CN205796195U - A kind of dosing suction sputum thermometric visual type tracheal intubation - Google Patents

A kind of dosing suction sputum thermometric visual type tracheal intubation Download PDF

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CN205796195U
CN205796195U CN201620405114.9U CN201620405114U CN205796195U CN 205796195 U CN205796195 U CN 205796195U CN 201620405114 U CN201620405114 U CN 201620405114U CN 205796195 U CN205796195 U CN 205796195U
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dosing
tube
endotracheal tube
tracheal intubation
suction sputum
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苏帆
戴俊峰
陈银
李智帅
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Jiangsu Lifeng Biotechnology Co Ltd
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Jiangsu Lifeng Biotechnology Co Ltd
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Abstract

This utility model provides a kind of dosing suction sputum thermometric visual type tracheal intubation, including endotracheal tube, inflatable cuff, inflating catheter, dosing conduit, supervising device and seam;Described inflating catheter, supervising device and described dosing conduit it is provided with in described endotracheal tube;It is respectively arranged with described inflatable cuff and seam at the two ends of described endotracheal tube;Described supervising device includes that camera head and connecting line, described camera head are connected with described connecting line.Of the present utility model intubated by visual video when tracheal intubation, and while realizing mechanical ventilation, the body temperature of human body can be monitored in real time, and by chemicals dosing plant carry out before intra-operative, tube drawing, during tube drawing dosing and. in operation process, remove respiratory secretions in time, to keep respiratory passage unblocked, thus improve pulmonary ventilation and ventilatory, it is ensured that being normally carried out of operation.

Description

一种加药吸痰测温可视型气管插管Visible tracheal intubation tube for adding medicine, suctioning sputum and measuring temperature

技术领域technical field

本实用新型涉及医疗器械技术领域,尤其是涉及一种加药吸痰测温可视型气管插管。The utility model relates to the technical field of medical devices, in particular to a visible tracheal intubation tube for adding medicine, sucking sputum, and measuring temperature.

背景技术Background technique

气管插管是指将一特制的气管内导管经声门置入气管的技术称为气管插管,这一技术能为气道通畅、通气供氧、呼吸道吸引和防止误吸等提供最佳条件。Endotracheal intubation refers to the technique of inserting a special endotracheal tube into the trachea through the glottis, which is called endotracheal intubation. This technique can provide the best conditions for airway patency, ventilation and oxygen supply, respiratory tract suction and prevention of aspiration. .

紧急气管插管技术已成为心肺复苏及伴有呼吸功能障碍的急危重症患者抢救过程中的重要措施。气管插管术是急救工作中常用的重要抢救技术,是呼吸道管理中应用最广泛、最有效最快捷的手段之一,是医务人员必须熟练掌握的基本技能,对抢救患者生命、降低病死率起到至关重要的作用。且能够及时吸出气管内分泌物或异物,防止异物进入呼吸道,保持呼吸道通畅,进行有效的人工或机械通气咽喉部生理解剖,防止患者缺氧和二氧化碳潴留气管插管是否及时直接关系着抢救的成功成否、患者能否安全转运及患者的预后情况。Emergency tracheal intubation technology has become an important measure in the process of cardiopulmonary resuscitation and rescue of critically ill patients with respiratory dysfunction. Endotracheal intubation is an important rescue technique commonly used in emergency work. It is one of the most widely used, most effective and fastest means in respiratory management. It is a basic skill that medical personnel must master proficiently. to a vital role. And be able to suck out secretions or foreign bodies in the trachea in time, prevent foreign bodies from entering the respiratory tract, keep the respiratory tract unobstructed, perform effective manual or mechanical ventilation on the physiological anatomy of the throat, and prevent patients from hypoxia and carbon dioxide retention. , Whether the patient can be transported safely and the prognosis of the patient.

人工气道,经口气管插管的使用快速而方便,在呼吸、心跳骤停抢救时较常使用,但经口气管插管固定困难,大多数病人意识恢复初期,可因烦躁不安或难以耐受,导致过早拔管撤机。对这类病人予以适当的镇静或改变插管方式,可保证适时撤机。经鼻气管插管有效方便,对于清醒病人也能耐受,且易固定,不影响口腔护理和进食,不致因较长时间使用引起 营养不良和电解质紊乱,为一无创伤的方法。但经鼻气管插管气道死腔大,容易导致痰液引流不畅、痰栓形成,甚至阻塞管腔。Artificial airway, the use of orotracheal intubation is quick and convenient, and it is more commonly used in the rescue of breathing and cardiac arrest, but it is difficult to fix the orotracheal intubation. Infected, leading to premature extubation and weaning. Appropriate sedation or changing the intubation method for such patients can ensure timely weaning. Nasotracheal intubation is effective and convenient, and it can be tolerated by conscious patients. It is easy to fix, does not affect oral care and eating, and does not cause malnutrition and electrolyte imbalance due to prolonged use. It is a non-invasive method. However, nasotracheal intubation has a large dead space in the airway, which can easily lead to poor drainage of sputum, formation of sputum plugs, and even blockage of the lumen.

术后护理中需要保持气管导管通畅,及时吸出口腔及气管内分泌物,吸痰时注意无菌操作,口腔、气管吸痰管要严格分开。吸痰管与吸氧管不宜超过气管导管内径的1/2,以免堵塞气道。每次吸痰做到一次一管一手套,吸痰管在气道内停留少于15秒。During the postoperative care, it is necessary to keep the tracheal tube unobstructed, suck out oral and tracheal secretions in time, pay attention to aseptic operation when suctioning, and strictly separate the oral and tracheal suction tubes. The suction tube and oxygen tube should not exceed 1/2 of the inner diameter of the endotracheal tube, so as not to block the airway. Each time you suck up sputum, do one tube and one glove at a time, and the suction tube stays in the airway for less than 15 seconds.

保持气道内湿润,吸氧浓度不可过大,一般以1—2升/分为宜,吸氧针头插入气管导管内一半。痰液粘稠时,每4小时雾化吸入一次,或向气管内滴入湿化液,每次2—5ml,24h不超过250ml。Keep the airway moist, the concentration of oxygen inhalation should not be too high, generally 1-2 liters per minute is appropriate, and the oxygen inhalation needle is inserted halfway into the endotracheal tube. When the sputum is viscous, inhale it every 4 hours by nebulization, or drip humidification solution into the trachea, 2-5ml each time, no more than 250ml in 24 hours.

气囊松紧适宜,每4h放气5—10分钟一次,放气前吸尽口咽部及气管内分泌物。气管导管保留72h后应考虑气管切开,防止气囊长时间压迫气管黏膜,引起黏膜缺血、坏死。The air bag should be tight enough to deflate every 4 hours for 5-10 minutes, and the oropharynx and endotracheal secretions should be sucked up before deflation. Tracheotomy should be considered after the endotracheal tube is retained for 72 hours to prevent the air bag from pressing the tracheal mucosa for a long time, causing mucosal ischemia and necrosis.

相比之下,气管切开死腔小,固定良好,病人能耐受,痰液易吸出,不影响进食和口腔护理,并发症少,是理想的通气方式。需要较长时间机械通气或昏迷者,及痰液较多排痰不畅者,以气管切开为宜。In contrast, tracheotomy has small dead space, good fixation, patient tolerance, easy aspiration of sputum, no impact on eating and oral care, and few complications. It is an ideal ventilation method. Tracheotomy is advisable for those who need mechanical ventilation for a long time or those who are in a coma, and those with a lot of sputum and poor sputum discharge.

吸痰器;主要对伤病员进行常规吸痰、气管切开等处理,一般为电动式。具有体积小、重量轻、吸引力大、结构紧凑、便于携带、成本低、坚固耐用等特点。Sputum suction device: It is mainly used for routine suction and tracheotomy for the wounded and sick, and it is generally electric. It has the characteristics of small size, light weight, great attraction, compact structure, easy to carry, low cost, durable and so on.

吸痰器上有吸痰管,用于将痰液和分泌物等吸痰处理,吸痰管常规消毒,吸痰器及排痰管吸消毒液消毒后,以备再用。吸痰器是防治病人呼吸道阻塞、抢救窒息所不可缺少的重要工具。There is a sputum suction tube on the sputum suction device, which is used for suction treatment of sputum and secretions. The sputum suction tube is routinely disinfected. The sputum suction device is an indispensable and important tool for preventing and treating the patient's airway obstruction and rescuing suffocation.

气管内插管术是指将特制的气管导管,通过口腔或鼻腔插入病人气管内。是一种气管内麻醉和抢救病人的技术,也是保持上呼吸道通畅的最可靠手段。气管或支气管内插管是实施麻醉一项安全措施。Endotracheal intubation refers to the insertion of a special endotracheal tube through the mouth or nose into the patient's trachea. It is a technique for intratracheal anesthesia and rescue of patients, and it is also the most reliable means to keep the upper airway open. Tracheal or endobronchial intubation is a safety measure in administering anesthesia.

气管内插管具有保持呼吸道通畅,便于清除气管支气管内分泌物;便于实施辅助呼吸和人工呼吸;麻醉医生可以远离手术区,尤其适用于颅脑、 颌面、五官和颈部手术;可以减少呼吸衰竭的病人呼吸道无效腔,便于给氧吸入和辅助呼吸Endotracheal intubation has the function of keeping the airway open and easy to remove secretions in the trachea and bronchi; it is convenient to implement assisted breathing and artificial respiration; the anesthesiologist can stay away from the operation area, especially suitable for craniocerebral, maxillofacial, facial features and neck operations; it can reduce respiratory failure The patient's airway dead space is convenient for oxygen inhalation and assisted breathing

气管插管对于手术的成功有重要的作用,能够保证患者术中的呼吸通畅,便于给养;同时在手术中为了减少气管给人体的刺激,偶尔还需要进行给药和对气管的痰液的清洗。Endotracheal intubation plays an important role in the success of the operation. It can ensure the smooth breathing of the patient during the operation and facilitate supplies. At the same time, in order to reduce the stimulation of the trachea to the human body during the operation, it is necessary to occasionally administer medication and clean the trachea of sputum. .

实用新型内容Utility model content

本实用新型的目的在于提供一种加药吸痰测温可视型气管插管,以解决现有技术中存在的不能加药、体温测量和吸痰同时进行,需要同时插入加药管和吸痰管等多个管子和气管插入在气管中插入情况不能实时了解的技术问题。The purpose of this utility model is to provide a visible tracheal intubation tube for adding medicine, suctioning phlegm and measuring temperature, so as to solve the problem in the prior art that medicine can not be added, body temperature measurement and suctioning can be carried out at the same time, and it is necessary to insert the medicine feeding tube and the suction tube at the same time. The insertion of multiple tubes such as sputum tubes and trachea into the trachea is a technical problem that cannot be understood in real time.

本实用新型提供的一种加药吸痰测温可视型气管插管,包括气管导管、充气套囊、充气导管、加药导管、监控装置和衔接口;The utility model provides a visible tracheal intubation tube for adding medicine, suctioning sputum, and measuring temperature, including an endotracheal catheter, an inflatable cuff, an inflatable catheter, a drug-dosing catheter, a monitoring device, and a connecting port;

所述气管导管内设置有所述充气导管、监控装置和所述加药导管;在所述气管导管的两端分别设置有所述充气套囊和衔接口;The inflatable catheter, the monitoring device and the drug feeding catheter are arranged in the endotracheal catheter; the inflatable cuff and the connecting port are respectively arranged at both ends of the endotracheal catheter;

所述监控装置包括摄像装置和连接线,所述摄像装置与所述连接线连接;所述摄像装置设置在远离衔接口的气管导管另一端内侧;所述连接线一端设置在靠近衔接口一侧的气管导管上,且从气管导管中伸出;能够实现在手术中插入气管插管过程中对气管内的情况的可视化监测,减少手术中插管的数量,实现气管插管的功能多样化。The monitoring device includes a camera and a connecting wire, and the camera is connected to the connecting wire; the camera is arranged inside the other end of the endotracheal tube away from the connecting port; one end of the connecting wire is arranged on the side close to the connecting port On the tracheal tube, and protruding from the tracheal tube; it can realize the visual monitoring of the situation in the trachea during the insertion of the tracheal intubation during the operation, reduce the number of intubation in the operation, and realize the function diversification of the tracheal intubation.

进一步地,所述充气导管内还设置吸痰管,所述吸痰管的两端设置在所述气管导管外侧;所述吸痰管上的吸痰头设置在靠近充气套囊的一端;所述吸痰管上的吸痰接头设置在衔接口的一端;通过气管插管实现吸痰的操作。Further, a sputum suction tube is also set in the inflatable catheter, and the two ends of the sputum suction tube are set outside the endotracheal tube; the sputum suction head on the sputum suction tube is set at one end close to the inflatable cuff; The sputum suction connector on the sputum suction tube is arranged at one end of the connecting port; the sputum suction operation is realized through the tracheal intubation.

进一步地,所述充气套囊包括内囊和外囊,所述内囊套在所述气管导管的外,所述外囊套在所述内囊外;所述充气导管一端与所述充气套囊的 内囊连通,另一端设置在靠近所述衔接口的一端。这样内囊的气体能够将外囊的药液喷出;充气导管为充气套囊进行充气,使充气套囊鼓起。Further, the inflatable cuff includes an inner bag and an outer bag, the inner bag is covered outside the endotracheal catheter, and the outer bag is covered outside the inner bag; one end of the inflation catheter is connected to the inflatable cuff The inner bag of the bag is connected, and the other end is arranged at the end close to the connecting port. In this way, the gas in the inner bag can eject the medicinal liquid in the outer bag; the inflation catheter inflates the inflatable cuff to make the inflatable cuff bulge.

进一步地,所述充气导管一端与所述充气套囊的内囊连通,另一端设置在靠近所述衔接口的一端,Further, one end of the inflation catheter communicates with the inner bag of the inflatable cuff, and the other end is arranged at the end close to the connecting port,

进一步地,所述加药导管一端与所述充气套囊的外囊连通,另一端设置在靠近所述衔接口的一端,通过加药导管将药液输送到充气套囊的外囊中。Further, one end of the medicine adding catheter communicates with the outer bag of the inflatable cuff, and the other end is arranged at the end close to the connecting port, and the medicine liquid is delivered to the outer bag of the inflatable cuff through the medicine adding catheter.

进一步地,所述加药导管套在所述充气导管内侧,所述充气导管与内囊连通,所述加药导管前端从充气导管伸出与所述外囊连通,能够减少气管导管支直径,增加病人的舒适感。Further, the medication dosing catheter is sleeved inside the inflation catheter, the inflation catheter communicates with the inner bag, and the front end of the medicine dosing catheter protrudes from the inflation catheter to communicate with the outer bag, which can reduce the diameter of the endotracheal catheter branch, Increase patient comfort.

进一步地,所述外囊上设置有若干喷药孔,所述喷药孔连通外界与所述外囊,通过喷药孔将外囊内的药液喷出,实现给患者输送药液的目的,减少患者的应激反应。Further, the outer capsule is provided with a number of injection holes, and the injection holes communicate with the outside world and the outer capsule, and the medicinal liquid in the outer capsule is sprayed out through the medicinal injection holes, so as to achieve the purpose of delivering the medicinal liquid to the patient. , to reduce the patient's stress response.

进一步地,所述充气导管的一端设置有充气装置,通过充气导管为内囊充气;所述加药导管的一端设置有加药装置,通过加药导管为外囊输送药液。Further, one end of the inflation catheter is provided with an inflation device, and the inner bag is inflated through the inflation catheter; one end of the drug addition catheter is provided with a drug addition device, and the drug solution is delivered to the outer bag through the drug addition catheter.

进一步地,所述摄像装置上设置有用于照明的冷光灯,所述连接线在气管导管外的一端上设置有用于连接视频设备的输出接头,冷光灯起到照明的作用,输出接头连接显示装置,能够清楚了解气管插入插入气管的情况。Further, the camera device is provided with a cold light lamp for lighting, and the connecting line is provided with an output joint for connecting video equipment on one end outside the endotracheal tube, the cold light lamp plays the role of illumination, and the output joint is connected to the display device , can clearly understand the situation of tracheal insertion into the trachea.

进一步地,所述气管导管内设置有温度传感导线;在所述温度传感导线两端分别有温度传感器探头和显示装置,所述温度传感器探头设置在所述充气套囊靠近衔接口一侧的近端;实现机械通气同时能够对人体体温的实时监控。Further, a temperature sensing wire is arranged inside the tracheal tube; a temperature sensor probe and a display device are respectively arranged at both ends of the temperature sensing wire, and the temperature sensor probe is arranged on the side of the inflatable cuff close to the connecting port The proximal end; realize mechanical ventilation and real-time monitoring of human body temperature.

进一步地,所述气管导管内设置有钢丝弹簧,所述钢丝弹簧位于所 述衔接口和充气套囊之间,这样增加了整个气管导管的弹性和硬度,使气管插管插入的更方便。Further, a wire spring is arranged in the endotracheal tube, and the wire spring is located between the articulation port and the inflatable cuff, which increases the elasticity and hardness of the entire endotracheal tube and makes the insertion of the endotracheal tube more convenient.

本实用新型提供的一种加药吸痰测温可视型气管插管上设置的吸痰管能够及时减刑连续性或者间歇性的吸走聚集在充气气囊上的患者的分泌物、痰液等;The sputum suction tube provided on the endotracheal intubation tube provided by the utility model can continuously or intermittently absorb the patient's secretions and sputum gathered on the inflatable air bag in time. ;

保证呼吸道的畅通;加药导管导入的药液通过外囊上的喷药孔,将其喷洒在人体气管中,起到润滑气管插管和充气气囊的位置,达到减轻手术过程中、拔管前、拔管过程中所致心血管的应激反应;Ensure the smoothness of the respiratory tract; the medicine liquid introduced by the dosing catheter passes through the spray hole on the outer bag, and sprays it in the human trachea to lubricate the position of the tracheal intubation and the inflatable air bag, so as to relieve the pain during the operation and before extubation. , Cardiovascular stress response during extubation;

在气管插入内设置的监控装置,能够在将监控气管插管在插入气管中的情况进行监控,起到实时监控,了解插入的情况目的。The monitoring device arranged in the tracheal insertion can monitor the situation of the tracheal intubation being inserted into the trachea, so as to perform real-time monitoring and understand the insertion situation.

温度传感器探头能够对人体的体温进行实时的监控,在实现机械通气和对人体气管输入所需要付,使气管插管功能更加多元化。The temperature sensor probe can monitor the body temperature of the human body in real time, which is necessary for the realization of mechanical ventilation and the input of the trachea of the human body, making the function of tracheal intubation more diversified.

附图说明Description of drawings

为了更清楚地说明本实用新型具体实施方式或现有技术中的技术方案,下面将对具体实施方式或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图是本实用新型的一些实施方式,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the specific implementation of the utility model or the technical solutions in the prior art, the accompanying drawings that need to be used in the description of the specific implementation or the prior art will be briefly introduced below. Obviously, the following descriptions The accompanying drawings are some implementations of the utility model, and those skilled in the art can also obtain other drawings according to these drawings without any creative work.

图1为本实用新型实施例提供的一种加药吸痰测温可视型气管插管的右视图;Fig. 1 is a right side view of a visible tracheal intubation tube provided by the embodiment of the present invention;

图2为图1所示的一种加药吸痰测温可视型气管插管的正视图;Fig. 2 is a front view of a visible tracheal intubation tube shown in Fig. 1 for adding medicine, suctioning sputum, and measuring temperature;

图3为图2所示的一种加药吸痰测温可视型气管插管的AA截面示意图;Fig. 3 is an AA cross-sectional schematic diagram of a visible tracheal intubation tube shown in Fig. 2;

图4为图3所示的一种加药吸痰测温可视型气管插管的局部放大图。Fig. 4 is a partially enlarged view of a visible tracheal intubation tube shown in Fig. 3 for adding medicine, suctioning sputum, and measuring temperature.

附图标记:Reference signs:

1-气管导管;2-衔接口;3-充气套囊;4-温度传感导线;5-吸痰管;501-吸痰头;6-充气导管;7-加药导管;8-温度传感器探头;9-内囊;10-外囊;11-连接线;12-摄像头装置。1-tracheal tube; 2-connecting port; 3-inflatable cuff; 4-temperature sensing wire; 5-suction tube; 501-suction head; 6-inflatable catheter; 7-dosing catheter; 8-temperature sensor Probe; 9-inner capsule; 10-outer capsule; 11-connecting wire; 12-camera device.

具体实施方式detailed description

下面将结合附图对本实用新型的技术方案进行清楚、完整地描述,显然,所描述的实施例是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。The technical solutions of the utility model will be clearly and completely described below in conjunction with the accompanying drawings. Apparently, the described embodiments are part of the embodiments of the utility model, but not all of them. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present utility model.

在本实用新型的描述中,需要说明的是,术语“中心”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本实用新型的限制。此外,术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性。In the description of the present utility model, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer" The orientation or positional relationship indicated by etc. is based on the orientation or positional relationship shown in the drawings, which is only for the convenience of describing the utility model and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, use a specific The azimuth structure and operation, therefore can not be construed as the limitation of the present utility model. In addition, the terms "first", "second", and "third" are used for descriptive purposes only, and should not be construed as indicating or implying relative importance.

在本实用新型的描述中,需要说明的是,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以具体情况理解上述术语在本实用新型中的具体含义。In the description of the present utility model, it should be noted that, unless otherwise clearly stipulated and limited, the terms "installation", "connection" and "connection" should be understood in a broad sense, for example, it can be a fixed connection or a flexible connection. Detachable connection, or integral connection; it can be mechanical connection or electrical connection; it can be direct connection or indirect connection through an intermediary, and it can be the internal communication of two components. Those of ordinary skill in the art can understand the specific meanings of the above terms in the present utility model in specific situations.

图1为本实用新型实施例提供的一种加药吸痰测温可视型气管插管的右视图;图2为图1所示的一种加药吸痰测温可视型气管插管的正视图;图3为图2所示的一种加药吸痰测温可视型气管插管的AA截面示意图;图4为图3所示的一种加药吸痰测温可视型气管插管的局部放大图。Fig. 1 is a right view of a visible endotracheal intubation provided by an embodiment of the present invention; Fig. 2 is a visible endotracheal intubation shown in Fig. 1 Figure 3 is an AA cross-sectional schematic diagram of a visual tracheal intubation tube shown in Figure 2 for adding medicine, suctioning sputum, and measuring temperature; A partial enlarged view of the endotracheal tube.

本实用新型提供的一种加药吸痰测温可视型气管插管,包括气管导管1、充气套囊3、充气导管6、加药导管7、监控装置和衔接口2;The utility model provides a visible tracheal intubation tube for adding medicine, suctioning sputum, and measuring temperature, including an endotracheal catheter 1, an inflatable cuff 3, an inflatable catheter 6, a dosing catheter 7, a monitoring device, and an interface 2;

气管导管1内设置有充气导管6、监控装置和加药导管7;在气管导管1的两端分别设置有充气套囊3和衔接口2;The endotracheal tube 1 is provided with an inflatable catheter 6 , a monitoring device and a drug feeding catheter 7 ; the two ends of the endotracheal tube 1 are respectively provided with an inflatable cuff 3 and an interface 2 ;

监控装置包括摄像装置和连接线11,摄像装置与连接线11连接;摄像装置设置在远离衔接口2的气管导管1另一端内侧;连接线11一端设置在靠近衔接口2一侧的气管导管1上,且从气管导管1中伸出;能够实现在手术中插入气管插管过程中对气管内的情况的可视化监测,减少手术中插管的数量,实现气管插管的功能多样化。The monitoring device includes a camera device and a connecting wire 11, the camera device is connected to the connecting wire 11; the camera device is arranged inside the other end of the tracheal tube 1 away from the connecting port 2; one end of the connecting wire 11 is arranged on the endotracheal tube 1 near the connecting port 2 and protruding from the endotracheal tube 1; it can realize the visual monitoring of the situation in the trachea during the insertion of the endotracheal tube during the operation, reduce the number of intubation tubes during the operation, and realize the function diversification of the endotracheal intubation.

在本实施例中,气管导管1的一端有充气套囊3,在充气套囊3上端设置气管导管1的开口,开口内侧有监控装置的摄像头装置12,当气管插入插入气管的过程中,能够通过摄像头装置12了解气管的内情况,进一步的查看病情。In this embodiment, one end of the endotracheal tube 1 has an inflatable cuff 3, and an opening of the endotracheal tube 1 is provided at the upper end of the inflatable cuff 3. There is a camera device 12 of a monitoring device inside the opening. When the trachea is inserted into the trachea, it can Understand the internal situation of the trachea through the camera device 12, and further check the condition.

进一步地,充气导管6内还设置吸痰管5,吸痰管5的两端设置在气管导管1外侧;吸痰管5上的吸痰头501设置在靠近充气套囊3的一端;吸痰管5上的吸痰接头设置在衔接口2的一端;通过气管插管实现吸痰的操作。Further, a sputum suction tube 5 is also set in the inflatable catheter 6, and the two ends of the sputum suction tube 5 are arranged outside the endotracheal tube 1; the sputum suction head 501 on the sputum suction tube 5 is set at one end close to the inflatable cuff 3; the sputum suction The sputum suction joint on the tube 5 is arranged at one end of the connecting port 2; the sputum suction operation is realized through the endotracheal intubation.

在本实施例中,气管导管1内与充气导管6、吸痰管5和加药导管7;在气管导管1有一端有充气套囊3;充气套囊3上端有吸痰管5从气管导管1中伸出,吸痰管5,另一端从衔接口2下端伸出,吸痰管5上的吸痰接头用于连接吸引器,从而吸痰头501能够实现吸痰操作,进而减少充气套囊3上的痰液和其他分泌物;吸痰管5上的吸痰头501一端可以采用将吸痰管尾端与气管导管平齐的设置,这样在气管插管插入到人体气管中,吸痰管不会伤害到人体气管。In this embodiment, the endotracheal tube 1 is connected with an inflatable tube 6, a sputum suction tube 5, and a medication tube 7; one end of the endotracheal tube 1 has an inflatable cuff 3; 1, the sputum suction tube 5 extends out from the lower end of the joint 2, and the sputum suction joint on the sputum suction tube 5 is used to connect the suction device, so that the sputum suction head 501 can realize the sputum suction operation, thereby reducing the number of inflatable sleeves. sputum and other secretions on the bag 3; one end of the sputum suction head 501 on the sputum suction tube 5 can adopt the setting that the tail end of the sputum suction tube is flush with the endotracheal tube, so that when the tracheal intubation tube is inserted into the human trachea, suction The sputum tube will not harm the human trachea.

吸痰管5上设置的吸痰接头,吸痰接头上设置有保护帽,吸痰管5的腔体材质采用医用PVC材质制成的,吸痰接头连接吸痰器,从而实现吸痰 管5对痰液等杂物的清理。The sputum suction connector provided on the sputum suction tube 5 is provided with a protective cap, the cavity material of the sputum suction tube 5 is made of medical PVC material, and the sputum suction connector is connected to the sputum suction device, thereby realizing the sputum suction tube 5 Clean up debris such as sputum.

如4图所示,进一步地,充气套囊3包括内囊9和外囊10,内囊9套在气管导管1的外,外囊10套在内囊9外;充气导管6一端与充气套囊3的内囊9连通,另一端设置在靠近衔接口2的一端。这样内囊9的气体能够将外囊10的药液喷出;充气导管6为充气套囊3进行充气,使充气套囊3鼓起。As shown in Figure 4, further, the inflatable cuff 3 includes an inner bag 9 and an outer bag 10, the inner bag 9 is set outside the endotracheal tube 1, and the outer bag 10 is set outside the inner bag 9; The inner bag 9 of the bag 3 communicates, and the other end is arranged at the end close to the connecting port 2 . In this way, the gas in the inner bag 9 can eject the medicinal liquid in the outer bag 10; the inflation catheter 6 inflates the inflatable cuff 3 to make the inflatable cuff 3 bulge.

在本实施例中,充气套囊3的外囊10内有内囊9;内囊9为一个圆形的内囊9,外囊10为一个椭圆形的外囊10;内囊9完全在外囊10内部;气管导管1从内囊9中穿过。In this embodiment, there is an inner bag 9 in the outer bag 10 of the inflatable cuff 3; the inner bag 9 is a circular inner bag 9, and the outer bag 10 is an oval outer bag 10; the inner bag 9 is completely inside the outer bag. 10 inside; the endotracheal tube 1 passes through the inner bag 9 .

充气导管6与充气套囊3的内囊9连接;这样通过充气导管6将气体冲入内囊9,能够使充气套囊3鼓起,充气导管6大部分位于气管导管1中,充气导管6一端与内囊9连接,另一端从气管导管1中伸出,位于气管导管1外侧。The inflation conduit 6 is connected with the inner bag 9 of the inflation cuff 3; the gas is flushed into the inner bag 9 through the inflation conduit 6 to make the inflation cuff 3 bulge, and the inflation conduit 6 is mostly located in the endotracheal tube 1, and the inflation conduit 6 One end is connected with the inner bag 9 , and the other end protrudes from the endotracheal tube 1 and is located outside the endotracheal tube 1 .

进一步地,加药导管7一端与充气套囊3的外囊10连通,另一端设置在靠近衔接口2的一端,通过加药导管7将药液输送到充气套囊3的外囊10中。Further, one end of the medicine adding conduit 7 communicates with the outer bag 10 of the inflatable cuff 3 , and the other end is arranged at the end close to the connecting port 2 , and the medicine liquid is delivered to the outer bag 10 of the inflatable cuff 3 through the medicine adding catheter 7 .

加药导管7与充气套囊3的外囊10连接,药液通过加药导管7输入到外囊10中,加药导管7大部分位于气管导管1内,加药导管7的另一端伸出气管导管1,位于气管导管1外侧。The dosing catheter 7 is connected to the outer bag 10 of the inflatable cuff 3, and the medicinal solution is input into the outer bag 10 through the dosing catheter 7. Most of the dosing catheter 7 is located in the endotracheal catheter 1, and the other end of the dosing catheter 7 protrudes The endotracheal tube 1 is located outside the endotracheal tube 1 .

进一步地,加药导管7套在充气导管6内侧,充气导管6与内囊9连通,加药导管7前端从充气导管6伸出与外囊10连通,能够减少气管导管1支直径,增加病人的舒适感。Further, the dosing catheter 7 is set inside the inflatable catheter 6, the inflatable catheter 6 communicates with the inner bag 9, and the front end of the dosing catheter 7 protrudes from the inflated catheter 6 to communicate with the outer bag 10, which can reduce the diameter of one endotracheal catheter and increase the number of patients. comfort.

加药导管7能够在充气导管6内通过,这样能够减少气管导管1中占用的空间,减少气管导管1的直径;同样,充气导管6也可以采用充气导管6从加药导管7中通过的方式设置,同样能够起到减少气管导管1内穿过的导管数量,减少气管导管1直径的目的,这样能够减少对患者人体气 管的刺激。The medicine feeding catheter 7 can pass in the gas filling catheter 6, which can reduce the space occupied by the endotracheal catheter 1 and reduce the diameter of the endotracheal catheter 1; similarly, the inflation catheter 6 can also adopt the way that the inflation catheter 6 passes through the medicine feeding catheter 7 The arrangement can also reduce the number of tubes passing through the endotracheal tube 1 and reduce the diameter of the endotracheal tube 1, which can reduce the stimulation to the trachea of the patient's human body.

进一步地,外囊10上设置有若干喷药孔,喷药孔连通外界与外囊10,通过喷药孔将外囊10内的药液喷出,实现给患者输送药液的目的,减少患者的应激反应。Further, the outer capsule 10 is provided with a number of injection holes, which communicate with the outside world and the outer capsule 10, through which the medicinal solution in the outer capsule 10 is sprayed out, so as to achieve the purpose of delivering the medicinal solution to the patient and reduce the number of patients. stress response.

在本实施例中,外囊10上有喷药孔,药液通过加药导管7流入到外囊10内,充气导管6在内囊9中充满气体,气体将药液从喷药孔中喷出,实现药物的喷洒。In this embodiment, there is a medicine spraying hole on the outer bag 10, and the medicinal liquid flows into the outer bag 10 through the dosing conduit 7, and the gas filling conduit 6 is filled with gas in the inner bag 9, and the gas sprays the medicinal liquid from the medicine spraying hole. out to realize the spraying of the medicine.

进一步地,充气导管6的一端设置有充气装置,通过充气导管6为内囊9充气。Further, an inflation device is provided at one end of the inflation conduit 6 to inflate the inner bag 9 through the inflation conduit 6 .

充气导管6上的充气装置,充气装置可以采用活塞结构的充气装置,或者采用充气囊进行充气等,能够将气体从充气导管6进入内囊9,使内囊9鼓起的充气装置均可以采用。The inflation device on the inflation conduit 6, the inflation device can adopt the inflation device of the piston structure, or adopt the inflatable bag to inflate etc., can enter the inner bag 9 from the inflation conduit 6, and the inflation device that makes the inner bag 9 bulge can be adopted .

进一步地,加药导管7的一端设置有加药装置,通过加药导管7为外囊10输送药液。Further, a drug adding device is provided at one end of the drug adding catheter 7 , and the drug solution is delivered to the outer capsule 10 through the drug adding catheter 7 .

加药导管7一端连接外囊10,药液从加药导管7中进入到外囊10;药液是通过加药装置进入的,一般在医院都使用注射器,将其药液注入到加药导管7内,根据需求,也可以采用仪器进行药物的注入,能够将药液通过加药导管7注入到外囊10的加药装置均可以采用。One end of the dosing catheter 7 is connected to the outer capsule 10, and the medicinal liquid enters the outer capsule 10 from the dosing catheter 7; the medicinal liquid enters through the dosing device, and a syringe is generally used in the hospital to inject the medicinal liquid into the dosing catheter In 7, according to the requirement, an instrument can also be used to inject the medicine, and any dosing device capable of injecting the medicine liquid into the outer capsule 10 through the dosing catheter 7 can be used.

进一步地,所述摄像装置上设置有用于照明的冷光灯,所述连接线11在气管导管1外的一端上设置有用于连接视频设备的输出接头,冷光灯起到照明的作用,输出接头连接显示装置,能够清楚了解气管插入插入气管的情况。Further, the camera device is provided with a cold light lamp for lighting, and the connecting line 11 is provided with an output joint for connecting video equipment on one end outside the endotracheal catheter 1, the cold light lamp plays the role of illumination, and the output joint is connected to The display device can clearly understand the situation of the insertion of the trachea into the trachea.

在本实施例中,摄像装置设置在气管插管的出口前端,能够进行对插入气管过程的监控,摄像装置上的冷光灯,能够起到照明的作用,这样摄像装置才能看清楚气管的情况,实时对气管内情况监控,摄像装置上有连 接线11,连接线11从气管插管靠近衔接口2出伸出,在连接线11上的输出接头连接监视器上的接口,这样能够在监视器上显示摄像装置拍摄到的内容。In this embodiment, the imaging device is arranged at the front end of the outlet of the tracheal intubation tube, and can monitor the process of inserting the trachea. The cold light on the imaging device can play the role of lighting, so that the imaging device can see the situation of the trachea clearly. Real-time monitoring of the situation in the trachea, there is a connecting line 11 on the camera device, and the connecting line 11 protrudes from the endotracheal intubation tube near the connecting port 2, and the output joint on the connecting line 11 is connected to the interface on the monitor, so that it can be viewed on the monitor. The content captured by the camera device is displayed on the screen.

如3图所示,进一步地,气管导管1内设置有温度传感导线4;在温度传感导线4两端分别有温度传感器探头8和显示装置,温度传感器探头8设置在充气套囊3靠近衔接口2一侧的近端;实现机械通气同时能够对人体体温的实时监控。As shown in Figure 3, further, the endotracheal tube 1 is provided with a temperature sensing wire 4; there are temperature sensor probes 8 and display devices at both ends of the temperature sensing wire 4, and the temperature sensor probe 8 is arranged near the inflatable cuff 3. Connecting the proximal end of one side of the port 2; realizing mechanical ventilation and real-time monitoring of body temperature.

气管导管1内的温度传感导线4,一端在充气套囊3的上端,另一端从气管导管1中伸出,监控仪器连接,这样能够从实现屏幕上,知道人体实时的体温,这样能够完成对人体的监控;温度传感导线4也连接显示器,显示患者的实时体温。The temperature sensing wire 4 in the endotracheal tube 1 has one end on the upper end of the inflatable cuff 3, and the other end protrudes from the endotracheal tube 1, and is connected to the monitoring instrument, so that the real-time body temperature of the human body can be known from the realization screen, which can complete Monitoring of the human body; the temperature sensing wire 4 is also connected to the display to display the real-time body temperature of the patient.

在上述实施例基础之后上,进一步地,气管导管1内设置有钢丝弹簧,钢丝弹簧位于衔接口2和充气套囊3之间,这样增加了整个气管导管1的弹性和硬度,使气管插管插入的更方便。On the basis of the above-mentioned embodiment, further, a wire spring is arranged inside the endotracheal tube 1, and the wire spring is located between the connecting port 2 and the inflatable cuff 3, which increases the elasticity and hardness of the entire endotracheal tube 1, and makes the endotracheal tube It is more convenient to insert.

气管导管1内设置有钢丝弹簧,钢丝弹簧在气管导管1内尽量大长度的设置,这样能增加整个气管导管1的硬度;在充器套囊前的气管导管1上设置有人体插入管,方便将整个气管插管插入人体气管内,增加钢丝弹簧,增加整个气管导管1的弹性和硬度,也是为了方便和快捷的将其插入到人体气管中。The endotracheal tube 1 is provided with a steel wire spring, and the steel wire spring is arranged as long as possible in the endotracheal tube 1, which can increase the hardness of the entire endotracheal tube 1; a human body insertion tube is arranged on the endotracheal tube 1 before the filler cuff, which is convenient The entire endotracheal tube is inserted into the human body's trachea, and a steel wire spring is added to increase the elasticity and hardness of the entire endotracheal tube 1, which is also to insert it into the human body's airway conveniently and quickly.

具体的操作步骤是通过将气管插管插入到人体气管过程中通过气管插管前端的摄像装置,进行拍照,通过冷光灯进行照明,这样能够了解气管插管插入过程中的情况,在气管插管插入人体气管后,将充气导管6与内囊9连通通气,外囊10与加药导管7连通,在外囊10上有多个喷药孔,进而药液能够通过气体将其雾化进入到人体器官中;充气导管6的气体由 充气装置提供;药液通过加药装置,使其从加药气管进入到外囊10内,这样药液能够润滑气管插管和充气套囊3的位置。The specific operation steps are to take pictures through the camera device at the front end of the tracheal intubation during the process of inserting the tracheal intubation into the human trachea, and illuminate with cold light, so that we can understand the situation during the insertion of the tracheal intubation. After being inserted into the trachea of the human body, the inflatable catheter 6 is connected to the inner bag 9 for ventilation, and the outer bag 10 is connected to the drug feeding catheter 7. There are multiple drug spraying holes on the outer bag 10, and then the drug liquid can be atomized into the human body through the gas. In the organ; the gas of the inflatable catheter 6 is provided by the inflatable device; the medicinal liquid passes through the dosing device to make it enter the outer bag 10 from the dosing trachea, so that the medicinal liquid can lubricate the positions of the endotracheal tube and the inflatable cuff 3 .

本实用新型提供的一种加药吸痰测温可视型气管插管上设置的吸痰管5能够及时减刑连续性或者间歇性的吸走聚集在充气气囊上的患者的分泌物、痰液等;The sputum suction tube 5 provided on the endotracheal intubation tube provided by the utility model provides a visible tracheal intubation for adding medicine, suctioning sputum, and measuring temperature. Wait;

保证呼吸道的畅通;加药导管7导入的药液通过外囊10上的喷药孔,将其喷洒在人体气管中,起到润滑气管插管和充气气囊的位置,达到减轻手术过程中、拔管前、拔管过程中所致心血管的应激反应。Ensure the smoothness of the respiratory tract; the medicinal liquid introduced by the dosing catheter 7 passes through the spraying hole on the outer bag 10, and is sprayed in the trachea of the human body to lubricate the position of the tracheal intubation and the inflatable air bag, so as to relieve the intubation during the operation. Cardiovascular stress response before and during extubation.

在气管插入内设置的监控装置,能够在将监控气管插管在插入气管中的情况进行监控,起到实时监控,了解插入的情况目的。The monitoring device arranged in the tracheal insertion can monitor the situation of the tracheal intubation being inserted into the trachea, so as to perform real-time monitoring and understand the insertion situation.

温度传感器探头8能够对人体的体温进行实时的监控,在实现机械通气和对人体气管输入所需要付,使气管插管功能更加多元化。The temperature sensor probe 8 can monitor the body temperature of the human body in real time, which is necessary for realizing mechanical ventilation and inputting the trachea of the human body, so that the functions of the tracheal intubation are more diversified.

最后应说明的是:以上各实施例仅用以说明本实用新型的技术方案,而非对其限制;尽管参照前述各实施例对本实用新型进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分或者全部技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本实用新型各实施例技术方案的范围。Finally, it should be noted that: the above embodiments are only used to illustrate the technical solutions of the present utility model, and are not intended to limit it; although the present utility model has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand : It can still modify the technical solutions described in the foregoing embodiments, or perform equivalent replacements to some or all of the technical features; and these modifications or replacements do not make the essence of the corresponding technical solutions depart from the embodiments of the present utility model Scope of technical solutions.

Claims (10)

1. a dosing suction sputum thermometric visual type tracheal intubation, it is characterised in that include that endotracheal tube, inflatable cuff, inflation are led Pipe, dosing conduit, supervising device and seam;
Described inflating catheter, supervising device and described dosing conduit it is provided with in described endotracheal tube;At described endotracheal tube Two ends are respectively arranged with described inflatable cuff and seam;
Described supervising device includes that camera head and connecting line, described camera head are connected with described connecting line;Described shooting dress Put and be arranged far from inside the endotracheal tube other end of seam;Described connecting line one end is positioned close to the gas of seam side On pipe conduit, and stretch out from endotracheal tube.
A kind of dosing suction sputum thermometric visual type tracheal intubation the most according to claim 1, it is characterised in that described inflation is led Also setting up sputum aspirator tube in pipe, the two ends of described sputum aspirator tube are arranged on outside described endotracheal tube;Suction sputum head on described sputum aspirator tube It is positioned close to one end of inflatable cuff;Suction sputum joint on described sputum aspirator tube is arranged on one end of seam.
A kind of dosing suction sputum thermometric visual type tracheal intubation the most according to claim 1, it is characterised in that described inflation set Capsule includes that capsula interna and external capsule, described capsula interna are enclosed within outside described endotracheal tube, and described external capsule is enclosed within outside described capsula interna;Described inflation Tube at one end connects with the capsula interna of described inflatable cuff, and the other end is positioned close to one end of described seam.
A kind of dosing suction sputum thermometric visual type tracheal intubation the most according to claim 3, it is characterised in that described dosing is led Pipe one end connects with the external capsule of described inflatable cuff, and the other end is positioned close to one end of described seam.
A kind of dosing suction sputum thermometric visual type tracheal intubation the most according to claim 3, it is characterised in that described dosing is led Pipe box is inside described inflating catheter, and described inflating catheter connects with capsula interna, and described dosing catheter proximal end is stretched out from inflating catheter Connect with described external capsule.
A kind of dosing suction sputum thermometric visual type tracheal intubation the most according to claim 3, it is characterised in that on described external capsule Being provided with some insecticide-spraying holes, described insecticide-spraying hole connects extraneous and described external capsule.
A kind of dosing suction sputum thermometric visual type tracheal intubation the most according to claim 1, it is characterised in that described inflation is led One end of pipe is provided with aerating device;One end of described dosing conduit is provided with chemicals dosing plant.
A kind of dosing suction sputum thermometric visual type tracheal intubation the most according to claim 1, it is characterised in that described shooting fills Putting the cold light lamp being provided with for illumination, described connecting line is provided with on the one end outside endotracheal tube and sets for connecting video Standby out splice going splice.
9., according to a kind of dosing suction sputum thermometric visual type tracheal intubation described in claim 1-8 any one, its feature exists In, it is provided with temperature sensing wire in described endotracheal tube;Temperature sensor is had to visit respectively at described temperature sensing wire two ends Head and display device, described temperature sensor probe is arranged on the described inflatable cuff near-end near seam side.
10. according to a kind of dosing suction sputum thermometric visual type tracheal intubation described in any one of claim 1-8, it is characterised in that Being provided with wire spring in described endotracheal tube, described wire spring is between described seam and inflatable cuff.
CN201620405114.9U 2016-05-06 2016-05-06 A kind of dosing suction sputum thermometric visual type tracheal intubation Expired - Lifetime CN205796195U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105999499A (en) * 2016-05-06 2016-10-12 江苏立峰生物科技有限公司 Medicine-adding phlegm-sucking temperature-measuring visual tracheal intubation
CN110064113A (en) * 2019-04-25 2019-07-30 江西诺捷科技股份有限公司 A kind of disposable sterilized tracheal catheter visually imports external member
CN112169119A (en) * 2020-10-12 2021-01-05 美科瑞(广州)生物科技有限公司 Thin-capsulated double-lumen bronchial cannula

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105999499A (en) * 2016-05-06 2016-10-12 江苏立峰生物科技有限公司 Medicine-adding phlegm-sucking temperature-measuring visual tracheal intubation
CN110064113A (en) * 2019-04-25 2019-07-30 江西诺捷科技股份有限公司 A kind of disposable sterilized tracheal catheter visually imports external member
CN112169119A (en) * 2020-10-12 2021-01-05 美科瑞(广州)生物科技有限公司 Thin-capsulated double-lumen bronchial cannula

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