CN113750341A

CN113750341A - Trachea cannula fixing device

Info

Publication number: CN113750341A
Application number: CN202111199112.0A
Authority: CN
Inventors: 严波
Original assignee: Individual
Current assignee: Individual
Priority date: 2021-10-14
Filing date: 2021-10-14
Publication date: 2021-12-07
Anticipated expiration: 2041-10-14
Also published as: CN113750341B

Abstract

The invention discloses a tracheal intubation fixing device, comprising a fixing ring, the center of the fixing ring is provided with a fixing hole matching with the tracheal intubation, one side of the fixing ring is provided with an insertion hole for a sputum suction tube to pass through, and the other side of the fixing ring is arranged The side is the movable end, one end of the other side of the fixing ring is provided with a first protrusion, the side of the first protrusion close to the fixing hole is provided with a first groove, and the fixing ring is also provided with a second protrusion and a third protrusion , a second groove is provided between the second protrusion and the third protrusion, the third protrusion and the first groove are matched, and the outer side of the first protrusion and the second protrusion is provided with a fixed tooth pad that matches There are several fixed teeth on both sides of the first protrusion, and micro teeth matching with the fixed teeth are provided on the inner side of the second protrusion and the third protrusion. The invention has simple structure and firm fixation, can realize double fixation inside and outside the tracheal intubation tube, and effectively solve the problems in the prior art that the fixation is not firm and easy to fall off, hinders the operation and causes trauma and lacks mobility.

Description

Trachea cannula fixing device

Technical Field

The invention belongs to the technical field of trachea cannula fixing equipment, and particularly relates to a trachea cannula fixing device.

Background

The trachea cannula is a common airway management technology for general anesthesia, and can be used for mechanical ventilation so as to ensure that the human body does not suffer from oxygen deficiency; also can protect the air passage and prevent the contents in the oral cavity from flowing into the trachea to cause the aspiration. The tracheal cannula needs to be firmly fixed to prevent the tracheal cannula from being inserted too deeply or accidentally dislocated, and particularly, the accidental dislocated can be fatal in many cases, such as operations in a prone position, such as cervical canal posterior decompression, transcranial operation, or the situations that the tracheal cannula cannot be pulled out immediately after the operation, such as difficult airway and the like. Some fixation methods currently used clinically are for example: 1. after the dental pad is placed, the dental pad and the trachea cannula are bound together by using an adhesive tape and then reinforced by using a bandage or a sticking film so as to be fixed on the face or the neck; 2. tying the trachea cannula with thick line, and tying on teeth; 3. the trachea cannula is sutured on the lips of the patient by thick lines; 4. a specialized "mask style" endotracheal tube holder is used. These fixation methods are essentially external fixation methods, and have many disadvantages: 1. not firm enough, there is a risk of falling off; 2. the operation is complex, and the practical application is inconvenient; 3. some are traumatic and can cause bleeding of the lips or gums; 4. hindering disinfection during head and face surgery; 5. there is no right and left mobility in the oral cavity, which affects the operation in the oral cavity.

Disclosure of Invention

Aiming at the defects, the invention provides the trachea cannula fixing device which is simple in structure and firm in fixing, can realize internal and external double fixing of the trachea cannula, and effectively solves the problems that the fixing is not firm and easy to fall off, the operation is hindered to generate wound, the mobility is low and the like in the prior art.

In order to achieve the purpose, the technical scheme adopted by the invention for solving the technical problems is as follows: the utility model provides a trachea cannula fixing device, including solid fixed ring, gu fixed ring center be provided with trachea cannula assorted fixed orifices, gu fixed ring one side is provided with the jack that supplies to inhale the phlegm pipe and pass through, gu the fixed ring opposite side is the expansion end, the one end of fixed ring opposite side is provided with first arch, first arch is close to fixed orifices one side and is provided with first recess, gu still be provided with the second arch on the fixed ring and the third arch, be provided with the second recess between second arch and the third arch, second recess and first protruding phase-match, third arch and first recess phase-match, first arch and the protruding outside of second be provided with bite-block assorted fixed slot, first protruding both sides are provided with a plurality of fixed teeth opposite with closed direction, second arch and the protruding inboard of third are provided with fixed tooth assorted microtoods.

The invention has the beneficial effects that: when the trachea cannula is used, the movable end of the fixing ring is opened and clamped on the trachea cannula, the trachea cannula passes through the fixing hole, then the first bulge is inserted into the second groove in a clockwise closing mode, the fixing teeth on two sides of the first bulge are meshed with the micro-teeth on the inner sides of the second bulge and the third bulge, the first bulge cannot be taken out from the first groove in the anticlockwise direction after the first bulge is closed, the fixing teeth and the micro-teeth are arranged in a determined mode, the fixed teeth and the micro-teeth interfere with each other when the first bulge is taken out in the anticlockwise direction, the disengaging effect cannot be achieved, the trachea cannula can be fixed firmly, a notch can be formed in the outer side after the first bulge is closed, namely the fixing groove can be used for placing of a suction catheter and fixing of a bite block. When only the fixing ring is adopted, the sputum suction tube can enter from the insertion hole or the fixing groove, and only the inner fixation of the tracheal cannula is carried out at the moment; when the bite-block is used at the fixing groove, the fixing ring and the bite-block are fixed simultaneously, so that the inner and outer dual fixation is realized. The trachea cannula fixing device is firm in fixing, can adopt internal and external fixation simultaneously, is firmer and not easy to fall off compared with the existing adhesive tape or bandage and mask type fixing, does not need the existence of interferents such as bandage and the like to influence the operation, has certain mobility due to the fact that the fixing is not adopted such as the adhesive tape and the like, can be properly adjusted, has wider application scenes, and is convenient to popularize and apply.

Furthermore, the fixing ring is provided with a marking line for positioning.

The beneficial effect of adopting the further scheme is that: when in fixation, the marking line is superposed with the cuff inflation line of the trachea cannula or positioned right in front of the human body, and is used for the integral positioning and fixation of the fixing device.

Furthermore, the diameter of the fixing hole is 9-10.5 mm.

Furthermore, the thickness of the fixing ring is 5-8 mm.

Furthermore, the diameter of the jack is 4-6 mm.

Furthermore, baffles are arranged on two sides of the first groove and the second groove.

The beneficial effect of adopting the further scheme is that: the baffle plate has the advantages that the first bulges and the like are prevented from falling off from the corresponding grooves, so that the first bulges and the like cannot be pulled out in the opposite direction after being inserted, cannot slip from the side surface, and are fixed more firmly and tightly.

Furthermore, the outer layer of the fixing ring is made of silica gel, rubber or cotton cloth.

The beneficial effect of adopting the further scheme is that: the inner layer is made of plastic, the outer layer and the inner layer are tightly connected through a hot melting or sewing method, and the inner layer is required to be non-toxic, free of antigen, unchanged after meeting water, unchanged after being needled and provided with certain plasticity.

Drawings

FIG. 1 is a schematic view of an endotracheal tube fixing device shown open;

FIG. 2 is a schematic view of the endotracheal tube fixing device closed;

wherein, 1, fixing the ring; 2. a fixing hole; 3. a jack; 4. marking a line; 5. a first protrusion; 6. a second protrusion; 7. a third protrusion; 8. a first groove; 9. and fixing the grooves.

Detailed Description

The following detailed description of embodiments of the invention refers to the accompanying drawings.

In one embodiment of the invention, as shown in fig. 1-2, an endotracheal intubation fixing device is provided, which comprises a fixing ring 1, a fixing hole 2 matched with an endotracheal intubation is arranged in the center of the fixing ring 1, a jack 3 for passing a sputum suction tube is arranged on one side of the fixing ring 1, the other side of the fixing ring 1 is a movable end, a first protrusion 5 is arranged on one end of the other side of the fixing ring 1, a first groove 8 is arranged on one side of the first protrusion 5 close to the fixing hole 2, a second protrusion 6 and a third protrusion 7 are further arranged on the fixing ring 1, a second groove is arranged between the second protrusion 6 and the third protrusion 7, the second groove is matched with the first protrusion 5, the third protrusion 7 is matched with the first groove 8, a fixing groove 9 matched with a bite block is arranged on the outer side of the first protrusion 5 and the outer side of the second protrusion 6, a plurality of fixing teeth opposite to the closing direction are arranged on the two sides of the first protrusion 5, micro teeth matched with the fixed teeth are arranged on the inner sides of the second bulge 6 and the third bulge 7. When the trachea cannula fixing device is used, the movable end of the fixing ring 1 is opened and clamped on the trachea cannula, the trachea cannula passes through the fixing hole 2, then the first bulge 5 is inserted into the second groove in a clockwise closing mode, the fixing teeth on two sides of the first bulge 5 are meshed with the micro-teeth on the inner sides of the second bulge 6 and the third bulge 7, the first bulge 5 cannot be taken out from the first groove 8 in the anticlockwise direction after closing, the fixing teeth and the micro-teeth are arranged in the direction, the anticlockwise taking-out is the interference of the fixing teeth and the micro-teeth, the disengaging effect cannot be achieved, the trachea cannula can be fixed firmly, and a notch, namely the fixing groove 9, can be formed on the outer side after the first bulge 5 is closed and can be used for placing a sputum suction tube and fixing a tooth cushion. When only the fixing ring 1 is adopted, the sputum suction tube can enter from the insertion hole 3 or the fixing groove 9, and only the inner fixation of the tracheal cannula is carried out at the time; when the bite block is used at the fixing groove 9, the fixing ring 1 and the bite block are fixed at the same time, so that the inner and outer dual fixation is realized. The trachea cannula fixing device is firm in fixing, can adopt internal and external fixation simultaneously, is firmer and not easy to fall off compared with the existing adhesive tape or bandage and mask type fixing, does not need the existence of interferents such as bandage and the like to influence the operation, has certain mobility due to the fact that the fixing is not adopted such as the adhesive tape and the like, can be properly adjusted, has wider application scenes, and is convenient to popularize and apply.

The fixed ring 1 is provided with a marking line 4 for positioning; when in fixation, the marking line 4 is superposed with the cuff inflation line of the trachea cannula or positioned right in front of the human body, and is used for the integral positioning and fixation of the fixing device. The diameter of the fixing hole 2 is 9-10.5mm, the thickness of the fixing ring 1 is 5-8mm, the diameter of the jack 3 is 4-6mm, and the diameter of the fixing ring 1 can be 25mm, 27mm or 29 mm. Baffles are arranged on two sides of the first groove 8 and the second groove; the baffle plate has the function of preventing the first bulges 5 and the like from falling off from the corresponding grooves, so that the first bulges 5 and the like cannot be pulled out in the opposite direction after being inserted and cannot slip off from the side surface, and the fixation is firmer and tighter. The outer layer of the fixing ring 1 is made of silica gel, rubber or cotton cloth; the inner layer is made of plastic, the outer layer and the inner layer are tightly connected through a hot melting or sewing method, and the inner layer is required to be non-toxic, free of antigen, unchanged after meeting water, unchanged after being needled and provided with certain plasticity.

Taking adult female nose augmentation surgery as an example, selecting a proper model according to the mouth opening degree of a patient and the surgical requirements, selecting a tracheal intubation fixing device with the diameter of 2.7, selecting a reinforced tracheal intubation with the diameter of 6.5, opening a package, wearing sterile gloves, taking out the fixing ring 1, aligning a marking line 4 with a cuff inflation line of a tracheal catheter or a front median line of a human body after intubation, opening the tracheal intubation with a back panel, clamping the tracheal intubation at a position of 20cm (which can be adjusted according to the length of the neck of the patient), and ensuring clamping and incapability of sliding left, right, up and down. After anesthesia induction, the glottis is exposed from the laryngoscope, the tracheal cannula is inserted, the cuff passes through the glottis, the fixing ring 1 withdraws from the laryngoscope when outside the incisors, the mouth of a patient is separated by a reverse occlusion method, the fixing ring 1 is inclined and then plugged into the mouth, and the upper incisors and the lower incisors are clamped. Need maintain certain anesthesia degree of depth in the art, as long as the patient does not actively open big mouth, trachea cannula just can not take off, and after the face disinfection, can seal the mouth with aseptic pad pasting and make the oral cavity and the operation district keep apart on the one hand and guarantee aseptically, prevent that the patient from accidentally opening the mouth on the one hand. After the operation, under the anesthesia state, through solid fixed ring 1 left and right side trompil with inhaling the phlegm pipe thoroughly clearance oral cavity, then place the bite-block through the right side trompil, bite trachea cannula when preventing that the patient from reviving. After the patient completely revives, the patient orders to enlarge the mouth, and the tracheal cannula is pulled out after the tracheal cuff is loosened.

Taking the posterior cervical canal decompression as an example, the internal and external double fixation method is described, the internal fixation method is the same as the above, then the dental pad is placed through the right fixing groove 9, the adhesive plaster and the adhesive plaster are pasted on the face of a patient, and after the internal and external double fixation, the simple external fixation is more reliable. The trachea cannula fixing device has the characteristics of reliability, simplicity, convenience, no damage, time saving and the like, is suitable for various scenes, and is particularly suitable for beauty operation and cervical vertebra operation.

While the present invention has been described in detail with reference to the illustrated embodiments, it should not be construed as limited to the scope of the present patent. Various modifications and changes may be made by those skilled in the art without inventive step within the scope of the appended claims.

Claims

1. A tracheal intubation fixing device is characterized in that, comprising a fixing ring, the center of the fixing ring is provided with a fixing hole that matches with the tracheal intubation, and one side of the fixing ring is provided with a plug for the sputum suction tube to pass through. The other side of the fixing ring is the movable end, and one end of the other side of the fixing ring is provided with a first protrusion, and the side of the first protrusion close to the fixing hole is provided with a first groove, so The fixing ring is also provided with a second protrusion and a third protrusion, a second groove is provided between the second protrusion and the third protrusion, and the second groove is connected with the first protrusion. The protrusions are matched, the third protrusions are matched with the first grooves, the outer sides of the first protrusions and the second protrusions are provided with fixing grooves that match the tooth pads, and the first protrusions and the second protrusions Several fixed teeth opposite to the closing direction are provided on both sides of the protrusion, and micro teeth matching the fixed teeth are provided on the inner side of the second protrusion and the third protrusion.

2 . The endotracheal intubation fixing device according to claim 1 , wherein a marking line for positioning is provided on the fixing ring. 3 .

3 . The endotracheal intubation fixing device according to claim 1 , wherein the diameter of the fixing hole is 9-10.5 mm. 4 .

4 . The endotracheal intubation fixing device according to claim 1 , wherein the fixing ring has a thickness of 5-8 mm. 5 .

5 . The endotracheal intubation fixing device according to claim 1 , wherein the diameter of the insertion hole is 4-6 mm. 6 .

6 . The endotracheal intubation fixing device according to claim 1 , wherein the outer layer of the fixing ring is made of silica gel, rubber or cotton. 7 .