TWI743995B - Respirator switching device - Google Patents
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Abstract
本發明為一種具有三通管結構的呼吸器切換裝置,包含呼吸器部、使用者部、通用部,以及結合三者的切換部,其中呼吸器部、使用者部及通用部的尾端,分別設有第一開口、第二開口及第三開口,其中第一開口以連接管與呼吸器連接,第二開口以氣管內管與患者連接,第三開口則直接與空氣過濾器連接,其中,切換部還包含一個三通閥元件,令醫護人員在更換呼吸器時,得以三通閥元件關閉第一開口,切斷患者與呼吸器之間的通道,並開啟第三開口,使患者改由裝有空氣過濾器的第三開口進行呼吸,藉以避免病毒由呼吸器部感染醫護人員的呼吸器切換裝置。The present invention is a respirator switching device with a three-way tube structure, which includes a respirator part, a user part, a universal part, and a switching part combining the three, wherein the tail ends of the respirator part, the user part and the universal part, A first opening, a second opening, and a third opening are respectively provided. The first opening is connected to the respirator by a connecting tube, the second opening is connected to the patient by an endotracheal tube, and the third opening is directly connected to the air filter. , The switching part also contains a three-way valve element, so that when the medical staff replace the respirator, the three-way valve element can close the first opening, cut off the passage between the patient and the respirator, and open the third opening, so that the patient can change Breathing is carried out through the third opening equipped with an air filter to prevent the virus from infecting the respirator switching device of the medical staff from the respirator section.
Description
本發明屬於一種呼吸器輔助配件,尤指一種具有三通管結構,而使醫護人員在更換呼吸器時,切斷患者與呼吸器之間的通道,並改以具有空氣過濾器的通道進行呼吸,藉以避免病毒由呼吸器部感染醫護人員的呼吸器切換裝置。The invention belongs to a respirator auxiliary accessory, especially a three-way tube structure, which enables medical staff to cut off the passage between the patient and the respirator when replacing the respirator, and change to a passage with an air filter for breathing , In order to prevent the virus from infecting the respirator switching device of the medical staff from the respirator department.
按,患有肺部病變之患者,必要時須以呼吸器維持其呼吸系統的運作,其中又以患有嚴重特殊傳染性肺炎(Severe Pneumonia with Novel Pathogens)或急性呼吸窘迫症候群病患(Acute Respiratory Distress Syndrome)的患者,更是依賴呼吸器。According to this, patients with lung disease must use respirators to maintain their respiratory system when necessary. Among them, patients with severe special infectious pneumonia (Severe Pneumonia with Novel Pathogens) or acute respiratory distress syndrome (Acute Respiratory) Distress Syndrome) patients are even more dependent on respirators.
然而,呼吸器在經過一段時間的使用後,不可免的要進行清潔及維護,而必須暫時切斷患者與呼吸器之間的連接。可是,當患者與呼吸器之間的連接被切斷時,具有傳染性的痰液及飛沫,則可能會由患者的咽部,通過呼吸器管路散播於空氣中,造成醫護人員暴露於被感染的風險中。However, after a period of use, the respirator must be cleaned and maintained, and the connection between the patient and the respirator must be temporarily cut off. However, when the connection between the patient and the respirator is cut off, infectious sputum and droplets may be spread from the patient’s pharynx through the respirator tube into the air, causing the medical staff to be exposed to the victim. At risk of infection.
有鑑於上述問題,目前,台灣胸腔暨重症加護醫學會建議,在切斷患者與呼吸器之間連接時,同時使用止血鉗將患者咽部之呼吸器管路夾住,或者將呼吸器管路反折,又或者以手指蓋住呼吸器管路口等方式,阻斷呼吸器管路與外界的接觸,而減少痰液及飛沫,經由呼吸器管路散播於空氣的可能。In view of the above problems, the Taiwan Thoracic and Intensive Care Medicine Association currently recommends that when cutting off the connection between the patient and the respirator, hemostatic forceps should be used to clamp the respirator tube in the patient’s pharynx at the same time, or the respirator tube should be clamped. Fold back, or cover the mouth of the respirator tube with your fingers, to block the contact between the respirator tube and the outside world, and reduce the possibility of sputum and droplets being spread into the air through the respirator tube.
然而,上述先前技術仍具有醫療風險,例如,患者可能因此而產生氣胸,或者咳嗽而導致病毒氣溶膠發散,又或者造成患者身上的氣管內管(Endotracheal Tube)破裂等狀況,因此如何在不會造成患者氣胸、咳嗽,或者損壞氣管內管的前提下,提供一種降低醫護人員被感染的呼吸器配件,仍一項亟待解決之問題。However, the above-mentioned prior art still has medical risks. For example, the patient may develop a pneumothorax, or cough and cause the virus aerosol to spread, or cause the patient’s endotracheal tube (Endotracheal Tube) to rupture. Under the premise of causing pneumothorax, coughing, or damage to the endotracheal tube, providing a respirator accessory that reduces the infection of medical staff is still an urgent problem to be solved.
本案發明人有鑑於上述先前技術所衍生的各項缺點,乃亟思加以改良創新,並經多年苦心孤詣潛心研究後,終於成功研發完成本發明之呼吸器切換裝置。In view of the various shortcomings derived from the above-mentioned prior art, the inventor of the present case is eager to improve and innovate, and after years of painstaking research, finally successfully developed the respirator switching device of the present invention.
為解決上述先前技術之問題,本發明提供一種設於呼吸器與患者之間的呼吸器切換裝置,其目的在於: 1. 在醫護人員更換患者身上的呼吸器時,醫護人員可以關閉患者與呼吸器之間的通道,而使病患改以裝有空氣過濾器的通道進行呼吸,藉以避免病毒由呼吸器部感染醫護人員; 2. 承上,本發明還可以避免患者產生氣胸,或者咳嗽而導致病毒氣溶膠發散,又或者氣管內管(Endotracheal Tube)破裂等狀況之風險; 3. 此外,當患者須服用吸入用藥物時,也可以由呼吸器切換裝置將吸入用藥物送入患者體內,而無須切斷患者與呼吸器之間的連結。 In order to solve the above-mentioned problems of the prior art, the present invention provides a respirator switching device between the respirator and the patient, the purpose of which is to: 1. When the medical staff replace the respirator on the patient, the medical staff can close the passage between the patient and the respirator, and make the patient breathe through the passage equipped with an air filter to prevent the virus from being infected by the respirator medical personnel; 2. In line with the above, the present invention can also prevent the patient from developing pneumothorax, or coughing to cause the spread of virus aerosol, or the risk of rupture of the endotracheal tube (Endotracheal Tube); 3. In addition, when the patient needs to take inhaled drugs, the respirator switching device can also deliver the inhaled drugs into the patient's body without cutting off the connection between the patient and the respirator.
本發明為一種具有三通管結構的呼吸器切換裝置,包含呼吸器部、使用者部、通用部及切換部,其中切換部設於呼吸器部、使用者部及通用部之間,並將三者結合成T型三通管,其中呼吸器部的尾端設有第一開口,並以連接管與呼吸器連接,使用者部的尾端設有第二開口,並以氣管內管與使用者連接,通用部設有第三開口,並直接與空氣過濾器連接,其中切換部更包含三通閥元件,令醫護人員得以三通閥元件切換呼吸器部、使用者部及通用部之間的相通狀態。The present invention is a respirator switching device with a three-way tube structure, which includes a respirator part, a user part, a general-purpose part, and a switching part, wherein the switching part is arranged between the respirator part, the user part and the general-purpose part, and The three are combined into a T-shaped three-way tube, in which the rear end of the respirator part is provided with a first opening, and the connecting tube is connected to the respirator, and the rear end of the user part is provided with a second opening, and the inner tracheal tube is connected to the For user connection, the universal part is provided with a third opening and is directly connected to the air filter. The switching part further includes a three-way valve element, allowing medical staff to switch between the respirator part, the user part and the universal part by the three-way valve element. The state of communication between.
其中,第一開口及切換部的連線,與第二開口及切換部的連線之間,形成一個角度介於90至180度的第一夾角。Wherein, the connection line between the first opening and the switching portion and the connection line between the second opening and the switching portion form a first angle between 90 and 180 degrees.
其中,第一開口及切換部的連線,與第三開口及切換部的連線之間,形成一個角度介於30至90度的第二夾角。Wherein, the connection line between the first opening and the switching portion and the connection line between the third opening and the switching portion form a second angle between 30 and 90 degrees.
其中,第一開口及第二開口為圓形,且二者之內徑為10mm至20mm,外徑為21mm至25mm。Wherein, the first opening and the second opening are circular, and the inner diameter of the two is 10mm to 20mm, and the outer diameter is 21mm to 25mm.
其中,通用部的材料為軟性材料,且通用部尾端的第三開口為方形、梯形、圓形、橢圓形的其中之一或二者以上之組合,其中,軟性材料的通用部能隨著外界的空氣過濾器的接頭之不同,而改變第三開口的形狀。Among them, the material of the common part is a soft material, and the third opening at the end of the common part is one of square, trapezoidal, round, oval, or a combination of two or more. Among them, the common part of the soft material can follow the outside world. The joint of the air filter is different, and the shape of the third opening is changed.
其中,通用部還有一個與第三開口對應的蓋體,蓋體中間設有入藥孔,外界的吸入藥物可由該入藥孔通往該通用部。Among them, the common part also has a cover corresponding to the third opening, and a medicine inlet hole is arranged in the middle of the cover body, and the inhaled medicine from the outside can lead to the universal part through the medicine inlet hole.
其中,呼吸器切換裝置外圍更包覆有一絕熱材料,避免呼吸器產生的空氣溫度受到環境溫度的干擾。Among them, the respirator switching device is further covered with an insulating material to prevent the air temperature generated by the respirator from being disturbed by the ambient temperature.
本發明為一種呼吸器切換裝置,同時與呼吸器、患者及空氣過濾器連接,令醫護人員在更換呼吸器時,得以三通閥元件關閉第一開口,切斷患者與呼吸器之間的通道,並開啟第三開口,使患者改由裝有空氣過濾器的第三開口進行呼吸,藉以避免病毒由呼吸器部感染醫護人員的呼吸器切換裝置。The invention is a respirator switching device, which is connected to the respirator, the patient and the air filter at the same time, so that when the medical staff replace the respirator, the three-way valve element can close the first opening and cut off the passage between the patient and the respirator , And open the third opening so that the patient can breathe through the third opening equipped with an air filter to prevent the virus from infecting the respirator switching device of the medical staff from the respirator section.
另一方面,醫護人員也可以在入藥孔上安裝藥物吸入器,令藥物得由通用部送入患者體內,而不須暫時切斷停呼吸器與患者之間的連接。On the other hand, medical staff can also install a medicine inhaler on the medicine inlet, so that the medicine can be delivered into the patient from the general part without temporarily cutting off the connection between the respirator and the patient.
為利 貴審查委員了解本發明之技術特徵、內容與優點及其所能達到之功效,茲將本發明配合附圖,並以實施例之表達形式詳細說明如下,而其中所使用之圖式,其主旨僅為示意及輔助說明書之用,未必為本發明實施後之真實比例與精準配置,故不應就所附之圖式的比例與配置關係解讀、侷限本發明於實際實施上的權利範圍,合先敘明。In order to facilitate the reviewers to understand the technical features, content and advantages of the present invention and its achievable effects, the present invention is described in detail with the accompanying drawings and in the form of embodiment expressions as follows. The drawings used therein are as follows: The subject matter is only for the purpose of illustration and auxiliary description, and may not be the true proportions and precise configuration after the implementation of the invention. Therefore, it should not be interpreted in terms of the proportions and configuration relationships of the accompanying drawings, and should not limit the scope of rights of the invention in actual implementation. Hexian stated.
請參閱圖1,其係為本發明之呼吸器切換裝置的示意圖。本發明之呼吸器切換裝置1,包含呼吸器部11、使用者部12、通用部13,以及將三者結合為T形三通管的切換部10,其中,呼吸器部11與使用者部12設於T型三通管橫向管的二端,切換部10則設於呼吸器部11與使用部12之間,通用部13則透過與切換部10的連接,而垂直於呼吸器部11及使用者部12。Please refer to FIG. 1, which is a schematic diagram of the respirator switching device of the present invention. The
請參閱圖2,其係為本發明之呼吸器切換裝置的分解圖。本發明之呼吸器切換裝置1,更包含第一開口110、第二開口120及第三開口130,分別設於呼吸器部11、使用者部12及通用部13之尾端。Please refer to FIG. 2, which is an exploded view of the respirator switching device of the present invention. The
其中,第一開口110及第二開口120的孔徑形狀及大小與呼吸器管路對應,例如在本實施例中,選用的呼吸器管路(Ventilator Circuit)為常規之氣管內管(Endotracheal Tube),因此第一開口110及第二開口120的形狀為正圓形,且其內徑為15mm,而外徑為22mm。Wherein, the aperture shape and size of the
其中,第三開口130為通用接口,其須與各種空氣過濾器的接頭連接,因此第三開口130係採用軟性材質製作,以使第三開口130的形狀,得隨著不同的空氣過濾器的接頭而有所改變。在本實施例中,第三開口130的形狀為橢圓及長方形之混合形狀,具有增加第三開口130的適用範圍之功能。Among them, the
其中,通用部13還設有一個與第三開口130對應的蓋體131,而在蓋體131上設有一個入藥孔1310,係用於與外界吸入藥物作接合。Wherein, the
其中,在切換部10內更設有三通閥元件100,而令醫療人員得以三通閥元件100,切換呼吸器部11、使用者部12及通用部13之間的相通狀態。其中,切換呼吸器部11、使用者部12及通用部13之間的相通狀態包含:
1. 呼吸器部11、使用者部12及通用部13之間為互相相通;
2. 呼吸器部11與使用者部12相通,但與通用部13不相通;
3. 呼吸器部11與使用者部12不相通,但與通用部12相通。
Among them, a three-
請參閱圖3,其係為本發明之呼吸器切換裝置的第一實施例使用示意圖。在本發明之第一實施例中,呼吸器2以連接管20與第一開口110連接,而使呼吸器切換裝置1與呼吸器2相連,其中,連接管20為呼吸器管路。另一方面,使用者3以氣管內管30與第二開口120連接,第三開口130則未與任何裝置連接,且以蓋體131將第三開口130蓋住,其中,入藥孔1310設有類似瓣膜的設計,當吸入藥物未與入藥孔1310接合時,瓣膜可以阻擋髒汙的飛入。Please refer to FIG. 3, which is a schematic diagram of the use of the first embodiment of the respirator switching device of the present invention. In the first embodiment of the present invention, the
其中,在本發明之第一實施例中,呼吸器切換裝置1更被絕熱材料所包覆,藉以降低呼吸器2所產生之空氣的溫度,在通過呼吸器切換裝置1時,熱量被傳導至外界之可能性,其中,絕熱材料可以為PU泡棉或其他多孔性/中空材料。Among them, in the first embodiment of the present invention, the
在本發明之第一實施例中,醫護人員以三通閥元件100,將呼吸器切換裝置1切換為「呼吸器部11與使用者部12相通,但與通用部13不相通」的相通狀態,而使呼吸器2產生的空氣得由呼吸器部11通往使用者部12而送入使用者3體內,且不會由通用部13外漏。In the first embodiment of the present invention, the medical staff uses the three-
請參閱圖4,其係為本發明之呼吸器切換裝置的第二實施例使用示意圖。在本發明之第二實施例中,呼吸器切換裝置1除了與呼吸器2及使用者3連接外,呼吸器切換裝置1還以第三開口130與吸入藥物4連接,且醫護人員以三通閥元件100,將呼吸器切換裝置1切換為「呼吸器部11、使用者部12及通用部13之間為互相相通」的相通狀態,而使藥物得由第三開口130送入使用者3體內。Please refer to FIG. 4, which is a schematic diagram of the use of the second embodiment of the respirator switching device of the present invention. In the second embodiment of the present invention, in addition to connecting the
其中,吸入藥物4可以為AeroChamber plus®、Serevent®、Respimat®或其他吸入藥物。Among them, the inhaled
請參閱圖5,其係為本發明之呼吸器切換裝置的第三實施例使用示意圖。在本發明之第三實施例中,當醫護人員要切斷呼吸器2與使用者3之間的連接時,醫護人員須先將空氣過濾器5安裝於第三開口130,再以三通閥元件100,將呼吸器切換裝置1切換為「呼吸器部11與使用者部12不相通,但與通用部12相通」的相通狀態,最後再將呼吸器2與呼吸器切換裝置1之間的連接管20移除,此時,使用者3可藉由裝有空氣過濾器5的第三開口130呼吸,但又不會將具有傳染性之飛沫或痰液散播於空氣中,而達到切斷呼吸器2與使用者3之間連接的同時,又可以避免患者產生氣胸、咳嗽,或者損壞氣管內管等狀況,且降低醫護人員被感染風險之目的。Please refer to FIG. 5, which is a schematic diagram of the use of the third embodiment of the respirator switching device of the present invention. In the third embodiment of the present invention, when the medical staff wants to cut off the connection between the
請參閱圖6,其係為本發明之呼吸器切換裝置的第四實施例示意圖。在本發明之第四實施例中,通用部13與呼吸器部11及使用者部12之間不為垂直,其中,呼吸器部11及使用者部12之間夾有第一夾角610,且第一夾角610的角度為180度,而通用部13與呼吸器部11之間夾有第二夾角620,且第二夾角620的角度為45度。Please refer to FIG. 6, which is a schematic diagram of the fourth embodiment of the respirator switching device of the present invention. In the fourth embodiment of the present invention, the
藉由,第一夾角610及第二夾角620的角度設計,在使用者通過第三開口130吸入藥物時,藥物得以較為平順之角度送往第一開口110,並送入使用者3體內。With the angle design of the first included
其中,在本發明之呼吸器切換裝置的第五實施例中,第一夾角610的角度為210度,第二夾角620的角度為60度,而使本發明之呼吸器切換裝置成Y字形的三通管。Wherein, in the fifth embodiment of the respirator switching device of the present invention, the angle of the first included
本發明為一種呼吸器切換裝置,以T型三通管結構將呼吸器、使用者、空氣過濾器連接為一體,在T型三通管的各通道之交會處設有切換部及三通閥元件,當醫護人員要更換呼吸器時,得以三通閥元件,關閉患者與呼吸器之間的通道,而改以具有空氣過濾器之通道進行呼吸,解決先前技術造成患者氣胸,或者咳嗽而導致病毒氣溶膠發散,又或者造成與患者連接之氣管內管(Endotracheal Tube)破裂等狀況,且降低醫護人員被感染機率的呼吸器切換裝置。The present invention is a respirator switching device that connects the respirator, user, and air filter in a T-shaped three-way tube structure. A switching part and a three-way valve are provided at the intersection of the channels of the T-shaped three-way tube. When the medical staff wants to replace the respirator, the three-way valve element can be used to close the passage between the patient and the respirator. Instead, the passage with an air filter is used to breathe, which solves the problem of pneumothorax or cough caused by the previous technology. Virus aerosols diverge, or cause the endotracheal tube (Endotracheal Tube) connected to the patient to rupture and other conditions, and reduce the risk of infection of medical staff.
上列詳細說明係針對本發明之可行實施例之具體說明,惟該實施例並非用以限制本發明之專利範圍,凡未脫離本發明技藝精神所為之等效實施或變更,均應包含於本案之專利範圍中。The above detailed description is a specific description of the possible embodiments of the present invention, but the embodiment is not intended to limit the scope of the patent of the present invention. Any equivalent implementation or modification that does not deviate from the technical spirit of the present invention should be included in this case. In the scope of the patent.
1:呼吸器切換裝置 10:切換部 100:三通閥元件 11:呼吸器部 110:第一開口 12:使用者部 120:第二開口 13:通用部 130:第三開口 131:蓋體 1310:入藥孔 2:呼吸器 20:連接管 3:使用者 30:氣管內管 4:吸入藥物 5:空氣過濾器 610:第一夾角 620:第二夾角 1: Respirator switching device 10: Switching part 100: Three-way valve element 11: Respirator Department 110: first opening 12: User Department 120: second opening 13: General Department 130: third opening 131: Lid 1310: medicine hole 2: respirator 20: connecting pipe 3: User 30: Endotracheal tube 4: Inhaled medicine 5: Air filter 610: first angle 620: second angle
圖1 為本發明之呼吸器切換裝置的示意圖; 圖2 為本發明之呼吸器切換裝置的分解圖; 圖3 為本發明之呼吸器切換裝置的第一實施例使用示意圖; 圖4 為本發明之呼吸器切換裝置的第二實施例使用示意圖; 圖5 為本發明之呼吸器切換裝置的第三實施例使用示意圖; 圖6 為本發明之呼吸器切換裝置的第四實施例示意圖。 Figure 1 is a schematic diagram of the respirator switching device of the present invention; Figure 2 is an exploded view of the respirator switching device of the present invention; Figure 3 is a schematic diagram of the use of the first embodiment of the respirator switching device of the present invention; 4 is a schematic diagram of the use of the second embodiment of the respirator switching device of the present invention; Figure 5 is a schematic diagram of the use of the third embodiment of the respirator switching device of the present invention; Fig. 6 is a schematic diagram of a fourth embodiment of the respirator switching device of the present invention.
1:呼吸器切換裝置 1: Respirator switching device
10:切換部 10: Switching part
11:呼吸器部 11: Respirator Department
12:使用者部 12: User Department
13:通用部 13: General Department
130:第三開口 130: third opening
131:蓋體 131: Lid
1310:入藥孔 1310: medicine hole
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CN207708291U (en) * | 2017-04-05 | 2018-08-10 | 李华丽 | Respirator and first-aid apparatus |
CN208626368U (en) * | 2017-09-30 | 2019-03-22 | 广西科技大学第一附属医院 | A kind of Anesthesia machine oxygen supplying tube |
TWM605834U (en) * | 2020-09-17 | 2020-12-21 | 國防醫學院 | Respirator switching device |
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CN207708291U (en) * | 2017-04-05 | 2018-08-10 | 李华丽 | Respirator and first-aid apparatus |
CN208626368U (en) * | 2017-09-30 | 2019-03-22 | 广西科技大学第一附属医院 | A kind of Anesthesia machine oxygen supplying tube |
TWM605834U (en) * | 2020-09-17 | 2020-12-21 | 國防醫學院 | Respirator switching device |
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