CN109925581A - A kind of nasal trachea cannula for removing sputum accumulation - Google Patents
A kind of nasal trachea cannula for removing sputum accumulation Download PDFInfo
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- 206010036790 Productive cough Diseases 0.000 title claims abstract description 48
- 210000003802 sputum Anatomy 0.000 title claims abstract description 48
- 208000024794 sputum Diseases 0.000 title claims abstract description 48
- 238000009825 accumulation Methods 0.000 title claims abstract description 26
- 210000003437 trachea Anatomy 0.000 title abstract description 10
- 238000002627 tracheal intubation Methods 0.000 claims abstract description 27
- 238000005192 partition Methods 0.000 claims abstract description 9
- 239000003814 drug Substances 0.000 claims description 26
- 238000002347 injection Methods 0.000 claims description 23
- 239000007924 injection Substances 0.000 claims description 23
- 229940079593 drug Drugs 0.000 claims description 16
- 239000007788 liquid Substances 0.000 claims description 13
- 206010062717 Increased upper airway secretion Diseases 0.000 claims description 8
- 208000026435 phlegm Diseases 0.000 claims description 8
- 238000007789 sealing Methods 0.000 claims description 7
- 239000012530 fluid Substances 0.000 claims description 5
- 230000002209 hydrophobic effect Effects 0.000 claims description 3
- 239000011248 coating agent Substances 0.000 claims description 2
- 238000000576 coating method Methods 0.000 claims description 2
- 230000000694 effects Effects 0.000 abstract description 7
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- 230000028327 secretion Effects 0.000 description 6
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- 239000000243 solution Substances 0.000 description 4
- 238000004659 sterilization and disinfection Methods 0.000 description 4
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- 230000009471 action Effects 0.000 description 1
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- 230000005484 gravity Effects 0.000 description 1
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- 230000037431 insertion Effects 0.000 description 1
- 210000000867 larynx Anatomy 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
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Abstract
Description
技术领域technical field
本发明涉及医疗器械领域,尤其涉及一种可清除痰液积聚的经鼻气管插管。The invention relates to the field of medical devices, in particular to a nasotracheal intubation capable of removing sputum accumulation.
背景技术Background technique
气管插管技术被广泛应用于急诊科、各种ICU、麻醉科、各种病房以及院外的各种急救现场。这一技术能为气道通畅、通气供氧、呼吸道吸引和防止误吸等提供最佳条件。Endotracheal intubation technology is widely used in emergency departments, various ICUs, anesthesiology departments, various wards and various emergency scenes outside the hospital. This technology can provide the best conditions for airway patency, ventilation and oxygen supply, airway suction and prevention of aspiration.
通常情况下,由于口腔对插入异物的自然反应,会产生大量的口水、痰及其他分泌液,各种液体混合在一起在重力作用下流到球囊位置,便在此处形成积痰,这些分泌物还容易粘附于气管插管的内外壁上,不仅引起患者感官上的不适和影响气管插管的通气效果,还提供了病菌定植和生长的空间,容易引起感染。因此气管插管的护理过程中需要定期地吸去气管插管内外壁的痰液,但这些分泌物中有些较为粘稠,因此很难彻底吸除,而若不慎流到肺部,则易引起肺炎等严重疾病。在气管插管期间,临床上还发现气管与球囊的接触部位常因长时间的刺激而产生炎症反应,增加患者痛苦。Under normal circumstances, due to the natural response of the oral cavity to the insertion of foreign bodies, a large amount of saliva, phlegm and other secretions will be produced. Various liquids are mixed together and flow to the balloon position under the action of gravity, where phlegm is formed. These secretions It is also easy to adhere to the inner and outer walls of the endotracheal intubation, which not only causes sensory discomfort of the patient and affects the ventilation effect of the endotracheal intubation, but also provides a space for the colonization and growth of bacteria, which is easy to cause infection. Therefore, in the nursing process of tracheal intubation, it is necessary to regularly suck out the sputum from the inner and outer walls of the tracheal intubation, but some of these secretions are relatively viscous, so it is difficult to completely suck out, and if it accidentally flows into the lungs, it is easy to Serious diseases such as pneumonia. During tracheal intubation, it is also clinically found that the contact site between the trachea and the balloon often produces an inflammatory response due to prolonged stimulation, increasing the pain of the patient.
现有公开号为CN106924854A 的一种可清除痰液积聚并减少炎症反应的气管插管,所述的气管插管设有管体、呼吸机接头、通气口、气囊、充气通道和充气管,所述的管体的内壁和外壁以及气囊的外壁均 设有疏水疏油层;所述的气囊设有若干个凸圈,且最近端凸圈的近端边缘向近端方向突起从而使球囊与管体之间形成环状的容纳槽;所述的通气口的边缘于管体内向近端方向卷曲形成接收槽;所述的管体的内壁设有吸痰通道,所述的吸痰通道设有第一吸痰孔和第二吸痰孔,吸痰通道的远端开口为第三吸痰孔;所述的第一吸痰孔开口向外并位于第三吸痰孔的近端,所述的第二吸痰孔联通容纳槽,所述的第三吸痰孔联通接收槽;吸痰通道的近端连接吸痰管。在使用完成后对球囊抽气后,球囊与管体之间形成的容纳槽内的剩余痰液会顺着抽气的球囊流到喉咙处甚至肺部,具备安全隐患,现需要一种清理效果更好的气管插管,能够解决上述问题。Existing publication number CN106924854A is a kind of tracheal intubation capable of removing sputum accumulation and reducing inflammatory response, the tracheal intubation is provided with a tube body, a ventilator joint, a vent, an air bag, an inflation channel and an inflation tube, so the The inner wall and outer wall of the tube body and the outer wall of the air bag are provided with hydrophobic and oleophobic layers; the air bag is provided with several convex rings, and the proximal edge of the most proximal convex ring protrudes in the proximal direction so as to make the balloon and the tube A ring-shaped accommodating groove is formed between the bodies; the edge of the ventilation port is curled in the pipe body toward the proximal direction to form a receiving groove; the inner wall of the pipe body is provided with a suction channel, and the suction channel is provided with The first suction hole and the second suction hole, the distal opening of the suction channel is the third suction hole; the first suction hole opens outward and is located at the proximal end of the third suction hole, the The second suction hole communicates with the receiving groove, the third suction hole communicates with the receiving groove; the proximal end of the suction channel is connected with a suction pipe. After the balloon is pumped after use, the remaining sputum in the accommodating groove formed between the balloon and the tube will flow to the throat or even the lungs along the pumped balloon, which is a potential safety hazard. A tracheal intubation tube with better cleaning effect can solve the above problems.
发明内容SUMMARY OF THE INVENTION
本发明提供了一种可清除痰液积聚的经鼻气管插管,通过对现有气管插管进行技术改造,解决了现有气管插管痰液清理效果不佳的问题。The invention provides a nasotracheal intubation capable of removing sputum accumulation, and solves the problem of poor sputum cleaning effect of the existing tracheal intubation by technically transforming the existing tracheal intubation.
为解决上述技术问题,本发明具体采用如下技术方案:一种可清除痰液积聚的经鼻气管插管,包括:管体、呼吸机接头、气囊充气组件、吸痰管、通气口和气囊,所述管体内壁上设置有充气通道,所述充气通道一端通过充气孔与气囊相连通,另一端与连接在管体上的气囊充气组件相连接,所述气囊环绕设置在管体外壁上,管体与气囊连接处上方向内凹陷形成有环状积液槽;In order to solve the above-mentioned technical problems, the present invention specifically adopts the following technical solutions: a nasotracheal intubation capable of removing accumulation of sputum, comprising: a tube body, a ventilator connector, an airbag inflation assembly, a sputum suction tube, a vent and an airbag, An inflation channel is arranged on the inner wall of the tube, one end of the inflation channel is communicated with the airbag through the inflation hole, and the other end is connected with the airbag inflation assembly connected to the tube body, and the airbag is arranged around the outer wall of the tube, An annular liquid accumulation groove is formed in the upper direction of the connection between the tube body and the airbag;
管体内壁还设置有吸痰管,所述吸痰管通过中间设置的分隔壁将吸痰管分隔为吸液管和注药管,所述吸液管与积液槽底部开设的吸痰孔相连通,所述积液槽上方管体外壁上开设有注药孔,所述注药管与注药孔相连通,所述吸痰管背离管体的另一端与设置在管体外部的吸痰接头相连接。The inner wall of the pipe is also provided with a sputum suction pipe, which divides the sputum suction pipe into a liquid suction pipe and a medicine injection pipe through the partition wall provided in the middle, and the suction pipe and the sputum suction hole opened at the bottom of the effusion tank. The outer wall of the tube above the effusion tank is provided with a drug injection hole, the drug injection tube is communicated with the drug injection hole, and the other end of the sputum suction tube facing away from the tube body is connected to the suction tube disposed outside the tube body. Connect the sputum connector.
进一步的,所述吸痰接头内设置有半圆形的扇片,所述扇片通过销钉安装在分隔壁的中心位置使得扇片能够相对吸痰管旋转完全覆盖吸液管或注药管。Further, the sputum suction joint is provided with a semicircular fan blade, and the fan blade is installed at the center of the partition wall by a pin so that the fan blade can rotate relative to the suction tube and completely cover the suction tube or the medicine injection tube.
相对于现有技术,本发明具有如下有益效果:Compared with the prior art, the present invention has the following beneficial effects:
1)本发明通过将管体向内凹陷形成有环状积液槽,积液槽底部开设的吸痰孔,积液槽可容纳由管体外壁滑落的分泌物,使用注射器在吸痰接头处抽气时,吸液管内形成负压,将分泌物从积液槽底部设置的吸痰孔抽吸至吸液管内,最终抽出至注射器内,吸除痰液更加彻底,使用方便,同时取出气管插管时需对气囊进行抽气,此时剩余的痰液任然积聚在积液槽中随气管插管抽出而带出气管部,不会溅洒至气管部造成感染。1) In the present invention, a ring-shaped effusion groove is formed by recessing the tube body inward, and a suction hole is opened at the bottom of the effusion groove. The effusion groove can accommodate the secretions that slip off the outer wall of the tube, and a syringe is used at the suction joint. When pumping, a negative pressure is formed in the suction tube, and the secretion is sucked from the suction hole set at the bottom of the effusion tank into the suction tube, and finally pulled out into the syringe. The suction is more thorough and easy to use. The airbag needs to be pumped during intubation. At this time, the remaining sputum still accumulates in the effusion tank and is taken out of the trachea with the tracheal intubation. It will not splash into the trachea and cause infection.
2)本发明通过将吸痰管设置在管体内壁处,且分隔设置为吸液管和注药管,增加了空间利用效率,同时转动吸痰接头即可切换连通管道,通过注射器将灭菌药物注射至喉部进行杀菌消毒,避免了气管与球囊的接触部位因长时间的刺激而产生炎症反应,之后切换至吸液管将残余药水抽离,完成对气管的灭菌清理。2) The present invention increases the space utilization efficiency by arranging the suction tube at the inner wall of the tube, and separates it into a suction tube and a drug injection tube, and at the same time, the communication channel can be switched by rotating the suction joint, and the sterilization is carried out by a syringe. The drug is injected into the larynx for sterilization and disinfection, which avoids the inflammatory reaction at the contact site between the trachea and the balloon due to prolonged stimulation, and then switches to the pipette to extract the residual liquid medicine to complete the sterilization and cleaning of the trachea.
附图说明Description of drawings
图1为本发明的结构示意图;Fig. 1 is the structural representation of the present invention;
图2位本发明的气囊处放大示意图;Figure 2 is an enlarged schematic view of the airbag of the present invention;
图3为本发明的A-A剖面示意图;Fig. 3 is the A-A sectional schematic diagram of the present invention;
图4为本发明的吸痰接头结构示意图;4 is a schematic structural diagram of a suction joint of the present invention;
图5为本发明的吸痰接头B-B剖面图。5 is a sectional view of the suction joint B-B of the present invention.
标号说明:管体1、呼吸机接头2、气囊充气组件3、吸痰管4、通气口5、气囊6、吸痰接头7、充气通道11、充气孔12、积液槽13、分隔壁41、吸液管42、注药管43、吸痰孔421、注药孔431、扇片71、销钉72、限位柱411、凹槽711、充气管31、指示气囊32、单向阀33、封口帽44、弹性牵引绳45。Numeral description: tube body 1, ventilator connector 2, airbag inflation assembly 3, suction tube 4, vent 5, airbag 6, suction joint 7, inflation channel 11, inflation hole 12, fluid accumulation tank 13, partition wall 41 , suction tube 42, medicine injection tube 43, phlegm suction hole 421, medicine injection hole 431, fan piece 71, pin 72, limit post 411, groove 711, inflation tube 31, indicating airbag 32, one-way valve 33, Sealing cap 44 , elastic traction rope 45 .
具体实施方式Detailed ways
下面结合附图和实施例来详细说明本发明的具体内容。The specific content of the present invention will be described in detail below with reference to the accompanying drawings and embodiments.
如图1-4所示,本实施例提供了一种可清除痰液积聚的经鼻气管插管, 包括:管体1、呼吸机接头2、气囊充气组件3、吸痰管4、通气口5和气囊6,所述管体1内壁上设置有充气通道11,所述充气通道11一端通过充气孔12与气囊6相连通,另一端与连接在管体1上的气囊充气组件3相连接,所述气囊6环绕设置在管体1外壁上,管体1与气囊6连接处上方向内凹陷形成有环状积液槽13;As shown in Figures 1-4, the present embodiment provides a nasotracheal intubation tube that can remove sputum accumulation, including: a tube body 1, a ventilator connector 2, an air bag inflation assembly 3, a sputum suction tube 4, and a ventilation port 5 and the airbag 6, an inflation channel 11 is provided on the inner wall of the tube body 1, one end of the inflation channel 11 is communicated with the airbag 6 through the inflation hole 12, and the other end is connected with the airbag inflation assembly 3 connected to the tube body 1. , the airbag 6 is arranged around the outer wall of the tube body 1, and the upper direction of the connection between the tube body 1 and the airbag 6 is recessed inwardly to form an annular liquid accumulation groove 13;
管体1内壁还设置有吸痰管4,所述吸痰管4通过中间设置的分隔壁41将吸痰管4分隔为吸液管42和注药管43,所述吸液管42与积液槽13底部开设的吸痰孔421相连通,所述积液槽13上方管体1外壁上开设有注药孔431,所述注药管43与注药孔431相连通,所述吸痰管4背离管体1的另一端与设置在管体1外部的吸痰接头7相连接。The inner wall of the pipe body 1 is also provided with a sputum suction pipe 4, and the sputum suction pipe 4 divides the sputum suction pipe 4 into a liquid suction pipe 42 and a medicine injection pipe 43 through a partition wall 41 arranged in the middle. The phlegm suction hole 421 opened at the bottom of the liquid tank 13 communicates with each other, the outer wall of the pipe body 1 above the liquid accumulation tank 13 is provided with a drug injection hole 431, the drug injection pipe 43 is communicated with the drug injection hole 431, and the phlegm suction The other end of the tube 4 facing away from the tube body 1 is connected to a suction joint 7 arranged outside the tube body 1 .
为了实现吸痰接头7能够切换使用吸液管42和注药管43,所述吸痰接头7内设置有半圆形的扇片71,所述扇片71通过销钉72安装在分隔壁41的中心位置使得扇片71能够相对吸痰管4旋转完全覆盖吸液管42或注药管43。通过转动扇片71即可获得吸液管42或注药管43的使用效果。In order to realize that the suction pipe 42 and the medicine injection pipe 43 can be switched between the suction joint 7, the suction joint 7 is provided with a semicircular fan 71, and the fan 71 is installed on the partition wall 41 through the pin 72. The central position enables the fan blade 71 to rotate relative to the suction tube 4 to completely cover the suction tube 42 or the drug injection tube 43 . The use effect of the suction tube 42 or the drug injection tube 43 can be obtained by rotating the fan blade 71 .
为了实现扇片71转动后不会使吸液管42与注药管43相互连通,影响使用效果,所述分隔壁41上突出形成有限位柱411,所述扇片71直径边侧壁上设置有与限位柱411相嵌合的凹槽711。转动扇片71至扇片71的凹槽711与限位柱411相嵌合后,扇片71无法沿相同方向继续转动,此时扇片71完成对吸液管42或注药管43的封闭,即可使用。In order to prevent the suction tube 42 and the drug injection tube 43 from being connected to each other after the rotation of the fan blade 71, which affects the use effect, a limiting column 411 is formed protruding from the partition wall 41, and a diameter side wall of the fan blade 71 is provided with There is a groove 711 fitted with the limiting post 411 . Rotate the fan piece 71 until the groove 711 of the fan piece 71 is fitted with the limit post 411, the fan piece 71 cannot continue to rotate in the same direction, and the fan piece 71 completes the sealing of the suction tube 42 or the medicine injection tube 43. , you can use it.
为了实现对气囊6的充气效果,所述气囊充气组件3包括从管体1向外依次连接的充气管31、指示气囊32和单向阀33。向单向阀33内注入空气即可完成对气囊6的充气,同时指示气囊32能够直观的反应出气囊6的状态。In order to achieve the effect of inflating the airbag 6 , the airbag inflation assembly 3 includes an inflation tube 31 , an indicator airbag 32 and a one-way valve 33 which are sequentially connected outward from the tube body 1 . The airbag 6 can be inflated by injecting air into the one-way valve 33 , and at the same time, the indication airbag 32 can intuitively reflect the state of the airbag 6 .
为了避免管体1上沾附口腔异物或痰液,使管体1更加光滑,所述管体1的内壁和外壁以及气囊6外表面均设置有疏水涂层。In order to prevent oral foreign bodies or sputum from adhering to the tube body 1 and make the tube body 1 smoother, the inner and outer walls of the tube body 1 and the outer surface of the airbag 6 are provided with a hydrophobic coating.
为了更加卫生的使用吸痰管4,避免造成二次感染,所述吸痰管4上还设置有封口帽44,所述封口帽44通过弹性牵引绳45套设在吸痰管4上。使用完毕后将封口帽44盖上即可。In order to use the sputum suction tube 4 more hygienically and avoid secondary infection, the sputum suction tube 4 is also provided with a sealing cap 44, and the sealing cap 44 is sleeved on the sputum suction tube 4 through an elastic traction rope 45. After use, the sealing cap 44 can be covered.
本实施例通过将管体1像外凸起形成有环状积液槽13,积液槽13底部开设的吸痰孔421,积液槽13可容纳由管体1外壁滑落的分泌物,使用注射器在吸痰接头7处抽气时,吸液管42内形成负压,将分泌物从积液槽13底部设置的吸痰孔421抽吸至吸液管42内,最终抽出至注射器内,最后取出气管插管时需对气囊6进行抽气,此时剩余的痰液任然积聚在积液槽13中随气管插管抽出而带出气管部,不会溅洒至气管部造成感染。In this embodiment, the tube body 1 is formed with an annular liquid accumulation groove 13 protruding from the outside of the image, and a suction hole 421 is opened at the bottom of the liquid accumulation groove 13. When the syringe is pumped at the suction joint 7, a negative pressure is formed in the suction pipe 42, and the secretion is sucked into the suction pipe 42 from the suction hole 421 provided at the bottom of the fluid accumulation tank 13, and finally pulled out into the syringe, When the tracheal intubation is finally taken out, the airbag 6 needs to be evacuated. At this time, the remaining sputum still accumulates in the fluid accumulation tank 13 and is taken out of the trachea along with the tracheal intubation, and will not splash on the trachea to cause infection.
为了避免积液槽外缘突出部分触碰喉部造成划伤,所述积液槽13外缘设置有圆弧状倒角。In order to avoid scratches caused by the protruding part of the outer edge of the liquid accumulation tank touching the throat, the outer edge of the liquid accumulation tank 13 is provided with an arc-shaped chamfer.
本实施例通过将吸痰管4设置在管体1内壁处,且分隔设置为吸液管42和注药管43,增加了空间利用效率,同时转动吸痰接头7即可切换连通管道,通过注射器将灭菌药物注射至喉部进行杀菌消毒,避免了气管与气囊6的接触部位因长时间的刺激而产生炎症反应,之后切换至吸液管42将残余药水抽离,完成对气管的灭菌清理。In this embodiment, the suction pipe 4 is arranged on the inner wall of the pipe body 1, and is separated into a suction pipe 42 and a medicine injection pipe 43, so that the space utilization efficiency is increased. The syringe injects the sterilized drug into the throat for sterilization and disinfection, which avoids the inflammatory reaction at the contact part between the trachea and the air bag 6 due to prolonged stimulation. Bacteria clean up.
最后说明的是,以上实施例仅用以说明本发明的技术方案而非限制,尽管参照较佳实施例对本发明进行了详细说明,本领域的普通技术人员应当理解,可以对本发明的技术方案进行修改或者等同替换,而不脱离本发明技术方案的宗旨和范围,其均应涵盖在本发明的权利要求范围当中。Finally, it should be noted that the above embodiments are only used to illustrate the technical solutions of the present invention and not to limit them. Although the present invention has been described in detail with reference to the preferred embodiments, those of ordinary skill in the art should understand that the technical solutions of the present invention can be Modifications or equivalent replacements without departing from the spirit and scope of the technical solutions of the present invention should be included in the scope of the claims of the present invention.
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