CN221618247U - A tracheotomy tube with both air bag compression prevention and suction functions - Google Patents

A tracheotomy tube with both air bag compression prevention and suction functions Download PDF

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Publication number
CN221618247U
CN221618247U CN202323496563.8U CN202323496563U CN221618247U CN 221618247 U CN221618247 U CN 221618247U CN 202323496563 U CN202323496563 U CN 202323496563U CN 221618247 U CN221618247 U CN 221618247U
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airbag
tracheotomy
connection port
negative pressure
pressure suction
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崔良文
朱海星
余超
周亮
彭晓春
刘念
邵敏
邓东宇
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Anhui Provincial Hospital First Affiliated Hospital Of Ustc
First Affiliated Hospital of Anhui Medical University
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Anhui Provincial Hospital First Affiliated Hospital Of Ustc
First Affiliated Hospital of Anhui Medical University
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Abstract

The utility model discloses a tracheotomy catheter with functions of preventing air sac compression and suction, which comprises a tracheotomy catheter main body, wherein one end of the top of the tracheotomy catheter main body is connected with an air sac inflation connector, and the air sac inflation connectors are respectively communicated with an air sac; one end of the bottom of the tracheotomy catheter main body is connected with a negative pressure suction hole; the connector is installed on the top of tracheotomy pipe main part, and just magnetic attraction piece is installed to the bottom of connector. According to the utility model, the connecting port of the breathing machine is conveniently connected with the top end of the breathing machine through the shape of the right angle of the connector, the bending of the pipe body during operation is avoided, and the hard material can protect the hose near the connecting port of the breathing machine which is often required to be operated, because the pipe body is required to be operated by medical staff during use, the bending and bending can cause the hose to be closed to influence the fluxion inside the artificial catheter, and the breathing machine is conveniently fixed on the head, the neck and the arm of a patient through the attraction of the magnetism of the positive magnetic attraction block and the negative magnetic attraction block.

Description

一种兼顾预防气囊压迫和吸引功能的气管切开导管A tracheotomy tube with both air bag compression prevention and suction functions

技术领域Technical Field

本实用新型涉及医疗辅助设备技术领域,具体为一种兼顾预防气囊压迫和吸引功能的气管切开导管。The utility model relates to the technical field of medical auxiliary equipment, in particular to a tracheotomy catheter with both air bag compression prevention and suction functions.

背景技术Background Art

人工气道是指将导管经口/鼻或气管切开处插入气管内建立的气体通道,可纠正患者的缺氧状态,改善通气功能。人工气道是保证气道通畅的有效手段,在抢救过程中发挥极为重要的作用。然而,人工气道的建立也会在一定程度上损伤和破坏机体正常的生理解剖功能,给患者带来危害;An artificial airway is a gas passage established by inserting a catheter into the trachea through the mouth/nose or tracheotomy, which can correct the patient's hypoxia and improve ventilation function. An artificial airway is an effective means to ensure a patency of the airway and plays an extremely important role in the rescue process. However, the establishment of an artificial airway will also damage and destroy the body's normal physiological and anatomical functions to a certain extent, causing harm to the patient;

现有专利(公告号:202320538976.9)双气囊气管切开导管,便是针对目前医院使用的单一气囊气切导管进行改进的,传统的置入气管后不可改变气囊在气道里的相对位置,气囊对同一位置气管黏膜的长期压迫,会导致该区域黏膜缺血、溃疡,甚至出血、穿孔的严重并发症。The existing patent (Announcement No.: 202320538976.9) double-balloon tracheotomy catheter is an improvement on the single-balloon tracheotomy catheter currently used in hospitals. The traditional balloon cannot change the relative position of the balloon in the airway after insertion into the trachea. The long-term compression of the balloon on the tracheal mucosa at the same position can lead to ischemia, ulcers, and even serious complications such as bleeding and perforation of the mucosa in the area.

针对上述问题,现有专利给出了解决方案:通过双气囊,在使用时交替使用气囊,达到避免长时间对一处位置施力导致气管黏膜受压迫的作用,且通过负压吸引管清理患者口腔的异物,减少口水/胃液反流误吸,预防气管鼓膜损伤及VAP的发生。In response to the above problems, the existing patent provides a solution: through the use of dual airbags, the airbags are used alternately during use to avoid the compression of the tracheal mucosa caused by applying force to one position for a long time, and the foreign objects in the patient's mouth are cleaned through a negative pressure suction tube, reducing the reflux of saliva/gastric juice and aspiration, and preventing tracheal tympanic membrane damage and the occurrence of VAP.

但是针对人工气道的改进,现有专利忽视了患者翻身以及医疗人员做其他治疗时导致的人工气道脱落和移位的问题;因为需要使用人工气道的患者是无法自主行动的重症患者,患者需要长时间使用人工气道,传统的固定方式是通过医疗胶带固定在患者的皮肤上,这样做有两个缺点,一是在清理气管气道时需要反复拆卸安装人工气道,皮肤被医疗胶带反复拉扯和压迫会导致受损溃烂的情况,且医疗胶带会给管道造成压力会影响管道内部气流的流通性;另外现有技术全体使用的是软管,管体在使用时需要医护人员操作,扭曲弯折会导致软管闭合影响人工导管内部的流通性。However, with respect to the improvement of the artificial airway, the existing patents ignore the problem of the artificial airway falling off and shifting when the patient turns over or the medical staff performs other treatments; because the patients who need to use the artificial airway are critically ill patients who cannot move independently, and the patients need to use the artificial airway for a long time, the traditional fixation method is to fix it to the patient's skin with medical tape. This has two disadvantages. First, when cleaning the tracheal airway, the artificial airway needs to be repeatedly disassembled and installed. The skin is repeatedly pulled and compressed by the medical tape, which will cause damage and ulceration, and the medical tape will cause pressure on the pipeline, which will affect the fluidity of the airflow inside the pipeline; in addition, the existing technology all uses a hose, and the tube body needs to be operated by medical staff when in use. Twisting and bending will cause the hose to close, affecting the fluidity inside the artificial catheter.

实用新型内容Utility Model Content

本实用新型的目的在于提供一种兼顾预防气囊压迫和吸引功能的气管切开导管,以解决上述背景技术中提出人工气道通过医疗胶带固定在患者的皮肤上,在清理气管气道时需要反复拆卸安装人工气道,皮肤被医疗胶带反复拉扯和压迫会导致受损溃烂的情况,且医疗胶带会给管道造成压力会影响管道内部气流的流通性的问题。The utility model aims to provide a tracheotomy catheter that combines the functions of preventing airbag compression and suction, so as to solve the problem in the above-mentioned background technology that an artificial airway is fixed to the patient's skin by medical tape, and the artificial airway needs to be repeatedly disassembled and installed when cleaning the tracheal airway. The skin is repeatedly pulled and compressed by the medical tape, which may cause damage and ulceration, and the medical tape may cause pressure on the pipeline, which may affect the fluidity of the airflow inside the pipeline.

为实现上述目的,本实用新型提供如下技术方案:包括气管切开导管主体,所述气管切开导管主体顶部的一端连接有气囊充气连接口一、气囊充气连接口二、气囊充气连接口三,且气囊充气连接口一、气囊充气连接口二、气囊充气连接口三分别连通的气囊一、气囊二、气囊三;所述气管切开导管主体底部的一端连接有负压吸引孔一、负压吸引孔二、负压吸引孔三;所述气管切开导管主体的顶端安装有连接器,且连接器的底端安装有正磁吸块。To achieve the above-mentioned purpose, the utility model provides the following technical solutions: comprising a tracheotomy catheter body, wherein one end of the top of the tracheotomy catheter body is connected with airbag inflation connection port 1, airbag inflation connection port 2, and airbag inflation connection port 3, and airbag inflation connection port 1, airbag inflation connection port 2, and airbag inflation connection port 3 are respectively connected to airbag 1, airbag 2, and airbag 3; one end of the bottom of the tracheotomy catheter body is connected with negative pressure suction hole 1, negative pressure suction hole 2, and negative pressure suction hole 3; a connector is installed at the top of the tracheotomy catheter body, and a positive magnetic suction block is installed at the bottom of the connector.

优选的,所述连接器呈直角的外形。Preferably, the connector has a right-angle shape.

优选的,所述正磁吸块的两侧固定有定位锁扣,所述正磁吸块的一端设有负磁吸块,且负磁吸块和正磁吸块为磁吸关系所述负磁吸块远离正磁吸块的一端和患者身体上穿戴的头套、颈带、臂带固定。Preferably, positioning locks are fixed on both sides of the positive magnetic block, a negative magnetic block is provided at one end of the positive magnetic block, and the negative magnetic block and the positive magnetic block are in a magnetic attraction relationship. The end of the negative magnetic block away from the positive magnetic block is fixed to the headgear, neck strap and arm strap worn on the patient's body.

优选的,所述气管切开导管主体为中空薄壁的软硅胶材质,且顶端连接有呼吸机连接口。优选的,所述气囊一、气囊二、气囊三内分别设有气囊充气孔一、气囊充气孔二、气囊充气孔三,所述气囊充气孔一、气囊充气孔二、气囊充气孔三镶嵌在气管切开导管主体的外侧缘。优选的,所述负压吸引孔一、负压吸引孔二、负压吸引孔三分别位于气囊一、气囊二、气囊三的上方,并分别连通有负压吸引连接口一、负压吸引连接口二、负压吸引连接口三。优选的,所述气管切开导管主体远离呼吸机连接口的一端设有气管切开导管口。Preferably, the tracheotomy catheter body is made of hollow thin-walled soft silicone material, and the top is connected to a ventilator connection port. Preferably, airbag one, airbag two, and airbag three are respectively provided with airbag inflation hole one, airbag inflation hole two, and airbag inflation hole three, and the airbag inflation hole one, airbag inflation hole two, and airbag inflation hole three are embedded in the outer edge of the tracheotomy catheter body. Preferably, the negative pressure suction hole one, negative pressure suction hole two, and negative pressure suction hole three are respectively located above airbag one, airbag two, and airbag three, and are respectively connected to negative pressure suction connection port one, negative pressure suction connection port two, and negative pressure suction connection port three. Preferably, a tracheotomy catheter port is provided at one end of the tracheotomy catheter body away from the ventilator connection port.

优选的,所述气管切开导管内芯和气管切开导管主体贯穿连接,且位于气管切开导管主体的内部,所述气管切开导管主体总体长度长于气管切开导管内芯,气管切开导管内芯直径小于气管切开导管主体直径。Preferably, the tracheotomy tube inner core is connected to the tracheotomy tube body and is located inside the tracheotomy tube body. The overall length of the tracheotomy tube body is longer than the tracheotomy tube inner core, and the diameter of the tracheotomy tube inner core is smaller than the diameter of the tracheotomy tube body.

与现有技术相比,本实用新型的有益效果是:Compared with the prior art, the beneficial effects of the utility model are:

(1)通过连接器直角的外形使得呼吸机连接口便于和呼吸机的顶端连接,避免操作时管体弯折,且硬质的材料可以保护经常需要操作的呼吸机连接口附近的软管,因为管体在使用时需要医护人员操作,扭曲弯折会导致软管闭合影响人工导管内部的流通性;(1) The right-angle shape of the connector makes it easy to connect the ventilator connection port to the top of the ventilator, avoiding bending of the tube during operation. The hard material can protect the hose near the ventilator connection port that often needs to be operated. Because the tube needs to be operated by medical staff during use, twisting and bending will cause the hose to close and affect the flow inside the artificial catheter;

(2)通过正磁吸块和负磁吸块磁性相吸便于固定于患者的头部、颈部和胳膊上,解决了患者翻身以及医疗人员做其他治疗时导致的人工气道脱落和移位的问题;因为需要使用人工气道的患者是无法自主行动的重症患者,患者需要长时间使用人工气道,该结构的优势是避免在清理气管气道时反复拆卸安装人工气道,导致皮肤被医疗胶带反复拉扯压迫受损溃烂,且相比于软性易变形的医疗胶带,硬质的正磁吸块可以在不压迫管道的前提下固定管体;定位锁扣的作用是定位气管切开导管主体的方向,避免气管切开导管主体在固定时是扭曲固定的,导致影响管体内部液体的流通性;(2) The positive magnetic block and the negative magnetic block are magnetically attracted to each other, so that the airway can be easily fixed on the patient's head, neck and arms, which solves the problem of the artificial airway falling off and shifting when the patient turns over or when the medical staff performs other treatments. Because the patients who need to use the artificial airway are critically ill patients who cannot move independently, they need to use the artificial airway for a long time. The advantage of this structure is that it avoids repeated disassembly and installation of the artificial airway when cleaning the trachea and airway, which causes the skin to be repeatedly pulled and compressed by the medical tape, causing damage and ulceration. Compared with the soft and easily deformable medical tape, the hard positive magnetic block can fix the tube body without compressing the tube. The function of the positioning lock is to locate the direction of the tracheotomy tube body to avoid the tracheotomy tube body being twisted and fixed when fixed, which affects the fluidity of the liquid inside the tube body.

(3)通过使用三个气囊可间断使用三个气囊中任意一个气囊,当其中一个气囊拟放气时,首先需在其上面对应的负压吸引孔吸出气道分泌物,然后将另外两个中一个气囊进行充气,再将拟放气的气囊进行放气。其作用是定时更改气囊相对位置,减少其对固定气道黏膜的压迫,减少气道黏膜缺血溃疡、出血、穿孔的发生;(3) By using three airbags, any one of the three airbags can be used intermittently. When one of the airbags is to be deflated, the corresponding negative pressure suction hole on it must first suck out the airway secretions, then inflate one of the other two airbags, and then deflate the airbag to be deflated. Its function is to change the relative position of the airbags at regular intervals, reduce its pressure on the fixed airway mucosa, and reduce the occurrence of airway mucosal ischemia, ulcers, bleeding, and perforation;

(4)气管切开导管主体上设有负压吸引孔分别位于气囊上方,并分别与负压吸引连接口连通。当其中一个气囊拟放气时,首先需在其上面对应的负压吸引孔吸出气道分泌物,然后将另外两个中一个气囊进行充气,再将拟放气的气囊进行放气。可通过负压引孔和负压吸引连接口实现气囊上吸引,其吸引的作用是可随时吸除从口腔流入气道,且被气囊阻断在气囊上方的口水或胃液,避免这些带菌液体流入下呼吸道,从而减少肺炎的发生。(4) Negative pressure suction holes are provided on the tracheotomy catheter body, which are located above the airbags and are connected to the negative pressure suction connection ports. When one of the airbags is to be deflated, the corresponding negative pressure suction hole on it is first used to suck out the airway secretions, and then one of the other two airbags is inflated, and then the airbag to be deflated is deflated. Suction on the airbag can be achieved through the negative pressure inlet hole and the negative pressure suction connection port. The function of suction is to remove saliva or gastric juice that flows into the airway from the mouth and is blocked by the airbag above the airbag at any time, so as to prevent these bacteria-carrying liquids from flowing into the lower respiratory tract, thereby reducing the occurrence of pneumonia.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1为本实用新型的立体外观结构示意图;FIG1 is a schematic diagram of the three-dimensional appearance structure of the utility model;

图2为本实用新型连接器处的立体外观示意图;FIG2 is a schematic diagram of the three-dimensional appearance of the connector of the utility model;

图3为本实用新型的气囊的立体外观示意图;FIG3 is a schematic diagram of the three-dimensional appearance of the airbag of the present invention;

图4为本实用新型的磁吸结构立体外观示意图;FIG4 is a schematic diagram of the three-dimensional appearance of the magnetic attraction structure of the present invention;

图5为本实用新型的气管切开导管内芯立体外观示意图。FIG. 5 is a schematic diagram of the three-dimensional appearance of the inner core of the tracheotomy tube of the present invention.

图中:1、气管切开导管主体;2、呼吸机连接口;3、连接器;4、气囊充气连接口一;5、气囊充气连接口二;6、气囊充气连接口三;7、负压吸引接口一;8、负压吸引接口二;9、负压吸引接口三;10、气囊上负压吸引孔一;11、气囊上负压吸引孔二;12、气囊上负压吸引孔三;13、气囊一;14、气囊二;15、气囊三;16、气管切开导管口;17、气囊充气孔一;18、气囊充气孔二;19、气囊充气孔三;20、正磁吸块;21、定位锁扣;22、负磁吸块;23、气管切开导管内芯。In the figure: 1. Tracheotomy catheter body; 2. Ventilator connection port; 3. Connector; 4. Airbag inflation connection port one; 5. Airbag inflation connection port two; 6. Airbag inflation connection port three; 7. Negative pressure suction interface one; 8. Negative pressure suction interface two; 9. Negative pressure suction interface three; 10. Negative pressure suction hole one on the airbag; 11. Negative pressure suction hole two on the airbag; 12. Negative pressure suction hole three on the airbag; 13. Airbag one; 14. Airbag two; 15. Airbag three; 16. Tracheotomy catheter port; 17. Airbag inflation hole one; 18. Airbag inflation hole two; 19. Airbag inflation hole three; 20. Positive magnetic suction block; 21. Positioning lock; 22. Negative magnetic suction block; 23. Tracheotomy catheter inner core.

具体实施方式DETAILED DESCRIPTION

下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,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。The following will be combined with the drawings in the embodiments of the utility model to clearly and completely describe the technical solutions in the embodiments of the utility model. Obviously, the described embodiments are only part of the embodiments of the utility model, not all of the embodiments. Based on the embodiments in the utility model, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the utility model.

请参阅图1-5,本实用新型提供的一种实施例:一种兼顾预防气囊压迫和吸引功能的气管切开导管,包括气管切开导管主体1,气管切开导管主体1顶部的一端连接有气囊充气连接口一4、气囊充气连接口二5、气囊充气连接口三6,气囊充气连接口为中空式管路,紧贴1的外侧壁;Please refer to Figures 1-5, an embodiment provided by the utility model: a tracheotomy catheter with both airbag compression prevention and suction functions, including a tracheotomy catheter body 1, one end of the top of the tracheotomy catheter body 1 is connected with an airbag inflation connection port 1 4, an airbag inflation connection port 2 5, and an airbag inflation connection port 3 6, and the airbag inflation connection port is a hollow pipeline, which is close to the outer wall of 1;

且气囊充气连接口一4、气囊充气连接口二5、气囊充气连接口三6分别连通的气囊一13、气囊二14、气囊三15;气管切开导管主体1底部的一端连接有负压吸引孔一10、负压吸引孔二11、负压吸引孔三12;气管切开导管主体1的顶端安装有连接器3,且连接器3的底端安装有正磁吸块20;The airbag inflation connection port 1 4, the airbag inflation connection port 2 5, and the airbag inflation connection port 3 6 are respectively connected to the airbag 1 13, the airbag 2 14, and the airbag 3 15; one end of the bottom of the tracheotomy catheter body 1 is connected to the negative pressure suction hole 10, the negative pressure suction hole 2 11, and the negative pressure suction hole 3 12; the top of the tracheotomy catheter body 1 is installed with a connector 3, and the bottom of the connector 3 is installed with a positive magnetic suction block 20;

连接器3呈直角的外形;The connector 3 has a right-angle shape;

正磁吸块20的两侧固定有定位锁扣21,正磁吸块20的一端设有负磁吸块22,且负磁吸块22、正磁吸块20为磁吸关系负磁吸块22远离正磁吸块20的一端和患者身体上穿戴的头套、颈带、臂带固定;Positioning lock buckles 21 are fixed on both sides of the positive magnetic block 20, and a negative magnetic block 22 is provided at one end of the positive magnetic block 20, and the negative magnetic block 22 and the positive magnetic block 20 are in a magnetic attraction relationship. The end of the negative magnetic block 22 away from the positive magnetic block 20 is fixed to the headgear, neck strap, and arm strap worn on the patient's body;

气管切开导管主体1为中空薄壁的软硅胶材质,且顶端连接有呼吸机连接口2,用于连接呼吸机患者端,进行机械通气;或者连接呼吸湿化治疗仪,进行吸氧;The tracheotomy catheter body 1 is made of hollow thin-walled soft silicone material, and the top is connected to a ventilator connection port 2 for connecting to the patient end of the ventilator for mechanical ventilation; or connecting to a respiratory humidification therapy device for oxygen inhalation;

气囊充气连接口一4、气囊充气连接口二5、气囊充气连接口三6分别连通的气囊一13、气囊二14、气囊三15,本连接口可连接针筒,可随时向气囊一13、气囊二14、气囊三15其中一个注入空气;可以每隔数小时给不同部位的气囊充气,其余两个气囊放气,防止固定位置气囊持续压迫;气囊充气后可固定于患者的气道;需要变更气囊位置时,当其中一个气囊拟放气时,首先需在其上面对应的负压吸引孔吸出气道分泌物,然后将另外两个中一个气囊进行充气,再将拟放气的气囊进行放气;The airbag inflation connection port 1 4, the airbag inflation connection port 2 5, and the airbag inflation connection port 3 6 are respectively connected to the airbag 1 13, the airbag 2 14, and the airbag 3 15. The connection port can be connected to a syringe, and air can be injected into one of the airbags 1 13, the airbag 2 14, and the airbag 3 15 at any time; the airbags in different parts can be inflated every few hours, and the other two airbags can be deflated to prevent the airbags in fixed positions from continuously pressing; the airbags can be fixed to the patient's airway after being inflated; when the position of the airbags needs to be changed, when one of the airbags is to be deflated, the airway secretions must first be sucked out through the corresponding negative pressure suction hole on it, and then one of the other two airbags can be inflated, and then the airbag to be deflated is deflated;

另外气囊一13、气囊二14、气囊三15位于气管切开导管主体1的不同部位,空心薄层软硅胶材质,置管前为塌陷状态,气囊壁紧贴导管,便于将本气切导管从气切开口处置入;当置入至妥当位置后根据实际需要选择气囊充气连接口往气囊充气孔内注入空气,使得其中一个气囊饱满圆润,可与气管内壁紧密贴合;达到相对固定作用;气囊的作用,一方面可以形成密闭的呼吸回路,避免呼吸机漏气导致的呼吸机异常报警,也可以阻挡上呼吸道的分泌物流入下呼吸道,避免肺不张和肺炎的发生;In addition, airbag 1 13, airbag 2 14, and airbag 3 15 are located at different parts of the tracheotomy catheter body 1, and are made of hollow thin soft silicone. They are in a collapsed state before insertion, and the airbag wall is close to the catheter, which is convenient for inserting the tracheotomy catheter from the tracheotomy opening; after being inserted to a proper position, the airbag inflation connection port is selected according to actual needs to inject air into the airbag inflation hole, so that one of the airbags is full and round, and can fit closely with the inner wall of the trachea, so as to achieve a relatively fixed effect; the role of the airbag, on the one hand, can form a closed breathing circuit to avoid abnormal alarms of the ventilator caused by air leakage of the ventilator, and can also block the secretions of the upper respiratory tract from flowing into the lower respiratory tract, so as to avoid the occurrence of atelectasis and pneumonia;

且气囊一13、气囊二14、气囊三15内分别设有气囊充气孔一17、气囊充气孔二18、气囊充气孔三19,气囊充气孔一17、气囊充气孔二18、气囊充气孔三19镶嵌在气管切开导管主体1的外侧缘;为气管切开导管主体1外侧缘的小孔,实际使用时可以每隔数小时给不同部位气囊充气,其余两个气囊放气,防止固定位置气囊持续压迫;另外当气切导管放置妥当,需要固定时,用空针筒通过气囊充气连接口一4、气囊充气连接口二5、气囊充气连接口三6,分别从气囊充气孔一17、气囊充气孔二18、气囊充气孔三19给气囊一13、气囊二14、气囊三15充气,使得气囊可与气管壁紧密贴合;And the airbag one 13, airbag two 14, and airbag three 15 are respectively provided with an airbag inflation hole one 17, an airbag inflation hole two 18, and an airbag inflation hole three 19, and the airbag inflation hole one 17, the airbag inflation hole two 18, and the airbag inflation hole three 19 are embedded in the outer edge of the tracheotomy catheter body 1; they are small holes on the outer edge of the tracheotomy catheter body 1, and in actual use, airbags in different parts can be inflated every few hours, and the other two airbags are deflated to prevent the airbags in fixed positions from continuously pressing; in addition, when the tracheotomy catheter is properly placed and needs to be fixed, an empty syringe is used to inflate the airbag one 13, the airbag two 14, and the airbag three 15 through the airbag inflation connection port one 4, the airbag inflation connection port two 5, and the airbag inflation connection port three 6, respectively, from the airbag inflation hole one 17, the airbag inflation hole two 18, and the airbag inflation hole three 19, so that the airbags can fit closely with the tracheal wall;

负压吸引孔一10、负压吸引孔二11、负压吸引孔三12分别位于气囊一13、气囊二14、气囊三15上方,并分别与负压吸引连接口一7、负压吸引连接口二8、负压吸引连接口三9连通;负压吸引孔一10、负压吸引孔二11、负压吸引孔三12为中空式管路,紧贴1的外侧壁,下端分别开口于气囊13、14、15上方外侧壁的气囊上负压吸引孔一10、负压吸引孔二11、负压吸引孔三12,在使用时,气囊处于充气状态,气囊紧贴气管内壁,气道内累积的分泌物积聚于气囊上方,分别通过负压吸引连接口一7、负压吸引连接口二8、负压吸引连接口三9负压吸引后,可从该小口吸除,从而减少分泌物流入气囊下方的气道和深部肺组织,避免肺不张和肺炎的发生;The negative pressure suction hole 10, the negative pressure suction hole 2 11, and the negative pressure suction hole 3 12 are respectively located above the airbag 1 13, the airbag 2 14, and the airbag 3 15, and are respectively connected with the negative pressure suction connection port 1 7, the negative pressure suction connection port 2 8, and the negative pressure suction connection port 3 9; the negative pressure suction hole 10, the negative pressure suction hole 2 11, and the negative pressure suction hole 3 12 are hollow pipes, which are close to the outer wall of 1, and the lower ends are opened to the airbags 13, 14, and 15 above the outer wall. The negative pressure suction hole 10, the negative pressure suction hole 2 11, and the negative pressure suction hole 3 12 on the airbag are inflated when in use. The airbag is in close contact with the inner wall of the trachea, and the secretions accumulated in the airway are accumulated above the airbag. After negative pressure suction through the negative pressure suction connection port 1 7, the negative pressure suction connection port 2 8, and the negative pressure suction connection port 3 9, the secretions can be sucked out from the small opening, thereby reducing the secretions from flowing into the airway and deep lung tissue below the airbag, and avoiding the occurrence of atelectasis and pneumonia.

当其中一个气囊拟放气时,首先需在其上面对应的负压吸引孔吸出气道分泌物,然后将另外两个中一个气囊进行充气,再将拟放气的气囊进行放气;减少气囊持续压迫导致气道黏膜缺血溃疡、出血、穿孔的发生;其吸引的作用是可随时吸除从口腔流入气道,且被气囊阻断在气囊上方的口水或胃液,避免这些带菌液体流入下呼吸道,从而减少肺不张、肺炎的发生;When one of the airbags is to be deflated, the corresponding negative pressure suction hole on it must first be used to suck out the airway secretions, then one of the other two airbags must be inflated, and then the airbag to be deflated must be deflated; this reduces the occurrence of ischemic ulcers, bleeding, and perforations of the airway mucosa caused by continuous compression of the airbag; its suction function is to remove saliva or gastric juice that flows into the airway from the mouth and is blocked above the airbag at any time, preventing these bacteria-carrying fluids from flowing into the lower respiratory tract, thereby reducing the occurrence of atelectasis and pneumonia;

气管切开导管主体1远离呼吸机连接口2的一端设有气管切开导管口16;气管切开导管口16位于气管切开导管主体1的末端,使用时管口正对气管,可进行机械通气,必要时纤维支气管镜、吸痰管也可从呼吸机连接口2伸入,通过本管口进入下呼吸道进行吸痰等操作;A tracheotomy tube port 16 is provided at one end of the tracheotomy tube body 1 away from the ventilator connection port 2; the tracheotomy tube port 16 is located at the end of the tracheotomy tube body 1, and when in use, the tube port faces the trachea, and mechanical ventilation can be performed. If necessary, a fiber bronchoscope or a sputum suction tube can also be inserted from the ventilator connection port 2, and enter the lower respiratory tract through this tube port to perform sputum suction and other operations;

气管切开导管内芯23、气管切开导管主体1贯穿连接,且位于气管切开导管主体1的内部,气管切开导管内芯23为质地坚硬的塑料材质,质地较气管切开导管主体1硬,于呼吸机连接口2之外,总体长度短于气管切开导管主体1,用于塑形和引导,气管切开导管主体1总体长度长于气管切开导管内芯23,气管切开导管内芯23直径小于气管切开导管主体1直径;The tracheotomy tube inner core 23 and the tracheotomy tube body 1 are connected through and located inside the tracheotomy tube body 1. The tracheotomy tube inner core 23 is made of hard plastic material, which is harder than the tracheotomy tube body 1. It is located outside the ventilator connection port 2 and is shorter than the tracheotomy tube body 1 in overall length. It is used for shaping and guiding. The overall length of the tracheotomy tube body 1 is longer than the tracheotomy tube inner core 23. The diameter of the tracheotomy tube inner core 23 is smaller than the diameter of the tracheotomy tube body 1.

工作原理:本实用新型在使用时,首先,重症医学科收治大量需长期使用机械通气患者或者因昏迷自主呛咳反应弱需行气管切开术的气道管理患者,在较长的一段时间内通过气切导管进行自主呼吸。在长期机械通气过程中,普通气切导管是固定长度的,置入气管后不可改变气囊在气道里的相对位置,这样经过一段时间,气囊对同一位置的气管黏膜长期压迫,将造成气管黏膜缺血、溃疡、炎症、坏死、气管损伤处狭窄,甚至气管食管瘘等。除此之外,大多数重症医学科气管切开患者在机械通气过程中,需要镇静、镇痛、甚至肌松治疗,无法进行主动的口水吞咽,且保护性的咳嗽反射也随之消失;而康复早期的患者虽然意识清醒,但多数存在肌力差、吞咽障碍、咳嗽反射弱等问题。这两种情况都会导致患者口水吞咽障碍,残余在口腔的口水容易误吸入呼吸道;胃肠道功能差甚至胃潴留的患者还会出现胃液反流进口腔并误吸入呼吸道的情况。无论是口水还是胃液流入气道对患者的危害性都极大,会引起肺不张、肺炎等并发症的发生,更严重者会导致脓毒症,严重影响患者临床预后,增加住院时间甚至增加死亡率。Working principle: When the utility model is used, first of all, the critical care department admits a large number of patients who need long-term mechanical ventilation or patients who need tracheotomy due to coma and weak spontaneous choking reaction, and perform spontaneous breathing through the tracheotomy tube for a long period of time. During long-term mechanical ventilation, ordinary tracheotomy tubes are of fixed length, and the relative position of the airbag in the airway cannot be changed after insertion into the trachea. After a period of time, the airbag will compress the tracheal mucosa in the same position for a long time, which will cause tracheal mucosal ischemia, ulcers, inflammation, necrosis, stenosis of the damaged trachea, and even tracheoesophageal fistula. In addition, most patients with tracheotomy in the critical care department need sedation, analgesia, and even muscle relaxation during mechanical ventilation. They cannot actively swallow saliva, and the protective cough reflex disappears. Although patients in the early stages of recovery are conscious, most of them have problems such as poor muscle strength, swallowing difficulties, and weak cough reflexes. Both of these conditions can cause saliva swallowing difficulties, and the saliva remaining in the mouth can be easily inhaled into the respiratory tract; patients with poor gastrointestinal function or even gastric retention may also experience gastric juice reflux into the mouth and inhalation into the respiratory tract. Whether saliva or gastric juice flows into the airway, it is extremely harmful to the patient, causing complications such as atelectasis and pneumonia, and more seriously leading to sepsis, which seriously affects the patient's clinical prognosis, increases hospitalization time and even increases mortality.

本实施例的设计,就是考虑到以上两个问题,逐一改进,实现:The design of this embodiment is to take the above two problems into consideration and improve them one by one to achieve:

气管切开导管主体上设有三个气囊,可通过间断使用三个气囊中任意一个气囊,当其中一个气囊拟放气时,首先需在其上面对应的负压吸引孔吸出气道分泌物,然后将另外两个中一个气囊进行充气,再将拟放气的气囊进行放气。其作用是定时更改气囊相对位置,减少其对固定气道黏膜的压迫,减少气道黏膜缺血溃疡、出血、穿孔的发生。There are three airbags on the main body of the tracheotomy tube. You can use any of the three airbags intermittently. When one of the airbags is to be deflated, first suck out the airway secretions through the corresponding negative pressure suction hole on it, then inflate one of the other two airbags, and then deflate the airbag to be deflated. Its function is to change the relative position of the airbags at regular intervals, reduce its pressure on the fixed airway mucosa, and reduce the occurrence of airway mucosal ischemia, ulcers, bleeding, and perforation.

同时当其中一个气囊拟放气时,首先需在其上面对应的负压吸引孔吸出气道分泌物,然后将另外两个中一个气囊进行充气,再将拟放气的气囊进行放气。可通过负压引孔和负压吸引连接口实现气囊上吸引,其吸引的作用是可随时吸除从口腔流入气道,且被气囊阻断在气囊上方的口水或胃液,避免这些带菌液体流入下呼吸道,从而减少肺炎的发生。At the same time, when one of the airbags is to be deflated, the corresponding negative pressure suction hole on it must first be used to suck out the airway secretions, then one of the other two airbags must be inflated, and then the airbag to be deflated must be deflated. Suction on the airbag can be achieved through the negative pressure inlet hole and the negative pressure suction connection port. The suction function is to remove saliva or gastric juice that flows into the airway from the mouth and is blocked above the airbag at any time, preventing these bacteria-carrying liquids from flowing into the lower respiratory tract, thereby reducing the occurrence of pneumonia.

之后,通过连接器3直角的外形使得呼吸机连接口2便于和呼吸机的顶端连接,避免操作时管体弯折,且硬质的材料可以保护经常需要操作的呼吸机连接口2附近的软管,因为管体在使用时需要医护人员操作,扭曲弯折会导致软管闭合影响人工导管内部的流通性。Afterwards, the right-angle shape of the connector 3 makes it easy to connect the ventilator connection port 2 to the top of the ventilator, avoiding bending of the tube during operation, and the hard material can protect the hose near the ventilator connection port 2 that often needs to be operated. Because the tube needs to be operated by medical staff during use, twisting and bending will cause the hose to close and affect the fluidity inside the artificial catheter.

最后,通过正磁吸块20、负磁吸块22磁性相吸便于固定于患者的头部、颈部和胳膊上,解决了患者翻身以及医疗人员做其他治疗时导致的人工气道脱落和移位的问题;因为需要使用人工气道的患者是无法自主行动的重症患者,患者需要长时间使用人工气道,该结构的优势是避免在清理气管气道时反复拆卸安装人工气道,导致皮肤被医疗胶带反复拉扯压迫受损溃烂,且相比于软性易变形的医疗胶带,硬质的正磁吸块20可以在不压迫管道的前提下固定管体;定位锁扣21的作用是定位气管切开导管主体1的方向,避免气管切开导管主体1在固定时是扭曲固定的,导致影响管体内部液体的流通性。Finally, the positive magnetic block 20 and the negative magnetic block 22 are magnetically attracted to each other to facilitate fixation on the patient's head, neck and arms, thereby solving the problem of artificial airway falling off and shifting when the patient turns over or medical staff perform other treatments; because patients who need to use artificial airways are critically ill patients who cannot move independently, patients need to use artificial airways for a long time. The advantage of this structure is that it avoids repeated disassembly and installation of artificial airways when cleaning the tracheal airway, which causes the skin to be repeatedly pulled and compressed by medical tape and damaged and ulcerated. Compared with soft and easily deformable medical tape, the hard positive magnetic block 20 can fix the tube body without compressing the tube; the function of the positioning lock 21 is to locate the direction of the tracheotomy catheter body 1 to avoid the tracheotomy catheter body 1 being twisted and fixed when fixed, which affects the fluidity of the liquid inside the tube body.

对于本领域技术人员而言,显然本实用新型不限于上述示范性实施例的细节,而且在不背离本实用新型的精神或基本特征的情况下,能够以其他的具体形式实现本实用新型。因此,无论从哪一点来看,均应将实施例看作是示范性的,而且是非限制性的,本实用新型的范围由所附权利要求而不是上述说明限定,因此旨在将落在权利要求的等同要件的含义和范围内的所有变化囊括在本实用新型内。不应将权利要求中的任何附图标记视为限制所涉及的权利要求。It is obvious to those skilled in the art that the present invention is not limited to the details of the exemplary embodiments described above, and that the present invention can be implemented in other specific forms without departing from the spirit or essential features of the present invention. Therefore, the embodiments should be regarded as exemplary and non-restrictive from any point of view, and the scope of the present invention is defined by the appended claims rather than the above description, and it is intended that all changes falling within the meaning and scope of the equivalent elements of the claims are included in the present invention. Any reference numeral in a claim should not be regarded as limiting the claim to which it relates.

Claims (8)

1.一种兼顾预防气囊压迫和吸引功能的气管切开导管,包括气管切开导管主体(1),其特征在于:所述气管切开导管主体(1)顶部的一端连接有气囊充气连接口一(4)、气囊充气连接口二(5)、气囊充气连接口三(6),且气囊充气连接口一(4)、气囊充气连接口二(5)、气囊充气连接口三(6)分别连通的气囊一(13)、气囊二(14)、气囊三(15);所述气管切开导管主体(1)底部的一端连接有负压吸引孔一(10)、负压吸引孔二(11)、负压吸引孔三(12);所述气管切开导管主体(1)的顶端安装有连接器(3),且连接器(3)的底端安装有正磁吸块(20)。1. A tracheotomy catheter with both airbag compression prevention and suction functions, comprising a tracheotomy catheter body (1), characterized in that: one end of the top of the tracheotomy catheter body (1) is connected with airbag inflation connection port 1 (4), airbag inflation connection port 2 (5), and airbag inflation connection port 3 (6), and the airbag inflation connection port 1 (4), airbag inflation connection port 2 (5), and airbag inflation connection port 3 (6) are respectively connected to airbag 1 (13), airbag 2 (14), and airbag 3 (15); one end of the bottom of the tracheotomy catheter body (1) is connected with negative pressure suction hole 1 (10), negative pressure suction hole 2 (11), and negative pressure suction hole 3 (12); a connector (3) is installed at the top of the tracheotomy catheter body (1), and a positive magnetic suction block (20) is installed at the bottom of the connector (3). 2.根据权利要求1所述的兼顾预防气囊压迫和吸引功能的气管切开导管,其特征在于:所述连接器(3)呈直角的外形。2. The tracheotomy tube with both balloon compression prevention and suction functions according to claim 1, characterized in that the connector (3) has a right-angle shape. 3.根据权利要求1所述的兼顾预防气囊压迫和吸引功能的气管切开导管,其特征在于;所述正磁吸块(20)的两侧固定有定位锁扣(21),所述正磁吸块(20)的一端设有负磁吸块(22),且负磁吸块(22)正磁吸块(20)为磁吸关系所述负磁吸块(22)远离正磁吸块(20)的一端和患者身体上穿戴的头套、颈带、臂带固定。3. The tracheotomy tube with both airbag compression prevention and suction functions according to claim 1 is characterized in that positioning locks (21) are fixed on both sides of the positive magnetic block (20), a negative magnetic block (22) is provided at one end of the positive magnetic block (20), and the negative magnetic block (22) and the positive magnetic block (20) are in a magnetic attraction relationship, and the end of the negative magnetic block (22) away from the positive magnetic block (20) is fixed to a headgear, neck strap, or arm strap worn on the patient's body. 4.根据权利要求1所述的兼顾预防气囊压迫和吸引功能的气管切开导管,其特征在于:所述气管切开导管主体(1)为中空薄壁的软硅胶材质,且顶端连接有呼吸机连接口(2)。4. The tracheotomy tube with both airbag compression prevention and suction functions according to claim 1 is characterized in that: the tracheotomy tube body (1) is made of hollow thin-walled soft silicone material, and the top end is connected to a ventilator connection port (2). 5.根据权利要求1所述的兼顾预防气囊压迫和吸引功能的气管切开导管,其特征在于:所述气囊一(13)、气囊二(14)、气囊三(15)内分别设有气囊充气孔一(17)、气囊充气孔二(18)、气囊充气孔三(19),所述气囊充气孔一(17)、气囊充气孔二(18)、气囊充气孔三(19)镶嵌在气管切开导管主体(1)的外侧缘。5. The tracheotomy catheter with both airbag compression prevention and suction functions as described in claim 1 is characterized in that: the airbag one (13), airbag two (14), and airbag three (15) are respectively provided with airbag inflation hole one (17), airbag inflation hole two (18), and airbag inflation hole three (19), and the airbag inflation hole one (17), airbag inflation hole two (18), and airbag inflation hole three (19) are embedded in the outer edge of the tracheotomy catheter body (1). 6.根据权利要求5所述的兼顾预防气囊压迫和吸引功能的气管切开导管,其特征在于:所述负压吸引孔一(10)、负压吸引孔二(11)、负压吸引孔三(12)分别位于气囊一(13)、气囊二(14)、气囊三(15)的上方,并分别连通有负压吸引连接口一(7)、负压吸引连接口二(8)、负压吸引连接口三(9)。6. The tracheotomy tube with both airbag compression prevention and suction functions according to claim 5 is characterized in that: the negative pressure suction hole one (10), the negative pressure suction hole two (11), and the negative pressure suction hole three (12) are respectively located above the airbag one (13), the airbag two (14), and the airbag three (15), and are respectively connected to the negative pressure suction connection port one (7), the negative pressure suction connection port two (8), and the negative pressure suction connection port three (9). 7.根据权利要求1所述的兼顾预防气囊压迫和吸引功能的气管切开导管,其特征在于:所述气管切开导管主体(1)远离呼吸机连接口(2)的一端设有气管切开导管口(16)。7. The tracheotomy tube with both airbag compression prevention and suction functions according to claim 1 is characterized in that a tracheotomy tube port (16) is provided at one end of the tracheotomy tube body (1) away from the ventilator connection port (2). 8.根据权利要求1所述的兼顾预防气囊压迫和吸引功能的气管切开导管,其特征在于:所述气管切开导管主体(1)贯穿连接有气管切开导管内芯(23),且位于气管切开导管主体(1)的内部,所述气管切开导管主体(1)总体长度长于气管切开导管内芯(23),气管切开导管内芯(23)直径小于气管切开导管主体(1)直径。8. The tracheotomy catheter with both airbag compression prevention and suction functions according to claim 1 is characterized in that: the tracheotomy catheter body (1) is connected with a tracheotomy catheter inner core (23) penetrating and located inside the tracheotomy catheter body (1), the overall length of the tracheotomy catheter body (1) is longer than the tracheotomy catheter inner core (23), and the diameter of the tracheotomy catheter inner core (23) is smaller than the diameter of the tracheotomy catheter body (1).
CN202323496563.8U 2023-12-20 2023-12-20 A tracheotomy tube with both air bag compression prevention and suction functions Active CN221618247U (en)

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