CN107569232B - Anti-blocking type nasopharynx sampling gas partial pressure monitoring catheter - Google Patents

Anti-blocking type nasopharynx sampling gas partial pressure monitoring catheter Download PDF

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CN107569232B
CN107569232B CN201710875500.3A CN201710875500A CN107569232B CN 107569232 B CN107569232 B CN 107569232B CN 201710875500 A CN201710875500 A CN 201710875500A CN 107569232 B CN107569232 B CN 107569232B
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catheter
spiral
main body
partial pressure
supporting strips
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CN107569232A (en
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戚思华
张炜
汪梦莉
马雪松
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Harbin Medical University
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Harbin Medical University
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Abstract

The invention discloses an anti-blocking type nasopharyngeally sampled gas partial pressure monitoring catheter, which comprises a catheter main body and a catheter fixing nasal plug, wherein the catheter fixing nasal plug is sleeved on the catheter main body in a sliding manner; the front end of the catheter main body is connected with a spiral anti-blocking tube, and the rear end of the catheter main body is connected with a sampling tube interface; the conduit fixing nasal plug is of a hollow structure, the front end of the conduit fixing nasal plug is provided with an oxygen supply outlet, and the rear end of the conduit fixing nasal plug is provided with an oxygen supply inlet. The spiral anti-blocking pipe is provided with a spiral supporting strip which is in a spiral shape around the axis of the catheter main body and a plurality of longitudinal supporting strips along the axis direction of the catheter; the spiral supporting strips and the longitudinal supporting strips are mutually crossed and fixed, and a gap formed between the spiral supporting strips and the longitudinal supporting strips is a sampling air inlet. The invention can effectively realize the monitoring of the gas partial pressure in the process of ventilating the patient with the non-tight artificial airway spontaneous respiration, expands the adaptation of the monitoring of the gas partial pressure and is particularly suitable for monitoring the respiratory function state of the patient with the non-tight artificial airway spontaneous respiration in anesthesia.

Description

Anti-blocking type nasopharynx sampling gas partial pressure monitoring catheter
Technical Field
The invention relates to the technical field of a gas partial pressure monitoring catheter, in particular to an anti-blocking type nasopharynx sampling gas partial pressure monitoring catheter.
Background
The monitoring of the partial pressure of gas is an important link for monitoring the respiratory function, the gas inhaled and exhaled by a patient is extracted through the gas sampling conduit, and the respiratory function condition of the patient can be effectively judged by monitoring the components and the partial pressure parameters of the gas. Particularly in clinical anesthesia, the monitoring technology has very important significance for the respiratory function management of patients. The medical gas monitor mainly adopts three gas detection technologies of electrochemistry, infrared ray and paramagnetic property. According to the gas sampling position of the gas partial pressure monitoring sensor, the method can be divided into a main flow type acquisition method, a bypass flow type acquisition method and a shutoff type acquisition method, and a bypass flow acquisition technology is generally adopted clinically. Limited by the gas sampling condition, the tip of the gas sampling tube needs to be connected to a specific position of the closed artificial airway (the junction of the ventilation catheter and the ventilation loop), so that the air can be prevented from being mixed during gas sampling, and the gas actually ventilated by the patient can be extracted. The technique is therefore generally limited to general anesthesia patients with tight artificial airway ventilation.
Currently, gas monitoring technology is widely applied to general anesthesia patients with tight artificial airway ventilation, but for spontaneous respiration patients with non-tight artificial airway, the technology still has wider clinical requirements, especially for patients with non-tight artificial airway anesthesia. If the tip of the gas sampling tube is in the same position, the surrounding air may be mixed in during sampling, resulting in a failure of monitoring. Clinical tests prove that when the tip of the gas sampling tube is placed at the nasopharynx part of a patient, the gas sampling analysis result can be close to the sampling effect of the state of a tightly closed airway, but the common catheter or the gas sampling tube with the tip containing a positive hole structure and a side hole structure is easy to be blocked by pharyngeal secretions, so that the monitoring fails.
Disclosure of Invention
Aiming at the defects of the prior art, the invention provides the anti-blocking type nasopharynx sampling gas partial pressure monitoring catheter which can realize the monitoring of the gas partial pressure of a patient who is spontaneously breathing with a non-tight artificial airway and has the anti-blocking function.
In order to achieve the purpose, the invention adopts the following technical scheme: the utility model provides a prevent blockking up type through nasopharynx sampling gas partial pressure monitoring pipe which characterized in that includes: the front end of the catheter main body is connected with a spiral anti-blocking tube, and the rear end of the catheter main body is connected with a sampling tube interface; the nasal plug is fixed on the catheter, is sleeved outside the catheter main body in a sliding manner and is of a hollow structure, the front end of the nasal plug is provided with an oxygen supply outlet, and the rear end of the nasal plug is provided with an oxygen supply inlet.
Wherein the spiral anti-clogging tube has a spiral supporting strip in a spiral form around the axis of the catheter main body and a plurality of longitudinal supporting strips parallel to the axial direction of the catheter; the spiral supporting strips and the longitudinal supporting strips are mutually crossed and fixed, and a gap formed between the spiral supporting strips and the longitudinal supporting strips is a sampling air inlet.
Wherein the bottoms of the spiral supporting strips and the longitudinal supporting strips are connected with the catheter main body; the pitch of the spiral supporting bar is 3-4 mm; the cross section of the spiral supporting bar is in a trapezoid shape with a narrow upper part and a wide bottom, and the width of the bottom is 2-3 mm.
Wherein the bottoms of the spiral supporting strips and the longitudinal supporting strips are connected with the catheter main body; three longitudinal support bars with the width of 1mm are uniformly distributed on the spiral anti-blocking pipe.
The catheter fixing nose plug is pear-shaped, the front end of the catheter fixing nose plug is wide, the rear end of the catheter fixing nose plug is narrow, and the total length of the catheter fixing nose plug is 1.5 cm.
Wherein the thickness of the tube wall of the catheter main body is 0.3 mm-0.5 mm, and the total length is 12 cm-15 cm.
Wherein, the outer surface of the catheter main body is provided with scale marks.
Wherein the catheter body has an outer diameter of one of 5mm, 4mm and 3 mm.
Wherein, the total length of the spiral anti-blocking pipe is 3 cm-5 cm.
Wherein, the catheter main body is made of food-grade silica gel.
Compared with the prior art, the invention has the beneficial effects that: the structure is reasonable, the wound is not generated, and the patient can accept the wound easily; the monitoring result is close to the data of the closed artificial airway; the anti-blocking function is obvious, and the monitoring of the partial pressure of gas in anesthesia for a long time can be met; the nasal obstruction structure is attached to the catheter, so that the position of the catheter can be effectively fixed, low-flow oxygen inhalation can be performed through the nasal obstruction, and oxygen consumption can be reduced compared with the oxygen inhalation of a mask commonly used in clinic.
Drawings
Fig. 1 is a schematic structural diagram of an embodiment of the present invention.
FIG. 2 is a partial cross-sectional view of an embodiment of the present invention.
Fig. 3 is an enlarged cross-sectional view of a helical support bar according to an embodiment of the present invention.
Description of reference numerals: 1-a catheter body; 2-the nasal plug is fixed by the catheter; 3-spiral anti-clogging pipe; 4-sampling tube interface; 5-an oxygen supply outlet; 6-oxygen supply inlet; 7-a spiral supporting strip; 8-longitudinal supporting strips; 9-sampling air inlet; 10-scale mark.
Detailed Description
As shown in fig. 1, the anti-clogging transnasopharyngeal sampling gas partial pressure monitoring catheter comprises a catheter main body 1 and a catheter fixing nasal plug 2. The front end of the catheter main body 1 is a spiral anti-blocking pipe 3, and the rear end is a sampling pipe interface 4; the catheter fixing nasal plug 2 is slidably sleeved outside the catheter main body 1, is of a hollow structure, is provided with an oxygen supply outlet 5 at the front end and an oxygen supply inlet 6 at the rear end, and can supply oxygen to a patient through the nasal holes through the catheter fixing nasal plug 2 according to clinical requirements. The spiral anti-clogging tube 3 has a spiral support strip 7 in a spiral form around the axis of the catheter main body 1 and a plurality of longitudinal support strips 8 in the direction of the axis of the catheter to prevent the spiral anti-clogging tube 3 from being excessively bent; the spiral supporting strips 7 and the longitudinal supporting strips 8 are mutually crossed and fixed, and a gap formed between the spiral supporting strips and the longitudinal supporting strips is a sampling air inlet 9; the helical support struts 7 and the longitudinal support struts 8 are connected at their bottoms to the catheter main body 1.
As shown in fig. 2, the pitch (dimension d in the drawing) of the spiral supporting bar 7 is 3mm to 4 mm; three longitudinal support bars 8 with the width of 1mm are uniformly distributed on the spiral anti-blocking pipe 3. The catheter fixing nasal plug 2 is pear-shaped with a wide front end and a narrow rear end, the total length (the size a in the drawing) is 1.5cm, and the outer diameter (the size e in the drawing) of the thicker part at the front end is 5 mm-8 mm. The catheter main body 1 has a wall thickness (dimension g in the drawing) of 0.3 to 0.5mm and a total length (dimension b in the drawing) of 12 to 15 cm. The outer surface of the catheter main body 1 is provided with scale marks 10. The total length (dimension c in the figure) of the spiral anti-clogging pipe 3 is 3 cm-5 cm. The catheter is divided into a large model, a middle model and a small model according to the outer diameter of the catheter main body 1; i.e. the outer diameter of the catheter body 1 (dimension h in the figure) may be 5mm, 4mm or 3 mm.
The catheter main body 1 is made of food-grade silica gel.
As shown in fig. 3, the cross-sectional shape of the spiral support bar 7 is a trapezoid having a narrow upper portion and a wide bottom portion, the width of the bottom portion (dimension f in the drawing) is 2mm to 3mm, and one base angle of the cross-section of the spiral support bar 7 is 30 °.
The invention is a disposable medical article, before using, the catheter fixing nose plug 2 is adjusted to a proper position in advance, then a small amount of lubricant or surface anesthesia cream is smeared at the front end of the catheter, the catheter fixing nose plug 2 is inserted into the nasopharynx through the nostril cavity at one side of a patient, and the catheter main body 1 is fixed by embedding the catheter fixing nose plug 2 into the nostril. And then connecting a gas sampling pipe of the gas monitor with a sampling pipe interface 4 at the tail end to carry out continuous gas monitoring. If oxygen supply is needed through the nasal plug, the oxygen supply tube can be connected with the oxygen supply inlet 6 of the nasal plug to carry out oxygen inhalation.

Claims (9)

1. The utility model provides a prevent blockking up type through nasopharynx sampling gas partial pressure monitoring pipe which characterized in that includes:
the front end of the catheter main body is connected with a spiral anti-blocking tube, and the rear end of the catheter main body is connected with a sampling tube interface;
the catheter fixing nose plug is sleeved outside the catheter main body in a sliding manner and is of a hollow structure, the front end of the catheter fixing nose plug is provided with an oxygen supply outlet, and the rear end of the catheter fixing nose plug is provided with an oxygen supply inlet;
the spiral anti-blocking pipe is provided with a spiral supporting strip which is in a spiral shape around the axis of the catheter main body and a plurality of longitudinal supporting strips which are parallel to the axial direction of the catheter; the spiral supporting strips and the longitudinal supporting strips are mutually crossed and fixed, and a gap formed between the spiral supporting strips and the longitudinal supporting strips is a sampling air inlet.
2. The anti-clogging transnasopharyngeal sampling gas partial pressure monitoring catheter according to claim 1, wherein:
the bottoms of the spiral supporting strips and the bottoms of the longitudinal supporting strips are connected with the catheter main body; the screw pitch of the spiral supporting bar is 3 mm-4 mm; the cross-sectional shape of spiral support bar is the trapezoidal of upper portion narrow and bottom width, and the bottom width is 2mm ~3 mm.
3. The anti-clogging transnasopharyngeal sampling gas partial pressure monitoring catheter according to claim 1, wherein:
the bottoms of the spiral supporting strips and the bottoms of the longitudinal supporting strips are connected with the catheter main body; three longitudinal support bars with the width of 1mm are uniformly distributed on the spiral anti-blocking pipe.
4. The anti-clogging transnasopharyngeal sampling gas partial pressure monitoring catheter according to claim 1, wherein:
the catheter fixing nose plug is pear-shaped, the front end of the catheter fixing nose plug is wide, the rear end of the catheter fixing nose plug is narrow, and the total length of the catheter fixing nose plug is 1.5 cm.
5. The anti-clogging transnasopharyngeal sampling gas partial pressure monitoring catheter according to claim 1, wherein:
the thickness of the tube wall of the catheter main body is 0.3 mm-0.5 mm, and the total length is 12 cm-15 cm.
6. The anti-clogging transnasopharyngeal sampling gas partial pressure monitoring catheter according to claim 1, wherein:
the outer surface of the catheter main body is provided with scale marks.
7. The anti-clogging transnasopharyngeal sampling gas partial pressure monitoring catheter according to claim 1, wherein:
the catheter body has an outer diameter of one of 5mm, 4mm and 3 mm.
8. The anti-clogging transnasopharyngeal sampling gas partial pressure monitoring catheter according to claim 1, wherein:
the total length of the spiral anti-blocking pipe is 3 cm-5 cm.
9. The anti-clogging transnasopharyngeal sampling gas partial pressure monitoring catheter according to claim 1, wherein:
the catheter main body is made of food-grade silica gel.
CN201710875500.3A 2017-09-25 2017-09-25 Anti-blocking type nasopharynx sampling gas partial pressure monitoring catheter Active CN107569232B (en)

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Publication number Priority date Publication date Assignee Title
CN108186161A (en) * 2018-01-16 2018-06-22 王敏 A kind of rhinobyon type fixator for preventing full coated esophagus metallic support from shifting or slipping

Citations (5)

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CN2608028Y (en) * 2003-03-21 2004-03-31 天津医科大学口腔医院 Tracheal tube with telescopic bellows
CN1589167A (en) * 2001-09-24 2005-03-02 福永敦翁福 Breathing circuits having unconventional respiratory conduits and systems and methods for optimizing utilization of fresh gases
CN103747832A (en) * 2011-06-03 2014-04-23 费雪派克医疗保健有限公司 Medical tubes and methods of manufacture
CN204092761U (en) * 2014-07-17 2015-01-14 袁帅 A kind of oxygen catheter for respiratory internal medicine
CN105617499A (en) * 2016-03-04 2016-06-01 上海潭大投资股份有限公司 Trachea device and utilization method thereof

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8020558B2 (en) * 2007-01-26 2011-09-20 Cs Medical, Inc. System for providing flow-targeted ventilation synchronized to a patient's breathing cycle

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1589167A (en) * 2001-09-24 2005-03-02 福永敦翁福 Breathing circuits having unconventional respiratory conduits and systems and methods for optimizing utilization of fresh gases
CN2608028Y (en) * 2003-03-21 2004-03-31 天津医科大学口腔医院 Tracheal tube with telescopic bellows
CN103747832A (en) * 2011-06-03 2014-04-23 费雪派克医疗保健有限公司 Medical tubes and methods of manufacture
CN204092761U (en) * 2014-07-17 2015-01-14 袁帅 A kind of oxygen catheter for respiratory internal medicine
CN105617499A (en) * 2016-03-04 2016-06-01 上海潭大投资股份有限公司 Trachea device and utilization method thereof

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