CN219126345U - Non-intubate general anesthesia exhales end carbon dioxide monitoring devices down - Google Patents
Non-intubate general anesthesia exhales end carbon dioxide monitoring devices down Download PDFInfo
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- CN219126345U CN219126345U CN202222542346.7U CN202222542346U CN219126345U CN 219126345 U CN219126345 U CN 219126345U CN 202222542346 U CN202222542346 U CN 202222542346U CN 219126345 U CN219126345 U CN 219126345U
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- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 title claims abstract description 44
- 229910002092 carbon dioxide Inorganic materials 0.000 title claims abstract description 22
- 239000001569 carbon dioxide Substances 0.000 title claims abstract description 22
- 238000002695 general anesthesia Methods 0.000 title claims abstract description 19
- 238000012806 monitoring device Methods 0.000 title claims abstract description 9
- 210000000214 mouth Anatomy 0.000 claims abstract description 35
- 238000012544 monitoring process Methods 0.000 claims abstract description 9
- 239000003292 glue Substances 0.000 claims description 3
- 229920000915 polyvinyl chloride Polymers 0.000 claims description 3
- 239000004800 polyvinyl chloride Substances 0.000 claims description 3
- 230000029058 respiratory gaseous exchange Effects 0.000 abstract description 8
- 230000035565 breathing frequency Effects 0.000 abstract 1
- 239000007789 gas Substances 0.000 description 34
- 230000002685 pulmonary effect Effects 0.000 description 4
- 238000002627 tracheal intubation Methods 0.000 description 4
- 230000010354 integration Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000000241 respiratory effect Effects 0.000 description 3
- 230000036391 respiratory frequency Effects 0.000 description 3
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 2
- 230000017531 blood circulation Effects 0.000 description 2
- 231100000252 nontoxic Toxicity 0.000 description 2
- 230000003000 nontoxic effect Effects 0.000 description 2
- 229910052760 oxygen Inorganic materials 0.000 description 2
- 239000001301 oxygen Substances 0.000 description 2
- 239000011148 porous material Substances 0.000 description 2
- 238000009423 ventilation Methods 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 208000000094 Chronic Pain Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 208000004756 Respiratory Insufficiency Diseases 0.000 description 1
- 206010038678 Respiratory depression Diseases 0.000 description 1
- 206010039897 Sedation Diseases 0.000 description 1
- 206010000210 abortion Diseases 0.000 description 1
- 231100000176 abortion Toxicity 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000036592 analgesia Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000000994 depressogenic effect Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 230000002496 gastric effect Effects 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 238000013188 needle biopsy Methods 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000001681 protective effect Effects 0.000 description 1
- 238000007674 radiofrequency ablation Methods 0.000 description 1
- 230000011514 reflex Effects 0.000 description 1
- 230000036280 sedation Effects 0.000 description 1
- 230000002269 spontaneous effect Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/20—Air quality improvement or preservation, e.g. vehicle emission control or emission reduction by using catalytic converters
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- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
- Investigating Or Analysing Biological Materials (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Abstract
Description
技术领域technical field
本实用新型属于医疗器械技术领域,具体涉及一种非插管全麻下呼末二氧化碳监测装置。The utility model belongs to the technical field of medical devices, in particular to a device for monitoring end-tidal carbon dioxide under general anesthesia without intubation.
背景技术Background technique
不插管全麻,意指应用全麻药物达到镇静镇痛的效果,同时保留自主呼吸与保护性反射。临床麻醉中,实施不插管全麻的操作或手术,包括胃肠镜检查、人流手术、肿瘤射频消融术、不需要患者配合的无创检查(CT、MRI、眼科检查等)、短小的有创检查或操作(宫腔镜、穿刺活检等)以及需要患者配合的有创手术(慢性疼痛治疗等)。General anesthesia without intubation refers to the application of general anesthesia drugs to achieve the effect of sedation and analgesia, while preserving spontaneous breathing and protective reflexes. In clinical anesthesia, operations or operations under general anesthesia without intubation, including gastrointestinal endoscopy, artificial abortion, tumor radiofrequency ablation, non-invasive examinations that do not require patient cooperation (CT, MRI, ophthalmological examinations, etc.), short invasive Examination or operation (hysteroscopy, needle biopsy, etc.) and invasive surgery that requires patient cooperation (chronic pain treatment, etc.).
然而,不插管全麻会引起呼吸抑制等不良事件,因此在手术过程中需要判断患者的呼吸是否受到抑制。传统的呼吸情况判断是依靠观察口唇颜色、观察胸廓起伏以及检测氧饱和度等手段,但多数情况下口唇颜色和胸廓起伏变化并不明显,获得的结果不准确,氧饱和度检测则存在一定滞后性。判断错误、判断不及时都会影响对患者生命体征的判断,甚至会使患者有生命危险。However, general anesthesia without intubation can cause adverse events such as respiratory depression, so it is necessary to judge whether the patient's breathing is depressed during the operation. The traditional way of judging breathing conditions is to rely on observing lip color, chest rise and oxygen saturation, etc., but in most cases, the changes in lip color and chest rise are not obvious, and the obtained results are inaccurate, and there is a certain lag in oxygen saturation detection sex. Misjudgment and untimely judgment will affect the judgment of the patient's vital signs, and even put the patient's life in danger.
发明内容Contents of the invention
本实用新型的目的在于一种非插管全麻下呼末二氧化碳监测装置,可以实时监测非插管全麻下患者的呼吸波型和呼吸频率,以此判断患者的呼吸是否受到抑制,监测过程迅速,监测结果准确。The purpose of this utility model is an end-tidal carbon dioxide monitoring device under non-intubated general anesthesia, which can monitor the respiratory wave pattern and respiratory frequency of patients under non-intubated general anesthesia in real time, so as to judge whether the patient's breathing is inhibited, monitor the process Rapid, accurate monitoring results.
本实用新型解决其技术问题所采用的技术方案是:The technical scheme that the utility model solves its technical problem adopts is:
一种非插管全麻下呼末二氧化碳监测装置,包括口垫和气体流出道,口垫包括面板、咬筒和压舌板,面板与咬筒连通形成通孔,气体流出道沿孔壁设置且位于孔壁的嘴角处,气体流出道前端伸入口腔,且与咬筒前端齐平,后端连接呼末二氧化碳监测仪。An end-tidal carbon dioxide monitoring device under non-intubated general anesthesia, including a mouth pad and a gas outflow channel, the mouth pad includes a panel, a bite cylinder and a tongue depressor, the panel communicates with the bite cylinder to form a through hole, and the gas outflow channel is arranged along the wall of the hole And it is located at the mouth corner of the hole wall, the front end of the gas outflow channel extends into the oral cavity, and is flush with the front end of the bite cylinder, and the rear end is connected to the end-tidal carbon dioxide monitor.
优选的,气体流出道为导管,采用胶水将导管粘贴在孔壁上,或者,气体流出道为气孔,气孔与口垫一体成型。Preferably, the gas outflow channel is a conduit, and glue is used to stick the tube on the wall of the hole, or the gas outflow channel is an air hole, and the air hole and the mouth pad are integrally formed.
优选的,气体流出道为导管时,外径为7-9mm,内径为6-8mm;气体流出道为气孔时,内径为6-8mm。Preferably, when the gas outflow channel is a conduit, the outer diameter is 7-9 mm, and the inner diameter is 6-8 mm; when the gas outflow channel is an air hole, the inner diameter is 6-8 mm.
优选的,气体流出道为导管时,采用软聚氯乙烯制成。Preferably, when the gas outflow channel is a conduit, it is made of soft polyvinyl chloride.
优选的,气体流出道后端设有接口,接口与呼末二氧化碳监测仪采集导管连接。Preferably, an interface is provided at the rear end of the gas outflow channel, and the interface is connected to the collection catheter of the end-tidal carbon dioxide monitor.
本实用新型的有益效果:The beneficial effects of the utility model:
本实用新型在口垫上固定气体流出道,使气体流出道前端伸入患者口腔,后端连接呼末二氧化碳监测仪采集导管,可以实时监测非插管全麻下患者的呼吸波型和呼吸频率,以此判断患者的呼吸是否受到抑制,监测过程迅速,监测结果准确。The utility model fixes the gas outflow channel on the mouth pad, so that the front end of the gas outflow channel extends into the patient's oral cavity, and the rear end is connected to the collection catheter of the end-tidal carbon dioxide monitor, which can monitor the respiratory wave pattern and respiratory frequency of patients under non-intubated general anesthesia in real time. In this way, it can be judged whether the breathing of the patient is inhibited, the monitoring process is rapid, and the monitoring result is accurate.
附图说明Description of drawings
图1为本实用新型的结构示意图。Fig. 1 is the structural representation of the utility model.
图2为口垫和气体流出道一体的立体图。Fig. 2 is a perspective view of the integration of the mouth pad and the gas outflow channel.
图3为口垫和气体流出道一体的正视图。Fig. 3 is a front view of the integration of the mouth pad and the gas outflow channel.
图4为口垫和气体流出道一体的侧视图。Fig. 4 is a side view of the mouth pad and the gas outflow channel.
图中标识:口垫1,气体流出道2,气体流出道前端21,气体流出后端22,接口221,面板11,咬筒12,压舌板13,通孔14,呼末二氧化碳监测仪3,采集导管31。Marks in the figure:
具体实施方式Detailed ways
下面对本实用新型涉及的结构或这些所使用的技术术语做进一步的说明。这些说明仅仅是采用举例的方式进行说明本实用新型的方式是如何实现的,并不能对本实用新型构成任何的限制。The structures involved in the present invention or the technical terms used are further described below. These descriptions are only used as examples to illustrate how the method of the present utility model is realized, and cannot constitute any limitation to the present utility model.
下面结合附图和具体实施方式对本实用新型进一步说明。在本实用新型的描述中,需要理解的是,术语“上”、“下”、“前”、“后”、“左”和“右”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本实用新型和简化描述,而不是指示或暗示所指的位置或元件必须具有特定方位、以特定的方位构成和操作,因此不能理解为本实用新型的限制。此外,术语“第一”、“第二”等仅用于描述目的,而不能理解为指示或暗示相对重要性。Below in conjunction with accompanying drawing and specific embodiment the utility model is further described. In the description of the present utility model, it should be understood that the orientations or positional relationships indicated by the terms "upper", "lower", "front", "rear", "left" and "right" are based on the The orientation or positional relationship is only for the convenience of describing the utility model and simplifying the description, and does not indicate or imply that the referred position or element must have a specific orientation, be constructed and operated in a specific orientation, so it cannot be understood as the scope of the utility model. limit. In addition, the terms "first", "second", etc. are used for descriptive purposes only, and should not be construed as indicating or implying relative importance.
在本实用新型中,除非另有明确的规定和限定,属于“连接”、“固定”等应做广义理解,例如,“固定”可以是固定连接,也可以是可拆卸连接,或成一体;可以是直接连接,也可以通过中间媒介间接连接,可以是两个元件内部的连通或两个元件的相互作用关系,除非另有明确的限定。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本实用新型的具体含义。In this utility model, unless otherwise specified and limited, "connection" and "fixation" should be understood in a broad sense. For example, "fixation" can be a fixed connection, a detachable connection, or an integration; It may be a direct connection, or an indirect connection through an intermediary, and may be an internal communication between two elements or an interaction relationship between two elements, unless otherwise clearly defined. Those of ordinary skill in the art can understand the specific meanings of the above terms in the present invention according to specific situations.
如图1-4所示,一种非插管全麻下呼末二氧化碳监测装置,包括口垫1和气体流出道2,口垫1包括面板11、咬筒12和压舌板13,面板11与咬筒12连通形成通孔14,气体流出道2沿通孔孔壁设置且位于孔壁的嘴角处,气体流出道前端21伸入口腔,且与咬筒12前端齐平,后端22连接呼末二氧化碳监测仪3。As shown in Figures 1-4, an end-tidal carbon dioxide monitoring device under non-intubated general anesthesia includes a
之所以将气体流出道2沿通孔孔壁设置且位于嘴角处,是因为若将气体流出道放在口垫外侧,则会导致患者嘴部不舒适,影响患者的体验感。气体流出道2位于嘴角处,不妨碍工具如肠镜、胃镜等的插入。气体流出道前端21与咬筒12前端齐平,可以避免气体流出道2深入口腔内妨碍工具操作。The reason why the
作为一个具体的实施方式,气体流出道2为导管,采用胶水将导管粘贴在孔壁上,采用高强度、防水、无毒胶水粘贴,参见图2。或者,气体流出道为气孔,气孔与口垫一体成型。As a specific embodiment, the
作为一个具体的实施方式,气体流出道2为导管时,外径为7-9mm,优选8mm;内径为6-8mm,优选7mm。气体流出道2为气孔时,气孔内径为6-8mm,优选7mm。气体流出道2外径不宜太粗,会影响工具在口腔内的操作,也不宜太细,会影响监测结果。As a specific embodiment, when the
作为一个具体的实施方式,气体流出道2为导管时,采用软聚氯乙烯制成。柔软、无毒,防止刺伤口腔皮肤、黏膜,对人体健康无害。As a specific embodiment, when the
作为一个具体的实施方式,气体流出道后端22设有接口221,接口221与呼末二氧化碳监测仪采集导管31连接,其接口221结构与采集导管31适配。As a specific implementation, the
呼末二氧化碳不仅可以监测肺通气状况,还能反映循环功能和肺血流情况,是反应敏感、迅速的指标之一。本实用新型在口垫上固定气体流出道,使气体流出道前端伸入患者口腔,后端连接呼末二氧化碳监测仪采集导管,可以实时监测非插管全麻下患者的呼吸波型和呼吸频率,以此判断患者的呼吸是否受到抑制,还能监测患者的肺通气状况、循环功能、肺血流等情况。该装置获得数据快速、准确,从而提供给手术人员准确的判断依据,并迅速做出判断。End-tidal carbon dioxide can not only monitor the pulmonary ventilation status, but also reflect the circulatory function and pulmonary blood flow, and is one of the sensitive and rapid indicators. The utility model fixes the gas outflow channel on the mouth pad, so that the front end of the gas outflow channel extends into the patient's oral cavity, and the rear end is connected to the collection catheter of the end-tidal carbon dioxide monitor, which can monitor the respiratory wave pattern and respiratory frequency of patients under non-intubated general anesthesia in real time. In order to judge whether the patient's breathing is inhibited, it can also monitor the patient's pulmonary ventilation status, circulatory function, pulmonary blood flow and other conditions. The device obtains data quickly and accurately, thereby providing accurate judgment basis for the operator, and making a judgment quickly.
以上所述仅是本实用新型的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本实用新型原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本实用新型的保护范围。The above is only a preferred embodiment of the utility model, it should be pointed out that for those of ordinary skill in the art, without departing from the principle of the utility model, some improvements and modifications can also be made, these improvements and Retouching should also be regarded as the scope of protection of the present utility model.
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