CN205322966U - Endotracheal tube connects - Google Patents

Abstract

The utility model discloses an endotracheal tube connects, including sleeve pipe, Y type pipe and gauze, be provided with the jack of break -over outer wall and inner wall on the sheathed tube pipe wall, Y type pipe is including first branch pipe, second branch pipe and third branch pipe, the one end of first branch pipe, second branch pipe and third branch pipe crosses mutually, the other end of third branch pipe passes the jack inserts the cover is intraductal, the gauze cover is in the sheathed tube upper end. The utility model overcomes prior art endotracheal tube or autogenous cutting pipe connect / take off the breathing machine or insert to be inhaled the phlegm pipe and inhales phlegm when operation, needs extract oxygen hose and humidifying pipe, leads to the patient to appear suspending for the oxygen and the bad condition of humidifying, the utility model discloses need not to extract oxygen hose and humidifying pipe, the patient can not appear and break off for the oxygen and the bad circumstances of humidifying, brought very big facility for clinical work, and simple structure, convenient operation, use value is high.

Description

A kind of catheter slipjoint

Technical field

This utility model belongs to technical field of medical instruments, particularly relates to a kind of endotracheal tube or tracheostomy catheter joint。

Background technology

Existing oxygen delivery technique and approach have clinically: 1, nasal obstruction or nasal tube oxygen inhalation method: easy and simple to handle, oxygen is had filter cleaning effect by vibrissa。But nasal mucosa is had stimulation by oxygen, hoarseness, nasal mucosa being caused to dry, form a scab and epistaxis etc., owing to exhaling, phase oxygen can not enter air flue, has loss, affect oxygen therapy effect in nasal cavity。2, mask oxygen-inspiration method: face shield can be placed in from patient mouth and nose 1～3cm place oxygen supply by children's and noncooperationist, face shield can closely be covered in patient's snout and fix with elastic cord by more serious anoxia person, mask oxygen-inspiration method is non-stimulated to patient airway mucosa, oxygen flow is big, concentration can be higher, fraction of inspired oxygen (FiO2) is up to 40%～50%, but oxygen consumption is big, and hinders patient's communication, feed and expectoration。3, vein oxygen supply method: intra oxygen injection (injection magnesium arginyl amine hydroperoxide) is the one safely and effectively method for the treatment of hypoxemia, it is primarily adapted for use in respiratory failure type Ⅱ and has obvious PaCO2 rising person, emergency first-aid, nose diseases is not suitable for nasal obstruction oxygen uptake and does not tolerate nasal obstruction oxygen therapic patient。4, tracheal strips oxygen supply: recent domestic is to incorrigible hypoxemia patient, with branchofiberoscope or through thyrocricoid puncture sleeve pipe, oxygen supply conduit is imported tracheal strips from knuckle 3～5cm place, carry out tracheal strips low discharge oxygen supply, oxygen consumption can reduce more than 50%, and there is good oxygen therapy effect, and it is suitable for prolonged application, receive the concern of clinicist。

Patent No. CN200920034448.X discloses a kind of porous oxygen inhalation end and side V-type tracheal casing pipe, including oxygen supply nose conduit, it is characterized in that: the oxygen supply nose conduit that can be used alone is porous oxygen inhalation end (1), three apertures of side, termination distribution that its flexible hose is closed, aperture is rounded or/and oval, termination to first aperture back gauge is 4-6 millimeter, and limit, Kong Bianyu hole spacing is 4-8 millimeter, and the vapor permeation area of each aperture is 3.1-7.1 square millimeter。The technical scheme of this patent realizes patient's nasal tube oxygen inhalation and is easily accepted and properly fixing purpose, promotes the effect of conditions of patients rehabilitation as early as possible, but it does not overcome the defect of nasal obstruction or nasal tube oxygen inhalation method。

After tracheal intubation and tracheotomy, carry out Failure Treated with Mechanical Ventilation more and more extensive in clinical practice, after patient's stable disease, in off line band pipe process, often use humidifying airway and oxygen delivery technique to carry out breathing the humidifying with trachea in order to assisting patient。If humidifying is not in place, expectoration can being caused not smooth, expectorant crust is formed, and then pulmonary infection occurs。

When patient is by endotracheal tube or tracheostomy catheter oxygen supply; after usually regulating oxygen concentration clinically, oxygen hose and humidifying pipe are inserted in endotracheal tube or tracheostomy catheter; with immobilization with adhesive tape; the activity of standing up is it is frequently necessary to yet with patient; oxygen hose is easily caused to be deviate from; immobilization with adhesive tape often occurs that fixing shakiness, fixed position undue influence patient respiratory, and adhesive plaster are pasted repeatedly can remain adhesive plaster print。When to connect breathing machine pipeline, it is necessary to after first oxygen hose and humidifying pipe being extracted, then connect respirator, simultaneously during de-respirator, also first respirator is disengaged, then oxygen hose and humidifying pipe are turned back in endotracheal tube or tracheostomy catheter。Additionally, the common practice when suction sputum, also it is first oxygen hose and humidifying pipe are extracted in endotracheal tube or tracheostomy catheter, carry out suction sputum operation again, again oxygen hose and humidifying pipe are turned back to after end of operation, if and do not take out oxygen hose and humidifying pipe when suction sputum, endotracheal tube or a part for tracheostomy catheter tube chamber can be occupied due to oxygen hose and humidifying pipe, thick sputum aspirator tube is not easily injected, therefore oxygen hose and humidifying pipe need to be extracted during suction sputum, even if can inject for thin sputum aspirator tube, easily oxygen hose is taken out of together with humidifying pipe again when extracting again, great inconvenience is brought to clinical position, oxygen hose and humidifying pipe humidity liquid dropping tube simultaneously, cause airway resistance to increase。In these operating process above-mentioned, extract that to cause patient be the state interrupting oxygen supply for some time due to oxygen hose and humidifying pipe, especially for the patient that anoxia does not tolerate, easily increase the weight of anoxia, produce histologic lesion and dysfunction, and humidifying is not in place, and expectoration can be caused not smooth, expectorant crust is formed, and then pulmonary infection occurs。When additionally oxygen hose or humidifying tube end being pressed in endotracheal tube or tracheostomy catheter, oxygen hose or the bending of humidifying pipe will necessarily be caused, so that air-flow is obstructed in pipe；During suction sputum, repeatedly two pipes are taken out from endotracheal tube or tracheostomy catheter, need again to place back in fixing after suction sputum, add infection chance；And it is easier to occur the slippage of two pipes, it is impossible to ensure oxygen supply and humidifying effect。

Utility model content

The purpose of this utility model is that and overcomes the deficiencies in the prior art, provide a kind of catheter slipjoint, this utility model overcomes prior art endotracheal tube or tracheostomy catheter connects/takes off respirator or inserts sputum aspirator tube when carrying out suction sputum operation, oxygen hose and humidifying pipe need to be extracted, cause that patient occurs interrupting oxygen supply and the bad situation of humidifying, and this utility model utilizes sleeve pipe one end to connect endotracheal tube or tracheostomy catheter, the other end connects respirator or insertion sputum aspirator tube carries out suction sputum operation, and connect oxygen hose and humidifying pipe by the Y-piece being fixed on sleeve pipe, therefore endotracheal tube or tracheostomy catheter connect/take off respirator or insert sputum aspirator tube carry out suction sputum operation time, without extracting oxygen hose and humidifying pipe, do not have patient and interrupt oxygen supply and the bad situation of humidifying, bring great convenience to clinical position, and simple in construction, easy to operate, use value is high。

To achieve these goals, this utility model provides a kind of catheter slipjoint, including sleeve pipe, Y-piece and gauze, pass through sleeve pipe, serve connection endotracheal tube or tracheostomy catheter and respirator or sputum aspirator tube etc., and oxygen hose is without inserting in endotracheal tube or tracheostomy catheter, oxygen hose and humidifying pipe is connected by Y-piece, the tube wall of described sleeve pipe is provided with the jack of break-through outer wall and inwall, described Y-piece includes the first arm, second arm and the 3rd arm, described first arm, one end of second arm and the 3rd arm intersects, the other end of described 3rd arm inserts in described sleeve pipe through described jack, described gauze covers on the upper end of described sleeve pipe。

Further, the lower end of described sleeve pipe is connected with endotracheal tube or tracheostomy catheter。

Further, the edge of described gauze is provided with rubber band, and described gauze is covered on the upper end of described sleeve pipe by described rubber band。

Further, the other end of described first arm and the second arm seals each through seal closure。

Further, described seal closure is connected on the outer wall of the other end of described first arm and the second arm。

Further, the other end of described first arm is connected with humidifying pipe。

Further, the other end of described second arm is connected with oxygen hose。

Further, described first arm becomes 0～80 ° with the vertical center line of described sleeve pipe。

Further, the other end of described 3rd arm inserts the length at least 1cm of described sleeve pipe。

Further, described 3rd arm includes inclined tube and straight tube, one end of one end of described inclined tube and described first arm and the second arm intersects, one end camber of the other end of described inclined tube and described straight tube is connected, when the other end of described 3rd arm is in the described jack described sleeve pipe of insertion, the other end of described inclined tube is positioned at described jack place, and described straight tube is positioned at described sleeve pipe and the described straight tube described internal surface of sleeve pipe of laminating。

The beneficial effects of the utility model:

1, this utility model overcomes prior art endotracheal tube or tracheostomy catheter connects/takes off respirator or inserts sputum aspirator tube when carrying out suction sputum operation, oxygen hose and humidifying pipe need to be extracted, cause that patient occurs interrupting oxygen supply and the bad situation of humidifying, and this utility model utilizes sleeve pipe one end to connect endotracheal tube or tracheostomy catheter, the other end connects respirator or insertion sputum aspirator tube carries out suction sputum operation, and connect oxygen hose and humidifying pipe by the Y-piece being fixed on sleeve pipe, therefore endotracheal tube or tracheostomy catheter connect/take off respirator or insert sputum aspirator tube carry out suction sputum operation time, without extracting oxygen hose, do not have patient and interrupt oxygen supply and the bad situation of humidifying, bring great convenience to clinical position, and simple in construction, easy to operate, use value is high。

2, the first arm of this utility model Y-piece and the second arm are sealed by seal closure, when needing oxygen supply and humidifying, open seal closure, it is not necessary to when oxygen supply and humidifying, and seal closure seals, and keep being in aseptic condition in Y-piece, it is prevented that antibacterial is attached in Y-piece。

3, this utility model gauze covers on the upper end of sleeve pipe, and by rubber band promptly on sleeve pipe, it is prevented that gauze gets loose, gauze is used for air filtration, it is prevented that the foreign body in air enters air flue, and gauze can humidify simultaneously, enters the air in air flue for humidifying。

4, this utility model the first arm becomes 0～80 ° with the centrage of sleeve pipe, is conducive to humidification fluid to flow into, and mixedization liquid and oxygen converge in the intersection of the first arm and the second arm, and humidification fluid is dispelled by oxygen, makes humidification fluid enter air flue distribution more uniform。

Accompanying drawing explanation

In order to be illustrated more clearly that this utility model embodiment or technical scheme of the prior art, the accompanying drawing used required in embodiment or description of the prior art will be briefly described below, apparently, accompanying drawing in the following describes is only embodiments more of the present utility model, for those of ordinary skill in the art, under the premise not paying creative work, it is also possible to obtain other accompanying drawing according to these accompanying drawings。

The structure that Fig. 1 is this utility model embodiment is intended to。

Above-mentioned accompanying drawing labelling:

1 sleeve pipe, 2Y type pipe, 2.1 first arms, 2.2 second arms, 2.3 the 3rd arms, 3 gauzes。

Detailed description of the invention

Below in conjunction with accompanying drawing, utility model is further illustrated, but be not limited to scope of the present utility model。

Embodiment

As shown in Figure 1, a kind of catheter slipjoint that this utility model provides, including sleeve pipe 1, Y-piece 2 and gauze 3, the tube wall of described sleeve pipe 1 is provided with the jack of break-through outer wall and inwall, described Y-piece 2 includes the first arm the 2.1, second arm 2.2 and the 3rd arm 2.3, one end of described first arm the 2.1, second arm 2.2 and the 3rd arm 2.3 intersects, and the other end of described 3rd arm 2.3 inserts in described sleeve pipe 1 through described jack, and described gauze 3 covers on the upper end of described sleeve pipe 1。

The lower end of sleeve pipe 1 described in the utility model is connected with endotracheal tube or tracheostomy catheter。And the other end of described first arm 2.1 is connected with humidifying pipe。The other end of described second arm 2.2 is connected with oxygen hose。

This utility model overcomes prior art endotracheal tube or tracheostomy catheter connects/takes off respirator or inserts sputum aspirator tube when carrying out suction sputum operation, oxygen hose need to be extracted, cause that the situation of oxygen supply occurs interrupting in patient, and this utility model utilizes sleeve pipe 1 one end to connect endotracheal tube or tracheostomy catheter, the other end connects/take off respirator, carbon dioxide monitoring probe or insertion sputum aspirator tube carry out suction sputum operation, and connect oxygen hose and humidifying pipe by the Y-piece 2 being fixed on sleeve pipe 1, therefore endotracheal tube or tracheostomy catheter connect/take off respirator or insert sputum aspirator tube carry out suction sputum operation time, without extracting oxygen hose, do not have patient and interrupt the situation of oxygen supply, bring great convenience to clinical position, and simple in construction, easy to operate, use value is high。

The edge of gauze 3 described in the utility model is provided with rubber band, and described gauze 3 is covered on the upper end of described sleeve pipe 3 by described rubber band。Gauze 3 covers on the upper end of sleeve pipe 1 by rubber band, and to prevent gauze 3 from getting loose, and gauze 3 is for air filtration, it is prevented that the foreign body in air enters air flue, and gauze 3 can humidify simultaneously, enters the air in air flue for humidifying。Preferably, gauze 3 adopts disposable gauze, changes, it is prevented that more than 3 use of gauze causes foreign body to amass on gauze 3 after making to be finished, and reduces the effect of the foreign body entrance air flue prevented in air。

The other end of the first arm 2.1 described in the utility model and the second arm 2.2 seals each through seal closure。When needing oxygen supply, opening seal closure, it is not necessary to during oxygen supply, seal closure seals, and keeps being in aseptic condition in Y-piece 2, it is prevented that antibacterial is attached in Y-piece 2。The version of seal closure has: one, seal closure and the first arm 2.1 and the second arm 2.2 adopt split-type design；Two, seal closure is connected on the outer wall of the other end of the first arm 2.1 and the second arm 2.2, namely seal closure and the first arm 2.1 and the second arm 2.2 adopt unitary design, unitary design to prevent seal closure from the situations such as loss can occur after opening the first arm 2.1 and the second arm 2.2。

This utility model the first arm 2.1 becomes 0～80 ° with the centrage of sleeve pipe 1, is conducive to humidification fluid to flow into, and mixedization liquid and oxygen converge in the intersection of the first arm 2.1 and the second arm 2.2, and humidification fluid is dispelled by oxygen, makes humidification fluid enter air flue distribution more uniform。

The other end of the 3rd arm 2.3 described in the utility model inserts the length at least 1cm of described sleeve pipe 1。Oxygen in the process carrying out suction sputum operation is prevented to be inhaled into sputum aspirator tube and air flue can not be entered。

This utility model, preferably, described 3rd arm 2.3 includes inclined tube and straight tube, one end of one end of described inclined tube and described first arm 2.1 and the second arm 2.2 intersects, one end camber of the other end of described inclined tube and described straight tube is connected, and when the other end of described 3rd arm 2.3 is in the described jack described sleeve pipe 1 of insertion, the other end of described inclined tube is positioned at described jack place, described pipe is positioned at described sleeve pipe 1, and described straight tube 1 is fitted described sleeve pipe 1 inwall。Straight tube laminating sleeve pipe 1 inwall, during to prevent the 3rd arm 2.3 from inserting in sleeve pipe 1, straight tube blocks sleeve pipe 1 inner chamber, hinders air entrance or suction sputum etc.。

This utility model also has the advantage that 1, suitable in the tracheal intubation of separating respiratory machine assisted respiartion or tracheotomist's humidifying airway and oxygen supply, it is prone to fixing, the factors such as action of gravity when impulsive force when will not cough because of patient, pipeline produced or the state of an illness need to take special posture, occur two pipes to get loose。2, catheter slipjoint of the present utility model is external device, easily changes, if patient's trachea secretions is many, it is possible to change at any time, expectorant will not be occurred to block up, it is possible to ensure humidifying and oxygen supply effect。3, this device is one-off, and every day is changed, and has secretions contamination to change at any time, it is possible to effectively to prevent from infecting。4, using this kind of catheter slipjoint, nursing staff can carry out air flue humidification, suction sputum more easily, kowtows the back of the body and change the operation such as oxygen supply pipeline and humidifying pipeline, greatly reduces workload and the working time of nursing。5, method fixed oxygen trachea and the humidifying pipe that medical proof fabric is wound around is commonly used clinically, the adhesive plaster polluted by sputum is the good culture medium of bacterial growth breeding, very easily cause local infection, this catheter slipjoint does not need immobilization with adhesive tape, fixing simple and firm, do not need taking-up humidifying pipe, Oxygen tube repeatedly during operation, reduce opportunities for contamination, it is possible to effectively reduce patient infection probability。6, material is safe, with low cost。

Of the present utility model ultimate principle, principal character and of the present utility model advantage have more than been shown and described。Skilled person will appreciate that of the industry; this utility model is not restricted to the described embodiments; described in above-described embodiment and description is that principle of the present utility model is described; under the premise without departing from this utility model spirit and scope, this utility model also has various changes and modifications, and these changes and improvements both fall within the scope of claimed this utility model。This utility model claims scope and is defined by appending claims and equivalent thereof。

Claims (8)

1. a catheter slipjoint, it is characterized in that, including sleeve pipe, Y-piece and gauze, the tube wall of described sleeve pipe is provided with the jack of break-through outer wall and inwall, described Y-piece includes the first arm, the second arm and the 3rd arm, one end of described first arm, the second arm and the 3rd arm intersects, and the other end of described 3rd arm inserts in described sleeve pipe through described jack, and described gauze covers on the upper end of described sleeve pipe；The other end of described first arm and the second arm seals each through seal closure；The other end of described 3rd arm inserts the length at least 1cm of described sleeve pipe。

2. a kind of catheter slipjoint according to claim 1, it is characterised in that the lower end of described sleeve pipe is connected with endotracheal tube or tracheostomy catheter。

3. a kind of catheter slipjoint according to claim 1, it is characterised in that the edge of described gauze is provided with rubber band, and described gauze is covered on the upper end of described sleeve pipe by described rubber band。

4. a kind of catheter slipjoint according to claim 1, it is characterised in that described seal closure is connected on the outer wall of the other end of described first arm and the second arm。

5. a kind of catheter slipjoint according to claim 1, it is characterised in that the other end of described first arm is connected with humidifying pipe。

6. a kind of catheter slipjoint according to claim 1, it is characterised in that the other end of described second arm is connected with oxygen hose。

7. a kind of catheter slipjoint according to claim 5, it is characterised in that described first arm becomes 0～80 ° with the vertical center line of described sleeve pipe。

8. a kind of catheter slipjoint according to claim 1, it is characterized in that, described 3rd arm includes inclined tube and straight tube, one end of one end of described inclined tube and described first arm and the second arm intersects, one end camber of the other end of described inclined tube and described straight tube is connected, when the other end of described 3rd arm is in the described jack described sleeve pipe of insertion, the other end of described inclined tube is positioned at described jack place, described straight tube is positioned at described sleeve pipe and the described straight tube described internal surface of sleeve pipe of laminating。