CN209967336U - Novel children trachea cannula - Google Patents
Novel children trachea cannula Download PDFInfo
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- CN209967336U CN209967336U CN201920368518.9U CN201920368518U CN209967336U CN 209967336 U CN209967336 U CN 209967336U CN 201920368518 U CN201920368518 U CN 201920368518U CN 209967336 U CN209967336 U CN 209967336U
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- 210000003437 trachea Anatomy 0.000 title claims abstract description 15
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 claims abstract description 39
- 230000029058 respiratory gaseous exchange Effects 0.000 claims abstract description 31
- 230000003014 reinforcing effect Effects 0.000 claims description 5
- 238000004026 adhesive bonding Methods 0.000 claims description 3
- 229920002379 silicone rubber Polymers 0.000 claims description 3
- 210000004704 glottis Anatomy 0.000 abstract description 15
- 230000006378 damage Effects 0.000 abstract description 6
- 206010011409 Cross infection Diseases 0.000 abstract description 5
- 206010029803 Nosocomial infection Diseases 0.000 abstract description 5
- 238000002627 tracheal intubation Methods 0.000 description 34
- 238000012377 drug delivery Methods 0.000 description 9
- 210000002409 epiglottis Anatomy 0.000 description 5
- 238000009423 ventilation Methods 0.000 description 5
- 238000003780 insertion Methods 0.000 description 4
- 230000037431 insertion Effects 0.000 description 4
- 230000002269 spontaneous effect Effects 0.000 description 4
- 210000000214 mouth Anatomy 0.000 description 3
- 239000000243 solution Substances 0.000 description 3
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 229940079593 drug Drugs 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 206010013952 Dysphonia Diseases 0.000 description 1
- 208000010473 Hoarseness Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 238000002555 auscultation Methods 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 210000000621 bronchi Anatomy 0.000 description 1
- 238000001647 drug administration Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 229940089602 epinephrine injection Drugs 0.000 description 1
- 210000003128 head Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 210000000867 larynx Anatomy 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
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- 239000003580 lung surfactant Substances 0.000 description 1
- 239000003595 mist Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000003928 nasal cavity Anatomy 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000009747 swallowing Effects 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 210000002396 uvula Anatomy 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型涉及医疗器械技术领域,具体涉及一种新型儿童气管插管。The utility model relates to the technical field of medical devices, in particular to a novel tracheal intubation tube for children.
背景技术Background technique
儿童气管插管是指将一特制的气管内导管通过口腔或鼻腔,经声门置入气管或支气管的技术,这一技术能为呼吸道通畅、通气供氧、呼吸道吸引、防止误吸和通过气管给药(例如急救时肾上腺素注射液,肺表面活性物质等)等提供最佳条件。Tracheal intubation in children refers to the technique of inserting a special endotracheal tube through the oral cavity or nasal cavity and inserting it into the trachea or bronchus through the glottis. Administration (such as epinephrine injection in emergency, pulmonary surfactant, etc.) provides the best conditions.
目前医院儿科在使用气管插管时存在以下问题:1、婴幼儿声门组织娇嫩,血液循环丰富,现有气管插管前端的气囊在干瘪状态下突出气管插管外壁,在插管和拔管时突出气管插管外壁的气囊易损伤声门,声门损伤后(即使是轻微损伤)会导致术后声音嘶哑,吞咽咽喉部疼痛及喉部紧缩感等;2、气管插管困难,尤其是在有自主呼吸时,儿童声门狭小;3、由于气管插管质地柔软,在置管时需要依靠铜丝插入气管插管内将气管插管弯曲成适合插入的弧形,目前医院用于弯曲气管插管的导丝多为细铜丝在无菌气管插管中反复使用,消毒不彻底容易导致交叉感染;4、插管完成后,需要确认气管插管是否进入气管内,目前通过听诊呼吸音判断,但是在复苏抢救时行胸外心脏按压时要被迫停止胸部按压来确定,均不方便。At present, there are the following problems in the use of tracheal intubation in the pediatric department of the hospital: 1. Infants and young children have delicate glottis and rich blood circulation. The balloon at the front end of the existing tracheal intubation protrudes from the outer wall of the tracheal intubation in a shriveled state. The air bag protruding from the outer wall of the tracheal intubation is easy to damage the glottis. After the glottis is injured (even a slight injury), it will cause postoperative hoarseness, pain in the throat when swallowing, and tightness in the larynx. 2. Difficulty in tracheal intubation, especially When there is spontaneous breathing, children's glottis is narrow; 3. Due to the soft texture of tracheal intubation, it is necessary to rely on copper wire to insert the tracheal intubation tube to bend the tracheal intubation tube into an arc suitable for insertion. The guide wire of tracheal intubation is mostly thin copper wire, which is used repeatedly in sterile tracheal intubation. Incomplete disinfection can easily lead to cross-infection; 4. After the intubation is completed, it is necessary to confirm whether the tracheal intubation enters the trachea. At present, breathing through auscultation is performed. However, it is inconvenient to be forced to stop chest compression when performing chest compression during resuscitation.
实用新型内容Utility model content
本实用新型为了解决上述存在的问题,设计了一种新型儿童气管插管,该气管插管前端的气囊固定在环形凹槽内,在置管时干瘪的气囊不会突出管体外表面,避免气囊对幼儿声门造成损伤;管体内设有引导铜丝,通过引导铜丝方便对管体进行弯曲塑形,引导铜丝为一次性使用,避免造成交叉感染;引导铜丝前端连接有较细的引导管,易于插入声门部位,气管插管随着引导管置入使得置管更加方便;通过设置在盖帽外侧的呼吸薄膜,在患儿有自主呼吸情况下能够简单方便的判断气管插管是否插入气管内。In order to solve the above-mentioned problems, the utility model designs a new type of endotracheal intubation tube for children. The airbag at the front end of the endotracheal intubation tube is fixed in the annular groove. Causes damage to the glottis of young children; there is a guiding copper wire in the tube body, which is convenient to bend and shape the tube body through the guiding copper wire. The guiding copper wire is one-time use to avoid cross infection; the front end of the guiding copper wire is connected with a thinner The guide tube is easy to insert into the glottis, and the tracheal intubation is more convenient when the guide tube is placed; through the breathing film set on the outside of the cap, it is easy and convenient to judge whether the tracheal intubation is not in the case of children with spontaneous breathing Insert into the trachea.
为了实现上述技术目的,达到上述技术效果,本实用新型是通过以下技术方案实现的:In order to realize the above-mentioned technical purpose and achieve the above-mentioned technical effect, the present invention is realized through the following technical solutions:
一种新型儿童气管插管,包括管体、接头、气囊、输气管、引导铜丝、引导管、盖帽和呼吸薄膜,所述管体末端连接有接头,管体前端外壁开设有环形凹槽,所述环形凹槽内固定有气囊,所述输气管埋设在管体壁内且输气管一端与气囊连通,另一端从管体后端引出并与充放气接头连接,所述管体内部插设有引导铜丝,所述管体内部插设有引导铜丝,引导铜丝前端连接有引导管且引导管前端伸出管体外部,所述引导铜丝和引导管的直径均小于管体内径,引导铜丝末端与盖帽连接,所述盖帽套设在接头上,盖帽后端粘贴有呼吸薄膜,所述盖帽上开设有多个连通管体内部与呼吸薄膜内部的透气孔。A novel tracheal intubation tube for children comprises a tube body, a joint, an air bag, an air delivery tube, a guiding copper wire, a guiding tube, a cap and a breathing film. An air bag is fixed in the annular groove, the air delivery pipe is embedded in the wall of the pipe body, and one end of the air delivery pipe is connected with the air bag, and the other end is drawn out from the rear end of the pipe body and connected with the inflation and deflation joint, and the inside of the pipe body is inserted into the air bag. There is a guiding copper wire, a guiding copper wire is inserted inside the tube body, a guiding tube is connected to the front end of the guiding copper wire, and the front end of the guiding tube extends out of the tube body, and the diameters of the guiding copper wire and the guiding tube are smaller than the tube body. The inner diameter, the end of the guiding copper wire is connected with the cap, the cap is sleeved on the joint, the rear end of the cap is pasted with a breathing film, and the cap is provided with a plurality of ventilation holes connecting the inside of the tube body and the inside of the breathing film.
进一步的,所述气囊采用硅橡胶制作而成且气囊的壁厚小于环形凹槽的槽深,在气囊未充气时气囊位于环形凹槽内。Further, the airbag is made of silicon rubber, the wall thickness of the airbag is smaller than the groove depth of the annular groove, and the airbag is located in the annular groove when the airbag is not inflated.
进一步的,所述呼吸薄膜采用PE或PVC制作而成,呼吸薄膜为圆形且呼吸薄膜四周通过胶粘固定在盖帽后端。Further, the breathing film is made of PE or PVC, the breathing film is circular, and the periphery of the breathing film is fixed to the rear end of the cap by gluing.
进一步的,所述引导铜丝和引导管的直径均比管体内径小2㎜,所述引导管采用医用PVC制作而成且引导管前端伸出管体外10-15㎜。Further, the diameters of the guiding copper wire and the guiding tube are both 2 mm smaller than the inner diameter of the tube, the guiding tube is made of medical PVC, and the front end of the guiding tube extends out of the tube by 10-15 mm.
进一步的,所述管体壁内埋设有给药管,所述给药管一端从管体前端伸出,另一端从管体后端引出并与给药接头连接,通过设置给药管方便经气管给药。Further, a drug delivery tube is embedded in the wall of the tube body, one end of the drug delivery tube protrudes from the front end of the tube body, and the other end is drawn out from the rear end of the tube body and connected with the drug delivery joint. Tracheal administration.
进一步的,所述管体壁内埋设有加强弹簧,通过设置加强弹簧能够避免管体弯折造成通气不畅。Further, a reinforcing spring is embedded in the wall of the tube body, and by arranging the reinforcing spring, the tube body can be prevented from being bent and causing poor ventilation.
进一步的,所述管体外侧设有刻度,便于观察气管插管置入深度。Further, the outer side of the tube body is provided with a scale, which is convenient for observing the insertion depth of the tracheal intubation.
本实用新型的有益效果是:The beneficial effects of the present utility model are:
该气管插管前端的气囊固定在环形凹槽内,在置管时干瘪的气囊不会突出管体外表面,避免气囊对幼儿声门造成损伤;管体内设有引导铜丝,通过引导铜丝方便对管体进行弯曲塑形,引导铜丝为一次性使用,避免造成交叉感染;引导铜丝前端连接有较细的引导管,易于插入声门部位,气管插管随着引导管插入使得置管更加方便;通过设置在盖帽外侧的呼吸薄膜,在患儿有自主呼吸情况下能够简单方便的判断气管插管是否插入气管内。The airbag at the front end of the endotracheal intubation tube is fixed in the annular groove, and the shriveled airbag will not protrude from the outer surface of the tube when the tube is placed, so as to avoid the airbag from causing damage to the infant's glottis; the tube body is provided with a guiding copper wire, which is convenient to pass through the guiding copper wire. The tube body is bent and shaped, and the guiding copper wire is one-time use to avoid cross-infection; the front end of the guiding copper wire is connected with a thin guiding tube, which is easy to insert into the glottis. It is more convenient; through the breathing film arranged on the outside of the cap, it can be simply and conveniently judged whether the tracheal intubation tube is inserted into the trachea when the child has spontaneous breathing.
附图说明Description of drawings
为了更清楚地说明本实用新型实施例的技术方案,下面将对实施例描述所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本实用新型的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to illustrate the technical solutions of the embodiments of the present invention more clearly, the accompanying drawings required for the description of the embodiments will be briefly introduced below. Obviously, the drawings in the following description are only some embodiments of the present invention. For those of ordinary skill in the art, other drawings can also be obtained from these drawings without creative effort.
图1是一种新型儿童气管插管整体结构示意图;Figure 1 is a schematic diagram of the overall structure of a new type of children's tracheal intubation;
图2是引导铜丝与盖帽的结构示意图;Fig. 2 is the structural schematic diagram of guiding copper wire and cap;
图3是图1的A处结构放大图;Fig. 3 is an enlarged view of the structure at A of Fig. 1;
图4是图1的B处结构放大图。FIG. 4 is an enlarged view of the structure at B in FIG. 1 .
附图中,各标号所代表的部件列表如下:In the accompanying drawings, the list of components represented by each number is as follows:
1-管体,11-接头,12-环形凹槽,2-气囊,21-输气管,22-充放气接头,3-引导铜丝,31-盖帽,311-透气孔,32-呼吸薄膜,33-引导管,4-加强弹簧,5-刻度,6-给药管,61-给药接头。1-Tube body, 11-Joint, 12-Annular groove, 2-Airbag, 21-Air tube, 22-Inflation and deflation joint, 3-Guide copper wire, 31-Cap, 311-Vent hole, 32-Respiratory film , 33-guide tube, 4-strengthened spring, 5-scale, 6-administration tube, 61-administration joint.
具体实施方式Detailed ways
下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其它实施例,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present utility model will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present utility model. Obviously, the described embodiments are only a part of the embodiments of the present utility model, rather than all the implementations. example. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.
参阅图1-4所示,一种新型儿童气管插管,包括管体1、接头11、气囊2、输气管21、引导铜丝3、引导管33、盖帽31和呼吸薄膜32,所述管体1末端连接有接头11,管体1前端外壁开设有环形凹槽12,所述环形凹槽12内固定有气囊2,所述输气管21埋设在管体1壁内且输气管21一端与气囊2连通,另一端从管体1后端引出并与充放气接头22连接,所述管体1内部插设有引导铜丝3,引导铜丝3前端连接有引导管33且引导管33前端伸出管体1外部,所述引导铜丝3和引导管33的直径均小于管体1内径,引导铜丝3末端与盖帽31连接,所述盖帽31套设在接头11上,盖帽31后端粘贴有呼吸薄膜32,所述盖帽31上开设有多个连通管体1内部与呼吸薄膜32内部的透气孔311。Referring to Figures 1-4, a new type of endotracheal intubation for children includes a
其中的,所述气囊2采用硅橡胶制作而成且气囊2的壁厚小于环形凹槽12的槽深,在气囊2未充气时气囊2位于环形凹槽12内部。The
其中的,所述呼吸薄膜32采用PE或PVC制作而成,呼吸薄膜32为圆形且呼吸薄膜32四周通过胶粘固定在盖帽31后端。Wherein, the
其中的,所述引导铜丝3和引导管33的直径均比管体1内径小2㎜,所述引导管33采用医用PVC制作而成且引导管33前端伸出管体1外10-15㎜。Wherein, the diameters of the guiding
其中的,所述管体1壁内埋设有给药管6,所述给药管6一端从管体1前端伸出,另一端从管体1后端引出并与给药接头61连接,通过设置给药管6方便经气管给药,使药物便捷快速有效达到肺部组织,避免影响气管插管通气障碍。Among them, a
其中的,所述管体1壁内埋设有加强弹簧4,通过设置加强弹簧4能够避免管体1弯折造成通气不畅。Wherein, a reinforcing
其中的,所述管体1外侧设有刻度5,通过刻度5便于观察气管插管置入深度。Among them, the outside of the
本实施例的一个具体应用为:首先在管体1内部引导铜丝3的作用下将气管插管弯曲成便于置入气管的弧形,患儿仰卧位,垫高颈部,使头后仰,医生右手将患者口撑开,左手持喉镜从患儿右嘴角进入,将舌体挡向左侧,再将镜片移到正中,找到悬雍垂,再将镜片稍向前置入,找到会厌,镜片显露声门,将镜片置于会厌皱襞处,挑起会厌,弯镜片显露声门,将镜片远端伸入会厌谷,再向上提起喉镜,使会厌向上翘起,右手将气管插管从右侧斜行插入口中到达声门处,通过声门插入气管内,退出喉镜,如果有自主呼吸情况下观察盖帽31后端的呼吸薄膜32,若呼吸薄膜32随患儿的呼吸而鼓起干瘪,且呼吸薄膜32内有雾气,则说明气管插管插入患儿气管内,通过盖帽31拔出引导铜丝3和引导管33,放入牙垫并固定插管1,使用注射器通过充放气接头22为气囊2充气,然后将管体1后端的接头11与呼吸机连接即可,如果需要给药可直接将液体药物通过给药接头61注入给药管6。该气管插管前端的气囊2固定在环形凹槽12内,在置管时干瘪的气囊2不会突出管体1外表面,避免气囊2对幼儿声门造成损伤;管体1内设有引导铜丝3,通过引导铜丝方便对管体1进行弯曲塑形,引导铜丝3为一次性使用,避免造成交叉感染;引导铜丝3前端连接有较细的引导管33,易于插入声门部位,气管插管随着引导管33插入使得置管更加方便;通过设置在盖帽31外侧的呼吸薄膜32,能够简单方便的判断气管插管是否插入气管。A specific application of this embodiment is as follows: first, under the action of guiding
在本说明书的描述中,参考术语“一个实施例”、“示例”、“具体示例”等的描述意指结合该实施例或示例描述的具体特征、结构、材料或者特点包含于本实用新型的至少一个实施例或示例中。在本说明书中,对上述术语的示意性表述不一定指的是相同的实施例或示例。而且,描述的具体特征、结构、材料或者特点可以在任何的一个或多个实施例或示例中以合适的方式结合。In the description of this specification, description with reference to the terms "one embodiment", "example", "specific example", etc. means that a specific feature, structure, material or characteristic described in connection with the embodiment or example is included in the present invention. in at least one embodiment or example. In this specification, schematic representations of the above terms do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
以上公开的本实用新型优选实施例只是用于帮助阐述本实用新型。优选实施例并没有详尽叙述所有的细节,也不限制该实用新型仅为所述的具体实施方式。显然,根据本说明书的内容,可作很多的修改和变化。本说明书选取并具体描述这些实施例,是为了更好地解释本实用新型的原理和实际应用,从而使所属技术领域技术人员能很好地理解和利用本实用新型。本实用新型仅受权利要求书及其全部范围和等效物的限制。The preferred embodiments of the present invention disclosed above are only used to help illustrate the present invention. The preferred embodiments do not describe all the details, nor do they limit the invention to only the described embodiments. Obviously, many modifications and variations are possible in light of the content of this specification. This specification selects and specifically describes these embodiments in order to better explain the principle and practical application of the present invention, so that those skilled in the art can well understand and utilize the present invention. The present invention is limited only by the claims and their full scope and equivalents.
Claims (7)
Priority Applications (1)
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| CN118949207A (en) * | 2024-10-11 | 2024-11-15 | 北京博隆设备安装有限公司 | A small medical oxygen therapy device |
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| CN118949207A (en) * | 2024-10-11 | 2024-11-15 | 北京博隆设备安装有限公司 | A small medical oxygen therapy device |
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