CN2497727Y

CN2497727Y - Disposable multifunctional quick-action tracheotome

Info

Publication number: CN2497727Y
Application number: CN 01265511
Authority: CN
Inventors: 李承锦
Original assignee: Individual
Current assignee: Individual
Priority date: 2001-09-25
Filing date: 2001-09-25
Publication date: 2002-07-03
Anticipated expiration: 2011-09-25

Abstract

The utility model relates to a medical equipment, which is a disposable multifunctional rapid trachea opener and mainly solves the problem of rapid opening of the trachea; the main structures of the disposable multifunctional rapid trachea opener are that: a puncture needle is penetrated in a sleeve, the puncture needle is composed of a needle head, a needle body and a needle tail, the needle head takes the shape of a triangular pyramid roughly, the needle body is a cylinder, which is a thinner part in the middle, the needle tail is a spherical segment body and is pushed outside the sleeve; the sleeve is a channel between the trachea and the outside, an annular balloon, an annular soft pad, an arc-shaped annular film, a fixed screw, an external connector and other structures are arranged on the sleeve.

Description

The quick trachea opening device of disposable multifunction

This utility model relates to the quick trachea opening device of a kind of medical apparatus and instruments, particularly disposable multifunction.

At present, the method for opening air flue has two kinds: the one, tracheal intubation, carry out tracheal intubation through the oral cavity easy and simple to handle, shortcoming be hinder swallow, easily slide, injury of teeth; It is big that via intranasal application is carried out the tracheal intubation operation easier, do not hinder and swallow; If the two operate unskilled easy concurrent larynx, trachea is inserted wound, seriously can cause laryngostenosis; The 2nd, tracheotomy and quick tracheotomy, the two operating process is similar, for cutting local skin, separate throat flesh layer, exposing trachea, tracheostomize, insertion tracheal casing pipe, fixed sleeving, stitching, operate cumbersome, be difficult for grasping, easily hemorrhage in the art, the hemorrhage trachea that pours in increases the weight of the state of an illness, bad phenomenon such as sleeve pipe moves swiftly, easy concurrent subcutaneous emphysema, mediastinal emphesema, pneumothorax, hemorrhage, difficulty in decannulation.

The purpose of this utility model provides the quick trachea opening device of a kind of disposable multifunction, it is made up of puncture needle, sleeve pipe, fixed sleeving Pressur hemostatic, adnexa four parts, piercing needle is the rhizoma sparganic cone, on three faces, there is arcs of recesses to sink, penetration Resistance is little, automatically separate surrounding tissue, damage is slight; Trachea antetheca after the puncture is the arc lobes of three symmetry projectioies, reduces the damage to air bag, extract sleeve pipe after, trachea easily restores; Cushion on air bag after the inflation and the sleeve pipe, steel disc, under the effect of compression screw, sleeve pipe is fixed on the trachea antetheca, little hemorrhagely carry out hemostasis by compression to what puncture caused simultaneously; Casing wall is thin, but internal diameter big, increased the working place, under the situation that does not influence ventilation, can inhale expectorant, administration in the trachea.

The purpose of this utility model is achieved in that the structure of the quick trachea opening device of disposable multifunction, can be divided into four parts by function.

One, puncture needle: be divided into syringe needle, needle body and needle handle, syringe needle is roughly the rhizoma sparganic cone, and the arcuate groove of indent is arranged on it, develops into round platform backward, and the awl end is circular, and a little transversal is arranged on this circle; Needle body is that a diameter is half a cylinder of conical bottom, and an end connects the central authorities of the conical bottom of syringe needle, and an end connects needle handle; Needle handle is semicircle spherical outer-diameter a times greater than the cover external diameter of pipe, and the one side that connects needle body is the plane, and another side is a convex surface.

Two, sleeve pipe: be the pipe body, its inner chamber shape of cross section size is with the outer rim of conical bottom, and the internal surface of sleeve pipe transversal is consistent with the transversal of circular cone bottom, the thickness of pipe wall at this place, in be provided with airway; Sleeve outer wall has shallow depression arc cannelure near sleeve pipe front end (nearly syringe needle one side is a front end, and nearly needle handle one side is the rear end), and this groove is that annular air-pocket adheres to the place, wherein has the opening of air bag tube seat to claim prosopyle; Cannelure sleeve outer wall backward is smooth, herein the hard sheet of overcoat annular soft pad and arc; On the sleeve outer wall one section outer silk (for outer silk 1) being arranged to the back-end again, is place, fixed screw place on the outer silk 1; It is that the opening of air bag tube seat claims deutostoma that outer silk 1 has a circular hole backward; Deutostoma also has outer silk (for outer silk 2) to reach top behind the sleeve pipe backward; The front and rear gaps of sleeve outer wall has narrow and dark air bag tube seat in tube wall thickening place between two holes, this groove is the airsac tube location for paste.

Three, fixed sleeving, hemostasis by compression:

1, annular air-pocket: be connected as a single entity by air bag, airsac tube, air injection pipe three parts, three's inner chamber is interconnected; Air bag is tightly adhered to the sleeve pipe cannelure, airsac tube one end connects air bag in the preceding hole of connectivity slot, and is pasted on connectivity slot, is free on sleeve pipe at the metapore place of connectivity slot, the length of free airsac tube is decided according to easy to operate, and the afterbody of airsac tube increases thick increase and changes air injection pipe into.2, annular soft pad: for being enclosed within the soft washer on the sleeve pipe.3, arcuation ring segment: radian meets the hard sheet of throat curvature.4, fixed screw: profile is horn-like, and the stub end external diameter is big, and periphery becomes gear-like, and internal thread is arranged; The microcephaly holds external diameter little, and periphery is smooth, and internal diameter is bigger and smooth.

Four, adnexa:

1, joint: multiple difformity bull joint, decide with reference to related medical equipment, but one the internal thread joint sleeve is arranged, one is the sputum aspirator tube passage.

2, hose clip: several.

3, air bag syringe: a tool, no metal needle indicates the gas flow scale.

4, thin-walled phlegm suction hose.

This utility model compares with the method for opening trachea at present: this utility model is simple and reasonable, and the disposable puncture success has Pressur hemostatic, fixed sleeving device, go out insufficiency of blood, wound is little, need not to sew up, and is safe, operating process is simple, easily grasps, and is easy to carry, not limited by environmental condition, applied range is to coma patient, suffocate for preventing that the sputum obstruction from causing, can conventionally use, this product is disposable use, the blocking-up AIDS, the route of transmission of infectious disease such as hepatitis B; Be mainly used in and open trachea, set up pulmonary ventilation rapidly, strive for time of giving emergency treatment to a patient to greatest extent, be applicable to the rescue work of clinical each section, particularly important to emergency department, can also outside institute, rescue on the spot because of the critically ill patient that suffocates; Related medical equipment such as this product can external suction mental disorder, anesthetic machine, respirator, and, support the diagnosis and treatment work of relevant disease for the bronchoscope operation provides another window.

Below in conjunction with drawings and Examples this utility model is further specified.

Fig. 1 is the vertical section structural map of utility model.

Fig. 2 is the piercing needle drawing in side sectional elevation of utility model.

Fig. 3 is the sleeve pipe drawing in side sectional elevation of utility model.

In Fig. 1: 1, piercing needle 2, puncture needle body 3, sleeve pipe 4, puncture needle handle, 5, annular air-pocket 6, airsac tube 7, annular soft pad 8, arcuation ring segment 9, fixed screw 10, air injection pipe

In Fig. 1 embodiment, patient is got dorsal position, the shoulder underlay pillow, head is stretched backward, keep positive meta, throat portion routine disinfection, shop aseptic hole-towel are on the main track of throat, site of puncture, between the 2.3.4 annulus trachealis, the length of fixed screw apart from needle point is set, the control depth of needle; Left hand thumb, forefinger be trachea fixedly, and the right hand is held pin, and puncture needle handle 4 is withstood in the centre of the palm, and piercing needle 1 is aimed at trachea and vertically thrust, and puncture can not be firmly excessive, too quickly, in order to avoid damage esophagus and recurrent laryngeal nerve; Piercing needle 1 runs into tracheal cartilages wall resistance and increases suddenly, and suitably afterburning, resistance alleviated after sleeve pipe 3 entered the trachea chamber, but the limit is moved back the puncture needle limit and is advanced sleeve pipe 3, treats that annular air-pocket 5 parts enter in the trachea, uses air bag syringe gas flow air injection pipe 10 injecting gas in accordance with regulations, clamp airsac tube 6, extract puncture needle out, observation has or not gas blow-out, and twist to cervical region with fixed screw 9 back certainly, to arcuation ring segment 8, annular soft pad 7 pressurizations, erection joint then, end of operation had not only been stopped blooding but also can fixed sleeving 3; The same tracheotomy of postoperative care is noted observing complication and is taken place; Finish using, slowly extract sleeve pipe behind the annular air-pocket 5 of finding time, observation has or not hemorrhage, seals otch with adhesive bandage.

Claims

1, the quick trachea opening device of a kind of disposable multifunction is characterized in that: primary structure is that puncture needle is through in the sleeve pipe, and annular air-pocket, annular soft pad, arcuation ring segment, fixed screw and outer tieing structure are arranged on the sleeve pipe.

2, according to the quick trachea opening device of claims 1 described disposable multifunction, it is characterized in that: puncture needle is made up of syringe needle, needle body and backshank, syringe needle roughly is the rhizoma sparganic cone, and needle body is thin part in the middle of cylinder is, backshank is that a spheroid withstands on outside the sleeve pipe.

3, according to the quick trachea opening device of claims 1 described disposable multifunction, it is characterized in that: sleeve pipe is trachea and extraneous passage, nearly puncture needle head end has the depression cannelure, pars intermedia has outer silk 1, nearly puncture needle tail end has outer silk 2, has the air bag tube seat to connect depression cannelure and outer 1,2 centre in sleeve outer wall thickening place.

4, according to the quick trachea opening device of claims 1 described disposable multifunction, it is characterized in that: annular air-pocket is made up of air bag, airsac tube, air injection pipe.

5, according to the quick trachea opening device of claims 1 described disposable multifunction, it is characterized in that: annular soft pad is the softish hassock that is enclosed within on the sleeve pipe.

6, according to the quick trachea opening device of claims 1 described disposable multifunction, it is characterized in that: the arcuation ring segment is the hard sheet that radian meets the throat curvature.

7, according to the quick trachea opening device of claims 1 described disposable multifunction, it is characterized in that: the fixed screw profile is horn-like centre to be circular hole and internal thread is arranged.