CN207055713U - A kind of tracheal cannula fixing device - Google Patents

A kind of tracheal cannula fixing device Download PDF

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Publication number
CN207055713U
CN207055713U CN201620722140.4U CN201620722140U CN207055713U CN 207055713 U CN207055713 U CN 207055713U CN 201620722140 U CN201620722140 U CN 201620722140U CN 207055713 U CN207055713 U CN 207055713U
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CN
China
Prior art keywords
protection board
bite
block
fixing device
fixed
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Expired - Fee Related
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CN201620722140.4U
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Chinese (zh)
Inventor
吕青
李新
王东浩
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Tianjin Medical University Cancer Institute and Hospital
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Tianjin Medical University Cancer Institute and Hospital
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Priority to CN201620722140.4U priority Critical patent/CN207055713U/en
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Publication of CN207055713U publication Critical patent/CN207055713U/en
Expired - Fee Related legal-status Critical Current
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Abstract

The utility model provides a kind of tracheal cannula fixing device, including outer fixation, bite-block, protection board, the outer fixation, bite-block, the middle part of protection board is coaxial circular aperture, the coaxial circular aperture be outward extended with supply cannula laterally across opening, the outer fixation is provided with the occlusion mechanism for being used for being engaged trachea cannula, the occlusion mechanism is three and surrounds the equally distributed occlusion fixing tooth of central shaft, neck is provided with the inside of the bite-block, the protection board is provided with the fixed structure for fixed disk band, the fixed structure is the fix bar of four rectangular distributions, the coaxial circular aperture being secured across outside described on protection board is chimeric with bite-block, the occlusion mechanism is chimeric with neck simultaneously.

Description

A kind of tracheal cannula fixing device
Technical field
Medical auxiliary apparatus technical field is the utility model is related to, to warp in more particularly to a kind of mechanical ventilation The device and the method with device fixation trachea cannula that orotracheal tube is fixed.
Background technology
In treatment clinical course, Artificial controlled mechanical ventilation is carried out, respiratory nursing during being treatment respiratory failure and anesthesia Important measures, mechanical ventilation play an important roll in critical illness rescue, and trachea cannula abjection is more serious in mechanical ventilation One of complication, slipped once trachea cannula occurs, the injury again to patient can be caused, such as non-timely processing, can caused Patients acuity anoxic, or even asphyxia, death, so keeping trachea cannula not moved in fixed position after trachea cannula success Position, coming off becomes particularly important, and the fixing means of traditional oral trachea cannula is roughly divided into following several:
1) medical proof fabric fixing means:After it is determined that being intubated successfully, bite-block is inserted between the front tooth up and down of patient, use glue Cloth fixes trachea cannula and bite-block strapped side by side, and trachea cannula is finally fixed on to the Face and cheek of patient with adhesive plaster.
2) Duropore immobilizations with adhesive tape method:Duropore is the adhesive plaster for being exclusively used in fixing trachea cannula, the adhesive plaster be cloth cover, There is silk quality sense, adhesion is strong, after trachea cannula, intubation is moved into the side corners of the mouth, one end on the downside of adhesive plaster is carved along the corners of the mouth Intubation is fixed at degree, and along this scale clockwise or counterclockwise around fixation.
3) very little band fixation:It can take for conscious patient and be fixed again after removing bite-block, be fixed on trachea cannula with belt At front tooth scale, belt can one end it is slightly long, the slightly long one end of use bypass patients head, knots and connects with slightly shorter one end, fixation After good, it is put at the bicker of both sides and is protected by with auxiliary material or pad of cotion.
4) safety pin fixation:A kind of fixing means for tracheal cannula in infants, by long safety pin it is vertical with bicker from Conduit is by through buckling, being then respectively adhered on safety pin with adhesive plaster on the outside of bicker and safety pin upper and lower ends.
However, many deficiencies be present in traditional fixing means, medical proof fabric fixing means is simple, conveniently, it is economical but fixed Fastness is poor, and is easy to come off;Duropore immobilization with adhesive tape method material prices are more expensive, should not be from the face because adhesive plaster viscosity is big Remove the marking;Very little band fixing means is to strengthen fixing on the basis of immobilization with adhesive tape mostly, is the good side for preventing immobilization with adhesive tape from coming off Method, but the method is only limitted to the patient of Clear consciousness, should not be used for restless, teeth clenched and the patient that can not coordinate;Not Pin, which is fixed, is only limitted to infant's use.
With the development of medical technology, occur some new tracheal cannula fixers in the market, such as:Chen Jun China, Guo Qiaozhen, Xu Suoqin etc. exist《Nurse journal》2006 13 (11) phases page 58-59 in propose a kind of self-locking tracheae The cannula fixation self-locking tracheal cannula fixer, trachea cannula is passed through from fixator opening, biteplate is put into trouble In person oral cavity, locking nut is tightened from side, anchor band penetrates after neck 1 week out of fixator other end aperture, finally Velcro is fastened, reaches the purpose of fixed trachea cannula.For another example:Chinese patent:ZL201520645357.5, publication number: CN204910412U, a kind of tracheal cannula fixer, including bite-block main body are disclosed, pipe clamp, pipe clamp are provided with bite-block main body Including the fixed seat being arranged in bite-block main body, sliding block is elasticly connected with by elastic component in fixed seat, set in fixed seat Have and determine hole, movable span is provided with sliding block, determining hole and movable hole site through there is expansion screw, movable span lower wall surface or The upper wall surface for determining hole is provided with screw thread corresponding with expansion screw, and the purpose of fixed trachea cannula is reached by screw rod locking. Tracheal cannula fixer uses simply, firmly, but single unit system structure is more complicated, and material price is more expensive, and cost is higher; Fixator volume and deadweight are larger, still can oppress being formed around patient face mouth, operate visual difference, brought not to patient It is suitable, and and this structure easily cause patient and sting flat trachea cannula and cause that trachea cannula ventilation is not smooth, and trachea cannula position is consolidated Nurse is not easy to after fixed to carry out oral care, suction sputum, change the care operations such as position, is unfavorable for wholistic therapy.
The content of the invention
In summary, in order to further improve trachea cannula fixing means, increase the comfort level of patient, reduce complicated by postoperative Disease, reduces the probability of retrograde infection, and the present invention provides a kind of tracheal cannula fixing device and fixes gas with the device The method of cannula, trachea cannula can not only be effectively protected it does not shifted, deviate from, moreover it is possible on the basis of fixation Fixed trachea cannula outside elastic force adhesive plaster need not be recycled also not oppress again being formed around patient face mouth, reduce lip portion Ulceration and skin of face are damaged and simple in construction in position pressure sore, oral cavity, and it is convenient to change, and takes small volume, facilitates nurse to carry out Oral care, suction sputum, the care operations such as position are changed, reduce postoperative complications, reduce the probability of retrograde infection, while can also increase Add the comfort level of patient, carry out beneficial to wholistic therapy.
The present invention is achieved through the following technical solutions:
A kind of tracheal cannula fixing device, including outer fixation, bite-block, protection board, the outer fixation, bite-block, protection The middle part of plate is coaxial circular aperture, the coaxial circular aperture be outward extended with supply cannula laterally across opening, it is described outer solid Fixed to be provided with the occlusion mechanism for being used for being engaged trachea cannula, the occlusion mechanism is three and surrounds the equally distributed occlusion of central shaft Fixing tooth, the bite-block inner side are provided with neck, and the protection board is provided with the fixed structure for fixed disk band, the fixed knot Structure is the fix bar of four rectangular distributions, and the outer coaxial circular aperture that is secured across on protection board is chimeric with bite-block, while institute It is chimeric with neck to state occlusion mechanism.
For expansion,
The outer fixation specifically includes:Shape is hollow circular cylinder, and the hollow bulb of the outer fixation can accommodate trachea cannula Longitudinally through the outer fixed lower section is the occlusion mechanism for being engaged fixed trachea cannula, and the occlusion mechanism is three and enclosed Around the equally distributed occlusion fixing tooth of central shaft, for being engaged fixed trachea cannula.It is described outer to be fixed with and cylindrical hollow Partially communicating sagittal plane opening, opening angle are 80 °, and trachea cannula can be laterally across.
The bite-block specifically includes:Shape is that top is hollow circular cylinder, and bottom is hollow cone cylinder, hollow cone post External surface contact oral cavity lingual surface, the bite-block inner ring and neck are chimeric with outer fixation and occlusion mechanism, the bite-block provided with The sagittal plane opening of hollow bulb connection, 80 ° of opening angle, trachea cannula can be laterally across, the bite-block be used for it is chimeric outer fixed, It is easy to dental articulation, protects trachea cannula, avoid being pressurized.
The protection board specifically includes:Shape is the round-meshed round rectangle thin plate in middle part, and the circular hole is to fillet square Shape straight line be provided with supply cannula laterally across opening, the round rectangle thin plate be provided with for fixed disk band fixation Structure, the fixed structure are the fix bar of four rectangular distributions, and the fix bar is made up of lever bracket, bar waist and head, institute State lever bracket to be fixedly connected with round rectangle thin plate or be removably fixedly connected, the protection board is used to protect lip portion, external Trachea cannula fixed disk band.
As the further optimization of the present invention, the occlusion mechanism is three to be fixed around the equally distributed occlusion of central shaft Tooth, described be engaged in fixing tooth are provided with raised roller with the contact surface of trachea cannula, netted indenture are distributed with the roller.
As the further optimization of the present invention, the occlusion mechanism is the internal annulus for being embedded with roller, is provided with outside annulus The projection chimeric with the neck.
Further, in order to increase the frictional force of roller and trachea cannula, gather netted indenture on the roller.
As the further optimization of the present invention, the top of the outer fixation is provided with earrings, and the earrings is provided with concave panel, In order to rotate outer fixation.
As the further optimization of the present invention, the fixed structure is two bar holes, the bar hole and round rectangle Straight line is vertical and is symmetrically arranged on the both sides of the circular hole.
As the further optimization of the present invention, the round rectangle thin plate is double-decker, and internal layer is structure sheaf, and outer layer is Cushion course, the internal layer are medical rigid plastics, and the outer layer is medical soft material.
As the further optimization of the present invention, the lever bracket and round rectangle thin plate be removably fixedly connected including:Spiral shell Line connects and key connection.
As the present invention further optimization, the round rectangle thin plate is curved sheets structure, so as to user face Portion or lip agree with.
As the further optimization of the present invention, the inner side of the protection board, which is provided with, is used for fixed and bite-block groove outside clamping Or boss, it is boss or groove to be correspondingly provided with protection board clamping in the outer fixation and bite-block.
A kind of method of fixed trachea cannula, including, there is provided a kind of device, including:Including outer fixation, bite-block, protection board, The fixation, bite-block, the middle part of protection board are coaxial circular hole, the circular hole be outward extended with supply cannula laterally across Opening, the outer fixation, which is provided with, to be used to be engaged the occlusion mechanism of trachea cannula, and neck, the guarantor are provided with the inside of the bite-block Backplate is provided with the fixed structure for fixed disk band, and the fixed structure is the fix bar of four rectangular distributions, described outer The circular hole being secured across on protection board is chimeric with bite-block, while the occlusion mechanism is chimeric with neck;
By outer fixation, bite-block, protection board is assembled into a kind of tracheal cannula fixing device so that opening is consistent, will be solid Determine device and orally insert oral cavity immediately below the trachea cannula, trachea cannula is embedded in by opening, fix 0 outside rotate counterclockwise~ 120 °, treat that the occlusion mechanism in outer fixation is chimeric with the neck on bite-block, trachea cannula is engaged in longitudinal direction then and fixed, it is now outer It is fixed different from the sagittal plane opening of protection board direction, in laterally fixed trachea cannula.
Preferably, after fixing 0~120 ° outside rotate counterclockwise, turn clockwise protection board, so as to allow tracheae to be fixed on out In the concentric circle holes that mouth is formed.Here, outer fixation can first be turned clockwise, then protection board rotate counterclockwise.Certainly, Can each opposite direction while rotate, so allow tracheae fixation in a device., can be with when needing to remove tracheae According to mode reverse operating expressed above, outer fixation is allowed, bite-block, the opening of protection board is on same straight line, so as to Remove tracheae.Tracheae and fixator for tracheal cannule is allowed to separate.
Preferably, the inner side of the protection board, which is provided with, is used for fixed and bite-block groove or boss outside clamping, described outer solid It is boss or groove to be correspondingly provided with fixed and bite-block with protection board clamping.
Preferably, the fixed structure is two bar holes, and the bar hole is symmetrically arranged on the both sides of the circular hole.
Preferably, the protection board is double-decker, and internal layer is structure sheaf, and outer layer is cushion course, and the internal layer is medical Rigid plastics, the outer layer are medical soft material.
Preferably, the occlusion mechanism surrounds the equally distributed occlusion fixing tooth of central shaft for three, and the occlusion is fixed Raised roller is provided with the contact surface of trachea cannula on tooth, netted indenture is distributed with the roller.
Preferably, it is characterised in that the occlusion mechanism is the internal annulus for being embedded with roller, be provided with outside annulus with it is described The chimeric projection of neck, gather on the roller netted indenture.
Preferably, the protection board is curved sheets structure, to agree with user's face or lip.
A kind of method of fixed trachea cannula, including trachea cannula is fixed with a kind of tracheal cannula fixing device, It is specifically divided into following steps:
Step 1, set position:Patient takes dorsal position, removes and loosens tooth and artificial tooth, removes oral foreign body or secretion, Volume method is pushed away with lift chin, head is fully swung back by turning point of atlanto occipital joint, so that mouth, pharynx, larynx are in straight line (cervical vertebra injury Except person);
Step 2, protect lip:Intersected with thumb and forefinger and push upper lower lip aside, protect lip tooth;
Step 3, laryngoscope are inserted:Along right side bicker vertically into oral cavity;Then tongue body is pushed to left side, laryngoscope moves to mouth In chamber median line, laryngoscope is slowly advanced, until epiglottis root is arrived at laryngoscope tip, above proposes laryngoscope exposure rima glottidis;
Step 4, look at lower insertion trachea cannula straight:Trachea cannula is directed at rima glottidis, along the Lens grooves of laryngoscope in photopic vision Lower feeding trachea cannula;Soft rotary guide pipe, it is smoothly through rima glottidis and enter tracheal strips;
Step 5, first successive step and fixed trachea cannula:After tentatively adjusting catheter depth, by outer fixation, bite-block, protection Plate is assembled into a kind of tracheal cannula fixing device so that opening is consistent, by fixing device orally in trachea cannula underface Insert oral cavity, trachea cannula be embedded in by opening, fixes 0~120 ° outside rotate counterclockwise, treat occlusion mechanism in outer fixation with Neck on bite-block is fitted together to, and is then engaged trachea cannula in longitudinal direction and is fixed, the sagittal plane opening court of now outer fixation and protection board To difference, in laterally fixed trachea cannula;
Step 6, fixed trachea cannula:Trachea cannula depth is observed after tentatively fixing and exits laryngoscope, adjusts trachea cannula Trachea cannula fixed disk band is fixed on the fixed structure of protection board after depth to satisfaction.
The beneficial effects of the utility model performance is as follows:
When rescuing oral trachea cannula patient, after being intubated successfully, after fixing device is assembled into one, it is embedded in by opening Trachea cannula, it is rear outer fixed using rotation, the occlusion mechanism of outer fixed lower section is mutually fixed with trachea cannula, substitute traditional bite-block Outer fixed form, following beneficial effect is obtained compared with prior art:
1st, trachea cannula can not only be effectively protected it does not shifted, deviate from, moreover it is possible to the nothing on the basis of fixation Fixed trachea cannula outside elastic force adhesive plaster need to be recycled also not oppress again being formed around patient face mouth, reduce lip position Ulceration and skin of face are damaged in pressure sore, oral cavity.
2nd, using quadrangle component rule, make the tongue of patient can not produce enough thrust, effectively reduce and tell pipe and show The generation of elephant.
3rd, the design of cushion course and curved surface arc can greatly improve patient's local comfort degree, effectively reduce lip position pressure Ulceration and skin of face are damaged in sore, oral cavity.
4th, the occlusion mechanism is designed as inside and is embedded with roller structure, and roller also can be partly protruded to reduce annular diameters, It can be prevented from stronger fixed trachea cannula while increasing frictional force.
5th, the present invention is simple in construction, takes small volume, and it is convenient to change, can clearly observation panel intracavity lesion situation and tracheae Catheter depth, carry out beneficial to wholistic therapy.
6th, trachea cannula fixing means of the present invention, easy to be easy-to-use, greatly reducing will to the specialty of medical personnel Ask, so as to save very big human cost, and add the comfort level of patient, reduce postoperative complications, reduce sense of driving in the wrong direction The probability of dye.
Brief description of the drawings
Accompanying drawing 1 is the outer fixed structural representation of the present invention;
Accompanying drawing 2 is the structural representation of protection board of the present invention;
Accompanying drawing 3 is the structural representation of bite-block of the present invention;
Accompanying drawing 4 is fixing device assembly structure diagram of the present invention;
Wherein:Outer to fix 1, bite-block 2, protection board 3, circular hole 4, opening 5, occlusion mechanism 6 is engaged fixing tooth 601, neck 7, Fixed structure 8, fix bar 801, lever bracket 802, bar waist 803, head 804, round rectangle thin plate 9, earrings 10
Embodiment
To enable the above-mentioned purpose of the application, feature and advantage more obvious understandable, 1,2,3,4 and below in conjunction with the accompanying drawings Embodiment is described in further detail to the application.
As shown in figure 1, a kind of tracheal cannula fixing device, it is described it is outer to fix 1 as shape be hollow circular cylinder, it is described It is outer fix 1 hollow bulb can accommodate trachea cannula longitudinally through and be outward extended with supply cannula laterally across opening 5, institute State outer 1 top fixed and be provided with earrings 10, the earrings 10 is provided with concave panel, described outer to fix 1 in order to rotate outer fixation Lower section is the occlusion mechanism 6 for being engaged fixed trachea cannula, and the occlusion mechanism 6 is three equally distributed around central shaft Be engaged fixing tooth 601, for being engaged fixed trachea cannula, it is described it is outer fix on 1 supply cannula laterally across opening be circle The sagittal plane opening of cylinder hollow space connection, 5 angle of being open is 80 °, and trachea cannula can be laterally across.
When the occlusion mechanism 6 is three occlusion fixing tooths 601 equally distributed around central shaft, the occlusion fixing tooth Raised roller is provided with the contact surface of trachea cannula on 601, netted indenture is distributed with the roller.(not shown)
The occlusion mechanism 6 could be arranged to the internal annulus for being embedded with roller, is provided with outside annulus chimeric with the neck 7 Projection.(not shown)
As shown in Fig. 2 a kind of tracheal cannula fixing device, the protection board 3 is that middle part is (i.e. circular with circular hole 4 Through hole) round rectangle thin plate 9, the straight line of from circular hole 4 to the round rectangle thin plate 9 be provided with supply cannula laterally across Opening 5, the round rectangle thin plate 9 are provided with the fixed structure 8 for fixed disk band, and it is in square that the fixed structure 8, which is four, The fix bar 801 of shape distribution, optimal distribution are that four fix bars 801 and four angles of round rectangle thin plate 9 correspond, this The stress of sample protection board 3 is more rationally uniform, and the fix bar 801 is force rod by 804 groups of lever bracket 802, bar waist 803 and head Into lever bracket 802 reinforces root connection, and head 804 prevents dribbling from coming off, and preferably lever bracket 802, bar waist 803 and head 804 are The big solid in integrally formed small two in centre, three is is coaxially disposed or not in same axle center, to facilitate fixed disk band It is advisable.
The lever bracket 802 is fixedly connected with round rectangle thin plate 9, or the one of fix bar 801 and round rectangle thin plate 9 into Type, or fix bar 801 are removably fixedly connected by lever bracket 802 with round rectangle thin plate 9, mentioned here dismountable Including but not limited to threaded connection, key connection, pin connection, buckle is fixedly connected with to connect.
The round rectangle thin plate 9 is double-decker, and internal layer is structure sheaf, and outer layer is cushion course, and the internal layer is medical Rigid plastics, the outer layer are medical soft material.(not shown)
In order to further reduce the pressure sore of lip position, the round rectangle thin plate 9 is arranged to curved sheets structure, so as to User's face or lip agree with.(not shown)
Cost-effective in order to simplify structure, the fixed structure 8 is designed as two bar holes, the bar hole and fillet Rectangle straight line is vertical and is symmetrically arranged on the both sides (not shown) of the circular hole.
As shown in figure 3, a kind of tracheal cannula fixing device, the top of bite-block 2 is hollow circular cylinder, during bottom is Empty conical cylinder, hollow cone cartridge outer surface contact oral cavity lingual surface, the inner ring and neck 7 of the bite-block 2 with it is outer fix 1 and its Occlusion mechanism 6 is chimeric, and the bite-block 2 is provided with the sagittal plane opening connected with hollow bulb, and 80 ° of opening angle, trachea cannula can be horizontal To by the way that the bite-block 2 is used to fix 1 outside chimeric, is easy to dental articulation, protects trachea cannula, avoid being pressurized.
As shown in figure 4, a kind of tracheal cannula fixing device, including it is outer fix 1, bite-block 2, protection board 3 is described outer solid Fixed 1, bite-block 2, the middle part of protection board 3 be coaxial circular hole 4, the circular hole 4 be outward extended with supply cannula laterally across Opening 5, it is described it is outer fix 1 and be provided be used to be engaged the occlusion mechanism 6 of trachea cannula, the occlusion mechanism 6 is three and surrounded The equally distributed occlusion fixing tooth 601 of central shaft, the inner side of bite-block 2 are provided with neck 7, and the protection board 3, which is provided with, to be used for admittedly The fixed structure 8 of price fixing band, the fixed structure 8 are the fix bar 801 of four rectangular distributions, described outer to fix 1 through protecting Circular hole 4 on backplate 3 is chimeric with bite-block 2, while the occlusion mechanism 6 is chimeric with neck 7.
For expansion,
It is described outer to fix 1 and specifically include:Shape is hollow circular cylinder, and outer 1 hollow bulb fixed can accommodate tracheae and insert Pipe is longitudinally through outer 1 lower section of fixing is the occlusion mechanism 6 for being engaged fixed trachea cannula, and the occlusion mechanism 6 is three It is individual to surround the equally distributed occlusion fixing tooth 601 of central shaft, for being engaged fixed trachea cannula.It is described it is outer fix 1 be provided with and circle The sagittal plane opening of cylinder hollow space connection, opening angle are 80 °, and trachea cannula can be laterally across.
Described outer fixation is big including top, the small structure in bottom, so forms one in the junction of upper and lower part Neck, the diameter of the through hole of such protection board are less than the diameter on fixed part top, so when assembling, protection board and outer solid Surely it is connected together, forms the structure (Fig. 1, Fig. 4) that can mutually rotate but can fix.
The bite-block 2 specifically includes:Shape is that top is hollow circular cylinder, and bottom is hollow cone cylinder, hollow cone Cartridge outer surface contacts oral cavity lingual surface, the inner ring of the bite-block 2 and neck 7 and fixes 1 lower end and occlusion mechanism 6 is chimeric, institute with outer State bite-block 2 and be provided with the sagittal plane opening connected with hollow bulb, 80 ° of opening angle, trachea cannula can be laterally across the bite-block 2 For fixing 1 outside being fitted together to, it is easy to dental articulation, protects trachea cannula, avoid being pressurized.
The protection board 3 specifically includes:Shape is the round-meshed round rectangle thin plate 9 in middle part, and the circular hole 4 is to fillet The straight line of rectangular thin plate 9 be provided with supply cannula laterally across opening 5, the round rectangle thin plate 9 be provided be used for it is solid The fixed structure 8 of price fixing band, the fixed structure 8 are the fix bar 801 of four rectangular distributions, and the fix bar 801 is by bar Support 802, bar waist 803 and head 804 are formed, and the lever bracket 802 is fixedly connected with round rectangle thin plate 9 or removably fixation connects Connect, the protection board 3 is used to protect lip portion, external trachea cannula fixed disk band.
The inner side of the protection board 3, which is provided with, is used to outside clamping fixing the groove or boss of 1 and bite-block 2, described outer to fix 1 He The boss or groove with the clamping of protection board 3 are correspondingly provided with bite-block 2.(not shown)
A kind of method of fixed trachea cannula, including, there is provided a kind of device, including:Including outer fixation, bite-block, protection board, The fixation, bite-block, the middle part of protection board are coaxial circular hole, the circular hole be outward extended with supply cannula laterally across Opening, the outer fixation, which is provided with, to be used to be engaged the occlusion mechanism of trachea cannula, and neck, the guarantor are provided with the inside of the bite-block Backplate is provided with the fixed structure for fixed disk band, and the fixed structure is the fix bar of four rectangular distributions, described outer The circular hole being secured across on protection board is chimeric with bite-block, while the occlusion mechanism is chimeric with neck;
By outer fixation, bite-block, protection board is assembled into a kind of tracheal cannula fixing device so that opening is consistent, will be solid Determine device and orally insert oral cavity immediately below the trachea cannula, trachea cannula is embedded in by opening, fix 0 outside rotate counterclockwise~ 120 °, treat that the occlusion mechanism in outer fixation is chimeric with the neck on bite-block, trachea cannula is engaged in longitudinal direction then and fixed, it is now outer It is fixed different from the sagittal plane opening of protection board direction, in laterally fixed trachea cannula.
Preferably, after fixing 0~120 ° outside rotate counterclockwise, turn clockwise protection board, so as to allow tracheae to be fixed on out In the concentric circle holes that mouth is formed.Here, outer fixation can first be turned clockwise, then protection board rotate counterclockwise.Certainly, Can each opposite direction while rotate, so allow tracheae fixation in a device., can be with when needing to remove tracheae According to mode reverse operating expressed above, outer fixation is allowed, bite-block, the opening of protection board is on same straight line, so as to Remove tracheae.Tracheae and fixator for tracheal cannule is allowed to separate.
A kind of method of fixed trachea cannula provided by the invention, including consolidate with a kind of tracheal cannula fixing device Determine trachea cannula, be specifically divided into following steps:
Step 1, set position:Patient takes dorsal position, removes and loosens tooth and artificial tooth, removes oral foreign body or secretion, Volume method is pushed away with lift chin, head is fully swung back by turning point of atlanto occipital joint, so that mouth, pharynx, larynx are in straight line (cervical vertebra injury Except person).
Step 2, protect lip:Intersected with thumb and forefinger and push upper lower lip aside, protect lip tooth.
Step 3, laryngoscope are inserted:Along right side bicker vertically into oral cavity;Then tongue body is pushed to left side, laryngoscope moves to mouth In chamber median line, laryngoscope is slowly advanced, until epiglottis root is arrived at laryngoscope tip, above proposes laryngoscope exposure rima glottidis.
Step 4, look at lower insertion trachea cannula straight:Trachea cannula is directed at rima glottidis, along the Lens grooves of laryngoscope in photopic vision Lower feeding trachea cannula;Soft rotary guide pipe, it is smoothly through rima glottidis and enter tracheal strips.
Step 5, first successive step and fixed trachea cannula:After tentatively adjusting catheter depth, 1 is fixed by outer, bite-block 2, is protected Backplate 3 is assembled into a kind of tracheal cannula fixing device so that opening is consistent, by fixing device orally in trachea cannula just under Oral cavity is inserted by side, is embedded in trachea cannula by opening 5, fixes 0~120 ° outside rotate counterclockwise, treat the outer holding-on machine fixed on 1 Structure 6 is chimeric with the neck 7 on bite-block 2, is then engaged trachea cannula in longitudinal direction and fixes, now the outer sagittal for fixing 1 and protection board 3 Face opening is towards difference, in laterally fixed trachea cannula.
Step 6, fixed trachea cannula:Trachea cannula depth is observed after tentatively fixing and exits laryngoscope, adjusts trachea cannula Trachea cannula fixed disk band is fixed on the fixed structure 8 of protection board 3 after depth to satisfaction.
The present invention is further illustrated by taking the man that is grown up as an example, during giving emergency treatment to a patient, adult's man's tracheae is inserted Pipe standards are 7.5mm trachea cannulas, and external diameter 9.5mm is of the invention to fix 1, bite-block 2, protection board 3 including outer;Wherein, it is described outer 1 is fixed, matched hollow circular cylinder size is height 25mm, outer annular diameter 25mm, annular diameters 14mm, can accommodate gas Cannula is by the way that outer 1 lower section of fixing is engaged fixing tooth 601 for three trachea cannulas, length 10mm, width 2.9mm, is used for Fixed trachea cannula, sagittal plane opening 9mm, 80 ° of opening angle, trachea cannula can be laterally across.The bite-block 2, therewith phase The height matched somebody with somebody is 28mm, and cylinder external diameter is 25mm, inner ring with it is outer fix 1 and its occlusion mechanism 6 it is chimeric, the contact of lower section conical cylinder Oral cavity lingual surface, sagittal plane opening 9mm, 80 ° of opening angle, trachea cannula can be laterally across.The protection board 3 is matched Size is length 50mm, width 34mm, thickness 1.9mm round rectangle thin plate 9, and centre is diameter 20mm circular holes 4, is open 5 Width is 9mm, consistent with 7.5mm trachea cannulas external diameter (9.5mm), and trachea cannula can be laterally across, for protecting lip portion, External trachea cannula fixed disk band.
Success oral trachea cannula after, by protection board 3 with it is outer fix 1 and bite-block 2 assemble, orally in tracheae after assembling Insert oral cavity immediately below intubation, at this moment protection board 3, bite-block 2, it is outer fix 1 sagittal plane opening it is consistent, will be fixed by opening 5 Device is embedded in trachea cannula, and 0~120 ° is fixed outside rotate counterclockwise, treats the outer occlusion mechanism 6 fixed on 1 and the card on bite-block 2 Groove 7 is chimeric, is then engaged trachea cannula in longitudinal direction and fixes, it is now outer fix it is 1 different with the sagittal plane opening direction of protection board 3, In laterally fixed trachea cannula.
If nursing staff carries out oral care practices, oral cavity can be exposed to greatest extent and blocked without fixing device.
If fixing device need to be changed, 1 rotate counterclockwise certain angle first can be fixed by outer, make the whiz bite-block of occlusion mechanism 6 Neck 7, and make protection board 3, bite-block 2, it is outer that to fix 1 sagittal plane opening consistent, you can make the laterally moved out fixing device of trachea cannula, And then change fixing device.
Finally illustrate, above embodiment only to illustrate the technical solution of the utility model and unrestricted, Although the utility model has been described in detail by above-mentioned embodiment, those skilled in the art should Understand, various changes can be made to it in the form and details, without departing from the utility model claims book Limited range.

Claims (10)

  1. A kind of 1. tracheal cannula fixing device, it is characterised in that including outer fixation, bite-block, protection board, the fixation, tooth Pad, the middle part of protection board be coaxial circular hole, the circular hole be outward extended with supply cannula laterally across opening, it is described Outer fixation is provided with the occlusion mechanism for being used for being engaged trachea cannula, is provided with neck on the inside of the bite-block, the protection board is provided with For the fixed structure of fixed disk band, the fixed structure is the fix bar of four rectangular distributions, described to be secured across guarantor outside Circular hole on backplate is chimeric with bite-block, while the occlusion mechanism is chimeric with neck.
  2. A kind of 2. tracheal cannula fixing device according to claim 1, it is characterised in that the inner side of the protection board Provided with for fixing groove or boss with bite-block outside clamping, be correspondingly provided with the outer fixation and bite-block is with protection board clamping Boss or groove.
  3. 3. a kind of tracheal cannula fixing device according to claim 1, it is characterised in that the fixed structure is two Individual bar hole, the bar hole are symmetrically arranged on the both sides of the circular hole.
  4. 4. a kind of tracheal cannula fixing device according to claim 1, it is characterised in that the protection board is bilayer Structure, internal layer are structure sheaf, and outer layer is cushion course, and the internal layer is medical rigid plastics, and the outer layer is medical soft material.
  5. 5. a kind of tracheal cannula fixing device according to claim 2, it is characterised in that the protection board is bilayer Structure, internal layer are structure sheaf, and outer layer is cushion course, and the internal layer is medical rigid plastics, and the outer layer is medical soft material.
  6. 6. a kind of tracheal cannula fixing device according to claim 1 or 2 or 3 or 4, it is characterised in that described to sting Close mechanism and surround the equally distributed occlusion fixing tooth of central shaft, the contact surface being engaged in fixing tooth with trachea cannula for three Provided with raised roller, netted indenture is distributed with the roller.
  7. 7. a kind of tracheal cannula fixing device according to claim 1 or 2 or 3 or 4, it is characterised in that described to sting Mechanism is closed as the internal annulus for being embedded with roller, the projection chimeric with the neck is provided with outside annulus, gather net on the roller Shape indenture.
  8. 8. a kind of tracheal cannula fixing device according to claim 6, it is characterised in that the protection board is curved surface Thin-slab structure, to agree with user's face or lip.
  9. 9. a kind of tracheal cannula fixing device according to claim 7, it is characterised in that the protection board is curved surface Thin-slab structure, to agree with user's face or lip.
  10. 10. a kind of tracheal cannula fixing device according to claim 8 or claim 9, it is characterised in that the outer fixation Top is provided with earrings, and the earrings is provided with concave panel, in order to rotate outer fixation.
CN201620722140.4U 2016-07-09 2016-07-09 A kind of tracheal cannula fixing device Expired - Fee Related CN207055713U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201620722140.4U CN207055713U (en) 2016-07-09 2016-07-09 A kind of tracheal cannula fixing device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201620722140.4U CN207055713U (en) 2016-07-09 2016-07-09 A kind of tracheal cannula fixing device

Publications (1)

Publication Number Publication Date
CN207055713U true CN207055713U (en) 2018-03-02

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Application Number Title Priority Date Filing Date
CN201620722140.4U Expired - Fee Related CN207055713U (en) 2016-07-09 2016-07-09 A kind of tracheal cannula fixing device

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Country Link
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108939238A (en) * 2018-08-01 2018-12-07 冯玉玺 The mouth shape dilator and its application method of oral trachea cannula can be fixed

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108939238A (en) * 2018-08-01 2018-12-07 冯玉玺 The mouth shape dilator and its application method of oral trachea cannula can be fixed

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