CN210873569U

CN210873569U - Adjustable tracheal cannula fixer through nose

Info

Publication number: CN210873569U
Application number: CN201921346746.2U
Authority: CN
Inventors: 陈凤梅; 庄平; 易玲; 张美菊
Original assignee: Guangdong Hospital of Traditional Chinese Medicine
Current assignee: Guangdong Hospital of Traditional Chinese Medicine
Priority date: 2019-08-19
Filing date: 2019-08-19
Publication date: 2020-06-30
Anticipated expiration: 2029-08-19

Abstract

The utility model discloses a trachea cannula fixer with adjustable intranasal, include: the trachea fixing device is used for installing a trachea and the transnasal fixing device is used for installing a stomach tube, the trachea fixing device and the transnasal fixing device are arranged on the installing plate, and the trachea fixing device and/or the transnasal fixing device are/is independently arranged on the installing plate through the moving device; the mounting plate is provided with a fixing mechanism for fixing the mounting plate on the body of a patient. Therefore, the transnasal adjustable tracheal cannula fixator is fixed on a patient body only through one fixing mechanism, a gastric tube and a trachea do not need to be fixed on the patient body respectively, the operation is simple, and discomfort caused by the fixing mechanism to the patient is relieved; can also adjust the position of intranasal fixing device for trachea fixing device through the mobile device, be convenient for select suitable nostril and insert the stomach tube, make it be applicable to the different patient of five sense organs proportion, reduce the distortion and the buckling of trachea and stomach tube.

Description

Adjustable tracheal cannula fixer through nose

Technical Field

The utility model relates to a medical auxiliary appliance, concretely relates to trachea cannula fixer with adjustable intranasal.

Background

In order to prevent patients who are unconscious and have respiratory dysfunction, such as Intensive Care Unit (ICU) patients, from being ventilated and supplied with oxygen by means of a tracheal tube, and from being supplied with food and nutrition by means of a gastric tube, the patients need to be fixed on the patients by a fixing device in order to prevent the patients from unintentionally pulling out the tracheal tube or the gastric tube when the consciousness of the patients is restored. However, the trachea fixing device and the gastric tube fixing device in the prior art are generally split, when a user uses the device, the trachea fixing device is needed to fix the trachea on the patient, and the gastric tube fixing device is needed to fix the gastric tube on the patient, so that the operation process is complicated; and two fixing devices for fixing the trachea and the stomach tube are fixed on the body of the patient, which can cause discomfort to the patient.

SUMMERY OF THE UTILITY MODEL

In order to solve simultaneously with stomach tube and trachea fixation on the patient complex operation to and cause uncomfortable problem for the patient, according to the utility model discloses an aspect provides a trachea cannula fixer with adjustable intranasal.

This trachea cannula fixer with adjustable intranasal includes: a trachea fixation device for installing a trachea and a transnasal fixation device for installing a gastric tube, the trachea fixation device and the transnasal fixation device being provided on the mounting plate, wherein the trachea fixation device and/or the transnasal fixation device are provided on the mounting plate by a moving device alone so that the trachea fixation device and/or the transnasal fixation device can move in a direction perpendicular to a trachea installed in the trachea fixation device and in a direction perpendicular to the gastric tube installed in the transnasal fixation device; the mounting plate is provided with a fixing mechanism for fixing the mounting plate on the body of a patient. From this, when using this trachea cannula fixer with adjustable intranasal, only need fix the trachea on trachea fixing device earlier, install the stomach tube on intranasal fixing device, rethread fixed establishment with the mounting panel fix on the patient can on one's body. The stomach tube and the trachea do not need to be fixed on the patient body respectively, and the operation is simple; moreover, the transnasal adjustable tracheal cannula fixator is fixed on a patient through only one fixing mechanism, so that discomfort caused by the fixing mechanism to the patient is relieved; can also adjust the position of intranasal fixing device for trachea fixing device through the mobile device, be convenient for select suitable nostril and insert the stomach tube, make its patient that is applicable to the different proportion of five sense organs simultaneously, reduce the distortion and the buckling of trachea and stomach tube.

In some embodiments, the mounting plate is made of a flexible material, and the fixing mechanism is arranged on the side of the mounting plate facing the patient and made of adhesive sticker. From this, the mounting panel can be buckled into the shape with patient's body surface adaptation, then fix on the patient one's body through the non-setting adhesive to make the non-setting adhesive can closely laminate on patient's body surface, avoid fixing the mounting panel on the patient one's body simultaneously, cause for the patient and rein in the trace.

In some embodiments, the tracheal fixation device is provided with a first through hole for passing the gas supply tube, and the transnasal fixation device is provided with a second through hole for passing the gastric tube; the transnasal fixing device is arranged on the side surface of the mounting plate departing from the fixing mechanism through the moving device, and the axis of the first through hole, the axis of the second through hole and the moving direction of the moving device are mutually perpendicular. Because the stomach tube is generally inserted into the body of a patient through the nostril, and the trachea is generally inserted into the body of the patient through the oral cavity, when the axis of the first through hole is vertical to the axis of the second through hole, the trachea passing through the first through hole and the stomach tube passing through the second through hole are conveniently inserted into the body of the patient at the same time, and the trachea and the stomach tube are prevented from being twisted or bent; meanwhile, the moving direction of the moving device is simultaneously vertical to the axis of the first through hole and the axis of the second through hole, so that the position of the transnasal fixing device relative to the trachea fixing device can be quickly adjusted through the moving device, and on one hand, a proper nostril can be conveniently selected to insert the gastric tube; on the other hand, the position of the transnasal fixing device relative to the tracheal fixing device can be adjusted according to the proportion of the five sense organs of the patient, and the twisting and bending of the trachea and the stomach tube are further reduced.

In some embodiments, a tracheal fixation device comprises: establish the first base on the mounting panel, first through-hole is established on first base, still is equipped with the first hold-down mechanism that is used for compressing tightly the trachea on first base. Therefore, when the trachea fixing device is used, the trachea can be pressed on the first base through the first pressing mechanism, and the trachea is prevented from being separated from the trachea fixing device.

In some embodiments, the first pressing mechanism includes a first screw, the first base is provided with a first screw hole adapted to the first screw, the first screw hole communicates the first through hole with the outside, and an axis of the first screw hole is perpendicular to an axis of the first through hole. Therefore, when in use, the air pipe can be pressed on the first base by screwing the first screw rod; when the air pipe needs to be replaced, the air pipe can be extracted from the first through hole by unscrewing the first screw rod.

In some embodiments, the end of the first screw rod facing the first through hole is provided with a first pressing block, and the first pressing block is made of elastic plastic, rubber or sponge. Therefore, the air pipe can be prevented from being crushed when the first pressing block made of elastic plastic, rubber or sponge is pressed on the air pipe.

In some embodiments, a side of the first base facing the fixing mechanism is provided with a bite plate for a patient to bite, the bite plate is provided with a third through groove for the air supply pipe to pass through, and the third through groove communicates the first through hole with the outside. Therefore, the trachea can be prevented from being bitten by the patient.

In some embodiments, the mobile device has a locking mechanism to enable locking of the mobile device relative to the mounting plate. Thus, when the relative position of the transnasal fixation device and the tracheal fixation device is adjusted to a suitable position, the moving device can be locked relative to the mounting plate by the locking mechanism, so that the transnasal fixation device and the tracheal fixation device maintain a relatively fixed position.

Drawings

Fig. 1 is a schematic structural view of a transnasal adjustable tracheal cannula fixator according to an embodiment of the present invention;

FIG. 2 is a schematic structural view of another perspective of the nasally adjustable endotracheal tube holder shown in FIG. 1;

FIG. 3 is a schematic structural view of yet another perspective of the nasally adjustable endotracheal tube holder shown in FIG. 1;

FIG. 4 is an enlarged schematic view of the transnasal adjustable endotracheal tube holder shown in FIG. 2 at point A;

FIG. 5 is a schematic view of a conventional trachea;

fig. 6 is a schematic structural view of a conventional gastric tube.

Detailed Description

The present invention will be described in further detail with reference to the accompanying drawings.

Fig. 1 to 4 schematically show a transnasal adjustable tracheal cannula fixation device according to one embodiment of the present invention.

As shown in fig. 1 to 3, the transnasal adjustable tracheal cannula fixator comprises a mounting plate 20, a fixing mechanism 21, a moving device 30, a tracheal fixing device 40 and a transnasal fixing device 50, wherein the tracheal fixing device 40 is used for mounting a trachea 60, the transnasal fixing device 50 is used for mounting a gastric tube 70, the tracheal fixing device 40 and the transnasal fixing device 50 are arranged on the mounting plate 20, specifically, at least one of the tracheal fixing device 40 and the transnasal fixing device 50 is arranged on the mounting plate 20 through the moving device 30, especially, when the tracheal fixing device 40 and the transnasal fixing device 50 are both arranged on the mounting plate 20 through the moving device 30, two moving devices 30 are arranged, the tracheal fixing device 40 is arranged on the mounting plate 20 through one of the moving devices 30, the transnasal fixing device 50 is arranged on the mounting plate 20 through the other moving device 30, and the moving direction of the moving devices 30 is simultaneously perpendicular to the trachea 60 mounted in the tracheal fixing device 40 and the transnasal fixing device 50 A gastric tube 70 in the fixture 50, whereby the tracheal fixture 40 and/or the transnasal fixture 50 can be moved by the moving device 30 in a direction perpendicular to the trachea 60 installed in the tracheal fixture 40 and in a direction of the gastric tube 70 installed in the transnasal fixture 50 to adjust the relative positions of the tracheal fixture 40 and the transnasal fixture 50; the mounting plate 20 is also provided with a securing mechanism 21 for securing it to the patient.

In this embodiment, it is preferable that the mounting plate 20 is made of a flexible material such as cloth, the fixing mechanism 21 is disposed on a side of the mounting plate 20 away from the nasal fixing device 50, a side surface of the mounting plate 20 on which the fixing mechanism 21 is disposed is flat, and the fixing mechanism 21 is made of a non-setting adhesive. Further, the adhesive sticker of the fixing mechanism 21 is an adhesive sticker which can be repeatedly stuck. Furthermore, in order to avoid the reduction of the viscosity of the adhesive sticker caused by the falling of dust or impurities on the adhesive sticker, one side of the adhesive sticker, which is away from the mounting plate 20, is covered with a release layer, and the side of the release layer, which faces the adhesive sticker, is adhesive paper.

Specifically, as shown in fig. 3, the air pipe fixing device 40 includes a first base 41 and a first pressing mechanism disposed on the first base 41, the first base 41 is fixedly connected to the mounting plate 20, a first through hole 411 through which the air supply pipe 60 passes is integrally formed or machined on the first base 41, and the first pressing mechanism is configured to press the air pipe 60 passing through the first through hole 411 onto the first base 41. More specifically, as shown in fig. 2 and 3, the first pressing mechanism includes a first screw rod 42 and a first screw hole 412 machined on the first base 41, the first screw hole 412 is fitted to the first screw rod 42 while enabling communication of the first through hole 411 with the outside, and an axis of the first screw hole 412 is perpendicular to an axis of the first through hole 411.

As shown in Figs. 2 and 4, the transnasal fixation device 50 is similar to the tracheal fixation device 40, and the transnasal fixation device 50 comprises a second base 51 and a second pressing mechanism arranged on the second base 51, the second base 51 is fixedly connected to the mounting plate 20, a second through hole 511 for passing the gastric tube 70 is integrally formed or processed on the second base 51, and the second pressing mechanism is used for pressing the gastric tube 70 passing through the second through hole 511 onto the second base 51. Specifically, as shown in fig. 4, the second pressing mechanism includes a second screw 52 and a second screw hole 512 formed in the second base 51, the second screw hole 512 is adapted to the second screw 52 and is capable of communicating the second through hole 511 with the outside, and an axis of the second screw hole 512 is perpendicular to an axis of the second through hole 511.

The moving device 30 includes a first guide rail 31 and a first slider 32 fitted to each other, and the first guide rail 31 is mounted on the mounting plate 20 perpendicular to the axis of the first through hole 411 and the axis of the second through hole 511. When the air pipe fixing device 40 is provided on the mounting plate 20 by the moving device 30, the first base 41 is mounted on the first slider 32. When the nasal fixation device 50 is placed on the mounting plate 20 by the displacement device 30, the second base 51 is mounted on the first slider 32.

When the transnasal adjustable tracheal cannula fixator is used, the trachea 60 passing through the first through hole 411 (as shown in fig. 5, the trachea 60 comprises a trachea catheter 61 and a connecting pipe 62 arranged at one end of the trachea catheter 61, and the trachea catheter 61 is connected with a respirator through the connecting pipe 62) is fixed on the first base 41 only by the first screw rod 42, so that the trachea 60 is prevented from sliding off the first base 41, the gastric tube 70 passing through the second through hole 511 (as shown in fig. 6) is fixed on the second base 51 by the second screw rod 52, and the gastric tube 70 is prevented from sliding off the second base 51; then, the relative position of the first base 41 and the second base 42 is adjusted according to the ratio of the five sense organs of the patient, specifically, when the first base 41 is installed on the first slide block 32, the first slide block 32 is moved along the direction of the first guide rail 31 to adjust the relative position of the first base 41 relative to the second base 51, and when the second base 51 is installed on the first slide block 32, the first slide block 32 is moved along the direction of the first guide rail 31 to adjust the relative position of the second base 51 relative to the first base 41; then, the trachea 60 is respectively inserted into the oral cavity of the patient, and the gastric tube 70 is inserted into the nasal cavity of the patient, so that the nasal cavity of the patient is prevented from being extruded due to the fact that the gastric tube 70 is twisted and bent due to improper position; bend into the curved surface that is imitative with patient's facial curve with mounting panel 20, the rethread non-setting adhesive glues the mounting panel on patient's face, specifically glues on the skin near patient's lip to make the non-setting adhesive on mounting panel 20 can laminate completely on patient's face, when avoiding fixing mounting panel 20 on patient's face simultaneously, cause the impression of reining in for patient's face. The stomach tube and the trachea do not need to be fixed on the patient body respectively, and the operation is simple; in addition, the transnasal adjustable tracheal cannula fixator is fixed on a patient through only one fixing mechanism, so that discomfort caused by the fixing mechanism to the patient is relieved. When it is necessary to replace the trachea 60 and/or the gastric tube 70, the trachea 60 can be removed from the first through hole 411 by unscrewing the first screw 42, and the gastric tube 70 can be removed from the second through hole 511 by unscrewing the second screw 52.

In other embodiments, the organ fixing equipment 40 and the transnasal fixing equipment 50 may be a snap structure with a closable opening, which is commonly used in the prior art, or a hook and loop fastener, as long as the trachea 60 and the gastric tube 70 can be fixed on the mounting plate 20, and the present invention is not limited to the specific structure of the organ fixing equipment 40 and the transnasal fixing equipment 50 (not shown).

In other embodiments, the fixing mechanism 21 may also adopt two flexible ropes, wherein two flexible ropes are provided, one end of each of the two flexible ropes is disposed on the mounting plate 20, and the other end of each of the two flexible ropes is provided with a magic tape, so that the mounting plate 20 and the patient can be fixed to each other through the flexible ropes (not shown in the figure). The fixing mechanism 21 may also adopt other mechanisms capable of fixing the mounting plate 20 and the patient to each other, and the utility model discloses do not limit the concrete structure of fixing mechanism 21.

In the present embodiment, as shown in fig. 2, the transnasal fixation device 50 is preferably mounted on the mounting plate 20 via the moving device 30, and the second base 51 is preferably mounted on the first slider 32 while the axis of the first through hole 411, the axis of the second through hole 511, and the moving direction of the moving device 30 are perpendicular to each other. Because the axial line of the first through hole 411 and the axial line of the second through hole 511 are perpendicular to each other and correspond to the distribution positions of the oral cavity and the nasal cavity of the human body, the trachea 60 and the gastric tube 70 can be prevented from being twisted or bent when the trachea 60 and the gastric tube 70 are inserted at the same time; meanwhile, the position of the transnasal fixing device 50 relative to the tracheal fixing device 40 can be rapidly adjusted through the first slider 32, so that on one hand, the proper nostril can be conveniently selected for inserting the gastric tube 70; on the other hand, the position of the transnasal fixation device 50 relative to the tracheal fixation device 40 can be adjusted according to the proportion of the patient's five sense organs, further reducing the twisting and bending of the trachea 60 and gastric tube 70.

Further, as shown in fig. 1 and 3, a first pressing piece 43 is disposed at an end of the first screw rod 42 facing the first through hole 411, and the first pressing piece 43 is made of elastic plastic, rubber or sponge. Since the first pressing block 43 is made of elastic plastic, rubber or sponge, the air tube 60 can be prevented from being damaged by the first pressing block 43 when the first pressing block 43 is pressed on the air tube 60. Further, as shown in fig. 3, in order to prevent the air tube 60 clamped between the first pressing piece 43 and the first base 41 from slipping out of between the two, a first through groove 431 having a groove width larger than the diameter of the air tube 60 and a groove depth smaller than the diameter of the air tube 60 is integrally formed or machined on the first pressing piece 43, and when the air tube 60 is pressed against the first base 41 by the first pressing piece 43, the air tube 60 is located in the first through groove 431. To facilitate the taking and placing of the air tube 60, as shown in fig. 2 and 3, a first opening 45 for taking and placing the air tube 60 is further integrally formed or machined on the first base 41.

Similarly, as shown in fig. 1 and 3, the end of the second screw 52 facing the second through hole 511 is provided with a second pressing piece 53, and the second pressing piece 53 is made of elastic plastic, rubber or sponge. Because the second pressing block 53 is made of elastic plastic, rubber or sponge, the gastric tube 70 can be prevented from being crushed when the second pressing block 53 is pressed on the gastric tube 70. Furthermore, as shown in fig. 4, in order to prevent the gastric tube 70 clamped between the second pressing piece 53 and the second seat 51 from slipping out of between the two, a second through groove 531 with a width larger than the diameter of the gastric tube 70 and a depth smaller than the diameter of the gastric tube 70 is integrally formed or machined on the second pressing piece 53, and when the second pressing piece 53 presses the gastric tube 70 on the second seat 51, the gastric tube 70 is located in the second through groove 531. To facilitate the placement and placement of the gastric tube 70, as shown in fig. 2 and 4, the second base 51 is further integrally formed or machined with a second opening 54 for placement and placement of the gastric tube 70.

In other embodiments, the first pressing mechanism may be an elastic member, the first pressing piece 43 is disposed on the first base 41 through the elastic member, and the first pressing piece 43 presses the air pipe 60 against the first base 41 under the elastic force of the elastic member. When the air pipe 60 needs to be clamped and taken out from the air pipe fixing device 40, an external force is applied to the first pressing block 43, so that the first pressing block 43 compresses the elastic part, the distance between the first pressing block 43 and the first base 41 is larger than the diameter of the air pipe 60, and the air pipe 60 can be conveniently taken out from the air pipe fixing device 40. The elastic member may be a compression spring or a torsion spring (not shown).

In other embodiments, the second compressing mechanism is implemented in a manner similar to the first compressing mechanism, and the second compressing mechanism may also be configured as an elastic component, the second pressing piece 53 is disposed on the second seat 51 through the elastic component, and the second pressing piece 53 compresses the gastric tube 70 on the second seat 51 under the elastic force of the elastic component. When the gastric tube 70 needs to be clamped and taken out from the transnasal fixing device 50, external force is applied to the second pressing block 53, the second pressing block 53 compresses the elastic part, and the distance between the second pressing block 53 and the second base 51 is larger than the diameter of the gastric tube 70, so that the gastric tube 70 can be conveniently taken out from the transnasal fixing device 50. The elastic member may be a compression spring or a torsion spring (not shown).

In this embodiment, preferably, as shown in fig. 3, in order to avoid the patient from biting the trachea 60, a side of the first base 41 away from the transnasal fixing device 50 is provided with a bite plate 44 for the patient to bite into, the bite plate is provided with a third through groove 441 for the air supply pipe 60 to pass through, and the third through groove 441 communicates with the outside of the first through hole 411.

Further, the moving device 30 has a locking mechanism to enable the moving device 30 to be locked with respect to the mounting plate 20. Thus, when the relative positions of the transnasal fixation device 50 and the tracheal fixation device 40 are adjusted to the appropriate positions, the moving device 30 can be locked relative to the mounting plate 20 by the locking mechanism, so that the transnasal fixation device 50 and the tracheal fixation device 40 are maintained in relatively fixed positions.

In the present embodiment, as shown in fig. 4, specifically, the locking mechanism includes a third screw 33 and a third screw hole 34 formed in the first slider 32 and adapted to the third screw 33, and the third screw hole communicates the first rail 31 with the outside. The first slider 32 is movable along the first rail 31 when the third screw 33 is loosened, and the first slider 32 is fixed relative to the first rail 31 when the third screw 33 is tightened to abut against the first rail 31.

What has been described above are only some embodiments of the invention. For those skilled in the art, without departing from the inventive concept, several modifications and improvements can be made, which are within the scope of the invention.

Claims

1. Trachea cannula fixer with adjustable it is pernasal, its characterized in that includes:

a tracheal fixation device (40) for installing a trachea (60) and a transnasal fixation device (50) for installing a gastric tube (70), the tracheal fixation device (40) and the transnasal fixation device (50) being provided on a mounting plate (20), wherein the tracheal fixation device (40) and/or the transnasal fixation device (50) are provided on the mounting plate (20) by a moving device (30) alone so that the tracheal fixation device (40) and/or the transnasal fixation device (50) can move in a direction perpendicular to a trachea (60) installed in the tracheal fixation device (40) and in a direction perpendicular to a gastric tube (70) installed in the transnasal fixation device (50);

the mounting plate (20) is provided with a fixing mechanism (21) for fixing the mounting plate on the body of a patient.

2. The nasally adjustable tracheal cannula fixator according to claim 1, wherein the mounting plate (20) is made of a flexible material, and the fixing mechanism (21) is provided on a patient-facing side of the mounting plate (20) and is made of a non-setting adhesive.

3. The transnasally adjustable tracheal cannula holder according to claim 2, wherein the tracheal fixing device (40) is provided with a first through hole (411) through which the trachea (60) passes, and the transnasal fixing device (50) is provided with a second through hole (511) through which the gastric tube (70) passes;

the transnasal fixing device (50) is arranged on the side surface of the mounting plate (20) departing from the fixing mechanism (21) through the moving device (30), and the axis of the first through hole (411), the axis of the second through hole (511) and the moving direction of the moving device (30) are mutually perpendicular.

4. The nasally adjustable tracheal cannula holder of claim 3, wherein the tracheal fixing device (40) comprises:

establish first base (41) on mounting panel (20), first through-hole (411) are established on first base (41), still be equipped with on first base (41) and be used for with trachea (60) compress tightly first hold-down mechanism on first base (41).

5. The transnasally-adjustable tracheal cannula fixator according to claim 4, wherein the first pressing mechanism comprises a first screw rod (42), a first screw hole (412) matched with the first screw rod (42) is formed in the first base (41), the first screw hole (412) communicates the first through hole (411) with the outside, and an axis of the first screw hole (412) is perpendicular to an axis of the first through hole (411).

6. The transnasally adjustable tracheal cannula fixator according to claim 5, wherein the end of the first screw (42) facing the first through hole (411) is provided with a first pressing block (43), and the first pressing block (43) is made of elastic plastic, rubber or sponge.

7. The transnasally adjustable tracheal cannula holder as claimed in any one of claims 4 to 6, wherein a side of the first base (41) facing the fixing mechanism (21) is provided with a bite plate (44) for biting by a patient, the bite plate (44) is provided with a third through groove (441) for passing an air supply pipe therethrough, and the third through groove (441) communicates the first through hole (411) with the outside.

8. The nasally adjustable endotracheal tube holder according to any one of claims 1 to 6, characterized in that the moving device (30) has a locking mechanism to enable locking of the moving device (30) relative to the mounting plate (20).

9. The nasally adjustable endotracheal tube holder according to claim 7, characterized in that the moving device (30) has a locking mechanism to enable locking of the moving device (30) relative to the mounting plate (20).