CN211911671U - Device for sampling pharyngeal secretions of patients with new coronary pneumonia - Google Patents
Device for sampling pharyngeal secretions of patients with new coronary pneumonia Download PDFInfo
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Abstract
本实用新型涉及采集分泌物设备,特别涉及新冠肺炎病人咽部分泌物取材器装置。该装置包括口腔内支桶、取材管和取材管保护套,口腔内支桶的一端为半圆弧状桶盖,桶盖上设有取样孔,口腔内支桶的另一端为开口结构;取材管一端为漏斗状开口,漏斗状开口内设有过滤海绵,取材管的另一端为开口;取材管保护套套在取材管上,取材管保护套的一端与漏斗状开口接触,取材管保护套的另一端设有封闭盖。采用新冠肺炎病人咽部分泌物取材器装置能够快速进行咽拭子取材,减少医护人员劳动负荷,提高劳动效率和成功率;避免病人在医院公共场所传染给医务工作者的机会,极大保护医院其他就医者和医护人员。
The utility model relates to equipment for collecting secretions, in particular to a device for collecting pharyngeal secretions of patients with new coronary pneumonia. The device includes an intraoral support barrel, a material-taking tube and a material-taking tube protective cover. One end of the intraoral support barrel is a semi-circular-arc-shaped barrel cover, the barrel cover is provided with a sampling hole, and the other end of the intraoral support barrel is an open structure; one end of the material-taking pipe It is a funnel-shaped opening, a filter sponge is arranged in the funnel-shaped opening, and the other end of the material collection tube is an opening; the material collection pipe protective sleeve is sleeved on the material collection pipe, one end of the material collection pipe protective cover is in contact with the funnel-shaped opening, and the other end of the material collection pipe protective sleeve is in contact. With closing lid. The pharyngeal secretion sampling device of patients with new coronary pneumonia can quickly take throat swabs, reduce the workload of medical staff, improve labor efficiency and success rate; avoid the chance of patients infecting medical workers in public places of the hospital, and greatly protect the hospital Other medical patients and health care workers.
Description
技术领域technical field
本实用新型涉及采集分泌物设备,特别涉及新冠肺炎病人咽部分泌物取材器装置。The utility model relates to equipment for collecting secretions, in particular to a device for collecting pharyngeal secretions of patients with new coronary pneumonia.
背景技术Background technique
新型冠状病毒肺炎是一种高危新发传染病,蔓延迅速,隐蔽性强,发病具有隐匿性、突发性和高度传染性,对人民的健康和生活造成了重大影响。严重者迅速进展至危重型并出现急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)、脓毒症休克、难以纠正的电解质紊乱和凝血功能障碍等,引发细胞因子风暴,导致患者多器官功能衰竭。有研究显示,该病病死率约达2.38%,基本传染数RO为3.77。正常人咽峡部培养应有口腔正常菌群,而无致病菌生长。咽部的细菌均来自外界,正常情况下不致病,但在机体全身或局部抵抗力下降和其他外部因素下可以出现感染等而导致疾病。因此,咽部拭子细菌培养能分离出致病菌,有助于病毒、白喉、化脓性扁桃体炎、急性咽喉炎等的诊断。临床标本采集包括病人的咽拭子、下呼吸道标本、支气管分泌物,支气管儿吸取物、肺泡灌洗液和血清标本。标本因尽量采集病例发病早期的呼吸道标本,尤其是下呼吸道标本、发病七天内急性期血清以及间隔二至四周恢复期血清。同时采集上、下呼吸道标本,优先采集下呼吸道标本。Novel coronavirus pneumonia is a high-risk emerging infectious disease, which spreads rapidly and is highly concealed. The onset is insidious, sudden and highly contagious, which has caused a major impact on people's health and life. Severe cases rapidly progress to critically ill and develop acute respiratory distress syndrome (ARDS), septic shock, difficult-to-correct electrolyte disturbances, and coagulation disorders, which lead to cytokine storm and multi-organ failure. . Studies have shown that the fatality rate of the disease is about 2.38%, and the basic infection number RO is 3.77. Normal human pharyngeal isthmus culture should have normal oral flora, without the growth of pathogenic bacteria. The bacteria in the pharynx all come from the outside world and are not pathogenic under normal circumstances, but infections can occur when the body's systemic or local resistance declines and other external factors lead to diseases. Therefore, pharyngeal swab bacterial culture can isolate pathogenic bacteria, which is helpful for the diagnosis of virus, diphtheria, suppurative tonsillitis, acute pharyngitis, etc. Clinical specimen collection includes throat swabs, lower respiratory tract specimens, bronchial secretions, bronchial aspirates, bronchoalveolar lavage fluid and serum specimens from patients. Specimens should be collected as far as possible from the respiratory tract specimens in the early onset of the case, especially the lower respiratory tract specimens, the acute phase serum within seven days of the onset, and the convalescent serum at intervals of two to four weeks. At the same time, the upper and lower respiratory tract specimens were collected, and the lower respiratory tract specimens were preferentially collected.
新冠肺炎其临床诊断最终需要咽拭子核酸检查,若为阳性即可确诊,但是阴性结果具有典型临床症状和影像学特点及接触史,仍不能排除新冠肺炎。目前咽拭子核酸检测仍然是临床诊断金标准。但咽拭子检查因各种因素(操作者及患者配合程度)可能造成假阴性,所以咽拭子的取材至关重要,目前仍靠人工进行取材,不仅风险大容易造成医护人员感染,还有可能造成漏诊。提高咽部分泌物的检查准确性和取材的完整性至关重要,尤其是上下呼吸道分泌物取材。The clinical diagnosis of new coronary pneumonia ultimately requires a throat swab nucleic acid test. If it is positive, the diagnosis can be confirmed, but the negative result has typical clinical symptoms, imaging characteristics and contact history, and new coronary pneumonia cannot be ruled out. At present, throat swab nucleic acid detection is still the gold standard for clinical diagnosis. However, the throat swab examination may cause false negatives due to various factors (the degree of cooperation of the operator and the patient), so the sampling of throat swabs is very important. May cause missed diagnosis. It is very important to improve the inspection accuracy and completeness of pharyngeal secretions, especially the upper and lower respiratory tract secretions.
目前由于该病刚出现,在医院没有这样产品应用,省市医院目前急需解决问题。At present, because the disease has just appeared, there is no such product application in the hospital, and the provincial and municipal hospitals urgently need to solve the problem.
发明内容SUMMARY OF THE INVENTION
实用新型目的:Purpose of the utility model:
为解决新冠肺炎病人在医院和救护期间的交叉感染问题,尤其对医护人员的感染问题,采用新冠肺炎病人咽部分泌物取材器装置能够快速进行咽拭子取材,减少医护人员劳动负荷,提高劳动效率和成功率;避免病人在医院公共场所传染给医务工作者的机会,极大保护医院其他就医者和医护人员。In order to solve the problem of cross-infection of patients with new coronary pneumonia in the hospital and during rescue, especially the infection of medical staff, the use of the pharyngeal secretion sampling device for patients with new coronary pneumonia can quickly collect throat swabs, reduce the workload of medical staff, and improve labor. Efficiency and success rate; avoid the chance of patients infecting medical workers in public places of the hospital, and greatly protect other medical patients and medical staff in the hospital.
技术方案:Technical solutions:
本实用新型是通过以下技术方案来实现的:The utility model is achieved through the following technical solutions:
新冠肺炎病人咽部分泌物取材器装置,该装置包括口腔内支桶、取材管和取材管保护套,口腔内支桶的一端为半圆弧状桶盖,桶盖上设有取样孔,口腔内支桶的另一端为开口结构;取材管一端为漏斗状开口,漏斗状开口内设有过滤海绵,取材管的另一端为开口;取材管保护套套在取材管上,取材管保护套的一端与漏斗状开口接触,取材管保护套的另一端设有封闭盖。A device for sampling pharyngeal secretions of patients with new coronary pneumonia, the device includes an intraoral support barrel, a material collection tube and a protective cover for the material collection tube. The other end of the barrel is an opening structure; one end of the material taking pipe is a funnel-shaped opening, a filter sponge is arranged in the funnel-shaped opening, and the other end of the material taking pipe is an opening; The other end of the protective sleeve of the material taking pipe is provided with a closing cover.
进一步的,取材管上设有外接管口,外接管口通过橡胶管与抽吸负压装置连接。Further, the material taking pipe is provided with an external pipe port, and the external pipe port is connected with the suction negative pressure device through a rubber pipe.
进一步的,整体呈筒状的口腔内支桶为透明材质,口腔内支桶上的向外凸出的半圆弧状桶盖的中心位置设有取样孔。Further, the overall cylindrical intraoral support barrel is made of transparent material, and a sampling hole is provided at the center of the outwardly protruding semi-circular arc-shaped barrel cover on the intraoral support barrel.
进一步的,口腔内支桶分为三个型号,直径分别为3-4cm、4-5cm和5-6cm,口腔内支桶的长度为2-3cm、3-4cm和4-5cm;桶盖的弦高为1.0-2.0cm,口腔内支桶中央的取样孔的直径为1-2cm。Further, the intraoral support barrels are divided into three models, with diameters of 3-4cm, 4-5cm and 5-6cm respectively, and the lengths of the intraoral support barrels are 2-3cm, 3-4cm and 4-5cm; The chord height is 1.0-2.0 cm, and the diameter of the sampling hole in the center of the intraoral support barrel is 1-2 cm.
进一步的,取材管的长度为4-6公分,直径为0.2-0.3cm。Further, the length of the drawing tube is 4-6 cm, and the diameter is 0.2-0.3 cm.
进一步的,取材管保护套上设有与外接管口位置对应的通孔,取材管保护套的封闭盖分为螺纹封闭和内塞蜂蜜。Further, a through hole corresponding to the position of the outer pipe port is provided on the protective sleeve of the material taking pipe, and the sealing cover of the protective sleeve of the material taking pipe is divided into screw sealing and inner plugging with honey.
进一步的,取材管保护套的封闭盖采用螺纹封闭盖,螺纹封闭盖与取材管保护套外侧通过螺纹连接,螺纹封闭盖内设有橡胶垫。Further, the closing cover of the protective sleeve of the material taking pipe adopts a threaded closing cover, the threaded closing cover and the outer side of the protective sleeve of the material taking pipe are connected by threads, and a rubber gasket is arranged in the threaded closing cover.
进一步的,取材管保护套的封闭盖采用内塞封闭盖,内塞封闭盖的内部与取材管保护套的内壁接触。Further, the closing cover of the protective sleeve of the material taking pipe adopts an inner plug closing cover, and the inside of the closing cover of the inner plug is in contact with the inner wall of the protective sleeve of the material taking pipe.
优点及效果:Advantages and Effects:
本实用新型具有如下优点及有益效果:The utility model has the following advantages and beneficial effects:
结构简单,取样过程简单,方便,高效。The structure is simple, the sampling process is simple, convenient and efficient.
本实用新型装置能够减少患者损伤,易于患者耐受。The device of the utility model can reduce the injury of the patient and is easy for the patient to tolerate.
口腔内支桶的桶盖和取材管保护套尽量防止分泌物播散到空气功能,减少气溶胶出现,减低传染风险。The lid of the intraoral bucket and the protective cover of the sampling tube try to prevent the secretion from spreading to the air function, reduce the occurrence of aerosols, and reduce the risk of infection.
附图说明Description of drawings
图1是口腔内支桶示意图;Fig. 1 is a schematic diagram of an intraoral support barrel;
图2是口腔内支桶的右视图;Figure 2 is a right side view of the intraoral support barrel;
图3是取材管的结构示意图;Fig. 3 is the structural representation of the material pipe;
图4是取材管与抽吸负压装置连接示意图;Figure 4 is a schematic diagram of the connection between the material taking pipe and the suction negative pressure device;
图5是实施例中带有螺纹封闭盖的结构示意图;Fig. 5 is the structural representation with the threaded closure cover in the embodiment;
图6是实施例中带有内塞封闭盖的结构示意图;Fig. 6 is the structural representation with the inner plug closure cover in the embodiment;
附图标记说明:Description of reference numbers:
1. 口腔内支桶;101. 取样孔;2.取材管;201. 过滤海绵;202. 外接管口;3. 取材管保护套;301.螺纹封闭盖;302.内塞封闭盖;4. 抽吸负压装置;401.橡胶管。1. Intraoral support barrel; 101. Sampling hole; 2. Material sampling tube; 201. Filter sponge; 202. Outer nozzle; 3. Material sampling tube protective sleeve; 301. Thread closure cap; 302. Inner plug closure cap; Suction negative pressure device; 401. Rubber tube.
具体实施方式Detailed ways
目前,新冠肺炎的测试手段主要通过咽拭子和鼻拭子;由于鼻拭子需要将聚丙烯纤维头的塑料杆插入到鼻道内鼻腭处,但是患者一般无法忍受插入鼻道内,因此,最常用的还是采用咽拭子。而现有的咽拭子是用两根聚丙烯纤维头的塑料杆拭子同时擦拭双侧咽扁桃体及咽后壁,仅采用塑料杆拭子不仅风险大容易造成医护人员感染,还有可能造成漏诊。At present, the testing methods for new coronary pneumonia are mainly through throat swabs and nasal swabs; because nasal swabs need to insert a plastic rod with a polypropylene fiber head into the nasal palate, but patients generally cannot tolerate insertion into the nasal passages. Throat swabs are commonly used. The existing throat swabs use two plastic rod swabs with polypropylene fiber heads to wipe the bilateral pharyngeal tonsils and the posterior pharyngeal wall at the same time. Only using plastic rod swabs not only has high risks and is likely to cause infection of medical staff, but also may cause missed diagnosis.
本实用新型采用口腔内支桶1、取材管2、取材管保护套3相配合,通过采用口腔内支桶1尽量减少取材管2沾染口腔飞沫。通过取材管保护套3将使用前后的取材管进行封闭,尽量减少取样医护人员的沾染,尽量减少与唾液和飞沫的接触。The utility model uses an
新冠肺炎病人咽部分泌物取材器装置,该装置包括口腔内支桶1、取材管2和取材管保护套3,口腔内支桶1的一端为半圆弧状桶盖,桶盖上设有取样孔101,口腔内支桶1的另一端为开口结构;取材管2一端为漏斗状开口,漏斗状开口内设有过滤海绵201,取材管2的另一端为开口;取材管保护套3套在取材管2上,取材管保护套3的一端与漏斗状开口接触,取材管保护套3的另一端设有封闭盖。A device for sampling pharyngeal secretions of patients with new coronary pneumonia. The device includes an
本实用新型的口腔内支桶1、取材管2、取材管保护套3采用透明塑料材质,制造成本低,方便医护人员取样时通过透明材质观察患者口腔内部和取样量。口腔内支桶1的半圆弧状桶盖呈向外凸出,能够起到一定的放大作用,方便医护人员观察。在另一端采用过滤海绵201,过滤海绵201呈漏斗状,直接安装在取材管2的一端,取材管2的漏斗状开口外侧直径大于内侧直径,不会由于负压造成过滤海绵的移动,过滤海绵采用现有常见的过滤海绵即可,例如可以买到的医用过滤海绵。口腔内支桶1、取材管2、取材管保护套3整体都为中空结构,方便连通。The
取材管2上设有外接管口202,外接管口通过橡胶管401与抽吸负压装置4连接。外接管口202在使用抽吸负压装置4时与橡胶管401连接,为了方便连接,橡胶管401上可以设置插入的硬性接头,这样方便插入到外接管口202内,橡胶管401的另一端与抽吸负压装置4连接,抽吸负压装置4为现有技术,例如可以采用真空泵或者负压袋等。利用抽吸负压装置4可以减轻劳动负荷、达到上下呼吸道取材,更能减少患者损伤,易于患者耐受。The
整体呈筒状的口腔内支桶1为透明材质,口腔内支桶1上的向外凸出的半圆弧状桶盖的中心位置设有取样孔101。口腔内支桶1采用医用透明塑料,透明材质有助于医护人员的观察。The
口腔内支桶1分为三个型号,直径分别为3-4cm、4-5cm和5-6cm,长度为2-3cm、3-4cm和4-5cm,半圆弧的深度也就是桶盖的弦高为1.0-2.0cm;取样孔101的直径为1-2cm。口腔内支桶1根据患者一般可以分为小、中、大三种型号,分别对应3-4cm、4-5cm和5-6cm;由于与患者口腔直接接触,口腔内支桶1为一次性用品。使用时患者通过口腔和上下牙床将口腔内支桶1含住,节省了医护人员的操作,也有利于患者尽量扩大张开部分。The
取材管2的长度为4-6公分,直径为0.2-0.3cm。取材管保护套3的大小与取材管2相匹配。取材管也采用透明塑料材质。保护套3的长度与取材管2等长,直径刚好大于取材管2的直径0.25-0.35cm。The length of the
取材管保护套3上设有与外接管口202位置对应的通孔,取材管保护套3的封闭盖分为螺纹封闭和内塞蜂蜜。A through hole corresponding to the position of the
取材管保护套3上的通孔与取材管2上的外接管口202大小和位置相对应,在使用后也可以通过相匹配大小的橡胶塞将其塞住,或者将使用后的取材管保护套和取样管、口腔内支桶直接作为一次性具有感染的医用垃圾处理。The size and position of the through hole on the
取材管保护套3的封闭盖采用螺纹封闭盖301,螺纹封闭盖301与取材管保护套3外侧通过螺纹连接,螺纹封闭盖301内设有橡胶垫。橡胶垫的大小与螺纹封闭盖301的内的大小相匹配,实现密封。在使用后通过封闭盖将该端进行密封,进一步减少分泌物的扩散。The sealing cover of the
取材管保护套3的封闭盖采用内塞封闭盖302,内塞封闭盖302内部的凸出结构部分与取材管保护套3的内壁接触。还可以在内塞封闭盖302与取材管保护套3接触的内壁部分设置密封橡胶圈,进一步保证密封。The sealing cover of the material-taking tube
实施例1Example 1
如图1、图2、图3、图4所示,新冠肺炎病人咽部分泌物取材器装置,该装置包括口腔内支桶1、取材管2和取材管保护套3,口腔内支桶1的一端为半圆弧状桶盖,桶盖上设有取样孔101,口腔内支桶1的另一端为开口结构;取材管2一端为漏斗状开口,漏斗状开口内设有过滤海绵201,取材管2的另一端为开口;取材管保护套3套在取材管2上,取材管保护套3的一端与漏斗状开口接触,取材管保护套3的另一端设有封闭盖。As shown in Figure 1, Figure 2, Figure 3, Figure 4, the device for collecting pharyngeal secretions of patients with new coronary pneumonia, the device includes an
如图3所示,取材管2上设有外接管口202,外接管口通过橡胶管401与抽吸负压装置4连接。As shown in FIG. 3 , the
如图1、图2所示,整体呈筒状的口腔内支桶1为透明塑料,口腔内支桶1上的向外凸出的半圆弧状桶盖的中心位置设有取样孔101。As shown in FIGS. 1 and 2 , the overall cylindrical-shaped
口腔内支桶1分为三个型号,直径分别为3-4cm、4-5cm和5-6cm,对应的深度为2-3cm、3-4cm和4-5cm;取样孔101的直径为1-2cm。The
取材管2的长度为5公分,直径为0.2-0.3cm。取材管上的漏斗形开口直径要小于取样孔101的直径,保证取材管能够通过取样孔101取样。The length of the
取材管保护套3上设有与外接管口202位置对应的通孔,取材管保护套3的封闭盖分为螺纹封闭和内塞蜂蜜。A through hole corresponding to the position of the
如图5所示,取材管保护套3的封闭盖采用螺纹封闭盖301,螺纹封闭盖301与取材管保护套3外侧通过螺纹连接,螺纹封闭盖301内设有橡胶垫。在取材管保护套3的外侧设置有与螺纹封闭盖301相匹配的螺纹,方便螺纹封闭盖301与取材管保护套的筒体连接。As shown in FIG. 5 , the sealing cover of the
使用过程中,把口腔内支桶1根据病人口腔大小选取适当型号,让患者将口腔内支桶固定在口腔内,使口腔开放暴露口咽部,把取材管连接到咽拭子抽吸负压装置4上,医护人员手持取材管,将取材管插入到口腔内支桶1中,通过口腔内支桶1上的取样孔101,取材管2远端,也就是带有过滤海绵结构的部分,伸入到咽部后壁和咽扁桃体处,同时开动负压装置抽吸其处分泌物。取材后将取材管放入咽拭子的螺旋盖采样管内,及时用盖封闭。During use, select an appropriate model of the
实施例2Example 2
如图1、图2、图3、图4所示,新冠肺炎病人咽部分泌物取材器装置,该装置包括口腔内支桶1、取材管2和取材管保护套3,口腔内支桶1的一端为半圆弧状桶盖,桶盖上设有取样孔101,口腔内支桶1的另一端为开口结构;取材管2一端为漏斗状开口,漏斗状开口内设有过滤海绵201,取材管2的另一端为开口;取材管保护套3套在取材管2上,取材管保护套3的一端与漏斗状开口接触,取材管保护套3的另一端设有封闭盖。As shown in Figure 1, Figure 2, Figure 3, Figure 4, the device for collecting pharyngeal secretions of patients with new coronary pneumonia, the device includes an
如图3、图4所示,取材管2上设有外接管口202,外接管口通过橡胶管401与抽吸负压装置4连接。As shown in FIG. 3 and FIG. 4 , the
如图1、图2所示,整体呈筒状的口腔内支桶1为透明塑料,口腔内支桶1上的向外凸出的半圆弧状桶盖的中心位置设有取样孔101。As shown in FIGS. 1 and 2 , the overall cylindrical-shaped
口腔内支桶1分为三个型号,直径分别为3-4cm、4-5cm和5-6cm,对应的长度为2-3cm、3-4cm和4-5cm,半圆弧状桶盖的弦高为0.2-0.3cm;取样孔101的直径为1-2cm。The
取材管2的长度为5公分,直径为0.2-0.3cm。取材管上的漏斗形开口直径要小于取样孔101的直径,保证取材管能够通过取样孔101取样。The length of the
取材管保护套3上设有与外接管口202位置对应的通孔,取材管保护套3的封闭盖分为螺纹封闭和内塞蜂蜜。A through hole corresponding to the position of the
如图6所示,取材管保护套3的封闭盖采用内塞封闭盖302,内塞封闭盖302的内部与取材管保护套3的内壁接触。内塞封闭盖301的一端塞入取材管保护套3的筒体内,可以设置橡胶圈,保证封闭;另一端与取材管保护套的最外侧接触。内塞封闭盖301整体为阶梯状,结构简单,能够保证取材管保护套该端的封闭,也就是与取材管保护套连接,用时打开,用完后可封闭。As shown in FIG. 6 , an inner
使用过程中,口腔内支桶1根据病人口腔大小选取适当型号,让患者将口腔内支桶固定在口腔内,使口腔开放暴露口咽部,把取材管2连接到抽吸负压装置4上,医护人员手持取材管2,将取材管插入到口腔内支桶1中,通过口腔内支桶1上的取样孔101,取材管2远端,也就是带有过滤海绵结构的部分,伸入到咽部后壁和咽扁桃体处,同时开动负压装置抽吸其处分泌物。During use, the
取材后将取材管2放入咽拭子螺旋盖采样管内,及时用盖封闭。After sampling, put the
显然,上述实施例仅仅是为清楚地说明本实用新型所作的举例,而并非是对本实用新型的实施方式的限定。对于所属领域的普通技术人员来说,在上述说明的基础上还可以做出其它不同形式的变化或变动。这里无需也无法对所有的实施方式予以穷举。而这些属于本实用新型所引伸出的显而易见的变化或变动仍处于本实用新型的保护范围之中。Obviously, the above-mentioned embodiments are only examples for clearly illustrating the present invention, and are not intended to limit the embodiments of the present invention. For those of ordinary skill in the art, changes or modifications in other different forms can also be made on the basis of the above description. There is no need and cannot be exhaustive of all implementations here. However, these obvious changes or changes derived from the present utility model are still within the protection scope of the present utility model.
Claims (8)
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| CN202020200864.9U CN211911671U (en) | 2020-02-24 | 2020-02-24 | Device for sampling pharyngeal secretions of patients with new coronary pneumonia |
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| CN202020200864.9U CN211911671U (en) | 2020-02-24 | 2020-02-24 | Device for sampling pharyngeal secretions of patients with new coronary pneumonia |
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