CN206995580U - A kind of trachea cannula fixation sleeve pipe - Google Patents

Abstract

The utility model discloses a sleeve tube for fixing a tracheal intubation. The sleeve tube includes an occlusal part inserted into the oral cavity, a connecting part protruding from the outside of the oral cavity to be fixed with the tracheal intubation, and a fixing part separating the occlusal part and the connecting part. After the endotracheal tube is in the airway, place the endotracheal tube fixing sleeve from the top of the endotracheal tube to the occlusal surface of the patient to effectively limit the position. After confirming the scale on the endotracheal tube, secure the sleeve with an "I" shaped 3M elastic bandage. The connecting part is fixed with the endotracheal tube. On the one hand, it can effectively fix the tracheal intubation, and will not cause the tube to prolapse due to the patient's restless spitting out the tube; on the other hand, it will not cause damage to the palate mucosa of the oral cavity; Nursing is convenient, and it can fully ensure oral hygiene while reducing skin damage on the patient's cheeks.

Description

A kind of sleeve tube for tracheal intubation fixation

technical field

The utility model belongs to the technical field of fixing a trachea intubation, in particular to a sleeve tube for fixing a trachea intubation.

Background technique

Mechanical ventilation is an important treatment in ICU patients, and orotracheal intubation is one of the main ways of mechanical ventilation. Therefore, how to manage the airway, avoid the displacement and accidental fall of the artificial airway, ensure the normal ventilation of the patient, and prevent suffocation and breathing disorders are very important.

There are many kinds of devices clinically used to fix the tracheal intubation: the first one is the tracheal intubation fixer, its use method: after the tracheal tube is successfully inserted into the patient's trachea, the fixer bite plate is inserted into the patient's mouth, and the catheter is guided into the center of the patient's mouth. In the hole, rotate the elastic nut to clamp the endotracheal tube with the fixing bar, and then fix it at the back of the patient's neck with a cable tie, and adjust the length of the left and right two cable ties according to the body shape of the patient; For fixed tracheal intubation, its use method: put the tooth pad between the upper and lower incisors of the patient, bind the tooth pad and the tracheal intubation with a cotton rope, then fix the cotton rope on the back of the patient's neck, and finally wrap the tooth pad with a 3M elastic bandage. The cushion and the air intubation tube are cross-fixed again; the third is to use a 10ml syringe to remove the mastoid during emergency endotracheal intubation and fix it with a 3M elastic bandage as a dental cushion and the endotracheal tube. There are some problems in the clinical application of the above method. After using the endotracheal tube holder, it is inconvenient for oral care, observation of oral mucosa, and oral hygiene inspection. Using a blue mouthpiece and syringe as a tooth pad will cause damage to the palate of the patient’s oral cavity. On the other hand, the patient Continue to agitate the spit tube, so that the blue mouthpiece will come out and cannot effectively fix and prevent the bite tube.

For the artificial airway management of mechanical ventilation, the most important thing is to prevent the occurrence of ventilator-associated pneumonia (VAP), and there are a series of cluster nursing measures to prevent VAP, one of which is to keep the mouth clean and strengthen oral care. The frequency of oral care for patients with artificial airway ventilation is Q6H. It is inconvenient to use the tracheal intubation fixer for oral care, observation of oral mucosa, and inspection of oral hygiene. Using a blue mouthpiece and syringe as a tooth pad will cause The palate mucosa of the patient's mouth is damaged, leading to the invasion of pathogenic bacteria.

Therefore, in order to effectively fix the endotracheal tube, fully ensure oral hygiene, facilitate observation of the oral mucosa, reduce mucosal damage, facilitate oral care for nurses, and reduce skin damage on the cheeks of patients, it is conceived to make a disposable endotracheal tube from this perspective. The above problems are solved with the sleeve fixing device.

Utility model content

In view of this, the utility model provides a tracheal intubation fixing sleeve, which can effectively limit the top end of the tracheal intubation after confirming that the tracheal intubation is in the airway, effectively fix the tracheal intubation, and facilitate oral care , can fully ensure oral hygiene, facilitate the observation of the oral mucosa, reduce mucosal damage, and do not need to paste the fixing parts of the tracheal intubation on the patient's face, reducing the skin damage of the patient's cheeks.

According to the purpose of the utility model, a sleeve for fixing an endotracheal tube is proposed, the sleeve is sleeved on the outside of the endotracheal tube, and an inner hole is formed inside the sleeve, and the inner diameter of the inner hole is the same as that of the said endotracheal tube. The outer diameter of the endotracheal tube matches, and at least a part of the endotracheal tube protrudes outside the casing;

The cannula includes an occlusal part inserted into the oral cavity, a connecting part protruding from the outside of the oral cavity and fixed with the endotracheal tube, and a fixing part separating the occlusal part and the connecting part. The fixing part is formed by extending outward from the outer wall of the cannula. The fixed edge is connected with a lace, and the lace is sleeved on the back of the neck of a human body and fixed.

Preferably, the fixed side is formed in two sections on the left and right sides of the casing to form butterfly wings, the fixed side is provided with a small hole, and the lace is fastened to the small hole.

Preferably, the fixed edge is molded on one circle of the casing to form a ring structure, and the fixed edge is provided with a small hole, and the lace is fastened to the small hole.

Preferably, the fixed edge is arranged at 1/3 of the casing, the upper 1/3 part forms the connecting part, and the lower 2/3 part forms the occlusal part.

Preferably, the occlusal portion is provided with a scale line for easy calculation of the insertion depth of the endotracheal tube.

Preferably, an occlusal pad is sheathed outside the occlusal part, and the occlusal pad is a flexible member or an elastic member.

Preferably, the connecting part is connected and fixed to the protruding part of the endotracheal tube through a fixing piece.

Preferably, the fixing part is a 3M elastic bandage, and the 3M elastic bandage has an "I" structure, and the 3M elastic bandage includes a first connecting edge and a second connecting edge and a connection between the first connecting edge and the second connecting edge. The middle beam of the connecting side, the first connecting side is pasted and fixed on the connecting part, the two ends of the second connecting side are crossed and fixed on the endotracheal intubation tube, and the middle beam is pasted and fixed on the connecting part end face.

Preferably, the middle sill is a tapered structure, and the width of the middle sill gradually increases from the middle of the first connecting side to the side of the second connecting side.

Compared with the prior art, the advantages of the sleeve tube for fixing the tracheal intubation disclosed by the utility model are:

The cannula includes an occlusal part that is inserted into the oral cavity, a connecting part that protrudes outside the oral cavity and is fixed with the tracheal intubation, and a fixing part that separates the occlusal part from the connecting part. Place the top of the endotracheal tube to the occlusal surface of the patient to effectively limit the position. After confirming the scale on the endotracheal tube, fix the connecting part of the cannula and the endotracheal tube with an "I" shaped 3M elastic bandage. The "I"-shaped 3M elastic bandage fixes the connecting part of the cannula and the endotracheal tube. On the one hand, it can effectively fix the endotracheal tube, and will not cause the tube to prolapse due to the patient's irritability to spit out the tube; on the other hand, it will not Causes damage to the palate mucosa of the oral cavity; and does not need to replace the 3M elastic bandage every time the oral care is performed, the nurse's oral care is convenient, it can fully ensure the oral cavity is clean, and at the same time reduce the patient's cheek skin damage.

Description of drawings

In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description These are only some embodiments of the utility model, and those skilled in the art can also obtain other drawings based on these drawings without creative work.

Fig. 1 is a schematic structural view of embodiment 1 of the casing.

Fig. 2 is a schematic diagram of the structure of the 3M elastic bandage.

Figure 3 is a diagram of the casing in use.

The names of the corresponding parts represented by numbers or letters in the figure:

1. Sleeve 2, endotracheal tube 11, inner hole 12, occlusal part 13, connecting part 14, fixing part 15, lace 16, first connecting part 17, second connecting part 18, middle beam 19, small hole 21 , airbag

detailed description

As mentioned in the background art section, there are many problems in traditional devices for fixing endotracheal intubation. Aiming at the deficiencies in the prior art, the utility model proposes a sleeve for fixing the tracheal intubation, which can effectively limit the top end of the tracheal intubation and effectively fix the endotracheal intubation after the endotracheal intubation is determined to be located in the airway , convenient for oral care, fully able to ensure oral cleanliness, convenient to observe the oral mucosa, reduce mucosal damage, and do not need to paste the tracheal intubation fixture on the patient's face, reducing skin damage on the patient's cheeks.

The technical solutions of the present utility model will be clearly and completely described through specific embodiments below. Apparently, the described embodiments are only some of the embodiments of the present invention, 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.

Example 1

Please refer to Figures 1 to 3 together. As shown in the figures, a sleeve for fixing an endotracheal tube, the sleeve 1 is set outside the endotracheal tube 2, and the inside of the sleeve 1 is formed with an inner hole 11. The inner diameter matches the outer diameter of the endotracheal tube, and at least a part of the endotracheal tube protrudes outside the sleeve. When the patient performs tracheal intubation, the endotracheal tube is put into the airway of the human body through the catheter. The front end of the endotracheal tube is provided with an air bag 21, which is inflated through the air intake tube to fix the position of the endotracheal tube in the airway.

After confirming that the endotracheal tube is in the airway and the air bag has been inflated, place the sleeve for fixing the endotracheal tube from the top of the endotracheal tube to the occlusal surface of the patient for effective positioning.

The cannula 1 includes an occlusal part 12 inserted into the oral cavity, a connecting part 13 protruding from the outside of the oral cavity to be fixed with the endotracheal tube, and a fixing part 14 separating the occlusal part and the connecting part. The fixing part is formed by extending outward from the outer wall of the cannula. The fixed side is connected with a frenulum 15 on the fixed side, and the frenulum is sleeved at the back of the neck of a human body and fixed. The sleeve is directly connected to the neck of the human body through the tie, and does not need to be pasted and fixed on the face of the human body to avoid facial damage.

The fixed side is two sections formed on the left and right sides of the casing to form butterfly wings, and a small hole is arranged on the fixed side, and the lacing is fastened on the small hole. Preferably, the fixed side can also be formed on a circle of the casing to form a ring structure, and a small hole is provided on the fixed side, and the lace is fastened to the small hole. Connect and secure the sleeve to the back of the patient's neck by setting a fixed edge,

Preferably, the fixed edge is arranged at 1/3 of the casing, the upper 1/3 part forms the connecting part 13 , and the lower 2/3 part forms the occlusal part 12 . Wherein, the setting positions and lengths of the fixed sides are set according to needs, and are not limited here.

The occlusal part 12 is provided with a scale line for determining the depth of the endotracheal tube inserted into the oral cavity. Usually, the endotracheal tube is provided with a scale line. Determine the insertion depth of the endotracheal tube. If the sleeve is not very transparent and it is difficult to visually judge the insertion depth of the endotracheal tube, set the scale line on the occlusal part of the sleeve and combine the connection between the endotracheal tube and the sleeve. The scale on the occlusal part of the scale and the cannula calculates the insertion depth of the endotracheal tube.

In addition, an occlusal pad (not shown) is sleeved on the outside of the occlusal part 12 , and the occlusal pad is a flexible piece or an elastic piece. Usually the cannula itself can be integrally processed and formed with hard materials. In order to reduce the damage of the cannula to the patient's oral cavity, an occlusal pad can be provided on the occlusal part to reduce the surface hardness and avoid affecting the health of the patient.

In addition, the occlusal portion can also be formed of soft material, which is not specifically limited.

The connecting part 13 is connected and fixed with the protruding part of the endotracheal tube through a fixing piece. Wherein, the fixing part is a 3M elastic bandage, and the 3M elastic bandage has an "I" structure, and the 3M elastic bandage includes a first connecting edge 16, a second connecting edge 17 and a middle beam 18 connecting the first connecting edge and the second connecting edge, The first connecting edge 16 is glued and fixed on the connecting portion 13, the two ends of the second connecting edge 17 are crossed and fixed on the endotracheal tube 2, and the middle beam is glued and fixed on the end surface of the connecting portion. The fixing part is connected to the outside of the fixing part, and the secretions in the patient's oral cavity will not affect the connecting part, and the fixing is firm.

By arranging the fixing part into an "I" shape structure, the connection between the two parts can be facilitated and a good fit can be ensured.

Preferably, the middle beam has a tapered structure, and the width of the middle beam gradually increases from the middle of the first connecting side to the side of the second connecting side, so as to improve the connection strength of the fixing member.

Specifically, when in use, select the corresponding cannula according to the various types of tracheal intubation tubes 6#, 6.5#, 7#, 7.5#, 8# and the diameter. The sleeve of the disposable endotracheal tube is similar to the front interface structure of the endotracheal tube. The middle is hollow and has hardness. The inner diameter of the hollow is 9mm, 10.3mm, 11mm, 12mm, 3cm in length, with a scale on the tube wall, in centimeters, for easy observation of the cannula insertion scale. There are protruding butterfly wings on both sides of 1/3 of the whole cannula, and there are two small holes in the butterfly wings, which mainly play the role of fixing the tracheal intubation with cotton rope. The "I" shaped 3M elastic bandage fixes the cannula and endotracheal tube. On the one hand, it can be effectively fixed, and the tube will not protrude due to the patient's restless spitting out the tube; on the other hand, it will not cause damage to the palate mucosa of the oral cavity; third, the nurse's oral care is convenient, and there is no need to replace the 3M elastic bandage every time the mouth is protected. The traditional fixation method is to use 3M elastic bandages to cross and paste them on the patient's cheeks. If the patient has a lot of oral secretions or oral mucosal bleeding, the 3M elastic bandages will be polluted and the fixation will not be firm. They must be replaced every time the mouth care is performed. The repeated tearing of the 3M elastic bandage caused varying degrees of damage to the cheek skin of the patient. This method fixedly avoids similar problems.

The specific fixing method is as follows:

When the patient undergoes endotracheal intubation, after it has been confirmed that the endotracheal endotracheal endotracheal endotracheal endotracheal endotracheal endotracheal endotracheal endotracheal endotracheal endotracheal endotracheal endotracheal endotracheal endotracheal intubation has been inflated, the appropriate type of disposable endotracheal endotracheal cannula is inserted from the top of the endotracheal endotracheal endotracheal endotracheal end to the patient's incisors. Tie a double knot at the small hole of the side butterfly wing and fix it on the back of the patient's neck. The tightness should be 1 to 2 fingers. After observing and confirming the insertion scale of the endotracheal tube, stick the 3M elastic bandage cut into the shape of "I" on the cannula with one 3M elastic bandage of "I", and the other 3M elastic bandage of "I" at both ends Paste cross on the endotracheal tube.

For the ICU ward, it is often necessary to open the airway and place the tracheal intubation. Using this device to fix the tracheal intubation can prevent and solve some frequent clinical nursing problems, so the demand is large.

The utility model discloses a sleeve tube for fixing a tracheal intubation. The sleeve tube includes an occlusal part inserted into the oral cavity, a connecting part protruding from the outside of the oral cavity to be fixed with the tracheal intubation, and a fixing part separating the occlusal part and the connecting part. After the endotracheal tube is in the airway, place the endotracheal tube fixing sleeve from the top of the endotracheal tube to the occlusal surface of the patient to effectively limit the position. After confirming the scale on the endotracheal tube, secure the sleeve with an "I" shaped 3M elastic bandage. The connecting part is fixed with the endotracheal tube. The "I"-shaped 3M elastic bandage fixes the connecting part of the cannula and the endotracheal tube. On the one hand, it can effectively fix the endotracheal tube, and will not cause the tube to prolapse due to the patient's irritability to spit out the tube; on the other hand, it will not Causes damage to the palate mucosa of the oral cavity; and does not need to replace the 3M elastic bandage every time the oral care is performed, the nurse's oral care is convenient, it can fully ensure the oral cavity is clean, and at the same time reduce the patient's cheek skin damage.

The above description of the disclosed embodiments enables those skilled in the art to realize or use the utility model. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the general principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the invention. Therefore, the present invention will not be limited to these embodiments shown herein, but will conform to the widest scope consistent with the principles and novel features disclosed herein.

Claims (9)

1. a kind of trachea cannula fixation sleeve pipe, it is characterised in that described sleeve pipe is sheathed on outside the trachea cannula, the set Endoporus is formed inside pipe, the bore inner diameter matches with the trachea cannula external diameter, described trachea cannula at least a portion Stretch out on the outside of described sleeve pipe；

Described sleeve pipe includes inserting intraoral bite, stretches out the connecting portion fixed on the outside of oral cavity with trachea cannula and separation The fixed part of bite and connecting portion, the fixed part is stretches out the fixed edge to be formed from sleeve outer wall, the fixation Frenulum is connected on side, frenulum is sheathed at human body nape and fixed.

2. trachea cannula fixation sleeve pipe as claimed in claim 1, it is characterised in that the fixed edge is left to take shape in sleeve pipe Two sections of right both sides, the butterfly wing is formed, is provided with aperture on the fixed edge, frenulum is fastened on aperture.

3. trachea cannula fixation sleeve pipe as claimed in claim 1, it is characterised in that the fixed edge takes shape in sleeve pipe one and enclosed On, a loop configuration is formed, is provided with aperture on the fixed edge, frenulum is fastened on aperture.

4. trachea cannula fixation sleeve pipe as claimed in claim 1, it is characterised in that the fixed edge is arranged at sleeve pipe 1/3 Opening position, the part of top 1/3 form connecting portion, and the part of lower section 2/3 forms bite.

5. trachea cannula fixation sleeve pipe as claimed in claim 1, it is characterised in that be provided with the bite and be easy to count Calculate the graduation mark of trachea cannula insertion depth.

6. trachea cannula fixation sleeve pipe as claimed in claim 1, it is characterised in that be also arranged with and sting outside the bite Pad is closed, the occlusal pad is flexible piece or elastic component.

7. trachea cannula fixation sleeve pipe as claimed in claim 1, it is characterised in that the connecting portion and the trachea cannula Extension be connected by fixture.

8. trachea cannula fixation sleeve pipe as claimed in claim 7, it is characterised in that the fixture is 3M Elastic bandages, The 3M Elastic bandages are in " work " type structure, and the 3M Elastic bandages include first and connect when being connected with second and connect institute Central sill of first connection when being connected with second is stated, the first connection side, which is pasted, to be fixed on the connecting portion, and described second The both ends cross-fixing on side is connected on the trachea cannula, the central sill stickup is fixed on the end face of connecting portion.

9. trachea cannula fixation sleeve pipe as claimed in claim 8, it is characterised in that the central sill is pyramidal structure, described Middle beam width from described first connection while middle part to described second connection while side gradually increase.