the air storage bag and is connected with the connector of the anesthesia machine in a sealing way; the connecting shaft radially rotates in the connector of the anesthesia machine; an oxygen channel and an atomization channel are respectively arranged along the axial direction of the connecting shaft; the connecting shaft is provided with an air inlet and an air outlet which are communicated with the oxygen channel and the atomization channel; and the anesthesia machine connector is provided with an air inlet and outlet channel corresponding to the oxygen channel and the atomization channel. In the inhalation type anesthesia process, the patient has airway constriction due to the stimulation of anesthetic or stimulates the organism to have respiratory system diseases originally, so that the bronchospasm is caused, and under the condition of cough and asthma, the supporting treatment is given under the condition of not changing the original medical system; simplifying and overcoming the problems of complexity and unstable effect introduced by a nebulizer in the stage of inhalation anesthesia during atomization treatment; simplifying the complexity of positive pressure ventilation in medical treatment.
Description
Technical Field
The invention relates to the technical field of medical anesthesia apparatuses, in particular to a medical anesthesia gas storage bag connecting structure.
Background
The prior medical anesthesia apparatus technical field, an anesthesia air storage bag is a matched device of an anesthesia machine, and the structure comprises an air bag and an air storage. The function is only used for storing and regulating the gas generated in the anesthesia machine to supply the needs of the patient for anesthesia, ventilation and breathing functions; manual ventilation can be performed by pressing the anesthetic gas reservoir in manual mode. It is relatively single in structure and function.
Inhalation anesthesia is achieved by inhalation of an anesthetic agent through the respiratory system. The following three factors in inhalation anesthesia operation cause the emergency reaction of the body in operation, and can induce cough and asthma of patients. 1. Airway constriction, resulting in bronchospasm: anesthetic drugs may cause constriction of smooth muscle of bronchi, resulting in bronchoconstriction, sudden cough or dyspnea, and severe cases resulting in exacerbation of the primary disease. 2. Stimulation and effects of anesthetic drugs on airways: the anesthetic can inhibit central and peripheral nerves, and if the administration speed is too high, the organism cannot tolerate the drugs possibly causing cough reflex, and sudden choking cough occurs in anesthesia. In addition, some people may be allergic to narcotic drugs to cause allergic reactions, and patients may suffer from discomfort such as laryngeal oedema, dyspnea, choking, etc. Some narcotics have direct stimulation of the airways, causing airway irritation, resulting in inflammation and swelling of the patient's airways, dyspnea, cough and wheezing, and even hypoxia. Such as isoflurane, may cause cough or asthma. 3. Other: if the organism originally has respiratory diseases, such as allergic asthma, pneumonia and the like, the organism stress reaction can be caused by anesthesia, surgery and the like. For the above reasons, the life of the operative patient is directly threatened. Although the level of anesthesia has increased significantly over the last decade, there has been no significant reduction in the incidence of respiratory inflammation in patients due to intraoperative bronchospasm and narcotic drug stimulation. Therefore, prevention and treatment of peri-operative bronchospasm and narcotic drug irritation leading to the occurrence of airway inflammation in patients is of great significance to physicians. For problems encountered during inhalation anesthesia, it is critical that the healthcare worker respond quickly to ensure the life safety of the patient.
Disclosure of Invention
The invention provides a method for simplifying and overcoming the problems of complexity and unstable effect introduced by a fogging machine in atomization treatment in the stage of inhalation anesthesia under the condition that the environment of an original medical system is not changed under the condition that a patient has cough and asthma due to airway contraction caused by anesthetic stimulation or respiratory system diseases originally existing in a stimulated organism in the inhalation anesthesia process; simplifying the complexity of positive pressure ventilation in medical treatment; the medical anesthesia gas storage bag structure for supporting treatment is timely given.
In order to achieve the above purpose, the present invention is realized by the following technical scheme:
the technical scheme is that the medical anesthesia air storage bag connecting structure comprises an anesthesia machine connector, a connecting shaft and an air storage bag; the connecting shaft penetrates through the air storage bag and is connected with the connector of the anesthesia machine in a sealing way; the connecting shaft radially rotates in the connector of the anesthesia machine; an oxygen channel and an atomization channel are respectively arranged along the axial direction of the connecting shaft; the connecting shaft is provided with an air inlet and an air outlet which are communicated with the oxygen channel and the atomization channel; and the anesthesia machine connector is provided with an air inlet and outlet channel corresponding to the oxygen channel and the atomization channel.
As optimization, the front end of the connecting shaft is of a ball head structure, and the connector of the anesthesia machine is of a ball seat structure.
As optimization, a boss is arranged on the ball head structure at the front end of the connecting shaft, and an annular groove matched with the boss in a concave-convex manner is arranged in the ball seat structure of the connector of the anesthesia machine; the connecting shaft is in sealing connection with the anesthesia machine connector through a connecting piece.
As optimization, the atomizing channel on the connecting shaft is of a reducing structure, and the diameter of the atomizing channel gradually decreases from the air inlet end to the air outlet end.
As optimization, the exhaust end of the atomization channel on the connecting shaft is provided with a spiral channel.
Preferably, the inclination angle of the spiral channel is 20 degrees, and the radius of the turning part is 6 times of the inner diameter of the spiral pipe.
As optimization, the contact surface of the ball head and the ball seat is provided with a polytetrafluoroethylene coating.
As an optimization, the oxygen channel and the atomization channel are axially symmetrically arranged along the connecting shaft.
The beneficial technical effects of the invention are as follows:
in the inhalation type anesthesia process, the patient has airway constriction due to the stimulation of anesthetic or has bronchospasm caused by the stimulation of respiratory diseases originally existing in the body, and under the condition of cough and asthma, supportive treatment is given under the condition of not changing the original medical system.
The invention simplifies and overcomes the problems of complexity and unstable effect of the atomizer in atomization treatment in inhalation anesthesia stage. Under the condition that the original medical mode is not required to be destroyed, the air flow speed and the concentration of the mixed air flow of the atomized liquid medicine and the air can be ensured, the intervention is carried out in the Maplseon A system, and the oxygen supply of a patient is ensured while the supporting treatment is given. The atomizing machine normally lets in atomizing gas, through the reducing structure and the terminal spiral passageway of atomizing passageway, provides effective drug delivery and ventilation support, for the airway constriction, bronchospasm or anesthetic are to the stimulation and the influence of air flue, and the treatment that induces the respiratory disease that leads to cough and dyspnea provides better choice.
The use of the present invention simplifies the complexity of positive pressure ventilation in medicine. On one hand, positive pressure ventilation is realized by combining an atomizer with the cooperation of an atomizing channel and a spiral channel, the inspiration pressure and the tidal volume are ensured, and the breathing frequency can be observed through the fluctuation of the air storage bag; on the other hand, the invention is arranged in a Mapleson A system, can ensure the effective ventilation quantity of the atomized gas, and plays a role in treatment under the condition of ensuring the normal respiratory quantity.
Drawings
The invention will now be described by way of example and with reference to the accompanying drawings in which:
fig. 1 is a schematic diagram of the system architecture of the present invention as set forth in Mapleson a.
Fig. 2 is a schematic diagram of the main structure of the present invention.
Fig. 3 is a schematic cross-sectional view of the connecting shaft with a ball head structure at the front end and a spherical concave structure at the connecting head of the anesthesia tube on the basis of fig. 2.
Fig. 4 is a schematic sectional view of the split connection of the connecting shaft and the anesthetic tube connector based on fig. 3.
Fig. 5 is a schematic cross-sectional view of the connecting shaft with a ball-like structure at the front end and a ball-like concave structure at the connector of the anesthetic tube on the basis of fig. 2.
Fig. 6 is a schematic view of the main structure of the atomizing passage with spiral passage at the exhaust end in the present invention.
Fig. 7 is a schematic cross-sectional view of the connecting shaft with the front end of the spiral channel being of a ball head structure and the anesthetic tube connector being of a ball recess structure, based on fig. 6.
Fig. 8 is a schematic sectional view of the split connection of the connecting shaft and the anesthetic tube connector based on fig. 6.
Reference numerals: fresh air flow FGF, air storage bag structure RB, adjustable pressure limiting valve APL and patient Pt;
the anesthesia tube connector 1, the connecting axle 2, the gas storage bag 3, the oxygen passageway 4, the atomizing passageway 5, the air inlet and outlet 6, the air inlet and outlet passageway 7, boss 8, annular groove 9, spiral passageway 10, connecting piece 11.
Detailed Description
The present invention will be described in detail with reference to the accompanying drawings.
The present invention will be described in further detail with reference to the drawings and examples, in order to make the objects, technical solutions and advantages of the present invention more apparent. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.
Embodiment 1 as shown in fig. 1, 2, 3, 4 and 5, the present invention is a medical anesthesia air bag connection structure, and the system structure of the present invention is shown in Mapleson a, which is a semi-closed respiratory loop system, wherein an adjustable pressure limiting valve APL is in an open state, allowing redundant air to be removed from the system, thereby reducing the risk of barotrauma. The air reservoir structure RB of the present invention is located in a position in the Mapleson a system. The invention is communicated with an anesthesia machine through an anesthesia machine connector 1. Comprises an anesthesia machine connector 1, a connecting shaft 2 and an air storage bag 3; the connecting shaft 2 penetrates through the air storage bag 3 to be connected with the anesthesia machine connector 1 in a sealing mode, and the air storage bag 3 is integrally solidified on the connecting shaft 2; the connecting shaft 2 radially rotates in the anesthesia machine connector 1; an oxygen channel 4 and an atomization channel 5 are respectively arranged along the axial direction of the connecting shaft 2; the connecting shaft 2 is provided with an air inlet and outlet 6 communicated with the oxygen channel 4 and the atomization channel 5; the anesthesia machine connector 1 is provided with an air inlet and outlet channel 7 corresponding to the oxygen channel 4 and the atomization channel 5. The front end of the connecting shaft 2 is of a ball head structure, and the anesthesia machine connector 1 is of a ball seat structure. A boss 8 is arranged on the ball head structure at the front end of the connecting shaft 2, and an annular groove 9 which is in concave-convex fit with the boss 8 is arranged in the ball seat structure of the anesthesia machine connector 1; the connecting shaft 2 is in threaded sealing connection with the anesthesia machine connector 1 through a connecting piece 11, and an annular sealing ring can be arranged at the threaded connection position to enhance the tightness.
On the basis of the embodiment, a polytetrafluoroethylene coating (PTFE) is arranged on the contact surface of the ball head at the front end of the connecting shaft 2 and the ball seat on the connector 1 of the anesthesia machine. The polytetrafluoroethylene coating improves the rotation efficiency and the safety of the contact surface of the ball head and the ball seat. The oxygen channel 4 and the atomizing channel 5 are axially symmetrically arranged along the connecting shaft 2.
The medical anesthesia gas storage bag connecting structure is applied to the suction anesthesia operation process, is in threaded sealing connection with an anesthesia machine connector 1 through a connecting piece 11, and is integrally connected into a Mapleson A respiratory system loop. Before anesthesia is prepared, medical staff manually rotates the connecting shaft 2 to enable the oxygen channel 4 on the connecting shaft 2 to be communicated with the air inlet and outlet channel 7, the air storage bag 3 is connected to the gas inlet of the anesthesia machine through the connecting piece 11, the anesthesia machine connector 1 and the pipeline, the anesthesia air storage bag is in a normal working state, at the moment, the left side channel of the atomization channel 5 is in a closed state, and the atomization channel 5 is not in the working state.
In the inhalation type anesthesia operation process, when a patient suffers from cough and asthma, an anesthesiologist diagnoses that the patient is due to the stimulation and influence of the anesthetic on the airway of the patient and the influence of the anesthetic, the airway is contracted, bronchospasm is caused, and the anesthesia administration of the anesthesia machine is stopped in time under the condition of the cough and the asthma, and a supporting treatment measure is adopted, a medical staff manually rotates the connecting shaft 2 to enable the atomizing channel 5 on the connecting shaft 2 to be communicated with the air inlet and outlet channel 7, the atomizing channel 5 is communicated with the inside of the air storage bag 3 through the air inlet and outlet 6, the left end of the atomizing channel 5 on the connecting shaft 2 is connected with a medical atomizer through a quick connector, the oxygen supply of the anesthesia machine is stopped, the atomizer is connected for positive pressure atomization ventilation, and is matched with a face breathing mask of the patient, and the anesthesia machine is directly acted on the airway and the lung, and on the basis of not damaging or interfering the existing medical technology means, the relevant treatment measures are introduced, and the mutual supplement is formed with the original means, and the supporting treatment is given to the patient; the medicine has high onset speed and is very important for relieving acute bronchospasm and airway inflammation. During the aerosol inhalation treatment of the patient, the spontaneous breathing state of the patient is observed and judged through the fluctuation of the air storage bag 3. Use of a bronchodilator, such as albuterol, in a medical nebulizer to dilate the bronchi; drugs such as aminophylline can also be used to relieve bronchospasm. Through the structure of the invention, the atomizer is timely connected for treatment, so that the invention is quick and easy to use, does not need invasive injection treatment measures, and is particularly important for children, old people or patients with serious illness states. And in the course of anaesthesia, oral medication or intravenous drip does not allow for a rapid and accurate medical means.
Embodiment 2 as shown in fig. 1, 6, 7 and 8, a medical anesthesia air storage bag connecting structure comprises an anesthesia machine connector 1, a connecting shaft 2 and an air storage bag 3; the connecting shaft 2 passes through the air storage bag 3 and is connected with the anesthesia machine connector 1 in a sealing way, and the structure of the invention is connected and installed on an anesthesia machine through the anesthesia machine connector 1; the connecting shaft 2 radially rotates in the anesthesia machine connector 1; an oxygen channel 4 and an atomization channel 5 are respectively arranged along the axial direction of the connecting shaft 2; the connecting shaft 2 is provided with an air inlet and outlet 6 communicated with the oxygen channel 4 and the atomization channel 5; the anesthesia machine connector 1 is provided with an air inlet and outlet channel 7 corresponding to the oxygen channel 4 and the atomization channel 5. The front end of the connecting shaft is of a ball head structure, and the connector 1 of the anesthesia machine is of a ball seat structure. A boss 8 is arranged on the ball head structure at the front end of the connecting shaft 2, and an annular groove 9 which is in concave-convex fit with the boss 8 is arranged in the ball seat structure of the anesthesia machine connector 1; the connecting shaft 2 is in threaded sealing connection with the anesthesia machine connector 1 through a connecting piece 11, and an annular sealing ring can be arranged at the threaded connection position to enhance the tightness. The atomizing channel 5 on the connecting shaft 2 is of a reducing structure, and the diameter of the atomizing channel 5 gradually decreases from the air inlet end to the air outlet end. The exhaust end of the atomizing channel 5 on the connecting shaft 2 is provided with a spiral channel 10. The inclination angle of the spiral channel 10 is 20 degrees, and the radius of the turning point is 6 times of the inner diameter of the spiral pipe.
The medical anesthesia gas storage bag connecting structure is applied to the suction anesthesia operation process, is in threaded sealing connection with an anesthesia machine connector 1 through a connecting piece 11, and is integrally connected into a Mapleson A respiratory system loop. Before anesthesia is prepared, medical staff manually rotates the connecting shaft 2 to enable the oxygen channel 4 on the connecting shaft 2 to be communicated with the air inlet and outlet channel 7, the air storage bag 3 is connected to the gas inlet of the anesthesia machine through the connecting piece 11, the anesthesia machine connector 1 and the pipeline, the anesthesia air storage bag is in a normal working state, at the moment, the left side channel of the atomization channel 5 is in a closed state, and the atomization channel 5 is not in the working state.
In the inhalation type anesthesia operation process, when a patient suffers from cough and asthma, an anesthesiologist diagnoses that the patient is due to the stimulation and influence of the anesthetic on the airway of the patient and the influence of the anesthetic, the airway is contracted, bronchospasm is caused, the anesthesia administration of an anesthesia machine is stopped in time under the condition of the cough and asthma, a supporting treatment measure is adopted, a medical staff manually rotates a connecting shaft 2 to enable an atomization channel 5 on the connecting shaft 2 to be communicated with an air inlet and outlet channel 7, the atomization channel 5 is communicated with the inside of an air storage bag 3 through the air inlet and outlet 6, the left end of the atomization channel 5 on the connecting shaft 2 is connected with a medical atomizer through a quick connector, the tidal volume, the respiratory frequency and the positive pressure of inspiration are adjusted, the atomizer converts a medicine solution into tiny mist particles, mixed gas of the atomized medicine and air passes through the atomization channel 5, the mixed gas sequentially passes through the atomization channel 5 with the diameter gradually reduced from the air inlet end to the air outlet end, and then passes through a spiral channel 10, the mixed gas is formed, and enters a Maplon A respiratory circuit system, and the medical respiratory mask is matched with the face mask to directly affect the patient on the respiratory tract or the respiratory tract of the patient, and the relevant treatment measures are not needed to be carried out on the respiratory tract of the patient, and the treatment is carried out on the respiratory therapy by the patient in time, and the relevant measures is not needed; the medicine has high onset speed and is very important for relieving acute bronchospasm and airway inflammation. In the aerosol inhalation treatment process of the patient, medical staff observe and judge the spontaneous breathing state of the patient through the fluctuation of the air storage bag 3. The variable diameter structure of the atomizing channel 5 in the connecting shaft 2 is combined with the external spiral channel 10, so that the inlet pressure of the atomizer is reduced, the positive pressure atomizing ventilation capacity can be met by using a small atomizer, and the drug delivery efficiency can be improved; the atomized mixed gas enters a Mapleson A breathing circuit system, is inhaled by a patient through a breathing mask on the mouth and the face of the patient, directly acts on respiratory tracts and lungs, and the medicine is better absorbed and acts on lesion areas, so that the treatment effect is improved.
In the existing medical treatment, the problems existing in the use of the atomizer intervention in the humanized anesthesia stage are that: instrument technical complexity. Correctly connect the atomizer to the anesthesia machine or the breathing machine, adjust the airflow speed and the concentration of the atomizer, etc. The effect is unstable: the effectiveness of the nebulizer in aerosolizing the drug delivery is affected by a variety of factors including the airflow rate and concentration set by the nebulizer, the condition of the breathing passageways, the breathing pattern of the patient, and the like. Variations in these factors may lead to fluctuations in the concentration of aerosolized drug inhaled, thereby affecting the stability of the aerosolization effect.
In the present invention, in the Mapleson a system, dead space gas is exhaled first when the patient begins to exhale. Because the dead space gas is not gas exchanged, its gas composition is the same as that inhaled by the patient. These gases enter the threaded tube while the mixed flow of atomized liquid medicine and air produced by the atomizer fills the remaining threaded tube and air reservoir. When the pressure in the circuit increases, the patient continues to exhale, and the gas exchanged alveolar gas is expelled through the APL valve. When the patient makes the next breath, the dead space gas in the previous breath is inhaled, and then the mixed gas of atomized medicine liquid and air delivered from the atomizer through the atomizing passage 5 and the spiral passage 10 at positive pressure is inhaled. On the atomizing channel 5, from the air inlet end to the air outlet end, the diameter of the channel is gradually reduced, and a spiral channel 10 with an inclination angle of 20 degrees is arranged, so that the airflow speed and the vortex effect of the atomizing gas are increased, the pressure of the mixed gas is improved, and the atomizing effect is improved. The radius of the turning part of the spiral channel 10 is 6 times of the inner diameter of the spiral pipe, so that the air flow resistance is reduced, atomized mixed air flow more smoothly passes through the turning part, the energy loss is reduced, and the air with larger flow can smoothly pass through the turning part without blocking or reducing the atomization effect. The atomized mixed air flow is accelerated after passing through the turning part, so that the air flow speed is further increased, the vortex effect is increased, the introducing concentration and the introducing speed of atomized liquid medicine are ensured, the atomization treatment effect is improved, and the atomization treatment requirement on a patient is met. The invention simplifies and overcomes the problems of complexity and unstable effect of the atomizing machine in atomization treatment in the humanized anesthesia stage. Under the condition that the original medical mode is not required to be destroyed, the air flow speed and the concentration of the mixed air flow of the atomized liquid medicine and the air can be ensured, the intervention is carried out in the Maplseon A system, and under the condition that the anesthesia machine stops supplying oxygen, the oxygen supply of a patient is ensured while supporting treatment is carried out. The atomizing machine normally lets in atomizing gas, through the reducing structure and the terminal spiral passageway of atomizing passageway, provides effective drug delivery and ventilation support, for the airway constriction, bronchospasm or anesthetic are to the stimulation and the influence of air flue, and the treatment that induces the respiratory disease that leads to cough and dyspnea provides better choice. Rapid drug delivery and ventilation support, improving patient condition.
The complexity of achieving positive airway pressure in existing medicine is as follows: selection and setting of devices. Positive airway pressure devices appropriate to the patient's condition and needs are selected and properly set and adjusted. Different devices have different functions and parameters and medical personnel need to be familiar with the method of operation and adjustment of the device. Monitoring and adjusting: positive pressure ventilation requires real-time monitoring and adjustment of patient ventilator parameters such as respiratory rate, inspiratory pressure, tidal volume, etc. Medical staff needs to know the breathing condition of the patient and make corresponding adjustment in time, so that the patient is prevented from being hurt by excessive ventilation or insufficient ventilation.
The invention is placed in a MaplesonA system, the required atomization gas amount per minute is calculated according to the MaplesonA system, and the required atomization gas amount per minute is 1-2ml/kg according to the body weight. Such as: a patient weighing 70kg would require an amount of nebulization of 70-140ml/min per minute. The atomizer generates a mixed gas of atomized medicine and air, which enters the air storage bag 3 through the atomizing passage 5 and the spiral passage 10. Under the Mapleson A system, the device consists of an air storage bag and an APL valve close to the end of a patient, when the patient exhales, the gas exhaled by the patient enters the air storage bag 3, and when the patient inhales, the air storage bag 3 contracts and fresh atomized gas and air are provided for the patient; the APL valve is positioned between the reservoir 3 and the patient end, and the resistance is adjusted as needed to control the flow of gas and end-tidal pressure. When exhaling, the APL valve opens, allowing a portion of the exhaled air to pass through, but at the same time allowing a mixture of nebulized gas and air to enter the reservoir bag 3. In this way the patient is provided with sufficient atomising gas during exhalation, thereby minimising the risk of repeated inhalation. The invention simplifies the complexity of positive pressure ventilation in medical treatment. On one hand, positive pressure ventilation is realized by combining an atomizer with the cooperation of an atomizing channel and a spiral channel, the inspiration pressure and the tidal volume are ensured, and the breathing frequency can be observed through the fluctuation of the air storage bag; on the other hand, the invention is arranged in a Mapleson A system, can ensure the effective ventilation quantity of the atomized gas, and plays a role in treatment under the condition of ensuring the normal respiratory quantity.
The connecting shaft 2 can be provided with marks and indications which are easy for medical staff to clearly distinguish aiming at the oxygen channel 4 and the atomizing channel 5, so that the oxygen channel and the atomizing channel can be accurately switched in different scenes. The operation convenience is improved, and therapeutic measures are taken in a supporting manner in time. The medical staff can rapidly and accurately switch from the air bag air supply in the manual mode to the atomization treatment mode, so that the medical operation efficiency is improved.
The foregoing description of the preferred embodiments of the invention is not intended to be limiting, but rather is intended to cover all modifications, equivalents, and alternatives falling within the spirit and principles of the invention.
Claims (8)
1. The medical anesthesia air storage bag connecting structure is characterized by comprising an anesthesia machine connector, a connecting shaft and an air storage bag; the connecting shaft penetrates through the air storage bag and is connected with the connector of the anesthesia machine in a sealing way; the connecting shaft radially rotates in the connector of the anesthesia machine; an oxygen channel and an atomization channel are respectively arranged along the axial direction of the connecting shaft; the connecting shaft is provided with an air inlet and an air outlet which are communicated with the oxygen channel and the atomization channel; and the anesthesia machine connector is provided with an air inlet and outlet channel corresponding to the oxygen channel and the atomization channel.
2. The connecting structure of a medical anesthesia gas storage bag according to claim 1, wherein the front end of the connecting shaft is of a ball head structure, and the connector of the anesthesia machine is of a ball seat structure.
3. The medical anesthesia gas storage bag connecting structure according to claim 2, wherein a boss is arranged on a ball head structure at the front end of the connecting shaft, and an annular groove matched with the boss in a concave-convex manner is arranged in a ball seat structure of a connector of the anesthesia machine; the connecting shaft is in sealing connection with the anesthesia machine connector through a connecting piece.
4. A medical anesthetic gas storage bag connecting structure as claimed in any one of claims 1, 2 or 3, wherein the atomizing passage on the connecting shaft is of a variable diameter structure, and the diameter of the atomizing passage gradually decreases from the air inlet end to the air outlet end.
5. The connection structure of a medical anesthesia gas storage bag as claimed in claim 4, wherein the exhaust end of the atomization channel on the connection shaft is provided with a spiral channel.
6. The connection structure of a medical anesthetic gas storage bag as claimed in claim 5, wherein the inclination angle of the spiral passage is 20 degrees, and the radius of the turning point is 6 times the inner diameter of the spiral pipe.
7. A medical anesthetic gas storage bag connecting structure as set forth in claim 2 or 3, wherein a polytetrafluoroethylene coating is provided on a contact surface of the ball head and the ball seat.
8. The medical anesthetic gas storage bag connecting structure as claimed in claim 1, wherein the oxygen passage and the atomizing passage are axially symmetrically arranged along the connecting shaft.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202311544170.1A CN117398555A (en) | 2023-11-17 | 2023-11-17 | Medical anesthesia gas storage bag connection structure |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202311544170.1A CN117398555A (en) | 2023-11-17 | 2023-11-17 | Medical anesthesia gas storage bag connection structure |
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| CN117398555A true CN117398555A (en) | 2024-01-16 |
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| CN202311544170.1A Pending CN117398555A (en) | 2023-11-17 | 2023-11-17 | Medical anesthesia gas storage bag connection structure |
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| CN (1) | CN117398555A (en) |
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- 2023-11-17 CN CN202311544170.1A patent/CN117398555A/en active Pending
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