CN106861000A - A kind of endotracheal intubation of integrated drainage system - Google Patents

A kind of endotracheal intubation of integrated drainage system Download PDF

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Publication number
CN106861000A
CN106861000A CN201710188323.1A CN201710188323A CN106861000A CN 106861000 A CN106861000 A CN 106861000A CN 201710188323 A CN201710188323 A CN 201710188323A CN 106861000 A CN106861000 A CN 106861000A
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China
Prior art keywords
secretion
intubation
suction nozzle
extraction tube
channel
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Granted
Application number
CN201710188323.1A
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Chinese (zh)
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CN106861000B (en
Inventor
孙玉川
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Laiyang Central Hospital Of Yantai
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Laiyang Central Hospital Of Yantai
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84Drainage tubes; Aspiration tips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/0003Accessories therefor, e.g. sensors, vibrators, negative pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M16/00Devices for influencing the respiratory system of patients by gas treatment, e.g. mouth-to-mouth respiration; Tracheal tubes
    • A61M16/04Tracheal tubes
    • A61M16/0402Special features for tracheal tubes not otherwise provided for

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pulmonology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Emergency Medicine (AREA)
  • Surgery (AREA)
  • Vascular Medicine (AREA)
  • External Artificial Organs (AREA)

Abstract

The present invention discloses a kind of endotracheal intubation of integrated drainage system, it is characterised in that:The C-channel of top end opening is in axial direction integrally formed in the outer wall of intubation, C-channel is being big mouth section near the rear end of intubation, is being section of remaining silent at air bag, and centre is osculum section;Also include secretion extraction tube of the length more than C-channel, top end opening bore, top end opening bore more than osculum section of the external diameter of secretion extraction tube less than internal diameter and its big the mouth section of C-channel, the inwall of secretion extraction tube is in axial direction integrally formed convex stupefied, convex stupefied interior embedded steel wire, the front end of secretion extraction tube is arranged suction nozzle, suction nozzle can be in C-channel slide anteroposterior, and the front end of secretion extraction tube and suction nozzle opens up multiple flow guide recesses.Compared with prior art, simple structure of the present invention, it is basically identical with conventional cannula size, but can easily clear up secretion.

Description

A kind of endotracheal intubation of integrated drainage system
Technical field
The present invention relates to technical field of medical instruments, and in particular to a kind of endotracheal intubation of integrated drainage system.
Background technology
In general anesthesia, respiratory tract is difficult to ensure that unobstructed person such as encephalic operation, open chest surgery, needs prone position or seat etc. The general anesthesia operation of special posture, extreme adiposis patient, GENERAL ANESTHETICS has substantially suppression to breathing or all answers promoting the circulation of qi using muscle relaxant person Pipe interpolation pipe.Endotracheal intubation refers to, by special tracheal catheter, to be inserted in patient's trachea by oral cavity or nasal cavity.It is a kind of gas Anesthesia and the technology for giving emergency treatment to a patient, are also to maintain the unobstructed most reliable means of the upper respiratory tract in pipe, are a peaces for implementing anesthesia Full measure.
When intubation is carried out to patient, the expansion of air bag on endotracheal trachea cannula with by lung relative to outside Sealing is such that it is able to the pressure of lung ventilator is maintained in lung.Several days time is needed to use some patients correlation of lung ventilator Iatrogenic Complications.Main cause is lung due to carrying out micro- breathing and receive to accumulating in the secretion above tracheal intubation airbag To germ contamination.If there is leak around air bag, contaminated secretion may be penetrated into lung and triggered.Cause This needs to go out the timely drainage of these secretion.
The patent of invention of Publication No. CN101970036B discloses a kind of for from the trachea cannula by intubated patient The minimally invasive tracheae fluid of secretion removes device and correspondence application method under the glottis of removal accumulation.The device can be set in pairs leading Rail or single tube suction guiding system.The device eliminates and remove every time aspirating mechanism and patient is inserted again when being cleaned The need for pipe, thus relative to prior art have significantly improve.But this device is due in endotracheal intubation peripheral disposition Various parts, not only complex structure, and occupy larger volume and profile is significantly protruded from outside endotracheal intubation, operation Inconvenience, it is easy to come in contact with tracheae, cause the pain of patient.
The content of the invention
The purpose of the present invention is to overcome the deficiencies in the prior art, there is provided a kind of endotracheal intubation of integrated drainage system, institute The concrete technical scheme taken is:
A kind of endotracheal intubation of integrated drainage system, including can be from the intubation in the middle part of oral cavity insertion tracheae, near intubation Front end it is fixed prevent secretion from flowing into lung and play the air bag of airtight effect, air bag connection and the charge and discharge that fits together of intubation Tracheae, the sacculus of the other end connection one with check valve and air bleeding valve of tracheae, it is characterised in that:Intubation outer wall vertically Direction is integrally formed the C-channel of top end opening, and C-channel is being big mouth section near the rear end of intubation, is being to remain silent at air bag Section, centre is osculum section;Also include secretion extraction tube of the length more than C-channel, the external diameter of secretion extraction tube is less than C-shaped The top end opening bore of the internal diameter of groove and its big mouth section, the top end opening bore more than osculum section, the inwall of secretion extraction tube In axial direction it is integrally formed convex stupefied, convex stupefied interior embedded steel wire, the front end of secretion extraction tube is arranged suction nozzle, and suction nozzle can be in C-shaped The front end of groove slide anteroposterior, secretion extraction tube and suction nozzle opens up multiple flow guide recesses.
Compared with prior art, simple structure of the present invention, it is basically identical with conventional cannula size, but can easily clear up point Secretion, secretion extraction tube spacing will not run out with the inwall bump contact of C-channel but by its, it is to avoid tracheae is caused Collision, causes patient to injure and pain, and only the suction nozzle of finite length is contacted with the inwall of C-channel, greatly reduces frictional force, Therefore operation is very smooth.Steel wire is buried in secretion extraction tube, increases its elasticity and toughness, convenient operation.
Brief description of the drawings
Fig. 1 is structural representation of the present invention in addition to secretion extraction tube and suction nozzle.
Fig. 2 is the partial enlarged drawing at upper dashed box in Fig. 1.
Fig. 3 is the partial enlarged drawing at lower dashed box in Fig. 1.
Fig. 4 is the structural representation at present invention visual angle another in addition to secretion extraction tube and suction nozzle.
Fig. 5 is the partial enlarged drawing at upper dashed box in Fig. 4.
Fig. 6 is the partial enlarged drawing at lower dashed box in Fig. 4.
Fig. 7 is sectional elevation of the present invention in addition to secretion extraction tube and suction nozzle at air bag.
Fig. 8 is the structural representation of secretion extraction tube of the present invention and suction nozzle.
Fig. 9 is the partial enlarged drawing at dashed box in Fig. 8.
Figure 10 is the longitudinal section of Fig. 8.
Figure 11 is the partial enlarged drawing at dashed box in Figure 10.
Specific embodiment
Technical scheme is clearly and completely described below in conjunction with accompanying drawing, it is clear that described implementation Example is a part of embodiment of the invention, rather than whole embodiments.Based on the embodiment in the present invention, ordinary skill The every other embodiment that personnel are obtained under the premise of creative work is not made, belongs to the scope of protection of the invention.
In the description of the invention, it is necessary to the orientation or position of the instruction such as explanation, term " " center ", " on ", D score Relation is, based on orientation shown in the drawings or position relationship, to be for only for ease of the description present invention and simplify description, without referring to Show or imply that the device or element of meaning with specific orientation, with specific azimuth configuration and operation, therefore must can not be managed It is limitation of the present invention to solve.In the description of the invention, it is necessary to illustrate, unless otherwise clearly defined and limited, art Language " affixed ", " communicating " should be interpreted broadly, such as affixed can be welded to connect, or hinged bolt fixation company Connect.For the ordinary skill in the art, above-mentioned term concrete meaning in the present invention can be understood with concrete condition.
Referring to accompanying drawing, a kind of endotracheal intubation of integrated drainage system, including can be from the intubation in the middle part of oral cavity insertion tracheae 1, near the fixed air bag 2 for preventing secretion from flowing into lung and an airtight effect in the front end of intubation 1, the connection of air bag 2 is pasted with intubation 1 The charge and discharge tracheae 3 being combined, the sacculus 4 of the other end connection one with check valve 41 and air bleeding valve 42 of tracheae 3, in intubation 1 Outer wall be in axial direction integrally formed the C-channel 5 of top end opening, C-channel 5 being big mouth section 51 near the rear end of intubation, It is section 52 of remaining silent at air bag 2, centre is osculum section 53;Also include secretion extraction tube 6 of the length more than C-channel 5, point Top end opening bore of the external diameter of secretion extraction tube 6 less than internal diameter and its big the mouth section 51 of C-channel 5, the top more than osculum section 53 End opening bore, the inwall of secretion extraction tube 6 is in axial direction integrally formed convex stupefied 61, and steel wire 8, secretion are buried in convex stupefied 61 The front end of thing extraction tube 6 is arranged suction nozzle 7, and suction nozzle 7 can be in the slide anteroposterior of C-channel 5, and the front end of secretion extraction tube 6 and suction nozzle 7 is opened If multiple flow guide recesses 71.
Specifically, the cross-sectional profiles line of the inner chamber of described C-channel 5 is a circular part, and its osculum section 53 is open Two ends are 30 ° with the angle of circle center line connecting, and the big opening two ends of mouth section 51 are 180 ° with the angle of circle center line connecting, and section of remaining silent 52 is to gas The direction of capsule 2 extends to form real wall gear platform, and several apertures 54 are uniformly opened up on the both sides side wall of osculum section 53;Described suction nozzle 7 Overall cylindrical, the round and smooth treatment of its both ends of the surface, reduces resistance, reduces the discomfort of patient.Opened up on its barrel 3 row vertically and Circumferentially and equally distributed multi-directional ball bearing bore 72, outer end is exposed to 5 rows after ball 9 is put into multi-directional ball bearing bore 72 from barrel inner side The outer sub-fraction of suction nozzle, the inner abut against with the outer wall of the secretion extraction tube 6 being inserted in, and so more roll sliding friction and rub Wipe, greatly reduce frictional force so that it is more smooth that suction nozzle is moved up and down in C-channel, described ball 9 can also be with aperture 54 Mutually touch;Suction nozzle can be made to hover over any position.The annular wing for covering if the peripheral surface setting arterial highway of described air bag 2 retreats Wing 21.Not only multiple tracks ring can form multiple tracks airtight construction, strengthen seal, and can reduce the contact area with tracheal wall, keep away Exempt from prolonged extruding to cause tracheae thrombosis or even cause necrosis, annular wing topples backward in addition, what is entered When do not influence enter, remaining secretion can also all be taken away tracheal strips when exiting.
Application method is:
1) intubation is insertable orally into tracheae middle part according to usual method, then by extruding sacculus to being filled in air bag Gas, air bag expands, and multiple tracks annular wing is close to tracheal wall, plays a part of airtight and prevents secretion from flowing into lung, now Lung ventilator can be connected by intubation;
2) when periodically or above discovery air bag secretion occurs, suction nozzle is put into extrabuccal big mouth section, so Hand-held secretion extraction tube is continued to be fed into suction nozzle feeding osculum section afterwards, and suction nozzle will advance along the outer wall of intubation, due to Ball can mutually be touched with aperture, therefore suction nozzle can hover over any position, start asepwirator pump, and secretion herein is extracted side by side Go out, until arrive at remain silent section at cannot readvance when, all secretion are extracted clean;
3) after extracting clean secretion, without taking out intubation, suction nozzle is taken out and cleaned up by hand-held secretion extraction tube In case using again;
4) Deflation, if tracheal strips have a little secretion to remain, Deflation is without very thorough so that annular wing Gently contacted with tracheal wall, then extract intubation according to usual way, thoroughly scrape out by the secretion of residual in passing.

Claims (3)

1. a kind of endotracheal intubation of integrated drainage system, including can be from the intubation in the middle part of oral cavity insertion tracheae, near intubation Front end is fixed to prevent secretion from flowing into lung and plays the air bag of airtight effect, the inflation/deflation that air bag connection fits together with intubation Pipe, the sacculus of the other end connection one with check valve and air bleeding valve of tracheae, it is characterised in that:It is square vertically in the outer wall of intubation To the C-channel for being integrally formed top end opening, C-channel is being big mouth section near the rear end of intubation, is section of remaining silent being close at air bag, Centre is osculum section;Also include secretion extraction tube of the length more than C-channel, the external diameter of secretion extraction tube is less than C-channel Internal diameter and its big mouth section top end opening bore, more than osculum section top end opening bore, the inwall edge of secretion extraction tube Axial direction is integrally formed convex stupefied, and convex stupefied interior embedded steel wire, the front end of secretion extraction tube is arranged suction nozzle, and suction nozzle can be in C-channel The front end of slide anteroposterior, secretion extraction tube and suction nozzle opens up multiple flow guide recesses.
2. the endotracheal intubation of a kind of integrated drainage system according to claim 1, it is characterised in that:Described C-channel The cross-sectional profiles line of inner chamber be a circular part, its osculum section opening two ends and the angle of circle center line connecting be 30 °- 45 °, big mouth section opening two ends are 180 ° with the angle of circle center line connecting, and section of remaining silent extends to form real wall gear platform to air bag direction, small Several apertures are uniformly opened up on the both sides side wall of mouth section;Described suction nozzle is integrally cylindrical, the round and smooth treatment of its both ends of the surface, its Several equally distributed multi-directional ball bearing bore along the axial and circumferential directions are opened up on barrel, ball is put into multi-directional ball bearing bore from barrel inner side Outer end abuts against exposed to the outer sub-fraction of suction nozzle, the inner with the outer wall of the secretion extraction tube being inserted in afterwards, and described ball is also Can mutually be touched with aperture;The annular wing for covering if the peripheral surface setting arterial highway of described air bag retreats.
3. the application method of the endotracheal intubation of a kind of integrated drainage system described in claim 2, it is characterised in that:Including such as Lower step:
1) intubation is insertable orally into tracheae middle part according to usual method, is then inflated in air bag by extruding sacculus, gas Capsule expands, and multiple tracks annular wing is close to tracheal wall, plays a part of airtight and prevents secretion from flowing into lung, now can just lead to Cross intubation connection lung ventilator;
2) when periodically or above discovery air bag secretion occurs, suction nozzle is put into extrabuccal big mouth section, then hand Secretion extraction tube is held by suction nozzle feeding osculum section, is continued to be fed into, suction nozzle will advance along the outer wall of intubation, due to ball Can mutually be touched with aperture, therefore suction nozzle can hover over any position, start asepwirator pump, and secretion herein is extracted and discharged, Until arrive at remain silent section at cannot readvance when, all secretion are extracted clean;
3) after extracting clean secretion, without taking out intubation, hand-held secretion extraction tube suction nozzle is taken out clean up in case Use again;
4) Deflation, if tracheal strips have a little secretion to remain, Deflation is without very thorough so that annular wing and gas Tube wall is gently contacted, and then extracts intubation according to usual way, thoroughly scrapes out by the secretion of residual in passing.
CN201710188323.1A 2017-03-27 2017-03-27 A kind of endotracheal intubation of integrated drainage device Expired - Fee Related CN106861000B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108942396A (en) * 2018-09-10 2018-12-07 台州来智科技有限公司 A kind of coolant liquid recyclable device for machinery automation processing

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4607635A (en) * 1984-09-27 1986-08-26 Heyden Eugene L Apparatus for intubation
US4637389A (en) * 1985-04-08 1987-01-20 Heyden Eugene L Tubular device for intubation
CN203763616U (en) * 2014-03-20 2014-08-13 牡丹江医学院 Sputum scab cleaning machine
CN105079942A (en) * 2014-05-07 2015-11-25 高特生 Visible stomach tube guiding device
CN105148372A (en) * 2015-08-03 2015-12-16 朱星宇 Multifunctional sputum scab removing device for respiration department
CN205322989U (en) * 2016-01-22 2016-06-22 太和医院神农架林区医院 Phlegm absorbing pipes

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4607635A (en) * 1984-09-27 1986-08-26 Heyden Eugene L Apparatus for intubation
US4637389A (en) * 1985-04-08 1987-01-20 Heyden Eugene L Tubular device for intubation
CN203763616U (en) * 2014-03-20 2014-08-13 牡丹江医学院 Sputum scab cleaning machine
CN105079942A (en) * 2014-05-07 2015-11-25 高特生 Visible stomach tube guiding device
CN105148372A (en) * 2015-08-03 2015-12-16 朱星宇 Multifunctional sputum scab removing device for respiration department
CN205322989U (en) * 2016-01-22 2016-06-22 太和医院神农架林区医院 Phlegm absorbing pipes

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108942396A (en) * 2018-09-10 2018-12-07 台州来智科技有限公司 A kind of coolant liquid recyclable device for machinery automation processing

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