CN218980114U - Prevent pressing sore trachea cannula fixer - Google Patents

Abstract

The utility model discloses an anti-pressure sore trachea cannula fixer, which relates to the technical field of medical appliances, solves the problem that the existing trachea cannula fixer is easy to unplanned tube drawing, improves the fixing effect, and adopts the following specific scheme: including the connecting band that is used for placing at patient's nose lip, the both ends of connecting band all are in proper order with facial stiff end, head stiff end fixed connection, and two head stiff ends are connected through the second fixed band of adjustable length, fixed being equipped with on the facial stiff end is used for the fixed pad with patient's skin laminating, be equipped with the spout along its length direction on the connecting band, it is equipped with a slider to slide on the spout, fixed being equipped with on the slider is used for fixed intubate first fixed band, the fixed bite-block that is used for placing the intubate that is equipped with in below rear side of slider, bite-block and slider fixed connection's one section is the interlock section, and the rear side of interlock section is the tongue section of pressing that is used for pushing down patient's tongue, tongue section and interlock section fixed connection.

Description

An anti-pressure sore endotracheal tube fixer

technical field

The utility model relates to the technical field of medical equipment, in particular to a tracheal intubation fixer for preventing pressure sores.

Background technique

Tracheal intubation is one of the ways to establish an artificial airway, and it is widely used in general anesthesia or critically ill patients in the anesthesiology department and intensive care unit (ICU). Nursing researchers found that medical device-related pressure injuries accounted for 34.5% of all pressure injuries, and the incidence of oral pressure injuries in patients with tracheal intubation reached 22.16%. Endotracheal intubation and fixation tape are one of the top three causes of oral mucosal pressure injury. Device-related pressure injuries can increase patient suffering and affect disease outcomes.

The inventor found that most of the existing endotracheal tube holders directly insert the endotracheal endotracheal endotracheal endotracheal tube into the airway, and only play a fixed role. A few parts are provided with a tooth pad structure to prevent the patient from biting the endotracheal endotracheal endotracheal tube. When irritability occurs (especially in children), they will use their tongues to push against the tooth pads, which will not only cause damage to the patient's tongue, but also do not use the fixation of the tracheal intubation, resulting in unplanned extubation, which increases the nurse's workload. workload.

Utility model content

Aiming at the deficiencies in the prior art, the purpose of this utility model is to provide an anti-pressure sore endotracheal tube fixer, which sets the tooth pad into two sections, one section is used for the patient's occlusion to protect the endotracheal tube, and the other section is used to protect the endotracheal tube It is used to press the patient's tongue, avoiding the impact of the patient's tongue on the position of the dental pad/tracheal tube, and solving the problem that the existing tracheal tube holder is prone to unplanned extubation.

In order to achieve the above object, the utility model is realized through the following technical solutions:

In the first aspect, embodiments of the present invention provide a pressure sore-preventing endotracheal tube holder, which includes a connecting belt for placing on the patient's nasolabial region, and the two ends of the connecting belt are sequentially connected to the fixed end of the face, The fixed ends of the head are fixedly connected, and the two fixed ends of the head are connected by a second fixed belt with adjustable length. The fixed end of the face is fixed with a fixed pad for bonding with the patient's skin. A chute is provided in the length direction, and a slider is slid on the chute, and the first fixing band for fixing the intubation is fixed on the slider, and the lower rear side of the slider is fixed with a tooth for placing the intubation. Pad, the section of the dental pad fixedly connected with the slider is the occlusal section, the rear side of the occlusal section is a tongue depressing section for pressing the patient's tongue, and the tongue depressing section is fixedly connected with the occlusal section.

As a further implementation, the width of the connecting band is not greater than the width of the nasolabial part of the human body.

As a further implementation, the fixed end of the face is a bifurcated structure with at least two branches.

As a further implementation, the fixed end of the head is Y-shaped, consisting of two branches that respectively bypass above and below the patient's ears and extend to the back of the head.

As a further implementation manner, the first fixing belt has an elastic rubber layer, and the second fixing belt is an elastic belt.

As a further implementation manner, an insertion hole for passing an intubation tube is opened at the middle position of the dental pad.

As a further implementation manner, the hardness of the occlusal section is greater than that of the tongue depressing section.

As a further implementation, the tongue depressing section is an arc-shaped sheet structure made of flexible material, and the end of the tongue depressing section is used to be placed at the patient's tongue base.

As a further implementation, the fixing pad is an oval latex pad.

As a further implementation, the side of the connection belt in contact with the skin is fixed with a protective pad made of hydrocolloid dressing.

The beneficial effects of above-mentioned utility model are as follows:

1) In this utility model, the tooth pad is arranged in two sections, one section is used for the patient's occlusion to protect the tracheal intubation, and the other section is used to press the patient's tongue to avoid the patient's tongue against the tooth pad/tracheal intubation position. Influence, solve the problem that unplanned extubation easily occurs in the existing trachea intubation fixer.

2) The fixed end of the head of the utility model is Y-shaped and has two branches. The two branches can bypass the patient's ear from above and below and extend to the back of the head, which can effectively avoid the patient's ear , to avoid pressure sores on the patient's ears, improve comfort, and at the same time, ensure the level of the fixing belt and the connecting belt as much as possible to ensure the fixing effect.

3) The tongue depressing section of the utility model has an arc-shaped sheet structure, which conforms to the anatomical shape of the oral cavity and avoids damage to the patient's oral cavity. The end of the tongue depressing section is used to press the base of the patient's tongue to reduce tongue movement as much as possible The impact on the tongue depressing section improves the tongue depressing effect of the tongue depressing section, and the setting of the arc-shaped sheet structure ensures that the position of the tracheal intubation is limited, and at the same time reduces the overall quality of the tongue depressing section and avoids damage to the patient's tongue. Pressure sore injury.

4) The fixed end of the face of the utility model is a bifurcated structure, which increases the contact area with the patient's face to improve the fixing effect. The fixed end of the face is fixed with a latex material fixing pad, which can fit the patient's face and can reduce the pain. The role of pressure, to avoid damage to the patient's face.

5) The utility model can adjust the position of the slider, and then drive the tracheal intubation to change the position, which can fully expose the oral cavity, facilitate observation and oral care, and greatly reduce the workload of medical staff.

Description of drawings

The accompanying drawings constituting a part of the utility model are used to provide a further understanding of the utility model, and the schematic embodiments of the utility model and their descriptions are used to explain the utility model and do not constitute improper limitations to the utility model.

Fig. 1 is a schematic diagram of the overall structure of a tracheal tube holder for preventing pressure sores according to one or more embodiments of the present invention;

Fig. 2 is a schematic structural view of a dental pad according to one or more embodiments of the present invention;

In the figure: The distance or size between each part is exaggerated to show the position of each part, and the schematic diagram is for illustration only;

Among them, 1. connecting belt; 2. fixed end of face; 3. fixed pad; 4. chute; 5. slider; 6. dental pad; 7. first fixed belt; Two fixing belts; 10, protective pad; 11, socket; 12, occlusal section; 13, tongue depressing section.

Detailed ways

It should be pointed out that the following detailed descriptions are all exemplary and are intended to provide further description of the present utility model. Unless otherwise specified, all technical and scientific terms used in this application have the same meaning as commonly understood by those of ordinary skill in the art to which this application belongs.

As introduced in the background technology, most of the existing endotracheal tube holders directly insert the endotracheal endotracheal endotracheal endotracheal tube into the airway, and only play the role of fixation. A few parts are provided with a dental pad structure to prevent the patient from biting the endotracheal endotracheal endotracheal tube. And when the patient is irritable (especially children), he will push the tooth pad with his tongue, which will not only cause damage to the patient's tongue, but also do not use the fixation of the tracheal intubation, resulting in unplanned extubation and increased To solve the problem of nurses' workload, the utility model provides a pressure sore-preventing endotracheal tube holder.

Example 1

In a typical implementation of the present utility model, as shown in Fig. 1-Fig. 2, a kind of anti-pressure sore endotracheal tube fixer is proposed, comprising, connecting belt 1, facial fixed end 2, dental pad 6, head The fixed end 8 and the first fixed belt 7 and the second fixed belt 9.

Wherein, the connecting belt 1 is the main part of the fixator, which is used to fix the position of the fixer. The connecting belt 1 is a strip-shaped structure, and the connecting belt 1 is made of plastic material, which can be bent according to actual needs to ensure that it is consistent with the patient's face. fit.

The width of connecting band 1 is not greater than the width of human nasolabial part, so that connecting band 1 is placed on patient's nasolabial part, and the two ends of connecting band 1 are respectively fixedly provided with a face fixed end 2, and two face fixed ends 2 mutually Symmetrical, the face fixing end 2 is a bifurcated structure with at least two branches to increase the contact area with the patient's face to improve the fixing effect.

It can be understood that the specific width of the connecting band 1 needs to be determined according to the actual design requirements, as long as it can be placed on the patient's nasolabial region, there are no specific restrictions here.

The area of the fixed end 2 of the face is equal to the area from the corners of the mouth to the cheeks on both sides of the patient. The bottom surface of each fixed end 2 of the face is fixed with a fixed pad 3, that is, the fixed end 2 of the face is fixed on the side close to the skin of the patient. A fixed pad 3, the oval pad (ie oval latex pad) that fixed pad 3 is made of hydrocolloid dressing material, can fit with patient's face and can play the effect of decompression, avoids the injury of patient's face.

The end of each face fixed end 2 away from the connecting belt 1 is fixedly provided with a head fixed end 8. The head fixed end 8 is Y-shaped and has two branches. In actual use, the Y-shaped head is fixed. The two branches of the end 8 can bypass the patient's ear above and below and extend to the back of the head, which can effectively avoid the patient's ear and prevent pressure sores on the patient's ear. Ensure the levelness of the fixing belt and the connecting belt 1 to ensure the fixing effect.

The two head fixing ends 8 are connected by a second fixing belt 9, the second fixing belt 9 is an elastic belt structure, the length of the second fixing belt 9 is adjustable, so as to adjust the degree of tightness according to the head circumference of different patients.

It can be understood that the length adjustment of the second fixing belt 9 is an existing technical means, for example, opening a hole at the end of the head fixing end 8, and passing the second fixing belt 9 through the top of the two head fixing ends 8 Of course, an existing adjustment buckle can also be set on the second fixing belt 9, which can be selected according to actual needs, and there are no too many restrictions here.

It should be noted that both the face fixed end 2 and the head fixed end 8 are made of plastic, so that they can be bent adaptively according to the patient's face to ensure the tightness of fit.

In order to ensure the fitting tightness and comfort of the connecting band 1 and the patient's nasolabial portion, the bottom surface of the connecting band 1 is fixed with a protective pad 10 made of a hydrocolloid dressing material, and the dental pad 6 and the top surface of the connecting band 1 (i.e. away from the Patient's skin side) sliding connection.

Concretely, the top surface of connecting belt 1 is fixedly provided with a chute 4 along its length direction, and chute 4 is provided with a slide block 5 slidingly matched with it, and tooth pad 6 is positioned at the rear side below slide block 5 (i.e. slide The bottom of the block 5 is close to the side of the connecting belt 1), and the dental pad 6 is fixedly connected with the slide block 5, so that the dental pad 6 can be driven by the slide block 5 to move between the corners of the mouth of the patient.

It can be understood that, in order to avoid the deflection of the position after the slider 5 is moved into place, several grooves are arranged at intervals along the length direction of the chute 4, and on the side where the slider 5 is in contact with the protrusion, a groove that matches the groove is provided. raised.

It should be noted that in use, the protrusion on the slider 5 does not need to fully extend into the groove on the chute 4 to reduce the difficulty of subsequent position adjustment of the slider 5, as long as the groove can be used to adjust the position of the slider 5 Automatic movement can reach the limit.

The slider 5 is fixed with a first fixing belt 7 , and the upper and lower sides of the first fixing belt 7 are provided with an elastic adhesive layer or Velcro, which can connect the endotracheal tube to the slider 5 fixedly.

A jack 11 is opened at the middle position of the tooth pad 6 , the jack 11 runs through the tooth pad 6 , and the tracheal intubation tube can be inserted into the patient's oral cavity through the jack 11 .

It can be understood that the insertion hole 11 can be a circular hole, a square hole, etc., and the size of the insertion hole 11 is not smaller than the outer diameter of the endotracheal tube. The specific size can be determined according to the actual design requirements, and there are no excessive restrictions here.

As shown in Figure 2, the tooth pad 6 is divided into two parts, one part is the occlusal section 12, and the other part is the tongue depressing section 13. The block 5 is fixedly connected, and is positioned at the patient's articulation during use, and the tongue depressing section 13 is fixedly arranged behind the occlusal section 12, close to the patient's tongue base.

Specifically, the occlusal section 12 is made of hard material, and the tongue depressing section 13 is made of soft material, so that the hardness of the occlusal section 12 is greater than that of the tongue depressing section. In this embodiment, the occlusal section 12 is made of PVC material, and the tongue depressing section 13 is made of soft material. Section 13 is made of silicone material.

It can be understood that, in other embodiments, the occlusal section 12 and the tongue depressing section 13 can also be made of other materials, as long as the hardness of the occlusal section 12 is greater than that of the tongue depressing section, and the occlusal section 12 will not be damaged and deformed by the patient. It is sufficient that the tongue depressing section 13 does not cause pressure sores on the patient's tongue, and there are no excessive restrictions here.

The occlusal section 12 is a columnar structure, which can be cylindrical, columnar, etc., and can be selected according to actual needs. When in use, one end of the occlusal section 12 protrudes from the patient's mouth, and the other end extends into the patient's mouth and is covered by the teeth. Bite, on the one hand, can limit the position of the endotracheal tube, and on the other hand, prevent the patient from biting the endotracheal tube.

In order to improve the comfort of occlusal, occlusal grooves can also be provided on the peripheral side of the occlusal section 12, which can be selected according to actual design requirements.

The tongue depressing section 13 is an arc-shaped sheet structure, which conforms to the anatomical shape of the oral cavity and avoids damage to the patient's oral cavity. The occurrence of unplanned extubation caused by disturbance.

It should be noted that the end of the tongue depressing section 13 should extend into the base of the patient's tongue, so as to minimize the impact of tongue movement on the tongue depressing section 13 and improve the tongue depressing effect of the tongue depressing section 13. The arc-shaped sheet structure The setting ensures that the position of the tracheal intubation is limited, and at the same time reduces the overall quality of the tongue depressing section 13, avoiding pressure sore damage to the patient's tongue.

The specific working principle is:

First, the connecting belt 1 is placed on the patient's nasolabial region, and the facial fixed ends 2 at both ends of the connecting belt 1 are fixed on the patient's cheeks through the fixing pad 3;

The head fixing end 8 is bypassed from the upper and lower sides of the patient's ear, and the second fixing belt 9 is used to connect the two head fixing ends 8, and the tightness of the second fixing belt 9 is adjusted according to the patient's head circumference;

Put the tooth pad 6 into the patient's mouth, so that the patient bites on the occlusal section 12, and the tongue depressing section 13 is pressed against the patient's tongue, so that the end of the tongue depressing section 13 is located at the base of the tongue;

Adjust the position of the slider 5, insert the endotracheal tube into the insertion hole 11, and after extending into the specified length, make the first fixing belt 7 wrap around the endotracheal tube and the slider 5 above the endotracheal tube, so that the endotracheal tube and the slide Block 5 is fixedly connected to realize the fixation of the position of the endotracheal tube.

During follow-up oral care and inspection, nurses can adjust the position of the slider 5, and then drive the endotracheal tube to change the position, which can fully expose the oral cavity, facilitate observation and oral care, and greatly reduce the workload of medical staff .

Because the tongue depressing section 13 has a bending angle, it can effectively avoid damage to the patient's oral mucosa and gums during the position movement, and effectively prevent the catheter from shifting, falling out or biting the tube caused by the patient's restlessness.

It should be noted that the fixer in this embodiment is a disposable appliance, which needs to be sterilized before use to prevent cross-infection.

The above descriptions are only preferred embodiments of the utility model, and are not intended to limit the utility model. For those skilled in the art, the utility model can have various modifications and changes. Any modification, equivalent replacement, improvement, etc. made within the spirit and principles of the present utility model shall be included in the protection scope of the present utility model.

Claims (10)

1. An anti-pressure sore endotracheal tube holder, is characterized in that, comprises the connection belt that is used to be placed on patient's nasolabial part, and the two ends of described connection belt are all fixedly connected with face fixed end, head fixed end successively , the two fixed ends of the head are connected by a second fixed belt with adjustable length, the fixed end of the face is fixed with a fixed pad for bonding with the patient's skin, and the connecting belt is provided with a chute along its length direction , a slide block is slid on the chute, the first fixing belt for fixing the intubation tube is fixed on the slide block, and a dental pad for placing the intubation tube is fixedly provided on the lower rear side of the slider, and the dental pad A segment fixedly connected with the slider is an occlusal segment, and the rear side of the occlusal segment is a tongue depressing segment for pressing the patient's tongue, and the tongue depressing segment is fixedly connected with the occlusal segment. 2. The anti-pressure sore endotracheal tube holder according to claim 1, wherein the width of the connecting band is not greater than the width of the nasolabial portion of a human body. 3. The anti-pressure sore endotracheal tube holder according to claim 1, wherein the fixed end of the face is a bifurcated structure with at least two branches. 4. The anti-pressure sore tracheal tube holder according to claim 1, characterized in that, the fixed end of the head is in the shape of a Y shape, and consists of two parts that go around and extend from above and below the patient's ears respectively. Composed of branches toward the back of the head. 5 . The anti-pressure sore endotracheal tube holder according to claim 1 , wherein the first fixing belt has an elastic adhesive layer, and the second fixing belt is an elastic belt. 6 . The anti-pressure sore endotracheal tube holder according to claim 1 , wherein an insertion hole for the passage of the intubation tube is opened at the middle position of the dental pad. 7 . 7 . The anti-pressure sore endotracheal tube holder according to claim 1 , wherein the hardness of the occlusal segment is greater than that of the tongue depressor segment. 8. A pressure sore-preventing endotracheal tube holder according to claim 1, wherein the tongue depressing section is an arc-shaped sheet structure made of flexible material, and the end of the tongue depressing section is used to place on the patient's tongue. 9. The anti-pressure sore endotracheal tube holder according to claim 1, wherein the fixing pad is an oval latex pad. 10 . The anti-pressure sore endotracheal tube holder according to claim 1 , wherein a protective pad made of a hydrocolloid dressing is fixed on the side of the connection belt in contact with the skin. 11 .

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