CN211050598U - Silica gel steel wire reinforced trachea cannula capable of being directly connected with end-expiratory carbon dioxide monitoring - Google Patents
Silica gel steel wire reinforced trachea cannula capable of being directly connected with end-expiratory carbon dioxide monitoring Download PDFInfo
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- CN211050598U CN211050598U CN201921655084.7U CN201921655084U CN211050598U CN 211050598 U CN211050598 U CN 211050598U CN 201921655084 U CN201921655084 U CN 201921655084U CN 211050598 U CN211050598 U CN 211050598U
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Abstract
The utility model discloses a can directly link silica gel steel wire strenghthened type trachea cannula of end-tidal carbon dioxide monitoring, including main trachea, main tracheal upper end fixedly connected with connector, the position fixedly connected with cuff of bottom is close to main tracheal surface, the position fixedly connected with high-pressurepipe and the gas hose of connector are close to main tracheal surface, high-pressurepipe is located one side of gas hose, high-pressurepipe's one end is connected with the cuff, high-pressurepipe's other end fixedly connected with instructs the gasbag, instruct the upper end surface fixedly connected with valve of gasbag. The utility model discloses mainly to the silica gel steel wire strenghthened type trachea cannula that can directly link end-expiratory carbon dioxide monitoring, connect end-expiratory CO2 monitoring through this product and compare and use the elbow to connect end-expiratory CO2 monitoring in the tradition and show and reduce invalid chamber tolerance, reduce the repetition and inhale, the reducible breathing machine is supplementary or control breathes the incidence of infant's hypercapnia.
Description
Technical Field
The utility model relates to the technical field of medical equipment, in particular to a silica gel steel wire reinforced trachea cannula capable of being directly connected with end-expiratory carbon dioxide monitoring.
Background
The trachea cannula is a technique that a special trachea catheter is placed into a trachea through a glottis and is called as trachea cannula, the technique can provide optimal conditions for unobstructed airways, ventilation and oxygen supply, respiratory tract suction, prevention of aspiration and the like, and the emergency trachea cannula technique becomes an important measure in the rescue process of cardiopulmonary resuscitation and critical patients accompanied with respiratory dysfunction. The trachea intubation is an important rescue technique commonly used in emergency treatment work, is one of the most widely applied, most effective and most rapid means in respiratory tract management, is a basic skill which must be mastered by medical staff, and plays a vital role in rescuing the life of a patient and reducing the fatality rate;
Indication of emergency endotracheal intubation:
firstly, the spontaneous respiration of a patient is suddenly stopped;
secondly, the requirement of ventilation and oxygen supply of the body can not be met, and mechanical ventilation is needed;
thirdly, the patient who can not automatically clear the secretion of the upper respiratory tract and the reflux or bleeding of the content in the stomach sometimes has aspiration;
fourthly, patients with upper respiratory tract injury, stenosis, obstruction, tracheoesophageal fistula and other influences on normal ventilation exist;
acute respiratory failure;
⑥, central or peripheral respiratory failure;
Therefore, the auxiliary or breath control of the tracheal intubation connected with a breathing machine is an important technology which is very commonly used in emergency treatment, intensive care units and general anesthesia operations;
However, the tracheal cannula has the following defects when in use: the breathing tube can not be directly connected with a connector monitored by end-expiratory CO2, and the breathing tube can be connected with the connector monitored by end-expiratory CO2 through an exhaust hole of an elbow in a respirator threaded tube set, so that for infants (especially infants less than 1 year old) and newborns (especially premature infants) with mechanical ventilation through trachea cannula, the small elbow greatly increases invalid cavities during ventilation, and hypercapnia of children patients with type II respiratory failure or laparoscopic surgery and the like is aggravated, and a series of hazards are generated;
Reason (mechanism): the tidal volume of infants and newborns is very small, and is (6-8) ml/kg, and calculated as 7ml/kg for a newborn with a weight of 2.5kg, and the tidal volume is 2.5 × 7-17.5 ml. Whereas the anatomical void space is 30% and 5.25ml, the effective alveolar ventilation in tidal volume is only 17.5 x 70%, i.e. 12.25 ml. However, the exhaust hole of the elbow is connected with the joint monitored by the end-tidal CO2, so that the dead space is increased by about 10ml, namely, the dead space amount is changed to 3 times of the original dead space amount. Children with type II respiratory failure have hypercapnia; children with laparoscopic surgery have difficulty correcting (still uncorrectable by increasing tidal volume and respiratory rate) hypercapnia due to CO2 pneumoperitoneum moving up the diaphragm, reduced lung volume, reduced alveolar ventilation, and CO2 uptake into the blood from the peritoneum. However, the dead space is increased by about 10ml by connecting the exhaust hole of the elbow with a connector monitored by end-tidal CO2, and the expired waste gas remained in the elbow during expiration can be repeatedly inhaled during the next inspiration, so that the arterial blood CO2 level is further increased, and a series of hazards (serious respiratory acidosis, electrolyte disorder, arrhythmia, nervous system inhibition, increased surgical bleeding and the like) caused by hypercapnia are aggravated.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide a can directly link last carbon dioxide monitoring's of exhaling silica gel steel wire strenghthened type trachea cannula to solve the problem that provides in the above-mentioned background art.
In order to achieve the above object, the utility model provides a following technical scheme: can directly link silica gel steel wire strenghthened type trachea cannula of end-expiratory carbon dioxide monitoring, including main trachea, main tracheal upper end fixedly connected with connector, the position fixedly connected with cuff of bottom is close to main tracheal surface, main tracheal surface is close to position fixedly connected with high-pressure gas pipe and the gas hose of connector, high-pressure gas pipe is located one side of gas hose, high-pressure gas pipe's one end is connected with the cuff, high-pressure gas pipe's other end fixedly connected with instructs the gasbag, the upper end surface fixedly connected with valve of instructing the gasbag, gas hose's one end is connected with main trachea, and its other end fixedly connected with connector, the surface of connector is close to the position fixedly connected with otic placode of lower extreme.
Preferably, the number of the ear plates is two, and the ear plates are symmetrically arranged on two sides of the connector by taking the center of the connector as a midpoint.
Preferably, the size of the aperture of the connector is matched with the connector on the end-tidal CO2 monitoring machine.
Preferably, one third of the length of the high-pressure trachea connected with the cuff is stuck on the inner wall of the main trachea.
Compared with the prior art, the beneficial effects of the utility model are that: the utility model adds a series of structural components such as a gas hose, a connector, an ear plate and the like on the prior trachea cannula, when the device is used, the bottom end of the main trachea is inserted into the trachea of a patient, and the cuff is inflated through the valve, the indicating air bag and the high-pressure trachea to expand and enlarge the cuff, so that the cuff is attached to the inner wall of the laryngeal tube of the patient to prevent sputum and extravasated blood from entering the respiratory tract of the patient, then the connector on the main air pipe is connected with the respirator, at the moment, the user takes the connector again, the forefinger and the thumb hold the ear plate, the connector is butted with the connection point on the end-expiratory CO2 monitoring machine, the connector is communicated and connected with the connection point on the end-expiratory CO2 monitoring machine, the end-expiratory CO2 monitoring machine can be directly connected with the air hose through the connector, the connection through switching devices such as a bent head is avoided, thereby reducing ineffective cavities during ventilation and helping to relieve or correct hypercapnia of children patients;
The device structure is used for connecting the end-expiratory CO2 to monitor, compared with the elbow to connect the end-expiratory CO2 to monitor, the device structure can obviously reduce the invalid cavity air volume and reduce repeated inhalation for infants (especially infants not younger than 1 year old) and new-born infants (especially premature infants) which are ventilated by trachea intubation during emergency treatment, intensive care wards or general anesthesia operation, can reduce the incidence rate of hypercapnia of respiratory patients by a respirator, can reduce or control hypercapnia of respiratory patients in two types of respiratory failure patients with hypercapnia and laparoscopic surgery patients with hypercapnia which still can not be corrected by increasing the tidal volume and the respiratory frequency, and can reduce or correct hypercapnia of patients by connecting the end-expiratory CO2 to monitor and comparing with the elbow and other switching devices to connect the end-expiratory CO2 to monitor, and the like, can reduce or correct hypercapnia of patients by increasing the tidal volume and the respiratory frequency, so as to avoid a series of damages (serious respiratory acidosis, electrolyte disorder, arrhythmia, nervous system inhibition, increased surgical bleeding and the like) caused by hypercapnia to the infant patients and reduce the increased medical expenses of the infant patients.
Drawings
Fig. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a combination view of the connector and the gas hose of the present invention;
Fig. 3 is a combination view of the connector and the ear plate of the present invention.
In the figure: 1. a main air pipe; 2. a connector; 3. an indicating air bag; 4. a high-pressure air pipe; 5. a valve; 6. a cuff; 7. a gas hose; 8. a connector; 9. an ear plate.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely below, and it should be understood that the described embodiments are only some embodiments of the present invention, but not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
Referring to fig. 1 to 3, the present invention provides a technical solution: the silica gel steel wire reinforced trachea cannula capable of being directly connected with end-tidal carbon dioxide monitoring comprises a main trachea 1, as shown in figure 1, a connector 2 is fixedly connected to the upper end of the main trachea 1, a cuff 6 is fixedly connected to the position, close to the bottom end, of the outer surface of the main trachea 1, a high-pressure trachea 4 and a gas hose 7 are fixedly connected to the position, close to the connector 2, of the outer surface of the main trachea 1, the high-pressure trachea 4 is located on one side of the gas hose 7, one end of the high-pressure trachea 4 is connected with the cuff 6, the other end of the high-pressure trachea 4 is fixedly connected with an indicating air bag 3, and a valve 5 is fixedly connected to the outer;
As shown in fig. 2 and 3, one end of the gas hose 7 is connected with the main gas pipe 1, and the other end of the gas hose is fixedly connected with the connector 8, the outer surface of the connector 8 is close to the fixedly connected with ear plates 9 at the lower end, the number of the ear plates 9 is two, and the center of the connector 8 is used as the midpoint symmetry to be arranged at the two sides of the connector 8, and medical personnel pinch the ear plates 9 at the two sides by the forefinger and the thumb to increase the contact area between the fingers and the connector 8, so that the medical personnel can conveniently plug the connector 8 and fix the connection point on the end-expiratory CO2 monitoring machine.
The utility model mainly aims at the silica gel steel wire reinforced trachea cannula which can be directly connected with the end-expiratory carbon dioxide monitoring, the utility model adds a series of structural components such as a gas hose 7, a connector 8 and an ear plate 9 on the prior trachea cannula, when the device is used, the bottom end of a main trachea 1 is inserted into the throat of a patient, then a cuff 6 is inflated through a valve 5, an indication air bag 3 and a high-pressure trachea 4, so that the cuff is expanded and enlarged, thereby the cuff is attached to the inner wall of the throat of the patient, sputum and extravasated blood are prevented from entering the respiratory tract of the patient, then a connector 2 on the main trachea 1 is connected with a respirator, at the moment, a user takes the connector 8 again, the forefinger and the thumb hold the ear plate 9, the connector 8 is butted with a connection point on the end-expiratory CO2 monitoring machine, the connector 8 is connected with a connection point on the end-expiratory CO2 monitoring machine, so that the end-expiratory CO2 monitoring, the connection through switching devices such as elbows and the like is avoided, so that invalid cavities during ventilation are reduced, and the hypercapnia of children patients is relieved or corrected;
Compared with the device structure which is connected with an end-expiratory CO2 for monitoring infants (especially infants not younger than 1 year old) and newborns (especially premature infants) with trachea cannula mechanical ventilation in emergency treatment, intensive care units or general anesthesia operations, the device structure can be used for connecting the end-expiratory CO2 to monitor the infants and the newborns, obviously reducing the invalid cavity air volume and reducing repeated inhalation compared with the method for connecting an elbow with the end-expiratory CO2 to monitor the hypercapnia of the infants with the assistance of a breathing machine or controlling the incidence rate of the hypercapnia of the infants, and for the infants with the two types of respiratory failure with hypercapnia and the infants with the laparoscopic surgery with the hypercapnia which still cannot be corrected by increasing the tidal volume and the breathing frequency, the device structure can be used for connecting the end-CO 2 to monitor the infants and can reduce or correct the hypercapnia of the infants (especially the hypercapnia which still cannot be corrected by increasing the tidal volume and the breathing frequency) so as to avoid a series of hazards (serious respiratory property) of the hypercapn Acidosis, electrolyte disorders, arrhythmia, nervous system depression, increased surgical bleeding, etc.), and thus the increased medical costs of the infant patients.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (4)
1. Can directly link last carbon dioxide monitoring's of exhaling silica gel steel wire strenghthened type trachea cannula, including main trachea (1), its characterized in that: the upper end of the main air pipe (1) is fixedly connected with a connector (2), the position of the outer surface of the main air pipe (1) close to the bottom end is fixedly connected with a cuff (6), the outer surface of the main air pipe (1) is fixedly connected with a high-pressure air pipe (4) and an air hose (7) at a position close to the connector (2), the high-pressure air pipe (4) is positioned at one side of the air hose (7), one end of the high-pressure air pipe (4) is connected with the cuff (6), the other end of the high-pressure air pipe (4) is fixedly connected with an indicating air bag (3), the outer surface of the upper end of the indicating air bag (3) is fixedly connected with a valve (5), one end of the gas hose (7) is connected with the main gas pipe (1), and the other end of the connecting rod is fixedly connected with a connecting head (8), and the outer surface of the connecting head (8) is fixedly connected with an ear plate (9) at a position close to the lower end.
2. The silicone steel wire reinforced endotracheal tube capable of direct connection with end-tidal carbon dioxide monitoring according to claim 1, characterized in that: the number of the ear plates (9) is two, and the ear plates are symmetrically arranged on two sides of the connector (8) by taking the center of the connector (8) as a midpoint.
3. The silicone steel wire reinforced endotracheal tube capable of direct connection with end-tidal carbon dioxide monitoring according to claim 1, characterized in that: the size of the aperture of the connector (8) is matched with the connector on the end-tidal CO2 monitoring machine.
4. The silicone steel wire reinforced endotracheal tube capable of direct connection with end-tidal carbon dioxide monitoring according to claim 1, characterized in that: one third of the length of the high-pressure air pipe (4) connected with the cuff (6) is stuck on the inner wall of the main air pipe (1).
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CN201921655084.7U CN211050598U (en) | 2019-09-30 | 2019-09-30 | Silica gel steel wire reinforced trachea cannula capable of being directly connected with end-expiratory carbon dioxide monitoring |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN110538369A (en) * | 2019-09-30 | 2019-12-06 | 张馥镇 | silica gel steel wire reinforced trachea cannula capable of being directly connected with end-expiratory carbon dioxide monitoring |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN110538369A (en) * | 2019-09-30 | 2019-12-06 | 张馥镇 | silica gel steel wire reinforced trachea cannula capable of being directly connected with end-expiratory carbon dioxide monitoring |
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CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20200721 |
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CF01 | Termination of patent right due to non-payment of annual fee |