CN208710731U - It is a kind of can be in the tracheal catheter of the upper (lower) surface anesthesia of glottis - Google Patents
It is a kind of can be in the tracheal catheter of the upper (lower) surface anesthesia of glottis Download PDFInfo
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- CN208710731U CN208710731U CN201820675844.XU CN201820675844U CN208710731U CN 208710731 U CN208710731 U CN 208710731U CN 201820675844 U CN201820675844 U CN 201820675844U CN 208710731 U CN208710731 U CN 208710731U
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Abstract
It can include catheter body in the tracheal catheter of the upper (lower) surface anesthesia of glottis, the tracheal catheter the utility model relates to one kind;The catheter body is hollow structure;The catheter body front-end surface position is equipped with cuff;Air cavity pipeline is equipped with above the cuff;The air cavity built in pipeline is in catheter body tube wall;The catheter body end is respectively equipped with the charge valve and introduction valve in the connection gentle lumen road of cuff.Its advantage is shown: being reduced patient to the degree being resistant to is difficult to after insertion tracheal catheter, is greatly reduced the use of downern;For using the patient of respirator treatment, it advantageously reduces downern and uses and promote autonomous expectoration, reduce medical expense, shorten ventilator offline period, shorten length of stay, pneumonia incidence and the death rate are reduced, the generation of the patient's perioperative angiocarpy and respiratory system adverse events of cardio-pulmonary function difference is advantageously reduced, meets the idea of development of modern medicine quick recovery.
Description
Technical field
The utility model relates to tracheal catheter technical fields, specifically, being that one kind can be on the upper (lower) implementation surface of glottis
The tracheal catheter of anesthesia.
Background technique
Currently, general anesthesia and critically ill patient band tracheal catheter row respirator treatment are a kind of very common under trachea cannula
Technology.It can be effectively controlled respiratory tract, improve the oxygen of patient for that can also implement respiratory function transition.
But the tracheae of patient is after being inserted into tracheal catheter, while keeping airway patency, since tracheal catheter is oral
(nose) is inserted into tracheae by glottis, and above and below human body throat and glottis, the neural reflex of tracheae and throat is acted on, human body meeting
Reaction strongly is generated to the tracheal catheter of merging, and many cardiovascular, respiratory system adverse events, such as blood occur
Pressure, heart rate are sharply increased, and bronchial spasm etc., some are even fatefulue, especially the patient of cardio-pulmonary function difference.
It is clinical usually using one due to not tolerating tracheal catheter for the patient that ventilator support under trachea cannula is treated
Fixed sedative or opioid drug is allowed to be resistant to conduit, but simultaneously, sedation can inhibit the cough reflex of patient itself
And expression, the state of an illness is covered, and cause autonomous expectoration unsmooth, the incidence of pneumonia can be increased in this way, increases the death rate, hospital stays
And medical expense.
A kind of Chinese patent literature: 201710320374.5, applying date 2017.05.09, patent name are as follows: band arcotic
The tracheal catheter of spray structure.Disclose a kind of tracheal catheter with arcotic spray structure, including tube body, the tube body setting
Tracheae, one end of the tracheae are arranged supporting element, connector are arranged at the right end nozzle of the tracheae, the inside of the tracheae is set
Anesthesia liquid pipe is set, anesthesia liquid diversion pipe is arranged in one end of close connector in the anesthesia liquid pipe, the anesthesia liquid diversion pipe
Anther sac is arranged in the other end, and cleaning pipe is arranged in the inside of the anesthesia liquid pipe, and the cleaning pipe is arranged close to one end of connector
Ejected wash water diversion pipe, the other end setting cleaning water cavity of the ejected wash water diversion pipe.
A kind of tracheal catheter with arcotic spray structure of above patent document, structure is simple, easy to use, can be convenient
Bottleneck throat is anaesthetized again quickly, bottleneck throat is made to maintain long-term anaesthetic effect, avoid making patient occur choking cough etc. intolerant to
Pipe symptom, and Rapid Cleaning can also be carried out to the inside of the anesthesia gentle pipe of liquid pipe by the effect of cleaning pipe after usage,
Avoid its internal growth bacterium.But about it is a kind of by above and below glottis and the local table of tracheal wall fiber crops, greatly increase patient
To the tolerance level of tracheal catheter, the use of downern and the use of general anesthesia drug are reduced, and greatly reduces cardiovascular event hair
It is raw, medical expense and complication are reduced, patient's operation adverse events of cardio-pulmonary function difference is reduced, reaches and accelerate Rehabilitation purpose
It is a kind of can the upper (lower) surface anesthesia of glottis tracheal catheter at present then without relevant report.
In conclusion need it is a kind of by above and below glottis and the local table of tracheal wall fiber crops, greatly increase patient to tracheae
The tolerance level of conduit reduces the use of downern and the use of general anesthesia drug, and greatly reduces cardiovascular event, reduces
Medical expense and complication reduce patient's operation adverse events of cardio-pulmonary function difference, reach the one kind for accelerating Rehabilitation purpose
It can be in the tracheal catheter of the upper (lower) surface anesthesia of glottis.
Summary of the invention
The purpose of the utility model is to overcome the deficiencies in the prior art, provide a kind of by above and below glottis and tracheal wall
Local table fiber crops, greatly increase patient to the tolerance level of tracheal catheter, reduce the use of downern and the use of general anesthesia drug, and
Greatly reduce cardiovascular event, reduce medical expense and complication, reduces patient's operation adverse events of cardio-pulmonary function difference,
Reaching a kind of of quickening Rehabilitation purpose can be in the tracheal catheter of the upper (lower) surface anesthesia of glottis.
To achieve the above object, the technical scheme adopted by the utility model is that:
A kind of can include catheter body in the tracheal catheter of the upper (lower) surface anesthesia of glottis, the tracheal catheter;
The catheter body is hollow structure, and surface is equipped with graduation mark, and top is inclined open formula structure, and bottom surface is equipped with side opening;
The catheter body front-end surface position is equipped with cuff;Air cavity pipeline is equipped with above the cuff;The catheter body
Bottom is connected with interface;Multiple apertures have been distributed on the air cavity pipeline;The air cavity built in pipeline is in conduit
In ontology tube wall;The catheter body end is respectively equipped with the charge valve and introduction valve in the connection gentle lumen road of cuff;It is described
Cuff, pass through tracheae between balloon catheter and charge valve and introduction valve and connect;The tracheae main body is built in tracheae sheet
In body tube wall;Finer wire is additionally provided in the inner wall of the catheter body.
As a kind of perferred technical scheme, the balloon catheter is 0.2cm-0.6cm away from the distance between cuff.
As a kind of perferred technical scheme, the interface is international standard ventilator interface.
As a kind of perferred technical scheme, the air cavity pipeline has one or two.
As a kind of perferred technical scheme, the air cavity pipeline be set to above or below cuff or upper and lower orientation
It sets.
As a kind of perferred technical scheme, the catheter body be made of soft resin material.
The utility model advantage is:
1, using catheter body after patient mouthful (nose) portion insertion patient's glottis, pass through control charge valve and by tracheae to
It is inflated in cuff, so that the position of cuff is fixed and closes tracheal wall under glottis.
2, pass through control introduction valve and pass through tracheae injecting anesthetic drug into air cavity pipeline, the arcotic in balloon catheter
Object, after being overflowed by the aperture on surface can above and below the glottis to patient above cuff and throat position carry out surface anesthesia, significantly
Reducing reduces patient to the degree being resistant to is difficult to after insertion tracheal catheter, greatly reduces the use of downern.
3, for using the patient of respirator treatment, advantageously reduce calm and promote autonomous expectoration, medical expense is reduced,
Shorten ventilator offline period, shortens length of stay, or even reduce pneumonia incidence and the death rate, meet the quick health of modern medicine
Multiple idea development.
It 4, can position carries out cleaning filling at glottis to cuff by the air cavity pipeline injecting normal saline above cuff
The effect of washing, the patient for placing tracheal catheter for a long time have the function of reducing infection.
5, the international standard ventilator interface being connected with by catheter body bottom leads to after catheter body merging
Expiration support can be carried out to patient by crossing connection ventilator outside interface.
6, tracheal catheter can reduce anesthesia in tube drawing using this technology for the operation patients for cardio-pulmonary function difference
The use and cardiovascular response of medicine reduce cardiovascular unexpected and respiratory system adverse events the generation of peri-operation period.
Detailed description of the invention
Attached drawing 1 is that the utility model one kind can be shown in the stereochemical structure of the tracheal catheter of the upper (lower) surface anesthesia of glottis
It is intended to.
Attached drawing 2 is that the utility model one kind can be illustrated in the plane of the tracheal catheter of the upper (lower) surface anesthesia of glottis
Figure.
Attached drawing 3 is that the utility model one kind can be placed in patient airway in the tracheal catheter of the upper (lower) surface anesthesia of glottis
In plane simulation schematic diagram.
Attached drawing 4 is that the utility model another kind can be in the stereochemical structure of the tracheal catheter of the upper (lower) surface anesthesia of glottis
Schematic diagram.
Attached drawing 5 be the utility model another can be in the stereochemical structure of the tracheal catheter of the upper (lower) surface anesthesia of glottis
Schematic diagram.
Specific embodiment
The utility model is further described below with reference to embodiment and referring to attached drawing.
Appended drawing reference involved in attached drawing and component part are as follows:
1. 11. graduation mark of catheter body
12. 13. tube wall of side opening
2. 21. charge valve of cuff
231. tracheae, 3. air cavity pipeline
31. 32. introduction valve of aperture
4. 5. finer wire of interface
Embodiment 1
Please refer to attached drawing 1,2, Fig. 1 is that the utility model one kind can be in the tracheal catheter of the upper (lower) surface anesthesia of glottis
Schematic perspective view, Fig. 2 is that the utility model one kind can be in the flat of the tracheal catheter of the upper (lower) surface anesthesia of glottis
Face schematic diagram.A kind of can include catheter body in the tracheal catheter of the upper (lower) surface anesthesia of glottis, the tracheal catheter
1;The catheter body 1 is hollow structure, and surface is equipped with graduation mark 11, and top is inclined open formula structure, and bottom surface is equipped with
Side opening 12;The 1 front-end surface position of catheter body is equipped with cuff 2;Air cavity pipeline 3 is equipped with above the cuff 2;It is described
1 bottom of catheter body be connected with interface 4;Multiple apertures 31 have been distributed on the air cavity pipeline 3;The air cavity
Pipeline 3 is built in 1 tube wall 13 of catheter body;1 end of catheter body is respectively equipped with the connection gentle lumen road 3 of cuff 2
Charge valve 21 and introduction valve 32;Pass through tracheae between the cuff 2, balloon catheter 3 and charge valve 21 and introduction valve 31
231 connections;231 main body of tracheae is built in 1 tube wall 13 of tracheae ontology;It is additionally provided in 1 inner wall of catheter body
Finer wire 5.
It should be understood that the catheter body 1 is made of special soft resin material, flexibility is good;Described
Air cavity pipeline 3 is 0.2cm-0.6cm away from the distance between cuff 2;The graduation mark 11 set on 1 surface of catheter body is used for
Judge the depth and position that catheter body 1 is placed in patients bronchial;The tracheal catheter when in use, by by conduit sheet
Body 1 is inflated into cuff 2 by control charge valve 21 and by tracheae 231, is made after patient mouthful (nose) portion insertion patient's glottis
The position for obtaining cuff 2 is fixed and closes tracheal wall under glottis;After 2 position of cuff is fixed, simultaneously by control introduction valve 32
By tracheae 231, into air cavity pipeline 3, injection site anaesthetic, the anaesthetic in balloon catheter 3 pass through the aperture on surface
31 overflow after can above and below the glottis to 2 top patient of cuff and throat position carry out surface anesthesia, greatly reducing reduces patient couple
It is difficult to the degree being resistant to after insertion tracheal catheter, the use of downern is greatly reduced, for using the disease of respirator treatment
People advantageously reduces calm and promotes autonomous expectoration, reduces medical expense, shorten ventilator offline period, shorten length of stay,
Pneumonia incidence and the death rate are even reduced, for operation patients, it is possible to reduce perioperative angiocarpy and the bad thing of respiratory system
The generation of part meets the development of modern medicine quick recovery theory;The design by cuff 2, it is ensured that air cavity pipeline 3
The anaesthetic of middle injection will not flow to the lower section of cuff 2 after the spilling of aperture 31, to guarantee glottis up and down and throat position
Local anaesthesia effect;Described 3 injecting normal saline of air cavity pipeline by 2 top of cuff, can at cuff 2 to glottis position into
Row cleaning lavation effect, the patient for placing tracheal catheter for a long time have the function of reducing infection;Described is set to conduit sheet
The interface 4 of 1 bottom of body is international standard ventilator interface, after being placed in convenient for catheter body 1, by connecting ventilator outside interface 4
Breathing Suppotion can be carried out to patient;The finer wire 5 being set in 1 inner wall of catheter body can guarantee the tough of catheter body 1
Property and intensity, both facilitated the merging of catheter body 1, ensure that catheter body 1 be placed in after, caliber will not deform, thus favorably
In normal ventilation.
Embodiment 2
Attached drawing 4 is please referred to, Fig. 4 is that the utility model another kind can be in the tracheal catheter of the upper (lower) surface anesthesia of glottis
Schematic perspective view.The present embodiment is substantially the same manner as Example 1, the difference is that, the air cavity pipeline 3 in this implementation
Set on the lowered position of cuff 2;It is described by the way that air cavity pipeline 3 is set to 2 lower position of cuff, can realize under cuff 2
Square patient airway's wall carries out surface anesthesia, reduces patient's cough reflex.
Embodiment 3
Please refer to attached drawing 5, Fig. 5 be the utility model another can be in the tracheal catheter of the upper (lower) surface anesthesia of glottis
Schematic perspective view.The present embodiment is substantially the same manner as Example 1, the difference is that, the air cavity pipe in the present embodiment
There are two roads 3, and is respectively equipped with the upper and lower position of cuff 2;The annular cuff air cavity pipeline 3 of described two is outer respectively to pass through tracheae
5 are connected with introduction valve 31;The utilization is respectively equipped with air cavity pipeline 3 in 21 upper and lower position of cuff, can be simultaneously to patient's
Glottis up and down, throat and tracheal wall carry out local anaesthesia, substantially reduce patient and be inserted into the degree that tracheal catheter is difficult to be resistant to, subtract significantly
The use of downern is lacked, and for the operation patients of cardio-pulmonary function difference, arcotic can be reduced in tube drawing using this technology
Use and cardiovascular and respiratory system adverse events generations.
The a kind of of the utility model can be in the tracheal catheter of the upper (lower) surface anesthesia of glottis, using catheter body through suffering from
After person mouthful (nose) portion insertion patient's glottis, inflated by control charge valve and by tracheae into cuff, so that the position of cuff
It fixes and closes lower tracheae;It, can be solid in cuff position equipped with narrow meshed air cavity pipeline by the back lower place position above cuff
After fixed, pass through control introduction valve and pass through tracheae injecting anesthetic drug into air cavity pipeline, the anaesthetic in balloon catheter leads to
Cross surface aperture overflow after can above and below the glottis to patient above cuff and throat position carry out surface anesthesia, substantially reduce disease
People greatly reduces the use of downern, for using respirator treatment to the degree being resistant to is difficult to after insertion tracheal catheter
Patient, advantageously reduce calm and promote autonomous expectoration, reduce medical expense, shorten ventilator offline period, shortening is hospitalized
Number of days, or even pneumonia incidence and the death rate are reduced, the patient's perioperative angiocarpy and respiratory system for reducing cardio-pulmonary function difference are not
The generation of good event meets the development of modern medicine quick recovery theory;Physiology salt is injected by the air cavity pipeline above cuff
Water can carry out cleaning lavation effect to cuff at glottis position, and the patient for placing tracheal catheter for a long time, which has, to be reduced
The effect of infection;The international standard ventilator interface being connected with by catheter body bottom leads to after catheter body merging
Breathing Suppotion can be carried out to patient by crossing connection ventilator outside interface;Finer wire in catheter body inner wall can guarantee conduit
The toughness and intensity of ontology, that is, facilitate the merging of catheter body, and after ensuring that catheter body merging, caliber will not be deformed, from
And be conducive to normally ventilate;The tracheal catheter of the utility model uses this skill for the operation patients for cardio-pulmonary function difference
Art can reduce the use and cardiovascular response of arcotic in tube drawing, reduce cardiovascular unexpected and respiratory system complication hair
It is raw.
The above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art
Art personnel can also make several improvement and supplement without departing from the principle of this utility model, these are improved and supplement
Also it should be regarded as the protection scope of the utility model.
Claims (6)
1. one kind can include catheter body in the tracheal catheter of the upper (lower) surface anesthesia of glottis, the tracheal catheter;Institute
The catheter body stated is hollow structure, and surface is equipped with graduation mark, and top is inclined open formula structure, and bottom surface is equipped with side opening;Institute
The catheter body front-end surface position stated is equipped with cuff;Air cavity pipeline is equipped with above the cuff;The catheter body bottom
Portion is connected with interface;Multiple apertures have been distributed on the air cavity pipeline;The air cavity built in pipeline is in conduit sheet
In body tube wall;The catheter body end is respectively equipped with the charge valve and introduction valve in the connection gentle lumen road of cuff;Described
It is connected by tracheae between cuff, balloon catheter and charge valve and introduction valve;The tracheae main body is built in tracheae ontology
In tube wall;Finer wire is additionally provided in the catheter body inner wall.
2. tracheal catheter according to claim 1, which is characterized in that the air cavity pipeline is away from the distance between cuff
0.2cm-0.6cm。
3. tracheal catheter according to claim 1, which is characterized in that the interface is international standard ventilator interface.
4. tracheal catheter according to claim 2, which is characterized in that the air cavity pipeline has one or two.
5. tracheal catheter according to claim 2 or 4, which is characterized in that the air cavity pipeline is set to the top of cuff
Or lower section or upper and lower position.
6. tracheal catheter according to claim 1, which is characterized in that the catheter body uses soft resin material system
At.
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