CN218961533U - A new Y-shaped nasal mask for non-invasive ventilation - Google Patents
A new Y-shaped nasal mask for non-invasive ventilation Download PDFInfo
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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,具体涉及一种新型无创通气Y型鼻罩。The utility model relates to the technical field of medical devices, in particular to a novel Y-shaped nasal mask for non-invasive ventilation.
背景技术Background technique
无创通气一般是指通过鼻罩或口鼻罩将呼吸机与患者相连,由无创呼吸机提供正压支持而完成通气辅助的机械通气方式。无创通气,在临床上用于治疗睡眠呼吸暂停综合症及相关疾病,适用于轻、中度呼吸衰竭,尤其是Ⅱ型呼吸衰竭的患者,没有紧急插管指征,生命体征相对平稳的患者,用于呼吸衰竭早期干预和辅助撤机。临床上应用比较常见的有急性期COPD、稳定期COPD、心源性肺水肿,还有支气管哮喘急性发作,以及睡眠呼吸暂停综合征等疾病。Non-invasive ventilation generally refers to a mechanical ventilation method in which the ventilator is connected to the patient through a nasal or mouth-nose mask, and the non-invasive ventilator provides positive pressure support to complete ventilation assistance. Non-invasive ventilation is clinically used to treat sleep apnea syndrome and related diseases. It is suitable for patients with mild to moderate respiratory failure, especially type II respiratory failure, who have no indications for emergency intubation and whose vital signs are relatively stable. It is used for early intervention of respiratory failure and auxiliary weaning. The more common clinical applications include acute COPD, stable COPD, cardiogenic pulmonary edema, acute exacerbation of bronchial asthma, and sleep apnea syndrome and other diseases.
无创呼吸具有痛苦小,应用灵活,可间断或持续应用等特点。特别是对慢性阻塞性肺疾病的患者应用效果较好,可以缩短有创通气时间、减少并发症、提高生存率,以及降低医疗费用。与有创通气相比,无创通气对患者几乎没有气道损伤,操作简便,患者舒适度高,更易接受。无创呼吸作为治疗呼吸系统功能障碍的一种重要治疗方法,在呼吸科、老年科及ICU等科室广泛应用。而随着相关适应症的发病率提高以及病情需要,一些患者需要长期应用无创呼吸机,进而使无创呼吸机逐步家庭化。Non-invasive breathing has the characteristics of less pain, flexible application, and intermittent or continuous application. Especially for patients with chronic obstructive pulmonary disease, the application effect is better, which can shorten the time of invasive ventilation, reduce complications, improve survival rate, and reduce medical expenses. Compared with invasive ventilation, non-invasive ventilation has almost no airway damage to patients, is easy to operate, has high patient comfort, and is more acceptable. As an important treatment method for the treatment of respiratory system dysfunction, non-invasive breathing is widely used in departments such as respiratory department, geriatric department and ICU. With the increase in the incidence of related indications and the needs of the condition, some patients need to use non-invasive ventilators for a long time, and then gradually make non-invasive ventilators home.
使用鼻罩是无创通气的一种方法,无创呼吸机为了确保呼吸管路的气密性,需要将鼻罩紧密贴合于脸部,用一定压力压住鼻面部。传统的鼻罩是使用塑料垫圈贴于患者面部,再使用固定带进行固定,以封闭通气空间;Using a nasal mask is a method of non-invasive ventilation. In order to ensure the airtightness of the breathing circuit, the non-invasive ventilator needs to fit the nasal mask tightly to the face and press the nose and face with a certain pressure. The traditional nasal mask is affixed to the patient's face with a plastic gasket, and then fixed with a fixing belt to close the ventilation space;
这种技术存在的不足是:The disadvantages of this technique are:
(1)由于面部皮肤通常较为敏感,且鼻部皮下脂肪较少,此种方法长时间压迫患者的面部皮肤,易造成面部局部血液受阻,严重会引起皮肤和皮下组织缺血发生持续缺血、缺氧、营养不良甚至形成压疮,这使患者无法长时间应用无创呼吸,影响患者使用无创呼吸机治疗的舒适度和依从性;(1) Since the facial skin is usually sensitive and there is less subcutaneous fat in the nose, this method oppresses the patient's facial skin for a long time, which may easily cause local blood flow in the face to be blocked, which will seriously cause skin and subcutaneous tissue ischemia, continuous ischemia, Hypoxia, malnutrition and even pressure sores make patients unable to use non-invasive breathing for a long time, which affects the comfort and compliance of patients using non-invasive ventilator treatment;
(2)单纯使用固定带固定并不可靠,患者在深度睡眠中会有无意识的翻身或活动,这可能会造成鼻罩和固定带的位置改变,使鼻罩移位甚至漏气,导致无创通气失败;(2) It is not reliable to simply use the fixing belt to fix it. The patient will turn over or move unconsciously during deep sleep, which may cause the position of the nasal mask and the fixing belt to change, causing the nasal mask to shift or even leak air, resulting in non-invasive ventilation. fail;
(3)鼻罩使用时患者在睡眠状态下可能会不自觉张开口,容易从口腔漏气,明显减弱了无创通气的治疗效果。目前有些鼻罩在使用时会配套下颌固定带,使患者不能张口呼吸,但同时患者也不能活动下颌,舒适感极差。(3) When the nasal mask is used, the patient may unconsciously open the mouth during sleep, and it is easy to leak air from the mouth, which significantly weakens the therapeutic effect of non-invasive ventilation. At present, some nasal masks are equipped with a mandibular fixing belt during use, so that the patient cannot open his mouth to breathe, but at the same time, the patient cannot move the mandible, and the comfort is extremely poor.
实用新型内容Utility model content
针对现有技术中存在的问题,为了解决传统无创通气中鼻罩密闭性和舒适性差的问题,本实用新型提供一种舒适性及密闭性比较好的新型无创通气Y型鼻罩。Aiming at the problems existing in the prior art, in order to solve the problem of poor airtightness and comfort of the nasal mask in traditional non-invasive ventilation, the utility model provides a new type of non-invasive ventilation Y-shaped nasal mask with better comfort and airtightness.
本实用新型的目的可通过以下技术措施来实现:The purpose of this utility model can be achieved through the following technical measures:
一种新型无创通气Y型鼻罩,包括鼻罩主体和固定带;所述鼻罩主体包括Y型通气管,Y型通气管前端具有两个分支管,Y型通气管的后端安装有连接口;所述Y型通气管后端的两侧固定有与所述固定带配合的固定带卡扣环;所述分支管的前端固定有第一气囊,分支管的中部固定有第二气囊;所述Y型通气管后端设置有第一气囊充气阀和第二气囊充气阀;所述第一气囊充气阀通过第一气囊连接管道连接第一气囊,第二气囊充气阀通过第二气囊连接管道连接第二气囊。A novel Y-shaped nasal mask for non-invasive ventilation, including a nasal mask main body and a fixing belt; The two sides of the rear end of the Y-shaped ventilation pipe are fixed with a fixing belt buckle ring that matches the fixing belt; the front end of the branch pipe is fixed with a first air bag, and the middle part of the branch pipe is fixed with a second air bag; The rear end of the Y-shaped ventilation tube is provided with a first airbag inflation valve and a second airbag inflation valve; the first airbag inflation valve is connected to the first airbag through the first airbag connecting pipeline, and the second airbag inflation valve is connected through the second airbag connecting pipeline Connect the second airbag.
其进一步是:所述Y型鼻罩还包括一个用于在使用鼻罩时封住使用者口部的无菌敷贴;所述无菌敷贴中间为无胶棉质敷料,无菌敷贴周围为透明有胶敷贴。It is further that: the Y-shaped nasal mask also includes a sterile applicator for sealing the user's mouth when using the nasal mask; the middle of the sterile applicator is a non-glued cotton dressing, and the sterile applicator Surrounded by transparent adhesive plaster.
所述固定带包括具有弹性的固定带主体和连接在固定带主体两端的固定带卡扣端;所述固定带卡扣端中间设有间断竖形卡扣孔。The fixing belt includes an elastic fixing belt main body and fixing belt buckle ends connected to both ends of the fixing belt main body; intermittent vertical buckle holes are provided in the middle of the fixing belt buckle ends.
所述固定带卡扣环为T型结构,两侧固定带卡扣环对称设置。The buckle ring of the fixing belt is a T-shaped structure, and the buckle rings of the fixing belt on both sides are arranged symmetrically.
所述Y型通气管的分支管前端通气口处为斜口,斜口的倾斜角度为40°-50°;分支管前端的侧部开设有侧孔。The air outlet at the front end of the branch pipe of the Y-shaped ventilation pipe is an oblique opening, and the inclination angle of the oblique opening is 40°-50°; the side part of the front end of the branch pipe is provided with a side hole.
所述第一气囊距分支管前端通气口1-2cm,第一气囊呈蝶形结构;所述第二气囊呈锥形结构,第二气囊和第一气囊均为塑料薄膜。The first airbag is 1-2cm away from the air port at the front end of the branch pipe, and the first airbag has a butterfly-shaped structure; the second airbag has a conical structure, and both the second airbag and the first airbag are plastic films.
所述第一气囊充气阀和第二气囊充气阀均为止逆阀,第一气囊充气阀和第二气囊充气阀上连接设有气囊充气指示球。Both the first airbag inflation valve and the second airbag inflation valve are check valves, and an airbag inflation indicator ball is connected to the first airbag inflation valve and the second airbag inflation valve.
所述第一气囊连接管道和第二气囊连接管道均呈“Y”型。Both the first airbag connecting pipe and the second airbag connecting pipe are in a "Y" shape.
所述Y型通气管采用医用塑胶材质,Y型通气管外侧管壁上设有刻度线。The Y-shaped ventilation tube is made of medical plastic material, and the outer tube wall of the Y-shaped ventilation tube is provided with scale marks.
本实用新型的有益效果是:The beneficial effects of the utility model are:
1、具有双腔通气管路,可以通过双侧鼻腔通气,通气效率高;1. It has a double-lumen ventilation circuit, which can be ventilated through bilateral nasal cavities, and the ventilation efficiency is high;
2、配有可封住口部的敷贴,避免了使用鼻罩无创通气时从口部漏气的情况,且敷贴中间为无胶棉质敷料设计,使用者嘴部和下颌仍可活动,提高患者舒适度;2. Equipped with an applicator that can seal the mouth, avoiding air leakage from the mouth when using a nasal mask for non-invasive ventilation, and the middle of the applicator is designed with a non-adhesive cotton dressing, so the user's mouth and jaw can still move , improve patient comfort;
3、Y型通气管外侧均设有刻度,可有效判断通Y型通气管插入鼻腔深度,保证使用安全;3. There are scales on the outside of the Y-shaped ventilation tube, which can effectively judge the depth of the Y-shaped ventilation tube inserted into the nasal cavity to ensure safe use;
4、Y型通气管外侧设有可充气气囊,同时配有弹力固定带及横T型固定带卡扣环,固定带上设有间断竖形卡扣孔,可根据患者头围大小选择恰当卡扣孔套于卡扣环上,使鼻罩固定在鼻腔内合适位置,防止鼻罩脱位或滑出等意外情况发生。气囊充气后可封闭住管道外侧的鼻腔空间,防止鼻罩漏气,可完全实现无创呼吸机预设的潮气量。4. There is an inflatable air bag on the outside of the Y-shaped ventilation tube, and it is also equipped with an elastic fixing belt and a horizontal T-shaped fixing belt buckle ring. There are intermittent vertical buckle holes on the fixing belt, which can be selected according to the size of the patient's head circumference. The button hole is set on the buckle ring, so that the nasal mask can be fixed in a proper position in the nasal cavity, and accidents such as dislocation or slipping of the nasal mask can be prevented. After the airbag is inflated, it can seal the nasal space outside the pipeline, prevent the nasal mask from leaking, and fully realize the preset tidal volume of the non-invasive ventilator.
附图说明Description of drawings
图1为本实用新型的结构示意图;Fig. 1 is the structural representation of the utility model;
图2为本实用新型中固定带的细节示意图;Fig. 2 is the detailed schematic diagram of fixing belt in the utility model;
图3为本实用新型中无菌敷贴的结构示意图。Fig. 3 is a schematic structural view of the sterile applicator in the present invention.
其中:1、鼻罩主体;100、Y型通气管;101、侧孔;102、第一气囊;103、第二气囊;104、第一气囊连接管道;105、第二气囊连接管道;106、第一气囊充气阀;107、第二气囊充气阀;108、刻度线;109、固定带卡扣环;110、连接口;111、分支管;2、固定带;200、固定带主体;201、固定带卡扣端;3、无菌敷贴。Among them: 1. The main body of the nasal mask; 100. Y-shaped ventilation tube; 101. Side hole; 102. The first airbag; 103. The second airbag; 104. The first airbag connecting pipe; 105. The second airbag connecting pipe; 106. The first airbag inflation valve; 107, the second airbag inflation valve; 108, the scale line; 109, the buckle ring of the fixing belt; 110, the connection port; 111, the branch pipe; 2, the fixing belt; 200, the main body of the fixing belt; 201, Fixed with buckle end; 3. Sterile application.
具体实施方式Detailed ways
下面结合附图对本实用新型的实施例进行详细说明。Embodiments of the utility model will be described in detail below in conjunction with the accompanying drawings.
结合图1所示,一种新型无创通气Y型鼻罩,包括鼻罩主体。鼻罩主体包括一个Y型通气管100,Y型通气管100前端具有两个分支管111。Y型通气管100为双腔分支设计,两通气管道在末端相连,合并为一个通路,整体形成一个“Y”型的中空气道。As shown in Fig. 1, a novel Y-shaped nasal mask for non-invasive ventilation includes a nasal mask main body. The main body of the nasal mask includes a Y-shaped
Y型通气管100的后端安装有连接口110,便于连接无创呼吸机。Y型通气管100后端的两侧固定有与固定带2配合的固定带卡扣环109,固定带卡扣环109为横T型结构,两侧固定带卡扣环109对称设置,与固定带2联合使用可有效防止固定带2滑脱。A
Y型通气管100的分支管111前端通气口处为斜口,斜口的倾斜角度为40°-50°,斜口设计可以便于插入使用者鼻腔,同时可增加鼻罩通气口的通气面积。通气口处为钝性结构,可防止Y型通气管100在置入的过程中损伤鼻腔粘膜,且通气口处外径较小,便于鼻罩置入。分支管111前端的侧部开设有侧孔101,可在增大通气面积的同时防止因通气口阻塞导致通气不足等意外情况发生。The vent at the front end of the
分支管111的前端固定有第一气囊102,第一气囊102距分支管111前端通气口1-2cm。第一气囊102为塑料薄膜,呈蝶形结构。分支管111的中部固定有第二气囊103,第二气囊103为塑料薄膜,呈锥形结构。第一气囊102、第二气囊103充气后,使鼻罩固定在两侧鼻腔,并封闭住管道外侧的鼻腔空间,避免漏气。The front end of the
Y型通气管100后端设置有第一气囊充气阀106和第二气囊充气阀107;第一气囊充气阀106通过第一气囊连接管道104连接第一气囊102,第二气囊充气阀107通过第二气囊连接管道105连接第二气囊103。第一气囊连接管道104和第二气囊连接管道105均呈“Y”型,与Y型通气管100走行方向一致。The rear end of the Y-shaped
第一气囊充气阀106和第二气囊充气阀107均为止逆阀,可防止气体逆流,保证第一气囊102和第二气囊103的稳定性。第一气囊充气阀106和第二气囊充气阀107上连接设有气囊充气指示球,可以通过气囊充气指示球压力大小监测气囊的压力,防止气囊压力过高压迫鼻腔和压力过低导致通气漏气,从而使通气达到最佳效果。Both the first
Y型通气管100采用医用塑胶材质,Y型通气管100前端1cm段更柔软,可在置管过程中保护鼻腔,减少鼻罩对鼻腔组织的挤压与摩擦,减少损伤。Y型通气管100外侧管壁上设有刻度线108,方便在使用时观察鼻罩进入鼻腔段长度。The Y-shaped
结合图1和图2所示,一种新型无创通气Y型鼻罩,还包括固定带2。固定带2包括具有弹性的固定带主体200和连接在固定带主体200两端的固定带卡扣端201。固定带卡扣端201中间设有间断竖形卡扣孔,可垂直卡扣在固定带卡扣环109上。使用时可根据患者头围选择恰当卡扣孔套于固定带卡扣环109上,利用固定带2的弹性进行张紧固定,使鼻罩固定于合适位置。固定带2具有弹性,可适用于不同脸型大小的患者,让患者更加舒适。As shown in FIG. 1 and FIG. 2 , a novel Y-shaped nasal mask for non-invasive ventilation also includes a fixing
结合图3所示,一种新型无创通气Y型鼻罩,还包括一个用于在使用鼻罩时封住使用者口部的无菌敷贴3。无菌敷贴3中间为无胶棉质敷料,轻薄柔软,无菌敷贴3周围为透明有胶敷贴,可粘贴于患者口周皮肤,封住口部。无菌敷贴3封住患者口部的同时而不会粘住患者嘴巴,提高使用舒适度。As shown in FIG. 3 , a novel non-invasive ventilation Y-shaped nasal mask also includes a sterile applicator 3 for sealing the user's mouth when using the nasal mask. The middle of the aseptic applicator 3 is a non-adhesive cotton dressing, which is light, thin and soft, and the surrounding of the aseptic applicator 3 is a transparent adhesive applicator, which can be pasted on the skin around the mouth of the patient to seal the mouth. The aseptic applicator 3 seals the patient's mouth without sticking to the patient's mouth, which improves the comfort of use.
使用方法:Instructions:
(1)首先,将Y型通气管100前端的双腔通气分支管分别置于使用者的两侧鼻腔中,观察刻度线108将鼻罩置入合适深度,使Y型通气管100前端的通气口及第一气囊102置于使用者鼻咽部,第二气囊103置于使用者鼻腔内,然后通过第一气囊充气阀106和第二气囊充气阀107分别向第一气囊102和第二气囊103内注入适量空气,使两对气囊膨胀;(1) First, place the double-chamber ventilation branch tubes at the front end of the Y-shaped
通过测试充气阀上的气囊充气指示球压力大小监测气囊的压力,使两对气囊处于合适充盈状态;Monitor the pressure of the airbag by testing the pressure of the airbag inflation indicator ball on the inflation valve, so that the two pairs of airbags are in a proper filling state;
第一气囊102充气后可以将使用者舌根及周围软组织推开,暴露会咽开放气道,有效解决了上呼吸道梗阻的问题;After the
两对气囊均充气后可密封Y型通气管100外侧的鼻腔空间,避免鼻罩漏气,同时可固定鼻罩位置;After the two pairs of airbags are inflated, the nasal cavity space outside the Y-shaped
(2)然后,将固定带2环绕使用者头颈部,将固定带卡扣端201套在固定带卡扣环109上,使固定带绷紧于恰当张力,将鼻罩固定于合适位置;(2) Then, wrap the fixing
(4)最后,使用无菌敷贴3贴于使用者口部,将使用者口部密封,避免无效通气;(4) Finally, use a sterile applicator 3 to stick on the user's mouth to seal the user's mouth to avoid ineffective ventilation;
(5)在移除鼻罩时,需要先将固定带去除,再通过第一气囊充气阀106和第二气囊充气阀107将第一气囊102和第二气囊103内气体抽空,使两对气囊塌陷,最后拔除鼻罩即可。同时需去除粘贴于使用者口部的敷贴。(5) When removing the nasal mask, the fixing strap needs to be removed first, and then the air in the
本实施例的一种新型无创通气Y型鼻罩,解决了传统无创通气中鼻罩压迫皮肤使患者感到不适,且容易移位脱位导致密封性不强的问题。两对气囊在使用时可充气膨胀固定于患者鼻腔中,前端的第一气囊102使用时放置于患者鼻咽部,充气后可以将舌根以及软组织推开,暴露会咽等结构,开放气道,有效解决了上呼吸道梗阻的问题,同时可有效密封住鼻罩置入后管道外侧的鼻腔空间,避免鼻罩漏气,另外可固定鼻罩位置。后端的第二气囊103起到双重封闭与固定作用,保证通气效率。弹性固定带与卡扣设计,可预防使用者在睡眠中无意识运动造成鼻罩移位脱落的情况发生。A new Y-shaped nasal mask for non-invasive ventilation in this embodiment solves the problem of the traditional non-invasive ventilation that the nasal mask presses the skin and makes the patient feel uncomfortable, and is easy to shift and dislocate, resulting in poor sealing. The two pairs of airbags can be inflated and fixed in the patient's nasal cavity during use. The
本实用新型不同于以往的鼻罩设计,对使用者的面部皮肤没有压迫,可保护使用者面部皮肤,不会造成红肿压疮等情况发生。鼻罩使用时,配套的无菌敷贴可密封患者口部,防止无创通气时气体从口部泄露,造成实际通气达不到呼吸机预设潮气量的问题。且敷贴中间覆盖口唇处为无胶敷料设计,可保护使用者口唇皮肤,提高使用者舒适感与接受度。The utility model is different from the previous nasal mask design, does not oppress the user's facial skin, can protect the user's facial skin, and will not cause redness, swelling, pressure sores and the like. When the nasal mask is used, the matching sterile applicator can seal the patient's mouth to prevent gas from leaking from the mouth during non-invasive ventilation, causing the problem that the actual ventilation cannot reach the preset tidal volume of the ventilator. And the middle part of the application covering the lips is designed as a non-adhesive dressing, which can protect the user's lip skin and improve the user's comfort and acceptance.
显然,上面所描述的实施例仅仅是本实用新型较佳的具体实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。Apparently, the embodiments described above are only preferred specific embodiments of the present utility model, rather than all embodiments. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present utility model.
Claims (9)
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