CN201643301U - An embedded multi-cavity diamond-shaped tube type endotracheal tube - Google Patents

An embedded multi-cavity diamond-shaped tube type endotracheal tube Download PDF

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CN201643301U
CN201643301U CN2010201583669U CN201020158366U CN201643301U CN 201643301 U CN201643301 U CN 201643301U CN 2010201583669 U CN2010201583669 U CN 2010201583669U CN 201020158366 U CN201020158366 U CN 201020158366U CN 201643301 U CN201643301 U CN 201643301U
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endotracheal tube
wall
many cavitys
tube
cavity
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王学敏
钟世云
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Shanghai Sixth Peoples Hospital
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Shanghai Sixth Peoples Hospital
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Abstract

The utility model belongs to the field of medical devices, in particular to a tracheal catheter with embedded multi-hollow-cavity rhumbatrons, comprising an inner wall, an outer wall, an intermediate interlayer, a multi-hollow-cavity pipe passage and an air valve thereof, wherein the intermediate interlayer is arranged between the inner wall and the outer wall. The wall of the tracheal catheter is stretched by stretching the multi-hollow-cavity pipe passage to change the internal diameter and the external diameter of the tracheal catheter and the tracheal catheter can be more conveniently inserted so that the injure of an air flue can be lessened, the resistance of the air flue can be reduced and the care after an operation can be more convenient.

Description

一种内嵌多空腔菱形管式气管导管 An embedded multi-cavity diamond-shaped tube type endotracheal tube

技术领域technical field

本实用新型涉及一种医疗器械,具体涉及一种内嵌多空腔菱形管式气管导管。The utility model relates to a medical device, in particular to a multi-cavity diamond-shaped tube type tracheal catheter embedded in it.

背景技术Background technique

医院里给患者插入气管导管建立人工气道,是进行呼吸机支持的重要方法,也是保护患者气道通畅的重要技术手段。插管本身有一定技术困难,并可能给患者鼻粘膜、喉部造成机械损伤。气管导管越粗,插管困难越大,造成损伤的可能性也越大。因此对于那些可能有插管困难的患者,医生往往倾向于采用管径较细的气管导管。然而管径过细,带来的直接后果就是呼吸阻力大,吸痰困难,管道容易阻塞,术后气道护理困难。从呼吸支持的角度希望能给患者插入尽可能粗的导管。In the hospital, inserting a tracheal tube into a patient to establish an artificial airway is an important method for ventilator support and an important technical means to protect the patient's airway. Intubation itself has certain technical difficulties and may cause mechanical damage to the patient's nasal mucosa and larynx. The larger the endotracheal tube, the more difficult it is to intubate and the greater the potential for injury. Therefore, for those patients who may have difficulty intubating, doctors tend to use a narrower endotracheal tube. However, if the diameter of the tube is too small, the direct consequences are high respiratory resistance, difficulty in suctioning sputum, easy blockage of the tube, and difficulty in postoperative airway care. From the perspective of respiratory support, it is desirable to insert the largest possible catheter into the patient.

这种矛盾在以下两种情况尤为突出:一是给成人患者进行经鼻气管插管时。当导管的粗细超过7F时,会给大部分患者造成明显的鼻粘膜损伤。而插入小于7F的导管则明显增加患者呼吸阻力,不利于患者排痰和气道护理,并可能因此推迟患者脱机的时间。二是当患者有各种原因导致的气管狭窄时,比如气管肿瘤、疤痕,如果插入导管过粗,不但可能无法通过狭窄处,还会导致气道粘膜损伤、出血,给患者生命安全带来严重威胁。而插入的气管导管过细则十分不利于给患者进行较长时间的呼吸机支持。麻醉医生常常面对此类病人而处于两难的境地。This contradiction is particularly prominent in the following two situations: one is when performing nasal endotracheal intubation on adult patients. When the thickness of the catheter exceeds 7F, it will cause obvious nasal mucosal damage in most patients. Inserting a catheter smaller than 7F will significantly increase the respiratory resistance of the patient, which is not conducive to the patient's expectoration and airway care, and may therefore delay the patient's weaning time. Second, when the patient has tracheal stenosis caused by various reasons, such as tracheal tumors and scars, if the catheter is inserted too thick, not only may it not be possible to pass through the stenosis, but it may also cause airway mucosal damage and hemorrhage, which will seriously affect the life safety of the patient. threaten. However, if the inserted endotracheal tube is too thin, it is very unfavorable to provide ventilator support for the patient for a long time. Anesthesiologists are often in a dilemma when facing such patients.

发明内容Contents of the invention

本实用新型的目的在于提出一种直径可变的气管导管结构模型,减轻给患者气管插管难度和气道损伤,同时降低插管后气道阻力,方便气道护理。The purpose of this utility model is to propose a structure model of a tracheal tube with variable diameter, which can reduce the difficulty of intubating the patient's trachea and airway damage, and at the same time reduce the airway resistance after intubation, and facilitate airway care.

为了实现上述目的,本实用新型的技术方案如下:In order to achieve the above object, the technical scheme of the utility model is as follows:

一种直径可变的气管导管,包括内壁、外壁、内壁和外壁之间的中间夹层、设置在中间夹层内的多空腔管通路及其气体阀门。A trachea tube with variable diameter comprises an inner wall, an outer wall, an interlayer between the inner wall and the outer wall, a multi-cavity tube channel and a gas valve arranged in the interlayer.

上述的直径可变的气管导管,其中:所述的多空腔管通路的横截面为多个相互衔接的菱形。In the aforementioned variable-diameter endotracheal tube, the cross-section of the multi-cavity tube channel is a plurality of connected rhombuses.

上述的直径可变的气管导管,其中:所述的多空腔管通路的折叠面沿内壁轴向布置。The aforementioned variable-diameter endotracheal tube, wherein: the folded surface of the multi-cavity tube channel is axially arranged along the inner wall.

上述的直径可变的气管导管,其中:所述的中间夹层为沿内壁的圆周方向的弹性空腔,其通过导管近端开口的小孔与外界相通。In the aforementioned variable-diameter endotracheal tube, wherein: the middle interlayer is an elastic cavity along the circumferential direction of the inner wall, which communicates with the outside world through a small hole opened at the proximal end of the tube.

上述的直径可变的气管导管,其中:所述的内壁和外壁是高弹性材料。The aforementioned variable-diameter endotracheal tube, wherein: the inner wall and the outer wall are made of highly elastic materials.

上述的直径可变的气管导管,其中:所述的菱形多空腔管通路的出气口处设有气体阀门。The aforementioned variable-diameter endotracheal tube, wherein: the air outlet of the diamond-shaped multi-cavity tube passage is provided with an air valve.

上述的直径可变的气管导管,其中:所述的多空腔管通路的折叠面分隔成的各个空腔内部气体连通。In the aforementioned variable-diameter endotracheal tube, wherein: the cavities separated by the folded surfaces of the multi-cavity tube channel are in gas communication.

本实用新型由于采用了上述技术,使之与现有技术相比具有的积极效果是:本实用新型直径可变的气管导管通过改变气管导管的内、外径使气管导管插管更容易,减轻气道粘膜损伤,并降低术后通气的气道阻力,方便气道护理。Due to the adoption of the above-mentioned technology, the utility model has a positive effect compared with the prior art: the variable-diameter endotracheal tube of the utility model makes endotracheal tube intubation easier by changing the inner and outer diameters of the endotracheal tube, reducing Airway mucosal injury, and reduce the airway resistance of postoperative ventilation, to facilitate airway care.

附图说明Description of drawings

图1为本实用新型直径可变的气管导管充气前的横截面图。Fig. 1 is a cross-sectional view of the variable-diameter endotracheal tube of the present invention before inflation.

图2为本实用新型直径可变的气管导管充气后的横截面图。Fig. 2 is a cross-sectional view of the inflated endotracheal tube with variable diameter of the present invention.

具体实施方式Detailed ways

以下结合说明书附图对本实用新型的具体实施例进行具体说明。Specific embodiments of the present utility model are described in detail below in conjunction with the accompanying drawings.

请参见图1所示,一种直径可变的气管导管,包括内壁1、外壁2、位于内壁1和外壁2之间的中间夹层3和设置在中间夹层内的多空腔管通路4。中间夹层3为弹性空腔,其通过导管近端开口的小孔与外界相通。多空腔管通路4的横截面为多个相互衔接的菱形。多空腔管通路4的折叠面沿内壁1轴向布置。内壁1和外壁2是高弹性材料。多空腔管通路4出气口处设有气体阀门。多空腔管通路4的各个菱形空腔内的气体连通。由图1可以看出气管导管内外径较小,多空腔管通路3的菱形管腔闭合,折叠面相互靠近,此时对患者进行气管插管,不易造成气道粘膜损伤,并降低了插管难度。Please refer to FIG. 1 , a variable-diameter endotracheal tube includes an inner wall 1 , an outer wall 2 , an interlayer 3 between the inner wall 1 and the outer wall 2 , and a multi-lumen tube channel 4 disposed in the interlayer. The middle interlayer 3 is an elastic cavity, which communicates with the outside world through the small hole opened at the proximal end of the catheter. The cross-section of the multi-cavity tube passage 4 is a plurality of connected rhombuses. The folded surfaces of the multi-cavity tube passage 4 are arranged axially along the inner wall 1 . The inner wall 1 and the outer wall 2 are high elastic materials. A gas valve is arranged at the gas outlet of the multi-cavity tube channel 4 . The gas in each diamond-shaped cavity of the multi-cavity tube passage 4 communicates. It can be seen from Figure 1 that the inner and outer diameters of the endotracheal tube are small, the diamond-shaped lumen of the multi-cavity tube channel 3 is closed, and the folding surfaces are close to each other. At this time, the patient is intubated, which is not easy to cause airway mucosal damage, and reduces the risk of intubation. Regardless of difficulty.

请参见图2所示,充气后,多空腔管通路4的菱形管腔扩张,多空腔管通路4的折叠面相互远离,内壁1和外壁2的直径都增大。各菱形管腔之间以小孔相通,以保证在充气后各个空腔内的气体压力相同。菱形的边长在折叠机构伸缩前后基本是不变的。给患者插管成功后扩张导管内径,有利于减轻呼吸道阻力,方便气道护理。Please refer to FIG. 2 , after inflation, the diamond-shaped lumen of the multi-cavity tube passage 4 expands, the folded surfaces of the multi-cavity tube passage 4 move away from each other, and the diameters of the inner wall 1 and the outer wall 2 both increase. The diamond-shaped lumens communicate with each other through small holes to ensure that the gas pressure in each cavity is the same after inflation. The side length of the rhombus is basically constant before and after the folding mechanism stretches. After the patient is successfully intubated, the inner diameter of the catheter can be expanded to help reduce airway resistance and facilitate airway care.

如上所述的直径可变的气管导管的制造方法,包括以下步骤:The method for manufacturing a variable-diameter endotracheal tube as described above comprises the following steps:

步骤1:用两台挤出机用高弹性材料分别挤出内壁、外壁和中间夹层。Step 1: Use two extruders to extrude the inner wall, outer wall and middle interlayer with high elastic material respectively.

步骤2:通过复合机头将内壁、外壁和设置在中间夹层内的多空腔管通路4直接复合为气管导管。Step 2: The inner wall, the outer wall and the multi-cavity tube channel 4 arranged in the middle interlayer are directly compounded into an endotracheal tube through the compound handpiece.

步骤3:按照需要长度截取上述复合管,与两端接头连接。Step 3: Cut off the above-mentioned composite pipe according to the required length, and connect it with the joints at both ends.

初始状态时,气管导管内、外径较小,便于插入病人气管,可以降低插管难度,并减轻患者气道损伤;当导管插入以后,通过向导管内外壁之间的菱形多管腔管充气或注液,使导管内、外径同时增大,以减少呼吸道阻力。当需要拔除气管导管时,将管壁夹层中的气体或液体抽出,导管内、外径重新变小,再行拔出。In the initial state, the inner and outer diameters of the tracheal tube are small, which is convenient for insertion into the patient's trachea, which can reduce the difficulty of intubation and reduce the airway damage of the patient; Inject fluid to increase the inner and outer diameters of the catheter at the same time to reduce airway resistance. When the endotracheal tube needs to be pulled out, the gas or liquid in the interlayer of the tube wall is drawn out, the inner and outer diameters of the tube become smaller again, and then pulled out.

本实用新型内嵌多空腔菱形管式气管导管通过改变气管导管的内、外径使气管插管更加容易,减轻气道粘膜损伤,并有利于插管后降低气道阻力,方便气道护理。The multi-cavity diamond-shaped tube-type tracheal catheter embedded in the utility model makes tracheal intubation easier by changing the inner and outer diameters of the tracheal catheter, reduces airway mucosal damage, and is beneficial to reduce airway resistance after intubation and facilitates airway care. .

本实用新型的上述具体实施例仅为说明本实用新型技术方案之用,仅为本实用新型技术方案的列举,并不用于限制本实用新型的技术方案及其保护范围。采用等同技术手段对本实用新型的权利要求书及说明书所公开的技术方案的改进应当认为是没有超出本实用新型权利要求书及说明书所公开的范围。The above-mentioned specific embodiments of the utility model are only for illustrating the technical solution of the utility model, and are only enumerations of the technical solution of the utility model, and are not used to limit the technical solution of the utility model and its protection scope. The use of equivalent technical means to improve the technical solutions disclosed in the claims and description of the utility model shall not exceed the scope disclosed in the claims and description of the utility model.

Claims (7)

1. embedded many cavitys rhombus tubular type endotracheal tube, comprise inwall (1), outer wall (2) and be positioned at and inwall (1), outer wall (2) between intermediate course (3), it is characterized in that: also comprise the many cavitys pipe path (4) that is arranged in the intermediate course (3).
2. embedded many cavitys rhombus tubular type endotracheal tube as claimed in claim 1, it is characterized in that: the cross section of described many cavitys pipe path (4) is the rhombus of a plurality of mutual linkings.
3. embedded many cavitys rhombus tubular type endotracheal tube as claimed in claim 1, it is characterized in that: the fold plane of described many cavitys pipe path (4) is axial arranged along inwall (1).
4. embedded many cavitys rhombus tubular type endotracheal tube as claimed in claim 1 is characterized in that: described intermediate course (3) is that its aperture by the catheter proximal end opening communicates with the external world along the elastic cavity of the circumferencial direction of inwall (1).
5. embedded many cavitys rhombus tubular type endotracheal tube as claimed in claim 1, it is characterized in that: described inwall (1) and outer wall (2) are highly elastic materials.
6. embedded many cavitys rhombus tubular type endotracheal tube as claimed in claim 1 is characterized in that: the place, gas outlet of described many cavitys pipe path (4) is provided with gas valve.
7. embedded many cavitys rhombus tubular type endotracheal tube as claimed in claim 1 is characterized in that: each cavity inside gas communication of described many cavitys pipe path (4).
CN2010201583669U 2010-04-14 2010-04-14 An embedded multi-cavity diamond-shaped tube type endotracheal tube Expired - Lifetime CN201643301U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107412932A (en) * 2017-04-24 2017-12-01 肖志勇 The variable tracheal catheter of diameter
CN113289185A (en) * 2021-05-25 2021-08-24 河南中医药大学第一附属医院 Multifunctional trachea cannula

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107412932A (en) * 2017-04-24 2017-12-01 肖志勇 The variable tracheal catheter of diameter
CN107412932B (en) * 2017-04-24 2023-09-05 肖志勇 Tracheal catheter with variable diameter
CN113289185A (en) * 2021-05-25 2021-08-24 河南中医药大学第一附属医院 Multifunctional trachea cannula
CN113289185B (en) * 2021-05-25 2024-03-08 河南中医药大学第一附属医院 Multifunctional trachea cannula

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