CN218515986U

CN218515986U - Improved tracheostomy tube assembly

Info

Publication number: CN218515986U
Application number: CN202122034256.2U
Authority: CN
Inventors: 卞凤仙; 王飞
Original assignee: Individual
Current assignee: Individual
Priority date: 2021-08-26
Filing date: 2021-08-26
Publication date: 2023-02-24
Anticipated expiration: 2031-08-26

Abstract

The utility model discloses an improvement autogenous cutting sleeve pipe assembly, it includes outer tube, sounding pipe, interior sleeve pipe, the outer tube is fixed with the sounding pipe near the one end of throat portion, the sounding pipe communicates with the inside of outer tube, the inside activity of outer tube is inserted and is equipped with the interior sleeve pipe, interior sleeve pipe and outer tube clearance fit; the outer sleeve comprises a main pipe, a branch pipe and an elbow, wherein the branch pipe which is perpendicular to the main pipe is fixed on the outer wall of one end, close to the throat, of the main pipe through the elbow, and the branch pipe, the elbow and the inside of the main pipe are communicated with each other. The advantages are that: when a patient needs to make a sound, the outside air can freely flow among the upper respiratory tract, the glottis, the sounding pipe, the tracheal end of the outer cannula and the lung, and the patient can train to make a sound and speak autonomously; when hyperplastic lesions such as scar stenosis are generated in the trachea at the upper end of the tracheotomy of a patient, the vocal tube with corresponding length can be cut according to the position of the scar stenosis area, so that the vocal tube crosses the scar stenosis area of the trachea at the upper end of the tracheotomy, the vocal stimulation is realized, and the mental burden of the patient is relieved.

Description

Improved tracheostomy tube assembly

The technical field is as follows:

the utility model relates to the field of medical supplies, concretely relates to improvement autogenous cutting thimble assembly.

The background art comprises the following steps:

tracheotomy is one of the important measures for relieving upper respiratory tract obstruction and respiratory muscle paralysis, and is mainly applicable to the following aspects: firstly, the method comprises the following steps: acute and chronic laryngeal obstruction caused by laryngeal obstruction, laryngeal inflammation, foreign bodies, tumor or trauma and the like causes hypoxia asphyxia. Secondly, the method comprises the following steps: lower respiratory tract infections, inflammation, increased secretions, or obstruction of the main bronchi. Thirdly, the method comprises the following steps: the trachea cannula is needed to be applied for a long time, and the invasive respirator is used for assisting a respirator. Fourthly: preventive tracheotomy. Fifth: other reasons require the operation of anesthesia in the gas-moving tube, and patients who can not pass through the mouth and nose cannula or respiratory tract foreign bodies can not be taken out through the throat need to cut the trachea.

The most commonly used mode of ventilating after tracheotomy is that tracheotomy sleeve pipe inserts the trachea distal end through the tracheotomy mouth of skin, realize trachea distal end and external world and directly ventilate, the air flue is closed above the tracheotomy mouth, the air current can not pass through oronasal, pharynx, larynx, glottis freedom business turn over trachea and lung, when patient's basic disease resumes can train the vocal production or have the demand of vocal production, traditional tracheotomy sleeve pipe, make the patient lose vocal production, the function of speaking, need extract the tracheotomy sleeve pipe during the treatment, carry out other vocal treatment, in case the patient's state of an illness is relapse, need place tracheotomy sleeve pipe into trachea auxiliary respiration again, caused secondary injury to the tracheotomy mouth like this, led to the fact mental burden to the patient simultaneously.

The utility model has the following contents:

an object of the utility model is to provide an improvement autogenous cutting sleeve subassembly.

The utility model discloses by following technical scheme implement: the improved tracheostomy cannula assembly comprises an outer cannula, a sounding tube and an inner cannula, wherein the sounding tube is fixed at one end of the outer cannula close to the throat part, the sounding tube is communicated with the inside of the outer cannula, the inner cannula is movably inserted in the outer cannula, and the inner cannula is in clearance fit with the outer cannula;

the outer sleeve comprises a main pipe, branch pipes and an elbow, wherein the branch pipes which are perpendicular to the main pipe are fixed on the outer wall of one end, close to the throat, of the main pipe through the elbow, and the branch pipes, the elbow and the interior of the main pipe are communicated with each other.

Furthermore, the end of the branch pipe is detachably connected with a plug matched with the branch pipe, and the plug is a rubber plug.

Furthermore, the tail end of the inner sleeve is detachably connected with a switching joint matched with the inner sleeve.

Furthermore, the adapter coupling includes first butt joint pipe fitting, second butt joint pipe fitting and middle shutoff piece, first butt joint pipe fitting pass through middle shutoff piece with second butt joint pipe fitting is connected, first butt joint pipe fitting run through middle shutoff piece with communicate each other between the second butt joint pipe fitting.

The utility model has the advantages that: the device can realize the mutual switching of multiple functions of assisting sputum suction, sounding, assisting breathing and the like, is convenient to use and operate, has low cost, and reduces the mental burden of patients;

when the basic disease of the patient is recovered to the requirement of training the sounding or having the sounding, the plug plugs the tail end of the branch pipe, the outside air can freely flow between the upper respiratory tract, the glottis, the sounding pipe, the trachea end of the outer sleeve and the lung, and the patient can train the autonomous sounding and speaking; when hyperplastic lesions such as scar stenosis and the like are generated in the trachea at the upper end of the tracheotomy of a patient and cannot sound, before the device is placed, the vocal tube with the corresponding length can be cut according to the position of the scar stenosis area, so that the vocal tube can cross the scar stenosis area of the trachea at the upper end of the tracheotomy, the gas in the outer cannula is ensured to reach the vocal cord part through the vocal tube, and the vocal stimulation is realized, so that the normal communication between the patient and the family members and the medical care personnel is facilitated;

the branch pipe and the main pipe are perpendicularly arranged and are used for reducing mechanical stimulation of the branch pipe to the periphery of the tracheostoma and reducing granulation tissue hyperplasia around the tracheostoma, meanwhile, the main pipe is connected with the branch pipe through the elbow, the elbow is arranged to be more in accordance with hydromechanics, the device can be placed into the device through the tracheostoma easily, resistance is smaller, instruments such as a sputum suction pipe and a fiber bronchoscope can conveniently enter the outer sleeve through the branch pipe, and the problem that the use effect is influenced by the fact that the instruments are folded and enter the outer sleeve is solved.

Description of the drawings:

in order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.

FIG. 1 is a schematic view of the structure of the utility model;

FIG. 2 is a schematic view of the combination structure of the outer sleeve and the sound tube;

FIG. 3 is a schematic view of the utility model showing the sounding state;

in the figure: the device comprises an outer sleeve 1, a main pipe 11, a branch pipe 12, an elbow 13, a sounding pipe 2, an inner sleeve 3, a throat end 4, a gas pipe end 5, a switching joint 6, a first butt joint pipe 61, a second butt joint pipe 62, a middle plugging piece 63 and a plug 7.

The specific implementation mode is as follows:

the technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in 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. 1-3, the improved tracheostomy cannula assembly comprises an outer cannula 1, a sound production tube 2 and an inner cannula 3, wherein the combination of the outer cannula 1 and the sound production tube 2 ensures that the throat end 4 of the outer cannula 1 is open and smooth, and airflow can freely flow between the outside, the trachea end 5 of the outer cannula 1, the lung and the upper respiratory tract through the device, so that a patient can keep the functions of cough, swallowing, sound production, speaking and the like; the outer sleeve 1, the sounding pipe 2 and the inner sleeve 3 are flexible pipes made of elastic materials, so that the outer sleeve 1 can be cut according to the actual conditions of the trachea and the incision of a patient in clinic, a room is reserved, and the outer sleeve is more convenient to use in clinic; when the trachea at the upper end of the tracheotomy of a patient produces hyperplastic lesions such as scar stenosis and the like and can not sound, before the device is placed in, the sounding pipe 2 with corresponding length can be cut according to the position of the scar stenosis, so that the device can cross the scar stenosis of the trachea at the upper end of the tracheotomy, the gas in the outer cannula 1 is ensured to reach the vocal cord part through the sounding pipe 2, and the sounding is stimulated, thereby facilitating the normal communication of the patient, family members and medical care personnel and lightening the mental burden of the patient.

Sounding pipe 2 and outer tube 1's inside intercommunication, outer tube 1's inside activity is inserted and is equipped with interior sleeve pipe 3, and interior sleeve pipe 3's effect is ventilated with the breathing machine, and the supplementary patient breathes, and with the connector shutoff between outer tube 1 and sounding pipe 2, reduce gas leakage simultaneously, interior sleeve pipe 3 and outer tube 1 clearance fit, the convenience is extracted interior sleeve pipe 3 from outer tube 1 is inside.

The outer sleeve 1 comprises a main pipe 11, a branch pipe 12 and an elbow 13, the branch pipe 12 which is perpendicular to the main pipe 11 is fixed on the outer wall of one end of the main pipe 11 close to the throat part through the elbow 13, the main pipe 11 is connected with the branch pipe 12 through the elbow 13, the hydrodynamics is more met, the device can be placed in the device through the incision of the skin trachea, the resistance is smaller, instruments such as a sputum suction pipe and a fiber bronchoscope can conveniently enter the outer sleeve 1 from the branch pipe 12, particularly the fiber bronchoscope, an objective lens conducts an image under the bronchoscope to an eyepiece through optical fibers, the 2-3cm part of the head end of the mirror is stiff, the angulation between the head end and the body of the mirror can not reach 90 degrees in a limited space, otherwise the optical fibers in the body of the mirror can be broken, the problem that the use effect is influenced by the broken instruments is solved, the deep sputum suction in an air passage and the multiple surgical operations under the fiber bronchoscope are very convenient, the branch pipe 12, the elbow 13 and the main pipe 11 are mutually communicated, and the incision of the trachea is vertical, so that the branch pipe 12 and the main pipe 11 are perpendicular to reduce the mechanical stimulation to the surrounding of the tracheotomy and the granulation tissue proliferation of the branch pipe is reduced; through the device can realize multiple functions such as supplementary phlegm, sound production, supplementary breathing simultaneously, it is convenient to use, convenient operation.

The end of the branch pipe 12 is detachably connected with a plug 7 matched with the end of the branch pipe, the plug 7 is a rubber plug, and the plug 7 is fixedly connected with the end of the branch pipe 12 in a specific connection mode in an inserting mode.

The tail end of the inner sleeve 3 is detachably connected with an adapter connector 6 matched with the inner sleeve, and different specifications of the adapter connector 6 can be selected according to the connected instruments.

Adapter coupling 6 includes first butt joint pipe fitting 61, second butt joint pipe fitting 62 and middle shutoff piece 63, middle shutoff piece 63 is the sheet rubber, realize sealed effect, first butt joint pipe fitting 61 is connected with second butt joint pipe fitting 62 through middle shutoff piece 63, first butt joint pipe fitting 61 runs through intercommunication between middle shutoff piece 63 and the second butt joint pipe fitting 62, concrete first butt joint pipe fitting 61 is pegged graft fixedly with interior sleeve pipe 3's end, second butt joint pipe fitting 62 can be dismantled with the required instrument of being connected and be connected, concrete can be threaded connection.

The specific operation process of the embodiment is as follows:

cutting the trachea, and placing the outer sleeve 1 into the trachea from the tracheotomy;

when the outer sleeve 1 is used independently, airflow can freely flow between the outside, the far end of the trachea, the lung and the upper respiratory tract;

when the sputum aspirator is matched with the sputum aspirator, the sputum aspirator smoothly extends into the trachea end 5 of the outer cannula 1 from the branch pipe 12 along the elbow 13, the sputum aspirator can be pushed freely, the sputum aspirator can penetrate into the lower section of the trachea and the left and right main bronchi without being folded, and the sputum can be sucked out;

when the combined type fiber bronchoscope is matched with the fiber bronchoscope, the fiber bronchoscope smoothly extends into the branch pipe 12, the pushing is flexible, the head end of the mirror is not folded, and the mirror body can go deep into the main bronchus, the segmental bronchus and other parts to perform subsequent operation operations such as lavage, brushing and biopsy;

when a patient needs to train to speak, the plug 7 plugs the tail end of the branch pipe 12, external air can freely flow between the upper respiratory tract, the glottis, the sounding pipe 2, the trachea end 5 of the outer sleeve 1 and the lung, and the patient can train to autonomously sound and speak;

when a patient has dyspnea, the patient is put into the inner sleeve 3, the inner sleeve 3 blocks the sounding pipe 2 to prevent external air from entering an upper respiratory tract, the air enters an air pipe and a lung through an air pipe end 5 of the outer sleeve 1, and the branch pipe 12 is connected with an invasive respirator pipeline through the adapter joint 6 for mechanical ventilation;

when the patient needs artificial auxiliary ventilation, the branch pipe 12 can be connected with the matched adapter connector 6, and oxygen can be inhaled through the branch pipe 12, the artificial air bag can assist ventilation and the like.

The above description is only for the 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. The improved tracheostomy cannula assembly is characterized by comprising an outer cannula, a sounding tube and an inner cannula, wherein the sounding tube is fixed at one end of the outer cannula close to the throat part, the sounding tube is communicated with the inside of the outer cannula, the inner cannula is movably inserted in the outer cannula, and the inner cannula is in clearance fit with the outer cannula;

2. The improved tracheostomy cannula assembly of claim 1 wherein said manifold has a mating plug removably attached to the end of said manifold, said plug being a rubber plug.

3. The improved tracheostomy cannula assembly of claim 1 wherein said distal end of said inner cannula is removably connected to a mating adapter.

4. An improved tracheostomy cannula assembly as claimed in claim 3, wherein said adaptor fitting includes a first butt fitting, a second butt fitting and an intermediate block fitting, said first butt fitting being connected to said second butt fitting by said intermediate block fitting, said first butt fitting communicating with said second butt fitting through said intermediate block fitting.