CN1181791C - Vocal marmen pipe - Google Patents
Vocal marmen pipe Download PDFInfo
- Publication number
- CN1181791C CN1181791C CNB011298197A CN01129819A CN1181791C CN 1181791 C CN1181791 C CN 1181791C CN B011298197 A CNB011298197 A CN B011298197A CN 01129819 A CN01129819 A CN 01129819A CN 1181791 C CN1181791 C CN 1181791C
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- Prior art keywords
- vocal
- marmen
- pipe
- structural member
- pronunciation
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Abstract
The present invention relates to a memory alloy pronunciation tube which comprises a memory alloy intelligent element, a duck mouth valve, a safety net, a silica gel film and a positioning card. Because the structures of the memory alloy intelligent element and the duck mouth valve are adopted, the ventilation of the pronunciation tube is smooth, the pronunciation is loud, the defect that a one-way valve of the existing pronunciation tube is easy to block by food residues is solved, and the existing pronunciation tube needs to be periodically cleaned and kept are. The present invention has the advantages of easy replacement, simple and convenient operation, safety and reliability.
Description
Technical field
The present invention relates to the pronunciation tube when language is rebuild behind a kind of pronunciation tube, particularly total laryngectomy.
Background technology
In the prior art, pronunciation tube when language is rebuild behind the total laryngectomy mainly contains the Voice Master pronunciation tube of Blom-Singer pronunciation tube, Paul professor F.Schouwenburg invention and the products such as silica gel pronunciation button that Jinan medical silica-gel products factory is produced, its operation principle adopts ball-type check valve or swing loose-leaf system check valve, when the pronunciation tube internal gas pressure is higher than a certain fixed value, air-flow promotes check valve, valve opening reaches the purpose of ventilation.But because food debris is easily built up at the place, valve clearance, need periodic cleaning, maintenance, particularly swing the loose-leaf system check valve, its air draught is downward usually, the aerodynamic poor effect during pronunciation, and it is clear inadequately, loud to pronounce.
Summary of the invention
The objective of the invention is to develop a kind of food debris and be difficult for accumulating on the check valve, need not periodic cleaning in the shortcoming that overcomes existing pronunciation tube, and when the pronunciation tube internal gas pressure surpassed certain fixed value, check valve was opened, and air-flow upwards, fling glottis, reach loud and clear, the purpose clearly of pronunciation.And implant easily, it is convenient to change.
The object of the present invention is achieved like this:
Vocal marmen pipe of the present invention, comprise tubular structural member, duckbill valve, safety net, flexible material film, locator card, it is characterized in that tubular structural member is to form with the memory alloy wire braiding, locator card is fixed on the two ends of memorial alloy tubular structural member, becomes 30 °～90 ° angle with the axis of tubular structural member; Duckbill valve comprises air bag, upper lip, lower lip, it is characterized in that upper lip and lower lip fit together to form the pancake duckbill structure, and upper lip and lower lip link together by air bag, are fixed on the front end of tubular structural member; Safety net is circular flat network structure or the arc surface network structure with the memory alloy wire braiding, is placed in the front end of tubular structural member, the inside of the air bag of duckbill valve, the back of the Duckbill type structure that upper lip, lower lip form; Flexible material film coats tubular structural member wholly or in part, links together with duckbill valve, forms an end opening, and an end is the blind hole shape structure of duckbill valve.
---the duckbill valve of above-mentioned vocal marmen pipe is when the pressure in the air bag sets value greater than one, and upper lip and the lower lip of duckbill valve open, and form passage; And when the pressure in the air bag set value less than one, upper lip and the lower lip of duckbill valve fit together, and gas and liquid can not pass through.
---the locator card of above-mentioned vocal marmen pipe can be the bow-shaped structural of monofilament, also can be the braiding structure of filate.
---the air bag of the duckbill valve of above-mentioned vocal marmen pipe can be a tube-in-tube structure, and tubular structural member is placed in the sleeve, and duckbill valve and tubular structural member are two detachable individual components.
---above-mentioned vocal marmen pipe also can be installed in the pronunciation base, the pronunciation base comprises cover for seat, fixing card, cover for seat is a tubular-shaped structures, fixing card becomes 30 °～90 ° angle with the axis of cover for seat, fixedly card can be a bow-shaped structural wiry, also can be the laminated structure of the braiding structure or the silica gel of filate.
---the pronunciation base of above-mentioned vocal marmen pipe can be used the manufacturings of plastics, rubber, rustless steel or other medical material, the memorial alloy screen net structure that also can adopt silica gel to coat.
---above-mentioned memorial alloy is the medical NiTi marmem, and its recovery temperature is at 25 ℃～35 ℃, and the diameter of silk is between 0.03～0.80mm.
---also available other metal material of above-mentioned NiTi marmem or macromolecular material substitute.
---the flexible material film of above-mentioned vocal marmen pipe is meant and to have hyperelastic medical macromolecular materials film in the medium-term and long-term softness of implanting of human body, as silicone rubber membrane.
Operation principle of the present invention is:
Total laryngectomy is performed the operation after the patient that tracheostoma is handled settles vocal marmen pipe again or vocal marmen pipe directly is installed after the wall puncture installs base altogether by trachea, esophagus.After also can passing through trachea, the common wall puncture of esophagus installation pronunciation base earlier, again telescopic duckbill valve is enclosed within the outside of tubular structural member, be placed in then in the pronunciation base, under the effect of body temperature, the memorial alloy tubular structural member is fixed on pronunciation tube or telescopic duckbill valve in the pronunciation base firmly or trachea, the esophagus through hole that the wall puncture forms altogether in.When with thumb sealing tracheostoma, intratracheal pressure increases, and the upper and lower lip of duckbill valve opens, and is upturned, and makes air-flow fling glottis, causes vocal cord vibration, reaches the effect of pronunciation.When mute, unclamp thumb, air can freely be breathed by tracheostoma.If the thumb end is in time unclamped and air-breathing situation occurred, at this moment intratracheal pressure is low, and the upper lip of duckbill valve, lower lip are close on the safety net, and upper and lower lip is fitted tight more, and air-tightness is good more, prevents from food in the esophagus or liquid are sucked trachea; Occur unhappy situation simultaneously, remind the patient in time to unclamp thumb, freely breathe.
Because the present invention has adopted the structure of tubular structural member, duckbill valve, safety net, not only make the ventilation of pronunciation tube more smooth and easy, pronunciation is loud and clear but also solved the check valve that existing pronunciation tube food debris is easy to the shutoff pronunciation tube, need the shortcoming of periodic cleaning, maintenance, have be easy to change, easy and simple to handle, safe and reliable advantage.
Description of drawings
Concrete structure principle of the present invention and operation principle are provided by following embodiment and accompanying drawing.
Fig. 1 the present invention's silica gel overlay film memorial alloy duckbill valve pronunciation tube assembly work sketch map.
Fig. 2 the present invention's duckbill valve and tubular structural member are the fundamental diagram and the structure principle chart of the combination type pronunciation tube of detachable individual components.
The structural representation of the pronunciation tube trachea side locator card shape of the present invention of Fig. 3 Fig. 4.
Fig. 4 the present invention's duckbill valve silica gel coats the structural representation of memorial alloy woven tubular structural member type pronunciation tube.
The structural representation of the pronunciation tube esophagus side locator card shape of the present invention of Fig. 5 Fig. 4.
The structural representation of the pronunciation tube trachea side locator card shape of the present invention of Fig. 6 Fig. 7.
The structural representation of Fig. 7 the present invention's gum elastic duckbill valve type pronunciation tube.
The structural representation of the pronunciation tube esophagus side locator card shape of the present invention of Fig. 8 Fig. 7.
The structural representation of the fixing card of the pronunciation seat trachea side of the pronunciation tube of the present invention of Fig. 9 Figure 10 shape.
The structural representation of the pronunciation seat of Figure 10 the present invention's pronunciation tube.
The structural representation of the fixing card of the pronunciation seat esophagus side of the pronunciation tube of the present invention of Figure 11 Figure 10 shape.
The structural representation of the fixing card of the pronunciation seat trachea side of the pronunciation tube of the present invention of Figure 12 Figure 13 shape.
Figure 13 the present invention's silica gel coats the structural representation of vocal marmen pipe seat.
The structural representation of the fixing card of the pronunciation seat esophagus side of the pronunciation tube of the present invention of Figure 14 Figure 13 shape.
Figure 15 the present invention's duckbill valve silica gel coats the structural representation of the duckbill valve part of vocal marmen pipe.
The A of Figure 16 Figure 15 is to sketch map.
Fundamental diagram and structural representation when the pronunciation tube of Figure 17 Figure 15 is ventilated.
The B of Figure 18 Figure 17 is to sketch map.
The structural representation that fixedly is stuck in the trachea side of the pronunciation base of Figure 19 Figure 20.
The installment work schematic diagram of Figure 20 the present invention's H shape silica gel pronunciation base.
The structural representation that fixedly is stuck in the esophagus side of the pronunciation base of Figure 21 Figure 20.
The pronunciation tube of Figure 22 Figure 23 is at the structural representation of the locator card of trachea side.
Work sketch map when Figure 23 the present invention's duckbill valve silica gel coating vocal marmen pipe is directly implanted pronouncing base.
The pronunciation tube of Figure 24 Figure 23 is at the structural representation of the locator card of esophagus side.
Fundamental diagram when Figure 25 the present invention's pronunciation tube is installed in person's windpipe, esophagus the usefulness tracheostoma at wall place is freely breathed altogether.
Figure 26 the present invention's pronunciation tube is installed in person's windpipe, esophagus wall place altogether, when thumb sealing tracheostoma, and the fundamental diagram when implementation language is rebuild.
1 is tubular structural member among the above-mentioned figure, and 2 is duckbill valve, and 3 is safety net, 4 is flexible material film, and 5 is locator card, and 6 is air bag, 7 is upper lip, and 8 is lower lip, and 9 are the pronunciation base, 10 is cover for seat, and 11 are fixing card, and 12 is passage, 13 is trachea, and 14 is esophagus, and 15 is air, 16 is thumb, and 17 are the present invention's pronunciation tube, and 18 is person's windpipe, esophagus wall altogether.
The specific embodiment
Embodiment 1: duckbill valve silica gel coats vocal marmen pipe
The medical NiTi memory alloy wire that to select 30 ℃ of diameters of recovery temperature for use be 0.35mm, assisting down of specific purpose tool, be woven into latticed tubular structural member 1, safety net 3 and locator card 5, tubular structural member 1 is bow-shaped structural or sunflower shape braiding structure for braiding shape webmaster, safety net 3 for circular flat network structure or arc surface shape network structure, locator card.Tubular structural member 1, safety net 3, locator card 5 can be three separate, knitted unit construction together, also tubular structural member 1, safety net 3, locator card 5 can be woven into one and can entad compress the integral weaving thing.In special-purpose heat treatment mould,, make them more than recovery temperature, can recover separately design shape automatically to the above-mentioned fabric heat treatment of finalizing the design.In particular manufacturing craft, when coating tubular structural member 1 with flexible material film 4, make pancake duckbill valve 2 at the front end of tubular structural member 1 then, at this moment flexible material film 4 and duckbill valve 2 are link together overall; After duckbill valve 2 also can be made separately, can cross chemical bonding agent or thermally coupled or mechanically coupled together with the tubular structural member 1 after flexible material film 4 coatings, the duckbill valve silica gel that has promptly obtained the present invention coats vocal marmen pipe 17.Referring to figs. 1 to Fig. 5, Figure 15 to Figure 18.
During use, in the special-purpose operation tool puncture of wall 18 usefulness altogether of the corresponding trachea in tracheostoma bottom, esophagus, simultaneously special-purpose delivery device is passed acanthopore, discharge the present invention's vocal marmen pipe 17, under the effect of body temperature, tubular structural member 1 recovers design shape, and locator card 5 and pronunciation tube 17 are separately fixed at tracheal wall, esophageal wall and trachea, esophagus is total in the puncturing hole of wall 18, have promptly finished the implantation work of the present invention's vocal marmen pipe 17.When needs pronounce, seal gas and make mouth with thumb 16, make air 15 enter esophagus 14 through vocal marmen pipes 17 by trachea 13, function rebuild in implementation language.With reference to figure 1, Fig. 2, Figure 22 to Figure 26.
When clinical needs are changed vocal marmen pipe 17, only need vocal marmen pipe 17 is cooled off, make it under recovery temperature, as 15 ℃, tubular structural member 1 is softening, and support force weakens, and clamps the fixedly card 5 of tracheal wall portion or near the end of the vocal marmen pipe 17 of tracheal wall with operating forceps, can easily take out the pronunciation tube 17 that more renews simultaneously.With reference to Figure 25, Figure 26.
Tubular structural member 1 also can use other elastomeric material manufacturings, makes duckbill valve 2 at its head with the softish macromolecule of super-elasticity, with the fixing card 5 of silica gel manufacturing, combines the pronunciation tube as the present invention.With reference to figure 6 to Fig. 8.
Embodiment 2: the vocal marmen pipe of band pronunciation base
For being convenient for changing vocal marmen pipe 17, can in the puncturing hole of esophagus, the common wall 18 of trachea, lay pronunciation base 9 earlier when clinical, place vocal marmen pipe 17 then, make it to be fixed in the cover for seat 10 of pronunciation base 9.With reference to figure 1, Fig. 2.
The cover for seat 10 of pronunciation base 9, fixing card 11 can also can adopt the memorial alloy braiding to form with medical material manufacturings such as silicone rubber or titanium alloy or rustless steels, and the mode that perhaps adopts memory alloy wire braiding back reuse medical silica-gel to coat is made.Its objective is to pronunciation tube provides a positioner, prevent the slip of pronunciation tube.At this moment the present invention vocal marmen pipe comprises pronunciation base 9, tubular structural member 1, duckbill valve 2, safety net 3, flexible material film 4, locator card 5.With reference to figure 9 to Figure 14, Figure 19 to Figure 21, Figure 25, Figure 26.Embodiment 3: pronunciation base, duckbill valve, tubular structural member are the vocal marmen pipe of three individual components
When clinical needs are changed vocal marmen pipe 17, only need tubular structural member 1 is cooled off, make it under recovery temperature, as 15 ℃, tubular structural member 1 is softening, and support force weakens, and clamps the locator card 5 of tracheal wall portion or near the end of the tubular structural member 1 of tracheal wall with operating forceps, can easily take out the duckbill valve 2 that more renews simultaneously.With reference to figure 2.
Should note; openly can replace with the identical structure of other effect herein with the structure of explanation; the embodiment that the present invention introduced simultaneously realizes unique structure of the present invention; though preferential embodiment of the present invention is introduced in this article and is illustrated; but those skilled in the art know and know that these embodiment illustrate; those skilled in the art can make countless variations; improve and replacement; and can not break away from the present invention; therefore, should be according to the next qualification protection scope of the present invention of the spirit and scope of appending claims of the present invention.
Claims (11)
1, note alloy pronunciation tube, comprise tubular structural member (1), duckbill valve (2), safety net (3), flexible material film (4), locator card (5), it is characterized in that: tubular structural member (1) is to form with the memory alloy wire braiding, locator card (5) is fixed on the two ends of memorial alloy tubular structural member (1), and the axis of same tubular structural member (1) becomes 30 °～90 ° angle; Duckbill valve (2) comprises air bag (6), upper lip (7), lower lip (8), it is characterized in that: upper lip (7) and lower lip (8) fit together and form the pancake duckbill structure, upper lip (7) and lower lip (8) link together by air bag (6), are fixed on the front end of tubular structural member (1); Safety net (3) is circular flat network structure or the arc surface network structure with the memory alloy wire braiding, is placed in the front end of tubular structural member (1), the inside of the air bag (6) of duckbill valve (2), the back of the Duckbill type structure that upper lip (7), lower lip (8) form; Flexible material film (4) coats tubular structural member (1) wholly or in part, and same duckbill valve (2) links together, and forms an end opening, and an end is the blind hole shape structure of duckbill valve (2).
2, vocal marmen pipe according to claim 1, it is characterized in that: when the duckbill valve of vocal marmen pipe (2) sets value greater than one when the pressure in the air bag (6), upper lip (7) and the lower lip (8) of duckbill valve (2) open, and form passage (12); And when the pressure in the air bag (6) set value less than one, upper lip (7) and the lower lip (8) of duckbill valve (2) fit together, and gas and liquid can not pass through.
3, vocal marmen pipe according to claim 1 is characterized in that: the locator card of vocal marmen pipe (5) can be the bow-shaped structural of monofilament, also can be the braiding structure of filate.
4, vocal marmen pipe according to claim 1, it is characterized in that: the air bag (6) of the duckbill valve of vocal marmen pipe (2) can be a tube-in-tube structure, tubular structural member (1) is placed in the sleeve, and duckbill valve (2) and tubular structural member (1) are two detachable individual components.
5, vocal marmen pipe according to claim 1, it is characterized in that: vocal marmen pipe also can be installed in the pronunciation base (9), pronunciation base (9) comprises cover for seat (10), fixing card (11), cover for seat (10) is a tubular-shaped structures, the axis of fixing card (11) same cover for seat (10) becomes 30 °～90 ° angle, fixing card (11) can be a bow-shaped structural wiry, also can be the laminated structure of the braiding structure or the silica gel of filate.
6, vocal marmen pipe according to claim 5 is characterized in that: the pronunciation base (9) of vocal marmen pipe can be used the medical material manufacturing, the memorial alloy screen net structure that also can adopt silica gel to coat.
7, vocal marmen pipe according to claim 6 is characterized in that: the described medical material that is used for manufacturing pronunciation base (9) is selected from plastics, rubber, rustless steel.
8, vocal marmen pipe according to claim 1 is characterized in that: memorial alloy is the medical NiTi marmem, and its recovery temperature is at 25 ℃～35 ℃, and the diameter of silk is between 0.03～0.80mm.
9, vocal marmen pipe according to claim 8 is characterized in that: also available other metal material of described NiTi marmem or macromolecular material substitute.
10, vocal marmen pipe according to claim 1 is characterized in that: the flexible material film of vocal marmen pipe (4) is meant and to have hyperelastic medical macromolecular materials film in the medium-term and long-term softness of implanting of human body.
11, vocal marmen pipe according to claim 10 is characterized in that: described flexible material film (4) is a silicone rubber membrane.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNB011298197A CN1181791C (en) | 2001-10-29 | 2001-10-29 | Vocal marmen pipe |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNB011298197A CN1181791C (en) | 2001-10-29 | 2001-10-29 | Vocal marmen pipe |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN1349783A CN1349783A (en) | 2002-05-22 |
| CN1181791C true CN1181791C (en) | 2004-12-29 |
Family
ID=4669474
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNB011298197A Expired - Fee Related CN1181791C (en) | 2001-10-29 | 2001-10-29 | Vocal marmen pipe |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN1181791C (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107115165A (en) * | 2017-05-11 | 2017-09-01 | 常州大学 | A kind of technology of preparing of reinforcement silicone airway stent |
| CN110338942A (en) * | 2019-07-01 | 2019-10-18 | 沧州市奥科医疗器械有限公司 | Pneumatic type artificial larynx |
-
2001
- 2001-10-29 CN CNB011298197A patent/CN1181791C/en not_active Expired - Fee Related
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| Publication number | Publication date |
|---|---|
| CN1349783A (en) | 2002-05-22 |
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| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
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| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20041229 Termination date: 20131029 |