CN203425066U - Overpressure resistant throatless continuous sounding device - Google Patents

Overpressure resistant throatless continuous sounding device Download PDF

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Publication number
CN203425066U
CN203425066U CN201320283641.3U CN201320283641U CN203425066U CN 203425066 U CN203425066 U CN 203425066U CN 201320283641 U CN201320283641 U CN 201320283641U CN 203425066 U CN203425066 U CN 203425066U
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China
Prior art keywords
sounding
larynx
matrix part
tone generator
outer tube
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Expired - Fee Related
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CN201320283641.3U
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Chinese (zh)
Inventor
陈晓红
刘仲德
时倩
王彤
藏洪瑞
李立锋
黄志刚
韩德民
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陈晓红
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Abstract

Provided is an overpressure resistant throatless continuous sounding device including a sounding base part. The tracheae side and the oesophagus side of the sounding base part are respectively provided with protruding dropping proofing flaps, the opening of the oesophagus side is provided with a unidirectional valve and the tracheae side is provided with a tongue piece, and the tube inner wall of the sounding base part is provided with a support body. The support body can increase the intensity of the sounding base part to improve the sounding power, so that the problem that because the tube wall of a conventional sounding device in the prior art is thin and soft, and air flow, after the tube wall is pressured, is unable to pass through to further result in sounding failure during breathholding sounding. A fistulization stoma bidirectional interchanging valve controls the turning direction of air flow, so that the complex operation for a patient to generate sound through manual tube blocking can be saved and the handheld-free continuous sounding can be completely realized through the cooperation with the sounding base part. The length of the dropping proofing flaps of the sounding device is increased, and the stability of the sounding base part is enhanced; moreover, an obtuse angle is arranged between the base part and the dropping proofing flaps to effectively prevent dropping off, the friction between the dropping proofing flaps and mucous membranes can be effectively reduced, and the formation of granulation surrounding the fistulization stoma can be reduced.

Description

Withstand voltage without the lasting tone generator of larynx
Technical field
This utility model relates to a kind of tone generator, specifically a kind of towards continuing tone generator without the withstand voltage of larynx patient without larynx.
Background technology
Laryngeal carcinoma is one of modal malignant tumor of head and neck surgery.For Advanced Laryngeal Carcinoma and Recurrent Laryngeal Carcinoma patient, total laryngectomy is one of common methods of laryngeal carcinoma radical cure.Because larynx is the phonatory organ that body weight for humans is wanted, after total laryngectomy, at cervical region, leave over circular fistulization oral, affect attractive in appearancely, also cause communication obstacle after operation in patients simultaneously, greatly affected patient's quality of life.
There are at present a lot of research and measure to attempt to recover patient's language function.The measure that conventional assistance occurs without larynx patient comprises: electronic larynx, pronunciation tube, per os sounding pipe.Electronic larynx is simple to operate, but cannot change audible frequency, and sounding is dull, just as robot sounding; Need manual electronic larynx simultaneously, cannot liberate both hands.While using per os tone generator, during patient's sounding, need to suck pronunciation tube end, while speaking, not only cannot liberate both hands, need training containing thing sounding simultaneously, the quality of pronunciation also receives discount greatly.At present, the most frequently used Blom Singer pronunciation tube in world wide, the sounding success rate being arranged on after China installs without larynx patient is 75~92%.After successful installation, can meet the basic communication of patient, but in application process, find that there is following problem: 1) at present external Blom singer silica gel pipeline coefficient of elasticity is little, when patient holds one's breath sounding, tube chamber easily subsides, and causes the Quality Down of sounding failure or sounding; 2) need manual control, because fistulization oral is open, cannot allow air-flow continue sounding.3) the attached wall of expectorant crust in official jargon, causes local infection, and air-flow cannot pass through, and not only causes pronunciation often after obstruction, cannot use, and reduces the service life of sounding pipe simultaneously.4) the current length 1~2mm of the anticreep lobe of sounding pipe pipe, pronunciation tube often comes off like this, simultaneously due to valve and sounding tube body rectangular, the wound surface that often rubs is hemorrhage, granulation is grown, and finally causes sounding pipe to use.
How to address the above problem, be the focus that those skilled in the art study easily and effectively.
Utility model content
It is good that the purpose of this utility model is to propose a kind of voice effect, avoids hand to continue the withstand voltage of pronunciation and continue tone generator without larynx.
To achieve these goals, this utility model adopts following technical scheme:
A kind of withstand voltage without the lasting tone generator of larynx, comprise pronunciation matrix part, this pronunciation matrix part trachea side and esophagus side are respectively provided with the anticreep lobe of protrusion, and esophagus side pipe mouth is provided with one-way valve, trachea side pipe mouth is also provided with interim for fixing tongue piece, and the inside pipe wall of described pronunciation matrix part is provided with supporter.
Described supporter is ring pipe.
Described ring pipe is rigid plastics or metal material ring pipe.
The protrusion anticreep lobe of described pronunciation matrix part esophagus side and trachea side and the angle of pronunciation between matrix part are greater than and/or equal 90 degree.
Described pronunciation matrix part is reduced gradually by the two ends mouth of pipe to pars intermedia diameter, to increase pars intermedia thickness, reaches withstand voltage effect.
Described pronunciation matrix part trachea side also comprises a two-way exchange valve, and this valve connects the tracheal stoma sleeve pipe in trachea side.
Described valve comprises inner and outer tubes; Described inner tube and described fistulization oral are telescopic joint, and described outer tube sleeve is located at outside this inner tube; Described outer tube free end is provided with at least one through hole and covers the one-way membrane lobe of this through hole.
Described outer tube wall is provided with at least one through hole, also comprises that an annular plate valve door pocket that can rotate around outer tube is located at this outer tube outer wall, and this annular valve is provided with the through hole mating with described hole size.
Between described outer tube and inner tube, by boss, blocking is connected with groove.
Described anticreep lobe is loop configuration, and its outside diameter is 5~17mm.
Described pronunciation matrix part inwall is made by smooth nanometer materials.
Without larynx, continue a tone generator valve, this valve and described pronunciation matrix part are used in conjunction with to realize and continue pronunciation, and described valve connects the tracheal stoma sleeve pipe of trachea side; Described valve comprises inner and outer tubes; Described inner tube and described fistulization oral are telescopic joint, and described outer tube sleeve is located at outside this inner tube; Described outer tube free end is provided with at least one through hole and covers the one-way membrane lobe of this through hole.Described outer tube wall is provided with at least one through hole, also comprises that an annular plate valve door pocket that can rotate around outer tube is located at this outer tube outer wall, and this annular valve is provided with the through hole mating with described hole size.Between described outer tube and inner tube, by boss, blocking is connected with groove.
Of the present utility model simple in structure, result of use is good.The design of supporter can increase pronunciation matrix part intensity, improves articulation power, can effectively solve tradition pronunciation because tube wall is thinner soft, and while holding one's breath sounding, after wall compression, air-flow cannot be by the pronunciation failure causing.The two-way exchange valve design of fistulization oral is controlled air-flow by valve and is turned to, exempt the complex operations of patient's hands plugging pronunciation, be used in conjunction with thoroughly to realize with pronunciation matrix part and exempt from the lasting pronunciation of hand, and having improved patient while taking a breath in prior art cannot normally continue the problem of sounding, can realize under eupnea and continue to pronounce.Extend tone generator anticreep lobe length, increase pronunciation matrix part stability, and be designed to obtuse angle between matrix part and anticreep lobe, effective anticreep, effectively reduces again the friction between anticreep lobe and mucosa, reduces the formation of fistulization oral week granulation.Matrix part inner membrance is smooth nano material, increases tube wall fineness, reduces expectorant crust and is paying and infection chance, extends tone generator utilization rate.
Accompanying drawing explanation
Fig. 1 is the structural representation of this utility model embodiment 1;
Fig. 2 is the structural representation of this utility model embodiment 2;
Fig. 3 is the structural representation of this utility model embodiment 3;
Fig. 4 is in this utility model, the structural representation of two-way exchange valve;
Fig. 5 is in this utility model, the plan structure schematic diagram of two-way exchange valve;
Fig. 6 is under the state of holding one's breath, articulatory configuration schematic diagram of the present utility model (arrow is airflow direction);
Fig. 7 is under pulmonary respiration state, articulatory configuration schematic diagram of the present utility model (arrow is airflow direction);
Fig. 8 is under free breathing state, articulatory configuration schematic diagram of the present utility model (arrow is airflow direction).
The specific embodiment
Embodiment 1
As shown in Figure 1, a kind of withstand voltage without the lasting tone generator of larynx, described tone generator comprises the pronunciation matrix part 1 of tubulose, this pronunciation matrix part 1 trachea side A and esophagus side B are respectively provided with the anticreep lobe 11 of protrusion, the mouth of pipe of esophagus side B is provided with one-way valve 12, the trachea side A mouth of pipe is also provided with tongue piece 2, and the inside pipe wall of pronunciation matrix part 1 is provided with supporter 13, the ring pipe that described supporter 13 rigid plastics are made.Angle between the protrusion anticreep lobe 11 of described pronunciation matrix part esophagus side B and trachea side A and pronunciation matrix part 1 equals 90 degree.
Embodiment 2
As shown in Figure 2, a kind of withstand voltage without the lasting tone generator of larynx, described tone generator comprises the pronunciation matrix part 1 of tubulose, this pronunciation matrix part 1 trachea side A and esophagus side B are respectively provided with the anticreep lobe 11 of protrusion, the mouth of pipe of esophagus side B is provided with one-way valve 12, the trachea side A mouth of pipe is also provided with tongue piece 2, and the inside pipe wall of pronunciation matrix part 1 is provided with supporter 13, and described supporter 13 is metal ring pipe.
Angle between the protrusion anticreep lobe 11 of described pronunciation matrix part esophagus side B and trachea side A and pronunciation matrix part 1 is greater than 90 degree.
Embodiment 3
As shown in Figure 3, a kind of withstand voltage without the lasting tone generator of larynx, described tone generator comprises the pronunciation matrix part 1 of tubulose, this pronunciation matrix part 1 trachea side A and esophagus side B are respectively provided with the anticreep lobe 11 of protrusion, the mouth of pipe of esophagus side B is provided with one-way valve 12, the trachea side A mouth of pipe is also provided with tongue piece 2, and the inside pipe wall of pronunciation matrix part 1 is provided with supporter 13, and described supporter 13 is metal ring pipe.
Described pronunciation matrix part 1 is reduced gradually by the two ends mouth of pipe to pars intermedia diameter, the arcuate structure that outer wall is indent.
Embodiment 4
As shown in Figure 4,5, a kind of withstand voltage without the lasting tone generator of larynx, described tone generator comprises the pronunciation matrix part 1 of tubulose, this pronunciation matrix part 1 trachea side A and esophagus side B are respectively provided with the anticreep lobe 11 of protrusion, the mouth of pipe of esophagus side B is provided with one-way valve 12, the trachea side A mouth of pipe is also provided with tongue piece 2, and the inside pipe wall of pronunciation matrix part 1 is provided with supporter 13, the ring pipe that described supporter 13 is made for rigid plastics.
Also comprise one with the two-way exchange valve 3 that is used in conjunction with of pronunciation matrix part, this valve 3 connects fistulization oral sleeve pipes 4, described tongue piece 2 is connected with described fistulization oral sleeve pipe 4.Described valve 3 comprises inner tube 31 and outer tube 32; Described inner tube 31 is connected with described fistulization oral sleeve pipe 4, and described outer tube 32 is sheathed on outside this inner tube; Described outer tube 32 free ends are provided with some through holes 33 and cover the one-way membrane lobe 34 of this through hole 33.
Described outer tube 32 sidewalls are provided with some through holes 35, also comprise that one can be sheathed on this outer tube 32 outer walls around the annular valve 36 of outer tube 32 rotations, and this annular valve 36 is provided with the through hole 37 mating with described through hole 35 sizes.
Between described outer tube 32 and inner tube 31, by boss, blocking is connected with groove.
Described pronunciation matrix part 1 inwall is made by smooth nanometer materials.
Embodiment 5
A kind of withstand voltage without the lasting tone generator of larynx, described tone generator comprises the pronunciation matrix part 1 of tubulose, this pronunciation matrix part 1 trachea side A and esophagus side B are respectively provided with the anticreep lobe 11 of protrusion, the mouth of pipe of esophagus side B is provided with one-way valve 12, the trachea side A mouth of pipe is also provided with tongue piece 2, the inside pipe wall of pronunciation matrix part 1 is provided with supporter 13, the ring pipe that described supporter 13 is made for rigid plastics.
Angle between the protrusion anticreep lobe 11 of described pronunciation matrix part 1 esophagus side B and trachea side A and pronunciation matrix part 1 is greater than 90 degree.
Also comprise a two-way exchange valve 3, this valve 3 connects trachea side tracheal stoma sleeve pipe 4, and described tongue piece 2 is connected with described fistulization oral sleeve pipe 4.Described valve 3 comprises inner tube 31 and outer tube 32; Described inner tube 31 is connected with described fistulization oral sleeve pipe 4, and described outer tube 32 is sheathed on outside this inner tube; Described outer tube 32 free ends are provided with some through holes 33 and cover the one-way membrane lobe 34 of this through hole 33.
Described outer tube 32 sidewalls are provided with some through holes 35, also comprise that one can be sheathed on this outer tube 32 outer walls around the annular valve 36 of outer tube 32 rotations, and this annular valve 36 is provided with the through hole 37 mating with described through hole 35 sizes.
Between described outer tube 32 and inner tube 31, by boss, blocking is connected with groove.
Described pronunciation matrix part 1 inwall is made by smooth nanometer materials.
Embodiment 6
A kind of withstand voltage without the lasting tone generator of larynx, described tone generator comprises the pronunciation matrix part 1 of tubulose, this pronunciation matrix part 1 trachea side A and esophagus side B are respectively provided with the anticreep lobe 11 of protrusion, the mouth of pipe of esophagus side B is provided with one-way valve 12, the trachea side A mouth of pipe is also provided with tongue piece 2, the inside pipe wall of pronunciation matrix part 1 is provided with supporter 13, the ring pipe that described supporter 13 is made for rigid plastics.
Described pronunciation matrix part 1 is reduced gradually by the two ends mouth of pipe to pars intermedia diameter, is arcuate structure.
Comprise a two-way exchange valve 3, this valve 3 connects fistulization oral sleeve pipe 4, and described tongue piece 2 is connected with described fistulization oral sleeve pipe 4.Described valve 3 comprises inner tube 31 and outer tube 32; Described inner tube 31 is connected with described fistulization oral sleeve pipe 4, and described outer tube 32 is sheathed on outside this inner tube; Described outer tube 32 free ends are provided with some through holes 33 and cover the one-way membrane lobe 34 of this through hole 33.
Described outer tube 32 sidewalls are provided with some through holes 35, also comprise that one can be sheathed on this outer tube 32 outer walls around the annular valve 36 of outer tube 32 rotations, and this annular valve 36 is provided with the through hole 37 mating with described through hole 35 sizes.
Between described outer tube 32 and inner tube 31, by boss, blocking is connected with groove.
Described pronunciation matrix part inwall is made by smooth nanometer materials.
Embodiment 7
One two-way exchange valve 3, the pronunciation matrix part 1 of this valve and tubulose is used in conjunction with to realize and continues pronunciation.This valve 3 connects fistulization oral sleeve pipe 4, and described tongue piece 2 is connected with described fistulization oral sleeve pipe 4.Described valve 3 comprises inner tube 31 and outer tube 32; Described inner tube 31 is connected with described fistulization oral sleeve pipe 4, and described outer tube 32 is sheathed on outside this inner tube; Described outer tube 32 free ends are provided with some through holes 33 and cover the one-way membrane lobe 34 of this through hole 33.
Described outer tube 32 sidewalls are provided with some through holes 35, also comprise that one can be sheathed on this outer tube 32 outer walls around the annular valve 36 of outer tube 32 rotations, and this annular valve 36 is provided with the through hole 37 mating with described through hole 35 sizes.
Between described outer tube 32 and inner tube 31, by boss, blocking is connected with groove.
Tongue piece is wiped out for one week after operation, and postoperative surrounding starts to lay tracheal stoma sleeve pipe 4.As shown in Figure 6, patient uses this utility model to pronounce under the state of holding one's breath, and rotary annular valve 36 makes its through hole 37 and outer tube 32 through holes 35 not at same position, and through hole 35 is closure state.Extraneous air is entered in body by outward appearance 32 free end through holes 33, and the one-way membrane lobe 34 that now covers this through hole 33 is opened, and then by pronunciation matrix part 1, enters esophagus, without the stifled fistulization oral of hands, can realize under the state of holding one's breath and continue to pronounce.
As shown in Figure 7, patient uses this utility model to pronounce under pulmonary respiration state, because one-way membrane lobe 34 is one-way cock, air-flow can not pass through hole 33, due to the shelves of tongue piece only, air-flow enters pronunciation matrix part 1 by trachea and enters esophagus through the one-way valve 12 of the mouth of pipe of its esophagus side B, can realize and under pulmonary respiration state, continue pronunciation.
As shown in Figure 8, patient uses this utility model to pronounce under free breathing state, rotary annular valve 36, make its through hole 37 and outer tube 32 through holes 35 at same position, be that through hole 35 is open state, extraneous air-flow enters human body by through hole 37,35, now air is easy to enter in body, therefore one-way membrane lobe 34 is closure state, due to the shelves of tongue piece only, air-flow enters pronunciation matrix part 1 by trachea and enters esophagus through the one-way valve 12 of the mouth of pipe of its esophagus side B, can realize without continuing to pronounce under the stifled free breathing state of fistulization oral of hands.

Claims (10)

1. withstand voltagely without larynx, continue a tone generator, comprise pronunciation matrix part, the trachea side of this pronunciation matrix part and esophagus side are respectively provided with the anticreep lobe of protrusion, esophagus side pipe mouth is provided with one-way valve, trachea side pipe mouth is also provided with tongue piece, it is characterized in that, the inside pipe wall of described pronunciation matrix part is provided with supporter.
2. as claimed in claim 1ly withstand voltagely without larynx, continue tone generator, it is characterized in that, described supporter is ring pipe.
3. as claimed in claim 2ly withstand voltagely without larynx, continue tone generator, it is characterized in that, described ring pipe is rigid plastics or metal material ring pipe.
4. as claimed in claim 1ly withstand voltagely without larynx, continue tone generator, it is characterized in that, the protrusion anticreep lobe of described pronunciation matrix part esophagus side and trachea side is greater than with the angle of pronouncing between matrix part and/or equals 90 degree.
5. withstand voltage as described in any one in claim 1 to 4 continues tone generator without larynx, it is characterized in that, described pronunciation matrix part is reduced gradually by the two ends mouth of pipe to pars intermedia diameter.
6. withstand voltage as described in any one in claim 1 to 4 continues tone generator without larynx, it is characterized in that, described pronunciation matrix part trachea side also comprises a two-way exchange valve, and this two-way exchange valve connects the tracheal stoma sleeve pipe of trachea side.
7. as claimed in claim 6ly withstand voltagely without larynx, continue tone generator, it is characterized in that, described two-way exchange valve comprises inner and outer tubes; Described inner tube and described fistulization oral are telescopic joint, and described outer tube sleeve is located at outside this inner tube; Described outer tube free end is provided with at least one through hole and covers the one-way membrane lobe of this through hole.
8. as claimed in claim 7 withstand voltage without the lasting tone generator of larynx, it is characterized in that, described outer tube wall is provided with at least one through hole, also comprises that an annular plate valve door pocket that can rotate around outer tube is located at this outer tube outer wall, and this annular valve is provided with the through hole mating with described hole size.
9. as claimed in claim 8ly withstand voltagely without larynx, continue tone generator, it is characterized in that, between described outer tube and inner tube, by boss, blocking is connected with groove.
10. withstand voltage as described in any one in claim 1 to 4 continues tone generator without larynx, it is characterized in that, described anticreep lobe is loop configuration, and its outside diameter is 5~17mm.
CN201320283641.3U 2013-05-22 2013-05-22 Overpressure resistant throatless continuous sounding device Expired - Fee Related CN203425066U (en)

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Application Number Priority Date Filing Date Title
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Related Child Applications (1)

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CN201320727716.2U Division CN203677316U (en) 2013-05-22 2013-05-22 Pressure-resistant non-throat continuous sounder valve

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108430385A (en) * 2015-10-19 2018-08-21 拉奥·维沙尔·尤齐拉·晒舍儿 Trachealgia voice prostheses device
CN111012547A (en) * 2020-01-19 2020-04-17 安徽奥弗医疗设备科技股份有限公司 Throat-free sounder
CN115590658A (en) * 2022-12-15 2023-01-13 首都医科大学附属北京同仁医院(Cn) Artificial larynx system and control method

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108430385A (en) * 2015-10-19 2018-08-21 拉奥·维沙尔·尤齐拉·晒舍儿 Trachealgia voice prostheses device
CN111012547A (en) * 2020-01-19 2020-04-17 安徽奥弗医疗设备科技股份有限公司 Throat-free sounder
CN115590658A (en) * 2022-12-15 2023-01-13 首都医科大学附属北京同仁医院(Cn) Artificial larynx system and control method

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C14 Grant of patent or utility model
GR01 Patent grant
CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20140212

Termination date: 20160522