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CN221513165U - Autogenous cutting rehabilitation plugging device - Google Patents

Autogenous cutting rehabilitation plugging device Download PDF

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Publication number
CN221513165U
CN221513165U CN202323164287.5U CN202323164287U CN221513165U CN 221513165 U CN221513165 U CN 221513165U CN 202323164287 U CN202323164287 U CN 202323164287U CN 221513165 U CN221513165 U CN 221513165U
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tube
pressure relief
rehabilitation
air inlet
tracheotomy
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李金涛
林静静
林晓克
唐勇
周春兵
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Boji Medical Technology Achievement Transformation Service Hangzhou Co ltd
First Affiliated Hospital of Wenzhou Medical University
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Boji Medical Technology Achievement Transformation Service Hangzhou Co ltd
First Affiliated Hospital of Wenzhou Medical University
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Abstract

The utility model discloses an autogenous cutting rehabilitation plugging device which comprises a plugging tube, wherein one end of the plugging tube is connected with an autogenous cutting cannula adapter, the other end of the plugging tube is provided with an air inlet, an air inlet valve group is arranged at the air inlet, and a pressure relief structure is arranged on the peripheral wall of the plugging tube. The utility model aims to solve the technical problems in the prior art and provides an autogenous cutting rehabilitation plugging device which can properly relieve pressure through a pressure relief structure when the tolerance is insufficient due to limited air inflow of a patient, so that the quality of respiratory training is improved.

Description

一种气切康复封堵器Tracheotomy rehabilitation occluder

技术领域Technical Field

本实用新型涉及医疗器械技术领域,具体涉及一种气切康复封堵器。The utility model relates to the technical field of medical devices, in particular to a tracheotomy rehabilitation occluder.

背景技术Background Art

管切开术是临床治疗和抢救重危病人因各种原因导致的呼吸道梗阻而采用的重要急救技术,它使得气道开放,有利于通气和补充氧气供应,这对于挽救病人的生命、改善病人的预后和生活质量、取得重危病人救治成功,具有极其重要的作用。气管切开后,患者通气途径改变,人工气道建立,空气直接经过气管切开口进行气体交换,患者失去鼻部对空气加温、湿化和阻挡粉尘等作用,气道无形失水量巨大,感染率增加,并发症明显增加。在病人脱离重危期,解除气道梗阻或控制好肺部感染后,医生往往会考虑拔除气管套管,封闭人工气道,减少临床并发症。但有很多病人习惯了人工气道,封闭气管套管后,通过口鼻通气量不足,不能耐受,病人胸闷气促,心率加快,血氧饱和度下降,甚至有窒息感,因此在拔除气管切开套管前,医护人员通常需要对气管切开套管进行逐渐试堵,从堵1/3气切口开始慢慢过渡到半堵管,至全部堵管。堵管后鼓励患者上下楼梯不气急,生命体征稳定为堵管成功。试堵的目的是在于观察病人是否可以停止气道直接通气,安全顺利的过渡到正常的口鼻呼吸,最终封闭气管切开口。Tracheotomy is an important emergency treatment technique used in the clinical treatment and rescue of critically ill patients with airway obstruction caused by various reasons. It opens the airway, which is conducive to ventilation and supplementary oxygen supply. This plays an extremely important role in saving the patient's life, improving the patient's prognosis and quality of life, and achieving successful treatment of critically ill patients. After tracheotomy, the patient's ventilation route changes, an artificial airway is established, and air directly passes through the tracheotomy opening for gas exchange. The patient loses the function of the nose to warm, humidify and block dust. The invisible water loss of the airway is huge, the infection rate increases, and the complications increase significantly. After the patient is out of critical condition, the airway obstruction is relieved or the lung infection is controlled, the doctor will often consider removing the tracheal cannula, closing the artificial airway, and reducing clinical complications. However, many patients are accustomed to artificial airways. After the tracheal tube is closed, the ventilation through the mouth and nose is insufficient and cannot be tolerated. The patients experience chest tightness and shortness of breath, increased heart rate, decreased blood oxygen saturation, and even a feeling of suffocation. Therefore, before removing the tracheotomy tube, medical staff usually need to gradually test the tracheotomy tube, starting from blocking 1/3 of the tracheotomy and slowly transitioning to half-blocking the tube, until the tube is completely blocked. After blocking the tube, encourage the patient to go up and down the stairs without shortness of breath, and the blocking of the tube is successful if the vital signs are stable. The purpose of the test blocking is to observe whether the patient can stop direct airway ventilation, safely and smoothly transition to normal mouth and nose breathing, and finally close the tracheotomy opening.

现有的气切康复封堵器不具备泄压功能,在封堵过程中,病人进气量有限,病人受不了时无法及时泄压。The existing tracheotomy rehabilitation occluder does not have a pressure relief function. During the occlusion process, the patient's air intake is limited, and the pressure cannot be relieved in time when the patient cannot bear it.

实用新型内容Utility Model Content

1、实用新型要解决的技术问题1. Technical problems to be solved by the utility model

本实用新型目的在于解决现有技术中存在的技术问题,提供一种气切康复封堵器,它能在病人进气量有限导致耐受性不足时,可通过泄压结构适当泄压,提高呼吸训练的质量。The utility model aims to solve the technical problems existing in the prior art and provide a tracheotomy rehabilitation occluder, which can appropriately relieve pressure through a pressure relief structure when the patient's air intake is limited and leads to insufficient tolerance, thereby improving the quality of breathing training.

2、技术方案2. Technical solution

为解决上述问题,本实用新型提供的技术方案为:In order to solve the above problems, the technical solution provided by the utility model is:

一种气切康复封堵器,包括封堵管,所述封堵管的一端连接有气切插管转接头,所述封堵管的另一端设有进气口,所述进气口处设有单向进气的进气阀组,所述封堵管的周壁上设有泄压结构。A tracheotomy rehabilitation occluder comprises an occluding tube, one end of which is connected to a tracheotomy tube adapter, the other end of which is provided with an air inlet, the air inlet is provided with an air inlet valve group for one-way air intake, and a pressure relief structure is provided on the peripheral wall of the occluding tube.

可选地,所述进气阀组包括单向进气片、第一封堵板和第二封堵板,所述第一封堵板上设有第一进气口,所述第二封堵板上设有第二进气口,所述第一封堵板固连于所述封堵管上,所述第二封堵板旋转连接于所述封堵管上。Optionally, the intake valve group includes a one-way air intake plate, a first sealing plate and a second sealing plate, the first sealing plate is provided with a first air inlet, the second sealing plate is provided with a second air inlet, the first sealing plate is fixedly connected to the sealing tube, and the second sealing plate is rotatably connected to the sealing tube.

可选地,所述第二封堵板的外周壁上设有防滑结构。Optionally, an anti-slip structure is provided on the outer peripheral wall of the second blocking plate.

可选地,所述泄压结构包括套环,旋转套接于所述封堵管上;第一泄压口,设于所述封堵管外周壁上;第二泄压口,设于所述套环上。Optionally, the pressure relief structure includes a collar, which is rotatably sleeved on the blocking tube; a first pressure relief port is provided on the outer peripheral wall of the blocking tube; and a second pressure relief port is provided on the collar.

可选地,所述套环上连接有滑动件,所述封堵管的外周壁上设有与所述滑动件配合的滑槽,所述滑动件在所述滑槽内滑动以调节所述第一泄压口和所述第二泄压口的连通面积。Optionally, a sliding member is connected to the collar, and a sliding groove cooperating with the sliding member is provided on the outer peripheral wall of the blocking tube, and the sliding member slides in the sliding groove to adjust the communication area between the first pressure relief port and the second pressure relief port.

可选地,所述套环的外周壁上设有防滑结构。Optionally, an anti-slip structure is provided on the outer peripheral wall of the collar.

可选地,所述气切插管转接头与气切插管的连接端为锥型接头。Optionally, the connection end between the tracheotomy tube adapter and the tracheotomy tube is a conical joint.

3、有益效果3. Beneficial effects

采用本实用新型提供的技术方案,与现有技术相比,具有如下有益效果:Compared with the prior art, the technical solution provided by the utility model has the following beneficial effects:

本气切康复封堵器侧边有泄压结构,在病人进气量有限导致耐受性不足时,可通过泄压结构适当泄压,提高呼吸训练的质量。The tracheotomy rehabilitation occluder is provided with a pressure relief structure on the side. When the patient's air intake is limited, resulting in insufficient tolerance, the pressure can be appropriately relieved through the pressure relief structure to improve the quality of breathing training.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

图1为本实用新型实施例提出的一种气切康复封堵器的结构示意图;FIG1 is a schematic structural diagram of a tracheotomy rehabilitation occluder proposed in an embodiment of the utility model;

图2为本实用新型实施例提出的一种气切康复封堵器的剖面示意图;FIG2 is a cross-sectional schematic diagram of a tracheotomy rehabilitation occluder proposed in an embodiment of the utility model;

图3为本实用新型实施例提出的一种气切康复封堵器中泄压结构的结构示意图;FIG3 is a schematic structural diagram of a pressure relief structure in a tracheotomy rehabilitation occluder according to an embodiment of the present utility model;

图4为本实用新型实施例提出的一种气切康复封堵器中进气阀组的结构示意图;FIG4 is a schematic structural diagram of an air inlet valve assembly in a tracheotomy rehabilitation occluder according to an embodiment of the present utility model;

1、封堵管;2、气切插管转接头;3、进气口;4、进气阀组;41、第一封堵板;42、第二封堵板;43、第一进气口;44、第二进气口;45、单向进气片;5、泄压结构;51、套环;52、第一泄压口;53、第二泄压口;54、滑动件;55、滑槽。1. Sealing tube; 2. Tracheotomy tube adapter; 3. Air inlet; 4. Air inlet valve group; 41. First sealing plate; 42. Second sealing plate; 43. First air inlet; 44. Second air inlet; 45. One-way air inlet plate; 5. Pressure relief structure; 51. Ring; 52. First pressure relief port; 53. Second pressure relief port; 54. Sliding part; 55. Slide groove.

具体实施方式DETAILED DESCRIPTION

为使本实用新型的目的、技术方案及优点更加清楚明白,以下结合附图及具体实施方式,对本实用新型进行进一步的详细说明。应当理解的是,此处所描述的具体实施方式仅用以解释本实用新型,并不限定本实用新型的保护范围。In order to make the purpose, technical solution and advantages of the utility model more clear, the utility model is further described in detail below in conjunction with the accompanying drawings and specific implementation methods. It should be understood that the specific implementation methods described here are only used to explain the utility model and do not limit the protection scope of the utility model.

需要说明的是,当元件被称为“固定于”、“设置于”、“固设于”或“安设于”另一个元件,它可以直接在另一个元件上或者也可以存在居中的元件。当一个元件被认为是“连接”另一个元件,它可以是直接连接到另一个元件或者可能同时存在居中元件。进一步地,当一个元件被认为是“固定连接”另一个元件,二者可以是可拆卸连接方式的固定,也可以不可拆卸连接的固定,如套接、卡接、一体成型固定、焊接等,在现有技术中可以实现,在此不再累赘。当元件与另一个元件相互垂直或近似垂直是指二者的理想状态是垂直,但是因制造及装配的影响,可以存在一定的垂直误差。本文所使用的术语“垂直的”、“水平的”、“左”、“右”以及类似的表述只是为了说明的目的,并不表示是唯一的实施方式。It should be noted that when an element is referred to as being "fixed to", "disposed on", "fixed on" or "installed on" another element, it may be directly on the other element or there may be a central element. When an element is considered to be "connected to" another element, it may be directly connected to the other element or there may be a central element at the same time. Further, when an element is considered to be "fixedly connected to" another element, the two may be fixed in a detachable connection manner or in a non-detachable connection manner, such as socketing, snap-on, one-piece fixation, welding, etc., which can be achieved in the prior art and will not be repeated here. When an element is perpendicular or approximately perpendicular to another element, it means that the ideal state of the two is vertical, but due to the influence of manufacturing and assembly, there may be a certain vertical error. The terms "vertical", "horizontal", "left", "right" and similar expressions used herein are for illustrative purposes only and do not represent the only implementation method.

除非另有定义,本文所使用的所有的技术和科学术语与属于本实用新型的技术领域的技术人员通常理解的含义相同。本文中在本实用新型的说明书中所使用的术语只是为了描述具体的实施方式的目的,不是旨在于限制本实用新型。本文所使用的术语“及/或”包括一个或多个相关的所列项目的任意的和所有的组合。Unless otherwise defined, all technical and scientific terms used herein have the same meaning as those commonly understood by those skilled in the art in the technical field of the present invention. The terms used herein in the specification of the present invention are only for the purpose of describing specific embodiments and are not intended to limit the present invention. The term "and/or" used herein includes any and all combinations of one or more related listed items.

本实用新型中涉及的“第一”、“第二”不代表具体的数量及顺序,仅仅是用于名称的区分。The “first” and “second” involved in the present utility model do not represent specific quantities and orders, but are merely used to distinguish names.

结合附图1-4,本实施例的一种气切康复封堵器,包括封堵管1,所述封堵管1为圆筒状的空心管,所述封堵管1的一端连接有气切插管转接头2,所述气切插管转接头2用于连接气切插管,所述封堵管1的另一端设有进气口3,所述进气口3处设有进气阀组4,所述进气阀组4用于调节所述进气口3的进气量,所述封堵管1的周壁上设有泄压结构5。In conjunction with Figures 1-4, a tracheostomy rehabilitation occluder of this embodiment includes an occluding tube 1, which is a cylindrical hollow tube. One end of the occluding tube 1 is connected to a tracheostomy tube adapter 2, and the tracheostomy tube adapter 2 is used to connect a tracheostomy tube. The other end of the occluding tube 1 is provided with an air inlet 3, and an air inlet valve group 4 is provided at the air inlet 3. The air inlet valve group 4 is used to adjust the air intake volume of the air inlet 3, and a pressure relief structure 5 is provided on the surrounding wall of the occluding tube 1.

本气切康复封堵器侧边有泄压结构5,在病人进气量有限导致耐受性不足时,可通过泄压结构5适当泄压,提高呼吸训练的质量。The tracheotomy rehabilitation occluder is provided with a pressure relief structure 5 on the side. When the patient's air intake is limited and leads to insufficient tolerance, the pressure can be appropriately relieved through the pressure relief structure 5 to improve the quality of breathing training.

作为本实用新型的可选方案,所述进气阀组4包括第一封堵板41和第二封堵板42,所述第一封堵板4设于所述封堵管1和所述第二封堵板4之间,所述第一封堵板41上设有第一进气口43,所述第二封堵板42上设有第二进气口44,所述第一封堵板41固连于所述封堵管1上,所述第二封堵板42旋转连接于所述封堵管1上,当所述第二封堵板42旋转时,所述第一进气口43和所述第二进气口44的连通面积变化,所述第一进气口43和所述第二进气口44可以完全连通,也可以完全封闭,封堵口大小可任意调节。As an optional scheme of the utility model, the air intake valve group 4 includes a first sealing plate 41 and a second sealing plate 42, the first sealing plate 4 is arranged between the sealing tube 1 and the second sealing plate 4, the first sealing plate 41 is provided with a first air inlet 43, and the second sealing plate 42 is provided with a second air inlet 44, the first sealing plate 41 is fixedly connected to the sealing tube 1, and the second sealing plate 42 is rotatably connected to the sealing tube 1, when the second sealing plate 42 rotates, the connecting area between the first air inlet 43 and the second air inlet 44 changes, the first air inlet 43 and the second air inlet 44 can be completely connected or completely closed, and the size of the sealing port can be adjusted arbitrarily.

作为本实用新型的可选方案,所述进气阀组4还包括设于所述进气口3处的单向进气片45,所述单向进气片45为柔性硅胶片且抵接所述第一封堵板41的内侧(背离所述第二封堵板42的一侧),进气时,所述单向进气片45向内侧变形允许进气,出气时,所述单向进气片45展开抵接于所述第一封堵板4的内侧以不允许出气,从而可实现说话瓣膜功能。As an optional solution of the present invention, the air intake valve group 4 also includes a one-way air intake sheet 45 arranged at the air inlet 3, and the one-way air intake sheet 45 is a flexible silicone sheet and abuts against the inner side of the first sealing plate 41 (the side away from the second sealing plate 42). When air is taken in, the one-way air intake sheet 45 deforms inward to allow air to enter, and when air is exhausted, the one-way air intake sheet 45 unfolds and abuts against the inner side of the first sealing plate 4 to prevent air from exiting, thereby realizing the speaking valve function.

作为本实用新型的可选方案,为了便于控制所述进气阀组4,所述第二封堵板42的外周壁上设有防滑结构,所述防滑结构具体为设于所述第二封堵板42外周壁上的防滑纹或防滑凸起。As an optional solution of the present invention, in order to facilitate the control of the intake valve group 4, an anti-slip structure is provided on the outer peripheral wall of the second blocking plate 42, and the anti-slip structure is specifically anti-slip lines or anti-slip protrusions provided on the outer peripheral wall of the second blocking plate 42.

作为本实用新型的可选方案,所述泄压结构5包括套环51,旋转套接于所述封堵管1上;第一泄压口52,设于所述封堵管1外周壁上;第二泄压口53,设于所述套环51上;所述套环51旋转时,所述第二泄压口53经过所述第一泄压口52,所述第二泄压口53和所述第一泄压口52的连通面积决定了泄压程度,当所述第二泄压口53和所述第一泄压口52连通时,所述泄压结构5即可以进气也可以出气。As an optional solution of the present invention, the pressure relief structure 5 includes a ring 51, which is rotatably sleeved on the blocking tube 1; a first pressure relief port 52 is provided on the outer peripheral wall of the blocking tube 1; a second pressure relief port 53 is provided on the ring 51; when the ring 51 rotates, the second pressure relief port 53 passes through the first pressure relief port 52, and the communication area between the second pressure relief port 53 and the first pressure relief port 52 determines the degree of pressure relief. When the second pressure relief port 53 and the first pressure relief port 52 are connected, the pressure relief structure 5 can both take in and out air.

于其他实施例中,所述泄压结构5也可以为开设于所述封堵管1上的泄压口并设置用于启闭该泄压口的控制结构,例如气管配合气阀的结构。In other embodiments, the pressure relief structure 5 may also be a pressure relief port opened on the blocking tube 1 and a control structure for opening and closing the pressure relief port, such as a structure of an air pipe and an air valve.

作为本实用新型的可选方案,还包括用于驱使所述套环51转动以使所述第二泄压口53和所述第一泄压口52错位的弹性件,所述弹性件可选用弹簧,只有在人为控制所述套环51时,所述泄压结构5才会开启。As an optional solution of the utility model, it also includes an elastic member for driving the ring 51 to rotate so that the second pressure relief port 53 and the first pressure relief port 52 are misaligned. The elastic member can be a spring. The pressure relief structure 5 will only be opened when the ring 51 is manually controlled.

作为本实用新型的可选方案,所述套环51上连接有滑动件54,所述滑动件54设于所述套环51的下端,所述封堵管1的外周壁上设有与所述滑动件54配合的滑槽55,所述滑动件54在所述滑槽55内滑动以调节所述第一泄压口52和所述第二泄压口53的连通面积,当所述滑动件54位于所述滑槽55一端时,所述第一泄压口52和所述第二泄压口53完全封闭,当所述滑动件54位于所述滑槽55另一端时,所述第一泄压口52和所述第二泄压口53完全连通。As an optional solution of the present invention, a sliding member 54 is connected to the collar 51, and the sliding member 54 is arranged at the lower end of the collar 51. A sliding groove 55 cooperating with the sliding member 54 is provided on the outer peripheral wall of the blocking tube 1. The sliding member 54 slides in the sliding groove 55 to adjust the communication area between the first pressure relief port 52 and the second pressure relief port 53. When the sliding member 54 is located at one end of the sliding groove 55, the first pressure relief port 52 and the second pressure relief port 53 are completely closed. When the sliding member 54 is located at the other end of the sliding groove 55, the first pressure relief port 52 and the second pressure relief port 53 are completely connected.

作为本实用新型的可选方案,所述套环51的外周壁上设有防滑结构,所述防滑结构具体为设于所述套环51外周壁上的防滑纹或防滑凸起。As an optional solution of the present invention, an anti-skid structure is provided on the outer peripheral wall of the collar 51 , and the anti-skid structure is specifically an anti-skid pattern or an anti-skid protrusion provided on the outer peripheral wall of the collar 51 .

作为本实用新型的可选方案,为了适应所述不同尺寸的气切插管,所述气切插管转接头2与气切插管的连接端为锥型接头。As an optional solution of the present invention, in order to adapt to tracheotomy tubes of different sizes, the connection end between the tracheotomy tube adapter 2 and the tracheotomy tube is a conical joint.

以上示意性的对本实用新型及其实施方式进行了描述,该描述没有限制性,附图中所示的也只是本实用新型的实施方式之一,实际的结构并不局限于此。所以,如果本领域的普通技术人员受其启示,在不脱离本实用新型创造宗旨的情况下,不经创造性的设计出与该技术方案相似的结构方式及实施例,均应属于本实用新型的保护范围。The above schematically describes the present invention and its implementation methods, which are not restrictive. The drawings show only one implementation method of the present invention, and the actual structure is not limited thereto. Therefore, if ordinary technicians in this field are inspired by it and design structural methods and embodiments similar to the technical solution without creativity without departing from the purpose of the present invention, they should all fall within the protection scope of the present invention.

Claims (7)

1.一种气切康复封堵器,其特征在于:包括封堵管,所述封堵管的一端连接有气切插管转接头,所述封堵管的另一端设有进气口,所述进气口处设有单向进气的进气阀组,所述封堵管的周壁上设有泄压结构。1. A tracheostomy rehabilitation occluder, characterized in that it comprises an occluding tube, one end of which is connected to a tracheostomy tube adapter, the other end of which is provided with an air inlet, the air inlet is provided with a one-way air intake valve group, and a pressure relief structure is provided on the peripheral wall of the occluding tube. 2.根据权利要求1所述的一种气切康复封堵器,其特征在于:所述进气阀组包括单向进气片、第一封堵板和第二封堵板,所述第一封堵板上设有第一进气口,所述第二封堵板上设有第二进气口,所述第一封堵板固连于所述封堵管上,所述第二封堵板旋转连接于所述封堵管上。2. A tracheotomy rehabilitation occluder according to claim 1, characterized in that: the air intake valve group includes a one-way air intake plate, a first sealing plate and a second sealing plate, the first sealing plate is provided with a first air inlet, the second sealing plate is provided with a second air inlet, the first sealing plate is fixedly connected to the sealing tube, and the second sealing plate is rotatably connected to the sealing tube. 3.根据权利要求2所述的一种气切康复封堵器,其特征在于:所述第二封堵板的外周壁上设有防滑结构。3. A tracheotomy rehabilitation occluder according to claim 2, characterized in that an anti-slip structure is provided on the outer peripheral wall of the second occluding plate. 4.根据权利要求1所述的一种气切康复封堵器,其特征在于:所述泄压结构包括4. The tracheotomy rehabilitation occluder according to claim 1, characterized in that: the pressure relief structure comprises 套环,旋转套接于所述封堵管上;A collar, rotatably sleeved on the blocking tube; 第一泄压口,设于所述封堵管外周壁上;A first pressure relief port is provided on the outer peripheral wall of the blocking tube; 第二泄压口,设于所述套环上。The second pressure relief port is arranged on the sleeve ring. 5.根据权利要求4所述的一种气切康复封堵器,其特征在于:所述套环上连接有滑动件,所述封堵管的外周壁上设有与所述滑动件配合的滑槽,所述滑动件在所述滑槽内滑动以调节所述第一泄压口和所述第二泄压口的连通面积。5. A tracheostomy rehabilitation occluder according to claim 4, characterized in that: a sliding part is connected to the ring, and a sliding groove cooperating with the sliding part is provided on the outer peripheral wall of the occluding tube, and the sliding part slides in the sliding groove to adjust the connecting area of the first pressure relief port and the second pressure relief port. 6.根据权利要求4所述的一种气切康复封堵器,其特征在于:所述套环的外周壁上设有防滑结构。6. A tracheotomy rehabilitation occluder according to claim 4, characterized in that an anti-slip structure is provided on the outer peripheral wall of the ring. 7.根据权利要求1-6任一项所述的一种气切康复封堵器,其特征在于:所述气切插管转接头与气切插管的连接端为锥型接头。7. A tracheostomy rehabilitation occluder according to any one of claims 1 to 6, characterized in that the connection end between the tracheostomy tube adapter and the tracheostomy tube is a conical joint.
CN202323164287.5U 2023-11-23 2023-11-23 Autogenous cutting rehabilitation plugging device Active CN221513165U (en)

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