CN205338957U - Nasal cavity passageway diameter sound -pipe - Google Patents
Nasal cavity passageway diameter sound -pipe Download PDFInfo
- Publication number
- CN205338957U CN205338957U CN201620033792.7U CN201620033792U CN205338957U CN 205338957 U CN205338957 U CN 205338957U CN 201620033792 U CN201620033792 U CN 201620033792U CN 205338957 U CN205338957 U CN 205338957U
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- air bag
- inflator
- guide portion
- gas injection
- pipe
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- 210000003928 nasal cavity Anatomy 0.000 title claims abstract description 17
- 238000001514 detection method Methods 0.000 claims abstract description 47
- 238000002347 injection Methods 0.000 claims abstract description 29
- 239000007924 injection Substances 0.000 claims abstract description 29
- 238000005259 measurement Methods 0.000 claims abstract description 28
- 230000028327 secretion Effects 0.000 claims description 4
- 230000008676 import Effects 0.000 claims description 2
- 239000007789 gas Substances 0.000 abstract description 30
- 210000003437 trachea Anatomy 0.000 abstract description 11
- 208000032843 Hemorrhage Diseases 0.000 abstract description 5
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 abstract description 5
- 229910052760 oxygen Inorganic materials 0.000 abstract description 5
- 239000001301 oxygen Substances 0.000 abstract description 5
- 210000002850 nasal mucosa Anatomy 0.000 abstract description 4
- 239000000463 material Substances 0.000 abstract description 3
- 210000001331 nose Anatomy 0.000 abstract description 2
- 230000005906 menstruation Effects 0.000 abstract 1
- 230000029058 respiratory gaseous exchange Effects 0.000 abstract 1
- 238000002627 tracheal intubation Methods 0.000 description 13
- 238000000034 method Methods 0.000 description 7
- 210000000214 mouth Anatomy 0.000 description 4
- 238000002695 general anesthesia Methods 0.000 description 3
- 210000000492 nasalseptum Anatomy 0.000 description 3
- 206010002091 Anaesthesia Diseases 0.000 description 2
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- 230000037005 anaesthesia Effects 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000037396 body weight Effects 0.000 description 2
- 239000004020 conductor Substances 0.000 description 2
- 230000002124 endocrine Effects 0.000 description 2
- 210000004877 mucosa Anatomy 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 206010002556 Ankylosing Spondylitis Diseases 0.000 description 1
- 206010002660 Anoxia Diseases 0.000 description 1
- 241000976983 Anoxia Species 0.000 description 1
- 206010003497 Asphyxia Diseases 0.000 description 1
- 201000004569 Blindness Diseases 0.000 description 1
- 101800004637 Communis Proteins 0.000 description 1
- 206010010356 Congenital anomaly Diseases 0.000 description 1
- 206010021143 Hypoxia Diseases 0.000 description 1
- 208000032376 Lung infection Diseases 0.000 description 1
- 241000158526 Nasalis Species 0.000 description 1
- 206010067268 Post procedural infection Diseases 0.000 description 1
- 208000025865 Ulcer Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- 238000001949 anaesthesia Methods 0.000 description 1
- 230000007953 anoxia Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 208000001780 epistaxis Diseases 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 210000003128 head Anatomy 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 210000004379 membrane Anatomy 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 208000011309 nasal bleeding Diseases 0.000 description 1
- 238000002640 oxygen therapy Methods 0.000 description 1
- 230000036407 pain Effects 0.000 description 1
- 230000004310 photopic vision Effects 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 230000004202 respiratory function Effects 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 238000005728 strengthening Methods 0.000 description 1
- 210000001944 turbinate Anatomy 0.000 description 1
- 231100000397 ulcer Toxicity 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
Abstract
The utility model discloses a nasal cavity passageway diameter sound -pipe relates to medical consumptive material field, and it has a front end to have before one big guide portion, the outside in little back be equipped with the detection body of length sign, and two positions are provided with the through -hole about the pipe wall of guide portion, and the external measurement gasbag that is equipped with of sound -pipe after guide portion is measured the gasbag and is connected with the inflater through the check valve through the gas tube, is equipped with and measures the scale that the big or small corresponding reflection gas injection of gasbag diameter was measured on the inflater, the detection body passes through the entry to be connected with breathing machine or aspirator, can provide oxygen supplying channel or attract nasal cavity incretion. The utility model discloses can solve the measurement problem that the nasal cavity passageway passes through the diameter size, select suitable intubate pipe to provide the basis for advancing menstruation nose trachea cannula, avoid adopting inappropriate intubate pipe to lead to the hemorrhage mistake that arouses of schneiderian membrane damage to inhale the scheduling problem.
Description
Technical field
This utility model relates to medical treatment consumptive materials field, particularly a kind of detection pipe for detecting nasal passage internal diameter size.
Background technology
Endotracheal tube is the medical apparatus and instruments that endotracheal intubation is indispensable clinically, it it is cardio-pulmonary-cerebral resuscitation and with the important measures in patient's rescue process of respiratory dysfunction, also it is implement in general anesthesia as ensureing patients with respiratory tract conventional Intubaction device smoothly, it is a safety measure of anaesthesia process, is widely used in multiple medical domain such as first aid, operation.The use of endotracheal tube is endotracheal tube is inserted into tracheal strips from the mouth of patient with by auxiliary equipment assisted respiartion under normal circumstances clinically, but when needing because of the operation at the positions such as patient's Maxillary region, oral cavity or need general anesthesia because of patient is congenital or posteriority reason causes difficulty in opening mouth or ankylosing spondylitis etc. clinically, it is necessary to select trachea intubation.Naso-tracheal intubation is to be entered from prenaris by endotracheal tube, through meatus nasi communis, choana chamber, inserts tracheal strips then through bottleneck throat.Comparatively speaking, owing to direct oral cavity tracheal intubation photopic vision can intubate path, the endotracheal tube selecting conventional internal diameter routinely is general all more smooth from oral intubation.Then often there are the following problems for the endotracheal tube of the naso-tracheal intubation direct conventional internal diameter of selection routinely clinically:
First, without nose department flesh wound history person, nasal endoscope inspection before nasal trachea cannula, can't be carried out, the size of nasal cavity internal diameter can not be understood before intubating exactly, can not understand whether patient exists deviation of nasal septum.
Second, when some patients exist concha nasalis inferior or middle turbinate swell or deviation of nasal septum, during such as nasal trachea cannula, routine DIGEN selects conduit according to developmental states such as the height of patient, body weight, all can not pass through nasal cavity and become nasal trachea cannula.This endotracheal tube not selecting suitable types (or internal diameter) pointedly, the tracheal intubation of internal diameter but the selection routinely of blindness ground considers appropriate, what easily bring to patient is the damage of nasal cavity mucosa, hemorrhage, cause that tracheal intubation can not be inserted smoothly, blood can be caused by mistake to inhale postoperative lung infection occurs, postoperative nasal mucosa damage causes pain, intubation defeat and cancel hands art, more serious damage must also be adopted bigger for the air flue patient that has difficulties or the more Pipe Cutting of complication is cut and set up artificial airway, patient's death by suffocation etc. is even incessantly caused because of nasal bleeding.
On the other hand, the endotracheal tube of suitable inner diameter is selected to be very important according to the individual variation of patient；Conduit is crossed and slightly will substantially be damaged air flue and maybe can not insert tracheal strips, if it addition, the simple damage, hemorrhage and that adopt conduit is meticulous considering to avoid nasal cavity mucosa, being then unfavorable for the normal ventilation of lung, may result in patient's anoxia or carbon dioxide accumulation, jeopardize the life security of patient.Such as a normal height, body weight adult patients for, it is necessary to maintaining its normal respiratory function, the internal diameter of trachea cannula conduit is minimum cannot be below 5.0mm, otherwise, ventilates affecting patient normally.
Utility model content
Technical problem to be solved in the utility model is to provide a kind of nasal passage diameter detection pipe, it can solve the nasal passage measurement problem by diameter, select suitable to intubate conduit foundation is provided for carrying out nasal trachea cannula, it is to avoid inappropriate intubate conduit and cause that nasal mucosa damage is hemorrhage and cause the problems such as suction by mistake.
In order to solve the problems referred to above, the technical solution of the utility model is: this nasal passage diameter detection pipe, a front end is had to have a pre-small post-large guide portion, outside to be provided with the detection body of length mark, the tube wall of described guide portion is at least provided with through hole at upper and lower two positions, detection body after described guide portion is externally provided with measurement air bag, described measurement air bag is connected with inflator through check valve by gas tube, and described inflator is provided with the scale of the reflection gas injection rate corresponding with described measurement air bag diameter.
In technique scheme, more specifically scheme is it may also is that the import of described gas tube is provided with pilot balloon, and described check valve is arranged on described pilot balloon；The length of described guide portion is 1 centimetre, is 2 centimetres from the distance being exported to described measurement air bag of described detection body；The external diameter (φ) of the entrance of described detection body is 3 to 4 millimeters；On the tube wall of described guide portion, the aperture of through hole is 2 to 3 millimeters.
Further: the corresponding relation set up between the big down scale of gas injection rate on the maximum gauge of described measurement air bag and described inflator is divided into fourth gear, when the gas injection rate scale on described inflator represent respectively 2.5ml, 2.0ml, 1.5ml and 1.0ml time, corresponding the maximum gauge respectively 6.5mm of described measurement air bag, 6.0mm, 5.5mm and 5.0mm, the pressure in described pilot balloon respectively reaches 110～120cmH2O, 90～100cmH2O, 70～80cmH2O and 50～60cmH2O。
Further: the corresponding relation set up between the big down scale of gas injection rate on the maximum gauge of described measurement air bag and described inflator also can be divided into third gear, when the gas injection rate scale on described inflator represents 1.5ml, 1.0ml, 0.5ml respectively, maximum gauge respectively 5.0mm, 4.5mm and 4.0mm of corresponding described measurement air bag, the respectively 80～90cmH of the pressure in described pilot balloon2O, 60～70cmH2O and 40～50cmH2O。
Further: described check valve be connect with described inflator after backing down, for the snap switch of gas injection or aerofluxus；Described inflator is injector for medical purpose；The entrance of described detection body is connected offer air supply channel with respirator；Or be connected with suction pump, nasal cavity secretions is attracted.
Owing to adopting technique scheme, this utility model has the advantages that
1, before this utility model can be used for carrying out naso-tracheal intubation, to not carrying out nasal cavity splanchnoscopy, do not know to be detected when whether patient's nasal cavity exists narrow or deviation of nasal septum, corresponding nasal cavity trachea is just selected to intubate after detection clearly, there is predictability and targeted, thus can significantly reduce damage to nasal mucosal tissue during because directly using target endotracheal tube per nasal to intubate blindly, cause the generation of ulcer postoperative infection after hemorrhage or damage.
2, this utility model front end adopts the guide portion of taper, detection pipe front end is made to become thinner, reduce the damage because nasal mucosa being caused when detection pipe is relatively large in diameter detection, simultaneously because regulate its internal diameter or volume injecting air in measurement air bag, the gas measuring air bag has certain compressibility, so that measuring air bag there is certain elasticity, it is compared with the target endotracheal tube that will insert nasal cavity, no matter it is reinforced conduit or z shape pipe, or plain edition endotracheal tube, the hardness measuring air bag is more soft, it is possible to avoid the damage of nasal membrane tissue.
3, guide portion of the present utility model is provided with two upper the next asymmetric through holes, and the entrance detecting body when necessary is connected with respirator or suction pump；Through hole can be strengthened nasal cavity secretions is attracted；It is also beneficial to when needs input oxygen, it is simple to through conduit and nasal passage to air flue oxygen supply.
4, this utility model is practical, the detection being especially for use in general anesthesia before nasal trachea cannula, is conducive to improving the work efficiency of nasal trachea cannula, improves the safety of anesthesia, and patient is highly beneficial.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model.
Number in the figure is expressed as: 1, detection body, and 2, measure air bag, 3, through hole, 4, gas tube, 5, pilot balloon, 6, check valve, 7, entrance, 8, outlet, 9, length mark, 10, inflator.
Detailed description of the invention
Below in conjunction with drawings and Examples, this utility model is further illustrated:
The nasal passage diameter detection pipe of Fig. 1, including outside be provided with the detection body 1 of length mark 9, being provided with a pre-small post-large guide portion in detection body 1 forward part, guide portion length is 1 centimetre, and the sidewall of guide portion is provided with two asymmetric through holes 3 of upper-lower position；Being provided with measurement air bag 2 on the periphery of detection body 1, the outlet 8 of detection body 1 is 2 centimetres to the distance of measurement air bag 2；Measurement air bag 2 is connected with the pilot balloon 5 including check valve 6 by investing the gas tube 4 on detection body 1 inwall, because pilot balloon 5 is connected with measuring air bag 2, can intuitively find out from pilot balloon 5 and measure the interior power with or without gas and air pressure of air bag 2；Check valve 6 is connected to inflator 10, and inflator 10 is marked with the scale that represent gas injection rate size corresponding with measuring air bag 2 maximum gauge；Check valve 6 is snap switch, inwardly heads into and connects with inflator 10 after switch is backed down, can inwardly gas injection, simultaneously also can by the gas discharge in air bag or extraction；The external diameter φ of the entrance 7 of detection body 1 is 3 to 4 millimeters；The aperture of two through holes 3 of guide portion is 2 to 3 millimeters.Detection body 1 can pass through entrance 7 if desired and connect with respirator, it is provided that air supply channel, can pass into oxygen from air supply channel when needs of patients is cured by oxygen therapy；Or can be attached carrying out the endocrine attraction of nasal meatus by entrance 7 and vacuum extractor when necessary, two through holes 3 of guide portion can play the ability strengthening oxygen input or the endocrine attraction of nasal meatus.Detection body 1 is the light-wall pipe adopting transparent PVC material to make, and internal diameter and external diameter difference are only small, referred to as diameter.
This utility model is divided into human-like and child form two types: for adult type, inflator 10 is general injector for medical purpose, can be miniature inflator in other embodiments；The internal diameter φ of the entrance 7 of detection body 1 is 4 millimeters；The aperture of two through holes 3 of guide portion is 3 millimeters；The corresponding relation set up between the big down scale of gas injection rate on the maximum gauge of measurement air bag 2 and inflator 10 is divided into fourth gear, when the gas injection rate scale on inflator 10 represent respectively 2.5ml, 2.0ml, 1.5ml and 1.0ml time, corresponding measurement the maximum gauge respectively 6.5mm of air bag 2,6.0mm, 5.5mm and 5.0mm, the pressure in pilot balloon 5 respectively reaches 110～120cmH2O, 90～100cmH2O, 70～80cmH2O and 50～60cmH2O.At this moment the model (or internal diameter) of the corresponding target tracheal intubation that should choose corresponds to 6.5mm, 6.0mm, 5.5mm and 5.0mm.
For child form, inflator 10 is general injector for medical purpose, and the internal diameter φ of the entrance 7 of detection body 1 is 3 millimeters；The aperture of two through holes 3 of guide portion is 2 millimeters；The corresponding relation set up between the big down scale of gas injection rate on the maximum gauge of measurement air bag 2 and inflator 10 is divided into third gear, when the gas injection rate scale on inflator 10 represents 1.5ml, 1.0ml, 0.5ml respectively, corresponding maximum gauge respectively 5.0mm, 4.5mm and the 4.0mm measuring air bag 2, the respectively 80～90cmH of the pressure in pilot balloon 52O, 60～70cmH2O and 40～50cmH2O.At this moment the model (or internal diameter) of the corresponding target tracheal intubation that should choose corresponds to 5.0mm, 4.5mm and 4.0mm.
Using method: the targeted conductor model internal diameter such as nasal trachea cannula of being grown up is 6.5mm, adopts the detection pipe gas injection of adult type nasal passage diameter to reach these shelves of 5.0mm to measuring air bag maximum gauge, if passing through.After then exiting conduit again sequence increase to gas injection to measure air bag maximum gauge reach 5.5mm shelves, intubate again such as non-resistance, after then exiting, sequence increases to gas injection to measuring air bag maximum gauge again is 6.0mm shelves, intubate again such as non-resistance, sequence increases to measurement air bag maximum gauge 6.5mm shelves again, when this pipe non-resistance, then the target endotracheal tube selecting internal diameter to be 6.5mm carries out nasotracheal intubation.As exit detection manage gas injection sequence again increase rear tube can not enter, then nasal cavity internal diameter is the maximum gauge of air bag before non-sequence increases, targeted conductor internal diameter then not can exceed that the internal diameter of this detection tube airbag, and detection pipe, thus having reached the effect detected in advance, has predictability and targeted.
The using method of children's's type detection pipe is substantially the same with adult's detection pipe method, and difference is: initially with the detection pipe without gas injection, if passing through, then adopt from low-grade gas injection, and the capacity of gas injection is different with pressure with corresponding catheter diameter.Such as gas injection rate 0.5ml, if by then and so on gas injection 1.0ml, 1.5ml, measurement air bag maximum gauge respectively 4.0mm, 4.5mm and 5.0mm correspondingly, the corresponding pressure respectively 40～50cmH in pilot balloon 52O, 60～70cmH2O and 80～90cmH2O。
Claims (6)
1. a nasal passage diameter detection pipe, it is characterized in that having a front end to have a pre-small post-large guide portion, outside is provided with the detection body (1) of length mark (9), the tube wall of described guide portion is at least provided with through hole (3) at upper and lower two positions, detection body (1) after described guide portion is externally provided with measurement air bag (2), described measurement air bag (2) is connected with inflator (10) through check valve (6) by gas tube (4), described inflator (10) is provided with the scale of the reflection gas injection rate corresponding with described measurement air bag (2) diameter.
2. nasal passage diameter according to claim 1 detection pipe, it is characterised in that: the import of described gas tube (4) is provided with pilot balloon (5), and described check valve (6) is arranged on described pilot balloon (5)；The length of described guide portion is 1 centimetre, is 2 centimetres from the distance of the outlet (8) of described detection body (1) extremely described measurement air bag (2)；The external diameter φ of the entrance (7) of described detection body (1) is 3 to 4 millimeters；On the tube wall of described guide portion, the aperture of through hole (3) is 2 to 3 millimeters.
3. nasal passage diameter according to claim 2 detection pipe, it is characterized in that: the corresponding relation set up between the big down scale of gas injection rate on the maximum gauge of described measurement air bag (2) and described inflator (10) is divided into fourth gear, when the gas injection rate scale on described inflator (10) represent respectively 2.5ml, 2.0ml, 1.5ml and 1.0ml time, corresponding the maximum gauge respectively 6.5mm of described measurement air bag (2), 6.0mm, 5.5mm and 5.0mm, the pressure in described pilot balloon (5) respectively reaches 110～120cmH2O, 90～100cmH2O, 70～80cmH2O and 50～60cmH2O。
4. nasal passage diameter according to claim 2 detection pipe, it is characterized in that: the corresponding relation set up between the big down scale of gas injection rate on the maximum gauge of described measurement air bag (2) and described inflator (10) is divided into third gear, when the gas injection rate scale on described inflator (10) represents respectively 1.5ml, 1.0ml, 0.5ml, maximum gauge respectively 5.0mm, 4.5mm and 4.0mm of corresponding described measurement air bag (2), the pressure respectively 80～90cmH in described pilot balloon (5)2O, 60～70cmH2O and 40～50cmH2O。
5. nasal passage diameter according to claim 3 detection pipe, it is characterised in that: described check valve (6) be back down connect with described inflator (10) afterwards, for the snap switch of gas injection or aerofluxus；Described inflator (10) is injector for medical purpose；The entrance (7) of described detection body (1) is connected offer air supply channel with respirator；Or be connected with suction pump, nasal cavity secretions is attracted.
6. nasal passage diameter according to claim 4 detection pipe, it is characterised in that: described check valve (6) be back down connect with described inflator (10) afterwards, for the snap switch of gas injection or aerofluxus；Described inflator (10) is injector for medical purpose；The entrance (7) of described detection body (1) is connected offer air supply channel with respirator；Or be connected with suction pump, nasal cavity secretions is attracted.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620033792.7U CN205338957U (en) | 2016-01-14 | 2016-01-14 | Nasal cavity passageway diameter sound -pipe |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201620033792.7U CN205338957U (en) | 2016-01-14 | 2016-01-14 | Nasal cavity passageway diameter sound -pipe |
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| Publication Number | Publication Date |
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| CN205338957U true CN205338957U (en) | 2016-06-29 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201620033792.7U Expired - Fee Related CN205338957U (en) | 2016-01-14 | 2016-01-14 | Nasal cavity passageway diameter sound -pipe |
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| Country | Link |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105455817A (en) * | 2016-01-14 | 2016-04-06 | 柳州市人民医院 | Nasal cavity channel diameter detection tube |
| CN106821319A (en) * | 2017-02-07 | 2017-06-13 | 浙江大学 | A kind of device for detecting tracheae bronchial fistula mouthful |
-
2016
- 2016-01-14 CN CN201620033792.7U patent/CN205338957U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105455817A (en) * | 2016-01-14 | 2016-04-06 | 柳州市人民医院 | Nasal cavity channel diameter detection tube |
| CN106821319A (en) * | 2017-02-07 | 2017-06-13 | 浙江大学 | A kind of device for detecting tracheae bronchial fistula mouthful |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| 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: 20160629 Termination date: 20180114 |