CN204745259U - Subglottic suction trachea catheter - Google Patents

Subglottic suction trachea catheter Download PDF

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Publication number
CN204745259U
CN204745259U CN201520365536.3U CN201520365536U CN204745259U CN 204745259 U CN204745259 U CN 204745259U CN 201520365536 U CN201520365536 U CN 201520365536U CN 204745259 U CN204745259 U CN 204745259U
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CN
China
Prior art keywords
air bag
pipe
glottis
conduit
respiratory tract
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201520365536.3U
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Chinese (zh)
Inventor
周永方
康焰
金晓东
王波
王鹏
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Priority to CN201520365536.3U priority Critical patent/CN204745259U/en
Application granted granted Critical
Publication of CN204745259U publication Critical patent/CN204745259U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model discloses a subglottic suction gas guide pipe, in particular to a subglottic suction gas guide pipe which belongs to the field of medical consumables. The utility model provides a can ensure that the air flue seals, fixed pipe, guarantee the effective completion of malleation and ventilating, the protection air flue mucosa increases patient's comfort level when drawing under the glottis, can prevent again that upper respiratory tract secretion gets into lower respiratory tract and lung, effectively prevents the glottis of lung infection and inhales the trachea of bleeding under the glottis, including pipe, gasbag, joint, gas tube, attract the pipe, there is the suction hole on the pipe, attract pipe and attract the hole intercommunication, one end is drawn forth from the pipe, is provided with the storing recess on the gasbag. The application can ensure that the air passage is sealed, protect the mucosa of the air passage, and simultaneously ensure that when the continuous subglottal attraction is carried out, the occurrence of complications such as severe irritative cough and discomfort of a patient is avoided, and the air bag can fundamentally prevent retentate seepage on the air bag from entering the lower respiratory tract and the lung, thereby effectively preventing the lung infection.

Description

Attraction tracheal tube under glottis
Technical field
This utility model to relate under a kind of glottis attraction tracheal tube under attraction tracheal tube, particularly a kind of glottis for belonging to medical consumable goods field.
Background technology
Artificial airway is the effective means ensureing airway patency, very important in patient with severe symptoms's rescue process.But; the foundation of artificial airway destroys the normal anatomical structure of respiratory tract and physiological function; air flue is caused to swallow protective capability limited; secretions increases; epithelium healing secretions is gathered in above endotracheal tube air bag; local bacterial is caused to breed; secretions can enter pulmonary through the gauffer between airbag wall and tracheal wall, gap leakage; Ventilator Acquired tracheobronchitis (VAT) and Ventilator Associated Pneumonia (VAP) is caused to occur; prolonged mechanical duration of ventilation and firmly ICU time; increase considerably medical care expenses, have a strong impact on the prognosis of patient with severe symptoms.
The most basic effect of air bag keeps that the air flue of below glottis is closed, A/C, thus ensure effectively completing of positive airway pressure.The closure of air bag can also prevent pars oralis pharyngis and gastric content to suck pulmonary by mistake, reduces pulmonary infection.The Improvement and perfection of air bag never stops, and from the rubber sacculus of the low appearance high pressure of the 1st generation of 20 century 70 extensive uses, holds silica gel or the polrvinyl chloride air bag of low pressure to later stage seventies 2nd generation height, then to the circular cone air bag improved in recent years.All there is following problem in all air bags: 1) airbag aeration amount is with lucky closed airway, air flue air tight (minimal closure technology) during guarantee ventilation, and secretions leaks into pulmonary from the gap between air bag and tracheal wall to be increased; 2) in order to reduce leakage, usually increasing airbag aeration amount, then causing gasbag pressure too high, compression tracheal mucosa, even occur the complication such as tracheal stenosis, tracheo esophageal fistula; 3) because trachea is not regular circle shapes tube chamber, even if increase airbag aeration amount, Subglottic secretion still can by the gauffer between airbag wall and tracheal wall, gap, trace constantly leaks into lower respiratory tract, enters pulmonary, especially restlessness, operation etc. make conduit tractive, displacement, long-time intubate, Subglottic secretion seepage is more obvious.This is the key factor causing VAP incidence rate high.The scholars such as Philippart in 2015 CHEST magazine deliver result of study show the taper air bag in recent years improved comparatively cylindrical airbag fail to reduce VAP incidence rate.
At present existing multinomial research attracts the endotracheal tube of (SSD) under confirming application band glottis, carry out secretions drain under glottis, can effectively reduce VAP incidence rate.Under glottis, secretions drain is divided into and continues or be interrupted drain, and both all likely cause airway mucus to damage, hemorrhage, even downright bad, patient's zest is acutely coughed and the complication such as discomfort.The risk that lasting attraction is comparatively interrupted attraction generation complication is larger; If but patients produce's thing is many, is interrupted attraction and can not ensures the abundant drain of secretions, also can increase pulmonary infection risk.Therefore one is not also had in airbag aeration amount with lucky closed airway, can to ensure that positive airway pressure effectively completes, avoid compression tracheal mucosa, can effectively prevent Subglottic secretion from leaking into lower respiratory tract again in prior art; Ensure when carrying out attracting under glottis simultaneously, avoid airway mucus to damage, hemorrhage, even downright bad, patient's zest is acutely coughed and the complication such as discomfort occurs, upper respiratory tract secretions is fundamentally prevented to enter lower respiratory tract and pulmonary, attraction tracheal tube under the glottis of the disposable antiseep of effective prevention pulmonary infection.
Utility model content
Technical problem to be solved in the utility model is to provide one can ensure that air flue is closed, A/C, ensures effectively completing of positive airway pressure, avoids compression airway mucus, can effectively prevent Subglottic secretion from leaking into lower respiratory tract again; Ensure when carrying out attracting under glottis simultaneously, avoid airway mucus to damage, hemorrhage, even downright bad, patient's zest is acutely coughed and the complication such as discomfort occurs, fundamentally prevent upper respiratory tract secretions to enter lower respiratory tract and pulmonary, effectively prevent to attract trachea to lead under the glottis of the disposable antiseep of pulmonary infection.
For solve the problems of the technologies described above this utility model adopt glottis under attraction tracheal tube, comprise conduit, air bag, joint, gas tube, described jiont treatment in one end of conduit, described air bag is arranged on conduit, one end of described gas tube is communicated with inside air bag, and the other end is drawn from the outer wall of conduit, also comprises suction catheter, one end near air bag on conduit has suction hole, suction catheter one end is communicated with suction hole, and the other end is drawn from the outer wall of conduit, described air bag is provided with storing groove.
Further, described air bag is divided into two sections, is wherein cylindrical away from one section of suction hole, storing groove is provided with on one section of suction hole, described gas tube is two, and wherein one is communicated with columniform one section of air bag, and another root is communicated with the one section of air bag being provided with storing groove.
Further, cave in the outer wall direction of air bag in the middle part of described storing groove.
Further, described gas tube is provided with pilot balloon.
Further, the one end away from suction hole on described suction catheter is provided with end cap.
The beneficial effects of the utility model are: the application can ensure that air flue is closed, A/C, ensures effectively completing of positive airway pressure, avoids compression airway mucus, can effectively prevent Subglottic secretion from leaking into lower respiratory tract again; Ensure when carrying out Continuous aspiration of subglottic secretions simultaneously, avoid airway mucus to damage, hemorrhage, even downright bad, patient's zest is acutely coughed and the complication such as discomfort occurs, fundamentally prevent upper respiratory tract secretions to enter lower respiratory tract and pulmonary, effectively prevent to attract trachea to lead under the glottis of the disposable antiseep of pulmonary infection.
Accompanying drawing explanation
Fig. 1 is the structural representation of tracheal intubation;
Fig. 2 is the structural representation of the tracheal intubation of employing two sections of air bags;
Fig. 3 is the structural representation of tracheostomy catheter;
Fig. 4 is the structural representation of the tracheostomy catheter of employing two sections of air bags;
Fig. 5 is the structural representation of the air bag of storage trough medial recess;
Parts, position and numbering in figure: conduit 1, air bag 2, joint 3, gas tube 4, suction hole 5, storing groove 6, suction catheter 7, end cap 8, pilot balloon 9.
Detailed description of the invention
Below in conjunction with accompanying drawing, the utility model is described in further detail.
As shown in Fig. 1 and Fig. 3, attraction tracheal tube under glottis of the present utility model, comprise conduit 1, one end that air bag 2, joint 3, gas tube 4, described joint 3 are arranged on conduit 1, described air bag 2 is arranged on conduit 1, one end of described gas tube 4 is communicated with air bag 2 inside, the other end is drawn from the outer wall of conduit 1, also comprise suction catheter 7, one end near air bag 2 on conduit 1 has suction hole 5, suction catheter 7 one end is communicated with suction hole 5, the other end is drawn from the outer wall of conduit 1, and described air bag 2 is provided with storing groove 6.The application specifically can be applied in the device such as tracheal intubation and tracheostomy catheter, wherein Fig. 1 is tracheal intubation, Fig. 3 is tracheostomy catheter, air bag 2 Main Function of the prior art is that the air flue of below maintenance glottis is closed, A/C 1, because it is cylindrical or conical, trachea is not regular circle shapes tube chamber, Subglottic secretion is easily by the gauffer between air bag 2 wall and tracheal wall, gap, constantly leak into lower respiratory tract, enter pulmonary, especially conduit 1 tractive, displacement, or along with extending service time, Subglottic secretion seepage is more obvious.And the storing groove 6 that under the glottis of the application, attraction tracheal tube 1 is arranged on air bag 2 can retentate on temporary storage air bag 2, prevent retentate on air bag 2 from leaking into lower respiratory tract through the gauffer between air bag 2 wall and tracheal wall, the aeration quantity that it also avoid by increasing air bag 2 reduces retentate seepage on air bag 2, thus prevent air bag 2 hypertonia, compression tunica mucosa tracheae, under glottis, attraction channel distal opening is positioned at bottom air bag 2 upper grooves, when attracting under carrying out glottis, the groove walls of air bag 2 can available protecting tracheal mucosa, avoid attracting negative pressure directly to stimulate tracheal mucosa, airway mucus is avoided to damage, the complication such as patient is uncomfortable occur, thus ensure that Continuous aspiration of subglottic secretions carries out smoothly, utilize retentate on the abundant drain air bag 2 of the suction catheter 7 be communicated with suction hole 5, more effectively prevent pulmonary infection, Ventilator Acquired tracheobronchitis (VAT) and Ventilator Associated Pneumonia (VAP) is avoided to occur.
As shown in Figure 2 and Figure 4, described air bag 2 is divided into two sections, be wherein cylindrical away from one section of suction hole 5, storing groove 6 is provided with on one section of suction hole 5, described gas tube 4 is two, wherein one is communicated with columniform one section of air bag 2, and another root is communicated with the one section of air bag 2 being provided with storing groove 6.Air bag 2 in the application can make top band groove, below is columniform integral structure, also can adopt aforesaid split-type structural, storing groove 6 part comparatively complicated for shape separately be manufactured, to reduce manufacture difficulty, improve the precision of product shaping.
As shown in Figure 5, cave in the outer wall direction of air bag 2 in the middle part of described storing groove 6.Due to the limited volume of storing groove 6, in order to improve its reliability, prevent the retentate be temporary in storing groove 6 because fortuitous event is not by timely drain, make the middle part of storing groove 6 to the outer wall direction depression of air bag 2 to realize increasing its volume under the prerequisite of not augmented airbag 2 overall dimensions, improve its storing ability.
Described gas tube 4 is provided with pilot balloon 9.Described pilot balloon 9 is for checking its degree of inflation when inflating to air bag 2.
One end away from suction hole 5 on described suction catheter 7 is provided with end cap 8.End cap 8 can be utilized to be closed by suction catheter 7 when not needing to carry out attraction operation.

Claims (5)

1. attraction tracheal tube under glottis, comprise conduit (1), air bag (2), joint (3), gas tube (4), described joint (3) is arranged on one end of conduit (1), described air bag (2) is arranged on conduit (1), one end of described gas tube (4) is communicated with air bag (2) inside, the other end is drawn from the outer wall of conduit (1), it is characterized in that: also comprise suction catheter (7), the upper one end near air bag (2) of conduit (1) has suction hole (5), suction catheter (7) one end is communicated with suction hole (5), the other end is drawn from the outer wall of conduit (1), described air bag (2) is provided with storing groove (6).
2. attraction tracheal tube under glottis as claimed in claim 1, it is characterized in that: described air bag (2) is divided into two sections, be wherein cylindrical away from one section of suction hole (5), storing groove (6) is provided with on one section of suction hole (5), described gas tube (4) is two, wherein one is communicated with columniform one section of air bag (2), and another root is communicated with the one section of air bag (2) being provided with storing groove (6).
3. attraction tracheal tube under glottis as claimed in claim 1, is characterized in that: cave in the outer wall direction of air bag (2) in the middle part of described storing groove (6).
4. attraction tracheal tube under glottis as claimed in claim 1, is characterized in that: described gas tube (4) is provided with pilot balloon (9).
5. attraction tracheal tube under glottis as claimed in claim 1, is characterized in that: described suction catheter (7) is provided with end cap (8) away from one end of suction hole (5).
CN201520365536.3U 2015-05-29 2015-05-29 Subglottic suction trachea catheter Expired - Fee Related CN204745259U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201520365536.3U CN204745259U (en) 2015-05-29 2015-05-29 Subglottic suction trachea catheter

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201520365536.3U CN204745259U (en) 2015-05-29 2015-05-29 Subglottic suction trachea catheter

Publications (1)

Publication Number Publication Date
CN204745259U true CN204745259U (en) 2015-11-11

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CN201520365536.3U Expired - Fee Related CN204745259U (en) 2015-05-29 2015-05-29 Subglottic suction trachea catheter

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104874079A (en) * 2015-05-29 2015-09-02 四川大学华西医院 Subglottic suction trachea catheter
CN106512169A (en) * 2016-12-09 2017-03-22 夏敏 Air-exhaust-free tracheal catheter and use method thereof

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104874079A (en) * 2015-05-29 2015-09-02 四川大学华西医院 Subglottic suction trachea catheter
CN106512169A (en) * 2016-12-09 2017-03-22 夏敏 Air-exhaust-free tracheal catheter and use method thereof

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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

Granted publication date: 20151111