CN212166299U - Breathing device for infant bronchoscopy - Google Patents
Breathing device for infant bronchoscopy Download PDFInfo
- Publication number
- CN212166299U CN212166299U CN202020181866.8U CN202020181866U CN212166299U CN 212166299 U CN212166299 U CN 212166299U CN 202020181866 U CN202020181866 U CN 202020181866U CN 212166299 U CN212166299 U CN 212166299U
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- China
- Prior art keywords
- air
- pipe
- valve
- infant
- bronchoscopy
- Prior art date
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- 238000013276 bronchoscopy Methods 0.000 title claims abstract description 23
- 230000029058 respiratory gaseous exchange Effects 0.000 title claims abstract description 15
- 238000007689 inspection Methods 0.000 claims abstract description 27
- 230000001681 protective effect Effects 0.000 claims abstract description 13
- 230000000241 respiratory effect Effects 0.000 claims abstract description 6
- 230000001105 regulatory effect Effects 0.000 claims description 5
- 230000000903 blocking effect Effects 0.000 claims description 2
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 abstract description 10
- 239000001301 oxygen Substances 0.000 abstract description 9
- 229910052760 oxygen Inorganic materials 0.000 abstract description 9
- 206010021143 Hypoxia Diseases 0.000 abstract description 6
- 230000033764 rhythmic process Effects 0.000 abstract description 2
- 239000007789 gas Substances 0.000 description 6
- 101100269850 Caenorhabditis elegans mask-1 gene Proteins 0.000 description 3
- 210000004072 lung Anatomy 0.000 description 3
- MYMOFIZGZYHOMD-UHFFFAOYSA-N Dioxygen Chemical compound O=O MYMOFIZGZYHOMD-UHFFFAOYSA-N 0.000 description 2
- 210000000621 bronchi Anatomy 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 210000004704 glottis Anatomy 0.000 description 2
- 210000004379 membrane Anatomy 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000004400 mucous membrane Anatomy 0.000 description 2
- 230000002685 pulmonary effect Effects 0.000 description 2
- 206010067484 Adverse reaction Diseases 0.000 description 1
- 206010002660 Anoxia Diseases 0.000 description 1
- 241000976983 Anoxia Species 0.000 description 1
- 206010003497 Asphyxia Diseases 0.000 description 1
- 208000000059 Dyspnea Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 208000009612 Laryngismus Diseases 0.000 description 1
- 206010023891 Laryngospasm Diseases 0.000 description 1
- 206010030113 Oedema Diseases 0.000 description 1
- 208000031481 Pathologic Constriction Diseases 0.000 description 1
- 206010037423 Pulmonary oedema Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000006838 adverse reaction Effects 0.000 description 1
- 230000003444 anaesthetic effect Effects 0.000 description 1
- 230000007953 anoxia Effects 0.000 description 1
- 230000000721 bacterilogical effect Effects 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 230000004087 circulation Effects 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 230000002380 cytological effect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000009792 diffusion process Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000005764 inhibitory process Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000006213 oxygenation reaction Methods 0.000 description 1
- 231100000915 pathological change Toxicity 0.000 description 1
- 230000036285 pathological change Effects 0.000 description 1
- 244000144985 peep Species 0.000 description 1
- 210000003456 pulmonary alveoli Anatomy 0.000 description 1
- 210000002345 respiratory system Anatomy 0.000 description 1
- 238000005070 sampling Methods 0.000 description 1
- 239000000932 sedative agent Substances 0.000 description 1
- 230000001624 sedative effect Effects 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 230000036262 stenosis Effects 0.000 description 1
- 208000037804 stenosis Diseases 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 238000012353 t test Methods 0.000 description 1
- 210000003437 trachea Anatomy 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
Images
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- Respiratory Apparatuses And Protective Means (AREA)
Abstract
The utility model discloses a breathing device for infant bronchoscopy, which comprises an air source and an air pipe, wherein one end of the air pipe is connected with the air source, and the other end is connected with a checking mask; the air pipe is provided with an adjusting valve for adjusting the size of air flow and a protective valve for limiting the upper limit of air pressure; the inspection mask comprises a mask body, and an inspection hole for the bronchoscope to pass through is formed in the mask body. A respiratory device for infant's bronchoscopy with above-mentioned structure can assist it to breathe when infant carries out bronchoscopy, guarantees the normal of various indexes such as its oxygen saturation, rhythm of the heart, avoids it because breathe the oxygen deficiency that unsmooth leads to for bronchoscopy can go on smoothly.
Description
Technical Field
The utility model relates to a device for assisting infants to breathe and avoid oxygen deficiency asphyxia during bronchoscopy.
Background
The bronchoscope is a medical instrument which is placed in the lower respiratory tract of a patient through the mouth or the nose, is used for observing the pathological changes of lung lobes, segments and subsegments of bronchus, biopsy sampling, bacteriological examination and cytological examination, and can be used for photographing, teaching and dynamic recording in cooperation with a TV system.
The infant has the airway characteristics of delicate airway, delicate mucous membrane and the like, the bronchoscope diagnosis and treatment operation easily causes mucous membrane edema and aggravates airway stenosis, and in addition, the sedative or anesthetic has the respiratory inhibition effect, oxygen deficiency and dyspnea easily occur, and the technical requirement on an operator is higher. Once the patient with the infant has the anoxia symptoms, the patient needs to pull out the bronchoscope and repeatedly get in and out of the glottis to cause glottis injury and even serious adverse reactions such as laryngeal spasm.
SUMMERY OF THE UTILITY MODEL
In view of this, the utility model provides a respiratory device for infant's bronchoscopy assists the infant to breathe when carrying out the bronchoscopy, avoids it because breathe the oxygen deficiency stifling that leads to smoothly.
In order to solve the technical problems, the technical scheme of the utility model is to adopt a breathing device for infant bronchoscopy, which comprises an air source and an air pipe, wherein one end of the air pipe is connected with the air source, and the other end is connected with an examination face mask; the air pipe is provided with an adjusting valve for adjusting the size of air flow and a protective valve for limiting the upper limit of air pressure; the inspection mask comprises a mask body, and an inspection hole for the bronchoscope to pass through is formed in the mask body.
As an improvement, the mask further comprises a T-shaped three-way pipe, wherein an opening at one end of the three-way pipe is communicated with the mask body, an opening at the opposite end of the three-way pipe is an opening of the inspection hole, and an opening at the other end of the three-way pipe is connected with the air pipe.
As an improvement, a branch pipe is arranged on the air pipe and between the regulating valve and the protection valve, and a barometer is connected to the branch pipe. The air pressure in the trachea can be visually checked through the barometer, and the damage to the bronchus caused by overlarge air pressure is avoided.
As a further improvement, the protection valve comprises a valve body, and an air inlet passage and an air outlet passage are formed on the valve body; the valve core can move up and down and is used for blocking or communicating the air inlet passage and the air outlet passage; the valve rod is used for driving the valve core to move, the lower end of the valve rod is connected with the valve core, and the upper end of the valve rod is provided with a piston; the piston is positioned in the cylinder and can move up and down along the cylinder; a support plate is fixedly arranged in the cylinder below the piston, and a spring is arranged between the support plate and the piston; the air cylinder is characterized by further comprising a communicating pipe, wherein one end of the communicating pipe is connected with the air outlet passage, and the other end of the communicating pipe is communicated with the top end of the air cylinder. The protective valve is used for setting the upper limit of air pressure in the air pipe, and the protective valve can be automatically closed once the air pressure exceeds the pretightening force of the spring, so that medical accidents are avoided. The principle is as follows: the pressure P1 of the air source is changed into P2 after the valve core is throttled. P2 enters the cylinder through the muffler and acts on the piston, the generated acting force is balanced with the acting force of the spring, and the relative position of the valve core is determined for controlling the size of P2. When P2 is increased, the force of P2 on the piston is increased, and when the force exceeds the pre-tightening force of the spring, the valve core is moved towards the closing direction until the force of the piston is balanced with the pre-tightening force of the spring. Therefore, the air pressure after the pressure stabilizing protection device can be ensured not to exceed a certain preset value. The preset value is determined by the pretightening force of the spring, the larger the pretightening force is, P2 is, and conversely, the smaller the pretightening force is, P2 is, the smaller the pretightening force is.
As another further improvement, the inspection mask is connected with the air pipe by a corrugated telescopic pipe. The length of the pipeline is convenient to adjust.
As an improvement, a protective cover for closing the inspection hole is further included. The visor avoids debris to get into the face guard through the inspection hole, avoids the gassing simultaneously.
As an improvement, an elastic diaphragm is arranged in the inspection hole, and the diaphragm is a plurality of petals which can be spliced into a circular shape. When inserting the bronchoscope in the inspection hole, the diaphragm can fill the space between bronchoscope and the inspection hole, avoids the gas leakage.
Preferably, the membrane is 3-lobed.
The utility model discloses an useful part lies in: a respiratory device for infant's bronchoscopy with above-mentioned structure can assist it to breathe when infant carries out bronchoscopy, guarantees the normal of various indexes such as its oxygen saturation, rhythm of the heart, avoids it because breathe the oxygen deficiency that unsmooth leads to for bronchoscopy can go on smoothly.
Drawings
Fig. 1 is a schematic diagram of the present invention.
Fig. 2 is a schematic structural view of the protection valve.
Fig. 3 is a schematic view of the structure of an inspection mask.
The labels in the figure are: 1, checking a mask, 2 a protective valve, 3 an adjusting valve, 4 an air source, 5 an air pressure gauge and 6 an air pipe; 11 mask bodies, 12 three-way pipes, 13 protective covers, 14 telescopic corrugated pipes and 15 diaphragms; 21 valve body, 22 valve rod, 23 valve core, 24 air inlet passage, 25 air outlet passage, 26 piston, 27 support plate, 28 spring, 29 valve seat, 30 communicating pipe and 31 rubber layer.
Detailed Description
In order to make those skilled in the art better understand the technical solution of the present invention, the present invention will be further described in detail with reference to the specific embodiments.
As shown in fig. 1, fig. 2 and fig. 3, the present invention includes an air source 4, the air source 4 is set according to actual conditions, and may be pure oxygen or a mixed gas of pure oxygen and air. The gas tube 6 is also included, one end of the gas tube 6 is connected with the gas source 4, and the other end is connected with the inspection mask 1; the air pipe 6 is provided with an adjusting valve 3 for adjusting the size of air flow and a protection valve 2 for limiting the upper limit of air pressure; and a branch pipe is arranged between the regulating valve 3 and the protective valve 2 on the air pipe 6, and a barometer 5 is connected to the branch pipe. The inspection mask 1 comprises a mask body 11, and an inspection hole for the bronchoscope to pass through is formed in the mask body 11. Specifically, the mask comprises a T-shaped three-way pipe 12, wherein an opening at one end of the three-way pipe 12 is communicated with the mask body 11, an opening at the opposite end is an opening of an inspection hole, and an opening at the other end is connected with the air pipe 6. The connection between the examination mask 1 and the air tube 6 is preferably by means of bellows 14. A protective cover 13 for closing the inspection opening is also included. An elastic diaphragm 15 is arranged in the inspection hole, and the diaphragm 15 is a plurality of petals which can be spliced into a circular shape. The membrane 15 is preferably 3 flaps.
The protection valve 2 comprises a valve body 21, wherein an air inlet passage 24 and an air outlet passage 25 are formed on the valve body 21; the valve core 23 can move up and down to block or communicate the air inlet passage 24 and the air outlet passage 25; the valve rod 22 is used for driving the valve core 23 to move, the valve rod 22 is vertically arranged, the lower end of the valve rod 22 is connected with the valve core 23, and the upper end of the valve rod is provided with a piston 26; the piston 26 is positioned in the cylinder and can move up and down along the cylinder; a support plate 27 is fixedly arranged below the piston 26 in the cylinder, and a spring 28 is arranged between the support plate 27 and the piston 26; it is foreseen that the support plate 27 is provided with a through hole for the passage of the valve stem. And the air cylinder further comprises a communicating pipe 30, wherein one end of the communicating pipe 30 is connected with the air outlet passage 25, and the other end of the communicating pipe is communicated with the top end of the air cylinder. To enhance the air tightness, a rubber layer 31 may be applied on top of the piston 26. A valve seat 29 may also be provided that cooperatively seals with the valve element 23.
The governing valve 3 is current ordinary governing valve, and no longer gives unnecessary details in this application.
When the mask is used, the face of the infant to be inspected is covered with the inspection mask, and the mouth and the nose are shielded, so that the opening of the inspection hole is opposite to the mouth of the infant. The air source is used for providing continuous positive pressure oxygen (or mixed gas of oxygen and air) for the infant to assist the infant in breathing. The regulating valve is used for regulating the air pressure, and the protective valve is used for ensuring the highest upper limit of the air pressure in the pipeline. The constant oxygen forms PEEP for the checked infant, PEFP is also called end-expiratory positive pressure, which can increase functional residual capacity, make the alveolus not easy to trap at the end of expiration, increase the end-expiratory lung capacity, improve the alveolar-arterial blood oxygen partial pressure difference, promote the regression of pulmonary interstitium and pulmonary alveolar edema, thereby improving the alveolar diffusion function and ventilation/blood flow ratio, reducing intra-pulmonary circulation and achieving the purpose of improving oxygenation and lung compliance.
The following is a comparison of the oxygen saturation of an infant undergoing bronchoscopy with and without the use of the respiratory apparatus.
Wherein oxygen saturation in 50 groups of the data using the breathing apparatus is (97.06 + -1.89)%. The oxygen saturation in 50 groups of the patient without the breathing apparatus was (89.16 ± 6.16)%, t was 8.67, and P was < 0.001. Wherein t is t test, P is probability, which reflects the probability of some event, and P < 0.001 is very significant statistical difference.
Therefore, after the breathing device is used for bronchoscopy, the oxygen saturation of the infant to be checked is greatly improved, and the floating is small. Ensures the continuity of the examination and avoids the generation of complications.
The above is only a preferred embodiment of the present invention, and it should be noted that the above preferred embodiment should not be considered as limiting the present invention, and the protection scope of the present invention should be subject to the scope defined by the claims. It will be apparent to those skilled in the art that various modifications and enhancements can be made without departing from the spirit and scope of the invention, and such modifications and enhancements are intended to be within the scope of the invention.
Claims (8)
1. A respiratory device for infant bronchoscopy, comprising a gas source, characterized in that: one end of the air pipe is connected with an air source, and the other end of the air pipe is connected with the inspection mask; the air pipe is provided with an adjusting valve for adjusting the size of air flow and a protective valve for limiting the upper limit of air pressure; the inspection mask comprises a mask body, and an inspection hole for the bronchoscope to pass through is formed in the mask body.
2. Breathing apparatus for infant bronchoscopy according to claim 1, characterized in that: the mask is characterized by further comprising a T-shaped three-way pipe, wherein an opening at one end of the three-way pipe is communicated with the mask body, an opening at the opposite end of the three-way pipe is an opening of the inspection hole, and an opening at the other end of the three-way pipe is connected with the air pipe.
3. Breathing apparatus for infant bronchoscopy according to claim 1, characterized in that: and a branch pipe is arranged between the regulating valve and the protective valve on the air pipe, and a barometer is connected to the branch pipe.
4. Breathing apparatus for infant bronchoscopy according to claim 1, characterized in that: the protection valve comprises a valve body, and an air inlet passage and an air outlet passage are formed in the valve body; the valve core can move up and down and is used for blocking or communicating the air inlet passage and the air outlet passage; the valve rod is used for driving the valve core to move, the lower end of the valve rod is connected with the valve core, and the upper end of the valve rod is provided with a piston; the piston is positioned in the cylinder and can move up and down along the cylinder; a support plate is fixedly arranged in the cylinder below the piston, and a spring is arranged between the support plate and the piston; the air outlet device further comprises a communicating pipe, one end of the communicating pipe is connected with the air outlet passage, and the other end of the communicating pipe is communicated with the top end of the air cylinder.
5. Breathing apparatus for infant bronchoscopy according to claim 1, characterized in that: the inspection mask is connected with the air pipe through a corrugated expansion pipe.
6. Breathing apparatus for infant bronchoscopy according to claim 1, characterized in that: a protective cover for closing the inspection hole is also included.
7. Breathing apparatus for infant bronchoscopy according to claim 1, characterized in that: elastic diaphragms are arranged in the inspection holes and can be spliced into a plurality of round petals.
8. Breathing apparatus for infant bronchoscopy according to claim 7, characterized in that: the diaphragm is 3 petals.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202020181866.8U CN212166299U (en) | 2020-02-18 | 2020-02-18 | Breathing device for infant bronchoscopy |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN202020181866.8U CN212166299U (en) | 2020-02-18 | 2020-02-18 | Breathing device for infant bronchoscopy |
Publications (1)
Publication Number | Publication Date |
---|---|
CN212166299U true CN212166299U (en) | 2020-12-18 |
Family
ID=73773144
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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CN202020181866.8U Expired - Fee Related CN212166299U (en) | 2020-02-18 | 2020-02-18 | Breathing device for infant bronchoscopy |
Country Status (1)
Country | Link |
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CN (1) | CN212166299U (en) |
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2020
- 2020-02-18 CN CN202020181866.8U patent/CN212166299U/en not_active Expired - Fee Related
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Legal Events
Date | Code | Title | Description |
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GR01 | Patent grant | ||
GR01 | Patent grant | ||
CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20201218 |
|
CF01 | Termination of patent right due to non-payment of annual fee |