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CN109011079A - A kind of transnasal trachea catheter (double cuff) - Google Patents

A kind of transnasal trachea catheter (double cuff) Download PDF

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Publication number
CN109011079A
CN109011079A CN201811127875.2A CN201811127875A CN109011079A CN 109011079 A CN109011079 A CN 109011079A CN 201811127875 A CN201811127875 A CN 201811127875A CN 109011079 A CN109011079 A CN 109011079A
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CN
China
Prior art keywords
catheter
cuff
double
nasal
transnasal
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Pending
Application number
CN201811127875.2A
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Chinese (zh)
Inventor
万阔
王莹
赵琳
谭刚
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Priority to CN201811127875.2A priority Critical patent/CN109011079A/en
Publication of CN109011079A publication Critical patent/CN109011079A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0461Nasoendotracheal tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes
    • A61M16/01Devices for influencing the respiratory system of patients by gas treatment, e.g. ventilators; Tracheal tubes specially adapted for anaesthetising
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1011Multiple balloon catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M2025/1043Balloon catheters with special features or adapted for special applications
    • A61M2025/1072Balloon catheters with special features or adapted for special applications having balloons with two or more compartments

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  • Health & Medical Sciences (AREA)
  • Pulmonology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Anesthesiology (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Emergency Medicine (AREA)
  • Biophysics (AREA)
  • Child & Adolescent Psychology (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • External Artificial Organs (AREA)

Abstract

本发明涉及一种经鼻气管导管(双套囊)。该发明属于一种麻醉科用医疗器械,应用于麻醉科气管插管领域。包括鼻端套囊、支气管端套囊、气管导管等。其特征在于,所述经鼻气管导管带有双套囊,分别位于气管导管两端。所述发明能在麻醉气管插管术中防止气管导管压伤鼻粘膜,起到保护鼻粘膜作用,从而保证医疗安全并增加病人的舒适度。The invention relates to a nasal endotracheal catheter (double cuff). The invention belongs to a medical instrument for anesthesiology department and is applied in the field of tracheal intubation in anesthesiology department. Including nasal end cuff, bronchial end cuff, endotracheal tube, etc. It is characterized in that the nasal endotracheal catheter is equipped with double cuffs, which are respectively located at both ends of the endotracheal catheter. The invention can prevent the nasal mucosa from being crushed by the endotracheal tube during anesthesia tracheal intubation, and protect the nasal mucosa, thereby ensuring medical safety and increasing patient comfort.

Description

一种经鼻气管导管(双套囊)A nasotracheal tube (double cuff)

技术领域technical field

本发明涉及一种经鼻气管导管(双套囊),应用于麻醉科气管插管领域。The invention relates to a nasal endotracheal catheter (double cuff), which is applied to the field of tracheal intubation in anesthesiology department.

背景技术Background technique

目前对于麻醉科经鼻气管插管,临床上普遍采用经鼻气管导管(单套囊),缺点为:①经鼻气管导管(单套囊)为单套囊气管导管,所带套囊位于导管支气管端。由于导管经鼻插入指定深度后,导管鼻外部分需反折并经鼻固定,反折部分常常因为导管材质较硬而返折处鼻部粘膜皮肤较软造成粘膜或者皮肤压伤,使得患者鼻部术后发红、疼痛不适,个别甚至合并感染等术后并发症。因此设计一种防止鼻粘膜压伤的气管导管尤为必要。此发明将气管导管设计为双套囊,导管鼻端套囊使用时位于鼻粘膜与气管导管之间,防止鼻粘膜压伤。避免了患者术后鼻部粘膜发红、疼痛不适。保证了医疗安全并提升了患者的就诊体验。At present, the nasal endotracheal tube (single cuff) is generally used clinically for the anesthesiology department. The disadvantages are as follows: ① The nasal endotracheal tube (single cuff) is a single cuff endotracheal tube, and the cuff is located in the catheter. Bronchial end. After the catheter is inserted into the specified depth through the nose, the outer part of the catheter needs to be folded back and fixed through the nose. The hard material of the catheter and the softness of the nasal mucosa and skin at the folded part often cause mucous membrane or skin pressure, which makes the patient's nose postoperative redness, pain and discomfort, individual or even combined infection and other postoperative complications. Therefore, it is particularly necessary to design a tracheal tube to prevent nasal mucosal pressure injury. In this invention, the endotracheal catheter is designed as a double cuff, and the nasal end cuff of the catheter is positioned between the nasal mucosa and the endotracheal catheter during use to prevent nasal mucosa from being crushed. Avoid postoperative nasal mucosa redness, pain and discomfort. Ensure medical safety and improve patient experience.

发明内容Contents of the invention

本发明涉及一种经鼻气管导管(双套囊),应用于麻醉科气管插管领域。The invention relates to a nasal endotracheal catheter (double cuff), which is applied in the field of tracheal intubation in anesthesiology department.

为解决上述技术问题,本发明的技术方案是:In order to solve the problems of the technologies described above, the technical solution of the present invention is:

一种经鼻气管导管(双套囊)。该发明属于一种麻醉科用医疗器械,应用于麻醉科气管插管领域。包括鼻端套囊、支气管端套囊、气管导管等。其特征在于,所述经鼻气管导管带有双套囊,分别位于气管导管两端。A nasotracheal tube (double cuff). The invention belongs to a medical instrument for anesthesiology department and is applied in the field of tracheal intubation in anesthesiology department. Including nasal end cuff, bronchial end cuff, endotracheal tube, etc. It is characterized in that the nasal endotracheal catheter has double cuffs, which are respectively located at both ends of the endotracheal catheter.

优选的,上述经鼻气管导管(双套囊),经鼻气管导管带有双套囊,分别位于气管导管两端,支气管端套囊起到①封闭气管口,防止气体泄漏作用②固定气管导管,防止脱管③防止胃内容物的吸入。鼻端套囊防止气管导管压伤鼻粘膜,起到保护鼻粘膜作用。Preferably, the above-mentioned nasal endotracheal tube (double cuff), the nasal endotracheal tube has double cuffs, which are respectively located at both ends of the endotracheal tube, and the bronchial end cuffs play a role in ① closing the tracheal opening and preventing gas leakage; ② fixing the endotracheal tube , to prevent detachment ③ to prevent the inhalation of stomach contents. The nasal end cuff prevents the endotracheal tube from crushing the nasal mucosa and protects the nasal mucosa.

优选的,上述经鼻气管导管(双套囊),鼻端套囊长度为2-4cm。Preferably, the above-mentioned nasal endotracheal catheter (double cuff), the length of the nasal end cuff is 2-4cm.

优选的,上述经鼻气管导管(双套囊),鼻端套囊位于经鼻气管导管鼻孔反折处。Preferably, in the above-mentioned nasal endotracheal catheter (double cuff), the nasal end cuff is located at the nostril reflexion of the nasal endotracheal catheter.

优选的,上述经鼻气管导管(双套囊),鼻端套囊横切面圆弧长为支气管端套囊横切面圆弧长的1/3——1/2,即占气管导管横切面圆弧长的1/3——1/2圆弧。Preferably, the above-mentioned nasal endotracheal catheter (double cuff), the arc length of the cross-section of the nasal end cuff is 1/3-1/2 of the arc length of the cross-section of the bronchial end cuff, that is, it occupies 1/2 of the arc length of the cross-section of the endotracheal catheter. 1/3 of the arc length - 1/2 arc.

优选的,上述经鼻气管导管(双套囊),双套囊内气体一般呈抽空状态,插管完毕以后再根据鼻孔大小适当充气。Preferably, the above-mentioned nasal endotracheal catheter (double cuff), the gas in the double cuff is generally in an evacuated state, and after the intubation is completed, it is properly inflated according to the size of the nostril.

优选的,上述经鼻气管导管(双套囊),气管导管的型号选择,经鼻气管导管型号一般比经口气管导管小半号,经口气管导管选择为:7.0、7.5,或8.0mm内径的气管导管适用于大多数成年人,对于小儿可用如下方法推算:(年龄/4)+4=导管型号。Preferably, the above-mentioned nasal endotracheal tube (double cuff) and the type of endotracheal tube are selected. The type of the endotracheal endotracheal tube is generally half a size smaller than that of the oral endotracheal tube. The endotracheal tube is suitable for most adults, and the following method can be used for children: (age/4)+4=tube model.

有益效果:Beneficial effect:

所述发明能在麻醉气管插管术中防止气管导管压伤鼻粘膜,起到保护鼻粘膜作用,从而增加病人的舒适度。避免了患者术后鼻部粘膜发红、疼痛不适。提升了患者的就诊体验。The invention can prevent the nasal mucosa from being crushed by the endotracheal tube during the anesthesia tracheal intubation, and protect the nasal mucosa, thereby increasing the patient's comfort. Avoid postoperative nasal mucosa redness, pain and discomfort. Improved patient experience.

附图说明Description of drawings

图1、图2是本发明提供的一种经鼻气管导管(双套囊)的结构示意图Fig. 1, Fig. 2 are the structural representations of a kind of nasotracheal catheter (double cuff) provided by the present invention

图中:1-套囊细导管 2-套囊内压测试小囊 3-鼻端套囊In the figure: 1-cuff thin catheter 2-cuff internal pressure test small sac 3-nose end cuff

4-气管导管 5-支气管端套囊 6-气管导管远端斜面开口4-tracheal tube 5-bronchial end cuff 6-tracheal tube distal beveled opening

7-与呼吸器连接的衔接管,其直径统一为15mm 8-鼻端套囊长度范围为2-4cm7-The connecting tube connected with the respirator, its diameter is uniformly 15mm 8-The length of the nasal end cuff ranges from 2-4cm

9-套囊内压测试小囊 10-套囊细导管 11-鼻端套囊横切面图,弧长的1/3——1/29-Cuff internal pressure test small sac 10-Cuff thin catheter 11-Cross-sectional view of nasal end cuff, 1/3-1/2 of the arc length

具体实施方式Detailed ways

实施例1Example 1

如图1、2所示,为经鼻气管导管(双套囊),经鼻气管导管带有双套囊,分别位于气管导管两端,鼻端套囊长度为2.5cm,宽度为支气管端套囊宽度的1/2,即占气管导管横断面的1/2圆弧,位于经鼻气管导管鼻孔处反折处。As shown in Figures 1 and 2, it is a nasal endotracheal tube (double cuff). The nasal endotracheal tube has double cuffs, which are respectively located at both ends of the endotracheal tube. 1/2 of the width of the sac, that is, 1/2 of the arc of the cross-section of the endotracheal tube, is located at the inflection point at the nostril of the endotracheal tube.

麻醉医生行经鼻气管插管时,双套囊内气体呈抽空状态,插管完毕后,先行支气管端套囊充气,待气管导管固定,气管导管位置完全确定后,最后再行鼻端套囊充气,使得鼻端套囊充气不妨碍之前插管操作。鼻端套囊充气不宜过满,鼻端套囊位于鼻粘膜与气管导管之间,防止鼻粘膜压伤。手术结束拔管时第一步先抽空鼻端套囊内气体,不妨碍后续拔管操作。再行气管导管的拔除。When the anesthesiologist performs nasal endotracheal intubation, the gas in the double cuff is evacuated. After the intubation is completed, the bronchial end cuff is inflated first. After the endotracheal tube is fixed and the position of the endotracheal tube is completely determined, the nasal end cuff is finally inflated. , so that the inflation of the nasal cuff does not interfere with the previous intubation operation. The nasal cuff should not be overfilled. The nasal cuff is located between the nasal mucosa and the endotracheal tube to prevent nasal mucosa from crushing. At the end of the operation, the first step of extubation is to evacuate the air in the nasal cuff so as not to hinder the subsequent extubation. The endotracheal tube was then removed.

以上所述仅是本发明的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本发明的保护范围。The above is only a preferred embodiment of the present invention, it should be pointed out that, for those of ordinary skill in the art, without departing from the principle of the present invention, some improvements and modifications can also be made, and these improvements and modifications can also be made. It should be regarded as the protection scope of the present invention.

Claims (7)

1. the present invention relates to a kind of transnasal trachea catheter (double cuffs).The invention belongs to a kind of department of anesthesia's medical instrument, application In department of anesthesia's trachea cannula field.Including nose cuff, bronchus end cap capsule, tracheal catheter etc..It is characterized in that, the intranasal Tracheal catheter has double cuff, is located at tracheal catheter both ends.
2. a kind of transnasal trachea catheter (double cuff) according to claim 1, it is characterised in that: the transnasal trachea catheter With double cuff, tracheal catheter both ends are located at, 1. bronchus end cap capsule, which plays, closes gas tube orifice, prevent gas leakage effects 2. 3. fixed tracheal catheter, anti-anti-avulsion pipe prevent the sucking of gastric content.Nose cuff prevents tracheal catheter from weighing schneiderian membrane wounded, rises To protection schneiderian membrane effect.
3. a kind of transnasal trachea catheter (double cuff) according to claim 1, it is characterised in that: the nose cuff length For 2-4cm.
4. a kind of transnasal trachea catheter (double cuff) according to claim 1, it is characterised in that: the nose cuff is located at Transnasal trachea catheter nostril invagination.
5. a kind of transnasal trachea catheter (double cuff) according to claim 1, it is characterised in that: the nose cuff is crosscutting The 1/3 of a length of bronchus end cap capsule cross section circular arc length of face circular arc --- 1/2, that is, account for the 1/ of tracheal catheter cross section circular arc length 3 --- 1/2 circular arc.
6. a kind of transnasal trachea catheter (double cuff) according to claim 1, it is characterised in that: gas in the double cuff Generally in evacuated, row inflation again after intubation finishes.
7. a kind of transnasal trachea catheter (double cuff) according to claim 1, it is characterised in that: the type of the tracheal catheter Number selection, transnasal trachea catheter model is generally than trachea catheter via mouth smaller part number, trachea catheter via mouth selection are as follows: and 7.0,7.5, or The tracheal catheter of 8.0mm internal diameter is suitable for most of adults, and children can be calculated with the following method: (age/4)+4=is led Cast number.
CN201811127875.2A 2018-09-27 2018-09-27 A kind of transnasal trachea catheter (double cuff) Pending CN109011079A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111617358A (en) * 2020-05-27 2020-09-04 中国人民解放军西部战区总医院 Tracheal catheter capable of performing airway surface anesthesia

Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102430179A (en) * 2011-09-08 2012-05-02 李云龙 Special tracheal catheter convenient to fix and used for inserting nose
CN204485006U (en) * 2015-03-24 2015-07-22 中国人民解放军广州军区武汉总医院 A kind of first aid type inflatable nasopharyngeal air duct
CN205460304U (en) * 2016-02-24 2016-08-17 中国医科大学附属口腔医院 Intranasal endotracheal tube of utensil guard action

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102430179A (en) * 2011-09-08 2012-05-02 李云龙 Special tracheal catheter convenient to fix and used for inserting nose
CN204485006U (en) * 2015-03-24 2015-07-22 中国人民解放军广州军区武汉总医院 A kind of first aid type inflatable nasopharyngeal air duct
CN205460304U (en) * 2016-02-24 2016-08-17 中国医科大学附属口腔医院 Intranasal endotracheal tube of utensil guard action

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111617358A (en) * 2020-05-27 2020-09-04 中国人民解放军西部战区总医院 Tracheal catheter capable of performing airway surface anesthesia

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