CN213466455U

CN213466455U - Guide-wire-free percutaneous tracheotomy intubation assistor and intubation monitoring system

Info

Publication number: CN213466455U
Application number: CN202020365827.3U
Authority: CN
Inventors: 杜秀玉
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-03-21
Filing date: 2020-03-21
Publication date: 2021-06-18
Anticipated expiration: 2030-03-21

Abstract

The utility model belongs to the technical field of the tracheal surgery apparatus, a no seal wire type percutaneous tracheotomy intubate assistor and intubate monitoring system is proposed, including water receiver, guide pipe, the breather valve that dams, guide pipe sets up in the water receiver below, the breather valve setting that dams perhaps in the water receiver in the guide pipe. Through above-mentioned technical scheme, solved among the prior art guide wire guide tracheal cannula and leaded to the patient acutely chocking cough, vital sign unstable problem.

Description

Guide-wire-free percutaneous tracheotomy intubation assistor and intubation monitoring system

Technical Field

The utility model belongs to the technical field of the tracheal surgery apparatus, a no seal wire type percutaneous tracheotomy intubation assistor and intubate monitoring system are related to.

Background

The percutaneous tracheotomy technology can be used for quickly establishing an artificial airway for a critically ill patient, and saving lives. The final key step in the current percutaneous tracheotomy technique is intubation. At present, the trachea intubation step is mainly an intubation technology guided by a guide wire after the front wall of the trachea and the soft tissues in the front of the trachea are expanded. However, the instant the guide wire enters the trachea can cause severe choking cough and unstable vital signs of the patient, and easily cause cardiovascular and cerebrovascular accidents. In addition, guide wire folding and intubation failure can occur along with severe stimulation of intubation in the process, and severe complications such as trachea fracture, damage to artery and vein blood vessels on two sides of the trachea and severe bleeding caused by forced intubation can also be caused. At present, a percutaneous tracheotomy technique without guide wire guidance appears clinically, but the guide wire guidance has great potential risk to patients, so based on the technique and the problems, a tracheal intubation assistor matched with the percutaneous tracheotomy without the guide wire is urgently needed.

SUMMERY OF THE UTILITY MODEL

The utility model provides a no seal wire type percutaneous tracheotomy intubation assistor and intubation monitoring system has solved among the prior art seal wire guide tracheal cannula and has leaded to the patient acutely to choke and cough, the unstable problem of vital sign.

The technical scheme of the utility model is realized like this:

a guidewire-less percutaneous tracheotomy intubation aid, comprising:

a water reservoir;

a guide conduit disposed below the water reservoir;

a shut-off vent valve disposed in the water reservoir or in the guide tube.

As a further technical solution, the water reservoir is cylindrical, and is provided with:

a first port located on a circular end face of the water reservoir;

a second port located on the other end circular end face of the water reservoir.

As a further technical scheme, the water storage device is a transparent part.

As a further technical solution, the shut-off vent valve is a thin film member, and an edge thereof is connected to the bottom of the water reservoir and is disposed at the second port.

As a further technical solution, the intercepting aeration valve is provided with:

a curved sealing surface in edge contact with the second port.

As a further aspect, the guide catheter comprises:

a connection end connected with the second port;

the pipe diameter of the stretching end is smaller than that of the connecting end, and the pipe diameter of the guide pipe gradually decreases from the connecting end to the stretching end.

An intubation monitoring system including the guidewire-less percutaneous tracheotomy intubation aid, further comprising:

the injection port of the injector is connected with the first port;

a tracheal cannula into which the guide catheter is inserted.

As a further technical solution, the tracheal tube comprises:

a pipe body;

the handheld part is arranged outside the pipe body and is positioned at one end of the pipe body;

the head is stretched into, and the head is flexible.

As a further technical solution, the injector and the water reservoir are used for containing physiological saline.

The utility model discloses a theory of operation and beneficial effect do:

1. the utility model discloses in, the utility model discloses a no seal wire type percutaneous trachea opens intubate assistor, it comprises the triplex, at first, the water receiver, at the water receiver lower extreme, be connected with guide pipe, guide pipe communicates with each other with the water receiver, the design is installed and is dammed the breather valve between guide pipe and water receiver, it can be by liquid from the water receiver flow in guide pipe to dampe the breather valve, can make the gas entering water receiver in the guide pipe, it inserts human trachea inside at water receiver bottom or guide pipe to dampe the breather valve mounted position, compare in the seal wire inserts inside the trachea, arouse patient's discomfort, utilize the intubate assistor, what detected is human exhaled gas, can not lead to the fact the damage to human trachea, arouse the discomfort, the security of operation has been promoted.

2. The utility model discloses in, the water receiver is hollow cylindrical to there is first port in the upper end of water receiver, has the second port in the lower extreme, and the second port is connected with guide pipe, and the port has realized the entering of liquid and gaseous discharge.

3. The utility model discloses in, the water receiver is the transparency, and the change of liquid in the water receiver just can be seen from the outside of water receiver, can observe whether there is gas outgoing in the water receiver.

4. The utility model discloses in, the breather valve that dams is the film spare, and be one-way activity, the partial edge and the water receiver bottom of breather valve that dams are connected, the non-linkage part just can the individual event activity, the breather valve that dams has two kinds of states, one kind is to cover the second port, the valve body is pushed down to the pressure of liquid itself, it is sealed between valve body and the port, liquid can't get into the guide pipe, another kind is the open mode, gaseous exerting pressure to the valve body in following the guide pipe, make the breather valve that dams open, gaseous from the guide pipe enter into the water receiver, two kinds of states are the concrete phenomenon embodiment that is used for judging the intubate accuracy.

5. The utility model discloses in, the surface is the curved surface about the breather valve dams, and under the circumstances that has liquid, curved surface and second port edge contact, planar design can be more effective, and sealed effect is better than the sealed effect of sealed curved surface.

6. The utility model discloses in, the guide pipe divide into two parts, and the link is connected with the second port, and wherein the main part diminishes for stretching into the end, the pipe diameter that stretches into the end gradually, and wherein the terminal pipe diameter that stretches into the end is minimum, progressively increases the pipe diameter, and this design also is convenient for stretch into endotracheal tube.

7. The utility model discloses in, still disclose intubate monitoring system, it has included no seal wire type percutaneous trachea and has cut the intubate assistor, in addition, the syringe is connected with first port, in addition no seal wire type percutaneous trachea cuts the guide pipe of intubate assistor and inserts in the middle of the tracheal cannula, whether detect tracheal cannula pipe has gaseous exhalation, if do not have gaseous exhalation, then show that tracheal cannula does not accurately insert, if have gaseous exhalation, then show tracheal cannula and insert the accuracy to judge whether tracheal cannula accurately inserts in the middle of the trachea.

8. The utility model discloses in, tracheal cannula comprises the triplex, and the main part is the body, installs handheld portion in the one end of leaning on for hold tracheal cannula, stabilize the intubate, it is soft piece to stretch into the head, because the inside trachea tissue of head direct contact, the soft working of plastics can alleviate patient's misery.

9. The utility model discloses in, be normal saline in syringe and the water receiver, the syringe injects normal saline to the water receiver, and human expired gas is from tracheal cannula to behind the guide pipe via the second port, and the bubble can appear in the normal saline, can judge the accuracy of intubate.

Drawings

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

FIG. 1 is a side view of the intubation monitoring system of the present invention;

FIG. 2 is a schematic view of the intubation assistor of the present invention;

FIG. 3 is a sectional view taken along A-A of FIG. 2;

FIG. 4 is a cross-sectional view taken along line B-B of FIG. 2;

FIG. 5 is a front view of the intubation monitoring system of the present invention;

FIG. 6 is a sectional view taken along A-A of FIG. 5;

fig. 7 is a schematic view of the suction state of the intubation monitoring system of the present invention;

fig. 8 is a schematic view of the expiratory status of the intubation monitoring system according to the present invention;

in the figure: 1-a guide-wire-free percutaneous tracheotomy intubation assistor, 11-a water storage device, 111-a first port, 112-a second port, 12-an intercepting vent valve, 121-a sealing curved surface, 13-a guide catheter, 131-a connecting end and 132-an extending end,

2-injector, 3-tracheal tube, 31-tube, 32-hand-held part, 33-head-inserted, 4-normal saline and 5-bubble.

Detailed Description

The technical solutions in the embodiments of the present invention will be described clearly and completely below with reference to 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 efforts belong to the protection scope of the present invention.

As shown in fig. 1 to 8, a guide-wire-free type percutaneous tracheotomy intubation aid 1 includes:

a water reservoir 11;

a guide duct 13, the guide duct 13 being disposed below the water reservoir 11;

an intercepting vent valve 12, the intercepting vent valve 12 being disposed in the reservoir 11 or in the guide conduit 13.

In the embodiment, the guide-wire-free percutaneous tracheotomy intubation assistor 1 is disclosed, and comprises a water storage device 11, a guide conduit 13 is connected to the lower end of the water storage device 11, the guide conduit 13 is communicated with the water storage device 11, an intercepting ventilation valve 12 is designed and installed between the guide conduit 13 and the water storage device 11, the intercepting ventilation valve 12 can stop liquid from flowing into the guide conduit 13 from the water storage device 11, gas in the guide conduit 13 can enter the water storage device 11, the intercepting ventilation valve 12 is installed at the bottom of the water storage device 11 or inside the guide conduit 13, and compared with the situation that a guide wire is inserted into a trachea of a human body, discomfort of a patient is caused.

Further, the water reservoir 11 is cylindrical, and is provided thereon with:

a first port 111, the first port 111 being located on a circular end face of the reservoir 11;

and a second port 112, the second port 112 being located on the other circular end surface of the water reservoir 11.

In this embodiment, the water reservoir 11 has a hollow cylindrical shape, and has a first port 111 at an upper end of the water reservoir 11 and a second port 112 at a lower end, the second port 112 being connected to the guide duct 13, the ports allowing the entry of liquid and the exit of gas.

Further, the water reservoir 11 is a transparent member.

In this embodiment, the water reservoir 11 is a transparent member, and the change of the liquid in the water reservoir 11 can be seen from the outside of the water reservoir 11, so that it can be observed whether the gas is discharged from the water reservoir 11.

Further, the shut-off vent valve 12 is a thin film member, and an edge thereof is connected to the bottom of the reservoir 11 and is provided at the second port 112.

In this embodiment, the intercepting vent valve 12 is a thin film member and is movable in one direction, a part of the edge of the intercepting vent valve 12 is connected with the bottom of the water reservoir 11, the unconnected part can move in one direction, the intercepting vent valve 12 has two states, one is to cover the second port 112, the pressure of the liquid presses the valve body, the valve body and the port are sealed, the liquid cannot enter the guide conduit 13, the other is an open state, the gas exerts pressure on the valve body from the guide conduit 13 to open the intercepting vent valve 12, the gas enters the water reservoir 11 from the guide conduit 13, and the two states are specific phenomena for judging the accuracy of the cannula.

Further, the shutoff vent valve 12 is provided with:

and a curved sealing surface 121, wherein the curved sealing surface 121 is in contact with the edge of the second port 112.

In this embodiment, the upper and lower surfaces of the intercepting vent valve 12 are curved surfaces, and in the case of liquid, the curved surfaces contact with the edge of the second port 112, and the sealing effect of the curved sealing surface 121 is more effective than that of a planar design, and the sealing effect is better.

Further, the guide catheter 13 includes:

a connecting end 131, wherein the connecting end 131 is connected with the second port 112;

the tube diameter of the extending end 132 is smaller than that of the connecting end 131, and the tube diameter of the guiding tube 13 gradually decreases from the connecting end 131 to the extending end 132.

In this embodiment, the guiding tube 13 is divided into two parts, the connecting end 131 is connected to the second port 112, wherein the main body is the extending end 132, the tube diameter of the extending end 132 gradually decreases, wherein the terminal tube diameter of the extending end 132 is the smallest, and the tube diameter gradually increases.

An intubation monitoring system, comprising a guide-wire-free percutaneous tracheotomy tube aid 1, further comprising:

an injector 2, wherein an injection port of the injector 2 is connected with the first port 111;

the tracheal tube 3 and the guide catheter 13 are inserted into the tracheal tube 3.

In the embodiment, an intubation monitoring system is further disclosed, which includes a guide-wire-free percutaneous tracheotomy intubation assistor 1, in addition, the injector 2 is connected with the first port 111, in addition, the guide catheter 13 of the guide-wire-free percutaneous tracheotomy intubation assistor 1 is inserted into the tracheal cannula 3, whether the tracheal cannula 3 is exhaled by gas is detected, if no gas is exhaled, it is indicated that the tracheal cannula 3 is not accurately inserted, if gas is exhaled, it is indicated that the tracheal cannula 3 is accurately inserted, and therefore, whether the tracheal cannula 3 is accurately inserted into the trachea is determined.

Further, the tracheal tube 3 includes:

a tube body 31;

a hand-held part 32, wherein the hand-held part 32 is arranged outside the tube body 31 and is positioned at one end of the tube body 31;

the protrusion head 33 is a flexible member.

In this embodiment, tracheal cannula 3 comprises the triplex, and the main part is body 31, installs handheld portion 32 in the one end that leans on for holding tracheal cannula 3, stabilize the intubate, stretch into head 33 and be the soft piece, because head direct contact inside trachea tissue, the painful patient can be alleviateed to the soft working of plastics.

Further, the injector 2 and the water reservoir 11 are used to contain the physiological saline 4.

In this embodiment, the injector 2 and the water reservoir 11 are filled with the physiological saline 4, the injector 2 injects the physiological saline 4 into the water reservoir 11, and the air exhaled by the human body passes through the second port 112 from the tracheal tube 3 to the guide catheter 13, and then bubbles 5 appear in the physiological saline 4, so that the accuracy of the intubation can be determined.

The above description is only a preferred embodiment of the present invention, and should not be taken as limiting the invention, and any modifications, equivalent replacements, improvements, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims

1. A guide wire-free percutaneous tracheotomy intubation aid, comprising:

a water reservoir (11);

a guide duct (13), said guide duct (13) being arranged below said water reservoir (11);

-a shut-off ventilation valve (12), said shut-off ventilation valve (12) being arranged in said water reservoir (11) or in said guiding duct (13).

2. The percutaneous tracheotomy tube aid of the guideless type according to claim 1, characterized in that said water reservoir (11) is cylindrical, on which are arranged:

a first port (111), said first port (111) being located on a circular end face of said water reservoir (11);

a second port (112), said second port (112) being located on the other end circular end face of said water reservoir (11).

3. The leadless type percutaneous tracheotomy intubation aid according to claim 1, wherein said water reservoir (11) is a transparent member.

4. The percutaneous tracheotomy tube aid of the guideless type according to claim 2, characterized in that said shut-off ventilation valve (12) is a membrane, connected at its edge to the bottom of said reservoir (11), and arranged at said second port (112).

5. The percutaneous tracheotomy intubation aid of the guidewire-less type according to claim 2, wherein the shut-off ventilation valve (12) is provided with:

a curved sealing surface (121), the curved sealing surface (121) being in contact with an edge of the second port (112).

6. The percutaneous tracheotomy intubation aid of the guidewire-less type according to claim 2, wherein said guiding catheter (13) comprises:

a connection end (131), the connection end (131) being connected with the second port (112);

stretch into end (132), stretch into end (132) pipe diameter is less than link (131) pipe diameter, just guide pipe (13) pipe diameter is followed link (131) to stretch into end (132) diminishes gradually.

7. An intubation monitoring system comprising the guidewire-less percutaneous tracheotomy tube aid (1) of any one of claims 1-6, characterized by further comprising:

the injection port of the injector (2) is connected with the first port (111);

a tracheal tube (3), wherein the guide catheter (13) is inserted into the tracheal tube (3).

8. An intubation monitoring system according to claim 7, characterized in that said tracheal tube (3) comprises:

a tube (31);

the handheld part (32) is arranged outside the pipe body (31) and is positioned at one end of the pipe body (31);

an insertion head (33), said insertion head (33) being a flexible element.

9. An intubation monitoring system according to claim 7, characterized in that said syringe (2) and said water reservoir (11) are adapted to contain physiological saline (4).