CN103736188A - Ventilation sleeve element with percutaneous synchronous esophagus pressurizing function - Google Patents
Ventilation sleeve element with percutaneous synchronous esophagus pressurizing function Download PDFInfo
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- CN103736188A CN103736188A CN201410003664.3A CN201410003664A CN103736188A CN 103736188 A CN103736188 A CN 103736188A CN 201410003664 A CN201410003664 A CN 201410003664A CN 103736188 A CN103736188 A CN 103736188A
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- esophagus
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- breathing mask
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Abstract
The invention discloses a ventilation device capable of being used for controlling ventilation support and assisting ventilation support, and in particular a ventilation sleeve element with a percutaneous synchronous esophagus pressurizing function. The ventilation sleeve element with the percutaneous synchronous esophagus pressurizing function comprises a breathing mask, an air supply device, a percutaneous esophagus pressurizing device and an air feeding catheter with a spiral air pocket, wherein the breathing mask is communicated with the air supply device through the air supply tube of the air supply device; the percutaneous esophagus pressurizing device comprises a pressure air pocket and a fixing belt; the pressure air pocket is communicated with the air supply device; the fixing belt is arranged outside the pressure air pocket. According to the ventilation sleeve element with the percutaneous synchronous esophagus pressurizing function disclosed by the invention, the pressure air pocket taking a positive ventilation pressure as a power is added on the basis of a common breathing mask, thus the problem of stomach air-inflation of a patient needing respiration support or assisted respiration during artificial respiration is greatly solved while good ventilation is provided for the patient; airway can be opened better by the air feeding catheter with the spiral air pocket, thus ensuring good ventilation.
Description
Technical field
The present invention relates to a kind ofly for breathing the breather of support, is specifically the synchronous esophagus pressure-vent of a kind of percutaneous external member.
Background technology
The physiological activity of eupnea depends on unobstructed air flue, enough ventilation and gas exchange fully; For some autonomous respirations stop or autonomous respiration can not meet normal needs of the ventilation of body and the patient of oxygen supply urgent implement to breathe support, at daily life, curative activity, surgery anesthesia, often can see and need auxiliary or control the crowd who ventilates.Airway obstruction to sleep apnea, the pulmonary disease causing as obesity causes breathing unable, poisoning crowd's respiratory disorder, anxious Cavity in Critical Patients, part Anesthetic Patients etc.
Solve clinically this class problem common method and have two classes: one, trachea ventilation (tracheal intubation and tracheotomy) tracheal intubation pipe is the technology of inserting airway through glottis, this treatment means has become cardio-pulmonary resuscitation and with the important step in the anxious Cavity in Critical Patients rescue process of respiratory dysfunction, but tracheal intubation has several shortcoming 1, need professional Special Training personnel to operate; 2. stimulate the reflection producing too strong, cause serious cardiovascular function variation, choke and the symptom such as cough, if conscious patient is often difficult to tolerance; 3, can not apply for a long time, often need tracheotomy.Tracheotomy is traumatic ventilating technology, and last resort is just with application clinically.Two, Oronasal ventilation, the method for using breathing mask or combined mouth nasopharyngeal catheter to ventilate.Traditional through face shield mouth and nose pharynx ventilation, Chang Yinwei is lack of communication clearly, easily causes inflation in Stomach in Patients, anti-stream, the defect such as suction by mistake; Conscious patient assisted ventilation, often because of gastric inflation, is reluctant to use clinically.Because gastric inflation is anti-, flow etc., in clinical emergency treatment, be unsuitable for long-time application.
Summary of the invention
The present invention is a kind of novel Oronasal ventilation method, and technical problem to be solved is that the synchronous esophagus pressure-vent of the percutaneous external member that a kind of toleration is strong, be applicable to patient's long periods of wear is provided.
The present invention solves the technical scheme of above technical problem:
The synchronous esophagus pressure-vent of a kind of percutaneous external member, comprise breathing mask, feeder and percutaneous esophagus pressue device, breathing mask is communicated with feeder by the air supply pipe of feeder, percutaneous esophagus pressue device comprises compression bladder and fixing band, compression bladder is communicated with air supply pipe, in compression bladder outside, is provided with fixture; During use, breathing mask is worn over disease population nose, compression bladder is fixed and is with on the skin being strapped under patient's cricoid cartilage, malleation inflation while utilizing ventilation, make to pass to extruding esophagus through air sac pressing skin, make esophagus all the time in synchronous pressurization closure state, thereby make gas can not clamp-on gastric, can not cause gastric inflation.Because esophagus is all the time in various degree controlled of closure state gastric content.
The preferred technical scheme of the present invention is:
Further, also comprise pipe joint, breathing mask and compression bladder are communicated with air supply pipe by pipe joint respectively, and this is in order to facilitate later stage demolition and maintenance.
The technical problem that the present invention further solves is to substitute first aid patient tracheal intubation, uses the synchronous esophagus pressure-vent of percutaneous external member can substitute the time that tracheal intubation is striven valuablely for first aid, improves first aid efficiency, ventilates for a long time.
The technical scheme that the present invention solves the problems of the technologies described above: increase plug-in type snorkel on the basis of aforementioned breathing mask, feeder and percutaneous esophagus pressue device, one end of plug-in type snorkel is fixed on the air inlet oral area of breathing mask, the other end of plug-in type snorkel inserts patient's root of the tongue portion, outer wall at plug-in type snorkel is provided with support air bag, and the inflation inlet of support air bag is communicated with plug-in type snorkel inner chamber; After anatomical angulation is analyzed tongue body, pendant is the main cause through Oronasal ventilation difficulty, the plug-in type snorkel head end that the technical program increases exceedes the root of the tongue, arrive pars oralis pharyngis, if the airway resistance causing because of tongue body during ventilation is excessive, air bag can be inflated expansion, thereby lift tongue body, reduce airway resistance, be beneficial to ventilation; Had support air bag blockage resisting, that conduit can be done is thinner, and patient tolerates better, is suitable for per nasal and inserts long-term placement, and snorkel also can be used as the pharyngeal secretions suction catheter of suction port simultaneously, is conducive to the timely removing of secretions, ensures the good ventilation of patient.
Further, be provided with one and start from plug-in type snorkel front end and the plug-in type snorkel approximately 1/3 spiral support air bag in length place finally on the outer wall of plug-in type snorkel, support air bag is designed to a spiralling air bag.The Main Function of this spiral support air bag is again can obstructing airway when can strut rear pendant tongue body when needed, can keep better like this unobstructed of respiratory tract.
Further, gas communication passage is left in junction at described plug-in type snorkel and breathing mask, this place's design is to consider that the diameter of plug-in type snorkel is not too large, strengthen as much as possible patient's comfort level, give full play to the effect of patient's mouth and nose, make full use of the feature that breathing mask ventilation efficiency is high, breathing mask and plug-in type snorkel are applied simultaneously and can be guaranteed that patient respiratory is more comfortable, smooth and easy like this.
Further, fixture is buckle-type connecting band.
Further, the clamping of plug-in type snorkel or grafting or spiral are connected to the air inlet oral area of breathing mask.
The invention the synchronous esophagus pressure-vent of a kind of percutaneous external member is provided, this external member is to utilize the special physiological make-up in human body epiglottis place, make patient in air-breathing, provide ambient pressure to make esophagus forced synchronism closure, its concrete principle is: when respirator is supplied gas, gas is normal pressure (this gas with malleation is the pulmonary that can be pressed into smoothly patient in order to ensure gas), there is the gas of malleation just simultaneously to the compression bladder inflation being strapped on the skin of patient's cricoid cartilage bottom, compression bladder after full is pressed epiglottis place skin downwards, utilize the special physiological make-up in epiglottis place to force to make esophagus in synchronous pressurization closure state, air-flow just can not clamp-oned gastric like this, just can not cause the generation of gastric inflation yet, this suit due to without operation and anesthesia, only need to when wearing breathing mask, compression bladder be strapped on the skin of patient's cricoid cartilage bottom, realized and kept patient clear-headed and reflect good in the situation that and effectively ventilate, this device stimulates little, patient is easy to accept, be suitable for prolonged application, to promoting patient's early rehabilitation and reducing tracheotomy, there is positive effect, the clinical ICU of being widely used in breathes and supports, old chronic obstructive pulmonary disease is all kinds of needs assisted respiartion and breathes and support patient, and the snoring patient of family assisted respiartion treatment.
The synchronous esophagus pressure-vent of the percutaneous external member of being furnished with plug-in type snorkel is aimed at some serious symptom first aid patients and designs, because such patient generally can occur that autonomous respiration is unable, after tongue, pendant stops up the dangerous situation of pharyngeal and respiratory tract, now breathing mask cannot meet first aid demand now, for first aid ventilation, easy operating, substitute tracheal intubation, without waiting for that anaesthetist and the doctor in charge are on the scene, as long as accepting the personnel such as the nursing of simple training just can operate, reduce patient and wait for that professional carries out the tracheal intubation time, for saving patient's life, gain time, therefore aspect first aid, promoted the use of important value, be furnished with the synchronous esophagus pressure-vent of the percutaneous external member of plug-in type snorkel for anesthesia ventilation provides another kind of ventilating mode simultaneously, for the solution of anesthesia airway management and difficult airway, provide a kind of good method.
Accompanying drawing explanation
Fig. 1 is the practical effect figure of the synchronous esophagus pressure-vent of the percutaneous external member that provides of embodiment 1.
Fig. 2 is the perspective view of the synchronous esophagus pressure-vent of the percutaneous external member that provides of embodiment 1.
Fig. 3 is the practical effect figure of the synchronous esophagus pressure-vent of the percutaneous external member that provides of embodiment 2.
Fig. 4 is the perspective view of the synchronous esophagus pressure-vent of the percutaneous external member that provides of embodiment 2.
The specific embodiment
Embodiment 1
The present embodiment provides the synchronous esophagus pressure-vent of the percutaneous external member that a kind of toleration is strong, be applicable to patient's long periods of wear, as shown in Figure 1-2, mainly by respirator 1, respirator air supply pipe 2, pipe joint 3, breathing mask 4 and compression bladder 5, formed, respirator air supply pipe 2 two ends connect respectively respirator 1 and pipe joint 3, breathing mask 4 and compression bladder 5 also respectively by pipeline communication to pipe joint 3, breathing mask 4 is worn over patient's snout, and compression bladder 5 is fixed and is with on the skin being strapped under patient's cricoid cartilage.
During use, when respirator 1 is supplied gas, oxygen with malleation flows to patient by breathing mask 4 on the one hand, inflate on the other hand compression bladder 5, full compression bladder 5 is oppressed skin portion under cricoid cartilage, utilize the special physiological make-up in this place, make esophagus synchronizing close, gas cannot be independently or because swallowing of patient enters esophagus; Respirator 1 is air-breathing, and breathing mask 4 is given patient's combustion gas, and also pressure release is locking for compression bladder 5 simultaneously, and patient recovers function of deglutition, has so just completed a complete respiratory.
In the present embodiment respirator 1, respirator air supply pipe 2, pipe joint 3, the direct outsourcing of breathing mask 4, compression bladder 5 can adopt General Purpose Rubber, silica gel air bag.
The synchronous esophagus pressure-vent of the percutaneous external member that the present embodiment provides, as shown in Figure 3-4, mainly by respirator 1, respirator air supply pipe 2, pipe joint 3, breathing mask 4, compression bladder 5 and plug-in type snorkel 6 form, respirator air supply pipe 2 two ends connect respectively respirator 1 and pipe joint 3, breathing mask 4 and compression bladder 5 are also communicated to respectively pipe joint 3, breathing mask 4 is worn over patient's snout, compression bladder 5 is fixed and is with on the skin being strapped under patient's cricoid cartilage, one end of plug-in type snorkel 6 is connected to breathing mask 4 air inlet oral areas, plug-in type snorkel 6 leaves gas communication passage with the access section of breathing mask 4, it is pharyngeal that the other end of plug-in type snorkel 6 stretches into patient.
During use, respirator 1 is supplied gas, and breathing mask 4 and plug-in type snorkel 6 are given patient's delivering oxygen simultaneously, simultaneously also skin portion under inflation compression cricoid cartilage of compression bladder 5, thereby compressing esophagus opening part, esophagus closure, gas can not enter, and patient can not swallow simultaneously; Respirator 1 is air-breathing, and breathing mask 4 and plug-in type snorkel 6 are given patient's combustion gas simultaneously, and also pressure release is locking for compression bladder 5 simultaneously, and patient recovers function of deglutition; When plug-in type snorkel 6 is supplied gas when smooth by the tongue of rear pendant compressing, the pressure of plug-in type snorkel 6 inside can raise rapidly, for pressure release, the passive inflation of spiral helicine support air bag 7 being communicated with its inner chamber, thereby the tongue body of propping up compressing plug-in type snorkel 6, declines respiratory resistance, and air flue is further open, make breathing mask 4 and plug-in type snorkel 6, nose, mouth to patient, to carry gas simultaneously, reach ventilation object.
In the present embodiment respirator 1, respirator air supply pipe 2, pipe joint 3, directly outsourcing or generation be processed into, plug-in type snorkel 6 with spiral type air bag and the breathing mask 4 matching are with it for being processed into separately, compression bladder 5 can adopt General Purpose Rubber, silica gel air bag, those of ordinary skills, reading after the technical program and accompanying drawing, can produce in conjunction with prior art the synchronous esophagus pressure-vent of the percutaneous external member that the present embodiment provides.
In addition to the implementation, the present invention can also have other embodiments.All employings are equal to the technical scheme of replacement or equivalent transformation formation, all drop on the protection domain of requirement of the present invention.
Claims (7)
1. the synchronous esophagus pressure-vent of a percutaneous external member, comprise breathing mask and feeder, described breathing mask is communicated with feeder by the air supply pipe of feeder, it is characterized in that: also comprise percutaneous esophagus pressue device, described percutaneous esophagus pressue device comprises compression bladder, described compression bladder is communicated with air supply pipe, in described compression bladder outside, is provided with fixture.
2. the synchronous esophagus pressure-vent of percutaneous according to claim 1 external member, is characterized in that: also comprise pipe joint, described breathing mask and compression bladder are communicated with air supply pipe by pipe joint respectively.
3. the synchronous esophagus pressure-vent of percutaneous according to claim 1 external member, it is characterized in that: also comprise plug-in type snorkel, one end of described plug-in type snorkel is fixed on the air inlet oral area of breathing mask, the other end of described plug-in type snorkel inserts patient's root of the tongue portion, outer wall at described plug-in type snorkel is provided with support air bag, and the inflation inlet of described support air bag is communicated with described plug-in type snorkel inner chamber.
4. the synchronous esophagus pressure-vent of percutaneous according to claim 3 external member, is characterized in that: on the outer wall of described plug-in type snorkel, be provided with at least one and start from plug-in type snorkel gas outlet and the plug-in type snorkel 1/3 spiral support air bag in length place finally.
5. the synchronous esophagus pressure-vent of percutaneous according to claim 3 external member, is characterized in that: gas communication passage is left in the junction at described plug-in type snorkel and breathing mask.
6. the synchronous esophagus pressure-vent of percutaneous according to claim 1 external member, is characterized in that: described fixture is buckle-type connecting band.
7. the synchronous esophagus pressure-vent of percutaneous according to claim 3 external member, is characterized in that: the clamping of described plug-in type snorkel or grafting or spiral are connected to the air inlet oral area of breathing mask.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410003664.3A CN103736188B (en) | 2014-01-06 | 2014-01-06 | Percutaneous synchronizes esophagus pressure-vent external member |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410003664.3A CN103736188B (en) | 2014-01-06 | 2014-01-06 | Percutaneous synchronizes esophagus pressure-vent external member |
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| CN103736188A true CN103736188A (en) | 2014-04-23 |
| CN103736188B CN103736188B (en) | 2016-11-16 |
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Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2249959A (en) * | 1990-11-20 | 1992-05-27 | Archibald Ian Jeremy Brain | Artificial airway device |
| US5249571A (en) * | 1992-05-21 | 1993-10-05 | Brain Archibald Ian Jeremy | Laryngeal clamp airway |
| DE102005025996B3 (en) * | 2005-06-07 | 2006-04-27 | Penno, Andreas, Dr. | Tightening of a laryngeal cuff in anesthesia involves use of two inflatable gas pads on a sleeve, especially with control using a pressure valve |
| DE102008048032A1 (en) * | 2008-09-19 | 2010-03-25 | Penno, Andreas, Dr. | Device for sealing larynx mask at larynx of patient during operational intervention, has gas cushions formed as side sections of one-piece gas bag, which has kidney-shaped, butterfly-shaped, heart-shaped or dumbbell-shaped outline |
| US20130019871A1 (en) * | 2011-07-22 | 2013-01-24 | Alexander Nemirovsky | Inflatable Oral Airway Apparatus and Method for Using the Same |
| CN203663197U (en) * | 2014-01-06 | 2014-06-25 | 郁万友 | Percutaneous and esophagus pressurization synchronous ventilation kit |
-
2014
- 2014-01-06 CN CN201410003664.3A patent/CN103736188B/en not_active Expired - Fee Related
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB2249959A (en) * | 1990-11-20 | 1992-05-27 | Archibald Ian Jeremy Brain | Artificial airway device |
| US5249571A (en) * | 1992-05-21 | 1993-10-05 | Brain Archibald Ian Jeremy | Laryngeal clamp airway |
| DE102005025996B3 (en) * | 2005-06-07 | 2006-04-27 | Penno, Andreas, Dr. | Tightening of a laryngeal cuff in anesthesia involves use of two inflatable gas pads on a sleeve, especially with control using a pressure valve |
| DE102008048032A1 (en) * | 2008-09-19 | 2010-03-25 | Penno, Andreas, Dr. | Device for sealing larynx mask at larynx of patient during operational intervention, has gas cushions formed as side sections of one-piece gas bag, which has kidney-shaped, butterfly-shaped, heart-shaped or dumbbell-shaped outline |
| US20130019871A1 (en) * | 2011-07-22 | 2013-01-24 | Alexander Nemirovsky | Inflatable Oral Airway Apparatus and Method for Using the Same |
| CN203663197U (en) * | 2014-01-06 | 2014-06-25 | 郁万友 | Percutaneous and esophagus pressurization synchronous ventilation kit |
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| CN103736188B (en) | 2016-11-16 |
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Granted publication date: 20161116 Termination date: 20200106 |