CN217119073U - Multifunctional nasopharynx air duct - Google Patents
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Abstract
Description
技术领域technical field
本实用新型涉及医疗器械技术领域,特别是涉及一种多功能鼻咽通气导管。The utility model relates to the technical field of medical devices, in particular to a multifunctional nasopharyngeal ventilation catheter.
背景技术Background technique
作为急救中常用的一种抢救手段,气管插管术是呼吸道管理中应用最广泛、最有效最快捷的手段之一,是医务人员必须熟练掌握的基本技能。文献报道困难的气管插管的发生率在1.5%~13%,并且困难插管更有可能发生在手术室以外的次优环境中,如急诊室、重症监护病房(ICU)、病人病房,甚至医院外。而经鼻清醒插管气则是处理困难气道最有效的方法。As a commonly used rescue method in first aid, tracheal intubation is one of the most widely used, most effective and quickest methods in airway management, and is a basic skill that medical staff must master. The reported incidence of difficult endotracheal intubation ranges from 1.5% to 13%, and difficult intubation is more likely to occur in suboptimal settings outside the operating room, such as emergency rooms, intensive care units (ICUs), patient wards, and even outside the hospital. Awake nasal intubation is the most effective way to deal with difficult airways.
气管插管过程中,由于气管插管导管的结构特点和设计缺点,有可能引起如喉头水肿、声门损伤、口腔内损伤、呼吸道损伤、局部出血等并发症,想要降低这一系列并发症的发生几率,采用可视化气管插管是一个好的选择。In the process of tracheal intubation, due to the structural characteristics and design shortcomings of the tracheal intubation catheter, complications such as laryngeal edema, glottis injury, intraoral injury, respiratory tract injury, and local bleeding may occur. The probability of occurrence, the use of visual tracheal intubation is a good choice.
气管插管用于手术前对患者进行麻醉后,在临床使用中,可能因套管内湿化不足、吸痰方法不得当、患者咳痰无力、体液不足造成痰液粘稠等多种原因,以致痰液长时间附着在气切气道管壁,堆积过多从而形成痰痂。目前临床对这种情况的处理方式是:在气管插管开口滴入0.5ml生理盐水后,用吸痰管由近及远地沿气管插管吸出气道和插管里的分泌物。由于气管插管的内径为圆形,且其长度达250mm和一定的弧度,滴入的生理盐水从高位往低位流;同时,无法任意吸取贴在气管壁上的分泌物,无法做到有效清洁。After tracheal intubation is used to anesthetize patients before surgery, in clinical use, there may be various reasons such as insufficient humidification in the cannula, inappropriate sputum suction methods, inability of patients to expectorate sputum, and lack of body fluids resulting in viscous sputum. The sputum adheres to the wall of the tracheostomy airway for a long time and accumulates too much to form a sputum scab. The current clinical treatment for this situation is as follows: after instilling 0.5ml of normal saline into the opening of the tracheal intubation, use a sputum suction tube to suck out the secretions in the airway and intubation from near and far along the tracheal intubation. Because the inner diameter of the tracheal intubation tube is circular, and its length is 250mm and a certain arc, the dripped physiological saline flows from a high position to a low position; at the same time, it is impossible to arbitrarily absorb the secretions sticking to the tracheal wall, and it cannot be effectively cleaned. .
现阶段临床上的经鼻气管插管常通过可视喉镜或纤维支气管镜来进行引导插管,其操作较为复杂,且成本较为高昂,在众多基层医院较难普及。再者,现有的气管导管功能不够完善,医护人员在进行插管相关操作时可能需要使用不同器械分步进行操作来进行吸痰和气体监测等,步骤较为繁琐,并且在这一过程中可能产生感染或增加其他并发症的发生率。At present, the clinical nasotracheal intubation is often guided by a video laryngoscope or a fiberoptic bronchoscope. The operation is relatively complicated and the cost is relatively high, which is difficult to popularize in many primary hospitals. Furthermore, the function of the existing tracheal tube is not perfect, and medical staff may need to use different instruments to perform operations in steps to perform sputum suction and gas monitoring when performing intubation-related operations. produce infection or increase the incidence of other complications.
实用新型内容Utility model content
为了解决现有技术存在的问题,本实用新型提供了一种多功能鼻咽通气导管,既为满足长期留置气管插管患者气道护理需要同时减少并发症的发生,又避免了再次插管所带来的不可预知的严重并发症。In order to solve the problems existing in the prior art, the utility model provides a multifunctional nasopharyngeal ventilation catheter, which not only meets the airway care needs of patients with long-term indwelling tracheal intubation, but also reduces the occurrence of complications, and avoids the need for repeated intubation. Unpredictable serious complications.
为达此目的,本实用新型采用以下技术方案:For this purpose, the utility model adopts the following technical solutions:
一种多功能鼻咽通气导管,包括通气管、气囊、吸痰管负压接头、气体监测管、波纹管拉线、气囊注气口、气囊注气管和无线微型摄像头;所述气囊设置在所述通气管的下半段;所述吸痰管负压接头、所述气体监测管、所述波纹管拉线、所述气囊注气口均设置在所述通气管上半段;所述气囊注气管设置在所述通气管内壁;所述无线微型摄像头可伸入所述通气管内部。A multifunctional nasopharyngeal ventilation catheter, comprising a ventilation tube, an airbag, a negative pressure joint of a sputum suction tube, a gas monitoring tube, a bellows cable, an airbag gas injection port, an airbag gas injection tube and a wireless micro camera; The lower half of the trachea; the suction tube negative pressure joint, the gas monitoring tube, the bellows cable, and the air bag air injection port are all arranged in the upper half of the ventilation tube; the air bag air injection tube is arranged in the The inner wall of the ventilation pipe; the wireless micro-camera can extend into the interior of the ventilation pipe.
进一步地,所述通气管从下到上依次划分为第一区段、第二区段和第三区段。Further, the ventilation pipe is divided into a first section, a second section and a third section in sequence from bottom to top.
进一步地,所述气囊注气管一端通过所述气囊注气口与所述气囊相连通,另一端与连接在所述气囊注气管上的气囊充气组件相连接,所述气囊环绕设置在所述通气管管体外壁上,所述通气管管体与所述气囊连接处上方向内凹陷形成有环状积痰槽。Further, one end of the airbag gas injection pipe is communicated with the airbag through the airbag gas injection port, and the other end is connected with the airbag inflation component connected to the airbag gas injection pipe, and the airbag is arranged around the ventilation pipe. On the outer wall of the tube, a ring-shaped sputum collecting groove is formed in an inward depression at the upper part of the connection between the ventilation tube body and the airbag.
进一步地,所述第一区段上设有若干第一吸痰口,所述第一吸痰口等间隔开设于所述环状积痰槽周围,所述通气管管体内侧壁固定设置有第一圆环吸管,所述第一圆环吸管的侧壁与所述第一吸痰口相连通,所述第一圆环吸管的侧壁还与一竖向设置的吸痰管的底部相连通,所述吸痰管设置于所述通气管管体内部,其顶部向上穿出管体与所述吸痰管负压接头相连。Further, the first section is provided with a number of first sputum suction ports, the first phlegm suction ports are opened at equal intervals around the annular phlegm accumulation groove, and the inner side wall of the ventilation pipe is fixedly provided with The first annular suction pipe, the side wall of the first annular suction pipe is communicated with the first suction mouth, and the side wall of the first annular suction pipe is also connected with the bottom of a vertically arranged suction pipe The sputum suction tube is arranged inside the ventilation tube body, and the top of the sputum suction tube penetrates upwards out of the tube body and is connected to the negative pressure joint of the sputum suction tube.
进一步地,所述第二区段设置有波纹管,所述波纹管的底部与所述第一区段的所述通气管管体顶部固定连接,所述波纹管的顶部与所述第三区段的所述通气管管体的底部固定连接。Further, the second section is provided with a corrugated pipe, the bottom of the corrugated pipe is fixedly connected with the top of the ventilation pipe body of the first section, and the top of the corrugated pipe is connected to the third area The bottom of the vent pipe body of the segment is fixedly connected.
进一步地,所述波纹管和所述通气管的管壁内纵向设置有两个通拉线管,两个所述通拉线管管道内设置有波纹管拉线,所述波纹管拉线的一端设置在所述波纹管的前端管壁上,另一端通过所述通拉线管管道前端的开口引出,在所述的波纹管拉线另一端固定设置有一个套环。Further, two wire-pulling pipes are longitudinally arranged in the pipe walls of the corrugated pipe and the ventilation pipe, and two bellows-pulling pipes are provided with corrugated pipe pulling wires, and one end of the corrugated pipe pulling wire is arranged at the On the front end pipe wall of the corrugated pipe, the other end is drawn out through the opening at the front end of the pipe through the wire drawing pipe, and a collar is fixed on the other end of the drawing wire of the corrugated pipe.
进一步地,所述第三区段上设有螺纹凸起,所述螺纹凸起上开设有第二吸痰口,所述通气管管体内侧壁上固定连接有第二圆环吸管,所述第二圆环吸管与所述第二吸痰口相连通,所述第二圆环吸管与所述吸痰管相连通。Further, a threaded protrusion is provided on the third section, a second suction port is opened on the threaded protrusion, and a second annular suction pipe is fixedly connected to the inner side wall of the ventilation pipe. The second annular suction pipe is communicated with the second sputum suction port, and the second annular suction pipe is communicated with the sputum suction pipe.
进一步地,所述气囊注气口可与外接的气囊压力自动监测装置相连。Further, the airbag gas injection port can be connected to an external airbag pressure automatic monitoring device.
进一步地,所述气体监测管末端设有鲁尔接头可与气体监测仪相连。Further, the end of the gas monitoring tube is provided with a luer connector which can be connected to the gas monitoring instrument.
进一步地,所述通气管上半段表面设有刻度。Further, a scale is provided on the surface of the upper half of the ventilation pipe.
本实用新型的有益效果为:The beneficial effects of the present utility model are:
本实用新型的优点在于提供了一种多功能鼻咽通气导管,将吸痰功能、球囊压力监测、气体监测和可视化插管多功能集于一身,设置了呼吸通道、吸痰通道和气体监测通道,能在鼻咽通气导管起通气作用的同时,对患者进行气体监测和吸痰,且不相互影响干涉,能有效节省医护人员操作时间和抢救步骤,并能维持患者鼻咽道通畅,减少对患者造成的伤害,并且满足长期留置气管插管患者气道护理需要同时减少并发症的发生;本实用新型的多功能鼻咽通气导管既可单用,也可与气道辅助装置配套使用;集通气、吸痰、气体监测等于一体,功能强大,操作简单,成本低廉。在临床上有着一举多得的作用,值得在临床上推广使用。The utility model has the advantage of providing a multifunctional nasopharyngeal ventilation catheter, which integrates the functions of sputum suction, balloon pressure monitoring, gas monitoring and visual intubation, and is provided with a breathing channel, a sputum suction channel and gas monitoring. The channel can perform gas monitoring and sputum suction for patients while the nasopharyngeal ventilation catheter plays a role in ventilation, and does not interfere with each other. The damage caused to the patient, and meet the airway care needs of patients with long-term indwelling tracheal intubation while reducing the occurrence of complications; the multifunctional nasopharyngeal ventilation catheter of the utility model can be used alone, or can be used together with an airway auxiliary device; It integrates ventilation, sputum suction and gas monitoring, with powerful functions, simple operation and low cost. It has the function of serving multiple purposes in clinical practice, and it is worth promoting and using in clinical practice.
附图说明Description of drawings
图1为本实用新型的一种多功能鼻咽通气导管结构示意图;Fig. 1 is the structural representation of a kind of multifunctional nasopharyngeal ventilation catheter of the present invention;
图2为本实用新型螺纹结构水平截面示意图;Fig. 2 is the horizontal cross-sectional schematic diagram of the thread structure of the utility model;
图3为本实用新型环状积液槽结构水平截面示意图;Fig. 3 is the horizontal cross-sectional schematic diagram of the annular effusion tank structure of the utility model;
图4为本实用新型第三区段内部放大结构示意图;4 is a schematic diagram of an enlarged internal structure of the third section of the present invention;
图5为本实用新型第一区段内部放大结构示意图;5 is a schematic diagram of an enlarged internal structure of the first section of the present invention;
图6为本实用新型通气管水平截面示意图。6 is a schematic diagram of a horizontal cross-section of the ventilation pipe of the present invention.
图中:1、通气管;2、第一区段;21、通气管下管口;22、气囊;23、第一吸痰口;24、吸痰管;25、气囊注气管;26、第一圆环吸管;3、第二区段;31、波纹管;4、第三区段;41、第二吸痰口;42、螺纹凸起;43、第二圆环吸管;5、吸痰管负压接头;6、气体监测管;7、波纹管拉线;8、气囊注气口;9、通气管上管口;10、通拉线管;In the figure: 1, the ventilation tube; 2, the first section; 21, the lower nozzle of the ventilation tube; 22, the air bag; 23, the first suction port; 24, the suction tube; A circular suction pipe; 3, the second section; 31, the bellows; 4, the third section; 41, the second suction mouth; 42, the thread protrusion; 43, the second circular suction pipe; 5, suction Pipe negative pressure joint; 6. Gas monitoring pipe; 7. Corrugated pipe cable; 8. Airbag gas injection port; 9. Upper nozzle of ventilation pipe;
具体实施方式Detailed ways
为使本实用新型的目的、技术方案和优点更加清楚明白,下面结合实施例和附图,对本实用新型作进一步的详细说明,本实用新型的示意性实施方式及其说明仅用于解释本实用新型,并不作为对本实用新型的限定。In order to make the purpose, technical solutions and advantages of the present utility model clearer, the present utility model will be described in further detail below in conjunction with the embodiments and the accompanying drawings. The invention is not intended to limit the present invention.
请参阅图1-6,本实用新型提供了一种多功能鼻咽通气导管包括通气管1、气囊22、吸痰管负压接头5、气体监测管6、波纹管拉线77、气囊注气口8、气囊注气管25和无线微型摄像头;气囊22设置在通气管1的下半段;吸痰管负压接头5、气体监测管6、波纹管拉线7、气囊注气口8均设置在通气管1上半段;气囊注气管25设置在通气管1内壁;无线微型摄像头可伸入通气管1内部。通气管1从下到上依次划分为第一区段2、第二区段3和第三区段4。通气管1下半部分分为3个区段,可以起到吸痰和控制方向的作用;气囊22形成的环状积痰槽以吸纳痰液;实现可视化气管插管;内部中空气体监测通道。气囊22的气囊注气口8可与另一带有传感器的外部气囊连通进行充放气来改变气囊的大小,使其与人体气管内壁黏膜贴合力度适当。1-6, the present utility model provides a multifunctional nasopharyngeal ventilation catheter including a
气囊注气管25一端通过气囊注气口8与气囊22相连通,另一端与连接在气囊注气管25上的气囊充气组件相连接,气囊22环绕设置在通气管1管体外壁上,通气管1管体与气囊22连接处上方向内凹陷形成有环状积痰槽。气囊22套接在通气管1的外面,经过热压粘接(一种常用粘结技术)在管体上,气囊注气管25在通气管1管壁内走行,气囊注气管25一端连接气囊22,另一端连接气囊注气口8。气囊注气口8可与外接的气囊压力自动监测装置相连。这样的结构一方面能够自动调节气道内气囊对气道黏膜的压力,防止压力过大造成组织缺血或应激反应,另一方面由于该气管导管为一次性医疗用品,可避免交叉感染,而外部气囊的设计使得传感器能够重复使用,有效节约了成本。One end of the airbag
第一区段2上设有若干第一吸痰口23,第一吸痰口23等间隔开设于环状积痰槽周围,通气管1管体内侧壁固定设置有第一圆环吸管26,第一圆环吸管26的侧壁与第一吸痰口23相连通,第一圆环吸管26的侧壁还与一竖向设置的吸痰管24的底部相连通,吸痰管24设置于通气管1管体内部,其顶部向上穿出管体与吸痰管负压接头5相连。The first section 2 is provided with a number of
第二区段3设置有波纹管31,波纹管31的底部与第一区段2的通气管1管体顶部固定连接,波纹管31的顶部与第三区段4的通气管1管体的底部固定连接。波纹管31和通气管1的管壁内纵向设置有两个通拉线管10,两个通拉线管10管道内设置有波纹管拉线7,波纹管拉线7的一端设置在波纹管31的前端管壁上,另一端通过通拉线管10管道前端的开口引出,在的波纹管拉线7另一端固定设置有一个套环。The
第三区段4上设有螺纹凸起42,螺纹凸起42上开设有第二吸痰口41,通气管1管体内侧壁上固定连接有第二圆环吸管43,第二圆环吸管43与第二吸痰口41相连通,第二圆环吸管43与吸痰管24相连通。气囊注气口8可与外接的气囊压力自动监测装置相连。气体监测管6末端设有鲁尔接头可与气体监测仪相连。其开口几乎与通气管平齐,末端连有鲁尔接头可与气体监测仪相连。通气管1上半段表面设有刻度。The
实施例一Example 1
以一位需要长期留置气管插管实施经鼻气管插管的患者为例。先将无线微型摄像头连接一细长钢索并放置在气管插管内,对该患者进行鼻咽部黏膜表面麻醉后,实施经鼻可视通气管1插管,通过将通气管下管口21插入,通过提拉波纹管拉线7,调整通气管1前端波纹管31的弯曲程度以适应患者的鼻腔及气道解剖结构特征,待通气管1插管前端顺利到达声门上部,通过钢索将微型摄像头取出,然后给气囊22进行充气,并固定插管。如果患者鼻腔有异物阻塞或呼吸异常,可以连接吸痰管24末端的吸痰管负压接头5进行吸痰。插管成功后,连接气囊注气口8与外部传感器气囊压力检测装置,调节气囊22压力合适,注气,固定导管。通过通气管上管口9接口连接呼吸机、气体监测管6连接气体监测仪,根据患者具体情况采用其他功能。若在气体监测仪上观察到患者呼吸异常或察觉气道中有异物阻塞,连接吸痰管24末端的吸痰管负压接头5进行吸痰。Take a patient who needs long-term indwelling tracheal intubation for nasotracheal intubation as an example. First, connect the wireless micro-camera to a slender steel cable and place it in the tracheal intubation tube. After the patient is subjected to surface anesthesia of the nasopharyngeal mucosa, the transnasal
本实施例通过将气囊22向外凸起形成有环状积痰槽,积痰槽底部开设的第一吸痰孔23,积痰槽可容纳由管体外壁滑落的分泌物,使用注射器在吸痰管负压接头5处抽气时,吸痰管24内形成负压,将分泌物从积痰槽底部设置的第一吸痰孔抽吸至第一圆环吸管26内,最终抽出至注射器内,最后取出气管插管时需对气囊进行抽气,此时剩余的痰液任然积聚在积痰槽中随气管插管抽出而带出气管部,不会溅洒至气管部造成感染。In this embodiment, the
如上即为本实用新型的实施例。上述实施例以及实施例中的具体参数仅是为了清楚表述实用新型验证过程,并非用以限制本实用新型的专利保护范围,本实用新型的专利保护范围仍然以其权利要求书为准,凡是运用本实用新型的说明书及附图内容所作的等同结构变化,同理均应包含在本实用新型的保护范围内。The above is the embodiment of the present invention. The above-mentioned examples and the specific parameters in the examples are only for the purpose of clearly expressing the utility model verification process, and are not intended to limit the scope of the patent protection of the present utility model. Equivalent structural changes made in the description and the accompanying drawings of the present invention shall be included in the protection scope of the present invention.
Claims (10)
Priority Applications (1)
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