CN202590111U

CN202590111U - Double-balloon injection-reinforced tracheotomy tube

Info

Publication number: CN202590111U
Application number: CN2012202303768U
Authority: CN
Inventors: 陈宁; 余剑波
Original assignee: Individual
Current assignee: Individual
Priority date: 2012-05-21
Filing date: 2012-05-21
Publication date: 2012-12-12
Anticipated expiration: 2022-05-21

Abstract

The utility model discloses a double-balloon injection-reinforced tracheotomy tube which comprises a tube body which is axially upwards bent, wherein an inner annular tube core is arranged in the tube body, the upper part of the tube body is provided with a standard connector of a breathing machine, and a flexible fixing band, and a tube segment part which extends into the trachea of a patient is provided with a spiral reinforced steel wire; a sleeving balloon is sleeved on the lower part of the tube body, the sleeving balloon is a double-layered sleeving balloon, the double-layered sleeving balloon comprises an inner inflation sleeving balloon and an outer inflation sleeving balloon which are independent with each other, a first inflation channel, a second inflation channel and an injection channel are embedded in the wall of the tube body, the top ends of both the first inflation channel and the second inflation channel are respectively connected with an air tube, a small display balloon and an air injection port, the bottom of the first inflation channel is connected to the inner inflation sleeving balloon, and the bottom end of the second inflation channel is connected to the outer inflation sleeving balloon; and the top end of an injection tube is connected with an injection catheter and an injection port, and the bottom end of the injection tube is provided with a medicine discharge port which is communicated with the trachea. The double-balloon injection-reinforced tracheotomy tube has a scientific design, a simple structure, economy and practicability, and is suitable for being popularized and used.

Description

The reinforced tracheostomy tube of two capsule injections

Technical field

This utility model relates to a kind of medical apparatus that is used for bronchotomu, relates in particular to a kind of tracheostomy tube.

Background technology

The tracheostomy tube confession is clinical sets up the artificial airway between patient and anesthetic machine.When patient's state of an illness heavier; Implement that tracheal intubation is rescued or major surgery in implement the breathing management after the general anesthesia tracheal intubation because the state of an illness needs, patient can not autonomous respiration; And need the long period to carry out the ICU and the ward of mechanical ventilation, all give patient and implement tracheotomy.Insert special-purpose tracheostomy tube at cutting section then.Tracheotomy also is usually used in dyspnea patient and the difficult tracheal intubation patient that tumor colli surgical patient, laryngeal spasm patient's first aid and a variety of causes cause.For the art formula of performing the operation needs, rescues life, keep respiratory passage unblocked to adopt bronchotomu more, insert special-purpose tracheostomy tube then.This bronchotomu mainly is to say from differences in patient patient is kept breathing the unobstructed very benefit of advantage that has.

If simple mouth, the nose of leaning on inserts endotracheal tube, because conduit must pass through glottis and just can reach trachea portion.This forms a kind of long-time stimulus to highstrung glottis position, causes patient to choke and coughs, psychentonia; Time one, laryngeal edema and pulmonary lesion took place in long being prone to, and as just giving heavy dose of tranquilizer or medicine of flaccid muscles for preventing that patient from choking to cough, did not remove patient's stress; Such short term therapy still is feasible, and long-term treatment, patient can not autonomous respiration be prone to produce pulmonary infection; Widely apply medicine, patient's liver, kidney and brain all are prone to take place complication.For this reason, the doctor selects to carry out tracheotomy according to patient, reduces the generation of above-mentioned situation.

The existing tracheostomy tube that uses is monosaccate, and the doctor is in inserting the conduit operation, and air bag collides the trachea cyclic rings; Air bag very easily breaks, the tracheostomy tube that in a single day air bag breaks and just must more renew, and the patient who has is because organizational structure is harder; Cervical region is short and thick; Usually change several, cause less patient suffering, the doctor acts hurriedly in a messy situation and the damage of patient's economy.Long-term compressing also is prone to local organization is caused ischemia, necrosis and infection the monosaccate tracheostomy tube in the part.And double-layer air bag can be used alternatingly, and when interior air bag used, outer air bag also had a kind of buffering and cushion effect can reduce aforesaid drawback like this.Simultaneously, old autogenous cutting intubate is that list is used plastics, is easy to give a discount, and causes respiratory resistance to increase.The front end of tracheostomy tube of the prior art does not have medicine-pouring port, can not injection in trachea, this to the more patient of secretions with need give emergency treatment to a patient no benefit.

The utility model content

To above-mentioned prior art, this utility model provides a kind of pair of reinforced tracheostomy tube of capsule injection.Cover capsule wherein is inside and outside double-layer air bag, and can inject medicine, stretches into the spiral helicine successive reinforcement steel wire that is added with anti-folding on the inner pipeline section of patient's trachea at all.This utility model tracheostomy tube design science, simple in structure, economical and practical is adapted at each system of section of hospital and promotes the use of.

In order to solve the problems of the technologies described above; The technical scheme that the two reinforced tracheostomy tubes of capsule injection of this utility model are achieved is: comprise the pipe shaft of axially going up curved design; Be provided with the inner sleeve core in the said pipe shaft; The top of said pipe shaft is provided with respirator modular connection and flexible fixing band, and said pipe shaft partly is provided with spiral helicine reinforcement steel wire at the pipeline section that stretches into patient's trachea inside; The bottom of said pipe shaft is set with a cover capsule; Said cover capsule is the double braid covering capsule; Said double braid covering capsule comprises separate interior inflatable cuff and outer inflatable cuff; The tube wall of said pipe shaft is embedded with first aerating pipe, second aerating pipe and injection pipeline, and wherein, the top of said first aerating pipe and second aerating pipe is connected with appendix respectively and shows folliculus and gas injection port; The bottom of said first aerating pipe is connected to said interior inflatable cuff, and the bottom of said second aerating pipe is connected to said outer inflatable cuff; The top of said injection pipeline is connected with injection catheter and medicine-pouring port, and the bottom of said injection pipeline is provided with the medicine outlet that is communicated with trachea.

The two reinforced tracheostomy tubes of capsule injection of this utility model, wherein, flexible fixing band is passed on the top of said injection pipeline.The insertion end that is positioned at said inner sleeve core bottom is a conical design, and its end face is slick cambered surface.The top of said inner sleeve core is provided with the tube core block.Combine through the paste section between said cover capsule and the pipe shaft.The outside dimension of pipe shaft bottom progressively reduces from top to bottom.

Compared with prior art, the beneficial effect of this utility model is:

Owing to be set with a two-layer separate cover capsule on the pipe shaft of this utility model tracheostomy tube; Not only can alternative two air bags be inflated; In order to avoid continue keep a kind of pressure, cause local edema, ischemia or the damage of trachea and form the problem of cicatricial stricture.Use the double braid covering capsule simultaneously, inject a spot of saline outside in the inflatable cuff, play the effect of local cooling.This utility model tracheostomy tube can also effectively reduce needs to plug the operation of intubate owing to monosaccate breaks, and has alleviated patient's misery.

Description of drawings

Fig. 1 is the organigram of the two reinforced tracheostomy tubes of capsule injection of this utility model;

Fig. 2 is the enlarged drawing of position profile shown in the A-A among Fig. 1.

Among the figure:

1,1 '-demonstration folliculus 2,2 '-appendix

The modular connection of 3-tube core block 4-respirator

The flexible fixing band of 5-inner sleeve core 6-

7-pipe shaft 8-medicine-pouring port

9-injection catheter 10-cast steel wire

Inflatable cuff in the 12-of 11-paste section

The outer inflatable cuff 14-medicine outlet of 13-

15-insertion end 21-first aerating pipe

21 '-the second aerating pipe 71-tube wall

91-injection pipeline

The specific embodiment

Below in conjunction with the specific embodiment this utility model is done to describe in further detail.

As shown in Figure 1; The two reinforced tracheostomy tubes of capsule injection of this utility model; Comprise the pipe shaft 7 of axially going up curved design, be provided with inner sleeve core 5 in the said pipe shaft 7, the top of said inner sleeve core 5 is provided with tube core block 3; The insertion end 15 that is positioned at said inner sleeve core 5 bottoms is conical design, and its end face is slick cambered surface.The top of said pipe shaft 7 is provided with respirator modular connection 4 and flexible fixing band 6, and the bottom of said pipe shaft 7 is set with a cover capsule, it is characterized in that said pipe shaft 7 partly is provided with spiral helicine successive reinforcement steel wire 10 at the pipeline section that stretches into patient's trachea inside; Said cover capsule is the double braid covering capsule, and said double braid covering capsule comprises separate interior inflatable cuff 12 and outer inflatable cuff 13, combines through the paste section between said cover capsule and the pipe shaft 7; As shown in Figure 2; The tube wall of said pipe shaft 7 is embedded with first aerating pipe 21, second aerating pipe 21 ' and injection pipeline 91; Wherein, The top of said first aerating pipe 21 and second aerating pipe 21 ' be connected with respectively appendix 2,2 ' with show folliculus 1,1 ', the bottom of said first aerating pipe 21 be connected to said in inflatable cuff 12, the bottom of said second aerating pipe 21 ' is connected to said outer inflatable cuff 13; The top of said injection pipeline 91 is connected with injection catheter 9 and medicine-pouring port 8; Flexible fixing band 6 is passed on the top of said injection pipeline 91; The bottom of said injection pipeline 91 is provided with the medicine outlet 14 that is communicated with trachea, and the outside dimension of pipe shaft 7 bottoms progressively reduces from top to bottom.

The method for using of this utility model tracheostomy tube:

After the doctor accomplishes the operation of bronchotomu patient trauma position; Select the reinforced tracheostomy tube of two capsule injections of suitable bore according to patient's trachea caliber thickness; And will have anti-folding and strengthen pipe shaft 7 parts of cast steel wire and insert the patient's trachea appropriate depth, trachea gas leakage degree connects the gas injection port with one of them inflatable cuff, narration for ease with syringe when giving patient respiration; To connect outer inflatable cuff earlier is example; Promptly be connected with the gas injection port that shows folliculus 1 top, gas be injected in the outer inflatable cuff 13, outer inflatable cuff 13 is expanded through first aerating pipe 21 in appendix 2 and the tube wall with syringe.At this moment, show that folliculus 1 also expands, represent outer inflatable cuff 13 nothing gas leakage.

Insert in front in the operation of pipe shaft 7; The smooth first fixed tracheostomy tube front end that do not surpass of inner sleeve core insertion end 15; In case hard inner sleeve core damage tracheal wall; When slowly pushing pipe shaft 7, there is the syringe of local anaesthesia anaesthetic to be connected medicine-pouring port 8 places extraction, advance the syringe limit that local anesthetic is sprayed at local anesthetic on the tracheal wall through the medicine outlet of injection pipeline 91 bottoms 14 through injection catheter 9 and injection pipeline 91 limits in the tube wall.When pipe shaft 7 is put into appropriate depth, after promptly the sweep of pipe shaft bottom puts in place, can hands pinch tube core block 3 inner sleeve core 5 is extracted from pipe shaft 7, breathe through connecting respirator modular connection 4.Simultaneously, with flexible fixing band 6 intubate is fixed in patient's cervical region.

After patient is with pipe; The doctor can insert the time length of tracheostomy tube according to patient; Alternately utilize two gas injection ports that are connected with interior inflatable cuff 12 with outer inflatable cuff 13; Every separated some hrs is that corresponding

inflatable cuff

13 or 12 expands through injecting gas in first aerating pipe 21 or second aerating pipe, 21 ' respectively outside inflatable cuff 13 and the interior inflatable cuff 12, and its degree of inflation shows with fullness degree that it shows folliculus 1 or 1 ' accordingly.Occur easily because lasting local compression under a kind of pressure causes the problem of the local edema of trachea, ischemia or damage formation cicatricial stricture when so alternately the monosaccate intubate has been avoided using in the prior art in inflation.Use the pressure that not only can alleviate air bag in the time of two capsule, in case one therein (outer or interior) cover capsule goes out item when breaking, another one cover capsule still can guarantee the use of intubate, and need not to plug once more intubate.Certainly, also can be under the situation of interior inflatable cuff 12 gas injections, a spot of saline of inflatable cuff 13 interior injections outside plays the effect of local cooling simultaneously.Medicine outlet 14 in this utility model intubate not only passes through to inject local anesthetic in the intubate process; To alleviate patient's misery; But also can guarantee in trachea, to give the patient's antibiotic or the medicine etc. that reduces phlegm, and increased route of administration, can reduce patient's complication.

Although top combination figure is described this utility model; But this utility model is not limited to the above-mentioned specific embodiment, and the above-mentioned specific embodiment only is schematically, rather than restrictive; Those of ordinary skill in the art is under the enlightenment of this utility model; Under the situation that does not break away from this utility model aim, can also make a lot of distortion, these all belong within the protection of this utility model.

Claims

1. two reinforced tracheostomy tube of capsule injection; Comprise the pipe shaft (7) of axially going up curved design, be provided with inner sleeve core (5) in the said pipe shaft (7), the top of said pipe shaft (7) is provided with respirator modular connection (4) and flexible fixing band (6); The bottom of said pipe shaft (7) is set with a cover capsule; It is characterized in that said pipe shaft (7) partly is provided with spiral helicine reinforcement steel wire (10) at the pipeline section that stretches into patient's trachea inside; Said cover capsule is the double braid covering capsule; Said double braid covering capsule comprises separate interior inflatable cuff (12) and outer inflatable cuff (13); The tube wall of said pipe shaft (7) is embedded with first aerating pipe (21), second aerating pipe (21 ') and injection pipeline (91); Wherein, The top of said first aerating pipe (21) and second aerating pipe (21 ') is connected with appendix respectively and shows folliculus and gas injection port, and the bottom of said first aerating pipe (21) is connected to said interior inflatable cuff (12), and the bottom of said second aerating pipe (21 ') is connected to said outer inflatable cuff (13); The top of said injection pipeline (91) is connected with injection catheter (9) and medicine-pouring port (8), and the bottom of said injection pipeline (91) is provided with the medicine outlet (14) that is communicated with trachea.

2. the according to claim 1 pair of reinforced tracheostomy tube of capsule injection is characterized in that flexible fixing band (6) is passed on the top of said injection pipeline (91).

3. the according to claim 1 pair of reinforced tracheostomy tube of capsule injection is characterized in that, the insertion end that is positioned at said inner sleeve core (5) bottom is a conical design, and its end face is slick cambered surface.

4. the according to claim 1 pair of reinforced tracheostomy tube of capsule injection is characterized in that, the top of said inner sleeve core (5) is provided with tube core block (3).

5. the according to claim 1 pair of reinforced tracheostomy tube of capsule injection is characterized in that, combines through the paste section between said cover capsule and the pipe shaft (7).

6. the according to claim 1 pair of reinforced tracheostomy tube of capsule injection is characterized in that, the outside dimension of pipe shaft (7) bottom progressively reduces from top to bottom.