CN217828320U - Head and neck fixing device for tracheotomy - Google Patents

Abstract

The utility model discloses a neck fixing device for tracheotomy, include: a head holder having a semi-open cavity adapted to receive a patient's head; neck fixer, including the first portion and the second portion of closing of enclosing that has the arc curved surface, it is inboard that first portion of closing of enclosing is fixed or detachably is connected to head fixer cavity, the concatenation can be dismantled along at least one limit to first portion and the second portion of closing of enclosing, make the neck fixer can be in respectively and be suitable for the open mode of imbedding patient's neck and the state of closing of enclosing that is suitable for fixed patient's neck, it is whole to be the cylinder to enclose the state medial surface, and the anterior first portion of closing of neck fixer or the second portion of closing of enclosing is provided with the window that is used for the tracheotomy corresponding to patient's trachea position. The utility model discloses can provide more stable support and fixed for the tracheotomy, be particularly useful for the unconventional operation environment under the circumstances such as car, ship, aircraft, can also directly be used for the postoperative fixed, make things convenient for postoperative care.

Description

Head and neck immobilization device for tracheostomy

technical field

The present application relates to the field of medical devices, in particular to a head and neck fixation device for tracheotomy operations.

Background technique

Tracheotomy is to incise the trachea of the neck and put in a metal tracheal cannula and a silicone cannula. One of the effective first aid methods. The operation is widely used, not only can be used to save the lives of patients, but more importantly, it can win valuable time for follow-up clinical treatment. However, because the operation often needs to be performed in an emergency, it is sometimes difficult to ensure a routine operation environment, especially in some environments that are prone to shaking or impact (such as cars, boats, airplanes, etc.), and other parts near the operation site are easy to be injured .

In addition, the operation needs to insert a tracheal tube into the incision of the trachea in the neck. At present, the tracheal tube is generally fixed with a restraint belt around the neck. However, if the restraint is too tight, it will easily compress the wound and restrict the patient's breathing. If the restraint is too loose , the endotracheal tube is prone to prolapse. Moreover, if the patient has a large body position change, severe shaking, etc., especially in some environments that are prone to shaking or being impacted (such as cars, boats, airplanes, etc.), it is not only easy to cause the endotracheal tube to prolapse, but also may enlarge the wound. lead to adverse consequences.

Utility model content

The purpose of this utility model is to provide a head and neck fixation device for tracheotomy, which can provide more stable support and fixation for tracheotomy, and is especially suitable for very special conditions such as vehicles, ships, and airplanes. In addition, the fixation device can be directly used for postoperative fixation, which is convenient for postoperative care, and solves the problems of limited application scenarios of tracheotomy and easy prolapse of tracheal tube in postoperative care in the prior art.

In order to achieve the above purpose, the utility model provides a head and neck fixation device for tracheotomy, comprising:

a head immobilizer having a semi-open cavity adapted to receive the patient's head; and

The neck immobilizer comprises a first enclosing part and a second enclosing part with an arc-shaped curved surface, the first enclosing part is fixedly or detachably connected to the inner side of the cavity of the head immobilizer, the first enclosing part and the second enclosing part The second enclosing part can be detachably spliced along at least one side, so that the neck immobilizer can be respectively in an open state suitable for being placed in the patient's neck and an enclosed state suitable for fixing the patient's neck, when the neck immobilizer When in the enclosed state, its inner surface is cylindrical as a whole, suitable for accommodating the patient's neck, and the first or second enclosure at the front of the neck immobilizer corresponds to the position of the patient's trachea. Cut the surgical window.

In some embodiments, the first enclosing portion and the second enclosing portion can be detachably spliced along the first side by Velcro or buckle.

In some embodiments, the first enclosing portion and the second enclosing portion may be rotatably connected along the second side, or detachably spliced together by Velcro or buckle.

In some embodiments, the first enclosing portion and/or the second enclosing portion of the front portion of the neck immobilizer is provided with a chin support portion corresponding to the position of the patient's chin, and the inner surface of the chin support portion facing the patient's chin has a Chin support curved surface suitable for supporting the patient's chin.

In some embodiments, an inflatable and deflatable first adjusting airbag is provided on the inner surface of the chin support part, the first adjusting airbag is made of elastic material, and the surface of the first adjusting airbag facing the patient's chin forms a curved chin support surface.

In some embodiments, an inflatable and deflatable first adjusting airbag is arranged inside the chin support part, the first adjusting airbag is made of elastic material, and the surface of the first adjusting airbag facing the patient's chin is parallel to the chin supporting curved surface .

In some embodiments, the second enclosing part is provided with an inflator, and the inflator includes an inflator and an inflatable passage, and the inflator inflates the first regulating airbag through the inflatable passage, and a one-way valve is arranged in the inflatable passage, and the one-way valve only allows Gas flows from the inflator to the first regulating airbag in one direction, and an exhaust valve for discharging the air in the first regulating airbag is arranged on the inflation channel, and the exhaust valve is arranged between the one-way valve and the first regulating airbag.

In some embodiments, the inside of the first enclosing part and the second enclosing part are provided with inflatable and deflatable second adjustment airbags respectively, and the second adjustment airbags are made of elastic material.

In some embodiments, the second regulating airbag includes a plurality of strip-shaped airbags arranged in sequence, and the plurality of strip-shaped airbags are in gas communication.

In some embodiments, the first enclosing part is detachably connected to the inner side of the cavity of the head holder by means of screws, buckles, adhesives or interference fit of holes.

In some embodiments, the head immobilizer base is detachably attached to the operating table.

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

(1) In tracheotomy surgery, it can provide more stable support and fixation for the neck and head, and it is small in size, easy to carry, flexible in use scenarios, and suitable for unconventional surgical environments, such as cars, boats, and airplanes Wait.

(2) A window for tracheotomy is provided to avoid injuring other nearby parts.

(3) It can be used for support and fixation after surgery, it is not easy to loosen, and it is not easy to compress the wound, which is convenient for postoperative care and prevents the prolapse of the tracheal tube and the enlargement of the wound caused by the movement of the patient or the shaking of the environment.

Description of drawings

The foregoing and other features of the present application will be more fully and clearly understood from the following specification and appended claims, taken in conjunction with the accompanying drawings. It can be understood that these drawings only depict some implementations of the content of the application, and therefore should not be considered as limiting the scope of the content of the application. Through the accompanying drawings, the content of this application will be explained more clearly and in detail.

FIG. 1 shows a head and neck immobilization device 10 according to an embodiment of the present disclosure;

Fig. 2 shows the open state figure of neck immobilizer 200;

FIG. 3 shows a closed state view of the neck immobilizer 200;

FIG. 4 shows a schematic diagram of the connection between the head and neck immobilization device 10 and the operating bed 20;

FIG. 5 shows a schematic diagram of a patient fixed on the operating bed 20 by the head and neck fixation device 10 .

Detailed ways

In order to facilitate those skilled in the art to understand the present application, a detailed description will be given below in conjunction with the embodiments and accompanying drawings. In the drawings, similar symbols typically identify similar components, unless context dictates otherwise. The illustrative embodiments described in the detailed description, drawings, and claims do not limit the application. Other embodiments may be utilized, and other changes may be made, without departing from the spirit or scope of the subject matter of the present application. It is to be understood that various configurations, substitutions, combinations, designs of various configurations, substitutions, combinations, and designs of the content of the application generally described in this application and illustrated in the accompanying drawings are possible, all of which expressly constitute the content of the application. part.

This application proposes a head and neck fixation device for tracheotomy surgery, which can provide more stable support and fixation for tracheotomy surgery, and is suitable for unconventional surgical environments such as vehicles, ships, and airplanes. It can also be directly used for postoperative fixation, which is convenient for postoperative care and has a wide range of application scenarios.

Figure 1 shows a head and neck immobilization device 10 for tracheotomy according to an embodiment of the present application. As shown in Figure 1 , the head and neck immobilization device 10 includes a head immobilizer 100 and a neck immobilizer 200.

The head holder 100 has a semi-open cavity 110 adapted to accommodate the patient's head. In order to obtain a better fixation effect, in some embodiments, the inner side of the semi-open cavity 110 chooses an ergonomic arc surface to fit the head better; in order to improve the comfort of the patient, in some embodiments, the semi-open cavity Cavity 110 inner side has buffer layer (not shown in the figure), and buffer layer can be disassembled and replaced, and buffer layer material can be selected sponge, latex, cotton, chemical fiber etc. according to different temperature, humidity, cost and patient's condition. According to different surgical environments, the other side of the head holder 100 away from the semi-open cavity 110 can be set as a plane, hemispherical or other shapes.

As shown in FIG. 2 , the neck immobilizer 200 includes a first enclosing portion 210 and a second enclosing portion 220 having an arc-shaped curved surface, and the first enclosing portion 210 is fixedly or detachably connected to the cavity of the head immobilizer 100 Inside the body, the first enclosing portion 210 and the second enclosing portion 220 can be detachably spliced along at least one of the first side 241 or the second side 242, so that the neck immobilizer 200 can be placed in a suitable position respectively. The open state of the patient's neck and the closed state suitable for immobilizing the patient's neck. When the first enclosure part 210 is separated from the second enclosure part 220 along the first edge 241 or the second edge 242, the neck holder 200 is in an open state; when the first enclosure part 210 is separated from the second enclosure part 220 When splicing along the first edge 241 and the second edge 242, the neck immobilizer 200 is in a closed state, and its inner surface is generally cylindrical, suitable for accommodating the patient's neck, and the front part of the neck immobilizer 200 corresponds to the patient's neck. The trachea is provided with a window 230 for tracheotomy, depending on the shape and position of the first enclosure 210 and the second enclosure 220, the window 230 can be located in the first enclosure 210 or in the second enclosure. Enclosing part 220 . The first enclosing part 210 and the second enclosing part 220 can be made of a material with a certain degree of elasticity, so as to facilitate the insertion and removal of the patient's neck.

In some embodiments, the first enclosing portion 210 and the second enclosing portion 220 can be detachably spliced along the first side 241 through Velcro, buckle or other connecting structures, so that the first side 241 can be easily The neck immobilizer 200 is quickly opened, so that the neck immobilizer 200 is conveniently enclosed around the patient's neck and fixed.

In some embodiments, the first enclosing part 210 and the second enclosing part 220 can be rotatably connected along the second side 242 , or detachably spliced by Velcro or buckle. When the rotary connection is adopted, the first enclosing part 210 and the second enclosing part 220 are easy to take and place as a whole, and the detachable connection is more convenient in use. The second side 242 shown in FIG. 2 adopts a detachable connection Way.

The above-mentioned first side 241 and second side 242 may be parallel or approximately parallel, or may not be parallel, depending on the shape of the first enclosing portion 210 and the second enclosing portion 220 in the specific embodiment and actual needs. It should be noted that the positions of the first side 241 and the second side 242 are not limited to the two sides of the neck immobilizer 200 shown in FIG. In some embodiments, the first side 241 may also be located in the center of the front of the neck immobilizer 200, so that the window 230 is also divided into two parts while opening the first side 241, which is convenient for postoperative care. In some other embodiments, a third side, a fourth side or even more sides can also be provided, and these sides can be connected by rotation or detachable, so as to more precisely meet the needs of different situations.

In some embodiments, the neck holder 200 is detachably connected to the inside of the cavity of the head holder 100 by means of screws, buckles, adhesives, or interference fit of holes and shafts. In order to facilitate quick installation and use, the connection method between the neck immobilizer 200 and the head immobilizer 100 is preferably convenient, fast and stable, such as the interference fit method of the hole shaft, the bonding method, and the buckle method, and two or more methods can also be used. In the case that it is convenient to insert into the patient's neck from above (for example, the first side 241 is arranged in the center of the front part of the neck immobilizer 200), the neck immobilizer 200 and the head immobilizer 100 can even be connected and fixed in advance . In Fig. 1, the neck immobilizer 200 and the head immobilizer 100 are connected at multiple points by buckle. The advantage of this method is that it can be precisely positioned through multi-point connection, and it is convenient and quick to use. Part of the buckle multi-point connection is shown in Fig. 1 The positioning hole 201 and the fastener 101 of the way. Wherein, the head of the fastener 101 is made of elastic soft material, which can be inserted into the positioning hole 201 and fixed. When dismounting, both the fastener 101 can be pulled out through the positioning hole 201, and the head of the fastener 101 can also be disassembled directly (the fastener 101 can be replaced or only its head can be replaced). On the premise of meeting the fixing requirements, the positioning holes 201 may not be matched with the fasteners 101 one by one, and the redundant positioning holes 201 can be used for liquid and air permeability. Especially when the neck immobilizer 200 is used for postoperative care, the plurality of positioning holes 201 can improve the patient's comfort, reduce fluid accumulation in the neck immobilizer 200, and facilitate cleaning.

In some embodiments, as shown in FIG. 3 , the second enclosing portion 220 at the front of the neck immobilizer 200 is provided with a chin support portion 250 corresponding to the position of the patient's chin, and the chin support portion 250 faces the inner side of the patient's chin. Surface 251 has a chin rest curve 252 adapted to support the patient's chin. In some other embodiments, such as the above-mentioned embodiment in which the first side 241 is located at the center of the front of the neck immobilizer 200, the chin support portion 250 is arranged on the first enclosing portion 210 and the second enclosing portion 220 corresponding to The position of the patient's chin; in some other embodiments, such as the situation where the first enclosing part 210 and the second enclosing part 220 are not symmetrically arranged, the chin support part 250 may be arranged on the first enclosing part 210 corresponding to the patient's chin s position. The chin supporting curved surface 252 can be designed according to the principle of ergonomics, so that it fits the shape of the chin of the human body.

As shown in FIG. 3 , in some embodiments, the inner surface 251 of the chin rest 250 is provided with an inflatable and deflatable first adjusting airbag 253 , the first adjusting airbag 253 is made of elastic material, and can be adjusted by inflating and deflated. In order to adapt to the different shapes and sizes of the jaws of different patients, the elasticity of the first airbag 253 and the fluidity of the built-in gas are also conducive to fitting the different shapes of the jaws of different patients to achieve better fixation and support effects. In some embodiments, the first adjusting air bag 253 covers the inner side of the chin support part 250, and the surface of the first adjusting air bag 253 facing the patient's chin forms a chin supporting curved surface 252, and the first adjusting air bag 253 can be fixedly arranged on the chin supporting part. The inner side of the chin support part 250 can also be detachably arranged on the inner side of the chin support part 250 by pasting or the like. At the same time, the surface of the first adjustable airbag 253 made of elastic material is soft and easy to deform, which can play a buffering role and can improve the comfort of the patient. . In addition, by inflating the first regulating air bag, the patient's chin can be raised and the head can be tilted backward, so that the trachea can be closer to the skin surface, which is beneficial to the implementation of the tracheotomy operation.

In some other embodiments, the first adjusting airbag 253 is arranged inside the chin support part, so that the airbag is more stable and not easy to fall off, and it is also more aesthetically pleasing. At this time, the chin support part can be made of elastic material that expands and contracts with the inflation and deflation of the first built-in airbag. At the same time, the inner surface of the chin support part will directly contact the patient's chin, so skin-friendly and soft materials can be considered.

In some embodiments, in order to conveniently inflate the first airbag 253 , the second enclosure part 220 is provided with an inflator, and the inflator includes an inflator 254 and an inflatable channel 256 . The air pump 254 can inflate the first airbag 253 through the air passage 256 to adjust the volume of the first airbag 253 . A one-way valve (not shown in the figure) is arranged in the inflation passage 256, and the one-way valve only allows air to flow from the air pump 254 to the first regulating airbag 253 in one direction, and prohibits the air from flowing in the opposite direction. An exhaust valve 255 is arranged on the inflation passage 256, and the exhaust valve 255 is arranged between the one-way valve and the first regulating airbag 253, and the air in the first regulating airbag 253 can be released by opening the exhaust valve 255. The air pump 254 can be electric or manual. FIG. 3 shows a schematic diagram of a manual air pump 254 , which is a squeezeable airbag ball, and the first adjusting airbag 253 is inflated by repeatedly squeezing the airbag ball.

In some embodiments, an inflatable and deflatable second adjustment airbag 260 is respectively provided inside the first enclosing portion 210 and the second enclosing portion 220 , which are made of elastic material. The second adjustment airbag 260 can adjust the volume of the internal space in the enclosed state of the neck immobilizer 200 by inflating and deflated, so as to match the different thickness of the neck of different patients. The second adjustable airbag 260 can be fixedly arranged inside the first enclosure part 210 and the second enclosure part 220, or can be detachably arranged inside the first enclosure part 210 and the second enclosure part 220 by pasting or other means. . The second adjusting air bag 260 can adopt various manual or electric inflation and deflation methods suitable for this situation, and its inflation and deflation device is not shown in the figure. After the second airbag 260 is inflated, it has a better cushioning effect. No matter whether it avoids the positioning hole 201 or not, it can prevent the fastener 101 from touching the patient's neck and improve comfort. In order to obtain a better air-permeable and liquid-permeable effect and avoid being punctured by the fastener 101 , the second adjusting airbag 260 can be arranged avoiding the positioning hole 201 .

In some embodiments, the second adjustment airbag 260 includes a plurality of strip-shaped airbags 261 arranged in sequence, and the length direction of the plurality of strip-shaped airbags 261 is arranged in parallel along the axial direction of the inner surface of the neck immobilizer 200 . A plurality of strip-shaped airbags 261 are provided so that there is a certain gap between the patient's neck and the inner surface of the neck immobilizer 200, so as to prevent the patient's neck from fully fitting with the inner surface of the neck immobilizer and improve the air permeability. On the other hand, the parallel setting can make the force on the patient's neck more uniform and more comfortable. In some other embodiments, the length direction of the plurality of strip airbags 261 may also be arranged vertically or obliquely along the axial direction of the inner surface of the neck immobilizer 200 . Even in some embodiments, multiple irregular airbags can be set. In order to make the overall stress on the patient's neck even and comfortable, and to facilitate the inflation and deflation operations, the above-mentioned multiple airbags are preferably connected to each other.

In particular, on the opposite side of the window 230, that is, the inner position where the neck immobilizer 200 contacts the back neck of the patient is provided with a second regulating airbag 260, which can also raise the patient's neck during the tracheotomy operation by inflating the air, so that the trachea is more stable. It is close to the skin surface of the front of the neck, which is conducive to the implementation of tracheotomy.

As shown in FIG. 4 , the bottom of the head holder 100 is detachably connected to the operating bed 20 . The specific connection method can adopt methods such as screws, hole shaft interference fit, bonding, buckle and so on.

It should be noted that, as shown in Figure 5, when the patient lies supine on the operating bed and is fixed by the head and neck fixation device 10, it is better to restrain the patient's waist and limbs, and fix them on the operating bed 20 at multiple points. , if there is only one fixed anchor point at the head and neck immobilization device 10, the patient's neck is more likely to be injured when the patient is active or in a shaking environment.

Those skilled in the art can understand and implement other changes to the disclosed embodiments by reading the description, the disclosed content, the drawings and the appended claims. In the claims, the word "comprising" does not exclude other elements and steps, and the words "a", "an" do not exclude a plurality. In the actual application of the present application, one component may perform the functions of multiple technical features cited in the claims. Any reference signs in the claims should not be construed as limiting the scope.

Claims (10)

1. A head and neck fixation device for tracheotomy, characterized in that, said head and neck fixation device comprises: a head immobilizer having a semi-open cavity adapted to receive the patient's head; and The neck immobilizer includes a first enclosing portion and a second enclosing portion with an arc-shaped curved surface, the first enclosing portion is fixedly or detachably connected to the inner side of the cavity of the head immobilizer, the The first enclosing portion and the second enclosing portion can be detachably spliced along at least one side, so that the neck immobilizer can be respectively in an open state suitable for being placed in the patient's neck and suitable for fixing the patient's neck enclosed state, when the neck immobilizer is in the enclosed state, its inner surface is cylindrical as a whole, suitable for accommodating the patient's neck, and the first enclosing part at the front of the neck immobilizer or The second enclosure part is provided with a window for tracheotomy corresponding to the position of the patient's trachea. 2. The head and neck immobilization device according to claim 1, wherein the first enclosing part and the second enclosing part can be detachably spliced along at least one edge comprising: The first enclosing part and the second enclosing part can be detachably spliced along the first side by Velcro or buckle. 3. The head and neck immobilization device according to claim 2, wherein the first enclosing portion and the second enclosing portion can be detachably spliced along at least one edge and further comprises: The first enclosing portion and the second enclosing portion may be rotatably connected along the second side, or detachably spliced by Velcro or buckle. 4. The head and neck immobilization device according to claim 1, wherein the first enclosing part and/or the second enclosing part of the front part of the neck immobilizer is provided with a chin corresponding to the position of the patient's chin The support part, the inner surface of the chin support part facing the patient's chin has a chin support curved surface suitable for supporting the patient's chin. 5. The head and neck immobilization device according to claim 4, characterized in that, the inner surface of the chin support part is provided with a first adjustable airbag that can be inflated and deflated, and the first adjusted airbag is made of elastic material , the surface of the first adjusting airbag facing the patient's chin forms the curved chin support surface. 6. The head and neck immobilization device according to claim 4, wherein a first adjustable air bag that can be inflated and deflated is arranged inside the chin support portion, and the first adjustable air bag is made of elastic material, The surface of the first adjusting airbag facing the patient's chin is parallel to the chin support curved surface. 7. The head and neck immobilization device according to claim 6, wherein the second enclosing part is provided with an inflation device, the inflation device includes an air pump and an inflation channel, and the air pump passes through the inflation channel. The passage is used to inflate the first adjustable airbag, and a one-way valve is arranged in the inflation passage, and the one-way valve only allows the gas to flow from the air pump to the first adjustment airbag in one direction. An exhaust valve for exhausting air in the first airbag is provided, and the exhaust valve is arranged between the one-way valve and the first airbag. 8. The head and neck immobilization device according to claim 1, wherein a second adjustable air bag that can be inflated and deflated is respectively provided inside the first enclosing part and the second enclosing part, and the The second airbag is made of elastic material. 9 . The head and neck immobilization device according to claim 8 , wherein the second adjusting airbags comprise a plurality of strip-shaped airbags arranged in sequence, and the plurality of strip-shaped airbags are in gas communication. 10 . 10. The head and neck immobilization device according to any one of claims 1-9, wherein the bottom of the head immobilizer is detachably connected to the operating bed.

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