CN212016397U - Adjustable tracheotomy tube blocking device - Google Patents

Adjustable tracheotomy tube blocking device Download PDF

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Publication number
CN212016397U
CN212016397U CN201921974288.7U CN201921974288U CN212016397U CN 212016397 U CN212016397 U CN 212016397U CN 201921974288 U CN201921974288 U CN 201921974288U CN 212016397 U CN212016397 U CN 212016397U
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cover plate
shell
plate
adjustable
interface
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CN201921974288.7U
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Chinese (zh)
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王庆玲
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Xuanwu Hospital
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Xuanwu Hospital
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Abstract

The utility model relates to an adjustable trachea opens blocking up ware belongs to medical instrument technical field, includes at least: the sputum suction device comprises a shell and a pipe blocking device, wherein a sputum suction port is formed in the first end of the shell, and a patient trachea interface is formed in the second end of the shell; the pipe blocking device is arranged on the first end of the shell and comprises a rotary cover plate which is nested on the annular convex part, the rotary cover plate can rotate along the annular convex part, a first through hole which is the same as the inner diameter of the sputum suction port is formed in the rotary cover plate, an upper cover plate is fixedly arranged on the second surface of the rotary cover plate, and a lower cover plate is fixedly arranged on the first end of the shell. The utility model discloses can be through the size of the stifled pipe area of rotation adjustment to the demand of stifled pipe operation in different stages is adapted to, can realize keeping warm simultaneously and moisturize and filterable function, more is favorable to going on smoothly of tube drawing.

Description

Adjustable tracheotomy tube blocking device
Technical Field
The utility model belongs to the technical field of medical instrument, specifically be an adjustable trachea opens blocking up ware.
Background
Tracheotomy is an important emergency treatment measure for keeping the respiratory tract unobstructed and improving the breathing of critically ill patients in clinic. It is often used for patients with cerebral hemorrhage, cerebral infarction, myasthenia gravis, respiratory failure, and motor neuron disease. After the patient's condition is improved, in order to reduce the occurrence of complications, the tracheal cannula needs to be pulled out as soon as possible to recover the patient's vocal function and the normal physiological function of the airway. When the patient who implements the tracheotomy state of an illness is stable and allows to pull out tracheal cannula, generally try earlier stifled pipe before pulling out the pipe, resume normal air flue mode of ventilating, safe effectual examination stifled pipe is very important before pulling out the pipe. In the prior technical scheme, the conventional clinical common tracheal cannula blocking device comprises a wooden plug, a rubber bottle plug, a Murphy dropper of an infusion apparatus and the like, has the defects of easy expectoration, easy aspiration, difficult disinfection and repeated manufacture, is easy to cause pollution, brings inconvenience to the tracheal blocking process, and even causes failure or infection of the blocked tracheal cannula; when the wooden plug and the rubber plug are used for plugging the tube, the half plugging process is lacked, the partial pressure is completely plugged and the symptoms such as difficult breathing are reduced, and the sputum suction and oxygen suction operation is inconvenient during the tube plugging period; in addition, it can increase the discomfort and tension of the patient, which can be detrimental to the effective performance of the treatment.
Because the tracheotomy belt tube is long in time, the tracheotomy sleeve is directly pulled out, and partial patients can have the problems that the tracheotomy fails to be suitable for mouth and nose breathing and the tube needs to be replaced; even partial patients suffer from trachea collapse after direct extubation, resulting in suffocation and even death of the patient. In view of the above two points, before tube drawing, it is necessary to perform tube trial blocking to some extent, that is, gradually block the open end of the tracheostomy cannula exposed outside the human body, for example, 1/4 tube blocking is performed at the beginning, 1/2 tube blocking is performed again after no breathing difficulty of the patient within 24 hours, the patient is continuously observed, 3/4 tube blocking is performed again after no breathing difficulty of the patient within 24 hours, and so on until the patient breathes stably within 24 to 48 hours after the tube is completely blocked, and the physician can be informed to perform tube drawing.
There have been many attempts in practice to achieve a graduated change in the trial plugging operation. For example, chinese patent No. CN208481835U discloses a disposable tracheotomy humidification filter tube plugging device, which comprises a tube plugging device cylinder, a top end of the tube plugging device cylinder is provided with a plugging cover, the plugging cover and the tube plugging device cylinder are rotationally matched, a rotating shaft is arranged on a side of a central hole of the tube plugging device cylinder, and an axis of the rotating shaft is parallel to a central axis of the tube plugging device cylinder; the filter screen is arranged in the tube body of the tube blocking device. The side wall of the pipe blocking device barrel is provided with a humidifier interface communicated with a central hole of the pipe blocking device barrel, the humidifier interface is arranged above the filter screen, and the outer end of the humidifier interface is provided with a cover cap. The side wall of the tube plugging device cylinder is provided with an air bag communicated with the central hole of the tube plugging device cylinder. The utility model discloses when conveniently realizing half stifled pipe and full stifled pipe, can prevent that foreign matter, dust etc. from getting into the tracheal cannula, conveniently carry out the humidifying to the air, provide a better respiratory environment condition for the patient. The breathing condition of the patient can be observed through the opening and closing condition of the air bag, for example, the breathing difficulty condition of the patient can be found in time. The change of the degree of blockage of the device is realized by a blocking cover which can be biased, and the mode has the defects that in the case of semi-blocked tube, the deflection of the blocking cover increases the actual using space of the device and increases the possibility of causing secondary injury to the tracheotomy of the patient due to mistaken touch; in addition, the device is not provided with a heat-preservation and moisture-preservation structure, so that the heat-preservation and moisture-preservation effect is poor and infection is easily caused, and the recovery of a patient is not facilitated.
Therefore, there is a need for improvement in the prior art to obtain a tracheotomy tube plugging device which can rapidly and efficiently change the degree of tube plugging and has effective heat preservation and moisture preservation functions, and to improve the use effect and practicability of the tracheotomy tube plugging device.
Furthermore, on the one hand, due to the differences in understanding to the person skilled in the art; on the other hand, since the inventor studied a lot of documents and patents when making the present invention, but the space did not list all details and contents in detail, however, this is by no means the present invention does not possess these prior art features, but on the contrary the present invention has possessed all features of the prior art, and the applicant reserves the right to increase the related prior art in the background art.
SUMMERY OF THE UTILITY MODEL
To the not enough of prior art, the utility model provides an adjustable trachea opens pipe blocking device includes at least: the sputum aspirator comprises a shell and a pipe blocking device, wherein a first end of the hollow cylindrical shell is provided with a circular sputum suction port, the diameter of the sputum suction port is smaller than the maximum inner diameter of the shell, a second end of the shell is provided with a patient trachea interface, and the diameter of the patient trachea interface is smaller than the maximum inner diameter of the shell; the pipe blocking device is arranged on the first end of the shell and comprises a rotary cover plate which is nested on the annular convex part, the rotary cover plate can rotate along the annular convex part, a first through hole which is the same as the inner diameter of the sputum suction port is formed in the rotary cover plate, an upper cover plate is fixedly arranged on the second surface of the rotary cover plate, and a lower cover plate is fixedly arranged on the first end of the shell.
According to a preferred embodiment, the sputum aspirator further comprises a liquid collecting device, the liquid collecting device comprises a liquid collecting plate, the liquid collecting plate is an inverted funnel-shaped annular plate, a first end portion of the liquid collecting plate is fixedly connected with the inner side of the sputum suction port, a second end portion of the liquid collecting plate is fixedly arranged on the inner side wall of the shell, the diameter of the sputum suction port is smaller than the maximum inner diameter of the shell, and the diameter of the patient trachea interface is smaller than the maximum inner diameter of the shell.
According to a preferred embodiment, the horizontal included angle of the liquid collecting plate on the cross section is 45-60 degrees, and a plurality of hemispherical bulges are arranged on the inner side surface of the liquid collecting plate.
According to a preferred embodiment, the upper cover plate and the lower cover plate are semicircular cover plates with the same shape, the upper cover plate and the lower cover plate can cover half of the area of the first through hole, and the lower surface of the upper cover plate and the upper surface of the lower cover plate are located on the same horizontal plane.
According to a preferred embodiment, the peripheral side surface of the rotating cover plate is provided with a circular arc portion, and the circular arc surfaces on the first surface and the second surface of the rotating cover plate have the same radian as the circular arc portion.
According to a preferred embodiment, the outer side edge shape of the upper coversheet is defined by the circular arc portion of the second surface of the rotating coversheet with which it is in contact, and the outer side edge shape of the lower coversheet is defined by the circular arc portion of the second surface of the rotating coversheet with which it is in contact.
According to a preferred embodiment, the sputum suction port is internally provided with a filter plate, and the filter plate is a detachable clamping type filter plate.
According to a preferred embodiment, the inner side wall of the shell is provided with a hollow cylindrical heat-preservation and moisture-preservation component, and the inner side wall of the shell, which is close to the trachea interface of the patient and is in contact with the heat-preservation and moisture-preservation component, is provided with an oxygen inhalation interface.
According to a preferred embodiment, a humidifying interface is arranged on the inner side wall of the shell opposite to the oxygen inhalation interface, and a sealing cap is arranged on the humidifying interface.
According to a preferred embodiment, the outer side edge of the second end of the shell is symmetrically provided with lug plate-shaped fixing holes.
The utility model provides an adjustable trachea opens stifled pipe device has one of following advantage at least: the utility model can realize the adjustment of the pipe plugging area by arranging the rotatable pipe plugging device so as to adapt to the ventilation requirements of different pipe plugging stages; by setting heat preservation, moisture preservation and filtration measures, the humidity and the temperature of the air exhaled by the patient are reserved, the moisture preservation efficiency is high, and bacteria and viruses in the inhaled air can be isolated; in addition, the dead space of the device can be reduced by arranging the liquid collecting plate, and the breathing resistance is reduced, so that the weight absorption of the exhaled air by the patient is reduced.
Drawings
Fig. 1 is a cross-sectional view of the present invention;
fig. 2 is a front view of the present invention;
fig. 3 is a top view of the present invention; and
fig. 4 is a bottom view of the present invention.
List of reference numerals
1: rotating the cover plate 2: a housing 3: oxygen inhalation interface
4: patient tracheal interface 5: a humidifying interface 6: sealing cap
7: a sputum aspirating port 8: and (4) an upper cover plate 9: lower cover plate
10: annular projection 11: arc portion 12: liquid collecting plate
13: heat and moisture preserving component 14: fixing hole 15: filter plate
16: first through hole
Detailed Description
The following detailed description is made with reference to the accompanying drawings.
Example 1
As shown in fig. 1 and 2, the utility model provides an adjustable tracheotomy tube blocking device, include at least: a housing 2 and a pipe plugging device. The housing 2 is hollow cylindrical. A circular sputum suction port 7 is formed in the first end of the shell 2, the diameter of the sputum suction port 7 is smaller than the maximum inner diameter of the shell 2, a patient trachea interface 4 is formed in the second end of the shell 2, and the diameter of the patient trachea interface 4 is smaller than the maximum inner diameter of the shell 2; the pipe blocking device is arranged on the first end of the shell 2 and comprises a rotary cover plate 1 which is nested on the annular convex part 10, the rotary cover plate 1 can rotate along the annular convex part 10, a first through hole 16 with the same inner diameter as the sputum suction port is formed in the rotary cover plate 1, an upper cover plate 8 is fixedly arranged on the second surface of the rotary cover plate 1, and a lower cover plate 9 is fixedly arranged on the first end of the shell 2. Preferably, the shell 2 has a diameter of 3cm, a height of 2.5cm and a sputum suction port with a diameter of 1.5 cm. Preferably, the housing is made of medical polymer materials, such as polyvinyl chloride (PVC), which has the advantages of low cost, light weight, and convenient cleaning and disinfection.
When the device is used for tracheotomy tube blockage operation, a patient trachea interface is connected with a tracheotomy opening of a patient to realize the connection of the tube blockage device and a trachea channel of the patient. Through rotating the position of rotatory cover plate in order to adjust the upper cover plate rather than fixed connection for fixing the lower cover plate on the first end of casing, when upper cover plate and lower cover plate coincidence, stifled opening of pipe device reached the biggest this moment, can realize 1/2 stifled pipes. When continuing to rotate rotatory cover plate, stifled pipe degree reduces gradually, and when area of contact between upper cover plate and the lower cover plate reached the minimum, when upper cover plate and lower cover plate were for stifled pipe device axis symmetry promptly, first through-hole was blocked up and phlegm mouth is inhaled with lower cover plate complete to upper cover plate this moment to realize full stifled pipe. When stifled pipe device is 1/2 stifled pipe, the phlegm operation is inhaled with inhaling the phlegm mouth realization to the first through-hole of accessible, prevents that the sputum from blockking up the trachea. Preferably, the peripheral side of the rotating cover plate is provided with anti-skid particles or anti-skid stripes, and the anti-skid particles or the anti-skid stripes are preferably the same as the peripheral side of the common beverage bottle cap in the market, so that better rotating efficiency and rotating effect are realized.
According to a preferred embodiment, the tube blocking device further comprises a liquid collecting device, the liquid collecting device comprises a liquid collecting plate 12, the liquid collecting plate 12 is an inverted funnel-shaped annular plate, a first end portion of the liquid collecting plate 12 is fixedly connected with the inner side of the sputum suction port 7, a second end portion of the liquid collecting plate 12 is fixedly arranged on the inner side wall of the shell 2, the diameter of the sputum suction port 7 is smaller than the maximum inner diameter of the shell 2, and the diameter of the patient trachea interface 4 is smaller than the maximum inner diameter of the shell 2. Through setting up the liquid collecting plate, can be convenient for condense the steam that the gas of patient's trachea exhalation carried to retrieve along with the annular plate of slope, with this humidity that keeps stifled intraductal gas of pipe device, provide better respiratory environment for the patient.
According to a preferred embodiment, as shown in fig. 1 and 3, the horizontal included angle of the liquid collecting plate 12 in the cross section is 45 to 60 degrees, and a plurality of hemispherical protrusions are arranged on the inner side surface of the liquid collecting plate 12. The liquid collecting plate with the inclined structure is favorable for reducing the resistance of the gas exhaled by the patient, so that the patient can breathe more smoothly. In addition, the hemispherical bulge is favorable for increasing the contact area of the exhaled air and the liquid collecting plate, and the water vapor recovery efficiency is improved.
According to a preferred embodiment, the upper cover plate 8 and the lower cover plate 9 are semicircular cover plates with the same shape, the upper cover plate 8 and the lower cover plate 9 can cover half of the area of the first through hole 16, and the lower surface of the upper cover plate 8 and the upper surface of the lower cover plate 9 are positioned on the same horizontal plane. The contact surface between the upper cover plate and the lower cover plate can be more compact through the arrangement, so that the air tightness under the condition of full pipe blockage is ensured.
According to a preferred embodiment, as shown in fig. 1, the circumferential side of the rotating cover sheet 1 is provided with a circular arc portion 11, and the circular arc surfaces on the first surface and the second surface of the rotating cover sheet 1 have the same radian as the circular arc portion 11. By providing the circular arc portion 11, the rotation of the rotary cover plate can be made smoother.
According to a preferred embodiment, the outer side shape of the upper coversheet 8 is defined by the circular arc portion of the second surface of the rotating coversheet 1 in contact therewith, and the outer side shape of the lower coversheet 9 is defined by the circular arc portion of the second surface of the rotating coversheet 1 in contact therewith. Through setting up the circular arc portion, can improve the stability between upper cover plate and the lower cover plate.
According to a preferred embodiment, as shown in fig. 1, a filter plate 15 is arranged inside the sputum suction port 7, and the filter plate 15 is a detachable clamping type filter plate. Through setting up the filter, can prevent entering trachea such as foreign matter, dust, can prevent in the filter dropwise add normal saline moreover, can prevent that outside air from directly getting into in the pipe blocking device for the air that gets into in the pipe blocking device has certain humidity. Preferably, a filter screen is arranged on the filter plate. Preferably, the filter screen is a reticular ceramic fiber membrane or a reticular polypropylene fiber membrane or a material used in artificial nose, and the like.
According to a preferred embodiment, as shown in fig. 1, a hollow cylindrical heat and moisture preserving component 13 is arranged on the inner side wall of the shell 2, and an oxygen inhalation interface 3 is arranged on the inner side wall of the shell 2 close to the patient trachea interface 4 and in contact with the heat and moisture preserving component 13. The heat-preservation and moisture-retention component 13 is used as a filter medium and a damp-heat exchange medium, so that the heat and the temperature of the gas exhaled by the patient can be retained, and the breathing of the patient is facilitated. The oxygen inhalation interface can be connected with an oxygen inhalation tube to ensure that the oxygen inhalation process of a patient can be realized in an emergency. Preferably, an oxygen absorption port with the diameter of 2mm is arranged at the position of 0.5cm away from the bottom of the side face of the shell, and a sealing cover is arranged on the oxygen absorption port 3. Preferably, the heat-preserving and moisture-preserving component 13 is foam.
According to a preferred embodiment, as shown in fig. 1, a humidifying interface 5 is arranged on the inner side wall of the housing 2 opposite to the oxygen inhalation interface 3, and a sealing cap 6 is arranged on the humidifying interface 5. Through setting up humidification interface 5, can realize its and humidifier lug connection, perhaps realize the replenishment to the interior humidity of pipe blockage ware through injecting physiological saline, ensure that the gas of patient's breathing satisfies the humidity requirement.
According to a preferred embodiment, as shown in fig. 1 and 4, the outer side of the second end of the housing 2 is symmetrically provided with lug-plate-shaped fixing holes 14. Through setting up fixed orifices 14, can pass fixed orifices 14 and paste in patient's trachea incision open-ended both sides with the adhesive tape to this realization is to the fixed of pipe blocking device, prevents to lead to droing of pipe blocking device because of unexpected circumstances such as patient's activity.
In order to facilitate understanding, the working principle of the adjustable tracheotomy tube plugging device of the invention is explained.
Use the utility model discloses an adjustable trachea opens stifled pipe ware and carries out trachea and open stifled tub of operation time, at first cut the opening part with patient's trachea interface 4 and be connected to realize being connected of stifled pipe ware and patient's trachea passageway. Through rotating rotatory cover plate 1 in order to adjust the position of the upper cover plate 8 of rather than fixed lower cover plate 9 on the first end of casing, when upper cover plate 8 and lower cover plate 9 coincide, the aperture of stifled pipe device reaches the biggest this moment, can realize 1/2 stifled pipes. When the straight edge of the upper cover plate 8 is perpendicular to the straight edge of the lower cover plate 9, 3/4 tube blockage can be realized, and the first through hole only allows 1/4 of the area to be communicated with the sputum suction port. When continuing to rotate rotatory cover plate, stifled pipe degree reduces gradually, and when area of contact between upper cover plate and the lower cover plate reached the minimum, when upper cover plate and lower cover plate were for stifled pipe device axis symmetry promptly, first through-hole was blocked up and phlegm mouth is inhaled with lower cover plate complete to upper cover plate this moment to realize full stifled pipe. When the stifled pipe device is 1/2 stifled pipe, the sputum suction operation is realized with inhaling phlegm mouth 7 to the first through-hole 16 of accessible, prevents that the sputum from blockking up the trachea. The device can combine different heat preservation moisturizing and filtering measure, through humidity and the temperature that remains patient's expired gas, keeps apart the bacterium and the virus of inspired gas simultaneously to this reaches better stifled tub effect, and the help patient is recovered sooner.
It should be noted that the above-mentioned embodiments are exemplary, and those skilled in the art can devise various solutions in light of the present disclosure, which are also within the scope of the present disclosure and fall within the scope of the present disclosure. It should be understood by those skilled in the art that the present specification and drawings are illustrative only and are not limiting upon the claims. The scope of the invention is defined by the claims and their equivalents.

Claims (10)

1. An adjustable tracheostomy occluder comprising at least: a shell (2) and a pipe blocking device,
it is characterized in that the preparation method is characterized in that,
a sputum suction port (7) is formed in the first end of the shell (2), and a patient trachea interface (4) is formed in the second end of the shell (2);
stifled pipe device is located the first of casing (2) is served, stifled pipe device is including nested rotatory cover plate (1) of locating on annular convex part (10), rotatory cover plate (1) can be followed annular convex part (10) are rotatory, seted up on rotatory cover plate (1) with inhale the same first through-hole (16) of phlegm mouth internal diameter, the second of rotatory cover plate (1) is fixed on the surface and is equipped with cover plate (8), the first of casing (2) is served fixedly and is equipped with down cover plate (9).
2. The adjustable tracheostomy tube blocking device according to claim 1, further comprising a liquid collecting device, wherein the liquid collecting device comprises a liquid collecting plate (12), the liquid collecting plate (12) is an inverted funnel-shaped annular plate, a first end of the liquid collecting plate (12) is fixedly connected with the inner side of the sputum suction opening (7), a second end of the liquid collecting plate (12) is fixedly arranged on the inner side wall of the housing (2),
the diameter of the sputum suction port (7) is smaller than the maximum inner diameter of the shell (2), and the diameter of the patient trachea interface (4) is smaller than the maximum inner diameter of the shell (2).
3. The adjustable tracheostomy tube obturator of claim 2, wherein the horizontal included angle of the drip plate (12) in cross-section is 45 ° -60 °, the inside surface of the drip plate (12) being provided with a plurality of hemispherical protuberances.
4. An adjustable tracheostomy tube obturator according to claim 1, characterised in that the upper flap (8) and the lower flap (9) are semi-circular flaps of the same shape, and that both the upper flap (8) and the lower flap (9) are able to cover half the area of the first through hole (16), the lower surface of the upper flap (8) and the upper surface of the lower flap (9) being located on the same horizontal plane.
5. The adjustable tracheotomy tube closer according to claim 1, characterized in that the circumferential side of the rotating cover plate (1) is provided with a circular arc part (11), and the circular arc surfaces on the first surface and the second surface of the rotating cover plate (1) have the same radian as the circular arc part (11).
6. An adjustable tracheostomy tube obturator according to claim 1, characterised in that the outer side shape of the upper flap (8) is defined by the circular arc portion of the second surface of the rotating flap (1) in contact therewith and the outer side shape of the lower flap (9) is defined by the circular arc portion of the second surface of the rotating flap (1) in contact therewith.
7. The adjustable tracheotomy tube blockage device according to claim 1, wherein a filter plate (15) is arranged inside the sputum suction port (7), and the filter plate (15) is a detachable clamping type filter plate.
8. The adjustable tracheotomy tube blockage device according to claim 1, wherein a hollow cylindrical heat-preservation and moisture-preservation component (13) is arranged on the inner side wall of the shell (2), and an oxygen inhalation interface (3) is arranged on the inner side wall of the shell (2) close to the patient trachea interface (4) and in contact with the heat-preservation and moisture-preservation component (13).
9. The adjustable tracheotomy tube blockage device according to claim 8, wherein a humidifying interface (5) is arranged on the inner side wall of the shell (2) opposite to the oxygen inhalation interface (3), and a sealing cap (6) is arranged on the humidifying interface (5).
10. The adjustable tracheostomy tube obturator of claim 1, characterised in that the housing (2) is provided symmetrically with ear-plate shaped fixing holes (14) on the outer side of the second end.
CN201921974288.7U 2019-11-14 2019-11-14 Adjustable tracheotomy tube blocking device Active CN212016397U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201921974288.7U CN212016397U (en) 2019-11-14 2019-11-14 Adjustable tracheotomy tube blocking device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201921974288.7U CN212016397U (en) 2019-11-14 2019-11-14 Adjustable tracheotomy tube blocking device

Publications (1)

Publication Number Publication Date
CN212016397U true CN212016397U (en) 2020-11-27

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Application Number Title Priority Date Filing Date
CN201921974288.7U Active CN212016397U (en) 2019-11-14 2019-11-14 Adjustable tracheotomy tube blocking device

Country Status (1)

Country Link
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113384790A (en) * 2021-07-01 2021-09-14 中国人民解放军空军军医大学 Tracheal cannula adaptor and tracheal cannula

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113384790A (en) * 2021-07-01 2021-09-14 中国人民解放军空军军医大学 Tracheal cannula adaptor and tracheal cannula

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