A kind of endotracheal catheter device with infrared facility and bite-block
Technical field
The utility model relates to technical field of medical equipment, especially a kind of novel air pipe with infrared facility and bite-block
Conduit device.
Background technique
Tracheal catheter is a kind of anaesthetic apparatus that Patients with Mechanical Ventilation is used in general anesthesia.In general anesthesia, anesthesia
Doctor needs for be inserted into intratracheally through patient oral cavity the front end of tracheal catheter, and the rear end of tracheal catheter is connected to breathing
Oxygen is sent in Patients with Lung by tracheal catheter and carries out mechanical ventilation by machine, ventilator, to maintain the breathing in patient's art.Institute
To ensure that it is intratracheally particularly significant for vital sign in guarantee patient's art that tracheal catheter front end is located at.But in the course of surgery,
The position of tracheal catheter often changes.
Because tracheal catheter is once influenced during surgery by surgical procedure, the influence of patient body position, is even anticipated
Outer drawing etc. may result in tracheal catheter and be inserted into too deep, excessively shallow or abjection tracheae, this will seriously affect in patient's art
Mechanical ventilation is threatened to patient vitals' safety belt.
The common method of existing monitoring tracheal catheter position is the quarter for visually observing tracheal catheter and being located at patient's front tooth
Degree, but this method can not accomplish real-time monitoring.And in certain operations, the face of patient can be covered by the sterile list of operation
Cover and can not observe the scale of tracheal catheter.Although the front end of some current tracheal catheters can be observed at any time with camera
The position of tracheal catheter, but this tracheal catheter involves great expense, and the camera of its front end is also easy by endotracheal point
Secretion blocks and interferes to observe.
Meanwhile it often will appear the problem of patient teeth bites tracheal catheter in the course of surgery.
Therefore, usually bite-block is fixed at patient's front tooth together with tracheal catheter, for assisting the fixation of tracheal catheter,
Prevent tracheal catheter from being bitten and be displaced in the course of surgery by tooth.And the position of tracheal catheter is monitored using bite-block
The real-time variation most beneficial for discovery tracheal catheter position is set, this not only enriches the function of bite-block, and can make to anaesthetize
Doctor has found the variation of tracheal catheter position in time, improves the safety of anesthesia.And at present still without a kind of monitoring means
The position of tracheal catheter can be displayed in real time and be referred on monitor screen for Anesthetist.
Summary of the invention
The utility model takes full advantage of tooth to solve the problems, such as that the position of existing tracheal catheter is not easy real-time monitoring
Pad the positional relationship between tracheal catheter and the position of tracheal catheter is monitored using bite-block, devise this kind and have infrared dress
Set the endotracheal catheter device with bite-block.
A kind of following technical scheme: endotracheal catheter device with infrared facility and bite-block is specifically used, it is special
Sign is: the device includes conduit, infrared facility and bite-block (15) three parts, and the conduit includes catheter main body (1), conduit master
The lower end of body is provided with gas cell (2), and gas cell (2) is connected with gas tube (3), and gas tube (3) is internal along catheter main body (1)
Body wall from top to bottom, and stretches out catheter main body (1), the end of gas tube (3) is provided with charge valve (4), in conduit master
The outer wall of body (1) have length scale from bottom to top mark (5), and catheter main body (1) upper end be provided with can be absorbed it is infrared
Line part, infrared facility have catheter fixing clamp (7), and catheter fixing clamp (7) includes the fixed arm (14) of two arcs, two fixed arms
Only one end connects, and two fixed arms (14) of catheter fixing clamp (7) have elasticity, and fixed arm (14) is fixedly connected with bite-block
(15), the bite-block (15) is hollow cylindrical body, and catheter main body (1) is placed in fixed arm (14) two sides of catheter fixing clamp (7)
Centre, there are RF transmitter (8) and infrared receiver (9) in fixed arm (14) inside of catheter main body (1) outside respectively, infrared
Device further includes monitor (10), and monitor (10) includes data processor (11), data converter (12) and display (13),
RF transmitter (8) and infrared receiver (9) are connected to the data processor (11) of monitor (10).
Preferably, the catheter main body (1) uses single-lumen bronchial tube or double-lumen catheter.
Preferably, infrared part can be absorbed in described be provided in catheter main body (1) upper end, uses in catheter main body
(1) coating (6) that can absorb infrared ray is coated with inside lumen, which is coated in catheter main body (1) upper end one third
On place's lumen wall up, the density of coating (6) becomes larger from bottom to up with length scale label (5).
Preferably, the density of the coating (6) just changes once at interval of 1 millimeter of coating density.
Preferably, infrared part can be absorbed in described be provided in catheter main body (1) upper end, uses in catheter main body
(1) catheter main body (1) of upper end is internal added with the material that can absorb infrared ray, can absorb material and the conduit master of infrared ray
Body (1) combines together, which is at the one third of entire catheter main body upper end, and can absorb in catheter main body (1) is infrared
The density of wire material becomes larger from bottom to up with length scale label (5), specially at interval of in 1 millimeter of catheter main body
The density that infrared material can be absorbed just changes once.
Preferably, the coating (6) uses nano-titanium dioxide or nano silica, and the catheter main body (1) is interior
Portion is nano-titanium dioxide or nano silica added with the material that can absorb infrared ray.
The utility model has the beneficial effects that: endotracheal catheter device design of this kind with infrared facility and bite-block
Simply, cheap, it is easy to operate, it can very easily with the endotracheal catheter of infrared ray absorbing coating using this kind
The position of real-time monitoring tracheal catheter, the design of bite-block can not only prevent patient teeth from biting tracheal catheter, and to assist gas
The fixation of pipe conduit, while can also monitor whether tracheal catheter is displaced in the course of surgery.Tracheal catheter is prevented to be placed in
It is too deep, excessively shallow, dramatically improve anesthesia safety.
Detailed description of the invention
Fig. 1 is a kind of endotracheal catheter Installation practice with infrared facility and bite-block of the utility model embodiment
1 structural schematic diagram;
Fig. 2 is a kind of endotracheal catheter Installation practice with infrared facility and bite-block of the utility model embodiment
2 structural schematic diagram.
Specific embodiment
Further illustrate the technical solution of the utility model below with reference to the accompanying drawings and specific embodiments.
Embodiment 1 from Fig. 1 it is known that this kind has the endotracheal catheter device of infrared facility and bite-block, including is led
Pipe, 15 three parts of infrared facility and bite-block, the conduit include catheter main body 1, and catheter main body 1 uses single-lumen bronchial tube, leads
The lower end of pipe main body 1 is provided with gas cell 2, and gas cell 2 is connected with gas tube 3, and gas tube 3 is along 1 inside body wall of catheter main body
From top to bottom, and catheter main body 1 is stretched out, the end of gas tube 3 is provided with charge valve 4, has in the outer wall of the catheter main body 1
Length scale label 5 from bottom to top, and the coating 6 that can absorb infrared ray is coated with inside the lumen of 1 upper end of catheter main body,
The coating 6 is coated on the lumen wall at the one third of catheter main body upper end up, and the density of coating 6 is marked with length scale
5 become larger from bottom to up, and the coating 6 uses nano-titanium dioxide or nano silica.The density every of the coating 6
Just change once every 1 millimeter of coating.
Infrared facility has catheter fixing clamp 7, and catheter fixing clamp 7 includes the fixed arm 14 of two arcs, and two fixed arms only have
Two fixed arms 14 of one end connection, catheter fixing clamp 7 have elasticity, and fixed arm 14 is fixedly connected with bite-block 15, the bite-block 15
For hollow cylindrical body, catheter main body 1 is placed among 14 two sides of fixed arm of catheter fixing clamp 7, the fixed arm outside catheter main body 1
There are RF transmitter 8 and infrared receiver 9 in 14 insides respectively, and infrared facility further includes monitor 10, and monitor 10 includes
Data processor 11, data converter 12 and display 13, RF transmitter 8 and infrared receiver 9 are connected to monitor
10 data processor 11.
Real-time monitoring tracheal catheter is carried out using the described kind of endotracheal catheter device with infrared facility and bite-block
The operating method of position and steps are as follows:
Routinely trachea cannula operating procedure will be described new with infrared ray absorbing coating for step 1, first Anesthetist
The lower end of type tracheal catheter is inserted into intratracheally through patient oral cavity;Meanwhile bite-block 15 is also inserted into patient mouthful;
Syringe is connected to the charge valve 4 of 1 upper end of catheter main body by step 2, by the charge valve 4 via gas tube 3
It is inflated to the gas cell 2 of 1 lower end of catheter main body, tracheae is sealed with this, prevents gas when mechanical ventilation from being leaked out by tracheae;
Ventilator is connected at 1 upper end opening of catheter main body by step 3, carries out mechanical ventilation, and observes the double lungs of patient
Fluctuating situation, when double lungs rise and fall it is consistent and auscultate double pulmonary respiration sounds it is clear when, illustrate to be located at 1 lower ending opening of catheter main body
Endotracheal suitable position;
Step 4 observes the numerical value of tracheal catheter length scale label 5 at patient's front tooth, the fixed arm of catheter fixing clamp 7
14 fix tracheal catheter main body 1;
Step 5 adjusts the position of bite-block 15 and catheter fixing clamp 7, make catheter fixing clamp 7 its as far as possible close to front tooth, and
And fixed arm 14 clamps the position that 1 upper end of airway main body has infrared ray absorbing coating 6;
Step 6 is fixed bite-block 15 and 7 self-position of catheter fixing clamp with adhesive tape, while opening infrared ray absorbing prison
Device is surveyed, RF transmitter 8 and infrared receiver 9 work, due in RF transmitter 8 and infrared receiver
There is infrared ray absorbing coating 6 among 9, RF transmitter 8 and the obtained data of infrared receiver 9 pass to data processor
11, after data processing, then data converter 12 is passed to, finally shown on the monitor 13, by display 13
Data show that we can be with the shift in position of real-time judge tracheal catheter.
Embodiment 2, from, it is known that being in the embodiment with the difference in embodiment 1, catheter main body 1 uses in Fig. 2
Double-lumen catheter is used there are also being exactly that 1 upper end of catheter main body is provided with infrared part can be absorbed in catheter main body 1
Added with the material that can absorb infrared ray inside the catheter main body 1 of upper end, the material and catheter main body 1 that can absorb infrared ray melt
It is integrated, which is that can absorb the close of infrared material in catheter main body 1 at the one third of entire catheter main body upper end
Degree becomes larger from bottom to up with length scale label 5, specially red at interval of can absorb in 1 millimeter of catheter main body
The density of outside material just changes once.
Catheter main body 1 is using double-lumen catheter, it is meant that catheter main body 1 has two conduits, the left side
For left conduit 17, the right is right conduit 18, and the lower end of left conduit 17 is additionally provided with one small gas cell 16, the small gas cell 16
Equally there is gas tube 3 to be connected to the outside of catheter main body 1 from catheter interior, and is also equipped with charge valve 4.
Implementation steps (by taking the double-lumen catheter of left side as an example)
Step 1, first Anesthetist described will be inhaled by the intubation step of left side double-lumen catheter with infrared ray
The lower end for receiving the endotracheal catheter of material is inserted into intratracheally through patient oral cavity;Meanwhile bite-block 15 is also inserted into patient mouthful;
Syringe is connected to the charge valve 4 of left 17 upper end of conduit by step 2, by the charge valve 4 via gas tube 3 to
The small gas cell 16 of left 17 lower end of conduit is inflated, and seals left side bronchus with this, and gas is by left side branch when preventing mechanical ventilation
Tracheae leaks out;
Syringe is connected to the charge valve 4 of right 18 upper end of conduit by step 3, by the charge valve 4 via gas tube 3 to
The gas cell 2 of right 18 lower end of conduit inflates, and seals main tracheae with this, prevents gas when mechanical ventilation from being leaked out by main tracheae;
Ventilator is connected at left 17 upper end opening of conduit by step 4, carries out mechanical ventilation, and observe the left lung of patient
Fluctuating situation, when left lung have fluctuating and auscultate left pulmonary respiration sound it is clear when, illustrate at left 17 lower ending opening of conduit be located at left side
Intrabronchial suitable position;
Ventilator is connected at right 18 upper end opening of conduit by step 5, carries out mechanical ventilation, and observe patient's right lung
Fluctuating situation, when right lung have fluctuating and auscultate right lung breath sound it is clear when, illustrate at right 18 lower ending opening of conduit be located at main gas
Suitable position in pipe;
Step 6 observes the numerical value of left 17 length scale label 5 of conduit at patient's front tooth, the fixed arm of catheter fixing clamp 7
14 fix left conduit 17 and right conduit 18;
Step 7 adjusts the position of bite-block 15 and catheter fixing clamp 7, make catheter fixing clamp 7 its as far as possible close to front tooth, and
And fixed arm 14 clamps left conduit 17 and 18 upper end of right conduit has the position of infrared absorbing material;
Step 8 is fixed bite-block 15 and 7 self-position of catheter fixing clamp with adhesive tape, while opening infrared ray absorbing prison
Device is surveyed, RF transmitter 8 and infrared receiver 9 work, due in RF transmitter 8 and infrared receiver
There is infrared ray absorbing coating 6 among 9, RF transmitter 8 and the obtained data of infrared receiver 9 pass to data processor
11, after data processing, then data converter 12 is passed to, finally shown on the monitor 13, by display 13
Data show that we can be with the shift in position of real-time judge tracheal catheter.
The preferable specific embodiment of the above, only the utility model, but the protection scope of the utility model is not
Be confined to this, any people for being familiar with the technology is in the technical scope disclosed by the utility model, the variation that can readily occur in or
Replacement, should be covered within the scope of the utility model.Therefore, the protection scope of the utility model should be wanted with right
Subject to the protection scope asked.