CN215351366U

CN215351366U - Tracheal fistula nursing equipment

Info

Publication number: CN215351366U
Application number: CN202120585352.3U
Authority: CN
Inventors: 林艳; 朱芳; 孙健冰; 金丽平
Original assignee: Fujian Tumour Hospital (fujian Tumour Institute Fujian Cancer Control And Prevention Center)
Current assignee: Fujian Tumour Hospital (fujian Tumour Institute Fujian Cancer Control And Prevention Center)
Priority date: 2021-03-23
Filing date: 2021-03-23
Publication date: 2021-12-31
Anticipated expiration: 2031-03-23

Abstract

The utility model provides a tracheal fistula nursing device, which is used for a tracheal fistula of a user, and comprises an elastic pipe fitting inserted at a trachea and an air bag controller connected with an air bag; the air bag is arranged at the contact part of the elastic pipe fitting and the air pipe to form a supporting structure between the elastic pipe fitting and the air pipe; the air bag comprises a pressure sensor for monitoring the pressure borne by the air bag; the air bag controller dynamically adjusts the volume of the air bag according to the monitoring data of the pressure sensor so as to keep the air bag supporting force on the air pipe within a required threshold range; the utility model provides equipment capable of preventing the stenosis of a stoma and the humidification of a trachea, accurately monitors the temperature and humidity value of the trachea, the stenosis of the trachea and the condition of tracheal mucosa in real time, starts corresponding atomization and air bag expansion treatment measures according to the temperature and humidity value, and aims to solve the stenosis of the stoma and prevent lung infection. And the appearance of the device is similar to the skin of a human body, which is beneficial to improving the life quality of patients and the outside.

Description

Tracheal fistula nursing equipment

Technical Field

The utility model relates to the technical field of medical equipment, in particular to a tracheal fistula nursing device.

Background

In the full-excision surgery of the larynx at the present stage, the outer surface of the postoperative tracheostoma is shielded by medical gauze or a metal full-laryngeal tube is inserted into a branch channel, so that the surgery is not beautiful, and can stimulate the chyme and bleeding of the tracheostoma, and the tolerance of a patient is poor. The tracheostomy is greatly influenced by the temperature and the humidity of the external environment, and the dust pollution of the external air can directly stimulate the trachea and the lungs, thereby increasing the probability of lung infection. Temperatures below 30 ℃ may result in impaired ciliary movement, and above 40 ℃ may cause increased body temperature and airway burning. Excessive or insufficient humidification can cause harm to respiratory tract, if insufficient humidification can cause reduction of ciliary movement ability, airway secretion is sticky, oxygen deficiency is caused or aggravated, and infection is difficult to control. If excessive humidification can cause the airway resistance to increase, excessive water retention can increase the heart burden; damaging the alveoli.

The serious patient with tracheostoma stenosis can be life-threatening, and is a common problem which is always faced by patients with total laryngectomy and surgeons of ear, nose, throat and head and neck. Patients often need to wear a full-throat tube for a lifetime or repeatedly perform treatment, even surgical correction, which reduces the quality of life. The existing tracheal air bag expansion equipment can not adjust the pressure according to the pressure condition of tracheal tissues, and can not play a role in supporting and expanding when being too small, thereby easily causing the stenosis of the stoma; the tracheal tissue necrosis can be caused by the excessive pressure of the air bag.

In view of the above-mentioned drawbacks, there is an urgent need for a safe, effective, easy to use, and easy to wear device that can provide optimum pressure and dynamically observe the condition of the tracheal tissue to prevent stenosis of the stoma and avoid necrosis of the tracheal tissue due to excessive pressure; an airway humidifying device which provides optimum temperature and humidity for tracheal tissues, corrects anoxia, improves ventilation, dilutes airway endocrine and ensures that the airway humidifying device is easy to expectorate.

Disclosure of Invention

The utility model provides a tracheal fistula nursing device, provides a device capable of preventing a stoma from being narrowed and preventing a trachea from being humidified, accurately monitors the temperature and humidity value of the trachea, the tracheal stenosis and the tracheal mucosa condition in real time, starts corresponding atomization and air bag expansion treatment measures according to the temperature and humidity value and the tracheal stenosis and the tracheal mucosa condition, and aims to solve the problem of the tracheal stoma stenosis and prevent lung infection. And the appearance of the device is similar to the skin of a human body, which is beneficial to improving the life quality of patients and the outside.

The utility model adopts the following technical scheme.

The tracheal fistula nursing device is used for a tracheal fistula of a user, and comprises an elastic pipe fitting inserted at the trachea and an air bag controller connected with an air bag; the air bag is arranged at the contact part of the elastic pipe fitting and the air pipe to form a supporting structure between the elastic pipe fitting and the air pipe; the air bag comprises a pressure sensor for monitoring the pressure borne by the air bag; the air bag controller dynamically adjusts the volume of the air bag according to the monitoring data of the pressure sensor so as to keep the air bag supporting force on the air pipe within a required threshold value range.

The elastic pipe fitting is a hollow funnel-shaped silica gel air pipe; the silica gel air pipe and the air bag are combined into an air bag sleeve; a filter membrane positioned at the inlet of the silica gel air pipe is fixed at the upper end of the air bag sleeve; the upper end lateral wall of silica gel trachea is equipped with the atomizing pipe and the gas tube that links to each other with the gasbag.

The filter membrane is a replaceable disposable article; forming the filter membrane by melt-blown cloth; the main raw material of the melt-blown fabric is polypropylene.

Two sets of air bag equipment which are arranged up and down are arranged on the outer wall of the silica gel air pipe and comprise a first air bag and a second air bag; the pressure sensor is arranged on the surface of the air bag to monitor the pressure of the tracheal tissue at the air bag; when the air bag controller monitors that the pressure value of the tracheal tissue around the air bag sleeve reaches a preset threshold value, the air bag controller alternately starts two sets of air bag equipment to enable the air bag equipment to be alternately inflated and deflated through the inflation tube so as to dynamically change the size of the air bag, and drives the trachea and the surrounding tissue at the air bag to contract or relax so as to prevent and treat tracheostomy stenosis.

The fistula nursing device also comprises an auxiliary device containing an air bag controller; the auxiliary equipment comprises a data processing module, and an alarm module, an atomization controller, a heater, an air bag controller, a display and an intelligent terminal which are connected with the data processing module;

the pressure sensor is a film type pressure sensor; the air bag controller acquires pressure data of the whole contact surface of the air bag and the air pipe through a pressure sensor; the air bag controller is connected with the auxiliary equipment through a wireless communication module; and the intelligent terminal or the display of the auxiliary equipment displays the pressure data monitored by the pressure sensor in a numerical value form or a three-dimensional pressure distribution image form.

The filter membrane is a tracheostomy filter membrane containing an atomization joint; the atomization joint is connected with an atomization generator with an atomization tank through an atomization tube at an interface on the side surface of the upper end of the tracheostomy; an atomization controller connecting port is formed in the side face of the upper end of the silica gel air pipe; the data processing module measures temperature data in the trachea through a temperature sensor at the lower end of the air bag sleeve, measures humidity data in the trachea through a humidity sensor at the lower end of the air bag sleeve, and when the temperature data in the trachea or the humidity data in the trachea reach an alarm threshold value, the data processing module starts the alarm module to alarm and controls the atomization generator to spray liquid mist into the trachea through the atomization controller so as to humidify the air passage.

The liquid fog output end of the atomization generator is connected with the heater; when the atomization generator outputs liquid mist, the heater heats the liquid mist to the proper temperature of the air pipe.

A camera connected with the data processing module is arranged below the filter membrane; the shooting direction of the camera faces to the lower trachea; the data processing module measures diameter data, perimeter data and depth data of the tracheostoma at the tracheal fistula through the camera, and acquires tracheal mucosa image information at the tracheal fistula through the camera.

When the first air bag and the second air bag are inflated or deflated, the data processing module dynamically observes the diameter and the circumference of the trachea during the relaxing and the shrinking through the camera, and adjusts the inflation pressure of the first air bag and the second air bag according to the observation result.

The auxiliary device is a portable device; the outer side wall of the upper end of the air bag sleeve is provided with an identification code for scanning and inputting by a code scanning device; the wireless communication module comprises at least one of a ZigBee module, a 4G module, a 5G module, a WIFI module, an Ethernet module or a Bluetooth module; the filter membrane is used for blocking or protecting pathogenic microorganisms and micro-particles in the air;

a high-sensitivity pocket-size temperature and humidity probe is arranged at the sleeve of the air bag to monitor the temperature and humidity of the air pipe, or an infrared camera is arranged to detect the temperature of the air pipe.

The utility model has the beneficial effects that: the silica gel tracheal filter membrane is fixed at the upper end of the air bag sleeve through the snap fastener, and can be used for blocking or protecting pathogenic microorganisms and particles in the air, such as pollen and the like; can accurately monitor the temperature, humidity and pressure in the tracheostomy tube, the diameter, the perimeter, the depth and the image information of the tracheal mucosa in real time and timely feed back the temperature, humidity value, the pressure and the width value in the tracheostomy tube so that medical personnel can timely know the tracheal sputum condition and the narrow condition of the tracheostomy opening. Corresponding treatment measures are started, aiming at solving the problem of narrow tracheostomy and preventing lung infection.

In the scheme of the utility model, the applicant thinks that the air pressure fluctuation during breathing can be simulated by alternately inflating and deflating the first air bag and the second air bag which surround the silica gel air pipe, so that the matching degree of the device of the utility model to the human trachea tissue is favorably improved, and when the product adopts a miniature camera without an illumination light source, the atomizing pipe and the inflating pipe connected with the air bag can also be made of light guide materials or can be internally embedded with a light guide component, so that auxiliary equipment or external light is guided into the trachea part for illumination, the shooting of the trachea part by the camera is favorably realized, and the stimulation of the artificial component to the trachea tissue can be reduced.

Drawings

The utility model is described in further detail below with reference to the following figures and detailed description:

FIG. 1 is a schematic diagram of the auxiliary equipment of the present invention;

FIG. 2 is a schematic view of the apparatus of the present invention at a silica gel trachea;

FIG. 3 is a schematic view of the device of the present invention in cooperation with the trachea of a human;

FIG. 4 is a schematic diagram of the control principle of the present invention;

in the figure: 1-silica gel air pipe; 2-an atomization controller; 3-an airbag controller; 4-a display; 5-a data processing module; 6-an alarm module; 7-a power supply; 8-an identification code; 9-an intelligent terminal;

10-fixing the belt; 11-a filter membrane; 12-a sub-button; 13-female buckle; 14-temperature and humidity probe; 15-a first balloon; 16-a second balloon; 17-a wireless communication module; 18-a power supply; 19-a camera;

21-an atomising interface at the auxiliary device; 22-an atomizing tube; 23-an atomizing adaptor; 24-an atomization tank; 25-a heater; 26-ultraviolet disinfection device; 27-an atomization generator;

31-a gas-filled tube; 32-air bag tube interface at auxiliary device.

Detailed Description

As shown in the figure, the tracheal stoma nursing device is used for the tracheal stoma of a user, and comprises an elastic pipe fitting inserted at the tracheal and an air bag controller 3 connected with an air bag; the air bag is arranged at the contact part of the elastic pipe fitting and the air pipe to form a supporting structure between the elastic pipe fitting and the air pipe; the air bag comprises a pressure sensor for monitoring the pressure borne by the air bag; the air bag controller dynamically adjusts the volume of the air bag according to the monitoring data of the pressure sensor so as to keep the air bag supporting force on the air pipe within a required threshold value range.

The elastic pipe fitting is a hollow funnel-shaped silica gel air pipe 1; the silica gel air pipe and the air bag are combined into an air bag sleeve; a filter membrane 11 positioned at the inlet of the silica gel air pipe is fixed at the upper end of the air bag sleeve; the upper end lateral wall of silica gel trachea is equipped with atomizing pipe 22 and the gas tube 31 that links to each other with the gasbag.

Two sets of air bag equipment which are arranged up and down are arranged on the outer wall of the silica gel air pipe and comprise a first air bag 15 and a second air bag 16; the pressure sensor is arranged on the surface of the air bag to monitor the pressure of the tracheal tissue at the air bag; when the air bag controller monitors that the pressure value of the tracheal tissue around the air bag sleeve reaches a preset threshold value, the air bag controller alternately starts two sets of air bag equipment to enable the air bag equipment to be alternately inflated and deflated through the inflation tube so as to dynamically change the size of the air bag, and drives the trachea and the surrounding tissue at the air bag to contract or relax so as to prevent and treat tracheostomy stenosis.

The fistula nursing device also comprises an auxiliary device containing an air bag controller; the auxiliary equipment comprises a data processing module 5, and an alarm module 6, an atomization controller 2, a heater 25, an air bag controller, a display 4 and an intelligent terminal 9 which are connected with the data processing module;

the pressure sensor is a film type pressure sensor; the air bag controller acquires pressure data of the whole contact surface of the air bag and the air pipe through a pressure sensor; the air bag controller is connected with auxiliary equipment through a wireless communication module 17; and the intelligent terminal or the display of the auxiliary equipment displays the pressure data monitored by the pressure sensor in a numerical value form or a three-dimensional pressure distribution image form.

The filter membrane is a tracheostomy filter membrane containing an atomization joint 23; the atomization joint is connected with an atomization generator 27 with an atomization tank 24 through an atomization tube at an interface on the side surface of the upper end of the tracheostomy; an atomization controller connecting port is formed in the side face of the upper end of the silica gel air pipe; the data processing module measures temperature data in the trachea through a temperature sensor at the lower end of the air bag sleeve, measures humidity data in the trachea through a humidity sensor at the lower end of the air bag sleeve, and when the temperature data in the trachea or the humidity data in the trachea reach an alarm threshold value, the data processing module starts the alarm module to alarm and controls the atomization generator to spray liquid mist into the trachea through the atomization controller so as to humidify the air passage.

A camera 19 connected with the data processing module is arranged below the filter membrane; the shooting direction of the camera faces to the lower trachea; the data processing module measures diameter data, perimeter data and depth data of the tracheostoma at the tracheal fistula through the camera, and acquires tracheal mucosa image information at the tracheal fistula through the camera.

The auxiliary device is a portable device; an identification code 8 for scanning and inputting by a code scanning device is arranged on the outer side wall of the upper end of the air bag sleeve; the wireless communication module comprises at least one of a ZigBee module, a 4G module, a 5G module, a WIFI module, an Ethernet module or a Bluetooth module; the filter membrane is used for blocking or protecting pathogenic microorganisms and micro-particles in the air;

a high-sensitivity pocket-size temperature and humidity probe 14 is arranged at the sleeve of the air bag to monitor the temperature and humidity of the air pipe, or an infrared camera is arranged to detect the temperature of the air pipe.

In this example, the auxiliary device is a portable device that can be carried by the patient, and is connected to the air bag at the silica gel air tube through the air bag tube interface 32 at the auxiliary device.

In this example, the signals sent by the pressure sensor, the camera, the temperature sensor and the humidity sensor of the air bag to the microprocessor of the data processing module are level signals, the microprocessor controls the alarm module to send out alarm sound or turn on the indicator light according to the level signals, and meanwhile, the microprocessor sends the alarm information to the intelligent terminal.

In the auxiliary device, different warning sounds can be set to the warning module 6 according to different preset warning values. For example, when the temperature and humidity reach the early warning low value, the intelligent terminal 9 sends control instruction information for sending a first warning sound to the alarm module through the wireless communication module 17, and when the temperature and humidity reach the early warning high value, sends control instruction information for sending a second warning sound to the alarm module, so that the alarm module sends different warning sounds.

When the air bag is inflated and deflated, the device can dynamically measure the diameter, the perimeter and the depth change of the trachea during the relaxation and the contraction, and simultaneously obtain the pressure value received by the tracheal tissue and received by the pressure sensor. The data receiving and processing module displays the data information through the display 4. And if the measured current value reaches the preset pressure value, sending information to the alarm module 6. The alarm module 6 acquires the responding alarm sound to respond to the alarm.

The different alarm sounds can make surrounding personnel obviously distinguish different conditions of the temperature and the humidity of the trachea so as to take different measures.

In this example, the camera can be a 3D camera including a distance measuring sensor, and the intelligent terminal can be one or more of a computer terminal or a mobile phone of a medical workstation.

In this example, the auxiliary device, the camera, and the sensor are all powered by a power supply 18 disposed at the auxiliary device, which is a dc power module employing a lithium battery.

In the embodiment, the first air bag and the second air bag surrounding the silica gel air tube are alternately inflated and deflated, so that air pressure fluctuation during breathing can be simulated, the matching degree of the device to the human trachea tissue is favorably improved, discomfort of a human body is reduced, and when the device adopts a miniature camera without an illumination light source, the atomizing tube and the inflating tube connected with the air bags can be made of light guide materials or can be internally embedded with a light guide part, auxiliary equipment or external light is guided into the air tube part for illumination, the shooting of the air tube part by the camera is favorably realized, and the stimulation of manual parts to the trachea tissue can be reduced.

In this example, the tracheal fistula nursing device is bound on the neck of a patient by a fixing band 10, the upper end of the air bag sleeve is fixed with a filter membrane positioned at the inlet of a silica gel trachea by a snap fastener, and the snap fastener comprises a male fastener 12 and a female fastener 13; an identification code 8 is printed on the fixing belt, and when external equipment needs to be connected with fistula nursing equipment carried by a patient to acquire data, the identification code can be scanned by a scanning device to establish data connection.

In this case, the heater 24 can control the liquid atomization temperature to be 32-34 ℃; the uniform size of the droplets emitted by the atomization generator 26 is 1-5 um.

In this example, the device of the atomizing controller further comprises an ultraviolet disinfection device 26, which comprises an ultraviolet lamp disposed at the auxiliary device, so as to disinfect the container and the pipeline (such as the atomizing interface, the atomizing pipe, the atomizing joint, the atomizing tank, the atomizing generator, etc.) of the atomizing assembly of the present invention, and prevent germs from entering the fistula orifice through the atomizing passage.

It is therefore intended that the foregoing detailed description be regarded as illustrative rather than limiting, and that it be understood that it is the following claims, including all equivalents, that are intended to define the spirit and scope of this invention, and that these examples be interpreted as illustrative only and not as limiting the scope of this invention. After reading the description of the utility model, the skilled person can make various changes or modifications to the utility model, and these equivalent changes and modifications also fall into the scope of the utility model defined by the claims.

Claims

1. Tracheal fistula nursing equipment for user's tracheal fistula department, its characterized in that: the fistula nursing device comprises an elastic pipe fitting inserted at the trachea and an air bag controller connected with an air bag;

the elastic pipe fitting is a hollow funnel-shaped silica gel air pipe; the silica gel air pipe and the air bag are combined into an air bag sleeve; a filter membrane positioned at the inlet of the silica gel air pipe is fixed at the upper end of the air bag sleeve; the side wall of the upper end of the silica gel air pipe is provided with an atomizing pipe and an inflation pipe connected with the air bag;

the air bag is arranged at the contact part of the elastic pipe fitting and the air pipe to form a supporting structure between the elastic pipe fitting and the air pipe; the air bag comprises a pressure sensor for monitoring the pressure borne by the air bag; the air bag controller dynamically adjusts the volume of the air bag according to the monitoring data of the pressure sensor so as to keep the air bag supporting force on the air pipe within a required threshold value range.

2. A tracheal stoma care device according to claim 1, wherein: the filter membrane is a replaceable disposable article; forming the filter membrane by melt-blown cloth; the main raw material of the melt-blown fabric is polypropylene.

3. A tracheal stoma care device according to claim 1, wherein: two sets of air bag equipment which are arranged up and down are arranged on the outer wall of the silica gel air pipe and comprise a first air bag and a second air bag; the pressure sensor is arranged on the surface of the air bag to monitor the pressure of the tracheal tissue at the air bag; when the air bag controller monitors that the pressure value of the tracheal tissue around the air bag sleeve reaches a preset threshold value, the air bag controller alternately starts two sets of air bag equipment to enable the air bag equipment to be alternately inflated and deflated through the inflation tube so as to dynamically change the size of the air bag, and drives the trachea and the surrounding tissue at the air bag to contract or relax so as to prevent and treat tracheostomy stenosis.

4. A tracheal stoma care device according to claim 3, wherein: the stoma care device further comprises an auxiliary device comprising a balloon controller; the auxiliary equipment comprises a data processing module, and an alarm module, an atomization controller, a heater, an air bag controller, a display and an intelligent terminal which are connected with the data processing module;

5. The tracheal stoma care device of claim 4, wherein: the filter membrane is a tracheostomy filter membrane containing an atomization joint; the atomization joint is connected with an atomization generator with an atomization tank through an atomization tube at an interface on the side surface of the upper end of the tracheostomy; an atomization controller connecting port is formed in the side face of the upper end of the silica gel air pipe; the data processing module measures temperature data in the trachea through a temperature sensor at the lower end of the air bag sleeve, measures humidity data in the trachea through a humidity sensor at the lower end of the air bag sleeve, and when the temperature data in the trachea or the humidity data in the trachea reach an alarm threshold value, the data processing module starts the alarm module to alarm and controls the atomization generator to spray liquid mist into the trachea through the atomization controller so as to humidify the air passage.

6. The tracheal stoma care device of claim 5, wherein: the liquid fog output end of the atomization generator is connected with the heater; when the atomization generator outputs liquid mist, the heater heats the liquid mist to the proper temperature of the air pipe.

7. The tracheal stoma care device of claim 4, wherein: a camera connected with the data processing module is arranged below the filter membrane; the shooting direction of the camera faces to the lower trachea; the data processing module measures diameter data, perimeter data and depth data of the tracheostoma at the tracheal fistula through the camera, and acquires tracheal mucosa image information at the tracheal fistula through the camera.

8. The tracheal stoma care device of claim 7, wherein: when the first air bag and the second air bag are inflated or deflated, the data processing module dynamically observes the diameter and the circumference of the trachea during the relaxing and the shrinking through the camera, and adjusts the inflation pressure of the first air bag and the second air bag according to the observation result.

9. The tracheal stoma care device of claim 8, wherein: the auxiliary device is a portable device; the outer side wall of the upper end of the air bag sleeve is provided with an identification code for scanning and inputting by a code scanning device; the wireless communication module comprises at least one of a ZigBee module, a 4G module, a 5G module, a WIFI module, an Ethernet module or a Bluetooth module; the filter membrane is used for blocking or protecting pathogenic microorganisms and micro-particles in the air;