TW201806639A - Composite pipeline fixing structure capable of reducing crush injuries, preventing ventilator associated pneumonia, and reducing the number of nursing hours and medical manpower to thereby ensure patient safety and improving the quality of nursing care - Google Patents

Abstract

A composite pipeline fixing structure, which mainly comprises openable and closable left and right fastening bases, and a positioning ring, wherein the left, right fastening bases are respectively provided with a chute, a groove, and the left, right fastening bases are respectively provided with a corresponding catching groove and a latching hook, both sides are respectively connected to a strap. When in use, the endotracheal tube is arranged through the positioning ring, and the positioning ring and a mouthpiece are embedded in the chutes of the left, right fastening bases respectively, and then the left, right fastening bases are closed and fixed by the catching groove and the latching hook to prevent a pipeline from pressing the skin, and to prevent a patient from biting the pipe so as to carry out oral care and endotracheal intubation conveniently. In addition, a nasogastric tube can be latched and fixed in the groove to avoid dislocation of the nasogastric tube for easy tube feeding and gastric decompression, which in turn reduces crush injuries, prevents ventilator associated pneumonia, and reduces the number of nursing hours and medical manpower, thereby achieving the goals of ensuring patient safety and improving the quality of nursing care.

Description

Compound pipeline fixing structure

The invention relates to a composite pipeline fixing structure, in particular to a composite pipeline fixing structure for fixing an endotracheal tube, a nasogastric tube and an oral bite to achieve the maintenance of patient safety and the improvement of the quality of care.

Press; patients with endotracheal tube of respirator-associated pneumonia device must implement oral cleaning, tracheal aspiration, and use of nasogastric tube to provide intestinal nutrition to avoid flatulence and vomiting. In clinical care, conscious The patient feels pain, nausea, and restlessness due to the indwelling of the endotracheal tube in his mouth. Involuntarily biting the tube or removing the tube will endanger his life. Therefore, a mouthbite or oropharyngeal artificial airway is used in combination. The endotracheal tube, mouth bite or nasogastric tube must be securely fixed to avoid slipping and displacement of the tube. At present, most of the clinical use of cotton rope or rubber should be wrapped around the fixed endotracheal tube, mouthpiece, nasogastric tube, but the mouth corner or nasal cavity is susceptible to pressure by the pipeline, which increases the chance of crushing the patient, and it is easy to cause skin when the tape is removed damaged. Even if the artificial skin is routinely applied to the patient's cheek, it is hoped that the skin damage may not be caused when the tape should be removed, but it still cannot be solved. Nursing staff need to be skilled in fixing the tubing, and the adhesive and nostrils on the tubing must be removed frequently. The corner of the mouth is easily pressed by the pipeline.

Although pipeline fixtures are available for application at this stage, when looking at domestic and foreign pipeline fixtures, it is found that the usage rate is not universal. The design of these products has the following disadvantages:

1. Focusing on the fixation of the endotracheal tube, part of which is combined with the mouth bite, but the nasogastric tube indwelling of the patient is not considered.

2. The fixed position of the inner tube of the trachea cannot be replaced, and the problem of pressure injury caused by the pipeline cannot be solved.

3. Some tube fixers have an inlet bite design, but the mouth bite is fixed on the endotracheal tube holder. Patients who do not consider the mouth bite must have a flexible design for removal; long-term mouth bites Instead, it can cause gum irritation in toothless patients.

4. Commercially available endotracheal tube fixtures are not easy to perform suction and oral care, but the related fixtures need to be removed before they can be performed, creating difficulties in nursing care.

5. Poor product fixation and poor ventilation, resulting in poor patient mouth closure, drool flow, facial skin infiltration or even damage due to moisture.

In view of this, the applicant has developed a composite pipeline fixing structure through continuous research and experiments, in order to maintain the safety of patients and improve the quality of care.

The main purpose of the present invention is to provide a composite pipe fixing structure for fixing the endotracheal tube, nasogastric tube and mouth bite, thereby achieving the maintenance of patient safety and the improvement of the quality of care.

The aforementioned composite pipe fixing structure includes openable and closable left and right fixing seats and a positioning ring. The left and right fixing bases are respectively provided with sliding grooves and grooves, and the left and right fixing bases are respectively provided with corresponding buckle grooves and hooks, and the two sides are respectively connected with straps.使用 When in use, insert the endotracheal tube through the positioning ring, and insert the positioning ring and mouthpiece into the chute of the left and right fixing bases, and then close the left and right fixing bases with the buckle groove and the card. It can be fixed by hook to prevent the tube from compressing the skin, preventing the patient from biting the tube, facilitating oral care, endotracheal tube suction, and the nasogastric tube can be fixed to the groove to avoid the displacement of the nasogastric tube and the nasogastric tube. Gavage and gastric decompression reduce the patient's crush injury, prevent respirator-associated pneumonia, reduce the number of nursing hours and the medical manpower, and achieve the purpose of maintaining patient safety and improving the quality of care.

In the aforementioned composite pipe fixing structure, the positioning ring is provided with fixing holes of different circular diameters, so as to apply to the inner pipe of different pipe diameters.

Please refer to FIG. 1 and FIG. 2 at the same time, which are a perspective view and an exploded view of the present invention. As shown in the figure, the present invention comprises an openable left fixing base 1, a right fixing base 2 and a positioning ring 3, and a mouth bite 4. Among them, the left fixing seat 1 is provided with a chute 11, and one side of the open end of the chute 11 is provided with a generally T-shaped buckle groove 12, and a groove 15 is provided, and the other side is provided with a fixing ring 13, The surface of the left fixing base 1 is provided with a positioning hole 14 penetrating through the chute 11. The opposite side of the open end of the chute 11 is connected to the strap 5.

The right fixing seat 2 is provided with a chute 21, and a notch 22 corresponding to the left fixing seat 1 buckle groove 12 is provided on one side of the open end of the chute 21, and a groove 28 is provided at the notch 22. The hook 23 allows the hook 23 to pass through the setting position by the fixing bolt 24, so that the hook 23 can be turned. A fixing column 25 is provided on the other side, and a fixing hole 251 is provided on the fixing column 25. The surface of the seat 2 is provided with a positioning hole 26 penetrating through the chute 21, and the opposite side of the open end of the chute 21 is connected to the strap 5.

The right fixing base 2 is fixed on the fixing ring 13 of the left fixing base 1 with a fixing post 25, and a fixing ring 27 having a fixing hole 271 is placed on the fixing post 25, and a fixing bolt 29 is passed through the fixing ring. The 27 fixing holes 271 and the fixing posts 25 fixing holes 251 form a shaft portion, so that the left fixing seat 1 and the right fixing seat 2 can be opened and closed.

The positioning ring 3 is provided with a long notch 31, and the first notch 31 is provided with a first fixing hole 32 and a second fixing hole 33 with different circular diameters.

The mouth bite 4 is provided with a ring-shaped stopper 41.

The two tongues 6 are provided with columnar portions 61.

By combining the aforementioned components, a composite pipeline fixing structure is formed.

Refer to Figure 1 to Figure 8. When in use, turn the left fixing seat 1 and the right fixing seat 2 open, and then insert the endotracheal tube through the first fixing hole 32 or the second of the positioning ring 3. Fixing hole 33, the positioning ring 3 is fitted into the chute 21 of the right fixing base 2, and the mouthpiece 4 is fitted into the chute 11 of the left fixing base 1 through the stopper 41, and two latches are respectively used. The columnar portion 61 of 6 is embedded in the positioning holes 14 and 26, so that the columnar portion 61 constitutes a tight stop on the positioning ring 3 and the stopper 41 of the mouthpiece 4, so that the positioning ring 3 and the mouthpiece 4 are fixed, and then The left fixing seat 1 and the right fixing seat 2 are closed and fixed by the buckle groove 12 and the hook 23, so as to prevent the pipeline from compressing the skin, preventing the patient from biting the tube, and conveniently performing oral care and endotracheal tube suction.

Please refer to Figure 1. In addition, the nasogastric tube can be fixed to the groove 15 and the groove 28 to prevent the nasogastric tube from shifting, and to facilitate the feeding of the nasogastric tube and the gastric decompression, thereby reducing the patient's pressure injury and preventing breathing Device-associated pneumonia, reducing the number of hours of care and medical manpower, to achieve the purpose of maintaining patient safety and improving the quality of care.

Please refer to FIG. 3 to FIG. 8 at the same time, which are diagrams of the use state of the present invention. As shown in the figure, when the present invention is used, it includes the following operation steps:

1. Fix the strap 5 on the left fixing base 1 and the right fixing base 2 first.

2. Insert the mouthpiece 4 into the patient's mouth.

3. Insert the inner tube of the trachea through the first fixing hole 32 or the second fixing hole 33 of the positioning ring 3. Since the first fixing hole 32 and the second fixing hole 33 have different circular diameters, they can be applied to different tubes. Diameter of the endotracheal tube.

4. The positioning ring 3 is snapped into the right fixing base 2 by using the sliding groove 21 and embedded in the sliding groove 21 of the right fixing base 2.

5. Use the tenon 6 to be embedded in the positioning hole 26 to fix the positioning ring 3.

6. Rotate the left fixing base 1 to be closed with the right fixing base 2, and snap the mouth bite 4 into the left fixing base 1 by using the chute 11, and embed it in the chute 11 of the left fixing base 1.

7. Use the tenon 6 to embed in the positioning hole 14 to fix the mouth bite 4.

8. The hook 23 provided on the right fixing base 2 is fastened to the buckling groove 12 of the left fixing base 1, and the left fixing base 1 and the right fixing base 2 are closed and fixed.

9. After the positioning ring 3 and the mouth bite 4 are fixed, the strap 5 is directly fixed to the patient's head.

Please refer to FIG. 9. As shown in the figure, if the patient has to use a nasogastric tube according to the present invention, the nose and stomach can be fixed by the groove 15 of the left fixing seat 1 or the groove 28 of the right fixing seat 2. Tube so that the nasogastric tube does not shift causing pain to the patient.

It is explained here that after the positioning ring 3 and the mouth bite 4 are fixed, the present invention is directly fixed to the patient's head with a strap 5 to prevent the pipeline from compressing the skin, preventing the patient from biting the tube, facilitating oral care, and trachea. Inner tube suction, and the nasogastric tube can be stuck to the grooves 15 and 28, which is convenient for nasogastric tube feeding and gastric decompression, thereby reducing the patient's crush injury, preventing ventilator-associated pneumonia, reducing the number of nursing hours Medical staff, to maintain the safety of patients and improve the quality of care.

Please refer to FIG. 10 to FIG. 13 at the same time, which are diagrams of another usage state of the present invention. As shown in the figure, another use state of the present invention includes the following operation steps:

1. Fix the strap 5 on the left fixing base 1 and the right fixing base 2 first.

2. Pass the endotracheal tube through the first fixing hole 32 or the second fixing hole 33 of the positioning ring 3. The positioning ring 3 is snapped into the right fixing base 2 by using the sliding groove 21 and is embedded in the sliding groove 21 of the right fixing base 2.

3. Use the tenon 6 to be embedded in the positioning hole 26 to fix the positioning ring 3.

4. Insert the mouthpiece 4 into the patient's mouth.

5. Rotate the left fixing base 1 to be closed with the right fixing base 2 and snap the stopper 41 of the mouth bite 4 into the left fixing base 1 by using the chute 11 and fit in the chute 11 of the left fixing base 1. Inside.

6. The hook 23 provided on the right fixing base 2 is fastened to the buckling groove 12 of the left fixing base 1, and the left fixing base 1 and the right fixing base 2 are closed and fixed.

7. After the positioning ring 3 and the mouth bite 4 are fixed, the strap 5 is directly fixed to the patient's head.

The foregoing embodiments are merely to illustrate the preferred embodiments of the present invention, but not to limit the scope of the present invention. Any minor modifications and changes still retain the essence of the present invention and do not depart from the spirit of the present invention.

To sum up, the present invention provides a composite pipe fixing structure with a left fixing seat and a right fixing seat that can be opened and closed, cooperated with a positioning ring with a positioning hole, a mouthpiece and a groove. It can be used to fix the endotracheal tube, nasogastric tube and mouth bite, so as to maintain the safety of patients and improve the quality of care. For a practical design, it is an invention of all novelty. The patent application was filed according to the law, and the Bureau would examine it, grant the patent at an early date, and feel good.

1‧‧‧Left Mount
11‧‧‧chute
12‧‧‧ Buckle
13‧‧‧ retaining ring
14‧‧‧ positioning hole
15‧‧‧ groove
2‧‧‧right mount
21‧‧‧Chute
22‧‧‧ gap
23‧‧‧ card hook
24‧‧‧ fixing bolt
25‧‧‧Fixed posts
251‧‧‧Fixing holes
26‧‧‧ Positioning hole
27‧‧‧ Collar
271‧‧‧Fixing holes
28‧‧‧ groove
29‧‧‧ fixing bolt
3‧‧‧ positioning ring
31‧‧‧long gap
32‧‧‧First fixing hole
33‧‧‧Second fixing hole
4‧‧‧ Mouthpiece
41‧‧‧stop
411‧‧‧Fixing holes
5‧‧‧ strap
6‧‧‧ tenon
61‧‧‧Columnar

Figure 1 is a perspective view of the present invention. Figure 2 is an exploded perspective view of the present invention. 3 to 8 are diagrams of the use state of the present invention. Fig. 9 is a diagram showing the use state of the nasogastric tube card in the groove of the present invention. Figures 10 to 13 are diagrams of another use state of the present invention.

1‧‧‧Left Mount

11‧‧‧chute

12‧‧‧ Buckle

13‧‧‧ retaining ring

15‧‧‧ groove

2‧‧‧right mount

21‧‧‧Chute

22‧‧‧ gap

23‧‧‧ card hook

25‧‧‧Fixed posts

27‧‧‧ Collar

28‧‧‧ groove

3‧‧‧ positioning ring

32‧‧‧First fixing hole

33‧‧‧Second fixing hole

4‧‧‧ Mouthpiece

41‧‧‧stop

5‧‧‧ strap

6‧‧‧ tenon

Claims (7)

The utility model relates to a composite pipeline fixing structure, which comprises an openable and closable left fixing seat, a right fixing seat and a positioning ring, wherein the left fixing seat and the right fixing seat are respectively provided with slide grooves and are fixed on the left fixing seat and the right fixing seat. The seat is respectively provided with corresponding buckle grooves and hooks, and the left and right fixing seats are respectively connected with straps on both sides; 俾 When using, place the endotracheal tube on the positioning ring, and place the positioning ring and mouth bite They are respectively embedded in the sliding grooves of the left fixing seat and the right fixing seat, and then the left fixing seat and the right fixing seat are closed and fixed by the buckle groove and the hook. The composite pipeline fixing structure according to item 1 of the scope of the patent application, wherein the left fixing seat is provided with a fixing ring on one side of the open end of the chute, and the right fixing seat is connected on one side of the open end of the chute. A fixing post is provided, and the fixing post is provided with a fixing hole, so that the right fixing seat is placed on the fixing ring of the left fixing seat with the fixing post sleeve, then a sleeve with a fixing hole is sleeved on the fixing post, and then a fixing is performed. The fixing hole of the collar and the fixing hole of the fixing post are bolted to form a shaft portion, so that the left fixing seat and the right fixing seat can be opened and closed. According to the composite pipeline fixing structure described in item 1 of the scope of patent application, wherein the left fixing seat is provided with a generally T-shaped buckle groove on one side of the open end of the chute, and the right fixing seat is attached to the chute One side of the open end is provided with a notch corresponding to the left fixing seat buckle slot, and a hook is provided at the notch, so that the hook can pass through the setting position by the fixing bolt, so that the hook is turnable for buckle It fits into the buckle slot of the left fixing seat or is separated from the buckle slot. According to the composite pipeline fixing structure described in item 1 of the scope of patent application, the right fixing seat surface is provided with a positioning hole penetrating through the chute, and the positioning ring system is provided with a fixing hole, so that the positioning ring is embedded in the right fixing After the chute of the seat, a tenon is inserted into the positioning hole to force the positioning ring to fix the positioning ring. According to the composite pipeline fixing structure described in item 1 of the scope of the patent application, the surface of the left fixing seat is provided with a positioning hole penetrating through the chute, and the mouth bite is provided with a ring-shaped stopper, and The stopper is provided with a fixing hole, so that the mouth bite is embedded in the chute of the left fixing seat, and the tongue is embedded in the positioning hole and the fixing hole to fix the mouth bite. For example, the composite pipeline fixing structure described in item 1 of the scope of the patent application, wherein the positioning ring is provided with fixing holes of different circular diameters, so as to apply to inner tubes of different diameters. According to the composite pipeline fixing structure described in item 1 of the scope of the patent application, the left fixing seat and the right fixing seat are respectively provided with a groove on one side for the nasogastric tube to be fixed.