Monitoring type pressure sore prevention tracheal cannula
Technical Field
The invention relates to the technical field of trachea cannula, in particular to a monitoring type pressure sore prevention trachea cannula.
Background
Currently, endotracheal intubation is an emergency technique for transglottically placing a specially made endotracheal tube (typically a disposable, sleeved plastic tube) into the trachea through the mouth or nasal cavity.
In medical practice, pressure sores are a common complication, and especially when invasive medical instruments such as tracheal intubation are involved, because the pressure sores inevitably generate strong and/or long-term pressure on surrounding tissues due to long-term maintenance of fixation and smoothness of the airways during use, and sometimes can be combined with shearing force, so that the pressure sores and/or subcutaneous soft tissues are easily damaged locally, namely, the pressure sores are easily caused, the tracheal intubation often needs to be tightly attached to the skin around the mouth of a patient by a fixer during fixation to ensure stability of a tracheal catheter and prevent slipping, however, the risk of pressure sores is obviously increased particularly at a bone bulge or in a weak skin area, and the conventional tracheal intubation design still has obvious defects in reducing the occurrence of pressure sores although the traditional tracheal intubation design can meet clinical treatment requirements to a certain extent. Therefore, how to improve the design of the tracheal cannula and the fixer thereof so as to reduce the incidence rate of pressure sores of patients and improve the comfort and safety of treatment is a technical problem to be solved in the current medical field.
Disclosure of Invention
The invention provides a monitoring type pressure sore prevention tracheal cannula, which solves the problem of pressure sore generation in the related technology.
The technical scheme includes that the monitoring type pressure sore prevention tracheal cannula comprises a tracheal cannula and a cannula fixer, wherein the tracheal cannula penetrates through the cannula fixer, the cannula fixer comprises a fixer body, a sliding plate, a top cover and binding bands, the fixer body is arranged in the cannula fixer, the bottom of the cannula fixer is fixedly connected with dressing plates, two symmetrically arranged long shafts are fixedly connected in the fixer body, the sliding plate is movably sleeved on the outer peripheral surfaces of the two long shafts, a fixing tube is fixedly connected in the sliding plate, a threaded connecting block is fixedly connected to the top of the fixing tube, the top of the threaded connecting block is provided with the top cover in a threaded sleeve mode, two sides of the cannula fixer connecting body are fixedly connected with fixing blocks, and one side of each fixing block is fixedly connected with the binding band.
As a preferable scheme of the invention, a limit connecting block is fixedly connected inside the threaded connecting block, a pressing tongue is movably sleeved on the outer peripheral surface of the limit connecting block, and a connecting spring is connected on the pressing tongue and the limit connecting block together.
As a preferable scheme of the invention, the top of the fixer body is slidably provided with two embedded blocks and two poking sheets, the embedded blocks are mutually attached to the poking sheets, one side of each embedded block is provided with elastic rubber, and the embedded blocks are mutually attached to the sliding plate.
As a preferable scheme of the invention, the trachea cannula comprises a cannula main body and two cuffs, wherein the cannula main body is slidably assembled in the fixing tube, the two cuffs are fixedly sleeved on the outer peripheral surface of the cannula main body, one sides of the two cuffs are fixedly connected with inflation connecting tubes, and one ends of the two inflation connecting tubes are commonly connected with an indication saccule.
As a preferable scheme of the invention, a turntable is rotatably arranged in the indicating balloon, a limit sealing pad is fixedly connected to the top of the turntable, a pull button is fixedly connected to the bottom of the turntable, through grooves are formed in the limit sealing pad and the interior of the turntable, and the through grooves are attached to one of the inflatable connecting pipes.
As a preferable mode of the invention, a charging connector is installed in the cannula main body, a connecting cable is installed on one side of the charging connector, and a camera is installed at one end of the connecting cable.
As a preferable scheme of the invention, one side of the cannula main body is fixedly connected with a medicine injection tube, the inside of the cannula main body is fixedly connected with a sputum suction tube, one end of the sputum suction tube is fixedly connected with a sputum suction joint, the tops of the two cuffs are respectively provided with a sputum suction hole, and the sputum suction tube is connected with the two sputum suction holes
As a preferable scheme of the invention, a friction pad is arranged on the peripheral surface of the top cover, the binding band is H-shaped, a round elastic binding band is designed at the center of the binding band and is attached to the human skull anatomical position-herringbone seam', and a magic tape is arranged on the binding band.
The working principle and the beneficial effects of the invention are as follows:
1. According to the invention, through the arrangement of the structures such as the cannula fixer and the sliding plate, the cannula fixer adopts the high-density dressing and the elastic bandage, so that the cannula fixer is tightly attached to and comfortable to the mouth of a patient, the design of the sliding plate can be flexibly adjusted according to the requirement, the clamping structure of the inner embedded block and the elastic rubber pad is stable and reliable, the top cover is connected through threads, the cannula main body can be easily fixed, and meanwhile, a visual window is provided, so that the operations such as diagnosis and treatment, sputum suction, oral care and sample collection are facilitated, the ventilator-related pneumonia is effectively prevented, and the safety and clinical operation convenience of the patient are improved.
2. The invention is convenient for monitoring (whether the main tracheal cannula body is in the main airway, the compression condition of the inner wall of the trachea, the aspiration or not, the sputum volume in the trachea and the like) and injecting the medicine in real time by arranging the tracheal cannula, the cuff and other structures and the tracheal cannula is provided with the medicine injection tube and the charging connector. The unique design of the rotary table and the limiting sealing gasket can realize that the two cuffs can be alternately inflated and deflated at intervals according to clinical requirements, so that the internal pressure sore of the airway can be effectively prevented, meanwhile, the two airbags are controlled through one inlet, the risk of slipping of pipelines caused by too many pipelines is reduced, and safer and more comfortable intubation experience is provided for patients.
Drawings
The invention will be described in further detail with reference to the drawings and the detailed description.
FIG. 1 is a schematic diagram of the overall structure of the present invention;
FIG. 2 is a schematic view of the overall structure of the cannula holder of the present invention;
FIG. 3 is a schematic view of the internal structure of the cannula holder of the present invention;
FIG. 4 is a top view of the threaded connection block of the present invention;
FIG. 5 is a side view of a threaded connection block of the present invention;
FIG. 6 is a schematic view of the whole structure of the tongue depressor of the present invention;
FIG. 7 is a schematic view of the overall structure of the indicating balloon according to the present invention;
FIG. 8 is a top view of the internal structure of the indicating balloon of the present invention;
fig. 9 is a bottom view of the internal structure of the indicating balloon of the present invention.
In the figure, 1, trachea cannula, 11, cannula main body, 12, sleeve bag, 13, inflatable connecting pipe, 14, indicating saccule, 15, rotary disk, 151, limit sealing pad, 152, pull button, 16, medicine injection pipe, 17, connecting cable, 171, charging connector, 172, camera, 18, sputum suction pipe, 181, sputum suction connector, 182 and sputum suction hole.
2. The catheter comprises a catheter fixer, 21 parts of a fixer body, 210 parts of a dressing plate, 211 parts of a long shaft, 212 parts of a sliding plate, 213 parts of an embedded block, 214 parts of elastic rubber, 215 parts of a pulling sheet, 22 parts of a fixed pipe, 221 parts of a threaded connecting block, 222 parts of a limiting connecting block, 223 parts of a connecting spring, 224 parts of a pressing tongue, 23 parts of a top cover, 231 parts of a friction pad, 24 parts of a fixed block, 241 parts of a binding belt, 242 parts of a magic tape.
Detailed Description
The technical solutions of the embodiments of the present invention will be clearly and completely described below in conjunction with the embodiments of the present invention, and it is apparent that the described embodiments are only some embodiments of the present invention, not all embodiments. All other embodiments, which can be made by one of ordinary skill in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Example 1
As shown in fig. 1-9, a monitoring type pressure sore prevention tracheal cannula, including tracheal cannula 1 and intubate fixer 2, tracheal cannula 1 passes intubate fixer 2 inside, a serial communication port, intubate fixer 2 includes fixer body 21, sliding plate 212, top cap 23 and bandage 241, fixer body 21 installs in the inside of intubate fixer 2, the bottom fixedly connected with dressing board 210 of intubate fixer 2, the inside fixedly connected with two major axis 211 of symmetrical arrangement of fixer body 21, sliding plate 212 movable sleeve is established on the outer peripheral face of two major axis 211, sliding plate 212's inside fixedly connected with fixed pipe 22, fixed pipe 22's top fixedly connected with threaded connection piece 221, threaded connection piece 221's top thread bush is equipped with top cap 23, intubate fixer 2 is connected with the equal fixedly connected with fixed block 24 in both sides of body, one side fixedly connected with bandage 241 of fixed block 24, through the setting of intubate fixer 2, sliding plate 212 isotructure, intubate fixer 2 adopts high density dressing and elastic bandage, ensure to closely laminate and comfortable with patient's mouth, its sliding plate 212 design according to clinical demand flexible adjustment, rubber clamp block 213 can be adjusted flexibly, the flexible joint structure is convenient for use, can be provided with the oral cavity is relative with the oral cavity is realized with the oral cavity is convenient for breathe, the oral cavity is safe and has the mouth protector, the oral cavity is convenient and has the mouth protector is easy to be provided, and is safe and can be breathed with the oral cavity is convenient, and safe and easy and has the oral cavity is convenient, and easy.
As shown in fig. 1-6, a limit connection block 222 is fixedly connected to the inside of the threaded connection block 221, a pressing tongue 224 is movably sleeved on the outer peripheral surface of the limit connection block 222, and a connection spring 223 is commonly connected to the pressing tongue 224 and the limit connection block 222.
As shown in fig. 1 to 3, the top of the holder body 21 is slidably equipped with two inner inserts 213 and two dials 215, the inner inserts 213 are attached to each other with the dials 215, one side of the inner inserts 213 is provided with elastic rubber 214, and the inner inserts 213 are attached to the sliding plate 212.
As shown in fig. 1-4, a friction pad 231 is disposed on the outer peripheral surface of the top cover 23, a binding band 241 is H-shaped, a circular elastic bandage is designed at the center of the binding band 241, and a magic tape 242 is disposed on the binding band 241 and can be attached to the human skull anatomical position, i.e. the herringbone seam.
In the embodiment, the trachea cannula 1 is put in the main airway of a human body, then a proper amount of air is injected into the cuff 12 through the indicating balloon 14, at the moment, the cuff 12 is attached to the inner wall of the trachea to prevent slipping, then the cannula fixer 2 is sleeved into the cannula main body 11, the fixing tube 22 is wrapped by the mouth and teeth of a patient, the lips are attached to the high-density dressing plate 210 on the fixer body 21 through the skin around the lips, then the binding band 241 is wound around the anatomical position of the human body skull, a circular elastic bandage on the center of the binding band 241 is attached to the 'herringbone' to prevent the binding band from shifting in the use process, finally the binding band 241 is fixed through the magic tape 242, after the cannula fixer 2 is finished, the position of the sliding plate 212 can be subjected to sliding transposition according to clinical requirements, the fixing tube 22 is prevented from always pressing the tongue surface and the lips around the skin at the same part to cause pressure damage of the corresponding skin and subcutaneous soft tissues, the sliding plate 212 is arranged, the sliding of the long shaft 211 is limited by the sliding plate 212, the sliding block 213 is arranged on the inner embedding block 213, and the inner embedding block 213 is embedded in the rubber block 213, and the inner embedding block 213 is arranged in the fixing block 213;
Loosening the magic tape 242, rotating the top cover 23, removing the fixing effect of the tongue 224 on the cannula main body 11, removing the cannula fixer 2, connecting the aspirator with the sputum suction connector 181, sucking the sputum in the trachea clean, finally sucking the gas in the cuff 12 through the indicating balloon 14, and removing the trachea cannula 1;
Through the setting of intubate fixer, sliding plate isotructure, intubate fixer adopts high density dressing and elastic bandage, ensure closely laminating and comfortable with patient's mouth and head skin, its sliding plate design can be adjusted in a flexible way according to clinical demand, the joint structure of interior abaculus and elastic rubber pad is firm reliable, the top cap passes through threaded connection, can easily fix the intubate main part, provide visual window simultaneously, be convenient for diagnose, inhale phlegm, oral care, operation such as sample collection, can effectively prevent ventilator correlation pneumonia, promote patient's security and clinical operation's convenience.
Example 2
As shown in fig. 1-9, the tracheal cannula 1 comprises a cannula main body 11 and two cuffs 12, the cannula main body 11 is slidably assembled in a fixed tube 22, the two cuffs 12 are fixedly sleeved on the outer peripheral surface of the cannula main body 11, one sides of the two cuffs 12 are fixedly connected with inflatable connecting tubes 13, one ends of the two inflatable connecting tubes 13 are commonly connected with an indicating balloon 14, the tracheal cannula 1 is provided with a medicine injection tube 16 and a charging connector 171 through the arrangement of the tracheal cannula 1, the cuffs 12 and the like, so that real-time monitoring (whether the tracheal cannula main body is in a main airway, compression conditions of the inner wall of the trachea, whether aspiration exists, sputum volume in the trachea and the like) and medicine injection are facilitated, and the unique design of a turntable 15 and a limiting sealing gasket 151 can realize that the two cuffs 12 are alternately inflated and deflated at intervals according to clinical requirements, so that long-time compression of the appliance to local skin and subcutaneous soft tissues can be reduced, pressure damage in the airway can be effectively prevented, meanwhile, the two airbags 12 are controlled through one inlet, the risk of slipping of the pipeline caused by the pipeline is indirectly reduced, and safer and more comfortable intubation experience is provided for patients.
As shown in fig. 1-9, a turntable 15 is rotatably mounted in the indicating balloon 14, a limiting sealing gasket 151 is fixedly connected to the top of the turntable 15, a pull button 152 is fixedly connected to the bottom of the turntable 15, through grooves are formed in the limiting sealing gasket 151 and the turntable 15, and the through grooves are attached to one of the inflation connecting pipes 13.
As shown in fig. 1, a charging connector 171 is mounted inside the cannula body 11, a connection cable 17 is mounted on one side of the charging connector 171, and a camera 172 is mounted on one end of the connection cable 17.
As shown in fig. 1, one side of the cannula main body 11 is fixedly connected with a drug injection tube 16, the inside of the cannula main body 11 is fixedly connected with a sputum suction tube 18, one end of the sputum suction tube is fixedly connected with a sputum suction connector 181, the tops of the two cuffs 12 are respectively provided with a sputum suction hole 182, and the sputum suction tube 18 is connected with the two sputum suction holes 182.
In this embodiment, based on the same concept as in embodiment 1, this embodiment proposes,
When the trachea cannula 1 is used, medicine injection can be carried out through the medicine injection pipe 16, and external video connecting equipment can be connected through the charging connector 171, the picture of the camera 172 can be monitored in real time (confirming whether the cannula main body 11 is in the main airway or not, whether the aspiration is wrong, the tracheal wall pressing condition, the tracheal sputum volume and the like) through the connection of the video connecting equipment and the charging connector 171, after the cannula main body 11 is inserted into the main airway of a patient, the pull button 152 is rotated, the rotary disk 15 is rotated through the sliding of the pull button 152, the rotary disk 15 is sealed and protected by the limit sealing gasket 151 when being rotated, the rotary disk 15 is in the rotating process, the through grooves on the rotary disk 15 and the limit sealing gasket 151 are overlapped with one of the inflation connecting pipes 13, at the moment, the balloon 14 is indicated by the needle cylinder to charge the air into the corresponding inflation connecting pipe 13, the corresponding balloon 12 is inflated, the balloon 12 is enabled to be attached with the airway wall, after a period of fixing, the through the steps, the through the contact grooves are overlapped with the other inflation connecting pipe 13, the air bag is inflated into the corresponding inflation connecting pipe 13, the inner balloon 12 is inflated, the inflation balloon is inflated through the corresponding balloon 12, the inflation balloon is simultaneously, the two inflation connecting pipes are inflated, the two inflation connecting pipes are simultaneously, the two inflation balloon are inflated, the time is required to be reduced, and the clinical injury is caused, and the time is reduced, and the time is required to be caused by the inflation balloon is and the inflation balloon is needed to be controlled, and the time is required to be completely and the inflation balloon is inflated. In the using process of the cuff 12, sputum of the upper respiratory tract is accumulated at the top of the cuff 12, and the sputum is timely sucked out through the sputum suction hole 182 and the sputum suction tube 18 by connecting the aspirator with the sputum suction connector 181 at the time of sputum suction through real-time monitoring.
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, alternatives, and improvements that fall within the spirit and scope of the invention.