CN206454088U - One kind carries pressure monitoring formula artificial airway's catheter air bag device - Google Patents
One kind carries pressure monitoring formula artificial airway's catheter air bag device Download PDFInfo
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- CN206454088U CN206454088U CN201621255343.3U CN201621255343U CN206454088U CN 206454088 U CN206454088 U CN 206454088U CN 201621255343 U CN201621255343 U CN 201621255343U CN 206454088 U CN206454088 U CN 206454088U
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- air bag
- pressure
- artificial airway
- spring
- breather pipe
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Abstract
The utility model is related to one kind and carries pressure monitoring formula artificial airway's catheter air bag device, belongs to technical field of medical instruments.Include outer air bag, outer air bag is connected by breather pipe with injecting hole, spring is internally provided with breather pipe, one end of spring towards injecting hole is connected with check valve, and one end of spring towards outer air bag is fixed on spring fixing groove；Pressure gauge is provided with breather pipe.The pressure measurement that the airbag apparatus need not carry out complexity by the accurate external device such as outer sensor, pressure gauge, computer system is operated, and the pressure gauge by being carried on artificial airway's catheter air bag device, timely, accurate, continual pressure monitoring can be achieved, and the factor such as do not changed by patient body position and influenceed, Operating Complexity that traditional pressure measurement mode brings can be substantially reduced by numerous medical workers, greatly reduces medical worker's workload, so as to improve the compliance of monitoring and management.
Description
Technical field
The utility model is related to one kind and carries pressure monitoring formula artificial airway's catheter air bag device, can automatically, in real time, directly
See, accurately monitor the current pressure of artificial airway's catheter air bag, indwelling artificial airway patient artificial airway leads with accurate instruction
The monitoring and management of tube airbag pressure, belong to technical field of medical instruments.
Background technology
Formulated according to severe medical science branch of Chinese Medical Association《Guideline for mechanical ventilation》, it is proposed that by artificial airway's conduit cuff
Interior pressure is maintained at 25-30cmH2O, can both keep positive airway pressure effect, can prevent from inhaling by mistake and because of gasbag pressure mistake again
The complication such as Airway damage caused by high.
At present, the airbag apparatus of artificial airway's conduit does not carry the device and function of pressure monitoring in itself, and artificial
Airway tube covers intracapsular pressure (i.e. air bag pressure), mainly by being monitored by other external equipment and specific process.
Clinically the aerocyst pressure monitoring of artificial airway's conduit is mainly realized by monitoring method, including finger touches manometric method, sphygmomanometer
Mensuration, special airbag pressure gauge pressure measurement monitoring method, disposable pressure sensor monitoring method, the automatic monitoring method five of pressure intelligentization
The method of kind.
Finger touches manometric method and refers to that pressure measurement person presses patient's nose with oneself index finger tip, experiences the elastic and flexible of nose
Degree, as object of reference, then with thumb with forefinger gently squeezes trachea cannula (sleeve pipe) air bag, experiences the elastic and flexible of air bag
Degree, compares the elasticity and suppleness of object of reference, using syringe toward gas injection in air bag or pumping, treats that air bag is squeezed elastic and flexible
Degree is that gasbag pressure is suitable when close with tester subjective sensation.Finger, which touches manometric method, does not have objective data, it is impossible to remembered
Record and monitoring.Easily influenceed in Clinical practice by factors, such as：(augmentation rhinoplasty operation, nose when patient's nose physiological structure changes
Damage etc.), pressure measurement person's subjective sensation deviation, different pressure measurement person feel deviation etc., with special airbag pressure gauge monitor value have compared with
Big error, clinic is not recommended.
Sphygmomanometer mensuration refers to use plain edition sphygmomanometer, opens sphygmomanometer switch, will be connected once with sphygmomanometer
Property pressure-measuring pipe quickly connect the outer gas injection port of air bag, measure pressure value.The method is needed by common sphygmomanometer and disposable pressure measurement
Pipe, is easily influenceed by sphygmomanometer measurement quality, and is easily purchased the shadow of target by hospital with the supporting disposable pressure-measuring pipe of sphygmomanometer
Ring.This method does not refer to position and the scaling method of zero point, and the operating method factor influence of each operator is larger, can
Remained to be confirmed by property.
Special airbag pressure gauge pressure measurement monitoring method refers to use domestic or import air bag pressure gauge, manually by pressure gauge
Sensor strip insertion air bag end inflatable interface, air bag pressure measurement list index indicates the pressure of current air bag, according to air bag pressure measurement
Pressure indicating range inside table table ring, determines whether gasbag pressure meets the requirements, the inflation/deflation carried using air bag pressure gauge
Button is adjusted to gasbag pressure.It is different according to each clinical department actual requirement, monitored once per 4-8h, and be adjusted.
Special airbag pressure gauge is expensive, it is difficult to accomplish the table of a people one, the risk for easily occurring nosocomial infection and cross-infection, sensing
Device band sterilize repeatedly after can reduction of service life and increase monitoring error, add that ICU nursery works are busy, nurse uses special gas
The compliance of capsule pressure gauge pressure measurement is not high, it is impossible to continuous monitoring gasbag pressure, it is impossible to finds that gasbag pressure is not enough in time, causes gas
Airway secretions hypostasis on capsule enters lung, increases the Probability of hypostatic pneumonia.
Disposable pressure sensor monitoring method refers to the connection threeway at the inflatable interface of trachea cannula (sleeve pipe) air bag end,
Threeway one end connects calparine cap, and another termination disposable pressure sensor (check valve and atmospheric exposure of pressure sensor) connects
ECG monitor is connect, pressure sensor is put and is returned to zero in atrium dextrum level, sensor is communicated with air bag, and ECG monitor is continuously display
Gasbag pressure value, the gasbag pressure value that recording monitor is shown per hour.According to the gasbag pressure of monitoring, in the connection of calparine cap end
Syringe inflation, pumping carry out pressure adjustment.The automatic monitoring method of pressure intelligentization refers to integrate modern computer and network technology,
Automatic monitoring system is constituted by sensor, analog-digital converter, microprocessor, the part of wireless network 4, by trachea cannula (sleeve pipe) gas
Capsule end inflatable interface is connected with disposable sensor and properly fixed, and confirms protocol acuity central station with bedside monitor signal just
Often, pressure sensor is put in starting automatic measurement after atrium dextrum horizontal alignment zero point.Set gasbag pressure alarm lower bound be
25cmH2O, alarm height is limited to 30cmH2O.Nursing staff records pressure data per 3h, for the pressure anomaly occurred in 3h, needs
Check patient whether there is situations such as Body Position Change, cough, decline of pressure or exception increase as confirmed, carry out pressure calibration, open again
The timing of beginning 3h measurement records.Disposable pressure sensor monitoring method and intelligent automatic monitoring method are both needed to use advanced pressure
Numerous precision equipments such as sensor, cost is higher, and needs to be attached compared with multi-lead, circuit, restrains patient, is also not easy to
Operation.Critical patient care operation is numerous and diverse, often to be changed for patient after position or patient cannula it is uncomfortable frequently change clinostatism or
Agitation causes position often to change, in order to ensure that aerocyst pressure monitoring value is accurate, then needs sensor school zero frequently, significantly
Nurse job amount is added, patient's discomfort is easily caused, making patients' psychological pressure, clinic is difficult popularization.
Use traditional aerocyst of artificial airway device, it is necessary to which five kinds of monitoring methods could observe the number of air bag pressure more than
Value, and be managed.Clinical investigation research is confirmed, (is more than 30- using gasbag pressure hyperinflation during conventional balloon device
35cmH2O) incidence can reach 40-70%, can cause airway mucus damage, necrosis, tracheo-esophageal fistula, or even air flue occur
The generation of the related complications such as narrow, recurrent nerve injury.During by conventional pressure gauge monitoring air bag pressure, gasbag pressure is not enough
The incidence of (be less than 25cmH2O) can reach 44.39%, even if during using pressure sensor automatic alarm pressure tester, air bag
The incidence of under-inflation still has 0.04%.Gasbag pressure is not enough, it is impossible to effective closed airway, fixed artificial airway's conduit and enter
The effective positive airway pressure of row, and suction by mistake, de- manage-style danger can be increased, so as to cause Ventilator Associated Pneumonia (VAP) incidence bright
Aobvious rise.When studies in China is confirmed using conventional balloon device, pressed by conventional pressure gauge monitoring air bag, VAP incidences are reachable
28.57%；When being continued to monitor by pressure sensor, VAP incidences still have 7.14%.Foreign study is found, works as gasbag pressure
During less than 20cmH2O, the risk for occurring VAP can improve 4 times.Using conventional balloon device, carry out air bag pressure by pressure gauge and supervise
The false pass rate of survey can reach 19.89%.
Traditional aerocyst of artificial airway device, it is necessary to the monitoring and management of air bag pressure could be realized by monitoring method.And
Above monitoring method there are problems that corresponding risk and, cause in clinic air bag pressure monitoring compliance poor, it is impossible to real-time, have
Effect, accurately monitoring air bag pressure so that the increase of air bag managing risk.
Utility model content
Scope (the 25- that real-time, accurate and effective control in order to ensure artificial airway tube air bag pressure is recommended in guide
30cmH2O), avoid air bag press monitoring process in by various factors influence caused by monitoring pressure data not in time, forbidden
Really, the compliance that medical worker presses air bag monitoring, management is improved.The utility model provides one kind and carries the artificial gas of manometer type
Road catheter air bag device, the airbag apparatus need not be by the accurate external device such as outer sensor, pressure gauge, computer system
To carry out the pressure measurement operation of complexity, and the pressure gauge by being carried on artificial airway's catheter air bag device, you can realize in time,
Accurately, continual pressure monitoring, and the factor such as do not changed by patient body position and influenceed, biography can be substantially reduced for numerous medical workers
Unified test pressure mode brought Operating Complexity, greatly reduce medical worker's workload so that improve monitoring and management compliance
Property.
Technical scheme is：
One side of the present utility model：
One kind carries pressure monitoring formula artificial airway's catheter air bag device, includes outer air bag, outer air bag passes through breather pipe
It is connected with injecting hole, spring is internally provided with breather pipe, one end of spring towards injecting hole is connected with check valve, spring direction
One end of outer air bag is fixed on spring fixing groove；Pressure gauge is provided with breather pipe.
In one embodiment, the pointer on pressure gauge is driven by the gas pressure rotating shaft being arranged in breather pipe.
In one embodiment, alert zone, precautionary areas, Reasonable area are provided with manometric dial plate.
Pressure limit corresponding to described alert zone is 0~20 and 35~60cmH2Between O, the pressure corresponding to precautionary areas
Power scope is 20~25 and 30~35cmH2Between O, the pressure limit corresponding to Reasonable area is 25~30cmH2O。
Check valve can only be opened outwards air bag side.
Other side of the present utility model：
Include the artificial airway of above-mentioned catheter air bag device.
Described outer air bag is connected to trachea cannula by connecting tube.
Beneficial effect
1st, by being related to a kind of artificial airway's catheter air bag device for carrying manometer type, it is not necessary to by external sensing
The precisions such as device, pressure gauge, computer inductive system, expensive equipment and complicated pressure measurement operation, rely solely on and are carried on airbag apparatus
Pressure gauge can automatically, it is directly perceived, in real time, precisely the current pressure of cuff in air bag is detected, effectively to instruct air bag pressure
Management and control.
2nd, the relatively conventional airbag apparatus of the airbag apparatus is only to employ a miniature independent mechanical pointer pressure more
Table, simple in construction, lightweight, measurement is accurate, during measurement without the concern for patient body position's factor, be not required to school zero.
3rd, relatively conventional airbag apparatus saves the expensive expense of purchase Special pressure measuring equipment, it is to avoid cross-infection is brought
Risk, reduce because air bag pressure pipe manage it is not enough caused by VAP incidences, shorten because air bag pressure pipe reason is not enough occur VAP caused by
Length of stay and medical expense.
Need not be used when the 4th, using the airbag apparatus external equipment frequently, complexity measure, can show in real time, greatly
Medical personnel's workload is reduced greatly, so as to improve the compliance of the monitoring of air bag pressure and management and control.
Brief description of the drawings
Fig. 1 is airbag apparatus structural representation.
Fig. 2 is the structural representation of the devices such as injecting hole, spring, pressure gauge.
Fig. 3 is manometric dial plate schematic diagram.
Fig. 4 is the structural representation of the artificial airway with the airbag apparatus.
Wherein, 1, outer air bag；2nd, breather pipe；3rd, pressure gauge；4th, spring fixing groove；5th, spring；6th, check valve；7th, gas injection
Hole；8th, gas pressure rotating shaft；9th, connecting tube；10th, trachea cannula.
Embodiment
Embodiment 1
As shown in Figures 1 to 3, one kind carries pressure monitoring formula artificial airway's catheter air bag device, includes outer air bag 1, outside
Air bag 1 is connected by breather pipe 2 with injecting hole 7, and spring 5 is internally provided with breather pipe 2, and spring 5 is towards one end of injecting hole 7
It is connected with check valve 6, check valve 6 can only be opened outwards the side of air bag 1, one end of spring 5 towards outer air bag 1 is fixed on spring and consolidated
Determine on groove 4；The pointer being provided with breather pipe 2 on pressure gauge 3, pressure gauge 3 passes through the gas pressure that is arranged in breather pipe 2
Rotating shaft 8 is driven, and alert zone, precautionary areas, Reasonable area are provided with the dial plate of pressure gauge 3, and the pressure limit corresponding to alert zone is 0
~20 and 35~60cmH2Between O, the pressure limit corresponding to precautionary areas is 20~25 and 30~35cmH2Between O, Reasonable area
Corresponding pressure limit is 25~30cmH2O。
The new airbag apparatus that the present invention is provided refers to set between the outer air bag 1 and injecting hole 7 of artificial airway's conduit
A kind of miniature pressure gauge 3 is put, in the internal check valve 6 of breather pipe 2, telescopic spring 5, the ecto-entad of spring fixing groove 4 successively
Connection.Injecting hole 7 is through the telescopic spring 5 in air injection pipe, spring fixing groove 4 and the gas being connected in pressure gauge 3 with pointer
Pressure rotating shaft 8 is communicated, and is connected using gas injection devices such as syringes with injecting hole 7, and check valve 6 is opened, and spring 5 is in back state,
Appropriate air is injected into injecting hole 7, gas enters the gas transmission device of pressure gauge 3 through breather pipe 2, using gas pressure,
Pointer movement in the linkage pressure gauge 3 of gas pressure rotating shaft 8, makes the pointer of pressure gauge 3 point to dial plate respective value, as pressure value.
When the pointer of pressure gauge 3 is pointed in the range of appropriate value, stop gas injection, disconnect the gas injection devices, telescopic spring 5 such as syringe
Automatic return is stretched, and is pushed out check valve 6, is closed check valve 6.Now, outer air bag 1 is in sealed shape with gas pressure rotating shaft 8
State.With the change of cuff pressure in conduit, intracapsular pressure can be monitored in real time by pressure gauge 3, be artificial airway tube gas
The monitoring of bag pressure provides objective data and foundation with management and control.
The structure of the device is further described below by way of operating process：
When in use, as shown in figure 4, the device is connected on trachea cannula 10 by connecting tube 9, next perform with
Lower operation：
1st, using standard syringe pumpback 3-5ml air, syringe nipple is inserted into artificial airway's catheter air bag device
Injecting hole, inwardly firmly pushes the one-way cock in injecting hole open, slowly inwardly injects appropriate air.
2nd, the air of injection is flowed through the micro-pressure gauge in airbag apparatus by check valve through air injection pipe, by air pressure to pressure
The promotion for the driver core being connected in table with pointer, makes gauge hand point to the corresponding pressure value of pressure gauge dial plate.
3rd, the 25-30cmH of dial plate is pointed in gas injection to gauge hand2O green safeties region, or treated according to conditions of patients
The particular values scope needed, stops gas injection.
4th, the Telescopic spring for exiting syringe nipple in check valve, air injection pipe is returned and stretched automatically, check valve is closed automatically
Close, syringe is disconnected with injecting hole.
5th, the gasbag pressure value regularly or indicated by Continuous Observation, recording manometer is needed according to clinical, according to clinic mark
Quasi- specification carries out management and control to air bag pressure.
6th, (it is more than 30cmH when intracapsular pressure is too high2When O), gauge hand points to dial plate red area, uses injection
Device connects injecting hole, is outwards pumped to convenient pressure scope (pointer points to dial plate green area).
7th, (it is less than 25cmH when intracapsular pressure is too low2When O), pressure gauge refers to positive sensing dial plate red area, uses injection
Device connects injecting hole, is inwardly pumped to convenient pressure scope (pointer points to dial plate green area).
In summary, 1, set outside artificial airway's conduit in the middle of air bag and end injecting hole one can not breakaway-element it is miniature
Independent mechanical pointer pressure gauge, is monitored in real time to intracapsular pressure.When the 2nd, using the airbag apparatus, it is not necessary to by
The precisions such as external sensor, pressure gauge, computer inductive system, expensive equipment and complicated pressure measurement operation can in real time, accurately
Monitor air bag pressure.3rd, the pressure gauge dial plate value region that the airbag apparatus is carried by set red green two kinds of colors distinguish it is normal,
Abnormal pressure numerical value, to instruct the management and control of air bag pressure.
Claims (7)
1. one kind carries pressure monitoring formula artificial airway's catheter air bag device, it is characterised in that include outer air bag (1), outer gas
Capsule (1) is connected by breather pipe (2) with injecting hole (7), and spring (5), spring (5) direction note are internally provided with breather pipe (2)
One end of stomata (7) is connected with check valve (6), and one end of spring (5) towards outer air bag (1) is fixed on spring fixing groove (4)；
Pressure gauge (3) is provided with breather pipe (2).
2. according to claim 1 carry pressure monitoring formula artificial airway's catheter air bag device, it is characterised in that pressure gauge
(3) pointer on is driven by the gas pressure rotating shaft (8) being arranged in breather pipe (2).
3. according to claim 1 carry pressure monitoring formula artificial airway's catheter air bag device, it is characterised in that pressure gauge
(3) alert zone, precautionary areas, Reasonable area are provided with dial plate.
4. according to claim 3 carry pressure monitoring formula artificial airway's catheter air bag device, it is characterised in that described
Pressure limit corresponding to alert zone is 0~20 and 35~60cmH2Between O, the pressure limit corresponding to precautionary areas is 20~25
With 30~35cmH2Between O, the pressure limit corresponding to Reasonable area is 25~30cmH2O。
5. according to claim 1 carry pressure monitoring formula artificial airway's catheter air bag device, it is characterised in that check valve
(6) outwards it can only open air bag (1) side.
6. include the artificial airway of the catheter air bag device described in any one of Claims 1 to 5.
7. artificial airway according to claim 6, it is characterised in that described outer air bag is connected to by connecting tube (9)
Trachea cannula (10).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201621255343.3U CN206454088U (en) | 2016-11-17 | 2016-11-17 | One kind carries pressure monitoring formula artificial airway's catheter air bag device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201621255343.3U CN206454088U (en) | 2016-11-17 | 2016-11-17 | One kind carries pressure monitoring formula artificial airway's catheter air bag device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN206454088U true CN206454088U (en) | 2017-09-01 |
Family
ID=59692861
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201621255343.3U Expired - Fee Related CN206454088U (en) | 2016-11-17 | 2016-11-17 | One kind carries pressure monitoring formula artificial airway's catheter air bag device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN206454088U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111580594A (en) * | 2020-04-29 | 2020-08-25 | 杭州市中医院 | Oxygen consumption assessment dial plate for transfer breathing machine |
| CN116492552A (en) * | 2022-12-15 | 2023-07-28 | 中国人民解放军总医院第二医学中心 | Aviation medical ventilator gasbag pressure constant device |
-
2016
- 2016-11-17 CN CN201621255343.3U patent/CN206454088U/en not_active Expired - Fee Related
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111580594A (en) * | 2020-04-29 | 2020-08-25 | 杭州市中医院 | Oxygen consumption assessment dial plate for transfer breathing machine |
| CN116492552A (en) * | 2022-12-15 | 2023-07-28 | 中国人民解放军总医院第二医学中心 | Aviation medical ventilator gasbag pressure constant device |
| CN116492552B (en) * | 2022-12-15 | 2023-11-07 | 中国人民解放军总医院第二医学中心 | Aviation medical ventilator gasbag pressure constant device |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| 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: 20170901 Termination date: 20191117 |