Split type trachea catheter fixator
Technical Field
The utility model relates to a treatment scheme of trachea cannula, concretely relates to split type trachea catheter fixer.
Background
Trachea cannula assisted ventilation is the first aid measure that respiratory failure patient adopted usually, and trachea cannula fixed mode has the sticky tape fixed at present, the fixed three kinds of, the fixer of gauze cord is fixed, and at present, above three kinds of modes all have certain shortcoming heavily using:
1) the adhesive tape is easy to cause skin allergy, avulsion and injury, and the fixing strength of the adhesive tape is reduced after the adhesive tape is wet, so that the cannula can slip, and the safety of a patient is endangered. In addition, the replacement of the adhesive tape needs the cooperation of two persons, and the operation is time-consuming.
2) The yarn rope is fixed, because the stress area is small, the pressure damage related to the apparatus is easy to occur due to the friction with the skin, the head part is spherical, the yarn rope is fixed, the yarn rope is easy to slide, the fixation is unstable, the slip of the intubation tube can be caused, and the safety of a patient is endangered; in addition, the replacement of the yarn ropes is matched with two persons, and the operation is time-consuming.
3) At present, trachea cannula fixing devices on the market are integrated, and hard plastic is mainly used as a material, so that related pressure injury of instruments is easy to occur. The fixed intubation is adjusted by bolts, so that the point stress is realized, the stress area is small, the intubation is pressed to deform, and the air flow of the respirator is influenced.
In addition, all three of the above-mentioned fixation methods require removal of the fixture during oral care of the patient, increasing the risk of catheter displacement and increasing the care workload.
SUMMERY OF THE UTILITY MODEL
The defect to the fixed mode existence of trachea cannula that has at present, the utility model relates to a split type trachea cannula fixer, better fixed trachea cannula reduces trachea cannula slippage risk, makes things convenient for nurse nursing trachea cannula patient simultaneously, alleviates clinical medical staff work load. The specific scheme is as follows:
a split type tracheal catheter fixator comprises a pair of U-shaped clamps and a bandage fixing device, wherein the U-shaped clamps are arranged up and down, and openings of the U-shaped clamps are opposite, cross-assembled and connected and then fixed on the head of a patient through the bandage fixing device;
two rows of mutually matched adjusting buckles are respectively arranged on one sides of the U-shaped clamps close to each other, and the U-shaped clamps are connected and fixedly connected up and down through the connection of the adjusting buckles;
a semi-open type limiting piece is vertically arranged at the deep part of the opening of each U-shaped clamp, wherein,
the first limiting piece penetrates through the first U-shaped clamp up and down, the first limiting piece is composed of a first upper limiting piece positioned at the upper part of the first U-shaped clamp and a first lower limiting piece positioned at the lower part of the first U-shaped clamp,
the second limiting piece is arranged on the upper side of the second U-shaped clamp,
when the pair of U-shaped clamps are assembled together in a crossed manner, the second limiting piece and the first upper limiting piece are matched relatively to form a closed limiting channel for the air supply pipe to pass through.
Furthermore, the inner wall of the opening of the first limiting part and/or the second limiting part is provided with a rack or a salient point for increasing friction.
Furthermore, the bandage fixing device is composed of a middle piece and 4 bandages fixed at four corners of the middle piece, and the middle piece is an elastic cloth piece or an elastic net.
Furthermore, the end part of the binding band is fixed at a through hole arranged on the bottom foot of the U-shaped clamp by means of a nylon hasp.
Further, the bottom end of the first lower limiting part is a circular arc.
Furthermore, the first and/or second U-shaped clamp and the limiting piece thereof are made of transparent materials.
Furthermore, first locating part is double-deck material down, and inside hard core and cladding have soft skin.
Furthermore, the upper surfaces of two sides of the first U-shaped clamp are respectively provided with a row of convex blocks, the lower surfaces of two sides of the second U-shaped clamp are respectively provided with a row of grooves, and the size of the limiting channel after the pair of U-shaped clamps are crossly assembled is adjusted by clamping the convex blocks into the grooves.
The utility model has the advantages that:
1. after the two U-shaped clamps are assembled together with the openings opposite, the second limiting part and the first upper limiting part are matched relatively to form a closed limiting channel, the limiting channel can completely surround the trachea cannula catheter, the stress area is increased, the friction force can be increased by the protrusion in the limiting channel, and the catheter is prevented from being separated outwards.
2. The four-head belt design increases the stability of catheter fixation, enlarges the stress area and reduces the pressure injury of skin.
3. The U type structure of fixer makes things convenient for the nurse to carry out oral care for the patient, can adjust during the nursing and remove the pipe about the head, need not to remove fixedly, avoids the pipe aversion, uses manpower sparingly simultaneously and nurses the time.
4. The fixer adopts transparent silica gel material, makes things convenient for medical staff to observe the pipe degree of depth, has the unusual timely processing that can.
5. The first lower limit part (equivalent to the bite block of the fixer in the prior art) inserted into the oral cavity of a patient is a bite block with a half-opening design, which is thinner than the bite block used at present, and can reduce discomfort of the patient and injury of oral mucosa.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the embodiments or the prior art descriptions will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without inventive labor.
FIG. 1 is a top view of a first clevis;
FIG. 2 is a bottom view of the second clevis;
FIG. 3 is a side view of the first clevis;
FIG. 4 is a side view of a second clevis;
FIG. 5 is a perspective view of a first position-limiting member with a half-split design;
FIG. 6 is a plan view of an inner wall of the opening of the first or second position limiting member;
FIG. 7 is a schematic view of a rack on an inner wall of the first or second position limiting member;
FIG. 8 is a top view of a pair of U-clamp openings in opposing cross-fit together;
fig. 9 is a structural view of the band fixing device.
Detailed Description
In the following description, numerous specific details are set forth in order to provide a more thorough understanding of the present invention. It will be apparent, however, to one skilled in the art, that the present invention may be practiced without one or more of these specific details. In other instances, well-known features have not been described in order to avoid obscuring the present invention.
In order to thoroughly understand the present invention, detailed steps and detailed structures will be provided in the following description so as to explain the technical solution of the present invention. The preferred embodiments of the present invention are described in detail below, however, other embodiments of the present invention are possible in addition to these detailed descriptions.
The utility model provides a split type trachea catheter fixator, split type trachea catheter fixator comprises a pair of U type clamp 10 and 20 and bandage fixing device 30 of arranging from top to bottom, and this is passed through behind relative and the cross assembly connection to the opening of U type clamp bandage fixing device 30 fixes at patient's head.
Two rows of mutually matched adjusting buckles are respectively arranged on one sides of the U-shaped clamps close to each other, and the U-shaped clamps are connected and fixedly connected up and down through the connection of the adjusting buckles; the deep part of the opening of each U-shaped clamp is vertically provided with a semi-open type limiting part. Setting a bottom U-shaped clamp as a first U-shaped clamp 10, an upper U-shaped clamp as a second U-shaped clamp 20, wherein a first limiting member 11 on the first U-shaped clamp 10 penetrates the first U-shaped clamp 10 from top to bottom, and the first limiting member 11 is composed of a first upper limiting member 11-1 positioned on the upper part of the first U-shaped clamp 10 and a first lower limiting member 11-2 positioned on the lower part of the first U-shaped clamp 10, as shown in fig. 3; the second limiting member 21 is disposed on the upper side of the second clevis 20, as shown in fig. 4. When the U-shaped clamps are oppositely opened and are assembled together in a crossed manner, the second limiting piece 21 is matched with the first upper limiting piece 11-1 to form a closed limiting channel air supply pipe to penetrate through.
When the tracheal cannula fixing device is used, the pair of crossed U-shaped clamps are fixed on the head of a patient by the bandage fixing device 30, and the first lower limiting piece 11-2 of the first U-shaped clamp 10 extends into the oral cavity of the patient to fix the tracheal cannula. Two clamp adopt the design of U type to make things convenient for the nurse to carry out oral care for the patient, and can detain the opening size of adjusting spacing passageway through the regulation during nursing and remove the pipe in order to remove, need not to remove fixedly, avoid the pipe aversion, use manpower sparingly and nursing time.
In an alternative embodiment, the inner wall of the first limiting member 11 and/or the second limiting member 21 is provided with a rack or a bump for increasing friction, so as to prevent the catheter from sliding, as shown in fig. 6 to 7.
In an alternative embodiment, the bandage fixing device 30 is composed of a middle piece 31 and 4 bandages 32 fixed at four corners of the middle piece 31, the middle piece 31 is an elastic cloth piece or an elastic net, and the ends of the bandages are provided with velcro tapes (i.e. hook and loop fasteners) to connect with the through holes 13, 23 formed on the feet of the U-shaped clamp. When the binding band is fixed, the end part of the binding band passes through the through hole 13 or 23, and then the burr surface of the end part of the binding band is attached to the puncture surface to complete the connection of the binding band and the U-shaped clamp.
When the device is used, the first lower limiting part 11-2 can extend into the mouth of a patient as a bite block, so that in order to improve the comfort of the patient wearing the device, the bottom end of the first lower limiting part 11-2 is provided with an arc, as shown in fig. 4, in addition, the first lower limiting part 11-2 is made of a double-layer material, the inside of the first lower limiting part is a hard core and is coated with a soft outer layer (such as silica gel) so as to reduce discomfort of the patient and oral mucosa damage.
In an alternative embodiment, the upper surfaces of two sides of the first U-shaped clamp 10 are respectively provided with a row of protrusions 12, the lower surfaces of two sides of the second U-shaped clamp 20 are respectively provided with a row of grooves 22, and the size of the opening of the two U-shaped clamps after cross assembly is adjusted by the position of the protrusions 12 clamped in the grooves 22.
When the tracheal intubation catheter is used, the openings of the first U-shaped clamp 10 and the second U-shaped clamp 20 are opposite and crossed, the second limiting part 21 of the second U-shaped clamp 20 is matched with the first upper limiting part 11-1 on the upper portion of the first U-shaped clamp 10 oppositely to form a closed limiting channel, an air supply catheter penetrates through the closed limiting channel, the second limiting part 21 and the first upper limiting part 11-1 can completely surround the tracheal intubation catheter, the stress area is increased, the rack or the salient point in the fixing groove can increase friction, and the catheter is prevented from being pulled out outwards. The four-head belt design increases the stability of catheter fixation, enlarges the stress area and reduces the pressure injury of skin.
The above description is directed to the preferred embodiment of the present invention. It is to be understood that the invention is not limited to the particular embodiments described above, and that devices and structures not described in detail are understood to be implemented in a manner common in the art; without departing from the scope of the invention, it is intended that the present invention shall not be limited to the above-described embodiments, but that the present invention shall include all the modifications and variations of the embodiments. Therefore, any simple modification, equivalent change and modification made to the above embodiments by the technical entity of the present invention all still fall within the protection scope of the technical solution of the present invention, where the technical entity does not depart from the content of the technical solution of the present invention.