TWI586390B - Composite pipe fixing structure - Google Patents

Description

Composite pipe fixing structure

The invention relates to a composite pipeline fixing structure, in particular to a composite pipeline fixing structure for fixing a tracheal inner tube, a nasogastric tube and a mouth bite to achieve maintenance of patient safety and improvement of care quality.

According to the patient of the endotracheal tube of the respirator-associated pneumonia device, it is necessary to implement oral cleaning, tracheal aspiration, and use the nasogastric tube to provide intestinal nutrition, avoid bloating and vomiting, and find conscious in clinical care. The patient feels pain, nausea, and irritability due to the indwelling of the endotracheal tube in the oral cavity. The involuntary bite tube or the removal of the tube is life-threatening. Therefore, the oral bite device or the oropharyngeal artificial airway is used in combination. The endotracheal tube, the mouth bite or the nasogastric tube must be fixed to avoid slippage and displacement of the tube. At present, the cotton tube or the rubber is wrapped around the fixed endotracheal tube, the mouth bite device, and the nasogastric tube, but the mouth corner or the nasal cavity is vulnerable to the tube compression, which increases the chance of the patient's crush injury, and the skin is easily caused when the tape is removed. damaged. Even if the patient's cheeks are routinely adhered to the artificial skin, it is hoped that the skin damage will be avoided when the adhesive tape is removed. However, it is still impossible to solve the need for skilled nurses to have skilled pipe fixing techniques, and to frequently remove the glue and nostrils on the pipeline. The corner of the mouth is easily pressed by the pipeline.

At the present stage, although pipeline holders are available for application, it is found that domestic and foreign pipeline holders are not widely used. The design of these products has the following disadvantages:

1, focusing on the fixed endotracheal tube, part of the joint mouth bite, but did not consider the patient's nasogastric tube indwelling.

2. The fixed position of the endotracheal tube cannot be replaced, and the problem of crushing caused by the pipeline cannot be solved.

3, part of the pipeline holder has a nano-inlet bite design, but the mouth bite is fixed on the endotracheal tube holder, the patient who does not need the mouth bite device needs to have the elastic design of the removal; long-term placement bite Instead, the device will cause gingival irritation in a toothless patient.

4, the commercially available endotracheal tube fixator, it is not easy to perform suction, oral care, but need to remove the fixer before the relevant care can be performed to form the difficulty of care and care.

5, the product is fixed and poor ventilation, resulting in poor patient oral closure, mouth water DC, facial skin due to moisture infiltration or even damage.

In view of this, the applicant has continuously researched and experimented, and Meng Mengsheng designed a composite pipeline fixing structure to maintain patient safety and improve the quality of care.

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

The aforementioned composite pipe fixing structure comprises a left and right fixing seat and a positioning ring which can be opened and closed. The left and right fixed seats are respectively provided with a sliding slot and a groove, and the left and right fixed seats are respectively provided with corresponding buckle grooves and hooks, and the two sides are respectively connected with the straps. When in use, the inner tube of the trachea is placed on the positioning ring, and the positioning ring and the mouth bite are respectively embedded in the sliding grooves of the left and right fixed seats, and then the left and right fixed seats are closed by the buckle groove and the card. The hook is fixed, so that the tube can be prevented from pressing the skin, preventing the patient from biting the tube, facilitating the oral care and the endotracheal tube suction, and the nasogastric tube can be fixed in the groove, avoiding the nasal tube displacement and facilitating the nasogastric tube. Feeding and gastric decompression, thereby reducing patient crush, preventing respirator-associated pneumonia, reducing the number of nursing hours and medical staff, to achieve patient safety and improve the quality of care.

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

Please refer to FIG. 1 and FIG. 2 together, which are perspective views and exploded views of the present invention. As shown, the present invention comprises a detachable left mount 1, a right mount 2 and a locating ring 3, and a mouth bite 4. The left fixing base 1 is provided with a sliding slot 11 , and a T-shaped buckle groove 12 is disposed on one side of the open end of the sliding slot 11 , and a groove 15 is disposed on the other side, and a fixing ring 13 is disposed on the other side. The surface of the left fixing base 1 is provided with a positioning hole 14 extending through the sliding slot 11, and the opposite side of the open end of the sliding slot 11 is connected to the strap 5.

The right fixing base 2 is provided with a sliding slot 21, and a notch 22 corresponding to the buckle groove 12 of the left fixing seat 1 is disposed on one side of the open end of the sliding slot 21, and a recess 28 is provided on the opening 22, and a card is disposed on the notch 22. The hook 23 is configured to make the hook 23 pass through the setting position, so that the hook 23 can be turned into a swingable shape, and the other side is provided with a fixing post 25, and the fixing post 25 is provided with a fixing hole 251, which is fixed to the right. The surface of the seat 2 is provided with a positioning hole 26 extending 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 placed on the fixing ring 13 of the left fixing base 1 with the fixing post 25, and a collar 27 having a fixing hole 271 is placed on the fixing post 25, and a fixing bolt 29 is put through the collar. The fixing hole 271 and the fixing post 25 fix the hole 251 to form a shaft portion, so that the left fixing seat 1 and the right fixing seat 2 are openable and closable.

The positioning ring 3 is provided with an elongated notch 31. The elongated notch 31 is provided with a first fixing hole 32 and a second fixing hole 33 of different circular diameters.

The mouthpiece 4 is provided with an annular stop 41.

The two cassettes 6 are provided with a columnar portion 61.

The composite pipe fixing structure is constituted by the combination of the foregoing members.

Please refer to FIG. 1 to FIG. 8 , in use, the left fixing seat 1 and the right fixing seat 2 are opened, and the endotracheal tube is inserted through the first fixing hole 32 or the second of the positioning ring 3 . The fixing hole 33 is configured to embed the positioning ring 3 in the sliding groove 21 of the right fixing base 2, and the mouth biting device 4 is embedded in the sliding groove 11 of the left fixing seat 1 by the stopping portion 41, and is respectively inserted into two slots. The columnar portion 61 of the 6 is embedded in the positioning holes 14 and 26, so that the columnar portion 61 constitutes a pressing portion 41 for the positioning ring 3 and the mouth bite 4, and the positioning ring 3 and the mouth bite device 4 are fixed. The left fixing seat 1 and the right fixing seat 2 are closed, and are fixed by the buckle groove 12 and the hook 23, thereby preventing the tube from pressing the skin, preventing the patient from biting the tube, and conveniently performing oral care and endotracheal tube suction.

Please refer to Figure 1. The nasogastric tube can be fixed in the groove 15 and the groove 28 to avoid the displacement of the nasogastric tube, and to facilitate the feeding of the nasogastric tube and the gastric decompression, thereby reducing the patient's crush and preventing breathing. Correlation pneumonia, reducing the number of hours of care and the manpower of care, to achieve patient safety and improve the quality of care.

Please refer to FIG. 3 to FIG. 8 at the same time, which is a use state diagram of the present invention. As shown, the present invention, when used, includes the following steps:

1. The strap 5 is first fixed to the left mount 1 and the right mount 2 .

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

3. The inner tube of the trachea is inserted into 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 are different circular diameters, the tube can be applied to different tubes. The inner tube of the trachea.

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

5. The cassette 6 is embedded in the positioning hole 26 to fix the positioning ring 3.

6. The left fixing base 1 is rotated to be closed with the right fixing base 2, and the mouth biting device 4 is locked into the left fixing base 1 by the sliding groove 11, and embedded in the sliding groove 11 of the left fixing base 1.

7. The cassette 6 is embedded in the positioning hole 14 to fix the mouth biter 4.

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

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

Please refer to FIG. 9. As shown in the figure, if the patient must use the nasogastric tube in the present invention, the nasal cavity 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 will not shift and cause pain to the patient.

Herein, the present invention is fixed to the head of the patient directly with the strap 5 after the positioning ring 3 and the mouth bite 4 are fixed, so as to prevent the tube from pressing the skin, preventing the patient from biting the tube, and conveniently performing oral care and trachea. The inner tube is sucked, and the other nasogastric tube can be stuck in the groove 15 and the groove 28 to facilitate the feeding of the nasogastric tube and the gastric decompression, thereby reducing the patient's crush injury, preventing respirator-associated pneumonia, reducing the number of nursing hours and Medical staff, to maintain patient safety and improve the quality of care.

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

1. The strap 5 is first fixed to the left mount 1 and the right mount 2 .

2. The inner tube of the trachea is inserted 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 the sliding groove 21 and embedded in the sliding groove 21 of the right fixing base 2.

3. The cassette 6 is embedded in the positioning hole 26 to fix the positioning ring 3.

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

5. The left fixing base 1 is rotated to be closed with the right fixing base 2, and the stopping portion 41 of the mouth biting device 4 is locked into the left fixing seat 1 by the sliding groove 11, and is embedded in the sliding groove 11 of the left fixing base 1. Inside.

6. The hook 23 provided on the right fixing seat 2 is fastened to the buckle groove 12 of the left fixing seat 1, and the left fixing seat 1 and the right fixing seat 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 head of the patient.

The foregoing embodiments are merely illustrative of the preferred embodiments of the present invention, and are not intended to limit the scope of the invention.

In summary, the present invention comprises a left fixing seat and a right fixing seat which are provided with sliding grooves, and can be opened and closed, and a positioning ring and a mouth biting device and a groove provided with positioning holes are formed to constitute a composite pipe fixing structure. For the fixation of the endotracheal tube, nasogastric tube and mouth bite, to achieve the maintenance of patient safety and quality of care. For a practical design, it is an invention of novelty. If you apply for a patent in accordance with the law, the Bureau of Prayer will review it and grant the patent as soon as possible.

1‧‧‧left mount
11‧‧‧Chute
12‧‧‧ buckle groove
13‧‧‧Fixed ring
14‧‧‧Positioning holes
15‧‧‧ Groove
2‧‧‧right mount
21‧‧‧Chute
22‧‧‧ gap
23‧‧‧check
24‧‧‧fixing bolt
25‧‧‧Fixed column
251‧‧‧Fixed holes
26‧‧‧Positioning holes
27‧‧‧ collar
271‧‧‧Fixed holes
28‧‧‧ Groove
29‧‧‧Fixed bolt
3‧‧‧ positioning ring
31‧‧‧Long gap
32‧‧‧First fixed hole
33‧‧‧Second fixing hole
4‧‧‧ mouth bite
41‧‧‧stop
411‧‧‧Fixed holes
5‧‧‧ straps
6‧‧‧Carmen
61‧‧‧ Column

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

1‧‧‧left mount

11‧‧‧Chute

12‧‧‧ buckle groove

13‧‧‧Fixed ring

15‧‧‧ Groove

2‧‧‧right mount

21‧‧‧Chute

22‧‧‧ gap

23‧‧‧check

25‧‧‧Fixed column

27‧‧‧ collar

28‧‧‧ Groove

3‧‧‧ positioning ring

32‧‧‧First fixed hole

33‧‧‧Second fixing hole

4‧‧‧ mouth bite

41‧‧‧stop

5‧‧‧ straps

6‧‧‧Carmen

Claims (6)

The utility model relates to a composite pipeline fixing structure, which comprises a left-hand fixing seat and a right fixing seat and a positioning ring, wherein the left fixing seat and the right fixing seat are respectively provided with chutes, and are fixed to the left fixing seat and the right fixing seat. The seats are respectively provided with corresponding buckle grooves and hooks, and the left and right fixed seats are respectively connected with straps; when used, the inner tube of the trachea is placed on the positioning ring, and the positioning ring and the mouth bite are arranged. The sliding grooves are respectively inserted into the left fixing seat and the right fixing seat, and then the left fixing seat and the right fixing seat are closed by the buckle groove and the hook; wherein the surface of the right fixing seat is provided with a positioning hole penetrating through the sliding slot. The positioning ring is provided with a fixing hole, so that the positioning ring is embedded in the sliding groove of the right fixing seat, and the locking ring is embedded in the positioning hole to tighten the positioning ring to fix the positioning ring. The composite pipe fixing structure according to claim 1, wherein the left fixing seat is provided with a fixing ring on one side of the open end of the sliding slot, and the right fixing seat is attached to one side of the open end of the sliding slot. A fixing post is arranged, 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 column sleeve, and a collar having a fixing hole is sleeved on the fixing column, and then fixed The fixing hole of the collar and the fixing hole of the fixing column are bolted to form a shaft portion, so that the left fixing seat and the right fixing seat are openable and closable. The composite pipe fixing structure according to the first aspect of the invention, wherein the left fixing seat is provided with a T-shaped buckle groove on one side of the open end of the sliding slot, and the right fixing seat is tied to the chute. One side of the open end is provided with a notch corresponding to the left fixing seat buckle groove, and a hook is arranged on the notch, so that the hook is fixed by the fixing pin, so that the hook is turned to be buckled The buckle groove of the left fixing seat is detached from the buckle groove. The composite pipe fixing structure according to claim 1, wherein the left fixing seat surface is provided with a positioning hole penetrating through the sliding groove, and the mouth biting device is provided with an annular stopping portion. The blocking portion is provided with a fixing hole, so that the mouth biting device is embedded in the sliding groove of the left fixing seat, and the card holder is embedded in the positioning hole and the fixing hole to fix the mouth biting device. The composite pipe fixing structure according to claim 1, wherein the positioning ring is provided with fixing holes of different circular diameters to apply the inner pipe of different pipe diameters. The composite pipe fixing structure according to the first aspect of the invention, wherein the left fixing seat and the right fixing seat side are respectively provided with grooves for fixing the nasogastric tube.