CN204619069U - A kind of respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia - Google Patents

A kind of respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia Download PDF

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Publication number
CN204619069U
CN204619069U CN201520105525.1U CN201520105525U CN204619069U CN 204619069 U CN204619069 U CN 204619069U CN 201520105525 U CN201520105525 U CN 201520105525U CN 204619069 U CN204619069 U CN 204619069U
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gas
tube
intubate body
nebulizer
tracheal intubation
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Expired - Fee Related
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CN201520105525.1U
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Chinese (zh)
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庄立
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Abstract

This utility model belongs to respirator field, and the respirator solving prior art easily causes the problem of mechanical ventilationassociatepneumonia pneumonia.This utility model comprises source of the gas assembly, gas cleanup component, nebulizer, exhaust tube, suction nozzle, separator tube, tracheal intubation and Control Component.Tracheal intubation comprises intubate body, is positioned at intubate body one end and the union joint be connected with separator tube and the cuff being sheathed on the intubate body other end, be embedded in intubate body and be connected with liquid injection pipe, gas tube and discharging tube, gas tube is connected with cuff, and liquid injection pipe and discharging tube lay respectively at intubate body both sides.This utility model is purified passing into gas by gas cleanup component, sterilizing, humidification and heating is carried out to passing into gas by nebulizer, by the liquid injection pipe of tracheal intubation and discharging tube, cuff is cleaned, on the one hand, effectively can prevent mechanical ventilationassociatepneumonia pneumonia, on the other hand, avoid frequently changing tracheal intubation, alleviate patient's economic pressures.

Description

A kind of respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia
Technical field
This utility model belongs to respirator field, is specifically related to a kind of respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia.
Background technology
Respirator is that a kind of normal physiological that can replace, control or change people is breathed, and increases pulmonary ventilation volume, improves respiratory function, alleviate work of breathing consumption, save the device of heart reservation ability.
For the patient be in a bad way, need mechanical ventilation, namely respirator by tracheal intubation to patient's air feed.In the process, on the one hand, patient declines because disease itself causes Abwehrkraft des Koepers, cough, swallowing reflex weakens or disappears, various Interventional intubate, as the use of tracheal intubation, stomach tube, tube for transfusion and the infection etc. of medical personnel's hands easily cause various bacterial virus to enter in patient body, causes respiratory tract infection; On the other hand, adopt this mechanical ventilation person of respirator, suction sputum probability is higher, easily causes tracheal mucosa to damage, and increases the chance of respiratory tract infection; The third aspect, the gas that respirator passes into is drier, patient airway humidifying not and the respiratory mucosa that causes such as leptochymia dry, sputum is sticky, can not expectoration or sucking-off; Fourth aspect, Neulized inhalation is improper, atomising device and breathing machine pipeline sterilization not thorough or contaminatedly to carry disease germs, thus produce a large amount of gasoloids of carrying disease germs, they are deposited on capillary bronchus and the alveolar of pulmonary, and cause infecting.Due to above-mentioned four reasons, patient very easily suffers from Ventilator Associated Pneumonia (Ventilator associated pneumonia, VAP), and VAP refers to the pneumonia that mechanical ventilation (MV) occurred in 48 hours after 48 hours to tube drawing.VAP is one of complication common and serious in mechanical ventilation, and patient is once VAP occurs, then easily cause off line difficulty, thus extend the hospital stays, increase hospitalization cost, severe patient even threatens patient vitals, causes death.
For preventing the generation of mechanical ventilationassociatepneumonia pneumonia, prior art adopts the way often changing respirator tracheal intubation, but on the one hand, scientific research shows, this can not prevent the generation of VAP, the contamination rate of suction gas or the incidence rate of pneumonia frequent change pipeline time all obviously increase, just replacing when only having blood, vomitus and purulent secretion to pollute in breathing machine pipeline, the situation that patient can be made like this to be exposed under infection microgranule narrows down to minimum level.On the other hand, tracheal intubation is expensive, and frequent replacing can strengthen the economic pressures of patient.
Utility model content
Based on this, be necessary to provide one effectively can prevent mechanical ventilationassociatepneumonia pneumonia, and can alleviate patient's economic pressures can prevent mechanical ventilationassociatepneumonia pneumonia respirator system.
The purpose of this utility model realizes by following technical proposal: a kind of respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia, comprises the source of the gas assembly, gas cleanup component, nebulizer, exhaust tube, suction nozzle, separator tube, tracheal intubation and the Control Component that are connected successively by pipeline; Described source of the gas assembly is connected with described gas cleanup component by the first aspirating pipeline, described gas cleanup component is connected with described nebulizer by the second aspirating pipeline, described nebulizer is connected with suction nozzle with exhaust tube by tee T, described exhaust tube is connected with one end of separator tube with suction nozzle simultaneously, and the other end of described separator tube is connected with tracheal intubation; Described gas cleanup component comprises filter course and sterilizing layer; Described nebulizer comprises pond, and in be provided with heating tube, in described pond throw be provided with antibacterials; Described tracheal intubation comprises intubate body, is positioned at intubate body one end and the union joint be connected with separator tube and the cuff being sheathed on the intubate body other end, be embedded in described intubate body and be connected with liquid injection pipe, gas tube and discharging tube, described gas tube is connected with cuff, and described liquid injection pipe and discharging tube lay respectively at intubate body both sides.
Being improved to further technique scheme, described source of the gas assembly is comprised air tank, oxygen tank, is connected and forms two pneumatic proportional valve of twin respectively with described air tank and oxygen tank by supply air line, and described pneumatic proportional valve is connected with described gas cleanup component by the first aspirating pipeline.
Being improved to further technique scheme, described Control Component comprise be arranged at two pressure regulator valves on described supply air line and two pressure alarms, the humidity sensor being connected to described nebulizer, the heating tube be arranged in described nebulizer, be arranged at the relief valve between described atomizer exit end and tee T, the outlet valve between described tee T and exhaust tube, inlet valve between described tee T and suction nozzle, be positioned at described gas tube inflation end instruction sacculus, provide the power supply of electric energy for each assembly.
Being improved to further technique scheme, described filter course comprises prefiltering net, formaldehyde drainage screen, activated charcoal strainer and HEPA drainage screen.
Being improved to further technique scheme, described outlet valve and inlet valve are electromagnetic proportional valve.
Being improved to further technique scheme, is provided with sealing ring between described cuff and intubate body.
Being improved to further technique scheme, described intubate body is carved with scale.
The beneficial effects of the utility model are:
1, this utility model can prevent mechanical ventilationassociatepneumonia pneumonia, be embodied in: on the one hand, set up gas cleanup component, the organic gas such as dust, benzene class, phenols, alcohols, aldehydes that passes in gas and foul gas, all kinds of gas containing micro heavy and antibacterial, virus etc. is removed by filter course and sterilizing layer, ensure that the cleaning gas that patient sucks is healthy, pollutant are avoided to cause patient lungs to infect, prevention mechanical ventilationassociatepneumonia pneumonia; Second aspect, sets up nebulizer and carries out humidification to passing into gas, avoid patient airway humidifying not and the respiratory mucosa that causes such as leptochymia dry, sputum is sticky, can not expectoration or sucking-off, prevention mechanical ventilationassociatepneumonia pneumonia; The third aspect, throw in nebulizer and be provided with antibacterials, patient's Neulized inhalation antibacterials can make respiratory tract local reach higher drug level, little to systemic effects, and the pulmonary infection that respirator sterilization does not thoroughly cause can be avoided, prevention mechanical ventilationassociatepneumonia pneumonia; Fourth aspect, heater heats passing into gas, and the gas temperature preventing patient from sucking is lower and stimulate patient airway, reduces pulmonary's pressure, prevention mechanical ventilationassociatepneumonia pneumonia; 5th aspect, be embedded in the intubate body of tracheal intubation and be connected with liquid injection pipe, gas tube and discharging tube, by to liquid injection pipe saline injection, can dilute, rinse the secretions be trapped in cuff, secretions after flushing is discharged by the discharging tube on cannula body, by removing retentate in cuff in time, can prevent mechanical ventilationassociatepneumonia pneumonia, can avoid frequently changing tracheal intubation simultaneously, alleviate patient's economic pressures.
2, because different patient is different to oxygen concentration demand, as the patient to respiratory failure, need to suck air, to anoxia patient, need to suck certain density oxygen etc., source of the gas assembly of the present utility model can carry out accurate proportioning to oxygen and air by pneumatic proportional valve, and distribution precision is high, error is little, to better meet the demand of different patient.
3, filter course comprises prefiltering net, formaldehyde drainage screen, activated charcoal strainer and HEPA drainage screen, the modular design of multiple filter course and sterilizing layer is new reasonable, all can remove harmful gas various in air, granule, formaldehyde, benzene, VOC, antibacterial etc., pass into gas better to purify, prevent mechanical ventilationassociatepneumonia pneumonia further.
4, outlet valve and inlet valve are electromagnetic proportional valve, in magnetic field, the opening and closing that electromagnetic force controls valve plate are produced by electrified wire, when inspiratory phase, outlet valve cuts out automatically, inlet valve opens automatically, and when exhaling, outlet valve is opened automatically, inlet valve cuts out automatically, and electromagnetic proportional valve resistance is less, unobstructed exhalation passages can be provided for patient, on the other hand, gas circuit provides a constant malleation, makes in the whole breathing cycle, air flue remains on malleation level, is more conducive to the carrying out breathed.
5, be provided with sealing ring between cuff and intubate body, with airtight air flue, avoid inhaling, the safety that better ensures respiration is carried out by mistake.
6, gas tube inflation end is provided with instruction sacculus, and the gas pressure to tracheal intubation after instruction sleeve bag gas-filling, avoids pressure excessive and damage air flue.
Accompanying drawing explanation
Fig. 1 is a kind of structural representation that can prevent the respirator system of mechanical ventilationassociatepneumonia pneumonia of this utility model;
Fig. 2 is the structural representation of tracheal intubation of the present utility model;
Fig. 3 is the control system block diagram of Control Component of the present utility model.
Detailed description of the invention
As shown in Figure 1, there is the structural representation that gaseous mass improves the respirator system 100 of function for this utility model is a kind of.A kind of respirator system 100 that can prevent mechanical ventilationassociatepneumonia pneumonia, comprises the source of the gas assembly 101, gas cleanup component 102, nebulizer 103, exhaust tube 104a, suction nozzle 104b, separator tube 104c, tracheal intubation 105 and the Control Component 106 that are connected successively by pipeline.
Source of the gas assembly 101 is comprised air tank 111, oxygen tank 112, is connected and forms two pneumatic proportional valve 114 of twin respectively with air tank 111 and oxygen tank 112 by supply air line 113, and pneumatic proportional valve 114 is connected with gas cleanup component 102 by the first aspirating pipeline 107.
Because different patient is different to oxygen concentration demand, as the patient to respiratory failure, need to suck air, to anoxia patient, need to suck certain density oxygen etc., source of the gas assembly 101 of the present utility model can carry out accurate proportioning to oxygen and air by pneumatic proportional valve 114, and distribution precision is high, error is little, to better meet the demand of different patient.
Gas cleanup component 102 comprises filter course 121 and sterilizing layer 122, and filter course 121 comprises prefiltering net, formaldehyde drainage screen, activated charcoal strainer and HEPA drainage screen.The modular design of multiple filter course 121 and sterilizing layer 122 is new reasonable, and in air, various harmful gas, granule, formaldehyde, benzene, VOC, antibacterial etc. all can remove, and pass into gas, prevent mechanical ventilationassociatepneumonia pneumonia further better to purify.
Gas cleanup component 102 is connected with nebulizer 103 by the second aspirating pipeline 108, and nebulizer 103 comprises pond 131, and in be provided with heating tube 132, in pond 131, throwing is provided with antibacterials 133.
Nebulizer 103 is connected with suction nozzle 104b with exhaust tube 104a by tee T 109, and exhaust tube 104a is connected with one end of separator tube 104c with suction nozzle 104b simultaneously, and the other end of separator tube 104c is connected with tracheal intubation 105.
As shown in Figure 2, be the structural representation of tracheal intubation of the present utility model.Tracheal intubation 105 comprises intubate body 151, is positioned at intubate body 151 one end and the union joint 152 be connected with separator tube 104c and the cuff 153 being sheathed on intubate body 151 other end, be embedded in intubate body 151 and be connected with liquid injection pipe 154, gas tube 155 and discharging tube 156, gas tube 155 is connected with cuff 153, and liquid injection pipe 154 and discharging tube 156 lay respectively at intubate body 151 both sides.Be provided with sealing ring 157 between cuff 153 and intubate body 151, with airtight air flue, avoid inhaling, the safety that better ensures respiration is carried out by mistake.Gas tube 155 is inflated end and is provided with instruction sacculus 168, and the gas pressure to tracheal intubation 105 after the inflation of instruction cuff 153, avoids pressure excessive and damage air flue.Intubate body 151 is carved with scale 158, is convenient for measuring the volume injecting liquid.
As shown in Figure 3, be the control system block diagram of Control Component of the present utility model.Control Component 106 comprises and is arranged at two pressure regulator valves 161 on supply air line 113 and two pressure alarms 162, the humidity sensor 163 of the nebulizer 103 be connected to, be arranged at the temperature sensor 164 in nebulizer 103, be arranged at the relief valve 165 between nebulizer 103 port of export and tee T 109, outlet valve 166 between tee T 109 and exhaust tube 104a, inlet valve 167 between tee T 109 and suction nozzle 104b, be positioned at the instruction sacculus 168 that end inflated by gas tube 155, for each assembly provides the power supply 169 of electric energy.
Outlet valve 166 and inlet valve 167 are electromagnetic proportional valve, in magnetic field, the opening and closing that electromagnetic force controls valve plate are produced by electrified wire, when inspiratory phase, outlet valve 166 cuts out automatically, inlet valve 167 opens automatically, when exhaling, outlet valve 166 is opened automatically, inlet valve 167 cuts out automatically, electromagnetic proportional valve resistance is less, unobstructed exhalation passages can be provided for patient, on the other hand, gas circuit provides a constant malleation, make in the whole breathing cycle, air flue remains on malleation level, is more conducive to the carrying out breathed.
Operation principle of the present utility model is:
First according to patient demand, setting passes into gas concentration, temperature, the parameter such as humidity and flow, according to the preset value of gas concentration, Control Component 106 controls the folding of two pressure regulator valves 161 on supply air line 113, oxygen and air enter the first aspirating pipeline 107 respectively, oxygen in first aspirating pipeline 107 and air fully mix, nebulizer 103 is entered by the second aspirating pipeline 108 after gas cleanup component 102 purifies, according to the humidity and temperature preset, through heating in nebulizer 103, atomization, after sterilizing, enter three-way valve, under the control of Control Component 106, when inspiratory phase, outlet valve 166 cuts out automatically, inlet valve 167 is opened automatically, gas enters suction nozzle 104b, and enter patient airway by tracheal intubation 105, when exhaling, outlet valve 166 is opened automatically, inlet valve 167 cuts out automatically, the gas that patient breathes out enters exhaust tube 104a by tracheal intubation 105 and discharges.When cuff 153 need be cleared up, by liquid injection pipe 154 saline injection, to dilute, to rinse the secretions be trapped in cuff 153, the secretions after flushing is discharged by the discharging tube 156 on cannula body.In this process, when in oxygen tank 112 or air tank 111, gas exhausts, pressure alarm 162 gives the alarm, when passing into gas flow and preset value is not inconsistent, under the effect of Control Component 106, by the change of power supply 169 voltage, relief valve 165 rotating speed is changed, thus the duty that adjustment respirator system 100 is current, make to pass into gas flow and meet preset value.
This utility model can prevent mechanical ventilationassociatepneumonia pneumonia, be embodied in: on the one hand, set up gas cleanup component 102, the organic gas such as dust, benzene class, phenols, alcohols, aldehydes that passes in gas and foul gas, all kinds of gas containing micro heavy and antibacterial, virus etc. is removed by filter course 121 and sterilizing layer 122, ensure that the cleaning gas that patient sucks is healthy, pollutant are avoided to cause patient lungs to infect, prevention mechanical ventilationassociatepneumonia pneumonia; Second aspect, sets up nebulizer 103 and carries out humidification to passing into gas, avoid patient airway humidifying not and the respiratory mucosa that causes such as leptochymia dry, sputum is sticky, can not expectoration or sucking-off, prevention mechanical ventilationassociatepneumonia pneumonia; The third aspect, throw in nebulizer 103 and be provided with antibacterials 133, patient's Neulized inhalation antibacterials 133 can make respiratory tract local reach higher drug level, little to systemic effects, and the pulmonary infection that respirator sterilization does not thoroughly cause can be avoided, prevention mechanical ventilationassociatepneumonia pneumonia; Fourth aspect, heater heats passing into gas, and the gas temperature preventing patient from sucking is lower and stimulate patient airway, reduces pulmonary's pressure, prevention mechanical ventilationassociatepneumonia pneumonia; 5th aspect, be embedded in the intubate body 151 of tracheal intubation 105 and be connected with liquid injection pipe 154, gas tube 155 and discharging tube 156, by to liquid injection pipe 154 saline injection, can dilute, rinse the secretions be trapped in cuff 153, secretions after flushing is discharged by the discharging tube 156 on cannula body, by removing retentate in cuff 153 in time, can prevent mechanical ventilationassociatepneumonia pneumonia, can avoid frequently changing tracheal intubation 105 simultaneously, alleviate patient's economic pressures.
The above embodiment only have expressed several embodiment of the present utility model, and it describes comparatively concrete and detailed, but therefore can not be interpreted as the restriction to this utility model the scope of the claims.It should be pointed out that for the person of ordinary skill of the art, without departing from the concept of the premise utility, can also make some distortion and improvement, these all belong to protection domain of the present utility model.Therefore, the protection domain of this utility model patent should be as the criterion with claims.

Claims (7)

1. can prevent a respirator system for mechanical ventilationassociatepneumonia pneumonia, it is characterized in that: comprise the source of the gas assembly, gas cleanup component, nebulizer, exhaust tube, suction nozzle, separator tube, tracheal intubation and the Control Component that are connected successively by pipeline; Described source of the gas assembly is connected with described gas cleanup component by the first aspirating pipeline, described gas cleanup component is connected with described nebulizer by the second aspirating pipeline, described nebulizer is connected with suction nozzle with exhaust tube by tee T, described exhaust tube is connected with one end of separator tube with suction nozzle simultaneously, and the other end of described separator tube is connected with tracheal intubation; Described gas cleanup component comprises filter course and sterilizing layer; Described nebulizer comprises pond, and in be provided with heating tube, in described pond throw be provided with antibacterials; Described tracheal intubation comprises intubate body, is positioned at intubate body one end and the union joint be connected with separator tube and the cuff being sheathed on the intubate body other end, be embedded in described intubate body and be connected with liquid injection pipe, gas tube and discharging tube, described gas tube is connected with cuff, and described liquid injection pipe and discharging tube lay respectively at intubate body both sides.
2. the respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia according to claim 1, it is characterized in that: described source of the gas assembly is comprised air tank, oxygen tank, is connected and forms two pneumatic proportional valve of twin respectively with described air tank and oxygen tank by supply air line, and described pneumatic proportional valve is connected with described gas cleanup component by the first aspirating pipeline.
3. the respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia according to claim 2, it is characterized in that: described Control Component comprises and is arranged at two pressure regulator valves on described supply air line and two pressure alarms, be connected to the humidity sensor of described nebulizer, be arranged at the temperature sensor in described nebulizer, be arranged at the relief valve between described atomizer exit end and tee T, outlet valve between described tee T and exhaust tube, inlet valve between described tee T and suction nozzle, be positioned at the instruction sacculus of described gas tube inflation end, for each assembly provides the power supply of electric energy.
4. the respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia according to claim 3, is characterized in that: described filter course comprises prefiltering net, formaldehyde drainage screen, activated charcoal strainer and HEPA drainage screen.
5. the respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia according to claim 4, is characterized in that: described outlet valve and inlet valve are electromagnetic proportional valve.
6. the respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia according to claim 5, is characterized in that: be provided with sealing ring between described cuff and intubate body.
7. the respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia according to claim 6, is characterized in that: described intubate body is carved with scale.
CN201520105525.1U 2015-02-13 2015-02-13 A kind of respirator system that can prevent mechanical ventilationassociatepneumonia pneumonia Expired - Fee Related CN204619069U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2017088339A1 (en) * 2015-11-27 2017-06-01 刘洋 Internet of things-based pneumatic ventilator having safety monitoring function
CN107335118A (en) * 2017-08-31 2017-11-10 山东省千佛山医院 A kind of lung ventilator
CN111494774A (en) * 2020-04-14 2020-08-07 西安交通大学 Plasma active gas humidifier

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2017088339A1 (en) * 2015-11-27 2017-06-01 刘洋 Internet of things-based pneumatic ventilator having safety monitoring function
CN107335118A (en) * 2017-08-31 2017-11-10 山东省千佛山医院 A kind of lung ventilator
CN111494774A (en) * 2020-04-14 2020-08-07 西安交通大学 Plasma active gas humidifier

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CF01 Termination of patent right due to non-payment of annual fee
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Granted publication date: 20150909

Termination date: 20160213