CN217339676U - Trachea cannula capable of automatically discharging phlegm by one-way airflow - Google Patents
Trachea cannula capable of automatically discharging phlegm by one-way airflow Download PDFInfo
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- CN217339676U CN217339676U CN202220061454.XU CN202220061454U CN217339676U CN 217339676 U CN217339676 U CN 217339676U CN 202220061454 U CN202220061454 U CN 202220061454U CN 217339676 U CN217339676 U CN 217339676U
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- 210000003437 trachea Anatomy 0.000 title claims abstract description 9
- 206010062717 Increased upper airway secretion Diseases 0.000 title claims abstract description 6
- 208000026435 phlegm Diseases 0.000 title claims abstract description 6
- 238000007599 discharging Methods 0.000 title claims abstract 5
- 206010036790 Productive cough Diseases 0.000 claims abstract description 24
- 210000003802 sputum Anatomy 0.000 claims abstract description 22
- 208000024794 sputum Diseases 0.000 claims abstract description 22
- 210000004072 lung Anatomy 0.000 claims abstract description 20
- 230000003434 inspiratory effect Effects 0.000 claims abstract description 8
- 239000004816 latex Substances 0.000 claims description 11
- 229920000126 latex Polymers 0.000 claims description 11
- 230000028327 secretion Effects 0.000 abstract description 6
- 230000000241 respiratory effect Effects 0.000 abstract description 3
- 230000000694 effects Effects 0.000 abstract description 2
- 238000002627 tracheal intubation Methods 0.000 description 10
- 238000009423 ventilation Methods 0.000 description 8
- 230000029142 excretion Effects 0.000 description 5
- 210000004877 mucosa Anatomy 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 210000002345 respiratory system Anatomy 0.000 description 3
- 230000008602 contraction Effects 0.000 description 2
- 239000007789 gas Substances 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 231100000017 mucous membrane irritation Toxicity 0.000 description 2
- 210000003097 mucus Anatomy 0.000 description 2
- 230000000284 resting effect Effects 0.000 description 2
- 210000000115 thoracic cavity Anatomy 0.000 description 2
- 206010057190 Respiratory tract infections Diseases 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 210000004081 cilia Anatomy 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 210000002919 epithelial cell Anatomy 0.000 description 1
- 210000002175 goblet cell Anatomy 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 238000010992 reflux Methods 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
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Abstract
Description
技术领域technical field
本实用新型属于医疗器械技术领域,具体涉及一种单向气流自动排痰的气管插管。The utility model belongs to the technical field of medical devices, in particular to a tracheal intubation tube for automatic sputum excretion with one-way airflow.
背景技术Background technique
气管插管是保证呼吸道通畅、抢救通气功能障碍的重要措施。气管插管替代气管形成气道,对抢救生命、降低病死率起到了重要作用。气管壁的粘膜层上的柱状上皮细胞顶端的纤毛具有清除呼吸道分泌物和痰液的作用,能够促进痰液排出。但目前使用的气管插管缺乏排痰功能,吸气时,痰液在气流和重力的双重作用下返回并滞留在气管,不易排出;而且气管插管刺激呼吸道杯状细胞的粘液分泌,增大了痰量,提高了呼吸道感染和呼吸道阻塞的可能性,也加大了临床护理的工作量,因此亟需一种具有排痰功能的气管插管。Tracheal intubation is an important measure to ensure airway patency and rescue ventilation dysfunction. Tracheal intubation replaces the trachea to form an airway, which plays an important role in saving lives and reducing mortality. The cilia at the top of the columnar epithelial cells on the mucous layer of the tracheal wall have the function of clearing respiratory secretions and sputum, and can promote the excretion of sputum. However, the currently used tracheal intubation lacks sputum expectoration function. When inhaling, the sputum returns and stays in the trachea under the dual action of airflow and gravity, which is not easy to be discharged. Moreover, the tracheal intubation stimulates the mucus secretion of the goblet cells in the respiratory tract, increasing the size of the mucus. The sputum volume is increased, the possibility of respiratory tract infection and respiratory tract obstruction is increased, and the workload of clinical nursing is also increased. Therefore, a tracheal intubation with sputum expectoration function is urgently needed.
实用新型内容Utility model content
针对上述现有技术中存在的问题,本实用新型提供了一种单向气流自动排痰的气管插管,并具体公开了以下技术方案:In view of the problems existing in the above-mentioned prior art, the utility model provides a tracheal intubation tube with one-way airflow to automatically expel phlegm, and specifically discloses the following technical solutions:
一种单向气流自动排痰的气管插管,包括导管本体,所述导管本体内设置有弹性隔膜,所述弹性隔膜将导管内腔分隔为呼气通道与吸气通道,所述吸气通道的远肺端设置有单向瓣膜。A tracheal intubation for automatic sputum excretion by one-way airflow, comprising a catheter body, an elastic diaphragm is arranged in the catheter body, and the elastic diaphragm separates the inner cavity of the catheter into an exhalation channel and an inhalation channel, and the inhalation channel The distal end of the lung is provided with a one-way valve.
进一步的,所述呼气通道与所述吸气通道在导管本体的远肺端形成分叉,所述吸气通道的远肺端出口处安装有呼吸机连接接头,所述呼气通道的远肺端出口处设置有乳胶薄膜,所述乳胶薄膜的一端与呼气通道的端部侧壁连接,另一端为柔性自由端。Further, the exhalation channel and the inhalation channel form a bifurcation at the distal lung end of the catheter body, a ventilator connection joint is installed at the outlet of the distal lung end of the inhalation channel, and the distal end of the exhalation channel is installed. A latex film is arranged at the exit of the lung end, one end of the latex film is connected to the end sidewall of the exhalation channel, and the other end is a flexible free end.
进一步的,所述导管本体的横截面为椭圆,且椭圆的长轴与短轴的比值为5/4。Further, the cross section of the catheter body is an ellipse, and the ratio of the major axis to the minor axis of the ellipse is 5/4.
进一步的,所述弹性隔膜沿导管内腔横截面的短轴将导管内腔分隔为呼气通道与吸气通道,所述弹性隔膜的宽度大于导管内腔横截面的短轴长度且小于导管内腔横截面周长的1/2。Further, the elastic diaphragm divides the catheter lumen into an exhalation channel and an inhalation channel along the short axis of the cross section of the catheter lumen, and the width of the elastic diaphragm is greater than the short axis length of the cross section of the catheter lumen and smaller than the length of the inner lumen of the catheter. 1/2 of the perimeter of the cavity cross-section.
进一步的,所述导管本体的近肺端固定有套囊,所述套囊上连通套囊导管,所述套囊导管的自由端沿导管本体向远肺端延伸。Further, a cuff is fixed on the proximal end of the catheter body, the cuff is connected to the cuff catheter, and the free end of the cuff catheter extends along the catheter body to the distal end of the lung.
与现有技术相比,本实用新型的有益效果在于:Compared with the prior art, the beneficial effects of the present utility model are:
本实用新型的导管本体的横截面为椭圆,其长轴与短轴的比值为5/4,增加了导管本体与气管粘膜的接触面,分散了导管本体对气管粘膜的压力,降低了压力引起的粘膜刺激,提高了患者的舒适度;The cross section of the catheter body of the utility model is an ellipse, and the ratio of the long axis to the short axis is 5/4, which increases the contact surface between the catheter body and the tracheal mucosa, disperses the pressure of the catheter body on the tracheal mucosa, and reduces the pressure caused by the pressure. increased mucosal irritation and improved patient comfort;
导管本体中心有一个弹性隔膜,将导管分成吸气通道和呼气通道两个独立的通道,在呼吸周期内,呼出的气体可以持续由呼气通道向体外排出,气流的动能使呼吸道中的分泌物和痰液持续向体外单方向流动,起到自动排痰功能,消除或降低了痰栓阻塞插管的作用,能延长带管时间;There is an elastic diaphragm in the center of the catheter body, which divides the catheter into two independent channels: the inspiratory channel and the expiratory channel. During the breathing cycle, the exhaled gas can be continuously discharged from the expiratory channel to the body, and the kinetic energy of the airflow can make the secretion in the respiratory tract. The sputum and sputum continue to flow in one direction outside the body, which plays an automatic sputum excretion function, eliminates or reduces the effect of the phlegm plug blocking the intubation, and prolongs the tube-carrying time;
弹性隔膜的宽度大于导管本体横截面的短轴长度而小于导管本体横截面周长的二分之一,从导管本体的横截面上看,弹性隔膜在静息状态下,处于导管内腔的中部,呈S型,吸气时,呼吸机施加正压通气,吸气通道的单向瓣膜打开,吸气通道内的气压高于呼气通道内气压,隔膜在气流的作用下,向呼气通道偏离,呼气时,胸廓收缩运动,使肺内压力增加,超过大气压,弹性隔膜在气流的作用下,向吸气通道偏离,这种在通气时通道变大,而不通气时通道变小的设计大大增加了通气效率;The width of the elastic diaphragm is greater than the length of the short axis of the cross section of the catheter body and less than half of the circumference of the cross section of the catheter body. Viewed from the cross section of the catheter body, the elastic diaphragm is in the middle of the catheter lumen in the resting state. , S-shaped, when inhaling, the ventilator applies positive pressure ventilation, the one-way valve of the inspiratory channel opens, the air pressure in the inspiratory channel is higher than the air pressure in the expiratory channel, and the diaphragm moves toward the expiratory channel under the action of airflow. Deviation, when exhaling, the thoracic contraction movement increases the pressure in the lungs, exceeding the atmospheric pressure, and the elastic diaphragm deviates from the inspiratory channel under the action of airflow. This channel becomes larger during ventilation, and becomes smaller when it is not ventilated. The design greatly increases the ventilation efficiency;
呼气通道在远肺端的出口设置一个乳胶薄膜,呼气时的呼出气流能冲开乳胶薄膜而排出,并能阻止气流的反流。A latex film is arranged at the outlet of the exhalation channel at the far end of the lung, and the exhaled air flow during exhalation can punch through the latex film and be discharged, and can prevent the backflow of the air flow.
附图说明Description of drawings
图1为本实用新型的整体结构示意图。FIG. 1 is a schematic diagram of the overall structure of the present invention.
图2为本实用新型导管本体的横截面示意图。FIG. 2 is a schematic cross-sectional view of the catheter body of the present invention.
图3为吸气状态下的单向瓣膜状态示意图。FIG. 3 is a schematic diagram of the state of the one-way valve in the inspiratory state.
图4为呼气状态下的单向瓣膜状态示意图。FIG. 4 is a schematic diagram of the state of the one-way valve in the expiratory state.
1-导管本体、2-弹性隔膜、3-呼气通道、4-吸气通道、5-单向瓣膜、6-呼吸机连接接头、7-乳胶薄膜、8-套囊、9-套囊导管。1- catheter body, 2- elastic diaphragm, 3- expiratory channel, 4- inhalation channel, 5- one-way valve, 6- ventilator connection joint, 7- latex film, 8- cuff, 9- cuff catheter .
具体实施方式Detailed ways
下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present utility model will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present utility model. Obviously, the described embodiments are only a part of the embodiments of the present utility model, rather than all the implementations. example. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.
参照图1-4,一种单向气流自动排痰的气管插管,包括导管本体1,所述导管本体1内设置有弹性隔膜2,所述弹性隔膜2将导管内腔分隔为呼气通道3与吸气通道4,所述吸气通道4的远肺端设置有单向瓣膜5,所述呼气通道3与所述吸气通道4在导管本体1的远肺端形成分叉,所述吸气通道4的远肺端出口处安装有呼吸机连接接头6,所述呼气通道3的远肺端出口处设置有乳胶薄膜7,所述乳胶薄膜7的一端与呼气通道的端部侧壁连接,另一端为柔性自由端。Referring to Figures 1-4, a tracheal intubation for automatic sputum excretion by one-way airflow includes a
呼气时,气流带动痰液和分泌物由呼气通道3排出,呼气通道3的远肺端出口处可以连接一个储痰器,用于存储排除的痰液,呼气通道远肺端出口的乳胶薄膜7,可以保证痰液及分泌物顺利排出,并且能防止其反流;吸气通道4通过呼吸机连接接头6连接呼吸机,吸气时,呼吸机供应的氧气经吸气通道4进入到人体内,单向瓣膜5的设置可以保证吸气通道4内的气体流动方向只能由远肺端流向近肺端,防止其出现反流。When exhaling, the air flow drives sputum and secretions to be discharged from the
本实施例中,所述导管本体1的横截面为椭圆,且椭圆的长轴与短轴的比值为5/4,增加了导管本体1与气管粘膜的接触面,分散了导管本体1对气管粘膜的压力,降低了压力引起的粘膜刺激,提高了患者的舒适度。In this embodiment, the cross section of the
本实施例中,所述弹性隔膜2沿导管内腔横截面的短轴将导管内腔分隔为呼气通道3与吸气通道4,所述弹性隔膜2的宽度大于导管内腔横截面的短轴长度且小于导管内腔横截面周长的1/2。In this embodiment, the
从导管本体1的横截面上看,弹性隔膜2在静息状态下,处于导管内腔的中部,呈S型。吸气时,呼吸机施加正压通气,吸气通道4的单向瓣膜5打开,吸气通道4内的气压高于呼气通道3内气压,隔膜在气流的作用下,向呼气通道3偏离。呼气时,胸廓收缩运动,使肺内压力增加,超过大气压。弹性隔膜2在气流的作用下,向吸气通道4偏离。这种在通气时通道变大,而不通气时通道变小的设计大大增加了通气效率。Viewed from the cross section of the
本实施例中,所述导管本体1的近肺端固定有套囊8,所述套囊8上连通套囊导管9,所述套囊导管9的自由端沿导管本体1向远肺端延伸,通过套囊导管9可以对套囊8进行充气,套囊8充气膨胀后可以卡在气管内,从而对导管本体1实现固定,防止导管本体1在气管内移动。In this embodiment, a
以上所述,仅是本实用新型较佳实施例而已,并非对本实用新型的技术范围作任何限制,故凡是依据本实用新型的技术实质对以上实施例所作的任何细微修改、等同变化与修饰,均仍属于本实用新型技术方案的范围的。The above are only preferred embodiments of the present utility model, and are not intended to limit the technical scope of the present utility model. Therefore, any minor modifications, equivalent changes and modifications made to the above embodiments according to the technical essence of the present utility model, All still belong to the scope of the technical solution of the present invention.
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