CN212308055U

CN212308055U - Cricothyroid membrane puncture bag

Info

Publication number: CN212308055U
Application number: CN202020477993.2U
Authority: CN
Inventors: 谭爱萍; 魏铁钢
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-04-03
Filing date: 2020-04-03
Publication date: 2021-01-08
Anticipated expiration: 2030-04-03

Abstract

The utility model discloses a cricothyroid membrane puncture package, product design are disposable consumptive material, and easily carry, easy operation, including dismantling standard Y type crossover sub, cylinder, puncture needle tubing and the puncture sleeve pipe of connection. When patient's respiratory tract blocks, when need promptly open the air flue, the cylinder cooperates with puncture needle tubing, be used for the air of pumpback in order to judge whether the puncture is successful, use standard Y type crossover sub and two sets of piercing depth, in order to solve the tradition only have one set of piercing depth ring first membrane pjncture needle pipe diameter thin be difficult to satisfy the problem of enough ventilating, reduce the vice damage that the puncture brought simultaneously, it can carry out the intratracheal medicine of using at any time to give the pencil, reach the purpose of ventilating and treatment compromise, the personnel in the field can select hose nipple and puncture sleeve pipe according to actual need whether for dismantling to be connected, this design flexibility is strong.

Description

Cricothyroid membrane puncture bag

Technical Field

The utility model relates to the technical field of medical equipment, specifically a cricothyroid membrane puncture package.

Background

The thyrocricocentesis is a quick and effective emergency treatment measure for opening an airway in an emergency state in clinical work, and can strive for time for next-step out-of-hospital transfer or in-hospital emergency rescue. It is mainly used for acute upper respiratory tract obstruction caused by various reasons; acute laryngeal obstruction such as laryngeal edema, diphtheria, etc.; teeth are tightly closed, difficult airway or difficult intubation after anesthesia; emergency airway administration, etc. The cricothyroid membrane is located between the thyroid cartilage and the cricoid cartilage, only one fibrous connective tissue membrane is arranged on the surface of the cricothyroid membrane, the cricothyroid membrane is not covered rigidly, the trachea is arranged at the rear part of the cricothyroid membrane, and the puncture position is a depression with the size of soybean which slides downwards by 2-3 cm at the highest position of the laryngeal prominence. The medical staff can operate after being trained.

At present, most of the objects punctured by the cricothyroid membrane are local-material-obtained assemblies, such as a syringe needle, and no special connecting device is used when an oxygen tube or a breathing loop is connected, so that the needle is easy to slip or the oxygen slips easily. The puncture aperture of the needle head is too large, the damage is obvious, and the puncture aperture is too small, so that the ventilation is difficult to meet. Still special consumptive material in the market is metal material stack, non-disposable and need disassemble the equipment, and it is difficult to use rapidly to untrained, and disinfect repeatedly and increase the infection probability. And the puncture cannula is not easy to bend in multiple angles, so that the medical personnel is inconvenient to operate. Therefore, it is an urgent technical problem to provide a cricothyroid membrane puncture kit which is easy to bend, simple to operate, reduces puncture pair damage, and satisfies sufficient ventilation.

SUMMERY OF THE UTILITY MODEL

An object of the utility model is to provide a cricothyroid membrane puncture package to solve the problem that provides among the prior art.

In order to achieve the above object, the utility model provides a following technical scheme:

a cricothyroid membrane puncture bag comprises a standard Y-shaped adapter, two sets of hose connectors and two sets of puncture devices; each set of the puncture device comprises a needle cylinder, a puncture needle tube and a puncture sleeve; the puncture needle tube comprises a top sleeve, a bottom sleeve and a built-in needle core from top to bottom; the top sleeve of the puncture needle tube is connected with the needle cylinder; the built-in needle core penetrates through the puncture needle tube to be discharged; the puncture cannula comprises a connecting part, a needle holding part and a puncture outer sleeve from top to bottom, and an administration tube is arranged on the side wall of the connecting part; the administration tube is provided with an adjusting valve; the standard Y-shaped adapter, the needle cylinder, the puncture needle tube and the puncture sleeve are detachably connected, and the puncture bag is convenient to carry, easy to operate, easy to pull out a needle core and convenient to ventilate subsequently due to the design of the position.

The hose connector is detachably connected with the puncture cannula.

The connecting part of the puncture cannula can be connected with one end of the hose connector; and the lower joints of the standard Y-shaped adapter are respectively connected with the other ends of the hose joints.

The hose connector and the puncture cannula are in non-detachable connection.

The hose connector and the connecting part are connected to the needle holding part in parallel, and the connecting part is positioned in the hose connector.

One end of the hose connector is connected with the connecting part, and the other end of the hose connector is connected with the needle holding part.

The hose connector is a flexible hose, and the design at the position can ensure that the puncture bag can conveniently ventilate for patients at different positions and different angles during ventilation.

Connecting portion from top to bottom, the pipe diameter grow gradually, and the design of here can make the puncture package when carrying out other operations of ventilating, connecting other venting device, conveniently connects the pipeline of different pipe diameters.

Puncture overcoat is supreme by the bottom, and every 3 ~ 10mm transform a colour, the length is instructed in traditional scale to design here, more can directly perceivedly range upon arrival length at the first aid, easily first-aid staff masters the puncture dynamics to get into patient cricothyroid membrane smoothly.

Puncture overcoat and administration pipe are the puncture overcoat and the administration pipe of silica gel or PU material, and the puncture overcoat keeps somewhere vice damage when the design here can reduce to ventilate.

Compared with the prior art, the beneficial effects of the utility model are that:

the utility model provides a cricothyroid membrane puncture package, product design are disposable consumptive material, and easily carry easy operation, including dismantling standard Y type crossover sub, cylinder, puncture needle tubing and the puncture sleeve pipe of connection. When patient's respiratory tract blocks, when need promptly open the air flue, the cylinder cooperates with puncture needle tubing, be used for the air of pumpback in order to judge whether the puncture is successful, use standard Y type crossover sub and two sets of piercing depth, in order to solve the tradition only have one set of piercing depth ring first membrane pjncture needle pipe diameter thin be difficult to satisfy the problem of enough ventilating, reduce the vice damage that the puncture brought simultaneously, it can carry out the intratracheal medicine of using at any time to give the pencil, reach the purpose of ventilating and treatment compromise, the personnel in the field can select hose nipple and puncture sleeve pipe according to actual need whether for dismantling to be connected, this design flexibility is strong.

Drawings

FIG. 1 is a schematic view of a connection device for ventilation according to embodiment 1 of the present invention;

fig. 2 is a schematic view of a connection device for ventilation according to embodiment 2 of the present invention;

fig. 3 is a schematic view of the connection device for ventilation according to embodiment 3 of the present invention;

FIG. 4 is a schematic view of a connection device for puncture according to the present invention;

FIG. 5 is a schematic view of a syringe structure according to the present invention;

fig. 6 is a schematic view of a puncture needle structure according to the present invention;

fig. 7 is a schematic view of a puncture cannula according to the present invention.

Reference numbers in the figures: 1. a standard Y-type crossover sub; 2. a hose connector; 3. a needle cylinder; 4. puncturing a needle tube; 5. puncturing a cannula; 6. a top sleeve; 7. a bottom casing; 8. a needle core is arranged inside; 9. a connecting portion; 10. a needle holding portion; 11. puncturing the outer sleeve; 12. an administration tube; 13. and adjusting the valve.

Detailed Description

The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.

As shown in fig. 1-7, a cricothyroid membrane puncture kit comprises a standard Y-shaped adapter 1, two sets of hose connectors 2, and two sets of puncture devices; each set of the puncture device comprises a needle cylinder 3, a puncture needle tube 4 and a puncture sleeve 5; the puncture needle tube 4 comprises a top sleeve 6, a bottom sleeve 7 and a built-in needle core 8 from top to bottom; the top sleeve 6 of the puncture needle tube is connected with the needle cylinder 3; the built-in needle core 8 is penetrated out from the interior of the puncture needle tube 4; the puncture cannula 5 comprises a connecting part 9, a needle holding part 10 and a puncture outer sleeve 11 from top to bottom, and an administration tube 12 is arranged on the side wall of the connecting part; the administration tube 12 is provided with a regulating valve 13; the standard Y-shaped adapter 1, the needle cylinder 3, the puncture needle tube 4 and the puncture cannula 5 are detachably connected, and the puncture bag is convenient to carry, easy to operate, easy to pull out a needle core and convenient to ventilate subsequently due to the design of the position. The hose connector 2 is a flexible hose, and the design at the position can facilitate the ventilation of patients at different positions and different angles when the puncture bag is ventilated. Connecting portion from top to bottom, the pipe diameter grow gradually, and the design of here can make the puncture package when carrying out other operations of ventilating, connecting other venting device, conveniently connects the pipeline of different pipe diameters. Puncture overcoat is supreme by the bottom, and every 3 ~ 10mm transform a colour, the length is instructed in traditional scale to design here, more can directly perceivedly range upon arrival length at the first aid, easily first-aid staff masters the puncture dynamics to get into patient cricothyroid membrane smoothly. Puncture overcoat, administration pipe are silica gel or PU material, and the puncture overcoat keeps somewhere vice damage when the design here can reduce to ventilate.

Example 1:

as shown in figure 1, the utility model provides a technical scheme, hose nipple 2 with puncture sleeve 5 is for dismantling the connection. The connecting part 9 of the puncture cannula 5 can be connected with one end of the hose connector 2; the lower joints of the standard Y-shaped adapter 1 are respectively connected with the other ends of the hose joints 2.

Before working, the two sets of puncture devices are ensured to be connected respectively, namely, the needle cylinder 3, the puncture needle tube 4 and the puncture sleeve 5 are connected in sequence from top to bottom; the thickness from the skin of a human body to the inner mucous membrane of the cricothyroid membrane is (4.0 +/-0.5) mm, the length of the needle point of the built-in needle core 8 is (3.0 +/-0.5) mm, the minimum puncture depth of the cricothyroid membrane is (7.0 +/-0.5) mm, and the maximum puncture depth of the cricothyroid membrane is (28.6 +/-2.5) mm, so that the color indication length range of the puncture outer sleeve 11 in the embodiment is 6.5-31.5 mm, and the color is changed from bottom to top every 5 mm. When the respiratory tract of a patient is blocked and the airway needs to be opened emergently, the puncture cannula 5 is firstly vertically inserted into the trachea of the patient, the puncture depth is determined according to the color indication of the puncture jacket 11 during insertion, the needle cylinder 3 is used for pumping back air after insertion, if the air can be pumped, the puncture cannula 5 is pressed down, the needle cylinder 3 and the puncture needle tube 4 are withdrawn, and the puncture cannula 5 is properly fixed after entering the caudal direction of the patient for about 1 cm. At the moment, the connecting part 9 of the puncture cannula 5 can be connected with a common oxygen tube and a high-frequency jet catheter for oxygen therapy or a suction device for suction in an airway; the connection part 9 of the puncture cannula 5 may be connected to the hose connector 2, and the other end of the hose connector 2 may be connected to a breathing circuit, a breathing bladder, or the like to perform mechanical ventilation. If the single-pipeline ventilation can not meet the air quantity requirement of a patient, another set of puncture device is used for puncturing beside the puncture point in parallel, the operations are repeated, the lower joints of the standard Y-shaped adapter 1 are respectively connected with a set of hose joints 2, the upper joints are connected with a breathing circuit or a breathing leather bag and the like for mechanical auxiliary ventilation, and the double-pipeline ventilation is carried out; the administration tube 12 can be used for intratracheal administration at any time, so as to achieve the purposes of ventilation and treatment.

Example 2:

as shown in fig. 2, the utility model provides a technical solution. The hose connector 2 is connected with the puncture cannula 5 in a non-detachable way. The hose connector 2 is connected to the needle holding portion 10 in parallel with the connecting portion 9, and the connecting portion 9 is located inside the hose connector 2.

Before working, the two sets of puncture devices are ensured to be connected respectively, namely, the needle cylinder 3, the puncture needle tube 4 and the puncture sleeve 5 are connected in sequence from top to bottom; the thickness from the skin of a human body to the inner mucous membrane of the cricothyroid membrane is (4.0 +/-0.5) mm, the length of the needle point of the built-in needle core 8 is (3.0 +/-0.5) mm, the minimum puncture depth of the cricothyroid membrane is (7.0 +/-0.5) mm, and the maximum puncture depth of the cricothyroid membrane is (28.6 +/-2.5) mm, so that the color indication length range of the puncture outer sleeve 11 in the embodiment is 5.5-32.5 mm, and the color is changed from bottom to top every 3 mm.

When the respiratory tract of a patient is blocked and the airway needs to be opened emergently, the puncture cannula 5 is firstly vertically inserted into the trachea of the patient, the puncture depth is determined according to the color indication of the puncture jacket 11 during insertion, the needle cylinder 3 is used for pumping back air after insertion, if the air can be pumped, the puncture cannula 5 is pressed down, the needle cylinder 3 and the puncture needle tube 4 are withdrawn, and the puncture cannula 5 is properly fixed after entering the caudal direction of the patient for about 1 cm. At the moment, the connecting part 9 of the puncture cannula 5 can be connected with a common oxygen tube and a high-frequency jet catheter for oxygen therapy or a suction device for suction in an airway; the hose connector 2 of the puncture cannula 5 may be connected to a breathing circuit, a breathing bladder, or the like to perform mechanical ventilation. If the single-pipeline ventilation can not meet the air quantity requirement of a patient, another set of puncture device is used for puncturing beside the puncture point in parallel, the operations are repeated, the lower joints of the standard Y-shaped adapter 1 are respectively connected with a set of hose joints 2, the upper joints are connected with a breathing circuit or a breathing leather bag and the like for mechanical auxiliary ventilation, and the double-pipeline ventilation is carried out; the administration tube 12 can be used for intratracheal administration at any time, so as to achieve the purposes of ventilation and treatment.

Example 3:

as shown in fig. 3, the present invention provides a technical solution. The hose connector 2 is connected with the puncture cannula 5 in a non-detachable way. One end of the hose connector 2 is connected with the connecting part 9, and the other end is connected with the needle holding part 10.

Before working, the two sets of puncture devices are ensured to be connected respectively, namely, the needle cylinder 3, the puncture needle tube 4 and the puncture sleeve 5 are connected in sequence from top to bottom; the thickness from the skin of a human body to the inner mucous membrane of the cricothyroid membrane is (4.0 +/-0.5) mm, the length of the needle point of the built-in needle core 8 is (3.0 +/-0.5) mm, the minimum depth of the cricothyroid membrane puncture is (7.0 +/-0.5) mm, the maximum depth of the cricothyroid membrane puncture is (28.6 +/-2.5) mm, the color indication length range of the puncture outer sleeve 11 in the embodiment is 5.0-35.0 mm, different colors are changed from bottom to top every 10mm, and the maximum value of the outer diameter of the connecting part 9 of the puncture sleeve 5 is the same as the value of the outer diameter of the hose connector.

When the respiratory tract of a patient is blocked and the airway needs to be opened emergently, the puncture cannula 5 is firstly vertically inserted into the trachea of the patient, the puncture depth is determined according to the color indication of the puncture jacket 11 during insertion, the needle cylinder 3 is used for pumping back air after insertion, if the air can be pumped, the puncture cannula 5 is pressed down, the needle cylinder 3 and the puncture needle tube 4 are withdrawn, and the puncture cannula 5 is properly fixed after entering the caudal direction of the patient for about 1 cm. At the moment, the connecting part 9 of the puncture cannula 5 can be connected with a common oxygen tube and a high-frequency jet catheter for oxygen therapy or a suction device for suction in an airway; the connection 9 of the puncture cannula 5 may be mechanically assisted by ventilation with a breathing circuit, a breathing bladder, or the like. If the single-pipeline ventilation can not meet the air quantity requirement of a patient, another set of puncture device is used for puncturing beside the puncture point in parallel, the operations are repeated, the lower joints of the standard Y-shaped adapter 1 are respectively connected with the connecting parts 9 of one set of puncture device, the upper joints are connected with a breathing circuit or a breathing leather bag and the like for mechanical auxiliary ventilation, and double-pipeline ventilation is carried out; the administration tube 12 can be used for intratracheal administration at any time, so as to achieve the purposes of ventilation and treatment.

Example 4:

unlike the above embodiments 1 to 3, in this embodiment, when performing a periungual puncture on a patient undergoing a painless bronchoscopy, the connection portion 9 is connected to a high-frequency jet ventilator to perform intravenous anesthesia by high-frequency jet ventilation, so as to solve the problem of sharing the oral cavity in anesthesia and respiratory department and reduce the side damage of placing a laryngeal mask or a tracheal tube.

Example 5:

different from the above examples 1-3, the nebulization treatment is performed on the circovirus membrane of the special patient needing the nebulization treatment, such as the patient with severe respiratory disease, craniocerebral trauma, ICU and the like, so as to increase the nebulization effect, reduce the enlargement damage of the airway and reduce the infection probability.

Embodiments 1-5 are different treatment options provided by the cricothyroid membrane puncture kit provided by the utility model, and medical personnel need to make an optimal treatment option for patients after selecting cases reasonably and balancing pros and cons with care.

It is obvious to a person skilled in the art that the invention is not restricted to details of the above-described exemplary embodiments, but that it can be implemented in other specific forms without departing from the spirit or essential characteristics of the invention. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.

Claims

1. The utility model provides a cricothyroid membrane puncture package which characterized in that: comprises a standard Y-shaped adapter (1), two sets of hose joints (2) and two sets of puncture devices; each set of the puncture device comprises a needle cylinder (3), a puncture needle tube (4) and a puncture sleeve (5); the puncture needle tube (4) comprises a top sleeve (6), a bottom sleeve (7) and a built-in needle core (8) from top to bottom; the top sleeve (6) of the puncture needle tube is connected with the needle cylinder (3); the built-in needle core (8) penetrates from the interior of the puncture needle tube (4); the puncture cannula (5) comprises a connecting part (9), a needle holding part (10) and a puncture outer sleeve (11) from top to bottom, and an administration tube (12) is arranged on the side wall of the connecting part; the administration tube (12) is provided with an adjusting valve (13); the standard Y-shaped adapter (1), the needle cylinder (3), the puncture needle tube (4) and the puncture cannula (5) are detachably connected.

2. The cricothyroid membrane puncture pack of claim 1, wherein: the hose connector (2) is detachably connected with the puncture cannula (5).

3. The cricothyroid membrane puncture pack of claim 2, wherein: the connecting part (9) of the puncture cannula (5) can be connected with one end of the hose connector (2); the lower joints of the standard Y-shaped adapter (1) are respectively connected with the other ends of the hose joints (2).

4. The cricothyroid membrane puncture pack of claim 1, wherein: the hose connector (2) is connected with the puncture sleeve (5) in a non-detachable mode.

5. A cricothyroid membrane puncture pack according to claim 4, wherein: the hose connector (2) and the connecting part (9) are connected to the needle holding part (10) in parallel, and the connecting part (9) is located inside the hose connector (2).

6. A cricothyroid membrane puncture pack according to claim 4, wherein: one end of the hose connector (2) is connected with the connecting part (9), and the other end is connected with the needle holding part (10).

7. The cricothyroid membrane puncture pack of claim 1, wherein: the hose connector (2) is a telescopic hose.

8. The cricothyroid membrane puncture pack of claim 1, wherein: connecting portion (9) from top to bottom, the pipe diameter grow gradually.

9. The cricothyroid membrane puncture pack of claim 1, wherein: the puncture outer sleeve (11) is arranged from the bottom to the top, and one color is changed every 3-10 mm.

10. The cricothyroid membrane puncture pack of claim 1, wherein: puncture overcoat (11) and administer medicine pipe (12) are puncture overcoat (11) and medicine pipe (12) of silica gel or PU material.