CN207532428U - A kind of puncture outfit and the tracheotomy device by its structure - Google Patents
A kind of puncture outfit and the tracheotomy device by its structure Download PDFInfo
- Publication number
- CN207532428U CN207532428U CN201720544690.6U CN201720544690U CN207532428U CN 207532428 U CN207532428 U CN 207532428U CN 201720544690 U CN201720544690 U CN 201720544690U CN 207532428 U CN207532428 U CN 207532428U
- Authority
- CN
- China
- Prior art keywords
- tracheae
- puncture
- section
- skin
- needle
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
- 239000007788 liquid Substances 0.000 claims abstract description 11
- 238000005520 cutting process Methods 0.000 claims abstract description 9
- 238000002372 labelling Methods 0.000 claims abstract description 7
- 238000003780 insertion Methods 0.000 claims description 10
- 230000037431 insertion Effects 0.000 claims description 10
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 claims description 9
- 239000002775 capsule Substances 0.000 claims description 9
- 229910052802 copper Inorganic materials 0.000 claims description 9
- 239000010949 copper Substances 0.000 claims description 9
- 239000012530 fluid Substances 0.000 claims description 5
- 238000010586 diagram Methods 0.000 description 9
- 206010044310 Tracheo-oesophageal fistula Diseases 0.000 description 5
- 208000005864 Tracheoesophageal Fistula Diseases 0.000 description 5
- 208000016274 isolated tracheo-esophageal fistula Diseases 0.000 description 5
- 230000006378 damage Effects 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- 206010051955 Tracheal pain Diseases 0.000 description 2
- 206010052428 Wound Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 230000000149 penetrating effect Effects 0.000 description 2
- 210000002345 respiratory system Anatomy 0.000 description 2
- 230000028327 secretion Effects 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- 208000030090 Acute Disease Diseases 0.000 description 1
- 208000000059 Dyspnea Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 206010016717 Fistula Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010059639 Laryngeal obstruction Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 206010065716 Pharyngeal inflammation Diseases 0.000 description 1
- 206010036790 Productive cough Diseases 0.000 description 1
- 206010038669 Respiratory arrest Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 208000029028 brain injury Diseases 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 238000011156 evaluation Methods 0.000 description 1
- 230000003890 fistula Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 210000000867 larynx Anatomy 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 201000003144 pneumothorax Diseases 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 210000003802 sputum Anatomy 0.000 description 1
- 208000024794 sputum Diseases 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
Landscapes
- Prostheses (AREA)
Abstract
A kind of puncture outfit and the tracheotomy device by its structure, tracheotomy device include：For marking the labelling apparatus of cut line and incision length；For cutting the cutter of skin along cut line；For being vertically pierced into endotracheal puncture outfit in incision；For verifying whether puncture outfit penetrates endotracheal verifying attachment；Play the seal wire of guiding function；Carry out expanding the expansion skin device of skin at point of puncture；For hypodermic tunnel enlarging device, tracheae device to be guided to enter the long stay pipe of tracheae；It creates and expands skin surface to the path clearance between tracheae to form the tunnel enlarging device of hypodermic tunnel；The tracheae device of liquid is connected and can drawn from tracheal strips with tracheae.The utility model has accurate estimation size incision, the characteristics of improving puncture needle judging nicety rate, avoid paracentesis depth too deep, can effectively improve the safety of tracheotomy.
Description
Technical field
A kind of tracheotomy device the utility model is related to puncture outfit and by its structure.
Background technology
Tracheotomy is one of acute disease, severe ICU, ear nose larynx neck section common operation.Tracheotomy includes：Conventional gas
Tubotomy, intercricothyrotomy, percutaneous tracheotomy and Percutaneous Tracheotomy.It is primarily adapted for use in：1, by pharyngeal inflammation,
Serious laryngeal obstruction caused by tumour, wound, foreign matter etc.；2, lower respiratory tract secretion storage caused by a variety of causes is stayed, and is suction sputum, is protected
Hold airway patency, it is contemplated that tracheotomy, such as patients with severe brain injury, burn of respiratory tract, serious chest trauma etc.；3, preventative gas
Pipe is cut；4, take foreign body in airpassage；5, cervical trauma person is with bottleneck throat tracheae, Neck Esophagus damage, for going out immediately after damage
Now expiratory dyspnea person.
Complication Post-tracheotomy is mainly bleeding, respiratory arrest, pneumothorax, pneumoderm and tracheoesophageal fistula etc.,
Middle tracheoesophageal fistula prognosis is poor.Often there is long-term disunion, infection or even death in such complications.Trachealgia leakage is main
During autogenous cutting, the damage of tracheae rear wall causes tracheae and oesophagus to communicate.It but at present on the market can without a autogenous cutting device
To effectively reduce the incidence of such complications.
The problem of common in tracheotomy, has：1. puncture needle leading portion can be usually encountered in operating process by tissue occlusion,
It is mistakenly considered not cause autogenous cutting to fail or puncture excessive in tracheae, the damage of tracheae rear wall is caused to cause tracheoesophageal fistula；2.
Oddi's sphincteroplasty is unable to estimate, often results in that notch is long or notch is inadequate, cuts or suture excessive notch repeatedly.
In conclusion at present conventional tracheal cutting operation exist operation notch oddi's sphincteroplasty can not accurate evaluation, puncture and exist
The shortcomings that position judgement is disturbed, paracentesis depth can not determine and be difficult to estimate, has influenced tracheotomy to a certain extent
Safety.
Invention content
Deficiency regarding to the issue above, the tracheotomy device the utility model proposes a kind of puncture outfit and by its structure.
The technical solution that the utility model solves the above problems is：
A kind of puncture outfit, the puncture outfit include needle core and puncture cannula, and the puncture cannula includes handle section and pipeline section,
The needle core includes handling section and needle body；Needle body runs through puncture cannula and the fixation by being arranged between handling section and handle section
Device is fixed on puncture cannula；The free end of the pipeline section is oblique with the puncture cannula parallel with the needle point angle of needle body
Mouthful, and the line between the needle point and fixing device is parallel with the central shaft of needle core, to indicate needle point by fixing device
Position；The pipeline section be equipped with for guided puncture depth locator, locator include can along pipeline section axial movement simultaneously
The positioning pipe of positioning, positioning pipe sleeve are located on pipeline section, and one end of positioning pipe towards needle point is connected with the first spacing ring, with limitation
The insertion depth of needle body, and the first spacing ring and positioning pipe are perpendicular.
Further, fixing device includes the plush copper being arranged on handling section and the groove being arranged on handle section, the hand
Section and handle section is held to be detachably connected by the realization that is clasped of plush copper and groove.
Further, locator inner wall is equipped with the first internal thread, and pipeline section is equipped with the first external screw thread, the locator and pipe
Section is threadedly coupled.
The tracheotomy device built by a kind of puncture outfit described in the utility model, including：
For marking the labelling apparatus of cut line and incision length；
For cutting the cutter of skin along cut line；
For being vertically pierced into the endotracheal puncture outfit in incision；
For verifying whether puncture outfit penetrates endotracheal verifying attachment；
Play the seal wire of guiding function；
Carry out expanding the expansion skin device of skin at point of puncture；
For hypodermic tunnel enlarging device, tracheae device to be guided to enter the long stay pipe of tracheae；
It creates and expands skin surface to the path clearance between tracheae to form the tunnel enlarging device of hypodermic tunnel；
The tracheae device of liquid is connected and can drawn from tracheal strips with tracheae；
The verifying attachment is syringe, and syringe includes push rod and cylinder, and push rod has first penetrated for seal wire
Axially extending bore, first axis through-hole are penetrated through with cylinder, to form the channel penetrated for seal wire；
Described to expand the second axially extending bore for having in skin device and being penetrated for seal wire, the expansion skin device includes expanding notch
Tip section and for hand-held endpiece, and tip section is equipped with the second spacing ring；
There is the third axially extending bore penetrated for seal wire, and the insertion end of long stay pipe is with slotting in the long stay pipe
Enter the insertion head of point of puncture, and the long stay pipe is also arranged with third spacing ring close to the one end for being inserted into head；
There is the 4th axially extending bore penetrated for long stay pipe, the head end of tunnel enlarging device, which has, to be used in tunnel enlarging device
In the piercing section for penetrating tracheae, the section that is pierced into is in the endotracheal arc that axially extends to being conducive to along tracheae, and be pierced into section
It is arranged with the 4th spacing ring；
The tracheae device includes tracheal tube and the supporting rack being co-axially located in tracheal tube, has in support frame as described above
There is the 5th axially extending bore penetrated for long stay pipe；
Tracheal tube and supporting rack are detachably connected by attachment device, and the tube body of the tracheal tube is software, and manage
For being put into tracheal strips, the end of tube body is connected with hard pile pile for the front end of body, the end of tube body respectively with for into tube body
Inflated airbag is connected with the attraction capsule that liquid is drawn from tracheal strips, and air bag has air inlet, and capsule is attracted to have leakage fluid dram；
Tube body is arc-shaped by one section of front end, in order to extend along tracheae is axial to tracheal strips.
Further, the labelling apparatus is label chapter, the length of the stamp of the label chapter and scheduled incision length
It is equal.
Further, the cutter is small circular knife.
Further, the attachment device includes being arranged on the second internal thread of pile pile inner wall and be arranged on outside supporting rack head end
Second external screw thread of wall, the tracheal tube and supporting rack are threadedly coupled.
The Tracheostoma tracheotomy method implemented using tracheotomy device described in the utility model, is included the following steps：
Step 1, operation prepares：
Step 1.1, needle core is put into puncture cannula, and buckles well the plush copper and groove of fixing device, prevented with fixing needle core
Only needle core rotates；Simultaneously axial position of the fixed locator along puncture cannula is adjusted according to scheduled paracentesis depth；
Step 1.2, by the tube body of supporting rack merging tracheal tube, and pass through the second internal thread and second and externally threaded match
It closes, supporting rack and tracheal tube is made to be fixed to each other；
Step 2, it is stained with Iodophor with label chapter and marks cut line on the skin, to limit oddi's sphincteroplasty and position；
Step 3, with small dise knife skin is cut along cut line；
Step 4, puncture outfit vertical neck skin is punctured in incision；
Step 5, needle core is extracted；
Step 6, syringe is inserted into puncture cannula and is evacuated, when generating bubble in cylinder, it was demonstrated that puncture outfit is
Penetrate tracheal strips；When not generating bubble in cylinder, step 4 and step 5 are repeated, until generating bubble in cylinder；
Step 7, seal wire is inserted into syringe and puncture cannula, and extends to tracheal strips；
Step 8, puncture cannula and syringe are pulled out in seal wire indwelling；
Step 9, skin device will be expanded to be sleeved on seal wire, and enter point of puncture along seal wire, and carry out expansion skin at point of puncture；
Step 10, it takes out and expands skin device, pipe sleeve is supported to enter point of puncture on seal wire, and along seal wire by long；
Step 11, by hypodermic tunnel enlarging device be sleeved on long stay pipe and seal wire on, and along long stay pipe and seal wire into
Enter point of puncture, create and expand skin surface to the path clearance between tracheae, to form hypodermic tunnel；
Step 12, hypodermic tunnel enlarging device, long stay pipe and seal wire indwelling are pulled out；
Step 13, by tracheae device be sleeved on long stay pipe and seal wire on, and be placed in along long stay pipe and seal wire subcutaneous
In tunnel；
Step 14, supporting rack, long stay pipe and the seal wire in tracheal tube are pulled out；
Step 15, it is inflated by air bag into tube body；
Step 16, fixed tracheal tube, neck is fixed on by tracheal tube；
Step 17, periodically the intracapsular liquid being sucked out from tracheal strips will be attracted to be siphoned away through leakage fluid dram.
1st, to solve the problems, such as that notch oddi's sphincteroplasty is difficult to assess, the utility model is based on zoopery and a large amount of clinical numbers
According to establishing size incision and the correlation model of Guan Jing, introduce notch label chapter, before operation, operator can utilize notch to mark
Chapter determines incision length, so as to avoid the notch long or too short.
2nd, to solve the problems, such as that puncture needle on-site judgment is disturbed, which blocks mainly due to puncture needle inner tissue causes
Error in judgement, the utility model, which introduces, is adjusted fixed puncture outfit, in place using needle core when puncturing, and needle core is pulled out when judging,
It is effective to improve correct judgment, while the safety of puncture can also be increased.
3rd, it can not determine and be difficult to estimate to solve thorn depth, the puncture outfit of the utility model, set and puncture before operable
Depth, so as to reach assessment effect, it is often more important that, the introducing of the locator of puncture outfit can substantially reduce tracheoesophageal fistula
Incidence improves safety and reduces the difficulty of operation.
The beneficial effects of the utility model are mainly manifested in：
1st, puncture outfit described in the utility model and, success rate height easy to operate by the tracheotomy device of its structure, wound
Hinder the characteristics of small.
2nd, puncture outfit described in the utility model and there is accurate estimation size incision by the tracheotomy device of its structure,
The characteristics of improving puncture needle judging nicety rate, avoiding paracentesis depth too deep, can effectively improve the safety of tracheotomy.
3rd, Tracheostoma tracheotomy method described in the utility model has skilled surgical skill without operator, suitable for new hand
And beginner.
Description of the drawings
Fig. 1 is label chapter bottom view；
Fig. 2 is the structure diagram of puncture outfit；
Fig. 3 is the structure diagram of needle core；
Fig. 4 is the front view of needle core；
Fig. 5 is the front view of puncture cannula；
Fig. 6 is the structure diagram of locator；
Fig. 7 is the structure diagram for expanding skin device；
Fig. 8 is the structure diagram of long stay pipe；
Fig. 9 is the structure diagram of tunnel enlarging device；
Figure 10 is the structure diagram of syringe；
Figure 11 is the structure diagram of supporting rack；
Figure 12 is the structure diagram of tracheal tube.
Specific embodiment
With reference to attached drawing 1-12, a kind of puncture outfit, the puncture outfit includes the needle core 21 being coaxially arranged and puncture cannula 22, institute
It states puncture cannula 22 and includes handle section 222 and pipeline section 221, the needle core 21 includes handling section 212 and needle body 211；Needle body 211 passes through
It wears puncture cannula 22 and the fixing device by being arranged between handling section 212 and handle section 222 is fixed on puncture cannula 22；
The free end of the pipeline section 221 has the puncture cannula angle parallel with the needle point angle of needle body 211, and the needle point is with consolidating
Determine that the line between device is parallel with the central shaft of needle core 21, to pass through the position that fixing device indicates needle point；The pipeline section
221 be equipped with for guided puncture depth locator 23, locator 23 include can along pipeline section 221 axial movement and position
Positioning pipe 232, positioning pipe 232 are set on pipeline section 221, and one end of positioning pipe 232 towards needle point is connected with the first spacing ring
231, to limit the insertion depth of needle body 211, and the first spacing ring 231 and positioning pipe 232 are perpendicular.
Positioning device includes the plush copper 213 being arranged on handling section 212 and the groove 223 being arranged on handle section 222, institute
Handling section 212 and handle section 222 is stated to be detachably connected by the realization that is clasped of plush copper 213 and groove 223.
23 inner wall of locator is equipped with the first internal thread, and pipeline section 221 is equipped with the first external screw thread, the locator 23 and pipe
Section 221 is threadedly coupled.
The tracheotomy device built by a kind of puncture outfit described in the utility model, including：
For marking the labelling apparatus of cut line and incision length；
For cutting the cutter of skin along cut line；
For being vertically pierced into the endotracheal puncture outfit in incision；
For verifying whether puncture outfit penetrates endotracheal verifying attachment；
Play the seal wire of guiding function；
Carry out expanding the expansion skin device 4 of skin at point of puncture；
For hypodermic tunnel enlarging device 5, tracheae device to be guided to enter the long stay pipe 3 of tracheae；
It creates and expands skin surface to the path clearance between tracheae to form the tunnel enlarging device 5 of hypodermic tunnel；
The tracheae device of liquid is connected and can drawn from tracheal strips with tracheae；
The verifying attachment is syringe 6, and syringe 6 includes push rod 62 and cylinder 61, and push rod 62 has to be worn for seal wire
The first axis through-hole entered, first axis through-hole are penetrated through with cylinder 61, to form the channel penetrated for seal wire；
Described to expand the second axially extending bore for having in skin device 4 and being penetrated for seal wire, the expansion skin device 4 includes cutting for expanding
The tip section 41 of mouth and the endpiece 42 for holding, the tip section 41 are equipped with the second spacing ring 43；
There is the third axially extending bore penetrated for seal wire, and the insertion end of long stay pipe 3 has in the long stay pipe 3
The insertion head 31 of point of puncture is inserted into, and the long stay pipe 3 is also arranged with third spacing ring 32 close to the one end for being inserted into head 31；
There is the 4th axially extending bore penetrated for long stay pipe 3, the head end tool of tunnel enlarging device 5 in tunnel enlarging device 5
It is useful for penetrating the piercing section 51 of tracheae, the section 51 that is pierced into is in the endotracheal arc that axially extends to being conducive to along tracheae, and
It is pierced into section 51 and is arranged with the 4th spacing ring 52；
The tracheae device includes tracheal tube 72 and the supporting rack 71 being co-axially located in tracheal tube 72, the support
There is the 5th axially extending bore penetrated for long stay pipe 3 in frame 71；
Tracheal tube 72 and supporting rack 71 are detachably connected by attachment device, and the tube body 721 of the tracheal tube is soft
Body, and the front end of tube body 721, for being put into tracheal strips, the end of tube body 721 is connected with hard pile pile 722, the end of tube body 721
It is connected, and air bag with drawing the attraction capsule 724 of liquid for the inflated airbag 723 into tube body 721 and from tracheal strips respectively
723 have air inlet, and capsule 724 is attracted to have leakage fluid dram；Tube body 721 is arc-shaped by one section of front end, in order to along tracheae axis
Extend to tracheal strips
Supporting rack 71 has the inner segment 712 extended in tracheae body 721 and the outer section 713 for exposing to tube body 721, described outer
The 5th spacing ring 711 is arranged in section 713.
The labelling apparatus is label chapter 1, the length and scheduled incision length phase of the stamp 11 of the label chapter 1
Deng.
The cutter is small circular knife.
The attachment device includes being arranged on the second internal thread of 722 inner wall of pile pile and is arranged on the 5th limit of supporting rack 71
The second external screw thread on 711 outer wall of ring of position, the tube body 721 and supporting rack 71 are threadedly coupled.
The length for being shorter in length than tube body 721 of the inner segment 712 of supporting rack 71, to avoid 712 end of inner segment of supporting rack 71
Touch tracheae.
The component introduction of the utility model：
(1) indicate chapter 1：Mark chapter 1 is stained with Iodophor label cut line, to determine oddi's sphincteroplasty and point of puncture Position Approximate.
(2) small circular knife：Scratch the surface skin of point of puncture.
(3) puncture outfit：Localised puncture point, and the adjustable depth punctured, increase the safety of puncture, reduce trachealgia
The incidence of fistula.
(3.1) needle core 21：When can prevent from puncturing, tissue enters in puncture cannula 22, to avoid that can not judge Needle localization
Whether device is in place；Secondly, after needle core 21 is inserted into puncture cannula 22, the angle of puncture cannula and the angle of needle point are completely superposed, with
Reduce the resistance punctured；Finally, there is the plush copper 213 of fixing device on needle core 21, for determining the direction of needle point, fixing device can
Fixed needle core 21, prevents needle core 21 from rotating.
(3.2) puncture cannula 22：After needle core 21 is pulled out, puncture cannula 22 forms the channel of seal wire；22 tail end of puncture cannula
The groove 223 of fixing device coordinate with needle core 21, for determining the direction of needle point and fixed needle core 21, prevent 21 turns of needle core
It is dynamic.
(3.3) locator 23：Can be moved up and down by helicitic texture along puncture cannula 22, so as to adjust with determining puncture
Depth avoids the generation of tracheoesophageal fistula, improves processing safety.
(4) syringe 6：Not only it can be used to confirm that puncture cannula 22 whether in place (tracheal strips), but also can allow to lead
Silk is directly entered from rear.
(5) expand skin device 4：Skin is expanded, facilitates the entrance of long stay pipe 3 and hypodermic tunnel enlarging device 5.
(6) seal wire：Play guiding function.
(7) long stay pipe 3：Hypodermic tunnel enlarging device 5, tracheal tube 72 is guided to enter tracheae.
(8) hypodermic tunnel enlarging device 5：It creates and expands skin surface to the path clearance between tracheae, the 4th spacing ring
52 is long for marking and preventing it from entering.
(9) supporting rack 71：Supporting function is played to tracheal tube 72, increases certain hardness, tracheal tube 72 is facilitated to pass through
Hypodermic tunnel is inserted into tracheal strips.
(10) tracheal tube 72：
(10.1) tube body 721：The channel of breathing；
(10.2) air bag 723：Air is blasted, in the effect of intra-tranchea stabillization tracheal tube；
(10.3) attract capsule 724：Secretion, liquid above capsule is attracted, avoids Liquid deposition.
The use step of tracheotomy device described in the utility model is：
Step 1, operation prepares：
Step 1.1, needle core 21 is put into puncture cannula 22, and buckles well the plush copper 213 of fixing device and groove 223, with
Fixed needle core 21 prevents needle core 21 from rotating；It is adjusted according to scheduled paracentesis depth (such as 1.5cm) and fixed locator 23 is along wearing
Pierce the axial position of casing；
Step 1.2, supporting rack 71 is placed in the tube body 721 of tracheal tube 72, and passed through outside the second internal thread and second
The cooperation of screw thread makes supporting rack 71 and tracheal tube 72 be fixed to each other；
Step 2, it is stained with Iodophor with label chapter 1 and marks cut line on the skin, to limit oddi's sphincteroplasty and position；
Step 3, with small dise knife skin is cut along cut line；
Step 4, puncture outfit vertical neck skin is punctured in incision；
Step 5, needle core 21 is extracted；
Step 6, syringe 6 is inserted into puncture cannula 22 and is evacuated, when generating bubble in cylinder 61, it was demonstrated that puncture outfit
Tracheal strips are penetrated；When not generating bubble in cylinder 61, step 4 and step 5 are repeated, until generating bubble in cylinder 61；
Step 7, seal wire is inserted into syringe 6 and puncture cannula 22, and extends to tracheal strips；
Step 8, puncture cannula 22 and syringe 6 are pulled out in seal wire indwelling；
Step 9, skin device 4 will be expanded to be sleeved on seal wire, and enter point of puncture along seal wire, and carry out expansion skin at point of puncture；
Step 10, it takes out and expands skin device 4, long stay pipe 3 is sleeved on seal wire, and enter point of puncture along seal wire；
Step 11, by hypodermic tunnel enlarging device 5 be sleeved on long stay pipe 3 and seal wire on, and along long stay pipe 3 and seal wire
Into point of puncture, create and expand skin surface to the path clearance between tracheae, to form hypodermic tunnel；
Step 12, hypodermic tunnel enlarging device 5, long stay pipe 3 and seal wire indwelling are pulled out；
Step 13, by tracheae device be sleeved on long stay pipe 3 and seal wire on, and be placed in skin along long stay pipe 3 and seal wire
In lower tunnel；
Step 14, supporting rack 71, long stay pipe 3 and the seal wire in tracheal tube 72 are pulled out；
Step 15, it is inflated by air bag 723 into tube body 721；
Step 16, fixed tracheal tube 72, neck is fixed on by tracheal tube 72 by bandage；
Step 17, periodically (such as 2 days) will attract the liquid being sucked out in capsule 724 from tracheal strips to be siphoned away through leakage fluid dram.
The way of realization that content described in this specification embodiment only conceives utility model is enumerated, this practicality is new
The protection domain of type is not construed as being only limitted to the concrete form that embodiment is stated, the scope of protection of the utility model is also wrapped
Include those skilled in the art according to the utility model design it is conceivable that equivalent technologies mean.
Claims (7)
1. a kind of puncture outfit, it is characterised in that：The puncture outfit includes needle core and puncture cannula, and the puncture cannula includes handle
Section and pipeline section, the needle core include handling section and needle body；Needle body is through puncture cannula and by being arranged on handling section and handle section
Between fixing device be fixed on puncture cannula；The free end of the pipeline section has and the needle point angle of needle body is parallel wears
Casing angle is pierced, and the line between the needle point and fixing device is parallel with the central shaft of needle core, to pass through fixing device
Indicate the position of needle point；The pipeline section is equipped with the locator for guided puncture depth, and locator includes can be along the axis of pipeline section
To positioning pipe that is mobile and positioning, positioning pipe sleeve is located on pipeline section, and one end of positioning pipe towards needle point is connected with the first limiting
Ring, to limit the insertion depth of needle body, and the first spacing ring and positioning pipe are perpendicular.
2. a kind of puncture outfit as described in claim 1, it is characterised in that：Fixing device include being arranged on plush copper on handling section and
The groove being arranged on handle section, the handling section and handle section are detachably connected by the realization that is clasped of plush copper and groove
It connects.
3. a kind of puncture outfit as claimed in claim 2, it is characterised in that：Locator inner wall is equipped with the first internal thread, on pipeline section
Equipped with the first external screw thread, the locator is threadedly coupled with pipeline section.
4. by a kind of tracheotomy device of puncture outfit structure of claim 1-3 any one of them, which is characterized in that including：
For marking the labelling apparatus of cut line and incision length；
For cutting the cutter of skin along cut line；
For being vertically pierced into the endotracheal puncture outfit in incision；
For verifying whether puncture outfit penetrates endotracheal verifying attachment；
Play the seal wire of guiding function；
Carry out expanding the expansion skin device of skin at point of puncture；
For hypodermic tunnel enlarging device, tracheae device to be guided to enter the long stay pipe of tracheae；
It creates and expands skin surface to the path clearance between tracheae to form the tunnel enlarging device of hypodermic tunnel；
The tracheae device of liquid is connected and can drawn from tracheal strips with tracheae；
The verifying attachment is syringe, and syringe includes push rod and cylinder, and push rod has the first axis penetrated for seal wire
Through-hole, first axis through-hole are penetrated through with cylinder, to form the channel penetrated for seal wire；
Described to expand the second axially extending bore for having in skin device and being penetrated for seal wire, the expansion skin device includes expanding scalloping point
Head section and the endpiece for holding, and tip section is equipped with the second spacing ring；
There is the third axially extending bore penetrated for seal wire, and there is the insertion end of long stay pipe insertion to wear in the long stay pipe
The insertion head of point is pierced, and the long stay pipe is also arranged with third spacing ring close to the one end for being inserted into head；
There is the 4th axially extending bore penetrated for long stay pipe, the head end of tunnel enlarging device has to wear in tunnel enlarging device
Enter the piercing section of tracheae, the section that is pierced into is in the endotracheal arc that axially extends to being conducive to along tracheae, and be pierced into section and be arranged
There is the 4th spacing ring；
The tracheae device includes tracheal tube and the supporting rack being co-axially located in tracheal tube, and having in support frame as described above can
The 5th axially extending bore penetrated for long stay pipe；
Tracheal tube and supporting rack are detachably connected by attachment device, and the tube body of the tracheal tube is software, and tube body
For being put into tracheal strips, the end of tube body is connected with hard pile pile for front end, the end of tube body respectively with for being inflated into tube body
Air bag with from tracheal strips draw liquid attraction capsule be connected, and air bag have air inlet, attract capsule have leakage fluid dram；Tube body
It is arc-shaped by one section of front end, in order to extend along tracheae is axial to tracheal strips.
5. tracheotomy device as claimed in claim 4, it is characterised in that：The labelling apparatus is marks chapter, the mark
Remember that the length of the stamp of chapter is equal with scheduled incision length.
6. tracheotomy device as claimed in claim 5, it is characterised in that：The cutter is small circular knife.
7. tracheotomy device as claimed in claim 6, it is characterised in that：The attachment device includes being arranged on pile pile inner wall
The second internal thread and be arranged on the second external screw thread of supporting rack head end outer wall, the tracheal tube and supporting rack are threadedly coupled.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720544690.6U CN207532428U (en) | 2017-05-17 | 2017-05-17 | A kind of puncture outfit and the tracheotomy device by its structure |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720544690.6U CN207532428U (en) | 2017-05-17 | 2017-05-17 | A kind of puncture outfit and the tracheotomy device by its structure |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN207532428U true CN207532428U (en) | 2018-06-26 |
Family
ID=62608341
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201720544690.6U Expired - Fee Related CN207532428U (en) | 2017-05-17 | 2017-05-17 | A kind of puncture outfit and the tracheotomy device by its structure |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN207532428U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107174316A (en) * | 2017-05-17 | 2017-09-19 | 洪玉才 | A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method |
-
2017
- 2017-05-17 CN CN201720544690.6U patent/CN207532428U/en not_active Expired - Fee Related
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107174316A (en) * | 2017-05-17 | 2017-09-19 | 洪玉才 | A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| JP4834073B2 (en) | Tracheal opening tube positioning device, tracheal opening tube and needle | |
| EP3801720B1 (en) | Systems, apparatus, and methods for performing a percutaneous tracheostomy | |
| CN102553047A (en) | Trachea cannula device suitable for bronchoscope operation emptysis rescue and difficult airways | |
| CN203123288U (en) | Percutaneous trachea dilator | |
| US7305989B2 (en) | Medico-surgical instruments | |
| CN207532428U (en) | A kind of puncture outfit and the tracheotomy device by its structure | |
| CN107174316A (en) | A kind of puncture outfit, tracheotomy device and Tracheostoma tracheotomy method | |
| US20090107509A1 (en) | System for providing an open airway and methods of use thereof | |
| US20210275766A1 (en) | Systems, apparatus, and methods for performing a percutaneous tracheostomy | |
| CN203763175U (en) | Grading expansion percutaneous tracheostomy device | |
| CN102018549B (en) | Percutaneous tracheostomy device | |
| CN206044696U (en) | It is disposably anti-error to wear thyrocricoid puncture device | |
| CN205307575U (en) | Prevent wearing to harm hollow seal wire in operation of renal biopsy fistulization | |
| CN201939442U (en) | Percutaneous trachea cutter | |
| CN201905970U (en) | Percutaneous tracheostomy device | |
| CN202637044U (en) | Minimally invasive percutaneous dilatational tracheostomy device | |
| CN103735297B (en) | A kind of classification expansion through skin trachea incising apparatus | |
| CN101953701B (en) | Percutaneous tracheostomy device | |
| CN204500989U (en) | A kind of New Percutaneous wears the tracheotomy bag expanding one | |
| CN207707984U (en) | Lung deep tubercle Needle localization labelling apparatus | |
| CN209004141U (en) | A kind of percutaneous trachea incision puncture needle external member | |
| CN202619803U (en) | Blade type percutaneous tracheotomy apparatus | |
| CN111544726B (en) | Tracheotomy tube assembly and pen type integrated device thereof | |
| CN219331826U (en) | Disposable visual cricothyroid membrane puncture kit | |
| CN212756766U (en) | Tracheotomy tube assembly and pen type integrated device thereof |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20180626 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |