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CN220070379U - Air cutting pipe plugging device with breathing training function - Google Patents

Air cutting pipe plugging device with breathing training function Download PDF

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Publication number
CN220070379U
CN220070379U CN202222273999.XU CN202222273999U CN220070379U CN 220070379 U CN220070379 U CN 220070379U CN 202222273999 U CN202222273999 U CN 202222273999U CN 220070379 U CN220070379 U CN 220070379U
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pipe
tube
sleeve
blocking cap
plugging
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汪黎黎
朱殷颖
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Zhejiang Provincial Peoples Hospital
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Zhejiang Provincial Peoples Hospital
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Abstract

The utility model relates to an autogenous cutting pipe plugging device with breathing training, which comprises: the device comprises a pressure stabilizing valve, a pipe blocking cap, a spring, a sleeve, a limiter, a retention pipe, a fixing device and a retention pipe fixing belt; the retaining tube fixing belt is used for fixing the fixing device on the neck of a patient, the retaining tube is sleeved with the sleeve through the fixing device, a one-way valve which is opened inwards is arranged in the sleeve, and the sleeve inlet is connected with the tube blocking cap and the pressure stabilizing valve. The beneficial effects of the utility model are as follows: the casing pipe and the pipe plugging cap can be closed by rotating the pipe plugging cap, so that a closed device is formed for pipe plugging training; the inflatable air-cutting plugging tube can also be opened, and is matched with a one-way valve which is only opened when in inspiration in the sleeve, so that the inflatable air-cutting plugging tube has the functions of respiratory training and sounding training on the basis of the functions of the traditional air-cutting plugging tube; the training of respiratory muscle strength of the patient is facilitated, the probability of pulmonary infection is reduced, and a foundation is laid for tube drawing; the lacing connecting sleeve and the retention tube fixing belt are adopted, so that the components are prevented from falling accidentally and being polluted.

Description

带呼吸训练的气切堵管装置Tracheotomy and tube blocking device with breathing training

技术领域Technical field

本实用新型涉及医疗器械技术领域,尤其包括一种带呼吸训练的气切堵管装置。The utility model relates to the technical field of medical devices, and particularly includes a tracheotomy and tube blocking device with breathing training.

背景技术Background technique

气管切开术是临床上为危重症患者保持呼吸道通畅的一项重要抢救措施;随着医学事业的发展,气管切开成为了较为常见的治疗手段,但同时气管切开带来了一些弊端,如气道的保护反射减弱,甚至丧失,严重时还可能导致吸入性肺炎,加重肺部感染。因此,当患者病情好转,需要尽早拔除气切套管,恢复呼吸道正常生理功能,以避免相关并发症的发生。而在留置气切套管期间,进行呼吸训练及堵管训练非常重要。Tracheotomy is an important clinical rescue measure to keep the respiratory tract open for critically ill patients. With the development of medicine, tracheotomy has become a more common treatment method, but at the same time, tracheotomy brings some disadvantages. If the protective reflex of the airway is weakened or even lost, in severe cases, it may lead to aspiration pneumonia and aggravate lung infection. Therefore, when the patient's condition improves, the tracheostomy cannula needs to be removed as soon as possible to restore normal physiological functions of the respiratory tract to avoid related complications. During the period of indwelling tracheostomy cannula, it is very important to carry out breathing training and tube blocking training.

目前临床所用的呼吸训练方法多样,均有较好的效果,但堵管的装置多种多样,基本以临床护理工作中的医用自制材料为主,普遍存在松紧不合适,容易出现漏气、堵管装置脱落导致堵管间断的问题。Currently, there are various respiratory training methods used in clinical practice, all of which have good effects. However, the devices used to block the tubes are various, and they are basically made of medical homemade materials used in clinical nursing work. They are commonly used in inappropriate tightness and are prone to air leakage and blockage. The problem of intermittent pipe blockage caused by the pipe device falling off.

实用新型内容Utility model content

本实用新型的目的是克服现有技术中的不足,提供一种带呼吸训练的气切堵管装置。The purpose of this utility model is to overcome the deficiencies in the prior art and provide a tracheotomy and tube blocking device with breathing training.

这种带呼吸训练的气切堵管装置,包括稳压阀、堵管帽子、弹簧、套管、限位器、滞留管、固定装置和滞留管固定带;This tracheostomy tube blocking device with breathing training includes a pressure stabilizing valve, a tube blocking cap, a spring, a sleeve, a limiter, a retention tube, a fixation device and a retention tube fixation belt;

滞留管位于患者气管内,且滞留管与暴露于体外的固定装置连接;固定装置两侧设有开口,滞留管固定带通过固定装置两侧的开口将固定装置固定于患者颈部;滞留管通过固定装置与套管套接;套管内设有向内打开的单向瓣膜;套管入口连接堵管帽子,堵管帽子设有稳压阀;The retention tube is located in the patient's trachea, and the retention tube is connected to a fixation device exposed outside the body; openings are provided on both sides of the fixation device, and the retention tube fixing straps pass through the openings on both sides of the fixation device to fix the fixation device to the patient's neck; the retention tube passes through The fixing device is connected to the casing; the casing is provided with a one-way valve that opens inward; the casing inlet is connected to a plugging cap, and the plugging cap is equipped with a pressure stabilizing valve;

套管内还设有限位器,限位器中央设有开孔;堵管帽子连有柱体,柱体一端连接堵管帽子,另一端穿过限位器上的开孔连接堵管帽子底座;柱体还穿过弹簧,弹簧的一端连接限位器,另一端与堵管帽子相抵。There is also a limiter in the casing, and an opening is provided in the center of the limiter; the pipe blocking cap is connected to a cylinder, one end of the cylinder is connected to the pipe blocking cap, and the other end of the cylinder passes through the opening on the limiter and is connected to the base of the pipe blocking cap; The cylinder also passes through a spring, one end of the spring is connected to the stopper, and the other end is against the pipe blocking cap.

作为优选:还设有系带,系带一端连接套管,另一端连接滞留管固定带。As a preferred option: a tie is also provided, one end of the tie is connected to the casing, and the other end is connected to the retention tube fixing belt.

作为优选:堵管帽子内侧连接的柱体直径小于限位器上开孔的直径,且堵管帽子底座的直径大于限位器上开孔的直径。Preferably: the diameter of the cylinder connected to the inner side of the pipe blocking cap is smaller than the diameter of the opening on the stopper, and the diameter of the base of the pipe blocking cap is larger than the diameter of the opening on the stopper.

作为优选:堵管帽子边缘的环形面上设有螺纹,套管入口也设有螺纹,且堵管帽子的螺纹和套管的螺纹匹配。Preferably: the annular surface of the edge of the plugging cap is provided with threads, the casing inlet is also provided with threads, and the threads of the plugging cap match the threads of the casing.

作为优选:弹簧的自由长度大于堵管帽子连接的柱体的长度。Preferably: the free length of the spring is greater than the length of the cylinder connected to the plugging cap.

作为优选:套管内的单向瓣膜为硅胶材质。Preferably: the one-way valve in the cannula is made of silicone.

本实用新型的有益效果是:The beneficial effects of this utility model are:

1)本实验新型的套管和堵管帽子设有对应的螺纹,并通过弹簧和限位器使堵管帽子可旋转打开;同时,在套管内设有只在吸气时打开的单向瓣膜,使本实用新型在传统气切堵管的基础功能上增加了呼吸训练和发声训练的功能,单向瓣膜促使气流在呼气时通过声带,使患者保留基本正常的发声功能,患者能进行基本的交流,能正确表达意愿,日常生活需求得到满足,从而进一步增强患者的自信心;也可以帮助患者训练咳嗽排痰的能力,改善肺不张和氧合,使病人的呼吸肌力提升,降低肺部感染的几率;为患者拔管奠定基础,缩短患者住院时间,减少住院费用。1) The new type of casing and plugging cap in this experiment are equipped with corresponding threads, and the plugging cap can be rotated and opened through a spring and a limiter; at the same time, there is a one-way valve in the casing that only opens when inhaling. , the utility model adds the functions of breathing training and vocal training to the basic functions of traditional tracheostomy and tube obstruction. The one-way valve promotes the airflow to pass through the vocal cords during exhalation, allowing the patient to retain basically normal vocal functions, and the patient can perform basic Communication can correctly express wishes and meet daily life needs, thereby further enhancing the patient's self-confidence; it can also help patients train their ability to cough and expel sputum, improve atelectasis and oxygenation, improve the patient's respiratory muscle strength, and reduce The probability of pulmonary infection; lays the foundation for extubation of patients, shortens the patient's hospitalization time, and reduces hospitalization expenses.

2)气切后期经过评估,符合试堵管或堵管要求时,本实用新型可通过旋转堵管帽子使套管和堵管帽子闭合,成为一个密闭装置进行堵管训练。2) After evaluation in the later stage of tracheostomy, when the requirements for trial tube plugging or tube plugging are met, the utility model can close the casing and tube plugging cap by rotating the tube plugging cap, and become a closed device for tube plugging training.

3)本实用新型结构简单,佩戴便捷,经济实用;可根据不同套管型号进行选择,较之前使用的自制堵管装置更专业化、个性化。3) This utility model has a simple structure, is easy to wear, economical and practical; it can be selected according to different casing models, and is more professional and personalized than the previously used self-made pipe plugging device.

4)本实用新型采用系带连接套管和滞留管固定带,避免了部件意外掉落受到污染。4) This utility model uses a tie to connect the casing and the retention tube fixing belt to avoid accidental dropping of components and contamination.

附图说明Description of drawings

图1为堵管装置的结构示意图;Figure 1 is a schematic structural diagram of the pipe blocking device;

图2为该装置佩戴方法的示意图;Figure 2 is a schematic diagram of the wearing method of the device;

图3为呼吸训练及发声训练状态下的装置效果图;Figure 3 is a rendering of the device under breathing training and vocal training conditions;

图4为堵管状态下的装置效果图。Figure 4 is a rendering of the device in a blocked state.

附图标记说明:稳压阀1、堵管帽子2、弹簧3、套管6、限位器7、滞留管8、固定装置9、滞留管固定带10。Explanation of reference signs: pressure stabilizing valve 1, pipe blocking cap 2, spring 3, sleeve 6, limiter 7, retention pipe 8, fixing device 9, retention pipe fixing belt 10.

具体实施方式Detailed ways

下面结合实施例对本实用新型做进一步描述。下述实施例的说明只是用于帮助理解本实用新型。应当指出,对于本技术领域的普通人员来说,在不脱离本实用新型原理的前提下,还可以对本实用新型进行若干修饰,这些改进和修饰也落入本实用新型权利要求的保护范围内。The utility model will be further described below in conjunction with the embodiments. The description of the following embodiments is only used to help understand the present invention. It should be pointed out that for ordinary people in the art, several modifications can be made to the present utility model without departing from the principle of the present utility model, and these improvements and modifications also fall within the protection scope of the claims of the present utility model.

作为一种实施例,如图1至图4所示,提出了一种带呼吸训练的气切堵管装置,这种带呼吸训练的气切堵管装置包括稳压阀1、堵管帽子2、弹簧3、套管6、限位器7、滞留管8、固定装置9和滞留管固定带10;As an embodiment, as shown in Figures 1 to 4, a tracheostomy and tube blocking device with breathing training is proposed. This tracheostomy and tube blocking device with breathing training includes a pressure stabilizing valve 1 and a tube blocking cap 2 , spring 3, sleeve 6, stopper 7, retention tube 8, fixing device 9 and retention tube fixing belt 10;

滞留管8位于患者气管内,且滞留管8与暴露于体外的固定装置9连通;固定装置9两侧设有开口,滞留管固定带10通过固定装置9两侧的开口将固定装置9固定于患者颈部;滞留管8通过固定装置9与PVC塑料材质的套管6套接;套管6内设有向内单向出气的硅胶瓣膜;套管6入口连接堵管帽子2,堵管帽子2设有稳压阀1;堵管帽子2边缘的环形面上设有螺纹,套管6入口也设有螺纹,且堵管帽子2的螺纹和套管6的螺纹匹配。The retention tube 8 is located in the patient's trachea, and the retention tube 8 is connected with the fixation device 9 exposed outside the body; openings are provided on both sides of the fixation device 9, and the retention tube fixation belt 10 fixes the fixation device 9 through the openings on both sides of the fixation device 9. The patient's neck; the retention tube 8 is connected to the PVC plastic sleeve 6 through the fixing device 9; the sleeve 6 is provided with a silicone valve for one-way air outlet; the entrance of the sleeve 6 is connected to the plugging cap 2, and the plugging cap 2 is provided with a pressure stabilizing valve 1; the annular surface of the edge of the pipe blocking cap 2 is provided with threads, and the inlet of the casing 6 is also provided with threads, and the threads of the pipe blocking cap 2 match the threads of the casing 6.

套管6内还设有限位器7,限位器7中央设有开孔;堵管帽子2连有柱体,柱体一端连接堵管帽子2,另一端穿过限位器7上的开孔连接堵管帽子底座5;堵管帽子2内侧连接的柱体直径小于限位器7上开孔的直径,且堵管帽子底座5的直径大于限位器7上开孔的直径。A stopper 7 is also provided in the casing 6, and an opening is provided in the center of the stopper 7; The hole is connected to the pipe blocking cap base 5; the diameter of the cylinder connected to the inside of the pipe blocking cap 2 is smaller than the diameter of the opening on the stopper 7, and the diameter of the pipe blocking cap base 5 is larger than the diameter of the opening on the stopper 7.

柱体还穿过弹簧3,弹簧3的一端连接限位器7,另一端与堵管帽子2相抵;弹簧3的自由长度大于堵管帽子2连接的柱体的长度,使堵管帽子和套管6分开时,弹簧3舒张直至堵管帽子底座5被限位器7限位,套管6保持开口状态。The cylinder also passes through the spring 3, one end of the spring 3 is connected to the limiter 7, and the other end is against the pipe blocking cap 2; the free length of the spring 3 is greater than the length of the cylinder connected to the pipe blocking cap 2, so that the pipe blocking cap and the sleeve When the tube 6 is separated, the spring 3 relaxes until the tube blocking cap base 5 is limited by the stopper 7, and the sleeve 6 remains open.

还设有系带4,系带4一端连接套管6,另一端连接滞留管固定带10,如图2所示。A tie 4 is also provided, one end of the tie 4 is connected to the sleeve 6, and the other end is connected to the retention tube fixing belt 10, as shown in Figure 2.

使用时,为符合要求的气切患者,假设为塑料的滞留管8的气切患者,抽净气囊后进行佩戴,滞留管固定带10穿过固定装置9两侧的开口,环绕固定于患者颈部,将套管6的尾端与固定装置9套接,佩戴时动作轻柔,减少对气切口的刺激,佩戴过程中观察患者生命体征,待装置固定于固定装置9,将系带4固定于滞留管固定带10,使得装置更稳固。When in use, a tracheostomy patient who meets the requirements, assuming a plastic retention tube 8 , is put on after removing the air bag. The retention tube fixing belt 10 passes through the openings on both sides of the fixation device 9 and is fixed around the patient's neck. At the bottom, connect the tail end of the cannula 6 to the fixing device 9. When wearing it, move gently to reduce the stimulation of the air incision. Observe the patient's vital signs during the wearing process. After the device is fixed on the fixing device 9, fix the frenulum 4 on The retention tube fixation belt 10 makes the device more stable.

将堵管帽子2和稳压阀1往外逆时针旋转,弹簧3推动堵管帽子2和稳压阀1向外直至堵管帽子底座5和限位器7相抵,如图3的效果,即不堵管,可以说话和呼吸训练的状态;当打开堵管帽子2和稳压阀1时,随着患者主动吸气,套管6内部的单向瓣膜打开,呼气时,由于单向瓣膜无法向外打开,因此气流经过声带,使声带震动发声,即可以达到呼吸训练的目的,也可以让患者发声说话。Rotate the pipe blocking cap 2 and the pressure stabilizing valve 1 outwards counterclockwise, and the spring 3 pushes the pipe blocking cap 2 and the pressure regulating valve 1 outward until the pipe blocking cap base 5 and the limiter 7 offset, as shown in Figure 3, that is, no When the tube is blocked, you can speak and breathe. When the tube blocking cap 2 and the pressure regulating valve 1 are opened, as the patient actively inhales, the one-way valve inside the cannula 6 opens. When exhaling, the one-way valve cannot Open outward, so the airflow passes through the vocal cords, causing the vocal cords to vibrate and produce sounds, which can achieve the purpose of breathing training and also allow the patient to speak.

挤压弹簧3,并往里顺时针旋转堵管帽子2和稳压阀1,则堵管帽子2和套管6上的螺纹配合,形成如图4的堵管的状态;当气切后期经过评估,符合试堵管或堵管要求时,可闭合套管6,使气切堵管装置密闭,进行堵管训练。Squeeze the spring 3, and rotate the plugging cap 2 and the pressure regulating valve 1 clockwise inward, then the plugging cap 2 and the threads on the casing 6 will cooperate, forming a blocked state as shown in Figure 4; when the tracheotomy passes through in the later stage After evaluation, when the test tube plugging or tube plugging requirements are met, the casing 6 can be closed to seal the tracheotomy tube plugging device, and tube plugging training can be performed.

两种功能转换简单、方便,可根据病情和医嘱进行调节。The conversion between the two functions is simple and convenient, and can be adjusted according to the condition and doctor's instructions.

Claims (6)

1. The utility model provides a take autogenous cutting stifled pipe device of breathing training which characterized in that includes: the pressure stabilizing valve (1), a pipe blocking cap (2), a spring (3), a sleeve (6), a limiter (7), a retention pipe (8), a fixing device (9) and a retention pipe fixing belt (10);
the detention tube (8) is positioned in the trachea of a patient, and the detention tube (8) is connected with a fixing device (9) exposed outside the body; openings are formed in two sides of the fixing device (9), and the retention tube fixing band (10) is used for fixing the fixing device (9) on the neck of a patient through the openings in two sides of the fixing device (9); the detention pipe (8) is sleeved with the sleeve (6) through the fixing device (9); a unidirectional valve which is opened inwards is arranged in the sleeve (6); an inlet of the sleeve (6) is connected with a pipe blocking cap (2), and the pipe blocking cap (2) is provided with a pressure stabilizing valve (1);
a limiter (7) is also arranged in the sleeve (6), and an opening is arranged in the center of the limiter (7); the pipe blocking cap (2) is connected with a column body, one end of the column body is connected with the pipe blocking cap (2), and the other end of the column body passes through an opening on the limiter (7) to be connected with the pipe blocking cap base (5); the cylinder also passes through the spring (3), one end of the spring (3) is connected with the limiter (7), and the other end of the spring is propped against the pipe blocking cap (2).
2. An aerocut tube plugging device with breath training as in claim 1, wherein: the utility model is also provided with a lacing (4), one end of the lacing (4) is connected with the sleeve (6), and the other end is connected with the detention pipe fixing belt (10).
3. An aerocut tube plugging device with breath training as in claim 1, wherein: the diameter of the cylinder connected with the inner side of the pipe blocking cap (2) is smaller than the diameter of the opening on the limiter (7), and the diameter of the base (5) of the pipe blocking cap is larger than the diameter of the opening on the limiter (7).
4. An aerocut tube plugging device with breath training as in claim 1, wherein: the annular surface of the edge of the pipe blocking cap (2) is provided with threads, the inlet of the sleeve (6) is also provided with threads, and the threads of the pipe blocking cap (2) are matched with the threads of the sleeve (6).
5. An aerocut tube plugging device with breath training as in claim 1, wherein: the free length of the spring (3) is longer than the length of the column body connected with the pipe plugging cap (2).
6. An aerocut tube plugging device with breath training as in claim 1, wherein: the one-way valve in the sleeve (6) is made of silica gel.
CN202222273999.XU 2022-08-29 2022-08-29 Air cutting pipe plugging device with breathing training function Active CN220070379U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202222273999.XU CN220070379U (en) 2022-08-29 2022-08-29 Air cutting pipe plugging device with breathing training function

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202222273999.XU CN220070379U (en) 2022-08-29 2022-08-29 Air cutting pipe plugging device with breathing training function

Publications (1)

Publication Number Publication Date
CN220070379U true CN220070379U (en) 2023-11-24

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CN202222273999.XU Active CN220070379U (en) 2022-08-29 2022-08-29 Air cutting pipe plugging device with breathing training function

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Country Link
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